Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SOUTH COUNTY HOSPITAL INC

Wakefield, RI · CCN 410008 · Rates published

Your selected procedure

You selected 29806 (CPT)

Arthroscopy, shoulder, surgical; capsulorrhaphy

This hospital’s price: $1,945 across 5 payers · range $821-$6,964

Source: https://stdidsouthcountyhealprod.blob.core.windows.net/southcountyhealth/documents/050445136_south-county-hospital_standardcharges.csv · observed 2026-11-03

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.

3,741 distinct procedures filed
14 distinct payers
85,729 rate rows
2026-05-14 last MRF observed
Data quality

68,506 of 85,729 rate rows are consumer-grade (79.9%)

17,223 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12,853
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,776
per-diem day rate — not a per-procedure price 1,492
exceeds 10× this hospital's gross charge — excluded from medians 66
exceeds 3× this hospital's gross charge for a DRG stay — excluded 26
placeholder amount (≤ $0.02) — excluded from medians 6
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stdidsouthcountyhealprod.blob.core.windows.net/southcountyhealth/documents/050445136_south-county-hospital_standardcharges.csv
Found on page https://www.southcountyhealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-11-03
Content fingerprint 9511a711bd52f96a… · 20,940,727 bytes · first seen 2026-11-03

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
220.4
OTHER 		2 $89,276.50 $172,956.13 $131,116.32 nat. median
$131,116
1.0× median
711.4
OTHER 		2 $81,524.20 $146,096.42 $113,810.31 nat. median
$113,810
1.0× median
710.4
OTHER 		2 $78,097.27 $145,775.01 $111,936.14 nat. median
$111,936
1.0× median
850.4
OTHER 		2 $81,642.56 $132,824.50 $107,233.53 nat. median
$107,234
1.0× median
121.4
OTHER 		2 $74,460.52 $137,351.92 $105,906.22 nat. median
$105,906
1.0× median
229.4
OTHER 		2 $69,478.82 $141,793.44 $105,636.13 nat. median
$105,636
1.0× median
223.4
OTHER 		2 $70,556.13 $137,008.34 $103,782.24 nat. median
$103,782
1.0× median
317.4
OTHER 		2 $68,152.70 $137,523.70 $102,838.20 nat. median
$102,838
1.0× median
447.4
OTHER 		2 $72,235.97 $130,175.66 $101,205.82 nat. median
$101,206
1.0× median
305.4
OTHER 		2 $64,650.45 $135,401.30 $100,025.88 nat. median
$100,026
1.0× median
224.4
OTHER 		2 $61,181.82 $121,206.72 $91,194.27 nat. median
$91,194
1.0× median
227.4
OTHER 		2 $60,606.18 $121,084.81 $90,845.49 nat. median
$90,845
1.0× median
362.4
OTHER 		2 $65,850.15 $112,667.25 $89,258.70 nat. median
$89,259
1.0× median
443.4
OTHER 		2 $62,962.54 $114,235.50 $88,599.02 nat. median
$88,599
1.0× median
320.4
OTHER 		2 $61,036.57 $114,180.08 $87,608.32 nat. median
$87,608
1.0× median
952.4
OTHER 		2 $60,317.02 $112,825.18 $86,571.10 nat. median
$86,571
1.0× median
691.4
OTHER 		2 $54,887.45 $117,901.21 $86,394.33 nat. median
$86,394
1.0× median
310.4
OTHER 		2 $61,383.56 $107,397.27 $84,390.42 nat. median
$84,390
1.0× median
171.4
OTHER 		2 $58,346.66 $107,726.99 $83,036.83 nat. median
$83,037
1.0× median
221.4
OTHER 		1 $80,542.39 $80,542.39 $80,542.39 nat. median
$80,542
1.0× median
870
OTHER 		12 $47,229.56 $133,944.15 $79,370.60 nat. median
$724
outlier · 109.6×
263.4
OTHER 		2 $50,095.39 $106,751.69 $78,423.54 nat. median
$78,424
1.0× median
426
OTHER 		8 $71,162.41 $173,701.08 $76,549.95 nat. median
$74,561
1.0× median
791.4
OTHER 		1 $76,078.50 $76,078.50 $76,078.50 nat. median
$76,078
1.0× median
228.4
OTHER 		2 $47,527.88 $99,345.46 $73,436.67 nat. median
$73,437
1.0× median
364.4
OTHER 		2 $52,258.07 $94,360.87 $73,309.47 nat. median
$73,309
1.0× median
308.4
OTHER 		2 $50,558.05 $95,081.26 $72,819.65 nat. median
$72,820
1.0× median
660.4
OTHER 		2 $51,554.66 $93,402.18 $72,478.42 nat. median
$72,478
1.0× median
44.4
OTHER 		2 $34,129.48 $95,937.43 $65,033.46 nat. median
$65,033
1.0× median
207
OTHER 		12 $43,910.96 $108,810.09 $60,737.01 nat. median
$64,908
0.9× median
284.4
OTHER 		2 $33,477.18 $82,067.02 $57,772.10 nat. median
$57,772
1.0× median
130.1
OTHER 		2 $40,062.06 $75,314.69 $57,688.38 nat. median
$57,688
1.0× median
720.4
OTHER 		2 $37,829.44 $77,049.18 $57,439.31 nat. median
$57,439
1.0× median
344.4
OTHER 		2 $37,544.31 $76,306.62 $56,925.46 nat. median
$56,925
1.0× median
242.4
OTHER 		2 $35,323.79 $78,520.45 $56,922.12 nat. median
$56,922
1.0× median
280.4
OTHER 		2 $35,487.88 $77,445.40 $56,466.64 nat. median
$56,467
1.0× median
694.4
OTHER 		2 $35,696.34 $76,611.40 $56,153.87 nat. median
$56,154
1.0× median
681.3
OTHER 		2 $35,182.57 $76,428.53 $55,805.55 nat. median
$55,806
1.0× median
240.4
OTHER 		2 $34,210.17 $76,445.16 $55,327.67 nat. median
$55,328
1.0× median
121.3
OTHER 		2 $34,058.19 $76,384.20 $55,221.19 nat. median
$55,221
1.0× median
459
OTHER 		2 $48,880.00 $109,922.08 $54,328.00 nat. median
$50,476
1.1× median
460
OTHER 		2 $29,759.00 $62,410.15 $54,328.00 nat. median
$221
outlier · 245.5×
711.3
OTHER 		2 $34,235.73 $72,061.82 $53,148.78 nat. median
$53,149
1.0× median
329
OTHER 		12 $31,174.29 $77,428.40 $52,389.28 nat. median
$40,136
1.3× median
196.4
OTHER 		2 $23,694.00 $80,448.90 $52,071.45 nat. median
$52,071
1.0× median
427
OTHER 		8 $48,194.99 $117,639.66 $51,843.72 nat. median
$48,922
1.1× median
48.4
OTHER 		2 $35,010.42 $68,407.19 $51,708.81 nat. median
$51,709
1.0× median
343.4
OTHER 		2 $34,947.21 $68,376.72 $51,661.96 nat. median
$51,662
1.0× median
248.4
OTHER 		2 $32,453.67 $69,537.66 $50,995.67 nat. median
$50,996
1.0× median
58.4
OTHER 		2 $31,880.72 $69,739.93 $50,810.32 nat. median
$50,810
1.0× median

Other procedures at this hospital

Browse this hospital's 3,741 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
220.4 OTHER — 2 2 $96,673.84 $58,004.30 40% off $89,276.50 $172,956.13 $131,116.32 2026-05-14
711.4 OTHER — 2 2 $46,124.40 $27,674.64 40% off $81,524.20 $146,096.42 $113,810.31 2026-05-14
710.4 OTHER — 2 2 $67,508.40 $40,505.04 40% off $78,097.27 $145,775.01 $111,936.14 2026-05-14
850.4 OTHER — 2 2 $24,352.04 $14,611.22 40% off $81,642.56 $132,824.50 $107,233.53 2026-05-14
121.4 OTHER — 2 2 $185,662.18 $111,397.31 40% off $74,460.52 $137,351.92 $105,906.22 2026-05-14
229.4 OTHER — 2 2 $52,050.12 $31,230.07 40% off $69,478.82 $141,793.44 $105,636.13 2026-05-14
223.4 OTHER — 2 2 $49,736.80 $29,842.08 40% off $70,556.13 $137,008.34 $103,782.24 2026-05-14
317.4 OTHER — 2 2 $183,094.46 $109,856.68 40% off $68,152.70 $137,523.70 $102,838.20 2026-05-14
447.4 OTHER — 2 2 $153,955.43 $92,373.26 40% off $72,235.97 $130,175.66 $101,205.82 2026-05-14
305.4 OTHER — 2 2 $96,287.26 $57,772.36 40% off $64,650.45 $135,401.30 $100,025.88 2026-05-14
224.4 OTHER — 2 2 $59,839.69 $35,903.81 40% off $61,181.82 $121,206.72 $91,194.27 2026-05-14
227.4 OTHER — 2 2 $40,487.13 $24,292.28 40% off $60,606.18 $121,084.81 $90,845.49 2026-05-14
362.4 OTHER — 2 2 $16,435.65 $9,861.39 40% off $65,850.15 $112,667.25 $89,258.70 2026-05-14
443.4 OTHER — 2 2 $42,453.40 $25,472.04 40% off $62,962.54 $114,235.50 $88,599.02 2026-05-14
320.4 OTHER — 2 2 $29,638.45 $17,783.07 40% off $61,036.57 $114,180.08 $87,608.32 2026-05-14
952.4 OTHER — 2 2 $25,765.32 $15,459.19 40% off $60,317.02 $112,825.18 $86,571.10 2026-05-14
691.4 OTHER — 2 2 $24,239.22 $14,543.53 40% off $54,887.45 $117,901.21 $86,394.33 2026-05-14
310.4 OTHER — 2 2 $149,976.34 $89,985.80 40% off $61,383.56 $107,397.27 $84,390.42 2026-05-14
171.4 OTHER — 2 2 $71,596.05 $42,957.63 40% off $58,346.66 $107,726.99 $83,036.83 2026-05-14
221.4 OTHER — 1 1 $154,063.13 $92,437.88 40% off $80,542.39 $80,542.39 $80,542.39 2026-05-14
870 OTHER — 18 12 $278,903.68 $167,342.21 40% off $47,229.56 $133,944.15 $79,370.60 2026-05-14
263.4 OTHER — 2 2 $74,440.12 $44,664.07 40% off $50,095.39 $106,751.69 $78,423.54 2026-05-14
426 OTHER — 11 8 $120,150.72 $72,090.43 40% off $71,162.41 $173,701.08 $76,549.95 2026-05-14
791.4 OTHER — 1 1 $35,613.26 $21,367.96 40% off $76,078.50 $76,078.50 $76,078.50 2026-05-14
228.4 OTHER — 2 2 $48,461.69 $29,077.01 40% off $47,527.88 $99,345.46 $73,436.67 2026-05-14
364.4 OTHER — 2 2 $58,061.99 $34,837.19 40% off $52,258.07 $94,360.87 $73,309.47 2026-05-14
308.4 OTHER — 2 2 $83,214.26 $49,928.56 40% off $50,558.05 $95,081.26 $72,819.65 2026-05-14
660.4 OTHER — 2 2 $28,707.20 $17,224.32 40% off $51,554.66 $93,402.18 $72,478.42 2026-05-14
44.4 OTHER — 2 2 $34,102.03 $20,461.22 40% off $34,129.48 $95,937.43 $65,033.46 2026-05-14
207 OTHER — 18 12 $153,724.80 $92,234.88 40% off $43,910.96 $108,810.09 $60,737.01 2026-05-14
284.4 OTHER — 2 2 $47,881.68 $28,729.01 40% off $33,477.18 $82,067.02 $57,772.10 2026-05-14
130.1 OTHER — 2 2 $53,172.29 $31,903.37 40% off $40,062.06 $75,314.69 $57,688.38 2026-05-14
720.4 OTHER — 2 2 $42,995.57 $25,797.34 40% off $37,829.44 $77,049.18 $57,439.31 2026-05-14
344.4 OTHER — 2 2 $31,547.10 $18,928.26 40% off $37,544.31 $76,306.62 $56,925.46 2026-05-14
242.4 OTHER — 2 2 $52,467.68 $31,480.61 40% off $35,323.79 $78,520.45 $56,922.12 2026-05-14
280.4 OTHER — 2 2 $54,359.29 $32,615.57 40% off $35,487.88 $77,445.40 $56,466.64 2026-05-14
694.4 OTHER — 2 2 $167,218.92 $100,331.35 40% off $35,696.34 $76,611.40 $56,153.87 2026-05-14
681.3 OTHER — 2 2 $167,274.50 $100,364.70 40% off $35,182.57 $76,428.53 $55,805.55 2026-05-14
240.4 OTHER — 2 2 $36,439.78 $21,863.87 40% off $34,210.17 $76,445.16 $55,327.67 2026-05-14
121.3 OTHER — 2 2 $25,565.20 $15,339.12 40% off $34,058.19 $76,384.20 $55,221.19 2026-05-14
459 OTHER — 3 2 $120,150.72 $72,090.43 40% off $48,880.00 $109,922.08 $54,328.00 2026-05-14
460 OTHER — 3 2 $53,655.89 $32,193.53 40% off $29,759.00 $62,410.15 $54,328.00 2026-05-14
711.3 OTHER — 2 2 $31,418.52 $18,851.11 40% off $34,235.73 $72,061.82 $53,148.78 2026-05-14
329 OTHER — 18 12 $154,063.13 $92,437.88 40% off $31,174.29 $77,428.40 $52,389.28 2026-05-14
196.4 OTHER — 2 2 $21,405.95 $12,843.57 40% off $23,694.00 $80,448.90 $52,071.45 2026-05-14
427 OTHER — 11 8 $51,824.85 $31,094.91 40% off $48,194.99 $117,639.66 $51,843.72 2026-05-14
48.4 OTHER — 2 2 $37,217.43 $22,330.46 40% off $35,010.42 $68,407.19 $51,708.81 2026-05-14
343.4 OTHER — 2 2 $92,642.20 $55,585.32 40% off $34,947.21 $68,376.72 $51,661.96 2026-05-14
248.4 OTHER — 2 2 $84,934.06 $50,960.44 40% off $32,453.67 $69,537.66 $50,995.67 2026-05-14
58.4 OTHER — 2 2 $52,590.48 $31,554.29 40% off $31,880.72 $69,739.93 $50,810.32 2026-05-14
281.4 OTHER — 2 2 $64,961.10 $38,976.66 40% off $29,574.13 $72,023.03 $50,798.58 2026-05-14
530.4 OTHER — 2 2 $78,058.29 $46,834.97 40% off $31,342.74 $69,313.23 $50,327.99 2026-05-14
892.4 OTHER — 2 2 $550,702.34 $330,421.40 40% off $32,212.92 $68,035.91 $50,124.42 2026-05-14
811.4 OTHER — 2 2 $12,273.60 $7,364.16 40% off $33,318.47 $65,517.30 $49,417.89 2026-05-14
200.4 OTHER — 2 2 $15,186.92 $9,112.15 40% off $30,633.95 $67,844.73 $49,239.34 2026-05-14
247.4 OTHER — 2 2 $29,334.08 $17,600.45 40% off $30,639.33 $67,553.80 $49,096.57 2026-05-14
463 OTHER — 18 12 $102,937.89 $61,762.73 40% off $36,666.81 $86,863.80 $48,282.41 2026-05-14
253.4 OTHER — 2 2 $50,921.48 $30,552.89 40% off $30,086.55 $65,536.69 $47,811.62 2026-05-14
190.4 OTHER — 2 2 $21,421.96 $12,853.18 40% off $30,982.29 $63,840.99 $47,411.64 2026-05-14
424.4 OTHER — 2 2 $44,514.33 $26,708.60 40% off $32,186.02 $62,480.55 $47,333.29 2026-05-14
254.4 OTHER — 2 2 $37,038.01 $22,222.81 40% off $29,504.19 $64,880.02 $47,192.10 2026-05-14
474 OTHER — 18 12 $120,566.34 $72,339.80 40% off $30,445.80 $69,579.28 $46,877.82 2026-05-14
114.4 OTHER — 2 2 $23,691.56 $14,214.94 40% off $30,890.83 $62,081.56 $46,486.19 2026-05-14
351.4 OTHER — 2 2 $59,723.00 $35,833.80 40% off $29,654.82 $62,017.83 $45,836.32 2026-05-14
383.4 OTHER — 2 2 $22,816.78 $13,690.07 40% off $30,534.42 $61,012.05 $45,773.24 2026-05-14
461.4 OTHER — 2 2 $55,844.15 $33,506.49 40% off $29,584.89 $61,629.93 $45,607.41 2026-05-14
136.4 OTHER — 2 2 $41,718.18 $25,030.91 40% off $27,874.11 $60,912.30 $44,393.21 2026-05-14
673 OTHER — 18 12 $153,955.43 $92,373.26 40% off $28,447.04 $76,704.95 $44,251.64 2026-05-14
166 OTHER — 18 12 $185,662.18 $111,397.31 40% off $26,145.48 $90,972.98 $43,938.21 2026-05-14
137.4 OTHER — 2 2 $34,510.43 $20,706.26 40% off $28,833.06 $58,842.55 $43,837.81 2026-05-14
321.2 OTHER — 2 2 $36,792.82 $22,075.69 40% off $28,666.29 $58,878.56 $43,772.43 2026-05-14
142.4 OTHER — 2 2 $38,299.48 $22,979.69 40% off $28,911.07 $58,244.06 $43,577.57 2026-05-14
207.4 OTHER — 2 2 $49,913.43 $29,948.06 40% off $26,225.20 $60,640.77 $43,432.99 2026-05-14
531.4 OTHER — 2 2 $10,719.76 $6,431.86 40% off $30,750.96 $55,750.38 $43,250.67 2026-05-14
420.4 OTHER — 2 2 $30,886.14 $18,531.68 40% off $29,812.18 $56,609.32 $43,210.75 2026-05-14
245.4 OTHER — 2 2 $69,175.19 $41,505.11 40% off $28,052.99 $57,130.22 $42,591.61 2026-05-14
326 OTHER — 18 12 $96,673.84 $58,004.30 40% off $34,480.67 $84,828.75 $42,322.18 2026-05-14
457 OTHER — 13 9 $52,430.27 $31,458.16 40% off $38,963.62 $100,041.85 $41,913.47 2026-05-14
680.2 OTHER — 2 2 $50,422.52 $30,253.51 40% off $26,196.96 $57,027.70 $41,612.33 2026-05-14
853 OTHER — 18 12 $70,496.32 $42,297.79 40% off $33,956.53 $81,219.37 $40,930.99 2026-05-14
382.4 OTHER — 2 2 $37,000.07 $22,200.04 40% off $28,390.57 $53,012.87 $40,701.72 2026-05-14
834 OTHER — 9 7 $7,547.00 $4,528.20 40% off $37,523.62 $40,364.44 $40,364.44 2026-05-14
428 OTHER — 11 8 $53,655.89 $32,193.53 40% off $37,376.29 $91,232.17 $40,205.96 2026-05-14
194.4 OTHER — 2 2 $29,887.69 $17,932.61 40% off $27,028.14 $53,306.57 $40,167.35 2026-05-14
201.4 OTHER — 2 2 $25,364.42 $15,218.65 40% off $26,541.26 $52,178.88 $39,360.07 2026-05-14
500.4 OTHER — 2 2 $33,254.94 $19,952.96 40% off $27,387.24 $51,203.57 $39,295.40 2026-05-14
139.4 OTHER — 2 2 $27,274.39 $16,364.63 40% off $25,213.80 $51,868.55 $38,541.18 2026-05-14
981 OTHER — 18 12 $67,049.44 $40,229.66 40% off $32,278.23 $75,906.39 $38,362.57 2026-05-14
221.3 OTHER — 1 1 $50,506.65 $30,303.99 40% off $38,133.40 $38,133.40 $38,133.40 2026-05-14
466 OTHER — 20 13 $149,976.34 $89,985.80 40% off $15,754.00 $86,921.80 $37,205.05 2026-05-14
850.2 OTHER — 2 2 $44,426.24 $26,655.74 40% off $20,256.31 $52,949.15 $36,602.73 2026-05-14
856 OTHER — 18 12 $46,124.40 $27,674.64 40% off $30,628.43 $73,127.26 $36,442.93 2026-05-14
500 OTHER — 18 12 $183,094.46 $109,856.68 40% off $21,511.80 $91,842.51 $36,151.19 2026-05-14
356 OTHER — 18 12 $52,050.12 $31,230.07 40% off $28,958.95 $69,975.27 $36,107.00 2026-05-14
140.4 OTHER — 2 2 $26,243.79 $15,746.27 40% off $23,928.02 $46,437.87 $35,182.94 2026-05-14
829 OTHER — 18 12 $167,274.50 $100,364.70 40% off $20,935.39 $85,741.22 $35,182.52 2026-05-14
171.2 OTHER — 2 2 $58,757.25 $35,254.35 40% off $23,630.79 $45,894.80 $34,762.79 2026-05-14
616 OTHER — 18 12 $72,008.18 $43,204.91 40% off $26,239.85 $62,385.29 $33,690.04 2026-05-14
321.1 OTHER — 2 2 $38,958.78 $23,375.27 40% off $21,632.19 $45,426.54 $33,529.36 2026-05-14
463.4 OTHER — 2 2 $24,204.87 $14,522.92 40% off $21,172.22 $45,130.07 $33,151.15 2026-05-14
301.3 OTHER — 2 2 $41,078.61 $24,647.17 40% off $31,575.41 $34,582.46 $33,078.93 2026-05-14
448 OTHER — 18 12 $46,891.05 $28,134.63 40% off $27,721.95 $67,666.79 $32,839.55 2026-05-14
405.2 OTHER — 2 2 $103,621.03 $62,172.62 40% off $19,980.59 $45,071.89 $32,526.24 2026-05-14
97 OTHER — 18 12 $66,981.49 $40,188.89 40% off $24,338.18 $64,435.25 $32,292.94 2026-05-14
907 OTHER — 18 12 $52,497.44 $31,498.46 40% off $27,045.06 $64,062.38 $31,911.89 2026-05-14
460.4 OTHER — 1 1 $31,616.42 $18,969.85 40% off $31,863.23 $31,863.23 $31,863.23 2026-05-14
480 OTHER — 18 12 $83,214.26 $49,928.55 40% off $19,967.24 $49,152.55 $31,487.67 2026-05-14
226.3 OTHER — 2 2 $100,827.34 $60,496.40 40% off $19,768.09 $42,955.03 $31,361.56 2026-05-14
710.2 OTHER — 2 2 $33,871.69 $20,323.01 40% off $21,111.70 $41,547.49 $31,329.60 2026-05-14
40 OTHER — 18 12 $70,507.32 $42,304.39 40% off $25,607.77 $62,781.36 $31,324.88 2026-05-14
177.2 OTHER — 2 2 $187,647.64 $112,588.58 40% off $19,473.55 $43,082.49 $31,278.02 2026-05-14
315.2 OTHER — 2 2 $24,891.55 $14,934.93 40% off $19,766.74 $42,653.02 $31,209.88 2026-05-14
335 OTHER — 18 12 $59,839.69 $35,903.81 40% off $24,603.64 $61,047.93 $31,195.14 2026-05-14
447.2 OTHER — 2 2 $35,805.21 $21,483.13 40% off $19,004.16 $42,874.68 $30,939.42 2026-05-14
224.2 OTHER — 2 2 $31,620.10 $18,972.06 40% off $20,501.09 $41,176.20 $30,838.64 2026-05-14
320.2 OTHER — 2 2 $40,138.09 $24,082.85 40% off $18,989.36 $42,553.27 $30,771.31 2026-05-14
269 OTHER — 11 8 $48,944.43 $29,366.66 40% off $28,246.08 $70,866.84 $30,384.52 2026-05-14
229.2 OTHER — 2 2 $66,168.03 $39,700.82 40% off $19,348.47 $40,924.07 $30,136.27 2026-05-14
850.1 OTHER — 2 2 $19,677.61 $11,806.57 40% off $17,866.33 $42,115.49 $29,990.91 2026-05-14
308.2 OTHER — 2 2 $47,016.95 $28,210.17 40% off $19,016.26 $40,804.92 $29,910.59 2026-05-14
445.2 OTHER — 2 2 $32,849.38 $19,709.63 40% off $15,667.33 $43,279.21 $29,473.27 2026-05-14
223.2 OTHER — 2 2 $37,620.77 $22,572.46 40% off $18,669.26 $40,020.80 $29,345.03 2026-05-14
711.2 OTHER — 2 2 $28,576.06 $17,145.64 40% off $19,466.82 $39,211.74 $29,339.28 2026-05-14
305.2 OTHER — 2 2 $37,664.26 $22,598.56 40% off $18,031.76 $39,580.25 $28,806.00 2026-05-14
492 OTHER — 18 12 $38,005.08 $22,803.05 40% off $24,108.70 $57,768.33 $28,759.04 2026-05-14
402 OTHER — 11 8 $57,639.04 $34,583.42 40% off $26,676.40 $65,114.70 $28,696.01 2026-05-14
264 OTHER — 18 12 $36,169.76 $21,701.86 40% off $23,727.82 $54,848.35 $28,499.19 2026-05-14
171.1 OTHER — 2 2 $66,764.72 $40,058.83 40% off $20,222.68 $36,668.18 $28,445.43 2026-05-14
579 OTHER — 18 12 $58,061.99 $34,837.19 40% off $22,126.91 $52,229.97 $28,002.49 2026-05-14
173.2 OTHER — 1 1 $38,917.64 $23,350.58 40% off $27,899.66 $27,899.66 $27,899.66 2026-05-14
301.1 OTHER — 2 2 $34,572.05 $20,743.23 40% off $20,636.93 $34,582.46 $27,609.69 2026-05-14
121.1 OTHER — 2 2 $20,678.89 $12,407.33 40% off $15,340.51 $39,829.62 $27,585.07 2026-05-14
443.2 OTHER — 2 2 $33,698.94 $20,219.36 40% off $17,117.19 $37,912.25 $27,514.72 2026-05-14
721.3 OTHER — 2 2 $59,163.32 $35,497.99 40% off $16,705.64 $37,502.18 $27,103.91 2026-05-14
347 OTHER — 18 12 $100,827.34 $60,496.40 40% off $16,067.49 $50,097.31 $27,001.86 2026-05-14
330 OTHER — 18 12 $105,724.98 $63,434.99 40% off $16,047.80 $52,976.24 $26,968.78 2026-05-14
485 OTHER — 18 12 $46,471.30 $27,882.78 40% off $21,885.89 $53,875.57 $26,927.80 2026-05-14
302.1 OTHER — 2 2 $31,359.57 $18,815.74 40% off $19,355.19 $34,365.23 $26,860.21 2026-05-14
180.1 OTHER — 2 2 $27,014.68 $16,208.81 40% off $14,728.56 $38,873.71 $26,801.14 2026-05-14
417 OTHER — 18 12 $74,440.12 $44,664.07 40% off $16,134.70 $39,403.24 $26,777.14 2026-05-14
469 OTHER — 20 13 $41,078.61 $24,647.17 40% off $15,754.00 $53,550.76 $26,673.06 2026-05-14
442.1 OTHER — 2 2 $42,191.49 $25,314.89 40% off $16,634.35 $36,576.75 $26,605.55 2026-05-14
227.2 OTHER — 2 2 $35,774.82 $21,464.89 40% off $16,628.97 $36,346.78 $26,487.88 2026-05-14
J9999 HCPCS Not Otherwise Classified, Antineoplastic Drugs 12 10 $44,107.10 $26,464.26 40% off $26,464.26 $26,464.26 $26,464.26 2026-05-14
41 OTHER — 18 12 $74,543.80 $44,726.28 40% off $15,334.25 $38,746.99 $25,769.63 2026-05-14
484.2 OTHER — 2 2 $50,982.06 $30,589.24 40% off $15,453.49 $35,781.54 $25,617.51 2026-05-14
987 OTHER — 11 8 $25,765.32 $15,459.19 40% off $23,782.81 $54,992.52 $25,583.35 2026-05-14
134.3 OTHER — 2 2 $30,074.69 $18,044.81 40% off $16,545.59 $34,313.04 $25,429.32 2026-05-14
952.2 OTHER — 2 2 $28,342.30 $17,005.38 40% off $15,898.67 $34,922.61 $25,410.64 2026-05-14
310.2 OTHER — 2 2 $46,198.78 $27,719.27 40% off $15,904.05 $34,520.85 $25,212.45 2026-05-14
263.2 OTHER — 2 2 $50,870.86 $30,522.52 40% off $15,592.02 $34,761.90 $25,176.96 2026-05-14
271 OTHER — 11 8 $61,976.12 $37,185.67 40% off $23,384.96 $57,733.53 $25,155.38 2026-05-14
824 OTHER — 18 12 $93,080.11 $55,848.07 40% off $14,931.64 $49,351.87 $25,093.04 2026-05-14
308.1 OTHER — 2 2 $28,342.25 $17,005.35 40% off $15,504.60 $34,584.58 $25,044.59 2026-05-14
467 OTHER — 13 9 $46,198.78 $27,719.26 40% off $15,754.00 $60,088.41 $25,012.97 2026-05-14
691.2 OTHER — 2 2 $31,477.33 $18,886.40 40% off $15,372.79 $34,612.28 $24,992.53 2026-05-14
317.2 OTHER — 2 2 $37,252.54 $22,351.52 40% off $15,800.48 $34,055.36 $24,927.92 2026-05-14
515 OTHER — 18 12 $48,214.41 $28,928.65 40% off $20,993.78 $51,668.18 $24,883.63 2026-05-14
362.1 OTHER — 2 2 $19,031.48 $11,418.89 40% off $13,978.08 $35,573.74 $24,775.91 2026-05-14
242 OTHER — 11 8 $71,596.05 $42,957.63 40% off $23,029.20 $57,562.84 $24,772.69 2026-05-14
29 OTHER — 12 8 $27,716.89 $16,630.13 40% off $22,788.18 $56,636.47 $24,513.43 2026-05-14
464 OTHER — 18 12 $38,300.35 $22,980.21 40% off $20,018.84 $49,503.88 $24,493.18 2026-05-14
982 OTHER — 18 12 $61,614.78 $36,968.87 40% off $16,623.53 $41,565.89 $24,491.86 2026-05-14
193.2 OTHER — 2 2 $36,872.68 $22,123.61 40% off $14,633.07 $33,977.78 $24,305.42 2026-05-14
282.3 OTHER — 2 2 $57,713.14 $34,627.88 40% off $15,569.15 $33,002.47 $24,285.81 2026-05-14
357 OTHER — 18 12 $66,168.03 $39,700.82 40% off $15,288.76 $37,224.03 $24,123.42 2026-05-14
353 OTHER — 18 12 $40,487.13 $24,292.28 40% off $19,911.57 $47,525.18 $23,940.81 2026-05-14
241.3 OTHER — 2 2 $55,389.23 $33,233.54 40% off $13,678.15 $34,191.13 $23,934.64 2026-05-14
41.3 OTHER — 2 2 $24,874.08 $14,924.45 40% off $15,387.58 $32,373.51 $23,880.54 2026-05-14
462 OTHER — 20 13 $38,056.24 $22,833.74 40% off $19,441.75 $50,538.00 $23,766.32 2026-05-14
240 OTHER — 18 12 $35,613.69 $21,368.21 40% off $19,770.35 $45,182.16 $23,616.60 2026-05-14
397 OTHER — 18 12 $60,039.20 $36,023.52 40% off $16,821.10 $41,058.79 $23,568.61 2026-05-14
314.2 OTHER — 2 2 $30,942.74 $18,565.64 40% off $14,674.76 $32,013.31 $23,344.04 2026-05-14
840 OTHER — 11 8 $24,239.22 $14,543.53 40% off $21,653.70 $51,489.20 $23,293.05 2026-05-14
224.1 OTHER — 2 2 $33,091.48 $19,854.89 40% off $14,837.50 $31,714.07 $23,275.78 2026-05-14
56 OTHER — 18 12 $52,145.46 $31,287.27 40% off $17,000.33 $38,851.69 $23,126.42 2026-05-14
443.1 OTHER — 2 2 $24,505.72 $14,703.43 40% off $14,056.08 $32,157.39 $23,106.74 2026-05-14
173.1 OTHER — 1 1 $43,479.49 $26,087.69 40% off $23,018.84 $23,018.84 $23,018.84 2026-05-14
478 OTHER — 18 12 $58,250.81 $34,950.49 40% off $15,876.03 $38,925.97 $22,995.42 2026-05-14
208 OTHER — 18 12 $53,035.78 $31,821.46 40% off $18,223.08 $43,088.86 $22,859.40 2026-05-14
364.2 OTHER — 2 2 $29,639.63 $17,783.78 40% off $14,712.42 $30,963.20 $22,837.81 2026-05-14
344 OTHER — 18 12 $49,736.80 $29,842.08 40% off $18,293.01 $43,625.79 $22,717.25 2026-05-14
221.2 OTHER — 1 1 $105,724.98 $63,434.99 40% off $22,696.05 $22,696.05 $22,696.05 2026-05-14
451 OTHER — 11 8 $37,488.48 $22,493.09 40% off $20,950.33 $51,137.88 $22,536.43 2026-05-14
243 OTHER — 18 12 $58,757.25 $35,254.35 40% off $15,294.19 $38,844.77 $22,458.92 2026-05-14
744 OTHER — 18 12 $61,598.73 $36,959.24 40% off $13,265.55 $31,458.63 $22,293.14 2026-05-14
44.2 OTHER — 2 2 $28,091.23 $16,854.74 40% off $13,510.03 $30,572.52 $22,041.28 2026-05-14
681.1 OTHER — 2 2 $66,643.82 $39,986.29 40% off $13,830.13 $30,212.32 $22,021.22 2026-05-14
223.1 OTHER — 2 2 $23,795.50 $14,277.30 40% off $13,703.71 $30,195.70 $21,949.71 2026-05-14
710.1 OTHER — 2 2 $31,463.23 $18,877.94 40% off $14,304.90 $29,516.86 $21,910.88 2026-05-14
229.1 OTHER — 2 2 $80,270.55 $48,162.33 40% off $14,117.95 $29,652.63 $21,885.29 2026-05-14
613.2 OTHER — 2 2 $6,193.07 $3,715.84 40% off $4,356.20 $39,412.44 $21,884.32 2026-05-14
623 OTHER — 18 12 $103,621.03 $62,172.62 40% off $12,994.66 $53,126.79 $21,837.90 2026-05-14
498 OTHER — 18 12 $48,531.95 $29,119.17 40% off $17,140.87 $42,475.69 $21,826.47 2026-05-14
974 OTHER — 11 8 $550,702.34 $330,421.40 40% off $20,272.76 $47,611.36 $21,807.56 2026-05-14
843 OTHER — 18 12 $167,218.92 $100,331.35 40% off $12,852.77 $81,674.90 $21,599.44 2026-05-14
441 OTHER — 18 12 $60,490.62 $36,294.37 40% off $12,833.76 $31,400.63 $21,567.49 2026-05-14
821 OTHER — 18 12 $50,422.52 $30,253.51 40% off $15,155.01 $35,835.29 $21,521.25 2026-05-14
350 OTHER — 18 12 $48,461.69 $29,077.01 40% off $16,428.68 $39,060.20 $21,427.60 2026-05-14
521 OTHER — 19 12 $44,326.91 $26,596.14 40% off $15,355.00 $50,034.18 $21,286.11 2026-05-14
542 OTHER — 18 12 $148,986.50 $89,391.90 40% off $12,661.31 $73,374.58 $21,277.69 2026-05-14
415 OTHER — 18 12 $57,655.80 $34,593.48 40% off $13,429.18 $33,144.00 $21,207.99 2026-05-14
472 OTHER — 13 9 $36,792.82 $22,075.69 40% off $19,668.52 $50,892.61 $21,157.57 2026-05-14
98 OTHER — 18 12 $37,183.96 $22,310.38 40% off $14,726.61 $34,539.36 $21,150.76 2026-05-14
659 OTHER — 18 12 $42,453.40 $25,472.04 40% off $17,544.83 $42,704.39 $21,125.15 2026-05-14
862 OTHER — 18 12 $59,163.32 $35,497.99 40% off $12,482.75 $30,311.85 $20,977.61 2026-05-14
686 OTHER — 18 12 $55,844.15 $33,506.49 40% off $12,801.85 $29,256.69 $20,953.49 2026-05-14
657 OTHER — 18 12 $58,558.50 $35,135.10 40% off $12,410.79 $31,122.22 $20,856.67 2026-05-14
435 OTHER — 18 12 $64,961.10 $38,976.66 40% off $12,387.02 $32,607.49 $20,816.74 2026-05-14
691.1 OTHER — 2 2 $93,080.11 $55,848.07 40% off $11,768.32 $29,749.61 $20,758.97 2026-05-14
254.3 OTHER — 2 2 $31,809.12 $19,085.47 40% off $12,686.92 $28,810.32 $20,748.62 2026-05-14
754 OTHER — 18 12 $78,058.29 $46,834.97 40% off $12,283.15 $40,751.23 $20,642.18 2026-05-14
286 OTHER — 18 12 $48,190.41 $28,914.25 40% off $15,026.69 $35,149.21 $20,612.51 2026-05-14
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 12 11 $34,352.00 $20,611.20 40% off $20,611.20 $20,611.20 $20,611.20 2026-05-14
432 OTHER — 18 12 $54,359.29 $32,615.57 40% off $13,300.86 $31,291.25 $20,509.76 2026-05-14
314 OTHER — 18 12 $49,913.43 $29,948.06 40% off $14,620.01 $34,512.85 $20,500.20 2026-05-14
228.2 OTHER — 2 2 $22,041.57 $13,224.94 40% off $12,681.54 $28,189.67 $20,435.60 2026-05-14
320.1 OTHER — 2 2 $17,492.21 $10,495.33 40% off $13,216.83 $27,635.52 $20,426.17 2026-05-14
91 OTHER — 18 12 $52,590.48 $31,554.29 40% off $12,375.48 $28,626.47 $20,176.56 2026-05-14
199 OTHER — 18 12 $54,349.13 $32,609.48 40% off $11,984.42 $29,143.52 $20,140.15 2026-05-14
314.1 OTHER — 2 2 $13,049.16 $7,829.50 40% off $12,163.74 $27,929.22 $20,046.48 2026-05-14
371 OTHER — 18 12 $84,934.06 $50,960.44 40% off $11,869.68 $43,845.32 $19,947.33 2026-05-14
674 OTHER — 18 12 $35,805.21 $21,483.13 40% off $15,671.67 $39,283.93 $19,937.55 2026-05-14
862.3 OTHER — 2 2 $17,917.39 $10,750.43 40% off $13,185.90 $26,510.59 $19,848.24 2026-05-14
475 OTHER — 18 12 $42,385.91 $25,431.55 40% off $14,645.13 $36,809.73 $19,846.94 2026-05-14
263.1 OTHER — 2 2 $37,780.62 $22,668.37 40% off $12,100.52 $27,222.68 $19,661.60 2026-05-14
421.3 OTHER — 2 2 $22,829.00 $13,697.40 40% off $11,492.61 $27,801.77 $19,647.19 2026-05-14
808 OTHER — 18 12 $44,983.45 $26,990.07 40% off $15,550.14 $35,537.50 $19,609.98 2026-05-14
481 OTHER — 18 12 $47,016.95 $28,210.17 40% off $14,087.06 $35,006.69 $19,505.59 2026-05-14
377 OTHER — 18 12 $50,921.48 $30,552.89 40% off $12,343.57 $29,465.02 $19,502.62 2026-05-14
493 OTHER — 18 12 $27,391.41 $16,434.85 40% off $16,301.04 $39,371.76 $19,285.51 2026-05-14
262.2 OTHER — 1 1 $57,655.80 $34,593.48 40% off $19,247.59 $19,247.59 $19,247.59 2026-05-14
468 OTHER — 13 9 $28,143.80 $16,886.28 40% off $15,754.00 $46,224.28 $19,157.94 2026-05-14
438 OTHER — 18 12 $57,713.14 $34,627.88 40% off $11,295.99 $28,783.42 $18,983.22 2026-05-14
310.1 OTHER — 2 2 $28,143.80 $16,886.28 40% off $11,921.65 $26,006.32 $18,963.99 2026-05-14
717 OTHER — 18 12 $50,982.06 $30,589.24 40% off $12,596.81 $29,337.41 $18,921.21 2026-05-14
281.2 OTHER — 2 2 $22,407.42 $13,444.45 40% off $11,333.90 $26,477.34 $18,905.62 2026-05-14
418 OTHER — 18 12 $50,870.86 $30,522.52 40% off $11,260.00 $27,526.09 $18,852.18 2026-05-14
253 OTHER — 11 8 $38,917.64 $23,350.58 40% off $17,332.33 $44,313.53 $18,644.52 2026-05-14
483 OTHER — 11 8 $24,273.38 $14,564.03 40% off $17,299.74 $39,535.94 $18,609.46 2026-05-14
854 OTHER — 18 12 $44,181.24 $26,508.74 40% off $13,566.32 $34,065.40 $18,587.47 2026-05-14
385 OTHER — 18 12 $69,175.19 $41,505.11 40% off $11,030.53 $32,816.33 $18,537.11 2026-05-14
343.2 OTHER — 2 2 $30,037.65 $18,022.59 40% off $11,485.88 $25,515.89 $18,500.88 2026-05-14
917 OTHER — 18 12 $50,261.77 $30,157.06 40% off $11,131.69 $25,439.79 $18,421.12 2026-05-14
331 OTHER — 18 12 $50,506.65 $30,303.99 40% off $11,209.08 $28,318.23 $18,405.35 2026-05-14
385.3 OTHER — 2 2 $16,028.91 $9,617.35 40% off $11,632.48 $25,116.90 $18,374.69 2026-05-14
815.3 OTHER — 2 2 $15,747.00 $9,448.20 40% off $11,717.21 $24,986.68 $18,351.94 2026-05-14
663.3 OTHER — 2 2 $38,201.91 $22,921.15 40% off $11,519.51 $25,172.32 $18,345.92 2026-05-14
512 OTHER — 18 12 $63,054.82 $37,832.89 40% off $10,915.11 $30,399.67 $18,343.15 2026-05-14
272 OTHER — 11 8 $48,296.12 $28,977.67 40% off $16,986.75 $43,027.54 $18,272.78 2026-05-14
110.2 OTHER — 2 2 $9,389.90 $5,633.94 40% off $10,818.79 $25,718.16 $18,268.47 2026-05-14
315.1 OTHER — 2 2 $63,054.82 $37,832.89 40% off $11,339.28 $25,186.17 $18,262.72 2026-05-14
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 12 11 $30,386.00 $18,231.60 40% off $18,231.60 $18,231.60 $18,231.60 2026-05-14
559 OTHER — 18 12 $44,426.24 $26,655.74 40% off $12,601.56 $29,581.02 $18,179.96 2026-05-14
791.2 OTHER — 1 1 $20,073.40 $12,044.04 40% off $18,175.67 $18,175.67 $18,175.67 2026-05-14
344.2 OTHER — 2 2 $20,730.85 $12,438.51 40% off $11,401.15 $24,939.57 $18,170.36 2026-05-14
486 OTHER — 18 12 $40,159.12 $24,095.47 40% off $14,398.00 $34,569.19 $18,129.82 2026-05-14
484.1 OTHER — 2 2 $41,743.75 $25,046.25 40% off $11,071.64 $25,075.34 $18,073.49 2026-05-14
444 OTHER — 18 12 $47,881.68 $28,729.01 40% off $11,436.53 $27,587.41 $18,049.56 2026-05-14
186 OTHER — 18 12 $98,702.16 $59,221.30 40% off $10,727.05 $49,478.47 $18,027.10 2026-05-14
867 OTHER — 18 12 $29,262.30 $17,557.38 40% off $14,557.55 $35,023.26 $17,991.90 2026-05-14
871 OTHER — 18 12 $42,995.57 $25,797.34 40% off $13,322.58 $32,434.72 $17,964.61 2026-05-14
136.2 OTHER — 2 2 $19,802.26 $11,881.36 40% off $10,514.83 $25,399.52 $17,957.17 2026-05-14
564 OTHER — 18 12 $59,723.00 $35,833.80 40% off $10,653.72 $32,776.86 $17,903.88 2026-05-14
336 OTHER — 18 12 $31,620.10 $18,972.06 40% off $14,341.65 $35,248.64 $17,875.88 2026-05-14
940 OTHER — 18 12 $32,314.18 $19,388.51 40% off $14,334.19 $36,513.09 $17,850.47 2026-05-14
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 12 11 $29,684.00 $17,810.40 40% off $17,810.40 $17,810.40 $17,810.40 2026-05-14
857 OTHER — 18 12 $28,576.06 $17,145.64 40% off $14,793.14 $34,950.35 $17,706.64 2026-05-14
669 OTHER — 18 12 $69,291.88 $41,575.12 40% off $10,506.40 $33,881.35 $17,656.29 2026-05-14
516 OTHER — 18 12 $40,775.11 $24,465.07 40% off $13,657.30 $33,704.13 $17,532.53 2026-05-14
190.2 OTHER — 2 2 $21,784.12 $13,070.47 40% off $10,766.33 $24,291.22 $17,528.78 2026-05-14
240.2 OTHER — 2 2 $34,016.40 $20,409.84 40% off $10,578.04 $24,457.46 $17,517.75 2026-05-14
643 OTHER — 18 12 $44,514.33 $26,708.60 40% off $11,251.86 $27,239.40 $17,473.83 2026-05-14
317.1 OTHER — 2 2 $13,303.55 $7,982.13 40% off $10,629.15 $24,249.66 $17,439.40 2026-05-14
135.2 OTHER — 2 2 $20,358.21 $12,214.93 40% off $11,106.61 $23,617.92 $17,362.26 2026-05-14
284.2 OTHER — 2 2 $36,855.00 $22,113.00 40% off $9,912.29 $24,795.50 $17,353.90 2026-05-14
473 OTHER — 13 9 $38,958.78 $23,375.27 40% off $16,071.56 $42,011.68 $17,288.30 2026-05-14
723.3 OTHER — 2 2 $32,973.40 $19,784.04 40% off $10,799.96 $23,493.24 $17,146.60 2026-05-14
374 OTHER — 18 12 $36,439.78 $21,863.87 40% off $14,335.54 $33,032.97 $17,093.67 2026-05-14
346.2 OTHER — 2 2 $38,328.38 $22,997.03 40% off $10,317.12 $23,648.40 $16,982.76 2026-05-14
44.1 OTHER — 2 2 $26,479.30 $15,887.58 40% off $10,240.46 $23,714.90 $16,977.68 2026-05-14
482.2 OTHER — 2 2 $37,137.99 $22,282.79 40% off $9,906.91 $24,025.23 $16,966.07 2026-05-14
513.1 OTHER — 2 2 $29,106.61 $17,463.97 40% off $10,377.64 $23,515.41 $16,946.53 2026-05-14
196 OTHER — 18 12 $38,299.48 $22,979.69 40% off $12,792.34 $29,234.96 $16,904.04 2026-05-14
254 OTHER — 18 12 $43,479.49 $26,087.69 40% off $11,876.47 $30,301.90 $16,845.69 2026-05-14
539 OTHER — 18 12 $31,547.10 $18,928.26 40% off $13,732.66 $33,076.05 $16,780.17 2026-05-14
137.2 OTHER — 2 2 $20,007.94 $12,004.76 40% off $10,723.29 $22,656.47 $16,689.88 2026-05-14
180 OTHER — 18 12 $41,718.18 $25,030.90 40% off $11,865.61 $28,071.31 $16,612.30 2026-05-14
617 OTHER — 18 12 $36,279.65 $21,767.79 40% off $13,118.23 $32,215.97 $16,568.61 2026-05-14
54.3 OTHER — 2 2 $17,314.61 $10,388.77 40% off $10,678.91 $22,357.23 $16,518.07 2026-05-14
694.2 OTHER — 2 2 $18,927.80 $11,356.68 40% off $10,031.99 $22,936.32 $16,484.15 2026-05-14
364.1 OTHER — 2 2 $11,352.93 $6,811.76 40% off $10,416.65 $22,429.27 $16,422.96 2026-05-14
199.3 OTHER — 2 2 $29,377.63 $17,626.58 40% off $10,341.33 $22,279.65 $16,310.49 2026-05-14
814 OTHER — 18 12 $25,823.79 $15,494.27 40% off $14,191.61 $32,432.78 $16,303.71 2026-05-14
660.2 OTHER — 2 2 $29,959.92 $17,975.95 40% off $10,188.00 $22,301.82 $16,244.91 2026-05-14
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 12 11 $27,026.00 $16,215.60 40% off $16,215.60 $16,215.60 $16,215.60 2026-05-14
896 OTHER — 18 12 $38,090.37 $22,854.22 40% off $12,090.33 $29,093.80 $16,198.16 2026-05-14
43.1 OTHER — 2 2 $12,960.20 $7,776.12 40% off $10,436.82 $21,916.68 $16,176.75 2026-05-14
812.3 OTHER — 2 2 $50,261.77 $30,157.06 40% off $10,198.76 $21,886.20 $16,042.48 2026-05-14
299 OTHER — 18 12 $37,217.43 $22,330.46 40% off $10,983.00 $25,487.74 $15,968.67 2026-05-14
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