Hospital

STONEWALL MEMORIAL HOSPITAL DISTRICT

Aspermont, TX · CCN 451318 · Rates published

1,553 distinct procedures filed

12 distinct payers

18,520 rate rows

2025-02-26 last MRF observed · ⚠ 20 mo old

Data quality

15,365 of 18,520 rate rows are consumer-grade (83.0%)

3,155 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 — reason	Rows
template filing: same amount across many unrelated codes — excluded	3,020
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	132
exceeds 10× this hospital's gross charge — excluded from medians	3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://stonewallhospital.slicedhealth.io/pricer/20-5091203_StonewallMemorialHospital_StandardCharges.csv
Found on page	https://stonewallhospital.slicedhealth.io/home
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-20
Content fingerprint	7b42ec713a7f4729… · 7,139,763 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
J2997 HCPCS	Tpa (activase) 100mg	7	$11,643.03	$16,817.71	$14,784.80	nat. median $500 outlier · 29.5×
J3101 HCPCS	Tnk (tenecteplase) 50 Mg Inj	7	$8,631.00	$14,560.00	$10,960.00	nat. median $3,820 outlier · 2.9×
J0840 HCPCS	Crofab (crotalidae) 1 Gm Inj	7	$4,517.10	$6,524.70	$5,736.00	nat. median $3,445 1.7× median
J2407 HCPCS	Orbactiv IV Powder For Solution 400mg	7	$3,951.99	$5,708.43	$5,018.40	nat. median $75 outlier · 67.2×
81455 CPT	Myeloid Malignancies Mutation Panel	7	$40.00	$5,238.87	$3,626.91	nat. median $2,920 1.2× median
25605 CPT	Fx Clsd Distal Radius W Manip	7	$2,520.63	$3,640.91	$3,200.80	nat. median $1,668 1.9× median
27603 CPT	I&d Leg/ankle Deep Abscess/hematoma	7	$2,319.03	$3,349.71	$2,944.80	nat. median $2,968 1.0× median
J0875 HCPCS	Dalvance (dalbavancin) 500mg Vial	7	$2,218.86	$3,205.02	$2,817.60	nat. median $390 outlier · 7.2×
70553 CPT	MRI Brain Wwo Contrast	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,133 outlier · 2.1×
72158 CPT	MRI Lumbar Spine Wwo Contrast	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,093 outlier · 2.2×
73723LT OTHER	MRI Lower Ext Jt Wwo Contrast Left	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,834 1.3× median
73720RT OTHER	MRI Lower Ext Non Jt Wwo Contrast Right	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,672 1.5× median
70543 CPT	MRI Orbit/face/neck Wwo Contrast	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,083 outlier · 2.2×
70549 CPT	MRA Neck Wwo Cont	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,055 outlier · 2.3×
73220LT OTHER	MRI Upper Ext Non Jt Wwo Contrast Left	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,672 1.5× median
72157 CPT	MRI Thoracic Spine Wwo Contrast	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,105 outlier · 2.2×
74183 CPT	MRI Abdomen Wwo Cont	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,100 outlier · 2.2×
73220RT OTHER	MRI Upper Ext Non Jt Wwo Contrast Right	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,672 1.5× median
72156 CPT	MRI Cervical Spine Wwo Contrast	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,103 outlier · 2.2×
70546 CPT	MRA Head Wwo Cont	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,070 outlier · 2.3×
71552 CPT	MRI Chest Wwo Contrast	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,097 outlier · 2.2×
73223RT OTHER	MRI Upper Ext Joint Wwo Contrast Right	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,672 1.5× median
73720LT OTHER	MRI Lower Ext Non Jt Wwo Contrast Left	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,672 1.5× median
73223LT OTHER	MRI Upper Ext Joint Wwo Contrast Left	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,672 1.5× median
72197 CPT	MRI Pelvis Wwo Contrast	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,063 outlier · 2.3×
73723RT OTHER	MRI Lower Ext Jt Wwo Contrast Right	7	$1,100.00	$3,503.50	$2,425.50	nat. median $1,834 1.3× median
72142 CPT	MRI Cervical Spine W Contrast	7	$1,100.00	$3,185.00	$2,205.00	nat. median $975 outlier · 2.3×
73722RT OTHER	MRI Lower Ext Jt W Contrast Right	7	$1,100.00	$3,185.00	$2,205.00	nat. median $1,254 1.8× median
74182 CPT	MRI Abdomen W Cont	7	$1,100.00	$3,185.00	$2,205.00	nat. median $971 outlier · 2.3×
70552 CPT	MRI Brain W Contrast	7	$1,100.00	$3,185.00	$2,205.00	nat. median $962 outlier · 2.3×
72149 CPT	MRI Lumbar Spine W Contrast	7	$1,100.00	$3,185.00	$2,205.00	nat. median $978 outlier · 2.3×
72147 CPT	MRI Thoracic Spine W Contrast	7	$1,100.00	$3,185.00	$2,205.00	nat. median $966 outlier · 2.3×
70548 CPT	MRA Neck With Cont	7	$1,100.00	$3,185.00	$2,205.00	nat. median $922 outlier · 2.4×
73722LT OTHER	MRI Lower Ext Jt W Contrast Left	7	$1,100.00	$3,185.00	$2,205.00	nat. median $1,254 1.8× median
73719LT OTHER	MRI Lower Ext Non Jt W Contrast Left	7	$1,100.00	$3,185.00	$2,205.00	nat. median $1,277 1.7× median
73719RT OTHER	MRI Lower Ext Non Jt W Contrast Right	7	$1,100.00	$3,185.00	$2,205.00	nat. median $1,370 1.6× median
70542 CPT	MRI Orbit/face/neck W Contrast	7	$1,100.00	$3,185.00	$2,205.00	nat. median $923 outlier · 2.4×
72196 CPT	MRI Pelvis W Contrast	7	$1,100.00	$3,185.00	$2,205.00	nat. median $950 outlier · 2.3×
71551 CPT	MRI Chest W Contrast	7	$1,100.00	$3,185.00	$2,205.00	nat. median $1,158 1.9× median
70545 CPT	MRA Head W Cont	7	$1,100.00	$3,185.00	$2,205.00	nat. median $889 outlier · 2.5×
73222LT OTHER	MRI Upper Ext Joint W Contrast Left	7	$1,100.00	$3,185.00	$2,205.00	nat. median $1,371 1.6× median
73219RT OTHER	MRI Upper Ext Non Jt W Contrast Right	7	$1,100.00	$3,185.00	$2,205.00	nat. median $1,082 outlier · 2.0×
73219LT OTHER	MRI Upper Ext Non Jt W Contrast Left	7	$1,100.00	$3,185.00	$2,205.00	nat. median $1,254 1.8× median
73222RT OTHER	MRI Upper Ext Joint W Contrast Right	7	$1,100.00	$3,185.00	$2,205.00	nat. median $1,371 1.6× median
J0897 HCPCS	Prolia 60mg/ml Pfs	7	$1,692.18	$2,444.26	$2,148.80	nat. median $1,972 1.1× median
J0585 HCPCS	Botox 200u Vial	7	$1,677.69	$2,423.33	$2,130.40	nat. median $197 outlier · 10.8×
46040 CPT	I & D Ishiorectalperi Absc	7	$1,668.24	$2,409.68	$2,118.40	nat. median $1,693 1.3× median
11446 CPT	Ex Ben Les Fa Ea Ey N L M >4.0 Cm	7	$1,569.96	$2,267.72	$1,993.60	nat. median $2,812 0.7× median
11426 CPT	Ex Ben Les Sc N H Ft Ge >4.0 Cm	7	$1,569.96	$2,267.72	$1,993.60	nat. median $2,757 0.7× median
11646 CPT	Ex Malig Les F ER Ey N L >4.0 Cm	7	$1,569.96	$2,267.72	$1,993.60	nat. median $2,851 0.7× median

Other procedures at this hospital

Browse this hospital's 1,553 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J2997	HCPCS	Tpa (activase) 100mg	7	7	$18,481.00	$13,860.75 25% off	$11,643.03	$16,817.71	$14,784.80	2025-02-26
J3101	HCPCS	Tnk (tenecteplase) 50 Mg Inj	14	7	$14,850.00	$11,137.50 25% off	$8,631.00	$14,560.00	$10,960.00	2025-02-26
J0840	HCPCS	Crofab (crotalidae) 1 Gm Inj	7	7	$7,170.00	$5,377.50 25% off	$4,517.10	$6,524.70	$5,736.00	2025-02-26
J2407	HCPCS	Orbactiv IV Powder For Solution 400mg	7	7	$6,273.00	$4,704.75 25% off	$3,951.99	$5,708.43	$5,018.40	2025-02-26
81455	CPT	Myeloid Malignancies Mutation Panel	7	7	$5,757.00	$4,317.75 25% off	$40.00	$5,238.87	$3,626.91	2025-02-26
25605	CPT	Fx Clsd Distal Radius W Manip	7	7	$4,001.00	$3,000.75 25% off	$2,520.63	$3,640.91	$3,200.80	2025-02-26
27603	CPT	I&d Leg/ankle Deep Abscess/hematoma	7	7	$3,681.00	$2,760.75 25% off	$2,319.03	$3,349.71	$2,944.80	2025-02-26
J0875	HCPCS	Dalvance (dalbavancin) 500mg Vial	7	7	$3,522.00	$2,641.50 25% off	$2,218.86	$3,205.02	$2,817.60	2025-02-26
71552	CPT	MRI Chest Wwo Contrast	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
73220RT	OTHER	MRI Upper Ext Non Jt Wwo Contrast Right	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
73720LT	OTHER	MRI Lower Ext Non Jt Wwo Contrast Left	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
70549	CPT	MRA Neck Wwo Cont	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
73723RT	OTHER	MRI Lower Ext Jt Wwo Contrast Right	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
73223RT	OTHER	MRI Upper Ext Joint Wwo Contrast Right	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
70543	CPT	MRI Orbit/face/neck Wwo Contrast	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
73720RT	OTHER	MRI Lower Ext Non Jt Wwo Contrast Right	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
70546	CPT	MRA Head Wwo Cont	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
73223LT	OTHER	MRI Upper Ext Joint Wwo Contrast Left	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
72157	CPT	MRI Thoracic Spine Wwo Contrast	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
73723LT	OTHER	MRI Lower Ext Jt Wwo Contrast Left	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
74183	CPT	MRI Abdomen Wwo Cont	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
70553	CPT	MRI Brain Wwo Contrast	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
73220LT	OTHER	MRI Upper Ext Non Jt Wwo Contrast Left	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
72158	CPT	MRI Lumbar Spine Wwo Contrast	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
72156	CPT	MRI Cervical Spine Wwo Contrast	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
72197	CPT	MRI Pelvis Wwo Contrast	7	7	$3,850.00	$2,887.50 25% off	$1,100.00	$3,503.50	$2,425.50	2025-02-26
73219LT	OTHER	MRI Upper Ext Non Jt W Contrast Left	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
72147	CPT	MRI Thoracic Spine W Contrast	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
71551	CPT	MRI Chest W Contrast	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
72142	CPT	MRI Cervical Spine W Contrast	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
70542	CPT	MRI Orbit/face/neck W Contrast	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
73722RT	OTHER	MRI Lower Ext Jt W Contrast Right	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
73719LT	OTHER	MRI Lower Ext Non Jt W Contrast Left	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
74182	CPT	MRI Abdomen W Cont	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
73219RT	OTHER	MRI Upper Ext Non Jt W Contrast Right	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
72196	CPT	MRI Pelvis W Contrast	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
70545	CPT	MRA Head W Cont	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
70552	CPT	MRI Brain W Contrast	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
73222RT	OTHER	MRI Upper Ext Joint W Contrast Right	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
72149	CPT	MRI Lumbar Spine W Contrast	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
70548	CPT	MRA Neck With Cont	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
73722LT	OTHER	MRI Lower Ext Jt W Contrast Left	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
73719RT	OTHER	MRI Lower Ext Non Jt W Contrast Right	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
73222LT	OTHER	MRI Upper Ext Joint W Contrast Left	7	7	$3,500.00	$2,625.00 25% off	$1,100.00	$3,185.00	$2,205.00	2025-02-26
J0897	HCPCS	Prolia 60mg/ml Pfs	7	7	$2,686.00	$2,014.50 25% off	$1,692.18	$2,444.26	$2,148.80	2025-02-26
J0585	HCPCS	Botox 200u Vial	7	7	$2,663.00	$1,997.25 25% off	$1,677.69	$2,423.33	$2,130.40	2025-02-26
46040	CPT	I & D Ishiorectalperi Absc	7	7	$2,648.00	$1,986.00 25% off	$1,668.24	$2,409.68	$2,118.40	2025-02-26
11646	CPT	Ex Malig Les F ER Ey N L >4.0 Cm	7	7	$2,492.00	$1,869.00 25% off	$1,569.96	$2,267.72	$1,993.60	2025-02-26
11446	CPT	Ex Ben Les Fa Ea Ey N L M >4.0 Cm	7	7	$2,492.00	$1,869.00 25% off	$1,569.96	$2,267.72	$1,993.60	2025-02-26
11426	CPT	Ex Ben Les Sc N H Ft Ge >4.0 Cm	7	7	$2,492.00	$1,869.00 25% off	$1,569.96	$2,267.72	$1,993.60	2025-02-26
72195	CPT	MRI Pelvis Wo Contrast	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
72146	CPT	MRI Thoracic Spine Wo Contrast	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
70544	CPT	MRA Head Wo Cont	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
71550	CPT	MRI Chest Wo Contrast	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
73718RT	OTHER	MRI Lower Ext Non Jt Wo Contrast Right	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
73721RT	OTHER	MRI Lower Ext Jt Wo Contrast Right	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
73718LT	OTHER	MRI Lower Ext Non Jt Wo Contrast Left	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
74181	CPT	MRI Abdomen Wo Cont	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
73221LT	OTHER	MRI Upper Ext Joint Wo Contrast Left	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
73721LT	OTHER	MRI Lower Ext Jt Wo Contrast Left	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
70551	CPT	MRI Brain Wo Contrast	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
70547	CPT	MRA Neck Wo Cont	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
73218RT	OTHER	MRI Upper Ext Non Jt Wo Contrast Right	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
72141	CPT	MRI Cervical Spine Wo Contrast	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
70540	CPT	MRI Orbit/face/neck Wo Contrast	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
73221RT	OTHER	MRI Upper Ext Joint Wo Contrast Right	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
73218LT	OTHER	MRI Upper Ext Non Jt Wo Contrast Left	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
72148	CPT	MRI Lumbar Spine Wo Contrast	7	7	$3,150.00	$2,362.50 25% off	$1,100.00	$2,866.50	$1,984.50	2025-02-26
10121	CPT	Incis Remov Fb Subq Complicated	10	10	$3,000.00	$2,250.00 25% off	$153.76	$2,730.00	$1,890.00	2025-02-26
74178	CPT	CT Abdomen Pelvis Wwo Contrast	7	7	$2,552.00	$1,914.00 25% off	$700.00	$2,322.32	$1,607.76	2025-02-26
59409	CPT	Vaginal Delivery Only	7	7	$1,996.00	$1,497.00 25% off	$1,257.48	$1,816.36	$1,596.80	2025-02-26
Q5103	HCPCS	Inflectra (infliximab) 100mg Vial	7	7	$1,987.00	$1,490.25 25% off	$1,251.81	$1,808.17	$1,589.60	2025-02-26
11626	CPT	Ex Malig Les S N H F G >4.0 Cm	7	7	$1,964.00	$1,473.00 25% off	$1,237.32	$1,787.24	$1,571.20	2025-02-26
P9021	HCPCS	Charge Bb Platelet Units	7	7	$1,947.00	$1,460.25 25% off	$1,226.61	$1,771.77	$1,557.60	2025-02-26
Q0138	HCPCS	Ferumoxytol 30mg/ml 17ml Vial	7	7	$1,900.00	$1,425.00 25% off	$1,197.00	$1,729.00	$1,520.00	2025-02-26
11424	CPT	Ex Ben Les Sc N H Ft Ge 3.1-4.0 Cm	14	7	$2,249.00	$1,686.75 25% off	$281.61	$3,686.41	$1,479.45	2025-02-26
72133	CPT	CT Lumbar Spine Wwo Contrast	7	7	$2,304.00	$1,728.00 25% off	$700.00	$2,096.64	$1,451.52	2025-02-26
11423	CPT	Ex Ben Les Sc N H Ft Ge 2.1-3.0 Cm	14	7	$2,217.50	$1,663.12 25% off	$241.92	$3,686.41	$1,450.79	2025-02-26
74176	CPT	CT Abdomen Pelvis Wo (renal Stone)	7	7	$2,276.00	$1,707.00 25% off	$700.00	$2,071.16	$1,433.88	2025-02-26
71270	CPT	CT Chest Wwo Contrast	7	7	$2,264.00	$1,698.00 25% off	$700.00	$2,060.24	$1,426.32	2025-02-26
36556	CPT	Insertion Cv Cath Non Tunnel 5yrs/>	21	7	$5,958.00	$4,468.50 25% off	$132.93	$5,421.78	$1,415.20	2025-02-26
74170	CPT	CT Abdomen Wwo Contrast	7	7	$2,240.00	$1,680.00 25% off	$700.00	$2,038.40	$1,411.20	2025-02-26
72194	CPT	CT Pelvis Wwo Contrast	7	7	$2,200.00	$1,650.00 25% off	$700.00	$2,002.00	$1,386.00	2025-02-26
20606	CPT	Arthro Asp &/or Inj Med Joint W US Guide	7	7	$1,731.00	$1,298.25 25% off	$1,090.53	$1,575.21	$1,384.80	2025-02-26
11624	CPT	Ex Malig Les S N H F G 3.1-4.0 Cm	7	7	$1,683.00	$1,262.25 25% off	$1,060.29	$1,531.53	$1,346.40	2025-02-26
11644	CPT	Ex Malig Les F ER Ey N L3.1-4.0cm	7	7	$1,683.00	$1,262.25 25% off	$1,060.29	$1,531.53	$1,346.40	2025-02-26
26011	CPT	Drainage Of Finger Abscess	14	7	$2,024.00	$1,518.00 25% off	$287.28	$3,268.72	$1,338.96	2025-02-26
J0588	HCPCS	Xeomin 200 Units Vial	21	7	$2,025.00	$1,518.75 25% off	$398.16	$1,911.00	$1,323.00	2025-02-26
20103	CPT	Explore Wound Extremity	7	7	$1,633.00	$1,224.75 25% off	$1,028.79	$1,486.03	$1,306.40	2025-02-26
C8929	HCPCS	US Echo Complete With Contrast	7	7	$1,620.00	$1,215.00 25% off	$1,020.60	$1,474.20	$1,296.00	2025-02-26
73206RT	OTHER	CT Angio Upper Ext Right	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
71275	CPT	CT Angio Chest Aorta Study	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
75635	CPT	CT Angio Runoff	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
73706LT	OTHER	CT Angio Lower Ext Left	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
73206LT	OTHER	CT Angio Upper Ext Left	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
72191	CPT	CT Angio Pelvis	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
70498	CPT	CT Angio Neck	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
73706RT	OTHER	CT Angio Lower Ext Right	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
70496	CPT	CT Angio Head	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
74175	CPT	CT Angio Abdomen W Or Wwo Contrst	7	7	$2,000.00	$1,500.00 25% off	$700.00	$1,820.00	$1,260.00	2025-02-26
73702RT	OTHER	CT Lower Ext Wwo Contrast Right	7	7	$1,960.00	$1,470.00 25% off	$700.00	$1,783.60	$1,234.80	2025-02-26
73202LT	OTHER	CT Upper Ext Wwo Contrast Left	7	7	$1,960.00	$1,470.00 25% off	$700.00	$1,783.60	$1,234.80	2025-02-26
73702LT	OTHER	CT Lower Ext Wwo Contrast Left	7	7	$1,960.00	$1,470.00 25% off	$700.00	$1,783.60	$1,234.80	2025-02-26
73202RT	OTHER	CT Upper Ext Wwo Contrast Right	7	7	$1,960.00	$1,470.00 25% off	$700.00	$1,783.60	$1,234.80	2025-02-26
70488	CPT	CT Facial Bones Wwo Contrast	7	7	$1,936.00	$1,452.00 25% off	$700.00	$1,761.76	$1,219.68	2025-02-26
70482	CPT	CT Orbits/mastoids W/wo Contrast	7	7	$1,936.00	$1,452.00 25% off	$700.00	$1,761.76	$1,219.68	2025-02-26
70492	CPT	CT Soft Tissue Neck Wwo Contrast	7	7	$1,936.00	$1,452.00 25% off	$700.00	$1,761.76	$1,219.68	2025-02-26
70470	CPT	CT Head Wwo Contrast	7	7	$1,936.00	$1,452.00 25% off	$700.00	$1,761.76	$1,219.68	2025-02-26
74177	CPT	CT Abdomen Pelvis W Contrast	7	7	$1,928.00	$1,446.00 25% off	$700.00	$1,754.48	$1,214.64	2025-02-26
72132	CPT	CT Lumbar Spine W Contrast	7	7	$1,840.00	$1,380.00 25% off	$700.00	$1,674.40	$1,159.20	2025-02-26
71260	CPT	CT Chest W Contrast	7	7	$1,816.00	$1,362.00 25% off	$700.00	$1,652.56	$1,144.08	2025-02-26
11444	CPT	Ex Ben Les Fa Ea Ey N L M 3.1-4.0cm	7	7	$1,430.00	$1,072.50 25% off	$900.90	$1,301.30	$1,144.00	2025-02-26
74160	CPT	CT Abdomen W Contrast	7	7	$1,792.00	$1,344.00 25% off	$700.00	$1,630.72	$1,128.96	2025-02-26
70481	CPT	CT Mastoid/iac W Contrast	13	7	$1,512.00	$1,134.00 25% off	$700.00	$1,601.60	$1,108.80	2025-02-26
72193	CPT	CT Pelvis W Contrast	7	7	$1,760.00	$1,320.00 25% off	$700.00	$1,601.60	$1,108.80	2025-02-26
74174	CPT	CT Angio Abd/pelvis W Cont Or W/wo	7	7	$1,750.00	$1,312.50 25% off	$700.00	$1,592.50	$1,102.50	2025-02-26
11623	CPT	Ex Malig Les S N H F G 2.1-3.0 Cm	7	7	$1,372.00	$1,029.00 25% off	$864.36	$1,248.52	$1,097.60	2025-02-26
11604	CPT	Ex Malig Les Tr Arm Leg 3.1-4.0	7	7	$1,372.00	$1,029.00 25% off	$864.36	$1,248.52	$1,097.60	2025-02-26
27762	CPT	Fx Clsd Med Malleolus W Manip	14	7	$1,475.00	$1,106.25 25% off	$674.10	$1,710.80	$1,079.05	2025-02-26
2726854	OTHER	Treat Closed Femoral Fx W Manip	7	7	$1,336.00	$1,002.00 25% off	$841.68	$1,215.76	$1,068.80	2025-02-26
11622	CPT	Ex Malig Les S N H F G 1.1-2.0 Cm	7	7	$1,314.00	$985.50 25% off	$827.82	$1,195.74	$1,051.20	2025-02-26
11442	CPT	Ex Ben Les Fa Ea Ey N L M 1.1-2.0cm	7	7	$1,314.00	$985.50 25% off	$827.82	$1,195.74	$1,051.20	2025-02-26
23330	CPT	Remove Fb Shoulder Sc	7	7	$1,314.00	$985.50 25% off	$827.82	$1,195.74	$1,051.20	2025-02-26
11643	CPT	Ex Malig Les F ER Ey N L2.1-3.0cm	7	7	$1,314.00	$985.50 25% off	$827.82	$1,195.74	$1,051.20	2025-02-26
J0885	HCPCS	Procrit (epoetin Alfa) Non Esrd 40,000u	21	7	$1,304.00	$978.00 25% off	$354.06	$1,927.38	$1,043.20	2025-02-26
2560554	OTHER	Treat Closed Radial Fx W Manip	7	7	$1,260.00	$945.00 25% off	$793.80	$1,146.60	$1,008.00	2025-02-26
94003	CPT	Ventilation Assist/mng Subsq Ip/obs	7	7	$1,244.00	$933.00 25% off	$783.72	$1,132.04	$995.20	2025-02-26
73201LT	OTHER	CT Upper Ext W Contrast Left	7	7	$1,560.00	$1,170.00 25% off	$700.00	$1,419.60	$982.80	2025-02-26
73701LT	OTHER	CT Lower Ext W Contrast Left	7	7	$1,560.00	$1,170.00 25% off	$700.00	$1,419.60	$982.80	2025-02-26
73701RT	OTHER	CT Lower Ext W Contrast Right	7	7	$1,560.00	$1,170.00 25% off	$700.00	$1,419.60	$982.80	2025-02-26
72192	CPT	CT Pelvis Wo Contrast	7	7	$1,560.00	$1,170.00 25% off	$700.00	$1,419.60	$982.80	2025-02-26
73201RT	OTHER	CT Upper Ext W Contrast Right	7	7	$1,560.00	$1,170.00 25% off	$700.00	$1,419.60	$982.80	2025-02-26
71250	CPT	CT Chest Wo Contrast	7	7	$1,552.00	$1,164.00 25% off	$700.00	$1,412.32	$977.76	2025-02-26
2456554	OTHER	Trt Clsd Fx Humeral Epicondylar W Manip	7	7	$1,210.00	$907.50 25% off	$762.30	$1,101.10	$968.00	2025-02-26
99291	CPT	Critical Care 1st Hr	13	7	$2,105.00	$1,578.75 25% off	$345.87	$1,915.55	$968.00	2025-02-26
72131	CPT	CT Lumbar Spine Wo Contrast	7	7	$1,536.00	$1,152.00 25% off	$700.00	$1,397.76	$967.68	2025-02-26
72125	CPT	CT Cervical Spine Wo Contrast	7	7	$1,536.00	$1,152.00 25% off	$700.00	$1,397.76	$967.68	2025-02-26
72128	CPT	CT Thoracic Spine Wo Contrast	7	7	$1,536.00	$1,152.00 25% off	$700.00	$1,397.76	$967.68	2025-02-26
G0379	HCPCS	Observation Direct Admit	7	7	$1,533.00	$1,149.75 25% off	$750.00	$1,395.03	$965.79	2025-02-26
J2404	HCPCS	NicardiPINE 25mg/10ml Vial	7	7	$1,200.00	$900.00 25% off	$756.00	$1,092.00	$960.00	2025-02-26
70491	CPT	CT Soft Tissue Neck W Contrast	7	7	$1,512.00	$1,134.00 25% off	$700.00	$1,375.92	$952.56	2025-02-26
70487	CPT	CT Sinus W Contrast	7	7	$1,512.00	$1,134.00 25% off	$700.00	$1,375.92	$952.56	2025-02-26
70460	CPT	CT Head W Contrast	7	7	$1,512.00	$1,134.00 25% off	$700.00	$1,375.92	$952.56	2025-02-26
86711	CPT	Jcv Ab Reflex To Inhibition Assay	7	7	$1,500.00	$1,125.00 25% off	$40.00	$1,365.00	$945.00	2025-02-26
93306	CPT	US Echo Complete Contrast Prn	7	7	$1,152.00	$864.00 25% off	$725.76	$1,048.32	$921.60	2025-02-26
74150	CPT	CT Abdomen Wo Contrast	7	7	$1,440.00	$1,080.00 25% off	$700.00	$1,310.40	$907.20	2025-02-26
M0243CR	OTHER	Admin Regen-cov Iv/sq	7	7	$1,127.00	$845.25 25% off	$710.01	$1,025.57	$901.60	2025-02-26
11406	CPT	Ex B9 Les Tr Arm Leg >4.0 Cm	14	7	$1,286.00	$964.50 25% off	$383.04	$1,787.24	$895.30	2025-02-26
11606	CPT	Ex Maglig Les Tr Arm Leg >4.0 Cm	14	7	$1,235.50	$926.62 25% off	$496.44	$1,531.53	$888.68	2025-02-26
J0248	HCPCS	Veklury (remdesivir) 100mg Vial	14	7	$1,176.00	$882.00 25% off	$688.59	$1,145.69	$874.40	2025-02-26
73700RT	OTHER	CT Lower Ext Wo Contrast Right	7	7	$1,360.00	$1,020.00 25% off	$700.00	$1,237.60	$856.80	2025-02-26
73200RT	OTHER	CT Upper Ext Wo Contrast Right	7	7	$1,360.00	$1,020.00 25% off	$700.00	$1,237.60	$856.80	2025-02-26
73200LT	OTHER	CT Upper Ext Wo Contrast Left	7	7	$1,360.00	$1,020.00 25% off	$700.00	$1,237.60	$856.80	2025-02-26
73700LT	OTHER	CT Lower Ext Wo Contrast Left	7	7	$1,360.00	$1,020.00 25% off	$700.00	$1,237.60	$856.80	2025-02-26
2776254	OTHER	Treat Clsd Fx Med Malleolus W Manip	7	7	$1,070.00	$802.50 25% off	$674.10	$973.70	$856.00	2025-02-26
4604054	OTHER	I&d Ischiorectal Rectal Absces	7	7	$1,039.00	$779.25 25% off	$654.57	$945.49	$831.20	2025-02-26
94002	CPT	Ventilation Assist/mng Intl Ip/obs	7	7	$1,029.00	$771.75 25% off	$648.27	$995.20	$823.20	2025-02-26
70490	CPT	CT Soft Tissue Neck Wo Contrast	7	7	$1,304.00	$978.00 25% off	$700.00	$1,186.64	$821.52	2025-02-26
70486	CPT	CT Sinus Wo Contrast	7	7	$1,304.00	$978.00 25% off	$700.00	$1,186.64	$821.52	2025-02-26
70480	CPT	CT Mastoid/iac Wo Contrast	7	7	$1,304.00	$978.00 25% off	$700.00	$1,186.64	$821.52	2025-02-26
70450	CPT	CT Head Wo Contrast	7	7	$1,304.00	$978.00 25% off	$700.00	$1,186.64	$821.52	2025-02-26
36430	CPT	Transfusion Blood Components	14	7	$1,056.50	$792.38 25% off	$642.60	$994.63	$816.00	2025-02-26
J7324	HCPCS	Orthovisc 30mg/2ml Syringe	7	7	$1,004.00	$753.00 25% off	$632.52	$913.64	$803.20	2025-02-26
40650	CPT	Rpr Lip Full Thickness Vermilion Only	14	7	$1,104.50	$828.38 25% off	$475.02	$1,324.05	$801.39	2025-02-26
16030	CPT	Drain/debride Prtl Thckns Burn Intl/subs	7	7	$999.00	$749.25 25% off	$629.37	$909.09	$799.20	2025-02-26
2365554	OTHER	Treat Clsd Shldr Dislocation W Manipulat	7	7	$997.00	$747.75 25% off	$628.11	$907.27	$797.60	2025-02-26
87633	CPT	Viral Respiratory Panel By Pcr [vpr] Rl	7	7	$1,250.00	$937.50 25% off	$40.00	$1,137.50	$787.50	2025-02-26
13121	CPT	Rpr Cmplx Sc Arm Leg 2.6-7.5 Cm	14	7	$1,085.50	$814.12 25% off	$403.20	$1,393.21	$773.46	2025-02-26
2760354	OTHER	I&d Leg/ankle Deep Abscess/hematoma	7	7	$963.00	$722.25 25% off	$606.69	$876.33	$770.40	2025-02-26
2784054	OTHER	Treat Closed Ankle Disloc Wo Anes	7	7	$928.00	$696.00 25% off	$584.64	$844.48	$742.40	2025-02-26
13151	CPT	Rpr Cmplx Eyld N Ear Lip 1.1-2.5 Cm	7	7	$925.00	$693.75 25% off	$582.75	$841.75	$740.00	2025-02-26
27818	CPT	Fx Clsd Trimalleolar W Manip	7	7	$898.00	$673.50 25% off	$565.74	$817.18	$718.40	2025-02-26
25624	CPT	Fx Clsd Crpl Scaph W Manip	7	7	$898.00	$673.50 25% off	$565.74	$817.18	$718.40	2025-02-26
11404	CPT	Ex B9 Les Tr Arm Leg 3.1-4.0 Cm	14	7	$1,042.00	$781.50 25% off	$252.63	$1,531.53	$712.60	2025-02-26
13132	CPT	Rpr Cmplx F C A G 2.6-7.5 Cm	7	7	$886.00	$664.50 25% off	$558.18	$806.26	$708.80	2025-02-26
87799	CPT	Bk Virus Ia DNA Or RNA Quant	7	7	$1,122.00	$841.50 25% off	$40.00	$1,021.02	$706.86	2025-02-26
99285	CPT	Emergency Dept Level 5	10	7	$1,533.00	$1,149.75 25% off	$346.40	$1,395.03	$702.00	2025-02-26
76376	CPT	CT 3 D Rendering	7	7	$960.00	$720.00 25% off	$604.80	$873.60	$700.00	2025-02-26
93930	CPT	US Upper Ext Art Bilat	7	7	$864.00	$648.00 25% off	$544.32	$786.24	$691.20	2025-02-26
10140	CPT	I & D Hematoma Seroma Fluid Collection	24	10	$1,089.00	$816.75 25% off	$153.76	$3,268.72	$686.07	2025-02-26
17284	CPT	Destruct Les Malig 3.1-4.0cm	14	7	$967.00	$725.25 25% off	$303.66	$1,321.32	$676.69	2025-02-26
13152	CPT	Rpr Cmplx Eyeld N Ear Lip 2.6-7.5cm	14	7	$904.50	$678.38 25% off	$532.35	$877.24	$676.00	2025-02-26
2756054	OTHER	Treat Closed Patellar Disloc Wo Anes	7	7	$845.00	$633.75 25% off	$532.35	$768.95	$676.00	2025-02-26
40831	CPT	Rpr Laceration Vestibule Mouth >2.5cm	14	7	$932.00	$699.00 25% off	$359.10	$1,177.54	$666.96	2025-02-26
2460054	OTHER	Treat Closed Elbow Dislocation	7	7	$831.00	$623.25 25% off	$523.53	$756.21	$664.80	2025-02-26
11642	CPT	Ex Malig Les F ER Ey N L1.1-2.0cm	7	7	$825.00	$618.75 25% off	$519.75	$750.75	$660.00	2025-02-26
93978	CPT	US Aorta Complete	7	7	$816.00	$612.00 25% off	$514.08	$742.56	$652.80	2025-02-26
96413	CPT	IV Inf Chemo Init Up To 1 Hr	7	7	$814.00	$610.50 25% off	$512.82	$740.74	$651.20	2025-02-26
11400	CPT	Ex B9 Les Tr Arm Leg 0.5 Cm<	14	7	$980.00	$735.00 25% off	$126.63	$1,600.69	$645.54	2025-02-26
64644	CPT	Chemodenervation 1 Ext 5or> Muscles	14	7	$951.50	$713.62 25% off	$177.03	$1,476.02	$638.78	2025-02-26
69000	CPT	Drain Ext Ear Abscess Hmtma Smpl	14	7	$945.50	$709.12 25% off	$190.26	$1,445.99	$637.94	2025-02-26
11641	CPT	Ex Malig Les F ER Ey N L0.6-1.0cm	7	7	$791.00	$593.25 25% off	$498.33	$719.81	$632.80	2025-02-26
11603	CPT	Ex Malig Les Tr Arm Leg 2.1-3.0 Cm	14	7	$897.00	$672.75 25% off	$302.40	$1,195.74	$632.31	2025-02-26
11443	CPT	Ex Ben Les Fa Ea Ey N L M 2.1-3.0cm	14	7	$905.00	$678.75 25% off	$275.94	$1,248.52	$631.47	2025-02-26
46050	CPT	I&d Peranal Abscess Superficial	14	7	$932.50	$699.38 25% off	$153.72	$1,475.11	$621.63	2025-02-26
2560054	OTHER	Treat Closed Radial Fx Distal	7	7	$776.00	$582.00 25% off	$488.88	$706.16	$620.80	2025-02-26
8790290	OTHER	Hepatitis C Genotype DNA	7	7	$984.00	$738.00 25% off	$40.00	$895.44	$619.92	2025-02-26
93880	CPT	US Carotids Complete	7	7	$768.00	$576.00 25% off	$483.84	$698.88	$614.40	2025-02-26
2670054	OTHER	Treat Knuckle Disloc Sngle W Manip	7	7	$759.00	$569.25 25% off	$478.17	$690.69	$607.20	2025-02-26
11640	CPT	Ex Malig Les F ER Ey N L 0.5cm<	7	7	$757.00	$567.75 25% off	$476.91	$688.87	$605.60	2025-02-26
11422	CPT	Ex B9 Les Sc N H Ft Ge 1.0-2.0 Cm	14	7	$882.50	$661.88 25% off	$211.05	$1,301.30	$602.88	2025-02-26
J1447	HCPCS	Granix Sy (neupogen) 300mcg 0.5ml	7	7	$750.00	$562.50 25% off	$472.50	$682.50	$600.00	2025-02-26
87506	CPT	Enteric Bacterial Extended Panel By Pcr	7	7	$950.00	$712.50 25% off	$40.00	$864.50	$598.50	2025-02-26
93975	CPT	US Abd Vascular Complete	7	7	$747.00	$560.25 25% off	$470.61	$679.77	$597.60	2025-02-26
20604	CPT	Arthro Asp &/or Inj Sm Joint W US Guide	7	7	$738.00	$553.50 25% off	$464.94	$671.58	$590.40	2025-02-26
99284	CPT	Emergency Dept Level 4	13	7	$1,065.00	$798.75 25% off	$201.60	$969.15	$585.00	2025-02-26
25565	CPT	Cl Tx Radial & Ulna Fx W Manip	14	7	$813.00	$609.75 25% off	$303.03	$1,041.95	$579.53	2025-02-26
11403	CPT	Ex B9 Les Tr Arm Leg 2.1-3.0 Cm	14	7	$839.00	$629.25 25% off	$229.32	$1,195.74	$579.53	2025-02-26
2660554	OTHER	Fx Metatarsal W Manipulation Each	7	7	$724.00	$543.00 25% off	$456.12	$658.84	$579.20	2025-02-26
93925	CPT	US Lower Ext Art Bilat	7	7	$720.00	$540.00 25% off	$453.60	$655.20	$576.00	2025-02-26
12057	CPT	Rpr Int F E Ey N L Mm > 30.0 Cm	7	7	$717.00	$537.75 25% off	$451.71	$652.47	$573.60	2025-02-26
13101	CPT	Rpr Cmplx Trunk 2.6-7.5 Cm	14	7	$771.50	$578.62 25% off	$389.34	$841.75	$572.57	2025-02-26
86051	CPT	Aquaporin-4 Ab (nmo)(amso) Rl	7	7	$908.00	$681.00 25% off	$40.00	$826.28	$572.04	2025-02-26
28190	CPT	Remove Fb Foot Subq	14	7	$824.00	$618.00 25% off	$210.42	$1,195.74	$565.88	2025-02-26
11421	CPT	Ex B9 Les Sc N H Ft Ge 0.6-1.0 Cm	14	7	$821.50	$616.12 25% off	$170.73	$1,248.52	$555.49	2025-02-26
12056	CPT	Rpr Int F E Ey N L Mm 20.1-30.0 Cm	7	7	$692.00	$519.00 25% off	$435.96	$629.72	$553.60	2025-02-26
12037	CPT	Rpr Int Sc Ax Tr Ext >30.0 Cm	7	7	$692.00	$519.00 25% off	$435.96	$629.72	$553.60	2025-02-26
23655	CPT	Dislocation Shldr Clsd W Manip W Anest	7	7	$682.00	$511.50 25% off	$429.66	$620.62	$545.60	2025-02-26
12035	CPT	Rpr Int Sc Ax Tr Ext 12.6-20.0 Cm	14	7	$728.50	$546.38 25% off	$375.48	$783.51	$542.39	2025-02-26
12055	CPT	Rpr Int F E Ey N L Mm 12.6-20.0 Cm	7	7	$667.00	$500.25 25% off	$420.21	$606.97	$533.60	2025-02-26
12047	CPT	Rpr Int Ne Ha Ft Gen > 30.0 Cm	7	7	$667.00	$500.25 25% off	$420.21	$606.97	$533.60	2025-02-26
12036	CPT	Rpr Int Sc Ax Tr Ext 20.1-30.0 Cm	14	7	$682.50	$511.88 25% off	$420.21	$635.18	$533.60	2025-02-26
62270	CPT	Puncture Lumabar Diagnostic	21	7	$657.00	$492.75 25% off	$93.87	$1,475.11	$525.60	2025-02-26
87153	CPT	Charge Dna/rna Sequencing	7	7	$831.00	$623.25 25% off	$40.00	$756.21	$523.53	2025-02-26
93931RT	OTHER	US Upper Ext Art Right	7	7	$648.00	$486.00 25% off	$408.24	$589.68	$518.40	2025-02-26
93931LT	OTHER	US Upper Ext Art Left	7	7	$648.00	$486.00 25% off	$408.24	$589.68	$518.40	2025-02-26
12054	CPT	Rpr Int F E Ey N L Mm 7.6-12.5 Cm	7	7	$642.00	$481.50 25% off	$404.46	$584.22	$513.60	2025-02-26
12046	CPT	Rpr Int Ne Ha Ft Gen 20.1-30.0 Cm	7	7	$642.00	$481.50 25% off	$404.46	$584.22	$513.60	2025-02-26
93976	CPT	US Renal Artery	7	7	$636.00	$477.00 25% off	$400.68	$578.76	$508.80	2025-02-26
2677054	OTHER	Treat Closed Finger Disloc Sngl W Manip	7	7	$635.00	$476.25 25% off	$400.05	$577.85	$508.00	2025-02-26
13100	CPT	Rpr Cmplx Trunk 1.1-2.5 Cm	14	7	$694.50	$520.88 25% off	$316.89	$806.26	$507.95	2025-02-26
64418	CPT	Inj Anesth Agnt &/or Steroid Sscap Nerve	14	7	$757.00	$567.75 25% off	$136.71	$1,180.27	$507.29	2025-02-26
90001	CPT	Bh Marriage Mediation Per Hr	14	7	$787.50	$590.62 25% off	$47.25	$1,365.00	$506.62	2025-02-26
11420	CPT	Ex B9 Les Sc N H Ft Ge 0.5 Cm<	14	7	$758.50	$568.88 25% off	$127.89	$1,195.74	$506.27	2025-02-26
93970	CPT	US Ext Vein Bilat	7	7	$624.00	$468.00 25% off	$393.12	$567.84	$499.20	2025-02-26
93979	CPT	US Aorta Limited	7	7	$624.00	$468.00 25% off	$393.12	$567.84	$499.20	2025-02-26
12045	CPT	Rpr Int Ne Ha Ft Gen 12.6-20.0 Cm	7	7	$617.00	$462.75 25% off	$388.71	$561.47	$493.60	2025-02-26
12020	CPT	Closure Wound Dehis Smpl	14	7	$676.50	$507.38 25% off	$294.21	$806.26	$491.57	2025-02-26
86902	CPT	Bb Antigen Screen Per Unit	7	7	$610.03	$457.52 25% off	$384.32	$555.13	$488.02	2025-02-26
64643	CPT	Chemodnrvtn 1 Ext, Ea Addl Ext 1-4 Mscle	14	7	$733.50	$550.12 25% off	$112.14	$1,172.99	$487.02	2025-02-26
86923	CPT	Bb Crossmatch Electronic	7	7	$770.00	$577.50 25% off	$40.00	$700.70	$485.10	2025-02-26
24655	CPT	Trmt Of Radial Head Or Neck Fx W Manipul	14	7	$681.50	$511.12 25% off	$239.40	$894.53	$482.54	2025-02-26
93926LT	OTHER	US Lower Ext Art Left	7	7	$600.00	$450.00 25% off	$378.00	$546.00	$480.00	2025-02-26
93926RT	OTHER	US Lower Ext Art Right	7	7	$600.00	$450.00 25% off	$378.00	$546.00	$480.00	2025-02-26
J1364	HCPCS	Erythromycin Lactobionate 500mg Vial	7	7	$600.00	$450.00 25% off	$378.00	$546.00	$480.00	2025-02-26
86682	CPT	Helminth Not Elsewhere Specified	7	7	$755.00	$566.25 25% off	$40.00	$687.05	$475.65	2025-02-26
40830	CPT	Rpr Lac Vestib Mouth 2.5cm Or Less	14	7	$660.00	$495.00 25% off	$261.45	$823.55	$473.90	2025-02-26
32551	CPT	Tube Thoracostomy	14	7	$660.00	$495.00 25% off	$246.96	$844.48	$470.68	2025-02-26
12051	CPT	Rpr Int Wnd F E Ey N L Mm 2.5<	14	7	$651.50	$488.62 25% off	$264.60	$803.53	$469.25	2025-02-26
99292	CPT	Critical Care Ea Add 30min	14	7	$683.50	$512.62 25% off	$173.88	$992.81	$469.25	2025-02-26
P9016	HCPCS	Do Not Use Charge Bb Prbc Unit	14	7	$628.50	$471.38 25% off	$321.30	$679.77	$467.36	2025-02-26
94060	CPT	Pulmonary Func Test W Bronchodilation	7	7	$576.00	$432.00 25% off	$362.88	$524.16	$460.80	2025-02-26
92960	CPT	Cardioversion External Elective	14	7	$666.50	$499.88 25% off	$172.62	$963.69	$458.25	2025-02-26
23650	CPT	Dislocation Shldr Clsd W Manip Wo Anes	14	7	$625.50	$469.12 25% off	$331.38	$659.75	$456.75	2025-02-26
13153	CPT	Rpr Cmplx Eyeld N Ear Lip Ea Ad 5cm	7	7	$566.00	$424.50 25% off	$356.58	$515.06	$452.80	2025-02-26
13133	CPT	Rpr Cmplx F C A G Ea Add 5 Cm	7	7	$566.00	$424.50 25% off	$356.58	$515.06	$452.80	2025-02-26
13131	CPT	Rpr Cmplx F C A G 1.1-2.5 Cm	14	7	$588.00	$441.00 25% off	$356.58	$555.10	$452.80	2025-02-26
13120	CPT	Rpr Cmplx Sc Arm Leg 1.1-2.5 Cm	14	7	$572.00	$429.00 25% off	$356.58	$525.98	$452.80	2025-02-26
13102	CPT	Rpr Cmplx Trunk Ea Add 5.0 Cm<	7	7	$566.00	$424.50 25% off	$356.58	$515.06	$452.80	2025-02-26
12018	CPT	Rpr Smp F E Ey N L Mm > 30.0 Cm	7	7	$566.00	$424.50 25% off	$356.58	$515.06	$452.80	2025-02-26
93923	CPT	US Abi 3 Levels	7	7	$566.00	$424.50 25% off	$356.58	$515.06	$452.80	2025-02-26
26725	CPT	Treatment Finger Fracture	14	7	$609.80	$457.35 25% off	$297.11	$680.68	$450.20	2025-02-26
11602	CPT	Ex Maglig Les Tr Arm Leg 1.1-2.0 Cm	14	7	$613.00	$459.75 25% off	$252.63	$750.75	$442.33	2025-02-26
2350054	OTHER	Treat Closed Clavicle Fx	7	7	$552.00	$414.00 25% off	$347.76	$502.32	$441.60	2025-02-26
65220	CPT	Remove Fb Cornea Wo Sl	24	10	$693.00	$519.75 25% off	$64.89	$908.18	$436.59	2025-02-26
13122	CPT	Rpr Cmplx Sc Arm Leg Ea Add 5 Cm<	14	7	$639.50	$479.62 25% off	$128.52	$978.25	$431.44	2025-02-26
11401	CPT	Ex B9 Les Tr Arm Leg 0.6-1.0 Cm	14	7	$627.50	$470.62 25% off	$161.28	$909.09	$431.16	2025-02-26
99236	CPT	Ip/obs Adm & D/c W 2 Or > Enctrs 85min/>	7	7	$538.00	$403.50 25% off	$338.94	$489.58	$430.40	2025-02-26
12053	CPT	Rpr Int F E Ey N L Mm 5.1-7.5 Cm	14	7	$576.50	$432.38 25% off	$337.68	$561.47	$428.80	2025-02-26
12044	CPT	Rpr Int Ne Ha Ft Gen 7.6-12.5 Cm	14	7	$561.00	$420.75 25% off	$334.53	$537.81	$424.80	2025-02-26
12005	CPT	Rpr Smp S N A G T Ex 12.6-20 Cm	14	7	$619.50	$464.62 25% off	$151.20	$909.09	$423.88	2025-02-26
88262	CPT	Pc Chromosome Analysis 15-20 Cells 2 Kar	7	7	$670.00	$502.50 25% off	$40.00	$609.70	$422.10	2025-02-26
96360	CPT	IV Inf Hydrate Init 31 Mins-1 Hr	7	7	$527.00	$395.25 25% off	$332.01	$479.57	$421.60	2025-02-26
96365	CPT	IV Inf Drug Init Up To 1 Hr	7	7	$527.00	$395.25 25% off	$332.01	$479.57	$421.60	2025-02-26
93308	CPT	US Echo Limited	7	7	$523.00	$392.25 25% off	$329.49	$475.93	$418.40	2025-02-26
96409	CPT	Inj Ivp Chemo Initial/sngle	7	7	$522.00	$391.50 25% off	$328.86	$475.02	$417.60	2025-02-26
11621	CPT	Ex Malig Les S N H F G 0.6-1.0 Cm	14	7	$580.00	$435.00 25% off	$232.47	$719.81	$417.06	2025-02-26
11601	CPT	Ex Maglig Les Tr Arm Leg 0.6-1.0 Cm	14	7	$579.00	$434.25 25% off	$231.21	$719.81	$416.15	2025-02-26
49083	CPT	Paracentesis Abd W Image Guide	14	7	$600.00	$450.00 25% off	$171.36	$844.48	$416.08	2025-02-26
30000	CPT	Drain Abscesshematoma Nose Inter	7	7	$518.00	$388.50 25% off	$326.34	$471.38	$414.40	2025-02-26
J1610	HCPCS	Glucagon Kit Prefilled 1mg/ml Inj	7	7	$515.00	$386.25 25% off	$324.45	$468.65	$412.00	2025-02-26
12034	CPT	Rpr Int Sc Ax Tr Ext 7.6-12.5cm	14	7	$563.50	$422.62 25% off	$321.30	$561.47	$408.00	2025-02-26
17281	CPT	Destruct Malig Les 0.6-1.0cm F/e/eye/n	14	7	$584.00	$438.00 25% off	$179.55	$803.53	$407.82	2025-02-26
43246	CPT	Insertion Gastrostomy Tube	7	7	$501.00	$375.75 25% off	$315.63	$455.91	$400.80	2025-02-26
93971LT	OTHER	US Ext Vein Left	7	7	$500.00	$375.00 25% off	$315.00	$455.00	$400.00	2025-02-26
93971RT	OTHER	US Ext Vein Right	7	7	$500.00	$375.00 25% off	$315.00	$455.00	$400.00	2025-02-26
11106	CPT	Incisional Bx Skin Sngle Lesion	14	7	$604.00	$453.00 25% off	$86.94	$973.70	$399.84	2025-02-26
12052	CPT	Rpr Int F E Ey N L Mm 2.6-5 Cm	14	7	$544.00	$408.00 25% off	$313.11	$537.81	$397.60	2025-02-26
11441	CPT	Ex Ben Les Fa Ea Ey N L M 0.5-1.0cm	14	7	$556.50	$417.38 25% off	$202.86	$719.81	$395.67	2025-02-26
88230	CPT	Pc Tissue Culture Lymph	7	7	$626.00	$469.50 25% off	$40.00	$569.66	$394.38	2025-02-26
99283	CPT	Emergency Dept Level 3	13	7	$692.00	$519.00 25% off	$110.25	$629.72	$391.00	2025-02-26
J0561	HCPCS	Cl-bi-cillin La 1.2mu (2ml) Pfs	7	7	$481.00	$360.75 25% off	$303.03	$437.71	$384.80	2025-02-26
99195	CPT	Therapeutic Phlebotomy	7	7	$480.00	$360.00 25% off	$302.40	$436.80	$384.00	2025-02-26
90651	CPT	Cl-hpv Gardasil 9 Val Pf Vac 0.5ml IM	14	7	$490.50	$367.88 25% off	$301.77	$456.82	$383.20	2025-02-26
10061	CPT	I D Abscess Complicated	17	10	$724.50	$543.38 25% off	$153.76	$909.09	$382.50	2025-02-26
92950	CPT	Cpr	17	10	$614.00	$460.50 25% off	$153.76	$708.89	$381.65	2025-02-26
12032	CPT	Rpr Int Sc Ax Tr Ext 2.6-7.5cm	14	7	$532.00	$399.00 25% off	$297.99	$537.81	$378.40	2025-02-26
81279	CPT	Jak2 Exon 12,13,14 And 15 Mutation	7	7	$600.00	$450.00 25% off	$40.00	$546.00	$378.00	2025-02-26
12042	CPT	Rpr Int Ne Ha Ft Gen 2.6-7.5 Cm	14	7	$519.00	$389.25 25% off	$297.36	$515.06	$377.60	2025-02-26
11042	CPT	Debride Sq 1st 20 Sq Cm	7	7	$472.00	$354.00 25% off	$297.36	$429.52	$377.60	2025-02-26

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