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

SANFORD HOSPITAL WEBSTER - CAH

Webster, SD · CCN 431311 · Rates published

Your selected procedure

You selected 93350 (CPT)

ECHO 2D WITH STRESS

This hospital’s price: $1,591 across 15 payers · range $757-$2,169

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8372/460388596_sanford-webster-hospital_standardcharges.csv · observed 2026-03-04

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.

1,527 distinct procedures filed
15 distinct payers
67,525 rate rows
2026-03-04 last MRF observed
Data quality

67,477 of 67,525 rate rows are consumer-grade (99.9%)

48 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
per-diem day rate — not a per-procedure price 39
exceeds 10× this hospital's gross charge — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8372/460388596_sanford-webster-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordHospitalWebster/8372
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint d250f4da55087c80… · 37,956,915 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
J2350
HCPCS 		Ocrelizumab Soln For IV Infusion 300 Mg/10ml 15 $60.94 $37,017.00 $29,776.06 nat. median
$470
outlier · 63.4×
J3245
HCPCS 		Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 Mg/ml 15 $138.49 $23,988.82 $19,296.34 nat. median
$256
outlier · 75.3×
J3380
HCPCS 		Vedolizumab For IV Solution 300 Mg 15 $22.69 $16,822.67 $13,531.97 nat. median
$162
outlier · 83.5×
J3101
HCPCS 		Tenecteplase For IV Soln Kit 50 Mg 15 $4,064.52 $13,912.31 $9,976.65 nat. median
$3,820
outlier · 2.6×
J0717
HCPCS 		Certolizumab Pegol Prefilled Syringe Kit 200 Mg/ml 15 $4.73 $9,403.31 $7,563.91 nat. median
$1,598
outlier · 4.7×
J2353
HCPCS 		Octreotide Acetate For IM Inj Kit 20 Mg 15 $2,684.08 $7,693.24 $6,188.35 nat. median
$5,573
1.1× median
Q5127
HCPCS 		Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 15 $311.44 $7,443.18 $5,987.21 nat. median
$399
outlier · 15.0×
J0225
HCPCS 		Inj, Vutrisiran, 1 Mg 1 $5,018.93 $5,018.93 $5,018.93 nat. median
$8,223
0.6× median
90378
CPT 		Palivizumab IM Soln 100 Mg/ml 15 $2,171.98 $6,225.43 $5,007.66 nat. median
$2,117
outlier · 2.4×
37785
CPT 		Surg 37785 Ligation Division &/or Excision Varicose Vein Cluster 1 Leg 15 $2,166.60 $6,210.00 $4,995.26 nat. median
$3,416
1.5× median
74178
CPT 		CT Abd Pelvis Wo Then W Cont 15 $2,084.33 $5,974.20 $4,805.58 nat. median
$1,024
outlier · 4.7×
J1306
HCPCS 		Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 15 $2,064.61 $5,917.67 $4,760.11 nat. median
$44
outlier · 107.8×
95811
CPT 		Sleep Study Splt Nght 95811 15 $1,919.17 $5,500.80 $4,424.78 nat. median
$1,894
outlier · 2.3×
78452
CPT 		Nm Myocardial Spect Mult Stdy 15 $1,888.08 $5,411.70 $4,353.11 nat. median
$1,816
outlier · 2.4×
36571
CPT 		Surg 36571 Insert Pva Wport >5 15 $1,819.32 $5,214.60 $4,194.56 nat. median
$3,396
1.2× median
72156
CPT 		MRI C Spine Wo Then W Cont 15 $1,792.31 $5,137.20 $4,132.31 nat. median
$1,103
outlier · 3.7×
70543
CPT 		MRI Face Neck Orb Wo Then W Cont 15 $1,778.18 $5,096.70 $4,099.73 nat. median
$1,083
outlier · 3.8×
74177
CPT 		CT Abd Pelvis W Contrast 15 $1,749.92 $5,015.70 $4,034.57 nat. median
$974
outlier · 4.1×
J2802
HCPCS 		Romiplostim For Inj 250 Mcg 15 $1,743.45 $4,997.16 $4,019.66 nat. median
$2,850
1.4× median
95810
CPT 		Psg 4+ Parameters 15 $1,715.38 $4,916.70 $3,954.94 nat. median
$1,825
outlier · 2.2×
72197
CPT 		MRI Pelvis Wo Then W Cont 15 $1,707.22 $4,893.30 $3,936.11 nat. median
$1,063
outlier · 3.7×
72157
CPT 		MRI T Spine Wo Then W Cont 15 $1,697.48 $4,865.40 $3,913.68 nat. median
$1,105
outlier · 3.5×
72158
CPT 		MRI L Spine Wo Then W Cont 15 $1,695.29 $4,859.10 $3,908.61 nat. median
$1,093
outlier · 3.6×
71552
CPT 		MRI Chest Wo Then W Cont 15 $1,678.64 $4,811.40 $3,870.24 nat. median
$1,097
outlier · 3.5×
73723
CPT 		MRI Lower Ext Jt Wo Then W Cont 15 $1,677.39 $4,807.80 $3,867.34 nat. median
$1,192
outlier · 3.2×
10180
CPT 		Ed 10180 I&d Postop Wound Inf 15 $1,664.20 $4,770.00 $3,836.93 nat. median
$2,863
1.3× median
70546
CPT 		MRA Head Wo Then W Cont 15 $1,651.95 $4,734.90 $3,808.70 nat. median
$1,070
outlier · 3.6×
74183
CPT 		MRI Abdomen Wo Then W Cont 15 $1,646.62 $4,719.60 $3,796.39 nat. median
$1,100
outlier · 3.5×
74174
CPT 		CTA Abd Pelvis W Contrast+wo If Perform 15 $1,640.65 $4,702.50 $3,782.64 nat. median
$988
outlier · 3.8×
70553
CPT 		MRI Brain Wo Then W Cont 15 $1,631.23 $4,675.50 $3,760.92 nat. median
$1,133
outlier · 3.3×
70549
CPT 		MRA Neck Wo Then W Cont 15 $1,579.73 $4,527.90 $3,642.19 nat. median
$1,055
outlier · 3.5×
72196
CPT 		MRI Pelvis W Contrast 15 $1,559.95 $4,471.20 $3,596.59 nat. median
$950
outlier · 3.8×
73220
CPT 		MRI Upper Ext Wo Then W Cont 15 $1,543.62 $4,424.40 $3,558.94 nat. median
$1,130
outlier · 3.2×
73223
CPT 		MRI Upper Ext Jt Wo Then W Cont 15 $1,540.80 $4,416.30 $3,552.43 nat. median
$1,158
outlier · 3.1×
J2507
HCPCS 		Pegloticase Injection 1 $3,547.84 $3,547.84 $3,547.84 nat. median
$9,200
outlier · 0.4×
25999
CPT 		Ed 25999 Forearm/wrist Unlstd Proc 15 $1,510.03 $4,328.10 $3,481.47 nat. median
$476
outlier · 7.3×
73720
CPT 		MRI Lower Ext Wo Then W Cont 15 $1,485.85 $4,258.80 $3,425.73 nat. median
$1,129
outlier · 3.0×
74176
CPT 		CT Abd Pelvis Wo Contrast 15 $1,469.52 $4,212.00 $3,388.09 nat. median
$694
outlier · 4.9×
70542
CPT 		MRI Face Neck Orb W Contrast 15 $1,463.24 $4,194.00 $3,373.61 nat. median
$923
outlier · 3.7×
73719
CPT 		MRI Lower Ext W Contrast 15 $1,421.16 $4,073.40 $3,276.60 nat. median
$965
outlier · 3.4×
72149
CPT 		MRI L Spine W Contrast 15 $1,419.28 $4,068.00 $3,272.26 nat. median
$978
outlier · 3.3×
72147
CPT 		MRI T Spine W Contrast 15 $1,414.26 $4,053.60 $3,260.67 nat. median
$966
outlier · 3.4×
72142
CPT 		MRI C Spine W Contrast 15 $1,407.35 $4,033.80 $3,244.74 nat. median
$975
outlier · 3.3×
73219
CPT 		MRI Upper Ext W Contrast 15 $1,398.56 $4,008.60 $3,224.47 nat. median
$955
outlier · 3.4×
28192
CPT 		Ed 28192 Remove Fb Foot Deep 15 $1,387.88 $3,978.00 $3,199.86 nat. median
$1,857
1.7× median
73222
CPT 		MRI Up Ext Jt Wcont 15 $1,380.03 $3,955.50 $3,181.76 nat. median
$1,282
outlier · 2.5×
71551
CPT 		MRI Chest W Contrast 15 $1,375.32 $3,942.00 $3,170.90 nat. median
$1,158
outlier · 2.7×
74182
CPT 		MRI Abdomen W Contrast 15 $1,369.35 $3,924.90 $3,157.14 nat. median
$971
outlier · 3.3×
70552
CPT 		MRI Brain W Contrast 15 $1,346.43 $3,859.20 $3,104.30 nat. median
$962
outlier · 3.2×
70545
CPT 		MRA Head W Contrast 15 $1,346.43 $3,859.20 $3,104.30 nat. median
$889
outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 1,527 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
             
J2350 HCPCS Ocrelizumab Soln For IV Infusion 300 Mg/10ml 35 15 $41,130.00 $32,904.00 20% off $60.94 $37,017.00 $29,776.06 2026-03-04
J3245 HCPCS Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 Mg/ml 35 15 $26,654.24 $21,323.40 $138.49 $23,988.82 $19,296.34 2026-03-04
J3380 HCPCS Vedolizumab For IV Solution 300 Mg 35 15 $18,691.86 $14,953.49 $22.69 $16,822.67 $13,531.97 2026-03-04
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 83 15 $13,780.86 $11,024.69 $4,064.52 $13,912.31 $9,976.65 2026-03-04
J0717 HCPCS Certolizumab Pegol Prefilled Syringe Kit 200 Mg/ml 35 15 $10,448.12 $8,358.50 $4.73 $9,403.31 $7,563.91 2026-03-04
J2353 HCPCS Octreotide Acetate For IM Inj Kit 20 Mg 33 15 $8,548.04 $6,838.44 $2,684.08 $7,693.24 $6,188.35 2026-03-04
Q5127 HCPCS Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 35 15 $8,270.20 $6,616.16 20% off $311.44 $7,443.18 $5,987.21 2026-03-04
J0225 HCPCS Inj, Vutrisiran, 1 Mg 2 1 — — $5,018.93 $5,018.93 $5,018.93 2026-03-04
90378 CPT Palivizumab IM Soln 100 Mg/ml 33 15 $6,917.14 $5,533.72 $2,171.98 $6,225.43 $5,007.66 2026-03-04
37785 CPT Surg 37785 Ligation Division &/or Excision Varicose Vein Cluster 1 Leg 33 15 $6,900.00 $5,520.00 20% off $2,166.60 $6,210.00 $4,995.26 2026-03-04
74178 CPT CT Abd Pelvis Wo Then W Cont 33 15 $6,638.00 $5,310.40 20% off $2,084.33 $5,974.20 $4,805.58 2026-03-04
J1306 HCPCS Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 33 15 $6,575.19 $5,260.16 $2,064.61 $5,917.67 $4,760.11 2026-03-04
95811 CPT Sleep Study Splt Nght 95811 34 15 $6,112.00 $4,889.60 $1,919.17 $5,500.80 $4,424.78 2026-03-04
78452 CPT Nm Myocardial Spect Mult Stdy 35 15 $6,013.00 $4,810.40 20% off $1,888.08 $5,411.70 $4,353.11 2026-03-04
36571 CPT Surg 36571 Insert Pva Wport >5 33 15 $5,794.00 $4,635.20 20% off $1,819.32 $5,214.60 $4,194.56 2026-03-04
72156 CPT MRI C Spine Wo Then W Cont 33 15 $5,708.00 $4,566.40 20% off $1,792.31 $5,137.20 $4,132.31 2026-03-04
70543 CPT MRI Face Neck Orb Wo Then W Cont 33 15 $5,663.00 $4,530.40 20% off $1,778.18 $5,096.70 $4,099.73 2026-03-04
74177 CPT CT Abd Pelvis W Contrast 36 15 $5,573.00 $4,458.40 20% off $1,749.92 $5,015.70 $4,034.57 2026-03-04
J2802 HCPCS Romiplostim For Inj 250 Mcg 33 15 $5,552.40 $4,441.92 $1,743.45 $4,997.16 $4,019.66 2026-03-04
95810 CPT Psg 4+ Parameters 34 15 $5,463.00 $4,370.40 20% off $1,715.38 $4,916.70 $3,954.94 2026-03-04
72197 CPT MRI Pelvis Wo Then W Cont 33 15 $5,437.00 $4,349.60 $1,707.22 $4,893.30 $3,936.11 2026-03-04
72157 CPT MRI T Spine Wo Then W Cont 33 15 $5,406.00 $4,324.80 $1,697.48 $4,865.40 $3,913.68 2026-03-04
72158 CPT MRI L Spine Wo Then W Cont 33 15 $5,399.00 $4,319.20 20% off $1,695.29 $4,859.10 $3,908.61 2026-03-04
71552 CPT MRI Chest Wo Then W Cont 33 15 $5,346.00 $4,276.80 $1,678.64 $4,811.40 $3,870.24 2026-03-04
73723 CPT MRI Lower Ext Jt Wo Then W Cont 33 15 $5,342.00 $4,273.60 $1,677.39 $4,807.80 $3,867.34 2026-03-04
10180 CPT Ed 10180 I&d Postop Wound Inf 33 15 $5,300.00 $4,240.00 20% off $1,664.20 $4,770.00 $3,836.93 2026-03-04
70546 CPT MRA Head Wo Then W Cont 33 15 $5,261.00 $4,208.80 $1,651.95 $4,734.90 $3,808.70 2026-03-04
74183 CPT MRI Abdomen Wo Then W Cont 33 15 $5,244.00 $4,195.20 20% off $1,646.62 $4,719.60 $3,796.39 2026-03-04
74174 CPT CTA Abd Pelvis W Contrast+wo If Perform 33 15 $5,225.00 $4,180.00 20% off $1,640.65 $4,702.50 $3,782.64 2026-03-04
70553 CPT MRI Brain Wo Then W Cont 35 15 $5,195.00 $4,156.00 20% off $1,631.23 $4,675.50 $3,760.92 2026-03-04
70549 CPT MRA Neck Wo Then W Cont 33 15 $5,031.00 $4,024.80 $1,579.73 $4,527.90 $3,642.19 2026-03-04
72196 CPT MRI Pelvis W Contrast 33 15 $4,968.00 $3,974.40 20% off $1,559.95 $4,471.20 $3,596.59 2026-03-04
73220 CPT MRI Upper Ext Wo Then W Cont 33 15 $4,916.00 $3,932.80 $1,543.62 $4,424.40 $3,558.94 2026-03-04
73223 CPT MRI Upper Ext Jt Wo Then W Cont 33 15 $4,907.00 $3,925.60 20% off $1,540.80 $4,416.30 $3,552.43 2026-03-04
J2507 HCPCS Pegloticase Injection 2 1 — — $3,547.84 $3,547.84 $3,547.84 2026-03-04
25999 CPT Ed 25999 Forearm/wrist Unlstd Proc 33 15 $4,809.00 $3,847.20 20% off $1,510.03 $4,328.10 $3,481.47 2026-03-04
73720 CPT MRI Lower Ext Wo Then W Cont 33 15 $4,732.00 $3,785.60 20% off $1,485.85 $4,258.80 $3,425.73 2026-03-04
74176 CPT CT Abd Pelvis Wo Contrast 35 15 $4,680.00 $3,744.00 20% off $1,469.52 $4,212.00 $3,388.09 2026-03-04
70542 CPT MRI Face Neck Orb W Contrast 33 15 $4,660.00 $3,728.00 20% off $1,463.24 $4,194.00 $3,373.61 2026-03-04
73719 CPT MRI Lower Ext W Contrast 33 15 $4,526.00 $3,620.80 $1,421.16 $4,073.40 $3,276.60 2026-03-04
72149 CPT MRI L Spine W Contrast 33 15 $4,520.00 $3,616.00 20% off $1,419.28 $4,068.00 $3,272.26 2026-03-04
72147 CPT MRI T Spine W Contrast 33 15 $4,504.00 $3,603.20 20% off $1,414.26 $4,053.60 $3,260.67 2026-03-04
72142 CPT MRI C Spine W Contrast 33 15 $4,482.00 $3,585.60 20% off $1,407.35 $4,033.80 $3,244.74 2026-03-04
73219 CPT MRI Upper Ext W Contrast 33 15 $4,454.00 $3,563.20 20% off $1,398.56 $4,008.60 $3,224.47 2026-03-04
28192 CPT Ed 28192 Remove Fb Foot Deep 33 15 $4,420.00 $3,536.00 20% off $1,387.88 $3,978.00 $3,199.86 2026-03-04
73222 CPT MRI Up Ext Jt Wcont 33 15 $4,395.00 $3,516.00 20% off $1,380.03 $3,955.50 $3,181.76 2026-03-04
71551 CPT MRI Chest W Contrast 33 15 $4,380.00 $3,504.00 20% off $1,375.32 $3,942.00 $3,170.90 2026-03-04
74182 CPT MRI Abdomen W Contrast 33 15 $4,361.00 $3,488.80 $1,369.35 $3,924.90 $3,157.14 2026-03-04
70545 CPT MRA Head W Contrast 33 15 $4,288.00 $3,430.40 20% off $1,346.43 $3,859.20 $3,104.30 2026-03-04
70552 CPT MRI Brain W Contrast 33 15 $4,288.00 $3,430.40 20% off $1,346.43 $3,859.20 $3,104.30 2026-03-04
59414 CPT Ed 59414 Delivery Of Placenta 33 15 $4,274.00 $3,419.20 20% off $1,342.04 $3,846.60 $3,094.16 2026-03-04
73722 CPT MRI Lower Ext Jt W Contrast 33 15 $4,216.00 $3,372.80 $1,323.82 $3,794.40 $3,052.18 2026-03-04
95805 CPT Multiple Sleep Latency 95805 33 15 $4,156.00 $3,324.80 $1,304.98 $3,740.40 $3,008.74 2026-03-04
72130 CPT CT Thor Spine Wo Then W Cont 33 15 $4,127.00 $3,301.60 20% off $1,295.88 $3,714.30 $2,987.74 2026-03-04
74175 CPT CTA Abd Wcont +wo If Perf 33 15 $4,090.00 $3,272.00 20% off $1,284.26 $3,681.00 $2,960.95 2026-03-04
72141 CPT MRI C Spine Wo Contrast 33 15 $4,063.00 $3,250.40 20% off $1,275.78 $3,656.70 $2,941.41 2026-03-04
71270 CPT CT Thorax Diagnostic Wo Then W Contrast 33 15 $4,030.00 $3,224.00 20% off $1,265.42 $3,627.00 $2,917.52 2026-03-04
J1437 HCPCS Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 33 15 $4,026.90 $3,221.52 20% off $1,264.45 $3,624.21 $2,915.28 2026-03-04
70548 CPT MRA Neck W Contrast 33 15 $4,025.00 $3,220.00 20% off $1,263.85 $3,622.50 $2,913.90 2026-03-04
72146 CPT MRI T Spine Wo Contrast 34 15 $4,000.00 $3,200.00 20% off $1,256.00 $3,600.00 $2,895.80 2026-03-04
72148 CPT MRI L Spine Wo Contrast 35 15 $3,976.00 $3,180.80 $1,248.46 $3,578.40 $2,878.43 2026-03-04
J3358 HCPCS Ustekinumab IV Soln 130 Mg/26ml (5 Mg/ml) (For IV Infusion) 33 15 $3,910.42 $3,128.34 $1,227.87 $3,519.38 $2,830.95 2026-03-04
72127 CPT CT Cerv Spine Wo Then W Cont 33 15 $3,834.00 $3,067.20 20% off $1,203.88 $3,450.60 $2,775.62 2026-03-04
70540 CPT MRI Face Neck Orb Wo Contrast 33 15 $3,832.00 $3,065.60 20% off $1,203.25 $3,448.80 $2,774.18 2026-03-04
70488 CPT CT Maxillofacial Wo W Cont 33 15 $3,829.00 $3,063.20 20% off $1,202.31 $3,446.10 $2,772.01 2026-03-04
72195 CPT MRI Pelvis Wo Contrast 33 15 $3,817.00 $3,053.60 20% off $1,198.54 $3,435.30 $2,763.32 2026-03-04
74170 CPT CT Abdomen Wo Then W Cont 33 15 $3,796.00 $3,036.80 $1,191.94 $3,416.40 $2,748.11 2026-03-04
0200 RC Critical Care Room Charge 24 15 $3,793.00 $3,034.40 20% off $2,078.18 $3,413.70 $2,745.94 2026-03-04
74181 CPT MRI Abdomen Wo Contrast 33 15 $3,788.00 $3,030.40 20% off $1,189.43 $3,409.20 $2,742.32 2026-03-04
70471 CPT CTA Head Neck W Contrast And Noncontrast Img Post Proc 33 15 $3,760.00 $3,008.00 20% off $1,180.64 $3,384.00 $2,722.05 2026-03-04
70551 CPT MRI Brain Wo Contrast 33 15 $3,759.00 $3,007.20 20% off $1,180.33 $3,383.10 $2,721.33 2026-03-04
70492 CPT CT Sft Tisue Neck Wwo Then W 33 15 $3,741.00 $2,992.80 $1,174.67 $3,366.90 $2,708.30 2026-03-04
71275 CPT CTA Chest Wcont +wo If Perf 35 15 $3,740.00 $2,992.00 20% off $1,174.36 $3,366.00 $2,707.57 2026-03-04
78451 CPT Nm Myocardial Spect Sngl Stdy 33 15 $3,725.00 $2,980.00 20% off $1,169.65 $3,352.50 $2,696.72 2026-03-04
70336 CPT MRI Temporomandibular Joint 33 15 $3,711.00 $2,968.80 $1,165.25 $3,339.90 $2,686.58 2026-03-04
72133 CPT CT Lumbar Spine Wo Then Wcon 33 15 $3,710.00 $2,968.00 20% off $1,164.94 $3,339.00 $2,685.86 2026-03-04
75635 CPT CTA Abd Ao & Ext W Contrast+wo If Perform 33 15 $3,710.00 $2,968.00 20% off $1,164.94 $3,339.00 $2,685.86 2026-03-04
70496 CPT CTA Head W Cont Wo If Perf 33 15 $3,671.00 $2,936.80 $1,152.69 $3,303.90 $2,657.62 2026-03-04
70498 CPT CT Angio Neck W Con+wo If Perf 33 15 $3,671.00 $2,936.80 $1,152.69 $3,303.90 $2,657.62 2026-03-04
73221 CPT MRI Upper Ext Jt Wo Contrast 34 15 $3,664.00 $2,931.20 20% off $1,150.50 $3,297.60 $2,652.55 2026-03-04
70482 CPT CT Orbit Sella Fossa Ear Wo Then W Contrast 33 15 $3,656.00 $2,924.80 $1,147.98 $3,290.40 $2,646.76 2026-03-04
73721 CPT MRI Lower Ext Jt Wo Contrast 34 15 $3,649.00 $2,919.20 20% off $1,145.79 $3,284.10 $2,641.70 2026-03-04
J3590 HCPCS Idarucizumab IV Soln 2.5 Gm/50ml 33 15 $3,588.43 $2,870.75 $1,126.77 $3,229.59 $2,597.84 2026-03-04
70544 CPT MRA Head Wo Contrast 33 15 $3,545.00 $2,836.00 20% off $1,113.13 $3,190.50 $2,566.41 2026-03-04
10121 CPT Ed 10121 Inc&remv Fb Compl 33 15 $3,545.00 $2,836.00 20% off $1,113.13 $3,190.50 $2,566.41 2026-03-04
73702 CPT CT Ext Lower Wo Then W Cont 33 15 $3,540.00 $2,832.00 20% off $1,111.56 $3,186.00 $2,562.78 2026-03-04
73718 CPT MRI Lower Ext Wo Contrast 33 15 $3,538.00 $2,830.40 20% off $1,110.93 $3,184.20 $2,561.34 2026-03-04
73218 CPT MRI Up Ext Wo Cont 33 15 $3,519.00 $2,815.20 20% off $1,104.97 $3,167.10 $2,547.58 2026-03-04
72194 CPT CT Pelvis Wo Then W Cont 33 15 $3,512.00 $2,809.60 20% off $1,102.77 $3,160.80 $2,542.51 2026-03-04
71550 CPT MRI Chest Wo Contrast 33 15 $3,500.00 $2,800.00 20% off $1,099.00 $3,150.00 $2,533.82 2026-03-04
72129 CPT CT Thoracic Spine W Contrast 33 15 $3,465.00 $2,772.00 20% off $1,088.01 $3,118.50 $2,508.49 2026-03-04
78454 CPT Nm Myocardial Planar Mult Stdy 33 15 $3,461.00 $2,768.80 $1,086.75 $3,114.90 $2,505.59 2026-03-04
70547 CPT MRA Neck Wo Contrast 33 15 $3,445.00 $2,756.00 20% off $1,081.73 $3,100.50 $2,494.01 2026-03-04
28455 CPT Ed 28455 Tx Bone Tarsal W/manipulation 33 15 $3,416.00 $2,732.80 $1,072.62 $3,074.40 $2,473.01 2026-03-04
72126 CPT CT Cervical Spine W Contrast 33 15 $3,386.00 $2,708.80 $1,063.20 $3,047.40 $2,451.30 2026-03-04
71260 CPT CT Thorax Diagnostic With Contrast 34 15 $3,364.00 $2,691.20 20% off $1,056.30 $3,027.60 $2,435.37 2026-03-04
72132 CPT CT Lumbar Spine W Cont 33 15 $3,350.00 $2,680.00 20% off $1,051.90 $3,015.00 $2,425.24 2026-03-04
74160 CPT CT Abdomen W Contrast 33 15 $3,320.00 $2,656.00 20% off $1,042.48 $2,988.00 $2,403.51 2026-03-04
J0202 HCPCS Injection, Alemtuzumab 2 1 — — $2,381.81 $2,381.81 $2,381.81 2026-03-04
17999 CPT Ed 17999 Skin Muc Mem Subq Tissue Unlisted Procedure 33 15 $3,289.00 $2,631.20 20% off $1,032.75 $2,960.10 $2,381.07 2026-03-04
70481 CPT CT Orbit Sella Fossa Ear W Contrast 33 15 $3,282.00 $2,625.60 20% off $1,030.55 $2,953.80 $2,376.01 2026-03-04
70470 CPT CT Head Wo Then W Contrast 33 15 $3,276.00 $2,620.80 $1,028.66 $2,948.40 $2,371.66 2026-03-04
J0897 HCPCS Denosumab Inj 120 Mg/1.7ml 58 15 $3,271.32 $2,617.06 $1,027.19 $3,047.87 $2,368.28 2026-03-04
10140 CPT Ed 10140 I&d Hematoma Fluid 33 15 $3,255.00 $2,604.00 20% off $1,022.07 $2,929.50 $2,356.45 2026-03-04
70487 CPT CT Maxillofacial W Cont 33 15 $3,248.00 $2,598.40 20% off $1,019.87 $2,923.20 $2,351.39 2026-03-04
73202 CPT CT Ext Upper Wwo Contrast 33 15 $3,233.00 $2,586.40 20% off $1,015.16 $2,909.70 $2,340.53 2026-03-04
99291 CPT Ed 99291 Critical Care E&m 30-74 Min 34 15 $3,180.00 $2,544.00 20% off $998.52 $2,862.00 $2,302.16 2026-03-04
73206 CPT CTA Ext Upper Wcont+wo If Perf 33 15 $3,180.00 $2,544.00 20% off $998.52 $2,862.00 $2,302.16 2026-03-04
73701 CPT CT Ext Lower W Cont 33 15 $3,173.00 $2,538.40 20% off $996.32 $2,855.70 $2,297.09 2026-03-04
70491 CPT CT Soft Tissue Neck W Contrast 34 15 $3,127.00 $2,501.60 20% off $981.88 $2,814.30 $2,263.79 2026-03-04
43235 CPT Egd Diag 33 15 $3,103.00 $2,482.40 20% off $974.34 $2,792.70 $2,246.41 2026-03-04
70460 CPT CT Head W Contrast 33 15 $3,059.00 $2,447.20 20% off $960.53 $2,753.10 $2,214.57 2026-03-04
72193 CPT CT Pelvis W Contrast 33 15 $3,036.00 $2,428.80 $953.30 $2,732.40 $2,197.91 2026-03-04
72131 CPT CT Lumbar Spine Wo Cont 33 15 $2,970.00 $2,376.00 20% off $932.58 $2,673.00 $2,150.13 2026-03-04
72128 CPT CT Thoracic Spine Wo Cont 33 15 $2,970.00 $2,376.00 20% off $932.58 $2,673.00 $2,150.13 2026-03-04
G0390 HCPCS Trauma Activation Full W Ccare 33 15 $2,945.00 $2,356.00 20% off $924.73 $2,650.50 $2,132.03 2026-03-04
0689 RC Trauma Activation Full 33 15 $2,945.00 $2,356.00 20% off $924.73 $2,650.50 $2,132.03 2026-03-04
36590 CPT Ed 36590 Remove Cvad W Port Or Pump 33 15 $2,921.00 $2,336.80 $917.19 $2,628.90 $2,114.66 2026-03-04
12037 CPT Ed 12037 Lyr Clsr Of Wnd >30.0cm 33 15 $2,902.00 $2,321.60 20% off $911.23 $2,611.80 $2,100.91 2026-03-04
31603 CPT Ed 31603 Tracheostomy Emergent 33 15 $2,874.00 $2,299.20 20% off $902.44 $2,586.60 $2,080.63 2026-03-04
26989 CPT Ed 26989 Hand/finger Unlstd Proc 33 15 $2,873.00 $2,298.40 $902.12 $2,585.70 $2,079.91 2026-03-04
J0129 HCPCS Abatacept For IV Soln 250 Mg 35 15 $2,860.00 $2,288.00 20% off $44.25 $2,574.00 $2,070.49 2026-03-04
23655 CPT Ed 23655 Clsd Tx Sldr Dsl Wmnp Ans 33 15 $2,859.00 $2,287.20 20% off $897.73 $2,573.10 $2,069.78 2026-03-04
73201 CPT CT Ext Upper W Cont 33 15 $2,857.00 $2,285.60 20% off $897.10 $2,571.30 $2,068.32 2026-03-04
78227 CPT Nm Hepatobiliary Img Incl Gallbladder W Pharm Intv 33 15 $2,849.00 $2,279.20 20% off $894.59 $2,564.10 $2,062.53 2026-03-04
78473 CPT Nm Cardiac Blood Pool Img Gated Planar Mult 33 15 $2,829.00 $2,263.20 20% off $888.31 $2,546.10 $2,048.05 2026-03-04
72125 CPT CT Cervical Spine Wo Contrast 35 15 $2,817.00 $2,253.60 20% off $884.54 $2,535.30 $2,039.37 2026-03-04
78315 CPT Nm Bone And Or Jnt Img 3 Phase Stdy 33 15 $2,811.00 $2,248.80 $882.65 $2,529.90 $2,035.03 2026-03-04
78708 CPT Nm Kidney Img Morph W Vasc Flow Func Sngl W Rx 33 15 $2,783.00 $2,226.40 $873.86 $2,504.70 $2,014.76 2026-03-04
32556 CPT Ed 32556 Pleural Drainage Perc W/insert Cath Wo Imaging Guid 33 15 $2,759.00 $2,207.20 20% off $866.33 $2,483.10 $1,997.38 2026-03-04
70480 CPT CT Orbit Sella Fossa Ear Wo Contrast 33 15 $2,710.00 $2,168.00 20% off $850.94 $2,439.00 $1,961.90 2026-03-04
C8929 HCPCS Echo Wwo Fol Wcont 2d Complete 34 15 $2,697.00 $2,157.60 20% off $846.86 $2,427.30 $1,952.49 2026-03-04
74150 CPT CT Abdomen Wo Contrast 33 15 $2,675.00 $2,140.00 20% off $839.95 $2,407.50 $1,936.57 2026-03-04
93306 CPT Echo (2d) Complete W Doppler & Color 35 15 $2,629.00 $2,103.20 20% off $825.51 $2,366.10 $1,903.27 2026-03-04
J2357 HCPCS Omalizumab Subcutaneous Soln Prefilled Syringe 150 Mg/ml 35 15 $2,627.62 $2,102.10 $39.04 $2,364.86 $1,902.27 2026-03-04
71250 CPT CT Thorax Diagnostic Wo Contrast 35 15 $2,619.00 $2,095.20 20% off $822.37 $2,357.10 $1,896.03 2026-03-04
78472 CPT Nm Cardiac Blood Pool Img Gated Planar Sngl 33 15 $2,591.00 $2,072.80 $813.57 $2,331.90 $1,875.76 2026-03-04
78216 CPT Liver Spleen Flow 33 15 $2,589.00 $2,071.20 20% off $812.95 $2,330.10 $1,874.31 2026-03-04
70490 CPT CT Soft Tissue Neck Wo Con 34 15 $2,581.00 $2,064.80 $810.43 $2,322.90 $1,868.52 2026-03-04
78707 CPT Nm Kidney Img Morph W Vasc Flow Func Sngl Wo Rx 33 15 $2,562.00 $2,049.60 20% off $804.47 $2,305.80 $1,854.76 2026-03-04
70486 CPT CT Maxillofacial Wo Cont 34 15 $2,543.00 $2,034.40 $798.50 $2,288.70 $1,841.01 2026-03-04
78071 CPT Nm Parathyroid Planar Img W Spect 33 15 $2,542.00 $2,033.60 20% off $798.19 $2,287.80 $1,840.28 2026-03-04
73700 CPT CT Ext Lower Wo Cont 33 15 $2,537.00 $2,029.60 20% off $796.62 $2,283.30 $1,836.66 2026-03-04
96440 CPT Chmotx Admn Plrl Cav Thrcnts 2 1 — — $1,822.40 $1,822.40 $1,822.40 2026-03-04
78306 CPT Nm Bone And Or Jnt Img Whole Body 33 15 $2,515.00 $2,012.00 20% off $789.71 $2,263.50 $1,820.73 2026-03-04
78226 CPT Nm Hepatobiliary Img Incl Gallbladder 33 15 $2,477.00 $1,981.60 20% off $777.78 $2,229.30 $1,793.22 2026-03-04
70450 CPT CT Head Wo Contrast 36 15 $2,472.00 $1,977.60 20% off $776.21 $2,224.80 $1,789.61 2026-03-04
73200 CPT CT Ext Upper Wo Cont 34 15 $2,444.00 $1,955.20 20% off $767.42 $2,199.60 $1,769.34 2026-03-04
0750 RC Colon Polyp Bx 183 15 $2,496.00 $1,996.80 20% off $644.33 $4,356.90 $1,764.72 2026-03-04
93350 CPT Echo 2d With Stress 33 15 $2,410.00 $1,928.00 20% off $756.74 $2,169.00 $1,744.72 2026-03-04
72192 CPT CT Pelvis Wo Contrast 33 15 $2,408.00 $1,926.40 $756.11 $2,167.20 $1,743.27 2026-03-04
93303 CPT Echo Congenitl Comp 33 15 $2,389.00 $1,911.20 20% off $750.15 $2,150.10 $1,729.52 2026-03-04
92960 CPT Cardioversion 33 15 $2,360.00 $1,888.00 20% off $741.04 $2,124.00 $1,708.52 2026-03-04
78264 CPT Nm Gastric Emptying Img Study 33 15 $2,353.00 $1,882.40 $738.84 $2,117.70 $1,703.45 2026-03-04
78201 CPT Nm Liver Img Static Only 33 15 $2,311.00 $1,848.80 20% off $725.65 $2,079.90 $1,673.05 2026-03-04
0360 RC Additional 1 2 Hour 608 15 $2,860.00 $2,288.00 20% off $41.76 $8,109.00 $1,661.41 2026-03-04
25535 CPT Ed 25535 Clsd Tx Ulnar Shaft Fx Wmanip 33 15 $2,291.00 $1,832.80 20% off $719.37 $2,061.90 $1,658.57 2026-03-04
78262 CPT Nm Gastroesophageal Reflux Study 33 15 $2,253.00 $1,802.40 $707.44 $2,027.70 $1,631.06 2026-03-04
J9312 HCPCS Rituximab IV Soln 100 Mg/10ml 58 15 $1,842.20 $1,473.76 20% off $578.45 $5,299.14 $1,621.69 2026-03-04
78072 CPT Nm Parathyroid Planar Img W Spect And CT 33 15 $2,218.00 $1,774.40 $696.45 $1,996.20 $1,605.72 2026-03-04
78278 CPT Nm Acute Gastrointestinal Blood Loss Img 33 15 $2,170.00 $1,736.00 20% off $681.38 $1,953.00 $1,570.97 2026-03-04
36556 CPT Ed 36556 Inst Non-tnnl Cv Cth>5 Yrs 33 15 $2,168.00 $1,734.40 $680.75 $1,951.20 $1,569.53 2026-03-04
71271 CPT CT Thorax Lw Dose Lung Ca Scr No Contrast 34 15 $2,135.00 $1,708.00 20% off $670.39 $1,921.50 $1,545.63 2026-03-04
78202 CPT Nm Liver Img W Vasc Flow 33 15 $2,113.00 $1,690.40 $663.48 $1,901.70 $1,529.70 2026-03-04
94002 CPT Vent Initial Day 33 15 $2,099.00 $1,679.20 20% off $659.09 $1,889.10 $1,519.57 2026-03-04
78215 CPT Nm Liver And Spleen Img Static Only 33 15 $2,091.00 $1,672.80 20% off $656.57 $1,881.90 $1,513.78 2026-03-04
78305 CPT Nm Bone And Or Jnt Img Mult Area 33 15 $2,078.00 $1,662.40 $652.49 $1,870.20 $1,504.37 2026-03-04
93307 CPT Echo 2d Wo Dop Col Comp 33 15 $2,016.00 $1,612.80 20% off $633.02 $1,814.40 $1,459.48 2026-03-04
78606 CPT Nm Brain Img Min 4 Static Views W Vasc Flow 33 15 $2,003.00 $1,602.40 $628.94 $1,802.70 $1,450.07 2026-03-04
78458 CPT Accutect Scan Dvt 33 15 $1,992.00 $1,593.60 20% off $625.49 $1,792.80 $1,442.11 2026-03-04
78761 CPT Testicular Scan Flow 33 15 $1,984.00 $1,587.20 20% off $622.98 $1,785.60 $1,436.32 2026-03-04
78800 CPT Nm Radiopharm Loca Tumor Agent Distrib Planar Sgl Area Sgl Day Imag 33 15 $1,980.00 $1,584.00 20% off $621.72 $1,782.00 $1,433.42 2026-03-04
J7168 HCPCS Prothrombin Complex Conc Human For Inj Kit 500 Unit 33 15 $1,966.00 $1,572.80 20% off $617.32 $1,769.40 $1,423.29 2026-03-04
23520 CPT Ed 23520 Clsd Tx Clavicle Disloc 33 15 $1,923.00 $1,538.40 $603.82 $1,730.70 $1,392.15 2026-03-04
78466 CPT Nm Myocardial Img Infarct Avid Planar Qual Or Quan 33 15 $1,896.00 $1,516.80 20% off $595.34 $1,706.40 $1,372.61 2026-03-04
78580 CPT Nm Pulm Perfusion Img 33 15 $1,879.00 $1,503.20 20% off $590.01 $1,691.10 $1,360.30 2026-03-04
J3424 HCPCS Hydroxocobalamin (Antidote) For IV Soln 5 Gm 33 15 $1,873.08 $1,498.47 $588.15 $1,685.77 $1,356.02 2026-03-04
78014 CPT Nm Thyroid Img W Sngl Mult Uptake 33 15 $1,830.00 $1,464.00 20% off $574.62 $1,647.00 $1,324.83 2026-03-04
78290 CPT Nm Intestine Img 33 15 $1,823.00 $1,458.40 $572.42 $1,640.70 $1,319.76 2026-03-04
46050 CPT Ed 46050 I&d Perial Abscess Suprfcl 33 15 $1,821.00 $1,456.80 20% off $571.79 $1,638.90 $1,318.32 2026-03-04
99285 CPT Ed 99285 Emer Case Level V 36 15 $1,802.00 $1,441.60 20% off $565.83 $1,621.80 $1,304.56 2026-03-04
13121 CPT Ed 13121 Rpr Cmplx Wnd 2.6-7.5 Cm 33 15 $1,789.00 $1,431.20 20% off $561.75 $1,610.10 $1,295.14 2026-03-04
78300 CPT Nm Bone And Or Jnt Img Ltd Area 33 15 $1,743.00 $1,394.40 $547.30 $1,568.70 $1,261.85 2026-03-04
78740 CPT Nm Ureteral Relux Stdy Radiopharm Voiding Cystogram 33 15 $1,735.00 $1,388.00 20% off $544.79 $1,561.50 $1,256.06 2026-03-04
36569 CPT Surg 36569 Insertion Picc Without Img Gdn 5 Yr/> 33 15 $1,685.00 $1,348.00 20% off $529.09 $1,516.50 $1,219.86 2026-03-04
23505 CPT Ed 23505 Clsd Tx Clvcle Fx Wmanip 33 15 $1,681.00 $1,344.80 20% off $527.83 $1,512.90 $1,216.96 2026-03-04
95819 CPT EEG Awake & Asleep 33 15 $1,670.00 $1,336.00 20% off $524.38 $1,503.00 $1,208.99 2026-03-04
74280 CPT Rad Exam Colon W Scout Dbl Cntrst W Gluc 33 15 $1,614.00 $1,291.20 20% off $506.80 $1,452.60 $1,168.45 2026-03-04
J1566 HCPCS Immune Globulin (Human) IV For Soln 10 Gm 60 15 $3,449.00 $2,759.20 20% off $83.74 $3,104.10 $1,167.49 2026-03-04
25605 CPT Ed 25605 Clsd Tx Distal Radial Wmanip 33 15 $1,590.00 $1,272.00 20% off $499.26 $1,431.00 $1,151.08 2026-03-04
25565 CPT Ed 25565 Clsd Tx Rad Ulnar Shaft Wmanip 33 15 $1,590.00 $1,272.00 20% off $499.26 $1,431.00 $1,151.08 2026-03-04
12020 CPT Ed 12020 Wnd Tx Dehiscence Superfcl 33 15 $1,589.00 $1,271.20 20% off $498.95 $1,430.10 $1,150.36 2026-03-04
10081 CPT Ed 10081 I&d Pilonidal Cyst Compl 33 15 $1,573.00 $1,258.40 $493.92 $1,415.70 $1,138.78 2026-03-04
92950 CPT Ed 92950 Cardiopulmon Resuscitation 33 15 $1,568.00 $1,254.40 $492.35 $1,411.20 $1,135.15 2026-03-04
78258 CPT Esophageal Motility 33 15 $1,558.00 $1,246.40 $489.21 $1,402.20 $1,127.91 2026-03-04
94003 CPT Vent Subseq Day 33 15 $1,555.00 $1,244.00 20% off $488.27 $1,399.50 $1,125.74 2026-03-04
28435 CPT Ed 28435 Clsd Tx Talus Wmanip 33 15 $1,554.00 $1,243.20 20% off $487.96 $1,398.60 $1,125.02 2026-03-04
87507 CPT Cdmr Infectious Agent Nucleic Acid Gi 12-25 Targets 87507 34 15 $1,534.00 $1,227.20 20% off $481.68 $1,380.60 $1,110.54 2026-03-04
J1439 HCPCS Ferric Carboxymaltose IV Soln 750 Mg/15ml (Fe Equivalent) 33 15 $1,524.27 $1,219.42 $478.62 $1,371.84 $1,103.49 2026-03-04
28190 CPT Ed 28190 Remv Fb Foot 33 15 $1,522.00 $1,217.60 20% off $477.91 $1,369.80 $1,101.85 2026-03-04
V2788 HCPCS Iol Crystalens Ao 12.0mm*nlu* 58 15 $1,511.00 $1,208.80 20% off $447.14 $1,359.90 $1,093.89 2026-03-04
13132 CPT Ed 13132 Rpr Cpx Wd Or Lsn 2.6-7.5cm 34 15 $1,511.00 $1,208.80 20% off $474.45 $1,359.90 $1,093.89 2026-03-04
C8924 HCPCS Echo Wwo Fol Wcontrast 2d Lmtd 33 15 $1,489.00 $1,191.20 $467.55 $1,340.10 $1,077.96 2026-03-04
93925 CPT Duplex Art Lower Ext Cmpl Bilat 34 15 $1,484.00 $1,187.20 $465.98 $1,335.60 $1,074.34 2026-03-04
74420 CPT Rad Urography Retrograde W Wo Kub 33 15 $1,462.00 $1,169.60 20% off $459.07 $1,315.80 $1,058.41 2026-03-04
93970 CPT Duplex Venous Ext Cmpl Bilat 35 15 $1,461.00 $1,168.80 20% off $458.75 $1,314.90 $1,057.69 2026-03-04
32555 CPT Ed 32555 Thoracentesis W Imaging 33 15 $1,436.00 $1,148.80 20% off $450.90 $1,292.40 $1,039.59 2026-03-04
32551 CPT Ed 32551 Tube Thoracostomy 33 15 $1,425.00 $1,140.00 20% off $447.45 $1,282.50 $1,031.63 2026-03-04
78231 CPT Salivary Gland-serial Images 33 15 $1,422.00 $1,137.60 20% off $446.51 $1,279.80 $1,029.45 2026-03-04
J9202 HCPCS Goserelin Acetate Implant 3.6 Mg 33 15 $1,414.81 $1,131.85 $444.25 $1,273.33 $1,024.25 2026-03-04
93930 CPT Duplex Art Upper Ext Cmpl Bilat 33 15 $1,405.00 $1,124.00 20% off $441.17 $1,264.50 $1,017.15 2026-03-04
93975 CPT Duplex Abd Pelvis Retroperitoneal Cmpl 62 15 $1,401.00 $1,120.80 20% off $408.20 $1,260.90 $1,014.25 2026-03-04
12036 CPT Ed 12036 Lyr Clsr Wd 20.1-30.0 Cm 33 15 $1,401.00 $1,120.80 20% off $439.91 $1,260.90 $1,014.25 2026-03-04
23665 CPT Ed 23665 Clsd Tx Shldr Dsloc Wfx Wman 33 15 $1,388.00 $1,110.40 $435.83 $1,249.20 $1,004.85 2026-03-04
93880 CPT Dup Carotid Bilat 35 15 $1,378.00 $1,102.40 $432.69 $1,240.20 $997.61 2026-03-04
J1451 HCPCS Fomepizole Inj 1 Gm/ml (For IV Infusion) 58 15 $1,908.00 $1,526.40 $355.13 $1,717.20 $995.62 2026-03-04
0202U CPT Cdmr Nfct Ds 22 Trgt Sars-cov-2 0202u 33 15 $1,375.00 $1,100.00 20% off $431.75 $1,237.50 $995.43 2026-03-04
93978 CPT Duplex Aorta Ivc Iliac Or Graft Cmpl 34 15 $1,372.00 $1,097.60 20% off $430.81 $1,234.80 $993.26 2026-03-04
74400 CPT Rad Urography IV W Wo Kub W Wo Tomo 33 15 $1,364.00 $1,091.20 $428.30 $1,227.60 $987.47 2026-03-04
78013 CPT Nm Thyroid Img W Vasc Flow 33 15 $1,354.00 $1,083.20 $425.16 $1,218.60 $980.23 2026-03-04
99284 CPT Ed 99284 Emer Case Level IV 35 15 $1,348.00 $1,078.40 $423.27 $1,213.20 $975.88 2026-03-04
93017 CPT Cardiac Stress Test Tracing 35 15 $1,348.00 $1,078.40 $423.27 $1,213.20 $975.88 2026-03-04
23545 CPT Ed 23545 Clsd Tx Clavicle Disloc Wmanip 33 15 $1,347.00 $1,077.60 20% off $422.96 $1,212.30 $975.16 2026-03-04
49082 CPT Surg 49082 Abd Paracentesis Wo Imaging 33 15 $1,338.00 $1,070.40 $420.13 $1,204.20 $968.64 2026-03-04
11042 CPT Ed 11042 Debr Skn Subq Tiss 20 Cm < 33 15 $1,319.00 $1,055.20 $414.17 $1,187.10 $954.89 2026-03-04
77075 CPT Rad Exam Osseous Survey Compl 33 15 $1,313.00 $1,050.40 $412.28 $1,181.70 $950.54 2026-03-04
27830 CPT Ed 27830 Clsd Tx Disloc Tib Fib Joint Prox Wo Anes 33 15 $1,310.00 $1,048.00 20% off $411.34 $1,179.00 $948.38 2026-03-04
0120 RC Semi Private Room 32 11 $1,358.00 $1,086.40 $550.09 $1,540.80 $920.80 2026-03-04
32554 CPT Ed 32554 Aspirate Pleura Wo Imaging 33 15 $1,269.00 $1,015.20 $398.47 $1,142.10 $918.70 2026-03-04
93924 CPT Cmpl Bilat Phys Studies Lower Ext Art Pre Post Exer 33 15 $1,268.00 $1,014.40 20% off $398.15 $1,141.20 $917.97 2026-03-04
27810 CPT Ed 27810 Clsd Tx Bimal Fx Wmanip 33 15 $1,255.00 $1,004.00 20% off $394.07 $1,129.50 $908.55 2026-03-04
76700 CPT US Abd Complete 33 15 $1,250.00 $1,000.00 20% off $392.50 $1,125.00 $904.94 2026-03-04
26645 CPT Ed 26645 Tx Fx Thumb Wman Clsd 33 15 $1,250.00 $1,000.00 20% off $392.50 $1,125.00 $904.94 2026-03-04
90375 CPT Rabies Immune Globulin (Human) Inj 300 Unit/ML 58 15 $1,022.10 $817.68 20% off $320.94 $4,329.43 $899.75 2026-03-04
96413 CPT Chemo Infusion 1st Hr 36 15 $1,236.00 $988.80 20% off $313.60 $1,112.40 $894.80 2026-03-04
74270 CPT Radiologic Exam Colon W Scout Sgl Cntrst 33 15 $1,235.00 $988.00 20% off $387.79 $1,111.50 $894.08 2026-03-04
36430 CPT Transfusion Blood 34 15 $1,234.00 $987.20 $387.48 $1,110.60 $893.36 2026-03-04
78185 CPT Nm Spleen Img Only W Wo Vasc Flow 33 15 $1,233.00 $986.40 20% off $387.16 $1,109.70 $892.63 2026-03-04
64450 CPT Ed 64450 Inj Nerve Block Oth Prphrl 33 15 $1,191.00 $952.80 20% off $373.97 $1,071.90 $862.23 2026-03-04
87901 CPT HIV-1 Genotype 33 15 $1,188.00 $950.40 20% off $373.03 $1,069.20 $860.05 2026-03-04
37195 CPT Ed 37195 Thrombolysis Cerebral IV Infusion 33 15 $1,186.00 $948.80 20% off $372.40 $1,067.40 $858.61 2026-03-04
76805 CPT US Pg Utr 2-3tri Sgl 1st 33 15 $1,165.00 $932.00 20% off $365.81 $1,048.50 $843.40 2026-03-04
76942 CPT US S&i Guid Ndle Plmt 33 15 $1,164.00 $931.20 $365.50 $1,047.60 $842.68 2026-03-04
74246 CPT Rad Exam Gi Upper W Air Cntrst Wo Kub 33 15 $1,160.00 $928.00 20% off $364.24 $1,044.00 $839.78 2026-03-04
93308 CPT Echo 2-d Limited 34 15 $1,158.00 $926.40 20% off $363.61 $1,042.20 $838.34 2026-03-04
74450 CPT Rad S&i Urethrocystography Retrograde 33 15 $1,148.00 $918.40 20% off $360.47 $1,033.20 $831.10 2026-03-04
26742 CPT Ed 26742 Clsd Tx Articular Fx W Mc/ip Jnt W Manip Ea 33 15 $1,131.00 $904.80 20% off $355.13 $1,017.90 $818.78 2026-03-04
12045 CPT Ed 12045 Lyr Clr Wd 12.6-20.0cm Nhf 33 15 $1,124.00 $899.20 $352.94 $1,011.60 $813.72 2026-03-04
62270 CPT Ed 62270 Spinal Tap Lumbar Diag 33 15 $1,110.00 $888.00 20% off $348.54 $999.00 $803.59 2026-03-04
78012 CPT Nm Thyroid Uptake Sngl Mult Quant Meas 33 15 $1,096.00 $876.80 20% off $344.14 $986.40 $793.45 2026-03-04
93971 CPT Duplex Venous Ext Ltd Unilat 35 15 $1,060.00 $848.00 20% off $332.84 $954.00 $767.38 2026-03-04
19000 CPT Surg 19000 Puncture Aspiration Cyst Breast 33 15 $1,053.00 $842.40 20% off $330.64 $947.70 $762.32 2026-03-04
74250 CPT Radiologic Exam Small Bowel Wmultiple Serial Films Sgl Cntrst 33 15 $1,045.00 $836.00 20% off $328.13 $940.50 $756.53 2026-03-04
12035 CPT Ed 12035 Lyr Clsr Of Wd 12.6-20.0cm 33 15 $1,043.00 $834.40 20% off $327.50 $938.70 $755.08 2026-03-04
93931 CPT Duplex Art Upper Ext Unilat Ltd 33 15 $1,041.00 $832.80 20% off $326.87 $936.90 $753.63 2026-03-04
76770 CPT US Retroperitoneum 35 15 $1,038.00 $830.40 20% off $325.93 $934.20 $751.46 2026-03-04
88309 CPT Surgical Path Level Vi 88309 33 15 $1,037.00 $829.60 20% off $325.62 $933.30 $750.74 2026-03-04
11750 CPT Ed 11750 Remv Of Nail Bed 33 15 $1,035.00 $828.00 20% off $324.99 $931.50 $749.29 2026-03-04
72052 CPT Rad Exam Spine Cerv 6 + Vws 33 15 $1,021.00 $816.80 20% off $320.59 $918.90 $739.15 2026-03-04
69000 CPT Ed 69000 I&d Ext Ear Abscess Simple 33 15 $1,012.00 $809.60 20% off $317.77 $910.80 $732.63 2026-03-04
93926 CPT Duplex Art Lower Ext Unilat Ltd 34 15 $1,007.00 $805.60 20% off $316.20 $906.30 $729.02 2026-03-04
J0256 HCPCS Alpha1-proteinase Inhibitor (Human) Inj 1000 Mg/20ml 35 15 $995.00 $796.00 20% off $5.03 $895.50 $720.33 2026-03-04
Q5103 HCPCS Infliximab-dyyb For IV Inj 100 Mg 35 15 $989.38 $791.51 $13.88 $890.44 $716.26 2026-03-04
72084 CPT Rad Exam Spine Entire Thor Lumb 6 + Vws 33 15 $989.00 $791.20 $310.55 $890.10 $715.99 2026-03-04
M0224 HCPCS Pemivibart Infusion 33 15 $988.00 $790.40 20% off $310.23 $889.20 $715.26 2026-03-04
12055 CPT Ed 12055 Lyr Clsr Wnd 12.6-20.0cm 33 15 $981.00 $784.80 20% off $308.03 $882.90 $710.20 2026-03-04
76536 CPT US Soft Tissue Head Neck 35 15 $979.00 $783.20 $307.41 $881.10 $708.75 2026-03-04
76801 CPT US Preg Uter 1st Tri Sgl 33 15 $979.00 $783.20 $307.41 $881.10 $708.75 2026-03-04
41252 CPT Ed 41252 Rpr Lac Mouth Floor/tongue > 2.6cm/cmplx 33 15 $968.00 $774.40 20% off $303.95 $871.20 $700.78 2026-03-04
11760 CPT Ed 11760 Rpr Of Nail Bed 34 15 $964.00 $771.20 $302.70 $867.60 $697.89 2026-03-04
0370 RC General Anes Component 58 15 $1,106.00 $884.80 20% off $251.20 $995.40 $693.12 2026-03-04
73523 CPT Rad Exam Hips Bilat W Pelv When Perf Min 5 Vws 33 15 $956.00 $764.80 20% off $300.18 $860.40 $692.10 2026-03-04
93979 CPT Duplex Aorta Ivc Iliac Or Graft Unilat Ltd 33 15 $955.00 $764.00 20% off $299.87 $859.50 $691.37 2026-03-04
J1459 HCPCS Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 Gm/… 85 15 $1,461.00 $1,168.80 20% off $49.50 $2,580.30 $691.20 2026-03-04
J1569 HCPCS Immune Globulin (Human) IV Or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human… 85 15 $1,459.60 $1,167.68 $50.63 $3,805.92 $690.57 2026-03-04
0115 RC Hospice Acute Private 24 15 $951.00 $760.80 20% off $521.05 $855.90 $688.48 2026-03-04
A9562 HCPCS Tc99m Mertiatide Per Study Dose Up To 15 Mci 33 15 $945.00 $756.00 20% off $296.73 $850.50 $684.13 2026-03-04
76705 CPT US Abd Limited 34 15 $938.00 $750.40 20% off $294.53 $844.20 $679.07 2026-03-04
76817 CPT US Pg Utr Transvag 33 15 $935.00 $748.00 20% off $293.59 $841.50 $676.89 2026-03-04
0119 RC Private Room Swing Intermediate 0119 16 11 $815.00 $652.00 20% off $446.54 $733.50 $676.45 2026-03-04
0129 RC Swingbed Intermed Semi Private 16 11 $808.00 $646.40 20% off $442.70 $727.20 $670.64 2026-03-04
95806 CPT Unattended Sleep Study 95806 33 15 $925.00 $740.00 20% off $290.45 $832.50 $669.65 2026-03-04
76376 CPT CT 3d Reconstruct Wo Ipp 34 15 $919.00 $735.20 $288.57 $827.10 $665.31 2026-03-04
12034 CPT Ed 12034 Lyr Clsr Of Wnd 7.6-12.5cm 33 15 $917.00 $733.60 20% off $287.94 $825.30 $663.86 2026-03-04
69020 CPT Ed 69020 Drn Absc Ext Aud Can 33 15 $912.00 $729.60 20% off $286.37 $820.80 $660.24 2026-03-04
20610 CPT Ed 20610 Asp Inj Joint Bursa Major Wo US Guid 33 15 $909.00 $727.20 $285.43 $818.10 $658.07 2026-03-04
74230 CPT Rad Swallowing Func W Cinerad Or Videorad 33 15 $905.00 $724.00 20% off $284.17 $814.50 $655.17 2026-03-04
26775 CPT Ed 26775 Clsd Tx Disloc Ip Jnt W Manip W Anes 33 15 $900.00 $720.00 20% off $282.60 $810.00 $651.55 2026-03-04
93882 CPT Duplex Extracranial Carotid Unilat 33 15 $900.00 $720.00 20% off $282.60 $810.00 $651.55 2026-03-04
76856 CPT US Pelvic Complete 33 15 $900.00 $720.00 20% off $282.60 $810.00 $651.55 2026-03-04
99283 CPT Ed 99283 Emer Case Level Iii 37 15 $896.00 $716.80 20% off $281.34 $806.40 $648.66 2026-03-04
12044 CPT Ed 12044 Lyr Clsr Wd 7.6-12.5cm Nhf 33 15 $890.00 $712.00 20% off $279.46 $801.00 $644.32 2026-03-04
G0399 HCPCS Sleep Study Unattended Home Type 3 34 15 $877.00 $701.60 20% off $275.38 $789.30 $634.90 2026-03-04
76810 CPT US Pg Utr Mlt Gst 2-3tri 33 15 $877.00 $701.60 20% off $275.38 $789.30 $634.90 2026-03-04
76775 CPT US Retroperitoneum Ltd 33 15 $875.00 $700.00 20% off $274.75 $787.50 $633.46 2026-03-04
87506 CPT Basic Enteric Pathogenic Panel Nad 87506 33 15 $871.00 $696.80 20% off $273.49 $783.90 $630.56 2026-03-04
76830 CPT US Transvaginal 34 15 $867.00 $693.60 20% off $272.24 $780.30 $627.66 2026-03-04
76870 CPT US Scrotum 34 15 $867.00 $693.60 20% off $272.24 $780.30 $627.66 2026-03-04
73522 CPT Rad Exam Hips Bilat W Pelv When Perf 3 Or 4 Vws 33 15 $862.00 $689.60 20% off $270.67 $775.80 $624.04 2026-03-04
11000 CPT Ed 11000 Debr Skin 10% Body Surface 33 15 $856.00 $684.80 20% off $268.78 $770.40 $619.70 2026-03-04
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