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

THAYER COUNTY HEALTH SERVICES

Hebron, NE · CCN 281304 · Rates published

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You selected 93306 (CPT)

Us Echo Complete

This hospital’s price: $2,215 across 7 payers · range $1,348-$2,896

Source: https://secure.claraprice.net/price-transparency/ZHMW-1745877193090/machine-readable/470627838_thayer-county-health-services_standardcharges.json · observed 2026-07-17

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.

2,056 distinct procedures filed
8 distinct payers
18,980 rate rows
2026-07-17 last MRF observed
Data quality

17,905 of 18,980 rate rows are consumer-grade (94.3%)

1,075 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
exceeds 10× this hospital's gross charge — excluded from medians 784
template filing: same amount across many unrelated codes — excluded 291
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://thayercountyhealth.com/wp-content/uploads/2021/01/470627838_Thayer-County-Memorial-Hospital_standardcharges.csv
Found on page https://thayercountyhealth.com/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 71490bf0bacab9af… · 798,034 bytes · first seen 2026-05-04

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
J9228
HCPCS 		Ipilimumab (yervoy) 200mg/40ml Vial [thay] 3 $9,622.30 $51,897.61 $25,696.53 nat. median
$8,966
outlier · 2.9×
J2350
HCPCS 		Ocrelizumab 300 Mg/10 Ml Sol 3 $16,628.20 $22,483.20 $22,014.80 nat. median
$414
outlier · 53.1×
J9043
HCPCS 		Cabazitaxel (jevtana) 60 Mg/1.5 Ml Sol [thay] 3 $14,061.88 $19,013.25 $18,617.14 nat. median
$735
outlier · 25.3×
A9552
HCPCS 		Fludeoxyglucose F-18 (fdg F-18) Sol [thay] 3 $608.47 $37,459.20 $14,263.46 nat. median
$659
outlier · 21.7×
58571
CPT 		58571 Lap Hysterectory 3 $10,723.13 $14,498.88 $14,196.82 nat. median
$9,885
1.4× median
63685
CPT 		Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural) 3 $9,762.50 $13,200.00 $12,925.00 nat. median
$21,040
0.6× median
45541
CPT 		45541 Reduction Rectal Prolapse 3 $9,585.71 $12,960.96 $12,690.94 nat. median
$3,166
outlier · 4.0×
28011
CPT 		Tenotomy, Percutaneous, Toe; Multiple Tendons 4 $8,436.00 $15,185.00 $11,798.00 nat. median
$1,854
outlier · 6.4×
45915
CPT 		45915 Removal Rectum Foreign Body 3 $8,551.95 $11,563.20 $11,322.30 nat. median
$1,316
outlier · 8.6×
J9301
HCPCS 		Obinutuzumab 25 mg/mL Sol 3 $8,407.68 $11,368.13 $11,131.29 nat. median
$286
outlier · 38.9×
J1930
HCPCS 		Lanreotide 120 Mg/0.5 Ml Sol 3 $8,159.66 $11,032.78 $10,802.93 nat. median
$5,088
outlier · 2.1×
57265
CPT 		57265 Colpo A&p Entero Rep 3 $8,013.06 $10,834.56 $10,608.84 nat. median
$5,073
outlier · 2.1×
J9311
HCPCS 		Hyaluronidase-rituximab 23,400 Units-1400 Mg/11.7 Ml Sol 3 $6,738.09 $9,110.66 $8,920.85 nat. median
$2,428
outlier · 3.7×
27447
CPT 		27447 Arthroplasty Tot Kne 3 $6,715.18 $9,079.68 $8,890.52 nat. median
$12,739
0.7× median
J9306
HCPCS 		Pertuzumab (perjeta) 420mg/14ml Sol [thay] 3 $6,601.69 $8,926.23 $8,740.27 nat. median
$75
outlier · 116.4×
49320
CPT 		Diagnostic Laparosco 3 $6,568.21 $8,880.96 $8,695.94 nat. median
$5,644
1.5× median
J2505
HCPCS 		Pegfilgrastim (neulasta) 6mg/0.6ml [thay] 3 $6,384.83 $8,633.02 $8,453.16 nat. median
$6,279
1.3× median
J3101
HCPCS 		Tenecteplase (tnkase) 50mg IV Kit [thay] 3 $6,187.18 $8,365.76 $8,191.48 nat. median
$3,787
outlier · 2.2×
28740
CPT 		28740 Arthrodesis Midtarsometatar Single Jt 3 $5,754.55 $7,780.80 $7,618.70 nat. median
$6,866
1.1× median
57250
CPT 		57250 Colporrahphy Posteri 3 $5,468.42 $7,393.92 $7,239.88 nat. median
$4,890
1.5× median
29827
CPT 		29827 Scope Shldr Rt Cuff Repr 3 $5,396.00 $7,296.00 $7,144.00 nat. median
$7,187
1.0× median
58291
CPT 		58291 Hyster Vag Uter>250 3 $5,305.83 $7,174.08 $7,024.62 nat. median
$5,363
1.3× median
70546
CPT 		MRA Head With + Without Contrast 7 $2,778.23 $8,803.00 $6,734.00 nat. median
$1,073
outlier · 6.3×
58956
CPT 		58956 Total Abd Hyster 3 $5,078.63 $6,866.88 $6,723.82 nat. median
$3,346
outlier · 2.0×
J0517
HCPCS 		Benralizumab 30 mg/mL Sol 3 $5,019.61 $6,787.07 $6,645.68 nat. median
$919
outlier · 7.2×
58662
CPT 		58662 Cauterize Endometri 3 $4,994.14 $6,752.64 $6,611.96 nat. median
$6,065
1.1× median
57240
CPT 		57240 Colporrhaphy Anteri 3 $4,963.61 $6,711.36 $6,571.54 nat. median
$4,846
1.4× median
44205
CPT 		44205 Lap Colectomy 3 $4,913.20 $6,643.20 $6,504.80 nat. median
$2,909
outlier · 2.2×
J9271
HCPCS 		Pembrolizumab (keytruda) 25 Mg/ml Sol [thay] 3 $4,911.70 $6,641.17 $6,502.81 nat. median
$275
outlier · 23.7×
44140
CPT 		44140 Colectomy Partial 3 $4,899.00 $6,624.00 $6,486.00 nat. median
$2,754
outlier · 2.4×
58262
CPT 		58262 Hyster Vag Tube Ovar 3 $4,857.11 $6,567.36 $6,430.54 nat. median
$5,363
1.2× median
59820
CPT 		59820 Treat Missed Abortio 3 $4,721.50 $6,384.00 $6,251.00 nat. median
$3,314
1.9× median
57288
CPT 		57288 Sling Procedure 3 $4,683.16 $6,332.16 $6,200.24 nat. median
$5,177
1.2× median
58152
CPT 		58152 Hysterectomy 3 $4,641.98 $6,276.48 $6,145.72 nat. median
$3,327
1.8× median
78815
CPT 		PET Skullmid Thigh 7 $3,807.73 $7,985.00 $6,108.00 nat. median
$2,822
outlier · 2.2×
44160
CPT 		44160 Colectomy, Partial, With Removal Of Terminal Ileum With Ileo 3 $4,539.74 $6,138.24 $6,010.36 nat. median
$2,840
outlier · 2.1×
44120
CPT 		44120 Enterectomy Resectn 3 $4,529.80 $6,124.80 $5,997.20 nat. median
$3,012
2.0× median
44204
CPT 		44204 Colectomy 3 $4,519.86 $6,111.36 $5,984.04 nat. median
$3,582
1.7× median
78816
CPT 		PET Whole Body 7 $3,890.09 $7,787.00 $5,957.00 nat. median
$2,793
outlier · 2.1×
J2783
HCPCS 		Rasburicase 7.5 Mg Rec 3 $4,446.95 $6,012.78 $5,887.51 nat. median
$1,590
outlier · 3.7×
J0717
HCPCS 		Certolizumab (cimzia) 400 Mg/kit [thay] 3 $4,438.57 $6,001.44 $5,876.41 nat. median
$1,635
outlier · 3.6×
63650
CPT 		Implantation Of Neuro Electrode Array, Epidural 3 $4,370.05 $5,908.80 $5,785.70 nat. median
$7,298
0.8× median
J1569
HCPCS 		Immune Globulin (gammagard 10%) IV 20gm [thay] 3 $4,040.39 $8,177.80 $5,755.62 nat. median
$1,074
outlier · 5.4×
42820
CPT 		42820 Tonsillectomy And Adenoidectomy; Younger Than Age 12 3 $4,304.73 $5,820.48 $5,699.22 nat. median
$5,545
1.0× median
J2426
HCPCS 		Paliperidone 234 Mg/1.5 Ml ER 3 $2,292.71 $11,110.08 $5,658.41 nat. median
$2,498
outlier · 2.3×
28230
CPT 		29065-application Of Long Arm Cast-sc Pf 3 $4,237.99 $5,730.24 $5,610.86 nat. median
$1,857
outlier · 3.0×
74174
CPT 		CT Angiography Abdomen/pelvis With + Without C 7 $3,524.44 $7,323.00 $5,601.00 nat. median
$998
outlier · 5.6×
29877
CPT 		29877 Arthros Debrid/Shave Cart 3 $4,190.42 $5,665.92 $5,547.88 nat. median
$3,839
1.4× median
74178
CPT 		CT Abdomen/pelvis W + Without Contrast 7 $3,324.93 $7,212.00 $5,517.00 nat. median
$1,027
outlier · 5.4×
58550
CPT 		58550 Lap Assisted Total Hysterectomy 3 $4,108.77 $5,555.52 $5,439.78 nat. median
$6,121
0.9× median

Other procedures at this hospital

Browse this hospital's 2,056 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
             
J9228 HCPCS Ipilimumab (yervoy) 200mg/40ml Vial [thay] 6 3 $33,806.28 — $9,622.30 $51,897.61 $25,696.53 2026-07-17
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml Sol 3 3 $23,420.00 — $16,628.20 $22,483.20 $22,014.80 2026-07-17
J9043 HCPCS Cabazitaxel (jevtana) 60 Mg/1.5 Ml Sol [thay] 3 3 $19,805.47 — $14,061.88 $19,013.25 $18,617.14 2026-07-17
A9552 HCPCS Fludeoxyglucose F-18 (fdg F-18) Sol [thay] 6 3 $19,938.50 — $608.47 $37,459.20 $14,263.46 2026-07-17
58571 CPT 58571 Lap Hysterectory 3 3 $15,103.00 — $10,723.13 $14,498.88 $14,196.82 2026-07-17
63685 CPT Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural) 3 3 $13,750.00 — $9,762.50 $13,200.00 $12,925.00 2026-07-17
45541 CPT 45541 Reduction Rectal Prolapse 3 3 $13,501.00 — $9,585.71 $12,960.96 $12,690.94 2026-07-17
28011 CPT Tenotomy, Percutaneous, Toe; Multiple Tendons 8 4 $12,226.00 $9,781.00 $8,436.00 $15,185.00 $11,798.00 2025-09-05
45915 CPT 45915 Removal Rectum Foreign Body 3 3 $12,045.00 — $8,551.95 $11,563.20 $11,322.30 2026-07-17
J9301 HCPCS Obinutuzumab 25 mg/mL Sol 3 3 $11,841.80 — $8,407.68 $11,368.13 $11,131.29 2026-07-17
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Sol 3 3 $11,492.48 — $8,159.66 $11,032.78 $10,802.93 2026-07-17
57265 CPT 57265 Colpo A&p Entero Rep 3 3 $11,286.00 — $8,013.06 $10,834.56 $10,608.84 2026-07-17
J9311 HCPCS Hyaluronidase-rituximab 23,400 Units-1400 Mg/11.7 Ml Sol 3 3 $9,490.27 — $6,738.09 $9,110.66 $8,920.85 2026-07-17
27447 CPT 27447 Arthroplasty Tot Kne 3 3 $9,458.00 — $6,715.18 $9,079.68 $8,890.52 2026-07-17
J9306 HCPCS Pertuzumab (perjeta) 420mg/14ml Sol [thay] 3 3 $9,298.16 — $6,601.69 $8,926.23 $8,740.27 2026-07-17
49320 CPT Diagnostic Laparosco 3 3 $9,251.00 — $6,568.21 $8,880.96 $8,695.94 2026-07-17
J2505 HCPCS Pegfilgrastim (neulasta) 6mg/0.6ml [thay] 3 3 $8,992.72 — $6,384.83 $8,633.02 $8,453.16 2026-07-17
J3101 HCPCS Tenecteplase (tnkase) 50mg IV Kit [thay] 3 3 $8,714.34 — $6,187.18 $8,365.76 $8,191.48 2026-07-17
28740 CPT 28740 Arthrodesis Midtarsometatar Single Jt 3 3 $8,105.00 — $5,754.55 $7,780.80 $7,618.70 2026-07-17
57250 CPT 57250 Colporrahphy Posteri 3 3 $7,702.00 — $5,468.42 $7,393.92 $7,239.88 2026-07-17
29827 CPT 29827 Scope Shldr Rt Cuff Repr 3 3 $7,600.00 — $5,396.00 $7,296.00 $7,144.00 2026-07-17
58291 CPT 58291 Hyster Vag Uter>250 3 3 $7,473.00 — $5,305.83 $7,174.08 $7,024.62 2026-07-17
70546 CPT MRA Head With + Without Contrast 11 7 $7,088.00 $5,670.00 20% off $2,778.23 $8,803.00 $6,734.00 2026-07-17
58956 CPT 58956 Total Abd Hyster 3 3 $7,153.00 — $5,078.63 $6,866.88 $6,723.82 2026-07-17
J0517 HCPCS Benralizumab 30 mg/mL Sol 3 3 $7,069.87 — $5,019.61 $6,787.07 $6,645.68 2026-07-17
58662 CPT 58662 Cauterize Endometri 3 3 $7,034.00 — $4,994.14 $6,752.64 $6,611.96 2026-07-17
57240 CPT 57240 Colporrhaphy Anteri 3 3 $6,991.00 — $4,963.61 $6,711.36 $6,571.54 2026-07-17
44205 CPT 44205 Lap Colectomy 3 3 $6,920.00 — $4,913.20 $6,643.20 $6,504.80 2026-07-17
J9271 HCPCS Pembrolizumab (keytruda) 25 Mg/ml Sol [thay] 3 3 $6,917.89 — $4,911.70 $6,641.17 $6,502.81 2026-07-17
44140 CPT 44140 Colectomy Partial 3 3 $6,900.00 — $4,899.00 $6,624.00 $6,486.00 2026-07-17
58262 CPT 58262 Hyster Vag Tube Ovar 3 3 $6,841.00 — $4,857.11 $6,567.36 $6,430.54 2026-07-17
59820 CPT 59820 Treat Missed Abortio 3 3 $6,650.00 — $4,721.50 $6,384.00 $6,251.00 2026-07-17
57288 CPT 57288 Sling Procedure 3 3 $6,596.00 — $4,683.16 $6,332.16 $6,200.24 2026-07-17
58152 CPT 58152 Hysterectomy 3 3 $6,538.00 — $4,641.98 $6,276.48 $6,145.72 2026-07-17
78815 CPT PET Skullmid Thigh 11 7 $6,429.00 $5,143.00 20% off $3,807.73 $7,985.00 $6,108.00 2026-07-17
44160 CPT 44160 Colectomy, Partial, With Removal Of Terminal Ileum With Ileo 3 3 $6,394.00 — $4,539.74 $6,138.24 $6,010.36 2026-07-17
44120 CPT 44120 Enterectomy Resectn 3 3 $6,380.00 — $4,529.80 $6,124.80 $5,997.20 2026-07-17
44204 CPT 44204 Colectomy 3 3 $6,366.00 — $4,519.86 $6,111.36 $5,984.04 2026-07-17
78816 CPT PET Whole Body 11 7 $6,270.00 $5,016.00 20% off $3,890.09 $7,787.00 $5,957.00 2026-07-17
J2783 HCPCS Rasburicase 7.5 Mg Rec 3 3 $6,263.31 — $4,446.95 $6,012.78 $5,887.51 2026-07-17
J0717 HCPCS Certolizumab (cimzia) 400 Mg/kit [thay] 3 3 $6,251.50 — $4,438.57 $6,001.44 $5,876.41 2026-07-17
63650 CPT Implantation Of Neuro Electrode Array, Epidural 3 3 $6,155.00 — $4,370.05 $5,908.80 $5,785.70 2026-07-17
J1569 HCPCS Immune Globulin (gammagard 10%) IV 20gm [thay] 6 3 $7,104.62 — $4,040.39 $8,177.80 $5,755.62 2026-07-17
42820 CPT 42820 Tonsillectomy And Adenoidectomy; Younger Than Age 12 3 3 $6,063.00 — $4,304.73 $5,820.48 $5,699.22 2026-07-17
J2426 HCPCS Paliperidone 234 Mg/1.5 Ml ER 6 3 $7,401.09 — $2,292.71 $11,110.08 $5,658.41 2026-07-17
28230 CPT 29065-application Of Long Arm Cast-sc Pf 3 3 $5,969.00 — $4,237.99 $5,730.24 $5,610.86 2026-07-17
74174 CPT CT Angiography Abdomen/pelvis With + Without C 11 7 $5,896.00 $4,717.00 $3,524.44 $7,323.00 $5,601.00 2026-07-17
29877 CPT 29877 Arthros Debrid/Shave Cart 3 3 $5,902.00 — $4,190.42 $5,665.92 $5,547.88 2026-07-17
74178 CPT CT Abdomen/pelvis W + Without Contrast 11 7 $5,807.00 $5,389.00 $3,324.93 $7,212.00 $5,517.00 2026-07-17
58550 CPT 58550 Lap Assisted Total Hysterectomy 3 3 $5,787.00 — $4,108.77 $5,555.52 $5,439.78 2026-07-17
70545 CPT MRA Head With Contrast 11 7 $5,679.00 $4,543.00 20% off $3,672.83 $7,053.00 $5,395.00 2026-07-17
58660 CPT 58660 Lap Lysis Adhisions 3 3 $5,622.00 — $3,991.62 $5,397.12 $5,284.68 2026-07-17
44005 CPT 44005 Lysis Of Adhesions 3 3 $5,620.00 — $3,990.20 $5,395.20 $5,282.80 2026-07-17
58661 CPT 58661 Lap W Rem Adnexal St 3 3 $5,485.00 — $3,894.35 $5,265.60 $5,155.90 2026-07-17
57282 CPT 57282 Colpopexy 3 3 $5,479.00 — $3,890.09 $5,259.84 $5,150.26 2026-07-17
43249 CPT 43249 Dila Esoph W Balloon 3 3 $5,476.00 — $3,887.96 $5,256.96 $5,147.44 2026-07-17
44604 CPT 44604 Rep Perforated Intes 3 3 $5,447.00 — $3,867.37 $5,229.12 $5,120.18 2026-07-17
59510 CPT Obstetric Care, Planned Cesarean Delivery 11 7 $5,073.00 $4,058.00 20% off $3,500.00 $11,314.56 $5,022.00 2026-07-17
29828 CPT 29828 Biceps Tenodesis 3 3 $5,334.00 — $3,787.14 $5,120.64 $5,013.96 2026-07-17
29826 CPT 29826 Shoulder Arthroscopy/surgery-sc Pf 3 3 $5,293.00 — $3,758.03 $5,081.28 $4,975.42 2026-07-17
58150 CPT 58150 Hysterectomy Abdom 3 3 $5,293.00 — $3,758.03 $5,081.28 $4,975.42 2026-07-17
58267 CPT 58267 Hyst Vag W Urine Rep 3 3 $5,270.00 — $3,741.70 $5,059.20 $4,953.80 2026-07-17
74183 CPT MRI Abdomen With + Without Contrast 11 7 $5,136.00 $4,109.00 $2,763.32 $6,379.00 $4,879.00 2026-07-17
28297 CPT 28297 Correction Hallux Valgus 3 3 $5,007.00 — $3,554.97 $4,806.72 $4,706.58 2026-07-17
11646 CPT Remove Malig Lesion W/margins, Face, Ears, Eyelids, Nose, Lips; Diam 4.0+ Cm Cha… 11 7 $4,952.00 $3,962.00 $1,831.80 $6,150.00 $4,704.00 2026-07-17
36558 CPT 36558 Central Line 3 3 $5,003.00 — $3,552.13 $4,802.88 $4,702.82 2026-07-17
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 11 7 $4,947.00 $3,958.00 $2,970.64 $6,144.00 $4,700.00 2026-07-17
26123 CPT 26123 Fasciectomy, Partial Palmar With Release Of Single Digit Including Proxima… 3 3 $4,995.00 — $3,546.45 $4,795.20 $4,695.30 2026-07-17
J2997 HCPCS Alteplase (activase) 100mg Vial [thay] 6 3 $6,539.93 — $275.01 $12,184.82 $4,691.77 2026-07-17
J9299 HCPCS Nivolumab (opdivo) 100mg/10ml Vial [thay] 3 3 $4,985.33 — $3,539.58 $4,785.92 $4,686.21 2026-07-17
58552 CPT 58552 Lap Vag Hys W Sal Oo 3 3 $4,950.00 — $3,514.50 $4,752.00 $4,653.00 2026-07-17
72156 CPT MRI Spine Cervical With + Without Contrast 11 7 $4,811.00 $3,849.00 $2,859.88 $5,975.00 $4,570.00 2026-07-17
44050 CPT 44050 Release Of Small Bowel Obstruction 3 3 $4,800.00 — $3,408.00 $4,608.00 $4,512.00 2026-07-17
59400 CPT Obstetric Care, Planned Vaginal Delivery 8 4 $4,604.00 $3,683.00 20% off $3,177.00 $5,718.00 $4,443.00 2025-09-05
J9034 HCPCS Bendamustine (bendeka) 100mg/4ml [thay] 3 3 $4,725.49 — $3,355.09 $4,536.47 $4,441.96 2026-07-17
44970 CPT 44970 Appendectomy Lap 3 3 $4,654.00 — $3,304.34 $4,467.84 $4,374.76 2026-07-17
49561 CPT 49561 Incarcerated Inciscional Hernia 3 3 $4,587.00 — $3,256.77 $4,403.52 $4,311.78 2026-07-17
J0630 HCPCS -salmon (miacalcin) 400iu/2ml Inj [thay] 3 3 $4,561.15 — $3,238.42 $4,378.71 $4,287.48 2026-07-17
59151 CPT 59151 Salpingectomy 3 3 $4,553.00 — $3,232.63 $4,370.88 $4,279.82 2026-07-17
47605 CPT 47605 Cholecystectomy W Ch 3 3 $4,520.00 — $3,209.20 $4,339.20 $4,248.80 2026-07-17
42415 CPT 42415 Exc Prtd Tum Prsv Fac Nrv 3 3 $4,511.00 — $3,202.81 $4,330.56 $4,240.34 2026-07-17
J1950 HCPCS Leuprolide Acetate (eligard) 45mg Kit [thay] 6 3 $4,515.91 — $3,165.75 $4,390.10 $4,235.86 2026-07-17
44960 CPT 44960 Appendectomy For Rup 3 3 $4,489.00 — $3,187.19 $4,309.44 $4,219.66 2026-07-17
44620 CPT 44620 Closure Of Enterostomy, Large Or Small Intestine; 3 3 $4,483.00 — $3,182.93 $4,303.68 $4,214.02 2026-07-17
74176 CPT CT Abdomen/pelvis Without Contrast 11 7 $4,435.00 $3,548.00 20% off $2,497.78 $5,508.00 $4,213.00 2026-07-17
42821 CPT 42821 Tonsillectomy And Adenoidectomy; Age 12 Or Over 3 3 $4,451.00 — $3,160.21 $4,272.96 $4,183.94 2026-07-17
75635 CPT CT Angiography Aorta With Runoff 11 7 $4,375.00 $3,500.00 20% off $2,235.08 $5,434.00 $4,156.00 2026-07-17
57260 CPT 57260 Colporrhaphy A & P 3 3 $4,399.00 — $3,123.29 $4,223.04 $4,135.06 2026-07-17
72197 CPT MRI Pelvis With + Without Contrast 11 7 $4,266.00 $3,413.00 $2,387.02 $5,298.00 $4,053.00 2026-07-17
72157 CPT MRI Spine Thoracic With + Without Contrast 11 7 $4,210.00 $3,368.00 20% off $2,782.49 $5,229.00 $4,000.00 2026-07-17
95811 CPT Polysomnography; Age 6 Years Or Older, Sleep Staging With 4 Or More With Initiat… 11 7 $4,187.00 $3,350.00 $2,690.90 $5,200.00 $3,978.00 2026-07-17
72158 CPT MRI Spine Lumbar With + Without Contrast 11 7 $4,182.00 $3,346.00 $2,604.99 $5,194.00 $3,973.00 2026-07-17
71552 CPT MRI Chest With + Without Contrast 11 7 $4,181.00 $3,345.00 $2,758.35 $5,193.00 $3,972.00 2026-07-17
J9312 HCPCS riTUXimab (rituxan) 100 Mg/ 10 Ml Vial [thay] 6 3 $5,236.15 — $1,396.30 $8,165.45 $3,963.49 2026-07-17
29807 CPT Shoulder Arthroscopy/surgery 3 3 $4,200.00 — $2,982.00 $4,032.00 $3,948.00 2026-07-17
49507 CPT 49507 Repair Ing Her Incar 3 3 $4,122.00 — $2,926.62 $3,957.12 $3,874.68 2026-07-17
J0401 HCPCS ARIPiprazole (abilify Maintena) 400 Mg Rec Syr [thay] 3 3 $4,114.52 — $2,921.31 $3,949.94 $3,867.65 2026-07-17
72147 CPT MRI Spine Thoracic With Contrast 11 7 $4,038.00 $3,230.00 20% off $1,350.42 $5,015.00 $3,836.00 2026-07-17
70553 CPT MRI Scan 11 7 $4,012.00 $3,210.00 $2,213.78 $4,983.00 $3,811.00 2026-07-17
73222 CPT MRI Ue Joint With Contrast Right 8 4 $3,948.00 $3,158.00 20% off $2,724.00 $4,903.00 $3,810.00 2025-09-05
72142 CPT MRI Spine Cervical With Contrast 11 7 $4,009.00 $3,207.00 20% off $1,537.86 $4,979.00 $3,809.00 2026-07-17
47600 CPT 47600 Cholecystectomy 3 3 $4,041.00 — $2,869.11 $3,879.36 $3,798.54 2026-07-17
49654 CPT 49654 - Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertio… 3 3 $4,038.25 — $2,867.16 $3,876.72 $3,795.96 2026-07-17
95810 CPT Sleep Study 11 7 $3,954.00 $3,163.00 20% off $2,431.75 $4,911.00 $3,756.00 2026-07-17
45381 CPT 45381 Colonoscopy Submucous Inj. 3 3 $3,986.00 — $2,830.06 $3,826.56 $3,746.84 2026-07-17
49000 CPT 49000 Exploraty Laparotomy 3 3 $3,961.00 — $2,812.31 $3,802.56 $3,723.34 2026-07-17
73723 CPT MRI Le Joint With + Without Contrast Left 11 7 $3,895.00 $3,116.00 20% off $2,277.68 $4,838.00 $3,700.00 2026-07-17
70549 CPT MRA Neck With + Without Contrast 11 7 $3,878.00 $3,102.00 20% off $2,460.15 $4,816.00 $3,684.00 2026-07-17
73722 CPT MRI Le Joint With Contrast Left 19 7 $3,796.00 $3,097.50 $2,455.18 $4,903.00 $3,682.00 2026-07-17
73720 CPT MRI Le Non Joint With + Without Contrast Left 11 7 $3,739.00 $2,991.00 20% off $2,029.89 $4,644.00 $3,552.00 2026-07-17
78452 CPT 78452 Nuc Med Myocard Perf Image Charge 3 3 $3,768.00 — $2,675.28 $3,617.28 $3,541.92 2026-07-17
71550 CPT MRI Chest Without Contrast 11 7 $3,717.00 $2,974.00 $2,452.34 $4,617.00 $3,531.00 2026-07-17
28208 CPT 28208 Rpr Tend Exten Ft 1&2 Ea 3 3 $3,750.00 — $2,662.50 $3,600.00 $3,525.00 2026-07-17
70543 CPT MRI Face Neck Orbit With + Without Contrast 11 7 $3,705.00 $2,964.00 20% off $1,856.65 $4,602.00 $3,520.00 2026-07-17
52330 CPT 52330 Cystoscopy And Treatment 3 3 $3,732.00 — $2,649.72 $3,582.72 $3,508.08 2026-07-17
72191 CPT CT Angiography Pelvis With + Without Contrast 11 7 $3,686.00 $2,949.00 $2,431.75 $4,578.00 $3,502.00 2026-07-17
70552 CPT MRI Brain With Contrast 11 7 $3,677.00 $2,942.00 $2,242.18 $4,567.00 $3,493.00 2026-07-17
49520 CPT 49520 Repair Recurrent Inguinal Hernia, Any Age; Reducible 3 3 $3,705.00 — $2,630.55 $3,556.80 $3,482.70 2026-07-17
38500 CPT 38500 Biopsy Rem Lymph Nod 3 3 $3,703.00 — $2,629.13 $3,554.88 $3,480.82 2026-07-17
74181 CPT MRI Abdomen Without Contrast 11 7 $3,641.00 $2,913.00 $2,009.30 $4,522.00 $3,459.00 2026-07-17
71275 CPT CT Angiography Chest W/wo Contrast 11 7 $3,639.00 $2,911.00 20% off $2,146.33 $4,520.00 $3,457.00 2026-07-17
J9999 HCPCS Sacituzumab Govitecan 180 Mg Rec 3 3 $3,671.60 — $2,606.84 $3,524.74 $3,451.30 2026-07-17
72148 CPT MRI Scan Of Lower Spinal Canal 11 7 $3,625.00 $2,900.00 20% off $2,149.88 $4,502.00 $3,444.00 2026-07-17
74170 CPT CT Abdomen With + Without Contrast 11 7 $3,622.00 $2,898.00 $1,936.17 $4,499.00 $3,441.00 2026-07-17
73223 CPT MRI Ue Joint With + Without Contrast Left 11 7 $3,600.00 $2,880.00 20% off $2,375.66 $4,471.00 $3,420.00 2026-07-17
70551 CPT MRI Brain Without Contrast 11 7 $3,567.00 $2,854.00 $2,155.56 $4,430.00 $3,389.00 2026-07-17
72141 CPT MRI Spine Cervical Without Contrast 11 7 $3,557.00 $2,846.00 $2,178.28 $4,418.00 $3,379.00 2026-07-17
70540 CPT MRI Face Neck Orbit Without Contrast 11 7 $3,554.00 $2,843.00 20% off $2,344.42 $4,414.00 $3,376.00 2026-07-17
64520 CPT 64520 Inj Anes Lmbr/thrc Paravertebral 3 3 $3,569.00 — $2,533.99 $3,426.24 $3,354.86 2026-07-17
51840 CPT 51840 Mmk Procedure 3 3 $3,566.00 — $2,531.86 $3,423.36 $3,352.04 2026-07-17
58563 CPT 58563 Hysteroscopy, Surgical; With Endometrial Ablation (eg, Endometrial Resecti… 3 3 $3,557.00 — $2,525.47 $3,414.72 $3,343.58 2026-07-17
43200 CPT 43200 Esophagoscopy Diagn 3 3 $3,557.00 — $2,525.47 $3,414.72 $3,343.58 2026-07-17
69436 CPT 69436 Typanostomy Requiring Insert Vent Tub 3 3 $3,554.00 — $2,523.34 $3,411.84 $3,340.76 2026-07-17
J9395 HCPCS Fulvestrant 50 mg/mL Sol 3 3 $3,540.29 — $2,513.61 $3,398.68 $3,327.87 2026-07-17
73220 CPT MRI Ue Non Joint With + Without Contrast Left 11 7 $3,473.00 $2,778.00 20% off $2,100.89 $4,313.00 $3,299.00 2026-07-17
30520 CPT 30520 Septoplasty Or Submucous Resection, With Or Without Cartilage Scoring, Con… 3 3 $3,476.00 — $2,467.96 $3,336.96 $3,267.44 2026-07-17
72196 CPT MRI Pelvis With Contrast 11 7 $3,439.00 $2,751.00 20% off $2,269.16 $4,271.00 $3,267.00 2026-07-17
21552 CPT 70121552 Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; … 3 3 $3,472.00 — $2,465.12 $3,333.12 $3,263.68 2026-07-17
52441 CPT Cystourethroscopy W/ins Of Perm Adj Transprostatic Impl Single Implant 3 3 $3,427.00 — $2,433.17 $3,289.92 $3,221.38 2026-07-17
J9305 HCPCS PEMEtrexed 100 Mg Rec 6 3 $4,204.34 — $1,277.43 $6,345.09 $3,209.98 2026-07-17
49560 CPT 49560 Repair Initial Ventral Hernia Reducible Clinic Charge 3 3 $3,398.00 — $2,412.58 $3,262.08 $3,194.12 2026-07-17
72146 CPT MRI Spine Thoracic Without Contrast 11 7 $3,360.00 $2,688.00 20% off $2,176.86 $4,173.00 $3,192.00 2026-07-17
71555 CPT MRA Chest With + Without Contrast 11 7 $3,356.00 $2,685.00 $2,214.49 $4,168.00 $3,188.00 2026-07-17
72149 CPT MRI Spine Lumbar With Contrast 11 7 $3,354.00 $2,683.00 20% off $2,213.78 $4,166.00 $3,186.00 2026-07-17
74175 CPT CT Angiography Abdomen With + Without Contrast 11 7 $3,315.00 $2,652.00 20% off $2,141.36 $4,117.00 $3,149.00 2026-07-17
70498 CPT CT Angiography Neck W/wo Contrast 11 7 $3,289.00 $2,631.00 20% off $1,821.15 $4,085.00 $3,125.00 2026-07-17
72194 CPT CT Pelvis With + Without Contrast 11 7 $3,285.00 $2,628.00 20% off $1,832.51 $4,080.00 $3,121.00 2026-07-17
J3111 HCPCS Romosozumab 105 Mg/1.17 Ml Sol 3 3 $3,305.00 — $2,346.55 $3,172.80 $3,106.70 2026-07-17
57410 CPT 57410 Pelvic Exam 3 3 $3,298.00 — $2,341.58 $3,166.08 $3,100.12 2026-07-17
69424 CPT 69424 Ventilating Tube Removal General Anesth 3 3 $3,274.00 — $2,324.54 $3,143.04 $3,077.56 2026-07-17
70548 CPT MRA Neck With Contrast 11 7 $3,236.00 $2,589.00 $2,134.97 $4,019.00 $3,074.00 2026-07-17
70544 CPT MRA Head Without Contrast 11 7 $3,231.00 $2,585.00 $1,924.10 $4,013.00 $3,069.00 2026-07-17
49084 CPT 49084 Paracentesis 3 3 $3,219.00 — $2,285.49 $3,090.24 $3,025.86 2026-07-17
47562 CPT 47562 Lap Cholecystectomy 3 3 $3,215.00 — $2,282.65 $3,086.40 $3,022.10 2026-07-17
72193 CPT CT Scan Of Pelvis With Contrast 11 7 $3,164.00 $2,531.00 20% off $1,670.63 $3,930.00 $3,006.00 2026-07-17
71270 CPT CT Chest With & Without Contrast 11 7 $3,163.00 $2,530.00 20% off $1,856.65 $3,928.00 $3,005.00 2026-07-17
55250 CPT 55250 Vasectomy 3 3 $3,196.00 — $2,269.16 $3,068.16 $3,004.24 2026-07-17
32556 CPT 32556 Insert Cath Pleura Without IM 3 3 $3,188.00 — $2,263.48 $3,060.48 $2,996.72 2026-07-17
72159 CPT MRA Spinal Canal 11 7 $3,144.00 $2,515.00 20% off $2,074.62 $3,905.00 $2,987.00 2026-07-17
70492 CPT CT Soft Tissue Neck/chest With + Without Cont 11 7 $3,115.00 $2,492.00 20% off $1,830.38 $3,869.00 $2,959.00 2026-07-17
58260 CPT 58260 Hyster Vaginal 3 3 $3,145.00 — $2,232.95 $3,019.20 $2,956.30 2026-07-17
J9041 HCPCS Bortezomib (velcade) 3.5mg Vial [thay] 3 3 $3,127.76 — $2,220.71 $3,002.65 $2,940.09 2026-07-17
56440 CPT 56440 Marsupialization Of Bartholin's Gland Cyst 3 3 $3,123.00 — $2,217.33 $2,998.08 $2,935.62 2026-07-17
73219 CPT MRI Ue Non Joint With Contrast Left 11 7 $3,079.00 $2,463.00 20% off $2,031.31 $3,824.00 $2,925.00 2026-07-17
47563 CPT 47563 Lap Chole W Cholangi 3 3 $3,103.00 — $2,203.13 $2,978.88 $2,916.82 2026-07-17
52310 CPT 52310 Rmvl Calculus 3 3 $3,078.00 — $2,185.38 $2,954.88 $2,893.32 2026-07-17
2763425 CDM 11604 Excision, Malignant Lesion Including Margins, Trunk, Arms, O 8 4 $2,990.00 $2,392.00 20% off $2,063.00 $3,714.00 $2,885.00 2025-09-05
72198 CPT MRA Pelvis With + Without Contrast 11 7 $3,020.00 $2,416.00 20% off $1,992.97 $3,751.00 $2,869.00 2026-07-17
J9355 HCPCS Trastuzumab (herceptin) 150 Mg Vial [thay] 3 3 $3,042.16 — $2,159.93 $2,920.47 $2,859.63 2026-07-17
70496 CPT CT Angiography Head With + Without Contrast 11 7 $3,004.00 $2,403.00 20% off $1,841.74 $3,731.00 $2,854.00 2026-07-17
28308 CPT 28306 Osteotomy, With Or Without Lengthening, Shortening Or Angula 3 3 $3,024.00 — $2,147.04 $2,903.04 $2,842.56 2026-07-17
74185 CPT MRA Abdomen With + Without Contrast 11 7 $2,984.00 $2,387.00 20% off $1,968.83 $3,706.00 $2,835.00 2026-07-17
27266 CPT 27266 Trmt Disloc Post Hip 3 3 $3,011.00 — $2,137.81 $2,890.56 $2,830.34 2026-07-17
43450 CPT 43450 Dilation Of Esophagu 3 3 $3,009.00 — $2,136.39 $2,888.64 $2,828.46 2026-07-17
73202 CPT CT Upper Extremity W/+without Contrast Left 11 7 $2,971.00 $2,377.00 $1,960.31 $3,690.00 $2,822.00 2026-07-17
26125 CPT 26125 Add-on Fasciectomy, Partial Palmar With Release Of Single Digit Including … 3 3 $2,992.00 — $2,124.32 $2,872.32 $2,812.48 2026-07-17
72126 CPT CT Spine Cervical With Contrast 11 7 $2,955.00 $2,364.00 20% off $1,688.38 $3,670.00 $2,807.00 2026-07-17
70482 CPT CT Orbit Sella Etc. With + Without Contrast 11 7 $2,954.00 $2,363.00 20% off $1,796.30 $3,669.00 $2,806.00 2026-07-17
73721 CPT MRI Scan Of Leg Joint 11 7 $2,936.00 $2,349.00 $1,647.20 $3,647.00 $2,789.00 2026-07-17
72132 CPT CT Spine Lumbar With Contrast 11 7 $2,923.00 $2,338.00 20% off $1,576.20 $3,630.00 $2,777.00 2026-07-17
71260 CPT CT Chest W/contrast 11 7 $2,921.00 $2,337.00 $1,629.45 $3,628.00 $2,775.00 2026-07-17
31570 CPT 31570 Laryngoscopy, Direct, With Injection Into Vocal Cord(s), Therapeutic 3 3 $2,937.00 — $2,085.27 $2,819.52 $2,760.78 2026-07-17
28285 CPT 28285 Correction Hammertoe 3 3 $2,926.00 — $2,077.46 $2,808.96 $2,750.44 2026-07-17
26742 CPT 26742 Frac W Disloc Ther 3 3 $2,913.00 — $2,068.23 $2,796.48 $2,738.22 2026-07-17
73702 CPT CT Lower Extremity W/+without Contrast Left 11 7 $2,871.00 $2,297.00 $1,894.28 $3,566.00 $2,727.00 2026-07-17
73718 CPT MRI Le Non Joint Without Contrast Left 11 7 $2,869.00 $2,295.00 20% off $1,657.14 $3,563.00 $2,726.00 2026-07-17
J7327 HCPCS Hyaluronan (monovisc) Inj Syr [thay] 3 3 $2,900.00 — $2,059.00 $2,784.00 $2,726.00 2026-07-17
73725 CPT MRA Lower Extremity Left 11 7 $2,861.00 $2,289.00 $1,887.89 $3,553.00 $2,718.00 2026-07-17
36573 CPT Xr Insert Picc Line 5+ Year 3 3 $2,865.00 — $2,034.15 $2,750.40 $2,693.10 2026-07-17
38220 CPT 38220 Bone Marrow Aspirate 3 3 $2,856.00 — $2,027.76 $2,741.76 $2,684.64 2026-07-17
72195 CPT MRI Pelvis Without Contrast 11 7 $2,824.00 $2,259.00 20% off $1,921.26 $3,507.00 $2,683.00 2026-07-17
70460 CPT CT Head Or Brain With Contrast 11 7 $2,811.00 $2,249.00 $1,460.47 $3,491.00 $2,670.00 2026-07-17
52442 CPT Cystourethroscopy W/ins Of Perm Adj Transprostatic Impl; Ea Addl Impl 3 3 $2,830.00 — $2,009.30 $2,716.80 $2,660.20 2026-07-17
70481 CPT CT Orbit Sella Etc. With Contrast 11 7 $2,788.00 $2,230.00 20% off $1,579.04 $3,463.00 $2,649.00 2026-07-17
J2796 HCPCS Romiplostim (nplate) 250mcg Vial [thay] 3 3 $2,816.80 — $1,999.93 $2,704.13 $2,647.79 2026-07-17
49568 CPT 49568 Implantation Of Mesh 3 3 $2,801.00 — $1,988.71 $2,688.96 $2,632.94 2026-07-17
58558 CPT 58558 Hysteroscopy W/bx Without D&c 3 3 $2,800.00 — $1,988.00 $2,688.00 $2,632.00 2026-07-17
74150 CPT CT Abdomen Without Contrast 11 7 $2,740.00 $2,192.00 20% off $1,465.44 $3,403.00 $2,603.00 2026-07-17
58940 CPT 58940 Oophorectomy Part To 3 3 $2,769.00 — $1,965.99 $2,658.24 $2,602.86 2026-07-17
73221 CPT MRI Ue Joint Without Contrast Left 11 7 $2,736.00 $2,189.00 $1,630.87 $3,398.00 $2,599.00 2026-07-17
72127 CPT CT Spine Cervical With + Without Contrast 11 7 $2,727.00 $2,182.00 $1,799.14 $3,387.00 $2,591.00 2026-07-17
54161 CPT 54161 Circumcision, Surgical Excision Other Than Clamp, Device, Or Dorsal Slit; … 3 3 $2,750.00 — $1,952.50 $2,640.00 $2,585.00 2026-07-17
27502 CPT 27502 Fx Clo Femoral Shaft 3 3 $2,749.00 — $1,951.79 $2,639.04 $2,584.06 2026-07-17
27825 CPT Closed Tx Tibia W Traction And Manip 11 7 $2,718.00 $2,174.00 20% off $805.85 $3,376.00 $2,582.00 2026-07-17
28435 CPT 28435 Clo Tx Talus Fx W Ma 3 3 $2,739.00 — $1,944.69 $2,629.44 $2,574.66 2026-07-17
74160 CPT CT Abdomen With Contrast 11 7 $2,700.00 $2,160.00 20% off $1,705.42 $3,353.00 $2,565.00 2026-07-17
73218 CPT MRI Ue Non Joint Without Contrast Left 11 7 $2,677.00 $2,142.00 $1,657.14 $3,325.00 $2,543.00 2026-07-17
70470 CPT CT Head Or Brain With + Without Contrast 11 7 $2,673.00 $2,138.00 20% off $1,623.77 $3,320.00 $2,539.00 2026-07-17
J9280 HCPCS mitoMYcin 40 Mg Rec 3 3 $2,679.04 — $1,902.12 $2,571.88 $2,518.30 2026-07-17
70547 CPT MRA Neck Without Contrast 11 7 $2,646.00 $2,117.00 $1,745.89 $3,286.00 $2,514.00 2026-07-17
72125 CPT CT Spine Cervical Without Contrast 11 7 $2,639.00 $2,111.00 20% off $1,535.73 $3,278.00 $2,507.00 2026-07-17
72130 CPT CT Spine Thoracic With + Without Contrast 11 7 $2,631.00 $2,105.00 $1,735.95 $3,268.00 $2,499.00 2026-07-17
52332 CPT 52332 Cysto W Insert Indwell Sten 3 3 $2,650.00 — $1,881.50 $2,544.00 $2,491.00 2026-07-17
J7325 HCPCS Hylan G-f 20 48 Mg/6 Ml Sol 3 3 $2,649.66 — $1,881.26 $2,543.68 $2,490.68 2026-07-17
72129 CPT CT Spine Thoracic With Contrast 11 7 $2,620.00 $2,096.00 20% off $1,728.85 $3,254.00 $2,489.00 2026-07-17
73225 CPT MRA Upper Extremity Left 11 7 $2,620.00 $2,096.00 20% off $1,728.85 $3,254.00 $2,489.00 2026-07-17
78803 CPT Nm Bone Spect 19 7 $2,540.00 $2,111.00 $1,675.60 $3,401.00 $2,464.00 2026-07-17
30117 CPT 30117 Excision Or Destruction (eg, Laser), Intranasal Lesion; Internal Approach 3 3 $2,619.00 — $1,859.49 $2,514.24 $2,461.86 2026-07-17
70491 CPT CT Soft Tissue Neck With Contrast 11 7 $2,584.00 $2,067.00 20% off $1,544.25 $3,209.00 $2,455.00 2026-07-17
25505 CPT Fx Clsd Rad Shft W Man 3 3 $2,597.00 — $1,843.87 $2,493.12 $2,441.18 2026-07-17
73700 CPT CT Lower Extremity Without Contrast Left 11 7 $2,552.00 $2,042.00 $1,393.73 $3,170.00 $2,424.00 2026-07-17
58120 CPT 58120 D & C Diagnostic 6 3 $3,277.00 — $399.02 $5,752.32 $2,396.92 2026-07-17
70488 CPT CT Maxillofacial With + Without Contrast 11 7 $2,519.00 $2,015.00 20% off $1,662.11 $3,129.00 $2,393.00 2026-07-17
72131 CPT CT Spine Lumbar Without Contrast 11 7 $2,504.00 $2,003.00 20% off $1,453.37 $3,110.00 $2,379.00 2026-07-17
71250 CPT CT Chest Without Contrast 11 7 $2,501.00 $2,001.00 $1,444.85 $3,106.00 $2,376.00 2026-07-17
28192 CPT 28192 Remov Fb Foot Deep 3 3 $2,503.00 — $1,777.13 $2,402.88 $2,352.82 2026-07-17
71271 CPT CT Low Dose Lung Screening 8 4 $2,432.00 $1,946.00 $1,678.00 $3,021.00 $2,347.00 2025-09-05
73701 CPT CT Lower Extremity With Contrast Left 11 7 $2,465.00 $1,972.00 20% off $1,494.55 $3,062.00 $2,342.00 2026-07-17
59614 CPT Vaginal Delivery Only, After Previous Cesarean Delivery; Including Postpartum Ca… 11 7 $2,464.00 $1,971.00 20% off $1,625.90 $3,060.00 $2,341.00 2026-07-17
90006214 CDM Advantage Fit 8 4 $2,426.00 $1,941.00 $1,674.00 $3,013.00 $2,341.00 2025-09-05
46750 CPT 46750 Anal Sphincteroplast 3 3 $2,488.00 — $1,766.48 $2,388.48 $2,338.72 2026-07-17
27230 CPT 27230 Trt Femoral Fracture 3 3 $2,474.00 — $1,756.54 $2,375.04 $2,325.56 2026-07-17
70487 CPT CT Maxillofacial With Contrast 11 7 $2,424.00 $1,939.00 20% off $1,437.75 $3,011.00 $2,303.00 2026-07-17
72128 CPT CT Spine Thoracic Without Contrast 11 7 $2,420.00 $1,936.00 20% off $1,428.52 $3,006.00 $2,299.00 2026-07-17
19020 CPT 19020 Mastotomy I&d Abcess 3 3 $2,432.00 — $1,726.72 $2,334.72 $2,286.08 2026-07-17
46505 CPT 46505 Chemodenervation Of Internal Anal Sphincter 3 3 $2,431.00 — $1,726.01 $2,333.76 $2,285.14 2026-07-17
12021 CPT 12021 Packing Abscess 3 3 $2,429.00 — $1,724.59 $2,331.84 $2,283.26 2026-07-17
24505 CPT 24505 Fx Hum Shft Cl W Man 3 3 $2,427.00 — $1,723.17 $2,329.92 $2,281.38 2026-07-17
90378 CPT Resp Syncytial Virus Immun Glo 20 7 $2,286.00 $1,829.00 $1,508.40 $4,578.01 $2,274.50 2026-07-17
72192 CPT CT Pelvis Without Contrast 11 7 $2,387.00 $1,910.00 $1,419.29 $2,965.00 $2,268.00 2026-07-17
57100 CPT 57100 Biopsy Vagina Murcosa 3 3 $2,412.00 — $1,712.52 $2,315.52 $2,267.28 2026-07-17
73201 CPT CT Upper Extremity With Contrast Right 19 7 $2,333.00 $1,904.00 $1,539.28 $3,014.00 $2,263.00 2026-07-17
46040 CPT 46040 I&d Perirectal Absce 3 3 $2,386.00 — $1,694.06 $2,290.56 $2,242.84 2026-07-17
78606 CPT Nm Brain Imaging Ltd Static With Vascular 11 7 $2,358.00 $1,886.00 20% off $1,555.61 $2,929.00 $2,240.00 2026-07-17
73200 CPT CT Upper Extremity Without Contrast Left 11 7 $2,355.00 $1,884.00 20% off $1,292.91 $2,925.00 $2,237.00 2026-07-17
70480 CPT CT Orbit Sella Etc. Without Contrast 11 7 $2,351.00 $1,881.00 $1,368.17 $2,920.00 $2,233.00 2026-07-17
93306 CPT US Echo Complete 11 7 $2,332.00 $1,866.00 $1,347.58 $2,896.00 $2,215.00 2026-07-17
57284 CPT 57284 Paravaginal Defect 3 3 $2,356.00 — $1,672.76 $2,261.76 $2,214.64 2026-07-17
75557 CPT MRI Cardiac Morphology Without Contrast 3 3 $2,338.00 — $1,659.98 $2,244.48 $2,197.72 2026-07-17
15740 CPT Island Pedicle Flap Graft 14 7 $2,263.00 $1,810.00 20% off $1,493.13 $5,046.72 $2,183.50 2026-07-17
45384 CPT 45384 Colonos Rem Hot Biop 3 3 $2,316.00 — $1,644.36 $2,223.36 $2,177.04 2026-07-17
52281 CPT 52281 Cysto With Calibrat/dilation 3 3 $2,313.00 — $1,642.23 $2,220.48 $2,174.22 2026-07-17
J1439 HCPCS Ferric Carboxymaltose (as Elemental Iron) 50 mg/mL Sol 3 3 $2,302.78 — $1,634.97 $2,210.67 $2,164.61 2026-07-17
70450 CPT CT Scan 11 7 $2,277.00 $1,822.00 $1,312.79 $2,828.00 $2,163.00 2026-07-17
70336 CPT MRI Tmj 11 7 $2,255.00 $1,804.00 20% off $1,488.16 $2,801.00 $2,142.00 2026-07-17
J2357 HCPCS Omalizumab (xolair) 150mg Vial [thay] 3 3 $2,276.97 — $1,616.65 $2,185.89 $2,140.35 2026-07-17
36561 CPT 36561 Insert Tunneled Cv Cath 3 3 $2,275.00 — $1,615.25 $2,184.00 $2,138.50 2026-07-17
43255 CPT 43255 Egd With Caut Ulcer 3 3 $2,266.00 — $1,608.86 $2,175.36 $2,130.04 2026-07-17
J7321 HCPCS Sodium Hyaluronate (gel-one) 30mg/3ml Inj [thay] 3 3 $2,264.00 — $1,607.44 $2,173.44 $2,128.16 2026-07-17
J0897 HCPCS Prolia 60 Mg 17 7 $2,169.00 $2,169.00 $1,430.65 $3,965.51 $2,104.00 2026-07-17
64721 CPT 64721 Neuroplasty Median Nerve 3 3 $2,236.00 — $1,587.56 $2,146.56 $2,101.84 2026-07-17
19083 CPT US Guided Biopsy Breast 11 7 $2,204.00 $1,763.00 20% off $1,287.94 $2,737.00 $2,094.00 2026-07-17
78582 CPT Nm Pulmonary Ventilation/perfusion 11 7 $2,190.00 $1,752.00 20% off $1,444.85 $2,720.00 $2,081.00 2026-07-17
44389 CPT 44389 Colonosc Stoma Biops 3 3 $2,213.00 — $1,571.23 $2,124.48 $2,080.22 2026-07-17
70490 CPT CT Soft Tissue Neck Without Contrast 11 7 $2,185.00 $1,748.00 20% off $1,349.71 $2,714.00 $2,076.00 2026-07-17
44394 CPT 44394 Colonosc Stoma Rm Ls 3 3 $2,120.00 — $1,505.20 $2,035.20 $1,992.80 2026-07-17
78315 CPT Nm Bone Three Phase Study 11 7 $2,085.00 $1,668.00 20% off $1,309.95 $2,590.00 $1,981.00 2026-07-17
J9202 HCPCS Goserelin (zoladex) 10.8 Mg Implant [thay] 6 3 $2,512.47 — $1,096.67 $3,341.14 $1,976.93 2026-07-17
27265 CPT 27265 Clsd Tx Arthro Disl Without 3 3 $2,099.00 — $1,490.29 $2,015.04 $1,973.06 2026-07-17
12045 CPT 12045 Layer Clo 12.6-20.0 3 3 $2,091.00 — $1,484.61 $2,007.36 $1,965.54 2026-07-17
78472 CPT Nm Cardiac Blood Pool Gated Rest/stress 11 7 $2,064.00 $1,651.00 20% off $1,361.78 $2,563.00 $1,961.00 2026-07-17
87507 CPT Gi Pathogen Panel With Reflex Nll 3 3 $2,084.00 — $1,479.64 $2,000.64 $1,958.96 2026-07-17
87633 CPT 87633 (4104657) Panel Component 3 3 $2,084.00 — $1,479.64 $2,000.64 $1,958.96 2026-07-17
28200 CPT 28200 Repair, Tendon, Flexor, Foot; Primary Or Secondary, Without 3 3 $2,077.00 — $1,474.67 $1,993.92 $1,952.38 2026-07-17
15780 CPT 15780 Dermabrasion; Total Face 11 7 $2,055.00 $1,644.00 20% off $1,356.10 $2,552.00 $1,952.00 2026-07-17
J9171 HCPCS DOCEtaxel 20 mg/mL Sol 6 3 $2,606.05 — $554.01 $4,254.53 $1,947.84 2026-07-17
25000 CPT 25000 Inc Exten Tendn Shth Wrst 3 3 $2,070.00 — $1,469.70 $1,987.20 $1,945.80 2026-07-17
44380 CPT 44380 Ileoscopy 3 3 $2,064.00 — $1,465.44 $1,981.44 $1,940.16 2026-07-17
J2407 HCPCS Oritavancin 400 Mg Rec 3 3 $2,051.17 — $1,456.33 $1,969.12 $1,928.10 2026-07-17
15002 CPT 15002 Surgical Prep Of Recipient Site 3 3 $2,028.00 — $1,439.88 $1,946.88 $1,906.32 2026-07-17
J7318 HCPCS Sodium Hyaluronate (durolane) 60mg/3ml Syr [thay] 3 3 $2,009.00 — $1,426.39 $1,928.64 $1,888.46 2026-07-17
49585 CPT 49585 Repair Umbilical Her 3 3 $1,990.00 — $1,412.90 $1,910.40 $1,870.60 2026-07-17
78227 CPT Nm Hepatobiliary Duct System Imaging 11 7 $1,965.00 $1,572.00 20% off $1,235.40 $2,441.00 $1,867.00 2026-07-17
70486 CPT CT Maxillofacial Without Contrast 11 7 $1,963.00 $1,570.00 20% off $1,182.86 $2,438.00 $1,865.00 2026-07-17
26641 CPT 26641 Thumb Dislocate Trt 3 3 $1,961.00 — $1,392.31 $1,882.56 $1,843.34 2026-07-17
75820 CPT Xr Venography Svc 3 3 $1,945.00 — $1,380.95 $1,867.20 $1,828.30 2026-07-17
26055 CPT 26055 Incise Finger Tendon Sheath 3 3 $1,934.00 — $1,373.14 $1,856.64 $1,817.96 2026-07-17
24600 CPT 24600 Disloc Elbow Cl Wo A 3 3 $1,925.00 — $1,366.75 $1,848.00 $1,809.50 2026-07-17
78579 CPT Nm Pulmonary Vent Gas With Mult Projection 11 7 $1,893.00 $1,514.00 20% off $1,248.89 $2,351.00 $1,798.00 2026-07-17
27560 CPT 27562 Closed Treatment Of Patellar Dislocation; Requiring Anesthes 3 3 $1,907.00 — $1,353.97 $1,830.72 $1,792.58 2026-07-17
43247 CPT 43247 Ugi Endo; W Remov Fb 3 3 $1,897.00 — $1,346.87 $1,821.12 $1,783.18 2026-07-17
13152 CPT 13152 Cmplx Rep 2.6-7.5cm 3 3 $1,894.00 — $1,344.74 $1,818.24 $1,780.36 2026-07-17
36556 CPT 36556 Insert Non T Cv Cath 3 3 $1,880.00 — $1,334.80 $1,804.80 $1,767.20 2026-07-17
43215 CPT 43215 Esophagoscopy Fb Rem 3 3 $1,871.00 — $1,328.41 $1,796.16 $1,758.74 2026-07-17
78306 CPT Nm Bone Imaging Whole Body 11 7 $1,846.00 $1,477.00 $1,139.55 $2,293.00 $1,754.00 2026-07-17
23665 CPT 23665 Fx Grt Humer Tuber 3 3 $1,862.00 — $1,322.02 $1,787.52 $1,750.28 2026-07-17
23625 CPT 23625 Fx Grt Humeral Tuber 3 3 $1,844.00 — $1,309.24 $1,770.24 $1,733.36 2026-07-17
59426 CPT 59426 Antepartum Care 7+vi 14 7 $1,795.00 $1,436.00 20% off $1,184.28 $4,004.16 $1,732.00 2026-07-17
27510 CPT 27510 Fix Femur With Manipulation 3 3 $1,842.00 — $1,307.82 $1,768.32 $1,731.48 2026-07-17
52000 CPT 52000 Cystoscopy 3 3 $1,824.00 — $1,295.04 $1,751.04 $1,714.56 2026-07-17
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