Price Transparency 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

J ARTHUR DOSHER MEMORIAL HOSPITAL

Southport, NC · CCN 341327 · Rates published

1,810 distinct procedures filed
8 distinct payers
65,304 rate rows
2026-05-06 last MRF observed
Data quality

62,796 of 65,304 rate rows are consumer-grade (96.2%)

2,508 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
professional (physician) fee — not the facility price 2,430
percent-of-charges filed in the dollar field — excluded from medians 74
per-diem day rate — not a per-procedure price 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricetransparencyfiles.com/j-arthur-dosher-memorial-hospital/560845824_J-Arthur-Dosher-Memorial-Hospital_standardcharges.csv
Found on page https://ezcost.info/dosher-memorial-hospital
Discovered viaCMS hospital list
Last fetch success · 2026-06-22
Content fingerprint 5e248868cea9ca1a… · 15,993,536 bytes · first seen 2026-06-22

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
C1822
OTHER 		Hf10 Charger,ipg,patient Remote Kits 4 $16,537.50 $40,500.00 $17,769.38 nat. median
$4,495
outlier · 4.0×
28297
OTHER 		Lapiplasty System 3 4 $6,875.19 $16,837.20 $7,387.32 nat. median
$6,879
1.1× median
33285
OTHER 		Insj Sebq Car Rhythm Montor 4 $4,493.41 $11,004.26 $4,828.12 nat. median
$8,294
0.6× median
Q4331
OTHER 		Axobiomembrane 2cmx3cm 4 $2,388.75 $12,573.00 $4,726.65 nat. median
$139
outlier · 34.1×
Q4210
OTHER 		Axolotl Biologix Graft 4cmx4cm 4 $4,398.98 $10,773.00 $4,726.65 nat. median
$515
outlier · 9.2×
Q4332
OTHER 		Axolotl Dualgraft 4cmx4cm 4 $4,398.98 $10,773.00 $4,726.65 nat. median
$1,681
outlier · 2.8×
65778
OTHER 		Aminiotic Graft,single Layer 4x4cm 4 $4,396.77 $10,767.60 $4,724.28 nat. median
$1,110
outlier · 4.3×
C9363
OTHER 		Meshed Bilayer Wound Matrix 4 $3,009.38 $10,797.84 $4,573.34 nat. median
$133
outlier · 34.4×
Q4150
OTHER 		Allomend 4x4 Cm 4 $2,376.99 $8,541.72 $3,617.77 nat. median
$87
outlier · 41.7×
L8642
OTHER 		Cartiva Implant 4 $2,646.00 $7,452.00 $3,156.23 nat. median
$351
outlier · 9.0×
Q4160
OTHER 		Nushield 4x6cm 4 $1,653.75 $7,668.00 $3,143.36 nat. median
$159
outlier · 19.8×
C1763
OTHER 		Bone Graft Morpheus 3cc 4 $1,800.75 $7,452.00 $3,042.90 nat. median
$3,054
1.0× median
C1765
OTHER 		Puraply Wound Matrix 6x9 4 $2,646.00 $6,480.00 $2,843.10 nat. median
$1,194
outlier · 2.4×
C1778
OTHER 		Interstim Sns Lead 28cm 3889-28 4 $2,612.92 $6,399.00 $2,807.56 nat. median
$5,151
0.5× median
V2790
OTHER 		Alloaid Amniotic Allograft Cover 2x3cm 4 $532.88 $6,480.00 $2,641.59 nat. median
$1,926
1.4× median
C1876
OTHER 		Colonic Stent System(single-use) 4 $2,173.08 $5,321.83 $2,334.95 nat. median
$3,834
0.6× median
J2323
OTHER 		Natalizumab IV Soln 20mg/1ml 300mg Vial 4 $2,040.65 $4,997.52 $2,192.66 nat. median
$27
outlier · 81.8×
J3101
OTHER 		Tenecteplase 50mg Kit (=TNKase) 4 $2,039.52 $4,994.74 $2,191.44 nat. median
$195
outlier · 11.2×
77049
OTHER 		MRI Breast Bilat W And Wo CONTRAST,Technical Component Only 4 $2,041.83 $3,896.14 $2,060.45 nat. median
$293
outlier · 7.0×
78452
OTHER 		Nm Cardiolite STRESS,Technical Component Only 4 $1,723.29 $4,672.08 $1,978.83 nat. median
$1,353
1.5× median
L8699
OTHER 		Clench Staple Sys 20mm X 20mm 4 $1,704.02 $4,212.00 $1,839.49 nat. median
$2,216
0.8× median
C1762
OTHER 		Connect Pre-sutured Tendon-zorc 4.5x200m 4 $389.55 $11,010.82 $1,829.95 nat. median
$3,682
outlier · 0.5×
C1776
OTHER 		Modular Hip System 4 $10.40 $35,208.00 $1,765.58 nat. median
$4,168
outlier · 0.4×
Q4100
OTHER 		Allomend 2x4 1.0 -2.0 Mm Thickness 4 $606.38 $9,277.20 $1,764.00 nat. median
$2,974
0.6× median
35646
OTHER 		Artery Bypass Graft 4 $1,126.39 $2,567.26 $1,695.25 nat. median
$4,247
outlier · 0.4×
81220
OTHER 		Cystic Fibrosis Profile 4 $506.51 $4,007.52 $1,636.40 nat. median
$579
outlier · 2.8×
200
OTHER 		Higher Level Care Room Charge Per Day 2 $1,329.84 $1,847.00 $1,588.42 nat. median
$10,206
outlier · 0.2×
C5273
OTHER 		Appl Low Cost Skin Subst Grft-add 25 Sq 4 $1,453.29 $3,559.07 $1,561.54 nat. median
$2,132
0.7× median
J2997
OTHER 		Alteplase Injection 2mg(=cathflo) 4 $75.44 $7,068.10 $1,535.44 nat. median
$107
outlier · 14.3×
10180
OTHER 		Incision And Drainage Complex Post Op 4 $135.31 $4,184.46 $1,499.99 nat. median
$2,683
0.6× median
C1874
OTHER 		I Stent Inject 4 $1,389.15 $3,402.00 $1,492.63 nat. median
$5,235
outlier · 0.3×
C1716
OTHER 		Implant System 11x10x10 4 $1,370.63 $3,356.64 $1,472.73 nat. median
$594
outlier · 2.5×
C1747
OTHER 		Lithovue Global Standard Disp. 4 $1,323.00 $3,240.00 $1,421.55 nat. median
$1,494
1.0× median
78451
OTHER 		Nm Stress Test ONLY,Technical Component Only 4 $1,290.03 $3,159.25 $1,386.12 nat. median
$1,311
1.1× median
15100
OTHER 		Skin Split Graft 4 $451.81 $4,190.78 $1,370.50 nat. median
$1,916
0.7× median
J0630
OTHER 		Calcitonin Salmon 400 Units/2ml Inj 4 $1,270.76 $3,112.06 $1,365.41 nat. median
$1,273
1.1× median
15120
OTHER 		Skin Split Graft 4 $443.52 $4,190.78 $1,361.06 nat. median
$3,357
outlier · 0.4×
72158
OTHER 		MRI L Spine W/wo CONTRAST,Technical Component Only 4 $1,259.50 $2,403.32 $1,353.32 nat. median
$576
outlier · 2.3×
72156
OTHER 		MRI C Spine W/wo CONTRAST,Technical Component Only 4 $1,259.50 $2,403.32 $1,353.32 nat. median
$564
outlier · 2.4×
70543
OTHER 		MRI Orbit, Face, Neck W/wo CONTRAST,Technical Component Only 4 $1,259.50 $2,403.32 $1,353.32 nat. median
$604
outlier · 2.2×
35558
OTHER 		Artery Bypass Graft 4 $809.62 $2,509.52 $1,328.42 nat. median
$2,191
0.6× median
71552
OTHER 		MRI Chest W And Without Contrast 4 $1,236.27 $2,359.00 $1,328.36 nat. median
$615
outlier · 2.2×
74183
OTHER 		MRI Abdomen W/wo CONTRAST,Technical Component Only 4 $1,234.21 $2,355.08 $1,326.15 nat. median
$634
outlier · 2.1×
27818
OTHER 		Closed Treatment Of Trimalleolar Ankle F 4 $468.22 $3,220.56 $1,315.06 nat. median
$1,534
0.9× median
15273
OTHER 		Appl Skin Subst Grft >or = 100 Sq Cm Or 4 $198.90 $4,287.60 $1,314.22 nat. median
$2,234
0.6× median
73723
OTHER 		MRI Ankle With And Without Contrast-lt,left Side, Technical Component 4 $1,202.08 $2,403.32 $1,304.62 nat. median
$583
outlier · 2.2×
15738
OTHER 		Muscle-skin Graft,leg 4 $787.51 $1,794.89 $1,303.44 nat. median
$3,432
outlier · 0.4×
73223
OTHER 		MRI Elbow With And Without Contrast-lt,left Side, Technical Component 4 $1,105.91 $2,403.32 $1,293.14 nat. median
$618
outlier · 2.1×
72197
OTHER 		MRI Pelvis W Without CONTRAST,Technical Component Only 4 $1,145.24 $2,339.37 $1,273.92 nat. median
$627
outlier · 2.0×
73722
OTHER 		MRI Ankle With Contrast-lt,left Side, Technical Component 4 $1,168.42 $3,896.14 $1,268.06 nat. median
$891
1.4× median

Other procedures at this hospital

Browse this hospital's 1,810 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
200 OTHER Higher Level Care Room Charge Per Day 2 2 $1,847.00 $923.50 50% off $1,329.84 $1,847.00 $1,588.42 2026-05-06
110 OTHER Private Room Charge Per Day 4 2 $973.50 $486.75 50% off $560.88 $1,168.00 $809.98 2026-05-06
C1822 OTHER Hf10 Charger,ipg,patient Remote Kits 5 4 $56,250.00 $28,125.00 50% off $16,537.50 $40,500.00 $17,769.38 2026-05-06
28297 OTHER Lapiplasty System 3 5 4 $23,385.00 $11,692.50 50% off $6,875.19 $16,837.20 $7,387.32 2026-05-06
33285 OTHER Insj Sebq Car Rhythm Montor 5 4 $15,283.70 $7,641.85 50% off $4,493.41 $11,004.26 $4,828.12 2026-05-06
Q4332 OTHER Axolotl Dualgraft 4cmx4cm 5 4 $14,962.50 $7,481.25 50% off $4,398.98 $10,773.00 $4,726.65 2026-05-06
Q4210 OTHER Axolotl Biologix Graft 4cmx4cm 5 4 $14,962.50 $7,481.25 50% off $4,398.98 $10,773.00 $4,726.65 2026-05-06
Q4331 OTHER Axobiomembrane 2cmx3cm 25 4 $12,000.00 $6,000.00 50% off $2,388.75 $12,573.00 $4,726.65 2026-05-06
65778 OTHER Aminiotic Graft,single Layer 4x4cm 5 4 $14,955.00 $7,477.50 50% off $4,396.77 $10,767.60 $4,724.28 2026-05-06
C9363 OTHER Meshed Bilayer Wound Matrix 10 4 $12,616.50 $6,308.25 50% off $3,009.38 $10,797.84 $4,573.34 2026-05-06
Q4150 OTHER Allomend 4x4 Cm 10 4 $9,974.25 $4,987.12 50% off $2,376.99 $8,541.72 $3,617.77 2026-05-06
L8642 OTHER Cartiva Implant 10 4 $9,675.00 $4,837.50 50% off $2,646.00 $7,452.00 $3,156.23 2026-05-06
Q4160 OTHER Nushield 4x6cm 10 4 $8,137.50 $4,068.75 50% off $1,653.75 $7,668.00 $3,143.36 2026-05-06
C1763 OTHER Bone Graft Morpheus 3cc 15 4 $7,350.00 $3,675.00 50% off $1,800.75 $7,452.00 $3,042.90 2026-05-06
C1765 OTHER Puraply Wound Matrix 6x9 5 4 $9,000.00 $4,500.00 50% off $2,646.00 $6,480.00 $2,843.10 2026-05-06
C1778 OTHER Interstim Sns Lead 28cm 3889-28 5 4 $8,887.50 $4,443.75 50% off $2,612.92 $6,399.00 $2,807.56 2026-05-06
V2790 OTHER Alloaid Amniotic Allograft Cover 2x3cm 30 4 $6,861.25 $3,430.62 50% off $532.88 $6,480.00 $2,641.59 2026-05-06
C1876 OTHER Colonic Stent System(single-use) 5 4 $7,391.43 $3,695.72 50% off $2,173.08 $5,321.83 $2,334.95 2026-05-06
J2323 OTHER Natalizumab IV Soln 20mg/1ml 300mg Vial 5 4 $6,941.00 $3,470.50 50% off $2,040.65 $4,997.52 $2,192.66 2026-05-06
J3101 OTHER Tenecteplase 50mg Kit (=TNKase) 5 4 $6,937.14 $3,468.57 50% off $2,039.52 $4,994.74 $2,191.44 2026-05-06
77049 OTHER MRI Breast Bilat W And Wo CONTRAST,Technical Component Only 5 4 $6,945.00 $3,472.50 50% off $2,041.83 $3,896.14 $2,060.45 2026-05-06
78452 OTHER Nm Cardiolite STRESS,Technical Component Only 10 4 $6,175.26 $3,087.63 50% off $1,723.29 $4,672.08 $1,978.83 2026-05-06
L8699 OTHER Clench Staple Sys 20mm X 20mm 10 4 $5,823.00 $2,911.50 50% off $1,704.02 $4,212.00 $1,839.49 2026-05-06
C1762 OTHER Connect Pre-sutured Tendon-zorc 4.5x200m 45 4 $3,723.69 $1,861.85 50% off $389.55 $11,010.82 $1,829.95 2026-05-06
C1776 OTHER Modular Hip System 1,112 4 $4,246.80 $2,123.40 50% off $10.40 $35,208.00 $1,765.58 2026-05-06
Q4100 OTHER Allomend 2x4 1.0 -2.0 Mm Thickness 30 4 $4,893.00 $2,446.50 50% off $606.38 $9,277.20 $1,764.00 2026-05-06
35646 OTHER Artery Bypass Graft 5 4 $3,565.64 $1,782.82 50% off $1,126.39 $2,567.26 $1,695.25 2026-05-06
81220 OTHER Cystic Fibrosis Profile 5 4 $5,566.00 $2,783.00 50% off $506.51 $4,007.52 $1,636.40 2026-05-06
C5273 OTHER Appl Low Cost Skin Subst Grft-add 25 Sq 5 4 $4,943.15 $2,471.58 50% off $1,453.29 $3,559.07 $1,561.54 2026-05-06
J2997 OTHER Alteplase Injection 2mg(=cathflo) 10 4 $5,036.69 $2,518.35 50% off $75.44 $7,068.10 $1,535.44 2026-05-06
10180 OTHER Incision And Drainage Complex Post Op 18 4 $5,102.00 $2,551.00 50% off $135.31 $4,184.46 $1,499.99 2026-05-06
C1874 OTHER I Stent Inject 5 4 $4,725.00 $2,362.50 50% off $1,389.15 $3,402.00 $1,492.63 2026-05-06
C1716 OTHER Implant System 11x10x10 5 4 $4,662.00 $2,331.00 50% off $1,370.63 $3,356.64 $1,472.73 2026-05-06
C1747 OTHER Lithovue Global Standard Disp. 5 4 $4,500.00 $2,250.00 50% off $1,323.00 $3,240.00 $1,421.55 2026-05-06
78451 OTHER Nm Stress Test ONLY,Technical Component Only 5 4 $4,387.85 $2,193.93 50% off $1,290.03 $3,159.25 $1,386.12 2026-05-06
15100 OTHER Skin Split Graft 10 4 $3,625.38 $1,812.69 50% off $451.81 $4,190.78 $1,370.50 2026-05-06
J0630 OTHER Calcitonin Salmon 400 Units/2ml Inj 5 4 $4,322.30 $2,161.15 50% off $1,270.76 $3,112.06 $1,365.41 2026-05-06
15120 OTHER Skin Split Graft 10 4 $3,612.25 $1,806.13 50% off $443.52 $4,190.78 $1,361.06 2026-05-06
72156 OTHER MRI C Spine W/wo CONTRAST,Technical Component Only 5 4 $4,284.00 $2,142.00 50% off $1,259.50 $2,403.32 $1,353.32 2026-05-06
72158 OTHER MRI L Spine W/wo CONTRAST,Technical Component Only 5 4 $4,284.00 $2,142.00 50% off $1,259.50 $2,403.32 $1,353.32 2026-05-06
70543 OTHER MRI Orbit, Face, Neck W/wo CONTRAST,Technical Component Only 5 4 $4,284.00 $2,142.00 50% off $1,259.50 $2,403.32 $1,353.32 2026-05-06
35558 OTHER Artery Bypass Graft 8 4 $2,562.89 $1,281.45 50% off $809.62 $2,509.52 $1,328.42 2026-05-06
71552 OTHER MRI Chest W And Without Contrast 5 4 $4,205.00 $2,102.50 50% off $1,236.27 $2,359.00 $1,328.36 2026-05-06
74183 OTHER MRI Abdomen W/wo CONTRAST,Technical Component Only 5 4 $4,198.00 $2,099.00 50% off $1,234.21 $2,355.08 $1,326.15 2026-05-06
27818 OTHER Closed Treatment Of Trimalleolar Ankle F 10 4 $3,286.00 $1,643.00 50% off $468.22 $3,220.56 $1,315.06 2026-05-06
15273 OTHER Appl Skin Subst Grft >or = 100 Sq Cm Or 10 4 $3,587.00 $1,793.50 50% off $198.90 $4,287.60 $1,314.22 2026-05-06
73723 OTHER MRI Ankle With And Without Contrast-lt,left Side, Technical Component 28 4 $4,185.50 $2,092.75 50% off $1,202.08 $2,403.32 $1,304.62 2026-05-06
15738 OTHER Muscle-skin Graft,leg 5 4 $2,492.90 $1,246.45 50% off $787.51 $1,794.89 $1,303.44 2026-05-06
73223 OTHER MRI Elbow With And Without Contrast-lt,left Side, Technical Component 28 4 $4,200.00 $2,100.00 50% off $1,105.91 $2,403.32 $1,293.14 2026-05-06
72197 OTHER MRI Pelvis W Without CONTRAST,Technical Component Only 10 4 $4,032.69 $2,016.35 50% off $1,145.24 $2,339.37 $1,273.92 2026-05-06
73722 OTHER MRI Ankle With Contrast-lt,left Side, Technical Component 36 4 $3,974.22 $1,987.11 50% off $1,168.42 $3,896.14 $1,268.06 2026-05-06
74174 OTHER CT Angio ABDOMEN/PELVIS,Technical Component Only 5 4 $4,284.00 $2,142.00 50% off $1,259.50 $2,403.32 $1,264.39 2026-05-06
74178 OTHER CT A/p W And Without CONTRAST,Technical Component Only 5 4 $4,157.00 $2,078.50 50% off $1,222.16 $2,332.08 $1,264.39 2026-05-06
74182 OTHER MRI Abdomen W/CONTRAST,Technical Component Only 5 4 $3,987.28 $1,993.64 50% off $1,172.26 $2,236.86 $1,259.58 2026-05-06
73720 OTHER MRI Low Ext Nonjoint W/wo LT,Technical Component Only, Left Side 26 4 $4,171.00 $2,085.50 50% off $1,145.42 $2,403.32 $1,259.50 2026-05-06
28298 OTHER Stright Staple Kit 5 4 $3,951.00 $1,975.50 50% off $1,161.59 $2,844.72 $1,248.12 2026-05-06
72157 OTHER MRI T Spine W/wo CONTRAST,Technical Component Only 5 4 $3,896.00 $1,948.00 50% off $1,145.42 $2,185.66 $1,230.75 2026-05-06
72132 OTHER CT Lumbar Spine W/CONTRAST,Technical Component Only 5 4 $3,896.00 $1,948.00 50% off $1,145.42 $2,185.66 $1,230.75 2026-05-06
70549 OTHER MRA Neck W W/p CONTRAST,Technical Component Only 5 4 $3,896.00 $1,948.00 50% off $1,145.42 $2,185.66 $1,230.75 2026-05-06
72149 OTHER MRI L Spine With CONTRAST,Technical Component Only 5 4 $3,896.00 $1,948.00 50% off $1,145.42 $2,185.66 $1,230.75 2026-05-06
70553 OTHER MRI Brain W/wo Contr-incl Brain STEM,Technical Component Only 5 4 $3,896.00 $1,948.00 50% off $1,145.42 $2,185.66 $1,230.75 2026-05-06
74177 OTHER CT A/p W/CONTRAST,Technical Component Only 5 4 $3,896.00 $1,948.00 50% off $1,145.42 $2,185.66 $1,230.75 2026-05-06
75635 OTHER CT Angio Aorta/bilat Runoff LE,Technical Component Only 9 4 $4,089.18 $2,044.59 50% off $546.55 $2,294.03 $1,202.22 2026-05-06
72196 OTHER MRI Pelvis W/CONTRAST,Technical Component Only 5 4 $3,789.66 $1,894.83 50% off $1,114.16 $2,126.00 $1,197.15 2026-05-06
71551 OTHER MRI Chest W/CONTRAST,Technical Component Only 5 4 $3,785.85 $1,892.93 50% off $1,113.04 $2,123.86 $1,195.95 2026-05-06
72147 OTHER MRI T Spine With CONTRAST,Technical Component Only 5 4 $3,777.97 $1,888.99 50% off $1,110.72 $2,119.44 $1,193.46 2026-05-06
72142 OTHER MRI C Spine With CONTRAST,Technical Component Only 5 4 $3,777.97 $1,888.99 50% off $1,110.72 $2,119.44 $1,193.46 2026-05-06
74185 OTHER MRA Abd W/wo Contrast Renal AORTA,Technical Component Only 9 4 $3,774.00 $1,887.00 50% off $1,087.80 $2,117.21 $1,168.83 2026-05-06
81413 OTHER Geneseq Cardio 5 4 $3,685.00 $1,842.50 50% off $1,083.39 $2,653.20 $1,164.09 2026-05-06
78801 OTHER Nm Loc For Inflammation LTD,Technical Component Only 5 4 $3,674.47 $1,837.24 50% off $1,080.29 $2,645.62 $1,160.77 2026-05-06
73220 OTHER MRI Upper Ext Nonjoint W/wo Contrast LT,Technical Component Only, Left Side 18 4 $3,783.50 $1,891.75 50% off $1,079.27 $2,185.66 $1,159.67 2026-05-06
75565 OTHER MRI Cardiac/velocity/flow MAPPING,Technical Component Only 5 4 $3,649.55 $1,824.78 50% off $1,072.97 $2,060.45 $1,152.89 2026-05-06
75561 OTHER MRI Cardiac/func Complete W/wo MORPHOLOG,Technical Component Only 5 4 $3,649.55 $1,824.78 50% off $1,072.97 $2,060.45 $1,152.89 2026-05-06
73201 OTHER CT Shoulder Arthrogram LT,Technical Component Only, Left Side 26 4 $3,008.00 $1,504.00 50% off $866.96 $2,185.66 $1,145.42 2026-05-06
C1787 OTHER Interstim Patient Programmer 3037 5 4 $3,570.00 $1,785.00 50% off $1,049.58 $2,570.40 $1,127.76 2026-05-06
35301 OTHER Rechanneling Of Artery 5 4 $2,339.69 $1,169.85 50% off $739.11 $1,684.58 $1,124.68 2026-05-06
73719 OTHER MRI Low Ext Nonjoint W/contr LT,Technical Component Only, Left Side 18 4 $3,469.26 $1,734.63 50% off $1,009.75 $2,142.46 $1,114.85 2026-05-06
73219 OTHER MRI Up Ext Nonjoint W/LT,Technical Component Only, Left Side 18 4 $3,434.52 $1,717.26 50% off $1,009.75 $2,142.46 $1,114.85 2026-05-06
73721 OTHER MRI Low Ext Joint Without LT,Technical Component Only, Left Side 18 4 $3,761.60 $1,880.80 50% off $768.81 $2,110.26 $1,105.91 2026-05-06
59410 OTHER ER Vaginal Delivery 5 4 $1,916.20 $958.10 50% off $605.33 $1,379.66 $1,098.66 2026-05-06
27502 OTHER Treatment Of Thigh Fracture 10 4 $2,788.05 $1,394.03 50% off $587.16 $2,676.53 $1,092.92 2026-05-06
35656 OTHER Artery Bypass Graft 5 4 $2,251.37 $1,125.69 50% off $711.21 $1,620.99 $1,067.33 2026-05-06
72127 OTHER CT Cervical Spine W W/O,Technical Component Only 5 4 $3,376.00 $1,688.00 50% off $992.54 $1,893.94 $1,066.48 2026-05-06
72130 OTHER CT Thoracic Spine W And Without CONTRAST,Technical Component Only 5 4 $3,374.06 $1,687.03 50% off $991.98 $1,892.85 $1,065.87 2026-05-06
Q4121 OTHER Dermavest 1.5x2 80 4 $2,550.00 $1,275.00 50% off $24.60 $7,066.33 $1,065.46 2026-05-06
73222 OTHER MRI Elbow With Contrast-lt,left Side, Technical Component 28 4 $3,311.20 $1,655.60 50% off $973.49 $3,896.14 $1,056.56 2026-05-06
72133 OTHER CT Lumbar Spine W W/O,Technical Component Only 5 4 $3,335.00 $1,667.50 50% off $980.49 $1,870.94 $1,053.53 2026-05-06
70546 OTHER MRA Head W/wo CONTRAST,Technical Component Only 5 4 $3,285.00 $1,642.50 50% off $965.79 $2,060.45 $1,037.73 2026-05-06
J2506 OTHER Pegfilgrastim Injection 6mg/0.6ml 5 4 $3,282.00 $1,641.00 50% off $964.91 $2,363.04 $1,036.78 2026-05-06
15115 OTHER Epidermal Autograft Face Scalp Hand Feet 10 4 $2,475.00 $1,237.50 50% off $458.06 $2,520.00 $1,029.00 2026-05-06
15110 OTHER Epidermal Autograft Trunk Arms Legs 10 4 $2,475.00 $1,237.50 50% off $458.06 $2,520.00 $1,029.00 2026-05-06
36556 OTHER Central Line Greatr Than Or Equal To 5y 10 4 $2,860.50 $1,430.25 50% off $86.68 $3,522.96 $1,017.35 2026-05-06
72195 OTHER MRI Pelvis Without CONTRAST,Technical Component Only 10 4 $2,827.00 $1,413.50 50% off $698.84 $2,060.45 $999.32 2026-05-06
C5274 OTHER Appl Low Cost Skin Subst Grft>or=100 Sq 5 4 $3,160.07 $1,580.04 50% off $929.06 $2,275.25 $998.27 2026-05-06
71555 OTHER MRA Chest,aorta-excl Limt Myocardm W/WO,Technical Component Only 5 4 $3,130.31 $1,565.16 50% off $920.31 $2,060.45 $988.86 2026-05-06
78804 OTHER Nm Gallium Whole Body Mult DAY,Technical Component Only 5 4 $3,125.26 $1,562.63 50% off $918.83 $2,250.19 $987.27 2026-05-06
73202 OTHER CT Upper Extr W & Without Contrast RT,Technical Component Only, Right Side 14 4 $3,112.37 $1,556.19 50% off $915.04 $1,781.18 $983.20 2026-05-06
73225 OTHER MRA Upper Extremity LT,Technical Component Only, Left Side 10 4 $3,107.42 $1,553.71 50% off $913.59 $2,060.45 $981.63 2026-05-06
73725 OTHER MRA Lower Extremity W Without Contr LT,Technical Component Only, Left Side 10 4 $3,107.42 $1,553.71 50% off $913.59 $2,060.45 $981.63 2026-05-06
70552 OTHER MRI Brain W/contrast-incl Brain STEM,Technical Component Only 5 4 $3,077.68 $1,538.84 50% off $904.83 $2,060.45 $972.24 2026-05-06
70548 OTHER MRA Neck W/CONTRAST,Technical Component Only 5 4 $3,076.00 $1,538.00 50% off $904.34 $2,060.45 $971.71 2026-05-06
15944 OTHER Excision Sacral With Skin Flap Closure 5 4 $1,776.54 $888.27 50% off $561.21 $1,279.11 $969.54 2026-05-06
73218 OTHER MRI Forearm Without Contrast-lt,technical Component Only, Left Side 30 4 $2,615.00 $1,307.50 50% off $753.52 $2,060.45 $961.66 2026-05-06
73221 OTHER MRI Up Ext Joint Without LT,Technical Component Only, Left Side 18 4 $3,270.97 $1,635.49 50% off $768.81 $2,060.45 $961.66 2026-05-06
J3262 OTHER Tocilizumab 400mg Solution For Inj 5 4 $2,995.00 $1,497.50 50% off $880.53 $2,156.40 $946.12 2026-05-06
71275 OTHER CT Angio Abdomen And CHEST,Technical Component Only 13 4 $1,995.00 $997.50 50% off $546.55 $1,773.88 $929.63 2026-05-06
70542 OTHER MRI Orbit, Face, Neck W/CONTRAST,Technical Component Only 5 4 $2,926.79 $1,463.40 50% off $860.48 $2,060.45 $924.57 2026-05-06
15936 OTHER Excision Sacral With Muscle Flap Closure 5 4 $1,786.22 $893.11 50% off $564.27 $1,286.08 $917.69 2026-05-06
27880 OTHER Leg 5 4 $1,858.03 $929.02 50% off $586.95 $1,337.78 $915.08 2026-05-06
C1773 OTHER Center Screw 6.5x35 5 4 $2,850.00 $1,425.00 50% off $837.90 $2,052.00 $900.32 2026-05-06
72129 OTHER CT Thoracic Spine W CONTRAST,Technical Component Only 5 4 $2,839.43 $1,419.72 50% off $834.79 $1,592.92 $896.98 2026-05-06
72141 OTHER MRI C Spine Without CONTRAST,Technical Component Only 5 4 $2,831.00 $1,415.50 50% off $832.31 $2,060.45 $894.31 2026-05-06
73206 OTHER CT Angio Upper Ext LT,Left Side, Technical Component 10 4 $2,823.61 $1,411.81 50% off $821.80 $1,599.97 $891.98 2026-05-06
73701 OTHER CT Ankle With Contrast-lt,technical Component Only, Left Side 26 4 $2,948.48 $1,474.24 50% off $535.67 $1,687.49 $884.35 2026-05-06
360 OTHER 1st 1/2 Hour Major 95 4 $2,684.10 $1,342.05 50% off $143.47 $10,306.90 $883.20 2026-05-06
93970 OTHER US Venous Bilat Le DOPPLER,Technical Component Only 15 4 $2,377.00 $1,188.50 50% off $685.02 $2,158.56 $881.41 2026-05-06
J0840 OTHER Antivenin-crotalidae Polyvent Inj 5 4 $2,666.00 $1,333.00 50% off $783.80 $1,919.52 $842.19 2026-05-06
73702 OTHER CT Ankle With And Without Contrast-lt,technical Component Only, Left Side 18 4 $2,724.06 $1,362.03 50% off $546.55 $1,559.02 $838.78 2026-05-06
78227 OTHER Nm Hida w/CCK,Technical Component Only 5 4 $2,648.00 $1,324.00 50% off $778.51 $1,906.56 $836.50 2026-05-06
J7168 OTHER Kcentra 1000unit Range 5 4 $2,625.00 $1,312.50 50% off $771.75 $1,890.00 $829.24 2026-05-06
70336 OTHER MRI TMJ,Technical Component Only 5 4 $2,615.00 $1,307.50 50% off $768.81 $2,060.45 $826.08 2026-05-06
74176 OTHER CT A/p Without CONTRAST,Technical Component Only 9 4 $2,668.00 $1,334.00 50% off $768.81 $1,496.75 $826.08 2026-05-06
71550 OTHER MRI Chest WITHOUT,Technical Component Only 5 4 $2,615.00 $1,307.50 50% off $768.81 $2,060.45 $826.08 2026-05-06
93350 OTHER US Dobutamine ECHO,Technical Component Only 10 4 $2,407.03 $1,203.51 50% off $620.95 $1,945.44 $823.97 2026-05-06
11044 OTHER Debride,bone First 20 Sq Cm Or Less 10 4 $2,026.50 $1,013.25 50% off $232.15 $2,016.00 $823.20 2026-05-06
70545 OTHER MRA Head W/CONTRAST,Technical Component Only 5 4 $2,587.20 $1,293.60 50% off $760.64 $2,060.45 $817.30 2026-05-06
77046 OTHER MRI Breast Unilat W And/or Wo CONTRAST,Technical Component Only 5 4 $2,563.00 $1,281.50 50% off $753.52 $2,060.45 $809.65 2026-05-06
99291 OTHER 291 Critical Level 6 23 4 $1,117.00 $558.50 50% off $195.54 $1,980.00 $804.24 2026-05-06
77047 OTHER MRI Breast Bilat Wo Contrast 5 4 $2,543.86 $1,271.93 50% off $747.90 $2,060.45 $803.61 2026-05-06
27590 OTHER Thigh 5 4 $1,628.30 $814.15 50% off $514.38 $1,172.38 $796.87 2026-05-06
46050 OTHER Under Incision Procedures On The Anus 5 4 $2,521.00 $1,260.50 50% off $741.17 $1,815.12 $796.38 2026-05-06
J0875 OTHER Dalvance 500mg Inj 5 4 $2,511.00 $1,255.50 50% off $738.23 $1,807.92 $793.22 2026-05-06
49083 OTHER Paracentesis With Imaging Guidance 10 4 $2,131.00 $1,065.50 50% off $213.15 $2,546.64 $780.94 2026-05-06
25520 OTHER Treat Fracture Of Radius 10 4 $1,991.29 $995.64 50% off $419.36 $1,911.64 $780.59 2026-05-06
70492 OTHER CT Neck Soft Tissue W Without CONTRAST,Technical Component Only 5 4 $2,457.00 $1,228.50 50% off $722.36 $1,378.38 $776.17 2026-05-06
278 OTHER Articular Insert 1,029 4 $2,000.00 $1,000.00 50% off $4.80 $33,480.00 $765.00 2026-05-06
78582 OTHER Nm Lung Perf/vent ROUTINE,Technical Component Only 5 4 $2,408.00 $1,204.00 50% off $707.95 $1,733.76 $760.69 2026-05-06
77011 OTHER CT Stereo LOCALIZATION,Technical Component Only 5 4 $2,402.58 $1,201.29 50% off $706.35 $1,729.86 $758.98 2026-05-06
72126 OTHER CT Cervical Spine W/,Technical Component Only 5 4 $2,400.00 $1,200.00 50% off $705.60 $1,346.40 $758.16 2026-05-06
87902 OTHER Hep C Genotype 5 4 $2,575.00 $1,287.50 50% off $97.26 $1,854.00 $757.05 2026-05-06
A9547 OTHER Indium In 111 Oxyquinoline Inj Soln 1mci 5 4 $2,386.00 $1,193.00 50% off $701.48 $1,717.92 $753.74 2026-05-06
74181 OTHER MRI Abdomen Without CONTRAST,Technical Component Only 5 4 $2,377.00 $1,188.50 50% off $698.84 $2,060.45 $750.89 2026-05-06
70547 OTHER MRA Neck Without CONTRAST,Technical Component Only 5 4 $2,377.00 $1,188.50 50% off $698.84 $2,060.45 $750.89 2026-05-06
72148 OTHER MRI L Spine Without CONTRAST,Technical Component Only 5 4 $2,377.00 $1,188.50 50% off $698.84 $2,060.45 $750.89 2026-05-06
72146 OTHER MRI T Spine Without CONTRAST,Technical Component Only 5 4 $2,377.00 $1,188.50 50% off $698.84 $2,060.45 $750.89 2026-05-06
70540 OTHER MRI Orbit,face, Neck Without CONTRAST,Technical Component Only 5 4 $2,377.00 $1,188.50 50% off $698.84 $2,060.45 $750.89 2026-05-06
70544 OTHER MRA Head Without CONTRAST,Technical Component Only 5 4 $2,377.00 $1,188.50 50% off $698.84 $2,060.45 $750.89 2026-05-06
93925 OTHER US Arterial Bilat Le DUPLEX,Technical Component Only 5 4 $2,377.00 $1,188.50 50% off $698.84 $1,711.44 $750.89 2026-05-06
73718 OTHER MRI Low Ext Nonjoint Without LT,Technical Component Only, Left Side 14 4 $2,377.00 $1,188.50 50% off $685.02 $2,060.45 $743.47 2026-05-06
28805 OTHER Transmetatarsal 5 4 $1,507.31 $753.66 50% off $476.16 $1,085.26 $738.08 2026-05-06
25605 OTHER Treat Fracture Radius/ulna 5 4 $2,336.00 $1,168.00 50% off $542.53 $1,681.92 $737.94 2026-05-06
15002 OTHER Surg Prep For Graft 10 4 $2,058.70 $1,029.35 50% off $186.19 $2,540.17 $730.80 2026-05-06
C1767 OTHER Basic Test Stimulation Lead Pack 15 4 $1,300.00 $650.00 50% off $294.00 $25,228.80 $720.00 2026-05-06
15275 OTHER Appl Skin Subst Grft Face,scalp 25 Sq Cm 10 4 $1,969.00 $984.50 50% off $97.75 $2,383.20 $712.65 2026-05-06
78278 OTHER Nm Gi Bleed SCAN,Technical Component Only 5 4 $2,222.71 $1,111.36 50% off $653.47 $1,600.35 $702.15 2026-05-06
15271 OTHER Appl Skin Subst Grft 1st 25 Sq Cm Or Les 10 4 $1,953.50 $976.75 50% off $87.12 $2,383.20 $701.49 2026-05-06
C1718 OTHER Mesh 10x13 Ventralight St 85 4 $1,258.00 $629.00 50% off $21.07 $2,754.00 $696.86 2026-05-06
78472 OTHER Nm Muga SCAN,Technical Component Only 5 4 $2,192.30 $1,096.15 50% off $644.54 $1,578.46 $692.55 2026-05-06
A9569 OTHER Technetium Tc-99m Ceretec +tag 5 4 $2,186.00 $1,093.00 50% off $642.68 $1,573.92 $690.56 2026-05-06
13152 OTHER Lac 2.5 To 7.5cm 5 4 $2,164.00 $1,082.00 50% off $346.90 $1,558.08 $683.61 2026-05-06
70481 OTHER CT Orbit With CONTRAST,Technical Component Only 9 4 $2,324.00 $1,162.00 50% off $546.55 $1,303.76 $683.26 2026-05-06
28300 OTHER Dr Z Incision Of Heel Bone 5 4 $1,937.00 $968.50 50% off $611.90 $1,394.64 $682.49 2026-05-06
25565 OTHER Treat Fracture Of Radius And Ulna 10 4 $1,713.00 $856.50 50% off $360.76 $1,644.48 $671.50 2026-05-06
71260 OTHER CT Cap W Contrast 10 4 $2,027.50 $1,013.75 50% off $546.55 $1,264.39 $669.67 2026-05-06
95811 OTHER Sleep Study Cpap Attended 10 4 $1,907.50 $953.75 50% off $128.26 $2,386.08 $667.52 2026-05-06
70460 OTHER CT Head With CONTRAST,Technical Component Only 5 4 $2,101.00 $1,050.50 50% off $617.69 $1,264.39 $663.71 2026-05-06
88262 OTHER Chromosome Analysis W/reflex To Snp Micr 5 4 $2,250.00 $1,125.00 50% off $155.30 $1,620.00 $661.50 2026-05-06
78070 OTHER Nm PARATHYROID,Technical Component Only 5 4 $2,066.00 $1,033.00 50% off $607.40 $1,487.52 $652.65 2026-05-06
78306 OTHER Nm Bone SCAN,Technical Component Only 5 4 $2,066.00 $1,033.00 50% off $607.40 $1,487.52 $652.65 2026-05-06
78264 OTHER Nm Gastric EMPTYING,Technical Component Only 5 4 $2,066.00 $1,033.00 50% off $607.40 $1,487.52 $652.65 2026-05-06
14040 OTHER Adjacent Tissue Transfer 5 4 $1,250.00 $625.00 50% off $394.88 $900.00 $650.64 2026-05-06
93306 OTHER Echo Md Chg Interpretation/report,professional Component 10 4 $1,628.50 $814.25 50% off $71.75 $1,769.04 $649.18 2026-05-06
70491 OTHER CT Neck Soft Tissue With CONTRAST,Technical Component Only 5 4 $2,045.00 $1,022.50 50% off $601.23 $1,264.39 $646.02 2026-05-06
72194 OTHER CT Pelvis W And Without CONTRAST,Technical Component Only 5 4 $2,045.00 $1,022.50 50% off $601.23 $1,264.39 $646.02 2026-05-06
74170 OTHER CT Abdomen W & Without CONTRAST,Technical Component Only 5 4 $2,045.00 $1,022.50 50% off $601.23 $1,264.39 $646.02 2026-05-06
70498 OTHER CT Angio NECK,Technical Component Only 5 4 $2,045.00 $1,022.50 50% off $601.23 $1,264.39 $646.02 2026-05-06
71270 OTHER CT Chest W/wo CONTRAST,Technical Component Only 5 4 $2,040.00 $1,020.00 50% off $599.76 $1,264.39 $644.44 2026-05-06
J0897 OTHER Denosumab Subq Inj 60mg/1ml 5 4 $2,038.48 $1,019.24 50% off $599.31 $1,467.71 $643.96 2026-05-06
70551 OTHER MRI Brain Without Contrast-incl Brain STEM,Technical Component Only 10 4 $1,589.00 $794.50 50% off $147.00 $2,060.45 $643.66 2026-05-06
95810 OTHER Sleep Study 10 4 $1,854.50 $927.25 50% off $123.13 $2,339.28 $643.20 2026-05-06
15220 OTHER Full Thickness Skin Graft(20cm Or<) 5 4 $1,226.88 $613.44 50% off $387.57 $883.35 $633.70 2026-05-06
72191 OTHER CT Angio PELVIS,Technical Component Only 5 4 $2,004.00 $1,002.00 50% off $589.18 $1,264.39 $633.06 2026-05-06
70488 OTHER CT Maxillofacial W/WO,Technical Component Only 9 4 $2,040.00 $1,020.00 50% off $588.00 $1,264.39 $631.80 2026-05-06
73200 OTHER CT Arthrex Vip Shoulder LT,Left Side 50 4 $1,144.00 $572.00 50% off $329.57 $1,310.50 $628.88 2026-05-06
40650 OTHER Repair Lip, Ft, Vermil Only 5 4 $1,983.00 $991.50 50% off $331.61 $1,427.76 $626.43 2026-05-06
26410 OTHER Extensor Tendon Repair Dorsum Of Hand 5 4 $1,488.88 $744.44 50% off $470.34 $1,071.99 $617.76 2026-05-06
78226 OTHER Nm Hida W MORPHINE,Technical Component Only 10 4 $1,718.50 $859.25 50% off $415.13 $1,458.00 $617.53 2026-05-06
70482 OTHER CT Orbit W And Without Contrast ROUTINE,Technical Component Only 9 4 $1,859.00 $929.50 50% off $546.55 $1,264.39 $599.76 2026-05-06
45020 OTHER Deep Supralevator 5 4 $1,210.60 $605.30 50% off $382.43 $871.63 $595.78 2026-05-06
78315 OTHER Nm 3 Phase BONE,Technical Component Only 5 4 $1,878.00 $939.00 50% off $552.13 $1,352.16 $593.26 2026-05-06
13132 OTHER Lac 2.5 To 7.5cm 5 4 $1,860.00 $930.00 50% off $313.50 $1,339.20 $587.57 2026-05-06
70487 OTHER CT Maxillofacial WITH,Technical Component Only 5 4 $1,859.00 $929.50 50% off $546.55 $1,264.39 $587.26 2026-05-06
74160 OTHER CT Abdomen W/contrast ROUTINE,Technical Component Only 5 4 $1,859.00 $929.50 50% off $546.55 $1,264.39 $587.26 2026-05-06
70470 OTHER CT Head W And Without CONTRAST,Technical Component Only 5 4 $1,859.00 $929.50 50% off $546.55 $1,264.39 $587.26 2026-05-06
72193 OTHER CT Pelvis W/contrast ROUTINE,Technical Component Only 5 4 $1,859.00 $929.50 50% off $546.55 $1,264.39 $587.26 2026-05-06
74175 OTHER CT Angio ABD,Technical Component Only 5 4 $1,858.44 $929.22 50% off $546.38 $1,264.39 $587.08 2026-05-06
27888 OTHER Ankle 5 4 $1,356.05 $678.03 50% off $428.38 $976.36 $583.90 2026-05-06
70496 OTHER CT Angio HEAD,Technical Component Only 9 4 $1,859.00 $929.50 50% off $535.67 $1,264.39 $575.57 2026-05-06
J1439 OTHER Ferric Carboxymaltose 750mg 5 4 $1,813.00 $906.50 50% off $533.02 $1,305.36 $572.73 2026-05-06
78104 OTHER Nm Bone MARROW,Technical Component Only 5 4 $1,770.75 $885.38 50% off $520.61 $1,274.94 $559.38 2026-05-06
71250 OTHER CT Cap Without Contrast 15 4 $1,144.00 $572.00 50% off $329.57 $1,264.39 $554.78 2026-05-06
27265 OTHER Closed Trmt Of Post Hip Arthr Dislocatio 5 4 $1,752.00 $876.00 50% off $442.84 $1,261.44 $553.46 2026-05-06
C1894 OTHER Acclarent Inflation Device Bid30 65 4 $1,737.50 $868.75 50% off $49.36 $4,446.00 $548.88 2026-05-06
43761 OTHER G-tube-reposition 5 4 $1,726.47 $863.24 50% off $507.58 $1,243.06 $545.39 2026-05-06
27781 OTHER Treatment Of Fibula Fracture 10 4 $1,410.76 $705.38 50% off $334.24 $1,269.68 $537.77 2026-05-06
76641 OTHER US Breast Bilateral COMPLETE,Technical Component Only, Bilaterl Procedures 15 4 $944.00 $472.00 50% off $277.54 $1,358.64 $529.58 2026-05-06
78708 OTHER Nm Renal Scan With PHARMACOLOGICAL,Technical Component Only 5 4 $1,674.41 $837.21 50% off $492.27 $1,205.58 $528.95 2026-05-06
77012 OTHER CT Needle BIOPSY,Technical Component Only 10 4 $1,445.80 $722.90 50% off $340.45 $1,248.19 $528.66 2026-05-06
78399 OTHER Nm Bone Imaging SPECT,Technical Component Only 5 4 $1,673.19 $836.60 50% off $491.92 $1,204.70 $528.56 2026-05-06
13121 OTHER Lac 2.6 To 7.5cm 5 4 $1,673.00 $836.50 50% off $267.75 $1,204.56 $528.50 2026-05-06
36569 OTHER Catheter Midline INSERT,Reduced Services 15 4 $1,664.00 $832.00 50% off $124.07 $1,967.04 $525.66 2026-05-06
28120 OTHER Dr Z Part Removal Of Ankle/heel 5 4 $1,480.50 $740.25 50% off $467.69 $1,065.96 $520.79 2026-05-06
75822 OTHER Venogram BILATERAL,Technical Component Only 5 4 $1,633.85 $816.93 50% off $480.36 $1,176.37 $516.13 2026-05-06
J0248 OTHER Remdesivir 200mg IV **first Dose** 10 4 $1,316.83 $658.41 50% off $261.14 $1,256.72 $513.16 2026-05-06
19281 OTHER Mammo Needle Loc INITIAL,Technical Component Only 5 4 $1,614.71 $807.36 50% off $474.72 $1,162.59 $510.09 2026-05-06
78013 OTHER Nm THYROID,Technical Component Only 5 4 $1,609.25 $804.63 50% off $473.12 $1,158.66 $508.36 2026-05-06
99285 OTHER 285 Ed Visit High Serverity 23 4 $702.00 $351.00 50% off $110.65 $1,654.56 $505.44 2026-05-06
72131 OTHER CT Lumbar Spine Without Contrast ROUTINE,Technical Component Only 5 4 $1,597.00 $798.50 50% off $469.52 $1,264.39 $504.49 2026-05-06
76775 OTHER US Aorta Complete 10 4 $1,286.50 $643.25 50% off $252.25 $1,234.80 $504.21 2026-05-06
27550 OTHER Treat Knee Dislocation 5 4 $753.96 $376.98 50% off $238.18 $542.85 $498.63 2026-05-06
C1781 OTHER Mesh Echo Ps W/ventralight 4.5 Round 68 4 $1,320.00 $660.00 50% off $170.94 $1,433.68 $498.12 2026-05-06
15274 OTHER Appl Skin Subst Grft >or = Ea Add 100 Sq 10 4 $1,624.33 $812.16 50% off $28.15 $2,274.87 $496.54 2026-05-06
27093 OTHER Hip Arthrogram Inj LT,Left Side, Technical Component 10 4 $1,549.00 $774.50 50% off $455.41 $1,115.28 $489.33 2026-05-06
81284 OTHER Friedreichs Ataxia 10 4 $1,276.78 $638.39 50% off $153.63 $1,462.32 $486.68 2026-05-06
95805 OTHER Mslt / Mwt / Emergency 10 4 $1,535.69 $767.85 50% off $50.54 $2,096.20 $485.57 2026-05-06
27648 OTHER Ankle Arthrogram Inj LT,Left Side, Technical Component 10 4 $1,533.50 $766.75 50% off $446.29 $1,115.28 $484.44 2026-05-06
93307 OTHER US Echo QTC,Technical Component Only 5 4 $1,525.77 $762.89 50% off $448.58 $1,098.55 $481.99 2026-05-06
C1713 OTHER Implant System Internalbrace 3,149 4 $1,142.50 $571.25 50% off $1.46 $39,312.00 $480.25 2026-05-06
13131 OTHER Lac 1.0 To 2.5cm 5 4 $1,519.00 $759.50 50% off $251.24 $1,093.68 $479.85 2026-05-06
27369 OTHER Knee Arthography Injection Procedure LT,Left Side, Technical Component 10 4 $1,518.00 $759.00 50% off $446.29 $1,092.96 $479.54 2026-05-06
25246 OTHER Wrist Arthrogram Inj LT,Left Side, Technical Component 10 4 $1,518.00 $759.00 50% off $446.29 $1,092.96 $479.54 2026-05-06
24220 OTHER Elbow Arthrogram Inj LT,Left Side, Technical Component 10 4 $1,518.00 $759.00 50% off $446.29 $1,092.96 $479.54 2026-05-06
15050 OTHER Pinch Graft To Cover Small Ulcer 5 4 $888.70 $444.35 50% off $280.74 $639.86 $476.61 2026-05-06
C5275 OTHER Appl Low Cost Skin Subst Grft 25 Sq Cm 5 4 $1,475.93 $737.97 50% off $433.92 $1,062.67 $466.25 2026-05-06
C5277 OTHER Appl Low Cost Skin Subst Grft 100 Sq Cm 5 4 $1,475.93 $737.97 50% off $433.92 $1,062.67 $466.25 2026-05-06
C5271 OTHER Appl Low Cost Skin Subst Grft-25 Sq Cm 5 4 $1,475.93 $737.97 50% off $433.92 $1,062.67 $466.25 2026-05-06
78707 OTHER Nm Renal Scan Without PHARMACOLOGICAL,Technical Component Only 5 4 $1,474.41 $737.21 50% off $433.47 $1,061.58 $465.77 2026-05-06
26725 OTHER Closed Treatment Of Phalangel Facture 5 4 $1,461.00 $730.50 50% off $328.09 $1,051.92 $461.53 2026-05-06
24600 OTHER Elbow Dislocation 5 4 $1,454.00 $727.00 50% off $367.23 $1,046.88 $459.32 2026-05-06
23350 OTHER Shoulder Arthrogram Inj LT,Left Side, Technical Component 15 4 $1,549.00 $774.50 50% off $239.90 $1,115.28 $457.78 2026-05-06
12044 OTHER Lac 7.5 To 12.5cm 5 4 $1,444.00 $722.00 50% off $223.13 $1,039.68 $456.16 2026-05-06
27810 OTHER Treatment Of Ankle Fracture 5 4 $699.37 $349.69 50% off $220.93 $503.55 $455.16 2026-05-06
23605 OTHER Fracture And Or Dislocation Shoulder 10 4 $1,058.88 $529.44 50% off $320.70 $785.38 $454.50 2026-05-06
78195 OTHER Nm Sentinel Node IMAGING,Technical Component Only 5 4 $1,438.00 $719.00 50% off $422.77 $1,035.36 $454.26 2026-05-06
710 OTHER Phase 1 10 4 $1,095.00 $547.50 50% off $174.64 $1,149.12 $448.45 2026-05-06
40654 OTHER Repair Lip, 1/2 + Vert.height 5 4 $1,021.45 $510.73 50% off $322.68 $735.44 $446.55 2026-05-06
74740 OTHER HYSTEROSALPINGOGRAPHY,Technical Component Only 5 4 $1,407.39 $703.70 50% off $413.78 $1,013.32 $444.59 2026-05-06
26605 OTHER Closed Treatment Of Metacarpal Fracture 5 4 $1,396.00 $698.00 50% off $320.12 $1,005.12 $441.00 2026-05-06
23650 OTHER Closed Treatment Of Shoulder 5 4 $1,377.00 $688.50 50% off $323.69 $991.44 $434.99 2026-05-06
93017 OTHER Nm Exercise / Pharmacological Stress Tes 10 4 $1,199.84 $599.92 50% off $288.02 $1,022.40 $433.03 2026-05-06
26755 OTHER Closed Treatmt Distal Phalangeal Fractur 5 4 $1,366.00 $683.00 50% off $297.32 $983.52 $431.52 2026-05-06
12054 OTHER Lac 7.5 To 12.5cm 5 4 $1,365.63 $682.82 50% off $228.40 $983.25 $431.40 2026-05-06
13151 OTHER Lac 1.0 To 2.5cm 5 4 $1,365.63 $682.82 50% off $288.35 $983.25 $431.40 2026-05-06
10080 OTHER Incision And Drainage Of Pilonidal Cyst 13 4 $812.00 $406.00 50% off $60.42 $1,031.06 $421.02 2026-05-06
12037 OTHER Lac Over 30.0cm 5 4 $1,326.07 $663.04 50% off $337.44 $954.77 $418.91 2026-05-06
30905 OTHER Simple Posterior 5 4 $1,306.00 $653.00 50% off $109.57 $940.32 $412.57 2026-05-06
10121 OTHER Incision And Removal Complicated 18 4 $1,324.05 $662.03 50% off $112.52 $2,426.29 $411.77 2026-05-06
27840 OTHER Closed Tx Ankle Dislo Without Anes 10 4 $1,170.50 $585.25 50% off $209.33 $1,172.88 $411.76 2026-05-06
75989 OTHER CT Rad Guide For Perc DRAINAGE,Technical Component Only 5 4 $1,303.43 $651.72 50% off $383.21 $938.47 $411.75 2026-05-06
26700 OTHER Metacarpophalangeal Disloc Without Anest 5 4 $1,303.00 $651.50 50% off $337.96 $938.16 $411.62 2026-05-06
J3489 OTHER Zoledronic Acid IV 5mg/100ml 10 4 $1,021.50 $510.75 50% off $153.17 $1,095.84 $411.30 2026-05-06
27788 OTHER Under Fracture/dislocation Leg 13 4 $987.47 $493.74 50% off $273.35 $732.96 $410.48 2026-05-06
10140 OTHER Incision And Drainage Of Hematoma 13 4 $728.00 $364.00 50% off $123.79 $2,174.40 $408.41 2026-05-06
77076 OTHER Skeletal Survey INFANT,Technical Component Only 5 4 $1,285.82 $642.91 50% off $378.04 $925.79 $406.19 2026-05-06
12042 OTHER Lac 2.5 To 5.0cm 5 4 $1,284.00 $642.00 50% off $203.89 $924.48 $405.62 2026-05-06
J9217 OTHER Lupron Depot IM 1 Month 7.5mg 5 4 $1,264.50 $632.25 50% off $371.76 $910.44 $399.46 2026-05-06
72128 OTHER CT Thoracic Spine Without Contrast ROUTINE,Technical Component Only 5 4 $1,258.00 $629.00 50% off $369.85 $1,258.00 $397.40 2026-05-06
99183 OTHER Hyperbaric Oxygen Therapy 10 4 $1,023.80 $511.90 50% off $109.79 $1,151.72 $396.42 2026-05-06
70486 OTHER CT MANDIBLE,Technical Component Only 10 4 $1,245.50 $622.75 50% off $362.50 $1,258.00 $393.45 2026-05-06
78290 OTHER Nm Meckels (bowel IMAGING),Technical Component Only 5 4 $1,241.86 $620.93 50% off $365.11 $894.14 $392.30 2026-05-06
J9280 OTHER Mitomycin 40mg Inj 5 4 $1,240.00 $620.00 50% off $364.56 $892.80 $391.72 2026-05-06
28193 OTHER Removal Fb, Foot Comp 5 4 $919.20 $459.60 50% off $290.38 $661.82 $385.76 2026-05-06
33286 OTHER Removal Subq Car Rhythm Monitor 5 4 $1,220.02 $610.01 50% off $358.69 $878.41 $385.40 2026-05-06
78580 OTHER Nm Lung P/c (PERFUSION),Technical Component Only 5 4 $1,216.00 $608.00 50% off $357.50 $875.52 $384.13 2026-05-06
99284 OTHER 284 Ed Visit Moderate Serverity 23 4 $532.00 $266.00 50% off $90.53 $990.00 $383.04 2026-05-06
88309 OTHER Biopsy Level Vi 7 4 $6,282.00 $3,141.00 50% off $232.66 $4,523.04 $382.81 2026-05-06
12036 OTHER Lac 20.0 To 30.0cm 5 4 $1,210.60 $605.30 50% off $291.51 $871.63 $382.43 2026-05-06
13101 OTHER Lac 2.5 To 7.5cm 5 4 $1,210.60 $605.30 50% off $255.15 $871.63 $382.43 2026-05-06
J1745 OTHER Infliximab:100mg Vial 5 4 $1,207.00 $603.50 50% off $354.86 $869.04 $381.29 2026-05-06
32551 OTHER Chest Tube Insertion 10 4 $1,065.07 $532.54 50% off $158.77 $899.55 $381.00 2026-05-06
40652 OTHER Repair Lip, To 1/2 Vert. Height 5 4 $880.77 $440.39 50% off $278.24 $634.15 $378.99 2026-05-06
87505 OTHER Stool Pathogens (gi Profile) 5 4 $1,283.00 $641.50 50% off $88.67 $923.76 $377.20 2026-05-06
76642 OTHER US Breast Bilateral Breast LIMITED,Bilateral Procedures 15 4 $672.00 $336.00 50% off $197.57 $966.96 $376.99 2026-05-06
15277 OTHER Appl Skin Subst Grft>or =100 Sq Cm 10 4 $951.50 $475.75 50% off $144.05 $1,041.84 $376.87 2026-05-06
93880 OTHER US Carotid Artery COMPLETE,Technical Component Only 5 4 $1,189.00 $594.50 50% off $349.57 $856.08 $375.61 2026-05-06
55700 OTHER US Needle Bx, PROSTATE,Technical Component Only 5 4 $1,186.45 $593.23 50% off $348.82 $854.24 $374.80 2026-05-06
12052 OTHER Lac 2.5 To 5.0cm 5 4 $1,185.00 $592.50 50% off $207.62 $853.20 $374.34 2026-05-06
93308 OTHER US Limited 2D,Technical Component Only 5 4 $1,165.00 $582.50 50% off $342.51 $838.80 $368.02 2026-05-06
27560 OTHER Patella Dislocation 5 4 $626.70 $313.35 50% off $197.97 $451.22 $364.49 2026-05-06
28435 OTHER Closed Treatment Of Talus Fracture W Man 10 4 $944.96 $472.48 50% off $223.88 $850.46 $362.11 2026-05-06
70490 OTHER CT Neck Soft Tissue Without CONTRAST,Technical Component Only 5 4 $1,144.00 $572.00 50% off $336.34 $1,144.00 $361.39 2026-05-06
70480 OTHER CT Orbit Without CONTRAST,Technical Component Only 5 4 $1,144.00 $572.00 50% off $336.34 $1,144.00 $361.39 2026-05-06
72192 OTHER CT Pelvis Without CONTRAST,Technical Component Only 5 4 $1,144.00 $572.00 50% off $336.34 $1,144.00 $361.39 2026-05-06
73700 OTHER CT Mako Knee LT,Technical Component Only, Left Side 10 4 $1,144.00 $572.00 50% off $336.34 $1,144.00 $361.39 2026-05-06
74150 OTHER CT Abdomen Without CONTRAST,Technical Component Only 5 4 $1,144.00 $572.00 50% off $336.34 $1,144.00 $361.39 2026-05-06
72125 OTHER CT Cervical Spine W/O,Technical Component Only 5 4 $1,144.00 $572.00 50% off $336.34 $1,144.00 $361.39 2026-05-06
70450 OTHER CT Head Without Contrast ROUTINE,Technical Component Only 5 4 $1,144.00 $572.00 50% off $336.34 $1,144.00 $361.39 2026-05-06
76805 OTHER US Preg Complete Transabd 2nd Or 3rd TRI,Technical Component Only 5 4 $1,142.00 $571.00 50% off $335.75 $822.24 $360.76 2026-05-06
78469 OTHER Nm Myocardial Imaging INFARCT,Technical Component Only 5 4 $1,137.17 $568.59 50% off $334.33 $818.76 $359.23 2026-05-06
76000 OTHER Chest Fluoroscopy 10 4 $973.01 $486.51 50% off $225.80 $848.16 $359.23 2026-05-06
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