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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

TMC- BONHAM HOSPITAL

Bonham, TX · CCN 451370 · Rates published

2,075 distinct procedures filed
9 distinct payers
76,600 rate rows
2026-05-23 last MRF observed
Data quality

76,600 of 76,600 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://uhsfilecdn.eskycity.net/ac/461353294_tmc-bonham-hospital_standardcharges.csv
Found on page https://tmcbonham.com/patients-and-visitors/patient-information/pricing-guide/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 8729b45c3ddae96e… · 2,099,724 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3101
OTHER 		TNKase Inj 50 Mg 9 $17,336.00 $52,592.00 $28,244.00 nat. median
$195
outlier · 144.8×
37205
OTHER 		Xr Stent Placement Initial 9 $11,946.00 $36,239.00 $19,462.00 nat. median
$1,130
outlier · 17.2×
37206
OTHER 		Xr Stent Placement Addl 9 $11,946.00 $36,239.00 $19,462.00 nat. median
$1,765
outlier · 11.0×
J1162
OTHER 		DigiFab 40 Mg Vial 9 $8,554.00 $25,951.00 $13,937.00 nat. median
$5,270
outlier · 2.6×
J2997
OTHER 		Activase 100 Mg Inj 9 $458.00 $69,520.00 $12,153.00 nat. median
$107
outlier · 113.6×
70552
OTHER 		MRI Brain With Contrast 9 $6,260.00 $18,990.00 $10,198.00 nat. median
$549
outlier · 18.6×
72133
OTHER 		CT L-spine W/wo Contrast 9 $4,178.00 $12,674.00 $6,807.00 nat. median
$315
outlier · 21.6×
47563
OTHER 		Fl Lap Cholecystectomy Cholangiogram 9 $1,872.00 $23,341.00 $6,686.00 nat. median
$5,844
1.1× median
611
OTHER 		MRI Brain Without Contrast 9 $2,974.00 $18,990.00 $6,144.00 nat. median
$1,777
outlier · 3.5×
72149
OTHER 		MRI Ls-spine With Contrast 9 $3,758.00 $11,400.00 $6,122.00 nat. median
$560
outlier · 10.9×
78452
OTHER 		Nm Myocard Spect Multiple Rest & Stress 9 $3,705.00 $11,239.00 $6,036.00 nat. median
$1,353
outlier · 4.5×
72132
OTHER 		CT L-spine With Contrast 9 $3,650.00 $11,073.00 $5,946.00 nat. median
$437
outlier · 13.6×
70553
OTHER 		MRI Brain W/wo Contrast 9 $3,645.00 $11,059.00 $5,939.00 nat. median
$596
outlier · 10.0×
J0289
OTHER 		AmBisome 50mg Vial 9 $3,428.00 $10,400.00 $5,585.00 nat. median
$26
outlier · 216.4×
72129
OTHER 		CT T-spine With Contrast 9 $3,333.00 $10,112.00 $5,430.00 nat. median
$263
outlier · 20.7×
44146
OTHER 		Colectomy Partial With Coloproctostomy 9 $3,320.00 $10,071.00 $5,409.00 nat. median
$5,838
0.9× median
72158
OTHER 		MRI Ls-spine W/wo Contrast 9 $3,249.00 $9,855.00 $5,293.00 nat. median
$576
outlier · 9.2×
73721
OTHER 		MRI Ankle Without Contrast Left 9 $3,143.00 $9,534.00 $5,120.00 nat. median
$442
outlier · 11.6×
70460
OTHER 		CT Brain With Contrast 9 $3,123.00 $9,474.00 $5,088.00 nat. median
$276
outlier · 18.4×
72156
OTHER 		MRI C-spine W/wo Contrast 9 $3,059.00 $9,279.00 $4,983.00 nat. median
$564
outlier · 8.8×
70542
OTHER 		MRI Face With Contrast 9 $1,164.00 $19,441.00 $4,970.00 nat. median
$600
outlier · 8.3×
43840
OTHER 		Gastrorrhaphy Sut Per Duod/gast Ulcer 9 $2,982.00 $9,046.00 $4,858.00 nat. median
$2,872
1.7× median
72125
OTHER 		CT C-spine Without Contrast 9 $2,975.00 $9,026.00 $4,847.00 nat. median
$173
outlier · 28.1×
72141
OTHER 		MRI C-spine Without Contrast 9 $2,974.00 $9,023.00 $4,846.00 nat. median
$372
outlier · 13.0×
70551
OTHER 		MRI Brain Without Contrast 9 $2,974.00 $9,023.00 $4,846.00 nat. median
$394
outlier · 12.3×
73221
OTHER 		MRI Elbow Without Contrast Left 9 $2,965.00 $8,994.00 $4,830.00 nat. median
$396
outlier · 12.2×
54505
OTHER 		US Bx Inc Testis 9 $2,957.00 $8,971.00 $4,818.00 nat. median
$3,235
1.5× median
47605
OTHER 		Open Chole With Cholangiography 9 $2,947.00 $8,940.00 $4,801.00 nat. median
$2,499
1.9× median
72148
OTHER 		MRI Ls-spine Without Contrast 9 $2,933.00 $8,899.00 $4,779.00 nat. median
$383
outlier · 12.5×
70470
OTHER 		CT Brain W/wo Contrast 9 $2,933.00 $8,899.00 $4,779.00 nat. median
$276
outlier · 17.3×
72131
OTHER 		CT L-spine Without Contrast 9 $2,933.00 $8,899.00 $4,779.00 nat. median
$164
outlier · 29.1×
72127
OTHER 		CT C-spine W/wo Contrast 9 $2,859.00 $8,674.00 $4,658.00 nat. median
$291
outlier · 16.0×
27324
OTHER 		US Bx St Thigh/knee 9 $2,829.00 $8,581.00 $4,608.00 nat. median
$2,587
1.8× median
49060
OTHER 		Drainage Of Retroperitoneal Abcess Open 9 $2,824.00 $8,567.00 $4,601.00 nat. median
$2,875
1.6× median
72130
OTHER 		CT T-spine W/wo Contrast 9 $2,816.00 $8,543.00 $4,588.00 nat. median
$285
outlier · 16.1×
47801
OTHER 		Placement Of Choledochal Stent 9 $2,804.00 $8,507.00 $4,569.00 nat. median
$2,875
1.6× median
70481
OTHER 		CT Iac With Contrast Bilateral 9 $603.00 $13,015.00 $4,561.00 nat. median
$290
outlier · 15.8×
74178
OTHER 		CT Abdomen/pelvis W/wo Contrast 9 $2,769.00 $8,399.00 $4,511.00 nat. median
$495
outlier · 9.1×
72146
OTHER 		MRI T-spine Without Contrast 9 $2,767.00 $8,395.00 $4,508.00 nat. median
$372
outlier · 12.1×
44143
OTHER 		Colectomy W End Colostomy/closure 9 $2,744.00 $8,324.00 $4,470.00 nat. median
$2,949
1.5× median
47600
OTHER 		Cholecystectomy Excision 9 $2,741.00 $8,317.00 $4,466.00 nat. median
$2,528
1.8× median
72194
OTHER 		CT Pelvis W/wo Contrast 9 $2,724.00 $8,264.00 $4,438.00 nat. median
$310
outlier · 14.3×
36573
OTHER 		Ins Picc With Imaging Age 5yrs=> Ms 9 $2,650.00 $8,039.00 $4,317.00 nat. median
$1,620
outlier · 2.7×
44320
OTHER 		Colostomy Or Skin Level Cecostomy 9 $2,637.00 $7,999.00 $4,296.00 nat. median
$2,510
1.7× median
72126
OTHER 		CT C-spine With Contrast 9 $2,627.00 $7,968.00 $4,279.00 nat. median
$444
outlier · 9.6×
44625
OTHER 		Clos Enterostomy Lrg/sm Intest W/resect 9 $2,615.00 $7,932.00 $4,260.00 nat. median
$2,281
1.9× median
36569
OTHER 		Ins Picc Without Imaging Age 5 Yr => Ms 9 $2,562.00 $7,772.00 $4,174.00 nat. median
$1,629
outlier · 2.6×
78320
OTHER 		Nm Bone/joint Spect 9 $2,555.00 $7,752.00 $4,163.00 nat. median
$705
outlier · 5.9×
49585
OTHER 		Umbilical Hernia Repair; Reducible 9 $2,489.00 $7,552.00 $4,056.00 nat. median
$2,721
1.5× median
612
OTHER 		MRI C-spine Without Contrast 9 $1,055.00 $11,400.00 $4,042.00 nat. median
$2,164
1.9× median

Other procedures at this hospital

Browse this hospital's 2,075 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
             
J3101 OTHER TNKase Inj 50 Mg 14 9 $40,904.85 $12,271.35 70% off $17,336.00 $52,592.00 $28,244.00 2026-05-23
37206 OTHER Xr Stent Placement Addl 14 9 $28,186.20 $8,455.65 70% off $11,946.00 $36,239.00 $19,462.00 2026-05-23
37205 OTHER Xr Stent Placement Initial 14 9 $28,186.20 $8,455.65 70% off $11,946.00 $36,239.00 $19,462.00 2026-05-23
J1162 OTHER DigiFab 40 Mg Vial 14 9 $20,184.15 $6,055.35 70% off $8,554.00 $25,951.00 $13,937.00 2026-05-23
J2997 OTHER Activase 100 Mg Inj 28 9 $26,315.00 $7,894.45 70% off $458.00 $69,520.00 $12,153.00 2026-05-23
70552 OTHER MRI Brain With Contrast 14 9 $14,770.35 $4,431.00 70% off $6,260.00 $18,990.00 $10,198.00 2026-05-23
72133 OTHER CT L-spine W/wo Contrast 14 9 $9,858.45 $2,957.85 70% off $4,178.00 $12,674.00 $6,807.00 2026-05-23
47563 OTHER Fl Lap Cholecystectomy Cholangiogram 28 9 $10,958.30 $3,287.60 70% off $1,872.00 $23,341.00 $6,686.00 2026-05-23
611 OTHER MRI Brain Without Contrast 42 9 $8,601.60 $2,579.85 70% off $2,974.00 $18,990.00 $6,144.00 2026-05-23
72149 OTHER MRI Ls-spine With Contrast 14 9 $8,867.25 $2,659.65 70% off $3,758.00 $11,400.00 $6,122.00 2026-05-23
78452 OTHER Nm Myocard Spect Multiple Rest & Stress 14 9 $8,741.25 $2,622.90 70% off $3,705.00 $11,239.00 $6,036.00 2026-05-23
72132 OTHER CT L-spine With Contrast 14 9 $8,612.10 $2,584.05 70% off $3,650.00 $11,073.00 $5,946.00 2026-05-23
70553 OTHER MRI Brain W/wo Contrast 14 9 $8,601.60 $2,579.85 70% off $3,645.00 $11,059.00 $5,939.00 2026-05-23
J0289 OTHER AmBisome 50mg Vial 14 9 $8,089.20 $2,426.55 70% off $3,428.00 $10,400.00 $5,585.00 2026-05-23
72129 OTHER CT T-spine With Contrast 14 9 $7,864.50 $2,359.35 70% off $3,333.00 $10,112.00 $5,430.00 2026-05-23
44146 OTHER Colectomy Partial With Coloproctostomy 14 9 $7,833.00 $2,349.90 70% off $3,320.00 $10,071.00 $5,409.00 2026-05-23
72158 OTHER MRI Ls-spine W/wo Contrast 14 9 $7,665.00 $2,299.50 70% off $3,249.00 $9,855.00 $5,293.00 2026-05-23
73721 OTHER MRI Ankle Without Contrast Left 14 9 $7,415.10 $2,224.95 70% off $3,143.00 $9,534.00 $5,120.00 2026-05-23
70460 OTHER CT Brain With Contrast 14 9 $7,368.90 $2,210.25 70% off $3,123.00 $9,474.00 $5,088.00 2026-05-23
72156 OTHER MRI C-spine W/wo Contrast 14 9 $7,217.70 $2,165.10 70% off $3,059.00 $9,279.00 $4,983.00 2026-05-23
70542 OTHER MRI Face With Contrast 28 9 $8,639.30 $2,591.75 70% off $1,164.00 $19,441.00 $4,970.00 2026-05-23
43840 OTHER Gastrorrhaphy Sut Per Duod/gast Ulcer 14 9 $7,036.05 $2,110.50 70% off $2,982.00 $9,046.00 $4,858.00 2026-05-23
72125 OTHER CT C-spine Without Contrast 14 9 $7,020.30 $2,106.30 70% off $2,975.00 $9,026.00 $4,847.00 2026-05-23
72141 OTHER MRI C-spine Without Contrast 14 9 $7,018.20 $2,105.25 70% off $2,974.00 $9,023.00 $4,846.00 2026-05-23
70551 OTHER MRI Brain Without Contrast 14 9 $7,018.20 $2,105.25 70% off $2,974.00 $9,023.00 $4,846.00 2026-05-23
73221 OTHER MRI Elbow Without Contrast Left 14 9 $6,995.10 $2,098.95 70% off $2,965.00 $8,994.00 $4,830.00 2026-05-23
54505 OTHER US Bx Inc Testis 14 9 $6,978.30 $2,093.70 70% off $2,957.00 $8,971.00 $4,818.00 2026-05-23
47605 OTHER Open Chole With Cholangiography 14 9 $6,954.15 $2,086.35 70% off $2,947.00 $8,940.00 $4,801.00 2026-05-23
72131 OTHER CT L-spine Without Contrast 14 9 $6,921.60 $2,076.90 70% off $2,933.00 $8,899.00 $4,779.00 2026-05-23
72148 OTHER MRI Ls-spine Without Contrast 14 9 $6,921.60 $2,076.90 70% off $2,933.00 $8,899.00 $4,779.00 2026-05-23
70470 OTHER CT Brain W/wo Contrast 14 9 $6,921.60 $2,076.90 70% off $2,933.00 $8,899.00 $4,779.00 2026-05-23
72127 OTHER CT C-spine W/wo Contrast 14 9 $6,747.30 $2,024.40 70% off $2,859.00 $8,674.00 $4,658.00 2026-05-23
27324 OTHER US Bx St Thigh/knee 14 9 $6,674.85 $2,002.35 70% off $2,829.00 $8,581.00 $4,608.00 2026-05-23
49060 OTHER Drainage Of Retroperitoneal Abcess Open 14 9 $6,663.30 $1,999.20 70% off $2,824.00 $8,567.00 $4,601.00 2026-05-23
72130 OTHER CT T-spine W/wo Contrast 14 9 $6,644.40 $1,992.90 70% off $2,816.00 $8,543.00 $4,588.00 2026-05-23
47801 OTHER Placement Of Choledochal Stent 14 9 $6,617.10 $1,984.50 70% off $2,804.00 $8,507.00 $4,569.00 2026-05-23
70481 OTHER CT Iac With Contrast Bilateral 42 9 $7,368.90 $2,210.25 70% off $603.00 $13,015.00 $4,561.00 2026-05-23
74178 OTHER CT Abdomen/pelvis W/wo Contrast 14 9 $6,533.10 $1,959.30 70% off $2,769.00 $8,399.00 $4,511.00 2026-05-23
72146 OTHER MRI T-spine Without Contrast 14 9 $6,529.95 $1,959.30 70% off $2,767.00 $8,395.00 $4,508.00 2026-05-23
44143 OTHER Colectomy W End Colostomy/closure 14 9 $6,474.30 $1,942.50 70% off $2,744.00 $8,324.00 $4,470.00 2026-05-23
47600 OTHER Cholecystectomy Excision 14 9 $6,469.05 $1,940.40 70% off $2,741.00 $8,317.00 $4,466.00 2026-05-23
72194 OTHER CT Pelvis W/wo Contrast 14 9 $6,428.10 $1,927.80 70% off $2,724.00 $8,264.00 $4,438.00 2026-05-23
36573 OTHER Ins Picc With Imaging Age 5yrs=> Ms 14 9 $6,252.75 $1,875.30 70% off $2,650.00 $8,039.00 $4,317.00 2026-05-23
44320 OTHER Colostomy Or Skin Level Cecostomy 14 9 $6,221.25 $1,866.90 70% off $2,637.00 $7,999.00 $4,296.00 2026-05-23
72126 OTHER CT C-spine With Contrast 14 9 $6,198.15 $1,859.55 70% off $2,627.00 $7,968.00 $4,279.00 2026-05-23
44625 OTHER Clos Enterostomy Lrg/sm Intest W/resect 14 9 $6,169.80 $1,851.15 70% off $2,615.00 $7,932.00 $4,260.00 2026-05-23
36569 OTHER Ins Picc Without Imaging Age 5 Yr => Ms 14 9 $6,044.85 $1,813.35 70% off $2,562.00 $7,772.00 $4,174.00 2026-05-23
78320 OTHER Nm Bone/joint Spect 14 9 $6,029.10 $1,809.15 70% off $2,555.00 $7,752.00 $4,163.00 2026-05-23
49585 OTHER Umbilical Hernia Repair; Reducible 14 9 $5,873.70 $1,761.90 70% off $2,489.00 $7,552.00 $4,056.00 2026-05-23
612 OTHER MRI C-spine Without Contrast 126 9 $6,762.45 $2,028.80 70% off $1,055.00 $11,400.00 $4,042.00 2026-05-23
93306 OTHER US Echo Transthoracic With Doppler 14 9 $5,764.50 $1,729.35 70% off $2,443.00 $7,411.00 $3,980.00 2026-05-23
50392 OTHER Xr Perc Drn/inj Ren Pel 14 9 $5,742.45 $1,723.05 70% off $2,433.00 $7,382.00 $3,965.00 2026-05-23
50395 OTHER US Est Nephrost Tr 14 9 $5,742.45 $1,723.05 70% off $2,433.00 $7,382.00 $3,965.00 2026-05-23
74170 OTHER CT Abdomen W/wo Contrast 14 9 $5,735.10 $1,719.90 70% off $2,430.00 $7,373.00 $3,960.00 2026-05-23
70492 OTHER CT Soft Tissue Neck W/wo Contrast 14 9 $5,636.40 $1,690.50 70% off $2,389.00 $7,246.00 $3,891.00 2026-05-23
38100 OTHER Splenectomy Total Separate Procedure 14 9 $5,631.15 $1,689.45 70% off $2,386.00 $7,239.00 $3,888.00 2026-05-23
70544 OTHER Mr Venogram Brain Without Contrast 14 9 $5,537.70 $1,661.10 70% off $2,347.00 $7,119.00 $3,823.00 2026-05-23
78315 OTHER Nm Bone Imaging 3 Phase 14 9 $5,530.35 $1,659.00 70% off $2,344.00 $7,110.00 $3,819.00 2026-05-23
95811 OTHER Sleep Study Cpap Bip 28 9 $6,015.20 $1,804.65 70% off $2,200.00 $8,899.00 $3,782.00 2026-05-23
73718 OTHER MRI Foot Without Contrast Left 14 9 $5,468.40 $1,640.10 70% off $2,317.00 $7,030.00 $3,775.00 2026-05-23
72128 OTHER CT T-spine Without Contrast 14 9 $5,458.95 $1,638.00 70% off $2,314.00 $7,019.00 $3,769.00 2026-05-23
71270 OTHER CT Chest W/wo Contrast 14 9 $5,439.00 $1,631.70 70% off $2,305.00 $6,992.00 $3,755.00 2026-05-23
71260 OTHER CT Chest With Contrast 14 9 $5,439.00 $1,631.70 70% off $2,305.00 $6,992.00 $3,755.00 2026-05-23
70491 OTHER CT Neck With Contrast 14 9 $5,439.00 $1,631.70 70% off $2,305.00 $6,992.00 $3,755.00 2026-05-23
72142 OTHER MRI C-spine With Contrast 14 9 $5,398.05 $1,619.10 70% off $2,288.00 $6,940.00 $3,727.00 2026-05-23
35201 OTHER Repair Blood Vessel Direct; Neck 14 9 $5,390.70 $1,617.00 70% off $2,284.00 $6,930.00 $3,722.00 2026-05-23
45111 OTHER Proctectomy With Part Resect Of Rectum 14 9 $5,310.90 $1,592.85 70% off $2,251.00 $6,828.00 $3,667.00 2026-05-23
81404 OTHER Southern Blot 14 9 $5,305.65 $1,591.80 70% off $2,249.00 $6,822.00 $3,663.00 2026-05-23
352 OTHER CT Abdomen Without Contrast 294 9 $5,810.95 $1,743.50 70% off $489.00 $12,674.00 $3,640.00 2026-05-23
15734 OTHER Muscle Myocutaneous Fascio Flap Trunk 14 9 $5,232.15 $1,569.75 70% off $2,217.00 $6,726.00 $3,612.00 2026-05-23
35226 OTHER Rpr Blood Vessel Direct Lower Ext 14 9 $5,180.70 $1,554.00 70% off $2,196.00 $6,661.00 $3,577.00 2026-05-23
44140 OTHER Colectomy Partial With Anastomosis 14 9 $4,962.30 $1,488.90 70% off $2,103.00 $6,380.00 $3,426.00 2026-05-23
73720 OTHER MRI Foot W/wo Contrast Left 14 9 $4,943.40 $1,482.60 70% off $2,095.00 $6,355.00 $3,413.00 2026-05-23
74177 OTHER CT Abdomen/pelvis With Contrast 14 9 $4,936.05 $1,480.50 70% off $2,092.00 $6,346.00 $3,408.00 2026-05-23
95810 OTHER Sleep Study Staging +4 Para 28 9 $5,414.00 $1,624.25 70% off $1,980.00 $8,010.00 $3,404.00 2026-05-23
G0390 OTHER Trauma Activation With Critical Care 14 9 $4,910.85 $1,473.15 70% off $2,081.00 $6,313.00 $3,390.00 2026-05-23
684 OTHER Trauma Activation Without Critical Care 14 9 $4,910.85 $1,473.15 70% off $2,081.00 $6,313.00 $3,390.00 2026-05-23
44180 OTHER Lap Rls Of Intestinal Adhesions Sep Proc 14 9 $4,864.65 $1,459.50 70% off $2,061.00 $6,254.00 $3,359.00 2026-05-23
21550 OTHER US Bx St Neck 14 9 $4,857.30 $1,457.40 70% off $2,059.00 $6,245.00 $3,354.00 2026-05-23
70490 OTHER CT Neck Without Contrast 14 9 $4,845.75 $1,453.20 70% off $2,053.00 $6,230.00 $3,346.00 2026-05-23
44160 OTHER Colect Part/remove Ileum With Ileocolostom 14 9 $4,830.00 $1,449.00 70% off $2,047.00 $6,209.00 $3,335.00 2026-05-23
72193 OTHER CT Pelvis With Contrast 14 9 $4,825.80 $1,447.95 70% off $2,045.00 $6,204.00 $3,332.00 2026-05-23
27880 OTHER Amputation Leg Through Tibia Fibula 14 9 $4,698.75 $1,409.10 70% off $1,991.00 $6,041.00 $3,244.00 2026-05-23
A9521 OTHER Nm Ceretec 14 9 $4,695.60 $1,409.10 70% off $1,990.00 $6,037.00 $3,242.00 2026-05-23
78075 OTHER Nm Adrenal Imaging 14 9 $4,643.10 $1,393.35 70% off $1,968.00 $5,970.00 $3,206.00 2026-05-23
73722 OTHER MRI Ankle With Contrast Left 28 9 $4,859.25 $1,457.70 70% off $1,074.00 $9,534.00 $3,201.50 2026-05-23
93307 OTHER US Echo Transthoracic Without Doppler 14 9 $4,609.50 $1,382.85 70% off $1,953.00 $5,926.00 $3,182.00 2026-05-23
74160 OTHER CT Abdomen With Contrast 14 9 $4,477.20 $1,342.95 70% off $1,897.00 $5,756.00 $3,091.00 2026-05-23
43825 OTHER Gastrojejunostomy With Vagotomy Any Type 14 9 $4,401.60 $1,319.85 70% off $1,865.00 $5,659.00 $3,039.00 2026-05-23
49565 OTHER Repair Recur Incis/ventral Hernia Reduc 14 9 $4,385.85 $1,315.65 70% off $1,859.00 $5,638.00 $3,028.00 2026-05-23
75635 OTHER CTA Complete Aorta With Runoffs 14 9 $4,319.70 $1,295.70 70% off $1,831.00 $5,553.00 $2,982.00 2026-05-23
31600 OTHER Tracheostomy 28 9 $4,712.45 $1,413.80 70% off $898.00 $9,725.00 $2,965.50 2026-05-23
27422 OTHER Reconstruct Patella 14 9 $4,256.70 $1,276.80 70% off $1,804.00 $5,473.00 $2,939.00 2026-05-23
J0585 OTHER Botox 100 Unit Inj 14 9 $4,222.05 $1,266.30 70% off $1,789.00 $5,428.00 $2,915.00 2026-05-23
28615 OTHER Open Trtmt Tarsomet W/internal Fixation 14 9 $4,180.05 $1,253.70 70% off $1,772.00 $5,374.00 $2,886.00 2026-05-23
73701 OTHER CT Ankle With Contrast Left 28 9 $4,331.85 $1,299.50 70% off $1,676.00 $6,102.00 $2,881.50 2026-05-23
73223 OTHER MRI Elbow W/wo Contrast Left 28 9 $4,321.10 $1,296.00 70% off $1,736.00 $5,873.00 $2,877.50 2026-05-23
71555 OTHER MRA Thorax W/wo Contrast 14 9 $4,152.75 $1,246.35 70% off $1,760.00 $5,339.00 $2,867.00 2026-05-23
71552 OTHER MRI Chest (unspecified) W/wo Contrast 14 9 $4,152.75 $1,246.35 70% off $1,760.00 $5,339.00 $2,867.00 2026-05-23
483 OTHER US Echo Transthoracic Limited 42 9 $4,609.50 $1,382.85 70% off $1,464.00 $7,411.00 $2,853.00 2026-05-23
49041 OTHER Xr Drain Abscess Subdiaphrag 14 9 $4,130.70 $1,239.00 70% off $1,750.00 $5,310.00 $2,852.00 2026-05-23
48511 OTHER US Drain Pseudocyst Pancreas 14 9 $4,130.70 $1,239.00 70% off $1,750.00 $5,310.00 $2,852.00 2026-05-23
50021 OTHER Xr Drain Abscess Renal Percu 14 9 $4,130.70 $1,239.00 70% off $1,750.00 $5,310.00 $2,852.00 2026-05-23
44125 OTHER Resect Sm Intest/single W/anast & Ostomy 14 9 $4,117.05 $1,234.80 70% off $1,745.00 $5,293.00 $2,842.00 2026-05-23
27590 OTHER Amputation Thigh Through Femur Any Level 14 9 $4,098.15 $1,229.55 70% off $1,737.00 $5,269.00 $2,830.00 2026-05-23
73222 OTHER MRA Shoulder Left 14 9 $4,097.10 $1,228.50 70% off $1,736.00 $5,267.00 $2,829.00 2026-05-23
78453 OTHER Nm Heart Wall Motion 14 9 $4,098.15 $1,229.55 70% off $1,737.00 $5,268.00 $2,829.00 2026-05-23
47564 OTHER Lap Chole With Explor Common Duct 14 9 $4,072.95 $1,222.20 70% off $1,726.00 $5,236.00 $2,812.00 2026-05-23
44005 OTHER Enterolysis Freeing Intest Adhesion 14 9 $4,048.80 $1,214.85 70% off $1,716.00 $5,205.00 $2,795.00 2026-05-23
74176 OTHER CT Abdomen/pelvis Without Contrast 14 9 $4,036.20 $1,210.65 70% off $1,710.00 $5,189.00 $2,787.00 2026-05-23
28730 OTHER Arthrodesis Mid/tarso; Mult/transverse 14 9 $4,032.00 $1,209.60 70% off $1,709.00 $5,184.00 $2,784.00 2026-05-23
70549 OTHER MRA Carotid Art. W/wo Contrast Bilateral 14 9 $4,017.30 $1,205.40 70% off $1,703.00 $5,165.00 $2,774.00 2026-05-23
73700 OTHER CT Ankle Without Contrast Left 14 9 $3,955.35 $1,186.50 70% off $1,676.00 $5,085.00 $2,731.00 2026-05-23
72192 OTHER CT Pelvis Without Contrast 14 9 $3,955.35 $1,186.50 70% off $1,676.00 $5,085.00 $2,731.00 2026-05-23
93351 OTHER US Stress Echo 14 9 $3,932.25 $1,179.15 70% off $1,666.00 $5,055.00 $2,715.00 2026-05-23
49520 OTHER Repair Rec Ing Hernia Reducible 14 9 $3,879.75 $1,163.40 70% off $1,644.00 $4,988.00 $2,679.00 2026-05-23
72198 OTHER MRA Pelvis W/wo Contrast 14 9 $3,856.65 $1,157.10 70% off $1,634.00 $4,959.00 $2,663.00 2026-05-23
20005 OTHER I & D Soft Tissue Abcess Subfacial 28 9 $4,721.70 $1,416.40 70% off $531.00 $10,975.00 $2,615.00 2026-05-23
45171 OTHER Exc Rectal Tumor Transanal 14 9 $3,755.85 $1,126.65 70% off $1,592.00 $4,829.00 $2,593.00 2026-05-23
47000 OTHER Xr Bx Liver Percu 14 9 $3,754.80 $1,126.65 70% off $1,591.00 $4,827.00 $2,592.00 2026-05-23
920 OTHER Home Sleep Study 126 9 $4,553.50 $1,366.00 70% off $259.00 $8,899.00 $2,570.00 2026-05-23
15100 OTHER Split Thick Autograft Leg 1st 100 Cm 28 9 $3,757.00 $1,126.90 70% off $1,540.00 $5,006.00 $2,552.00 2026-05-23
119 OTHER Ms Telemetry Private 28 9 $3,761.50 $1,128.40 70% off $1,540.00 $5,018.00 $2,552.00 2026-05-23
P9034 OTHER Apheresis Platelet Single Donor 14 9 $3,693.90 $1,107.75 70% off $1,565.00 $4,749.00 $2,550.00 2026-05-23
164 OTHER Med/surg Priv Isol 14 9 $3,675.00 $1,102.50 70% off $1,558.00 $4,725.00 $2,538.00 2026-05-23
70480 OTHER CT Iac Without Contrast Bilateral 56 9 $4,012.00 $1,203.85 70% off $381.00 $13,231.00 $2,517.00 2026-05-23
615 OTHER Mr Venogram Brain Without Contrast 56 9 $3,777.50 $1,133.35 70% off $1,166.00 $7,119.00 $2,514.50 2026-05-23
129 OTHER Ms Telemetry Semi Private 14 9 $3,633.00 $1,089.90 70% off $1,540.00 $4,671.00 $2,509.00 2026-05-23
49323 OTHER Lap Surg W/drg Lymphocele 14 9 $3,627.75 $1,087.80 70% off $1,537.00 $4,664.00 $2,505.00 2026-05-23
49507 OTHER Repair Ing Hern > 5 Strangulated 14 9 $3,618.30 $1,085.70 70% off $1,533.00 $4,652.00 $2,498.00 2026-05-23
44120 OTHER Resection On Jejunum 14 9 $3,615.15 $1,084.65 70% off $1,532.00 $4,647.00 $2,496.00 2026-05-23
70496 OTHER CTA Head 14 9 $3,608.85 $1,082.55 70% off $1,529.00 $4,640.00 $2,492.00 2026-05-23
74175 OTHER CTA Abdomen 14 9 $3,608.85 $1,082.55 70% off $1,529.00 $4,640.00 $2,492.00 2026-05-23
71275 OTHER CTA Chest 14 9 $3,608.85 $1,082.55 70% off $1,529.00 $4,640.00 $2,492.00 2026-05-23
72191 OTHER CTA Pelvis 14 9 $3,608.85 $1,082.55 70% off $1,529.00 $4,640.00 $2,492.00 2026-05-23
11772 OTHER Exc Pilondidal Cyst Complicated 14 9 $3,606.75 $1,082.55 70% off $1,529.00 $4,637.00 $2,490.00 2026-05-23
74280 OTHER Xr Barium Enema Air Contrast 14 9 $3,605.70 $1,081.50 70% off $1,528.00 $4,635.00 $2,489.00 2026-05-23
81162 OTHER Brca 1 2 Complete 14 9 $3,582.60 $1,074.15 70% off $1,518.00 $4,606.00 $2,473.00 2026-05-23
70547 OTHER MRA Carotid Art. Without Contrast Bilateral 14 9 $3,559.50 $1,067.85 70% off $1,508.00 $4,576.00 $2,457.00 2026-05-23
74240 OTHER Fl Upper Gi Study Double Contrast 14 9 $3,531.15 $1,059.45 70% off $1,496.00 $4,539.00 $2,438.00 2026-05-23
55700 OTHER US Bx Prostate Needle 14 9 $3,529.05 $1,058.40 70% off $1,495.00 $4,537.00 $2,436.00 2026-05-23
Q4186 OTHER Graft Mesh Epifix (4cm 4.5cm) Consigned 28 9 $3,964.00 $1,189.00 70% off $1,113.00 $6,990.00 $2,410.50 2026-05-23
73200 OTHER CT Wrist Without Contrast Left 14 9 $3,460.80 $1,038.45 70% off $1,467.00 $4,449.00 $2,389.00 2026-05-23
74246 OTHER Fl Ugi W/air W/wo Contrast Kub 14 9 $3,457.65 $1,037.40 70% off $1,465.00 $4,445.00 $2,387.00 2026-05-23
70450 OTHER CT Brain Without Contrast 14 9 $3,455.55 $1,036.35 70% off $1,465.00 $4,443.00 $2,386.00 2026-05-23
93308 OTHER US Echo Transthoracic Limited 14 9 $3,454.50 $1,036.35 70% off $1,464.00 $4,441.00 $2,385.00 2026-05-23
74183 OTHER MRA Complete Aorta With Runoffs 14 9 $3,423.00 $1,026.90 70% off $1,451.00 $4,401.00 $2,364.00 2026-05-23
64999 OTHER Unlisted Proc Nervous System 14 9 $3,418.80 $1,025.85 70% off $1,449.00 $4,396.00 $2,361.00 2026-05-23
72197 OTHER MRI Pelvis W/wo Contrast 14 9 $3,414.60 $1,024.80 70% off $1,447.00 $4,390.00 $2,358.00 2026-05-23
28740 OTHER Arthrodesis Mid/tarso; Single Joint 14 9 $3,412.50 $1,023.75 70% off $1,446.00 $4,387.00 $2,356.00 2026-05-23
44960 OTHER Appen Rupt Append W Abscess 14 9 $3,393.60 $1,017.45 70% off $1,438.00 $4,363.00 $2,343.00 2026-05-23
73220 OTHER MRI Finger(s) W/wo Contrast Left 14 9 $3,393.60 $1,018.50 70% off $1,438.00 $4,363.00 $2,343.00 2026-05-23
19281 OTHER Mammo Guided Wire Loc. Breast Mass 14 9 $3,362.10 $1,008.00 70% off $1,425.00 $4,322.00 $2,321.00 2026-05-23
78278 OTHER Nm Acute Gi Blood Loss 14 9 $3,362.10 $1,008.00 70% off $1,425.00 $4,322.00 $2,321.00 2026-05-23
70498 OTHER CT Carotid Angiogram Bilateral 14 9 $3,326.40 $997.50 70% off $1,410.00 $4,276.00 $2,296.00 2026-05-23
73706 OTHER CTA Leg Bilateral 14 9 $3,326.40 $997.50 70% off $1,410.00 $4,276.00 $2,296.00 2026-05-23
73206 OTHER CTA Upper Extremity W/wo Contrast Left 14 9 $3,326.40 $997.50 70% off $1,410.00 $4,276.00 $2,296.00 2026-05-23
360 OTHER Bronchoscopy Rigid Or Flex Inc Fluro 42 9 $3,740.00 $1,122.00 70% off $754.00 $5,139.00 $2,288.00 2026-05-23
78300 OTHER Nm Bone/joint Limited 14 9 $3,302.25 $991.20 70% off $1,400.00 $4,246.00 $2,280.00 2026-05-23
87903 OTHER Pheno W/drg Res 1 10 14 9 $3,300.15 $990.15 70% off $1,398.00 $4,242.00 $2,278.00 2026-05-23
47562 OTHER Laparoscopic Cholecystectomy 14 9 $3,282.30 $984.90 70% off $1,391.00 $4,220.00 $2,266.00 2026-05-23
44021 OTHER Enterotomy Sm Intestine For Decomp 14 9 $3,280.20 $983.85 70% off $1,390.00 $4,217.00 $2,265.00 2026-05-23
95805 OTHER Mslt Sleep Study 42 9 $3,460.80 $1,038.45 70% off $858.00 $6,286.00 $2,263.00 2026-05-23
19302 OTHER Mastectomy Part With Axil Lymph 14 9 $3,270.75 $981.75 70% off $1,386.00 $4,205.00 $2,258.00 2026-05-23
A9547 OTHER Nm Indium 111 Oxyquin 14 9 $3,268.65 $980.70 70% off $1,385.00 $4,203.00 $2,257.00 2026-05-23
351 OTHER CT Brain Without Contrast 204 9 $3,364.00 $1,009.00 70% off $381.00 $9,474.00 $2,238.50 2026-05-23
49561 OTHER Rpr Init Incis Vent Hernia Incar Or Stra 14 9 $3,238.20 $971.25 70% off $1,372.00 $4,163.00 $2,236.00 2026-05-23
28750 OTHER Arthrodesis Grt Toe/metatarsophalangeal 14 9 $3,216.15 $964.95 70% off $1,363.00 $4,134.00 $2,220.00 2026-05-23
78306 OTHER Nm Bone/joint Whole Body 14 9 $3,205.65 $961.80 70% off $1,358.00 $4,121.00 $2,213.00 2026-05-23
70543 OTHER MRI Face W/wo Contrast 14 9 $3,197.25 $958.65 70% off $1,355.00 $4,110.00 $2,207.00 2026-05-23
73723 OTHER MRI Ankle W/wo Contrast Left 14 9 $3,197.25 $958.65 70% off $1,355.00 $4,110.00 $2,207.00 2026-05-23
110 OTHER Med/surg Private 42 9 $3,247.75 $974.05 70% off $1,257.00 $4,698.00 $2,203.00 2026-05-23
C5271 OTHER Appl Of Low Cost Skin Sub Gft Tt Wnd Suf 14 9 $3,141.60 $942.90 70% off $1,331.00 $4,039.00 $2,169.00 2026-05-23
74185 OTHER MRA Abdomen W/wo Contrast 28 9 $3,391.90 $1,017.40 70% off $1,258.00 $4,959.00 $2,163.00 2026-05-23
72157 OTHER MRI T-spine W/wo Contrast 14 9 $3,124.80 $937.65 70% off $1,324.00 $4,018.00 $2,158.00 2026-05-23
70546 OTHER Mr Venogram Brain W/wo Contrast 14 9 $3,124.80 $937.65 70% off $1,324.00 $4,017.00 $2,157.00 2026-05-23
49450 OTHER Replace G/c Tube Perc 14 9 $3,109.05 $932.40 70% off $1,317.00 $3,997.00 $2,146.00 2026-05-23
35860 OTHER Explor For Post Op Hemorr Extrem 14 9 $3,096.45 $929.25 70% off $1,312.00 $3,980.00 $2,138.00 2026-05-23
27696 OTHER Rpr Prim Disrpted Lig Ank Bth Collat Lig 14 9 $3,070.20 $920.85 70% off $1,301.00 $3,947.00 $2,120.00 2026-05-23
93925 OTHER Vs Duplex Arter Lower Ext Complete Bilat 14 9 $3,066.00 $919.80 70% off $1,299.00 $3,941.00 $2,117.00 2026-05-23
47531 OTHER Cholangio T-tube W Imaging 14 9 $3,062.85 $918.75 70% off $1,298.00 $3,938.00 $2,115.00 2026-05-23
74300 OTHER Cholangio Intraop 14 9 $3,062.85 $918.75 70% off $1,298.00 $3,938.00 $2,115.00 2026-05-23
74270 OTHER Fl Barium Enema Double Contrast 14 9 $3,062.85 $918.75 70% off $1,298.00 $3,938.00 $2,115.00 2026-05-23
610 OTHER Mr Venogram Brain W/wo Contrast 602 9 $3,136.65 $941.05 70% off $838.00 $19,441.00 $2,114.00 2026-05-23
14020 OTHER Adjacent Tiss Transf Legs <= 10 Sq Cm 14 9 $3,057.60 $916.65 70% off $1,296.00 $3,931.00 $2,111.00 2026-05-23
78264 OTHER Nm Gastric Emptying Study 14 9 $3,050.25 $915.60 70% off $1,293.00 $3,922.00 $2,106.00 2026-05-23
45020 OTHER I & D Of Deep Supralevator; Pelvirectal; 14 9 $3,042.90 $912.45 70% off $1,289.00 $3,912.00 $2,101.00 2026-05-23
27301 OTHER I&d Deep Absc/bursa/hematoma Thigh/knee 14 9 $3,026.10 $908.25 70% off $1,282.00 $3,891.00 $2,089.00 2026-05-23
45385 OTHER Colonoscopy W Rem Tumor Snare 14 9 $3,021.90 $906.15 70% off $1,280.00 $3,885.00 $2,086.00 2026-05-23
71551 OTHER MRI Chest (unspecified) With Contrast 14 9 $3,018.75 $906.15 70% off $1,279.00 $3,881.00 $2,084.00 2026-05-23
120 OTHER Med/surg Semi Private 28 9 $3,093.70 $927.85 70% off $1,257.00 $4,159.00 $2,082.50 2026-05-23
44970 OTHER Laparoscopic Appendectomy 14 9 $2,979.90 $893.55 70% off $1,263.00 $3,831.00 $2,057.00 2026-05-23
74182 OTHER MRI Abdomen (unspecified) With Contrast 14 9 $2,955.75 $886.20 70% off $1,252.00 $3,800.00 $2,041.00 2026-05-23
28292 OTHER Corr Hal Val W/sesamoid W/res Prox Phal 14 9 $2,952.60 $885.15 70% off $1,251.00 $3,796.00 $2,038.00 2026-05-23
50200 OTHER US Bx Renal Percu 14 9 $2,927.40 $877.80 70% off $1,240.00 $3,763.00 $2,021.00 2026-05-23
50390 OTHER US Inj/asp Renal Cyst/p 14 9 $2,927.40 $877.80 70% off $1,240.00 $3,763.00 $2,021.00 2026-05-23
78451 OTHER Nm Cardiac Perf Multi Spec 28 9 $3,237.85 $971.55 70% off $595.00 $6,757.00 $2,016.00 2026-05-23
24076 OTHER Exc Tumor / Soft Tis Up Arm Or Elbow <5 14 9 $2,878.05 $863.10 70% off $1,220.00 $3,700.00 $1,987.00 2026-05-23
80197 OTHER Tacrolimus Level 14 9 $2,856.00 $856.80 70% off $1,210.00 $3,672.00 $1,972.00 2026-05-23
49000 OTHER Expl Laparotomy Celiotomy W Without Biop 14 9 $2,844.45 $853.65 70% off $1,206.00 $3,657.00 $1,964.00 2026-05-23
49654 OTHER Lap Surg Rpr Incis Hernia Reduc 14 9 $2,845.50 $853.65 70% off $1,206.00 $3,658.00 $1,964.00 2026-05-23
21556 OTHER Excision Tumor Soft Tissue Of Neck < 5cm 14 9 $2,843.40 $852.60 70% off $1,205.00 $3,655.00 $1,963.00 2026-05-23
38525 OTHER Exc Lymp Node Open Deep Axillary Node 14 9 $2,839.20 $851.55 70% off $1,203.00 $3,650.00 $1,960.00 2026-05-23
49320 OTHER Diagnostic Laparoscopy 14 9 $2,838.15 $851.55 70% off $1,203.00 $3,648.00 $1,959.00 2026-05-23
15120 OTHER Split Thickness Grft Feet 1st 100 Sq Cm 14 9 $2,828.70 $848.40 70% off $1,199.00 $3,637.00 $1,953.00 2026-05-23
70260 OTHER Xr Skull Complete 14 9 $2,816.10 $845.25 70% off $1,193.00 $3,621.00 $1,944.00 2026-05-23
74150 OTHER CT Abdomen Without Contrast 14 9 $2,814.00 $844.20 70% off $1,192.00 $3,617.00 $1,943.00 2026-05-23
28288 OTHER Ostectomy Partial Exostectomy 14 9 $2,809.80 $843.15 70% off $1,191.00 $3,613.00 $1,940.00 2026-05-23
49550 OTHER Repair Init Femoral Hernia Any Age 14 9 $2,803.50 $841.05 70% off $1,188.00 $3,604.00 $1,935.00 2026-05-23
70220 OTHER Xr Sinus Complete 14 9 $2,799.30 $840.00 70% off $1,186.00 $3,598.00 $1,932.00 2026-05-23
28298 OTHER Corr Hallux Valgus With Prox Phal Osteot 14 9 $2,775.15 $832.65 70% off $1,176.00 $3,568.00 $1,916.00 2026-05-23
93880 OTHER US Carotid Bilateral 14 9 $2,769.90 $830.55 70% off $1,174.00 $3,561.00 $1,912.00 2026-05-23
70548 OTHER MRA Carotid Art. With Contrast Bilateral 14 9 $2,752.05 $825.30 70% off $1,166.00 $3,538.00 $1,900.00 2026-05-23
72196 OTHER MRI Pelvis With Contrast 14 9 $2,709.00 $812.70 70% off $1,148.00 $3,482.00 $1,870.00 2026-05-23
71550 OTHER MRI Chest (unspecified) Without Contrast 14 9 $2,697.45 $809.55 70% off $1,143.00 $3,468.00 $1,863.00 2026-05-23
49560 OTHER Rpr Init Incis Or Ven Hernia; Reduc 14 9 $2,698.50 $809.55 70% off $1,144.00 $3,470.00 $1,863.00 2026-05-23
28800 OTHER Amputation Foot Midtarsal (chopart) 14 9 $2,695.35 $808.50 70% off $1,142.00 $3,465.00 $1,861.00 2026-05-23
62327 OTHER Spinal Inj Lumbar/sacral W Imaging 14 9 $2,669.10 $801.15 70% off $1,131.00 $3,432.00 $1,843.00 2026-05-23
62325 OTHER Spinal Inj Cervical/thoracic W Imaging 14 9 $2,669.10 $801.15 70% off $1,131.00 $3,432.00 $1,843.00 2026-05-23
73218 OTHER MRI Finger(s) Without Contrast Left 14 9 $2,667.00 $800.10 70% off $1,130.00 $3,428.00 $1,841.00 2026-05-23
78227 OTHER Nm Hida Scan With Cck 14 9 $2,667.00 $800.10 70% off $1,130.00 $3,428.00 $1,841.00 2026-05-23
93970 OTHER US Duplex Scan Venous 42 9 $3,083.85 $925.05 70% off $300.00 $5,085.00 $1,831.00 2026-05-23
350 OTHER CT 3d Post Scan Reconstructed 364 9 $3,168.00 $950.00 70% off $206.00 $13,231.00 $1,831.00 2026-05-23
Q4278 OTHER Epieffect 3x5cm Per Sq/cm 14 9 $2,625.00 $787.50 70% off $1,113.00 $3,375.00 $1,813.00 2026-05-23
86711 OTHER Stratify Jcv Antibody 14 9 $2,616.60 $784.35 70% off $1,109.00 $3,364.00 $1,806.00 2026-05-23
78710 OTHER Nm Kidney Imaging Spect 14 9 $2,614.50 $784.35 70% off $1,108.00 $3,362.00 $1,805.00 2026-05-23
78801 OTHER Nm Tumor Imaging Multi 14 9 $2,609.25 $782.25 70% off $1,106.00 $3,354.00 $1,801.00 2026-05-23
A9569 OTHER Nm Rdpharm Loc Infl Wb 14 9 $2,609.25 $782.25 70% off $1,106.00 $3,354.00 $1,801.00 2026-05-23
78707 OTHER Nm Imaging Renogram 28 9 $2,763.65 $829.20 70% off $673.00 $5,215.00 $1,798.00 2026-05-23
72084 OTHER Xr Spine Entire Min 6 Views 14 9 $2,602.95 $781.20 70% off $1,103.00 $3,347.00 $1,797.00 2026-05-23
77075 OTHER Xr Bone Survey Complete 14 9 $2,592.45 $778.05 70% off $1,099.00 $3,333.00 $1,790.00 2026-05-23
72052 OTHER Xr C-spine Flex.-ext. View Routine 14 9 $2,591.40 $777.00 70% off $1,098.00 $3,331.00 $1,789.00 2026-05-23
71250 OTHER CT Chest W/high Res Dx 28 9 $2,926.45 $878.00 70% off $489.00 $6,269.00 $1,775.00 2026-05-23
11606 OTHER Exc Mal Les T/a/l >4 0cm 14 9 $2,554.65 $766.50 70% off $1,082.00 $3,284.00 $1,764.00 2026-05-23
74250 OTHER Fl Small Bowel Follow-through 14 9 $2,548.35 $764.40 70% off $1,080.00 $3,276.00 $1,760.00 2026-05-23
27650 OTHER Rpr Open Ruptured Achilles Tendon 14 9 $2,548.35 $764.40 70% off $1,080.00 $3,276.00 $1,759.00 2026-05-23
27685 OTHER Length/shortening Of Single Tendon Ankle 14 9 $2,546.25 $764.40 70% off $1,079.00 $3,274.00 $1,758.00 2026-05-23
69631 OTHER Tympanoplasty Wo Mastoidectomy 14 9 $2,539.95 $762.30 70% off $1,076.00 $3,265.00 $1,753.00 2026-05-23
73719 OTHER MRI Foot With Contrast Left 14 9 $2,535.75 $760.20 70% off $1,074.00 $3,260.00 $1,751.00 2026-05-23
73219 OTHER MRI Finger(s) With Contrast Left 14 9 $2,535.75 $760.20 70% off $1,074.00 $3,260.00 $1,751.00 2026-05-23
73725 OTHER MRA Lower Extremity W/wo Contrast 28 9 $3,041.55 $912.35 70% off $975.00 $4,959.00 $1,747.00 2026-05-23
19300 OTHER Mastectomy For Gynecomastia 14 9 $2,528.40 $758.10 70% off $1,072.00 $3,251.00 $1,746.00 2026-05-23
62291 OTHER Inj Sng Cx/thor Anes 14 9 $2,513.70 $753.90 70% off $1,065.00 $3,232.00 $1,736.00 2026-05-23
62281 OTHER Inj Epi Cx/thor Sng 14 9 $2,513.70 $753.90 70% off $1,065.00 $3,232.00 $1,736.00 2026-05-23
62319 OTHER Inj Sng Lum/sac Anes 14 9 $2,513.70 $753.90 70% off $1,065.00 $3,232.00 $1,736.00 2026-05-23
62322 OTHER Spinal Inj Lumbar/sacral Wo Imaging 14 9 $2,513.70 $753.90 70% off $1,065.00 $3,231.00 $1,735.00 2026-05-23
62324 OTHER Spinal Inj Cervical/thoracic Wo Imaging 14 9 $2,513.70 $753.90 70% off $1,065.00 $3,231.00 $1,735.00 2026-05-23
62326 OTHER Spinal Inj Lumbar/sacral Wo Imaging 14 9 $2,513.70 $753.90 70% off $1,065.00 $3,231.00 $1,735.00 2026-05-23
62320 OTHER Spinal Inj Cervical/thoracic Wo Imaging 14 9 $2,513.70 $753.90 70% off $1,065.00 $3,231.00 $1,735.00 2026-05-23
72147 OTHER MRI T-spine With Contrast 14 9 $2,489.55 $746.55 70% off $1,055.00 $3,201.00 $1,719.00 2026-05-23
31622 OTHER Bronchoscopy 28 9 $2,606.40 $781.65 70% off $569.00 $5,139.00 $1,709.50 2026-05-23
969 OTHER Exc Tumor Soft Tiss Abd Wall 3cm > 70 9 $2,461.25 $738.10 70% off $942.00 $7,552.00 $1,700.00 2026-05-23
76805 OTHER US Pregnancy 2nd/3rd Trimester 14 9 $2,460.15 $738.15 70% off $1,043.00 $3,163.00 $1,699.00 2026-05-23
49505 OTHER Repair Initial Inguinal Hernia Reducible 14 9 $2,448.60 $733.95 70% off $1,038.00 $3,148.00 $1,690.00 2026-05-23
72195 OTHER MRI Hip Without Contrast Bilateral 14 9 $2,437.05 $730.80 70% off $1,033.00 $3,133.00 $1,682.00 2026-05-23
74400 OTHER Xr Contrast 14 9 $2,428.65 $728.70 70% off $1,029.00 $3,123.00 $1,677.00 2026-05-23
21932 OTHER Exc Soft Tiss Back/flank Subfascial <5cm 14 9 $2,427.60 $727.65 70% off $1,029.00 $3,121.00 $1,676.00 2026-05-23
99291 OTHER Critical Care Ill/inj Pt Init 30 74 Min 28 9 $2,741.30 $822.20 70% off $465.00 $5,848.00 $1,670.00 2026-05-23
54640 OTHER Orchiopexy Ing App W/wo Herna Repair 14 9 $2,409.75 $722.40 70% off $1,021.00 $3,098.00 $1,664.00 2026-05-23
26030 OTHER Drainage Of Palm Bursas 14 9 $2,407.65 $722.40 70% off $1,020.00 $3,096.00 $1,662.00 2026-05-23
45380 OTHER Colonoscopy With Biopsy 14 9 $2,385.60 $716.10 70% off $1,011.00 $3,067.00 $1,647.00 2026-05-23
19285 OTHER Mammo Breast Needle Local Initial Les 14 9 $2,380.35 $714.00 70% off $1,009.00 $3,060.00 $1,643.00 2026-05-23
94002 OTHER Noninvasive Ventilation Initial 14 9 $2,373.00 $711.90 70% off $1,006.00 $3,051.00 $1,639.00 2026-05-23
87338 OTHER Helicobacter Pylori Antibodies 14 9 $2,373.00 $711.90 70% off $1,006.00 $3,051.00 $1,639.00 2026-05-23
44950 OTHER Appendectomy Open Approach 14 9 $2,371.95 $711.90 70% off $1,005.00 $3,050.00 $1,638.00 2026-05-23
28805 OTHER Amputation Foot Transmetatarsal 14 9 $2,367.75 $709.80 70% off $1,003.00 $3,044.00 $1,635.00 2026-05-23
77058 OTHER MRI Breast W/wo Contrast Right 14 9 $2,348.85 $704.55 70% off $995.00 $3,020.00 $1,622.00 2026-05-23
13160 OTHER Sec Clos Dehiscence Extensive 14 9 $2,346.75 $703.50 70% off $994.00 $3,017.00 $1,620.00 2026-05-23
77059 OTHER MRI Breast W/wo Contrast Bilateral 14 9 $2,341.50 $702.45 70% off $992.00 $3,010.00 $1,616.00 2026-05-23
76810 OTHER US Pregnancy 2nd/3rd Trim Add Gestation 14 9 $2,338.35 $701.40 70% off $991.00 $3,006.00 $1,614.00 2026-05-23
76830 OTHER US Transvaginal 14 9 $2,338.35 $701.40 70% off $991.00 $3,006.00 $1,614.00 2026-05-23
76706 OTHER US Aaa Screen Exam 14 9 $2,331.00 $699.30 70% off $988.00 $2,997.00 $1,610.00 2026-05-23
11626 OTHER Exc Mal Les S/n/h/f/g >4 0cm 14 9 $2,325.75 $698.25 70% off $986.00 $2,990.00 $1,606.00 2026-05-23
78216 OTHER Nm Liver & Spleen W/flow 14 9 $2,310.00 $693.00 70% off $979.00 $2,970.00 $1,595.00 2026-05-23
G0121 OTHER Cr Ca Scr:colon N Hr 14 9 $2,304.75 $690.90 70% off $977.00 $2,963.00 $1,591.00 2026-05-23
G0105 OTHER Cr Ca Scr:colon Hr 14 9 $2,304.75 $690.90 70% off $977.00 $2,963.00 $1,591.00 2026-05-23
31603 OTHER Tracheostomy Emerg 14 9 $2,302.65 $690.90 70% off $976.00 $2,960.00 $1,590.00 2026-05-23
45378 OTHER Colonoscopy Flx W/wo Specimen 14 9 $2,289.00 $686.70 70% off $970.00 $2,942.00 $1,580.00 2026-05-23
22903 OTHER Exc Tumor Soft Tiss Abd Wall 3cm > 14 9 $2,289.00 $686.70 70% off $970.00 $2,942.00 $1,580.00 2026-05-23
27596 OTHER Re Amputation Thigh Femur Any Level 14 9 $2,264.85 $679.35 70% off $960.00 $2,912.00 $1,564.00 2026-05-23
70200 OTHER Xr Orbits Routine Bilateral 14 9 $2,256.45 $677.25 70% off $956.00 $2,901.00 $1,558.00 2026-05-23
76700 OTHER US Abdomen Complete 14 9 $2,256.45 $677.25 70% off $956.00 $2,901.00 $1,558.00 2026-05-23
76872 OTHER US Transrectal 14 9 $2,238.60 $672.00 70% off $949.00 $2,878.00 $1,546.00 2026-05-23
78305 OTHER Nm Bone /joint Multi 14 9 $2,230.20 $668.85 70% off $945.00 $2,867.00 $1,540.00 2026-05-23
36561 OTHER Port A Cath Insertiion 14 9 $2,221.80 $666.75 70% off $942.00 $2,857.00 $1,534.00 2026-05-23
28525 OTHER Open Trtmt Fracture Phalanx Each 14 9 $2,216.55 $664.65 70% off $939.00 $2,850.00 $1,530.00 2026-05-23
35903 OTHER Exc Of Infected Graft Extremity 14 9 $2,199.75 $659.40 70% off $932.00 $2,828.00 $1,519.00 2026-05-23
43830 OTHER Gastrostomy Open W/out Tube 14 9 $2,198.70 $659.40 70% off $932.00 $2,827.00 $1,518.00 2026-05-23
81257 OTHER Thalassemia Mutation 14 9 $2,197.65 $659.40 70% off $931.00 $2,826.00 $1,517.00 2026-05-23
64479 OTHER Xr Inj Anes Epi Cx/thor 14 9 $2,192.40 $657.30 70% off $929.00 $2,818.00 $1,513.00 2026-05-23
64483 OTHER Xr Inj Anes Epi Lum/sac 14 9 $2,192.40 $657.30 70% off $929.00 $2,818.00 $1,513.00 2026-05-23
62268 OTHER US Aspirate Perc Spinal Cd 14 9 $2,192.40 $657.30 70% off $929.00 $2,818.00 $1,513.00 2026-05-23
70540 OTHER MRI Face Without Contrast 28 9 $2,264.90 $679.15 70% off $880.00 $3,178.00 $1,506.50 2026-05-23
28505 OTHER Open Trmt Fract Gr Toe W/int Fixation 14 9 $2,180.85 $654.15 70% off $924.00 $2,803.00 $1,506.00 2026-05-23
78215 OTHER Nm Liver & Spleen Imaging 14 9 $2,178.75 $654.15 70% off $923.00 $2,801.00 $1,504.00 2026-05-23
74181 OTHER MRI Abdomen (unspecified) Without Contrast 14 9 $2,172.45 $652.05 70% off $921.00 $2,793.00 $1,500.00 2026-05-23
28299 OTHER Correct Hallux Valugs With Dbl Osteotomy 14 9 $2,164.05 $648.90 70% off $917.00 $2,782.00 $1,494.00 2026-05-23
28116 OTHER Ostectomy Tarsal Coalition 14 9 $2,135.70 $640.50 70% off $905.00 $2,746.00 $1,475.00 2026-05-23
78202 OTHER Nm Liver Imaging With Flo 14 9 $2,127.30 $638.40 70% off $902.00 $2,735.00 $1,469.00 2026-05-23
80328 OTHER Steroid Panel Pcos/cah Differentiation 14 9 $2,114.70 $634.20 70% off $896.00 $2,719.00 $1,460.00 2026-05-23
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