Hospital

GOUVERNEUR HOSPITAL

Gouverneur, NY · CCN 331315 · Rates published

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You selected 93306 (CPT)

ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D

This hospital’s price: $82 across 11 payers · range $56-$602

Source: https://msc.rochesterregional.org/practitionerPortal/docs/464249555_gouverneur-hospital_standardcharges.csv · observed 2024-12-30

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.

17,039 distinct procedures filed

17 distinct payers

549,341 rate rows

2024-12-30 last MRF observed · ⚠ 22 mo old

Data quality

56,337 of 549,341 rate rows are consumer-grade (10.3%)

493,004 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	491,490
per-diem day rate — not a per-procedure price	1,231
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	120
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	101
exceeds 10× this hospital's gross charge — excluded from medians	45
exceeds 3× this hospital's gross charge for a DRG stay — excluded	16
placeholder amount (≤ $0.02) — excluded from medians	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old.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://msc.rochesterregional.org/practitionerPortal/docs/464249555_gouverneur-hospital_standardcharges.csv
Found on page	https://www.rochesterregional.org/billing-and-insurance/transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-01
Content fingerprint	cd9764a963b24dfa… · 756,447,186 bytes · first seen 2026-05-17

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
2824 APR_DRG	Disorders Of Pancreas Except Malignancy	2	$30,718.68	$32,144.78	$31,431.73	nat. median $23,329 1.3× median
4694 APR_DRG	Acute Kidney Injury #	2	$29,336.87	$30,698.76	$30,017.81	nat. median $18,411 1.6× median
4214 APR_DRG	Malnutrition, Failure To Thrive & Other Nutritional Disorders	2	$28,448.19	$29,768.92	$29,108.56	nat. median $19,781 1.5× median
3514 APR_DRG	Other Musculoskeletal System & Connective Tissue Diagnoses	2	$27,374.71	$28,645.57	$28,010.14	nat. median $18,808 1.5× median
1384 APR_DRG	Bronchiolitis & Rsv Pneumonia	2	$26,869.96	$28,117.39	$27,493.67	nat. median $16,106 1.7× median
1944 APR_DRG	Heart Failure	1	$25,667.62	$25,667.62	$25,667.62	nat. median $17,228 1.5× median
1904 APR_DRG	Acute Myocardial Infarction	2	$24,999.36	$26,159.92	$25,579.64	nat. median $16,062 1.6× median
1374 APR_DRG	Major Respiratory Infections & Inflammations	2	$23,212.30	$24,289.89	$23,751.10	nat. median $15,665 1.5× median
4254 APR_DRG	Electrolyte Disorders Except Hypovolemia Related	2	$22,136.12	$23,163.81	$22,649.97	nat. median $14,776 1.5× median
4204 APR_DRG	Diabetes	1	$22,571.61	$22,571.61	$22,571.61	nat. median $15,602 1.4× median
524 APR_DRG	Nontraumatic Stupor & Coma	2	$20,236.25	$21,175.66	$20,705.96	nat. median $16,890 1.2× median
4224 APR_DRG	Hypovolemia & Related Electrolyte Disorders	2	$20,174.93	$21,111.50	$20,643.22	nat. median $12,304 1.7× median
4634 APR_DRG	Kidney & Urinary Tract Infections	2	$19,381.37	$20,281.10	$19,831.24	nat. median $12,513 1.6× median
1394 APR_DRG	Other Pneumonia	2	$19,281.82	$20,176.99	$19,729.40	nat. median $13,332 1.5× median
5014 APR_DRG	Male Reproductive System Diagnoses Except Malignancy	2	$18,951.24	$19,831.07	$19,391.15	nat. median $15,679 1.2× median
2044 APR_DRG	Syncope & Collapse	2	$18,845.47	$19,720.39	$19,282.93	nat. median $13,517 1.4× median
1334 APR_DRG	Respiratory Failure	2	$17,924.86	$18,757.01	$18,340.93	nat. median $15,444 1.2× median
1404 APR_DRG	Chronic Obstructive Pulmonary Disease	2	$17,509.86	$18,322.73	$17,916.29	nat. median $12,851 1.4× median
453 APR_DRG	Cva & Precerebral Occlusion W Infarct	2	$15,296.25	$16,006.37	$15,651.31	nat. median $11,898 1.3× median
1444 APR_DRG	Respiratory Signs, Symptoms & Minor Diagnoses	2	$15,097.21	$15,798.09	$15,447.65	nat. median $13,946 1.1× median
1373 APR_DRG	Major Respiratory Infections & Inflammations	2	$14,900.80	$15,592.55	$15,246.67	nat. median $8,994 1.7× median
5614 APR_DRG	Postpartum & Post Abortion Diagnoses Without Procedure	2	$12,954.65	$13,556.08	$13,255.36	nat. median $12,761 1.0× median
1903 APR_DRG	Acute Myocardial Infarction	2	$12,892.46	$13,490.97	$13,191.72	nat. median $9,734 1.4× median
4213 APR_DRG	Malnutrition, Failure To Thrive & Other Nutritional Disorders	2	$12,330.84	$12,903.31	$12,617.08	nat. median $9,816 1.3× median
1333 APR_DRG	Respiratory Failure	2	$12,146.00	$12,709.87	$12,427.94	nat. median $9,922 1.3× median
1383 APR_DRG	Bronchiolitis & Rsv Pneumonia	2	$12,128.23	$12,691.28	$12,409.76	nat. median $7,521 1.7× median
2823 APR_DRG	Disorders Of Pancreas Except Malignancy	2	$12,102.46	$12,664.31	$12,383.38	nat. median $9,855 1.3× median
4693 APR_DRG	Acute Kidney Injury #	2	$12,069.59	$12,629.89	$12,349.74	nat. median $9,267 1.3× median
7734 APR_DRG	Opioid Abuse & Dependence	2	$11,554.18	$12,090.55	$11,822.36	nat. median $14,166 0.8× median
1943 APR_DRG	Heart Failure	2	$11,496.40	$12,030.12	$11,763.26	nat. median $9,228 1.3× median
2803 APR_DRG	Alcoholic Liver Disease	2	$11,260.91	$11,783.68	$11,522.30	nat. median $9,668 1.2× median
7753 APR_DRG	Alcohol Abuse & Dependence	2	$10,951.67	$11,460.08	$11,205.88	nat. median $8,306 1.3× median
2443 APR_DRG	Diverticulitis & Diverticulosis	2	$10,323.39	$10,802.65	$10,563.02	nat. median $8,958 1.2× median
3513 APR_DRG	Other Musculoskeletal System & Connective Tissue Diagnoses	2	$10,261.18	$10,737.56	$10,499.37	nat. median $8,746 1.2× median
1393 APR_DRG	Other Pneumonia	2	$10,113.67	$10,583.20	$10,348.44	nat. median $8,012 1.3× median
7733 APR_DRG	Opioid Abuse & Dependence	2	$10,065.69	$10,532.97	$10,299.33	nat. median $6,873 1.5× median
5013 APR_DRG	Male Reproductive System Diagnoses Except Malignancy	2	$9,976.82	$10,440.00	$10,208.41	nat. median $8,231 1.2× median
452 APR_DRG	Cva & Precerebral Occlusion W Infarct	2	$9,875.51	$10,333.98	$10,104.74	nat. median $8,266 1.2× median
6633 APR_DRG	Other Anemia & Disorders Of Blood & Blood-forming Organs	2	$9,867.50	$10,325.62	$10,096.56	nat. median $8,537 1.2× median
7724 APR_DRG	Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy	2	$9,689.79	$10,139.63	$9,914.71	nat. median $14,103 0.7× median
2013 APR_DRG	Cardiac Arrhythmia & Conduction Disorders	2	$9,640.91	$10,088.50	$9,864.70	nat. median $7,731 1.3× median
J2997 HCPCS	Alteplase 100 Mg Intravenous Solution	15	$192.88	$9,644.00	$9,644.00	nat. median $500 outlier · 19.3×
1372 APR_DRG	Major Respiratory Infections & Inflammations	2	$9,160.15	$9,585.40	$9,372.77	nat. median $6,615 1.4× median
1403 APR_DRG	Chronic Obstructive Pulmonary Disease	2	$8,995.75	$9,413.37	$9,204.56	nat. median $7,407 1.2× median
7744 APR_DRG	Cocaine Abuse & Dependence	2	$8,974.42	$9,391.05	$9,182.74	nat. median $13,242 0.7× median
523 APR_DRG	Nontraumatic Stupor & Coma	2	$8,906.90	$9,320.38	$9,113.64	nat. median $8,310 1.1× median
4253 APR_DRG	Electrolyte Disorders Except Hypovolemia Related	2	$8,872.22	$9,284.12	$9,078.17	nat. median $7,274 1.2× median
7721 APR_DRG	Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy	2	$8,798.47	$9,206.94	$9,002.70	nat. median $4,037 outlier · 2.2×
7722 APR_DRG	Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy	2	$8,798.47	$9,206.94	$9,002.70	nat. median $4,715 1.9× median
7723 APR_DRG	Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy	2	$8,798.47	$9,206.94	$9,002.70	nat. median $6,161 1.5× median

Other procedures at this hospital

Browse this hospital's 17,039 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

2824	APR_DRG	Disorders Of Pancreas Except Malignancy	2	2	$14,256.68	$9,266.84 35% off	$30,718.68	$32,144.78	$31,431.73	2024-12-30
4694	APR_DRG	Acute Kidney Injury #	2	2	$10,557.57	$6,862.42 35% off	$29,336.87	$30,698.76	$30,017.81	2024-12-30
4214	APR_DRG	Malnutrition, Failure To Thrive & Other Nutritional Disorders	2	2	$13,075.53	$8,499.09 35% off	$28,448.19	$29,768.92	$29,108.56	2024-12-30
3514	APR_DRG	Other Musculoskeletal System & Connective Tissue Diagnoses	2	2	$12,471.29	$8,106.34 35% off	$27,374.71	$28,645.57	$28,010.14	2024-12-30
1384	APR_DRG	Bronchiolitis & Rsv Pneumonia	2	2	$11,702.77	$7,606.80 35% off	$26,869.96	$28,117.39	$27,493.67	2024-12-30
1944	APR_DRG	Heart Failure	1	1	$8,934.81	$5,807.63 35% off	$25,667.62	$25,667.62	$25,667.62	2024-12-30
1904	APR_DRG	Acute Myocardial Infarction	2	2	$10,391.43	$6,754.43 35% off	$24,999.36	$26,159.92	$25,579.64	2024-12-30
1374	APR_DRG	Major Respiratory Infections & Inflammations	2	2	$11,101.64	$7,216.07 35% off	$23,212.30	$24,289.89	$23,751.10	2024-12-30
4254	APR_DRG	Electrolyte Disorders Except Hypovolemia Related	2	2	$8,307.24	$5,399.71 35% off	$22,136.12	$23,163.81	$22,649.97	2024-12-30
4204	APR_DRG	Diabetes	1	1	$7,654.96	$4,975.72 35% off	$22,571.61	$22,571.61	$22,571.61	2024-12-30
524	APR_DRG	Nontraumatic Stupor & Coma	2	2	$13,143.03	$8,542.97 35% off	$20,236.25	$21,175.66	$20,705.96	2024-12-30
4224	APR_DRG	Hypovolemia & Related Electrolyte Disorders	2	2	$12,647.73	$8,221.02 35% off	$20,174.93	$21,111.50	$20,643.22	2024-12-30
4634	APR_DRG	Kidney & Urinary Tract Infections	2	2	$7,711.89	$5,012.73 35% off	$19,381.37	$20,281.10	$19,831.24	2024-12-30
1394	APR_DRG	Other Pneumonia	2	2	$15,077.90	$9,800.64 35% off	$19,281.82	$20,176.99	$19,729.40	2024-12-30
5014	APR_DRG	Male Reproductive System Diagnoses Except Malignancy	2	2	$14,716.18	$9,565.52 35% off	$18,951.24	$19,831.07	$19,391.15	2024-12-30
2044	APR_DRG	Syncope & Collapse	2	2	$14,447.43	$9,390.83 35% off	$18,845.47	$19,720.39	$19,282.93	2024-12-30
1334	APR_DRG	Respiratory Failure	2	2	$9,912.71	$6,443.26 35% off	$17,924.86	$18,757.01	$18,340.93	2024-12-30
1404	APR_DRG	Chronic Obstructive Pulmonary Disease	2	2	$16,487.18	$10,716.67 35% off	$17,509.86	$18,322.73	$17,916.29	2024-12-30
453	APR_DRG	Cva & Precerebral Occlusion W Infarct	2	2	$5,729.86	$3,724.41 35% off	$15,296.25	$16,006.37	$15,651.31	2024-12-30
1444	APR_DRG	Respiratory Signs, Symptoms & Minor Diagnoses	2	2	$8,717.13	$5,666.13 35% off	$15,097.21	$15,798.09	$15,447.65	2024-12-30
1373	APR_DRG	Major Respiratory Infections & Inflammations	2	2	$11,101.64	$7,216.07 35% off	$14,900.80	$15,592.55	$15,246.67	2024-12-30
5614	APR_DRG	Postpartum & Post Abortion Diagnoses Without Procedure	2	2	$7,889.56	$5,128.21 35% off	$12,954.65	$13,556.08	$13,255.36	2024-12-30
1903	APR_DRG	Acute Myocardial Infarction	2	2	$10,391.43	$6,754.43 35% off	$12,892.46	$13,490.97	$13,191.72	2024-12-30
4213	APR_DRG	Malnutrition, Failure To Thrive & Other Nutritional Disorders	2	2	$13,075.53	$8,499.09 35% off	$12,330.84	$12,903.31	$12,617.08	2024-12-30
1333	APR_DRG	Respiratory Failure	2	2	$9,912.71	$6,443.26 35% off	$12,146.00	$12,709.87	$12,427.94	2024-12-30
1383	APR_DRG	Bronchiolitis & Rsv Pneumonia	2	2	$11,702.77	$7,606.80 35% off	$12,128.23	$12,691.28	$12,409.76	2024-12-30
2823	APR_DRG	Disorders Of Pancreas Except Malignancy	2	2	$14,256.68	$9,266.84 35% off	$12,102.46	$12,664.31	$12,383.38	2024-12-30
4693	APR_DRG	Acute Kidney Injury #	2	2	$10,557.57	$6,862.42 35% off	$12,069.59	$12,629.89	$12,349.74	2024-12-30
7734	APR_DRG	Opioid Abuse & Dependence	2	2	$8,037.77	$5,224.55 35% off	$11,554.18	$12,090.55	$11,822.36	2024-12-30
1943	APR_DRG	Heart Failure	2	2	$8,934.81	$5,807.63 35% off	$11,496.40	$12,030.12	$11,763.26	2024-12-30
2803	APR_DRG	Alcoholic Liver Disease	2	2	$5,486.69	$3,566.35 35% off	$11,260.91	$11,783.68	$11,522.30	2024-12-30
7753	APR_DRG	Alcohol Abuse & Dependence	2	2	$8,487.10	$5,516.62 35% off	$10,951.67	$11,460.08	$11,205.88	2024-12-30
2443	APR_DRG	Diverticulitis & Diverticulosis	2	2	$3,663.63	$2,381.36 35% off	$10,323.39	$10,802.65	$10,563.02	2024-12-30
3513	APR_DRG	Other Musculoskeletal System & Connective Tissue Diagnoses	2	2	$12,471.29	$8,106.34 35% off	$10,261.18	$10,737.56	$10,499.37	2024-12-30
1393	APR_DRG	Other Pneumonia	2	2	$15,077.90	$9,800.64 35% off	$10,113.67	$10,583.20	$10,348.44	2024-12-30
7733	APR_DRG	Opioid Abuse & Dependence	2	2	$8,037.77	$5,224.55 35% off	$10,065.69	$10,532.97	$10,299.33	2024-12-30
5013	APR_DRG	Male Reproductive System Diagnoses Except Malignancy	2	2	$14,716.18	$9,565.52 35% off	$9,976.82	$10,440.00	$10,208.41	2024-12-30
452	APR_DRG	Cva & Precerebral Occlusion W Infarct	2	2	$5,729.86	$3,724.41 35% off	$9,875.51	$10,333.98	$10,104.74	2024-12-30
6633	APR_DRG	Other Anemia & Disorders Of Blood & Blood-forming Organs	2	2	$4,179.88	$2,716.92 35% off	$9,867.50	$10,325.62	$10,096.56	2024-12-30
7724	APR_DRG	Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy	2	2	$7,953.39	$5,169.70 35% off	$9,689.79	$10,139.63	$9,914.71	2024-12-30
2013	APR_DRG	Cardiac Arrhythmia & Conduction Disorders	2	2	$6,907.53	$4,489.89 35% off	$9,640.91	$10,088.50	$9,864.70	2024-12-30
J2997	HCPCS	Alteplase 100 Mg Intravenous Solution	37	15	$20,564.25	$13,366.76 35% off	$192.88	$9,644.00	$9,644.00	2024-12-30
1372	APR_DRG	Major Respiratory Infections & Inflammations	2	2	$11,101.64	$7,216.07 35% off	$9,160.15	$9,585.40	$9,372.77	2024-12-30
1403	APR_DRG	Chronic Obstructive Pulmonary Disease	2	2	$16,487.18	$10,716.67 35% off	$8,995.75	$9,413.37	$9,204.56	2024-12-30
7744	APR_DRG	Cocaine Abuse & Dependence	2	2	$6,161.93	$4,005.25 35% off	$8,974.42	$9,391.05	$9,182.74	2024-12-30
523	APR_DRG	Nontraumatic Stupor & Coma	2	2	$13,143.03	$8,542.97 35% off	$8,906.90	$9,320.38	$9,113.64	2024-12-30
4253	APR_DRG	Electrolyte Disorders Except Hypovolemia Related	2	2	$8,307.24	$5,399.71 35% off	$8,872.22	$9,284.12	$9,078.17	2024-12-30
7723	APR_DRG	Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy	2	2	$7,953.39	$5,169.70 35% off	$8,798.47	$9,206.94	$9,002.70	2024-12-30
7722	APR_DRG	Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy	2	2	$7,953.39	$5,169.70 35% off	$8,798.47	$9,206.94	$9,002.70	2024-12-30
7721	APR_DRG	Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy	2	2	$7,953.39	$5,169.70 35% off	$8,798.47	$9,206.94	$9,002.70	2024-12-30
4633	APR_DRG	Kidney & Urinary Tract Infections	2	2	$7,711.89	$5,012.73 35% off	$8,771.82	$9,179.03	$8,975.42	2024-12-30
4203	APR_DRG	Diabetes	2	2	$7,654.96	$4,975.72 35% off	$8,684.74	$9,087.90	$8,886.32	2024-12-30
1902	APR_DRG	Acute Myocardial Infarction	2	2	$10,391.43	$6,754.43 35% off	$8,515.89	$8,911.22	$8,713.56	2024-12-30
1332	APR_DRG	Respiratory Failure	2	2	$9,912.71	$6,443.26 35% off	$8,205.75	$8,586.70	$8,396.23	2024-12-30
1331	APR_DRG	Respiratory Failure	2	2	$9,912.71	$6,443.26 35% off	$8,188.86	$8,569.03	$8,378.94	2024-12-30
895	MS_DRG	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	6	6	$7,914.54	$5,144.45 35% off	$4,993.47	$9,206.94	$8,319.75	2024-12-30
4212	APR_DRG	Malnutrition, Failure To Thrive & Other Nutritional Disorders	2	2	$13,075.53	$8,499.09 35% off	$8,115.99	$8,492.79	$8,304.39	2024-12-30
4223	APR_DRG	Hypovolemia & Related Electrolyte Disorders	2	2	$12,647.73	$8,221.02 35% off	$8,015.59	$8,387.69	$8,201.64	2024-12-30
7704	APR_DRG	Drug & Alcohol Abuse Or Dependence, Left Against Medical Advice	2	2	$6,019.50	$3,912.68 35% off	$7,941.82	$8,310.52	$8,126.17	2024-12-30
1443	APR_DRG	Respiratory Signs, Symptoms & Minor Diagnoses	2	2	$8,717.13	$5,666.13 35% off	$7,679.68	$8,036.20	$7,857.94	2024-12-30
2043	APR_DRG	Syncope & Collapse	2	2	$14,447.43	$9,390.83 35% off	$7,637.01	$7,991.56	$7,814.28	2024-12-30
7233	APR_DRG	Viral Illness	2	2	$4,766.53	$3,098.24 35% off	$7,592.58	$7,945.07	$7,768.82	2024-12-30
7743	APR_DRG	Cocaine Abuse & Dependence	2	2	$6,161.93	$4,005.25 35% off	$7,186.46	$7,520.09	$7,353.27	2024-12-30
451	APR_DRG	Cva & Precerebral Occlusion W Infarct	2	2	$5,729.86	$3,724.41 35% off	$7,085.17	$7,414.09	$7,249.63	2024-12-30
1942	APR_DRG	Heart Failure	2	2	$8,934.81	$5,807.63 35% off	$7,030.96	$7,357.37	$7,194.16	2024-12-30
7703	APR_DRG	Drug & Alcohol Abuse Or Dependence, Left Against Medical Advice	2	2	$6,019.50	$3,912.68 35% off	$6,991.86	$7,316.45	$7,154.15	2024-12-30
2802	APR_DRG	Alcoholic Liver Disease	2	2	$5,486.69	$3,566.35 35% off	$6,691.50	$7,002.14	$6,846.82	2024-12-30
2822	APR_DRG	Disorders Of Pancreas Except Malignancy	2	2	$14,256.68	$9,266.84 35% off	$6,637.29	$6,945.42	$6,791.35	2024-12-30
4692	APR_DRG	Acute Kidney Injury #	2	2	$10,557.57	$6,862.42 35% off	$6,615.97	$6,923.10	$6,769.53	2024-12-30
1901	APR_DRG	Acute Myocardial Infarction	2	2	$10,391.43	$6,754.43 35% off	$6,537.76	$6,841.27	$6,689.52	2024-12-30
522	APR_DRG	Nontraumatic Stupor & Coma	2	2	$13,143.03	$8,542.97 35% off	$6,458.68	$6,758.51	$6,608.60	2024-12-30
1402	APR_DRG	Chronic Obstructive Pulmonary Disease	2	2	$16,487.18	$10,716.67 35% off	$6,416.02	$6,713.87	$6,564.94	2024-12-30
6632	APR_DRG	Other Anemia & Disorders Of Blood & Blood-forming Organs	2	2	$4,179.88	$2,716.92 35% off	$6,261.39	$6,552.08	$6,406.74	2024-12-30
1371	APR_DRG	Major Respiratory Infections & Inflammations	2	2	$11,101.64	$7,216.07 35% off	$6,183.19	$6,470.24	$6,326.72	2024-12-30
2442	APR_DRG	Diverticulitis & Diverticulosis	2	2	$3,663.63	$2,381.36 35% off	$6,162.75	$6,448.86	$6,305.81	2024-12-30
5012	APR_DRG	Male Reproductive System Diagnoses Except Malignancy	2	2	$14,716.18	$9,565.52 35% off	$6,095.22	$6,378.19	$6,236.70	2024-12-30
432	MS_DRG	Cirrhosis And Alcoholic Hepatitis With McC	8	8	$13,951.22	$9,068.29 35% off	$4,762.25	$10,568.66	$6,221.60	2024-12-30
1392	APR_DRG	Other Pneumonia	2	2	$15,077.90	$9,800.64 35% off	$6,027.68	$6,307.52	$6,167.60	2024-12-30
5613	APR_DRG	Postpartum & Post Abortion Diagnoses Without Procedure	2	2	$7,889.56	$5,128.21 35% off	$5,986.79	$6,264.74	$6,125.76	2024-12-30
7752	APR_DRG	Alcohol Abuse & Dependence	2	2	$8,487.10	$5,516.62 35% off	$5,777.09	$6,045.27	$5,911.18	2024-12-30
177	MS_DRG	Respiratory Infections And Inflammations With McC	8	8	$16,418.63	$10,672.11 35% off	$5,615.94	$9,357.34	$5,899.56	2024-12-30
70	MS_DRG	Nonspecific Cerebrovascular Disorders With McC	9	9	$13,143.03	$8,542.97 35% off	$4,934.65	$9,870.88	$5,872.71	2024-12-30
3512	APR_DRG	Other Musculoskeletal System & Connective Tissue Diagnoses	2	2	$12,471.29	$8,106.34 35% off	$5,676.66	$5,940.20	$5,808.43	2024-12-30
4202	APR_DRG	Diabetes	2	2	$7,654.96	$4,975.72 35% off	$5,608.24	$5,868.59	$5,738.41	2024-12-30
1382	APR_DRG	Bronchiolitis & Rsv Pneumonia	2	2	$11,702.77	$7,606.80 35% off	$5,601.13	$5,861.16	$5,731.15	2024-12-30
4632	APR_DRG	Kidney & Urinary Tract Infections	2	2	$7,711.89	$5,012.73 35% off	$5,600.25	$5,860.22	$5,730.24	2024-12-30
4211	APR_DRG	Malnutrition, Failure To Thrive & Other Nutritional Disorders	2	2	$13,075.53	$8,499.09 35% off	$5,554.03	$5,811.88	$5,682.95	2024-12-30
2012	APR_DRG	Cardiac Arrhythmia & Conduction Disorders	2	2	$6,907.53	$4,489.89 35% off	$5,551.37	$5,809.09	$5,680.23	2024-12-30
7764	APR_DRG	Other Drug Abuse & Dependence	2	2	$2,885.59	$1,875.63 35% off	$5,511.37	$5,767.25	$5,639.31	2024-12-30
7763	APR_DRG	Other Drug Abuse & Dependence	2	2	$2,885.59	$1,875.63 35% off	$5,511.37	$5,767.25	$5,639.31	2024-12-30
189	MS_DRG	Pulmonary Edema And Respiratory Failure	8	8	$9,912.71	$6,443.26 35% off	$5,221.78	$8,569.03	$5,613.18	2024-12-30
4252	APR_DRG	Electrolyte Disorders Except Hypovolemia Related	2	2	$8,307.24	$5,399.71 35% off	$5,338.97	$5,586.84	$5,462.91	2024-12-30
865	MS_DRG	Viral Illness With McC	8	8	$4,766.53	$3,098.24 35% off	$4,085.99	$9,045.69	$5,460.11	2024-12-30
557	MS_DRG	Tendonitis, Myositis And Bursitis With McC	8	8	$8,851.86	$5,753.71 35% off	$4,362.36	$8,587.31	$5,230.93	2024-12-30
1401	APR_DRG	Chronic Obstructive Pulmonary Disease	2	2	$16,487.18	$10,716.67 35% off	$5,110.60	$5,347.85	$5,229.23	2024-12-30
2042	APR_DRG	Syncope & Collapse	2	2	$14,447.43	$9,390.83 35% off	$5,109.70	$5,346.93	$5,228.32	2024-12-30
1941	APR_DRG	Heart Failure	2	2	$8,934.81	$5,807.63 35% off	$5,063.50	$5,298.57	$5,181.03	2024-12-30
1442	APR_DRG	Respiratory Signs, Symptoms & Minor Diagnoses	2	2	$8,717.13	$5,666.13 35% off	$5,055.51	$5,290.21	$5,172.86	2024-12-30
682	MS_DRG	Renal Failure With McC	8	8	$14,999.79	$9,749.86 35% off	$4,678.72	$8,278.41	$5,076.48	2024-12-30
7232	APR_DRG	Viral Illness	2	2	$4,766.53	$3,098.24 35% off	$4,935.53	$5,164.66	$5,050.09	2024-12-30
521	APR_DRG	Nontraumatic Stupor & Coma	2	2	$13,143.03	$8,542.97 35% off	$4,934.65	$5,163.73	$5,049.19	2024-12-30
602	MS_DRG	Cellulitis With McC	8	8	$16,434.94	$10,682.71 35% off	$4,488.55	$8,205.05	$5,039.80	2024-12-30
7762	APR_DRG	Other Drug Abuse & Dependence	2	2	$2,885.59	$1,875.63 35% off	$4,918.64	$5,147.00	$5,032.82	2024-12-30
2821	APR_DRG	Disorders Of Pancreas Except Malignancy	2	2	$14,256.68	$9,266.84 35% off	$4,905.32	$5,133.05	$5,019.18	2024-12-30
2801	APR_DRG	Alcoholic Liver Disease	2	2	$5,486.69	$3,566.35 35% off	$4,762.25	$4,983.33	$4,872.79	2024-12-30
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	8	8	$5,729.86	$3,724.41 35% off	$4,644.31	$7,414.09	$4,799.04	2024-12-30
555	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC	8	8	$15,591.10	$10,134.22 35% off	$4,362.36	$7,716.88	$4,795.71	2024-12-30
4691	APR_DRG	Acute Kidney Injury #	2	2	$10,557.57	$6,862.42 35% off	$4,678.72	$4,895.92	$4,787.32	2024-12-30
4222	APR_DRG	Hypovolemia & Related Electrolyte Disorders	2	2	$12,647.73	$8,221.02 35% off	$4,674.28	$4,891.27	$4,782.77	2024-12-30
291	MS_DRG	Heart Failure And Shock With McC	8	8	$8,934.81	$5,807.63 35% off	$4,478.27	$7,081.99	$4,770.88	2024-12-30
7761	APR_DRG	Other Drug Abuse & Dependence	2	2	$2,885.59	$1,875.63 35% off	$4,647.61	$4,863.38	$4,755.49	2024-12-30
2441	APR_DRG	Diverticulitis & Diverticulosis	2	2	$3,663.63	$2,381.36 35% off	$4,622.73	$4,837.34	$4,730.03	2024-12-30
1391	APR_DRG	Other Pneumonia	2	2	$15,077.90	$9,800.64 35% off	$4,564.97	$4,776.90	$4,670.93	2024-12-30
6631	APR_DRG	Other Anemia & Disorders Of Blood & Blood-forming Organs	2	2	$4,179.88	$2,716.92 35% off	$4,561.41	$4,773.18	$4,667.30	2024-12-30
193	MS_DRG	Simple Pneumonia And Pleurisy With McC	9	9	$15,077.90	$9,800.64 35% off	$4,564.97	$7,317.53	$4,596.03	2024-12-30
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	8	8	$20,838.01	$13,544.71 35% off	$3,828.28	$7,254.64	$4,564.59	2024-12-30
7742	APR_DRG	Cocaine Abuse & Dependence	2	2	$6,161.93	$4,005.25 35% off	$4,448.55	$4,655.07	$4,551.81	2024-12-30
190	MS_DRG	Chronic Obstructive Pulmonary Disease With McC	8	8	$16,487.18	$10,716.67 35% off	$3,976.59	$6,078.63	$4,543.59	2024-12-30
7732	APR_DRG	Opioid Abuse & Dependence	2	2	$8,037.77	$5,224.55 35% off	$4,429.90	$4,635.55	$4,532.73	2024-12-30
4631	APR_DRG	Kidney & Urinary Tract Infections	2	2	$7,711.89	$5,012.73 35% off	$4,415.68	$4,620.67	$4,518.18	2024-12-30
7741	APR_DRG	Cocaine Abuse & Dependence	2	2	$6,161.93	$4,005.25 35% off	$4,404.12	$4,608.58	$4,506.35	2024-12-30
178	MS_DRG	Respiratory Infections And Inflammations With Cc	8	8	$10,471.61	$6,806.55 35% off	$4,172.39	$6,470.24	$4,490.70	2024-12-30
3511	APR_DRG	Other Musculoskeletal System & Connective Tissue Diagnoses	2	2	$12,471.29	$8,106.34 35% off	$4,362.36	$4,564.88	$4,463.62	2024-12-30
J3101	HCPCS	Tenecteplase 50 Mg Intravenous Solution	34	15	$10,974.69	$7,133.55 35% off	$4,442.40	$4,442.40	$4,442.40	2024-12-30
1381	APR_DRG	Bronchiolitis & Rsv Pneumonia	2	2	$11,702.77	$7,606.80 35% off	$4,333.92	$4,535.12	$4,434.52	2024-12-30
281	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Cc	8	8	$10,391.43	$6,754.43 35% off	$4,357.90	$6,841.27	$4,403.86	2024-12-30
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC	8	8	$13,250.17	$8,612.61 35% off	$3,777.74	$5,680.93	$4,398.65	2024-12-30
5011	APR_DRG	Male Reproductive System Diagnoses Except Malignancy	2	2	$14,716.18	$9,565.52 35% off	$4,295.71	$4,495.14	$4,395.43	2024-12-30
689	MS_DRG	Kidney And Urinary Tract Infections With McC	8	8	$9,598.94	$6,239.31 35% off	$4,176.27	$6,477.99	$4,295.97	2024-12-30
308	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With McC	8	8	$6,907.53	$4,489.89 35% off	$3,843.39	$6,631.34	$4,252.94	2024-12-30
2041	APR_DRG	Syncope & Collapse	2	2	$14,447.43	$9,390.83 35% off	$4,090.43	$4,280.33	$4,185.38	2024-12-30
7231	APR_DRG	Viral Illness	2	2	$4,766.53	$3,098.24 35% off	$4,085.99	$4,275.68	$4,180.84	2024-12-30
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	8	8	$11,101.64	$7,216.07 35% off	$4,007.27	$6,470.24	$4,172.39	2024-12-30
7751	APR_DRG	Alcohol Abuse & Dependence	2	2	$8,487.10	$5,516.62 35% off	$4,054.89	$4,243.13	$4,149.01	2024-12-30
4201	APR_DRG	Diabetes	2	2	$7,654.96	$4,975.72 35% off	$4,048.67	$4,236.62	$4,142.65	2024-12-30
815	MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	8	8	$4,179.88	$2,716.92 35% off	$3,679.28	$5,484.01	$4,120.34	2024-12-30
1441	APR_DRG	Respiratory Signs, Symptoms & Minor Diagnoses	2	2	$8,717.13	$5,666.13 35% off	$4,022.90	$4,209.66	$4,116.28	2024-12-30
442	MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc	8	8	$5,486.69	$3,566.35 35% off	$3,561.51	$5,248.47	$4,099.48	2024-12-30
5612	APR_DRG	Postpartum & Post Abortion Diagnoses Without Procedure	2	2	$7,889.56	$5,128.21 35% off	$3,986.46	$4,171.53	$4,078.99	2024-12-30
202	MS_DRG	Bronchitis And Asthma With Cc/McC	8	8	$11,702.77	$7,606.80 35% off	$3,578.05	$5,281.57	$3,955.99	2024-12-30
2011	APR_DRG	Cardiac Arrhythmia & Conduction Disorders	2	2	$6,907.53	$4,489.89 35% off	$3,843.39	$4,021.82	$3,932.61	2024-12-30
4251	APR_DRG	Electrolyte Disorders Except Hypovolemia Related	2	2	$8,307.24	$5,399.71 35% off	$3,828.28	$4,006.01	$3,917.15	2024-12-30
683	MS_DRG	Renal Failure With Cc	8	8	$6,414.55	$4,169.46 35% off	$3,421.68	$4,968.81	$3,906.01	2024-12-30
812	MS_DRG	Red Blood Cell Disorders Without McC	8	8	$5,170.51	$3,360.83 35% off	$3,421.40	$4,968.26	$3,905.64	2024-12-30
292	MS_DRG	Heart Failure And Shock With Cc	8	8	$5,490.07	$3,568.55 35% off	$3,586.55	$5,298.57	$3,880.50	2024-12-30
603	MS_DRG	Cellulitis Without McC	8	8	$8,850.78	$5,753.01 35% off	$3,377.28	$4,880.01	$3,844.58	2024-12-30
439	MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	8	8	$14,256.68	$9,266.84 35% off	$3,503.80	$5,133.05	$3,835.95	2024-12-30
866	MS_DRG	Viral Illness Without McC	8	8	$9,771.92	$6,351.75 35% off	$3,468.28	$5,062.03	$3,777.14	2024-12-30
638	MS_DRG	Diabetes With Cc	8	8	$7,654.96	$4,975.72 35% off	$3,417.82	$4,961.09	$3,733.24	2024-12-30
312	MS_DRG	Syncope And Collapse	8	8	$20,172.63	$13,112.21 35% off	$3,348.01	$4,763.07	$3,719.22	2024-12-30
556	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC	8	8	$9,738.90	$6,330.29 35% off	$3,348.01	$4,564.88	$3,683.00	2024-12-30
204	MS_DRG	Respiratory Signs And Symptoms	8	8	$8,717.13	$5,666.13 35% off	$3,348.01	$4,539.12	$3,679.35	2024-12-30
690	MS_DRG	Kidney And Urinary Tract Infections Without McC	8	8	$4,437.17	$2,884.16 35% off	$3,348.01	$4,620.67	$3,640.36	2024-12-30
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC	8	8	$3,663.63	$2,381.36 35% off	$3,355.94	$4,837.34	$3,592.41	2024-12-30
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	8	8	$11,934.63	$7,757.51 35% off	$3,348.01	$4,310.20	$3,578.22	2024-12-30
566	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC	8	8	$12,471.29	$8,106.34 35% off	$3,348.01	$4,564.88	$3,502.91	2024-12-30
28285	CPT	Correction Hammertoe	1	1	$28,276.01	$18,379.41 35% off	$3,496.91	$3,496.91	$3,496.91	2024-12-30
5611	APR_DRG	Postpartum & Post Abortion Diagnoses Without Procedure	2	2	$7,889.56	$5,128.21 35% off	$3,367.96	$3,524.32	$3,446.14	2024-12-30
7702	APR_DRG	Drug & Alcohol Abuse Or Dependence, Left Against Medical Advice	2	2	$6,019.50	$3,912.68 35% off	$3,367.96	$3,524.32	$3,446.14	2024-12-30
4221	APR_DRG	Hypovolemia & Related Electrolyte Disorders	2	2	$12,647.73	$8,221.02 35% off	$3,359.97	$3,515.95	$3,437.96	2024-12-30
776	MS_DRG	Postpartum And Post Abortion Diagnoses Without O.r. Procedures	6	6	$7,889.56	$5,128.21 35% off	$2,800.74	$3,953.32	$3,430.52	2024-12-30
36475	CPT	Hc Endovenous Rf 1st Vein	3	1	$6,485.50	$4,215.58 35% off	$2,966.06	$5,027.51	$3,351.68	2024-12-30
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/McC	8	8	$3,762.82	$2,445.83 35% off	$3,049.07	$4,776.90	$3,348.01	2024-12-30
728	MS_DRG	Inflammation Of The Male Reproductive System Without McC	9	9	$14,716.18	$9,565.52 35% off	$3,348.01	$4,495.14	$3,348.01	2024-12-30
7731	APR_DRG	Opioid Abuse & Dependence	2	2	$8,037.77	$5,224.55 35% off	$3,256.00	$3,407.15	$3,331.57	2024-12-30
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC	6	6	$7,286.57	$4,736.27 35% off	$2,800.74	$4,719.49	$3,331.57	2024-12-30
894	MS_DRG	Alcohol, Drug Abuse Or Dependence, Left Ama	6	6	$6,110.97	$3,972.13 35% off	$2,657.05	$3,168.94	$2,800.38	2024-12-30
G0379	HCPCS	Hc Direct Refer Hospital Observ	35	15	$254.72	$165.57 35% off	$2,483.00	$2,779.50	$2,779.50	2024-12-30
G0378	HCPCS	Hc Observation Hourly Semi-private Each Additional Hour	61	16	$222.37	$144.54 35% off	$20.04	$3,774.00	$2,779.50	2024-12-30
7701	APR_DRG	Drug & Alcohol Abuse Or Dependence, Left Against Medical Advice	2	2	$6,019.50	$3,912.68 35% off	$2,657.05	$2,780.40	$2,718.73	2024-12-30
99195	CPT	Phlebotomy Therapeutic Separate Procedure	35	15	$156.42	$101.67 35% off	$2,483.00	$2,483.00	$2,483.00	2024-12-30
81419	CPT	Hc Epilepsy Gen Seq Alys Panel	40	15	$7,468.68	$4,854.64 35% off	$2,448.56	$2,448.56	$2,448.56	2024-12-30
81408	CPT	Hc Molecular Pathology Procedure_ Level 9	40	15	$6,000.00	$3,900.00 35% off	$2,000.00	$2,000.00	$2,000.00	2024-12-30
72142	CPT	Hc MRI Cervical Spine W Contrast	34	15	$4,065.75	$2,642.74 35% off	$1,932.00	$1,932.00	$1,932.00	2024-12-30
72147	CPT	Hc MRI Spine Thoracic W Contrast	34	15	$4,065.75	$2,642.74 35% off	$1,932.00	$1,932.00	$1,932.00	2024-12-30
71551	CPT	Hc MRI Chest W Contrast	34	15	$3,374.90	$2,193.69 35% off	$1,932.00	$1,932.00	$1,932.00	2024-12-30
58740	CPT	Lysis Of Adhesions Salpinx/Ovary	8	6	$20,887.39	$13,576.80 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
57415	CPT	Removal Impacted Vag Fb Spx W/Anes Oth/Thn Local	8	6	$6,834.31	$4,442.30 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
58180	CPT	Supracervical Abdl Hyster W/wo Rmvl Tube Ovary	8	6	$10,438.88	$6,785.27 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
47579	CPT	Unlisted Laparoscopy Procedure Biliary Tract	8	6	$12,798.64	$8,319.12 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
43030	CPT	Cricopharyngeal Myotomy	8	6	$8,096.97	$5,263.03 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
44620	CPT	Closure Enterostomy Lg/Small Intestine	8	6	$11,615.43	$7,550.03 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
38232	CPT	Bone Marrow Harvest Transplantation Autologous	8	6	$12,298.10	$7,993.77 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
26426	CPT	Rpr Xtnsr Tdn Cntrl Slip Tiss W/Lat Band Ea Fngr	8	6	$12,166.25	$7,908.06 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
25023	CPT	Dcmprn Fasct F/Arm&/Wrst Flxr/Xtnsr W/Dbrdmt	8	6	$28,905.73	$18,788.72 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
25025	CPT	Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr Dbrdmt	8	6	$28,905.73	$18,788.72 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
42999	CPT	Hc Aspiration Of The Peritonsilar	8	6	$6,411.88	$4,167.72 35% off	$1,785.00	$1,785.00	$1,785.00	2024-12-30
J0875	HCPCS	Dalbavancin 500 Mg Intravenous Solution	38	15	$2,336.75	$1,518.89 35% off	$10.88	$1,748.00	$1,748.00	2024-12-30
J7301	HCPCS	Hc Skyla 13.5 Mg	43	15	$2,271.55	$1,476.51 35% off	$832.07	$2,358.90	$1,595.48	2024-12-30
28060	CPT	Fasciectomy Plantar Fascia Partial Spx	1	1	$8,914.51	$5,794.43 35% off	$1,554.18	$1,554.18	$1,554.18	2024-12-30
28126	CPT	Resection Partial/Complete Phalangeal Base Each	1	1	$10,218.03	$6,641.72 35% off	$1,554.18	$1,554.18	$1,554.18	2024-12-30
28090	CPT	Exc Lesion Tendon Sheath/Capsule W/Synvct Foot	1	1	$8,712.19	$5,662.92 35% off	$1,554.18	$1,554.18	$1,554.18	2024-12-30
95810	CPT	Hc Polysomnography; Age 6 Or Older, Sleep Staging W 4/More Parameters, Tech Atte…	36	15	$4,419.08	$2,872.40 35% off	$1,459.00	$1,459.00	$1,459.00	2024-12-30
95811	CPT	Hc Polysomnography 6yrs Older Sleep Staging With Initiation Of Cpap	36	15	$3,033.56	$1,971.81 35% off	$1,459.00	$1,459.00	$1,459.00	2024-12-30
J1451	HCPCS	Fomepizole 1 Gram/ml Intravenous Solution	34	15	$859.93	$558.95 35% off	$1,440.00	$1,440.00	$1,440.00	2024-12-30
64493	CPT	Hc Injection(S), Dx/Thera Agent, Paravertebral Facet Joint, Lumbar/Sacral; Singl…	2	2	$3,206.58	$2,084.28 35% off	$845.75	$1,902.94	$1,374.35	2024-12-30
58558	CPT	Hysteroscopy Bx Endometrium&/Polypc W/wo D&c	1	1	$2,212.67	$1,438.24 35% off	$1,347.14	$1,347.14	$1,347.14	2024-12-30
58563	CPT	Hysteroscopy Endometrial Ablation	1	1	$11,585.40	$7,530.51 35% off	$1,347.14	$1,347.14	$1,347.14	2024-12-30
J7168	HCPCS	Hum Prothrombin Cplx (pcc) 4factor 500 Unit (400-620 Unit) IV Solution	34	15	$2,687.50	$1,746.88 35% off	$1,305.00	$1,305.00	$1,305.00	2024-12-30
0129U	CPT	Hc Gene Analysis Of HIV Targeted Sequence Analysis	39	15	$4,076.15	$2,649.50 35% off	$1,303.95	$1,303.95	$1,303.95	2024-12-30
11983	CPT	Rmvl W/Rinsj Non-biodegradable Drug Dlvr Implt	2	2	$357.37	$232.29 35% off	$1,225.66	$1,225.66	$1,225.66	2024-12-30
58301	CPT	Hc 58301 Removal Of Intrauterine Device (Iud)	8	7	$929.60	$604.24 35% off	$1,139.25	$1,139.25	$1,139.25	2024-12-30
J7307	HCPCS	Etonogestrel Implant System	39	15	$1,389.64	$903.27 35% off	$1,030.64	$1,225.66	$1,128.15	2024-12-30
74183	CPT	Hc MRI Abdomen Wo & W Contrast	48	15	$5,687.59	$3,696.93 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
74181	CPT	Hc MRI Abdomen Wo Contrast	44	15	$3,511.29	$2,282.34 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
74182	CPT	Hc MRI Abdomen W Contrast	44	15	$4,703.12	$3,057.03 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73218	CPT	Hc MRI Upper Ext (Non Joint) Wo Contrast	43	15	$3,212.62	$2,088.20 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
72196	CPT	Hc MRI Pelvis W Contrast	43	15	$4,703.12	$3,057.03 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
72197	CPT	Hc MRI Pelvis Wo & W Contrast	44	15	$5,687.59	$3,696.93 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
72195	CPT	Hc MRI Pelvis Wo Contrast	46	15	$3,511.29	$2,282.34 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
72157	CPT	Hc MRI Spine Thoracic Wo & W Contrast	45	15	$4,703.12	$3,057.03 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
72158	CPT	Hc MRI Spine Lumbar Wo & W Contrast	44	15	$6,272.51	$4,077.13 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
72149	CPT	Hc MRI Lumbar Spine W Contrast	44	15	$4,681.72	$3,043.12 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
72148	CPT	Hc MRI Spine Lumbar Wo Contrast	50	15	$4,065.75	$2,642.74 35% off	$211.68	$1,932.00	$1,117.50	2024-12-30
72156	CPT	Hc MRI Spine Cervical Wo And W Contrast	45	15	$5,155.61	$3,351.15 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
72141	CPT	Hc MRI Spine Cervical Wo Contrast	49	15	$3,848.79	$2,501.71 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
72146	CPT	Hc MRI Spine Thoracic Wo Contrast	45	15	$3,511.29	$2,282.34 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73722	CPT	Hc MRI Lower Extremity Any Joint W Contrast	43	15	$3,511.29	$2,282.34 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73721	CPT	Hc MRI Lower Extremity Any Joint Wo Contrast	51	16	$4,681.72	$3,043.12 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73219	CPT	Hc MRI Upper Ext (Non Joint) W Contrast	43	15	$3,870.80	$2,516.02 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
71552	CPT	Hc MRI Chest Wo & W Contrast	43	15	$3,021.03	$1,963.67 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73723	CPT	Hc MRI Lower Extremity Any Joint Wo & W Contrast	44	15	$7,583.81	$4,929.48 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
71550	CPT	Hc MRI Chest Wo Contrast	44	15	$1,642.38	$1,067.55 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
70553	CPT	Hc MRI Brain Wo & W Contrast	49	15	$5,663.91	$3,681.54 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
70552	CPT	Hc MRI Brain Including Brain Stem W Contrast	43	15	$4,681.72	$3,043.12 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73720	CPT	Hc MRI Lower Extremity Wo & W Contrast	46	15	$5,686.44	$3,696.19 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
70551	CPT	Hc MRI Brain Including Brain Stem Wo Contrast	50	15	$3,467.34	$2,253.77 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
70540	CPT	Hc MRI Orbit Face & Neck Wo Contrast	43	15	$2,521.72	$1,639.12 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
70542	CPT	Hc MRI Orbit,Face & Neck W Contrast	43	15	$3,529.82	$2,294.38 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
70543	CPT	Hc MRI Orbit, Face & Neck Wo & W Contrast	46	15	$4,065.75	$2,642.74 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
70544	CPT	Hc Mra, Head Wo Contrast	48	15	$4,433.77	$2,881.95 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
70336	CPT	Hc MRI Temporomandibular Joint(S)	43	15	$1,899.21	$1,234.49 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
77047	CPT	Hc MRI Breast Without Contrast Material Bilateral	43	15	$5,060.95	$3,289.62 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73223	CPT	Hc MRI Upper Extremity Joint Wo & W Contrast	43	15	$4,681.72	$3,043.12 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73719	CPT	Hc MRI Lower Ext (Non Joint) W Contrast	43	15	$4,244.40	$2,758.86 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73220	CPT	Hc MRI Upper Extremity (Non Joint) Wo & W Contrast	43	15	$5,663.91	$3,681.54 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73718	CPT	Hc MRI Lower Ext (Non Joint) Wo Contrast	91	15	$2,401.71	$1,561.11 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
73221	CPT	Hc MRI Upper Extremity Any Joint Wo Contrast	92	16	$3,212.62	$2,088.20 35% off	$303.00	$1,932.00	$1,117.50	2024-12-30
J0178	HCPCS	Hc Aflibercept (Eylea) Injection, 1mg	36	15	$1,958.32	$1,272.91 35% off	$1,007.32	$1,007.32	$1,007.32	2024-12-30
J7298	HCPCS	Hc Levonorgestrel-releasing Intrauterine Contraceptive System (Mirena) 52 Mg	25	14	$2,728.02	$1,773.21 35% off	$999.28	$999.28	$999.28	2024-12-30
J7296	HCPCS	IUD Kyleena Sys Levgst Rel Imp	38	15	$2,255.88	$1,466.32 35% off	$999.28	$999.28	$999.28	2024-12-30
27428	CPT	Ligamentous Reconstruction Knee Intra-articular	7	6	$23,663.19	$15,381.07 35% off	$942.00	$942.00	$942.00	2024-12-30
27441	CPT	Arthrp Knee Tibial Plateau Dbrdmt&Prtl Synvct	7	6	$23,663.19	$15,381.07 35% off	$942.00	$942.00	$942.00	2024-12-30
24635	CPT	Open Tx Monteggia Fracture Dislocation Elbow	7	6	$25,525.52	$16,591.59 35% off	$942.00	$942.00	$942.00	2024-12-30
J1439	HCPCS	Ferric Carboxymaltose 50 Mg Iron/ml Intravenous Solution	37	15	$2,316.27	$1,505.58 35% off	$1.24	$930.00	$930.00	2024-12-30
81418	CPT	Hc Drug Metbolism Genomic Seqence Panel	39	15	$5,703.30	$3,707.15 35% off	$917.08	$917.08	$917.08	2024-12-30
J7327	HCPCS	Hc Monovisc Inj Per Dose	36	15	$1,731.87	$1,125.72 35% off	$869.85	$869.85	$869.85	2024-12-30
64635	CPT	Hc Destruction By Neurolytic Agnt Parverteb Fct Nrv/Sngl Jnt Lumbar/Sacral W Ima…	2	2	$6,483.87	$4,214.52 35% off	$848.55	$848.55	$848.55	2024-12-30
64490	CPT	Hc Injection(S), Dx/Thera Agent, Paravertebral Facet Joint W Image Guidance; Sin…	6	3	$1,986.49	$1,291.22 35% off	$599.99	$1,902.94	$845.75	2024-12-30
45380	CPT	Colonoscopy W/Biopsy Single/Multiple	3	3	$1,128.94	$733.81 35% off	$794.70	$1,788.08	$794.70	2024-12-30
45378	CPT	Colonoscopy Flx Dx W/Collj Spec When Pfrmd	4	3	$982.58	$638.68 35% off	$794.70	$1,788.08	$794.70	2024-12-30
45381	CPT	Colsc Flx With Directed Submucosal Njx Any Sbst	1	1	$1,099.84	$714.90 35% off	$794.70	$794.70	$794.70	2024-12-30
64483	CPT	Hc Inj Anesth&/Steroid,Transforaminal Epidural,Image Guide(Fluor/CT);Lumbar/Saca…	2	1	$3,155.46	$2,051.05 35% off	$599.99	$845.75	$722.87	2024-12-30
G0121	HCPCS	Colon Ca Scrn Not Hi Rsk Ind	2	2	$982.58	$638.68 35% off	$638.26	$794.70	$716.48	2024-12-30
11750	CPT	Hc Excision Nail & Nail Matrix, Partial Or Complete, Permament Removal	1	1	$1,103.19	$717.07 35% off	$666.91	$666.91	$666.91	2024-12-30
90375	CPT	Rabies Immune Globulin Rig Human Im/subq	3	3	$791.73	$514.62 35% off	$402.26	$732.35	$567.30	2024-12-30
81220	CPT	Hc Cystic Fibrosis Gene Analysis	45	15	$861.09	$559.71 35% off	$328.25	$738.56	$533.40	2024-12-30
25605	CPT	Cltx Dstl Rdl Fx/Epiphysl Sep W/Manj When Perf\|ASSISTANT At Surgery Service Pa, …	226	15	$874.45	$874.45	$267.46	$840.74	$531.64	2024-12-30
0003M	OTHER	Hc Nash Fibrosure	40	15	$1,573.63	$1,022.86 35% off	$503.40	$503.40	$503.40	2024-12-30
57500	CPT	Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, W/wo Fulgu…	1	1	$2,155.53	$1,401.09 35% off	$500.03	$500.03	$500.03	2024-12-30
10021	CPT	Hc Fine Needle Aspiration; Without Imaging Guidance	1	1	$1,530.74	$994.98 35% off	$496.71	$496.71	$496.71	2024-12-30
25622	CPT	Hc Closed Treatment Of Carpal Scaphoid (Navicular) Fracture, Wo Manipulation	1	1	$952.46	$619.10 35% off	$493.36	$493.36	$493.36	2024-12-30
25560	CPT	Hc Closed Tx Radial & Ulnar Shaft Fx Wo Manipulation	1	1	$1,033.08	$671.50 35% off	$493.36	$493.36	$493.36	2024-12-30
70549	CPT	Hc MRA Neck Wo & W Contrast	43	15	$6,584.66	$4,280.03 35% off	$303.00	$681.75	$492.38	2024-12-30
70547	CPT	Hc MRA Neck Wo Contrast	45	15	$4,065.75	$2,642.74 35% off	$303.00	$681.75	$492.38	2024-12-30
C8902	HCPCS	Hc MRA Wo Contrast Followed By W Contrast Abdomen	40	15	$4,777.51	$3,105.38 35% off	$303.00	$681.75	$492.38	2024-12-30
C8900	HCPCS	Hc MRA Abdomen W Contrast	41	15	$4,299.06	$2,794.39 35% off	$303.00	$681.75	$492.38	2024-12-30
J1571	HCPCS	Hepatitis B Immune Globulin > 1,560 Unit/5 Ml Intramuscular Solution	34	15	$741.06	$481.69 35% off	$485.76	$485.76	$485.76	2024-12-30
L1833	HCPCS	Brace Irom Short Black	39	15	$224.08	$145.65 35% off	$476.33	$476.33	$476.33	2024-12-30
0034U	OTHER	Hc Tpmt And Nudt15 Genotype	39	15	$1,591.32	$1,034.36 35% off	$466.17	$466.17	$466.17	2024-12-30
87901	CPT	Genotype Analysis	47	15	$1,260.77	$819.50 35% off	$257.45	$579.26	$418.36	2024-12-30
87902	CPT	Hc Hepatitis C Virus Genotype	46	15	$516.21	$335.54 35% off	$257.45	$579.26	$418.36	2024-12-30
0202U	OTHER	Hc Nfct Ds 22 Trgt Sars-cov-2	40	15	$1,302.85	$846.85 35% off	$416.78	$416.78	$416.78	2024-12-30
87507	CPT	Hc Gastrointestinal Pathogen_ Pcr 12_25 Targets	41	15	$1,302.85	$846.85 35% off	$55.25	$416.78	$416.78	2024-12-30
87633	CPT	Hc Detection Tst For Resp Virus By Dna/Rna,Mult&Reverse Transcription&Probe Tech…	39	15	$721.29	$468.84 35% off	$416.78	$416.78	$416.78	2024-12-30
87483	CPT	Hc Cns Dna/Rna Amp Probe Multiple Subtypes 12-25	39	15	$670.58	$435.88 35% off	$416.78	$416.78	$416.78	2024-12-30
J0714	HCPCS	Ceftazidime-avibactam 2.5 Gram Intravenous Solution	34	15	$923.93	$600.55 35% off	$406.44	$406.44	$406.44	2024-12-30
17110	CPT	Hc Destroy Flat Warts-up To 14 Lesions	1	1	$181.46	$117.95 35% off	$393.95	$393.95	$393.95	2024-12-30
51702	CPT	Hc Insertion Of Temporary Indwelling Bladder Catheter Simple	1	1	$253.58	$164.83 35% off	$392.63	$392.63	$392.63	2024-12-30
59425	CPT	Antepartum Care Only 4-6 Visits	43	15	$882.13	$573.38 35% off	$106.34	$658.11	$382.23	2024-12-30
J1410	HCPCS	Conjugated Estrogens 25 Mg Solution For Injection	34	15	$860.05	$559.03 35% off	$375.65	$375.65	$375.65	2024-12-30
81208	CPT	Hc Bcr/Abl1 Other Breakpoint	43	15	$184.87	$120.17 35% off	$214.62	$482.90	$348.76	2024-12-30
74263	CPT	Hc CT Virtual Colonoscopy, Screening	45	15	$686.95	$446.52 35% off	$205.22	$461.75	$333.49	2024-12-30
96360	CPT	Hc IV Infusion, Hydration; Initial 31 Minutes To 1 Hour	4	3	$462.31	$300.50 35% off	$242.48	$632.16	$331.96	2024-12-30
25600	CPT	Cltx Dstl Radial Fx/Epiphysl Sep Without Manj\|ASSISTANT At Surgery Service Pa, Np Or…	270	15	$522.71	$522.71	$117.76	$533.34	$330.31	2024-12-30
26010	CPT	Hc Drainage Of Finger Abscess Simple	2	2	$586.22	$381.04 35% off	$329.73	$329.73	$329.73	2024-12-30
10081	CPT	Incision & Drainage Pilonidal Cyst Complicated	27	15	$428.18	$428.18	$148.91	$518.89	$328.12	2024-12-30
86833	CPT	Hc Antibody To Hla High Definition Qualitative Panel, Class Ii	39	15	$1,292.34	$840.02 35% off	$325.80	$325.80	$325.80	2024-12-30
J1327	HCPCS	Eptifibatide 0.75 Mg/ml Intravenous Solution	35	15	$125.25	$81.41 35% off	$86.40	$324.00	$324.00	2024-12-30
23650	CPT	Clsd Tx Shoulder Dislc W/Manipulation Without Anes\|MULTIPLE Procedures	145	15	$501.86	$501.86	$122.56	$522.19	$322.38	2024-12-30
81288	CPT	Hc Mlh1 Gene Analysis, Promoter Methylation	45	15	$762.88	$495.87 35% off	$192.32	$432.72	$312.52	2024-12-30
92950	CPT	Cardiopulmonary Resuscitation	44	15	$488.63	$488.63	$159.62	$1,253.75	$301.98	2024-12-30
81405	CPT	Hc Molecular Pathology Procedure_ Level 6_Slc2a1	39	15	$904.05	$587.63 35% off	$301.35	$301.35	$301.35	2024-12-30
99283	CPT	Hc Emergency Dept E&m Visit,Level Iii	76	16	$567.85	$369.10 35% off	$24.41	$655.00	$299.06	2024-12-30
88365	CPT	Hc Insitu Hybridization, I&r	42	15	$446.73	$290.37 35% off	$179.38	$403.61	$291.50	2024-12-30
88364	CPT	Hc Situ Hybridization, Ea Additional Single Probe Stain	42	15	$223.35	$145.18 35% off	$179.38	$403.61	$291.50	2024-12-30
88307	CPT	Hc Tissue Level V, Gross & Microscopic Eamination	43	15	$411.36	$267.38 35% off	$70.86	$396.34	$286.25	2024-12-30
81406	CPT	Hc Molecular Pathology Procedure_ Level 7_Arp1a2	40	15	$848.64	$551.62 35% off	$282.88	$282.88	$282.88	2024-12-30
96361	CPT	Hc IV Infusion,Hydration; Each Add'l Hour	7	5	$226.49	$147.22 35% off	$242.48	$632.16	$280.96	2024-12-30
81404	CPT	Hc Molecular Pathology Procedure, Level 5	40	15	$824.83	$536.14 35% off	$274.83	$274.83	$274.83	2024-12-30

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