Hospital

INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL

Warren, OH · CCN 360055 · Rates published

Your selected procedure

You selected 59400 (CPT)

Obstetrical care vaginal delivery

This hospital’s price: $2,750 across 7 payers · range $2,750-$3,850

Source: https://estimator.myinsightcare.com/static/mrf/994836852_insight-hospital-and-medical-center-trumbull_standardcharges.csv · observed 2026-07-31

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.

305 distinct procedures filed

7 distinct payers

2,440 rate rows

2026-07-31 last MRF observed

Data quality

2,440 of 2,440 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

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

Source MRF file	https://estimator.myinsightcare.com/static/mrf/994836852_insight-hospital-and-medical-center-trumbull_standardcharges.csv
Found on page	https://trumbullregional.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-08-14
Content fingerprint	6248e46ec2cbbdd4… · 138,200 bytes · first seen 2026-07-31

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
55866 CPT	Laparoscopy Surgical Prostatectomy	7	$9,250.00	$12,950.00	$9,250.00	nat. median $10,455 0.9× median
29881 CPT	Arthroscopy Knee With Meniscectomy	7	$4,250.00	$5,950.00	$4,250.00	nat. median $3,840 1.1× median
93452 CPT	Left Heart Catheterization	7	$4,250.00	$5,950.00	$4,250.00	nat. median $5,073 0.8× median
58662 CPT	Laparoscopy Excise Lesions	7	$4,250.00	$5,950.00	$4,250.00	nat. median $6,034 0.7× median
58661 CPT	Laparoscopy Remove Adnexa	7	$4,100.00	$5,740.00	$4,100.00	nat. median $5,935 0.7× median
59510 CPT	Cesarean Delivery	7	$3,750.00	$5,250.00	$3,750.00	nat. median $3,552 1.1× median
49505 CPT	Repair Inguinal Hernia	7	$3,250.00	$4,550.00	$3,250.00	nat. median $3,824 0.8× median
H0230 HCPCS	Hospital Service 230 - Lab Tests	7	$2,925.00	$4,095.00	$2,925.00	nat. median $2,925 1.0× median
H0229 HCPCS	Hospital Service 229 - Doctor's Appointment	7	$2,912.50	$4,077.50	$2,912.50	nat. median $2,912 1.0× median
H0228 HCPCS	Hospital Service 228 - Physical Therapy	7	$2,900.00	$4,060.00	$2,900.00	nat. median $2,900 1.0× median
H0227 HCPCS	Hospital Service 227 - Surgery	7	$2,887.50	$4,042.50	$2,887.50	nat. median $2,888 1.0× median
H0226 HCPCS	Hospital Service 226 - Imaging	7	$2,875.00	$4,025.00	$2,875.00	nat. median $2,875 1.0× median
H0225 HCPCS	Hospital Service 225 - Lab Tests	7	$2,862.50	$4,007.50	$2,862.50	nat. median $2,862 1.0× median
H0224 HCPCS	Hospital Service 224 - Doctor's Appointment	7	$2,850.00	$3,990.00	$2,850.00	nat. median $2,850 1.0× median
H0223 HCPCS	Hospital Service 223 - Physical Therapy	7	$2,837.50	$3,972.50	$2,837.50	nat. median $2,838 1.0× median
H0222 HCPCS	Hospital Service 222 - Surgery	7	$2,825.00	$3,955.00	$2,825.00	nat. median $2,825 1.0× median
H0221 HCPCS	Hospital Service 221 - Imaging	7	$2,812.50	$3,937.50	$2,812.50	nat. median $2,812 1.0× median
H0220 HCPCS	Hospital Service 220 - Lab Tests	7	$2,800.00	$3,920.00	$2,800.00	nat. median $2,800 1.0× median
H0219 HCPCS	Hospital Service 219 - Doctor's Appointment	7	$2,787.50	$3,902.50	$2,787.50	nat. median $2,788 1.0× median
H0218 HCPCS	Hospital Service 218 - Physical Therapy	7	$2,775.00	$3,885.00	$2,775.00	nat. median $2,775 1.0× median
H0217 HCPCS	Hospital Service 217 - Surgery	7	$2,762.50	$3,867.50	$2,762.50	nat. median $2,762 1.0× median
59400 CPT	Obstetrical Care Vaginal Delivery	7	$2,750.00	$3,850.00	$2,750.00	nat. median $3,099 0.9× median
H0216 HCPCS	Hospital Service 216 - Imaging	7	$2,750.00	$3,850.00	$2,750.00	nat. median $2,750 1.0× median
H0215 HCPCS	Hospital Service 215 - Lab Tests	7	$2,737.50	$3,832.50	$2,737.50	nat. median $2,738 1.0× median
H0214 HCPCS	Hospital Service 214 - Doctor's Appointment	7	$2,725.00	$3,815.00	$2,725.00	nat. median $2,725 1.0× median
H0213 HCPCS	Hospital Service 213 - Physical Therapy	7	$2,712.50	$3,797.50	$2,712.50	nat. median $2,712 1.0× median
H0212 HCPCS	Hospital Service 212 - Surgery	7	$2,700.00	$3,780.00	$2,700.00	nat. median $2,700 1.0× median
H0211 HCPCS	Hospital Service 211 - Imaging	7	$2,687.50	$3,762.50	$2,687.50	nat. median $2,688 1.0× median
H0210 HCPCS	Hospital Service 210 - Lab Tests	7	$2,675.00	$3,745.00	$2,675.00	nat. median $2,675 1.0× median
H0209 HCPCS	Hospital Service 209 - Doctor's Appointment	7	$2,662.50	$3,727.50	$2,662.50	nat. median $2,662 1.0× median
H0208 HCPCS	Hospital Service 208 - Physical Therapy	7	$2,650.00	$3,710.00	$2,650.00	nat. median $2,650 1.0× median
H0207 HCPCS	Hospital Service 207 - Surgery	7	$2,637.50	$3,692.50	$2,637.50	nat. median $2,638 1.0× median
H0206 HCPCS	Hospital Service 206 - Imaging	7	$2,625.00	$3,675.00	$2,625.00	nat. median $2,625 1.0× median
H0205 HCPCS	Hospital Service 205 - Lab Tests	7	$2,612.50	$3,657.50	$2,612.50	nat. median $2,612 1.0× median
H0204 HCPCS	Hospital Service 204 - Doctor's Appointment	7	$2,600.00	$3,640.00	$2,600.00	nat. median $2,600 1.0× median
H0203 HCPCS	Hospital Service 203 - Physical Therapy	7	$2,587.50	$3,622.50	$2,587.50	nat. median $2,588 1.0× median
H0202 HCPCS	Hospital Service 202 - Surgery	7	$2,575.00	$3,605.00	$2,575.00	nat. median $2,575 1.0× median
H0201 HCPCS	Hospital Service 201 - Imaging	7	$2,562.50	$3,587.50	$2,562.50	nat. median $2,562 1.0× median
H0200 HCPCS	Hospital Service 200 - Lab Tests	7	$2,550.00	$3,570.00	$2,550.00	nat. median $2,550 1.0× median
H0199 HCPCS	Hospital Service 199 - Doctor's Appointment	7	$2,537.50	$3,552.50	$2,537.50	nat. median $2,538 1.0× median
H0198 HCPCS	Hospital Service 198 - Physical Therapy	7	$2,525.00	$3,535.00	$2,525.00	nat. median $2,525 1.0× median
H0197 HCPCS	Hospital Service 197 - Surgery	7	$2,512.50	$3,517.50	$2,512.50	nat. median $2,512 1.0× median
H0196 HCPCS	Hospital Service 196 - Imaging	7	$2,500.00	$3,500.00	$2,500.00	nat. median $2,500 1.0× median
H0195 HCPCS	Hospital Service 195 - Lab Tests	7	$2,487.50	$3,482.50	$2,487.50	nat. median $2,488 1.0× median
H0194 HCPCS	Hospital Service 194 - Doctor's Appointment	7	$2,475.00	$3,465.00	$2,475.00	nat. median $2,475 1.0× median
H0193 HCPCS	Hospital Service 193 - Physical Therapy	7	$2,462.50	$3,447.50	$2,462.50	nat. median $2,462 1.0× median
H0192 HCPCS	Hospital Service 192 - Surgery	7	$2,450.00	$3,430.00	$2,450.00	nat. median $2,450 1.0× median
H0191 HCPCS	Hospital Service 191 - Imaging	7	$2,437.50	$3,412.50	$2,437.50	nat. median $2,438 1.0× median
H0190 HCPCS	Hospital Service 190 - Lab Tests	7	$2,425.00	$3,395.00	$2,425.00	nat. median $2,425 1.0× median
H0189 HCPCS	Hospital Service 189 - Doctor's Appointment	7	$2,412.50	$3,377.50	$2,412.50	nat. median $2,412 1.0× median

Other procedures at this hospital

Browse this hospital's 305 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

55866	CPT	Laparoscopy Surgical Prostatectomy	8	7	$18,500.00	$14,800.00 20% off	$9,250.00	$12,950.00	$9,250.00	2026-07-31
29881	CPT	Arthroscopy Knee With Meniscectomy	8	7	$8,500.00	$6,800.00 20% off	$4,250.00	$5,950.00	$4,250.00	2026-07-31
58662	CPT	Laparoscopy Excise Lesions	8	7	$8,500.00	$6,800.00 20% off	$4,250.00	$5,950.00	$4,250.00	2026-07-31
93452	CPT	Left Heart Catheterization	8	7	$8,500.00	$6,800.00 20% off	$4,250.00	$5,950.00	$4,250.00	2026-07-31
58661	CPT	Laparoscopy Remove Adnexa	8	7	$8,200.00	$6,560.00 20% off	$4,100.00	$5,740.00	$4,100.00	2026-07-31
59510	CPT	Cesarean Delivery	8	7	$7,500.00	$6,000.00 20% off	$3,750.00	$5,250.00	$3,750.00	2026-07-31
49505	CPT	Repair Inguinal Hernia	8	7	$6,500.00	$5,200.00 20% off	$3,250.00	$4,550.00	$3,250.00	2026-07-31
H0230	HCPCS	Hospital Service 230 - Lab Tests	8	7	$5,850.00	$4,680.00 20% off	$2,925.00	$4,095.00	$2,925.00	2026-07-31
H0229	HCPCS	Hospital Service 229 - Doctor's Appointment	8	7	$5,825.00	$4,660.00 20% off	$2,912.50	$4,077.50	$2,912.50	2026-07-31
H0228	HCPCS	Hospital Service 228 - Physical Therapy	8	7	$5,800.00	$4,640.00 20% off	$2,900.00	$4,060.00	$2,900.00	2026-07-31
H0227	HCPCS	Hospital Service 227 - Surgery	8	7	$5,775.00	$4,620.00 20% off	$2,887.50	$4,042.50	$2,887.50	2026-07-31
H0226	HCPCS	Hospital Service 226 - Imaging	8	7	$5,750.00	$4,600.00 20% off	$2,875.00	$4,025.00	$2,875.00	2026-07-31
H0225	HCPCS	Hospital Service 225 - Lab Tests	8	7	$5,725.00	$4,580.00 20% off	$2,862.50	$4,007.50	$2,862.50	2026-07-31
H0224	HCPCS	Hospital Service 224 - Doctor's Appointment	8	7	$5,700.00	$4,560.00 20% off	$2,850.00	$3,990.00	$2,850.00	2026-07-31
H0223	HCPCS	Hospital Service 223 - Physical Therapy	8	7	$5,675.00	$4,540.00 20% off	$2,837.50	$3,972.50	$2,837.50	2026-07-31
H0222	HCPCS	Hospital Service 222 - Surgery	8	7	$5,650.00	$4,520.00 20% off	$2,825.00	$3,955.00	$2,825.00	2026-07-31
H0221	HCPCS	Hospital Service 221 - Imaging	8	7	$5,625.00	$4,500.00 20% off	$2,812.50	$3,937.50	$2,812.50	2026-07-31
H0220	HCPCS	Hospital Service 220 - Lab Tests	8	7	$5,600.00	$4,480.00 20% off	$2,800.00	$3,920.00	$2,800.00	2026-07-31
H0219	HCPCS	Hospital Service 219 - Doctor's Appointment	8	7	$5,575.00	$4,460.00 20% off	$2,787.50	$3,902.50	$2,787.50	2026-07-31
H0218	HCPCS	Hospital Service 218 - Physical Therapy	8	7	$5,550.00	$4,440.00 20% off	$2,775.00	$3,885.00	$2,775.00	2026-07-31
H0217	HCPCS	Hospital Service 217 - Surgery	8	7	$5,525.00	$4,420.00 20% off	$2,762.50	$3,867.50	$2,762.50	2026-07-31
59400	CPT	Obstetrical Care Vaginal Delivery	8	7	$5,500.00	$4,400.00 20% off	$2,750.00	$3,850.00	$2,750.00	2026-07-31
H0216	HCPCS	Hospital Service 216 - Imaging	8	7	$5,500.00	$4,400.00 20% off	$2,750.00	$3,850.00	$2,750.00	2026-07-31
H0215	HCPCS	Hospital Service 215 - Lab Tests	8	7	$5,475.00	$4,380.00 20% off	$2,737.50	$3,832.50	$2,737.50	2026-07-31
H0214	HCPCS	Hospital Service 214 - Doctor's Appointment	8	7	$5,450.00	$4,360.00 20% off	$2,725.00	$3,815.00	$2,725.00	2026-07-31
H0213	HCPCS	Hospital Service 213 - Physical Therapy	8	7	$5,425.00	$4,340.00 20% off	$2,712.50	$3,797.50	$2,712.50	2026-07-31
H0212	HCPCS	Hospital Service 212 - Surgery	8	7	$5,400.00	$4,320.00 20% off	$2,700.00	$3,780.00	$2,700.00	2026-07-31
H0211	HCPCS	Hospital Service 211 - Imaging	8	7	$5,375.00	$4,300.00 20% off	$2,687.50	$3,762.50	$2,687.50	2026-07-31
H0210	HCPCS	Hospital Service 210 - Lab Tests	8	7	$5,350.00	$4,280.00 20% off	$2,675.00	$3,745.00	$2,675.00	2026-07-31
H0209	HCPCS	Hospital Service 209 - Doctor's Appointment	8	7	$5,325.00	$4,260.00 20% off	$2,662.50	$3,727.50	$2,662.50	2026-07-31
H0208	HCPCS	Hospital Service 208 - Physical Therapy	8	7	$5,300.00	$4,240.00 20% off	$2,650.00	$3,710.00	$2,650.00	2026-07-31
H0207	HCPCS	Hospital Service 207 - Surgery	8	7	$5,275.00	$4,220.00 20% off	$2,637.50	$3,692.50	$2,637.50	2026-07-31
H0206	HCPCS	Hospital Service 206 - Imaging	8	7	$5,250.00	$4,200.00 20% off	$2,625.00	$3,675.00	$2,625.00	2026-07-31
H0205	HCPCS	Hospital Service 205 - Lab Tests	8	7	$5,225.00	$4,180.00 20% off	$2,612.50	$3,657.50	$2,612.50	2026-07-31
H0204	HCPCS	Hospital Service 204 - Doctor's Appointment	8	7	$5,200.00	$4,160.00 20% off	$2,600.00	$3,640.00	$2,600.00	2026-07-31
H0203	HCPCS	Hospital Service 203 - Physical Therapy	8	7	$5,175.00	$4,140.00 20% off	$2,587.50	$3,622.50	$2,587.50	2026-07-31
H0202	HCPCS	Hospital Service 202 - Surgery	8	7	$5,150.00	$4,120.00 20% off	$2,575.00	$3,605.00	$2,575.00	2026-07-31
H0201	HCPCS	Hospital Service 201 - Imaging	8	7	$5,125.00	$4,100.00 20% off	$2,562.50	$3,587.50	$2,562.50	2026-07-31
H0200	HCPCS	Hospital Service 200 - Lab Tests	8	7	$5,100.00	$4,080.00 20% off	$2,550.00	$3,570.00	$2,550.00	2026-07-31
H0199	HCPCS	Hospital Service 199 - Doctor's Appointment	8	7	$5,075.00	$4,060.00 20% off	$2,537.50	$3,552.50	$2,537.50	2026-07-31
H0198	HCPCS	Hospital Service 198 - Physical Therapy	8	7	$5,050.00	$4,040.00 20% off	$2,525.00	$3,535.00	$2,525.00	2026-07-31
H0197	HCPCS	Hospital Service 197 - Surgery	8	7	$5,025.00	$4,020.00 20% off	$2,512.50	$3,517.50	$2,512.50	2026-07-31
H0196	HCPCS	Hospital Service 196 - Imaging	8	7	$5,000.00	$4,000.00 20% off	$2,500.00	$3,500.00	$2,500.00	2026-07-31
H0195	HCPCS	Hospital Service 195 - Lab Tests	8	7	$4,975.00	$3,980.00 20% off	$2,487.50	$3,482.50	$2,487.50	2026-07-31
H0194	HCPCS	Hospital Service 194 - Doctor's Appointment	8	7	$4,950.00	$3,960.00 20% off	$2,475.00	$3,465.00	$2,475.00	2026-07-31
H0193	HCPCS	Hospital Service 193 - Physical Therapy	8	7	$4,925.00	$3,940.00 20% off	$2,462.50	$3,447.50	$2,462.50	2026-07-31
H0192	HCPCS	Hospital Service 192 - Surgery	8	7	$4,900.00	$3,920.00 20% off	$2,450.00	$3,430.00	$2,450.00	2026-07-31
H0191	HCPCS	Hospital Service 191 - Imaging	8	7	$4,875.00	$3,900.00 20% off	$2,437.50	$3,412.50	$2,437.50	2026-07-31
H0190	HCPCS	Hospital Service 190 - Lab Tests	8	7	$4,850.00	$3,880.00 20% off	$2,425.00	$3,395.00	$2,425.00	2026-07-31
H0189	HCPCS	Hospital Service 189 - Doctor's Appointment	8	7	$4,825.00	$3,860.00 20% off	$2,412.50	$3,377.50	$2,412.50	2026-07-31
H0188	HCPCS	Hospital Service 188 - Physical Therapy	8	7	$4,800.00	$3,840.00 20% off	$2,400.00	$3,360.00	$2,400.00	2026-07-31
H0187	HCPCS	Hospital Service 187 - Surgery	8	7	$4,775.00	$3,820.00 20% off	$2,387.50	$3,342.50	$2,387.50	2026-07-31
H0186	HCPCS	Hospital Service 186 - Imaging	8	7	$4,750.00	$3,800.00 20% off	$2,375.00	$3,325.00	$2,375.00	2026-07-31
H0185	HCPCS	Hospital Service 185 - Lab Tests	8	7	$4,725.00	$3,780.00 20% off	$2,362.50	$3,307.50	$2,362.50	2026-07-31
H0184	HCPCS	Hospital Service 184 - Doctor's Appointment	8	7	$4,700.00	$3,760.00 20% off	$2,350.00	$3,290.00	$2,350.00	2026-07-31
H0183	HCPCS	Hospital Service 183 - Physical Therapy	8	7	$4,675.00	$3,740.00 20% off	$2,337.50	$3,272.50	$2,337.50	2026-07-31
H0182	HCPCS	Hospital Service 182 - Surgery	8	7	$4,650.00	$3,720.00 20% off	$2,325.00	$3,255.00	$2,325.00	2026-07-31
H0181	HCPCS	Hospital Service 181 - Imaging	8	7	$4,625.00	$3,700.00 20% off	$2,312.50	$3,237.50	$2,312.50	2026-07-31
H0180	HCPCS	Hospital Service 180 - Lab Tests	8	7	$4,600.00	$3,680.00 20% off	$2,300.00	$3,220.00	$2,300.00	2026-07-31
H0179	HCPCS	Hospital Service 179 - Doctor's Appointment	8	7	$4,575.00	$3,660.00 20% off	$2,287.50	$3,202.50	$2,287.50	2026-07-31
H0178	HCPCS	Hospital Service 178 - Physical Therapy	8	7	$4,550.00	$3,640.00 20% off	$2,275.00	$3,185.00	$2,275.00	2026-07-31
H0177	HCPCS	Hospital Service 177 - Surgery	8	7	$4,525.00	$3,620.00 20% off	$2,262.50	$3,167.50	$2,262.50	2026-07-31
H0176	HCPCS	Hospital Service 176 - Imaging	8	7	$4,500.00	$3,600.00 20% off	$2,250.00	$3,150.00	$2,250.00	2026-07-31
H0175	HCPCS	Hospital Service 175 - Lab Tests	8	7	$4,475.00	$3,580.00 20% off	$2,237.50	$3,132.50	$2,237.50	2026-07-31
H0174	HCPCS	Hospital Service 174 - Doctor's Appointment	8	7	$4,450.00	$3,560.00 20% off	$2,225.00	$3,115.00	$2,225.00	2026-07-31
H0173	HCPCS	Hospital Service 173 - Physical Therapy	8	7	$4,425.00	$3,540.00 20% off	$2,212.50	$3,097.50	$2,212.50	2026-07-31
H0172	HCPCS	Hospital Service 172 - Surgery	8	7	$4,400.00	$3,520.00 20% off	$2,200.00	$3,080.00	$2,200.00	2026-07-31
H0171	HCPCS	Hospital Service 171 - Imaging	8	7	$4,375.00	$3,500.00 20% off	$2,187.50	$3,062.50	$2,187.50	2026-07-31
H0170	HCPCS	Hospital Service 170 - Lab Tests	8	7	$4,350.00	$3,480.00 20% off	$2,175.00	$3,045.00	$2,175.00	2026-07-31
H0169	HCPCS	Hospital Service 169 - Doctor's Appointment	8	7	$4,325.00	$3,460.00 20% off	$2,162.50	$3,027.50	$2,162.50	2026-07-31
H0168	HCPCS	Hospital Service 168 - Physical Therapy	8	7	$4,300.00	$3,440.00 20% off	$2,150.00	$3,010.00	$2,150.00	2026-07-31
H0167	HCPCS	Hospital Service 167 - Surgery	8	7	$4,275.00	$3,420.00 20% off	$2,137.50	$2,992.50	$2,137.50	2026-07-31
H0166	HCPCS	Hospital Service 166 - Imaging	8	7	$4,250.00	$3,400.00 20% off	$2,125.00	$2,975.00	$2,125.00	2026-07-31
H0165	HCPCS	Hospital Service 165 - Lab Tests	8	7	$4,225.00	$3,380.00 20% off	$2,112.50	$2,957.50	$2,112.50	2026-07-31
45385	CPT	Colonoscopy With Removal Of Polyps	8	7	$4,200.00	$3,360.00 20% off	$2,100.00	$2,940.00	$2,100.00	2026-07-31
H0164	HCPCS	Hospital Service 164 - Doctor's Appointment	8	7	$4,200.00	$3,360.00 20% off	$2,100.00	$2,940.00	$2,100.00	2026-07-31
H0163	HCPCS	Hospital Service 163 - Physical Therapy	8	7	$4,175.00	$3,340.00 20% off	$2,087.50	$2,922.50	$2,087.50	2026-07-31
H0162	HCPCS	Hospital Service 162 - Surgery	8	7	$4,150.00	$3,320.00 20% off	$2,075.00	$2,905.00	$2,075.00	2026-07-31
H0161	HCPCS	Hospital Service 161 - Imaging	8	7	$4,125.00	$3,300.00 20% off	$2,062.50	$2,887.50	$2,062.50	2026-07-31
H0160	HCPCS	Hospital Service 160 - Lab Tests	8	7	$4,100.00	$3,280.00 20% off	$2,050.00	$2,870.00	$2,050.00	2026-07-31
H0159	HCPCS	Hospital Service 159 - Doctor's Appointment	8	7	$4,075.00	$3,260.00 20% off	$2,037.50	$2,852.50	$2,037.50	2026-07-31
H0158	HCPCS	Hospital Service 158 - Physical Therapy	8	7	$4,050.00	$3,240.00 20% off	$2,025.00	$2,835.00	$2,025.00	2026-07-31
H0157	HCPCS	Hospital Service 157 - Surgery	8	7	$4,025.00	$3,220.00 20% off	$2,012.50	$2,817.50	$2,012.50	2026-07-31
H0156	HCPCS	Hospital Service 156 - Imaging	8	7	$4,000.00	$3,200.00 20% off	$2,000.00	$2,800.00	$2,000.00	2026-07-31
H0155	HCPCS	Hospital Service 155 - Lab Tests	8	7	$3,975.00	$3,180.00 20% off	$1,987.50	$2,782.50	$1,987.50	2026-07-31
H0154	HCPCS	Hospital Service 154 - Doctor's Appointment	8	7	$3,950.00	$3,160.00 20% off	$1,975.00	$2,765.00	$1,975.00	2026-07-31
H0153	HCPCS	Hospital Service 153 - Physical Therapy	8	7	$3,925.00	$3,140.00 20% off	$1,962.50	$2,747.50	$1,962.50	2026-07-31
H0152	HCPCS	Hospital Service 152 - Surgery	8	7	$3,900.00	$3,120.00 20% off	$1,950.00	$2,730.00	$1,950.00	2026-07-31
H0151	HCPCS	Hospital Service 151 - Imaging	8	7	$3,875.00	$3,100.00 20% off	$1,937.50	$2,712.50	$1,937.50	2026-07-31
H0150	HCPCS	Hospital Service 150 - Lab Tests	8	7	$3,850.00	$3,080.00 20% off	$1,925.00	$2,695.00	$1,925.00	2026-07-31
H0149	HCPCS	Hospital Service 149 - Doctor's Appointment	8	7	$3,825.00	$3,060.00 20% off	$1,912.50	$2,677.50	$1,912.50	2026-07-31
45380	CPT	Colonoscopy With Biopsy	8	7	$3,800.00	$3,040.00 20% off	$1,900.00	$2,660.00	$1,900.00	2026-07-31
H0148	HCPCS	Hospital Service 148 - Physical Therapy	8	7	$3,800.00	$3,040.00 20% off	$1,900.00	$2,660.00	$1,900.00	2026-07-31
H0147	HCPCS	Hospital Service 147 - Surgery	8	7	$3,775.00	$3,020.00 20% off	$1,887.50	$2,642.50	$1,887.50	2026-07-31
H0146	HCPCS	Hospital Service 146 - Imaging	8	7	$3,750.00	$3,000.00 20% off	$1,875.00	$2,625.00	$1,875.00	2026-07-31
H0145	HCPCS	Hospital Service 145 - Lab Tests	8	7	$3,725.00	$2,980.00 20% off	$1,862.50	$2,607.50	$1,862.50	2026-07-31
H0144	HCPCS	Hospital Service 144 - Doctor's Appointment	8	7	$3,700.00	$2,960.00 20% off	$1,850.00	$2,590.00	$1,850.00	2026-07-31
H0143	HCPCS	Hospital Service 143 - Physical Therapy	8	7	$3,675.00	$2,940.00 20% off	$1,837.50	$2,572.50	$1,837.50	2026-07-31
H0142	HCPCS	Hospital Service 142 - Surgery	8	7	$3,650.00	$2,920.00 20% off	$1,825.00	$2,555.00	$1,825.00	2026-07-31
H0141	HCPCS	Hospital Service 141 - Imaging	8	7	$3,625.00	$2,900.00 20% off	$1,812.50	$2,537.50	$1,812.50	2026-07-31
H0140	HCPCS	Hospital Service 140 - Lab Tests	8	7	$3,600.00	$2,880.00 20% off	$1,800.00	$2,520.00	$1,800.00	2026-07-31
H0139	HCPCS	Hospital Service 139 - Doctor's Appointment	8	7	$3,575.00	$2,860.00 20% off	$1,787.50	$2,502.50	$1,787.50	2026-07-31
H0138	HCPCS	Hospital Service 138 - Physical Therapy	8	7	$3,550.00	$2,840.00 20% off	$1,775.00	$2,485.00	$1,775.00	2026-07-31
H0137	HCPCS	Hospital Service 137 - Surgery	8	7	$3,525.00	$2,820.00 20% off	$1,762.50	$2,467.50	$1,762.50	2026-07-31
45378	CPT	Colonoscopy Diagnostic	8	7	$3,500.00	$2,800.00 20% off	$1,750.00	$2,450.00	$1,750.00	2026-07-31
66984	CPT	Cataract Surgery	8	7	$3,500.00	$2,800.00 20% off	$1,750.00	$2,450.00	$1,750.00	2026-07-31
H0136	HCPCS	Hospital Service 136 - Imaging	8	7	$3,500.00	$2,800.00 20% off	$1,750.00	$2,450.00	$1,750.00	2026-07-31
19083	CPT	Biopsy Breast With Ultrasound Guidance First Lesion	8	7	$3,500.00	$2,800.00 20% off	$1,750.00	$2,450.00	$1,750.00	2026-07-31
H0135	HCPCS	Hospital Service 135 - Lab Tests	8	7	$3,475.00	$2,780.00 20% off	$1,737.50	$2,432.50	$1,737.50	2026-07-31
H0134	HCPCS	Hospital Service 134 - Doctor's Appointment	8	7	$3,450.00	$2,760.00 20% off	$1,725.00	$2,415.00	$1,725.00	2026-07-31
H0133	HCPCS	Hospital Service 133 - Physical Therapy	8	7	$3,425.00	$2,740.00 20% off	$1,712.50	$2,397.50	$1,712.50	2026-07-31
H0132	HCPCS	Hospital Service 132 - Surgery	8	7	$3,400.00	$2,720.00 20% off	$1,700.00	$2,380.00	$1,700.00	2026-07-31
H0131	HCPCS	Hospital Service 131 - Imaging	8	7	$3,375.00	$2,700.00 20% off	$1,687.50	$2,362.50	$1,687.50	2026-07-31
H0130	HCPCS	Hospital Service 130 - Lab Tests	8	7	$3,350.00	$2,680.00 20% off	$1,675.00	$2,345.00	$1,675.00	2026-07-31
H0129	HCPCS	Hospital Service 129 - Doctor's Appointment	8	7	$3,325.00	$2,660.00 20% off	$1,662.50	$2,327.50	$1,662.50	2026-07-31
H0128	HCPCS	Hospital Service 128 - Physical Therapy	8	7	$3,300.00	$2,640.00 20% off	$1,650.00	$2,310.00	$1,650.00	2026-07-31
H0127	HCPCS	Hospital Service 127 - Surgery	8	7	$3,275.00	$2,620.00 20% off	$1,637.50	$2,292.50	$1,637.50	2026-07-31
H0126	HCPCS	Hospital Service 126 - Imaging	8	7	$3,250.00	$2,600.00 20% off	$1,625.00	$2,275.00	$1,625.00	2026-07-31
H0125	HCPCS	Hospital Service 125 - Lab Tests	8	7	$3,225.00	$2,580.00 20% off	$1,612.50	$2,257.50	$1,612.50	2026-07-31
43239	CPT	Upper Gi Endoscopy With Biopsy	8	7	$3,200.00	$2,560.00 20% off	$1,600.00	$2,240.00	$1,600.00	2026-07-31
H0124	HCPCS	Hospital Service 124 - Doctor's Appointment	8	7	$3,200.00	$2,560.00 20% off	$1,600.00	$2,240.00	$1,600.00	2026-07-31
70553	CPT	MRI Brain Without And With Contrast	8	7	$3,200.00	$2,560.00 20% off	$1,600.00	$2,240.00	$1,600.00	2026-07-31
95810	CPT	Sleep Study	8	7	$3,200.00	$2,560.00 20% off	$1,600.00	$2,240.00	$1,600.00	2026-07-31
H0123	HCPCS	Hospital Service 123 - Physical Therapy	8	7	$3,175.00	$2,540.00 20% off	$1,587.50	$2,222.50	$1,587.50	2026-07-31
H0122	HCPCS	Hospital Service 122 - Surgery	8	7	$3,150.00	$2,520.00 20% off	$1,575.00	$2,205.00	$1,575.00	2026-07-31
H0121	HCPCS	Hospital Service 121 - Imaging	8	7	$3,125.00	$2,500.00 20% off	$1,562.50	$2,187.50	$1,562.50	2026-07-31
H0120	HCPCS	Hospital Service 120 - Lab Tests	8	7	$3,100.00	$2,480.00 20% off	$1,550.00	$2,170.00	$1,550.00	2026-07-31
H0119	HCPCS	Hospital Service 119 - Doctor's Appointment	8	7	$3,075.00	$2,460.00 20% off	$1,537.50	$2,152.50	$1,537.50	2026-07-31
H0118	HCPCS	Hospital Service 118 - Physical Therapy	8	7	$3,050.00	$2,440.00 20% off	$1,525.00	$2,135.00	$1,525.00	2026-07-31
H0117	HCPCS	Hospital Service 117 - Surgery	8	7	$3,025.00	$2,420.00 20% off	$1,512.50	$2,117.50	$1,512.50	2026-07-31
H0116	HCPCS	Hospital Service 116 - Imaging	8	7	$3,000.00	$2,400.00 20% off	$1,500.00	$2,100.00	$1,500.00	2026-07-31
H0115	HCPCS	Hospital Service 115 - Lab Tests	8	7	$2,975.00	$2,380.00 20% off	$1,487.50	$2,082.50	$1,487.50	2026-07-31
H0114	HCPCS	Hospital Service 114 - Doctor's Appointment	8	7	$2,950.00	$2,360.00 20% off	$1,475.00	$2,065.00	$1,475.00	2026-07-31
H0113	HCPCS	Hospital Service 113 - Physical Therapy	8	7	$2,925.00	$2,340.00 20% off	$1,462.50	$2,047.50	$1,462.50	2026-07-31
H0112	HCPCS	Hospital Service 112 - Surgery	8	7	$2,900.00	$2,320.00 20% off	$1,450.00	$2,030.00	$1,450.00	2026-07-31
H0111	HCPCS	Hospital Service 111 - Imaging	8	7	$2,875.00	$2,300.00 20% off	$1,437.50	$2,012.50	$1,437.50	2026-07-31
72148	CPT	MRI Spine Lumbar Without Contrast	8	7	$2,850.00	$2,280.00 20% off	$1,425.00	$1,995.00	$1,425.00	2026-07-31
72141	CPT	MRI Spine Cervical Without Contrast	8	7	$2,850.00	$2,280.00 20% off	$1,425.00	$1,995.00	$1,425.00	2026-07-31
H0110	HCPCS	Hospital Service 110 - Lab Tests	8	7	$2,850.00	$2,280.00 20% off	$1,425.00	$1,995.00	$1,425.00	2026-07-31
H0109	HCPCS	Hospital Service 109 - Doctor's Appointment	8	7	$2,825.00	$2,260.00 20% off	$1,412.50	$1,977.50	$1,412.50	2026-07-31
43235	CPT	Upper Gi Endoscopy Diagnostic	8	7	$2,800.00	$2,240.00 20% off	$1,400.00	$1,960.00	$1,400.00	2026-07-31
H0108	HCPCS	Hospital Service 108 - Physical Therapy	8	7	$2,800.00	$2,240.00 20% off	$1,400.00	$1,960.00	$1,400.00	2026-07-31
55700	CPT	Prostate Biopsy	8	7	$2,800.00	$2,240.00 20% off	$1,400.00	$1,960.00	$1,400.00	2026-07-31
H0107	HCPCS	Hospital Service 107 - Surgery	8	7	$2,775.00	$2,220.00 20% off	$1,387.50	$1,942.50	$1,387.50	2026-07-31
73221	CPT	MRI Joint Upper Extremity Without Contrast	8	7	$2,750.00	$2,200.00 20% off	$1,375.00	$1,925.00	$1,375.00	2026-07-31
H0106	HCPCS	Hospital Service 106 - Imaging	8	7	$2,750.00	$2,200.00 20% off	$1,375.00	$1,925.00	$1,375.00	2026-07-31
73721	CPT	MRI Joint Lower Extremity Without Contrast	8	7	$2,750.00	$2,200.00 20% off	$1,375.00	$1,925.00	$1,375.00	2026-07-31
H0105	HCPCS	Hospital Service 105 - Lab Tests	8	7	$2,725.00	$2,180.00 20% off	$1,362.50	$1,907.50	$1,362.50	2026-07-31
H0104	HCPCS	Hospital Service 104 - Doctor's Appointment	8	7	$2,700.00	$2,160.00 20% off	$1,350.00	$1,890.00	$1,350.00	2026-07-31
H0103	HCPCS	Hospital Service 103 - Physical Therapy	8	7	$2,675.00	$2,140.00 20% off	$1,337.50	$1,872.50	$1,337.50	2026-07-31
H0102	HCPCS	Hospital Service 102 - Surgery	8	7	$2,650.00	$2,120.00 20% off	$1,325.00	$1,855.00	$1,325.00	2026-07-31
H0101	HCPCS	Hospital Service 101 - Imaging	8	7	$2,625.00	$2,100.00 20% off	$1,312.50	$1,837.50	$1,312.50	2026-07-31
H0100	HCPCS	Hospital Service 100 - Lab Tests	8	7	$2,600.00	$2,080.00 20% off	$1,300.00	$1,820.00	$1,300.00	2026-07-31
H0099	HCPCS	Hospital Service 99 - Doctor's Appointment	8	7	$2,575.00	$2,060.00 20% off	$1,287.50	$1,802.50	$1,287.50	2026-07-31
H0098	HCPCS	Hospital Service 98 - Physical Therapy	8	7	$2,550.00	$2,040.00 20% off	$1,275.00	$1,785.00	$1,275.00	2026-07-31
H0097	HCPCS	Hospital Service 97 - Surgery	8	7	$2,525.00	$2,020.00 20% off	$1,262.50	$1,767.50	$1,262.50	2026-07-31
70551	CPT	Magnetic Resonance Imaging, Brain, Without Contrast	8	7	$2,500.00	$2,000.00 20% off	$1,250.00	$1,750.00	$1,250.00	2026-07-31
H0096	HCPCS	Hospital Service 96 - Imaging	8	7	$2,500.00	$2,000.00 20% off	$1,250.00	$1,750.00	$1,250.00	2026-07-31
H0095	HCPCS	Hospital Service 95 - Lab Tests	8	7	$2,475.00	$1,980.00 20% off	$1,237.50	$1,732.50	$1,237.50	2026-07-31
H0094	HCPCS	Hospital Service 94 - Doctor's Appointment	8	7	$2,450.00	$1,960.00 20% off	$1,225.00	$1,715.00	$1,225.00	2026-07-31
H0093	HCPCS	Hospital Service 93 - Physical Therapy	8	7	$2,425.00	$1,940.00 20% off	$1,212.50	$1,697.50	$1,212.50	2026-07-31
H0092	HCPCS	Hospital Service 92 - Surgery	8	7	$2,400.00	$1,920.00 20% off	$1,200.00	$1,680.00	$1,200.00	2026-07-31
H0091	HCPCS	Hospital Service 91 - Imaging	8	7	$2,375.00	$1,900.00 20% off	$1,187.50	$1,662.50	$1,187.50	2026-07-31
H0090	HCPCS	Hospital Service 90 - Lab Tests	8	7	$2,350.00	$1,880.00 20% off	$1,175.00	$1,645.00	$1,175.00	2026-07-31
H0089	HCPCS	Hospital Service 89 - Doctor's Appointment	8	7	$2,325.00	$1,860.00 20% off	$1,162.50	$1,627.50	$1,162.50	2026-07-31
H0088	HCPCS	Hospital Service 88 - Physical Therapy	8	7	$2,300.00	$1,840.00 20% off	$1,150.00	$1,610.00	$1,150.00	2026-07-31
H0087	HCPCS	Hospital Service 87 - Surgery	8	7	$2,275.00	$1,820.00 20% off	$1,137.50	$1,592.50	$1,137.50	2026-07-31
H0086	HCPCS	Hospital Service 86 - Imaging	8	7	$2,250.00	$1,800.00 20% off	$1,125.00	$1,575.00	$1,125.00	2026-07-31
H0085	HCPCS	Hospital Service 85 - Lab Tests	8	7	$2,225.00	$1,780.00 20% off	$1,112.50	$1,557.50	$1,112.50	2026-07-31
64483	CPT	Injection Foramen Epidural Lumbar/sacral	8	7	$2,200.00	$1,760.00 20% off	$1,100.00	$1,540.00	$1,100.00	2026-07-31
H0084	HCPCS	Hospital Service 84 - Doctor's Appointment	8	7	$2,200.00	$1,760.00 20% off	$1,100.00	$1,540.00	$1,100.00	2026-07-31
74177	CPT	CT Abdomen And Pelvis With Contrast	8	7	$2,200.00	$1,760.00 20% off	$1,100.00	$1,540.00	$1,100.00	2026-07-31
H0083	HCPCS	Hospital Service 83 - Physical Therapy	8	7	$2,175.00	$1,740.00 20% off	$1,087.50	$1,522.50	$1,087.50	2026-07-31
H0082	HCPCS	Hospital Service 82 - Surgery	8	7	$2,150.00	$1,720.00 20% off	$1,075.00	$1,505.00	$1,075.00	2026-07-31
H0081	HCPCS	Hospital Service 81 - Imaging	8	7	$2,125.00	$1,700.00 20% off	$1,062.50	$1,487.50	$1,062.50	2026-07-31
H0080	HCPCS	Hospital Service 80 - Lab Tests	8	7	$2,100.00	$1,680.00 20% off	$1,050.00	$1,470.00	$1,050.00	2026-07-31
H0079	HCPCS	Hospital Service 79 - Doctor's Appointment	8	7	$2,075.00	$1,660.00 20% off	$1,037.50	$1,452.50	$1,037.50	2026-07-31
H0078	HCPCS	Hospital Service 78 - Physical Therapy	8	7	$2,050.00	$1,640.00 20% off	$1,025.00	$1,435.00	$1,025.00	2026-07-31
H0077	HCPCS	Hospital Service 77 - Surgery	8	7	$2,025.00	$1,620.00 20% off	$1,012.50	$1,417.50	$1,012.50	2026-07-31
H0076	HCPCS	Hospital Service 76 - Imaging	8	7	$2,000.00	$1,600.00 20% off	$1,000.00	$1,400.00	$1,000.00	2026-07-31
H0075	HCPCS	Hospital Service 75 - Lab Tests	8	7	$1,975.00	$1,580.00 20% off	$987.50	$1,382.50	$987.50	2026-07-31
H0074	HCPCS	Hospital Service 74 - Doctor's Appointment	8	7	$1,950.00	$1,560.00 20% off	$975.00	$1,365.00	$975.00	2026-07-31
H0073	HCPCS	Hospital Service 73 - Physical Therapy	8	7	$1,925.00	$1,540.00 20% off	$962.50	$1,347.50	$962.50	2026-07-31
H0072	HCPCS	Hospital Service 72 - Surgery	8	7	$1,900.00	$1,520.00 20% off	$950.00	$1,330.00	$950.00	2026-07-31
H0071	HCPCS	Hospital Service 71 - Imaging	8	7	$1,875.00	$1,500.00 20% off	$937.50	$1,312.50	$937.50	2026-07-31
H0070	HCPCS	Hospital Service 70 - Lab Tests	8	7	$1,850.00	$1,480.00 20% off	$925.00	$1,295.00	$925.00	2026-07-31
93306	CPT	Echocardiography Transthoracic	8	7	$1,850.00	$1,480.00 20% off	$925.00	$1,295.00	$925.00	2026-07-31
99285	CPT	Emergency Department Visit Level 5	8	7	$1,850.00	$1,480.00 20% off	$925.00	$1,295.00	$925.00	2026-07-31
H0069	HCPCS	Hospital Service 69 - Doctor's Appointment	8	7	$1,825.00	$1,460.00 20% off	$912.50	$1,277.50	$912.50	2026-07-31
62322	CPT	Injection Spine Lumbar Epidural	8	7	$1,800.00	$1,440.00 20% off	$900.00	$1,260.00	$900.00	2026-07-31
H0068	HCPCS	Hospital Service 68 - Physical Therapy	8	7	$1,800.00	$1,440.00 20% off	$900.00	$1,260.00	$900.00	2026-07-31
H0067	HCPCS	Hospital Service 67 - Surgery	8	7	$1,775.00	$1,420.00 20% off	$887.50	$1,242.50	$887.50	2026-07-31
H0066	HCPCS	Hospital Service 66 - Imaging	8	7	$1,750.00	$1,400.00 20% off	$875.00	$1,225.00	$875.00	2026-07-31
H0065	HCPCS	Hospital Service 65 - Lab Tests	8	7	$1,725.00	$1,380.00 20% off	$862.50	$1,207.50	$862.50	2026-07-31
H0064	HCPCS	Hospital Service 64 - Doctor's Appointment	8	7	$1,700.00	$1,360.00 20% off	$850.00	$1,190.00	$850.00	2026-07-31
H0063	HCPCS	Hospital Service 63 - Physical Therapy	8	7	$1,675.00	$1,340.00 20% off	$837.50	$1,172.50	$837.50	2026-07-31
H0062	HCPCS	Hospital Service 62 - Surgery	8	7	$1,650.00	$1,320.00 20% off	$825.00	$1,155.00	$825.00	2026-07-31
H0061	HCPCS	Hospital Service 61 - Imaging	8	7	$1,625.00	$1,300.00 20% off	$812.50	$1,137.50	$812.50	2026-07-31
H0060	HCPCS	Hospital Service 60 - Lab Tests	8	7	$1,600.00	$1,280.00 20% off	$800.00	$1,120.00	$800.00	2026-07-31
H0059	HCPCS	Hospital Service 59 - Doctor's Appointment	8	7	$1,575.00	$1,260.00 20% off	$787.50	$1,102.50	$787.50	2026-07-31
H0058	HCPCS	Hospital Service 58 - Physical Therapy	8	7	$1,550.00	$1,240.00 20% off	$775.00	$1,085.00	$775.00	2026-07-31
H0057	HCPCS	Hospital Service 57 - Surgery	8	7	$1,525.00	$1,220.00 20% off	$762.50	$1,067.50	$762.50	2026-07-31
H0056	HCPCS	Hospital Service 56 - Imaging	8	7	$1,500.00	$1,200.00 20% off	$750.00	$1,050.00	$750.00	2026-07-31
H0055	HCPCS	Hospital Service 55 - Lab Tests	8	7	$1,475.00	$1,180.00 20% off	$737.50	$1,032.50	$737.50	2026-07-31
H0054	HCPCS	Hospital Service 54 - Doctor's Appointment	8	7	$1,450.00	$1,160.00 20% off	$725.00	$1,015.00	$725.00	2026-07-31
70491	CPT	CT Neck Soft Tissue With Contrast	8	7	$1,450.00	$1,160.00 20% off	$725.00	$1,015.00	$725.00	2026-07-31
H0053	HCPCS	Hospital Service 53 - Physical Therapy	8	7	$1,425.00	$1,140.00 20% off	$712.50	$997.50	$712.50	2026-07-31
H0052	HCPCS	Hospital Service 52 - Surgery	8	7	$1,400.00	$1,120.00 20% off	$700.00	$980.00	$700.00	2026-07-31
H0051	HCPCS	Hospital Service 51 - Imaging	8	7	$1,375.00	$1,100.00 20% off	$687.50	$962.50	$687.50	2026-07-31
H0050	HCPCS	Hospital Service 50 - Lab Tests	8	7	$1,350.00	$1,080.00 20% off	$675.00	$945.00	$675.00	2026-07-31
H0049	HCPCS	Hospital Service 49 - Doctor's Appointment	8	7	$1,325.00	$1,060.00 20% off	$662.50	$927.50	$662.50	2026-07-31
H0048	HCPCS	Hospital Service 48 - Physical Therapy	8	7	$1,300.00	$1,040.00 20% off	$650.00	$910.00	$650.00	2026-07-31
H0047	HCPCS	Hospital Service 47 - Surgery	8	7	$1,275.00	$1,020.00 20% off	$637.50	$892.50	$637.50	2026-07-31
99284	CPT	Emergency Department Visit Level 4	8	7	$1,250.00	$1,000.00 20% off	$625.00	$875.00	$625.00	2026-07-31
H0046	HCPCS	Hospital Service 46 - Imaging	8	7	$1,250.00	$1,000.00 20% off	$625.00	$875.00	$625.00	2026-07-31
H0045	HCPCS	Hospital Service 45 - Lab Tests	8	7	$1,225.00	$980.00 20% off	$612.50	$857.50	$612.50	2026-07-31
H0044	HCPCS	Hospital Service 44 - Doctor's Appointment	8	7	$1,200.00	$960.00 20% off	$600.00	$840.00	$600.00	2026-07-31
H0043	HCPCS	Hospital Service 43 - Physical Therapy	8	7	$1,175.00	$940.00 20% off	$587.50	$822.50	$587.50	2026-07-31
H0042	HCPCS	Hospital Service 42 - Surgery	8	7	$1,150.00	$920.00 20% off	$575.00	$805.00	$575.00	2026-07-31
71250	CPT	CT Thorax Without Contrast	8	7	$1,125.00	$900.00 20% off	$562.50	$787.50	$562.50	2026-07-31
H0041	HCPCS	Hospital Service 41 - Imaging	8	7	$1,125.00	$900.00 20% off	$562.50	$787.50	$562.50	2026-07-31
H0040	HCPCS	Hospital Service 40 - Lab Tests	8	7	$1,100.00	$880.00 20% off	$550.00	$770.00	$550.00	2026-07-31
H0039	HCPCS	Hospital Service 39 - Doctor's Appointment	8	7	$1,075.00	$860.00 20% off	$537.50	$752.50	$537.50	2026-07-31
H0038	HCPCS	Hospital Service 38 - Physical Therapy	8	7	$1,050.00	$840.00 20% off	$525.00	$735.00	$525.00	2026-07-31
H0037	HCPCS	Hospital Service 37 - Surgery	8	7	$1,025.00	$820.00 20% off	$512.50	$717.50	$512.50	2026-07-31
H0036	HCPCS	Hospital Service 36 - Imaging	8	7	$1,000.00	$800.00 20% off	$500.00	$700.00	$500.00	2026-07-31
H0035	HCPCS	Hospital Service 35 - Lab Tests	8	7	$975.00	$780.00 20% off	$487.50	$682.50	$487.50	2026-07-31
H0034	HCPCS	Hospital Service 34 - Doctor's Appointment	8	7	$950.00	$760.00 20% off	$475.00	$665.00	$475.00	2026-07-31
70450	CPT	CT Head/brain Without Contrast	8	7	$925.00	$740.00 20% off	$462.50	$647.50	$462.50	2026-07-31
H0033	HCPCS	Hospital Service 33 - Physical Therapy	8	7	$925.00	$740.00 20% off	$462.50	$647.50	$462.50	2026-07-31
H0032	HCPCS	Hospital Service 32 - Surgery	8	7	$900.00	$720.00 20% off	$450.00	$630.00	$450.00	2026-07-31
H0031	HCPCS	Hospital Service 31 - Imaging	8	7	$875.00	$700.00 20% off	$437.50	$612.50	$437.50	2026-07-31
99283	CPT	Emergency Department Visit Level 3	8	7	$850.00	$680.00 20% off	$425.00	$595.00	$425.00	2026-07-31
H0030	HCPCS	Hospital Service 30 - Lab Tests	8	7	$850.00	$680.00 20% off	$425.00	$595.00	$425.00	2026-07-31
H0029	HCPCS	Hospital Service 29 - Doctor's Appointment	8	7	$825.00	$660.00 20% off	$412.50	$577.50	$412.50	2026-07-31
70486	CPT	CT Maxillofacial Without Contrast	8	7	$825.00	$660.00 20% off	$412.50	$577.50	$412.50	2026-07-31
H0028	HCPCS	Hospital Service 28 - Physical Therapy	8	7	$800.00	$640.00 20% off	$400.00	$560.00	$400.00	2026-07-31
H0027	HCPCS	Hospital Service 27 - Surgery	8	7	$775.00	$620.00 20% off	$387.50	$542.50	$387.50	2026-07-31
H0026	HCPCS	Hospital Service 26 - Imaging	8	7	$750.00	$600.00 20% off	$375.00	$525.00	$375.00	2026-07-31
H0025	HCPCS	Hospital Service 25 - Lab Tests	8	7	$725.00	$580.00 20% off	$362.50	$507.50	$362.50	2026-07-31
H0024	HCPCS	Hospital Service 24 - Doctor's Appointment	8	7	$700.00	$560.00 20% off	$350.00	$490.00	$350.00	2026-07-31
H0023	HCPCS	Hospital Service 23 - Physical Therapy	8	7	$675.00	$540.00 20% off	$337.50	$472.50	$337.50	2026-07-31
H0022	HCPCS	Hospital Service 22 - Surgery	8	7	$650.00	$520.00 20% off	$325.00	$455.00	$325.00	2026-07-31
99282	CPT	Emergency Department Visit Level 2	8	7	$650.00	$520.00 20% off	$325.00	$455.00	$325.00	2026-07-31
H0021	HCPCS	Hospital Service 21 - Imaging	8	7	$625.00	$500.00 20% off	$312.50	$437.50	$312.50	2026-07-31
H0020	HCPCS	Hospital Service 20 - Lab Tests	8	7	$600.00	$480.00 20% off	$300.00	$420.00	$300.00	2026-07-31
H0019	HCPCS	Hospital Service 19 - Doctor's Appointment	8	7	$575.00	$460.00 20% off	$287.50	$402.50	$287.50	2026-07-31
76830	CPT	Ultrasound Pelvis Transvaginal	8	7	$575.00	$460.00 20% off	$287.50	$402.50	$287.50	2026-07-31
H0018	HCPCS	Hospital Service 18 - Physical Therapy	8	7	$550.00	$440.00 20% off	$275.00	$385.00	$275.00	2026-07-31
76700	CPT	Ultrasound Abdomen Complete	8	7	$525.00	$420.00 20% off	$262.50	$367.50	$262.50	2026-07-31
H0017	HCPCS	Hospital Service 17 - Surgery	8	7	$525.00	$420.00 20% off	$262.50	$367.50	$262.50	2026-07-31
99205	CPT	Office Visit New Patient Level 5	8	7	$500.00	$400.00 20% off	$250.00	$350.00	$250.00	2026-07-31
H0016	HCPCS	Hospital Service 16 - Imaging	8	7	$500.00	$400.00 20% off	$250.00	$350.00	$250.00	2026-07-31
H0015	HCPCS	Hospital Service 15 - Lab Tests	8	7	$475.00	$380.00 20% off	$237.50	$332.50	$237.50	2026-07-31
H0014	HCPCS	Hospital Service 14 - Doctor's Appointment	8	7	$450.00	$360.00 20% off	$225.00	$315.00	$225.00	2026-07-31
99281	CPT	Emergency Department Visit Level 1	8	7	$450.00	$360.00 20% off	$225.00	$315.00	$225.00	2026-07-31
H0013	HCPCS	Hospital Service 13 - Physical Therapy	8	7	$425.00	$340.00 20% off	$212.50	$297.50	$212.50	2026-07-31
76705	CPT	Ultrasound Abdomen Limited	8	7	$425.00	$340.00 20% off	$212.50	$297.50	$212.50	2026-07-31
H0012	HCPCS	Hospital Service 12 - Surgery	8	7	$400.00	$320.00 20% off	$200.00	$280.00	$200.00	2026-07-31
90791	CPT	Psychiatric Diagnostic Evaluation	8	7	$400.00	$320.00 20% off	$200.00	$280.00	$200.00	2026-07-31
99204	CPT	Office Visit New Patient Level 4	8	7	$375.00	$300.00 20% off	$187.50	$262.50	$187.50	2026-07-31
H0011	HCPCS	Hospital Service 11 - Imaging	8	7	$375.00	$300.00 20% off	$187.50	$262.50	$187.50	2026-07-31
90847	CPT	Family Psychotherapy With Patient	8	7	$350.00	$280.00 20% off	$175.00	$245.00	$175.00	2026-07-31
H0010	HCPCS	Hospital Service 10 - Lab Tests	8	7	$350.00	$280.00 20% off	$175.00	$245.00	$175.00	2026-07-31
71046	CPT	Chest X-ray 2 Views	8	7	$350.00	$280.00 20% off	$175.00	$245.00	$175.00	2026-07-31
99215	CPT	Office Visit Established Patient Level 5	8	7	$325.00	$260.00 20% off	$162.50	$227.50	$162.50	2026-07-31
H0009	HCPCS	Hospital Service 9 - Doctor's Appointment	8	7	$325.00	$260.00 20% off	$162.50	$227.50	$162.50	2026-07-31
H0008	HCPCS	Hospital Service 8 - Physical Therapy	8	7	$300.00	$240.00 20% off	$150.00	$210.00	$150.00	2026-07-31
97163	CPT	Physical Therapy Evaluation High Complexity	8	7	$300.00	$240.00 20% off	$150.00	$210.00	$150.00	2026-07-31
90837	CPT	Psychotherapy 60 Minutes	8	7	$300.00	$240.00 20% off	$150.00	$210.00	$150.00	2026-07-31
96365	CPT	IV Infusion Therapy Initial Hour	8	7	$285.00	$228.00 20% off	$142.50	$199.50	$142.50	2026-07-31
73630	CPT	X-ray Foot 3 Views	8	7	$275.00	$220.00 20% off	$137.50	$192.50	$137.50	2026-07-31
H0007	HCPCS	Hospital Service 7 - Surgery	8	7	$275.00	$220.00 20% off	$137.50	$192.50	$137.50	2026-07-31
73610	CPT	X-ray Ankle 3 Views	8	7	$275.00	$220.00 20% off	$137.50	$192.50	$137.50	2026-07-31
99203	CPT	Office Visit New Patient Level 3	8	7	$250.00	$200.00 20% off	$125.00	$175.00	$125.00	2026-07-31
H0006	HCPCS	Hospital Service 6 - Imaging	8	7	$250.00	$200.00 20% off	$125.00	$175.00	$125.00	2026-07-31
97162	CPT	Physical Therapy Evaluation Moderate Complexity	8	7	$250.00	$200.00 20% off	$125.00	$175.00	$125.00	2026-07-31
71045	CPT	Chest X-ray Single View	8	7	$225.00	$180.00 20% off	$112.50	$157.50	$112.50	2026-07-31
H0005	HCPCS	Hospital Service 5 - Lab Tests	8	7	$225.00	$180.00 20% off	$112.50	$157.50	$112.50	2026-07-31
99214	CPT	Office Visit Established Patient Level 4	8	7	$225.00	$180.00 20% off	$112.50	$157.50	$112.50	2026-07-31
90834	CPT	Psychotherapy 45 Minutes	8	7	$200.00	$160.00 20% off	$100.00	$140.00	$100.00	2026-07-31
97161	CPT	Physical Therapy Evaluation Low Complexity	8	7	$200.00	$160.00 20% off	$100.00	$140.00	$100.00	2026-07-31
H0004	HCPCS	Hospital Service 4 - Doctor's Appointment	8	7	$200.00	$160.00 20% off	$100.00	$140.00	$100.00	2026-07-31
82306	CPT	Vitamin D 25 Hydroxy	8	7	$195.00	$156.00 20% off	$97.50	$136.50	$97.50	2026-07-31
80053	CPT	Comprehensive Metabolic Panel	8	7	$185.00	$148.00 20% off	$92.50	$129.50	$92.50	2026-07-31
H0003	HCPCS	Hospital Service 3 - Physical Therapy	8	7	$175.00	$140.00 20% off	$87.50	$122.50	$87.50	2026-07-31
96366	CPT	IV Infusion Therapy Additional Hour	8	7	$165.00	$132.00 20% off	$82.50	$115.50	$82.50	2026-07-31
H0002	HCPCS	Hospital Service 2 - Surgery	8	7	$150.00	$120.00 20% off	$75.00	$105.00	$75.00	2026-07-31
99213	CPT	Office Visit Established Patient Level 3	8	7	$150.00	$120.00 20% off	$75.00	$105.00	$75.00	2026-07-31
96374	CPT	IV Push Single Drug	8	7	$145.00	$116.00 20% off	$72.50	$101.50	$72.50	2026-07-31
84443	CPT	Thyroid Stimulating Hormone	8	7	$125.00	$100.00 20% off	$62.50	$87.50	$62.50	2026-07-31
97530	CPT	Physical Therapy Activities	8	7	$125.00	$100.00 20% off	$62.50	$87.50	$62.50	2026-07-31
97110	CPT	Physical Therapy Therapeutic Exercises	8	7	$125.00	$100.00 20% off	$62.50	$87.50	$62.50	2026-07-31
96375	CPT	IV Push Additional Drug	8	7	$125.00	$100.00 20% off	$62.50	$87.50	$62.50	2026-07-31
80061	CPT	Lipid Panel	8	7	$125.00	$100.00 20% off	$62.50	$87.50	$62.50	2026-07-31
H0001	HCPCS	Hospital Service 1 - Imaging	8	7	$125.00	$100.00 20% off	$62.50	$87.50	$62.50	2026-07-31
97140	CPT	Physical Therapy Manual Therapy	8	7	$125.00	$100.00 20% off	$62.50	$87.50	$62.50	2026-07-31
93000	CPT	Electrocardiogram Complete	8	7	$125.00	$100.00 20% off	$62.50	$87.50	$62.50	2026-07-31
82607	CPT	Vitamin B-12	8	7	$125.00	$100.00 20% off	$62.50	$87.50	$62.50	2026-07-31
83036	CPT	Hemoglobin A1c	8	7	$85.00	$68.00 20% off	$42.50	$59.50	$42.50	2026-07-31

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