Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ST LUKE COMMUNITY HOSPITAL

Ronan, MT · CCN 271325 · Rates published

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You selected 93350 (CPT)

ECHOCARDIOGRAM STRESS W/DOBUTA

This hospital’s price: $1,302 across 53 payers · range $409-$1,540

Source: https://stlukehealthcare.org/wp-content/uploads/2024/01/810221486-ST-LUKE-COMMUNITY-HOSPITAL-STANDARDCHARGES.csv · observed 2026-07-24

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.

3,861 distinct procedures filed
53 distinct payers
356,005 rate rows
2026-07-24 last MRF observed
Data quality

347,466 of 356,005 rate rows are consumer-grade (97.6%)

8,539 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 — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 8,145
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 394
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stlukehealthcare.org/wp-content/uploads/2026/07/810221486_st-luke-community-hospital_standardcharges.csv
Found on page https://stlukehealthcare.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint f24c4d1dd7a71123… · 10,434,920 bytes · first seen 2026-07-27

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
J2351
HCPCS 		Ocrevus Zunovo 920 Mg-23,000 23 Ml 11 $5,348.34 $50,003.67 $44,213.53 nat. median
$78
outlier · 563.5×
J2350
HCPCS 		Ocrevus 30 Mg/ml 11 $5,566.61 $25,001.93 $22,106.85 nat. median
$518
outlier · 42.7×
J9309
HCPCS 		Polivy 140 Mg 11 $11,955.27 $22,715.01 $20,323.96 nat. median
$4,472
outlier · 4.5×
66702
CDM 		I Lapiplasty Mini-incision Sys 45 $4,211.30 $13,466.34 $13,002.52 nat. median
$10,550
1.2× median
J9144
HCPCS 		Darzalex Faspro 1,800mg-30,000 1800 Mg/15 Ml 11 $2,132.90 $12,939.37 $11,441.06 nat. median
$213
outlier · 53.7×
J9022
HCPCS 		Tecentriq 60 Mg/ml 53 $1,649.56 $13,744.37 $10,828.70 nat. median
$6,910
1.6× median
J2327
HCPCS 		Skyrizi 600 Mg/10 Ml 45 $3,463.54 $11,075.24 $10,693.78 nat. median
$2,159
outlier · 5.0×
J9228
HCPCS 		Yervoy 5 Mg/ml 11 $2,629.39 $40,884.90 $10,425.67 nat. median
$9,011
1.2× median
J3101
HCPCS 		Tnkase 50 Mg Kit 50 Mg 53 $2,797.05 $9,840.11 $8,745.02 nat. median
$3,824
outlier · 2.3×
J9301
HCPCS 		Gazyva 25 Mg/ml 45 $2,446.74 $7,823.87 $7,554.39 nat. median
$285
outlier · 26.5×
X01243
CDM 		Vyvgart 400 Mg/20 Ml 45 $2,300.72 $7,356.93 $7,103.54 nat. median
$7,104
1.0× median
J9306
HCPCS 		Perjeta 30 Mg/ml 53 $2,402.20 $7,931.67 $7,096.76 nat. median
$81
outlier · 87.7×
J2506
HCPCS 		Neulasta 6 Mg/0.6 Ml 53 $2,438.02 $7,795.99 $6,903.95 nat. median
$1,651
outlier · 4.2×
J2353
HCPCS 		SandoSTATIN Lar 30 Mg 53 $2,420.95 $7,741.38 $6,855.59 nat. median
$5,568
1.2× median
J3380
HCPCS 		Entyvio 300 Mg 53 $2,048.36 $11,639.21 $6,532.54 nat. median
$168
outlier · 39.0×
66657
CDM 		I Modular Epiphysis Size 2 Rt 53 $2,212.03 $7,073.33 $6,263.98 nat. median
$6,264
1.0× median
J9271
HCPCS 		Keytruda 25 Mg/ml 53 $2,065.52 $6,926.48 $6,197.37 nat. median
$280
outlier · 22.1×
C1763
HCPCS 		I Genex Bone Graft Substitute 53 $2,183.85 $6,983.21 $6,184.18 nat. median
$2,296
outlier · 2.7×
Q4122
HCPCS 		I Decellularized Derm 40x70-2 11 $3,535.85 $6,718.12 $6,010.95 nat. median
$310
outlier · 19.4×
66719
CDM 		I Femoral Stem 12/14 Taper -#2 53 $1,919.86 $6,139.07 $5,436.62 nat. median
$6,136
0.9× median
J9299
HCPCS 		Opdivo 240 Mg/24 Ml 53 $802.26 $9,328.61 $4,909.80 nat. median
$2,889
1.7× median
Q5111
HCPCS 		Udenyca 6 Mg/0.6 Ml 45 $1,582.71 $5,060.98 $4,886.66 nat. median
$1,974
outlier · 2.5×
1744
OTHER 		Anesthesia Humerus Repair 45 $1,568.92 $5,016.87 $4,844.08 nat. median
$2
outlier · 3027.5×
J9177
HCPCS 		Padcev 30 Mg 45 $1,566.04 $5,007.66 $4,835.18 nat. median
$2,933
1.6× median
66784
CDM 		I Tib Nail 11 Ti Cann 360-s 45 $1,532.63 $4,900.85 $4,732.05 nat. median
$4,732
1.0× median
66886
CDM 		I Nail Tib Cann 10ti 345s 45 $1,532.32 $4,899.85 $4,731.09 nat. median
$3,839
1.2× median
J9354
HCPCS 		Kadcyla 100 Mg 45 $1,418.59 $7,257.90 $4,535.41 nat. median
$4,242
1.1× median
66668
CDM 		I Graft Jacket Now 4x4cm 45 $1,454.44 $4,650.81 $4,490.62 nat. median
$119
outlier · 37.8×
J0565
HCPCS 		Zinplava 1000 Mg/40 Ml 45 $1,440.55 $4,606.40 $4,447.74 nat. median
$160
outlier · 27.8×
01744
CPT 		Anesthesia Humerus Repair 11 $2,508.00 $4,765.20 $4,263.60 nat. median
$5,054
0.8× median
J3032
HCPCS 		Vyepti 100 Mg/1 Ml 11 $2,416.95 $4,592.20 $4,108.81 nat. median
$75
outlier · 54.6×
66490
CDM 		I Glenosphere Standard Rt 38mm 45 $1,326.20 $4,240.74 $4,094.67 nat. median
$5
outlier · 894.0×
66708
CDM 		Patch Amnion 4x6 Sterishieldii 45 $1,317.72 $4,213.63 $4,068.50 nat. median
$2,995
1.4× median
43282
CPT 		Lap Paraesoph Her Rpr W/mesh 45 $1,311.31 $4,193.13 $4,048.70 nat. median
$10,358
outlier · 0.4×
Q5122
HCPCS 		Nyvepria 6 Mg/0.6 Ml 11 $2,378.55 $4,519.25 $4,043.54 nat. median
$561
outlier · 7.2×
1214
OTHER 		Anesth Hip Arthroplasty 45 $1,283.66 $4,104.71 $3,963.33 nat. median
$52
outlier · 76.5×
66837
CDM 		I Quadlink Implant System 10mm 45 $1,265.20 $4,045.70 $3,906.36 nat. median
$3,318
1.2× median
J1306
HCPCS 		Leqvio 284 Mg/1.5 Ml 11 $2,261.14 $4,296.17 $3,843.94 nat. median
$45
outlier · 86.2×
J0717
HCPCS 		Cimzia 400 Mg 53 $1,201.76 $7,253.16 $3,832.61 nat. median
$1,573
outlier · 2.4×
66175
CDM 		Pleurx Vacuum Bottle 100ml/30 45 $1,232.36 $3,940.68 $3,804.96 nat. median
$3,805
1.0× median
J9352
HCPCS 		Yondelis 1 Mg 11 $2,235.75 $4,247.93 $3,800.78 nat. median
$1,100
outlier · 3.5×
44204
CPT 		Laparo Partial Colectomy 45 $1,214.22 $3,882.67 $3,748.94 nat. median
$3,612
1.0× median
49406
CPT 		Miscellaneous CT Scan 53 $1,316.19 $4,208.73 $3,727.16 nat. median
$2,188
1.7× median
X00898
CDM 		Ryanodex 250 Mg 45 $1,185.33 $3,790.30 $3,659.75 nat. median
$3,660
1.0× median
C1751
HCPCS 		Catheter Central Venous 9.5fr 11 $2,146.50 $4,078.35 $3,649.05 nat. median
$279
outlier · 13.1×
59510
CPT 		Total OB Care W/c-section 11 $2,135.00 $4,056.50 $3,629.50 nat. median
$3,663
1.0× median
66655
CDM 		I Glenosphere Standard 38mm 45 $1,168.34 $3,735.95 $3,607.27 nat. median
$3,607
1.0× median
66656
CDM 		I Stem Modular Humeral 12 45 $1,154.01 $3,690.14 $3,563.04 nat. median
$3,563
1.0× median
C1776
HCPCS 		I Xtnd Gleno D38mm+2mm 53 $392.28 $17,168.40 $3,559.90 nat. median
$3,394
1.0× median
J1569
HCPCS 		Gammagard Liquid 10% 200 Ml Vial 20 Gm/200 Ml 11 $30.55 $4,020.94 $3,555.34 nat. median
$1,069
outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 3,861 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J2351 HCPCS Ocrevus Zunovo 920 Mg-23,000 23 Ml 19 11 $52,635.44 — $5,348.34 $50,003.67 $44,213.53 2026-07-24
J2350 HCPCS Ocrevus 30 Mg/ml 19 11 $26,317.82 — $5,566.61 $25,001.93 $22,106.85 2026-07-24
J9309 HCPCS Polivy 140 Mg 19 11 $23,910.54 — $11,955.27 $22,715.01 $20,323.96 2026-07-24
66702 CDM I Lapiplasty Mini-incision Sys 45 45 $13,464.00 $10,771.20 $4,211.30 $13,466.34 $13,002.52 2024-01-17
J9144 HCPCS Darzalex Faspro 1,800mg-30,000 1800 Mg/15 Ml 19 11 $13,620.39 — $2,132.90 $12,939.37 $11,441.06 2026-07-24
J9022 HCPCS Tecentriq 60 Mg/ml 64 53 $10,924.71 $8,739.76 20% off $1,649.56 $13,744.37 $10,828.70 2026-07-24
J2327 HCPCS Skyrizi 600 Mg/10 Ml 45 45 $11,073.32 $8,858.65 20% off $3,463.54 $11,075.24 $10,693.78 2024-01-17
J9228 HCPCS Yervoy 5 Mg/ml 35 11 $10,974.39 — $2,629.39 $40,884.90 $10,425.67 2026-07-24
J3101 HCPCS Tnkase 50 Mg Kit 50 Mg 64 53 $8,942.49 $7,153.99 20% off $2,797.05 $9,840.11 $8,745.02 2026-07-24
J9301 HCPCS Gazyva 25 Mg/ml 45 45 $7,822.51 $6,258.01 $2,446.74 $7,823.87 $7,554.39 2024-01-17
X01243 CDM Vyvgart 400 Mg/20 Ml 45 45 $7,355.66 $5,884.53 $2,300.72 $7,356.93 $7,103.54 2024-01-17
J9306 HCPCS Perjeta 30 Mg/ml 64 53 $7,680.09 $6,144.07 20% off $2,402.20 $7,931.67 $7,096.76 2026-07-24
J2506 HCPCS Neulasta 6 Mg/0.6 Ml 64 53 $7,794.63 $6,235.71 $2,438.02 $7,795.99 $6,903.95 2026-07-24
J2353 HCPCS SandoSTATIN Lar 30 Mg 64 53 $7,740.03 $6,192.03 $2,420.95 $7,741.38 $6,855.59 2026-07-24
J3380 HCPCS Entyvio 300 Mg 64 53 $6,548.84 $5,239.07 20% off $2,048.36 $11,639.21 $6,532.54 2026-07-24
66657 CDM I Modular Epiphysis Size 2 Rt 64 53 $7,072.10 $5,657.68 20% off $2,212.03 $7,073.33 $6,263.98 2026-07-24
J9271 HCPCS Keytruda 25 Mg/ml 64 53 $6,603.68 $5,282.95 $2,065.52 $6,926.48 $6,197.37 2026-07-24
C1763 HCPCS I Genex Bone Graft Substitute 64 53 $6,982.00 $5,585.60 $2,183.85 $6,983.21 $6,184.18 2026-07-24
Q4122 HCPCS I Decellularized Derm 40x70-2 19 11 $7,071.70 — $3,535.85 $6,718.12 $6,010.95 2026-07-24
66719 CDM I Femoral Stem 12/14 Taper -#2 64 53 $6,138.00 $4,910.40 20% off $1,919.86 $6,139.07 $5,436.62 2026-07-24
J9299 HCPCS Opdivo 240 Mg/24 Ml 112 53 $9,071.78 $7,257.42 20% off $802.26 $9,328.61 $4,909.80 2026-07-24
Q5111 HCPCS Udenyca 6 Mg/0.6 Ml 45 45 $5,060.10 $4,048.08 20% off $1,582.71 $5,060.98 $4,886.66 2024-01-17
1744 OTHER Anesthesia Humerus Repair 45 45 $5,016.00 $4,012.80 $1,568.92 $5,016.87 $4,844.08 2024-01-17
J9177 HCPCS Padcev 30 Mg 45 45 $5,006.79 $4,005.43 20% off $1,566.04 $5,007.66 $4,835.18 2024-01-17
66784 CDM I Tib Nail 11 Ti Cann 360-s 45 45 $4,900.00 $3,920.00 20% off $1,532.63 $4,900.85 $4,732.05 2024-01-17
66886 CDM I Nail Tib Cann 10ti 345s 45 45 $4,899.00 $3,919.20 20% off $1,532.32 $4,899.85 $4,731.09 2024-01-17
J9354 HCPCS Kadcyla 100 Mg 90 45 $5,896.02 $4,716.82 20% off $1,418.59 $7,257.90 $4,535.41 2024-01-17
66668 CDM I Graft Jacket Now 4x4cm 45 45 $4,650.00 $3,720.00 20% off $1,454.44 $4,650.81 $4,490.62 2024-01-17
J0565 HCPCS Zinplava 1000 Mg/40 Ml 45 45 $4,605.60 $3,684.48 20% off $1,440.55 $4,606.40 $4,447.74 2024-01-17
01744 CPT Anesthesia Humerus Repair 19 11 $5,016.00 — $2,508.00 $4,765.20 $4,263.60 2026-07-24
J3032 HCPCS Vyepti 100 Mg/1 Ml 19 11 $4,833.89 — $2,416.95 $4,592.20 $4,108.81 2026-07-24
66490 CDM I Glenosphere Standard Rt 38mm 45 45 $4,240.00 $3,392.00 20% off $1,326.20 $4,240.74 $4,094.67 2024-01-17
66708 CDM Patch Amnion 4x6 Sterishieldii 45 45 $4,212.90 $3,370.32 $1,317.72 $4,213.63 $4,068.50 2024-01-17
43282 CPT Lap Paraesoph Her Rpr W/mesh 45 45 $4,192.40 $3,353.92 $1,311.31 $4,193.13 $4,048.70 2024-01-17
Q5122 HCPCS Nyvepria 6 Mg/0.6 Ml 19 11 $4,757.10 — $2,378.55 $4,519.25 $4,043.54 2026-07-24
1214 OTHER Anesth Hip Arthroplasty 45 45 $4,104.00 $3,283.20 20% off $1,283.66 $4,104.71 $3,963.33 2024-01-17
66837 CDM I Quadlink Implant System 10mm 45 45 $4,045.00 $3,236.00 20% off $1,265.20 $4,045.70 $3,906.36 2024-01-17
J1306 HCPCS Leqvio 284 Mg/1.5 Ml 19 11 $4,522.29 — $2,261.14 $4,296.17 $3,843.94 2026-07-24
J0717 HCPCS Cimzia 400 Mg 64 53 $3,842.17 $3,073.74 $1,201.76 $7,253.16 $3,832.61 2026-07-24
66175 CDM Pleurx Vacuum Bottle 100ml/30 45 45 $3,940.00 $3,152.00 20% off $1,232.36 $3,940.68 $3,804.96 2024-01-17
J9352 HCPCS Yondelis 1 Mg 19 11 $4,471.50 — $2,235.75 $4,247.93 $3,800.78 2026-07-24
44204 CPT Laparo Partial Colectomy 45 45 $3,882.00 $3,105.60 20% off $1,214.22 $3,882.67 $3,748.94 2024-01-17
49406 CPT Miscellaneous CT Scan 64 53 $4,208.00 $3,366.40 20% off $1,316.19 $4,208.73 $3,727.16 2026-07-24
X00898 CDM Ryanodex 250 Mg 45 45 $3,789.64 $3,031.71 20% off $1,185.33 $3,790.30 $3,659.75 2024-01-17
C1751 HCPCS Catheter Central Venous 9.5fr 19 11 $4,293.00 — $2,146.50 $4,078.35 $3,649.05 2026-07-24
59510 CPT Total OB Care W/c-section 19 11 $4,270.00 — $2,135.00 $4,056.50 $3,629.50 2026-07-24
66655 CDM I Glenosphere Standard 38mm 45 45 $3,735.30 $2,988.24 20% off $1,168.34 $3,735.95 $3,607.27 2024-01-17
66656 CDM I Stem Modular Humeral 12 45 45 $3,689.50 $2,951.60 20% off $1,154.01 $3,690.14 $3,563.04 2024-01-17
C1776 HCPCS I Xtnd Gleno D38mm+2mm 344 53 $4,238.00 $4,969.60 $392.28 $17,168.40 $3,559.90 2026-07-24
J1569 HCPCS Gammagard Liquid 10% 200 Ml Vial 20 Gm/200 Ml 19 11 $4,232.57 — $30.55 $4,020.94 $3,555.34 2026-07-24
90377 CPT Kedrab 150 Units/ml Vial 150 Unit/1 Ml 64 53 $4,124.73 $3,299.78 20% off $816.78 $4,125.44 $3,506.02 2026-07-24
66982 CDM I Dbl Semitendinosus Tendon 45 45 $3,627.00 $2,901.60 20% off $1,134.46 $3,627.63 $3,502.68 2024-01-17
01214 CPT Anesth Hip Arthroplasty 19 11 $4,104.00 — $2,052.00 $3,898.80 $3,488.40 2026-07-24
66851 CDM I Plate Distal Radius 2.4 Tiva 45 45 $3,540.00 $2,832.00 20% off $1,107.25 $3,540.61 $3,418.67 2024-01-17
1402 OTHER Anesth Knee Arthroplasty 45 45 $3,496.00 $2,796.80 $1,093.49 $3,496.61 $3,376.17 2024-01-17
J9358 HCPCS Enhertu 100 Mg 19 11 $3,927.84 — $1,963.92 $3,731.45 $3,338.66 2026-07-24
J9036 HCPCS Belrapzo 25 Mg/1 Ml 19 11 $3,948.32 — $1,974.16 $3,750.91 $3,316.57 2026-07-24
66847 CDM I Plate 2.4 Ti Va 2clm Vlr 6h 45 45 $3,411.25 $2,729.00 20% off $1,066.98 $3,411.84 $3,294.33 2024-01-17
59400 CPT Obstetrical Care 19 11 $3,840.00 — $1,920.00 $3,648.00 $3,264.00 2026-07-24
1622 OTHER Anesth Dx Shoulder Arthroscopy 45 45 $3,344.00 $2,675.20 20% off $1,045.94 $3,344.58 $3,229.38 2024-01-17
Q4125 HCPCS I Graft Dece Dermis 3.5x3.5cm 64 53 $3,410.00 $2,728.00 20% off $1,066.59 $3,410.59 $3,020.35 2026-07-24
APC05183 CDM Level 3 Vascular Procedures 64 53 $3,365.20 $2,692.16 20% off $1,052.58 $3,365.78 $2,980.66 2026-07-24
01402 CPT Anesth Knee Arthroplasty 19 11 $3,496.00 — $1,748.00 $3,321.20 $2,971.60 2026-07-24
Q4177 HCPCS Flower Amnioflo 1.0ml - 10 Un 64 53 $3,348.00 $2,678.40 20% off $1,047.20 $3,348.58 $2,965.43 2026-07-24
65311 CDM I Plate Bone U-shaped L Small 45 45 $3,069.00 $2,455.20 20% off $959.93 $3,069.53 $2,963.81 2024-01-17
66981 CDM I Plate Clavicle 3.5 Lcp 8h Lt 45 45 $3,069.00 $2,455.20 20% off $959.93 $3,069.53 $2,963.81 2024-01-17
J1437 HCPCS Monoferric 1000 Mg/10 Ml 64 53 $2,986.69 $2,389.35 20% off $682.72 $4,205.13 $2,960.45 2026-07-24
1400 OTHER Anesth Knee Joint Surgery 45 45 $3,040.00 $2,432.00 20% off $950.86 $3,040.53 $2,935.80 2024-01-17
J3111 HCPCS Evenity 210 Mg/2.34 Ml 19 11 $3,345.58 — $1,672.79 $3,276.46 $2,843.75 2026-07-24
01622 CPT Anesth Dx Shoulder Arthroscopy 19 11 $3,344.00 — $1,672.00 $3,176.80 $2,842.40 2026-07-24
20822 CPT Replantation Digit Complete 109 53 $2,831.00 $2,580.44 $885.49 $3,620.73 $2,806.21 2026-07-24
APC05414 CDM Level 4 Gynecologic Proced 45 45 $2,890.70 $2,312.56 $904.16 $2,891.20 $2,791.62 2024-01-17
60240 CPT Removal Of Thyroid 45 45 $2,856.00 $2,284.80 $893.31 $2,856.50 $2,758.11 2024-01-17
66797 CDM Kit Peek Meniscal Root Repair 45 45 $2,781.00 $2,224.80 $869.85 $2,781.48 $2,685.68 2024-01-17
65095 CDM I Tightrope Syndesmosis 45 45 $2,780.70 $2,224.56 $869.75 $2,781.18 $2,685.39 2024-01-17
J7169 HCPCS Andexxa 200 Mg 64 53 $3,030.00 $2,424.00 20% off $947.73 $3,030.53 $2,683.77 2026-07-24
60225 CPT Artial Removal Thyroid 45 45 $2,775.00 $2,220.00 20% off $867.97 $2,775.48 $2,679.89 2024-01-17
32654 CPT Thoracoscopy Control Bleeding 45 45 $2,764.00 $2,211.20 20% off $864.53 $2,764.48 $2,669.26 2024-01-17
J9173 HCPCS Imfinzi 50 Mg/ml 109 53 $4,881.01 $2,385.24 51% off $338.45 $5,068.52 $2,667.64 2026-07-24
36561 CPT Insert Tunneled Cv Cath 64 53 $3,252.00 $2,601.60 20% off $1,017.17 $3,252.56 $2,667.40 2026-07-24
1630 OTHER Anesth Surgery Of Shoulder 45 45 $2,736.00 $2,188.80 $855.77 $2,736.47 $2,642.22 2024-01-17
66652 CDM I Cementless Metaglene Ha 64 53 $2,945.10 $2,356.08 20% off $921.18 $2,945.61 $2,608.56 2026-07-24
66278 CDM Aquamantys Disposable Supply 64 53 $2,931.00 $2,344.80 $916.77 $2,931.51 $2,596.08 2026-07-24
49561 CPT Rpr Ventral Hern Init Block 45 45 $2,688.00 $2,150.40 $840.76 $2,688.47 $2,595.87 2024-01-17
01400 CPT Anesth Knee Joint Surgery 19 11 $3,040.00 — $1,520.00 $2,888.00 $2,584.00 2026-07-24
J1561 HCPCS Gamunex-c 20 Gm/200 Ml 45 45 $2,657.31 $2,125.85 $831.16 $2,657.77 $2,566.23 2024-01-17
66785 CDM I Acetabular Shell Sector 54mm 19 11 $3,013.20 — $1,506.60 $2,862.54 $2,561.22 2026-07-24
J7168 HCPCS Kcentra 1,000 Unit Kit 1000 Unit 45 45 $2,643.64 $2,114.92 $826.89 $2,644.10 $2,553.03 2024-01-17
J9034 HCPCS Bendeka 25 Mg/1 Ml 19 11 $2,998.26 — $1,499.13 $2,848.34 $2,518.52 2026-07-24
65035 CDM Lapidus Smooth Fixation Kit 45 45 $2,566.80 $2,053.44 20% off $802.85 $2,567.25 $2,478.82 2024-01-17
66660 CDM I Humeral Pe Cup Standard 38 64 53 $2,796.00 $2,236.80 $874.54 $2,796.49 $2,476.51 2026-07-24
66667 CDM Bone Harvestor W/filter 6mm 64 53 $2,788.20 $2,230.56 $872.10 $2,788.68 $2,469.60 2026-07-24
J7327 HCPCS Inj Monovisc Per Dose 64 53 $2,785.10 $2,228.08 20% off $871.13 $2,785.58 $2,466.85 2026-07-24
23472 CPT Reconstruct Shoulder Joint 128 53 $2,807.85 $2,246.28 20% off $767.88 $3,161.25 $2,452.52 2026-07-24
Q4159 HCPCS I Affinity Graft 1.5CMx1.5CM 45 45 $2,511.00 $2,008.80 20% off $785.40 $2,511.44 $2,424.94 2024-01-17
27447 CPT Total Knee Arthroplasty 128 53 $2,692.30 $2,153.84 20% off $791.96 $2,853.09 $2,405.40 2026-07-24
27130 CPT Total Hip Arthroplasty 128 53 $2,637.50 $2,110.00 20% off $741.92 $2,903.50 $2,362.56 2026-07-24
20692 CPT Apply Multiplane Fixation 45 45 $2,438.81 $1,951.05 $762.82 $2,439.23 $2,355.22 2024-01-17
1230 OTHER Anesth Surgery Of Femur 45 45 $2,432.00 $1,945.60 20% off $760.69 $2,432.42 $2,348.64 2024-01-17
1967 OTHER Anesth/analg Vaginal Delivery 45 45 $2,432.00 $1,945.60 20% off $760.69 $2,432.42 $2,348.64 2024-01-17
APC05373 CDM Level 3 Urology Related Servic 45 45 $2,420.00 $1,936.00 20% off $756.93 $2,420.42 $2,337.05 2024-01-17
01630 CPT Anesth Surgery Of Shoulder 19 11 $2,736.00 — $1,368.00 $2,599.20 $2,325.60 2026-07-24
66349 CDM I Plate Narrow R Anotomical 45 45 $2,402.90 $1,922.32 20% off $751.58 $2,403.32 $2,320.54 2024-01-17
65192 CDM Jada System 19 11 $2,697.00 — $1,348.50 $2,562.15 $2,292.45 2026-07-24
29807 CPT Arthroscopy Shoulder Rpr 45 45 $2,336.00 $1,868.80 20% off $730.66 $2,336.41 $2,255.93 2024-01-17
Q5108 HCPCS Fulphila 6 Mg/0.6 Ml 64 53 $2,530.05 $2,024.04 20% off $791.36 $2,530.49 $2,240.95 2026-07-24
44310 CPT Ileostomy/jejunostomy 45 45 $2,301.00 $1,840.80 20% off $719.71 $2,301.40 $2,222.13 2024-01-17
23200 CPT Radical Rescj Tumor Clavicle 38 11 $2,899.40 — $1,193.00 $3,242.16 $2,195.12 2026-07-24
66860 CDM I Plate Met Hook 5th Right 45 45 $2,251.00 $1,800.80 20% off $704.07 $2,251.39 $2,173.85 2024-01-17
66556 CDM I Allowedge Biocortical 10mm 45 45 $2,239.50 $1,791.60 20% off $700.48 $2,239.89 $2,162.74 2024-01-17
APC05302 CDM Level 2 Upper Gi Procedure 45 45 $2,239.00 $1,791.20 20% off $700.32 $2,239.39 $2,162.26 2024-01-17
28297 CPT Correction Hallux Valgus 45 45 $2,229.60 $1,783.68 $697.38 $2,229.99 $2,153.18 2024-01-17
66564 CDM I Plate 4hl Dbl Comp Sqr 25mm 45 45 $2,222.70 $1,778.16 $695.22 $2,223.09 $2,146.52 2024-01-17
J0897 HCPCS Prolia 60 Mg/1 Ml 128 53 $2,981.49 $2,290.62 23% off $658.34 $4,091.20 $2,135.09 2026-07-24
81235 CPT Egfr Gene Mutation 45 45 $2,194.00 $1,755.20 20% off $686.24 $2,194.38 $2,118.80 2024-01-17
47563 CPT Laparo Cholecystectomy/graph 45 45 $2,182.00 $1,745.60 20% off $682.49 $2,182.38 $2,107.21 2024-01-17
66594 CDM I Plate 2.4mm Ti Va Lcp 2-clmn 45 45 $2,182.00 $1,745.60 20% off $682.49 $2,182.38 $2,107.21 2024-01-17
27726 CPT Rpr Fibula Nonunion W/fixat 45 45 $2,167.00 $1,733.60 20% off $677.80 $2,167.38 $2,092.73 2024-01-17
Q4133 HCPCS I Grafix Pl Prime 3x3 218 53 $2,259.90 $2,176.20 $654.50 $4,972.86 $2,092.67 2026-07-24
J3262 HCPCS Actemra 400 Mg/20 Ml 400 Mg/20 Ml 102 53 $2,794.63 $2,235.70 20% off $321.88 $3,057.93 $2,088.74 2026-07-24
01967 CPT Anesth/analg Vaginal Delivery 19 11 $2,432.00 — $1,216.00 $2,310.40 $2,067.20 2026-07-24
64624 CPT Dstrj Nulyt Agt Gnclr Nrv 19 11 $2,432.00 — $1,216.00 $2,310.40 $2,067.20 2026-07-24
01230 CPT Anesth Surgery Of Femur 19 11 $2,432.00 — $1,216.00 $2,310.40 $2,067.20 2026-07-24
J1602 HCPCS Simponi Aria 50 Mg/4 Ml 64 53 $2,423.03 $1,938.42 20% off $430.07 $2,423.45 $2,059.58 2026-07-24
1961 OTHER Anesth Cesarean Delivery 45 45 $2,128.00 $1,702.40 $665.60 $2,128.37 $2,055.06 2024-01-17
28715 CPT Fusion Of Foot Bones 45 45 $2,123.15 $1,698.52 20% off $664.08 $2,123.52 $2,050.38 2024-01-17
S2117 HCPCS I Twist Subtalar 10mm 64 53 $2,046.00 $1,636.80 20% off $639.95 $2,297.10 $2,029.59 2026-07-24
66917 CDM S Cataract Surgery 45 45 $2,100.00 $1,680.00 20% off $656.84 $2,100.36 $2,028.02 2024-01-17
24545 CPT Treat Humerus Fracture 45 45 $2,099.00 $1,679.20 20% off $656.53 $2,099.36 $2,027.06 2024-01-17
72191 CPT CTA Pelvis W/wo Contrast 64 53 $2,293.75 $1,835.00 20% off $717.44 $2,294.15 $2,010.80 2026-07-24
44620 CPT Repair Bowel Opening 45 45 $2,070.30 $1,656.24 20% off $647.55 $2,070.66 $1,999.34 2024-01-17
66771 CDM Btb Ib Tightrope W/flipcutter 45 45 $2,061.00 $1,648.80 20% off $644.64 $2,061.36 $1,990.36 2024-01-17
27222 CPT Treat Hip Socket Fracture 64 53 $2,210.60 $1,768.48 $691.44 $2,210.98 $1,958.00 2026-07-24
L0464 HCPCS Tlso Brace 4 Rigid Shells 64 53 $1,969.00 $1,575.20 20% off $615.87 $2,322.09 $1,956.30 2026-07-24
25609 CPT Treat Fx Radial 3+ Frag 64 53 $2,373.00 $1,898.40 $742.23 $2,373.41 $1,946.42 2026-07-24
66592 CDM S Yag Laser Procedure 45 45 $2,000.00 $1,600.00 20% off $625.56 $2,000.35 $1,931.45 2024-01-17
81420 CPT Materni T21 45 45 $2,000.00 $1,600.00 20% off $625.56 $2,000.35 $1,931.45 2024-01-17
66598 CDM S Cataract Surgery 45 45 $2,000.00 $1,600.00 20% off $625.56 $2,000.35 $1,931.45 2024-01-17
C1011 HCPCS Monthly Rental 45 45 $2,000.00 $1,600.00 20% off $625.56 $2,000.35 $1,931.45 2024-01-17
27041 CPT Biopsy Of Soft Tissues 45 45 $1,991.00 $1,592.80 20% off $622.75 $1,991.35 $1,922.76 2024-01-17
1740 OTHER Anesth Upper Arm Surgery 45 45 $1,976.00 $1,580.80 20% off $618.06 $1,976.34 $1,908.27 2024-01-17
C1014 HCPCS Monthly Rental Building 45 45 $1,972.00 $1,577.60 20% off $616.81 $1,972.34 $1,904.41 2024-01-17
C1762 HCPCS I Biocartilage 1cc Extracellul 282 53 $1,914.00 $1,531.20 20% off $425.70 $8,844.50 $1,897.18 2026-07-24
J9217 HCPCS Eligard 22.5 Mg 218 53 $2,582.28 $3,581.50 $513.70 $14,159.54 $1,879.89 2026-07-24
J9041 HCPCS Velcade 3.5 Mg 45 45 $1,942.84 $1,554.27 20% off $607.68 $1,943.17 $1,876.24 2024-01-17
J3358 HCPCS Stelara 5 Mg/ml 45 45 $1,939.20 $1,551.36 20% off $606.55 $1,939.54 $1,872.73 2024-01-17
J7326 HCPCS Inj Gel One Per Dose 19 11 $2,201.60 — $1,100.80 $2,091.52 $1,871.36 2026-07-24
15830 CPT Exc Skin Abd 109 53 $1,874.00 $1,792.00 $586.15 $2,606.45 $1,866.86 2026-07-24
27244 CPT Treat Thigh Fracture 38 11 $2,414.28 — $1,013.00 $2,662.42 $1,863.92 2026-07-24
65201 CDM Catheter Kit Pleux Pleural 64 53 $2,096.95 $1,677.56 $655.89 $2,097.31 $1,857.34 2026-07-24
49654 CPT Lap Inc Hernia Repair 45 45 $1,912.60 $1,530.08 20% off $598.23 $1,912.93 $1,847.05 2024-01-17
25332 CPT Arthroplasty Wrist 45 45 $1,910.00 $1,528.00 20% off $597.41 $1,910.33 $1,844.53 2024-01-17
APC05074 CDM Level 4 Excision/biopsy/i&d 45 45 $1,909.30 $1,527.44 $597.20 $1,909.63 $1,843.86 2024-01-17
28296 CPT Correction Of Bunion 45 45 $1,908.20 $1,526.56 20% off $596.85 $1,908.53 $1,842.80 2024-01-17
28304 CPT Incision Of Midfoot Bones 45 45 $1,905.15 $1,524.12 20% off $595.90 $1,905.48 $1,839.85 2024-01-17
49565 CPT Rerepair Ventrl Hernia Reduce 64 53 $2,240.00 $1,792.00 20% off $549.00 $2,240.39 $1,837.33 2026-07-24
J0875 HCPCS Dalvance 500 Mg 19 11 $2,156.15 — $1,078.07 $2,048.34 $1,832.73 2026-07-24
43270 CPT Egd Lesion Ablation 45 45 $1,892.00 $1,513.60 20% off $591.78 $1,892.33 $1,827.15 2024-01-17
26123 CPT Fasciectomy Parital Palmar 45 45 $1,889.00 $1,511.20 20% off $590.85 $1,889.33 $1,824.25 2024-01-17
J9355 HCPCS Herceptin 150 Mg 45 45 $1,888.79 $1,511.03 20% off $590.78 $1,889.12 $1,824.05 2024-01-17
59515 CPT Cesarean Del W Post Part 19 11 $2,136.00 — $1,068.00 $2,029.20 $1,815.60 2026-07-24
19301 CPT Partial Mastectomy 45 45 $1,877.00 $1,501.60 20% off $587.09 $1,877.33 $1,812.67 2024-01-17
25447 CPT Arthroplasty 45 45 $1,876.00 $1,500.80 20% off $586.78 $1,876.33 $1,811.70 2024-01-17
64635 CPT Destroy Lumb/sac Facet Jnt 19 11 $2,128.00 — $1,064.00 $2,021.60 $1,808.80 2026-07-24
64633 CPT Destroy Cerv/thor Facet Jnt 19 11 $2,128.00 — $1,064.00 $2,021.60 $1,808.80 2026-07-24
01474 CPT Anesth Lower Leg Surgery 19 11 $2,128.00 — $1,064.00 $2,021.60 $1,808.80 2026-07-24
01961 CPT Anesth Cesarean Delivery 19 11 $2,128.00 — $1,064.00 $2,021.60 $1,808.80 2026-07-24
29827 CPT Arthroscopy Shoulder Repair 128 53 $2,112.50 $1,690.00 20% off $565.82 $2,416.42 $1,808.74 2026-07-24
28114 CPT Removal Of Metatarsal Heads 45 45 $1,872.00 $1,497.60 20% off $585.53 $1,872.32 $1,807.84 2024-01-17
37765 CPT Stab Phleb Veins Xtr 10-20 45 45 $1,861.00 $1,488.80 20% off $582.09 $1,861.32 $1,797.21 2024-01-17
66560 CDM I Allosync Pure 5.0cc Graft 45 45 $1,860.00 $1,488.00 20% off $581.78 $1,860.32 $1,796.25 2024-01-17
24430 CPT Repair Of Humerus 109 53 $1,785.00 $1,668.08 $558.32 $2,385.61 $1,777.60 2026-07-24
27245 CPT Treat Thigh Fracture 19 11 $2,088.00 — $1,044.00 $1,983.60 $1,774.80 2026-07-24
37617 CPT Ligation Of Abdomen Artery 45 45 $1,830.00 $1,464.00 20% off $572.39 $1,830.32 $1,767.28 2024-01-17
1830 OTHER Anesth Lower Arm Surgery 45 45 $1,824.00 $1,459.20 20% off $570.52 $1,824.32 $1,761.48 2024-01-17
A9562 HCPCS Tc99m Mertiatide 15millicuries 64 53 $1,988.70 $1,590.96 20% off $622.03 $1,989.05 $1,761.45 2026-07-24
27236 CPT Treat Thigh Fracture 38 11 $2,318.55 — $956.50 $2,587.90 $1,759.96 2026-07-24
Q4151 HCPCS I Amnioband Graft 2cmx2cm 45 45 $1,820.00 $1,456.00 20% off $569.26 $1,820.32 $1,757.62 2024-01-17
APC05164 CDM Level 4 ENT Procedure 64 53 $1,980.00 $1,584.00 20% off $619.31 $1,980.34 $1,753.75 2026-07-24
28750 CPT Fusion Of Big Toe Joint 45 45 $1,805.00 $1,444.00 20% off $564.57 $1,805.31 $1,743.13 2024-01-17
26480 CPT Transf/transplant Tendon Ea 45 45 $1,803.00 $1,442.40 $563.95 $1,803.31 $1,741.20 2024-01-17
C1008 HCPCS Clinic Monthly Rental Rdc 45 45 $1,800.00 $1,440.00 20% off $563.01 $1,800.31 $1,738.30 2024-01-17
28322 CPT Repair Metatarsal 45 45 $1,793.00 $1,434.40 $560.82 $1,793.31 $1,731.54 2024-01-17
28740 CPT Fusion Of Foot Bones 45 45 $1,792.90 $1,434.32 20% off $560.79 $1,793.21 $1,731.45 2024-01-17
Q9991 HCPCS Sublocade 100 Mg/0.5 Ml 19 11 $2,036.69 — $1,018.34 $1,934.85 $1,731.18 2026-07-24
Q9992 HCPCS Sublocade 300 Mg/1.5 Ml 19 11 $2,036.69 — $1,018.34 $1,934.85 $1,731.18 2026-07-24
49652 CPT Lap Vent/abd Hernia Repair 45 45 $1,790.70 $1,432.56 20% off $560.10 $1,791.01 $1,729.32 2024-01-17
25825 CPT Arthrodesis Wrist W/autograf 45 45 $1,789.00 $1,431.20 20% off $559.57 $1,789.31 $1,727.68 2024-01-17
Q5115 HCPCS Truxima 10 Mg/1 Ml 125 53 $1,708.01 $2,732.82 $91.80 $5,124.92 $1,708.07 2026-07-24
27758 CPT Treatment Of Tibia Fracture 83 53 $2,026.00 $1,620.80 20% off $633.70 $2,026.35 $1,707.01 2026-07-24
26841 CPT Arthrodesis Carpometacarpal 45 45 $1,757.00 $1,405.60 20% off $549.56 $1,757.30 $1,696.78 2024-01-17
28730 CPT Fusion Of Foot Bones 45 45 $1,756.50 $1,405.20 20% off $549.40 $1,756.80 $1,696.30 2024-01-17
J7298 HCPCS IUD - Mirena 52mg 64 53 $1,908.00 $1,526.40 $596.79 $1,908.33 $1,689.98 2026-07-24
27536 CPT Treat Knee Fracture 64 53 $1,903.00 $1,522.40 $595.22 $1,903.33 $1,685.55 2026-07-24
27691 CPT Revise Lower Leg Tendon 45 45 $1,744.90 $1,395.92 20% off $545.77 $1,745.20 $1,685.09 2024-01-17
28116 CPT Revision Of Foot 45 45 $1,739.90 $1,391.92 20% off $544.21 $1,740.20 $1,680.26 2024-01-17
01740 CPT Anesth Upper Arm Surgery 19 11 $1,976.00 — $988.00 $1,877.20 $1,679.60 2026-07-24
32550 CPT Insert Pleural Cath 64 53 $1,889.80 $1,511.84 20% off $591.10 $1,890.13 $1,675.74 2026-07-24
43611 CPT Excision Of Stomach Lesion 19 11 $1,947.00 — $973.50 $1,849.65 $1,654.95 2026-07-24
Q5117 HCPCS Kanjinti 150 Mg 128 53 $3,131.97 $2,505.57 20% off $515.59 $4,616.32 $1,648.66 2026-07-24
49329 CPT Laparo Proc Abdm/per/oment 83 53 $1,950.00 $1,560.00 20% off $435.65 $1,950.34 $1,637.99 2026-07-24
66626 CDM I Tightrope Ii Btb W/deploying 45 45 $1,691.00 $1,352.80 20% off $528.92 $1,691.29 $1,633.04 2024-01-17
26746 CPT Treat Finger Fracture Each 45 45 $1,681.00 $1,344.80 20% off $525.79 $1,681.29 $1,623.38 2024-01-17
C1004 HCPCS Clinic Monthly Rental Ronan 45 45 $1,680.00 $1,344.00 20% off $525.47 $1,680.29 $1,622.42 2024-01-17
J7296 HCPCS IUD Kyleena 19 11 $1,908.00 — $954.00 $1,812.60 $1,621.80 2026-07-24
23412 CPT Repair Rotator Cuff Open/chr 83 53 $1,927.00 $1,541.60 20% off $602.73 $1,927.33 $1,618.67 2026-07-24
64490 CPT Inj Paravert F Jnt C/t 1 Lev 64 53 $1,824.00 $1,459.20 20% off $570.52 $1,824.32 $1,615.58 2026-07-24
1210 OTHER Anesth Hip Joint Surgery 45 45 $1,672.00 $1,337.60 20% off $522.97 $1,672.29 $1,614.69 2024-01-17
1638 OTHER Anesth Shoulder Replacement 45 45 $1,672.00 $1,337.60 20% off $522.97 $1,672.29 $1,614.69 2024-01-17
APC05072 CDM Level 2 Excision/biopsy 45 45 $1,670.00 $1,336.00 20% off $522.35 $1,670.29 $1,612.76 2024-01-17
49525 CPT Repair Ing Hernia Sliding 45 45 $1,670.00 $1,336.00 20% off $522.35 $1,670.29 $1,612.76 2024-01-17
28725 CPT Fusion Of Foot Bones 45 45 $1,668.00 $1,334.40 $521.72 $1,668.29 $1,610.83 2024-01-17
66563 CDM I Plate 2hl Dbl Comp 25mm 45 45 $1,664.70 $1,331.76 20% off $520.69 $1,664.99 $1,607.64 2024-01-17
66562 CDM I Plate 2hl Dbl Comp 20mm 45 45 $1,664.70 $1,331.76 20% off $520.69 $1,664.99 $1,607.64 2024-01-17
J9264 HCPCS Abraxane 100 Mg/vial 64 53 $1,909.28 $1,527.43 $597.19 $1,909.62 $1,606.23 2026-07-24
27428 CPT Reconstruction Knee 19 11 $1,884.00 — $942.00 $1,789.80 $1,601.40 2026-07-24
49550 CPT Rpr Rem Hernia Init Reduce 45 45 $1,657.00 $1,325.60 20% off $518.28 $1,657.29 $1,600.21 2024-01-17
APC05182 CDM Level 2 Vascular Procedure 64 53 $1,805.00 $1,444.00 20% off $564.57 $1,805.31 $1,598.74 2026-07-24
P9052 HCPCS Platelets Pheresis Hla-matched 64 53 $1,802.65 $1,442.12 20% off $563.84 $1,802.96 $1,596.66 2026-07-24
J9308 HCPCS Cyramza 10 Mg/ml 45 45 $1,647.64 $1,318.11 20% off $515.35 $1,647.93 $1,591.17 2024-01-17
27827 CPT Treat Lower Leg Fracture 64 53 $1,794.00 $1,435.20 20% off $561.13 $1,794.31 $1,589.01 2026-07-24
13160 CPT Late Closure Of Wound 64 53 $1,793.00 $1,434.40 $560.82 $1,793.31 $1,588.12 2026-07-24
25312 CPT Transplant Forearm Tendon 45 45 $1,616.00 $1,292.80 20% off $505.46 $1,616.28 $1,560.61 2024-01-17
J0129 HCPCS Orencia 250 Mg 64 53 $1,672.45 $1,337.96 20% off $523.11 $1,742.85 $1,559.39 2026-07-24
27822 CPT Treatment Of Ankle Fracture 83 53 $1,845.80 $1,476.64 $577.33 $1,962.23 $1,555.19 2026-07-24
B49659 CDM Laparo Proc Hernia Repair 45 45 $1,606.00 $1,284.80 20% off $502.33 $1,606.28 $1,550.95 2024-01-17
49659 CPT Laparo Proc Hernia Repair 45 45 $1,606.00 $1,284.80 20% off $502.33 $1,606.28 $1,550.95 2024-01-17
BF49651 CDM Lap Ing Hernia Repair Recur 45 45 $1,606.00 $1,284.80 20% off $502.33 $1,606.28 $1,550.95 2024-01-17
00540 CPT Anesth Chest Surgery 19 11 $1,824.00 — $912.00 $1,732.80 $1,550.40 2026-07-24
01830 CPT Anesth Lower Arm Surgery 19 11 $1,824.00 — $912.00 $1,732.80 $1,550.40 2026-07-24
66168 CDM Endoblade Gastroc Recession Sy 64 53 $1,748.00 $1,398.40 $546.74 $1,748.30 $1,548.26 2026-07-24
45382 CPT Colonoscopy W/control Bleed 45 45 $1,601.85 $1,281.48 $501.03 $1,602.13 $1,546.95 2024-01-17
T14040 CDM Tis Trnfr F/c/c/m/n/a/g/h/f 45 45 $1,599.40 $1,279.52 20% off $500.26 $1,599.68 $1,544.58 2024-01-17
28289 CPT Repair Hallux Rigidus 45 45 $1,598.00 $1,278.40 $499.83 $1,598.28 $1,543.23 2024-01-17
26540 CPT Repair Hand Joint 45 45 $1,595.00 $1,276.00 20% off $498.89 $1,595.28 $1,540.33 2024-01-17
24140 CPT Partial Excision Bone Humeru 45 45 $1,593.00 $1,274.40 $498.26 $1,593.28 $1,538.40 2024-01-17
21556 CPT Exc Neck Tum Deep < 5cm 45 45 $1,593.00 $1,274.40 $498.26 $1,593.28 $1,538.40 2024-01-17
75131 CDM Hearing Aide Two 64 53 $1,736.45 $1,389.16 20% off $543.13 $1,736.75 $1,538.03 2026-07-24
24342 CPT Repair Of Ruptured Tendon 64 53 $1,868.90 $1,495.12 20% off $584.56 $1,869.22 $1,532.93 2026-07-24
49507 CPT Prp I/hernia Init Block >5yr 45 45 $1,580.00 $1,264.00 20% off $494.20 $1,580.27 $1,525.85 2024-01-17
57101 CDM Delivery Room Charge - Extens 64 53 $1,718.00 $1,374.40 $537.36 $1,718.30 $1,521.69 2026-07-24
49560 CPT Rpr Ventral Hern Init Reduc 64 53 $1,843.00 $1,474.40 $546.60 $1,843.32 $1,511.70 2026-07-24
27685 CPT Revision Of Lower Leg Tendon 45 45 $1,553.00 $1,242.40 $485.75 $1,553.27 $1,499.77 2024-01-17
64491 CPT Inj Paravert F Jnt C/t 2 Lev 64 53 $1,824.00 $1,459.20 20% off $380.00 $1,824.32 $1,496.11 2026-07-24
25608 CPT Treat Distal Radial Fracture 102 53 $1,774.70 $1,419.76 20% off $555.09 $1,832.93 $1,495.55 2026-07-24
21014 CPT Xc Face Tum Deep 2 Cm/> 45 45 $1,548.00 $1,238.40 $484.19 $1,548.27 $1,494.94 2024-01-17
59410 CPT Vaginal Delivery W/pp Care 19 11 $1,758.00 — $879.00 $1,670.10 $1,494.30 2026-07-24
Q5118 HCPCS Zirabev 25 Mg/1 Ml 109 53 $2,973.76 $1,486.88 50% off $185.41 $2,974.28 $1,486.88 2026-07-24
62321 CPT Njx Interlaminar Crv/thrc 64 53 $1,672.00 $1,337.60 20% off $522.97 $1,672.29 $1,480.94 2026-07-24
64483 CPT Njx Aa&/strd Tfrm Epi L/s 1 64 53 $1,672.00 $1,337.60 20% off $522.97 $1,672.29 $1,480.94 2026-07-24
11771 CPT Remove Pilonidal Cyst Exten 19 11 $1,730.80 — $865.40 $1,644.26 $1,471.18 2026-07-24
44310 CDM Ileostomy/jejunostomy 64 53 $1,660.00 $1,328.00 20% off $519.22 $1,660.29 $1,470.32 2026-07-24
27690 CPT Revise Lower Leg Tendon 45 45 $1,520.80 $1,216.64 $475.68 $1,521.06 $1,468.67 2024-01-17
1992 OTHER Anesth N Block/inj Prone 45 45 $1,520.00 $1,216.00 20% off $475.43 $1,520.26 $1,467.90 2024-01-17
813 OTHER Anes Upr Lwr Gi Endoscopic Px 45 45 $1,520.00 $1,216.00 20% off $475.43 $1,520.26 $1,467.90 2024-01-17
840 OTHER Anes Surg Lower Abdomen 45 45 $1,520.00 $1,216.00 20% off $475.43 $1,520.26 $1,467.90 2024-01-17
1960 OTHER Anesth Vaginal Delivery 45 45 $1,520.00 $1,216.00 20% off $475.43 $1,520.26 $1,467.90 2024-01-17
J7325 HCPCS Inj Synvisc One 6ml/48mg Dose 83 53 $1,745.25 $1,396.20 20% off $319.73 $1,745.55 $1,466.00 2026-07-24
66013 CDM Ligasure Exact Dissector 64 53 $1,651.90 $1,321.52 20% off $516.69 $1,652.19 $1,463.14 2026-07-24
27823 CPT Treatment Of Ankle Fracture 83 53 $1,590.00 $1,272.00 20% off $497.32 $2,192.22 $1,462.80 2026-07-24
11012 CPT Deb Skin Bone At Fx Site 45 45 $1,513.00 $1,210.40 $473.24 $1,513.26 $1,461.14 2024-01-17
J9312 HCPCS Rituxan 10 Mg/1 Ml 90 45 $3,416.09 $2,732.88 $356.16 $5,694.48 $1,459.86 2024-01-17
28238 CPT Revision Of Foot Tendon 45 45 $1,509.00 $1,207.20 20% off $471.99 $1,509.26 $1,457.28 2024-01-17
22901 CPT Exc Abdl Tum Deep 5 Cm/> 45 45 $1,508.00 $1,206.40 $471.68 $1,508.26 $1,456.31 2024-01-17
27654 CPT Repair Of Achilles Tendon 45 45 $1,507.20 $1,205.76 20% off $471.43 $1,507.46 $1,455.54 2024-01-17
60104 CDM Patient Room Chg Critical Care 64 53 $1,634.00 $1,307.20 20% off $511.09 $1,634.28 $1,447.29 2026-07-24
29879 CPT Knee Arthroscopy/surgery 45 45 $1,498.00 $1,198.40 $468.55 $1,498.26 $1,446.66 2024-01-17
J7318 HCPCS Inj Durolane 1mg 19 11 $1,700.00 — $850.00 $1,615.00 $1,445.00 2026-07-24
59514 CPT C-section Delivery Only 19 11 $1,697.90 — $848.95 $1,613.01 $1,443.22 2026-07-24
43255 CPT Egd Control Bleeding Any 45 45 $1,493.30 $1,194.64 $467.08 $1,493.56 $1,442.12 2024-01-17
21932 CPT Xc Back Tum Deep <5cm 128 53 $1,526.90 $1,380.00 $464.79 $1,964.34 $1,438.72 2026-07-24
65014 CDM Iovera Gen2 Smart Tip 2190 45 45 $1,488.00 $1,190.40 $465.42 $1,488.26 $1,437.00 2024-01-17
J7300 HCPCS IUD - Paragard 19 11 $1,689.00 — $844.50 $1,604.55 $1,435.65 2026-07-24
27641 CPT Partial Removal Of Fibula 45 45 $1,482.00 $1,185.60 20% off $463.54 $1,482.26 $1,431.20 2024-01-17
65100 CDM Drill Bit 2.7mm Canultd 160mm 64 53 $1,434.00 $1,147.20 $448.53 $1,937.05 $1,430.43 2026-07-24
C1734 HCPCS I Plate Lcp Narrow 4.5mm 8hole 128 53 $2,528.50 $2,022.80 20% off $173.88 $3,627.63 $1,430.22 2026-07-24
APC05113 CDM Level 3 Closed Tx Fx/procedure 45 45 $1,480.00 $1,184.00 20% off $462.92 $1,480.26 $1,429.27 2024-01-17
29876 CPT Arthroscopy Knee 45 45 $1,479.00 $1,183.20 $462.61 $1,479.26 $1,428.31 2024-01-17
22999 CPT Abdomen Surgery Procedure 64 53 $1,500.00 $1,200.00 20% off $469.17 $1,596.00 $1,428.00 2026-07-24
01638 CPT Anesth Shoulder Replacement 19 11 $1,672.00 — $836.00 $1,588.40 $1,421.20 2026-07-24
01210 CPT Anesth Hip Joint Surgery 19 11 $1,672.00 — $836.00 $1,588.40 $1,421.20 2026-07-24
27514 CPT Treatment Of Thigh Fracture 38 11 $1,861.12 — $767.50 $2,077.89 $1,412.20 2026-07-24
66566 CDM I Screw Compr Ft 7.0x80-85mm 45 45 $1,459.50 $1,167.60 20% off $456.51 $1,459.75 $1,409.48 2024-01-17
23405 CPT Incision Of Tendon & Muscle 45 45 $1,457.00 $1,165.60 20% off $455.72 $1,457.25 $1,407.06 2024-01-17
27759 CPT Treatment Of Tibia Fracture 19 11 $1,646.00 — $823.00 $1,563.70 $1,399.10 2026-07-24
J1439 HCPCS Injectafer 750 Mg/15 Ml 64 53 $1,701.39 $1,361.11 20% off $171.71 $1,701.68 $1,395.53 2026-07-24
49594 CPT Rpr Aa Hrn 1st 3-10 Ncr/strn 83 53 $1,654.00 $1,323.20 20% off $517.34 $1,654.29 $1,393.58 2026-07-24
19330 CPT Rmvl Ruptured Breast Implant 45 45 $1,442.00 $1,153.60 20% off $451.03 $1,442.25 $1,392.58 2024-01-17
59426 CPT Antepartum Care Only 19 11 $1,638.00 — $819.00 $1,556.10 $1,392.30 2026-07-24
27698 CPT Repair Of Ankle Ligament 45 45 $1,439.85 $1,151.88 $450.36 $1,440.10 $1,390.50 2024-01-17
28306 CPT Incision Of Metatarsal 45 45 $1,438.80 $1,151.04 20% off $450.03 $1,439.05 $1,389.48 2024-01-17
29888 CPT Knee Arthroscopy/surgery 19 11 $1,633.00 — $816.50 $1,551.35 $1,388.05 2026-07-24
A24073 CDM Ex Arm/elbow Tub Deep 5cm/> 19 11 $1,632.95 — $816.48 $1,551.30 $1,388.01 2026-07-24
78452 CPT Myocardial Perfusion Spect 110 53 $2,772.00 $2,217.60 20% off $108.20 $2,772.48 $1,386.00 2026-07-24
J7301 HCPCS IUD Skyla 13.5mg 19 11 $1,625.00 — $812.50 $1,543.75 $1,381.25 2026-07-24
23515 CPT Treat Clavicle Fracture 83 53 $1,630.00 $1,304.00 20% off $509.84 $1,630.28 $1,373.36 2026-07-24
28100 CPT Removal Of Ankle/heel Lesion 45 45 $1,418.10 $1,134.48 $443.56 $1,418.35 $1,369.49 2024-01-17
65489 CDM I Screw Tenodesis Peek 45 45 $1,417.50 $1,134.00 20% off $443.37 $1,417.75 $1,368.91 2024-01-17
66988 CDM I Implsys 2nd Fixatn 4.75x19.1 45 45 $1,416.00 $1,132.80 20% off $442.90 $1,416.25 $1,367.47 2024-01-17
C8928 HCPCS Echo Stress W/dobutamine & Con 64 53 $1,539.95 $1,231.96 20% off $481.67 $1,540.22 $1,363.99 2026-07-24
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