Hospital

HILLCREST HOSPITAL PRYOR

Pryor, OK · CCN 370015 · Rates published

Your selected procedure

You selected 93306 (CPT)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $920 across 6 payers · range $107-$999

Source: https://coc.ardenthealthservices.com/oklahoma/82-0651263_Hillcrest-Hospital-Pyror_standardchanges.csv · observed 2025-04-05

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,380 distinct procedures filed

52 distinct payers

446,924 rate rows

2025-04-05 last MRF observed · ⚠ 18 mo old

Data quality

190,400 of 446,924 rate rows are consumer-grade (42.6%)

256,524 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	249,174
per-diem day rate — not a per-procedure price	7,226
exceeds 10× this hospital's gross charge — excluded from medians	86
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	32
placeholder amount (≤ $0.02) — excluded from medians	6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://coc.ardenthealthservices.com/oklahoma/82-0651263_Hillcrest-Hospital-Pyror_standardchanges.csv
Found on page	https://hillcrest.com/policies-and-disclosures/price-transparency/
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint	948d955daf1092b8… · 101,188,010 bytes · first seen 2026-05-09

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
33210 CPT	Insertion Of Temporary Pacemaker Lead In Single Heart Chamber	52	$15,379.76	$15,379.76	$15,379.76	nat. median $8,289 1.9× median
43262 CPT	Incision Of Pancreatic Outlet Using A Flexible Endoscope	52	$6,933.02	$6,933.02	$6,933.02	nat. median $4,025 1.7× median
43260 CPT	Diagnostic Exam Of Gallbladder And Pancreatic, Liver, And Bile Ducts Using An En…	52	$6,933.02	$6,933.02	$6,933.02	nat. median $4,000 1.7× median
43264 CPT	Removal Of Stone Or Debris From Bile Or Pancreatic Duct Using A Flexible Endosco…	52	$6,933.02	$6,933.02	$6,933.02	nat. median $4,048 1.7× median
A9542 HCPCS	Nm Iso In-111 Zevalin Per Dose Up To 5 Mci	52	$6,761.57	$6,761.57	$6,761.57	nat. median $3,780 1.8× median
J7165 HCPCS	Human Prothrombin Cplx (pcc)-lans 4factor 500 Unit (400-640 Unit) IV Solution	52	$4,425.00	$8,043.75	$6,234.38	nat. median $16 outlier · 387.5×
J3101 HCPCS	Tenecteplase 50 Mg Intravenous Solution	52	$4,724.10	$12,631.58	$6,151.52	nat. median $3,820 1.6× median
26765 CPT	Treatment Of Broken End Of Finger Or Thumb	52	$5,859.66	$5,859.66	$5,859.66	nat. median $3,496 1.7× median
26951 CPT	Amputation Of Finger Or Thumb With Direct Closure	52	$5,859.66	$5,859.66	$5,859.66	nat. median $3,320 1.8× median
36555 CPT	Insertion Of Non-tunneled Central Venous Tube For Infusion (younger Than 5 Years…	52	$5,770.32	$5,770.32	$5,770.32	nat. median $2,691 outlier · 2.1×
36556 CPT	Hc Insert Non-tunnl Cvc => 5 Yrs	52	$5,770.32	$5,770.32	$5,770.32	nat. median $2,483 outlier · 2.3×
59414 CPT	Delivery Of Placenta	3	$79.81	$5,659.66	$5,659.66	nat. median $2,862 2.0× median
A9570 HCPCS	Nm Iso In-111 Labeled Wbc Diagnostic Per Dose	52	$4,420.46	$6,848.37	$5,634.41	nat. median $2,783 outlier · 2.0×
23930 CPT	Drainage Of Deep Abscess Or Blood Accumulation Of Upper Arm Or Elbow	52	$5,143.97	$5,143.97	$5,143.97	nat. median $2,850 1.8× median
46947 CPT	Stapling Of Internal Hemorrhoid	52	$5,082.96	$5,082.96	$5,082.96	nat. median $3,182 1.6× median
J7168 HCPCS	Human Prothrombin Cplx(pcc)4fact 1,000 Unit (800-1,240 Unit) IV Solution	52	$3,765.00	$5,643.00	$4,704.00	nat. median $21 outlier · 224.0×
A9582 HCPCS	Nm Iso I-123 Iobenguane (mibg) Per Dose Up To 15mci	52	$3,680.49	$5,108.41	$4,394.45	nat. median $5,056 0.9× median
A9596 HCPCS	Nm Iso Gallium Ga-68 Gozetotide (illuccix) Per 1 Mci Kit	52	$2,980.26	$5,798.07	$4,389.16	nat. median $1,434 outlier · 3.1×
G0379 HCPCS	Hc Observation Direct Referral	52	$1,070.98	$6,248.00	$3,659.49	nat. median $571 outlier · 6.4×
64624 CPT	Destruction Of Nerve Branches Of Knee Using Imaging Guidance	52	$3,495.30	$3,495.30	$3,495.30	nat. median $2,301 1.5× median
43255 CPT	Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex…	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,148 1.6× median
43220 CPT	Balloon Dilation Of Esophagus Using A Flexible Endoscope, Less Than 3.0 Cm	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,179 1.6× median
43215 CPT	Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope	52	$3,444.68	$3,444.68	$3,444.68	nat. median $1,985 1.7× median
43250 CPT	Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,044 1.7× median
43246 CPT	Insertion Of Stomach Tube Using A Flexible Endoscope	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,130 1.6× median
43217 CPT	Removal Of Polyps Or Growths Of Esophagus Using A Flexible Endoscope With Mechan…	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,011 1.7× median
43243 CPT	Injection Of Dilated Vein Of Stomach And/or Esophagus Using A Flexible Endoscope	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,076 1.7× median
43244 CPT	Tying Of Dilated Veins Of Stomach And/or Esophagus Using A Flexible Endoscope	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,252 1.5× median
44360 CPT	Diagnostic Exam Of Small Bowel (excluding Lower Small Intestine) Using An Endosc…	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,205 1.6× median
43251 CPT	Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,125 1.6× median
43202 CPT	Biopsy Of Esophagus Using A Flexible Endoscope Through Mouth	52	$3,444.68	$3,444.68	$3,444.68	nat. median $1,991 1.7× median
43245 CPT	Dilation Of Stomach Outlet Using A Flexible Endoscope	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,200 1.6× median
43249 CPT	Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…	52	$3,444.68	$3,444.68	$3,444.68	nat. median $2,120 1.6× median
12037 CPT	Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha…	52	$3,301.31	$3,301.31	$3,301.31	nat. median $1,948 1.7× median
12047 CPT	Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, More Than 30.0 C…	52	$3,301.31	$3,301.31	$3,301.31	nat. median $1,824 1.8× median
15271 CPT	Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C…	52	$3,301.31	$3,301.31	$3,301.31	nat. median $1,725 1.9× median
15275 CPT	Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…	3	$82.68	$3,301.31	$3,301.31	nat. median $1,713 1.9× median
10121 CPT	Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex	52	$2,935.03	$2,935.03	$2,935.03	nat. median $1,665 1.8× median
55100 CPT	Drainage Of Abscess Of Scrotum	52	$2,935.03	$2,935.03	$2,935.03	nat. median $1,662 1.8× median
11423 CPT	Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…	52	$2,935.03	$2,935.03	$2,935.03	nat. median $1,605 1.8× median
26011 CPT	Complicated Drainage Of Abscess In Finger	52	$2,935.03	$2,935.03	$2,935.03	nat. median $1,701 1.7× median
11044 CPT	Removal Of Bone, 20.0 Sq Cm Or Less	52	$2,935.03	$2,935.03	$2,935.03	nat. median $1,751 1.7× median
38220 CPT	Aspiration Of Bone Marrow Sample For Diagnosis	52	$2,935.03	$2,935.03	$2,935.03	nat. median $1,653 1.8× median
20520 CPT	Removal Of Foreign Body In Muscle Or Tendon	52	$2,935.03	$2,935.03	$2,935.03	nat. median $1,535 1.9× median
24200 CPT	Removal Of Foreign Body Of Upper Arm Or Elbow Area, Accessed Beneath The Skin	3	$124.76	$2,935.03	$2,935.03	nat. median $1,545 1.9× median
27810 CPT	Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation	52	$2,909.53	$2,909.53	$2,909.53	nat. median $1,642 1.8× median
25565 CPT	Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation	52	$2,909.53	$2,909.53	$2,909.53	nat. median $1,661 1.8× median
25605 CPT	Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit…	52	$2,909.53	$2,909.53	$2,909.53	nat. median $1,668 1.7× median
24605 CPT	Repair Of Dislocated Elbow Under Anesthesia	52	$2,909.53	$2,909.53	$2,909.53	nat. median $1,894 1.5× median
24535 CPT	Closed Treatment Of Upper Arm Bone Broken At Elbow With Manipulation	52	$2,909.53	$2,909.53	$2,909.53	nat. median $1,680 1.7× median

Other procedures at this hospital

Browse this hospital's 3,380 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

33210	CPT	Insertion Of Temporary Pacemaker Lead In Single Heart Chamber	128	52	$19,053.54	$5,716.06 70% off	$15,379.76	$15,379.76	$15,379.76	2025-04-05
43262	CPT	Incision Of Pancreatic Outlet Using A Flexible Endoscope	128	52	$14,879.22	$4,463.77 70% off	$6,933.02	$6,933.02	$6,933.02	2025-04-05
43264	CPT	Removal Of Stone Or Debris From Bile Or Pancreatic Duct Using A Flexible Endosco…	128	52	$14,879.22	$4,463.77 70% off	$6,933.02	$6,933.02	$6,933.02	2025-04-05
43260	CPT	Diagnostic Exam Of Gallbladder And Pancreatic, Liver, And Bile Ducts Using An En…	128	52	$14,879.22	$4,463.77 70% off	$6,933.02	$6,933.02	$6,933.02	2025-04-05
A9542	HCPCS	Nm Iso In-111 Zevalin Per Dose Up To 5 Mci	128	52	$6,371.00	$1,911.30 70% off	$6,761.57	$6,761.57	$6,761.57	2025-04-05
J7165	HCPCS	Human Prothrombin Cplx (pcc)-lans 4factor 500 Unit (400-640 Unit) IV Solution	128	52	$16,112.73	$4,833.82 70% off	$4,425.00	$8,043.75	$6,234.38	2025-04-05
J3101	HCPCS	Tenecteplase 50 Mg Intravenous Solution	152	52	$16,015.74	$4,804.72 70% off	$4,724.10	$12,631.58	$6,151.52	2025-04-05
26951	CPT	Amputation Of Finger Or Thumb With Direct Closure	128	52	$7,569.46	$2,270.84 70% off	$5,859.66	$5,859.66	$5,859.66	2025-04-05
26765	CPT	Treatment Of Broken End Of Finger Or Thumb	128	52	$7,663.80	$2,299.14 70% off	$5,859.66	$5,859.66	$5,859.66	2025-04-05
36555	CPT	Insertion Of Non-tunneled Central Venous Tube For Infusion (younger Than 5 Years…	128	52	$8,322.06	$2,496.62 70% off	$5,770.32	$5,770.32	$5,770.32	2025-04-05
36556	CPT	Hc Insert Non-tunnl Cvc => 5 Yrs	128	52	$8,322.06	$2,496.62 70% off	$5,770.32	$5,770.32	$5,770.32	2025-04-05
59414	CPT	Delivery Of Placenta	6	3	$5,377.38	$1,613.21 70% off	$79.81	$5,659.66	$5,659.66	2025-04-05
A9570	HCPCS	Nm Iso In-111 Labeled Wbc Diagnostic Per Dose	128	52	$4,042.00	$1,212.60 70% off	$4,420.46	$6,848.37	$5,634.41	2025-04-05
23930	CPT	Drainage Of Deep Abscess Or Blood Accumulation Of Upper Arm Or Elbow	128	52	$10,109.22	$3,032.77 70% off	$5,143.97	$5,143.97	$5,143.97	2025-04-05
46947	CPT	Stapling Of Internal Hemorrhoid	128	52	$6,856.08	$2,056.82 70% off	$5,082.96	$5,082.96	$5,082.96	2025-04-05
J7168	HCPCS	Human Prothrombin Cplx(pcc)4fact 1,000 Unit (800-1,240 Unit) IV Solution	128	52	$15,243.15	$4,572.94 70% off	$3,765.00	$5,643.00	$4,704.00	2025-04-05
A9582	HCPCS	Nm Iso I-123 Iobenguane (mibg) Per Dose Up To 15mci	128	52	$6,299.00	$1,889.70 70% off	$3,680.49	$5,108.41	$4,394.45	2025-04-05
A9596	HCPCS	Nm Iso Gallium Ga-68 Gozetotide (illuccix) Per 1 Mci Kit	128	52	$4,700.00	$1,410.00 70% off	$2,980.26	$5,798.07	$4,389.16	2025-04-05
G0379	HCPCS	Hc Observation Direct Referral	158	52	$1,365.28	$409.58 70% off	$1,070.98	$6,248.00	$3,659.49	2025-04-05
64624	CPT	Destruction Of Nerve Branches Of Knee Using Imaging Guidance	128	52	$5,104.96	$1,531.49 70% off	$3,495.30	$3,495.30	$3,495.30	2025-04-05
44360	CPT	Diagnostic Exam Of Small Bowel (excluding Lower Small Intestine) Using An Endosc…	128	52	$4,333.28	$1,299.98 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43220	CPT	Balloon Dilation Of Esophagus Using A Flexible Endoscope, Less Than 3.0 Cm	128	52	$8,083.56	$2,425.07 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43202	CPT	Biopsy Of Esophagus Using A Flexible Endoscope Through Mouth	128	52	$5,661.46	$1,698.44 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43251	CPT	Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…	128	52	$8,083.56	$2,425.07 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43243	CPT	Injection Of Dilated Vein Of Stomach And/or Esophagus Using A Flexible Endoscope	128	52	$5,661.46	$1,698.44 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43250	CPT	Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…	128	52	$8,083.56	$2,425.07 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43217	CPT	Removal Of Polyps Or Growths Of Esophagus Using A Flexible Endoscope With Mechan…	128	52	$6,585.78	$1,975.73 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43255	CPT	Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex…	128	52	$8,083.56	$2,425.07 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43245	CPT	Dilation Of Stomach Outlet Using A Flexible Endoscope	128	52	$8,083.56	$2,425.07 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43244	CPT	Tying Of Dilated Veins Of Stomach And/or Esophagus Using A Flexible Endoscope	128	52	$6,985.40	$2,095.62 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43249	CPT	Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…	128	52	$8,083.56	$2,425.07 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43246	CPT	Insertion Of Stomach Tube Using A Flexible Endoscope	128	52	$6,016.56	$1,804.97 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
43215	CPT	Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope	128	52	$8,083.56	$2,425.07 70% off	$3,444.68	$3,444.68	$3,444.68	2025-04-05
12047	CPT	Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, More Than 30.0 C…	128	52	$6,051.54	$1,815.46 70% off	$3,301.31	$3,301.31	$3,301.31	2025-04-05
15275	CPT	Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…	6	3	$4,486.98	$1,346.09 70% off	$82.68	$3,301.31	$3,301.31	2025-04-05
15271	CPT	Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C…	128	52	$4,976.70	$1,493.01 70% off	$3,301.31	$3,301.31	$3,301.31	2025-04-05
12037	CPT	Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha…	128	52	$4,606.76	$1,382.03 70% off	$3,301.31	$3,301.31	$3,301.31	2025-04-05
10121	CPT	Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex	128	52	$4,018.46	$1,205.54 70% off	$2,935.03	$2,935.03	$2,935.03	2025-04-05
24200	CPT	Removal Of Foreign Body Of Upper Arm Or Elbow Area, Accessed Beneath The Skin	6	3	$3,963.34	$1,189.00 70% off	$124.76	$2,935.03	$2,935.03	2025-04-05
20520	CPT	Removal Of Foreign Body In Muscle Or Tendon	128	52	$2,140.14	$642.04 70% off	$2,935.03	$2,935.03	$2,935.03	2025-04-05
11044	CPT	Removal Of Bone, 20.0 Sq Cm Or Less	128	52	$3,857.34	$1,157.20 70% off	$2,935.03	$2,935.03	$2,935.03	2025-04-05
38220	CPT	Aspiration Of Bone Marrow Sample For Diagnosis	128	52	$2,140.14	$642.04 70% off	$2,935.03	$2,935.03	$2,935.03	2025-04-05
11423	CPT	Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…	128	52	$3,857.34	$1,157.20 70% off	$2,935.03	$2,935.03	$2,935.03	2025-04-05
55100	CPT	Drainage Of Abscess Of Scrotum	128	52	$3,419.56	$1,025.87 70% off	$2,935.03	$2,935.03	$2,935.03	2025-04-05
26011	CPT	Complicated Drainage Of Abscess In Finger	128	52	$3,896.56	$1,168.97 70% off	$2,935.03	$2,935.03	$2,935.03	2025-04-05
25565	CPT	Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation	128	52	$3,922.00	$1,176.60 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
24535	CPT	Closed Treatment Of Upper Arm Bone Broken At Elbow With Manipulation	128	52	$4,594.00	$1,378.20 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
24577	CPT	Closed Treatment Of Broken Elbow With Manipulation	128	52	$4,881.30	$1,464.39 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
24605	CPT	Repair Of Dislocated Elbow Under Anesthesia	128	52	$3,855.22	$1,156.57 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
26705	CPT	Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation Un…	128	52	$4,881.30	$1,464.39 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
23625	CPT	Closed Treatment Of Upper Arm Bone Broken At Shoulder Joint With Manipulation	128	52	$4,049.20	$1,214.76 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
23505	CPT	Closed Treatment Of Broken Collar Bone With Manipulation	128	52	$4,991.54	$1,497.46 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
27810	CPT	Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation	128	52	$1,628.16	$488.45 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
26742	CPT	Closed Treatment Of Broken Finger Or Hand At Base Of Finger With Manipulation	128	52	$4,562.24	$1,368.67 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
23655	CPT	Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia	128	52	$3,855.22	$1,156.57 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
25605	CPT	Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit…	128	52	$4,049.20	$1,214.76 70% off	$2,909.53	$2,909.53	$2,909.53	2025-04-05
36569	CPT	Insertion Of Tube For Infusion (5 Years Or Older)	128	52	$3,263.74	$979.12 70% off	$2,899.27	$2,899.27	$2,899.27	2025-04-05
32551	CPT	Hc Insertion Of Chest Tube Open	256	52	$3,384.05	$1,015.21 70% off	$2,899.27	$2,899.27	$2,899.27	2025-04-05
36568	CPT	Hc Ins Picc Without Subq Port/Pump <5yrs	128	52	$3,107.92	$932.38 70% off	$2,899.27	$2,899.27	$2,899.27	2025-04-05
40654	CPT	Repair Of Vertical Lip Wound Extending To Over Half Of Lip	128	52	$3,736.50	$1,120.95 70% off	$2,760.80	$2,760.80	$2,760.80	2025-04-05
41007	CPT	Drainage Of Abscess, Cyst, Or Blood Accumulation Beneath Chin From Inside Mouth	128	52	$3,736.50	$1,120.95 70% off	$2,760.80	$2,760.80	$2,760.80	2025-04-05
31603	CPT	Emergent Incision Of Windpipe Through Neck For Insertion Of Breathing Tube	128	52	$1,944.04	$583.21 70% off	$2,760.80	$2,760.80	$2,760.80	2025-04-05
A9584	HCPCS	Nm Iso Ioflupane (datscan) Per Dose Up To 5 Mci	128	52	$6,631.07	$1,989.32 70% off	$2,591.40	$2,591.40	$2,591.40	2025-04-05
44394	CPT	Removal Of Growths Or Polyps Of Large Bowel By Mechanical Snare Using An Endosco…	128	52	$3,721.66	$1,116.50 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
45385	CPT	Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…	128	52	$5,546.98	$1,664.09 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
45380	CPT	Biopsy Of Large Bowel Using A Flexible Endoscope	178	52	$5,546.98	$1,664.09 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
45332	CPT	Removal Of Foreign Bodies In Lower Portion Of Large Bowel Using A Flexible Endos…	128	52	$2,325.64	$697.69 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
45386	CPT	Balloon Dilation Of Large Bowel Using A Flexible Endoscope	128	52	$5,897.84	$1,769.35 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
45338	CPT	Removal Of Polyps Or Growths Of Lower Large Bowel Using A Flexible Endoscope Wit…	128	52	$2,467.68	$740.30 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
45382	CPT	Control Of Bleeding Of Upper Large Bowel Using A Flexible Endoscope	128	52	$5,544.86	$1,663.46 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
45384	CPT	Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec…	128	52	$5,546.98	$1,664.09 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
46040	CPT	Drainage Of Deep Abscess In Rectum	128	52	$6,356.82	$1,907.05 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
45381	CPT	Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope	178	52	$5,546.98	$1,664.09 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
44389	CPT	Biopsy Of Large Bowel Using An Endoscope Inserted Through Surgically Created Ope…	128	52	$3,483.16	$1,044.95 70% off	$2,136.28	$2,136.28	$2,136.28	2025-04-05
A9507	HCPCS	Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit	128	52	$10,415.00	$3,124.50 70% off	$1,932.83	$1,932.83	$1,932.83	2025-04-05
99291	CPT	Critical Care, First 30-74 Minutes	128	52	$2,730.56	$819.17 70% off	$706.39	$3,087.00	$1,896.69	2025-04-05
99281	CPT	Emergency Department Visit For Problem That May Not Require Health Care Professi…	36	16	$263.94	$79.18 70% off	$70.68	$1,864.00	$1,850.00	2025-04-05
43270	CPT	Destruction Of Polyp Or Growth Of Esophagus, Stomach, And/or Upper Small Bowel U…	128	52	$6,985.40	$2,095.62 70% off	$196.04	$3,444.68	$1,820.36	2025-04-05
15277	CPT	Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout…	128	52	$4,488.04	$1,346.41 70% off	$195.40	$3,301.31	$1,748.36	2025-04-05
78452	CPT	Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect	116	48	$5,391.67	$1,617.50 70% off	$298.61	$3,044.09	$1,671.35	2025-04-05
A9508	HCPCS	Nm Iso Meta-iodobenzylguanidine I131 Mibg Per 0.5 Mci	128	52	$3,431.00	$1,029.30 70% off	$1,659.21	$1,659.21	$1,659.21	2025-04-05
78451	CPT	Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect	114	48	$4,776.53	$1,432.96 70% off	$265.21	$3,044.09	$1,654.65	2025-04-05
45378	CPT	Diagnostic Exam Of Large Bowel Using A Flexible Endoscope	128	52	$5,040.30	$1,512.09 70% off	$1,654.54	$1,654.54	$1,654.54	2025-04-05
45331	CPT	Biopsy Of Lower Large Bowel Using A Flexible Endoscope	128	52	$2,264.16	$679.25 70% off	$1,654.54	$1,654.54	$1,654.54	2025-04-05
45330	CPT	Diagnostic Exam Of Lower Portion Of Large Bowel Using A Flexible Endoscope	128	52	$1,106.64	$331.99 70% off	$1,654.54	$1,654.54	$1,654.54	2025-04-05
G0105	HCPCS	Hc Colonoscopy Screening High Risk	128	52	$2,752.82	$825.85 70% off	$1,654.54	$1,654.54	$1,654.54	2025-04-05
46608	CPT	Removal Of Foreign Body In Anus Using An Endoscope	128	52	$2,602.30	$780.69 70% off	$1,654.54	$1,654.54	$1,654.54	2025-04-05
46050	CPT	Drainage Of Superficial Rectal Abscess Surrounding Anus	128	52	$1,579.40	$473.82 70% off	$1,654.54	$1,654.54	$1,654.54	2025-04-05
45335	CPT	Injection Beneath Lining Of Lower Large Bowel Using A Flexible Endoscope	128	52	$1,840.16	$552.05 70% off	$1,654.54	$1,654.54	$1,654.54	2025-04-05
64483	CPT	Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I…	306	52	$2,940.44	$882.13 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
62322	CPT	Injection Of Substance Into Lower Spine Canal	278	52	$1,555.02	$466.51 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64446	CPT	Continuous Infusion Of Anesthetic Agent And/or Steroid Into Lower Back And Leg N…	6	3	$1,922.84	$576.85 70% off	$67.51	$1,650.06	$1,650.06	2025-04-05
62326	CPT	Insertion Of Tube And Injection Of Substance Into Lower Spine Canal	128	52	$1,922.84	$576.85 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64517	CPT	Injection Of Anesthetic Agent Into Sacral Nerve Bundle	128	52	$1,922.84	$576.85 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64490	CPT	Hc Bilat Inj Paravert Cerv/Thorac Sngl Lvl	256	52	$2,991.85	$897.55 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64416	CPT	Continuous Infusion Of Anesthetic Agent And/or Steroid Into Arm Nerve Bundle Thr…	6	3	$1,922.84	$576.85 70% off	$69.07	$1,650.06	$1,650.06	2025-04-05
64421	CPT	Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region…	128	52	$2,236.60	$670.98 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64620	CPT	Injection Of Agent To Destroy Rib Nerve	128	52	$2,234.48	$670.34 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64417	CPT	Injection Of Anesthetic Agent And/or Steroid Into Upper Arm And Shoulder Nerve (…	128	52	$1,922.84	$576.85 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64415	CPT	Injection Of Anesthetic Agent And/or Steroid Into Arm Nerve Bundle (brachial Ple…	228	52	$1,922.84	$576.85 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64479	CPT	Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo…	128	52	$2,940.44	$882.13 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64510	CPT	Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle	128	52	$1,922.84	$576.85 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
64448	CPT	Continuous Infusion Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral…	128	52	$1,922.84	$576.85 70% off	$1,650.06	$1,650.06	$1,650.06	2025-04-05
49082	CPT	Drainage Of Fluid From Abdominal Cavity	128	52	$1,653.60	$496.08 70% off	$1,641.01	$1,641.01	$1,641.01	2025-04-05
43247	CPT	Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using …	128	52	$5,661.46	$1,698.44 70% off	$1,641.01	$1,641.01	$1,641.01	2025-04-05
43239	CPT	Hc Egd Biopsy Single/Multiple	128	52	$5,661.46	$1,698.44 70% off	$1,641.01	$1,641.01	$1,641.01	2025-04-05
43235	CPT	Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible…	178	52	$4,995.78	$1,498.73 70% off	$1,641.01	$1,641.01	$1,641.01	2025-04-05
49083	CPT	Hc Abd Paracentesis W/Imaging	128	52	$1,619.68	$485.90 70% off	$1,641.01	$1,641.01	$1,641.01	2025-04-05
49450	CPT	Hc Replacement Gastrostomy Fluoro	6	3	$1,365.28	$409.58 70% off	$57.30	$1,641.01	$1,641.01	2025-04-05
43236	CPT	Injection Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endos…	128	52	$4,228.34	$1,268.50 70% off	$1,641.01	$1,641.01	$1,641.01	2025-04-05
23665	CPT	Closed Treatment Of Dislocated Shoulder And Broken Upper Arm Bone At Shoulder Jo…	128	52	$3,847.80	$1,154.34 70% off	$341.00	$2,909.53	$1,625.27	2025-04-05
27818	CPT	Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation	128	52	$4,049.20	$1,214.76 70% off	$341.00	$2,909.53	$1,625.27	2025-04-05
33016	CPT	Drainage Of Heart Sac Using Imaging Guidance	128	52	$4,631.14	$1,389.34 70% off	$203.37	$2,899.27	$1,551.32	2025-04-05
G0121	HCPCS	Hc Colonoscopy Screen Not High Risk	128	52	$5,040.30	$1,512.09 70% off	$1,523.92	$1,523.92	$1,523.92	2025-04-05
G0104	HCPCS	Hc Sigmoidoscopy Flexi Ca Screen	128	52	$1,106.64	$331.99 70% off	$1,523.92	$1,523.92	$1,523.92	2025-04-05
G1019	HCPCS	Hc Cdsm Logicnets	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1018	HCPCS	Hc Cdsm Infinx	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1013	HCPCS	Hc Cdsm Evidencecare	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1015	HCPCS	Hc Cdsm Reliant	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1014	HCPCS	Hc Cdsm Inveniqa	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1020	HCPCS	Hc Cdsm Curbside	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1010	HCPCS	Hc Cdsm Stanson	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1011	HCPCS	Hc Cdsm Qualified Nos	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1021	HCPCS	Hc Cdsm Ehealthline	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1008	HCPCS	Hc Cdsm Cranberry Pk	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1007	HCPCS	Hc Cdsm Aim	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1012	HCPCS	Hc Cdsm Agilemd	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1001	HCPCS	Hc Cdsm Evicore	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1002	HCPCS	Hc Cdsm Medcurrent	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1017	HCPCS	Hc Cdsm Healthhelp	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1003	HCPCS	Hc Cdsm Medicalis	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1022	HCPCS	Hc Cdsm Intermountain	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1004	HCPCS	Hc Cdsm Ndsc	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1016	HCPCS	Hc Cdsm Speed Of Care	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
G1023	HCPCS	Hc Cdsm Persivia	114	48	$0.01	—	$1,484.50	$1,484.50	$1,484.50	2025-04-05
99285	CPT	Emergency Department Visit With High Level Of Medical Decision Making	178	52	$2,058.52	$617.56 70% off	$511.31	$2,442.00	$1,476.65	2025-04-05
99284	CPT	Emergency Department Visit With Moderate Level Of Medical Decision Making	128	52	$1,326.06	$397.82 70% off	$352.58	$2,442.00	$1,397.29	2025-04-05
A9520	HCPCS	Nm Iso Tc99 Tilmanocept Per Dose Up To 0.5 Mci	128	52	$1,135.00	$340.50 70% off	$1,389.30	$1,389.30	$1,389.30	2025-04-05
J0841	HCPCS	Antivenin Crotalidae (equine) Solution For Injection	128	52	$4,501.34	$1,350.40 70% off	$1,003.28	$1,728.03	$1,365.65	2025-04-05
A9547	HCPCS	Nm Iso In-111 Oxyquinoline (oxine) Per 0.5mci	128	52	$2,940.00	$882.00 70% off	$502.16	$2,210.23	$1,356.19	2025-04-05
A9562	HCPCS	Nm Iso Tc99m Mertiatide (mag3) Per Dose Up To 15mci	128	52	$2,371.00	$711.30 70% off	$1,304.85	$1,304.85	$1,304.85	2025-04-05
J3262	HCPCS	Tocilizumab 200 Mg/10 Ml (20 Mg/ml) Intravenous Solution	128	52	$3,667.93	$1,100.38 70% off	$963.90	$1,614.49	$1,289.19	2025-04-05
69000	CPT	Simple Drainage Of Abscess Or Blood Accumulation Of External Ear	128	52	$2,285.36	$685.61 70% off	$1,273.68	$1,273.68	$1,273.68	2025-04-05
11402	CPT	Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm	128	52	$1,809.42	$542.83 70% off	$1,273.68	$1,273.68	$1,273.68	2025-04-05
10081	CPT	Complicated Drainage Of Cyst Of Tailbone	128	52	$1,809.42	$542.83 70% off	$1,273.68	$1,273.68	$1,273.68	2025-04-05
28190	CPT	Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin	128	52	$1,639.82	$491.95 70% off	$1,273.68	$1,273.68	$1,273.68	2025-04-05
10080	CPT	Simple Drainage Of Cyst Of Tailbone	128	52	$1,639.82	$491.95 70% off	$1,273.68	$1,273.68	$1,273.68	2025-04-05
62320	CPT	Injection Of Substance Into Middle Or Upper Spine Canal	128	52	$1,555.02	$466.51 70% off	$1,251.91	$1,251.91	$1,251.91	2025-04-05
64420	CPT	Injection Of Anesthetic Agent And/or Steroid Into Rib Nerve	128	52	$1,555.02	$466.51 70% off	$1,251.91	$1,251.91	$1,251.91	2025-04-05
62321	CPT	Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance	128	52	$1,750.06	$525.02 70% off	$1,251.91	$1,251.91	$1,251.91	2025-04-05
64450	CPT	Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch	170	52	$1,181.90	$354.57 70% off	$1,251.91	$1,251.91	$1,251.91	2025-04-05
64447	CPT	Injection Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral Nerve)	228	52	$1,555.02	$466.51 70% off	$1,251.91	$1,251.91	$1,251.91	2025-04-05
64445	CPT	Injection Of Anesthetic Agent And/or Steroid Into Lower Back And Leg Nerve (scia…	128	52	$1,555.02	$466.51 70% off	$1,251.91	$1,251.91	$1,251.91	2025-04-05
64425	CPT	Injection Of Anesthetic Agent And/or Steroid Into Lower Abdomen And Groin Nerve	6	3	$1,555.02	$466.51 70% off	$48.14	$1,251.91	$1,251.91	2025-04-05
64418	CPT	Injection Of Anesthetic Agent And/or Steroid Into Suprascapular Shoulder Nerve	6	3	$1,555.02	$466.51 70% off	$49.27	$1,251.91	$1,251.91	2025-04-05
62273	CPT	Injection Of Blood Or Blood Clot Into Spinal Canal	128	52	$2,236.60	$670.98 70% off	$1,251.91	$1,251.91	$1,251.91	2025-04-05
62270	CPT	Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test	128	52	$1,241.26	$372.38 70% off	$1,251.91	$1,251.91	$1,251.91	2025-04-05
92960	CPT	External Shock To Heart To Regulate Heart Beat	114	48	$1,474.46	$442.34 70% off	$518.08	$1,212.04	$1,212.04	2025-04-05
45388	CPT	Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope	128	52	$5,543.80	$1,663.14 70% off	$236.37	$2,136.28	$1,186.33	2025-04-05
91110	CPT	Imaging Of Digestive Tract Done From The Inside Of The Digestive Tract	128	52	$2,787.80	$836.34 70% off	$615.58	$1,727.38	$1,171.48	2025-04-05
81229	CPT	Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi…	128	52	$3,688.80	$1,106.64 70% off	$1,031.80	$1,566.00	$1,160.00	2025-04-05
G0260	HCPCS	Hc Si Jt Anes/Ster Inj W/wo Arthr	256	52	$2,795.75	$838.73 70% off	$1,153.08	$1,153.08	$1,153.08	2025-04-05
11760	CPT	Repair Of Fingernail Or Toenail Bed	128	52	$1,082.26	$324.68 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
13101	CPT	Complicated Repair Of Wound Of Trunk, 2.6-7.5 Cm	128	52	$6,911.20	$2,073.36 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
12046	CPT	Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 20.1-30.0 Cm	128	52	$849.06	$254.72 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
12045	CPT	Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 12.6-20.0 Cm	128	52	$849.06	$254.72 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
12044	CPT	Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm	128	52	$849.06	$254.72 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
11043	CPT	Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less	128	52	$1,410.86	$423.26 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
11106	CPT	Hc Incisional Biopsy Skin Single Lesion	6	3	$917.96	$275.39 70% off	$49.77	$1,136.96	$1,136.96	2025-04-05
13152	CPT	Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm	128	52	$1,367.40	$410.22 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
13151	CPT	Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm	128	52	$1,367.40	$410.22 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
13132	CPT	Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…	128	52	$1,367.40	$410.22 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
13121	CPT	Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm	128	52	$1,367.40	$410.22 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
13120	CPT	Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 1.1-2.5 Cm	128	52	$849.06	$254.72 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
13100	CPT	Complicated Repair Of Wound Of Trunk, 1.1-2.5 Cm	128	52	$6,282.62	$1,884.79 70% off	$1,136.96	$1,136.96	$1,136.96	2025-04-05
12036	CPT	Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.…	128	52	$1,243.38	$373.01 70% off	$341.00	$1,864.00	$1,102.50	2025-04-05
12020	CPT	Simple Closure Of Surface Wound Reopening	128	52	$1,367.40	$410.22 70% off	$341.00	$1,864.00	$1,102.50	2025-04-05
54220	CPT	Injection Of Drug Into Erectile Tissue At Sides And Back Of Penis	128	52	$657.20	$197.16 70% off	$341.00	$1,864.00	$1,102.50	2025-04-05
99283	CPT	Emergency Department Visit With Low Level Of Medical Decision Making	128	52	$736.70	$221.01 70% off	$227.13	$1,864.00	$1,045.57	2025-04-05
94003	CPT	Follow-up Inpatient Or Observation Ventilation Assistance And Management	12	6	$1,166.00	$349.80 70% off	$57.15	$1,194.16	$1,044.89	2025-04-05
99292	CPT	Critical Care, Each Additional 30 Minutes	128	52	$424.00	$127.20 70% off	$193.38	$1,864.00	$1,028.69	2025-04-05
99282	CPT	Emergency Department Visit With Straightforward Medical Decision Making	128	52	$447.32	$134.20 70% off	$130.19	$1,864.00	$997.10	2025-04-05
40652	CPT	Repair Of Vertical Lip Wound Extending To Half Of Lip	128	52	$1,253.98	$376.19 70% off	$996.04	$996.04	$996.04	2025-04-05
40650	CPT	Repair Of Lip And Border	128	52	$1,253.98	$376.19 70% off	$996.04	$996.04	$996.04	2025-04-05
C8901	HCPCS	Hc MRA Abdomen Without Contrast	114	48	$1,785.04	$535.51 70% off	$443.59	$995.79	$995.79	2025-04-05
C8913	HCPCS	Hc MRA Lower Ext Without Contrast	114	48	$1,411.92	$423.58 70% off	$443.59	$995.79	$995.79	2025-04-05
78227	CPT	Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs	116	48	$2,681.38	$804.41 70% off	$296.97	$1,158.73	$984.99	2025-04-05
78278	CPT	Nuclear Medicine Study To Assess Blood Loss	114	48	$1,340.69	$402.21 70% off	$268.58	$970.79	$970.79	2025-04-05
78582	CPT	Nuclear Medicine Study Of Lung Ventilation And Circulation	114	48	$2,850.93	$855.28 70% off	$256.10	$1,158.73	$964.55	2025-04-05
73722	CPT	MRI Scan Of Leg Joint With Contrast	168	48	$2,935.14	$880.54 70% off	$205.43	$1,716.48	$960.96	2025-04-05
73222	CPT	MRI Scan Of Arm Joint With Contrast	118	48	$5,470.66	$1,641.20 70% off	$204.87	$1,716.48	$960.67	2025-04-05
78598	CPT	Nuclear Medicine Study Of Lung Ventilation And Circulation And Blood Flow To Lun…	114	48	$1,650.89	$495.27 70% off	$232.07	$1,158.73	$952.53	2025-04-05
78315	CPT	Nuclear Medicine Study Of Bone Taken At Different Times	116	48	$2,085.95	$625.78 70% off	$224.51	$948.75	$948.75	2025-04-05
78264	CPT	Nuclear Medicine Study Of Stomach To Assess Emptying	116	48	$1,407.72	$422.32 70% off	$221.18	$947.09	$947.09	2025-04-05
78071	CPT	Nuclear Medicine Study Of Parathyroid With Spect	116	48	$2,295.00	$688.50 70% off	$220.93	$946.97	$946.97	2025-04-05
78226	CPT	Nuclear Medicine Study Of Liver And Bile Duct System	166	48	$1,240.79	$372.24 70% off	$218.43	$945.72	$945.72	2025-04-05
78305	CPT	Nuclear Medicine Study Of Bone And/or Joint Multiple Areas	114	48	$1,723.18	$516.95 70% off	$210.35	$941.67	$941.67	2025-04-05
78070	CPT	Nuclear Medicine Study Of Parathyroid	116	48	$1,188.22	$356.47 70% off	$193.44	$933.22	$933.22	2025-04-05
78306	CPT	Nuclear Medicine Study Of Bone And/or Joint Whole Body	116	48	$1,895.36	$568.61 70% off	$191.52	$932.26	$932.26	2025-04-05
78580	CPT	Nuclear Medicine Study Of Lung Circulation	114	48	$1,833.59	$550.08 70% off	$182.82	$927.91	$927.91	2025-04-05
78472	CPT	Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit…	114	48	$2,616.97	$785.09 70% off	$178.36	$925.68	$925.68	2025-04-05
78701	CPT	Nuclear Medicine Study Of Kidney And Blood Flow	114	48	$1,777.07	$533.12 70% off	$174.80	$923.90	$923.90	2025-04-05
78300	CPT	Nuclear Medicine Study Of Bone And/or Joint Limited Area	114	48	$1,566.76	$470.03 70% off	$174.13	$923.57	$923.57	2025-04-05
74174	CPT	CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	114	48	$2,021.42	$606.43 70% off	$332.27	$922.63	$922.63	2025-04-05
C8900	HCPCS	Hc MRA Abdomen W/Contrast	114	48	$1,964.18	$589.25 70% off	$294.33	$921.16	$921.16	2025-04-05
C8902	HCPCS	Hc MRA Abdomen With & Without Contrast	114	48	$2,160.28	$648.08 70% off	$294.33	$921.16	$921.16	2025-04-05
C8912	HCPCS	Hc MRA Lower Ext With Contrast	114	48	$1,423.58	$427.07 70% off	$293.54	$920.77	$920.77	2025-04-05
C8914	HCPCS	Hc MRA Lowr Ext With & Without Cont	114	48	$1,868.78	$560.63 70% off	$293.54	$920.77	$920.77	2025-04-05
76098	CPT	X-ray Of Surgical Specimen	12	6	$1,854.62	$556.39 70% off	$36.53	$1,182.67	$919.85	2025-04-05
76080	CPT	Review By Radiologist Of Abscess Or Sinus Cavity Study	12	6	$1,463.86	$439.16 70% off	$51.42	$1,182.67	$919.85	2025-04-05
73219	CPT	MRI Scan Of Arm With Contrast	114	48	$4,937.48	$1,481.24 70% off	$289.32	$918.66	$918.66	2025-04-05
70546	CPT	MRI Scan Of Blood Vessels Of Head Before And After Contrast	114	48	$1,868.78	$560.63 70% off	$287.44	$917.72	$917.72	2025-04-05
78014	CPT	Nuclear Medicine Study Of Thyroid And Thyroid Function	118	48	$1,311.77	$393.53 70% off	$162.36	$917.68	$917.68	2025-04-05
78215	CPT	Nuclear Medicine Study Of Liver And Spleen	114	48	$1,543.11	$462.93 70% off	$153.14	$913.07	$913.07	2025-04-05
72132	CPT	CT Scan Of Lower Spine With Contrast	114	48	$5,254.42	$1,576.33 70% off	$306.14	$909.57	$909.57	2025-04-05
72126	CPT	CT Scan Of Upper Spine With Contrast	114	48	$3,824.48	$1,147.34 70% off	$306.14	$909.57	$909.57	2025-04-05
78013	CPT	Nuclear Medicine Study Of Thyroid	114	48	$759.72	$227.92 70% off	$143.85	$908.42	$908.42	2025-04-05
73220	CPT	MRI Scan Of Arm Before And After Contrast	116	48	$5,431.44	$1,629.43 70% off	$267.35	$907.67	$907.67	2025-04-05
74182	CPT	MRI Scan Of Abdomen With Contrast	114	48	$3,138.66	$941.60 70% off	$264.68	$906.34	$906.34	2025-04-05
78708	CPT	Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra…	114	48	$2,093.84	$628.15 70% off	$136.01	$1,158.73	$904.50	2025-04-05
71550	CPT	MRI Scan Of Chest Without Contrast	114	48	$2,055.34	$616.60 70% off	$251.03	$899.51	$899.51	2025-04-05
73223	CPT	MRI Scan Of Arm Joint Before And After Contrast	118	48	$6,017.62	$1,805.29 70% off	$247.64	$897.82	$897.82	2025-04-05
73723	CPT	MRI Scan Of Leg Joint Before And After Contrast	160	48	$3,228.76	$968.63 70% off	$246.53	$897.26	$897.26	2025-04-05
72142	CPT	MRI Scan Of Upper Spinal Canal With Contrast	114	48	$4,157.32	$1,247.20 70% off	$241.78	$894.89	$894.89	2025-04-05
C8908	HCPCS	Hc Breast With & Without Contrast Bilat	104	43	$4,584.50	$1,375.35 70% off	$217.62	$893.81	$893.81	2025-04-05
72147	CPT	MRI Scan Of Middle Spinal Canal With Contrast	114	48	$3,323.10	$996.93 70% off	$239.58	$893.79	$893.79	2025-04-05
70552	CPT	MRI Scan Of Brain With Contrast	114	48	$3,971.82	$1,191.55 70% off	$237.36	$892.68	$892.68	2025-04-05
A9551	HCPCS	Nm Iso Tc99m Succimer (dmsa) Per Dose Up To 10mci	128	52	$569.00	$170.70 70% off	$629.39	$1,154.31	$891.85	2025-04-05
72196	CPT	MRI Scan Of Pelvis With Contrast	114	48	$2,589.58	$776.87 70% off	$235.52	$891.76	$891.76	2025-04-05
70542	CPT	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast	114	48	$3,458.78	$1,037.63 70% off	$235.17	$891.59	$891.59	2025-04-05
78216	CPT	Nuclear Medicine Study Of Liver, Spleen, And Blood Flow	114	48	$1,544.42	$463.33 70% off	$108.13	$890.57	$890.57	2025-04-05
73719	CPT	MRI Scan Of Leg With Contrast	114	48	$2,509.02	$752.71 70% off	$230.73	$889.37	$889.37	2025-04-05
70549	CPT	MRI Scan Of Blood Vessels Of Neck Before And After Contrast	124	48	$1,732.04	$519.61 70% off	$225.95	$886.98	$886.98	2025-04-05
64640	CPT	Destruction Of Peripheral Nerve Or Branch	256	52	$2,991.85	$897.55 70% off	$105.08	$1,650.06	$877.57	2025-04-05
70543	CPT	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast	116	48	$3,804.34	$1,141.30 70% off	$206.54	$877.27	$877.27	2025-04-05
73720	CPT	MRI Scan Of Leg Before And After Contrast	118	48	$2,936.20	$880.86 70% off	$205.15	$876.58	$876.58	2025-04-05
74183	CPT	MRI Scan Of Abdomen Before And After Contrast	116	48	$3,452.42	$1,035.73 70% off	$204.04	$876.02	$876.02	2025-04-05
93318	CPT	Ultrasound Of Heart With Probe In Esophagus To Assess Heart Pump Function	114	48	$1,951.46	$585.44 70% off	$439.15	$998.70	$875.50	2025-04-05
93320	CPT	Ultrasound Of Heart Blood Flow, Valves And Chambers	114	48	$1,449.02	$434.71 70% off	$875.50	$875.50	$875.50	2025-04-05
93321	CPT	Ultrasound Of Heart Blood Flow, Valves And Chambers, Follow-up	114	48	$626.46	$187.94 70% off	$875.50	$875.50	$875.50	2025-04-05
93325	CPT	Ultrasound Of Heart With Color-depicted Blood Flow, Rate And Valve Function	114	48	$241.68	$72.50 70% off	$875.50	$875.50	$875.50	2025-04-05
93308	CPT	Hc Echo 2d W M-mode Limited	114	48	$958.24	$287.47 70% off	$195.06	$875.50	$875.50	2025-04-05
93307	CPT	Ultrasound Of Heart	114	48	$1,426.76	$428.03 70% off	$195.06	$875.50	$875.50	2025-04-05
C8929	HCPCS	Hc Tte W Or W/wo Contrast Comp	114	48	$3,403.66	$1,021.10 70% off	$875.50	$1,449.47	$875.50	2025-04-05
C8924	HCPCS	Hc Tte W Or W/wo Contrast F/u Or Lmtd	158	48	$1,127.84	$338.35 70% off	$696.20	$875.50	$875.50	2025-04-05
72197	CPT	MRI Scan Of Pelvis Before And After Contrast	116	48	$2,848.22	$854.47 70% off	$202.93	$875.47	$875.47	2025-04-05
70545	CPT	MRI Scan Of Blood Vessels Of Head With Contrast	114	48	$1,545.48	$463.64 70% off	$198.53	$873.26	$873.26	2025-04-05
73218	CPT	MRI Scan Of Arm Without Contrast	118	48	$4,488.04	$1,346.41 70% off	$191.13	$869.57	$869.57	2025-04-05
73706	CPT	CT Scan Of Blood Vessels Of Lower Leg With Contrast	114	48	$2,113.64	$634.09 70% off	$220.35	$866.67	$866.67	2025-04-05
72157	CPT	MRI Scan Of Middle Spinal Canal Before And After Contrast	168	48	$3,655.94	$1,096.78 70% off	$185.15	$866.58	$866.58	2025-04-05
72156	CPT	MRI Scan Of Upper Spinal Canal Before And After Contrast	168	48	$4,572.84	$1,371.85 70% off	$184.60	$866.30	$866.30	2025-04-05
72158	CPT	MRI Scan Of Lower Spinal Canal Before And After Contrast	116	48	$4,181.70	$1,254.51 70% off	$184.04	$866.02	$866.02	2025-04-05
70553	CPT	MRI Scan Of Brain Before And After Contrast	116	48	$4,280.28	$1,284.08 70% off	$183.49	$865.75	$865.75	2025-04-05
74175	CPT	CT Scan Of Blood Vessels Of Abdomen With Contrast	114	48	$3,627.32	$1,088.20 70% off	$217.15	$865.08	$865.08	2025-04-05
73206	CPT	CT Scan Of Blood Vessels Of Arm With Contrast	114	48	$2,574.74	$772.42 70% off	$216.30	$864.65	$864.65	2025-04-05
70498	CPT	CT Scan Of Blood Vessels Of Neck With Contrast	114	48	$2,457.08	$737.12 70% off	$214.76	$863.88	$863.88	2025-04-05
74178	CPT	CT Scan Of Abdomen And Pelvis Before And After Contrast	176	48	$12,036.30	$3,610.89 70% off	$212.92	$862.96	$862.96	2025-04-05
72149	CPT	MRI Scan Of Lower Spinal Canal With Contrast	116	48	$3,625.20	$1,087.56 70% off	$162.10	$855.05	$855.05	2025-04-05
74177	CPT	CT Scan Of Abdomen And Pelvis With Contrast	176	48	$10,942.38	$3,282.71 70% off	$188.51	$850.75	$850.75	2025-04-05
70548	CPT	MRI Scan Of Blood Vessels Of Neck With Contrast	116	48	$1,545.48	$463.64 70% off	$152.11	$850.05	$850.05	2025-04-05
93306	CPT	Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…	166	48	$3,093.08	$927.92 70% off	$107.40	$998.70	$847.70	2025-04-05
70540	CPT	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast	116	48	$3,143.96	$943.19 70% off	$141.30	$844.65	$844.65	2025-04-05
72195	CPT	MRI Scan Of Pelvis Without Contrast	116	48	$2,354.26	$706.28 70% off	$139.08	$843.54	$843.54	2025-04-05
73718	CPT	MRI Scan Of Leg Without Contrast	232	48	$2,322.46	$696.74 70% off	$138.80	$843.40	$843.40	2025-04-05
70547	CPT	MRI Scan Of Blood Vessels Of Neck Without Contrast	116	48	$1,253.98	$376.19 70% off	$138.22	$843.11	$843.11	2025-04-05
70544	CPT	MRI Scan Of Blood Vessels Of Head Without Contrast	218	48	$1,461.74	$438.52 70% off	$137.94	$842.97	$842.97	2025-04-05
J0585	HCPCS	Onabotulinumtoxina 100 Unit Solution For Injection	128	52	$2,202.93	$660.88 70% off	$638.00	$1,042.80	$840.40	2025-04-05
73221	CPT	MRI Scan Of Arm Joint Without Contrast	232	48	$4,973.52	$1,492.06 70% off	$120.75	$834.38	$834.38	2025-04-05
73721	CPT	MRI Scan Of Leg Joint Without Contrast	234	48	$2,668.02	$800.41 70% off	$120.47	$834.24	$834.24	2025-04-05
74160	CPT	CT Scan Of Abdomen With Contrast	174	48	$3,989.84	$1,196.95 70% off	$146.26	$829.63	$829.63	2025-04-05
72129	CPT	CT Scan Of Middle Spine With Contrast	114	48	$3,694.10	$1,108.23 70% off	$146.26	$829.63	$829.63	2025-04-05
70492	CPT	CT Scan Of Soft Tissue Of Neck Before And After Contrast	114	48	$3,064.46	$919.34 70% off	$146.26	$829.63	$829.63	2025-04-05
71260	CPT	CT Scan Of Chest With Contrast	114	48	$4,977.76	$1,493.33 70% off	$146.26	$829.63	$829.63	2025-04-05
72191	CPT	CT Scan Of Blood Vessels Of Pelvis With Contrast	114	48	$3,199.08	$959.72 70% off	$146.26	$829.63	$829.63	2025-04-05
72193	CPT	CT Scan Of Pelvis With Contrast	114	48	$3,774.66	$1,132.40 70% off	$146.26	$829.63	$829.63	2025-04-05
74181	CPT	MRI Scan Of Abdomen Without Contrast	116	48	$2,852.46	$855.74 70% off	$110.75	$829.38	$829.38	2025-04-05
70551	CPT	MRI Scan Of Brain Without Contrast	116	48	$3,895.50	$1,168.65 70% off	$110.20	$829.10	$829.10	2025-04-05
71275	CPT	CT Scan Of Blood Vessels Of Chest With Contrast	116	48	$4,852.68	$1,455.80 70% off	$143.19	$828.10	$828.10	2025-04-05
72194	CPT	CT Scan Of Pelvis Before And After Contrast	124	48	$5,084.82	$1,525.45 70% off	$143.16	$828.08	$828.08	2025-04-05
73202	CPT	CT Scan Of Arm Before And After Contrast	166	48	$4,908.86	$1,472.66 70% off	$143.16	$828.08	$828.08	2025-04-05
74170	CPT	CT Scan Of Abdomen Before And After Contrast	116	48	$4,388.40	$1,316.52 70% off	$143.16	$828.08	$828.08	2025-04-05
72148	CPT	MRI Scan Of Lower Spinal Canal Without Contrast	116	48	$3,135.48	$940.64 70% off	$105.76	$826.88	$826.88	2025-04-05
72141	CPT	MRI Scan Of Upper Spinal Canal Without Contrast	116	48	$3,778.90	$1,133.67 70% off	$105.48	$826.74	$826.74	2025-04-05
72146	CPT	MRI Scan Of Middle Spinal Canal Without Contrast	116	48	$3,021.00	$906.30 70% off	$105.20	$826.60	$826.60	2025-04-05
70482	CPT	CT Scan Of Cranial Cavity Before And After Contrast	116	48	$2,719.96	$815.99 70% off	$130.75	$821.88	$821.88	2025-04-05
73201	CPT	CT Scan Of Arm With Contrast	126	48	$4,463.66	$1,339.10 70% off	$126.31	$824.45	$819.65	2025-04-05
72130	CPT	CT Scan Of Middle Spine Before And After Contrast	116	48	$4,064.04	$1,219.21 70% off	$120.20	$816.60	$816.60	2025-04-05
72133	CPT	CT Scan Of Lower Spine Before And After Contrast	116	48	$5,780.18	$1,734.05 70% off	$119.64	$816.32	$816.32	2025-04-05
73702	CPT	CT Scan Of Leg Before And After Contrast	168	48	$3,155.62	$946.69 70% off	$119.64	$816.32	$816.32	2025-04-05
72127	CPT	CT Scan Of Upper Spine Before And After Contrast	116	48	$4,207.14	$1,262.14 70% off	$119.36	$816.18	$816.18	2025-04-05
71270	CPT	CT Scan Of Chest Before And After Contrast	116	48	$5,474.90	$1,642.47 70% off	$119.08	$816.04	$816.04	2025-04-05
70481	CPT	CT Scan Of Cranial Cavity With Contrast	116	48	$2,471.92	$741.58 70% off	$110.20	$811.60	$811.60	2025-04-05
76380	CPT	Limited Or Follow-up CT Scan	104	43	$949.76	$284.93 70% off	$109.34	$811.17	$811.17	2025-04-05
70488	CPT	CT Scan Of Face Before And After Contrast	116	48	$4,321.62	$1,296.49 70% off	$107.98	$810.49	$810.49	2025-04-05
70491	CPT	CT Scan Of Soft Tissue Of Neck With Contrast	176	48	$2,786.74	$836.02 70% off	$103.53	$808.26	$808.26	2025-04-05
70470	CPT	CT Scan Of Head Or Brain Before And After Contrast	116	48	$4,475.32	$1,342.60 70% off	$98.54	$805.77	$805.77	2025-04-05
73701	CPT	CT Scan Of Leg With Contrast Material	274	48	$2,869.42	$860.83 70% off	$97.15	$805.08	$805.08	2025-04-05
74176	CPT	CT Scan Of Abdomen And Pelvis Without Contrast	238	48	$9,945.98	$2,983.79 70% off	$88.54	$800.77	$800.77	2025-04-05
72131	CPT	CT Scan Of Lower Spine Without Contrast	114	48	$4,776.36	$1,432.91 70% off	$87.53	$800.26	$800.26	2025-04-05
70487	CPT	CT Scan Of Face With Contrast	116	48	$3,928.36	$1,178.51 70% off	$86.04	$799.52	$799.52	2025-04-05

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