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

Big South Fork Medical Center

Oneida, TN · CCN 440235 · Rates published

3,732 distinct procedures filed
15 distinct payers
70,857 rate rows
2026-10-19 last MRF observed
Data quality

70,857 of 70,857 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bsfmedical.com/wp-content/uploads/2026/01/1932646049_Big-South-Fork-Medical_Standard_Charges-_11012025.csv
Found on page http://bsfmedical.com
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-02
Content fingerprint b7d1a6af4c35a0c0… · 2,038,647 bytes · first seen 2026-05-06

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
J0841
HCPCS 		Anavip (antivenin) IV 14 $21,705.00 $21,705.00 $21,705.00 nat. median
$1,881
outlier · 11.5×
J3101
HCPCS 		Tenecteplase (tnkase) 50mg Inj 14 $18,000.00 $18,000.00 $18,000.00 nat. median
$4,042
outlier · 4.5×
J2993
HCPCS 		Reteplase (retavase) Inj 14 $14,225.00 $14,225.00 $14,225.00 nat. median
$3,474
outlier · 4.1×
27658
CPT 		Prim Repr Flexortndn Leg Wo Graf ER-fac 14 $13,687.00 $13,687.00 $13,687.00 nat. median
$3,315
outlier · 4.1×
J2997
HCPCS 		Alteplace (cathflo) Inj 2mg 14 $500.00 $25,873.00 $13,186.50 nat. median
$504
outlier · 26.2×
23930
CPT 		Incision & Drainage Of Mouth Jellico 14 $11,594.00 $11,594.00 $11,594.00 nat. median
$2,843
outlier · 4.1×
2090103
LOCAL 		Nf-fluticasone Propionate, Micronized Pw 14 $11,273.00 $11,273.00 $11,273.00 nat. median
$11,273
1.0× median
J1162
HCPCS 		Digoxin Immune Fab (digibind) Inj 40mg 14 $11,000.00 $11,000.00 $11,000.00 nat. median
$7,098
1.5× median
1100027
LOCAL 		Or Level 5 14 $10,204.00 $10,204.00 $10,204.00 nat. median
$10,204
1.0× median
J0840
HCPCS 		Crotalidae Immune Fab (crofab) Inj 14 $9,600.00 $9,600.00 $9,600.00 nat. median
$3,454
outlier · 2.8×
1100026
LOCAL 		Or Level 4 14 $8,616.00 $8,616.00 $8,616.00 nat. median
$8,616
1.0× median
59409
CPT 		Vag Delivery Only W/wo Epis ER-prof 14 $3,439.00 $12,491.00 $7,965.00 nat. median
$3,147
outlier · 2.5×
78451
CPT 		Nm - Myocardial Perfusion (single) Rest 14 $7,633.00 $7,633.00 $7,633.00 nat. median
$1,542
outlier · 5.0×
78452
CPT 		Nm - Myocardial Perfusion (dual) 14 $7,633.00 $7,633.00 $7,633.00 nat. median
$1,797
outlier · 4.2×
10140
CPT 		I&d Hematomaseroma Fluid ER-fac 14 $6,863.00 $6,863.00 $6,863.00 nat. median
$1,659
outlier · 4.1×
11420
CPT 		Exc Ben Lsn 3.1-4.0cm ER-fac 14 $6,863.00 $6,863.00 $6,863.00 nat. median
$1,524
outlier · 4.5×
11404
CPT 		Exc Ben Lsn Sclp/n/h/f 2.1-3.0cm ER-fac 14 $6,863.00 $6,863.00 $6,863.00 nat. median
$1,621
outlier · 4.2×
10121
CPT 		Inc/removal Fb Subq Tis Co ER-fac 14 $6,863.00 $6,863.00 $6,863.00 nat. median
$1,662
outlier · 4.1×
11444
CPT 		Exc Ben Lesn S,n,h,f,g 3.1-4.0cm ER-fac 14 $6,863.00 $6,863.00 $6,863.00 nat. median
$1,626
outlier · 4.2×
11606
CPT 		Exc Mal Les Trunk/arm/leg > 4.0 Cm Je 14 $6,863.00 $6,863.00 $6,863.00 nat. median
$1,809
outlier · 3.8×
11422
CPT 		Exc Ben Les Scalp/neck/hands/feet/gen Je 14 $6,863.00 $6,863.00 $6,863.00 nat. median
$1,545
outlier · 4.4×
20822
CPT 		Arthorcentesis/aspiration/injectn ER-fac 14 $6,777.00 $6,777.00 $6,777.00 nat. median
$2,350
outlier · 2.9×
25605
CPT 		Closed Tx Of Distal Radl Fx-w Man ER-fac 14 $6,777.00 $6,777.00 $6,777.00 nat. median
$1,668
outlier · 4.1×
23675
CPT 		Closed Trmt Shldr Dislocation, W Surgic 14 $6,777.00 $6,777.00 $6,777.00 nat. median
$1,679
outlier · 4.0×
21451
CPT 		Replantation Digit Excld ER-fac 14 $6,747.00 $6,747.00 $6,747.00 nat. median
$1,882
outlier · 3.6×
95810
CPT 		Baseline-psg 14 $6,374.00 $6,374.00 $6,374.00 nat. median
$1,814
outlier · 3.5×
11626
CPT 		Exc Diam Sca/neck/hand/feet/gen > 4. Je 14 $548.00 $11,594.00 $6,071.00 nat. median
$2,835
outlier · 2.1×
2090338
LOCAL 		Nf-ocrevus Intravenous Solution 30mg/1ml 14 $5,850.00 $5,850.00 $5,850.00 nat. median
$5,850
1.0× median
1100025
LOCAL 		Or Level 3 14 $5,845.00 $5,845.00 $5,845.00 nat. median
$5,845
1.0× median
64744
CPT 		Inj Anes Agent Trig Any Div Of Jellico 14 $2,600.00 $8,597.00 $5,598.50 nat. median
$2,307
outlier · 2.4×
28270
CPT 		Woundcare Tenotomy 14 $5,475.00 $5,475.00 $5,475.00 nat. median
$3,331
1.6× median
45915
CPT 		Introduce Long Gi Tube ER-fac 14 $5,021.00 $5,021.00 $5,021.00 nat. median
$1,305
outlier · 3.8×
90000271
LOCAL 		Bnp Meterpro Panel Triage 14 $5,019.00 $5,019.00 $5,019.00 nat. median
$5,019
1.0× median
90000189
LOCAL 		Dm Loci Ntp Flex 14 $4,855.00 $4,855.00 $4,855.00 nat. median
$4,855
1.0× median
71551
CPT 		MRI - Chest W Contrast 14 $4,766.00 $4,766.00 $4,766.00 nat. median
$1,157
outlier · 4.1×
73222
CPT 		MRI - Upper Ext Joint W Contrast 14 $4,766.00 $4,766.00 $4,766.00 nat. median
$1,282
outlier · 3.7×
73722
CPT 		MRI - Lower Ext Joint W Contrast 14 $4,766.00 $4,766.00 $4,766.00 nat. median
$1,282
outlier · 3.7×
10180
CPT 		Woundcare Drainage Of Infected Wound 14 $4,638.00 $4,638.00 $4,638.00 nat. median
$2,867
1.6× median
32556
CPT 		Drainage Pleural Indwell Cath Wo ER-prof 14 $1,443.00 $7,787.00 $4,615.00 nat. median
$1,995
outlier · 2.3×
36557
CPT 		Insertion Tunnled Cvl <5yr ER-fac 14 $4,582.00 $4,582.00 $4,582.00 nat. median
$5,381
0.9× median
43249
CPT 		Edg W/removal Snare Technique 14 $4,450.00 $4,450.00 $4,450.00 nat. median
$2,107
outlier · 2.1×
64774
CPT 		Excision Neuroma ER-fac 14 $100.00 $8,597.00 $4,348.50 nat. median
$2,229
2.0× median
11762
CPT 		Reconstruction Nail Bed W/graft ER-fac 14 $495.00 $8,114.00 $4,304.50 nat. median
$1,961
outlier · 2.2×
2090994
LOCAL 		Nf-actemra SubcutaneousSolution 162mg/0. 14 $4,304.00 $4,304.00 $4,304.00 nat. median
$4,304
1.0× median
36555
CPT 		Central Venous Cath</5y ER-fac 14 $349.00 $8,156.00 $4,252.50 nat. median
$2,689
1.6× median
36569
CPT 		Insertion Picc Wo; >=5 Yr ER-fac 14 $265.00 $8,156.00 $4,210.50 nat. median
$1,722
outlier · 2.4×
90675
CPT 		Rabies Immune Globulin 2ml Inj 14 $1,380.00 $6,581.00 $3,980.50 nat. median
$543
outlier · 7.3×
1100034
LOCAL 		Or Level Ii 14 $3,980.00 $3,980.00 $3,980.00 nat. median
$3,980
1.0× median
46500
CPT 		Inj Of Sclerosing Sol, Hemorrhds ER-fac 14 $3,819.00 $3,819.00 $3,819.00 nat. median
$1,079
outlier · 3.5×
2090521
LOCAL 		Fomepizole (methylpyrazole) 1.5gm/1.5ml 14 $3,398.00 $3,398.00 $3,398.00 nat. median
$3,398
1.0× median

Other procedures at this hospital

Browse this hospital's 3,732 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
             
1 LOCAL Nightly Board 17 14 $1,700.00 $510.00 70% off $1,700.00 $1,700.00 $1,700.00 2026-10-19
10061 CPT I & D Abcess WndCr 34 14 $1,118.50 $335.55 70% off $639.00 $1,598.00 $1,118.50 2026-10-19
10080 CPT I&d Of Pilonidal Cyst Simp Jellico 17 14 $3,050.00 $915.00 70% off $3,050.00 $3,050.00 $3,050.00 2026-10-19
10121 CPT Inc/removal Fb Subq Tis Co ER-fac 17 14 $6,863.00 $2,058.90 70% off $6,863.00 $6,863.00 $6,863.00 2026-10-19
10140 CPT I&d Hematomaseroma Fluid ER-fac 17 14 $6,863.00 $2,058.90 70% off $6,863.00 $6,863.00 $6,863.00 2026-10-19
10160 CPT Puncture Aspiration Abscess/etc ER-fac 34 14 $1,118.50 $335.55 70% off $639.00 $1,598.00 $1,118.50 2026-10-19
10180 CPT Woundcare Drainage Of Infected Wound 17 14 $4,638.00 $1,391.40 70% off $4,638.00 $4,638.00 $4,638.00 2026-10-19
11000 CPT Zzz - Incision/drainage 17 14 $1,445.00 $433.50 70% off $1,445.00 $1,445.00 $1,445.00 2026-10-19
1100025 LOCAL Or Level 3 17 14 $5,845.00 $1,753.58 70% off $5,845.00 $5,845.00 $5,845.00 2026-10-19
1100026 LOCAL Or Level 4 17 14 $8,616.00 $2,584.85 70% off $8,616.00 $8,616.00 $8,616.00 2026-10-19
1100027 LOCAL Or Level 5 17 14 $10,204.00 $3,061.14 70% off $10,204.00 $10,204.00 $10,204.00 2026-10-19
1100032 LOCAL Or Level I 17 14 $2,851.00 $855.21 70% off $2,851.00 $2,851.00 $2,851.00 2026-10-19
1100033 LOCAL Or Level I Each Additional 15 Min 17 14 $2,851.00 $855.21 70% off $2,851.00 $2,851.00 $2,851.00 2026-10-19
1100034 LOCAL Or Level Ii 17 14 $3,980.00 $1,194.08 70% off $3,980.00 $3,980.00 $3,980.00 2026-10-19
1100039 LOCAL Recovery Room 1st 30 Minutes 17 14 $1,198.00 $359.42 70% off $1,198.00 $1,198.00 $1,198.00 2026-10-19
11042 CPT Debridement Skin & Subcut ER-fac 34 14 $1,118.50 $335.55 70% off $639.00 $1,598.00 $1,118.50 2026-10-19
11043 CPT Excision Debridement Skin ER-fac 34 14 $1,739.50 $521.85 70% off $994.00 $2,485.00 $1,739.50 2026-10-19
11044 CPT Woundcare Muscle <20 Cm 17 14 $2,745.00 $823.50 70% off $2,745.00 $2,745.00 $2,745.00 2026-10-19
11106 CPT Debridement Extens Eczemats Skin ER-fac 17 14 $1,598.00 $479.40 70% off $1,598.00 $1,598.00 $1,598.00 2026-10-19
11400 CPT Exc Ben Les Scalp/neck/hands/feet/gen Je 17 14 $3,050.00 $915.00 70% off $3,050.00 $3,050.00 $3,050.00 2026-10-19
11401 CPT Exc Ben Lesion Trunk/arms/legs Je 17 14 $1,598.00 $479.40 70% off $1,598.00 $1,598.00 $1,598.00 2026-10-19
11403 CPT Excision 2.1 To 3.0 Cm Jellico 34 14 $1,735.00 $520.46 70% off $420.00 $3,050.00 $1,735.00 2026-10-19
11404 CPT Exc Ben Lsn Sclp/n/h/f 2.1-3.0cm ER-fac 17 14 $6,863.00 $2,058.90 70% off $6,863.00 $6,863.00 $6,863.00 2026-10-19
11420 CPT Exc Ben Lsn 3.1-4.0cm ER-fac 17 14 $6,863.00 $2,058.90 70% off $6,863.00 $6,863.00 $6,863.00 2026-10-19
11422 CPT Exc Ben Les Scalp/neck/hands/feet/gen Je 17 14 $6,863.00 $2,058.90 70% off $6,863.00 $6,863.00 $6,863.00 2026-10-19
11444 CPT Exc Ben Lesn S,n,h,f,g 3.1-4.0cm ER-fac 17 14 $6,863.00 $2,058.90 70% off $6,863.00 $6,863.00 $6,863.00 2026-10-19
11602 CPT Exc Ben Lesion 0.5 Cm Or Less Je 17 14 $1,598.00 $479.40 70% off $1,598.00 $1,598.00 $1,598.00 2026-10-19
11604 CPT Exc Mal Lesn M,t,a,l 3.1-4.0cm ER-fac 17 14 $3,050.00 $915.00 70% off $3,050.00 $3,050.00 $3,050.00 2026-10-19
11606 CPT Exc Mal Les Trunk/arm/leg > 4.0 Cm Je 17 14 $6,863.00 $2,058.90 70% off $6,863.00 $6,863.00 $6,863.00 2026-10-19
11626 CPT Exc Diam Sca/neck/hand/feet/gen > 4. Je 34 14 $6,071.00 $1,821.30 70% off $548.00 $11,594.00 $6,071.00 2026-10-19
11760 CPT Trimming Of Nondystrophic Nails ER-fac 17 14 $2,485.00 $745.50 70% off $2,485.00 $2,485.00 $2,485.00 2026-10-19
11762 CPT Reconstruction Nail Bed W/graft ER-fac 34 14 $4,304.50 $1,291.35 70% off $495.00 $8,114.00 $4,304.50 2026-10-19
12005 CPT Repair (s) Scalp/tk/ext 12.6-20cm ER-fac 34 14 $1,149.50 $344.78 70% off $701.00 $1,598.00 $1,149.50 2026-10-19
12006 CPT Repair (s) Scalp/tk/ext 20.1-30cm ER-fac 34 14 $1,212.50 $363.78 70% off $827.00 $1,598.00 $1,212.50 2026-10-19
12016 CPT Repair (s) Facial 12.6-20cm ER-fac 34 14 $1,241.50 $372.44 70% off $885.00 $1,598.00 $1,241.50 2026-10-19
12017 CPT Repair (s) Facial 20.1-30.0cm ER-fac 34 14 $1,129.50 $338.80 70% off $661.00 $1,598.00 $1,129.50 2026-10-19
12020 CPT Closure Splint Wound/Simple ER-prof 51 14 $1,212.00 $363.53 70% off $528.00 $1,212.00 $1,212.00 2026-10-19
12031 CPT Repair Inter Trun/ext 02.5c ER-prof 51 14 $1,033.00 $309.96 70% off $734.00 $1,598.00 $1,033.00 2026-10-19
12035 CPT Repair Inter Trun/ext 12.6-20.0cm ER-fac 51 14 $1,112.00 $333.60 70% off $725.00 $1,617.00 $1,112.00 2026-10-19
12036 CPT Repair Inter Trun/ext 20.1-30.0cm ER-fac 51 14 $1,209.00 $362.70 70% off $722.00 $1,789.00 $1,209.00 2026-10-19
12037 CPT Repair Inter Trun/ext 30.0+cm ER-fac 51 14 $1,341.00 $402.30 70% off $753.00 $2,023.00 $1,341.00 2026-10-19
12044 CPT Repair(I) Nck/H/Ft/Gn 7.6-12.5cm ER-prof 34 14 $1,169.50 $350.81 70% off $795.00 $1,544.00 $1,169.50 2026-10-19
12045 CPT Repair(I) Nck/H/Ft/Gn 12.6-20cm ER-prof 34 14 $1,177.50 $353.26 70% off $655.00 $1,700.00 $1,177.50 2026-10-19
12046 CPT Repair(I) Nck/H/Ft/Gen 20.1-30cm ER-prof 34 14 $1,456.00 $436.81 70% off $884.00 $2,028.00 $1,456.00 2026-10-19
12047 CPT Repair (i) Neck/H/Ft/Gen >30cm ER-prof 34 14 $1,583.50 $475.05 70% off $938.00 $2,229.00 $1,583.50 2026-10-19
12052 CPT Repair (i) Facial 2.6-5 Cm ER-fac 34 14 $1,434.00 $430.18 70% off $1,270.00 $1,598.00 $1,434.00 2026-10-19
12053 CPT Repair (i) Facial 05.1-07.5cm ER-fac 34 14 $1,101.50 $330.38 70% off $719.00 $1,484.00 $1,101.50 2026-10-19
12054 CPT Repair (i) Facial 07.6-12.5cm ER-fac 34 14 $1,175.50 $352.65 70% off $798.00 $1,553.00 $1,175.50 2026-10-19
12055 CPT Repair (i) Facial 12.6-20.0cm ER-fac 34 14 $1,496.00 $448.73 70% off $979.00 $2,013.00 $1,496.00 2026-10-19
12056 CPT Repair (i) Facial 20.1-30.0cm ER-fac 34 14 $1,655.00 $496.45 70% off $937.00 $2,373.00 $1,655.00 2026-10-19
12057 CPT Repair (i) Facial 30.0+cm ER-fac 34 14 $1,725.00 $517.54 70% off $929.00 $2,521.00 $1,725.00 2026-10-19
20103 CPT Exploration Penetrating Ext ER-fac 17 14 $1,089.00 $326.70 70% off $1,089.00 $1,089.00 $1,089.00 2026-10-19
20525 CPT Remove Fb Muscle Deep ER-fac 17 14 $1,088.00 $326.40 70% off $1,088.00 $1,088.00 $1,088.00 2026-10-19
20610 CPT Arthor/aspir/inj Major Joint Without U/s Gui 17 14 $1,309.00 $392.70 70% off $1,309.00 $1,309.00 $1,309.00 2026-10-19
20822 CPT Arthorcentesis/aspiration/injectn ER-fac 17 14 $6,777.00 $2,033.10 70% off $6,777.00 $6,777.00 $6,777.00 2026-10-19
2090103 LOCAL Nf-fluticasone Propionate, Micronized Pw 17 14 $11,273.00 $3,381.90 70% off $11,273.00 $11,273.00 $11,273.00 2026-10-19
2090216 LOCAL Methylene Blue 10 Mg/ml (10ml) Inj 17 14 $1,281.00 $384.30 70% off $1,281.00 $1,281.00 $1,281.00 2026-10-19
2090222 LOCAL Nf-trulicity SubQ Soln 1.5mg/0.5ml 17 14 $1,314.00 $394.20 70% off $1,314.00 $1,314.00 $1,314.00 2026-10-19
2090237 LOCAL Nf-repatha Subcutaneous Solution 140mg/1 17 14 $2,010.00 $603.00 70% off $2,010.00 $2,010.00 $2,010.00 2026-10-19
2090319 LOCAL Nf-imatinib Mesylate Oral Tablet 400mg 17 14 $1,093.00 $327.90 70% off $1,093.00 $1,093.00 $1,093.00 2026-10-19
2090338 LOCAL Nf-ocrevus Intravenous Solution 30mg/1ml 17 14 $5,850.00 $1,755.00 70% off $5,850.00 $5,850.00 $5,850.00 2026-10-19
2090381 LOCAL Nf-repatha Subcutaneous Solution 140mg/1 17 14 $2,010.00 $603.00 70% off $2,010.00 $2,010.00 $2,010.00 2026-10-19
2090407 LOCAL Nf-trulicity SubQ Soln 1.5mg/0.5ml 17 14 $1,314.00 $394.20 70% off $1,314.00 $1,314.00 $1,314.00 2026-10-19
2090479 LOCAL Nf-trulicity SubQ Solution 0.75mg/0.5ml 17 14 $1,366.00 $409.80 70% off $1,366.00 $1,366.00 $1,366.00 2026-10-19
2090498 LOCAL Nf-praluent Subcutaneous Solution 75mg/1 17 14 $2,016.00 $604.80 70% off $2,016.00 $2,016.00 $2,016.00 2026-10-19
2090521 LOCAL Fomepizole (methylpyrazole) 1.5gm/1.5ml 17 14 $3,398.00 $1,019.25 70% off $3,398.00 $3,398.00 $3,398.00 2026-10-19
2090593 LOCAL Premarin Vaginal Cream 17 14 $1,091.00 $327.30 70% off $1,091.00 $1,091.00 $1,091.00 2026-10-19
2090696 LOCAL IV Immune Globulin (privigen) 10% 17 14 $2,571.00 $771.30 70% off $2,571.00 $2,571.00 $2,571.00 2026-10-19
2090754 LOCAL Tetanus Immune Globulin 250units Inj 17 14 $1,350.00 $405.00 70% off $1,350.00 $1,350.00 $1,350.00 2026-10-19
2090843 LOCAL Nf-trulicity SubQ Soln 1.5mg/0.5ml 17 14 $1,519.00 $455.70 70% off $1,519.00 $1,519.00 $1,519.00 2026-10-19
2090934 LOCAL Nf-trulicity SubQ Solution 0.75mg/0.5ml 17 14 $1,595.00 $478.50 70% off $1,595.00 $1,595.00 $1,595.00 2026-10-19
2090944 LOCAL Nf-trulicity SubQ Solution 0.75mg/0.5ml 17 14 $1,595.00 $478.50 70% off $1,595.00 $1,595.00 $1,595.00 2026-10-19
2090994 LOCAL Nf-actemra SubcutaneousSolution 162mg/0. 17 14 $4,304.00 $1,291.20 70% off $4,304.00 $4,304.00 $4,304.00 2026-10-19
2091014 LOCAL Nf-ozempic 1mg Doses SubQ Soln 4mg/3ml 17 14 $1,070.00 $321.00 70% off $1,070.00 $1,070.00 $1,070.00 2026-10-19
2091036 LOCAL Nf-trulicity SubQ Soln 1.5mg/0.5ml 17 14 $1,595.00 $478.50 70% off $1,595.00 $1,595.00 $1,595.00 2026-10-19
2091086 LOCAL Nf-sofosbuvir-velpatasvir Tab 400mg-100m 17 14 $1,028.00 $308.40 70% off $1,028.00 $1,028.00 $1,028.00 2026-10-19
2091089 LOCAL Nf-trulicity SubQ Soln 3mg/0.5ml 17 14 $1,595.00 $478.50 70% off $1,595.00 $1,595.00 $1,595.00 2026-10-19
2091130 LOCAL Nf-ozempic 0.25mg Or 0.5mg Doses 2mg/1.5 17 14 $2,140.00 $642.00 70% off $2,140.00 $2,140.00 $2,140.00 2026-10-19
2091144 LOCAL Nf-trulicity SubQ Soln 4.5mg/0.5ml 17 14 $1,595.00 $478.50 70% off $1,595.00 $1,595.00 $1,595.00 2026-10-19
2091169 LOCAL Nf-trulicity SubQ Soln 1.5mg/0.5ml 17 14 $1,595.00 $478.50 70% off $1,595.00 $1,595.00 $1,595.00 2026-10-19
2091214 LOCAL Nf-ozempic SubQ Soln 2mg/3ml 17 14 $1,122.00 $336.60 70% off $1,122.00 $1,122.00 $1,122.00 2026-10-19
2091301 LOCAL Nf-mounjaro SubQ Soln 2.5mg/0.5ml 17 14 $1,841.00 $552.30 70% off $1,841.00 $1,841.00 $1,841.00 2026-10-19
21451 CPT Replantation Digit Excld ER-fac 17 14 $6,747.00 $2,024.10 70% off $6,747.00 $6,747.00 $6,747.00 2026-10-19
22310 CPT Clsd Treat Of Vert Bd;wo Manp, With ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
23605 CPT Treat Shoulder Dislocation ER-prof 17 14 $1,354.00 $406.24 70% off $1,354.00 $1,354.00 $1,354.00 2026-10-19
23620 CPT Closed Treatment Of Toe Phalanx W ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
23650 CPT Clsd Tx Sh Dislocation/W/Manipuln ER-fac 54 15 $1,354.00 $406.24 70% off $430.38 $1,354.00 $1,354.00 2026-10-19
23655 CPT Clsd Tx Shoul Disloc W/man & Anes ER-fac 17 14 $1,100.00 $330.00 70% off $1,100.00 $1,100.00 $1,100.00 2026-10-19
23675 CPT Closed Trmt Shldr Dislocation, W Surgic 17 14 $6,777.00 $2,033.10 70% off $6,777.00 $6,777.00 $6,777.00 2026-10-19
23930 CPT Incision & Drainage Of Mouth Jellico 17 14 $11,594.00 $3,478.20 70% off $11,594.00 $11,594.00 $11,594.00 2026-10-19
24500 CPT Cl Tx Humeral Shaft Frac ER-fac 34 14 $1,031.00 $309.36 70% off $437.00 $1,625.00 $1,031.00 2026-10-19
25605 CPT Closed Tx Of Distal Radl Fx-w Man ER-fac 17 14 $6,777.00 $2,033.10 70% off $6,777.00 $6,777.00 $6,777.00 2026-10-19
26011 CPT Drain Finger Absces, Complicated ER-fac 17 14 $1,362.00 $408.60 70% off $1,362.00 $1,362.00 $1,362.00 2026-10-19
26720 CPT Disl Clsd Hand/finger Wo Mani Ea ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
26725 CPT Closed Treatment Of Phalangeal Wo ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
26740 CPT Closed Treatment Of Phalangeal W ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
26765 CPT Frac/Disloc Proc Hand/Fing ER Fac Fee 34 14 $1,499.50 $449.85 70% off $1,410.00 $1,589.00 $1,499.50 2026-10-19
26770 CPT Clsd Reduct Dislocation Of Hand ER-fac 34 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
27220 CPT Clsd Tx Acetabulum Fx Without Manipul ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
27246 CPT Clsd Tx Greater Trochntrc Fx Wo M ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
27265 CPT Reductn Pst Arth Hip Dislc W/oane ER-fac 34 14 $1,167.50 $350.29 70% off $1,077.00 $1,258.00 $1,167.50 2026-10-19
27520 CPT Fracture Disloc Procdr Femur ER Fac Fee 34 14 $1,146.00 $343.80 70% off $939.00 $1,353.00 $1,146.00 2026-10-19
27550 CPT Open Treatment Distal Phalang ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
27658 CPT Prim Repr Flexortndn Leg Wo Graf ER-fac 17 14 $13,687.00 $4,106.10 70% off $13,687.00 $13,687.00 $13,687.00 2026-10-19
27786 CPT Clsd Tx Distal Fibular Fx Wo Man ER-fac 34 14 $1,057.50 $317.25 70% off $890.00 $1,225.00 $1,057.50 2026-10-19
28270 CPT Woundcare Tenotomy 17 14 $5,475.00 $1,642.50 70% off $5,475.00 $5,475.00 $5,475.00 2026-10-19
28495 CPT Closed Treatment Of Great Toe Wo ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
28510 CPT Closed Treatment Of Great Toe W ER-fac 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
28515 CPT Closed Treatment Of Toe Phalanx Wo ER-fa 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
28630 CPT Clsd Tx Shdr Dis/srg/ant/nck Fx/wmn ER-f 17 14 $1,078.00 $323.40 70% off $1,078.00 $1,078.00 $1,078.00 2026-10-19
30906 CPT Control Nasal Hemorr (post Pack) ER-fac 17 14 $1,018.00 $305.40 70% off $1,018.00 $1,018.00 $1,018.00 2026-10-19
31515 CPT Laryngoscopy Indirect (diagnostc) ER-fac 17 14 $1,889.00 $566.70 70% off $1,889.00 $1,889.00 $1,889.00 2026-10-19
31605 CPT Tracheostomy Cricothyroid Membran ER-fac 17 14 $1,018.00 $305.40 70% off $1,018.00 $1,018.00 $1,018.00 2026-10-19
32551 CPT Tube Thoracostomy; Inc Water Seal ER-fac 34 14 $1,700.00 $510.00 70% off $100.00 $3,300.00 $1,700.00 2026-10-19
32555 CPT Thoracentesis W/Guidance ER-fac 34 14 $1,131.00 $339.36 70% off $994.00 $1,268.00 $1,131.00 2026-10-19
32556 CPT Drainage Pleural Indwell Cath Wo ER-prof 34 14 $4,615.00 $1,384.44 70% off $1,443.00 $7,787.00 $4,615.00 2026-10-19
32557 CPT Plcemnt Indwel Cath Pleur Spce ER Fac-fe 34 14 $2,047.00 $614.10 70% off $1,966.00 $2,128.00 $2,047.00 2026-10-19
36555 CPT Central Venous Cath</5y ER-fac 34 14 $4,252.50 $1,275.75 70% off $349.00 $8,156.00 $4,252.50 2026-10-19
36557 CPT Insertion Tunnled Cvl <5yr ER-fac 17 14 $4,582.00 $1,374.60 70% off $4,582.00 $4,582.00 $4,582.00 2026-10-19
36558 CPT Insertion Of Tunnled Cvl >=5y ER-fac 34 14 $1,662.50 $498.75 70% off $528.00 $2,797.00 $1,662.50 2026-10-19
36569 CPT Insertion Picc Wo; >=5 Yr ER-fac 34 14 $4,210.50 $1,263.15 70% off $265.00 $8,156.00 $4,210.50 2026-10-19
36680 CPT Needle Placemebt For Intraosseous 34 14 $1,033.00 $309.90 70% off $248.00 $1,818.00 $1,033.00 2026-10-19
41000 CPT Incision & Drainage Mouth ER-fac 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
41005 CPT Needle Placement Intraosseous ER-fac 17 14 $1,018.00 $305.40 70% off $1,018.00 $1,018.00 $1,018.00 2026-10-19
43249 CPT Edg W/removal Snare Technique 17 14 $4,450.00 $1,335.00 70% off $4,450.00 $4,450.00 $4,450.00 2026-10-19
43450 CPT Egd W/biopsy Dilation <30 Mm 17 14 $2,300.00 $690.00 70% off $2,300.00 $2,300.00 $2,300.00 2026-10-19
43754 CPT Gastric Intubation 17 14 $1,266.00 $379.80 70% off $1,266.00 $1,266.00 $1,266.00 2026-10-19
45385 CPT Colonoscopy Wo Biopsy 17 14 $2,940.00 $882.00 70% off $2,940.00 $2,940.00 $2,940.00 2026-10-19
45915 CPT Introduce Long Gi Tube ER-fac 17 14 $5,021.00 $1,506.30 70% off $5,021.00 $5,021.00 $5,021.00 2026-10-19
46040 CPT I&d Ischiorectal/perirectal Abcess Jelli 34 14 $2,831.00 $849.30 70% off $641.00 $5,021.00 $2,831.00 2026-10-19
46500 CPT Inj Of Sclerosing Sol, Hemorrhds ER-fac 17 14 $3,819.00 $1,145.70 70% off $3,819.00 $3,819.00 $3,819.00 2026-10-19
59409 CPT Vag Delivery Only W/wo Epis ER-prof 34 14 $7,965.00 $2,389.47 70% off $3,439.00 $12,491.00 $7,965.00 2026-10-19
62270 CPT Spinal Puncture Lumbar Dx ER-fac 17 14 $3,125.00 $937.50 70% off $3,125.00 $3,125.00 $3,125.00 2026-10-19
64400 CPT Injection Or Admin Of Anes 17 14 $1,309.00 $392.70 70% off $1,309.00 $1,309.00 $1,309.00 2026-10-19
64744 CPT Inj Anes Agent Trig Any Div Of Jellico 34 14 $5,598.50 $1,679.55 70% off $2,600.00 $8,597.00 $5,598.50 2026-10-19
64774 CPT Excision Neuroma ER-fac 34 14 $4,348.50 $1,304.55 70% off $100.00 $8,597.00 $4,348.50 2026-10-19
65210 CPT Excision Neuroma ER-fac 17 14 $1,818.00 $545.40 70% off $1,818.00 $1,818.00 $1,818.00 2026-10-19
69020 CPT I&d Ext Auditory Candl,abcess ER-fac 34 14 $1,744.50 $523.35 70% off $439.00 $3,050.00 $1,744.50 2026-10-19
70336 CPT MRI - Temoromandibular Joint 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
70460 CPT CT Brain/head W/contras 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70470 CPT CT Brain/head W/wo Cont 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70481 CPT CT Orbits W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70482 CPT CT Orbits W/wo Contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70487 CPT CT Max/fac W/contrast 34 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70488 CPT CT Max/fac W/wo Contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70491 CPT CT Neck Soft Tissue W Contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70492 CPT CT Necksoft Tissue W/wo 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70496 CPT CT CTA - Head W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70498 CPT CT CTA - Neck W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
70540 CPT MRI - Orbit/face/neck W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
70542 CPT MRI - Orbit/face/neck W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
70543 CPT MRI - Orbit/face/neck W/wo Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
70544 CPT MRA - Head W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
70545 CPT MRA - Head W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
70546 CPT MRA - Head W/wo Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
70547 CPT MRA - Neck W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
70548 CPT MRA - Neck W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
70549 CPT MRA - Neck W And W/out Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
70551 CPT MRI - Brain/head Without 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
70552 CPT MRI - Brain/head W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
70553 CPT MRI - Brain/head W And Without Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
71260 CPT CT Chest Pe Study W/contrast 18 15 $1,276.00 $382.80 70% off $69.85 $1,276.00 $1,276.00 2026-10-19
71270 CPT CT Chest/lung W/wo Cont 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
71275 CPT CT CTA - Chest W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
71550 CPT MRI - Chest W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
71551 CPT MRI - Chest W Contrast 17 14 $4,766.00 $1,429.80 70% off $4,766.00 $4,766.00 $4,766.00 2026-10-19
71552 CPT MRI - Chest W And W/out Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
71555 CPT MRA - Chest W/wo Contrast 17 14 $1,871.00 $561.30 70% off $1,871.00 $1,871.00 $1,871.00 2026-10-19
72126 CPT CT Cervical Spine W/con 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72127 CPT CT Cervical Spine W/wo 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
72129 CPT CT Thoracic Spine W/con 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
72130 CPT CT Thoracic Spine W/wo Con 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
72132 CPT CT Lumbar W/contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72133 CPT CT Lumbar Spine W/wo Co 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
72141 CPT MRI - C Spine W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
72142 CPT MRI - C Spine W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72146 CPT MRI - T Spine W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
72147 CPT MRI - T Spine W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72148 CPT MRI - Lumbar W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
72149 CPT MRI - Lumbar W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72156 CPT MRI - C Spine W And W/out Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72157 CPT MRI - T Spine W And W/out Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72158 CPT MRI - Lumbar W And W/out Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72191 CPT CT CTA - Pelvis W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
72193 CPT CT Pelvis W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
72194 CPT CT Pelvis W/wo Contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
72195 CPT MRI - Pelvis W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
72196 CPT MRI - Pelvis W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72197 CPT MRI - Pelvis W And W/out Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
72198 CPT MRA - Pelvis W And Without Contrast 17 14 $1,887.00 $566.10 70% off $1,887.00 $1,887.00 $1,887.00 2026-10-19
73201 CPT CT Upper Extremity W/contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
73202 CPT CT Upper Ext W/wo Contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
73206 CPT CT CTA - Upper Extremity W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
73218 CPT MRI - Upper Ext No Joint W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
73219 CPT MRI - Upper Ext No Joint W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
73220 CPT MRI - Upper Ext No Joint W/wo Contr 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
73221 CPT MRI - Upper Ext Joint W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
73222 CPT MRI - Upper Ext Joint W Contrast 17 14 $4,766.00 $1,429.80 70% off $4,766.00 $4,766.00 $4,766.00 2026-10-19
73223 CPT MRI - Upper Ext Joint W/wo Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
73225 CPT MRA - Upper Extremity W And Without Contrast 17 14 $1,959.00 $587.70 70% off $1,959.00 $1,959.00 $1,959.00 2026-10-19
73701 CPT CT Lower Extremity W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
73702 CPT CT Lower Extremity W/wo Contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
73706 CPT CT CTA Lower Extremity W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
73718 CPT MRI - Lower Ext No Joint W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
73719 CPT MRI - Lower Ext No Joint W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
73720 CPT MRI - Lower Ext No Joint W/wo Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
73721 CPT MRI - Lower Ext Joint W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
73722 CPT MRI - Lower Ext Joint W Contrast 17 14 $4,766.00 $1,429.80 70% off $4,766.00 $4,766.00 $4,766.00 2026-10-19
73723 CPT MRI - Lower Ext Joint W/wo Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
73725 CPT MRA - Lower Extremity W And Without Contrast 17 14 $1,885.00 $565.50 70% off $1,885.00 $1,885.00 $1,885.00 2026-10-19
74160 CPT CT Abdomen W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
74170 CPT CT Abdomen W/wo Contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
74174 CPT CT CTA - Abdomen/pelvis W/contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
74175 CPT CT CTA - Abdomen W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
74176 CPT CT Abdomen And Pelvis Without Contrast 18 15 $1,631.00 $489.30 70% off $184.50 $1,631.00 $1,631.00 2026-10-19
74177 CPT CT Abdomen And Pelvis W/contrast 18 15 $2,673.00 $801.90 70% off $98.85 $2,673.00 $2,673.00 2026-10-19
74178 CPT CT Abdomen And Pelvis W/wo Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
74181 CPT MRI - Abdomen W/out Contrast 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
74182 CPT MRI - Abdomen W Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
74183 CPT MRI - Abdomen W And W/out Contrast 17 14 $2,673.00 $801.90 70% off $2,673.00 $2,673.00 $2,673.00 2026-10-19
74185 CPT MRI - Abdomen W Or Without Contrast 17 14 $1,896.00 $568.80 70% off $1,896.00 $1,896.00 $1,896.00 2026-10-19
74210 CPT Barium Swallow 17 14 $1,093.00 $327.90 70% off $1,093.00 $1,093.00 $1,093.00 2026-10-19
74230 CPT Esophagram 17 14 $1,093.00 $327.90 70% off $1,093.00 $1,093.00 $1,093.00 2026-10-19
74240 CPT Upper Gi (single Contrast) 17 14 $1,093.00 $327.90 70% off $1,093.00 $1,093.00 $1,093.00 2026-10-19
74246 CPT Upper Gi (double Contrast) 17 14 $1,093.00 $327.90 70% off $1,093.00 $1,093.00 $1,093.00 2026-10-19
74250 CPT Small Bowel Series 17 14 $1,093.00 $327.90 70% off $1,093.00 $1,093.00 $1,093.00 2026-10-19
74270 CPT Barium Enema 17 14 $1,093.00 $327.90 70% off $1,093.00 $1,093.00 $1,093.00 2026-10-19
74400 CPT IV Pyleogram 17 14 $1,093.00 $327.90 70% off $1,093.00 $1,093.00 $1,093.00 2026-10-19
75635 CPT CT CTA-abd Aorta W/runoff W/contrast 17 14 $1,276.00 $382.80 70% off $1,276.00 $1,276.00 $1,276.00 2026-10-19
76000 CPT Fluoroscopy < 1 Hr 17 14 $1,398.00 $419.40 70% off $1,398.00 $1,398.00 $1,398.00 2026-10-19
76098 CPT US Surgical Specimen 17 14 $3,371.00 $1,011.30 70% off $3,371.00 $3,371.00 $3,371.00 2026-10-19
76811 CPT US Fetal Anatm Exm Sgl Frst Gest 17 14 $1,631.00 $489.30 70% off $1,631.00 $1,631.00 $1,631.00 2026-10-19
78013 CPT Nm Swallowing Video Evaluation 34 14 $1,264.00 $379.22 70% off $319.00 $2,209.00 $1,264.00 2026-10-19
78215 CPT Nm - Liver Spleen Scan 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
78226 CPT Nm - Hepatobiliary Scan 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
78227 CPT Nm - Hepatobiliary Scan With Ejection Fr 17 14 $2,832.00 $849.60 70% off $2,832.00 $2,832.00 $2,832.00 2026-10-19
78264 CPT Nm - Gastric Emptying Study 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
78306 CPT Nm - Whole Body Bone Scan 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
78315 CPT Nm - Triple Phase Bone Scan 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
78451 CPT Nm - Myocardial Perfusion (single) Rest 17 14 $7,633.00 $2,289.90 70% off $7,633.00 $7,633.00 $7,633.00 2026-10-19
78452 CPT Nm - Myocardial Perfusion (dual) 17 14 $7,633.00 $2,289.90 70% off $7,633.00 $7,633.00 $7,633.00 2026-10-19
78472 CPT Nm - Multigated Cardiac Scan 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
78580 CPT Nm - Lung Scan Perfusion Only 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
78582 CPT Nm - Lung Scan Ventilation And Perfusion 17 14 $2,832.00 $849.60 70% off $2,832.00 $2,832.00 $2,832.00 2026-10-19
78701 CPT Nm - Renal Scan W/vascular Flow 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
78761 CPT Nm - Testicular Scan 17 14 $2,209.00 $662.70 70% off $2,209.00 $2,209.00 $2,209.00 2026-10-19
81335 CPT Triopurine Methyltransferase (504142) 17 14 $1,049.00 $314.70 70% off $1,049.00 $1,049.00 $1,049.00 2026-10-19
81340 CPT T-cell Recptr Gene Rearrange.prf (481080 17 14 $1,254.00 $376.20 70% off $1,254.00 $1,254.00 $1,254.00 2026-10-19
87507 CPT Gi Profile, Stool, Pcr (9183480) 17 14 $1,125.00 $337.50 70% off $1,125.00 $1,125.00 $1,125.00 2026-10-19
87902 CPT Hcv Genotyping Non Reflex 34 14 $1,545.00 $463.50 70% off $1,545.00 $1,545.00 $1,545.00 2026-10-19
90000113 LOCAL Medtox Profile-v 12-panel 17 14 $1,096.00 $328.80 70% off $1,096.00 $1,096.00 $1,096.00 2026-10-19
90000118 LOCAL Biopak Polisher 17 14 $1,830.00 $549.00 70% off $1,830.00 $1,830.00 $1,830.00 2026-10-19
90000122 LOCAL Bioclone Anti-igg-c3d Poly Green 17 14 $2,353.00 $705.90 70% off $2,353.00 $2,353.00 $2,353.00 2026-10-19
90000131 LOCAL Igg Gel Cards 17 14 $1,801.00 $540.30 70% off $1,801.00 $1,801.00 $1,801.00 2026-10-19
90000189 LOCAL Dm Loci Ntp Flex 17 14 $4,855.00 $1,456.50 70% off $4,855.00 $4,855.00 $4,855.00 2026-10-19
90000190 LOCAL Loci Tsh-tshl Flex 17 14 $1,067.00 $320.10 70% off $1,067.00 $1,067.00 $1,067.00 2026-10-19
90000191 LOCAL Set Bld Coll 21g For Bottles 17 14 $1,349.00 $404.70 70% off $1,349.00 $1,349.00 $1,349.00 2026-10-19
90000192 LOCAL Hemoglobin A1c Calibrator 17 14 $1,055.00 $316.50 70% off $1,055.00 $1,055.00 $1,055.00 2026-10-19
90000259 LOCAL Filter Sheath 0.45um 17 14 $1,958.00 $587.40 70% off $1,958.00 $1,958.00 $1,958.00 2026-10-19
90000262 LOCAL Innovance Heparin Cal 17 14 $2,149.00 $644.70 70% off $2,149.00 $2,149.00 $2,149.00 2026-10-19
90000267 LOCAL D-dimer Panel Triage 17 14 $2,435.00 $730.50 70% off $2,435.00 $2,435.00 $2,435.00 2026-10-19
90000271 LOCAL Bnp Meterpro Panel Triage 17 14 $5,019.00 $1,505.70 70% off $5,019.00 $5,019.00 $5,019.00 2026-10-19
90000275 LOCAL Pipette Tips Ctip Siemens 17 14 $1,414.00 $424.20 70% off $1,414.00 $1,414.00 $1,414.00 2026-10-19
90000541 LOCAL Biopak C Clinical Cartridge 17 14 $1,830.00 $549.00 70% off $1,830.00 $1,830.00 $1,830.00 2026-10-19
90675 CPT Rabies Immune Globulin 2ml Inj 34 14 $3,980.50 $1,194.18 70% off $1,380.00 $6,581.00 $3,980.50 2026-10-19
92950 CPT Cpr ER-fac 51 14 $1,226.00 $367.80 70% off $1,226.00 $1,346.00 $1,226.00 2026-10-19
92953 CPT Temporary Transcutaneous Pacing ER-fac 17 14 $2,682.00 $804.60 70% off $2,682.00 $2,682.00 $2,682.00 2026-10-19
93015 CPT Stress Test W/interp & Report 17 14 $1,393.00 $418.01 70% off $1,393.00 $1,393.00 $1,393.00 2026-10-19
93306 CPT US Echocardiogram 17 14 $3,371.00 $1,011.30 70% off $3,371.00 $3,371.00 $3,371.00 2026-10-19
93880 CPT US Carotid Doppler 17 14 $1,117.00 $335.12 70% off $1,117.00 $1,117.00 $1,117.00 2026-10-19
93970 CPT US Venous Doppler W/aug U/s Bilateral 17 14 $1,574.00 $472.16 70% off $1,574.00 $1,574.00 $1,574.00 2026-10-19
93971 CPT US Venous Doppler W/aug U/s Unilateral 18 15 $1,152.00 $345.67 70% off $141.05 $1,152.00 $1,152.00 2026-10-19
94002 CPT Ventilation Assist & Mgmt Inittn ER-fac 34 14 $2,090.50 $627.15 70% off $1,858.00 $2,323.00 $2,090.50 2026-10-19
94003 CPT Ventilator Ip/op Subsequent 17 14 $1,858.00 $557.40 70% off $1,858.00 $1,858.00 $1,858.00 2026-10-19
94060 CPT Pulmonary Function- Pre & Post 17 14 $1,012.00 $303.60 70% off $1,012.00 $1,012.00 $1,012.00 2026-10-19
95805 CPT Mslt 17 14 $3,384.00 $1,015.25 70% off $3,384.00 $3,384.00 $3,384.00 2026-10-19
95810 CPT Baseline-psg 17 14 $6,374.00 $1,912.35 70% off $6,374.00 $6,374.00 $6,374.00 2026-10-19
95811 CPT Psg-with Titration 17 14 $2,762.00 $828.50 70% off $2,762.00 $2,762.00 $2,762.00 2026-10-19
95816 CPT EEG-awake 17 14 $1,012.00 $303.60 70% off $1,012.00 $1,012.00 $1,012.00 2026-10-19
99284 CPT ER Facility Level 4 ER-fac 54 15 $1,028.00 $308.40 70% off $70.73 $1,759.00 $1,028.00 2026-10-19
99285 CPT ER Facility Level 5 ER-fac 36 15 $2,059.50 $617.82 70% off $144.01 $2,523.00 $1,596.00 2026-10-19
99291 CPT **do Not Use** 119 14 $2,818.00 $845.43 70% off $680.00 $2,819.00 $2,818.00 2026-10-19
99466 CPT Cc Pediatric Up To 74 Minutes 17 14 $2,061.00 $618.18 70% off $2,061.00 $2,061.00 $2,061.00 2026-10-19
G0105 HCPCS Or Level 10 17 14 $2,250.00 $675.00 70% off $2,250.00 $2,250.00 $2,250.00 2026-10-19
G0121 HCPCS Colorectal Cancer Screening - High Risk 17 14 $2,250.00 $675.00 70% off $2,250.00 $2,250.00 $2,250.00 2026-10-19
G0482 HCPCS Definitive Drug Testing 15-21 Lcmsms 17 14 $1,192.00 $357.60 70% off $1,192.00 $1,192.00 $1,192.00 2026-10-19
G0483 HCPCS Definitive Drug Testing >22 Lcmsms 17 14 $1,482.00 $444.60 70% off $1,482.00 $1,482.00 $1,482.00 2026-10-19
J0248 HCPCS Remdesivir 100mg Inj 17 14 $1,560.00 $468.00 70% off $1,560.00 $1,560.00 $1,560.00 2026-10-19
J0630 HCPCS Calcitonin-salmon (miacalcin) Inj 200iu 17 14 $3,357.00 $1,007.10 70% off $3,357.00 $3,357.00 $3,357.00 2026-10-19
J0840 HCPCS Crotalidae Immune Fab (crofab) Inj 17 14 $9,600.00 $2,880.00 70% off $9,600.00 $9,600.00 $9,600.00 2026-10-19
J0841 HCPCS Anavip (antivenin) IV 17 14 $21,705.00 $6,511.50 70% off $21,705.00 $21,705.00 $21,705.00 2026-10-19
J0878 HCPCS Daptomycin (cubicin) 500 Mg Inj 17 14 $1,200.00 $360.00 70% off $1,200.00 $1,200.00 $1,200.00 2026-10-19
J1071 HCPCS Depomedrol (methylprednisolone)inj:80mg 17 14 $1,216.00 $364.92 70% off $1,216.00 $1,216.00 $1,216.00 2026-10-19
J1162 HCPCS Digoxin Immune Fab (digibind) Inj 40mg 17 14 $11,000.00 $3,300.00 70% off $11,000.00 $11,000.00 $11,000.00 2026-10-19
J1439 HCPCS Ferric Carboxymaltose(injectafer)inj 17 14 $2,454.00 $736.13 70% off $2,454.00 $2,454.00 $2,454.00 2026-10-19
J2785 HCPCS Lexiscan(regadenoson)0.4mg/5ml Inj 17 14 $1,324.00 $397.09 70% off $1,324.00 $1,324.00 $1,324.00 2026-10-19
J2993 HCPCS Reteplase (retavase) Inj 17 14 $14,225.00 $4,267.50 70% off $14,225.00 $14,225.00 $14,225.00 2026-10-19
J2997 HCPCS Alteplace (cathflo) Inj 2mg 34 14 $13,186.50 $3,955.99 70% off $500.00 $25,873.00 $13,186.50 2026-10-19
J3101 HCPCS Tenecteplase (tnkase) 50mg Inj 17 14 $18,000.00 $5,400.00 70% off $18,000.00 $18,000.00 $18,000.00 2026-10-19
P9035 HCPCS Bb Platelet Phenesis Storage 17 14 $1,998.00 $599.40 70% off $1,998.00 $1,998.00 $1,998.00 2026-10-19
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