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 CANTON-INWOOD MEDICAL CENTER - CAH

Canton, SD · CCN 431333 · Rates published

1,533 distinct procedures filed
14 distinct payers
68,491 rate rows
2026-03-04 last MRF observed
Data quality

68,343 of 68,491 rate rows are consumer-grade (99.8%)

148 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 104
per-diem day rate — not a per-procedure price 44
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8376/460388596_sanford-canton-inwood-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordCantonInwoodMedicalCenter/8376
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 57a54b5fbfbfac64… · 37,219,705 bytes · first seen 2026-05-08

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
J3101
HCPCS 		Tenecteplase For IV Soln Kit 50 Mg 14 $4,426.96 $11,649.91 $9,371.06 nat. median
$5,957
1.6× median
J0517
HCPCS 		Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 14 $170.48 $8,806.81 $7,084.10 nat. median
$914
outlier · 7.8×
Q5127
HCPCS 		Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 14 $311.44 $7,443.18 $5,987.21 nat. median
$418
outlier · 14.3×
J2353
HCPCS 		Octreotide Acetate For IM Inj Kit 20 Mg 14 $2,707.94 $10,837.21 $5,775.95 nat. median
$5,975
1.0× median
J0225
HCPCS 		Inj, Vutrisiran, 1 Mg 1 $5,018.93 $5,018.93 $5,018.93 nat. median
$8,223
0.6× 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
$57
outlier · 84.2×
78452
CPT 		Nm Myocardial Spect Mult Stdy 14 $1,821.49 $4,793.40 $3,855.76 nat. median
$1,767
outlier · 2.2×
74178
CPT 		CT Abd Pelvis Wo Then W Cont 14 $1,818.41 $4,785.30 $3,849.24 nat. median
$979
outlier · 3.9×
95811
CPT 		Sleep Study Splt Nght 95811 14 $1,806.10 $4,752.90 $3,823.18 nat. median
$2,026
1.9× median
72156
CPT 		MRI C Spine Wo Then W Cont 14 $1,803.02 $4,744.80 $3,816.66 nat. median
$1,092
outlier · 3.5×
70543
CPT 		MRI Face Neck Orb Wo Then W Cont 14 $1,762.33 $4,637.70 $3,730.51 nat. median
$1,079
outlier · 3.5×
27299
CPT 		Ed 27299 Pelvis/hip Jt Unlstd Proc 14 $1,760.96 $4,634.10 $3,727.62 nat. median
$714
outlier · 5.2×
72157
CPT 		MRI T Spine Wo Then W Cont 14 $1,733.94 $4,563.00 $3,670.43 nat. median
$1,094
outlier · 3.4×
72197
CPT 		MRI Pelvis Wo Then W Cont 14 $1,691.53 $4,451.40 $3,580.66 nat. median
$1,065
outlier · 3.4×
95810
CPT 		Psg 4+ Parameters 14 $1,687.43 $4,440.60 $3,571.97 nat. median
$1,870
1.9× median
72158
CPT 		MRI L Spine Wo Then W Cont 14 $1,683.67 $4,430.70 $3,564.01 nat. median
$1,081
outlier · 3.3×
J2507
HCPCS 		Pegloticase Injection 1 $3,547.84 $3,547.84 $3,547.84 nat. median
$8,536
outlier · 0.4×
73223
CPT 		MRI Upper Ext Jt Wo Then W Cont 14 $1,632.71 $4,296.60 $3,456.14 nat. median
$1,225
outlier · 2.8×
27599
CPT 		Ed 27599 Femur/knee Unlisted Procedure 14 $1,629.97 $4,289.40 $3,450.34 nat. median
$579
outlier · 6.0×
74183
CPT 		MRI Abdomen Wo Then W Cont 14 $1,626.21 $4,279.50 $3,442.38 nat. median
$1,102
outlier · 3.1×
J7300
HCPCS 		Cntrcpt IUD Paragard 14 $1,623.82 $4,273.20 $3,437.32 nat. median
$1,690
outlier · 2.0×
70553
CPT 		MRI Brain Wo Then W Cont 14 $1,610.82 $4,239.00 $3,409.80 nat. median
$1,122
outlier · 3.0×
71552
CPT 		MRI Chest Wo Then W Cont 14 $1,605.69 $4,225.50 $3,398.95 nat. median
$1,093
outlier · 3.1×
74174
CPT 		CTA Abd Pelvis W Contrast+wo If Perform 14 $1,586.88 $4,176.00 $3,359.13 nat. median
$959
outlier · 3.5×
70546
CPT 		MRA Head Wo Then W Cont 14 $1,569.44 $4,130.10 $3,322.20 nat. median
$1,043
outlier · 3.2×
74175
CPT 		CTA Abd Wcont +wo If Perf 14 $1,555.76 $4,094.10 $3,293.25 nat. median
$710
outlier · 4.6×
73720
CPT 		MRI Lower Ext Wo Then W Cont 14 $1,542.42 $4,059.00 $3,265.01 nat. median
$1,190
outlier · 2.7×
74177
CPT 		CT Abd Pelvis W Contrast 14 $1,535.58 $4,041.00 $3,250.53 nat. median
$928
outlier · 3.5×
46040
CPT 		Ed 46040 I&d Perirectal Abscess 14 $1,531.82 $4,031.10 $3,242.57 nat. median
$1,775
1.8× median
73723
CPT 		MRI Lower Ext Jt Wo Then W Cont 14 $1,531.48 $4,030.20 $3,241.85 nat. median
$1,264
outlier · 2.6×
73220
CPT 		MRI Upper Ext Wo Then W Cont 14 $1,523.95 $4,010.40 $3,225.92 nat. median
$1,185
outlier · 2.7×
25999
CPT 		Ed 25999 Forearm/wrist Unlstd Proc 14 $1,505.48 $3,961.80 $3,186.83 nat. median
$468
outlier · 6.8×
70549
CPT 		MRA Neck Wo Then W Cont 14 $1,501.04 $3,950.10 $3,177.41 nat. median
$1,051
outlier · 3.0×
78451
CPT 		Nm Myocardial Spect Sngl Stdy 14 $1,500.01 $3,947.40 $3,175.24 nat. median
$1,534
outlier · 2.1×
59409
CPT 		Ed 59409 Ed Delivery Vaginal Only 14 $1,441.19 $3,792.60 $3,050.72 nat. median
$3,185
1.0× median
59812
CPT 		Ed 59812 Tx Incomplete Abortion 14 $1,431.61 $3,767.40 $3,030.45 nat. median
$3,255
0.9× median
74176
CPT 		CT Abd Pelvis Wo Contrast 14 $1,391.26 $3,661.20 $2,945.03 nat. median
$685
outlier · 4.3×
36513
CPT 		Plateletpheresis Therapy 14 $1,378.94 $3,628.80 $2,918.97 nat. median
$864
outlier · 3.4×
Q5122
HCPCS 		Pegfilgrastim-apgf Soln Prefilled Syringe 6 Mg/0.6ml 14 $98.36 $3,619.17 $2,911.22 nat. median
$439
outlier · 6.6×
J1437
HCPCS 		Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 14 $1,359.31 $3,577.14 $2,877.41 nat. median
$42
outlier · 69.3×
J1602
HCPCS 		Golimumab IV Soln 50 Mg/4ml 14 $11.33 $3,574.33 $2,875.15 nat. median
$505
outlier · 5.7×
28192
CPT 		Ed 28192 Remove Fb Foot Deep 14 $1,342.01 $3,531.60 $2,840.78 nat. median
$1,917
1.5× median
73225
CPT 		MRA Upper Ext Wo Then W Cont 14 $1,336.54 $3,517.20 $2,829.20 nat. median
$1,201
outlier · 2.4×
70471
CPT 		CTA Head Neck W Contrast And Noncontrast Img Post Proc 14 $1,285.92 $3,384.00 $2,722.05 nat. median
$729
outlier · 3.7×
95805
CPT 		Multiple Sleep Latency 95805 14 $1,282.16 $3,374.10 $2,714.09 nat. median
$1,268
outlier · 2.1×
70545
CPT 		MRA Head W Contrast 14 $1,279.76 $3,367.80 $2,709.02 nat. median
$903
outlier · 3.0×
72148
CPT 		MRI L Spine Wo Contrast 14 $1,274.29 $3,353.40 $2,697.44 nat. median
$770
outlier · 3.5×
70540
CPT 		MRI Face Neck Orb Wo Contrast 14 $1,236.67 $3,254.40 $2,617.80 nat. median
$785
outlier · 3.3×
72141
CPT 		MRI C Spine Wo Contrast 14 $1,233.25 $3,245.40 $2,610.57 nat. median
$766
outlier · 3.4×
74181
CPT 		MRI Abdomen Wo Contrast 14 $1,218.55 $3,206.70 $2,579.43 nat. median
$820
outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 1,533 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
             
0120 RC Semi Private Room 64 11 $1,865.50 $1,492.40 $565.98 $2,241.90 $1,457.89 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
0360 RC Additional 1 2 Hour 1,058 14 $2,994.00 $2,395.20 20% off $312.59 $9,651.60 $1,821.60 2026-03-04
0689 RC Trauma Activation Full 33 14 $1,829.00 $1,463.20 20% off $625.52 $1,646.10 $1,324.11 2026-03-04
0710 RC Recovery Room Sds 33 14 $767.00 $613.60 20% off $262.31 $690.30 $555.27 2026-03-04
0720 RC Delivery Level I 33 14 $2,542.00 $2,033.60 20% off $869.36 $2,287.80 $1,840.28 2026-03-04
0750 RC Colon Polyp Bx 258 14 $2,891.00 $2,312.80 $406.64 $3,378.60 $1,723.64 2026-03-04
10061 CPT Ed 10061 I&d Skin Abscess Compl 33 14 $896.00 $716.80 20% off $306.43 $806.40 $648.66 2026-03-04
10120 CPT Ed 10120 Inc&remv Fb Smpl 33 14 $805.00 $644.00 20% off $275.31 $724.50 $582.78 2026-03-04
10121 CPT Ed 10121 Inc&remv Fb Compl 33 14 $2,828.00 $2,262.40 $967.18 $2,545.20 $2,047.33 2026-03-04
10140 CPT Ed 10140 I&d Hematoma Fluid 33 14 $2,979.00 $2,383.20 20% off $1,018.82 $2,681.10 $2,156.64 2026-03-04
11750 CPT Ed 11750 Remv Of Nail Bed 34 14 $1,020.00 $816.00 20% off $348.84 $918.00 $738.43 2026-03-04
11760 CPT Ed 11760 Rpr Of Nail Bed 33 14 $1,011.00 $808.80 20% off $345.76 $909.90 $731.91 2026-03-04
12007 CPT Ed 12007 Rpr Superfcl Wnd >30cm 33 14 $704.00 $563.20 $240.77 $633.60 $509.66 2026-03-04
12020 CPT Ed 12020 Wnd Tx Dehiscence Superfcl 33 14 $1,455.00 $1,164.00 20% off $497.61 $1,309.50 $1,053.35 2026-03-04
12031 CPT Ed 12031 Lyr Clsr Of Wnd 2.5cm Or < 33 14 $823.00 $658.40 20% off $281.47 $740.70 $595.81 2026-03-04
12032 CPT Ed 12032 Lyr Clsr Of Wnd 2.6-7.5cm 33 14 $841.00 $672.80 20% off $287.62 $756.90 $608.84 2026-03-04
12034 CPT Ed 12034 Lyr Clsr Of Wnd 7.6-12.5cm 33 14 $840.00 $672.00 20% off $287.28 $756.00 $608.12 2026-03-04
12035 CPT Ed 12035 Lyr Clsr Of Wd 12.6-20.0cm 33 14 $1,093.00 $874.40 20% off $373.81 $983.70 $791.27 2026-03-04
12036 CPT Ed 12036 Lyr Clsr Wd 20.1-30.0 Cm 33 14 $1,282.00 $1,025.60 20% off $438.44 $1,153.80 $928.11 2026-03-04
12037 CPT Ed 12037 Lyr Clsr Of Wnd >30.0cm 33 14 $3,043.00 $2,434.40 20% off $1,040.71 $2,738.70 $2,202.98 2026-03-04
12041 CPT Ed 12041 Lyr Clsr Wnd 2.5cm Or <nhf 33 14 $694.00 $555.20 $237.35 $624.60 $502.42 2026-03-04
12042 CPT Ed 12042 Lyr Clsr Wnd 2.6-7.5cm Nhf 33 14 $825.00 $660.00 20% off $282.15 $742.50 $597.26 2026-03-04
12044 CPT Ed 12044 Lyr Clsr Wd 7.6-12.5cm Nhf 33 14 $934.00 $747.20 $319.43 $840.60 $676.17 2026-03-04
12051 CPT Ed 12051 Lyr Clsr Of Wnd 2.5cm Or < 33 14 $787.00 $629.60 20% off $269.15 $708.30 $569.75 2026-03-04
12052 CPT Ed 12052 Lyr Clsr Of Wnd 2.6-5.0cm 34 14 $798.00 $638.40 20% off $272.92 $718.20 $577.71 2026-03-04
12053 CPT Ed 12053 Lyr Clsr Of Wnd 5.1-7.5cm 33 14 $818.00 $654.40 20% off $279.76 $736.20 $592.19 2026-03-04
12054 CPT Ed 12054 Lyr Clsr Of Wnd 7.6-12.5cm 33 14 $1,215.00 $972.00 20% off $415.53 $1,093.50 $879.60 2026-03-04
13121 CPT Ed 13121 Rpr Cmplx Wnd 2.6-7.5 Cm 33 14 $1,442.00 $1,153.60 20% off $493.16 $1,297.80 $1,043.93 2026-03-04
13131 CPT Ed 13131 Rpr Cpx Wd Or Lsn 1.1-2.5cm 33 14 $805.00 $644.00 20% off $275.31 $724.50 $582.78 2026-03-04
13152 CPT Ed 13152 Rpr Cx Wd Or Lsn 2.6-7.5cm 33 14 $1,245.00 $996.00 20% off $425.79 $1,120.50 $901.32 2026-03-04
20552 CPT Ed 20552 Inj 1-2 Musc Grps 33 14 $767.00 $613.60 20% off $262.31 $690.30 $555.27 2026-03-04
20610 CPT Ed 20610 Asp Inj Joint Bursa Major Wo US Guid 34 14 $932.00 $745.60 20% off $318.74 $838.80 $674.72 2026-03-04
23505 CPT Ed 23505 Clsd Tx Clvcle Fx Wmanip 33 14 $1,836.00 $1,468.80 20% off $627.91 $1,652.40 $1,329.17 2026-03-04
23520 CPT Ed 23520 Clsd Tx Clavicle Disloc 33 14 $1,878.00 $1,502.40 $642.28 $1,690.20 $1,359.58 2026-03-04
23655 CPT Ed 23655 Clsd Tx Sldr Dsl Wmnp Ans 33 14 $2,365.00 $1,892.00 20% off $808.83 $2,128.50 $1,712.14 2026-03-04
24200 CPT Ed 24200 Rmvl Fb Arm Elbow 33 14 $2,773.00 $2,218.40 $948.37 $2,495.70 $2,007.52 2026-03-04
25535 CPT Ed 25535 Clsd Tx Ulnar Shaft Fx Wmanip 33 14 $1,574.00 $1,259.20 20% off $538.31 $1,416.60 $1,139.49 2026-03-04
25605 CPT Ed 25605 Clsd Tx Distal Radial Wmanip 34 14 $1,856.00 $1,484.80 20% off $634.75 $1,670.40 $1,343.65 2026-03-04
25650 CPT Ed 25650 Clsd Tx Ulnar Fx 33 14 $766.00 $612.80 20% off $261.97 $689.40 $554.54 2026-03-04
25999 CPT Ed 25999 Forearm/wrist Unlstd Proc 33 14 $4,402.00 $3,521.60 20% off $1,505.48 $3,961.80 $3,186.83 2026-03-04
26605 CPT Ed 26605 Clsd Tx Metacarpal Fx Wmanip 33 14 $784.00 $627.20 $268.13 $705.60 $567.58 2026-03-04
26645 CPT Ed 26645 Tx Fx Thumb Wman Clsd 33 14 $1,366.00 $1,092.80 20% off $467.17 $1,229.40 $988.91 2026-03-04
26742 CPT Ed 26742 Clsd Tx Articular Fx W Mc/ip Jnt W Manip Ea 33 14 $1,237.00 $989.60 20% off $423.05 $1,113.30 $895.52 2026-03-04
27299 CPT Ed 27299 Pelvis/hip Jt Unlstd Proc 33 14 $5,149.00 $4,119.20 20% off $1,760.96 $4,634.10 $3,727.62 2026-03-04
27599 CPT Ed 27599 Femur/knee Unlisted Procedure 33 14 $4,766.00 $3,812.80 $1,629.97 $4,289.40 $3,450.34 2026-03-04
27810 CPT Ed 27810 Clsd Tx Bimal Fx Wmanip 33 14 $2,083.00 $1,666.40 $712.39 $1,874.70 $1,507.99 2026-03-04
27830 CPT Ed 27830 Clsd Tx Disloc Tib Fib Joint Prox Wo Anes 33 14 $1,222.00 $977.60 20% off $417.92 $1,099.80 $884.66 2026-03-04
28190 CPT Ed 28190 Remv Fb Foot 33 14 $1,597.00 $1,277.60 20% off $546.17 $1,437.30 $1,156.15 2026-03-04
28192 CPT Ed 28192 Remove Fb Foot Deep 33 14 $3,924.00 $3,139.20 20% off $1,342.01 $3,531.60 $2,840.78 2026-03-04
28435 CPT Ed 28435 Clsd Tx Talus Wmanip 33 14 $1,547.00 $1,237.60 20% off $529.07 $1,392.30 $1,119.95 2026-03-04
28455 CPT Ed 28455 Tx Bone Tarsal W/manipulation 33 14 $3,290.00 $2,632.00 20% off $1,125.18 $2,961.00 $2,381.80 2026-03-04
28475 CPT Ed 28475 Clsd Tx Metatarsal Fx Wmanip 33 14 $755.00 $604.00 20% off $258.21 $679.50 $546.58 2026-03-04
28899 CPT Ed 28899 Foot/toes Unlisted Surgery 33 14 $2,877.00 $2,301.60 20% off $983.93 $2,589.30 $2,082.80 2026-03-04
31603 CPT Ed 31603 Tracheostomy Emergent 33 14 $3,013.00 $2,410.40 20% off $1,030.45 $2,711.70 $2,181.26 2026-03-04
32551 CPT Ed 32551 Tube Thoracostomy 33 14 $1,303.00 $1,042.40 $445.63 $1,172.70 $943.30 2026-03-04
32554 CPT Ed 32554 Aspirate Pleura Wo Imaging 33 14 $937.00 $749.60 20% off $320.45 $843.30 $678.34 2026-03-04
32555 CPT Ed 32555 Thoracentesis W Imaging 33 14 $2,030.00 $1,624.00 20% off $694.26 $1,827.00 $1,469.62 2026-03-04
36430 CPT Transfusion Blood 33 14 $1,031.00 $824.80 20% off $352.60 $927.90 $746.39 2026-03-04
36513 CPT Plateletpheresis Therapy 33 14 $4,032.00 $3,225.60 20% off $1,378.94 $3,628.80 $2,918.97 2026-03-04
37195 CPT Ed 37195 Thrombolysis Cerebral IV Infusion 33 14 $881.00 $704.80 20% off $301.30 $792.90 $637.80 2026-03-04
38221 CPT Ed 38221 Diagnostic Bone Marrow Biposy 33 14 $1,652.00 $1,321.60 20% off $564.98 $1,486.80 $1,195.96 2026-03-04
41252 CPT Ed 41252 Rpr Lac Mouth Floor/tongue > 2.6cm/cmplx 33 14 $1,014.00 $811.20 $346.79 $912.60 $734.09 2026-03-04
45300 CPT Ed 45300 Proctosigmoidoscopy Dx 33 14 $1,753.00 $1,402.40 $599.53 $1,577.70 $1,269.09 2026-03-04
46040 CPT Ed 46040 I&d Perirectal Abscess 33 14 $4,479.00 $3,583.20 20% off $1,531.82 $4,031.10 $3,242.57 2026-03-04
46050 CPT Ed 46050 I&d Perial Abscess Suprfcl 33 14 $1,910.00 $1,528.00 20% off $653.22 $1,719.00 $1,382.74 2026-03-04
46083 CPT Ed 46083 Inc External Hemorrhoid 33 14 $731.00 $584.80 20% off $250.00 $657.90 $529.21 2026-03-04
46608 CPT Ed 46608 Anoscopy Wremv Fb 33 14 $1,804.00 $1,443.20 20% off $616.97 $1,623.60 $1,306.01 2026-03-04
49082 CPT Ed 49082 Abd Paracentesis 33 14 $1,463.00 $1,170.40 $500.35 $1,316.70 $1,059.14 2026-03-04
59409 CPT Ed 59409 Ed Delivery Vaginal Only 33 14 $4,214.00 $3,371.20 20% off $1,441.19 $3,792.60 $3,050.72 2026-03-04
59414 CPT Ed 59414 Delivery Of Placenta 33 14 $2,741.00 $2,192.80 $937.42 $2,466.90 $1,984.35 2026-03-04
59812 CPT Ed 59812 Tx Incomplete Abortion 33 14 $4,186.00 $3,348.80 $1,431.61 $3,767.40 $3,030.45 2026-03-04
62270 CPT Ed 62270 Spinal Tap Lumbar Diag 33 14 $1,165.00 $932.00 20% off $398.43 $1,048.50 $843.40 2026-03-04
64405 CPT Ed 64405 Inj Nerve Block Gr Occptal 33 14 $921.00 $736.80 20% off $314.98 $828.90 $666.76 2026-03-04
64450 CPT Ed 64450 Inj Nerve Block Oth Prphrl 34 14 $1,420.00 $1,136.00 20% off $485.64 $1,278.00 $1,028.01 2026-03-04
67938 CPT Ed 67938 Remv Fb Eyelid 33 14 $732.00 $585.60 $250.34 $658.80 $529.93 2026-03-04
69000 CPT Ed 69000 I&d Ext Ear Abscess Simple 33 14 $1,016.00 $812.80 20% off $347.47 $914.40 $735.53 2026-03-04
69020 CPT Ed 69020 Drn Absc Ext Aud Can 33 14 $996.00 $796.80 20% off $340.63 $896.40 $721.05 2026-03-04
70450 CPT CT Head Wo Contrast 37 14 $2,221.00 $1,776.80 20% off $759.58 $1,998.90 $1,607.89 2026-03-04
70460 CPT CT Head W Contrast 33 14 $2,510.00 $2,008.00 20% off $858.42 $2,259.00 $1,817.12 2026-03-04
70470 CPT CT Head Wo Then W Contrast 34 14 $2,789.00 $2,231.20 20% off $953.84 $2,510.10 $2,019.10 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
70480 CPT CT Orbit Sella Fossa Ear Wo Contrast 33 14 $2,103.00 $1,682.40 $719.23 $1,892.70 $1,522.46 2026-03-04
70481 CPT CT Orbit Sella Fossa Ear W Contrast 34 14 $2,673.00 $2,138.40 $914.17 $2,405.70 $1,935.12 2026-03-04
70482 CPT CT Orbit Sella Fossa Ear Wo Then W Contrast 33 14 $3,094.00 $2,475.20 20% off $1,058.15 $2,784.60 $2,239.90 2026-03-04
70486 CPT CT Maxillofacial Wo Cont 35 14 $2,023.00 $1,618.40 $691.87 $1,820.70 $1,464.55 2026-03-04
70487 CPT CT Maxillofacial W Cont 34 14 $2,557.00 $2,045.60 20% off $874.49 $2,301.30 $1,851.14 2026-03-04
70488 CPT CT Maxillofacial Wo W Cont 33 14 $2,985.00 $2,388.00 20% off $1,020.87 $2,686.50 $2,160.99 2026-03-04
70490 CPT CT Soft Tissue Neck Wo Con 33 14 $2,628.00 $2,102.40 $898.78 $2,365.20 $1,902.54 2026-03-04
70491 CPT CT Soft Tissue Neck W Contrast 35 14 $2,697.00 $2,157.60 20% off $922.37 $2,427.30 $1,952.49 2026-03-04
70492 CPT CT Sft Tisue Neck Wwo Then W 33 14 $3,318.00 $2,654.40 20% off $1,134.76 $2,986.20 $2,402.07 2026-03-04
70496 CPT CTA Head W Cont Wo If Perf 33 14 $3,068.00 $2,454.40 20% off $1,049.26 $2,761.20 $2,221.08 2026-03-04
70498 CPT CT Angio Neck W Con+wo If Perf 33 14 $3,303.00 $2,642.40 20% off $1,129.63 $2,972.70 $2,391.20 2026-03-04
70540 CPT MRI Face Neck Orb Wo Contrast 33 14 $3,616.00 $2,892.80 $1,236.67 $3,254.40 $2,617.80 2026-03-04
70543 CPT MRI Face Neck Orb Wo Then W Cont 35 14 $5,153.00 $4,122.40 20% off $1,762.33 $4,637.70 $3,730.51 2026-03-04
70544 CPT MRA Head Wo Contrast 33 14 $3,297.00 $2,637.60 20% off $1,127.57 $2,967.30 $2,386.86 2026-03-04
70545 CPT MRA Head W Contrast 33 14 $3,742.00 $2,993.60 20% off $1,279.76 $3,367.80 $2,709.02 2026-03-04
70546 CPT MRA Head Wo Then W Cont 33 14 $4,589.00 $3,671.20 20% off $1,569.44 $4,130.10 $3,322.20 2026-03-04
70547 CPT MRA Neck Wo Contrast 33 14 $3,088.00 $2,470.40 20% off $1,056.10 $2,779.20 $2,235.56 2026-03-04
70548 CPT MRA Neck W Contrast 33 14 $3,529.00 $2,823.20 20% off $1,206.92 $3,176.10 $2,554.82 2026-03-04
70549 CPT MRA Neck Wo Then W Cont 33 14 $4,389.00 $3,511.20 20% off $1,501.04 $3,950.10 $3,177.41 2026-03-04
70551 CPT MRI Brain Wo Contrast 34 14 $3,312.00 $2,649.60 20% off $1,132.70 $2,980.80 $2,397.72 2026-03-04
70553 CPT MRI Brain Wo Then W Cont 36 14 $4,710.00 $3,768.00 20% off $1,610.82 $4,239.00 $3,409.80 2026-03-04
71250 CPT CT Thorax Diagnostic Wo Contrast 36 14 $2,568.00 $2,054.40 $878.26 $2,311.20 $1,859.11 2026-03-04
71260 CPT CT Thorax Diagnostic With Contrast 36 14 $2,770.00 $2,216.00 20% off $947.34 $2,493.00 $2,005.34 2026-03-04
71270 CPT CT Thorax Diagnostic Wo Then W Contrast 33 14 $3,348.00 $2,678.40 20% off $1,145.02 $3,013.20 $2,423.78 2026-03-04
71271 CPT CT Thorax Lw Dose Lung Ca Scr No Contrast 33 14 $2,568.00 $2,054.40 $878.26 $2,311.20 $1,859.11 2026-03-04
71275 CPT CTA Chest Wcont +wo If Perf 34 14 $3,313.00 $2,650.40 20% off $1,133.05 $2,981.70 $2,398.45 2026-03-04
71550 CPT MRI Chest Wo Contrast 33 14 $3,420.00 $2,736.00 20% off $1,169.64 $3,078.00 $2,475.91 2026-03-04
71552 CPT MRI Chest Wo Then W Cont 33 14 $4,695.00 $3,756.00 20% off $1,605.69 $4,225.50 $3,398.95 2026-03-04
71555 CPT MRA Chest Wo Contrast 33 14 $2,932.00 $2,345.60 20% off $1,002.74 $2,638.80 $2,122.62 2026-03-04
72125 CPT CT Cervical Spine Wo Contrast 37 14 $2,497.00 $1,997.60 20% off $853.97 $2,247.30 $1,807.70 2026-03-04
72126 CPT CT Cervical Spine W Contrast 33 14 $2,952.00 $2,361.60 20% off $1,009.58 $2,656.80 $2,137.10 2026-03-04
72128 CPT CT Thoracic Spine Wo Cont 33 14 $2,378.00 $1,902.40 $813.28 $2,140.20 $1,721.56 2026-03-04
72129 CPT CT Thoracic Spine W Contrast 33 14 $2,829.00 $2,263.20 20% off $967.52 $2,546.10 $2,048.05 2026-03-04
72131 CPT CT Lumbar Spine Wo Cont 34 14 $2,438.00 $1,950.40 $833.80 $2,194.20 $1,764.99 2026-03-04
72132 CPT CT Lumbar Spine W Cont 33 14 $2,749.00 $2,199.20 20% off $940.16 $2,474.10 $1,990.14 2026-03-04
72141 CPT MRI C Spine Wo Contrast 35 14 $3,606.00 $2,884.80 $1,233.25 $3,245.40 $2,610.57 2026-03-04
72146 CPT MRI T Spine Wo Contrast 34 14 $3,419.00 $2,735.20 20% off $1,169.30 $3,077.10 $2,475.18 2026-03-04
72148 CPT MRI L Spine Wo Contrast 35 14 $3,726.00 $2,980.80 $1,274.29 $3,353.40 $2,697.44 2026-03-04
72156 CPT MRI C Spine Wo Then W Cont 34 14 $5,272.00 $4,217.60 $1,803.02 $4,744.80 $3,816.66 2026-03-04
72157 CPT MRI T Spine Wo Then W Cont 33 14 $5,070.00 $4,056.00 20% off $1,733.94 $4,563.00 $3,670.43 2026-03-04
72158 CPT MRI L Spine Wo Then W Cont 35 14 $4,923.00 $3,938.40 20% off $1,683.67 $4,430.70 $3,564.01 2026-03-04
72192 CPT CT Pelvis Wo Contrast 34 14 $2,269.00 $1,815.20 20% off $776.00 $2,042.10 $1,642.64 2026-03-04
72193 CPT CT Pelvis W Contrast 34 14 $2,412.00 $1,929.60 20% off $824.90 $2,170.80 $1,746.16 2026-03-04
72194 CPT CT Pelvis Wo Then W Cont 33 14 $2,505.00 $2,004.00 20% off $856.71 $2,254.50 $1,813.49 2026-03-04
72195 CPT MRI Pelvis Wo Contrast 33 14 $3,461.00 $2,768.80 $1,183.66 $3,114.90 $2,505.59 2026-03-04
72197 CPT MRI Pelvis Wo Then W Cont 34 14 $4,946.00 $3,956.80 $1,691.53 $4,451.40 $3,580.66 2026-03-04
72198 CPT MRA Pelvis Wo Then W Cont 33 14 $2,930.00 $2,344.00 20% off $1,002.06 $2,637.00 $2,121.18 2026-03-04
73200 CPT CT Ext Upper Wo Cont 33 14 $2,429.00 $1,943.20 20% off $830.72 $2,186.10 $1,758.47 2026-03-04
73201 CPT CT Ext Upper W Cont 33 14 $3,129.00 $2,503.20 20% off $1,070.12 $2,816.10 $2,265.24 2026-03-04
73202 CPT CT Ext Upper Wwo Contrast 33 14 $2,988.00 $2,390.40 20% off $1,021.90 $2,689.20 $2,163.16 2026-03-04
73206 CPT CTA Ext Upper Wcont+wo If Perf 33 14 $2,908.00 $2,326.40 $994.54 $2,617.20 $2,105.24 2026-03-04
73218 CPT MRI Up Ext Wo Cont 33 14 $3,225.00 $2,580.00 20% off $1,102.95 $2,902.50 $2,334.74 2026-03-04
73220 CPT MRI Upper Ext Wo Then W Cont 33 14 $4,456.00 $3,564.80 $1,523.95 $4,010.40 $3,225.92 2026-03-04
73221 CPT MRI Upper Ext Jt Wo Contrast 34 14 $3,344.00 $2,675.20 20% off $1,143.65 $3,009.60 $2,420.89 2026-03-04
73223 CPT MRI Upper Ext Jt Wo Then W Cont 33 14 $4,774.00 $3,819.20 20% off $1,632.71 $4,296.60 $3,456.14 2026-03-04
73225 CPT MRA Upper Ext Wo Then W Cont 33 14 $3,908.00 $3,126.40 20% off $1,336.54 $3,517.20 $2,829.20 2026-03-04
73700 CPT CT Ext Lower Wo Cont 34 14 $2,427.00 $1,941.60 20% off $830.03 $2,184.30 $1,757.03 2026-03-04
73701 CPT CT Ext Lower W Cont 34 14 $2,610.00 $2,088.00 20% off $892.62 $2,349.00 $1,889.51 2026-03-04
73702 CPT CT Ext Lower Wo Then W Cont 33 14 $2,991.00 $2,392.80 $1,022.92 $2,691.90 $2,165.34 2026-03-04
73718 CPT MRI Lower Ext Wo Contrast 34 14 $3,262.00 $2,609.60 20% off $1,115.60 $2,935.80 $2,361.53 2026-03-04
73720 CPT MRI Lower Ext Wo Then W Cont 33 14 $4,510.00 $3,608.00 20% off $1,542.42 $4,059.00 $3,265.01 2026-03-04
73721 CPT MRI Lower Ext Jt Wo Contrast 36 14 $3,370.00 $2,696.00 20% off $1,152.54 $3,033.00 $2,439.71 2026-03-04
73723 CPT MRI Lower Ext Jt Wo Then W Cont 34 14 $4,478.00 $3,582.40 20% off $1,531.48 $4,030.20 $3,241.85 2026-03-04
73725 CPT MRA Lower Ext W Contrast 33 14 $3,446.00 $2,756.80 $1,178.53 $3,101.40 $2,494.73 2026-03-04
74150 CPT CT Abdomen Wo Contrast 33 14 $2,148.00 $1,718.40 $734.62 $1,933.20 $1,555.05 2026-03-04
74160 CPT CT Abdomen W Contrast 34 14 $2,980.00 $2,384.00 20% off $1,019.16 $2,682.00 $2,157.37 2026-03-04
74170 CPT CT Abdomen Wo Then W Cont 33 14 $2,762.00 $2,209.60 20% off $944.60 $2,485.80 $1,999.55 2026-03-04
74174 CPT CTA Abd Pelvis W Contrast+wo If Perform 36 14 $4,640.00 $3,712.00 20% off $1,586.88 $4,176.00 $3,359.13 2026-03-04
74175 CPT CTA Abd Wcont +wo If Perf 33 14 $4,549.00 $3,639.20 20% off $1,555.76 $4,094.10 $3,293.25 2026-03-04
74176 CPT CT Abd Pelvis Wo Contrast 35 14 $4,068.00 $3,254.40 20% off $1,391.26 $3,661.20 $2,945.03 2026-03-04
74177 CPT CT Abd Pelvis W Contrast 37 14 $4,490.00 $3,592.00 20% off $1,535.58 $4,041.00 $3,250.53 2026-03-04
74178 CPT CT Abd Pelvis Wo Then W Cont 34 14 $5,317.00 $4,253.60 $1,818.41 $4,785.30 $3,849.24 2026-03-04
74181 CPT MRI Abdomen Wo Contrast 33 14 $3,563.00 $2,850.40 20% off $1,218.55 $3,206.70 $2,579.43 2026-03-04
74183 CPT MRI Abdomen Wo Then W Cont 33 14 $4,755.00 $3,804.00 20% off $1,626.21 $4,279.50 $3,442.38 2026-03-04
74185 CPT MRA Abdomen W Contrast 33 14 $2,985.00 $2,388.00 20% off $1,020.87 $2,686.50 $2,160.99 2026-03-04
76376 CPT CT 3d Reconstruct Wo Ipp 34 14 $742.00 $593.60 $253.76 $667.80 $537.17 2026-03-04
76377 CPT CT 3d Reconstruct W Ipp 34 14 $851.00 $680.80 20% off $291.04 $765.90 $616.08 2026-03-04
76536 CPT US Soft Tissue Head Neck 35 14 $850.00 $680.00 20% off $290.70 $765.00 $615.36 2026-03-04
76604 CPT US Chest 33 14 $710.00 $568.00 20% off $242.82 $639.00 $514.00 2026-03-04
76700 CPT US Abd Complete 34 14 $1,168.00 $934.40 20% off $399.46 $1,051.20 $845.58 2026-03-04
76705 CPT US Abd Limited 36 14 $901.00 $720.80 20% off $308.14 $810.90 $652.28 2026-03-04
76770 CPT US Retroperitoneum 34 14 $973.00 $778.40 20% off $332.77 $875.70 $704.40 2026-03-04
76775 CPT US Retroperitoneum Ltd 34 14 $794.00 $635.20 $271.55 $714.60 $574.82 2026-03-04
76801 CPT US Preg Uter 1st Tri Sgl 33 14 $902.00 $721.60 20% off $308.48 $811.80 $653.00 2026-03-04
76805 CPT US Pg Utr 2-3tri Sgl 1st 33 14 $993.00 $794.40 20% off $339.61 $893.70 $718.88 2026-03-04
76810 CPT US Pg Utr Mlt Gst 2-3tri 33 14 $788.00 $630.40 20% off $269.50 $709.20 $570.48 2026-03-04
76817 CPT US Pg Utr Transvag 33 14 $818.00 $654.40 20% off $279.76 $736.20 $592.19 2026-03-04
76819 CPT US Fetal Bpp Wo Nst 33 14 $809.00 $647.20 $276.68 $728.10 $585.67 2026-03-04
76830 CPT US Transvaginal 35 14 $869.00 $695.20 $297.20 $782.10 $629.12 2026-03-04
76856 CPT US Pelvic Complete 35 14 $974.00 $779.20 $333.11 $876.60 $705.12 2026-03-04
76857 CPT US Pelvic Limited 33 14 $798.00 $638.40 20% off $272.92 $718.20 $577.71 2026-03-04
76870 CPT US Scrotum 34 14 $894.00 $715.20 $305.75 $804.60 $647.21 2026-03-04
76872 CPT US Transrectal 33 14 $859.00 $687.20 $293.78 $773.10 $621.88 2026-03-04
76881 CPT US Complete Jnt Real Time W Image Doc 33 14 $779.00 $623.20 $266.42 $701.10 $563.96 2026-03-04
77075 CPT Rad Exam Osseous Survey Compl 33 14 $979.00 $783.20 $334.82 $881.10 $708.75 2026-03-04
78013 CPT Nm Thyroid Img W Vasc Flow 33 14 $1,196.00 $956.80 20% off $409.03 $1,076.40 $865.85 2026-03-04
78014 CPT Nm Thyroid Img W Sngl Mult Uptake 33 14 $1,710.00 $1,368.00 20% off $584.82 $1,539.00 $1,237.95 2026-03-04
78072 CPT Nm Parathyroid Planar Img W Spect And CT 33 14 $2,374.00 $1,899.20 20% off $811.91 $2,136.60 $1,718.65 2026-03-04
78201 CPT Nm Liver Img Static Only 33 14 $1,973.00 $1,578.40 $674.77 $1,775.70 $1,428.36 2026-03-04
78215 CPT Nm Liver And Spleen Img Static Only 33 14 $2,013.00 $1,610.40 $688.45 $1,811.70 $1,457.31 2026-03-04
78226 CPT Nm Hepatobiliary Img Incl Gallbladder 33 14 $2,226.00 $1,780.80 20% off $761.29 $2,003.40 $1,611.52 2026-03-04
78227 CPT Nm Hepatobiliary Img Incl Gallbladder W Pharm Intv 33 14 $2,547.00 $2,037.60 20% off $871.07 $2,292.30 $1,843.90 2026-03-04
78258 CPT Esophageal Motility 33 14 $1,261.00 $1,008.80 20% off $431.26 $1,134.90 $912.90 2026-03-04
78264 CPT Nm Gastric Emptying Img Study 33 14 $2,062.00 $1,649.60 20% off $705.20 $1,855.80 $1,492.79 2026-03-04
78278 CPT Nm Acute Gastrointestinal Blood Loss Img 33 14 $1,931.00 $1,544.80 20% off $660.40 $1,737.90 $1,397.94 2026-03-04
78290 CPT Nm Intestine Img 33 14 $1,806.00 $1,444.80 20% off $617.65 $1,625.40 $1,307.45 2026-03-04
78300 CPT Nm Bone And Or Jnt Img Ltd Area 33 14 $1,568.00 $1,254.40 $536.26 $1,411.20 $1,135.15 2026-03-04
78306 CPT Nm Bone And Or Jnt Img Whole Body 33 14 $2,033.00 $1,626.40 $695.29 $1,829.70 $1,471.79 2026-03-04
78315 CPT Nm Bone And Or Jnt Img 3 Phase Stdy 33 14 $2,543.00 $2,034.40 $869.71 $2,288.70 $1,841.01 2026-03-04
78451 CPT Nm Myocardial Spect Sngl Stdy 33 14 $4,386.00 $3,508.80 $1,500.01 $3,947.40 $3,175.24 2026-03-04
78452 CPT Nm Myocardial Spect Mult Stdy 33 14 $5,326.00 $4,260.80 $1,821.49 $4,793.40 $3,855.76 2026-03-04
78472 CPT Nm Cardiac Blood Pool Img Gated Planar Sngl 33 14 $2,418.00 $1,934.40 $826.96 $2,176.20 $1,750.51 2026-03-04
78580 CPT Nm Pulm Perfusion Img 33 14 $1,685.00 $1,348.00 20% off $576.27 $1,516.50 $1,219.86 2026-03-04
78582 CPT Nm Pulm Ventilation And Perfusion Img 33 14 $2,131.00 $1,704.80 20% off $728.80 $1,917.90 $1,542.73 2026-03-04
78606 CPT Nm Brain Img Min 4 Static Views W Vasc Flow 33 14 $1,721.00 $1,376.80 20% off $588.58 $1,548.90 $1,245.92 2026-03-04
78707 CPT Nm Kidney Img Morph W Vasc Flow Func Sngl Wo Rx 33 14 $2,115.00 $1,692.00 20% off $723.33 $1,903.50 $1,531.15 2026-03-04
78708 CPT Nm Kidney Img Morph W Vasc Flow Func Sngl W Rx 33 14 $2,281.00 $1,824.80 20% off $780.10 $2,052.90 $1,651.33 2026-03-04
78740 CPT Nm Ureteral Relux Stdy Radiopharm Voiding Cystogram 33 14 $1,532.00 $1,225.60 20% off $523.94 $1,378.80 $1,109.09 2026-03-04
78803 CPT Nm Rp Loc Tum Spect Sgl Area/acq Sgl Day 33 14 $3,361.00 $2,688.80 $1,149.46 $3,024.90 $2,433.20 2026-03-04
87154 CPT Culture Typing Id Blood Path Resist Type 6+trgt 87154 33 14 $720.00 $576.00 20% off $246.24 $648.00 $521.25 2026-03-04
87506 CPT Basic Enteric Pathogenic Panel Nad 87506 33 14 $947.00 $757.60 20% off $323.87 $852.30 $685.58 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
87902 CPT Hepatitis C Virus Genotype 87902.900 33 14 $754.00 $603.20 $257.87 $678.60 $545.86 2026-03-04
88261 CPT Cdmr Chromosome Count 5 Cells 1 Karyotype Wbanding 88261 33 14 $806.00 $644.80 20% off $275.65 $725.40 $583.50 2026-03-04
88307 CPT Surgical Path Level V 88307 33 14 $850.00 $680.00 20% off $290.70 $765.00 $615.36 2026-03-04
88309 CPT Surgical Path Level Vi 88309 33 14 $1,210.00 $968.00 20% off $413.82 $1,089.00 $875.98 2026-03-04
90375 CPT Rabies Immune Globulin (Human) Inj 900 Unt/3ML (300 Unt/ML) 58 14 $2,974.56 $2,379.65 $963.01 $2,677.10 $2,153.43 2026-03-04
90675 CPT Rabies Vaccine, Pcec For Inj 83 14 $701.02 $560.82 $205.24 $646.79 $495.10 2026-03-04
92950 CPT Ed 92950 Cardiopulmon Resuscitation 33 14 $1,238.00 $990.40 20% off $423.40 $1,114.20 $896.25 2026-03-04
92953 CPT Ed 92953 Temporary Transcutaneous Pacing 33 14 $969.00 $775.20 $331.40 $872.10 $701.51 2026-03-04
93017 CPT Cardiac Stress Test Tracing 33 14 $1,282.00 $1,025.60 20% off $438.44 $1,153.80 $928.11 2026-03-04
93226 CPT Holter Monitor Scan Up To 48hr 34 14 $784.00 $627.20 $268.13 $705.60 $567.58 2026-03-04
93303 CPT Echo Congenitl Comp 33 14 $2,275.00 $1,820.00 20% off $778.05 $2,047.50 $1,646.98 2026-03-04
93306 CPT Echo (2d) Complete W Doppler & Color 35 14 $2,676.00 $2,140.80 $915.19 $2,408.40 $1,937.29 2026-03-04
93307 CPT Echo 2d Wo Dop Col Comp 33 14 $1,965.00 $1,572.00 20% off $672.03 $1,768.50 $1,422.56 2026-03-04
93308 CPT Echo 2-d Limited 33 14 $1,206.00 $964.80 20% off $412.45 $1,085.40 $873.09 2026-03-04
93320 CPT Doppler Spectral Display Comp 33 14 $864.00 $691.20 $295.49 $777.60 $625.50 2026-03-04
93325 CPT Color Flow Vel Map 33 14 $772.00 $617.60 20% off $264.02 $694.80 $558.89 2026-03-04
93350 CPT Echo 2d With Stress 33 14 $2,642.00 $2,113.60 20% off $903.56 $2,377.80 $1,912.67 2026-03-04
93880 CPT Dup Carotid Bilat 34 14 $1,382.00 $1,105.60 20% off $472.64 $1,243.80 $1,000.50 2026-03-04
93882 CPT Duplex Extracranial Carotid Unilat 33 14 $1,045.00 $836.00 20% off $357.39 $940.50 $756.53 2026-03-04
93923 CPT Cmpl Bilat Physiologic Studies Ext Art 3+ Lvls 33 14 $1,045.00 $836.00 20% off $357.39 $940.50 $756.53 2026-03-04
93924 CPT Cmpl Bilat Phys Studies Lower Ext Art Pre Post Exer 33 14 $1,143.00 $914.40 20% off $390.91 $1,028.70 $827.48 2026-03-04
93925 CPT Duplex Art Lower Ext Cmpl Bilat 34 14 $1,526.00 $1,220.80 20% off $521.89 $1,373.40 $1,104.75 2026-03-04
93926 CPT Duplex Art Lower Ext Unilat Ltd 33 14 $997.00 $797.60 20% off $340.97 $897.30 $721.78 2026-03-04
93930 CPT Duplex Art Upper Ext Cmpl Bilat 33 14 $1,430.00 $1,144.00 20% off $489.06 $1,287.00 $1,035.25 2026-03-04
93931 CPT Duplex Art Upper Ext Unilat Ltd 33 14 $969.00 $775.20 $331.40 $872.10 $701.51 2026-03-04
93970 CPT Duplex Venous Ext Cmpl Bilat 34 14 $1,581.00 $1,264.80 20% off $540.70 $1,422.90 $1,144.57 2026-03-04
93971 CPT Duplex Venous Ext Ltd Unilat 34 14 $1,111.00 $888.80 20% off $379.96 $999.90 $804.31 2026-03-04
93975 CPT Duplex Abd Pelvis Retroperitoneal Cmpl 34 14 $1,455.00 $1,164.00 20% off $497.61 $1,309.50 $1,053.35 2026-03-04
93976 CPT Duplex Abd Pelvis Retroperitoneal Ltd 33 14 $1,026.00 $820.80 20% off $350.89 $923.40 $742.77 2026-03-04
93978 CPT Duplex Aorta Ivc Iliac Or Graft Cmpl 33 14 $1,285.00 $1,028.00 20% off $439.47 $1,156.50 $930.27 2026-03-04
93979 CPT Duplex Aorta Ivc Iliac Or Graft Unilat Ltd 33 14 $881.00 $704.80 20% off $301.30 $792.90 $637.80 2026-03-04
94002 CPT Vent Initial Day 33 14 $1,889.00 $1,511.20 20% off $646.04 $1,700.10 $1,367.54 2026-03-04
94003 CPT Vent Subseq Day 33 14 $1,546.00 $1,236.80 20% off $528.73 $1,391.40 $1,119.22 2026-03-04
94060 CPT Pft Screen Spirometry (with Bd) 33 14 $802.00 $641.60 20% off $274.28 $721.80 $580.61 2026-03-04
94660 CPT Cpap Mask Init Day 58 14 $810.00 $648.00 20% off $277.02 $729.90 $586.40 2026-03-04
95800 CPT Unattend Sleep Stdy Siml&sleep 33 14 $760.00 $608.00 20% off $259.92 $684.00 $550.20 2026-03-04
95805 CPT Multiple Sleep Latency 95805 33 14 $3,749.00 $2,999.20 20% off $1,282.16 $3,374.10 $2,714.09 2026-03-04
95810 CPT Psg 4+ Parameters 33 14 $4,934.00 $3,947.20 20% off $1,687.43 $4,440.60 $3,571.97 2026-03-04
95811 CPT Sleep Study Splt Nght 95811 35 14 $5,281.00 $4,224.80 $1,806.10 $4,752.90 $3,823.18 2026-03-04
96413 CPT Chemo Infusion 1st Hr 36 14 $842.00 $673.60 20% off $287.96 $757.80 $609.57 2026-03-04
96440 CPT Chmotx Admn Plrl Cav Thrcnts 2 1 — — $1,822.40 $1,822.40 $1,822.40 2026-03-04
97607 CPT Tx Rm 97607 Neg Pressure Wound Tx Disp Non-dme< =50 Sq Cm 97607 33 14 $712.00 $569.60 $243.50 $640.80 $515.45 2026-03-04
97608 CPT Tx Rm 97608 Neg Pressure Wound Tx Disp Non-dme >50 Sq Cm 97608 33 14 $778.00 $622.40 20% off $266.08 $700.20 $563.24 2026-03-04
99283 CPT Ed 99283 Emer Case Level Iii 38 14 $1,051.00 $840.80 20% off $359.44 $945.90 $760.87 2026-03-04
99284 CPT Ed 99284 Emer Case Level IV 35 14 $1,611.00 $1,288.80 20% off $550.96 $1,449.90 $1,166.29 2026-03-04
99285 CPT Ed 99285 Emer Case Level V 37 14 $2,413.00 $1,930.40 $825.25 $2,171.70 $1,746.89 2026-03-04
99291 CPT Ed 99291 Critical Care E&m 30-74 Min 34 14 $3,197.00 $2,557.60 20% off $1,093.37 $2,877.30 $2,314.47 2026-03-04
99292 CPT Ed 99292 Crit Care Ea Addl 30 Mins 33 14 $1,004.00 $803.20 $343.37 $903.60 $726.85 2026-03-04
A0427 HCPCS Ambul Als1 Emerg Res To Hosp 60 14 $1,766.00 $1,412.80 20% off $574.90 $1,589.40 $1,278.49 2026-03-04
A0428 HCPCS Ambulance Bls Res To Hosp 58 14 $1,105.00 $884.00 20% off $359.10 $994.50 $799.97 2026-03-04
A0429 HCPCS Ambul Bls Emerg Res To Hosp 33 14 $1,223.00 $978.40 20% off $418.27 $1,100.70 $885.39 2026-03-04
A0433 HCPCS Ambulance Adv Res To Hosp 33 14 $2,295.00 $1,836.00 20% off $784.89 $2,065.50 $1,661.46 2026-03-04
A9540 HCPCS Tc99m Maa Per Study Dose Up To 10 Mci 33 14 $1,171.00 $936.80 20% off $400.48 $1,053.90 $847.75 2026-03-04
C1713 HCPCS Screw Savannah-t Low 6.5x*nlu* 58 14 $1,025.00 $820.00 20% off $350.55 $1,728.00 $747.71 2026-03-04
C1727 HCPCS Bln Endo Dissection Oval 33 14 $1,287.00 $1,029.60 20% off $440.15 $1,158.30 $931.73 2026-03-04
C1776 HCPCS Knee Tib Base Keel Rt 0d Szh 33 14 $1,024.00 $819.20 $350.21 $921.60 $741.33 2026-03-04
C1781 HCPCS Mesh Monofil Bard 1x4 508 14 $1,580.00 $1,264.00 20% off $48.91 $3,780.00 $1,020.18 2026-03-04
C1874 HCPCS Stnt Promus Premier 2.5x16mm 33 14 $1,438.00 $1,150.40 $491.80 $1,294.20 $1,041.04 2026-03-04
G0390 HCPCS Trauma Activation Full W Ccare 33 14 $1,829.00 $1,463.20 20% off $625.52 $1,646.10 $1,324.11 2026-03-04
G0399 HCPCS Sleep Study Unattended Home Type 3 36 14 $858.00 $686.40 20% off $293.44 $772.20 $621.15 2026-03-04
J0129 HCPCS Abatacept For IV Soln 250 Mg 35 14 $2,702.74 $2,162.20 $44.25 $2,432.47 $1,956.65 2026-03-04
J0202 HCPCS Injection, Alemtuzumab 2 1 — — $2,381.81 $2,381.81 $2,381.81 2026-03-04
J0225 HCPCS Inj, Vutrisiran, 1 Mg 2 1 — — $5,018.93 $5,018.93 $5,018.93 2026-03-04
J0248 HCPCS Remdesivir For IV Soln 100 Mg 33 14 $1,100.00 $880.00 20% off $376.20 $990.00 $796.35 2026-03-04
J0517 HCPCS Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 35 14 $9,785.34 $7,828.28 $170.48 $8,806.81 $7,084.10 2026-03-04
J0561 HCPCS Penicillin G Benzathine IM Susp Pref Syr 2400000 Unit/4ML 33 14 $1,129.00 $903.20 $386.12 $1,016.10 $817.34 2026-03-04
J0881 HCPCS Darbepoetin Alfa Soln Prefilled Syringe 40 Mcg/0.4ml 183 14 $2,972.86 $2,378.29 $133.81 $5,800.37 $1,371.55 2026-03-04
J0897 HCPCS Denosumab Inj 120 Mg/1.7ml 58 14 $5,122.44 $4,097.96 $838.08 $4,610.20 $2,157.20 2026-03-04
J1290 HCPCS Ecallantide Injection 2 1 — — $576.49 $576.49 $576.49 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
J1437 HCPCS Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 33 14 $3,974.60 $3,179.68 20% off $1,359.31 $3,577.14 $2,877.41 2026-03-04
J1439 HCPCS Ferric Carboxymaltose IV Soln 750 Mg/15ml (Fe Equivalent) 33 14 $1,775.85 $1,420.68 $607.34 $1,598.27 $1,285.63 2026-03-04
J1554 HCPCS Inj. Asceniv 2 1 — — $500.66 $500.66 $500.66 2026-03-04
J1560 HCPCS Gamma Globulin > 10 Cc Inj 2 1 — — $507.94 $507.94 $507.94 2026-03-04
J1602 HCPCS Golimumab IV Soln 50 Mg/4ml 35 14 $3,971.48 $3,177.19 $11.33 $3,574.33 $2,875.15 2026-03-04
J1670 HCPCS Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML 33 14 $1,123.84 $899.08 $384.35 $1,011.46 $813.61 2026-03-04
J1743 HCPCS Idursulfase Injection 2 1 — — $548.06 $548.06 $548.06 2026-03-04
J2353 HCPCS Octreotide Acetate For IM Inj Kit 20 Mg 58 14 $7,917.96 $6,334.37 $2,707.94 $10,837.21 $5,775.95 2026-03-04
J2507 HCPCS Pegloticase Injection 2 1 — — $3,547.84 $3,547.84 $3,547.84 2026-03-04
J2840 HCPCS Inj Sebelipase Alfa 1 Mg 2 1 — — $510.50 $510.50 $510.50 2026-03-04
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 33 14 $12,944.34 $10,355.48 $4,426.96 $11,649.91 $9,371.06 2026-03-04
J3424 HCPCS Hydroxocobalamin (Antidote) For IV Soln 5 Gm 33 14 $1,873.08 $1,498.47 $640.59 $1,685.77 $1,356.02 2026-03-04
J3590 HCPCS Idarucizumab IV Soln 2.5 Gm/50ml 33 14 $3,148.62 $2,518.90 $1,076.83 $2,833.76 $2,279.45 2026-03-04
J7168 HCPCS Prothrombin Complex Conc Human For Inj Kit 500 Unit 33 14 $2,155.00 $1,724.00 20% off $737.01 $1,939.50 $1,560.11 2026-03-04
J7300 HCPCS Cntrcpt IUD Paragard 33 14 $4,748.00 $3,798.40 20% off $1,623.82 $4,273.20 $3,437.32 2026-03-04
J9217 HCPCS Leuprolide Acetate (3 Month) For Inj Kit 22.5 Mg 33 14 $966.53 $773.23 $330.55 $869.88 $699.72 2026-03-04
L0464 HCPCS Brc Tlso Pinnacle 464 33 14 $1,061.00 $848.80 20% off $362.86 $954.90 $768.11 2026-03-04
M0224 HCPCS Pemivibart Infusion 33 14 $950.00 $760.00 20% off $324.90 $855.00 $687.75 2026-03-04
P9019 HCPCS Platelet Proc Unit P9019 33 14 $740.00 $592.00 20% off $253.08 $666.00 $535.73 2026-03-04
P9040 HCPCS Rbc Lr Irr Proc Unit P9040 33 14 $894.00 $715.20 $305.75 $804.60 $647.21 2026-03-04
Q5103 HCPCS Infliximab-dyyb For IV Inj 100 Mg 35 14 $989.38 $791.51 $13.88 $890.44 $716.26 2026-03-04
Q5104 HCPCS Infliximab-abda For IV Inj 100 Mg 60 14 $825.76 $660.61 $27.68 $776.09 $597.80 2026-03-04
Q5108 HCPCS Pegfilgrastim-jmdb Soln Prefilled Syringe 6 Mg/0.6ml 35 14 $2,666.70 $2,133.36 $138.08 $2,400.03 $1,930.56 2026-03-04
Q5122 HCPCS Pegfilgrastim-apgf Soln Prefilled Syringe 6 Mg/0.6ml 35 14 $4,021.30 $3,217.04 20% off $98.36 $3,619.17 $2,911.22 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
V2788 HCPCS Iol Symfony Toric 1.50d *nlu* 33 14 $1,119.00 $895.20 $382.70 $1,007.10 $810.10 2026-03-04
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