Hospital

MERCY HOSPITAL WATONGA, INC

Watonga, OK · CCN 371302 · Rates published

1,661 distinct procedures filed

75 distinct payers

235,745 rate rows

2026-03-12 last MRF observed

Data quality

231,223 of 235,745 rate rows are consumer-grade (98.1%)

4,522 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	2,417
per-diem day rate — not a per-procedure price	1,816
percent-of-charges filed in the dollar field — excluded from medians	282
exceeds 10× this hospital's gross charge — excluded from medians	6
placeholder amount (≤ $0.02) — excluded from medians	1

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

Source MRF file	https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/455199762_mercy-hospital-watonga_standardcharges.zip
Found on page	https://www.mercy.net/forms/items-and-services-files/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-19
Content fingerprint	c520b065bcaead5c… · 23,704,017 bytes · first seen 2026-05-16

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
166 MS_DRG	Other Respiratory System O.r. Procedures With Mcc	7	$23,501.57	$48,328.46	$28,256.12	nat. median $37,476 0.8× median
J2997 HCPCS	Alteplase 100 Mg Intravenous Solution	74	$9,147.00	$35,641.46	$17,028.70	nat. median $545 outlier · 31.2×
J3101 HCPCS	Tenecteplase Injection Kit For Acute Ischemic Stroke (kit)	74	$8,121.50	$33,603.90	$16,055.20	nat. median $5,949 outlier · 2.7×
J1162 HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	69	$6,457.05	$19,371.15	$10,008.43	nat. median $7,316 1.4× median
871 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	8	$247.27	$25,116.53	$9,141.82	nat. median $19,635 outlier · 0.5×
564 MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	7	$9,078.96	$19,958.75	$9,078.96	nat. median $15,782 0.6× median
371 MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	6	$160.20	$11,148.74	$9,052.01	nat. median $17,809 0.5× median
501 MS_DRG	Soft Tissue Procedures With Cc	4	$8,438.77	$10,991.55	$8,438.77	nat. median $17,880 outlier · 0.5×
593 MS_DRG	Skin Ulcers With Cc	7	$103.63	$15,338.86	$8,253.73	nat. median $12,573 0.7× median
177 MS_DRG	Respiratory Infections And Inflammations With Mcc	7	$7,236.55	$20,205.71	$7,236.55	nat. median $16,235 outlier · 0.4×
535 MS_DRG	Fractures Of Hip And Pelvis With Mcc	7	$7,069.00	$16,576.26	$7,069.00	nat. median $13,519 0.5× median
90375 HCPCS	Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution	74	$2,625.10	$13,780.01	$6,583.78	nat. median $1,039 outlier · 6.3×
J0840 HCPCS	Crotalidae Polyval Immune Fab 1 Gram Solution For Injection	73	$1,779.64	$12,951.90	$6,188.13	nat. median $3,427 1.8× median
640 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	7	$160.20	$17,269.31	$5,777.19	nat. median $13,400 outlier · 0.4×
442 MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc	7	$5,749.60	$12,481.33	$5,749.60	nat. median $10,562 0.5× median
689 MS_DRG	Kidney And Urinary Tract Infections With Mcc	7	$5,732.74	$15,002.68	$5,732.74	nat. median $12,152 outlier · 0.5×
189 MS_DRG	Pulmonary Edema And Respiratory Failure	7	$247.29	$15,973.72	$5,563.72	nat. median $13,021 outlier · 0.4×
92 MS_DRG	Other Disorders Of Nervous System With Cc	7	$5,475.75	$13,227.39	$5,475.75	nat. median $11,294 outlier · 0.5×
J7165 HCPCS	Human Prothrombin Cmpx(pcc)-lans 1,000 Unit (800-1,280 Unit) IV Solution	73	$1,575.00	$12,757.50	$5,423.36	nat. median $504 outlier · 10.8×
190 MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	5	$5,404.57	$14,322.56	$5,404.57	nat. median $11,700 outlier · 0.5×
193 MS_DRG	Simple Pneumonia And Pleurisy With Mcc	7	$247.27	$16,995.19	$5,107.65	nat. median $13,648 outlier · 0.4×
563 MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	7	$5,026.66	$11,578.82	$5,026.66	nat. median $9,671 0.5× median
178 MS_DRG	Respiratory Infections And Inflammations With Cc	6	$5,013.33	$6,136.80	$5,013.33	nat. median $10,875 outlier · 0.5×
552 MS_DRG	Medical Back Problems Without Mcc	7	$4,934.32	$12,429.61	$4,934.32	nat. median $10,424 outlier · 0.5×
372 MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	7	$4,520.50	$13,201.53	$4,520.50	nat. median $11,088 outlier · 0.4×
872 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	6	$4,344.99	$6,434.21	$4,344.99	nat. median $11,105 outlier · 0.4×
948 MS_DRG	Signs And Symptoms Without Mcc	5	$4,301.75	$10,350.47	$4,301.75	nat. median $8,516 0.5× median
556 MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	7	$133.98	$10,739.66	$4,052.79	nat. median $9,145 outlier · 0.4×
Q5108 HCPCS	Pegfilgrastim-jmdb 6 Mg/0.6 Ml Subcutaneous Syringe	74	$1,503.60	$8,454.38	$4,039.32	nat. median $1,258 outlier · 3.2×
J0897 HCPCS	Denosumab 60 Mg/ml Subcutaneous Syringe	74	$1,659.60	$8,488.94	$4,032.17	nat. median $2,506 1.6× median
683 MS_DRG	Renal Failure With Cc	7	$3,940.77	$11,324.09	$3,940.77	nat. median $9,664 outlier · 0.4×
101 MS_DRG	Seizures Without Mcc	6	$118.11	$11,670.62	$3,760.88	nat. median $9,814 outlier · 0.4×
690 MS_DRG	Kidney And Urinary Tract Infections Without Mcc	4	$3,537.18	$5,089.90	$3,537.18	nat. median $8,979 outlier · 0.4×
389 MS_DRG	Gastrointestinal Obstruction With Cc	7	$3,423.18	$10,212.11	$3,423.18	nat. median $8,897 outlier · 0.4×
392 MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	7	$2,700.03	$10,080.23	$3,373.09	nat. median $8,731 outlier · 0.4×
641 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	7	$3,194.05	$10,062.13	$3,194.05	nat. median $8,665 outlier · 0.4×
J3424 HCPCS	Hydroxocobalamin 5 Gram Intravenous Solution	69	$2,014.96	$6,044.89	$3,123.19	nat. median $1,132 outlier · 2.8×
897 MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	7	$2,737.35	$11,414.60	$2,737.35	nat. median $8,726 outlier · 0.3×
72197 CPT	MRI Pelvis W/wo Cont	74	$202.93	$4,368.60	$2,718.24	nat. median $1,064 outlier · 2.6×
74174 CPT	CTA Abd Pelvis Wwo Contrast	74	$239.84	$4,250.70	$2,644.88	nat. median $958 outlier · 2.8×
390 MS_DRG	Gastrointestinal Obstruction Without Cc/mcc	6	$2,584.05	$3,420.51	$2,584.05	nat. median $6,565 outlier · 0.4×
15273 CPT	App Skn Sub Trk/Arm/Leg 1st 100sqcm Twsa >=100 Sqcm	70	$618.90	$5,570.10	$2,489.22	nat. median $3,193 0.8× median
72158 CPT	MRI Lumbar Spine W/wo Cont	74	$184.04	$4,000.50	$2,489.20	nat. median $1,080 outlier · 2.3×
72157 CPT	MRI Thoracic Spine W/wo Cont	74	$185.15	$4,000.50	$2,489.20	nat. median $1,093 outlier · 2.3×
72156 CPT	MRI Cervical Spine W/wo Cont	74	$184.60	$4,000.50	$2,489.20	nat. median $1,092 outlier · 2.3×
73223 CPT	MRI Extr Uppr Jt W/wo Cont Lt	74	$247.64	$3,906.90	$2,430.96	nat. median $1,223 2.0× median
73720 CPT	MRI Extr Lwr Non Jt W/wo Cont Lt	74	$205.15	$3,836.70	$2,387.28	nat. median $1,189 outlier · 2.0×
73220 CPT	MRI Extr Uppr Non Jt W/wo Cont Lt	74	$267.35	$3,784.50	$2,354.80	nat. median $1,185 2.0× median
74183 CPT	MRI Abdomen W/wo Cont	74	$204.04	$3,730.50	$2,321.20	nat. median $1,101 outlier · 2.1×
J9202 HCPCS	Goserelin 3.6 Mg Subcutaneous Implant	70	$910.35	$4,780.80	$2,284.16	nat. median $1,882 1.2× median

Other procedures at this hospital

Browse this hospital's 1,661 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

166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	7	7	$47,114.16	$30,624.20 35% off	$23,501.57	$48,328.46	$28,256.12	2026-03-12
J2997	HCPCS	Alteplase 100 Mg Intravenous Solution	99	74	$39,601.62	$25,741.05 35% off	$9,147.00	$35,641.46	$17,028.70	2026-03-12
564	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	7	7	$25,541.08	$16,601.70 35% off	$9,078.96	$19,958.75	$9,078.96	2026-03-12
501	MS_DRG	Soft Tissue Procedures With Cc	4	4	$118,991.94	$77,344.76 35% off	$8,438.77	$10,991.55	$8,438.77	2026-03-12
J3101	HCPCS	Tenecteplase Injection Kit For Acute Ischemic Stroke (kit)	99	74	$37,337.67	$24,269.49 35% off	$8,121.50	$33,603.90	$16,055.20	2026-03-12
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	7	7	$26,062.26	$16,940.47 35% off	$7,236.55	$20,205.71	$7,236.55	2026-03-12
535	MS_DRG	Fractures Of Hip And Pelvis With Mcc	7	7	$21,652.88	$14,074.37 35% off	$7,069.00	$16,576.26	$7,069.00	2026-03-12
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	94	69	$21,523.50	$13,990.27 35% off	$6,457.05	$19,371.15	$10,008.43	2026-03-12
442	MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc	7	7	$19,147.37	$12,445.79 35% off	$5,749.60	$12,481.33	$5,749.60	2026-03-12
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	7	7	$18,731.78	$12,175.66 35% off	$5,732.74	$15,002.68	$5,732.74	2026-03-12
92	MS_DRG	Other Disorders Of Nervous System With Cc	7	7	$13,099.26	$8,514.52 35% off	$5,475.75	$13,227.39	$5,475.75	2026-03-12
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	5	5	$26,496.05	$17,222.43 35% off	$5,404.57	$14,322.56	$5,404.57	2026-03-12
563	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	7	7	$21,461.50	$13,949.97 35% off	$5,026.66	$11,578.82	$5,026.66	2026-03-12
178	MS_DRG	Respiratory Infections And Inflammations With Cc	6	6	$21,513.27	$13,983.63 35% off	$5,013.33	$6,136.80	$5,013.33	2026-03-12
552	MS_DRG	Medical Back Problems Without Mcc	7	7	$15,523.98	$10,090.59 35% off	$4,934.32	$12,429.61	$4,934.32	2026-03-12
372	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	7	7	$17,328.38	$11,263.45 35% off	$4,520.50	$13,201.53	$4,520.50	2026-03-12
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	6	6	$26,285.71	$17,085.71 35% off	$4,344.99	$6,434.21	$4,344.99	2026-03-12
948	MS_DRG	Signs And Symptoms Without Mcc	5	5	$39,127.36	$25,432.78 35% off	$4,301.75	$10,350.47	$4,301.75	2026-03-12
683	MS_DRG	Renal Failure With Cc	7	7	$24,655.38	$16,026.00 35% off	$3,940.77	$11,324.09	$3,940.77	2026-03-12
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	4	4	$22,901.30	$14,885.84 35% off	$3,537.18	$5,089.90	$3,537.18	2026-03-12
389	MS_DRG	Gastrointestinal Obstruction With Cc	7	7	$14,997.41	$9,748.32 35% off	$3,423.18	$10,212.11	$3,423.18	2026-03-12
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	7	7	$18,104.24	$11,767.76 35% off	$3,194.05	$10,062.13	$3,194.05	2026-03-12
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	7	7	$14,992.94	$9,745.41 35% off	$2,737.35	$11,414.60	$2,737.35	2026-03-12
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	7	7	$19,084.12	$12,404.68 35% off	$2,700.03	$10,080.23	$3,373.09	2026-03-12
90375	HCPCS	Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution	99	74	$15,311.12	$9,952.23 35% off	$2,625.10	$13,780.01	$6,583.78	2026-03-12
390	MS_DRG	Gastrointestinal Obstruction Without Cc/mcc	6	6	$10,388.18	$6,752.32 35% off	$2,584.05	$3,420.51	$2,584.05	2026-03-12
J3424	HCPCS	Hydroxocobalamin 5 Gram Intravenous Solution	94	69	$6,716.54	$4,365.75 35% off	$2,014.96	$6,044.89	$3,123.19	2026-03-12
J0840	HCPCS	Crotalidae Polyval Immune Fab 1 Gram Solution For Injection	98	73	$14,391.00	$9,354.15 35% off	$1,779.64	$12,951.90	$6,188.13	2026-03-12
J0897	HCPCS	Denosumab 60 Mg/ml Subcutaneous Syringe	198	74	$9,404.65	$6,113.02 35% off	$1,659.60	$8,488.94	$4,032.17	2026-03-12
J7165	HCPCS	Human Prothrombin Cmpx(pcc)-lans 1,000 Unit (800-1,280 Unit) IV Solution	196	73	$10,631.25	$6,910.31 35% off	$1,575.00	$12,757.50	$5,423.36	2026-03-12
Q5108	HCPCS	Pegfilgrastim-jmdb 6 Mg/0.6 Ml Subcutaneous Syringe	99	74	$9,393.76	$6,105.94 35% off	$1,503.60	$8,454.38	$4,039.32	2026-03-12
36565	CPT	Insert Tun Cen Ven Device W 2cath	94	69	$4,584.00	$2,979.60 35% off	$1,329.36	$4,125.60	$1,843.68	2026-03-12
15278	CPT	App Skn Sub Hd/Nk/Hnd/Ft Ead 100sqcm Twsa>=100 Sqcm	94	69	$4,299.00	$2,794.35 35% off	$1,246.71	$3,869.10	$1,729.06	2026-03-12
81435	CPT	Hereditary Colon Cancer, 5 Or More Genes	99	74	$4,033.00	$2,621.45 35% off	$1,159.85	$3,629.70	$1,613.20	2026-03-12
J9202	HCPCS	Goserelin 3.6 Mg Subcutaneous Implant	190	70	$5,284.50	$3,434.93 35% off	$910.35	$4,780.80	$2,284.16	2026-03-12
59409	CPT	Vaginal Delivery Mlp	98	73	$2,475.00	$1,608.75 35% off	$670.75	$2,227.50	$1,014.75	2026-03-12
81229	CPT	Chromosomal Microarray	99	74	$2,290.00	$1,488.50 35% off	$664.10	$2,061.00	$961.80	2026-03-12
J0248	HCPCS	Remdesivir 100 Mg Intravenous Powder For Solution	99	74	$2,856.83	$1,856.94 35% off	$635.00	$2,571.15	$1,228.44	2026-03-12
15273	CPT	App Skn Sub Trk/Arm/Leg 1st 100sqcm Twsa >=100 Sqcm	95	70	$6,189.00	$4,022.85 35% off	$618.90	$5,570.10	$2,489.22	2026-03-12
PX-200003567	CDM	Ed Multi Proc Level 5	94	69	$2,022.00	$1,314.30 35% off	$586.38	$1,819.80	$813.25	2026-03-12
81450	CPT	Ngs Hematologic Cancer	193	74	$2,618.00	$1,701.70 35% off	$568.40	$2,356.20	$1,001.65	2026-03-12
26418	CPT	Rep Exten Ten Fin Wo Grft Ea Pf	149	73	$2,281.00	$1,482.65 35% off	$564.66	$2,052.90	$1,357.30	2026-03-12
81420	CPT	Fetal Chromosomal Aneupoidy 13 18 21 Blood	98	73	$1,873.00	$1,217.45 35% off	$543.17	$1,685.70	$743.67	2026-03-12
PX-200003562	CDM	Ed Single Proc Level 5	94	69	$1,834.00	$1,192.10 35% off	$531.86	$1,650.60	$737.63	2026-03-12
81445	CPT	Gen Seq Analys Melanoma 5-50 Genes	287	74	$2,266.00	$1,472.90 35% off	$531.83	$3,243.60	$1,378.89	2026-03-12
15277	CPT	App Skn Sub Hd/Nk/Hnd/Ft 1st 100sqcm< Twsa>=100 Sqcm	95	70	$5,311.00	$3,452.15 35% off	$531.10	$4,779.90	$2,136.08	2026-03-12
25605	CPT	Cl Tx Dist Rad Fx W Man Pf	150	74	$1,981.00	$1,287.65 35% off	$500.25	$3,200.82	$1,178.10	2026-03-12
P9037	HCPCS	Plt Pheresis Leukored Irrad Ea	99	74	$2,034.00	$1,322.10 35% off	$483.98	$1,830.60	$813.60	2026-03-12
P9073	HCPCS	Platelets Pheresis Pathogen Reduced Ea	99	74	$1,610.00	$1,046.50 35% off	$466.90	$1,449.00	$676.20	2026-03-12
81408	CPT	Dmd Musc Dystrophy Mol Path Level 9	98	73	$1,587.00	$1,031.55 35% off	$460.23	$1,778.97	$652.41	2026-03-12
P9053	HCPCS	Plt Pher Leukored Irr Cmv Neg Ea	99	74	$2,192.00	$1,424.80 35% off	$459.47	$1,972.80	$863.87	2026-03-12
27842	CPT	Cl Tx Ankle Dis W Anes Pf	149	73	$1,507.00	$979.55 35% off	$449.46	$1,425.19	$896.70	2026-03-12
27301	CPT	I/d Deep Abscess Thigh Knee Pf	149	73	$2,269.00	$1,474.85 35% off	$444.77	$2,548.70	$1,349.60	2026-03-12
81223	CPT	Cftr Gene Full Sequence	98	73	$1,832.00	$1,190.80 35% off	$443.85	$1,648.80	$727.39	2026-03-12
24605	CPT	Cl Tx Elbow Disloc W Anes Pf	149	73	$1,659.00	$1,078.35 35% off	$437.06	$1,493.10	$987.00	2026-03-12
27818	CPT	Cl Tx Trimall Ankle Fx W Man Pf	149	73	$1,579.00	$1,026.35 35% off	$434.11	$1,425.19	$939.40	2026-03-12
24505	CPT	Cl Tx Hum Shaft Fx W Man Mlp	98	73	$1,365.00	$887.25 35% off	$430.97	$1,425.19	$639.99	2026-03-12
27500	CPT	Cl Tx Femoral Shaft Fx Wo Man Pf	149	73	$1,799.00	$1,169.35 35% off	$426.22	$1,619.10	$916.80	2026-03-12
27810	CPT	Cl Tx Bimall Ankle Fx W Man Mlp	98	73	$1,432.00	$930.80 35% off	$422.57	$1,425.19	$665.88	2026-03-12
PX-200003566	CDM	Ed Multi Proc Level 4	94	69	$1,428.00	$928.20 35% off	$414.12	$1,285.20	$574.34	2026-03-12
25535	CPT	Cl Tx Ulnar Shaft Fx W Man Mlp	98	73	$1,217.00	$791.05 35% off	$413.34	$1,095.30	$568.82	2026-03-12
81228	CPT	Genomic Alterations Postnatal Microarray Analysis	98	73	$1,394.00	$906.10 35% off	$404.26	$1,254.60	$573.08	2026-03-12
46040	CPT	I/d Ischio/Perirectal Abscess Pf	149	73	$1,570.00	$1,020.50 35% off	$396.75	$1,413.00	$801.00	2026-03-12
PX-200003561	CDM	Ed Single Proc Level 4	94	69	$1,361.00	$884.65 35% off	$394.69	$1,224.90	$547.39	2026-03-12
P9055	HCPCS	Plt Pher Leukored Cmv Neg Ea	98	73	$1,848.00	$1,201.20 35% off	$392.45	$1,663.20	$733.75	2026-03-12
P9035	HCPCS	Platelet Pheresis Leukoreduced Ea	99	74	$2,084.00	$1,354.60 35% off	$389.81	$1,875.60	$821.30	2026-03-12
24675	CPT	Cl Tx Ulnar Prox W Man Pf	149	73	$1,453.00	$944.45 35% off	$386.18	$1,425.19	$864.50	2026-03-12
25635	CPT	Cl Tx Carpal Fx Othr W Man Ea Mlp	98	73	$1,141.00	$741.65 35% off	$384.73	$1,425.19	$551.93	2026-03-12
23655	CPT	Cl Tx Shld Dis W Man W Anes Pf	149	73	$1,412.00	$917.80 35% off	$381.50	$1,425.19	$840.00	2026-03-12
27788	CPT	Cl Tx Distal Fib Fx W Man Mlp	98	73	$1,194.00	$776.10 35% off	$377.08	$1,074.60	$518.91	2026-03-12
0070U	CPT	Cytochrome P450 (Cyp2d6)	94	69	$1,262.00	$820.30 35% off	$365.98	$1,135.80	$507.58	2026-03-12
P9034	HCPCS	Platelets Pheresis Ea Unit	98	73	$1,789.00	$1,162.85 35% off	$360.70	$1,610.10	$710.32	2026-03-12
26705	CPT	Cl Tx Mcp Dis W Man W Anes Mlp	149	73	$1,227.00	$797.55 35% off	$360.63	$1,425.19	$858.90	2026-03-12
81222	CPT	Cftr Gene Dup/Delet Variants	98	73	$1,199.00	$779.35 35% off	$347.71	$1,079.10	$476.06	2026-03-12
27840	CPT	Cl Tx Ankle Dis Wo Anes Pf	149	73	$1,395.00	$906.75 35% off	$347.09	$1,255.50	$712.20	2026-03-12
26641	CPT	Cl Tx Cmc Disloc Thumb W Man Mlp	98	73	$907.00	$589.55 35% off	$347.02	$816.30	$453.50	2026-03-12
24600	CPT	Cl Tx Elbow Disloc Wo Anes Mlp	98	73	$1,109.00	$720.85 35% off	$339.77	$998.10	$502.52	2026-03-12
27560	CPT	Cl Tx Patellar Disloc Wo Anes Mlp	98	73	$851.00	$553.15 35% off	$325.59	$765.90	$425.50	2026-03-12
26775	CPT	Cl Tx Ip Jt Dis W Man W Anes Pf	149	73	$1,067.00	$693.55 35% off	$325.13	$960.30	$544.20	2026-03-12
12056	CPT	Int Rep F/Een/Lp/Muc 20.1to30 Mlp	149	73	$1,215.00	$789.75 35% off	$321.85	$1,287.00	$729.00	2026-03-12
81350	CPT	Ugt1a1 28 Gene Analysis Common Var	94	69	$1,100.00	$715.00 35% off	$319.00	$990.00	$442.42	2026-03-12
72132	CPT	CT Lumbar Spine W Cont	99	74	$2,838.00	$1,844.70 35% off	$318.03	$2,554.20	$1,589.28	2026-03-12
72126	CPT	CT Cervical Spine W Cont	99	74	$2,817.00	$1,831.05 35% off	$318.03	$2,535.30	$1,577.52	2026-03-12
87483	CPT	Inf Agent Dna/Rna Cns Amp Probe Path 12-25	95	70	$1,095.00	$711.75 35% off	$317.55	$985.50	$440.41	2026-03-12
15276	CPT	App Skn Sub Hd/Nk/Hnd/Ft Ead 25sqcm<Twsa 100 Sqcm<	95	70	$3,151.00	$2,048.15 35% off	$315.10	$2,835.90	$1,267.33	2026-03-12
26670	CPT	Cl Tx Cmc Dis W Man Ea Jt Mlp	98	73	$823.00	$534.95 35% off	$314.88	$740.70	$411.50	2026-03-12
70471	CPT	CTA Head&Neck +Cont W/Noncontrast Img	95	70	$3,119.00	$2,027.35 35% off	$311.90	$2,807.10	$1,746.64	2026-03-12
PX-200003565	CDM	Ed Multi Proc Level 3	94	69	$1,074.00	$698.10 35% off	$311.46	$966.60	$431.96	2026-03-12
90675	HCPCS	Rabies Vaccine,human Diploid (pf) 2.5 Unit Intramuscular Solution	99	74	$2,030.22	$1,319.64 35% off	$306.90	$1,827.20	$872.99	2026-03-12
0202U	CPT	Resp Pathogen Ampl Probe 22, Biofire Rp2.1	95	70	$1,052.00	$683.80 35% off	$305.08	$946.80	$441.84	2026-03-12
25600	CPT	Cl Tx Dist Rad Fx Wo Man Mlp	98	73	$905.00	$588.25 35% off	$303.61	$814.50	$424.63	2026-03-12
23650	CPT	Cl Tx Shld Dis W Man Wo Anes Pf	149	73	$1,103.00	$716.95 35% off	$299.58	$992.70	$562.80	2026-03-12
23600	CPT	Cl Tx Prox Hum Fx Wo Man Mlp	98	73	$901.00	$585.65 35% off	$298.95	$810.90	$413.25	2026-03-12
51102	CPT	Asp Bladder W Int Suprpbc Cath	95	70	$2,974.00	$1,933.10 35% off	$297.40	$2,676.60	$1,196.14	2026-03-12
J1442	HCPCS	Filgrastim 300 Mcg/0.5 Ml Injection Syringe	198	74	$1,878.82	$1,221.23 35% off	$294.00	$2,030.39	$884.69	2026-03-12
20103	CPT	Expl Penetr Wound Extr Pf	149	73	$1,821.00	$1,183.65 35% off	$293.19	$1,638.90	$1,082.90	2026-03-12
26725	CPT	Cl Tx Fx Fin Thumb W Man Ea Mlp	98	73	$840.00	$546.00 35% off	$292.67	$756.00	$402.76	2026-03-12
81235	CPT	Egfr Gene Analysis Common Variants	99	74	$995.00	$646.75 35% off	$288.55	$895.50	$398.00	2026-03-12
26700	CPT	Cl Tx Mcp Dis W Man Wo Anes Mlp	98	73	$747.00	$485.55 35% off	$285.80	$672.30	$373.50	2026-03-12
26605	CPT	Cl Tx Metacrp Fx Sgl W Man Ea Mlp	98	73	$964.00	$626.60 35% off	$283.01	$867.60	$398.62	2026-03-12
27520	CPT	Cl Tx Patellar Fx Wo Man Mlp	98	73	$872.00	$566.80 35% off	$281.87	$784.80	$387.90	2026-03-12
90677	HCPCS	Pneumococcal 20-valent Conj Vaccine-dip Crm (pf) 0.5 Ml IM Syringe	99	74	$1,900.96	$1,235.62 35% off	$279.05	$1,710.86	$817.41	2026-03-12
PX-200003560	CDM	Ed Single Proc Level 3	94	69	$946.00	$614.90 35% off	$274.34	$851.40	$380.48	2026-03-12
26600	CPT	Cl Tx Metcrp Fx Sgl Wo Man Ea Mlp	98	73	$723.00	$469.95 35% off	$270.60	$650.70	$361.50	2026-03-12
87633	CPT	Resp Virus Amp Probe 12-25 Targets	94	69	$933.00	$606.45 35% off	$270.57	$839.70	$375.25	2026-03-12
81405	CPT	Noonan Spectrum Sequence Level 6	193	74	$1,502.00	$976.30 35% off	$268.05	$1,351.80	$574.67	2026-03-12
73220	CPT	MRI Extr Uppr Non Jt W/wo Cont Lt	99	74	$4,205.00	$2,733.25 35% off	$267.35	$3,784.50	$2,354.80	2026-03-12
27786	CPT	Cl Tx Distal Fib Fx Wo Man Mlp	98	73	$909.00	$590.85 35% off	$266.77	$818.10	$375.81	2026-03-12
26755	CPT	Cl Tx Dstl Fx Finger W Man Ea Pf	149	73	$809.00	$525.85 35% off	$262.85	$728.10	$412.20	2026-03-12
81263	CPT	Igvh Mutation Analysis	94	69	$905.00	$588.25 35% off	$262.45	$814.50	$363.99	2026-03-12
31603	CPT	Trachstmy Emerg Transtrach Pf	192	73	$1,388.00	$902.20 35% off	$261.73	$1,319.10	$596.84	2026-03-12
26770	CPT	Cl Tx Ip Jt Dis W Man Wo Anes Pf	149	73	$962.00	$625.30 35% off	$261.35	$865.80	$490.20	2026-03-12
13152	CPT	Cmplx Rep Een/Lp 2.6 To 7.5cm Mlp	98	73	$1,549.00	$1,006.85 35% off	$261.28	$1,394.10	$635.09	2026-03-12
81406	CPT	Noonan Spectrum Sequence Level 7	193	74	$2,050.00	$1,332.50 35% off	$251.62	$1,845.00	$784.33	2026-03-12
0001U	CPT	DNA Hea 35 Ag 11 Bld Grp	98	73	$866.00	$562.90 35% off	$251.14	$979.20	$706.32	2026-03-12
12036	CPT	Int Rep Sc/Ax/Tr/Ext 20.1to30 Pf	149	73	$1,415.00	$919.75 35% off	$248.98	$1,273.50	$721.80	2026-03-12
73223	CPT	MRI Extr Uppr Jt W/wo Cont Lt	99	74	$4,341.00	$2,821.65 35% off	$247.64	$3,906.90	$2,430.96	2026-03-12
189	MS_DRG	Pulmonary Edema And Respiratory Failure	7	7	$19,235.01	$12,502.76 35% off	$247.29	$15,973.72	$5,563.72	2026-03-12
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	8	8	$21,446.66	$13,940.33 35% off	$247.27	$25,116.53	$9,141.82	2026-03-12
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	7	7	$25,095.79	$16,312.26 35% off	$247.27	$16,995.19	$5,107.65	2026-03-12
12045	CPT	Int Rep Nk/Hds/Ft/Eg 12.6to20 Mlp	149	73	$977.00	$635.05 35% off	$246.95	$1,034.10	$586.20	2026-03-12
73723	CPT	MRI Extr Lwr Jt W/wo Cont Lt	99	74	$3,988.00	$2,592.20 35% off	$246.53	$3,589.20	$2,233.28	2026-03-12
G0260	HCPCS	Inj Sacroiliac Jnt Therapeutic Pf	289	74	$2,426.00	$1,576.90 35% off	$242.60	$3,205.80	$1,362.82	2026-03-12
74174	CPT	CTA Abd Pelvis Wwo Contrast	99	74	$4,723.00	$3,069.95 35% off	$239.84	$4,250.70	$2,644.88	2026-03-12
J0712	HCPCS	Ceftaroline Fosamil 600 Mg Intravenous Solution	98	73	$1,732.71	$1,126.26 35% off	$237.00	$1,559.44	$745.07	2026-03-12
13132	CPT	Cmplx Rep F/Nk/Hds/Ft 2.6to7.5mlp	149	73	$1,314.00	$854.10 35% off	$235.31	$1,390.50	$788.40	2026-03-12
87902	CPT	Hepatitis C Genotype	192	74	$1,028.00	$668.20 35% off	$229.00	$1,045.80	$444.58	2026-03-12
94660	CPT	Bipap Initial	377	70	$864.00	$561.60 35% off	$228.90	$1,251.00	$531.81	2026-03-12
P9058	HCPCS	Rbc Leukored Irrad Cmv Neg Ea	99	74	$1,000.00	$650.00 35% off	$225.26	$900.00	$394.10	2026-03-12
93975	CPT	Art/Ven Duplex Abd/Pelv/Retr Comp	99	74	$1,503.00	$976.95 35% off	$223.84	$1,352.70	$646.29	2026-03-12
73219	CPT	MRI Extr Uppr Non Jt W Cont Lt	98	73	$3,065.00	$1,992.25 35% off	$220.70	$2,758.50	$1,716.40	2026-03-12
93307	CPT	Echo 2d W Or Wo M Mode Complete	99	74	$1,911.00	$1,242.15 35% off	$215.26	$1,719.90	$764.40	2026-03-12
93880	CPT	Carotid Duplex Scan Bilat	99	74	$1,127.00	$732.55 35% off	$215.26	$1,014.30	$484.61	2026-03-12
74178	CPT	CT Abd Pelvis Wo Cont Then W Cont	99	74	$3,518.00	$2,286.70 35% off	$212.92	$3,166.20	$1,970.08	2026-03-12
81265	CPT	Maternal Cell Contamination, Molecular Analysis	98	73	$1,254.00	$815.10 35% off	$207.31	$1,128.60	$363.66	2026-03-12
12035	CPT	Int Rep Sc/Ax/Tr/Ext 12.6to20 Pf	149	73	$1,205.00	$783.25 35% off	$207.26	$1,084.50	$614.40	2026-03-12
70543	CPT	MRI Orbit Face And/or Neck W/wo Cont	99	74	$3,621.00	$2,353.65 35% off	$206.54	$3,258.90	$2,027.76	2026-03-12
73722	CPT	MRI Extr Lwr Jt W Cont Lt	99	74	$3,251.00	$2,113.15 35% off	$205.43	$2,925.90	$1,820.56	2026-03-12
73720	CPT	MRI Extr Lwr Non Jt W/wo Cont Lt	99	74	$4,263.00	$2,770.95 35% off	$205.15	$3,836.70	$2,387.28	2026-03-12
73222	CPT	MRI Extr Uppr Jt W Cont Lt	99	74	$3,527.00	$2,292.55 35% off	$204.87	$3,174.30	$1,975.12	2026-03-12
74183	CPT	MRI Abdomen W/wo Cont	99	74	$4,145.00	$2,694.25 35% off	$204.04	$3,730.50	$2,321.20	2026-03-12
72197	CPT	MRI Pelvis W/wo Cont	99	74	$4,854.00	$3,155.10 35% off	$202.93	$4,368.60	$2,718.24	2026-03-12
93925	CPT	Art Lwr Extr Duplex Graft Comp Bi	99	74	$1,399.00	$909.35 35% off	$202.67	$1,259.10	$601.57	2026-03-12
13121	CPT	Cmplx Rep Sc/Ext 2.6 To 7.5 Mlp	98	73	$1,032.00	$670.80 35% off	$201.73	$928.80	$423.12	2026-03-12
23500	CPT	Cl Tx Clavicular Fx Wo Man Pf	149	73	$737.00	$479.05 35% off	$201.38	$663.30	$376.20	2026-03-12
0003M	CPT	Nash Fibrosure	94	69	$688.00	$447.20 35% off	$199.52	$684.62	$493.84	2026-03-12
13101	CPT	Cmplx Rep Trunk 2.6 To 7.5 Cm Mlp	164	73	$972.00	$631.80 35% off	$195.45	$1,030.50	$572.50	2026-03-12
87154	CPT	Bld Cult Typg Nuc Acid Amp Probe, 6 Or > Trgt	99	74	$1,161.00	$754.65 35% off	$193.96	$1,044.90	$457.55	2026-03-12
Q0138	HCPCS	Ferumoxytol 510 Mg/17 Ml (30 Mg/ml) Intravenous Solution	99	74	$4,971.92	$3,231.75 35% off	$193.80	$4,474.73	$2,137.93	2026-03-12
74182	CPT	MRI Abdomen W Cont	99	74	$2,397.00	$1,558.05 35% off	$191.82	$2,157.30	$1,342.32	2026-03-12
73218	CPT	MRI Extr Uppr Non Jt Wo Cont Lt	99	74	$2,781.00	$1,807.65 35% off	$191.13	$2,502.90	$1,557.36	2026-03-12
71550	CPT	MRI Chest Wo Cont	99	74	$2,647.00	$1,720.55 35% off	$191.13	$2,382.30	$1,482.32	2026-03-12
13131	CPT	Cmplx Rep F/Nk/Hds/Ft 1.1to2.5mlp	150	74	$921.00	$598.65 35% off	$190.85	$974.70	$575.62	2026-03-12
99291	CPT	Critical Care First 30 - 74 Min	244	74	$1,002.00	$651.30 35% off	$189.36	$2,196.00	$732.00	2026-03-12
11044	CPT	Debrid Skin/Subq/Musc/Bone Pf	194	74	$1,195.00	$776.75 35% off	$188.68	$3,240.48	$883.04	2026-03-12
74177	CPT	CT Abd Pelvis With Contrast	99	74	$3,287.00	$2,136.55 35% off	$188.51	$2,958.30	$1,840.72	2026-03-12
15275	CPT	App Skn Sub Hd/Nk/Hnd/Ft 1st 25sqcm<Twsa 100 Sqcm<	95	70	$1,871.00	$1,216.15 35% off	$187.10	$1,683.90	$752.52	2026-03-12
15271	CPT	App Skn Sub Trk/Arm/Leg 1st 25sqcm<Twsa 100 Sqcm<	95	70	$1,853.00	$1,204.45 35% off	$185.30	$1,667.70	$745.28	2026-03-12
72157	CPT	MRI Thoracic Spine W/wo Cont	99	74	$4,445.00	$2,889.25 35% off	$185.15	$4,000.50	$2,489.20	2026-03-12
72156	CPT	MRI Cervical Spine W/wo Cont	99	74	$4,445.00	$2,889.25 35% off	$184.60	$4,000.50	$2,489.20	2026-03-12
99236	CPT	Obs/IP Care Same Day Adm/Dis High >85 Min Mlp	186	73	$926.00	$601.90 35% off	$184.31	$980.10	$463.00	2026-03-12
J1610	HCPCS	Glucagon 1 Mg Solution For Injection Emergency Kit	99	74	$1,884.40	$1,224.86 35% off	$184.18	$1,695.96	$810.29	2026-03-12
72158	CPT	MRI Lumbar Spine W/wo Cont	99	74	$4,445.00	$2,889.25 35% off	$184.04	$4,000.50	$2,489.20	2026-03-12
12054	CPT	Int Rep F/Een/Lp/Muc 7.6to12.5mlp	98	73	$1,134.00	$737.10 35% off	$183.56	$1,020.60	$464.94	2026-03-12
70553	CPT	MRI Brain W/wo Cont	99	74	$3,951.00	$2,568.15 35% off	$183.49	$3,555.90	$2,212.56	2026-03-12
J0881	HCPCS	Darbepoetin Alfa 60 Mcg/0.3 Ml In Polysorbate Injection Syringe	99	74	$2,089.80	$1,358.37 35% off	$178.20	$1,880.82	$898.61	2026-03-12
40831	CPT	Rep Mouth Vestibule >2.5 Mlp	98	73	$907.00	$589.55 35% off	$177.81	$816.30	$371.87	2026-03-12
12044	CPT	Int Rep Nk/Hds/Ft/Eg 7.6to12.5mlp	99	74	$869.00	$564.85 35% off	$177.19	$1,224.26	$364.98	2026-03-12
12053	CPT	Int Rep F/Een/Lp/Muc 5.1to7.5 Mlp	149	73	$834.00	$542.10 35% off	$174.07	$882.00	$500.40	2026-03-12
81275	CPT	Kras Gene Analysis	99	74	$967.00	$628.55 35% off	$171.89	$870.30	$381.09	2026-03-12
P9040	HCPCS	Rbc Leukoreduced Irradiated Ea	99	74	$945.00	$614.25 35% off	$169.40	$850.50	$372.42	2026-03-12
93306	CPT	Echo 2d W/m-mode & Dopp Comp	193	74	$1,916.00	$1,245.40 35% off	$168.33	$1,724.40	$419.90	2026-03-12
93930	CPT	Art Upr Extr Duplex Graft Comp Bi	99	74	$1,365.00	$887.25 35% off	$167.40	$1,228.50	$586.95	2026-03-12
12034	CPT	Int Rep Sc/Ax/Tr/Ext 7.6to12.5 Pf	150	74	$844.00	$548.60 35% off	$167.23	$820.80	$485.00	2026-03-12
26011	CPT	I/d Finger Abscess Cmplx Mlp	98	73	$1,049.00	$681.85 35% off	$166.59	$1,442.85	$487.78	2026-03-12
11770	CPT	Exc Pilonidal Cyst Simp Mlp	164	73	$759.00	$493.35 35% off	$166.48	$805.50	$447.50	2026-03-12
72142	CPT	MRI Cervical Spine W Cont	99	74	$3,894.00	$2,531.10 35% off	$165.99	$3,504.60	$2,180.64	2026-03-12
72147	CPT	MRI Thoracic Spine W Cont	99	74	$4,070.00	$2,645.50 35% off	$164.33	$3,663.00	$2,279.20	2026-03-12
72196	CPT	MRI Pelvis W Cont	99	74	$3,338.00	$2,169.70 35% off	$162.66	$3,004.20	$1,869.28	2026-03-12
73719	CPT	MRI Extr Lwr Non Jt W Cont Lt	99	74	$3,071.00	$1,996.15 35% off	$162.38	$2,763.90	$1,719.76	2026-03-12
72149	CPT	MRI Lumbar Spine W Cont	99	74	$3,845.00	$2,499.25 35% off	$162.10	$3,460.50	$2,153.20	2026-03-12
70552	CPT	MRI Brain W Cont	99	74	$3,807.00	$2,474.55 35% off	$162.10	$3,426.30	$2,131.92	2026-03-12
92950	CPT	Cpr	251	74	$979.00	$636.35 35% off	$162.03	$928.80	$526.80	2026-03-12
J0561	HCPCS	Penicillin G Benzathine 1,200,000 Unit/2 Ml Intramuscular Syringe	99	74	$1,128.92	$733.80 35% off	$160.92	$1,016.03	$485.44	2026-03-12
12052	CPT	Int Rep F/Een/Lp/Muc 2.6to5.0 Mlp	150	74	$666.00	$432.90 35% off	$160.60	$799.06	$416.25	2026-03-12
371	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	6	6	$25,381.20	$16,497.78 35% off	$160.20	$11,148.74	$9,052.01	2026-03-12
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	7	7	$16,968.97	$11,029.83 35% off	$160.20	$17,269.31	$5,777.19	2026-03-12
11043	CPT	Debrid Musc/Fasc1st20 Sqcm Or Less	95	70	$1,601.00	$1,040.65 35% off	$160.10	$1,440.90	$643.92	2026-03-12
10061	CPT	I/d Abscess Complicated Mlp	150	74	$608.00	$395.20 35% off	$159.78	$799.06	$380.00	2026-03-12
70492	CPT	CT Soft Tissue Neck W/wo Cont	99	74	$3,281.00	$2,132.65 35% off	$158.53	$2,952.90	$1,837.36	2026-03-12
72129	CPT	CT Thoracic Spine W Cont	99	74	$2,746.00	$1,784.90 35% off	$158.53	$2,471.40	$1,537.76	2026-03-12
71260	CPT	CT Chest Diag W Cont	99	74	$2,552.00	$1,658.80 35% off	$158.53	$2,296.80	$1,429.12	2026-03-12
72193	CPT	CT Pelvis W Cont	99	74	$2,155.00	$1,400.75 35% off	$158.53	$1,939.50	$1,206.80	2026-03-12
74160	CPT	CT Abdomen W Cont	99	74	$2,028.00	$1,318.20 35% off	$158.53	$1,825.20	$1,135.68	2026-03-12
93970	CPT	Venous Duplex Upper Ext Comp Bi	99	74	$1,318.00	$856.70 35% off	$157.95	$1,186.20	$566.74	2026-03-12
12042	CPT	Int Rep Nk/Hds/Ft/Eg 2.6to7.5 Mlp	150	74	$686.00	$445.90 35% off	$156.65	$799.06	$428.75	2026-03-12
12032	CPT	Int Rep Sc/Ax/Tr/Ext 2.6to7.5 Mlp	150	74	$676.50	$439.73 35% off	$152.94	$799.06	$388.75	2026-03-12
71275	CPT	CTA Chest W And/or Wo Cont	99	74	$2,876.00	$1,869.40 35% off	$143.19	$2,588.40	$1,610.56	2026-03-12
74170	CPT	CT Abdomen W/wo Cont	99	74	$3,314.00	$2,154.10 35% off	$143.16	$2,982.60	$1,855.84	2026-03-12
72194	CPT	CT Pelvis W/wo Cont	99	74	$3,305.00	$2,148.25 35% off	$143.16	$2,974.50	$1,850.80	2026-03-12
73202	CPT	CT Extremity Upper W/wo Cont Lt	99	74	$2,840.00	$1,846.00 35% off	$143.16	$2,556.00	$1,590.40	2026-03-12
70496	CPT	CTA Head W/wo Cont	99	74	$3,119.00	$2,027.35 35% off	$143.14	$2,807.10	$1,746.64	2026-03-12
70498	CPT	CTA Neck W And/or Wo Contrast	99	74	$3,104.00	$2,017.60 35% off	$143.14	$2,793.60	$1,738.24	2026-03-12
74175	CPT	CTA Abdomen W/wo Cont	99	74	$3,687.00	$2,396.55 35% off	$142.90	$3,318.30	$2,064.72	2026-03-12
70540	CPT	MRI Orbit Face And/or Neck Wo Cont	99	74	$3,219.00	$2,092.35 35% off	$141.30	$2,897.10	$1,802.64	2026-03-12
72195	CPT	MRI Pelvis Wo Cont	99	74	$2,969.00	$1,929.85 35% off	$139.08	$2,672.10	$1,662.64	2026-03-12
73718	CPT	MRI Extr Lwr Non Jt Wo Cont Lt	99	74	$2,903.00	$1,886.95 35% off	$138.80	$2,612.70	$1,625.68	2026-03-12
12051	CPT	Int Rep F/Een/Lp/Muc 2.5cm/< Mlp	150	74	$608.00	$395.20 35% off	$138.34	$799.06	$380.00	2026-03-12
70547	CPT	MRA Neck Wo Cont	99	74	$3,529.00	$2,293.85 35% off	$138.22	$3,176.10	$1,976.24	2026-03-12
70544	CPT	MRA Head Wo Cont	99	74	$3,410.00	$2,216.50 35% off	$137.94	$3,069.00	$1,909.60	2026-03-12
99235	CPT	Obs/IP Care Same Day Adm/Dis Mod >70 Min Mlp	149	73	$632.00	$410.80 35% off	$136.32	$667.80	$379.20	2026-03-12
32551	CPT	Tube Thoracostomy	245	74	$970.00	$630.50 35% off	$134.19	$3,106.88	$582.00	2026-03-12
556	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	7	7	$11,963.14	$7,776.04 35% off	$133.98	$10,739.66	$4,052.79	2026-03-12
26010	CPT	I/d Finger Abscess Simple Pf	150	74	$753.00	$489.45 35% off	$132.01	$677.70	$391.00	2026-03-12
73201	CPT	CT Extremity Upper W Cont Rt	99	74	$2,219.00	$1,442.35 35% off	$126.31	$1,997.10	$1,242.64	2026-03-12
12007	CPT	Simp Rep S/Nk/Tr/Ext >30cm Mlp	98	73	$930.00	$604.50 35% off	$125.52	$837.00	$381.30	2026-03-12
73221	CPT	MRI Extr Uppr Jt Wo Cont Lt	99	74	$2,762.00	$1,795.30 35% off	$120.75	$2,485.80	$1,546.72	2026-03-12
73721	CPT	MRI Extr Lwr Jt Wo Cont Lt	99	74	$2,762.00	$1,795.30 35% off	$120.47	$2,485.80	$1,546.72	2026-03-12
12041	CPT	Int Rep Nk/Hds/Ft/Eg 2.5cm/< Mlp	150	74	$593.00	$385.45 35% off	$120.07	$799.06	$370.62	2026-03-12
72133	CPT	CT Lumbar Spine W/wo Cont	99	74	$3,857.00	$2,507.05 35% off	$119.64	$3,471.30	$2,159.92	2026-03-12
71270	CPT	CT Chest Diag W/wo Cont	99	74	$3,374.00	$2,193.10 35% off	$119.08	$3,036.60	$1,889.44	2026-03-12
28190	CPT	Rfb Foot Subq Pf	150	74	$810.00	$526.50 35% off	$118.44	$1,407.18	$430.00	2026-03-12
101	MS_DRG	Seizures Without Mcc	6	6	$39,174.10	$25,463.16 35% off	$118.11	$11,670.62	$3,760.88	2026-03-12
36589	CPT	Rem Cen Ven Cath Tunnel	245	74	$764.00	$496.60 35% off	$116.76	$1,283.40	$545.59	2026-03-12
99285	CPT	Ed Visit Care Level 5	262	75	$1,474.00	$958.10 35% off	$111.15	$1,326.60	$563.95	2026-03-12
J1447	HCPCS	Tbo-filgrastim 300 Mcg/0.5 Ml Subcutaneous Syringe	198	74	$1,461.94	$950.26 35% off	$111.00	$1,619.56	$688.49	2026-03-12
74181	CPT	MRI Abdomen Wo Cont	99	74	$3,772.00	$2,451.80 35% off	$110.75	$3,394.80	$2,112.32	2026-03-12
70481	CPT	CT Orbit/Sella/Iac/Fossa W Cont	99	74	$3,395.00	$2,206.75 35% off	$110.20	$3,055.50	$1,901.20	2026-03-12
70551	CPT	MRI Brain Wo Cont	99	74	$2,947.00	$1,915.55 35% off	$110.20	$2,652.30	$1,650.32	2026-03-12
81219	CPT	Calreticulin Gene Anaysis	99	74	$995.00	$646.75 35% off	$108.19	$895.50	$392.13	2026-03-12
70488	CPT	CT Maxillofacial Area W/wo Cont	99	74	$3,203.00	$2,081.95 35% off	$107.98	$2,882.70	$1,793.68	2026-03-12
88380	CPT	Microdissection Laser	99	74	$1,128.00	$733.20 35% off	$107.36	$1,015.20	$444.54	2026-03-12
11045	CPT	Debrid Subq Ea Add 20 Sqcm Or Part	95	70	$1,068.00	$694.20 35% off	$106.80	$961.20	$429.55	2026-03-12
72148	CPT	MRI Lumbar Spine Wo Cont	99	74	$2,703.00	$1,756.95 35% off	$105.76	$2,432.70	$1,513.68	2026-03-12
72141	CPT	MRI Cervical Spine Wo Cont	99	74	$3,312.00	$2,152.80 35% off	$105.48	$2,980.80	$1,854.72	2026-03-12
72146	CPT	MRI Thoracic Spine Wo Cont	99	74	$3,312.00	$2,152.80 35% off	$105.20	$2,980.80	$1,854.72	2026-03-12
93931	CPT	Art Upr Extr Duplex Graft Ltd Lt	99	74	$865.00	$562.25 35% off	$104.56	$778.50	$371.95	2026-03-12
593	MS_DRG	Skin Ulcers With Cc	7	7	$25,633.68	$16,661.89 35% off	$103.63	$15,338.86	$8,253.73	2026-03-12
70491	CPT	CT Soft Tissue Neck W Cont	99	74	$1,977.00	$1,285.05 35% off	$103.53	$1,779.30	$1,107.12	2026-03-12
12006	CPT	Simp Rep S/Nk/Tr/Ext 20.1to30 Pf	149	73	$989.00	$642.85 35% off	$102.42	$890.10	$504.00	2026-03-12
81404	CPT	Noonan Spectrum Sequence Level 5	279	73	$986.00	$640.90 35% off	$99.90	$908.10	$386.04	2026-03-12
70470	CPT	CT Head/Brain W/wo Cont	99	74	$3,618.00	$2,351.70 35% off	$98.54	$3,256.20	$2,026.08	2026-03-12
73701	CPT	CT Extremity Lower W Cont Bi	193	74	$3,587.00	$2,331.55 35% off	$97.15	$3,228.30	$1,565.76	2026-03-12
99284	CPT	Ed Visit Care Level 4	262	75	$1,052.00	$683.80 35% off	$95.78	$1,220.96	$379.20	2026-03-12
15272	CPT	App Skn Sub Trk/Arm/Leg Ead 25sqcm<Twsa 100 Sqcm<	95	70	$952.00	$618.80 35% off	$95.20	$856.80	$382.89	2026-03-12
72131	CPT	CT Lumbar Spine Wo Cont	99	74	$2,222.00	$1,444.30 35% off	$94.70	$1,999.80	$1,244.32	2026-03-12
77075	CPT	Xr Osseous Survey/Metastatic Comp	99	74	$1,282.00	$833.30 35% off	$94.70	$1,153.80	$717.92	2026-03-12
93976	CPT	Art/Ven Duplex Abd/Pelv/Retro Ltd	99	74	$927.00	$602.55 35% off	$94.70	$834.30	$398.61	2026-03-12
76805	CPT	US Preg Uter 14 Wks Or>	99	74	$698.00	$453.70 35% off	$94.70	$628.20	$390.88	2026-03-12
74400	CPT	Xr Ivp W/wo Kub W/wo Tomography	99	74	$1,171.00	$761.15 35% off	$93.26	$1,053.90	$655.76	2026-03-12
30905	CPT	Control Nasal Hem Post Init Pf	149	73	$911.00	$592.15 35% off	$92.62	$819.90	$465.00	2026-03-12
92960	CPT	Cardioversion Elective Ext	193	74	$2,456.00	$1,596.40 35% off	$89.81	$2,210.40	$585.65	2026-03-12
31500	CPT	Intubation Endotracheal Emerg Mlp	252	74	$751.00	$488.15 35% off	$89.70	$807.30	$382.80	2026-03-12
32555	CPT	Thoracentesis Plrl Aspir W/Img Guide Pf	194	74	$632.00	$410.80 35% off	$89.58	$1,533.60	$537.20	2026-03-12
74176	CPT	CT Abd Pelvis Without Contrast	99	74	$3,042.00	$1,977.30 35% off	$88.54	$2,737.80	$1,703.52	2026-03-12
49083	CPT	Abd Paracentesis W Imag Guidance Pf	194	74	$684.00	$444.60 35% off	$87.82	$1,875.12	$581.40	2026-03-12
70487	CPT	CT Maxillofacial Area W Cont	99	74	$2,977.00	$1,935.05 35% off	$86.04	$2,679.30	$1,667.12	2026-03-12
70480	CPT	CT Orbit/Sella/Iac/Fossa Wo Cont	99	74	$2,549.00	$1,656.85 35% off	$85.48	$2,294.10	$1,427.44	2026-03-12
73200	CPT	CT Extremity Upper Wo Cont Lt	99	74	$1,661.00	$1,079.65 35% off	$85.22	$1,494.90	$930.16	2026-03-12
12015	CPT	Simp Rep F/Een/Lp/Mm 7.6to12.5 Pf	149	73	$924.00	$600.60 35% off	$84.51	$831.60	$471.00	2026-03-12
12005	CPT	Simp Rep S/Nk/Tr/Ext 12.6to20 Pf	149	73	$833.00	$541.45 35% off	$84.23	$749.70	$424.80	2026-03-12
74230	CPT	Xr Swallowing Function W Video	99	74	$819.00	$532.35 35% off	$83.01	$737.10	$458.64	2026-03-12
70460	CPT	CT Head/Brain W Cont	99	74	$2,980.00	$1,937.00 35% off	$82.45	$2,682.00	$1,668.80	2026-03-12
94002	CPT	Initial Adult Vent Day Charge	99	74	$1,547.00	$1,005.55 35% off	$81.35	$1,392.30	$665.21	2026-03-12
36569	CPT	Picc Plc Wo Sq Port Without Img >5 Yrs	244	74	$765.00	$497.25 35% off	$81.13	$3,106.88	$578.34	2026-03-12
36568	CPT	Picc Plc Wo Sq Port Without Img <5yr	243	73	$715.00	$464.75 35% off	$80.08	$1,606.50	$578.85	2026-03-12
70490	CPT	CT Soft Tissue Neck Wo Cont	99	74	$1,725.00	$1,121.25 35% off	$78.01	$1,552.50	$966.00	2026-03-12
70486	CPT	CT Maxillofacial Wo Cont Limited	193	74	$1,667.00	$1,083.55 35% off	$76.07	$1,590.30	$933.52	2026-03-12
71271	CPT	CT Thorax Lung Cancer Screen	99	74	$688.00	$447.20 35% off	$75.21	$619.20	$385.28	2026-03-12
32554	CPT	Thoracentesis Plrl Aspir WO/Img Guide Pf	194	74	$639.00	$415.35 35% off	$75.12	$1,308.60	$543.15	2026-03-12
72125	CPT	CT Cervical Spine Wo Cont	99	74	$1,677.00	$1,090.05 35% off	$72.18	$1,509.30	$939.12	2026-03-12
72128	CPT	CT Thoracic Spine Wo Cont	99	74	$1,688.00	$1,097.20 35% off	$71.90	$1,519.20	$945.28	2026-03-12
73700	CPT	CT Extremity Lower Wo Cont Bi	193	74	$1,661.00	$1,079.65 35% off	$71.62	$3,125.70	$1,328.77	2026-03-12
71250	CPT	CT Chest Diag Wo Cont	99	74	$1,412.00	$917.80 35% off	$71.34	$1,270.80	$790.72	2026-03-12
72192	CPT	CT Pelvis Wo Cont	99	74	$1,494.00	$971.10 35% off	$71.07	$1,344.60	$836.64	2026-03-12
74150	CPT	CT Abdomen Wo Cont	99	74	$1,512.00	$982.80 35% off	$70.23	$1,360.80	$846.72	2026-03-12
27096	CPT	Inj Sacroiliac Joint Pf	150	74	$715.00	$464.75 35% off	$69.52	$1,095.30	$517.22	2026-03-12
12014	CPT	Simp Rep F/Een/Lp/Mm 5.1to7.5 Pf	149	73	$750.00	$487.50 35% off	$67.53	$675.00	$382.20	2026-03-12
12004	CPT	Simp Rep S/Nk/Tr/Ext 7.6to12.5 Pf	150	74	$657.50	$427.38 35% off	$67.19	$639.90	$377.50	2026-03-12
J0885	HCPCS	Epoetin Alfa 20,000 Unit/ml Injection Solution	99	74	$1,202.63	$781.71 35% off	$67.00	$1,082.37	$517.13	2026-03-12
49082	CPT	Abd Paracentesis Without Imag Guidance Pf	192	73	$554.00	$360.10 35% off	$66.14	$1,245.60	$470.90	2026-03-12
72084	CPT	Xr Spine Entire Min 6 Views	99	74	$1,019.00	$662.35 35% off	$65.77	$917.10	$570.64	2026-03-12
76700	CPT	US Abdomen Complete	99	74	$759.00	$493.35 35% off	$65.49	$683.10	$425.04	2026-03-12
76770	CPT	US Retroperitoneum Complete	99	74	$700.00	$455.00 35% off	$61.35	$630.00	$392.00	2026-03-12
74220	CPT	Xr Esophagus/Barium Swallow	99	74	$809.00	$525.85 35% off	$57.74	$728.10	$453.04	2026-03-12
70450	CPT	CT Head/Brain Wo Cont	99	74	$1,577.00	$1,025.05 35% off	$57.46	$1,419.30	$883.12	2026-03-12
62270	CPT	Puncture Spinal/Lumbar Dx	245	74	$539.00	$350.35 35% off	$54.84	$1,385.04	$390.15	2026-03-12
12013	CPT	Simp Rep F/Een/Lp/Mm 2.6to5.0 Mlp	150	74	$630.00	$409.50 35% off	$52.27	$612.90	$361.88	2026-03-12
72083	CPT	Xr Spine Entire 4 Or 5 Views	99	74	$814.00	$529.10 35% off	$51.91	$732.60	$455.84	2026-03-12
76817	CPT	US Preg Uter Transvaginal	99	74	$708.00	$460.20 35% off	$47.74	$637.20	$396.48	2026-03-12
72082	CPT	Xr Spine Entire 2 Or 3 Views	99	74	$680.00	$442.00 35% off	$46.07	$612.00	$380.80	2026-03-12
72052	CPT	Xr Spine Cervical Min 6 Views	99	74	$723.00	$469.95 35% off	$40.24	$650.70	$404.88	2026-03-12
73523	CPT	Xr Hips Bilateral W Pelvis Min 5 Views	99	74	$889.00	$577.85 35% off	$39.13	$800.10	$497.84	2026-03-12
15274	CPT	App Skn Sub Trk/Arm/Leg Ead 100sqcm Twsa >=100 Sqcm	31	25	$3,960.00	$2,574.00 35% off	$36.91	$2,217.60	$1,515.10	2026-03-12
73522	CPT	Xr Hips Bilateral W Pelvis 3-4 Views	99	74	$805.00	$523.25 35% off	$33.30	$724.50	$450.80	2026-03-12
94060	CPT	Bronchodial Pre And Post W Mvv	99	74	$908.00	$590.20 35% off	$33.19	$817.20	$390.44	2026-03-12
71111	CPT	Xr Ribs Bi W Chest Pa Min 4 Views	99	74	$681.00	$442.65 35% off	$31.08	$612.90	$381.36	2026-03-12
Q9968	HCPCS	Methylene Blue (antidote) 5 Mg/ml Intravenous Solution	99	74	$1,577.45	$1,025.34 35% off	$29.50	$1,419.71	$678.30	2026-03-12
J1335	HCPCS	Ertapenem 1 Gram Solution For Injection	99	74	$934.13	$607.18 35% off	$22.02	$840.72	$401.68	2026-03-12
86711	CPT	Stratify Jcv Ab Inhibition Assay	193	74	$838.00	$544.70 35% off	$15.02	$1,432.80	$609.10	2026-03-12

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