Hospital

COMMUNITY MEDICAL CENTER

Missoula, MT · CCN 270023 · Rates published

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You selected 93306 (HCPCS)

TTE W/DOPPLER COMPLETE

This hospital’s price: $1,972 across 7 payers · range $1,682-$2,170

Source: https://www.communitymed.org/docs/ahcommunitymedicalcenterlibraries/hcl/mrf3q25/611744940_community-medical-center_standardcharges.csv · observed 2025-07-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

688 distinct procedures filed

21 distinct payers

1,745 rate rows

2025-07-01 last MRF observed · ⚠ 15 mo old

Data quality

1,743 of 1,745 rate rows are consumer-grade (99.9%)

2 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
exceeds 10× this hospital's gross charge — excluded from medians	1
placeholder amount (≤ $0.02) — excluded from medians	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.communitymed.org/docs/ahcommunitymedicalcenterlibraries/hcl/mrf3q25/611744940_community-medical-center_standardcharges.csv
Found on page	https://www.communitymed.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-01
Content fingerprint	8e6356ecfcfa3a59… · 224,310 bytes · first seen 2026-07-31

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
93656 HCPCS	Tx Atrial Fib Pulm Vein Isol	1	$55,479.76	$55,479.76	$55,479.76	nat. median $26,469 outlier · 2.1×
C1820 HCPCS	Generator Neuro Rechg Bat Sy	1	$40,258.63	$40,258.63	$40,258.63	nat. median $21,100 1.9× median
19307 HCPCS	Mast Mod Rad	1	$28,924.01	$28,924.01	$28,924.01	nat. median $6,381 outlier · 4.5×
C9600 HCPCS	Perc Drug-el Cor Stent Sing	2	$28,386.50	$28,446.31	$28,416.40	nat. median $13,311 outlier · 2.1×
42210 HCPCS	Reconstruct Cleft Palate	1	$27,342.76	$27,342.76	$27,342.76	nat. median $5,996 outlier · 4.6×
19303 HCPCS	Mast Simple Complete	2	$21,459.90	$28,924.01	$25,191.96	nat. median $6,248 outlier · 4.0×
987 MS_DRG	Non-ext Or Unrel Pdx W Mcc	1	$24,517.18	$24,517.18	$24,517.18	nat. median $24,316 1.0× median
58571 HCPCS	Tlh W/t/o 250 G Or Less	2	$10,134.13	$22,467.20	$22,175.85	nat. median $10,013 outlier · 2.2×
49650 HCPCS	Lap Ing Hernia Repair Init	2	$16,747.98	$26,944.85	$21,846.42	nat. median $5,726 outlier · 3.8×
23472 HCPCS	Reconstruct Shoulder Joint	1	$19,475.03	$19,475.03	$19,475.03	nat. median $16,735 1.2× median
22856 HCPCS	Cerv Artific Diskectomy	1	$18,994.30	$18,994.30	$18,994.30	nat. median $17,078 1.1× median
46288 HCPCS	Repair Anal Fistula	1	$18,822.83	$18,822.83	$18,822.83	nat. median $3,156 outlier · 6.0×
C1776 HCPCS	Joint Device (implantable)	6	$3,616.54	$21,720.33	$18,491.04	nat. median $3,543 outlier · 5.2×
93458 HCPCS	L Hrt Artery/ventricle Angio	1	$18,482.25	$18,482.25	$18,482.25	nat. median $4,063 outlier · 4.5×
483 MS_DRG	Maj Reatt Px Upper Ext	1	$18,088.15	$18,088.15	$18,088.15	nat. median $19,495 0.9× median
29827 HCPCS	Arthroscop Rotator Cuff Repr	1	$17,894.69	$17,894.69	$17,894.69	nat. median $7,413 outlier · 2.4×
24685 HCPCS	Treat Ulnar Fracture	1	$16,504.66	$16,504.66	$16,504.66	nat. median $7,187 outlier · 2.3×
27130 HCPCS	Total Hip Arthroplasty	4	$12,539.82	$22,099.14	$16,171.88	nat. median $12,734 1.3× median
93454 HCPCS	Coronary Artery Angio S&I	3	$3,259.97	$14,906.45	$14,875.10	nat. median $4,047 outlier · 3.7×
47563 HCPCS	Laparo Cholecystectomy/graph	1	$13,791.68	$13,791.68	$13,791.68	nat. median $6,246 outlier · 2.2×
93620 HCPCS	Electrophysiology Evaluation	1	$13,388.09	$13,388.09	$13,388.09	nat. median $8,986 1.5× median
46275 HCPCS	Remove Anal Fist Inter	1	$12,933.78	$12,933.78	$12,933.78	nat. median $3,103 outlier · 4.2×
27447 HCPCS	Total Knee Arthroplasty	3	$7,183.75	$23,694.81	$12,853.31	nat. median $12,374 1.0× median
78815 HCPCS	PET Image W/ct Skull-thigh	1	$12,795.05	$12,795.05	$12,795.05	nat. median $1,679 outlier · 7.6×
C1889 HCPCS	Implant/insert Device, Noc	1	$12,518.39	$12,518.39	$12,518.39	nat. median $1,642 outlier · 7.6×
841 MS_DRG	Lymph & Non Ac Leuk W Cc	1	$12,210.98	$12,210.98	$12,210.98	nat. median $11,732 1.0× median
682 MS_DRG	Renal Failure W Mcc	1	$11,646.79	$11,646.79	$11,646.79	nat. median $11,096 1.0× median
27814 HCPCS	Treatment Of Ankle Fracture	1	$11,438.88	$11,438.88	$11,438.88	nat. median $7,169 1.6× median
58661 HCPCS	Laparoscopy Remove Adnexa	2	$9,194.45	$13,465.30	$11,329.88	nat. median $5,852 1.9× median
49505 HCPCS	Prp I/hern Init Reduc >5 Yr	2	$5,669.60	$16,122.93	$10,896.26	nat. median $4,049 outlier · 2.7×
19370 HCPCS	Surgery Of Breast Capsule	1	$10,745.02	$10,745.02	$10,745.02	nat. median $4,174 outlier · 2.6×
93621 HCPCS	Electrophysiology Evaluation	1	$10,709.82	$10,709.82	$10,709.82	nat. median $3,202 outlier · 3.3×
58573 HCPCS	Tlh W/t/o Uterus Over 250 G	1	$10,568.69	$10,568.69	$10,568.69	nat. median $10,411 1.0× median
C1730 HCPCS	Cath, Ep, 19 Or Few Elect	1	$10,548.09	$10,548.09	$10,548.09	nat. median $760 outlier · 13.9×
29888 HCPCS	Knee Arthroscopy/surgery	1	$10,453.33	$10,453.33	$10,453.33	nat. median $7,221 1.4× median
29882 HCPCS	Knee Arthroscopy/surgery	1	$10,453.33	$10,453.33	$10,453.33	nat. median $3,592 outlier · 2.9×
58570 HCPCS	Tlh Uterus 250 G Or Less	1	$10,136.39	$10,136.39	$10,136.39	nat. median $9,932 1.0× median
58662 HCPCS	Laparoscopy Excise Lesions	3	$2,701.92	$31,789.15	$10,136.38	nat. median $6,306 1.6× median
51990 HCPCS	Laparo Urethral Suspension	1	$10,134.13	$10,134.13	$10,134.13	nat. median $6,150 1.6× median
291 MS_DRG	Heart Fail/shock W Mcc	1	$10,034.05	$10,034.05	$10,034.05	nat. median $9,572 1.0× median
C1778 HCPCS	Lead, Neurostimulator	1	$9,914.68	$9,914.68	$9,914.68	nat. median $5,009 2.0× median
52317 HCPCS	Remove Bladder Stone	1	$9,804.75	$9,804.75	$9,804.75	nat. median $3,759 outlier · 2.6×
19342 HCPCS	Delayed Breast Prosthesis	1	$9,511.50	$9,511.50	$9,511.50	nat. median $8,552 1.1× median
15777 HCPCS	Acellular Derm Matrix Implt	1	$9,511.50	$9,511.50	$9,511.50	nat. median $1,772 outlier · 5.4×
15650 HCPCS	Transfer Skin Pedicle Flap	1	$9,390.28	$9,390.28	$9,390.28	nat. median $2,136 outlier · 4.4×
19125 HCPCS	Excision Breast Lesion	1	$9,390.28	$9,390.28	$9,390.28	nat. median $4,023 outlier · 2.3×
57288 HCPCS	Repair Bladder Defect	1	$9,352.98	$9,352.98	$9,352.98	nat. median $5,561 1.7× median
59320 HCPCS	Revision Of Cervix	1	$9,352.98	$9,352.98	$9,352.98	nat. median $3,275 outlier · 2.9×
38525 HCPCS	Biopsy/removal Lymph Nodes	3	$6,523.90	$21,459.91	$9,224.81	nat. median $4,639 2.0× median
19301 HCPCS	Partial Mastectomy	1	$9,213.10	$9,213.10	$9,213.10	nat. median $3,914 outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 688 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

93656	HCPCS	Tx Atrial Fib Pulm Vein Isol	1	1	$58,399.75	$35,039.85 40% off	$55,479.76	$55,479.76	$55,479.76	2025-07-01
C1820	HCPCS	Generator Neuro Rechg Bat Sy	1	1	$42,377.50	$25,426.50 40% off	$40,258.63	$40,258.63	$40,258.63	2025-07-01
19307	HCPCS	Mast Mod Rad	1	1	$34,028.25	$20,416.95 40% off	$28,924.01	$28,924.01	$28,924.01	2025-07-01
C9600	HCPCS	Perc Drug-el Cor Stent Sing	2	2	$33,466.25	$20,079.75 40% off	$28,386.50	$28,446.31	$28,416.40	2025-07-01
42210	HCPCS	Reconstruct Cleft Palate	1	1	$33,756.50	$20,253.90 40% off	$27,342.76	$27,342.76	$27,342.76	2025-07-01
19303	HCPCS	Mast Simple Complete	2	2	$19,615.71	$11,769.42 40% off	$21,459.90	$28,924.01	$25,191.96	2025-07-01
987	MS_DRG	Non-ext Or Unrel Pdx W Mcc	1	1	$144,607.54	$86,764.52 40% off	$24,517.18	$24,517.18	$24,517.18	2025-07-01
58571	HCPCS	Tlh W/t/o 250 G Or Less	3	2	$17,683.04	$10,609.83 40% off	$10,134.13	$22,467.20	$22,175.85	2025-07-01
49650	HCPCS	Lap Ing Hernia Repair Init	2	2	$24,033.25	$14,419.95 40% off	$16,747.98	$26,944.85	$21,846.42	2025-07-01
23472	HCPCS	Reconstruct Shoulder Joint	1	1	$20,500.00	$12,300.00 40% off	$19,475.03	$19,475.03	$19,475.03	2025-07-01
22856	HCPCS	Cerv Artific Diskectomy	1	1	$19,994.00	$11,996.40 40% off	$18,994.30	$18,994.30	$18,994.30	2025-07-01
46288	HCPCS	Repair Anal Fistula	1	1	$19,813.50	$11,888.10 40% off	$18,822.83	$18,822.83	$18,822.83	2025-07-01
C1776	HCPCS	Joint Device (implantable)	7	6	$14,579.20	$8,747.52 40% off	$3,616.54	$21,720.33	$18,491.04	2025-07-01
93458	HCPCS	L Hrt Artery/ventricle Angio	1	1	$19,455.00	$11,673.00 40% off	$18,482.25	$18,482.25	$18,482.25	2025-07-01
483	MS_DRG	Maj Reatt Px Upper Ext	1	1	$89,111.69	$53,467.01 40% off	$18,088.15	$18,088.15	$18,088.15	2025-07-01
29827	HCPCS	Arthroscop Rotator Cuff Repr	1	1	$18,836.50	$11,301.90 40% off	$17,894.69	$17,894.69	$17,894.69	2025-07-01
24685	HCPCS	Treat Ulnar Fracture	1	1	$19,417.25	$11,650.35 40% off	$16,504.66	$16,504.66	$16,504.66	2025-07-01
27130	HCPCS	Total Hip Arthroplasty	4	4	$20,186.25	$12,111.75 40% off	$12,539.82	$22,099.14	$16,171.88	2025-07-01
93454	HCPCS	Coronary Artery Angio S&I	3	3	$17,537.00	$10,522.20 40% off	$3,259.97	$14,906.45	$14,875.10	2025-07-01
47563	HCPCS	Laparo Cholecystectomy/graph	1	1	$16,225.50	$9,735.30 40% off	$13,791.68	$13,791.68	$13,791.68	2025-07-01
93620	HCPCS	Electrophysiology Evaluation	1	1	$16,528.50	$9,917.10 40% off	$13,388.09	$13,388.09	$13,388.09	2025-07-01
46275	HCPCS	Remove Anal Fist Inter	1	1	$13,614.50	$8,168.70 40% off	$12,933.78	$12,933.78	$12,933.78	2025-07-01
27447	HCPCS	Total Knee Arthroplasty	4	3	$18,059.77	$10,835.86 40% off	$7,183.75	$23,694.81	$12,853.31	2025-07-01
78815	HCPCS	PET Image W/ct Skull-thigh	2	1	$15,053.00	$9,031.80 40% off	$12,795.05	$12,795.05	$12,795.05	2025-07-01
C1889	HCPCS	Implant/insert Device, Noc	1	1	$13,177.25	$7,906.35 40% off	$12,518.39	$12,518.39	$12,518.39	2025-07-01
841	MS_DRG	Lymph & Non Ac Leuk W Cc	1	1	$19,992.39	$11,995.43 40% off	$12,210.98	$12,210.98	$12,210.98	2025-07-01
682	MS_DRG	Renal Failure W Mcc	1	1	$76,105.32	$45,663.19 40% off	$11,646.79	$11,646.79	$11,646.79	2025-07-01
27814	HCPCS	Treatment Of Ankle Fracture	1	1	$13,457.50	$8,074.50 40% off	$11,438.88	$11,438.88	$11,438.88	2025-07-01
58661	HCPCS	Laparoscopy Remove Adnexa	2	2	$14,174.00	$8,504.40 40% off	$9,194.45	$13,465.30	$11,329.88	2025-07-01
49505	HCPCS	Prp I/hern Init Reduc >5 Yr	2	2	$11,469.75	$6,881.85 40% off	$5,669.60	$16,122.93	$10,896.26	2025-07-01
19370	HCPCS	Surgery Of Breast Capsule	1	1	$16,428.00	$9,856.80 40% off	$10,745.02	$10,745.02	$10,745.02	2025-07-01
93621	HCPCS	Electrophysiology Evaluation	1	1	$16,528.50	$9,917.10 40% off	$10,709.82	$10,709.82	$10,709.82	2025-07-01
58573	HCPCS	Tlh W/t/o Uterus Over 250 G	1	1	$12,433.75	$7,460.25 40% off	$10,568.69	$10,568.69	$10,568.69	2025-07-01
C1730	HCPCS	Cath, Ep, 19 Or Few Elect	1	1	$11,103.25	$6,661.95 40% off	$10,548.09	$10,548.09	$10,548.09	2025-07-01
29882	HCPCS	Knee Arthroscopy/surgery	1	1	$11,003.50	$6,602.10 40% off	$10,453.33	$10,453.33	$10,453.33	2025-07-01
29888	HCPCS	Knee Arthroscopy/surgery	1	1	$11,003.50	$6,602.10 40% off	$10,453.33	$10,453.33	$10,453.33	2025-07-01
58570	HCPCS	Tlh Uterus 250 G Or Less	1	1	$10,669.88	$6,401.93 40% off	$10,136.39	$10,136.39	$10,136.39	2025-07-01
58662	HCPCS	Laparoscopy Excise Lesions	3	3	$15,836.69	$9,502.01 40% off	$2,701.92	$31,789.15	$10,136.38	2025-07-01
51990	HCPCS	Laparo Urethral Suspension	1	1	$11,922.50	$7,153.50 40% off	$10,134.13	$10,134.13	$10,134.13	2025-07-01
291	MS_DRG	Heart Fail/shock W Mcc	1	1	$37,533.17	$22,519.90 40% off	$10,034.05	$10,034.05	$10,034.05	2025-07-01
C1778	HCPCS	Lead, Neurostimulator	1	1	$10,436.50	$6,261.90 40% off	$9,914.68	$9,914.68	$9,914.68	2025-07-01
52317	HCPCS	Remove Bladder Stone	1	1	$11,535.00	$6,921.00 40% off	$9,804.75	$9,804.75	$9,804.75	2025-07-01
15777	HCPCS	Acellular Derm Matrix Implt	1	1	$11,190.00	$6,714.00 40% off	$9,511.50	$9,511.50	$9,511.50	2025-07-01
19342	HCPCS	Delayed Breast Prosthesis	1	1	$11,190.00	$6,714.00 40% off	$9,511.50	$9,511.50	$9,511.50	2025-07-01
15650	HCPCS	Transfer Skin Pedicle Flap	1	1	$9,884.50	$5,930.70 40% off	$9,390.28	$9,390.28	$9,390.28	2025-07-01
19125	HCPCS	Excision Breast Lesion	1	1	$9,884.50	$5,930.70 40% off	$9,390.28	$9,390.28	$9,390.28	2025-07-01
57288	HCPCS	Repair Bladder Defect	1	1	$11,003.50	$6,602.10 40% off	$9,352.98	$9,352.98	$9,352.98	2025-07-01
59320	HCPCS	Revision Of Cervix	1	1	$11,003.50	$6,602.10 40% off	$9,352.98	$9,352.98	$9,352.98	2025-07-01
38525	HCPCS	Biopsy/removal Lymph Nodes	3	3	$12,306.08	$7,383.65 40% off	$6,523.90	$21,459.91	$9,224.81	2025-07-01
19301	HCPCS	Partial Mastectomy	1	1	$9,698.00	$5,818.80 40% off	$9,213.10	$9,213.10	$9,213.10	2025-07-01
57423	HCPCS	Repair Paravag Defect Lap	2	2	$10,976.00	$6,585.60 40% off	$7,679.47	$10,298.15	$8,988.81	2025-07-01
57250	HCPCS	Repair Rectum & Vagina	1	1	$10,257.50	$6,154.50 40% off	$8,718.88	$8,718.88	$8,718.88	2025-07-01
63047	HCPCS	Remove Spine Lamina 1 Lmbr	1	1	$9,045.25	$5,427.15 40% off	$8,593.00	$8,593.00	$8,593.00	2025-07-01
63030	HCPCS	Low Back Disk Surgery	1	1	$9,045.25	$5,427.15 40% off	$8,592.99	$8,592.99	$8,592.99	2025-07-01
29823	HCPCS	Shoulder Arthroscopy/surgery	1	1	$7,603.50	$4,562.10 40% off	$7,686.77	$7,686.77	$7,686.77	2025-07-01
C1762	HCPCS	Conn Tiss, Human(inc Fascia)	1	1	$8,084.00	$4,850.40 40% off	$7,679.80	$7,679.80	$7,679.80	2025-07-01
57425	HCPCS	Laparoscopy Surg Colpopexy	1	1	$9,034.66	$5,420.80 40% off	$7,679.46	$7,679.46	$7,679.46	2025-07-01
43870	HCPCS	Repair Stomach Opening	1	1	$8,952.00	$5,371.20 40% off	$7,609.20	$7,609.20	$7,609.20	2025-07-01
63650	HCPCS	Implant Neuroelectrodes	1	1	$7,936.50	$4,761.90 40% off	$7,539.68	$7,539.68	$7,539.68	2025-07-01
63685	HCPCS	Insrt/redo Spine N Generator	1	1	$7,936.50	$4,761.90 40% off	$7,539.68	$7,539.68	$7,539.68	2025-07-01
52356	HCPCS	Cysto/uretero W/lithotripsy	1	1	$29,029.75	$17,417.85 40% off	$7,407.58	$7,407.58	$7,407.58	2025-07-01
36680	HCPCS	Insert Needle Bone Cavity	1	1	$7,561.83	$4,537.10 40% off	$7,183.74	$7,183.74	$7,183.74	2025-07-01
15275	HCPCS	Skin Sub Graft Face/nk/hf/g	1	1	$8,235.00	$4,941.00 40% off	$6,999.75	$6,999.75	$6,999.75	2025-07-01
59812	HCPCS	Treatment Of Miscarriage	1	1	$7,273.50	$4,364.10 40% off	$6,909.83	$6,909.83	$6,909.83	2025-07-01
683	MS_DRG	Renal Failure W Cc	1	1	$16,820.09	$10,092.05 40% off	$6,764.84	$6,764.84	$6,764.84	2025-07-01
93623	HCPCS	Stimulation Pacing Heart	1	1	$8,344.00	$5,006.40 40% off	$6,758.64	$6,758.64	$6,758.64	2025-07-01
37765	HCPCS	Stab Phleb Veins Xtr 10-20	1	1	$6,993.50	$4,196.10 40% off	$6,643.83	$6,643.83	$6,643.83	2025-07-01
193	MS_DRG	Simp Pneu/pleu W Mcc	1	1	$37,352.71	$22,411.63 40% off	$6,569.58	$6,569.58	$6,569.58	2025-07-01
15120	HCPCS	Skn Splt A-grft Fac/nck/hf/g	1	1	$6,807.25	$4,084.35 40% off	$6,466.89	$6,466.89	$6,466.89	2025-07-01
15004	HCPCS	Wound Prep F/n/hf/g	1	1	$6,807.25	$4,084.35 40% off	$6,466.89	$6,466.89	$6,466.89	2025-07-01
58563	HCPCS	Hysteroscopy Ablation	1	1	$7,460.00	$4,476.00 40% off	$6,341.00	$6,341.00	$6,341.00	2025-07-01
28308	HCPCS	Incision Of Metatarsal	1	1	$6,434.25	$3,860.55 40% off	$6,112.54	$6,112.54	$6,112.54	2025-07-01
28289	HCPCS	Corrj Halux Rigdus Without Implt	1	1	$6,434.25	$3,860.55 40% off	$6,112.54	$6,112.54	$6,112.54	2025-07-01
64633	HCPCS	Destroy Cerv/thor Facet Jnt	1	1	$6,198.25	$3,718.95 40% off	$5,888.32	$5,888.32	$5,888.32	2025-07-01
C1763	HCPCS	Conn Tiss, Non-human	1	1	$6,185.50	$3,711.30 40% off	$5,876.23	$5,876.23	$5,876.23	2025-07-01
20680	HCPCS	Removal Of Support Implant	2	2	$6,018.91	$3,611.35 40% off	$4,252.20	$7,183.74	$5,717.97	2025-07-01
45385	HCPCS	Colonoscopy W/lesion Removal	6	6	$5,998.25	$3,598.95 40% off	$1,180.58	$5,698.34	$5,698.34	2025-07-01
54640	HCPCS	Orchiopexy Ingun/scrot Appr	1	1	$5,968.00	$3,580.80 40% off	$5,669.60	$5,669.60	$5,669.60	2025-07-01
78452	HCPCS	Ht Muscle Image Spect Mult	2	1	$6,664.00	$3,998.40 40% off	$5,664.40	$5,664.40	$5,664.40	2025-07-01
64635	HCPCS	Destroy Lumb/sac Facet Jnt	2	2	$6,198.25	$3,718.95 40% off	$5,268.51	$5,888.32	$5,578.41	2025-07-01
C1759	HCPCS	Cath, Intra Echocardiography	1	1	$5,864.00	$3,518.40 40% off	$5,570.80	$5,570.80	$5,570.80	2025-07-01
77301	HCPCS	Radiotherapy Dose Plan Imrt	2	2	$9,569.50	$5,741.70 40% off	$1,320.21	$9,091.03	$5,205.62	2025-07-01
90715	HCPCS	Tdap Vaccine 7 YRS/> IM	1	1	$5,392.90	$3,235.74 40% off	$5,123.26	$5,123.26	$5,123.26	2025-07-01
C1766	HCPCS	Intro/sheath,strble,non-peel	1	1	$5,360.50	$3,216.30 40% off	$5,092.47	$5,092.47	$5,092.47	2025-07-01
45380	HCPCS	Colonoscopy And Biopsy	5	4	$5,488.15	$3,292.89 40% off	$3,903.31	$5,541.35	$4,958.05	2025-07-01
19081	HCPCS	Bx Breast 1st Lesion Strtctc	3	3	$5,183.00	$3,109.80 40% off	$4,405.55	$4,923.85	$4,923.85	2025-07-01
54162	HCPCS	Lysis Penil Circumic Lesion	1	1	$5,781.50	$3,468.90 40% off	$4,914.28	$4,914.28	$4,914.28	2025-07-01
49520	HCPCS	Rerepair Ing Hernia Reduce	1	1	$5,781.50	$3,468.90 40% off	$4,914.28	$4,914.28	$4,914.28	2025-07-01
74177	HCPCS	CT Abd & Pelv W/contrast	7	6	$5,738.50	$3,443.10 40% off	$448.98	$5,451.57	$4,877.73	2025-07-01
28200	HCPCS	Repair Of Foot Tendon	1	1	$5,688.25	$3,412.95 40% off	$4,835.01	$4,835.01	$4,835.01	2025-07-01
28322	HCPCS	Repair Of Metatarsals	1	1	$5,688.25	$3,412.95 40% off	$4,835.01	$4,835.01	$4,835.01	2025-07-01
51715	HCPCS	Endoscopic Injection/implant	1	1	$5,035.50	$3,021.30 40% off	$4,783.73	$4,783.73	$4,783.73	2025-07-01
57522	HCPCS	Conization Of Cervix	1	1	$5,035.50	$3,021.30 40% off	$4,783.72	$4,783.72	$4,783.72	2025-07-01
52276	HCPCS	Cystoscopy And Treatment	1	1	$5,595.00	$3,357.00 40% off	$4,755.75	$4,755.75	$4,755.75	2025-07-01
19287	HCPCS	Perq Dev Breast 1st Mr Guide	1	1	$4,894.50	$2,936.70 40% off	$4,649.77	$4,649.77	$4,649.77	2025-07-01
92978	HCPCS	Endoluminl Ivus Oct C 1st	2	2	$5,412.00	$3,247.20 40% off	$4,590.40	$4,600.20	$4,595.30	2025-07-01
C8908	HCPCS	MRI Without Fol W/cont, Breast,	3	3	$4,821.75	$2,893.05 40% off	$4,098.49	$4,580.66	$4,580.66	2025-07-01
L8606	HCPCS	Synthetic Implnt Urinary 1ml	1	1	$4,742.25	$2,845.35 40% off	$4,505.14	$4,505.14	$4,505.14	2025-07-01
43249	HCPCS	Esoph Egd Dilation <30 Mm	3	2	$5,203.00	$3,121.80 40% off	$1,896.99	$4,942.85	$4,422.55	2025-07-01
27654	HCPCS	Repair Of Achilles Tendon	1	1	$5,128.75	$3,077.25 40% off	$4,359.44	$4,359.44	$4,359.44	2025-07-01
72156	HCPCS	MRI Neck Spine Without & With Contrast	3	3	$4,564.75	$2,738.85 40% off	$3,880.04	$4,336.52	$4,336.51	2025-07-01
C1771	HCPCS	Rep Dev, Urinary, W/sling	1	1	$5,088.75	$3,053.25 40% off	$4,325.44	$4,325.44	$4,325.44	2025-07-01
11104	HCPCS	Punch Bx Skin Single Lesion	1	1	$2,980.13	$1,788.08 40% off	$4,287.83	$4,287.83	$4,287.83	2025-07-01
70553	HCPCS	MRI Brain Stem Without & With Contrast	6	5	$5,042.25	$3,025.35 40% off	$572.58	$4,790.14	$4,274.87	2025-07-01
29893	HCPCS	Scope Plantar Fasciotomy	1	1	$4,476.00	$2,685.60 40% off	$4,252.20	$4,252.20	$4,252.20	2025-07-01
29892	HCPCS	Ankle Arthroscopy/surgery	1	1	$4,476.00	$2,685.60 40% off	$4,252.20	$4,252.20	$4,252.20	2025-07-01
27698	HCPCS	Repair Of Ankle Ligament	1	1	$4,476.00	$2,685.60 40% off	$4,252.20	$4,252.20	$4,252.20	2025-07-01
64704	HCPCS	Revise Hand/foot Nerve	1	1	$4,476.00	$2,685.60 40% off	$4,252.20	$4,252.20	$4,252.20	2025-07-01
72197	HCPCS	MRI Pelvis Without & With Contrast	3	2	$4,941.00	$2,964.60 40% off	$3,575.31	$4,693.95	$4,199.85	2025-07-01
72195	HCPCS	MRI Pelvis Without Contrast	1	1	$4,941.00	$2,964.60 40% off	$4,199.85	$4,199.85	$4,199.85	2025-07-01
28285	HCPCS	Repair Of Hammertoe	2	2	$5,128.75	$3,077.25 40% off	$4,030.74	$4,359.44	$4,195.09	2025-07-01
71552	HCPCS	MRI Chest Without & With Contrast	1	1	$4,901.25	$2,940.75 40% off	$4,166.06	$4,166.06	$4,166.06	2025-07-01
75574	HCPCS	CT Angio Hrt W/3d Image	2	2	$4,400.00	$2,640.00 40% off	$3,740.00	$4,180.00	$3,960.00	2025-07-01
J1950	HCPCS	Leuprolide Acetate /3.75 Mg	2	1	$4,617.86	$2,770.72 40% off	$3,925.18	$3,925.18	$3,925.18	2025-07-01
74183	HCPCS	MRI Abdomen Without & With Contrast	3	2	$4,219.25	$2,531.55 40% off	$357.13	$4,175.25	$3,921.90	2025-07-01
71555	HCPCS	MRI Angio Chest W Or Without Contrast	1	1	$4,100.00	$2,460.00 40% off	$3,895.00	$3,895.00	$3,895.00	2025-07-01
25605	HCPCS	Treat Fracture Radius/ulna	1	1	$4,516.00	$2,709.60 40% off	$3,838.60	$3,838.60	$3,838.60	2025-07-01
38505	HCPCS	Needle Biopsy Lymph Nodes	1	1	$4,507.00	$2,704.20 40% off	$3,830.95	$3,830.95	$3,830.95	2025-07-01
45378	HCPCS	Diagnostic Colonoscopy	5	5	$4,031.50	$2,418.90 40% off	$3,047.60	$3,829.93	$3,829.92	2025-07-01
73720	HCPCS	MRI Lwr Extremity W/O&with Contrast	3	3	$4,017.50	$2,410.50 40% off	$3,414.88	$3,816.63	$3,816.63	2025-07-01
99285	HCPCS	Emergency Dept Visit	8	7	$9,225.92	$5,535.55 40% off	$760.84	$12,473.62	$3,812.07	2025-07-01
72157	HCPCS	MRI Chest Spine Without & With Contrast	3	2	$4,395.00	$2,637.00 40% off	$357.13	$4,175.25	$3,735.75	2025-07-01
C1760	HCPCS	Closure Dev, Vasc	1	1	$3,792.75	$2,275.65 40% off	$3,603.11	$3,603.11	$3,603.11	2025-07-01
73723	HCPCS	MRI Joint Lwr Extr W/O&with Contrast	2	2	$3,947.50	$2,368.50 40% off	$3,355.38	$3,750.13	$3,552.76	2025-07-01
74178	HCPCS	CT Abd & Pelv 1/> Regns	2	2	$3,563.50	$2,138.10 40% off	$3,385.33	$3,713.44	$3,549.39	2025-07-01
70481	HCPCS	CT Orbit/ear/fossa With Contrast	1	1	$4,162.50	$2,497.50 40% off	$3,538.13	$3,538.13	$3,538.13	2025-07-01
81439	HCPCS	Hrdtry Cardmypy Gene Panel	1	1	$3,685.50	$2,211.30 40% off	$3,501.23	$3,501.23	$3,501.23	2025-07-01
C1713	HCPCS	Anchor/screw Bn/bn,tis/bn	7	6	$5,194.55	$3,116.73 40% off	$550.42	$16,745.89	$3,500.50	2025-07-01
52352	HCPCS	Cystouretero W/stone Remove	1	1	$5,280.94	$3,168.56 40% off	$3,448.97	$3,448.97	$3,448.97	2025-07-01
19083	HCPCS	Bx Breast 1st Lesion US Imag	3	3	$3,531.50	$2,118.90 40% off	$3,001.78	$3,354.92	$3,354.92	2025-07-01
C1789	HCPCS	Prosthesis, Breast, Imp	1	1	$3,890.75	$2,334.45 40% off	$3,307.14	$3,307.14	$3,307.14	2025-07-01
72158	HCPCS	MRI Lumbar Spine Without & With Contrast	3	2	$3,728.50	$2,237.10 40% off	$357.13	$3,542.08	$3,169.23	2025-07-01
75561	HCPCS	Cardiac MRI For Morph With Contrast	1	1	$3,314.75	$1,988.85 40% off	$3,149.01	$3,149.01	$3,149.01	2025-07-01
C8925	HCPCS	2d Tee W Or Without Fol W/con,in	2	2	$3,314.75	$1,988.85 40% off	$3,149.01	$3,149.01	$3,149.01	2025-07-01
73218	HCPCS	MRI Upper Extremity Without Contrast	2	2	$3,646.25	$2,187.75 40% off	$2,817.54	$3,463.94	$3,140.74	2025-07-01
58660	HCPCS	Laparoscopy Lysis	1	1	$3,667.84	$2,200.70 40% off	$3,117.66	$3,117.66	$3,117.66	2025-07-01
73722	HCPCS	MRI Joint Of Lwr Extr With Contrast	1	1	$3,267.75	$1,960.65 40% off	$3,104.36	$3,104.36	$3,104.36	2025-07-01
C1894	HCPCS	Intro/sheath, Non-laser	1	1	$2,070.75	$1,242.45 40% off	$3,044.75	$3,044.75	$3,044.75	2025-07-01
J1750	HCPCS	Inj Iron Dextran	3	3	$1,673.28	$1,003.97 40% off	$135.46	$3,027.84	$3,027.84	2025-07-01
70551	HCPCS	MRI Brain Stem Without Contrast	3	2	$3,509.00	$2,105.40 40% off	$2,982.65	$3,333.55	$2,982.65	2025-07-01
64634	HCPCS	Destroy C/th Facet Jnt Addl	1	1	$3,127.25	$1,876.35 40% off	$2,970.89	$2,970.89	$2,970.89	2025-07-01
93975	HCPCS	Vascular Study	3	3	$3,109.75	$1,865.85 40% off	$241.72	$2,954.26	$2,954.26	2025-07-01
58558	HCPCS	Hysteroscopy Biopsy	2	2	$2,844.13	$1,706.48 40% off	$2,701.92	$3,117.66	$2,909.79	2025-07-01
77290	HCPCS	Set Radiation Therapy Field	1	1	$3,034.75	$1,820.85 40% off	$2,883.01	$2,883.01	$2,883.01	2025-07-01
81162	HCPCS	BRCA1&2 Gen Full Seq Dup/del	1	1	$2,976.75	$1,786.05 40% off	$2,827.92	$2,827.92	$2,827.92	2025-07-01
73221	HCPCS	MRI Joint Upr Extrem Without Contrast	3	3	$2,894.25	$1,736.55 40% off	$2,460.11	$2,913.89	$2,749.54	2025-07-01
73718	HCPCS	MRI Lower Extremity Without Contrast	4	3	$3,022.50	$1,813.50 40% off	$2,569.13	$2,871.38	$2,721.64	2025-07-01
64493	HCPCS	Inj Paravert F Jnt L/s 1 Lev	3	3	$2,863.50	$1,718.10 40% off	$2,016.84	$2,720.32	$2,720.32	2025-07-01
73200	HCPCS	CT Upper Extremity Without Contrast	1	1	$2,850.00	$1,710.00 40% off	$2,707.50	$2,707.50	$2,707.50	2025-07-01
20225	HCPCS	Bone Biopsy Trocar/needle	1	1	$2,850.00	$1,710.00 40% off	$2,707.47	$2,707.47	$2,707.47	2025-07-01
58301	HCPCS	Remove Intrauterine Device	1	1	$2,844.13	$1,706.48 40% off	$2,701.92	$2,701.92	$2,701.92	2025-07-01
58300	HCPCS	Insert Intrauterine Device	3	3	$2,844.11	$1,706.47 40% off	$2,270.02	$3,117.66	$2,701.91	2025-07-01
71275	HCPCS	CT Angiography Chest	1	1	$3,173.75	$1,904.25 40% off	$2,697.69	$2,697.69	$2,697.69	2025-07-01
C9290	HCPCS	Inj, Bupivacaine Liposome	2	2	$2,903.58	$1,742.15 40% off	$2,498.48	$2,758.39	$2,628.43	2025-07-01
52351	HCPCS	Cystouretero & Or Pyeloscope	1	1	$3,087.00	$1,852.20 40% off	$2,623.95	$2,623.95	$2,623.95	2025-07-01
C8928	HCPCS	Tte W Or Without Fol W/con,stres	7	6	$3,021.00	$1,812.60 40% off	$790.06	$2,869.95	$2,608.94	2025-07-01
C8924	HCPCS	2d Tte W Or Without Fol W/con,fu	1	1	$2,746.25	$1,647.75 40% off	$2,608.94	$2,608.94	$2,608.94	2025-07-01
J9202	HCPCS	Goserelin Acetate Implant	1	1	$3,063.58	$1,838.15 40% off	$2,604.04	$2,604.04	$2,604.04	2025-07-01
71270	HCPCS	CT Thorax Without & With Contrast	1	1	$3,056.00	$1,833.60 40% off	$2,597.60	$2,597.60	$2,597.60	2025-07-01
19288	HCPCS	Perq Dev Breast Add Mr Guide	1	1	$2,592.25	$1,555.35 40% off	$2,462.64	$2,462.64	$2,462.64	2025-07-01
C1753	HCPCS	Cath, Intravas Ultrasound	1	1	$2,580.75	$1,548.45 40% off	$2,451.71	$2,451.71	$2,451.71	2025-07-01
J7298	HCPCS	Mirena, 52 Mg	3	3	$2,563.03	$1,537.82 40% off	$2,178.58	$2,434.89	$2,434.88	2025-07-01
81450	HCPCS	Targeted Genomic Seq Analys	1	1	$2,829.00	$1,697.40 40% off	$2,404.65	$2,404.65	$2,404.65	2025-07-01
70336	HCPCS	Magnetic Image Jaw Joint	1	1	$2,822.50	$1,693.50 40% off	$2,399.13	$2,399.13	$2,399.13	2025-07-01
72141	HCPCS	MRI Neck Spine Without Contrast	4	3	$2,653.50	$1,592.10 40% off	$2,255.48	$2,520.83	$2,388.15	2025-07-01
64520	HCPCS	N Block Lumbar/thoracic	1	1	$2,476.00	$1,485.60 40% off	$2,352.20	$2,352.20	$2,352.20	2025-07-01
64483	HCPCS	Inj Foramen Epidural L/s	6	5	$2,476.00	$1,485.60 40% off	$2,104.60	$3,329.27	$2,352.20	2025-07-01
43239	HCPCS	Egd Biopsy Single/multiple	7	6	$2,384.50	$1,430.70 40% off	$453.44	$3,903.31	$2,265.28	2025-07-01
73222	HCPCS	MRI Joint Upr Extrem With Contrast	8	7	$2,497.25	$1,498.35 40% off	$762.88	$2,372.39	$2,245.21	2025-07-01
45381	HCPCS	Colonoscopy Submucous Njx	2	2	$4,131.75	$2,479.05 40% off	$562.18	$3,925.16	$2,243.67	2025-07-01
64494	HCPCS	Inj Paravert F Jnt L/s 2 Lev	2	2	$2,322.50	$1,393.50 40% off	$2,206.38	$2,206.38	$2,206.38	2025-07-01
72148	HCPCS	MRI Lumbar Spine Without Contrast	5	4	$2,322.50	$1,393.50 40% off	$1,974.13	$2,206.38	$2,206.38	2025-07-01
27096	HCPCS	Inject Sacroiliac Joint	2	2	$2,540.25	$1,524.15 40% off	$2,159.21	$2,251.49	$2,205.35	2025-07-01
64636	HCPCS	Destroy L/s Facet Jnt Addl	2	2	$2,429.50	$1,457.70 40% off	$2,065.07	$2,308.03	$2,186.55	2025-07-01
78708	HCPCS	K Flow/funct Image W/drug	3	2	$2,547.50	$1,528.50 40% off	$538.27	$2,420.12	$2,165.38	2025-07-01
93350	HCPCS	Stress Tte Only	1	1	$2,532.50	$1,519.50 40% off	$2,152.63	$2,152.63	$2,152.63	2025-07-01
19285	HCPCS	Perq Dev Breast 1st US Imag	1	1	$2,258.00	$1,354.80 40% off	$2,145.10	$2,145.10	$2,145.10	2025-07-01
J9263	HCPCS	Oxaliplatin	2	2	$3,259.30	$1,955.58 40% off	$15.31	$4,203.95	$2,109.63	2025-07-01
77385	HCPCS	Ntsty Modul Rad Tx Dlvr Smpl	2	2	$3,755.50	$2,253.30 40% off	$560.87	$3,567.73	$2,064.30	2025-07-01
73721	HCPCS	MRI Jnt Of Lwr Extre Without Contrast	9	8	$2,373.00	$1,423.80 40% off	$241.72	$2,254.35	$2,049.39	2025-07-01
64620	HCPCS	Injection Treatment Of Nerve	1	1	$2,347.75	$1,408.65 40% off	$1,995.59	$1,995.59	$1,995.59	2025-07-01
71260	HCPCS	CT Thorax With Contrast	6	5	$2,213.25	$1,327.95 40% off	$1,877.20	$2,102.59	$1,991.93	2025-07-01
70491	HCPCS	CT Soft Tissue Neck With Contrast	1	1	$2,334.75	$1,400.85 40% off	$1,984.54	$1,984.54	$1,984.54	2025-07-01
93306	HCPCS	Tte W/doppler Complete	8	7	$2,283.75	$1,370.25 40% off	$1,681.56	$2,169.56	$1,972.20	2025-07-01
77386	HCPCS	Ntsty Modul Rad Tx Dlvr Cplx	2	1	$3,806.50	$2,283.90 40% off	$560.87	$3,235.53	$1,898.20	2025-07-01
36590	HCPCS	Removal Tunneled Cv Cath	1	1	$2,219.50	$1,331.70 40% off	$1,886.58	$1,886.58	$1,886.58	2025-07-01
J0780	HCPCS	Prochlorperazine Injection	1	1	$3,036.47	$1,821.88 40% off	$1,880.78	$1,880.78	$1,880.78	2025-07-01
87529	HCPCS	Hsv DNA Amp Probe	1	1	$1,958.50	$1,175.10 40% off	$1,860.58	$1,860.58	$1,860.58	2025-07-01
62323	HCPCS	Njx Interlaminar Lmbr/sac	6	5	$1,940.50	$1,164.30 40% off	$658.90	$1,843.47	$1,843.46	2025-07-01
72128	HCPCS	CT Chest Spine Without Contrast	1	1	$2,148.25	$1,288.95 40% off	$1,826.01	$1,826.01	$1,826.01	2025-07-01
C1725	HCPCS	Cath, Translumin Non-laser	1	1	$1,913.00	$1,147.80 40% off	$1,817.35	$1,817.35	$1,817.35	2025-07-01
99284	HCPCS	Emergency Dept Visit	8	7	$3,977.29	$2,386.37 40% off	$544.43	$4,272.31	$1,808.50	2025-07-01
93312	HCPCS	Echo Transesophageal	2	2	$3,125.75	$1,875.45 40% off	$551.91	$2,969.46	$1,760.68	2025-07-01
49083	HCPCS	Abd Paracentesis W/imaging	1	1	$2,053.00	$1,231.80 40% off	$1,745.05	$1,745.05	$1,745.05	2025-07-01
C8929	HCPCS	Tte W Or Wo Fol Wcon,doppler	4	3	$2,236.50	$1,341.90 40% off	$801.02	$2,124.68	$1,728.05	2025-07-01
27093	HCPCS	Injection For Hip X-ray	1	1	$1,819.00	$1,091.40 40% off	$1,728.05	$1,728.05	$1,728.05	2025-07-01
94070	HCPCS	Evaluation Of Wheezing	1	1	$1,989.25	$1,193.55 40% off	$1,690.86	$1,690.86	$1,690.86	2025-07-01
J0878	HCPCS	Daptomycin Injection	1	1	$1,763.28	$1,057.97 40% off	$1,675.10	$1,675.10	$1,675.10	2025-07-01
73700	HCPCS	CT Lower Extremity Without Contrast	2	2	$1,880.50	$1,128.30 40% off	$1,549.55	$1,786.47	$1,668.01	2025-07-01
P9073	HCPCS	Platelets Pheresis Path Redu	1	1	$1,950.50	$1,170.30 40% off	$1,657.93	$1,657.93	$1,657.93	2025-07-01
62321	HCPCS	Njx Interlaminar Crv/thrc	5	4	$1,940.50	$1,164.30 40% off	$691.85	$1,843.47	$1,649.43	2025-07-01
45330	HCPCS	Diagnostic Sigmoidoscopy	1	1	$1,653.25	$991.95 40% off	$1,570.58	$1,570.58	$1,570.58	2025-07-01
77012	HCPCS	CT Scan For Needle Biopsy	6	5	$1,944.38	$1,166.63 40% off	$1,252.90	$4,310.35	$1,568.45	2025-07-01
50200	HCPCS	Renal Biopsy Perq	1	1	$6,313.00	$3,787.80 40% off	$1,544.75	$1,544.75	$1,544.75	2025-07-01
10005	HCPCS	Fna Bx W/us Gdn 1st Les	3	2	$1,787.75	$1,072.65 40% off	$1,519.59	$1,698.36	$1,519.59	2025-07-01
93925	HCPCS	Lower Extremity Study	2	2	$1,686.75	$1,012.05 40% off	$1,433.74	$1,602.41	$1,518.08	2025-07-01
76098	HCPCS	X-ray Exam Surgical Specimen	1	1	$1,548.50	$929.10 40% off	$1,471.08	$1,471.08	$1,471.08	2025-07-01
11042	HCPCS	Deb Subq Tissue 20 Sq CM/<	5	4	$1,723.25	$1,033.95 40% off	$398.92	$1,637.09	$1,461.58	2025-07-01
77293	HCPCS	Respirator Motion Mgmt Simul	1	1	$1,532.75	$919.65 40% off	$1,456.11	$1,456.11	$1,456.11	2025-07-01
A9562	HCPCS	Tc99m Mertiatide	1	1	$1,712.50	$1,027.50 40% off	$1,455.63	$1,455.63	$1,455.63	2025-07-01
77338	HCPCS	Design Mlc Device For Imrt	2	2	$2,669.75	$1,601.85 40% off	$352.05	$2,536.26	$1,444.15	2025-07-01
74150	HCPCS	CT Abdomen Without Contrast	1	1	$1,679.50	$1,007.70 40% off	$1,427.58	$1,427.58	$1,427.58	2025-07-01
C1874	HCPCS	Stent, Coated/cov W/del Sys	2	2	$1,670.50	$1,002.30 40% off	$1,416.92	$1,419.92	$1,418.42	2025-07-01
93017	HCPCS	Cardiovascular Stress Test	6	5	$1,624.50	$974.70 40% off	$1,255.24	$1,543.28	$1,402.91	2025-07-01
71250	HCPCS	CT Thorax Without Contrast	3	2	$1,646.50	$987.90 40% off	$106.34	$1,564.18	$1,399.53	2025-07-01
64484	HCPCS	Inj Foramen Epidural Add-on	2	2	$1,546.75	$928.05 40% off	$1,314.74	$1,469.41	$1,392.08	2025-07-01
76811	HCPCS	OB US Detailed Sngl Fetus	2	2	$1,460.50	$876.30 40% off	$1,387.48	$1,387.48	$1,387.48	2025-07-01
10035	HCPCS	Perq Dev Soft Tiss 1st Imag	1	1	$1,624.00	$974.40 40% off	$1,380.40	$1,380.40	$1,380.40	2025-07-01
78264	HCPCS	Gastric Emptying Imag Study	1	1	$1,532.75	$919.65 40% off	$1,302.84	$1,302.84	$1,302.84	2025-07-01
74300	HCPCS	X-ray Bile Ducts/pancreas	1	1	$1,505.50	$903.30 40% off	$1,279.68	$1,279.68	$1,279.68	2025-07-01
43235	HCPCS	Egd Diagnostic Brush Wash	2	1	$1,926.00	$1,155.60 40% off	$863.69	$1,637.10	$1,250.39	2025-07-01
96360	HCPCS	Hydration IV Infusion Init	2	2	$498.60	$299.16 40% off	$317.05	$2,144.15	$1,230.60	2025-07-01
88377	HCPCS	M/phmtrc Alys Ishquant/semiq	3	2	$1,440.00	$864.00 40% off	$162.74	$1,368.00	$1,222.73	2025-07-01
76700	HCPCS	US Exam Abdom Complete	6	5	$1,397.50	$838.50 40% off	$1,079.71	$1,327.63	$1,206.74	2025-07-01
78306	HCPCS	Bone Imaging Whole Body	1	1	$1,366.50	$819.90 40% off	$1,161.53	$1,161.53	$1,161.53	2025-07-01
77334	HCPCS	Radiation Treatment Aid(s)	2	2	$1,430.10	$858.06 40% off	$352.05	$1,915.20	$1,133.62	2025-07-01
99157	HCPCS	Mod Sed Other Phys/qhp Ea	3	3	$890.63	$534.38 40% off	$201.88	$1,805.00	$1,128.12	2025-07-01
76856	HCPCS	US Exam Pelvic Complete	1	1	$1,325.75	$795.45 40% off	$1,126.89	$1,126.89	$1,126.89	2025-07-01
74176	HCPCS	CT Abd & Pelvis Without Contrast	2	2	$2,334.75	$1,400.85 40% off	$225.11	$1,999.28	$1,112.20	2025-07-01
99283	HCPCS	Emergency Dept Visit	9	7	$1,474.74	$884.84 40% off	$281.73	$1,528.64	$1,090.81	2025-07-01
J3590	HCPCS	Unclassified Biologics	2	2	$1,188.86	$713.32 40% off	$1,010.53	$1,129.42	$1,069.97	2025-07-01
76706	HCPCS	US Abdl Aorta Screen Aaa	1	1	$1,241.00	$744.60 40% off	$1,054.85	$1,054.85	$1,054.85	2025-07-01
87507	HCPCS	Iadna-dna/rna Probe Tq 12-25	1	1	$1,236.50	$741.90 40% off	$1,051.03	$1,051.03	$1,051.03	2025-07-01
88360	HCPCS	Tumor Immunohistochem/manual	4	3	$1,089.21	$653.52 40% off	$19.04	$1,717.84	$1,022.82	2025-07-01
36430	HCPCS	Blood Transfusion Service	1	1	$1,200.25	$720.15 40% off	$1,020.21	$1,020.21	$1,020.21	2025-07-01
76770	HCPCS	US Exam Abdo Back Wall Comp	4	3	$1,095.50	$657.30 40% off	$106.34	$1,040.73	$985.95	2025-07-01
77336	HCPCS	Radiation Physics Consult	3	2	$1,151.00	$690.60 40% off	$129.28	$1,093.45	$978.35	2025-07-01
93971	HCPCS	Extremity Study	4	4	$1,021.50	$612.90 40% off	$827.42	$970.43	$970.43	2025-07-01
J1756	HCPCS	Iron Sucrose Injection	2	2	$1,101.36	$660.82 40% off	$5.75	$1,927.17	$966.46	2025-07-01
77300	HCPCS	Radiation Therapy Dose Plan	2	2	$1,342.42	$805.45 40% off	$129.28	$1,795.03	$962.15	2025-07-01
74270	HCPCS	X-ray Xm Colon 1cntrst Std	3	2	$865.77	$519.46 40% off	$304.57	$1,063.53	$951.58	2025-07-01
94060	HCPCS	Evaluation Of Wheezing	4	4	$1,000.25	$600.15 40% off	$850.21	$950.24	$950.24	2025-07-01
96413	HCPCS	Chemo IV Infusion 1 Hr	4	3	$1,297.00	$778.20 40% off	$338.81	$1,232.15	$948.39	2025-07-01
76870	HCPCS	US Exam Scrotum	1	1	$967.75	$580.65 40% off	$919.36	$919.36	$919.36	2025-07-01
76830	HCPCS	Transvaginal US Non-OB	6	5	$956.00	$573.60 40% off	$812.60	$908.20	$908.20	2025-07-01
94640	HCPCS	Airway Inhalation Treatment	1	1	$1,018.00	$610.80 40% off	$865.30	$865.30	$865.30	2025-07-01
76885	HCPCS	US Exam Infant Hips Dynamic	1	1	$1,012.50	$607.50 40% off	$860.63	$860.63	$860.63	2025-07-01
76705	HCPCS	Echo Exam Of Abdomen	2	2	$942.00	$565.20 40% off	$800.70	$894.90	$847.80	2025-07-01
88333	HCPCS	Intraop Cyto Path Consult 1	2	2	$941.00	$564.60 40% off	$799.85	$893.95	$846.90	2025-07-01
59025	HCPCS	Fetal Non-stress Test	5	4	$994.75	$596.85 40% off	$805.75	$945.01	$845.54	2025-07-01
93308	HCPCS	Tte F-up Or Lmtd	1	1	$987.50	$592.50 40% off	$839.38	$839.38	$839.38	2025-07-01
76882	HCPCS	US Lmtd Jt/nonvasc Xtr Strux	2	2	$932.50	$559.50 40% off	$792.63	$885.87	$839.25	2025-07-01
C1819	HCPCS	Tissue Localization-excision	3	3	$586.15	$351.69 40% off	$836.48	$899.30	$836.48	2025-07-01
19000	HCPCS	Drainage Of Breast Lesion	1	1	$983.50	$590.10 40% off	$835.98	$835.98	$835.98	2025-07-01
C1781	HCPCS	Mesh (implantable)	3	3	$983.08	$589.85 40% off	$632.94	$1,241.17	$830.02	2025-07-01
76536	HCPCS	US Exam Of Head And Neck	4	3	$967.75	$580.65 40% off	$820.80	$919.36	$822.59	2025-07-01
93970	HCPCS	Extremity Study	2	2	$1,449.50	$869.70 40% off	$233.47	$1,377.03	$805.25	2025-07-01
93798	HCPCS	Cardiac Rehab/monitor	2	2	$1,598.83	$959.30 40% off	$294.31	$1,315.75	$805.03	2025-07-01
38792	HCPCS	Ra Tracer Id Of Sentinl Node	1	1	$830.50	$498.30 40% off	$788.98	$788.98	$788.98	2025-07-01
76641	HCPCS	Ultrasound Breast Complete	7	6	$897.50	$538.50 40% off	$109.99	$852.63	$762.88	2025-07-01
92523	HCPCS	Speech Sound Lang Comprehen	2	2	$845.25	$507.15 40% off	$718.46	$802.99	$760.73	2025-07-01
23350	HCPCS	Injection For Shoulder X-ray	4	4	$784.00	$470.40 40% off	$665.00	$744.80	$744.80	2025-07-01
Q4187	HCPCS	Epicord 1 Sq Cm	1	1	$841.92	$505.15 40% off	$715.63	$715.63	$715.63	2025-07-01
A9552	HCPCS	F18 Fdg	1	1	$836.25	$501.75 40% off	$710.81	$710.81	$710.81	2025-07-01
42400	HCPCS	Biopsy Of Salivary Gland	1	1	$1,498.00	$898.80 40% off	$703.88	$703.88	$703.88	2025-07-01
84112	HCPCS	Eval Amniotic Fluid Protein	2	2	$720.00	$432.00 40% off	$456.00	$912.00	$684.00	2025-07-01
J9070	HCPCS	Cyclophosphamide 100 Mg Inj	1	1	$495.11	$297.06 40% off	$683.86	$683.86	$683.86	2025-07-01
95700	HCPCS	EEG Cont Rec W/vid EEG Tech	2	2	$751.75	$451.05 40% off	$638.99	$714.16	$676.58	2025-07-01
88307	HCPCS	Tissue Exam By Pathologist	6	5	$952.49	$571.50 40% off	$23.05	$1,999.99	$666.66	2025-07-01
77080	HCPCS	Dxa Bone Density Axial	5	4	$780.25	$468.15 40% off	$109.99	$741.24	$663.21	2025-07-01
C1887	HCPCS	Catheter, Guiding	2	2	$697.00	$418.20 40% off	$327.75	$996.55	$662.15	2025-07-01
G0260	HCPCS	Inj For Sacroiliac Jt Anesth	1	1	$2,654.50	$1,592.70 40% off	$658.90	$658.90	$658.90	2025-07-01
76642	HCPCS	Ultrasound Breast Limited	6	5	$689.00	$413.40 40% off	$585.65	$654.55	$654.55	2025-07-01
74240	HCPCS	X-ray Xm Upr Gi Trc 1cntrst	2	1	$810.00	$486.00 40% off	$614.55	$688.50	$651.52	2025-07-01
A9500	HCPCS	Tc99m Sestamibi	2	1	$748.25	$448.95 40% off	$636.01	$636.01	$636.01	2025-07-01
A4648	HCPCS	Implantable Tissue Marker	2	2	$787.33	$472.40 40% off	$266.00	$988.95	$627.48	2025-07-01
77066	HCPCS	Dx Mammo Incl Cad Bi	4	3	$678.25	$406.95 40% off	$576.51	$644.34	$610.42	2025-07-01
11043	HCPCS	Deb Musc/fascia 20 Sq CM/<	1	1	$2,667.50	$1,600.50 40% off	$598.40	$598.40	$598.40	2025-07-01
81270	HCPCS	Jak2 Gene	1	1	$668.50	$401.10 40% off	$568.23	$568.23	$568.23	2025-07-01
31575	HCPCS	Diagnostic Laryngoscopy	3	1	$667.75	$400.65 40% off	$106.22	$567.59	$567.59	2025-07-01
80074	HCPCS	Acute Hepatitis Panel	1	1	$646.25	$387.75 40% off	$549.31	$549.31	$549.31	2025-07-01
99153	HCPCS	Mod Sed Same Phys/qhp Ea	4	4	$445.00	$267.00 40% off	$196.14	$782.80	$548.03	2025-07-01
12001	HCPCS	Rpr S/n/ax/gen/trnk 2.5CM/<	1	1	$1,305.38	$783.23 40% off	$539.13	$539.13	$539.13	2025-07-01
99282	HCPCS	Emergency Dept Visit	5	4	$1,151.19	$690.71 40% off	$495.17	$1,431.10	$539.13	2025-07-01
Q5108	HCPCS	Injection, Fulphila	1	1	$628.45	$377.07 40% off	$534.19	$534.19	$534.19	2025-07-01
76376	HCPCS	3d Render W/intrp Postproces	1	1	$552.75	$331.65 40% off	$525.11	$525.11	$525.11	2025-07-01
52332	HCPCS	Cystoscopy And Treatment	1	1	$3,694.50	$2,216.70 40% off	$524.67	$524.67	$524.67	2025-07-01
77067	HCPCS	Scr Mammo Bi Incl Cad	8	7	$607.50	$364.50 40% off	$205.16	$688.99	$524.63	2025-07-01
72050	HCPCS	X-ray Exam Neck Spine 4/5vws	3	3	$587.75	$352.65 40% off	$431.06	$671.71	$493.29	2025-07-01
77072	HCPCS	X-rays For Bone Age	1	1	$517.50	$310.50 40% off	$491.62	$491.62	$491.62	2025-07-01
73610	HCPCS	X-ray Exam Of Ankle	1	1	$516.50	$309.90 40% off	$490.68	$490.68	$490.68	2025-07-01
96365	HCPCS	Ther/proph/diag IV Inf Init	4	3	$545.00	$327.00 40% off	$210.69	$517.75	$490.50	2025-07-01
76377	HCPCS	3d Render W/intrp Postproces	1	1	$575.75	$345.45 40% off	$489.39	$489.39	$489.39	2025-07-01
94726	HCPCS	Pulm Funct Tst Plethysmograp	4	3	$542.75	$325.65 40% off	$299.06	$515.61	$488.48	2025-07-01
93922	HCPCS	Upr/l Xtremity Art 2 Levels	3	2	$559.00	$335.40 40% off	$121.71	$531.05	$475.15	2025-07-01
96417	HCPCS	Chemo IV Infus Each Addl Seq	1	1	$550.00	$330.00 40% off	$467.50	$467.50	$467.50	2025-07-01
73110	HCPCS	X-ray Exam Of Wrist	1	1	$491.25	$294.75 40% off	$466.69	$466.69	$466.69	2025-07-01
J2785	HCPCS	Regadenoson Injection	2	1	$546.95	$328.17 40% off	$464.90	$464.90	$464.90	2025-07-01
A9541	HCPCS	Tc99m Sulfur Colloid	2	1	$539.50	$323.70 40% off	$458.58	$458.58	$458.58	2025-07-01
94729	HCPCS	Co/membane Diffuse Capacity	3	3	$481.75	$289.05 40% off	$409.49	$457.66	$457.66	2025-07-01

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