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 CHAMBERLAIN MEDICAL CENTER

Chamberlain, SD · CCN 431329 · Rates published

1,760 distinct procedures filed
14 distinct payers
113,103 rate rows
2026-03-04 last MRF observed
Data quality

112,935 of 113,103 rate rows are consumer-grade (99.9%)

168 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
percent-of-charges filed in the dollar field — excluded from medians 75
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 57
per-diem day rate — not a per-procedure price 36
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8374/460388596_sanford-chamberlain-medical-center_standardcharges.csv
Found on page https://www.sanfordhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-03
Content fingerprint 5a1ec9b40df070cc… · 72,845,151 bytes · first seen 2026-05-17

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 14 $60.94 $37,016.87 $29,775.96 nat. median
$470
outlier · 63.4×
J2329
HCPCS 		Ublituximab-xiiy Soln For IV Infusion 150 Mg/6ml 14 $70.76 $18,818.10 $15,137.07 nat. median
$177
outlier · 85.5×
J2327
HCPCS 		Risankizumab-rzaa IV Soln 600 Mg/10ml (60 Mg/ml) 14 $6,697.52 $17,625.06 $14,177.40 nat. median
$2,076
outlier · 6.8×
J2323
HCPCS 		Natalizumab For IV Inj Conc 300 Mg/15ml 14 $24.60 $13,502.67 $10,861.40 nat. median
$197
outlier · 55.1×
J2356
HCPCS 		Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 Mg/1.91ml 14 $18.45 $12,557.75 $10,101.32 nat. median
$81
outlier · 124.2×
J3101
HCPCS 		Tenecteplase For IV Soln Kit 50 Mg 14 $4,708.01 $13,912.31 $9,965.97 nat. median
$3,820
outlier · 2.6×
J3380
HCPCS 		Vedolizumab For IV Solution 300 Mg 14 $22.69 $11,711.52 $9,420.61 nat. median
$162
outlier · 58.1×
J9022
HCPCS 		Atezolizumab IV Soln 1200 Mg/20ml 14 $103.32 $11,044.89 $8,008.91 nat. median
$6,785
1.2× median
J9223
HCPCS 		Lurbinectedin For IV Soln 4 Mg 14 $3,598.38 $9,469.42 $7,617.10 nat. median
$617
outlier · 12.3×
J2506
HCPCS 		Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 14 $31.73 $8,925.05 $7,179.21 nat. median
$1,646
outlier · 4.4×
J0517
HCPCS 		Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 14 $170.48 $8,921.72 $7,176.53 nat. median
$919
outlier · 7.8×
J9228
HCPCS 		Ipilimumab Soln For IV Infusion 50 Mg/10ml (5 Mg/ml) 14 $3,333.22 $8,771.63 $7,055.80 nat. median
$9,003
0.8× median
C1732
HCPCS 		Cath Navistar Ep Ds J 7fr*nlu* 14 $2,972.32 $7,821.90 $6,291.85 nat. median
$3,498
1.8× median
36561
CPT 		Surg 36561 Ins Tun Cva Wport 14 $2,853.65 $7,509.60 $6,040.64 nat. median
$3,741
1.6× median
Q5127
HCPCS 		Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 14 $311.44 $7,443.18 $5,987.21 nat. median
$399
outlier · 15.0×
J9306
HCPCS 		Pertuzumab Soln For IV Infusion 420 Mg/14ml (30 Mg/ml) 14 $2,786.44 $7,332.73 $5,898.36 nat. median
$80
outlier · 74.1×
J2353
HCPCS 		Octreotide Acetate For IM Inj Kit 20 Mg 14 $2,638.18 $6,942.58 $5,584.53 nat. median
$5,573
1.0× median
J9271
HCPCS 		Pembrolizumab IV Soln 100 Mg/4ml (25 Mg/ml) 14 $69.76 $6,710.67 $5,397.99 nat. median
$276
outlier · 19.6×
25606
CPT 		Ed 25606 Perc Skel Fixn Distal Fx 14 $2,530.80 $6,660.00 $5,357.23 nat. median
$3,617
1.5× median
26350
CPT 		Ed 26350 Rpr Flex Tend Dig Prim 14 $2,410.07 $6,342.30 $5,101.68 nat. median
$3,390
1.5× median
J0225
HCPCS 		Inj, Vutrisiran, 1 Mg 1 $5,018.93 $5,018.93 $5,018.93 nat. median
$8,223
0.6× median
Q5111
HCPCS 		Pegfilgrastim-cbqv Soln Prefilled Syringe 6 Mg/0.6ml 14 $146.06 $6,209.14 $4,994.56 nat. median
$1,982
outlier · 2.5×
49421
CPT 		Surg 49421 Peritoneal Cath Ins Perm 14 $2,297.21 $6,045.30 $4,862.77 nat. median
$3,758
1.3× median
J1306
HCPCS 		Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 14 $2,248.71 $5,917.67 $4,760.11 nat. median
$44
outlier · 107.8×
J2426
HCPCS 		Paliperidone Palmitate ER Susp Pref Syr 234 Mg/1.5ml 14 $2,228.18 $5,863.64 $4,716.65 nat. median
$2,498
1.9× median
37765
CPT 		Surg 37765 Stab Phlebt Varicose Veins 1 Xtr 10-20 Stab Incs 14 $2,222.66 $5,849.10 $4,704.95 nat. median
$3,510
1.3× median
74178
CPT 		CT Abd Pelvis Wo Then W Cont 14 $2,135.11 $5,618.70 $4,519.62 nat. median
$1,024
outlier · 4.4×
J2997
HCPCS 		Alteplase For Inj 2 Mg 14 $109.35 $14,456.34 $4,514.69 nat. median
$500
outlier · 9.0×
J9177
HCPCS 		Enfortumab Vedotin-ejfv For IV Soln 30 Mg 14 $2,067.73 $5,441.38 $4,376.98 nat. median
$2,933
1.5× median
74177
CPT 		CT Abd Pelvis W Contrast 14 $2,000.70 $5,265.00 $4,235.11 nat. median
$974
outlier · 4.4×
J1162
HCPCS 		Digoxin Immune Fab For Inj 40 Mg 14 $1,897.55 $4,993.54 $4,016.75 nat. median
$7,141
0.6× median
78452
CPT 		Nm Myocardial Spect Mult Stdy 14 $1,847.83 $4,862.70 $3,911.50 nat. median
$1,816
outlier · 2.2×
95811
CPT 		Sleep Study Splt Nght 95811 14 $1,804.05 $4,747.50 $3,818.84 nat. median
$1,894
outlier · 2.0×
70543
CPT 		MRI Face Neck Orb Wo Then W Cont 14 $1,802.00 $4,742.10 $3,814.49 nat. median
$1,083
outlier · 3.5×
72156
CPT 		MRI C Spine Wo Then W Cont 14 $1,789.00 $4,707.90 $3,786.98 nat. median
$1,103
outlier · 3.4×
72157
CPT 		MRI T Spine Wo Then W Cont 14 $1,780.79 $4,686.30 $3,769.61 nat. median
$1,105
outlier · 3.4×
72158
CPT 		MRI L Spine Wo Then W Cont 14 $1,778.06 $4,679.10 $3,763.82 nat. median
$1,093
outlier · 3.4×
95810
CPT 		Psg 4+ Parameters 14 $1,770.53 $4,659.30 $3,747.89 nat. median
$1,825
outlier · 2.1×
74176
CPT 		CT Abd Pelvis Wo Contrast 14 $1,755.83 $4,620.60 $3,716.76 nat. median
$694
outlier · 5.4×
C1771
HCPCS 		Sling GYN Obtryx Curv 14 $1,749.33 $4,958.10 $3,703.01 nat. median
$2,434
1.5× median
73223
CPT 		MRI Upper Ext Jt Wo Then W Cont 14 $1,740.10 $4,579.20 $3,683.46 nat. median
$1,158
outlier · 3.2×
J2182
HCPCS 		Mepolizumab For Inj 100 Mg 14 $31.01 $5,683.84 $3,631.86 nat. median
$2,791
1.3× median
71552
CPT 		MRI Chest Wo Then W Cont 14 $1,708.97 $4,497.30 $3,617.58 nat. median
$1,097
outlier · 3.3×
72197
CPT 		MRI Pelvis Wo Then W Cont 14 $1,703.16 $4,482.00 $3,605.27 nat. median
$1,063
outlier · 3.4×
0360
RC 		Abd Hysterectomy 14 $8.21 $21,799.80 $3,583.76 nat. median
$2,000
1.8× median
72196
CPT 		MRI Pelvis W Contrast 14 $1,676.14 $4,410.90 $3,548.08 nat. median
$950
outlier · 3.7×
J2507
HCPCS 		Pegloticase Injection 1 $3,547.84 $3,547.84 $3,547.84 nat. median
$9,200
outlier · 0.4×
70553
CPT 		MRI Brain Wo Then W Cont 14 $1,650.15 $4,342.50 $3,493.06 nat. median
$1,133
outlier · 3.1×
74183
CPT 		MRI Abdomen Wo Then W Cont 14 $1,636.81 $4,307.40 $3,464.82 nat. median
$1,100
outlier · 3.1×
73723
CPT 		MRI Lower Ext Jt Wo Then W Cont 14 $1,623.82 $4,273.20 $3,437.32 nat. median
$1,192
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 1,760 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 14 $41,129.86 $32,903.89 $60.94 $37,016.87 $29,775.96 2026-03-04
J2329 HCPCS Ublituximab-xiiy Soln For IV Infusion 150 Mg/6ml 35 14 $20,909.00 $16,727.20 $70.76 $18,818.10 $15,137.07 2026-03-04
J2327 HCPCS Risankizumab-rzaa IV Soln 600 Mg/10ml (60 Mg/ml) 33 14 $19,583.40 $15,666.72 20% off $6,697.52 $17,625.06 $14,177.40 2026-03-04
J2323 HCPCS Natalizumab For IV Inj Conc 300 Mg/15ml 35 14 $15,002.97 $12,002.38 $24.60 $13,502.67 $10,861.40 2026-03-04
J2356 HCPCS Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 Mg/1.91ml 35 14 $13,953.06 $11,162.45 $18.45 $12,557.75 $10,101.32 2026-03-04
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 58 14 $13,766.10 $11,012.88 20% off $4,708.01 $13,912.31 $9,965.97 2026-03-04
J3380 HCPCS Vedolizumab For IV Solution 300 Mg 35 14 $13,012.80 $10,410.24 20% off $22.69 $11,711.52 $9,420.61 2026-03-04
J9022 HCPCS Atezolizumab IV Soln 1200 Mg/20ml 60 14 $12,272.10 $9,817.68 20% off $103.32 $11,044.89 $8,008.91 2026-03-04
J9223 HCPCS Lurbinectedin For IV Soln 4 Mg 33 14 $10,521.58 $8,417.27 $3,598.38 $9,469.42 $7,617.10 2026-03-04
J2506 HCPCS Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 60 14 $9,916.72 $7,933.38 $31.73 $8,925.05 $7,179.21 2026-03-04
J0517 HCPCS Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 35 14 $9,913.02 $7,930.42 $170.48 $8,921.72 $7,176.53 2026-03-04
J9228 HCPCS Ipilimumab Soln For IV Infusion 50 Mg/10ml (5 Mg/ml) 33 14 $9,746.25 $7,797.00 20% off $3,333.22 $8,771.63 $7,055.80 2026-03-04
C1732 HCPCS Cath Navistar Ep Ds J 7fr*nlu* 33 14 $8,691.00 $6,952.80 20% off $2,972.32 $7,821.90 $6,291.85 2026-03-04
36561 CPT Surg 36561 Ins Tun Cva Wport 33 14 $8,344.00 $6,675.20 20% off $2,853.65 $7,509.60 $6,040.64 2026-03-04
Q5127 HCPCS Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 35 14 $8,270.20 $6,616.16 20% off $311.44 $7,443.18 $5,987.21 2026-03-04
J9306 HCPCS Pertuzumab Soln For IV Infusion 420 Mg/14ml (30 Mg/ml) 33 14 $8,147.48 $6,517.99 $2,786.44 $7,332.73 $5,898.36 2026-03-04
J2353 HCPCS Octreotide Acetate For IM Inj Kit 20 Mg 33 14 $7,713.98 $6,171.19 $2,638.18 $6,942.58 $5,584.53 2026-03-04
J9271 HCPCS Pembrolizumab IV Soln 100 Mg/4ml (25 Mg/ml) 35 14 $7,456.30 $5,965.04 20% off $69.76 $6,710.67 $5,397.99 2026-03-04
25606 CPT Ed 25606 Perc Skel Fixn Distal Fx 33 14 $7,400.00 $5,920.00 20% off $2,530.80 $6,660.00 $5,357.23 2026-03-04
26350 CPT Ed 26350 Rpr Flex Tend Dig Prim 33 14 $7,047.00 $5,637.60 $2,410.07 $6,342.30 $5,101.68 2026-03-04
J0225 HCPCS Inj, Vutrisiran, 1 Mg 2 1 — — $5,018.93 $5,018.93 $5,018.93 2026-03-04
Q5111 HCPCS Pegfilgrastim-cbqv Soln Prefilled Syringe 6 Mg/0.6ml 35 14 $6,899.04 $5,519.24 $146.06 $6,209.14 $4,994.56 2026-03-04
49421 CPT Surg 49421 Peritoneal Cath Ins Perm 33 14 $6,717.00 $5,373.60 $2,297.21 $6,045.30 $4,862.77 2026-03-04
J1306 HCPCS Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 33 14 $6,575.19 $5,260.16 $2,248.71 $5,917.67 $4,760.11 2026-03-04
J2426 HCPCS Paliperidone Palmitate ER Susp Pref Syr 234 Mg/1.5ml 33 14 $6,515.15 $5,212.12 20% off $2,228.18 $5,863.64 $4,716.65 2026-03-04
37765 CPT Surg 37765 Stab Phlebt Varicose Veins 1 Xtr 10-20 Stab Incs 33 14 $6,499.00 $5,199.20 20% off $2,222.66 $5,849.10 $4,704.95 2026-03-04
74178 CPT CT Abd Pelvis Wo Then W Cont 33 14 $6,243.00 $4,994.40 20% off $2,135.11 $5,618.70 $4,519.62 2026-03-04
J2997 HCPCS Alteplase For Inj 2 Mg 83 14 $8,239.98 $6,591.99 $109.35 $14,456.34 $4,514.69 2026-03-04
J9177 HCPCS Enfortumab Vedotin-ejfv For IV Soln 30 Mg 33 14 $6,045.98 $4,836.79 $2,067.73 $5,441.38 $4,376.98 2026-03-04
74177 CPT CT Abd Pelvis W Contrast 36 14 $5,850.00 $4,680.00 20% off $2,000.70 $5,265.00 $4,235.11 2026-03-04
J1162 HCPCS Digoxin Immune Fab For Inj 40 Mg 33 14 $5,548.38 $4,438.71 $1,897.55 $4,993.54 $4,016.75 2026-03-04
78452 CPT Nm Myocardial Spect Mult Stdy 33 14 $5,403.00 $4,322.40 20% off $1,847.83 $4,862.70 $3,911.50 2026-03-04
95811 CPT Sleep Study Splt Nght 95811 33 14 $5,275.00 $4,220.00 20% off $1,804.05 $4,747.50 $3,818.84 2026-03-04
70543 CPT MRI Face Neck Orb Wo Then W Cont 34 14 $5,269.00 $4,215.20 20% off $1,802.00 $4,742.10 $3,814.49 2026-03-04
72156 CPT MRI C Spine Wo Then W Cont 34 14 $5,231.00 $4,184.80 $1,789.00 $4,707.90 $3,786.98 2026-03-04
72157 CPT MRI T Spine Wo Then W Cont 34 14 $5,207.00 $4,165.60 $1,780.79 $4,686.30 $3,769.61 2026-03-04
72158 CPT MRI L Spine Wo Then W Cont 33 14 $5,199.00 $4,159.20 20% off $1,778.06 $4,679.10 $3,763.82 2026-03-04
95810 CPT Psg 4+ Parameters 33 14 $5,177.00 $4,141.60 $1,770.53 $4,659.30 $3,747.89 2026-03-04
74176 CPT CT Abd Pelvis Wo Contrast 34 14 $5,134.00 $4,107.20 20% off $1,755.83 $4,620.60 $3,716.76 2026-03-04
C1771 HCPCS Sling GYN Obtryx Curv 58 14 $5,115.00 $4,092.00 20% off $1,749.33 $4,958.10 $3,703.01 2026-03-04
73223 CPT MRI Upper Ext Jt Wo Then W Cont 33 14 $5,088.00 $4,070.40 20% off $1,740.10 $4,579.20 $3,683.46 2026-03-04
J2182 HCPCS Mepolizumab For Inj 100 Mg 60 14 $5,016.72 $4,013.38 $31.01 $5,683.84 $3,631.86 2026-03-04
71552 CPT MRI Chest Wo Then W Cont 33 14 $4,997.00 $3,997.60 20% off $1,708.97 $4,497.30 $3,617.58 2026-03-04
72197 CPT MRI Pelvis Wo Then W Cont 33 14 $4,980.00 $3,984.00 20% off $1,703.16 $4,482.00 $3,605.27 2026-03-04
0360 RC Abd Hysterectomy 3,333 14 $5,492.00 $4,393.60 $8.21 $21,799.80 $3,583.76 2026-03-04
72196 CPT MRI Pelvis W Contrast 33 14 $4,901.00 $3,920.80 $1,676.14 $4,410.90 $3,548.08 2026-03-04
J2507 HCPCS Pegloticase Injection 2 1 — — $3,547.84 $3,547.84 $3,547.84 2026-03-04
70553 CPT MRI Brain Wo Then W Cont 35 14 $4,825.00 $3,860.00 20% off $1,650.15 $4,342.50 $3,493.06 2026-03-04
74183 CPT MRI Abdomen Wo Then W Cont 33 14 $4,786.00 $3,828.80 $1,636.81 $4,307.40 $3,464.82 2026-03-04
73723 CPT MRI Lower Ext Jt Wo Then W Cont 33 14 $4,748.00 $3,798.40 20% off $1,623.82 $4,273.20 $3,437.32 2026-03-04
74174 CPT CTA Abd Pelvis W Contrast+wo If Perform 33 14 $4,719.00 $3,775.20 20% off $1,613.90 $4,247.10 $3,416.32 2026-03-04
70546 CPT MRA Head Wo Then W Cont 33 14 $4,703.00 $3,762.40 20% off $1,608.43 $4,232.70 $3,404.74 2026-03-04
51102 CPT Ed 51102 Drn Bladder Wcath Insert 33 14 $4,681.00 $3,744.80 $1,600.90 $4,212.90 $3,388.81 2026-03-04
73220 CPT MRI Upper Ext Wo Then W Cont 33 14 $4,661.00 $3,728.80 $1,594.06 $4,194.90 $3,374.33 2026-03-04
27532 CPT Ed 27532 Clsd Tx Tbl Fx W Wo Manip 33 14 $4,635.00 $3,708.00 20% off $1,585.17 $4,171.50 $3,355.51 2026-03-04
70549 CPT MRA Neck Wo Then W Cont 33 14 $4,634.00 $3,707.20 20% off $1,584.83 $4,170.60 $3,354.78 2026-03-04
73720 CPT MRI Lower Ext Wo Then W Cont 34 14 $4,540.00 $3,632.00 20% off $1,552.68 $4,086.00 $3,286.74 2026-03-04
78451 CPT Nm Myocardial Spect Sngl Stdy 33 14 $4,508.00 $3,606.40 20% off $1,541.74 $4,057.20 $3,263.57 2026-03-04
10140 CPT Surg 10140 Drain Hematoma Seroma 34 14 $4,435.00 $3,548.00 20% off $1,516.77 $3,991.50 $3,210.72 2026-03-04
70542 CPT MRI Face Neck Orb W Contrast 33 14 $4,420.00 $3,536.00 20% off $1,511.64 $3,978.00 $3,199.86 2026-03-04
73719 CPT MRI Lower Ext W Contrast 33 14 $4,334.00 $3,467.20 20% off $1,482.23 $3,900.60 $3,137.60 2026-03-04
72142 CPT MRI C Spine W Contrast 33 14 $4,169.00 $3,335.20 20% off $1,425.80 $3,752.10 $3,018.15 2026-03-04
J7300 HCPCS Cntrcpt IUD Paragard 33 14 $4,155.00 $3,324.00 20% off $1,421.01 $3,739.50 $3,008.01 2026-03-04
72149 CPT MRI L Spine W Contrast 33 14 $4,107.00 $3,285.60 20% off $1,404.59 $3,696.30 $2,973.26 2026-03-04
20670 CPT Ed 20670 Rmvl Implant Superficial 33 14 $4,104.00 $3,283.20 20% off $1,403.57 $3,693.60 $2,971.09 2026-03-04
72147 CPT MRI T Spine W Contrast 33 14 $4,050.00 $3,240.00 20% off $1,385.10 $3,645.00 $2,932.00 2026-03-04
J1437 HCPCS Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 33 14 $4,026.90 $3,221.52 20% off $1,377.20 $3,624.21 $2,915.28 2026-03-04
72148 CPT MRI L Spine Wo Contrast 35 14 $3,998.00 $3,198.40 20% off $1,367.32 $3,598.20 $2,894.35 2026-03-04
73221 CPT MRI Upper Ext Jt Wo Contrast 34 14 $3,998.00 $3,198.40 20% off $1,367.32 $3,598.20 $2,894.35 2026-03-04
73718 CPT MRI Lower Ext Wo Contrast 33 14 $3,998.00 $3,198.40 20% off $1,367.32 $3,598.20 $2,894.35 2026-03-04
71551 CPT MRI Chest W Contrast 33 14 $3,969.00 $3,175.20 20% off $1,357.40 $3,572.10 $2,873.36 2026-03-04
75635 CPT CTA Abd Ao & Ext W Contrast+wo If Perform 33 14 $3,966.00 $3,172.80 $1,356.37 $3,569.40 $2,871.18 2026-03-04
95805 CPT Multiple Sleep Latency 95805 33 14 $3,957.00 $3,165.60 20% off $1,353.29 $3,561.30 $2,864.67 2026-03-04
J3111 HCPCS Romosozumab-aqqg Inj Soln Prefilled Syringe 105 Mg/1.17ml 60 14 $3,939.00 $3,151.20 20% off $11.36 $3,546.61 $2,851.64 2026-03-04
70552 CPT MRI Brain W Contrast 33 14 $3,928.00 $3,142.40 20% off $1,343.38 $3,535.20 $2,843.68 2026-03-04
A9557 HCPCS Tc99m Bicisate Per Study Dose Up To 25 Mci 33 14 $3,918.00 $3,134.40 20% off $1,339.96 $3,526.20 $2,836.43 2026-03-04
Q5120 HCPCS Pegfilgrastim-bmez Soln Prefilled Syringe 6 Mg/0.6ml 35 14 $3,902.40 $3,121.92 20% off $327.13 $3,512.16 $2,825.14 2026-03-04
70498 CPT CT Angio Neck W Con+wo If Perf 34 14 $3,853.00 $3,082.40 20% off $1,317.73 $3,467.70 $2,789.38 2026-03-04
73218 CPT MRI Up Ext Wo Cont 33 14 $3,849.00 $3,079.20 20% off $1,316.36 $3,464.10 $2,786.49 2026-03-04
72141 CPT MRI C Spine Wo Contrast 34 14 $3,848.00 $3,078.40 20% off $1,316.02 $3,463.20 $2,785.76 2026-03-04
J0717 HCPCS Certolizumab Pegol Prefilled Syringe Kit 200 Mg/ml 60 14 $7,530.02 $6,024.02 $4.73 $6,777.02 $2,778.58 2026-03-04
73219 CPT MRI Upper Ext W Contrast 33 14 $3,834.00 $3,067.20 20% off $1,311.23 $3,450.60 $2,775.62 2026-03-04
73722 CPT MRI Lower Ext Jt W Contrast 33 14 $3,830.00 $3,064.00 20% off $1,309.86 $3,447.00 $2,772.73 2026-03-04
72146 CPT MRI T Spine Wo Contrast 33 14 $3,804.00 $3,043.20 20% off $1,300.97 $3,423.60 $2,753.91 2026-03-04
70545 CPT MRA Head W Contrast 33 14 $3,801.00 $3,040.80 $1,299.94 $3,420.90 $2,751.74 2026-03-04
J1602 HCPCS Golimumab IV Soln 50 Mg/4ml 35 14 $3,793.00 $3,034.40 20% off $11.33 $3,413.70 $2,745.94 2026-03-04
J2802 HCPCS Romiplostim For Inj 250 Mcg 33 14 $3,792.16 $3,033.73 $1,296.92 $3,412.94 $2,745.33 2026-03-04
27266 CPT Ed 27266 Clsd Tx Hip Disloc Wanes 33 14 $3,778.00 $3,022.40 20% off $1,292.08 $3,400.20 $2,735.09 2026-03-04
70540 CPT MRI Face Neck Orb Wo Contrast 33 14 $3,774.00 $3,019.20 20% off $1,290.71 $3,396.60 $2,732.18 2026-03-04
70471 CPT CTA Head Neck W Contrast And Noncontrast Img Post Proc 33 14 $3,760.00 $3,008.00 20% off $1,285.92 $3,384.00 $2,722.05 2026-03-04
73721 CPT MRI Lower Ext Jt Wo Contrast 36 14 $3,711.00 $2,968.80 $1,269.16 $3,339.90 $2,686.58 2026-03-04
72130 CPT CT Thor Spine Wo Then W Cont 33 14 $3,697.00 $2,957.60 20% off $1,264.37 $3,327.30 $2,676.45 2026-03-04
15271 CPT Tx Rm 15271 Skin Sub Graft Trnk Arm Leg 33 14 $3,694.00 $2,955.20 20% off $1,263.35 $3,324.60 $2,674.27 2026-03-04
74181 CPT MRI Abdomen Wo Contrast 33 14 $3,663.00 $2,930.40 20% off $1,252.75 $3,296.70 $2,651.83 2026-03-04
27825 CPT Ed 27825 Clsd Tx Art Fx Tib Wmanip 33 14 $3,662.00 $2,929.60 20% off $1,252.40 $3,295.80 $2,651.11 2026-03-04
70548 CPT MRA Neck W Contrast 33 14 $3,641.00 $2,912.80 $1,245.22 $3,276.90 $2,635.90 2026-03-04
43453 CPT Surg 43453 Dilation Esophagus Guide Wire 33 14 $3,629.00 $2,903.20 20% off $1,241.12 $3,266.10 $2,627.22 2026-03-04
J3240 HCPCS Thyrotropin Alfa For Inj 0.9 Mg 33 14 $3,625.60 $2,900.48 20% off $1,239.96 $3,263.04 $2,624.76 2026-03-04
74160 CPT CT Abdomen W Contrast 33 14 $3,621.00 $2,896.80 $1,238.38 $3,258.90 $2,621.43 2026-03-04
72195 CPT MRI Pelvis Wo Contrast 33 14 $3,619.00 $2,895.20 20% off $1,237.70 $3,257.10 $2,619.97 2026-03-04
70551 CPT MRI Brain Wo Contrast 34 14 $3,615.00 $2,892.00 20% off $1,236.33 $3,253.50 $2,617.08 2026-03-04
J3358 HCPCS Ustekinumab IV Soln 130 Mg/26ml (5 Mg/ml) (For IV Infusion) 33 14 $3,592.90 $2,874.32 20% off $1,228.77 $3,233.61 $2,601.08 2026-03-04
J9034 HCPCS Bendamustine HCl IV Soln 100 Mg/4ml (25 Mg/ml) 33 14 $3,583.03 $2,866.43 $1,225.40 $3,224.73 $2,593.93 2026-03-04
74175 CPT CTA Abd Wcont +wo If Perf 33 14 $3,583.00 $2,866.40 20% off $1,225.39 $3,224.70 $2,593.91 2026-03-04
71270 CPT CT Thorax Diagnostic Wo Then W Contrast 33 14 $3,578.00 $2,862.40 20% off $1,223.68 $3,220.20 $2,590.30 2026-03-04
15275 CPT Tx Rm 15275 Skin Sub Graft Face Nk Hf G 33 14 $3,563.00 $2,850.40 20% off $1,218.55 $3,206.70 $2,579.43 2026-03-04
71260 CPT CT Thorax Diagnostic With Contrast 33 14 $3,552.00 $2,841.60 20% off $1,214.78 $3,196.80 $2,571.47 2026-03-04
27781 CPT Ed 27781 Clsd Tx Prs Fbla Fx Wmanp 33 14 $3,532.00 $2,825.60 20% off $1,207.94 $3,178.80 $2,556.99 2026-03-04
70488 CPT CT Maxillofacial Wo W Cont 33 14 $3,496.00 $2,796.80 $1,195.63 $3,146.40 $2,530.93 2026-03-04
74170 CPT CT Abdomen Wo Then W Cont 33 14 $3,495.00 $2,796.00 20% off $1,195.29 $3,145.50 $2,530.20 2026-03-04
70547 CPT MRA Neck Wo Contrast 33 14 $3,443.00 $2,754.40 20% off $1,177.51 $3,098.70 $2,492.56 2026-03-04
93306 CPT Echo (2d) Complete W Doppler & Color 35 14 $3,439.00 $2,751.20 20% off $1,176.14 $3,095.10 $2,489.66 2026-03-04
43247 CPT Ed 43247 Upper Gi Wremv Fb 33 14 $3,436.00 $2,748.80 $1,175.11 $3,092.40 $2,487.49 2026-03-04
72127 CPT CT Cerv Spine Wo Then W Cont 33 14 $3,435.00 $2,748.00 20% off $1,174.77 $3,091.50 $2,486.77 2026-03-04
71550 CPT MRI Chest Wo Contrast 33 14 $3,433.00 $2,746.40 20% off $1,174.09 $3,089.70 $2,485.32 2026-03-04
72133 CPT CT Lumbar Spine Wo Then Wcon 33 14 $3,433.00 $2,746.40 20% off $1,174.09 $3,089.70 $2,485.32 2026-03-04
70491 CPT CT Soft Tissue Neck W Contrast 35 14 $3,429.00 $2,743.20 20% off $1,172.72 $3,086.10 $2,482.43 2026-03-04
78803 CPT Nm Rp Loc Tum Spect Sgl Area/acq Sgl Day 33 14 $3,420.00 $2,736.00 20% off $1,169.64 $3,078.00 $2,475.91 2026-03-04
C1776 HCPCS Knee Tib Insrt Durstry Sm 11mm 33 14 $3,405.00 $2,724.00 20% off $1,164.51 $3,064.50 $2,465.05 2026-03-04
70544 CPT MRA Head Wo Contrast 33 14 $3,404.00 $2,723.20 20% off $1,164.17 $3,063.60 $2,464.32 2026-03-04
70496 CPT CTA Head W Cont Wo If Perf 34 14 $3,398.00 $2,718.40 20% off $1,162.12 $3,058.20 $2,459.98 2026-03-04
71275 CPT CTA Chest Wcont +wo If Perf 34 14 $3,397.00 $2,717.60 20% off $1,161.77 $3,057.30 $2,459.26 2026-03-04
70336 CPT MRI Temporomandibular Joint 33 14 $3,394.00 $2,715.20 20% off $1,160.75 $3,054.60 $2,457.09 2026-03-04
70470 CPT CT Head Wo Then W Contrast 33 14 $3,386.00 $2,708.80 $1,158.01 $3,047.40 $2,451.30 2026-03-04
99291 CPT Ed 99291 Critical Care E&m 30-74 Min 34 14 $3,375.00 $2,700.00 20% off $1,154.25 $3,037.50 $2,443.33 2026-03-04
C1880 HCPCS Fltr Ivc Trapeas*disc No Repl* 58 14 $3,375.00 $2,700.00 20% off $1,154.25 $3,179.70 $2,443.33 2026-03-04
J3032 HCPCS Eptinezumab-jjmr IV Soln 100 Mg/ml 35 14 $3,360.22 $2,688.18 $19.05 $3,024.20 $2,432.63 2026-03-04
43450 CPT Esophagus Dil Unguided 33 14 $3,355.00 $2,684.00 20% off $1,147.41 $3,019.50 $2,428.85 2026-03-04
70492 CPT CT Sft Tisue Neck Wwo Then W 33 14 $3,351.00 $2,680.80 $1,146.04 $3,015.90 $2,425.95 2026-03-04
J0202 HCPCS Injection, Alemtuzumab 2 1 — — $2,381.81 $2,381.81 $2,381.81 2026-03-04
L1686 HCPCS L1686 Ho Abdctn Ctrl Post 33 14 $3,290.00 $2,632.00 20% off $1,125.18 $2,961.00 $2,381.80 2026-03-04
72194 CPT CT Pelvis Wo Then W Cont 33 14 $3,283.00 $2,626.40 20% off $1,122.79 $2,954.70 $2,376.73 2026-03-04
70482 CPT CT Orbit Sella Fossa Ear Wo Then W Contrast 33 14 $3,274.00 $2,619.20 20% off $1,119.71 $2,946.60 $2,370.21 2026-03-04
27768 CPT Ed 27768 Closed Tx Pst Malleolus Fx W Manj 33 14 $3,225.00 $2,580.00 20% off $1,102.95 $2,902.50 $2,334.74 2026-03-04
52000 CPT Surg 52000 Cystourethroscopy 33 14 $3,176.00 $2,540.80 $1,086.19 $2,858.40 $2,299.26 2026-03-04
73702 CPT CT Ext Lower Wo Then W Cont 33 14 $3,171.00 $2,536.80 $1,084.48 $2,853.90 $2,295.64 2026-03-04
72129 CPT CT Thoracic Spine W Contrast 33 14 $3,163.00 $2,530.40 20% off $1,081.75 $2,846.70 $2,289.86 2026-03-04
70460 CPT CT Head W Contrast 33 14 $3,153.00 $2,522.40 20% off $1,078.33 $2,837.70 $2,282.61 2026-03-04
73706 CPT CTA Ext Lower W Cont +wo If Perf 33 14 $3,145.00 $2,516.00 20% off $1,075.59 $2,830.50 $2,276.82 2026-03-04
72191 CPT CTA Pelvis Wcont +wo If Perf 33 14 $3,138.00 $2,510.40 20% off $1,073.20 $2,824.20 $2,271.76 2026-03-04
24605 CPT Ed 24605 Clsd Tx Elbow Disloc W Anes 33 14 $3,126.00 $2,500.80 $1,069.09 $2,813.40 $2,263.07 2026-03-04
73202 CPT CT Ext Upper Wwo Contrast 33 14 $3,118.00 $2,494.40 20% off $1,066.36 $2,806.20 $2,257.28 2026-03-04
73206 CPT CTA Ext Upper Wcont+wo If Perf 33 14 $3,091.00 $2,472.80 $1,057.12 $2,781.90 $2,237.73 2026-03-04
72132 CPT CT Lumbar Spine W Cont 33 14 $3,057.00 $2,445.60 20% off $1,045.49 $2,751.30 $2,213.11 2026-03-04
72126 CPT CT Cervical Spine W Contrast 33 14 $3,031.00 $2,424.80 $1,036.60 $2,727.90 $2,194.29 2026-03-04
70481 CPT CT Orbit Sella Fossa Ear W Contrast 33 14 $2,997.00 $2,397.60 20% off $1,024.97 $2,697.30 $2,169.68 2026-03-04
70487 CPT CT Maxillofacial W Cont 33 14 $2,991.00 $2,392.80 $1,022.92 $2,691.90 $2,165.34 2026-03-04
72131 CPT CT Lumbar Spine Wo Cont 34 14 $2,931.00 $2,344.80 $1,002.40 $2,637.90 $2,121.89 2026-03-04
27502 CPT Ed 27502 Clsd Tx Fmrl Shft Fx Wmnp 33 14 $2,912.00 $2,329.60 20% off $995.90 $2,620.80 $2,108.14 2026-03-04
J0897 HCPCS Denosumab Inj 120 Mg/1.7ml 58 14 $3,271.32 $2,617.06 $838.08 $2,944.19 $2,108.07 2026-03-04
71250 CPT CT Thorax Diagnostic Wo Contrast 35 14 $2,884.00 $2,307.20 20% off $986.33 $2,595.60 $2,087.87 2026-03-04
93303 CPT Echo Congenitl Comp 33 14 $2,875.00 $2,300.00 20% off $983.25 $2,587.50 $2,081.36 2026-03-04
0750 RC Colon Polyp Bx 258 14 $3,743.00 $2,994.40 20% off $110.12 $4,417.20 $2,078.32 2026-03-04
72125 CPT CT Cervical Spine Wo Contrast 34 14 $2,863.00 $2,290.40 $979.15 $2,576.70 $2,072.67 2026-03-04
72128 CPT CT Thoracic Spine Wo Cont 33 14 $2,849.00 $2,279.20 20% off $974.36 $2,564.10 $2,062.53 2026-03-04
23605 CPT Ed 23605 Clsd Tx Humeral Wmanip 33 14 $2,843.00 $2,274.40 $972.31 $2,558.70 $2,058.19 2026-03-04
72193 CPT CT Pelvis W Contrast 33 14 $2,842.00 $2,273.60 20% off $971.96 $2,557.80 $2,057.47 2026-03-04
74150 CPT CT Abdomen Wo Contrast 33 14 $2,797.00 $2,237.60 20% off $956.57 $2,517.30 $2,024.89 2026-03-04
J9041 HCPCS Bortezomib For Inj 3.5 Mg 33 14 $2,794.10 $2,235.28 $955.58 $2,514.69 $2,022.79 2026-03-04
27752 CPT Ed 27752 Tx Fx Tib Shaft Wman 34 14 $2,784.00 $2,227.20 20% off $952.13 $2,505.60 $2,015.47 2026-03-04
93350 CPT Echo 2d With Stress 33 14 $2,778.00 $2,222.40 $950.08 $2,500.20 $2,011.13 2026-03-04
27252 CPT Ed 27252 Clsd Tx Hip Dslc Trm Wans 33 14 $2,741.00 $2,192.80 $937.42 $2,466.90 $1,984.35 2026-03-04
C1765 HCPCS Barr Surg Interceed 3x4 33 14 $2,737.00 $2,189.60 20% off $936.05 $2,463.30 $1,981.45 2026-03-04
70450 CPT CT Head Wo Contrast 35 14 $2,730.00 $2,184.00 20% off $933.66 $2,457.00 $1,976.38 2026-03-04
L0464 HCPCS L0464 Tlso Spnl Brc Tripl 58 14 $5,280.00 $4,224.00 20% off $410.40 $4,752.00 $1,958.88 2026-03-04
20103 CPT Ed 20103 Explor Wnd Extremity 33 14 $2,688.00 $2,150.40 $919.30 $2,419.20 $1,945.98 2026-03-04
78227 CPT Nm Hepatobiliary Img Incl Gallbladder W Pharm Intv 33 14 $2,643.00 $2,114.40 $903.91 $2,378.70 $1,913.40 2026-03-04
78072 CPT Nm Parathyroid Planar Img W Spect And CT 33 14 $2,637.00 $2,109.60 20% off $901.85 $2,373.30 $1,909.06 2026-03-04
73201 CPT CT Ext Upper W Cont 33 14 $2,609.00 $2,087.20 20% off $892.28 $2,348.10 $1,888.79 2026-03-04
C2631 HCPCS Dev Sut Capio Capture Open 33 14 $2,608.00 $2,086.40 $891.94 $2,347.20 $1,888.06 2026-03-04
71271 CPT CT Thorax Lw Dose Lung Ca Scr No Contrast 34 14 $2,591.00 $2,072.80 $886.12 $2,331.90 $1,875.76 2026-03-04
70480 CPT CT Orbit Sella Fossa Ear Wo Contrast 33 14 $2,572.00 $2,057.60 20% off $879.62 $2,314.80 $1,862.00 2026-03-04
78472 CPT Nm Cardiac Blood Pool Img Gated Planar Sngl 33 14 $2,570.00 $2,056.00 20% off $878.94 $2,313.00 $1,860.55 2026-03-04
70490 CPT CT Soft Tissue Neck Wo Con 33 14 $2,546.00 $2,036.80 20% off $870.73 $2,291.40 $1,843.17 2026-03-04
90378 CPT Palivizumab IM Soln 50 Mg/0.5ml 58 14 $2,524.74 $2,019.80 $863.46 $4,230.74 $1,841.74 2026-03-04
78708 CPT Nm Kidney Img Morph W Vasc Flow Func Sngl W Rx 33 14 $2,541.00 $2,032.80 20% off $869.02 $2,286.90 $1,839.56 2026-03-04
J9299 HCPCS Nivolumab IV Soln 40 Mg/4ml 85 14 $3,913.35 $3,130.68 20% off $38.06 $7,887.00 $1,829.68 2026-03-04
73701 CPT CT Ext Lower W Cont 33 14 $2,522.00 $2,017.60 20% off $862.52 $2,269.80 $1,825.80 2026-03-04
96440 CPT Chmotx Admn Plrl Cav Thrcnts 2 1 — — $1,822.40 $1,822.40 $1,822.40 2026-03-04
78315 CPT Nm Bone And Or Jnt Img 3 Phase Stdy 33 14 $2,517.00 $2,013.60 20% off $860.81 $2,265.30 $1,822.18 2026-03-04
72192 CPT CT Pelvis Wo Contrast 33 14 $2,511.00 $2,008.80 20% off $858.76 $2,259.90 $1,817.84 2026-03-04
78306 CPT Nm Bone And Or Jnt Img Whole Body 33 14 $2,462.00 $1,969.60 20% off $842.00 $2,215.80 $1,782.37 2026-03-04
70486 CPT CT Maxillofacial Wo Cont 35 14 $2,440.00 $1,952.00 20% off $834.48 $2,196.00 $1,766.44 2026-03-04
95912 CPT Nrv Conduction Test 11-12 Studies 33 14 $2,438.00 $1,950.40 $833.80 $2,194.20 $1,764.99 2026-03-04
G0390 HCPCS Trauma Activation Full W Ccare 33 14 $2,433.00 $1,946.40 $832.09 $2,189.70 $1,761.37 2026-03-04
0689 RC Trauma Activation Full 33 14 $2,433.00 $1,946.40 $832.09 $2,189.70 $1,761.37 2026-03-04
J0841 HCPCS Crotalidae Immune F(ab')2 (Equine) For IV Infusion 33 14 $2,429.20 $1,943.36 20% off $830.79 $2,186.28 $1,758.62 2026-03-04
73700 CPT CT Ext Lower Wo Cont 34 14 $2,428.00 $1,942.40 $830.38 $2,185.20 $1,757.75 2026-03-04
32555 CPT Surg 32555 Thoracentesis W Imaging 33 14 $2,416.00 $1,932.80 20% off $826.27 $2,174.40 $1,749.07 2026-03-04
Q2050 HCPCS Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 Mg/ml 33 14 $2,401.66 $1,921.33 $821.37 $2,161.49 $1,738.68 2026-03-04
J9173 HCPCS Durvalumab Soln For IV Infusion 120 Mg/2.4ml (50 Mg/ml) 60 14 $1,981.34 $1,585.08 $98.03 $5,209.61 $1,732.29 2026-03-04
27510 CPT Ed 27510 Clsd Tx Femoral Fx Distal Wman 33 14 $2,350.00 $1,880.00 20% off $803.70 $2,115.00 $1,701.29 2026-03-04
J9264 HCPCS Paclitaxel Protein-bound Particles For IV Susp 100 Mg 33 14 $2,335.03 $1,868.03 $798.58 $2,101.53 $1,690.44 2026-03-04
78071 CPT Nm Parathyroid Planar Img W Spect 33 14 $2,321.00 $1,856.80 20% off $793.78 $2,088.90 $1,680.29 2026-03-04
49083 CPT Surg 49083 Abd Paracentesis W Imaging 34 14 $2,300.00 $1,840.00 20% off $786.60 $2,070.00 $1,665.09 2026-03-04
J1950 HCPCS Leuprolide Acetate For Inj Kit 3.75 Mg 33 14 $2,298.59 $1,838.88 $786.12 $2,068.73 $1,664.07 2026-03-04
40654 CPT Ed 40654 Repair Lip Full Thickness 33 14 $2,280.00 $1,824.00 20% off $779.76 $2,052.00 $1,650.61 2026-03-04
27818 CPT Ed 27818 Clsd Tx Trimal Wmanip 34 14 $2,272.00 $1,817.60 20% off $777.02 $2,044.80 $1,644.82 2026-03-04
78707 CPT Nm Kidney Img Morph W Vasc Flow Func Sngl Wo Rx 33 14 $2,264.00 $1,811.20 20% off $774.29 $2,037.60 $1,639.03 2026-03-04
73200 CPT CT Ext Upper Wo Cont 34 14 $2,264.00 $1,811.20 20% off $774.29 $2,037.60 $1,639.03 2026-03-04
93017 CPT Cardiac Stress Test Tracing 33 14 $2,261.00 $1,808.80 20% off $773.26 $2,034.90 $1,636.85 2026-03-04
99285 CPT Ed 99285 Emer Case Level V 35 14 $2,257.00 $1,805.60 20% off $771.89 $2,031.30 $1,633.95 2026-03-04
24655 CPT Ed 24655 Clsd Tx Rad Head Neck Fx Wman 33 14 $2,256.00 $1,804.80 20% off $771.55 $2,030.40 $1,633.23 2026-03-04
78606 CPT Nm Brain Img Min 4 Static Views W Vasc Flow 33 14 $2,252.00 $1,801.60 20% off $770.18 $2,026.80 $1,630.34 2026-03-04
78226 CPT Nm Hepatobiliary Img Incl Gallbladder 34 14 $2,198.00 $1,758.40 $751.72 $1,978.20 $1,591.24 2026-03-04
78264 CPT Nm Gastric Emptying Img Study 33 14 $2,187.00 $1,749.60 20% off $747.95 $1,968.30 $1,583.28 2026-03-04
92960 CPT Cardioversion 33 14 $2,183.00 $1,746.40 $746.59 $1,964.70 $1,580.38 2026-03-04
56605 CPT Surg 56605 Biopsy Vulva Perineum 1 Lsn 33 14 $2,136.00 $1,708.80 20% off $730.51 $1,922.40 $1,546.36 2026-03-04
J0129 HCPCS Abatacept Subcutaneous Soln Prefilled Syringe 125 Mg/ml 60 14 $2,119.51 $1,695.61 $44.25 $1,933.60 $1,534.42 2026-03-04
23655 CPT Ed 23655 Clsd Tx Sldr Dsl Wmnp Ans 33 14 $2,098.00 $1,678.40 $717.52 $1,888.20 $1,518.85 2026-03-04
27257 CPT Ed 27257 Tx Disloc Hip Spontaneous W/anes W/manip 33 14 $2,093.00 $1,674.40 $715.81 $1,883.70 $1,515.22 2026-03-04
78215 CPT Nm Liver And Spleen Img Static Only 33 14 $2,087.00 $1,669.60 20% off $713.75 $1,878.30 $1,510.88 2026-03-04
95911 CPT Nrv Conduction Test 9-10 Studies 33 14 $2,081.00 $1,664.80 20% off $711.70 $1,872.90 $1,506.54 2026-03-04
78262 CPT Nm Gastroesophageal Reflux Study 33 14 $2,044.00 $1,635.20 20% off $699.05 $1,839.60 $1,479.76 2026-03-04
93307 CPT Echo 2d Wo Dop Col Comp 33 14 $2,022.00 $1,617.60 20% off $691.52 $1,819.80 $1,463.83 2026-03-04
0801 RC Hemodialysis Ip 33 14 $2,015.00 $1,612.00 20% off $689.13 $1,813.50 $1,458.76 2026-03-04
78290 CPT Nm Intestine Img 33 14 $2,013.00 $1,610.40 $688.45 $1,811.70 $1,457.31 2026-03-04
93970 CPT Duplex Venous Ext Cmpl Bilat 34 14 $2,013.00 $1,610.40 $688.45 $1,811.70 $1,457.31 2026-03-04
36569 CPT Surg 36569 Insertion Picc Without Img Gdn 5 Yr/> 33 14 $2,010.00 $1,608.00 20% off $687.42 $1,809.00 $1,455.14 2026-03-04
78014 CPT Nm Thyroid Img W Sngl Mult Uptake 33 14 $1,989.00 $1,591.20 20% off $680.24 $1,790.10 $1,439.93 2026-03-04
78278 CPT Nm Acute Gastrointestinal Blood Loss Img 33 14 $1,987.00 $1,589.60 20% off $679.55 $1,788.30 $1,438.49 2026-03-04
J1745 HCPCS Infliximab For IV Inj 100 Mg 36 14 $1,984.74 $1,587.80 $32.81 $1,786.27 $1,436.86 2026-03-04
78582 CPT Nm Pulm Ventilation And Perfusion Img 33 14 $1,975.00 $1,580.00 20% off $675.45 $1,777.50 $1,429.80 2026-03-04
J7168 HCPCS Prothrombin Complex Conc Human For Inj Kit 500 Unit 33 14 $1,966.00 $1,572.80 20% off $672.37 $1,769.40 $1,423.29 2026-03-04
J9395 HCPCS Fulvestrant Inj Soln Pref Syr 250 Mg/5ml 33 14 $1,960.71 $1,568.57 $670.56 $1,764.64 $1,419.45 2026-03-04
94002 CPT Vent Initial Day 33 14 $1,926.00 $1,540.80 20% off $658.69 $1,733.40 $1,394.33 2026-03-04
25535 CPT Ed 25535 Clsd Tx Ulnar Shaft Fx Wmanip 33 14 $1,890.00 $1,512.00 20% off $646.38 $1,701.00 $1,368.27 2026-03-04
49082 CPT Surg 49082 Abd Paracentesis Wo Imaging 34 14 $1,874.00 $1,499.20 20% off $640.91 $1,686.60 $1,356.68 2026-03-04
J0485 HCPCS Belatacept For IV Infusion 250 Mg 33 14 $1,872.82 $1,498.26 $640.50 $1,685.54 $1,355.83 2026-03-04
78070 CPT Nm Parathyroid Planar Img 33 14 $1,854.00 $1,483.20 20% off $634.07 $1,668.60 $1,342.20 2026-03-04
78305 CPT Nm Bone And Or Jnt Img Mult Area 33 14 $1,846.00 $1,476.80 20% off $631.33 $1,661.40 $1,336.41 2026-03-04
81229 CPT Cdmr Cytog Alys Chrmoml Abnor Cpy Number&snp Vrnt Cgh 81229 83 14 $3,505.00 $2,804.00 20% off $196.65 $3,445.20 $1,324.89 2026-03-04
J7307 HCPCS Etonogestrel Subdermal Implant 68 Mg 58 14 $1,819.98 $1,455.99 $622.43 $1,994.65 $1,317.58 2026-03-04
J9312 HCPCS Rituximab IV Soln 100 Mg/10ml 58 14 $1,484.10 $1,187.28 $507.56 $4,666.82 $1,306.45 2026-03-04
93304 CPT Echo Congenitl Ltd 33 14 $1,785.00 $1,428.00 20% off $610.47 $1,606.50 $1,292.25 2026-03-04
32556 CPT Ed 32556 Pleural Drainage Perc W/insert Cath Wo Imaging Guid 33 14 $1,773.00 $1,418.40 $606.37 $1,595.70 $1,283.57 2026-03-04
93880 CPT Dup Carotid Bilat 34 14 $1,770.00 $1,416.00 20% off $605.34 $1,593.00 $1,281.39 2026-03-04
94003 CPT Vent Subseq Day 33 14 $1,767.00 $1,413.60 20% off $604.31 $1,590.30 $1,279.22 2026-03-04
93925 CPT Duplex Art Lower Ext Cmpl Bilat 33 14 $1,748.00 $1,398.40 $597.82 $1,573.20 $1,265.46 2026-03-04
87483 CPT Meningitis/encephalitis Panel 87483 33 14 $1,747.00 $1,397.60 20% off $597.47 $1,572.30 $1,264.74 2026-03-04
24505 CPT Ed 24505 Clsd Tx Humeral Fx W Manip 33 14 $1,739.00 $1,391.20 20% off $594.74 $1,565.10 $1,258.95 2026-03-04
78580 CPT Nm Pulm Perfusion Img 33 14 $1,704.00 $1,363.20 20% off $582.77 $1,533.60 $1,233.61 2026-03-04
81220 CPT Cftr Gene Analysis Common Variants 81220.900 33 14 $1,698.00 $1,358.40 $580.72 $1,528.20 $1,229.27 2026-03-04
78300 CPT Nm Bone And Or Jnt Img Ltd Area 33 14 $1,680.00 $1,344.00 20% off $574.56 $1,512.00 $1,216.23 2026-03-04
0720 RC Labor Level I 158 14 $1,617.00 $1,293.60 20% off $23.26 $3,992.40 $1,213.88 2026-03-04
P9034 HCPCS Platelet Pheresis P9034 33 14 $1,671.00 $1,336.80 20% off $571.48 $1,503.90 $1,209.72 2026-03-04
32551 CPT Ed 32551 Tube Thoracostomy 33 14 $1,651.00 $1,320.80 20% off $564.64 $1,485.90 $1,195.24 2026-03-04
J9305 HCPCS Pemetrexed Disodium For IV Soln 500 Mg (Base Equiv) 83 14 $1,424.16 $1,139.33 $130.24 $4,417.95 $1,189.17 2026-03-04
62322 CPT Surg 62322 Inj Il Ndl Cath Lumb Sacr Wo Guid 33 14 $1,624.00 $1,299.20 20% off $555.41 $1,461.60 $1,175.69 2026-03-04
Q5112 HCPCS Trastuzumab-dttb For IV Soln 150 Mg 60 14 $1,461.60 $1,169.28 $40.92 $2,851.07 $1,175.27 2026-03-04
C1727 HCPCS Bln Endo Dissection Oval 33 14 $1,609.00 $1,287.20 20% off $550.28 $1,448.10 $1,164.84 2026-03-04
C1788 HCPCS Port Powerport T*disc 6176238* 58 14 $1,595.00 $1,276.00 20% off $495.90 $1,435.50 $1,154.70 2026-03-04
26742 CPT Ed 26742 Clsd Tx Articular Fx W Mc/ip Jnt W Manip Ea 33 14 $1,568.00 $1,254.40 $536.26 $1,411.20 $1,135.15 2026-03-04
95819 CPT EEG Awake & Asleep 33 14 $1,557.00 $1,245.60 20% off $532.49 $1,401.30 $1,127.19 2026-03-04
J1569 HCPCS Immune Globulin (Human) IV Or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human… 110 14 $1,493.40 $1,194.72 20% off $50.63 $4,504.68 $1,118.57 2026-03-04
87507 CPT Cdmr Infectious Agent Nucleic Acid Gi 12-25 Targets 87507 33 14 $1,534.00 $1,227.20 20% off $524.63 $1,380.60 $1,110.54 2026-03-04
13152 CPT Ed 13152 Rpr Cx Wd Or Lsn 2.6-7.5cm 33 14 $1,523.00 $1,218.40 $520.87 $1,370.70 $1,102.58 2026-03-04
13101 CPT Ed 13101 Rpr Cmplx Trunk 2.6-7.5cm 33 14 $1,518.00 $1,214.40 $519.16 $1,366.20 $1,098.95 2026-03-04
J9035 HCPCS Bevacizumab IV Soln 100 Mg/4ml (For Infusion) 58 14 $1,245.82 $996.66 $426.07 $3,495.40 $1,096.69 2026-03-04
99284 CPT Ed 99284 Emer Case Level IV 36 14 $1,505.00 $1,204.00 20% off $514.71 $1,354.50 $1,089.55 2026-03-04
95910 CPT Nrv Conduction Test 7-8 Studies 33 14 $1,504.00 $1,203.20 20% off $514.37 $1,353.60 $1,088.82 2026-03-04
C8924 HCPCS Echo Wwo Fol Wcontrast 2d Lmtd 33 14 $1,500.00 $1,200.00 20% off $513.00 $1,350.00 $1,085.92 2026-03-04
15272 CPT Tx Rm 15272 Skin Sub Graft T A L Add-on 33 14 $1,500.00 $1,200.00 20% off $513.00 $1,350.00 $1,085.92 2026-03-04
C1781 HCPCS Mesh Monofil Bard 1x4 833 14 $1,975.00 $1,580.00 20% off $62.24 $3,780.00 $1,082.97 2026-03-04
0761 RC Tx Rm Paracentesis (op) 33 14 $1,495.00 $1,196.00 20% off $511.29 $1,345.50 $1,082.31 2026-03-04
Q5115 HCPCS Rituximab-abbs IV Soln 100 Mg/10ml (10 Mg/ml) 58 14 $1,224.28 $979.43 $418.70 $3,831.39 $1,077.73 2026-03-04
J1459 HCPCS Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 Gm/… 110 14 $1,470.80 $1,176.64 $49.50 $5,085.18 $1,072.57 2026-03-04
19000 CPT Surg 19000 Puncture Aspiration Cyst Breast 33 14 $1,478.00 $1,182.40 $505.48 $1,330.20 $1,070.00 2026-03-04
13102 CPT Ed 13102 Rpr Cpx Trk Ea Add 5cm Or < 33 14 $1,472.00 $1,177.60 20% off $503.42 $1,324.80 $1,065.65 2026-03-04
93930 CPT Duplex Art Upper Ext Cmpl Bilat 33 14 $1,469.00 $1,175.20 $502.40 $1,322.10 $1,063.48 2026-03-04
93975 CPT Duplex Abd Pelvis Retroperitoneal Cmpl 33 14 $1,468.00 $1,174.40 $502.06 $1,321.20 $1,062.76 2026-03-04
Q5107 HCPCS Bevacizumab-awwb IV Soln 100 Mg/4ml (For Infusion) 58 14 $1,202.77 $962.22 $411.35 $3,108.58 $1,058.80 2026-03-04
78291 CPT Nm Peritoneal Venous Shunt Patency Test 33 14 $1,456.00 $1,164.80 20% off $497.95 $1,310.40 $1,054.07 2026-03-04
J9155 HCPCS Degarelix Acetate For Inj 120 Mg/vial (240 Mg Dose) 33 14 $1,451.54 $1,161.24 $496.43 $1,306.39 $1,050.85 2026-03-04
27762 CPT Ed 27762 Clsd Tx Ankle Fx Wmanip 33 14 $1,444.00 $1,155.20 $493.85 $1,299.60 $1,045.38 2026-03-04
J9145 HCPCS Daratumumab IV Soln 100 Mg/5ml 60 14 $1,194.87 $955.90 $78.01 $3,073.03 $1,044.67 2026-03-04
J9055 HCPCS Cetuximab IV Soln 200 Mg/100ml (2 Mg/ml) 58 14 $2,055.85 $1,644.68 $403.03 $1,850.27 $1,037.39 2026-03-04
27096 CPT Surg 27096 Inj Si Joint Unilat 33 14 $1,430.00 $1,144.00 20% off $489.06 $1,287.00 $1,035.25 2026-03-04
92950 CPT Ed 92950 Cardiopulmon Resuscitation 33 14 $1,429.00 $1,143.20 $488.72 $1,286.10 $1,034.53 2026-03-04
93978 CPT Duplex Aorta Ivc Iliac Or Graft Cmpl 33 14 $1,417.00 $1,133.60 20% off $484.61 $1,275.30 $1,025.84 2026-03-04
40650 CPT Ed 40650 Rpr Lip Full Thick Vermilion Only 34 14 $1,416.00 $1,132.80 20% off $484.27 $1,274.40 $1,025.12 2026-03-04
12020 CPT Ed 12020 Wnd Tx Dehiscence Superfcl 33 14 $1,400.00 $1,120.00 20% off $478.80 $1,260.00 $1,013.53 2026-03-04
94772 CPT Pneumogram 2 Channel 33 14 $1,385.00 $1,108.00 20% off $473.67 $1,246.50 $1,002.67 2026-03-04
J9202 HCPCS Goserelin Acetate Implant 3.6 Mg 33 14 $1,384.10 $1,107.28 $473.36 $1,245.69 $1,002.02 2026-03-04
0202U CPT Cdmr Nfct Ds 22 Trgt Sars-cov-2 0202u 33 14 $1,375.00 $1,100.00 20% off $470.25 $1,237.50 $995.43 2026-03-04
73580 CPT Rad S&i Exam Knee Arthrography 33 14 $1,357.00 $1,085.60 20% off $464.09 $1,221.30 $982.40 2026-03-04
95816 CPT EEG Awake Drowsy 33 14 $1,354.00 $1,083.20 $463.07 $1,218.60 $980.23 2026-03-04
0170 RC Nursery Room & Board 24 14 $1,328.00 $1,062.40 $727.61 $1,195.20 $961.40 2026-03-04
81222 CPT Cdmr Cftr Gene Analysis Variant 81222.900 33 14 $1,327.00 $1,061.60 20% off $453.83 $1,194.30 $960.68 2026-03-04
26775 CPT Ed 26775 Clsd Tx Disloc Ip Jnt W Manip W Anes 33 14 $1,327.00 $1,061.60 20% off $453.83 $1,194.30 $960.68 2026-03-04
12036 CPT Ed 12036 Lyr Clsr Wd 20.1-30.0 Cm 33 14 $1,315.00 $1,052.00 20% off $449.73 $1,183.50 $952.00 2026-03-04
25505 CPT Ed 25505 Clsd Tx Rad Shaft Fx W Manip 33 14 $1,312.00 $1,049.60 20% off $448.70 $1,180.80 $949.82 2026-03-04
93923 CPT Cmpl Bilat Physiologic Studies Ext Art 3+ Lvls 33 14 $1,311.00 $1,048.80 20% off $448.36 $1,179.90 $949.10 2026-03-04
73040 CPT Rad S&i Exam Shoulder Arthrography 33 14 $1,307.00 $1,045.60 20% off $446.99 $1,176.30 $946.21 2026-03-04
73525 CPT Rad S&i Exam Hip Arthrography 33 14 $1,305.00 $1,044.00 20% off $446.31 $1,174.50 $944.75 2026-03-04
76811 CPT US Pg Utr Trnsabd Sg 33 14 $1,298.00 $1,038.40 $443.92 $1,168.20 $939.68 2026-03-04
93308 CPT Echo 2-d Limited 34 14 $1,296.00 $1,036.80 20% off $443.23 $1,166.40 $938.24 2026-03-04
36430 CPT Transfusion Blood 34 14 $1,286.00 $1,028.80 20% off $439.81 $1,157.40 $931.00 2026-03-04
95909 CPT Nrv Conduction Tst 5-6 Studies 33 14 $1,277.00 $1,021.60 20% off $436.73 $1,149.30 $924.49 2026-03-04
C1713 HCPCS Sut Fbrwire Tpr 26.5 Blu 38 158 14 $1,967.00 $1,573.60 20% off $57.80 $6,029.10 $915.03 2026-03-04
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