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

NORTHWEST HILLS SURGICAL HOSPITAL

Austin, TX · CCN 450808 · Rates published

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You selected 29806 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

10,205 distinct procedures filed
18 distinct payers
536,436 rate rows
2026-05-06 last MRF observed
Data quality

536,265 of 536,436 rate rows are consumer-grade (100.0%)

171 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
exceeds 10× this hospital's gross charge — excluded from medians 78
per-diem day rate — not a per-procedure price 35
placeholder amount (≤ $0.02) — excluded from medians 31
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/232238976_northwest-texas-healthcare-system-surgery-center_standardcharges.csv
Found on page https://www.nwths.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint 9bcf567e9c81552a… · 119,228,600 bytes · first seen 2026-11-03

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
9138
OTHER 		6 $3,710,000.00 $3,895,500.00 $3,821,300.00 nat. median
$3,758,972
1.0× median
773
OTHER 		6 $3,710,000.00 $3,895,500.00 $3,821,300.00 nat. median
$3,641,050
1.0× median
9141
OTHER 		8 $2,403,458.75 $4,806,917.50 $2,523,631.69 nat. median
$2,588,981
1.0× median
9194
OTHER 		8 $565,623.84 $1,131,247.68 $593,905.03 nat. median
$577,862
1.0× median
9498
OTHER 		8 $551,318.34 $1,102,636.68 $578,884.26 nat. median
$587,650
1.0× median
9422
OTHER 		8 $528,312.43 $1,056,624.86 $554,728.05 nat. median
$563,449
1.0× median
9413
OTHER 		8 $516,485.97 $1,032,971.94 $542,310.27 nat. median
$562,201
1.0× median
9035
OTHER 		8 $489,517.15 $979,034.30 $513,993.01 nat. median
$533,230
1.0× median
9391
OTHER 		8 $488,051.51 $976,103.02 $512,454.09 nat. median
$492,768
1.0× median
583-4
OTHER 		3 $343,526.10 $359,884.49 $343,526.10 nat. median
$243,100
1.4× median
007-4
OTHER 		3 $334,182.51 $350,095.96 $334,182.51 nat. median
$131,227
outlier · 2.5×
18
OTHER 		11 $295,002.94 $501,504.99 $333,004.02 nat. median
$380,401
0.9× median
583-3
OTHER 		3 $290,885.28 $304,736.96 $290,885.28 nat. median
$240,006
1.2× median
002-4
OTHER 		3 $279,823.40 $293,148.32 $279,823.40 nat. median
$176,034
1.6× median
1
OTHER 		11 $220,342.46 $374,582.19 $248,726.09 nat. median
$232,664
1.1× median
588-4
OTHER 		3 $217,446.39 $227,800.98 $217,446.39 nat. median
$241,995
0.9× median
161-4
OTHER 		3 $211,155.36 $221,210.38 $211,155.36 nat. median
$160,594
1.3× median
009-4
OTHER 		3 $197,819.32 $207,239.29 $197,819.32 nat. median
$98,526
outlier · 2.0×
3
OTHER 		11 $167,645.60 $284,997.52 $189,241.03 nat. median
$202,158
0.9× median
927
OTHER 		11 $1.54 $315,465.91 $188,351.71 nat. median
$2
outlier · 111450.7×
630-4
OTHER 		3 $161,794.61 $169,499.11 $161,794.61 nat. median
$195,063
0.8× median
609-4
OTHER 		3 $160,360.82 $167,997.05 $160,360.82 nat. median
$168,174
1.0× median
1907
OTHER 		8 $152,500.50 $305,001.00 $160,125.52 nat. median
$155,551
1.0× median
1908
OTHER 		8 $152,500.50 $305,001.00 $160,125.52 nat. median
$155,551
1.0× median
583-2
OTHER 		3 $144,941.49 $151,843.47 $144,941.49 nat. median
$178,334
0.8× median
1906
OTHER 		8 $137,500.50 $275,001.00 $144,375.52 nat. median
$140,251
1.0× median
1905
OTHER 		8 $137,500.50 $275,001.00 $144,375.52 nat. median
$140,251
1.0× median
011-4
OTHER 		3 $137,631.43 $144,185.31 $137,631.43 nat. median
$62,526
outlier · 2.2×
1903
OTHER 		8 $122,500.50 $245,001.00 $128,625.52 nat. median
$120,722
1.1× median
1904
OTHER 		8 $122,500.50 $245,001.00 $128,625.52 nat. median
$120,722
1.1× median
200-4
OTHER 		3 $127,897.51 $133,987.86 $127,897.51 nat. median
$13,728
outlier · 9.3×
583-1
OTHER 		3 $127,623.87 $133,701.19 $127,623.87 nat. median
$161,998
0.8× median
4
OTHER 		11 $110,529.89 $187,900.81 $124,767.90 nat. median
$141,447
0.9× median
007-3
OTHER 		3 $117,920.24 $123,535.49 $117,920.24 nat. median
$76,592
1.5× median
J2326
HCPCS 		Nusinersen Per 0.1mg 10 $1,042.50 $429,348.00 $116,997.33 nat. median
$2,468
outlier · 47.4×
588-3
OTHER 		3 $116,674.61 $122,230.54 $116,674.61 nat. median
$152,652
0.8× median
588-2
OTHER 		3 $116,141.35 $121,671.89 $116,141.35 nat. median
$133,956
0.9× median
004-4
OTHER 		3 $115,841.02 $121,357.26 $115,841.02 nat. median
$100,636
1.2× median
14
OTHER 		11 $102,486.94 $174,227.80 $115,688.89 nat. median
$109,099
1.1× median
7
OTHER 		11 $102,228.80 $173,788.96 $115,397.50 nat. median
$149,058
0.8× median
841-4
OTHER 		3 $115,343.04 $120,835.57 $115,343.04 nat. median
$113,251
1.0× median
631-4
OTHER 		3 $114,191.04 $119,628.71 $114,191.04 nat. median
$185,076
0.6× median
1901
OTHER 		8 $107,500.50 $215,001.00 $112,875.52 nat. median
$105,940
1.1× median
1902
OTHER 		8 $107,500.50 $215,001.00 $112,875.52 nat. median
$105,940
1.1× median
850-4
OTHER 		3 $111,182.80 $116,477.21 $111,182.80 nat. median
$39,886
outlier · 2.8×
591-4
OTHER 		3 $110,186.83 $115,433.83 $110,186.83 nat. median
$134,440
0.8× median
161-3
OTHER 		3 $110,057.02 $115,297.83 $110,057.02 nat. median
$123,032
0.9× median
588-1
OTHER 		3 $109,475.37 $114,688.48 $109,475.37 nat. median
$98,197
1.1× median
001-4
OTHER 		3 $100,237.61 $105,010.83 $100,237.61 nat. median
$120,000
0.8× median
008-4
OTHER 		3 $99,835.97 $104,590.06 $99,835.97 nat. median
$64,857
1.5× median

Other procedures at this hospital

Browse this hospital's 10,205 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
             
9138 OTHER — 7 6 — — $3,710,000.00 $3,895,500.00 $3,821,300.00 2026-05-06
773 OTHER — 7 6 — — $3,710,000.00 $3,895,500.00 $3,821,300.00 2026-05-06
9141 OTHER — 9 8 — — $2,403,458.75 $4,806,917.50 $2,523,631.69 2026-05-06
9194 OTHER — 9 8 — — $565,623.84 $1,131,247.68 $593,905.03 2026-05-06
9498 OTHER — 9 8 — — $551,318.34 $1,102,636.68 $578,884.26 2026-05-06
9422 OTHER — 9 8 — — $528,312.43 $1,056,624.86 $554,728.05 2026-05-06
9413 OTHER — 9 8 — — $516,485.97 $1,032,971.94 $542,310.27 2026-05-06
9035 OTHER — 9 8 — — $489,517.15 $979,034.30 $513,993.01 2026-05-06
9391 OTHER — 9 8 — — $488,051.51 $976,103.02 $512,454.09 2026-05-06
583-4 OTHER — 3 3 — — $343,526.10 $359,884.49 $343,526.10 2026-05-06
007-4 OTHER — 3 3 — — $334,182.51 $350,095.96 $334,182.51 2026-05-06
18 OTHER — 15 11 — — $295,002.94 $501,504.99 $333,004.02 2026-05-06
583-3 OTHER — 3 3 — — $290,885.28 $304,736.96 $290,885.28 2026-05-06
002-4 OTHER — 3 3 — — $279,823.40 $293,148.32 $279,823.40 2026-05-06
1 OTHER — 15 11 — — $220,342.46 $374,582.19 $248,726.09 2026-05-06
588-4 OTHER — 3 3 — — $217,446.39 $227,800.98 $217,446.39 2026-05-06
161-4 OTHER — 3 3 — — $211,155.36 $221,210.38 $211,155.36 2026-05-06
009-4 OTHER — 3 3 — — $197,819.32 $207,239.29 $197,819.32 2026-05-06
3 OTHER — 15 11 — — $167,645.60 $284,997.52 $189,241.03 2026-05-06
927 OTHER — 24 11 — — $1.54 $315,465.91 $188,351.71 2026-05-06
630-4 OTHER — 3 3 — — $161,794.61 $169,499.11 $161,794.61 2026-05-06
609-4 OTHER — 3 3 — — $160,360.82 $167,997.05 $160,360.82 2026-05-06
1907 OTHER — 9 8 — — $152,500.50 $305,001.00 $160,125.52 2026-05-06
1908 OTHER — 9 8 — — $152,500.50 $305,001.00 $160,125.52 2026-05-06
583-2 OTHER — 3 3 — — $144,941.49 $151,843.47 $144,941.49 2026-05-06
1906 OTHER — 9 8 — — $137,500.50 $275,001.00 $144,375.52 2026-05-06
1905 OTHER — 9 8 — — $137,500.50 $275,001.00 $144,375.52 2026-05-06
011-4 OTHER — 3 3 — — $137,631.43 $144,185.31 $137,631.43 2026-05-06
1903 OTHER — 9 8 — — $122,500.50 $245,001.00 $128,625.52 2026-05-06
1904 OTHER — 9 8 — — $122,500.50 $245,001.00 $128,625.52 2026-05-06
200-4 OTHER — 3 3 — — $127,897.51 $133,987.86 $127,897.51 2026-05-06
583-1 OTHER — 3 3 — — $127,623.87 $133,701.19 $127,623.87 2026-05-06
4 OTHER — 15 11 — — $110,529.89 $187,900.81 $124,767.90 2026-05-06
007-3 OTHER — 3 3 — — $117,920.24 $123,535.49 $117,920.24 2026-05-06
J2326 HCPCS Nusinersen Per 0.1mg 12 10 $536,685.00 $214,674.00 60% off $1,042.50 $429,348.00 $116,997.33 2026-05-06
588-3 OTHER — 3 3 — — $116,674.61 $122,230.54 $116,674.61 2026-05-06
588-2 OTHER — 3 3 — — $116,141.35 $121,671.89 $116,141.35 2026-05-06
004-4 OTHER — 3 3 — — $115,841.02 $121,357.26 $115,841.02 2026-05-06
14 OTHER — 15 11 — — $102,486.94 $174,227.80 $115,688.89 2026-05-06
7 OTHER — 15 11 — — $102,228.80 $173,788.96 $115,397.50 2026-05-06
841-4 OTHER — 3 3 — — $115,343.04 $120,835.57 $115,343.04 2026-05-06
631-4 OTHER — 3 3 — — $114,191.04 $119,628.71 $114,191.04 2026-05-06
1901 OTHER — 9 8 — — $107,500.50 $215,001.00 $112,875.52 2026-05-06
1902 OTHER — 9 8 — — $107,500.50 $215,001.00 $112,875.52 2026-05-06
850-4 OTHER — 3 3 — — $111,182.80 $116,477.21 $111,182.80 2026-05-06
591-4 OTHER — 3 3 — — $110,186.83 $115,433.83 $110,186.83 2026-05-06
161-3 OTHER — 3 3 — — $110,057.02 $115,297.83 $110,057.02 2026-05-06
588-1 OTHER — 3 3 — — $109,475.37 $114,688.48 $109,475.37 2026-05-06
001-4 OTHER — 3 3 — — $100,237.61 $105,010.83 $100,237.61 2026-05-06
008-4 OTHER — 3 3 — — $99,835.97 $104,590.06 $99,835.97 2026-05-06
1599 OTHER — 9 8 — — $95,000.50 $190,001.00 $99,750.52 2026-05-06
1585 OTHER — 9 8 — — $95,000.50 $190,001.00 $99,750.52 2026-05-06
681-4 OTHER — 3 3 — — $98,062.05 $102,731.67 $98,062.05 2026-05-06
160-4 OTHER — 3 3 — — $98,007.32 $102,674.34 $98,007.32 2026-05-06
2 OTHER — 15 11 — — $86,200.01 $146,540.02 $97,303.95 2026-05-06
009-3 OTHER — 3 3 — — $97,188.21 $101,816.22 $97,188.21 2026-05-06
212 OTHER — 15 11 — — $85,215.96 $144,867.13 $96,193.14 2026-05-06
246-4 OTHER — 3 3 — — $95,039.79 $99,565.49 $95,039.79 2026-05-06
603-4 OTHER — 3 3 — — $94,549.50 $99,051.86 $94,549.50 2026-05-06
5 OTHER — 15 11 — — $83,303.39 $141,615.77 $94,034.20 2026-05-06
215 OTHER — 15 11 — — $82,876.29 $140,889.70 $93,552.08 2026-05-06
426 OTHER — 15 11 — — $81,942.30 $139,301.92 $92,497.78 2026-05-06
006-4 OTHER — 3 3 — — $91,757.46 $96,126.86 $91,757.46 2026-05-06
589-1 OTHER — 3 3 — — $91,750.22 $96,119.28 $91,750.22 2026-05-06
593-4 OTHER — 3 3 — — $91,475.67 $95,831.66 $91,475.67 2026-05-06
1584 OTHER — 9 8 — — $85,000.50 $170,001.00 $89,250.52 2026-05-06
1598 OTHER — 9 8 — — $85,000.50 $170,001.00 $89,250.52 2026-05-06
589-2 OTHER — 3 3 — — $88,924.71 $93,159.22 $88,924.71 2026-05-06
162-4 OTHER — 3 3 — — $85,494.92 $89,566.11 $85,494.92 2026-05-06
216 OTHER — 15 11 — — $75,494.34 $128,340.37 $85,219.21 2026-05-06
602-4 OTHER — 3 3 — — $84,091.89 $88,096.27 $84,091.89 2026-05-06
589-3 OTHER — 3 3 — — $83,409.37 $87,381.25 $83,409.37 2026-05-06
850 OTHER — 15 11 — — $72,058.76 $122,499.89 $81,341.08 2026-05-06
621-4 OTHER — 3 3 — — $79,854.75 $83,657.36 $79,854.75 2026-05-06
007-2 OTHER — 3 3 — — $79,229.22 $83,002.04 $79,229.22 2026-05-06
161-2 OTHER — 3 3 — — $79,113.89 $82,881.22 $79,113.89 2026-05-06
1583 OTHER — 9 8 — — $75,000.50 $150,001.00 $78,750.52 2026-05-06
1597 OTHER — 9 8 — — $75,000.50 $150,001.00 $78,750.52 2026-05-06
011-3 OTHER — 3 3 — — $78,209.29 $81,933.54 $78,209.29 2026-05-06
863-4 OTHER — 3 3 — — $76,996.22 $80,662.71 $76,996.22 2026-05-06
630-3 OTHER — 3 3 — — $76,256.72 $79,887.99 $76,256.72 2026-05-06
161-1 OTHER — 3 3 — — $75,032.34 $78,605.31 $75,032.34 2026-05-06
440-4 OTHER — 3 3 — — $74,846.90 $78,411.04 $74,846.90 2026-05-06
231 OTHER — 15 11 — — $66,285.86 $112,685.96 $74,824.54 2026-05-06
456 OTHER — 15 11 — — $66,249.09 $112,623.46 $74,783.04 2026-05-06
005-4 OTHER — 3 3 — — $74,504.96 $78,052.82 $74,504.96 2026-05-06
004-3 OTHER — 3 3 — — $74,479.63 $78,026.28 $74,479.63 2026-05-06
429 OTHER — 15 11 — — $65,243.14 $110,913.34 $73,647.50 2026-05-06
591-3 OTHER — 3 3 — — $72,557.81 $76,012.95 $72,557.81 2026-05-06
680-4 OTHER — 3 3 — — $72,557.81 $76,012.95 $72,557.81 2026-05-06
608-4 OTHER — 3 3 — — $72,352.02 $75,797.35 $72,352.02 2026-05-06
20 OTHER — 15 11 — — $63,056.79 $107,196.55 $71,179.51 2026-05-06
441-4 OTHER — 3 3 — — $70,832.29 $74,205.26 $70,832.29 2026-05-06
10 OTHER — 15 11 — — $62,367.64 $106,024.99 $70,401.59 2026-05-06
19 OTHER — 15 11 — — $62,010.16 $105,417.27 $69,998.06 2026-05-06
233 OTHER — 15 11 — — $61,142.66 $103,942.52 $69,018.81 2026-05-06
002-3 OTHER — 3 3 — — $68,920.42 $72,202.35 $68,920.42 2026-05-06
219 OTHER — 15 11 — — $60,525.48 $102,893.31 $68,322.13 2026-05-06
1582 OTHER — 9 8 — — $65,000.50 $130,001.00 $68,250.52 2026-05-06
1596 OTHER — 9 8 — — $65,000.50 $130,001.00 $68,250.52 2026-05-06
008-3 OTHER — 3 3 — — $67,481.66 $70,695.07 $67,481.66 2026-05-06
178-4 OTHER — 3 3 — — $66,342.32 $69,501.48 $66,342.32 2026-05-06
957 OTHER — 15 11 — — $58,387.63 $99,258.97 $65,908.89 2026-05-06
C2624 HCPCS Cardiomems Sys Cm1000 16 9 $321,540.00 $128,616.00 60% off $12,554.26 $257,232.00 $65,754.93 2026-05-06
593-3 OTHER — 3 3 — — $65,333.69 $68,444.82 $65,333.69 2026-05-06
611-4 OTHER — 3 3 — — $65,258.61 $68,366.16 $65,258.61 2026-05-06
167-4 OTHER — 3 3 — — $64,970.04 $68,063.86 $64,970.04 2026-05-06
690-4 OTHER — 3 3 — — $64,386.58 $67,452.61 $64,386.58 2026-05-06
043-4 OTHER — 3 3 — — $63,992.17 $67,039.42 $63,992.17 2026-05-06
009-2 OTHER — 3 3 — — $63,920.26 $66,964.08 $63,920.26 2026-05-06
427 OTHER — 15 11 — — $55,559.85 $94,451.74 $62,716.84 2026-05-06
5244 OTHER — 9 8 — — $59,142.33 $118,284.66 $62,099.45 2026-05-06
009-1 OTHER — 3 3 — — $61,989.85 $64,941.74 $61,989.85 2026-05-06
870 OTHER — 15 11 — — $54,416.22 $92,507.57 $61,425.89 2026-05-06
633-4 OTHER — 3 3 — — $60,686.77 $63,576.62 $60,686.77 2026-05-06
303-4 OTHER — 3 3 — — $60,316.79 $63,189.02 $60,316.79 2026-05-06
955 OTHER — 15 11 — — $53,413.39 $90,802.77 $60,293.89 2026-05-06
591-2 OTHER — 3 3 — — $59,907.91 $62,760.67 $59,907.91 2026-05-06
1643 OTHER — 9 8 — — $56,824.55 $113,649.10 $59,665.78 2026-05-06
607-4 OTHER — 3 3 — — $59,321.73 $62,146.58 $59,321.73 2026-05-06
006-3 OTHER — 3 3 — — $59,297.31 $62,120.99 $59,297.31 2026-05-06
447 OTHER — 15 11 — — $52,446.55 $89,159.13 $59,202.50 2026-05-06
268 OTHER — 15 11 — — $52,156.34 $88,665.78 $58,874.91 2026-05-06
9273 OTHER — 9 8 — — $55,536.50 $111,073.00 $58,313.32 2026-05-06
1581 OTHER — 9 8 — — $55,000.50 $110,001.00 $57,750.53 2026-05-06
1595 OTHER — 9 8 — — $55,000.50 $110,001.00 $57,750.53 2026-05-06
207 OTHER — 15 11 — — $50,588.74 $86,000.86 $57,105.38 2026-05-06
217 OTHER — 15 11 — — $50,515.99 $85,877.18 $57,023.26 2026-05-06
220-4 OTHER — 3 3 — — $56,528.34 $59,220.16 $56,528.34 2026-05-06
613-4 OTHER — 3 3 — — $56,220.32 $58,897.48 $56,220.32 2026-05-06
447-4 OTHER — 3 3 — — $56,088.70 $58,759.59 $56,088.70 2026-05-06
969 OTHER — 15 11 — — $49,470.92 $84,100.57 $55,843.57 2026-05-06
002-2 OTHER — 3 3 — — $55,365.93 $58,002.40 $55,365.93 2026-05-06
023-4 OTHER — 3 3 — — $55,257.83 $57,889.15 $55,257.83 2026-05-06
910-4 OTHER — 3 3 — — $55,057.91 $57,679.72 $55,057.91 2026-05-06
317 OTHER — 15 11 — — $48,392.22 $82,266.78 $54,625.91 2026-05-06
573 OTHER — 15 11 — — $48,171.63 $81,891.77 $54,376.91 2026-05-06
011-2 OTHER — 3 3 — — $54,350.52 $56,938.64 $54,350.52 2026-05-06
602-3 OTHER — 3 3 — — $54,348.25 $56,936.27 $54,348.25 2026-05-06
461 OTHER — 15 11 — — $48,003.45 $81,605.87 $54,187.06 2026-05-06
232 OTHER — 15 11 — — $47,784.42 $81,233.52 $53,939.82 2026-05-06
28 OTHER — 15 11 — — $47,556.01 $80,845.22 $53,681.99 2026-05-06
005-3 OTHER — 3 3 — — $53,670.71 $56,226.46 $53,670.71 2026-05-06
006-2 OTHER — 3 3 — — $53,633.62 $56,187.60 $53,633.62 2026-05-06
950-4 OTHER — 3 3 — — $53,423.30 $55,967.27 $53,423.30 2026-05-06
16 OTHER — 15 11 — — $47,214.96 $80,265.43 $53,297.00 2026-05-06
17 OTHER — 15 11 — — $47,214.96 $80,265.43 $53,297.00 2026-05-06
928 OTHER — 24 11 — — $1.66 $88,816.04 $53,028.40 2026-05-06
006-1 OTHER — 3 3 — — $52,941.15 $55,462.16 $52,941.15 2026-05-06
266 OTHER — 15 11 — — $46,862.17 $79,665.69 $52,898.76 2026-05-06
218 OTHER — 15 11 — — $46,537.54 $79,113.82 $52,532.32 2026-05-06
007-1 OTHER — 3 3 — — $52,024.79 $54,502.16 $52,024.79 2026-05-06
235 OTHER — 15 11 — — $46,028.31 $78,248.12 $51,957.49 2026-05-06
001-3 OTHER — 3 3 — — $51,644.86 $54,104.14 $51,644.86 2026-05-06
609-3 OTHER — 3 3 — — $51,583.80 $54,040.17 $51,583.80 2026-05-06
026-4 OTHER — 3 3 — — $51,552.59 $54,007.48 $51,552.59 2026-05-06
593-2 OTHER — 3 3 — — $51,330.06 $53,774.35 $51,330.06 2026-05-06
303-3 OTHER — 3 3 — — $51,025.67 $53,455.46 $51,025.67 2026-05-06
182-4 OTHER — 3 3 — — $50,984.51 $53,412.34 $50,984.51 2026-05-06
163-4 OTHER — 3 3 — — $50,954.20 $53,380.59 $50,954.20 2026-05-06
457 OTHER — 15 11 — — $44,895.63 $76,322.57 $50,678.90 2026-05-06
23 OTHER — 15 11 — — $44,627.32 $75,866.45 $50,376.03 2026-05-06
792-4 OTHER — 3 3 — — $50,120.16 $52,506.84 $50,120.16 2026-05-06
304-4 OTHER — 3 3 — — $50,107.95 $52,494.04 $50,107.95 2026-05-06
205-4 OTHER — 3 3 — — $49,966.38 $52,345.73 $49,966.38 2026-05-06
695-4 OTHER — 3 3 — — $49,902.15 $52,278.45 $49,902.15 2026-05-06
841-3 OTHER — 3 3 — — $49,851.04 $52,224.90 $49,851.04 2026-05-06
653 OTHER — 15 11 — — $43,606.50 $74,131.06 $49,223.72 2026-05-06
005-2 OTHER — 3 3 — — $49,013.39 $51,347.36 $49,013.39 2026-05-06
651-4 OTHER — 3 3 — — $48,849.20 $51,175.35 $48,849.20 2026-05-06
21 OTHER — 15 11 — — $43,236.51 $73,502.06 $48,806.06 2026-05-06
004-2 OTHER — 3 3 — — $48,696.78 $51,015.67 $48,696.78 2026-05-06
428 OTHER — 15 11 — — $43,055.03 $73,193.55 $48,601.20 2026-05-06
614-4 OTHER — 3 3 — — $48,185.23 $50,479.76 $48,185.23 2026-05-06
162-3 OTHER — 3 3 — — $48,103.36 $50,394.00 $48,103.36 2026-05-06
8 OTHER — 15 11 — — $42,562.22 $72,355.77 $48,044.91 2026-05-06
021-4 OTHER — 3 3 — — $47,989.38 $50,274.59 $47,989.38 2026-05-06
405 OTHER — 15 11 — — $42,465.22 $72,190.88 $47,935.42 2026-05-06
230-4 OTHER — 3 3 — — $47,816.15 $50,093.11 $47,816.15 2026-05-06
463 OTHER — 15 11 — — $42,248.54 $71,822.52 $47,690.83 2026-05-06
11 OTHER — 15 11 — — $42,208.65 $71,754.70 $47,645.80 2026-05-06
576 OTHER — 15 11 — — $42,203.96 $71,746.72 $47,640.50 2026-05-06
022-4 OTHER — 3 3 — — $47,627.54 $49,895.52 $47,627.54 2026-05-06
1142 OTHER — 9 8 — — $45,261.80 $90,523.59 $47,524.89 2026-05-06
442-4 OTHER — 3 3 — — $47,366.57 $49,622.12 $47,366.57 2026-05-06
1580 OTHER — 9 8 — — $45,000.50 $90,001.00 $47,250.53 2026-05-06
1594 OTHER — 9 8 — — $45,000.50 $90,001.00 $47,250.53 2026-05-06
790 OTHER — 24 11 — — $0.12 $79,053.98 $47,199.88 2026-05-06
952-4 OTHER — 3 3 — — $47,075.74 $49,317.44 $47,075.74 2026-05-06
234 OTHER — 15 11 — — $41,616.50 $70,748.04 $46,977.37 2026-05-06
220 OTHER — 15 11 — — $41,432.67 $70,435.54 $46,769.86 2026-05-06
911-4 OTHER — 3 3 — — $46,645.60 $48,866.82 $46,645.60 2026-05-06
820 OTHER — 24 11 — — $23.52 $77,424.97 $46,227.26 2026-05-06
440-3 OTHER — 3 3 — — $45,809.75 $47,991.17 $45,809.75 2026-05-06
315-4 OTHER — 3 3 — — $45,806.59 $47,987.85 $45,806.59 2026-05-06
169-4 OTHER — 3 3 — — $45,651.00 $47,824.85 $45,651.00 2026-05-06
120-4 OTHER — 3 3 — — $45,465.55 $47,630.58 $45,465.55 2026-05-06
483-4 OTHER — 3 3 — — $45,292.77 $47,449.57 $45,292.77 2026-05-06
466 OTHER — 15 11 — — $39,851.77 $67,748.01 $44,985.32 2026-05-06
326 OTHER — 15 11 — — $39,729.74 $67,540.57 $44,847.57 2026-05-06
089-4 OTHER — 3 3 — — $44,807.01 $46,940.67 $44,807.01 2026-05-06
912-4 OTHER — 3 3 — — $44,747.75 $46,878.60 $44,747.75 2026-05-06
130-4 OTHER — 3 3 — — $44,736.45 $46,866.75 $44,736.45 2026-05-06
239 OTHER — 15 11 — — $39,400.42 $66,980.72 $44,475.83 2026-05-06
837 OTHER — 15 11 — — $39,168.10 $66,585.77 $44,213.58 2026-05-06
853 OTHER — 15 11 — — $39,121.95 $66,507.31 $44,161.48 2026-05-06
165-4 OTHER — 3 3 — — $44,070.21 $46,168.79 $44,070.21 2026-05-06
228 OTHER — 15 11 — — $38,981.15 $66,267.95 $44,002.54 2026-05-06
834 OTHER — 24 11 — — $128.07 $73,502.06 $43,885.06 2026-05-06
C1882 HCPCS Aicd Acticor Hf-t 429523 641 9 $161,162.00 $64,464.80 60% off $12,580.51 $206,521.60 $43,583.00 2026-05-06
591-1 OTHER — 3 3 — — $43,194.11 $45,250.97 $43,194.11 2026-05-06
245 OTHER — 15 11 — — $38,226.29 $64,984.69 $43,150.44 2026-05-06
260-4 OTHER — 3 3 — — $42,958.46 $45,004.10 $42,958.46 2026-05-06
471 OTHER — 15 11 — — $37,995.53 $64,592.40 $42,889.96 2026-05-06
002-1 OTHER — 3 3 — — $42,884.73 $44,926.86 $42,884.73 2026-05-06
6 OTHER — 15 11 — — $37,932.17 $64,484.68 $42,818.44 2026-05-06
178-3 OTHER — 3 3 — — $42,455.50 $44,477.19 $42,455.50 2026-05-06
121-4 OTHER — 3 3 — — $42,431.08 $44,451.61 $42,431.08 2026-05-06
631-3 OTHER — 3 3 — — $42,275.94 $44,289.08 $42,275.94 2026-05-06
981 OTHER — 15 11 — — $37,186.70 $63,217.38 $41,976.94 2026-05-06
625-4 OTHER — 3 3 — — $41,934.45 $43,931.33 $41,934.45 2026-05-06
612-4 OTHER — 3 3 — — $41,813.69 $43,804.82 $41,813.69 2026-05-06
267 OTHER — 15 11 — — $36,801.84 $62,563.12 $41,542.50 2026-05-06
160-3 OTHER — 3 3 — — $41,417.02 $43,389.26 $41,417.02 2026-05-06
224-4 OTHER — 3 3 — — $41,350.99 $43,320.08 $41,350.99 2026-05-06
823 OTHER — 15 11 — — $36,604.71 $62,228.01 $41,319.99 2026-05-06
277 OTHER — 15 11 — — $36,388.82 $61,860.99 $41,076.28 2026-05-06
602-2 OTHER — 3 3 — — $41,062.87 $43,018.25 $41,062.87 2026-05-06
361-4 OTHER — 3 3 — — $40,947.99 $42,897.89 $40,947.99 2026-05-06
091-4 OTHER — 3 3 — — $40,727.72 $42,667.14 $40,727.72 2026-05-06
163 OTHER — 15 11 — — $36,054.80 $61,293.16 $40,699.24 2026-05-06
650 OTHER — 15 11 — — $36,039.94 $61,267.90 $40,682.46 2026-05-06
221 OTHER — 15 11 — — $35,924.95 $61,072.42 $40,552.66 2026-05-06
329 OTHER — 15 11 — — $35,919.48 $61,063.11 $40,546.48 2026-05-06
C1721 HCPCS Defib Ovatio Dr 6550 Ela 620 9 $147,891.00 $59,156.40 60% off $6,904.38 $228,227.20 $40,450.66 2026-05-06
020-4 OTHER — 3 3 — — $40,312.06 $42,231.68 $40,312.06 2026-05-06
005-1 OTHER — 3 3 — — $40,037.96 $41,944.53 $40,037.96 2026-05-06
004-1 OTHER — 3 3 — — $39,961.07 $41,863.98 $39,961.07 2026-05-06
001-2 OTHER — 3 3 — — $39,667.98 $41,556.94 $39,667.98 2026-05-06
181-4 OTHER — 3 3 — — $39,651.70 $41,539.88 $39,651.70 2026-05-06
474 OTHER — 15 11 — — $35,080.92 $59,637.56 $39,599.90 2026-05-06
227-4 OTHER — 3 3 — — $39,530.48 $41,412.89 $39,530.48 2026-05-06
25 OTHER — 15 11 — — $34,983.92 $59,472.67 $39,490.41 2026-05-06
660-4 OTHER — 3 3 — — $39,400.67 $41,276.90 $39,400.67 2026-05-06
623-4 OTHER — 3 3 — — $39,392.53 $41,268.37 $39,392.53 2026-05-06
842-4 OTHER — 3 3 — — $39,348.21 $41,221.93 $39,348.21 2026-05-06
319 OTHER — 15 11 — — $34,362.04 $58,415.47 $38,788.42 2026-05-06
183-4 OTHER — 3 3 — — $38,345.01 $40,170.96 $38,345.01 2026-05-06
933 OTHER — 15 11 — — $33,846.55 $57,539.14 $38,206.53 2026-05-06
001-1 OTHER — 3 3 — — $38,178.56 $39,996.59 $38,178.56 2026-05-06
458 OTHER — 15 11 — — $33,776.93 $57,420.78 $38,127.94 2026-05-06
826 OTHER — 24 11 — — $87.14 $63,504.62 $37,916.00 2026-05-06
799 OTHER — 24 11 — — $7.69 $63,229.35 $37,751.65 2026-05-06
261-4 OTHER — 3 3 — — $37,736.67 $39,533.65 $37,736.67 2026-05-06
356 OTHER — 15 11 — — $33,367.82 $56,725.30 $37,666.13 2026-05-06
323 OTHER — 15 11 — — $33,318.54 $56,641.52 $37,610.50 2026-05-06
607-3 OTHER — 3 3 — — $37,601.88 $39,392.45 $37,601.88 2026-05-06
183-3 OTHER — 3 3 — — $37,403.32 $39,184.43 $37,403.32 2026-05-06
140 OTHER — 15 11 — — $33,082.31 $56,239.92 $37,343.84 2026-05-06
951-4 OTHER — 3 3 — — $37,256.78 $39,030.91 $37,256.78 2026-05-06
303-2 OTHER — 3 3 — — $37,021.58 $38,784.51 $37,021.58 2026-05-06
31 OTHER — 15 11 — — $32,780.36 $55,726.62 $37,003.00 2026-05-06
673 OTHER — 15 11 — — $32,772.54 $55,713.32 $36,994.17 2026-05-06
1593 OTHER — 9 8 — — $35,000.50 $70,001.00 $36,750.53 2026-05-06
1579 OTHER — 9 8 — — $35,000.50 $70,001.00 $36,750.53 2026-05-06
269 OTHER — 15 11 — — $32,546.48 $55,329.01 $36,738.98 2026-05-06
856 OTHER — 24 11 — — $24,228.42 $59,995.28 $36,703.00 2026-05-06
050-4 OTHER — 3 3 — — $36,647.53 $38,392.65 $36,647.53 2026-05-06
178-2 OTHER — 3 3 — — $36,438.12 $38,173.26 $36,438.12 2026-05-06
710-4 OTHER — 3 3 — — $36,376.15 $38,108.35 $36,376.15 2026-05-06
236 OTHER — 15 11 — — $32,166.31 $54,682.73 $36,309.84 2026-05-06
958 OTHER — 15 11 — — $32,148.32 $54,652.14 $36,289.53 2026-05-06
12 OTHER — 15 11 — — $32,100.60 $54,571.02 $36,235.67 2026-05-06
448 OTHER — 15 11 — — $31,942.59 $54,302.40 $36,057.31 2026-05-06
603-3 OTHER — 3 3 — — $36,056.83 $37,773.82 $36,056.83 2026-05-06
162-2 OTHER — 3 3 — — $35,919.33 $37,629.77 $35,919.33 2026-05-06
423 OTHER — 15 11 — — $31,816.65 $54,088.30 $35,915.14 2026-05-06
223-4 OTHER — 3 3 — — $35,505.02 $37,195.74 $35,505.02 2026-05-06
C1722 HCPCS Aicd Inventra Dx 656 9 $129,128.00 $51,651.20 60% off $11,238.78 $171,520.00 $35,454.85 2026-05-06
691-4 OTHER — 3 3 — — $35,286.56 $36,966.88 $35,286.56 2026-05-06
901 OTHER — 24 11 — — $5.09 $58,916.81 $35,176.81 2026-05-06
907 OTHER — 15 11 — — $31,161.92 $52,975.26 $35,176.07 2026-05-06
008-2 OTHER — 3 3 — — $35,127.81 $36,800.56 $35,127.81 2026-05-06
694-4 OTHER — 3 3 — — $34,929.25 $36,592.54 $34,929.25 2026-05-06
723-4 OTHER — 3 3 — — $34,881.76 $36,542.79 $34,881.76 2026-05-06
628 OTHER — 15 11 — — $30,864.67 $52,469.94 $34,840.53 2026-05-06
273 OTHER — 15 11 — — $30,587.76 $51,999.19 $34,527.95 2026-05-06
092-4 OTHER — 3 3 — — $34,506.80 $36,149.98 $34,506.80 2026-05-06
34 OTHER — 15 11 — — $30,418.79 $51,711.95 $34,337.22 2026-05-06
616 OTHER — 15 11 — — $30,233.40 $51,396.79 $34,127.95 2026-05-06
163-3 OTHER — 3 3 — — $34,125.51 $35,750.54 $34,125.51 2026-05-06
904 OTHER — 15 11 — — $30,202.90 $51,344.93 $34,093.51 2026-05-06
166-4 OTHER — 3 3 — — $34,058.12 $35,679.93 $34,058.12 2026-05-06
166 OTHER — 15 11 — — $30,118.42 $51,201.31 $33,998.15 2026-05-06
956 OTHER — 15 11 — — $29,900.17 $50,830.29 $33,751.79 2026-05-06
661-4 OTHER — 3 3 — — $33,748.75 $35,355.83 $33,748.75 2026-05-06
5232 OTHER — 9 8 — — $32,061.58 $64,123.16 $33,664.66 2026-05-06
24 OTHER — 15 11 — — $29,738.25 $50,555.02 $33,569.01 2026-05-06
178-1 OTHER — 3 3 — — $33,402.28 $34,992.87 $33,402.28 2026-05-06
5166 OTHER — 9 8 — — $31,807.82 $63,615.64 $33,398.21 2026-05-06
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