Hospital

Lifecare Hospitals Of North Texas

Carrollton, TX · CCN 452044 · Rates published

3,492 distinct procedures filed

18 distinct payers

34,477 rate rows

2026-05-17 last MRF observed

Data quality

8,389 of 34,477 rate rows are consumer-grade (24.3%)

26,088 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
per-diem day rate — not a per-procedure price	26,088

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

Source MRF file	https://lifecare-health.squarespace.com/s/842743487_LifeCare-Hospitals-of-North-Texas_standardcharges.csv
Found on page	https://www.lifecare-health.com/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-19
Content fingerprint	f86945f907178423… · 3,293,259 bytes · first seen 2026-05-17

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
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	7	$168,379.72	$168,379.72	$168,379.72	nat. median $181,005 0.9× median
166 OTHER	Other Respiratory System O.r. Procedures With Mcc	7	$112,834.85	$112,834.85	$112,834.85	nat. median $38,129 outlier · 3.0×
981 OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	7	$112,820.39	$112,820.39	$112,820.39	nat. median $33,955 outlier · 3.3×
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	7	$93,744.62	$93,744.62	$93,744.62	nat. median $66,849 1.4× median
167 OTHER	Other Respiratory System O.r. Procedures With Cc	7	$76,037.95	$76,037.95	$76,037.95	nat. median $18,396 outlier · 4.1×
853 OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	7	$73,092.46	$73,092.46	$73,092.46	nat. median $39,509 1.9× median
40 OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	7	$70,817.06	$70,817.06	$70,817.06	nat. median $35,347 outlier · 2.0×
356 OTHER	Other Digestive System O.r. Procedures With Mcc*	7	$67,288.25	$67,288.25	$67,288.25	nat. median $43,743 1.5× median
579 OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	7	$65,393.69	$65,393.69	$65,393.69	nat. median $30,752 outlier · 2.1×
856 OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc*	7	$64,964.65	$64,964.65	$64,964.65	nat. median $32,385 outlier · 2.0×
205 OTHER	Other Respiratory System Diagnoses With Mcc	7	$63,219.53	$63,219.53	$63,219.53	nat. median $17,709 outlier · 3.6×
622 OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	7	$63,036.34	$63,036.34	$63,036.34	nat. median $31,621 2.0× median
901 OTHER	Wound Debridements For Injuries With Mcc*	7	$61,855.25	$61,855.25	$61,855.25	nat. median $29,541 outlier · 2.1×
264 OTHER	Other Circulatory System O.r. Procedures	7	$61,252.66	$61,252.66	$61,252.66	nat. median $32,470 1.9× median
982 OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	7	$61,108.03	$61,108.03	$61,108.03	nat. median $17,204 outlier · 3.6×
857 OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc*	7	$60,852.53	$60,852.53	$60,852.53	nat. median $20,168 outlier · 3.0×
202 OTHER	Bronchitis And Asthma With Cc/mcc	7	$60,852.53	$60,852.53	$60,852.53	nat. median $9,777 outlier · 6.2×
749 OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	7	$60,852.53	$60,852.53	$60,852.53	nat. median $18,910 outlier · 3.2×
385 OTHER	Inflammatory Bowel Disease With Mcc	7	$60,852.53	$60,852.53	$60,852.53	nat. median $15,472 outlier · 3.9×
463 OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	7	$60,794.68	$60,794.68	$60,794.68	nat. median $48,651 1.2× median
500 OTHER	Soft Tissue Procedures With Mcc	7	$59,377.38	$59,377.38	$59,377.38	nat. median $30,721 1.9× median
515 OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc*	7	$57,800.99	$57,800.99	$57,800.99	nat. median $29,957 1.9× median
673 OTHER	Other Kidney And Urinary Tract Procedures With Mcc	7	$57,709.39	$57,709.39	$57,709.39	nat. median $38,593 1.5× median
939 OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc*	7	$57,145.36	$57,145.36	$57,145.36	nat. median $33,053 1.7× median
208 OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	7	$56,923.61	$56,923.61	$56,923.61	nat. median $26,262 outlier · 2.2×
570 OTHER	Skin Debridement With Mcc	7	$56,754.88	$56,754.88	$56,754.88	nat. median $33,751 1.7× median
919 OTHER	Complications Of Treatment With Mcc	7	$51,697.90	$51,697.90	$51,697.90	nat. median $15,285 outlier · 3.4×
94 OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	7	$51,640.05	$51,640.05	$51,640.05	nat. median $34,661 1.5× median
288 OTHER	Acute And Subacute Endocarditis With Mcc	7	$49,123.61	$49,123.61	$49,123.61	nat. median $26,942 1.8× median
393 OTHER	Other Digestive System Diagnoses With Mcc	7	$48,978.98	$48,978.98	$48,978.98	nat. median $15,785 outlier · 3.1×
189 OTHER	Pulmonary Edema And Respiratory Failure	7	$47,180.84	$47,180.84	$47,180.84	nat. median $12,533 outlier · 3.8×
640 OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	7	$47,166.38	$47,166.38	$47,166.38	nat. median $12,223 outlier · 3.9×
539 OTHER	Osteomyelitis With Mcc	7	$46,727.69	$46,727.69	$46,727.69	nat. median $18,893 outlier · 2.5×
196 OTHER	Interstitial Lung Disease With Mcc	7	$45,532.14	$45,532.14	$45,532.14	nat. median $17,974 outlier · 2.5×
306 OTHER	Cardiac Congenital And Valvular Disorders With Mcc	7	$45,532.14	$45,532.14	$45,532.14	nat. median $89 outlier · 509.8×
304 OTHER	Hypertension With Mcc	7	$45,532.14	$45,532.14	$45,532.14	nat. median $9,034 outlier · 5.0×
934 OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	7	$45,532.14	$45,532.14	$45,532.14	nat. median $19,938 outlier · 2.3×
940 OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc*	7	$45,532.14	$45,532.14	$45,532.14	nat. median $14,258 outlier · 3.2×
757 OTHER	Infections, Female Reproductive System With Mcc	7	$44,847.59	$44,847.59	$44,847.59	nat. median $10,867 outlier · 4.1×
862 OTHER	Postoperative And Post-traumatic Infections With Mcc	7	$44,418.54	$44,418.54	$44,418.54	nat. median $15,124 outlier · 2.9×
867 OTHER	Other Infectious And Parasitic Diseases Diagnoses With Mcc	7	$44,177.50	$44,177.50	$44,177.50	nat. median $20,892 outlier · 2.1×
56 OTHER	Degenerative Nervous System Disorders With Mcc	7	$43,777.38	$43,777.38	$43,777.38	nat. median $21,582 outlier · 2.0×
371 OTHER	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	7	$43,073.55	$43,073.55	$43,073.55	nat. median $16,993 outlier · 2.5×
637 OTHER	Diabetes With Mcc	7	$42,625.21	$42,625.21	$42,625.21	nat. median $91 outlier · 469.0×
314 OTHER	Other Circulatory System Diagnoses With Mcc	7	$42,572.19	$42,572.19	$42,572.19	nat. median $20,076 outlier · 2.1×
592 OTHER	Skin Ulcers With Mcc	7	$42,422.74	$42,422.74	$42,422.74	nat. median $18,496 outlier · 2.3×
682 OTHER	Renal Failure With Mcc	7	$42,070.83	$42,070.83	$42,070.83	nat. median $14,531 outlier · 2.9×
571 OTHER	Skin Debridement With Cc	7	$41,164.52	$41,164.52	$41,164.52	nat. median $16,329 outlier · 2.5×
548 OTHER	Septic Arthritis With Mcc	7	$41,044.00	$41,044.00	$41,044.00	nat. median $18,917 outlier · 2.2×
871 OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	7	$40,923.48	$40,923.48	$40,923.48	nat. median $16,181 outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 3,492 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

3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	7	7	—	—	$168,379.72	$168,379.72	$168,379.72	2026-05-17
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	7	7	—	—	$112,834.85	$112,834.85	$112,834.85	2026-05-17
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	7	7	—	—	$112,820.39	$112,820.39	$112,820.39	2026-05-17
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	7	7	—	—	$93,744.62	$93,744.62	$93,744.62	2026-05-17
167	OTHER	Other Respiratory System O.r. Procedures With Cc	7	7	—	—	$76,037.95	$76,037.95	$76,037.95	2026-05-17
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	7	7	—	—	$73,092.46	$73,092.46	$73,092.46	2026-05-17
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	7	7	—	—	$70,817.06	$70,817.06	$70,817.06	2026-05-17
356	OTHER	Other Digestive System O.r. Procedures With Mcc*	7	7	—	—	$67,288.25	$67,288.25	$67,288.25	2026-05-17
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	7	7	—	—	$65,393.69	$65,393.69	$65,393.69	2026-05-17
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc*	7	7	—	—	$64,964.65	$64,964.65	$64,964.65	2026-05-17
205	OTHER	Other Respiratory System Diagnoses With Mcc	7	7	—	—	$63,219.53	$63,219.53	$63,219.53	2026-05-17
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	7	7	—	—	$63,036.34	$63,036.34	$63,036.34	2026-05-17
901	OTHER	Wound Debridements For Injuries With Mcc*	7	7	—	—	$61,855.25	$61,855.25	$61,855.25	2026-05-17
264	OTHER	Other Circulatory System O.r. Procedures	7	7	—	—	$61,252.66	$61,252.66	$61,252.66	2026-05-17
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	7	7	—	—	$61,108.03	$61,108.03	$61,108.03	2026-05-17
385	OTHER	Inflammatory Bowel Disease With Mcc	7	7	—	—	$60,852.53	$60,852.53	$60,852.53	2026-05-17
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	7	7	—	—	$60,852.53	$60,852.53	$60,852.53	2026-05-17
202	OTHER	Bronchitis And Asthma With Cc/mcc	7	7	—	—	$60,852.53	$60,852.53	$60,852.53	2026-05-17
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc*	7	7	—	—	$60,852.53	$60,852.53	$60,852.53	2026-05-17
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	7	7	—	—	$60,794.68	$60,794.68	$60,794.68	2026-05-17
500	OTHER	Soft Tissue Procedures With Mcc	7	7	—	—	$59,377.38	$59,377.38	$59,377.38	2026-05-17
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc*	7	7	—	—	$57,800.99	$57,800.99	$57,800.99	2026-05-17
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	7	7	—	—	$57,709.39	$57,709.39	$57,709.39	2026-05-17
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc*	7	7	—	—	$57,145.36	$57,145.36	$57,145.36	2026-05-17
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	7	7	—	—	$56,923.61	$56,923.61	$56,923.61	2026-05-17
570	OTHER	Skin Debridement With Mcc	7	7	—	—	$56,754.88	$56,754.88	$56,754.88	2026-05-17
919	OTHER	Complications Of Treatment With Mcc	7	7	—	—	$51,697.90	$51,697.90	$51,697.90	2026-05-17
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	7	7	—	—	$51,640.05	$51,640.05	$51,640.05	2026-05-17
288	OTHER	Acute And Subacute Endocarditis With Mcc	7	7	—	—	$49,123.61	$49,123.61	$49,123.61	2026-05-17
393	OTHER	Other Digestive System Diagnoses With Mcc	7	7	—	—	$48,978.98	$48,978.98	$48,978.98	2026-05-17
189	OTHER	Pulmonary Edema And Respiratory Failure	7	7	—	—	$47,180.84	$47,180.84	$47,180.84	2026-05-17
640	OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	7	7	—	—	$47,166.38	$47,166.38	$47,166.38	2026-05-17
539	OTHER	Osteomyelitis With Mcc	7	7	—	—	$46,727.69	$46,727.69	$46,727.69	2026-05-17
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	7	7	—	—	$45,532.14	$45,532.14	$45,532.14	2026-05-17
304	OTHER	Hypertension With Mcc	7	7	—	—	$45,532.14	$45,532.14	$45,532.14	2026-05-17
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc*	7	7	—	—	$45,532.14	$45,532.14	$45,532.14	2026-05-17
306	OTHER	Cardiac Congenital And Valvular Disorders With Mcc	7	7	—	—	$45,532.14	$45,532.14	$45,532.14	2026-05-17
196	OTHER	Interstitial Lung Disease With Mcc	7	7	—	—	$45,532.14	$45,532.14	$45,532.14	2026-05-17
757	OTHER	Infections, Female Reproductive System With Mcc	7	7	—	—	$44,847.59	$44,847.59	$44,847.59	2026-05-17
862	OTHER	Postoperative And Post-traumatic Infections With Mcc	7	7	—	—	$44,418.54	$44,418.54	$44,418.54	2026-05-17
867	OTHER	Other Infectious And Parasitic Diseases Diagnoses With Mcc	7	7	—	—	$44,177.50	$44,177.50	$44,177.50	2026-05-17
56	OTHER	Degenerative Nervous System Disorders With Mcc	7	7	—	—	$43,777.38	$43,777.38	$43,777.38	2026-05-17
371	OTHER	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	7	7	—	—	$43,073.55	$43,073.55	$43,073.55	2026-05-17
637	OTHER	Diabetes With Mcc	7	7	—	—	$42,625.21	$42,625.21	$42,625.21	2026-05-17
314	OTHER	Other Circulatory System Diagnoses With Mcc	7	7	—	—	$42,572.19	$42,572.19	$42,572.19	2026-05-17
592	OTHER	Skin Ulcers With Mcc	7	7	—	—	$42,422.74	$42,422.74	$42,422.74	2026-05-17
682	OTHER	Renal Failure With Mcc	7	7	—	—	$42,070.83	$42,070.83	$42,070.83	2026-05-17
571	OTHER	Skin Debridement With Cc	7	7	—	—	$41,164.52	$41,164.52	$41,164.52	2026-05-17
548	OTHER	Septic Arthritis With Mcc	7	7	—	—	$41,044.00	$41,044.00	$41,044.00	2026-05-17
871	OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	7	7	—	—	$40,923.48	$40,923.48	$40,923.48	2026-05-17
91	OTHER	Other Disorders Of Nervous System With Mcc	7	7	—	—	$40,128.06	$40,128.06	$40,128.06	2026-05-17
280	OTHER	Acute Myocardial Infarction, Discharged Alive With Mcc	7	7	—	—	$39,525.46	$39,525.46	$39,525.46	2026-05-17
70	OTHER	Nonspecific Cerebrovascular Disorders With Mcc	7	7	—	—	$39,409.76	$39,409.76	$39,409.76	2026-05-17
177	OTHER	Respiratory Infections And Inflammations With Mcc	7	7	—	—	$39,077.13	$39,077.13	$39,077.13	2026-05-17
559	OTHER	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	7	7	—	—	$38,855.38	$38,855.38	$38,855.38	2026-05-17
391	OTHER	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc*	7	7	—	—	$37,332.01	$37,332.01	$37,332.01	2026-05-17
291	OTHER	Heart Failure And Shock With Mcc	7	7	—	—	$37,095.80	$37,095.80	$37,095.80	2026-05-17
444	OTHER	Disorders Of The Biliary Tract With Mcc*	7	7	—	—	$36,661.93	$36,661.93	$36,661.93	2026-05-17
299	OTHER	Peripheral Vascular Disorders With Mcc	7	7	—	—	$36,551.05	$36,551.05	$36,551.05	2026-05-17
602	OTHER	Cellulitis With Mcc	7	7	—	—	$34,695.05	$34,695.05	$34,695.05	2026-05-17
540	OTHER	Osteomyelitis With Cc	7	7	—	—	$34,290.11	$34,290.11	$34,290.11	2026-05-17
638	OTHER	Diabetes With Cc	7	7	—	—	$33,923.73	$33,923.73	$33,923.73	2026-05-17
6000038	OTHER	Ins/rplc Pacemkr; Atr+vnt	2	2	$43,747.68	$26,248.61 40% off	$30,623.38	$37,185.53	$33,904.46	2026-05-17
593	OTHER	Skin Ulcers With Cc*	7	7	—	—	$33,812.85	$33,812.85	$33,812.85	2026-05-17
949	OTHER	Aftercare With Cc/mcc	7	7	—	—	$33,533.25	$33,533.25	$33,533.25	2026-05-17
193	OTHER	Simple Pneumonia And Pleurisy With Mcc	7	7	—	—	$33,509.15	$33,509.15	$33,509.15	2026-05-17
920	OTHER	Complications Of Treatment With Cc	7	7	—	—	$33,128.31	$33,128.31	$33,128.31	2026-05-17
728	OTHER	Inflammation Of The Male Reproductive System Without Mcc	7	7	—	—	$31,677.25	$31,677.25	$31,677.25	2026-05-17
190	OTHER	Chronic Obstructive Pulmonary Disease With Mcc	7	7	—	—	$31,503.71	$31,503.71	$31,503.71	2026-05-17
947	OTHER	Signs And Symptoms With Mcc	7	7	—	—	$30,790.23	$30,790.23	$30,790.23	2026-05-17
302	OTHER	Atherosclerosis With Mcc	7	7	—	—	$30,790.23	$30,790.23	$30,790.23	2026-05-17
689	OTHER	Kidney And Urinary Tract Infections With Mcc	7	7	—	—	$30,457.60	$30,457.60	$30,457.60	2026-05-17
560	OTHER	Aftercare, Musculoskeletal System And Connective Tissue With Cc	7	7	—	—	$30,293.69	$30,293.69	$30,293.69	2026-05-17
863	OTHER	Postoperative And Post-traumatic Infections Without Mcc	7	7	—	—	$29,961.06	$29,961.06	$29,961.06	2026-05-17
641	OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	7	7	—	—	$29,642.89	$29,642.89	$29,642.89	2026-05-17
6000189	OTHER	Open/perq Place Stent 1st	2	2	$37,678.83	$22,607.30 40% off	$26,375.18	$32,027.01	$29,201.10	2026-05-17
6000222	OTHER	Insrt Heart Pm Venticular	2	2	$36,319.54	$21,791.72 40% off	$25,423.68	$30,871.61	$28,147.65	2026-05-17
872	OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	7	7	—	—	$27,420.52	$27,420.52	$27,420.52	2026-05-17
300	OTHER	Peripheral Vascular Disorders With Cc	7	7	—	—	$26,760.07	$26,760.07	$26,760.07	2026-05-17
6000231	OTHER	Exc Skin Abd	2	2	$32,672.89	$19,603.73 40% off	$22,871.02	$27,771.96	$25,321.49	2026-05-17
178	OTHER	Respiratory Infections And Inflammations With Cc*	7	7	—	—	$25,121.01	$25,121.01	$25,121.01	2026-05-17
603	OTHER	Cellulitis Without Mcc	7	7	—	—	$23,211.99	$23,211.99	$23,211.99	2026-05-17
1409942	OTHER	Ir Perc Vert Agmnt Lumbar	2	2	$23,257.94	$13,954.76 40% off	$16,280.56	$19,769.25	$18,024.90	2026-05-17
9009742	OTHER	Air Fluidized Bed	2	2	$22,249.14	$13,349.48 40% off	$15,574.40	$18,911.77	$17,243.08	2026-05-17
6000036	OTHER	Arthrod Foot; Mlti/trnsv	2	2	$20,118.54	$12,071.12 40% off	$14,082.98	$17,100.76	$15,591.87	2026-05-17
6000230	OTHER	Insert Tun Intraperit Cath Perc	2	2	$19,503.87	$11,702.32 40% off	$13,652.71	$16,578.29	$15,115.50	2026-05-17
6000121	OTHER	Ins Tv Scp Electrode	2	2	$19,013.12	$11,407.87 40% off	$13,309.18	$16,161.15	$14,735.17	2026-05-17
6000125	OTHER	Ins Lead Pace-defb; Dual	2	2	$19,013.12	$11,407.87 40% off	$13,309.18	$16,161.15	$14,735.17	2026-05-17
4000152	OTHER	Z-tracheostomy Planned	2	2	$18,627.57	$11,176.54 40% off	$13,039.30	$15,833.43	$14,436.36	2026-05-17
6000243	OTHER	Perq Sacral Augmt Bil Inj	2	2	$17,577.30	$10,546.38 40% off	$12,304.11	$14,940.71	$13,622.41	2026-05-17
6009843	OTHER	Perc Vert Agmntj Cann Lmb	2	2	$17,577.30	$10,546.38 40% off	$12,304.11	$14,940.71	$13,622.41	2026-05-17
6009838	OTHER	Perq Vertevral Augmenta	2	2	$17,577.30	$10,546.38 40% off	$12,304.11	$14,940.71	$13,622.41	2026-05-17
6009772	OTHER	Treat Ulnar Fracture	2	2	$17,041.61	$10,224.97 40% off	$11,929.13	$14,485.37	$13,207.25	2026-05-17
8000213	OTHER	Sk Grft Sp Hfsf Adl 100 C	2	2	$16,609.15	$9,965.49 40% off	$11,626.41	$14,117.78	$12,872.10	2026-05-17
8000212	OTHER	Sk Grft Sp Tsal Adl 100 C	2	2	$16,609.15	$9,965.49 40% off	$11,626.41	$14,117.78	$12,872.10	2026-05-17
6009775	OTHER	Sk Grft T/a/l >100sq Cm	2	2	$16,606.72	$9,964.03 40% off	$11,624.70	$14,115.71	$12,870.20	2026-05-17
6000252	OTHER	Perq Sacral Unilat Inj	2	2	$16,545.94	$9,927.56 40% off	$11,582.16	$14,064.05	$12,823.10	2026-05-17
6000249	OTHER	Intro Cath Dialysis Circ	2	2	$15,942.26	$9,565.36 40% off	$11,159.58	$13,550.92	$12,355.25	2026-05-17
1400195	OTHER	Fl Inferior Vena Cavagram	2	2	$15,633.96	$9,380.38 40% off	$10,943.77	$13,288.87	$12,116.32	2026-05-17
1200127	OTHER	CT Upper Extrm With & Without Cont Bilat	2	2	$14,826.90	$8,896.14 40% off	$10,378.83	$12,602.87	$11,490.85	2026-05-17
1400040	OTHER	Ir Venacava Filter Plcmt	2	2	$14,395.43	$8,637.26 40% off	$10,076.80	$12,236.12	$11,156.46	2026-05-17
6000210	OTHER	Ins Cath Abd/lext Art 1st	2	2	$13,722.93	$8,233.76 40% off	$9,606.05	$11,664.49	$10,635.27	2026-05-17
6009820	OTHER	Inj Cholangiogram New	2	2	$13,196.95	$7,918.17 40% off	$9,237.87	$11,217.41	$10,227.64	2026-05-17
1200125	OTHER	CT Upper Extrm With Cont Bilateral	2	2	$13,146.98	$7,888.19 40% off	$9,202.89	$11,174.93	$10,188.91	2026-05-17
6009827	OTHER	Part Remov Of Metatarsal	2	2	$13,037.81	$7,822.69 40% off	$9,126.47	$11,082.14	$10,104.31	2026-05-17
6009828	OTHER	Partial Removal Of Toe	2	2	$13,037.81	$7,822.69 40% off	$9,126.47	$11,082.14	$10,104.31	2026-05-17
1409943	OTHER	Ir Perc Vert Agmnt Ea Add Levels T/l	2	2	$12,775.69	$7,665.41 40% off	$8,942.98	$10,859.34	$9,901.16	2026-05-17
6009826	OTHER	Renal Biopsy Perq	2	2	$12,669.74	$7,601.84 40% off	$8,868.82	$10,769.28	$9,819.05	2026-05-17
6009798	OTHER	Epidrm Auto Trnk/arm/leg	2	2	$12,643.02	$7,585.81 40% off	$8,850.11	$10,746.57	$9,798.34	2026-05-17
1100035	OTHER	MRI Cervical Spine Without Cont	2	2	$12,615.86	$7,569.52 40% off	$8,831.10	$10,723.48	$9,777.29	2026-05-17
9400036	OTHER	Bone Imaging Whole Body	2	2	$12,072.09	$7,243.25 40% off	$8,450.46	$10,261.28	$9,355.87	2026-05-17
1100024	OTHER	MRI Brain Without & W/cont	2	2	$11,874.93	$7,124.96 40% off	$8,312.45	$10,093.69	$9,203.07	2026-05-17
6009844	OTHER	Perc Vert Agmntj Uni/bi C	2	2	$11,843.72	$7,106.23 40% off	$8,290.60	$10,067.16	$9,178.88	2026-05-17
1100137	OTHER	MRI Thoracic Spine W & Without Contrast	2	2	$11,686.11	$7,011.67 40% off	$8,180.28	$9,933.19	$9,056.74	2026-05-17
1100041	OTHER	MRI Lumbar Spn W/o&w/cont	2	2	$11,686.11	$7,011.67 40% off	$8,180.28	$9,933.19	$9,056.74	2026-05-17
1100143	OTHER	MRI Pelvis With & Without Contrast	2	2	$11,686.11	$7,011.67 40% off	$8,180.28	$9,933.19	$9,056.74	2026-05-17
1100140	OTHER	MRI Cervical Spine With & Without Contrast	2	2	$11,686.11	$7,011.67 40% off	$8,180.28	$9,933.19	$9,056.74	2026-05-17
1200045	OTHER	CT Chest Without & W/cont	2	2	$10,943.16	$6,565.90 40% off	$7,660.21	$9,301.69	$8,480.95	2026-05-17
1200004	OTHER	CT Abdomen Without & W/cont	2	2	$10,943.16	$6,565.90 40% off	$7,660.21	$9,301.69	$8,480.95	2026-05-17
1200039	OTHER	CT Soft Tissue Neck W/wo Cont	2	2	$10,748.64	$6,449.18 40% off	$7,524.05	$9,136.34	$8,330.19	2026-05-17
6000034	OTHER	Inc Ankle-post Cpsl Rel	2	2	$10,642.34	$6,385.40 40% off	$7,449.64	$9,045.99	$8,247.82	2026-05-17
6000035	OTHER	Lgth/sht Tendon/leg; Sngl	2	2	$10,642.34	$6,385.40 40% off	$7,449.64	$9,045.99	$8,247.82	2026-05-17
8000182	OTHER	Add Sg T/a/l >100 Sq Cm	2	2	$10,508.72	$6,305.23 40% off	$7,356.10	$8,932.41	$8,144.26	2026-05-17
6009776	OTHER	Add Sg T/a/l >100 Sq Cm	2	2	$10,508.72	$6,305.23 40% off	$7,356.10	$8,932.41	$8,144.26	2026-05-17
3014044	OTHER	Immune Globulin (privigen) 10% 200 Ml	2	2	$10,084.37	$6,050.62 40% off	$7,059.06	$8,571.71	$7,815.39	2026-05-17
6009777	OTHER	Sk Grft S/f/e/g <100sq Cm	2	2	$10,075.07	$6,045.04 40% off	$7,052.55	$8,563.81	$7,808.18	2026-05-17
6000151	OTHER	Sk Grft T/a/l <100 Sq Cm	2	2	$10,075.07	$6,045.04 40% off	$7,052.55	$8,563.81	$7,808.18	2026-05-17
6000214	OTHER	Sk Grft T/a/l>100sqcm Lo	2	2	$10,075.07	$6,045.04 40% off	$7,052.55	$8,563.81	$7,808.18	2026-05-17
6009779	OTHER	Sg S/f/n/e >100sq	2	2	$10,075.07	$6,045.04 40% off	$7,052.55	$8,563.81	$7,808.18	2026-05-17
1200012	OTHER	CT Head/brain Without & W/cont	2	2	$9,952.45	$5,971.47 40% off	$6,966.72	$8,459.58	$7,713.15	2026-05-17
6000170	OTHER	Transcatheter Retrieval	2	2	$9,693.63	$5,816.18 40% off	$6,785.54	$8,239.59	$7,512.57	2026-05-17
6000039	OTHER	Ir Plcmt Tunneled Cvad W/port	2	2	$9,693.63	$5,816.18 40% off	$6,785.54	$8,239.59	$7,512.57	2026-05-17
1200057	OTHER	CT Lower Ext Without Cont Bilat	2	2	$9,624.82	$5,774.89 40% off	$6,737.37	$8,181.10	$7,459.24	2026-05-17
1200056	OTHER	CT Lower Ext W/cont Bilat	2	2	$9,624.82	$5,774.89 40% off	$6,737.37	$8,181.10	$7,459.24	2026-05-17
6000103	OTHER	Skn Splt Grft T/a/l </100	2	2	$9,337.71	$5,602.63 40% off	$6,536.40	$7,937.05	$7,236.73	2026-05-17
6000104	OTHER	Skn Splt A-grft F/n/hf/g	2	2	$9,337.71	$5,602.63 40% off	$6,536.40	$7,937.05	$7,236.73	2026-05-17
6000033	OTHER	Muscle Flap; Lower Extrem	2	2	$9,337.71	$5,602.63 40% off	$6,536.40	$7,937.05	$7,236.73	2026-05-17
6000192	OTHER	Into Cath S/i Vena Cava	2	2	$9,014.59	$5,408.75 40% off	$6,310.21	$7,662.40	$6,986.31	2026-05-17
1409412	OTHER	Fl Fine Needle Aspiration	2	2	$8,993.82	$5,396.29 40% off	$6,295.67	$7,644.75	$6,970.21	2026-05-17
1100040	OTHER	MRI Spn;wo Thn W/d Cv	2	2	$8,980.52	$5,388.31 40% off	$6,286.36	$7,633.44	$6,959.90	2026-05-17
1200070	OTHER	CT Angiography Chest	2	2	$8,570.41	$5,142.25 40% off	$5,999.29	$7,284.85	$6,642.07	2026-05-17
6009840	OTHER	Insert Indwell Tunneled Pleural Cath	2	2	$8,556.09	$5,133.65 40% off	$5,989.26	$7,272.68	$6,630.97	2026-05-17
6000254	OTHER	Incision Of Gallbladder	2	2	$8,556.09	$5,133.65 40% off	$5,989.26	$7,272.68	$6,630.97	2026-05-17
1200126	OTHER	CT Upper Extremity Without Cont Bilat	2	2	$8,509.09	$5,105.45 40% off	$5,956.36	$7,232.73	$6,594.55	2026-05-17
1200076	OTHER	CT Abd & Pelv W&without Cont	2	2	$8,333.75	$5,000.25 40% off	$5,833.63	$7,083.69	$6,458.66	2026-05-17
1200075	OTHER	CT Abd & Pelvis W/cont	2	2	$8,333.75	$5,000.25 40% off	$5,833.63	$7,083.69	$6,458.66	2026-05-17
6009839	OTHER	Perq Lumbrosacral Inject	2	2	$8,293.03	$4,975.82 40% off	$5,805.12	$7,049.08	$6,427.10	2026-05-17
6000045	OTHER	Bronch W/transbronch Ndl Asp Bx(s)	2	2	$8,265.10	$4,959.06 40% off	$5,785.57	$7,025.34	$6,405.45	2026-05-17
6000105	OTHER	Gastrostomy Op; Wo G-tube	2	2	$8,133.90	$4,880.34 40% off	$5,693.73	$6,913.82	$6,303.77	2026-05-17
6000159	OTHER	Deb Bone Add-on	2	2	$8,058.60	$4,835.16 40% off	$5,641.02	$6,849.81	$6,245.42	2026-05-17
6000134	OTHER	Ercp W/specmen Collection	2	2	$7,989.35	$4,793.61 40% off	$5,592.55	$6,790.95	$6,191.75	2026-05-17
6000049	OTHER	Insertion Tunneled Cv Cath	2	2	$7,950.48	$4,770.29 40% off	$5,565.34	$6,757.91	$6,161.62	2026-05-17
6000052	OTHER	Replace Tunneled Cv Cath	2	2	$7,950.48	$4,770.29 40% off	$5,565.34	$6,757.91	$6,161.62	2026-05-17
6009846	OTHER	Bronchoscopy Aspir Tracheobronch Initial	2	2	$7,780.41	$4,668.25 40% off	$5,446.29	$6,613.35	$6,029.82	2026-05-17
6000008	OTHER	Bronchoscopy Rigid/flexia	2	2	$7,780.41	$4,668.25 40% off	$5,446.29	$6,613.35	$6,029.82	2026-05-17
6006847	OTHER	Bronchoscopy Aspir Tracheobronch Subseq	2	2	$7,780.41	$4,668.25 40% off	$5,446.29	$6,613.35	$6,029.82	2026-05-17
1100134	OTHER	MRI Upper Extremity With Contrast	2	2	$7,771.24	$4,662.74 40% off	$5,439.87	$6,605.55	$6,022.71	2026-05-17
1100038	OTHER	MRI Thoracicspine W/cont	2	2	$7,771.24	$4,662.74 40% off	$5,439.87	$6,605.55	$6,022.71	2026-05-17
1100034	OTHER	MRI Cervical Spine W/cont	2	2	$7,771.24	$4,662.74 40% off	$5,439.87	$6,605.55	$6,022.71	2026-05-17
1100139	OTHER	MRI Lumbar Spn With & Without Contrast	2	2	$7,771.24	$4,662.74 40% off	$5,439.87	$6,605.55	$6,022.71	2026-05-17
1100022	OTHER	MRI Brain W/cont	2	2	$7,771.24	$4,662.74 40% off	$5,439.87	$6,605.55	$6,022.71	2026-05-17
1100031	OTHER	MRI Pelvis W/cont	2	2	$7,771.00	$4,662.60 40% off	$5,439.70	$6,605.35	$6,022.52	2026-05-17
6000027	OTHER	Tracheostomy, Planned	2	2	$7,751.25	$4,650.75 40% off	$5,425.88	$6,588.56	$6,007.22	2026-05-17
6000046	OTHER	Bronch W/transbrnch Ndl Asp Ea + Lobe	2	2	$7,696.59	$4,617.95 40% off	$5,387.61	$6,542.10	$5,964.85	2026-05-17
3004104	OTHER	Posaconazole (noxafil) 40mg/ml 105ml Btl	2	2	$7,662.87	$4,597.72 40% off	$5,364.01	$6,513.44	$5,938.73	2026-05-17
1200051	OTHER	CT Upper Extremity W/wo Cont Rt	2	2	$7,413.46	$4,448.08 40% off	$5,189.42	$6,301.44	$5,745.43	2026-05-17
1200120	OTHER	CT Upper Extrm With & Without Contrast Lt	2	2	$7,413.46	$4,448.08 40% off	$5,189.42	$6,301.44	$5,745.43	2026-05-17
6000220	OTHER	Bone Biopsy Excisional	2	2	$7,175.47	$4,305.28 40% off	$5,022.83	$6,099.15	$5,560.99	2026-05-17
6000122	OTHER	Exc Sp Ulcer; W/prim Sutr	2	2	$7,175.47	$4,305.28 40% off	$5,022.83	$6,099.15	$5,560.99	2026-05-17
6000261	OTHER	Biopsy Bone Trocar/needle Deep	2	2	$7,175.47	$4,305.28 40% off	$5,022.83	$6,099.15	$5,560.99	2026-05-17
6000124	OTHER	Exc Foot Cyst/ganglion	2	2	$6,956.83	$4,174.10 40% off	$4,869.78	$5,913.31	$5,391.55	2026-05-17
6000037	OTHER	Amput Metatrsl W/toe Sngl	2	2	$6,956.83	$4,174.10 40% off	$4,869.78	$5,913.31	$5,391.55	2026-05-17
6000123	OTHER	Prtl Exc Ank Or Heel Bone	2	2	$6,956.83	$4,174.10 40% off	$4,869.78	$5,913.31	$5,391.55	2026-05-17
6000108	OTHER	Amput Foot; Trnsmetatrsl	2	2	$6,956.83	$4,174.10 40% off	$4,869.78	$5,913.31	$5,391.55	2026-05-17
6000109	OTHER	Exc Trsl/metatrs Cyst/tmr	2	2	$6,956.83	$4,174.10 40% off	$4,869.78	$5,913.31	$5,391.55	2026-05-17
6009788	OTHER	Ptt Removal Of Foot Bone	2	2	$6,956.83	$4,174.10 40% off	$4,869.78	$5,913.31	$5,391.55	2026-05-17
6000118	OTHER	Remove Metatarsal	2	2	$6,956.83	$4,174.10 40% off	$4,869.78	$5,913.31	$5,391.55	2026-05-17
6000085	OTHER	Proctosigm; W Abltn Les	2	2	$6,847.49	$4,108.49 40% off	$4,793.24	$5,820.37	$5,306.81	2026-05-17
6000080	OTHER	Proctosig Rigid; W Rmv Fb	2	2	$6,847.49	$4,108.49 40% off	$4,793.24	$5,820.37	$5,306.81	2026-05-17
6009816	OTHER	Thrombolytic Art Therapy	2	2	$6,735.74	$4,041.44 40% off	$4,715.02	$5,725.38	$5,220.20	2026-05-17
6009817	OTHER	Ir Thrombolytic Ven Therapy	2	2	$6,735.74	$4,041.44 40% off	$4,715.02	$5,725.38	$5,220.20	2026-05-17
6009818	OTHER	Thromblytic Art/ven Thrp	2	2	$6,735.74	$4,041.44 40% off	$4,715.02	$5,725.38	$5,220.20	2026-05-17
6009819	OTHER	Cessj Therapy Cath Removl	2	2	$6,735.74	$4,041.44 40% off	$4,715.02	$5,725.38	$5,220.20	2026-05-17
1100060	OTHER	MRI Upper Extremity Without Cont	2	2	$6,695.75	$4,017.45 40% off	$4,687.03	$5,691.39	$5,189.21	2026-05-17
1200047	OTHER	CT Upper Ext With Cont Rt	2	2	$6,573.48	$3,944.09 40% off	$4,601.44	$5,587.46	$5,094.45	2026-05-17
1200119	OTHER	CT Upper Extrm With Cont Lt	2	2	$6,573.48	$3,944.09 40% off	$4,601.44	$5,587.46	$5,094.45	2026-05-17
6000161	OTHER	I&d Lg/ank Deep Abs/hemat	2	2	$6,484.28	$3,890.57 40% off	$4,539.00	$5,511.64	$5,025.32	2026-05-17
6000215	OTHER	Addsg T/a/l>100 Sqcm Lo	2	2	$6,376.17	$3,825.70 40% off	$4,463.32	$5,419.74	$4,941.53	2026-05-17
6009778	OTHER	Add Sg S/f/e/g >26sq <100	2	2	$6,376.17	$3,825.70 40% off	$4,463.32	$5,419.74	$4,941.53	2026-05-17
6009780	OTHER	Add Sg S/f/n/e >100sq	2	2	$6,376.17	$3,825.70 40% off	$4,463.32	$5,419.74	$4,941.53	2026-05-17
8000186	OTHER	Add Sg S/f/n/e >100sq	2	2	$6,376.17	$3,825.70 40% off	$4,463.32	$5,419.74	$4,941.53	2026-05-17
6009774	OTHER	Add Sg T/a/l>26sq Cm <100	2	2	$6,376.17	$3,825.70 40% off	$4,463.32	$5,419.74	$4,941.53	2026-05-17
3015185	OTHER	Immune Globulin (hizentra) 20% 50ml	2	2	$6,342.31	$3,805.39 40% off	$4,439.62	$5,390.96	$4,915.29	2026-05-17
6000145	OTHER	Remove Cath Intraperitoneal	2	2	$6,297.22	$3,778.33 40% off	$4,408.05	$5,352.64	$4,880.35	2026-05-17
3200264	OTHER	Bone Tamp Kit Kex	2	2	$6,191.54	$3,714.92 40% off	$4,334.08	$5,262.81	$4,798.44	2026-05-17
3013405	OTHER	Amnioband Per Sqcm Graft	2	2	$6,065.67	$3,639.40 40% off	$4,245.97	$5,155.82	$4,700.90	2026-05-17
3013775	OTHER	Amnioband Per Sqcm Graft Waste	2	2	$6,065.67	$3,639.40 40% off	$4,245.97	$5,155.82	$4,700.90	2026-05-17
2003717	OTHER	Drug Test Definitive 15-21 Classes	2	2	$5,908.37	$3,545.02 40% off	$4,135.86	$5,022.11	$4,578.98	2026-05-17
6000154	OTHER	Insert Suprapubic Cath	2	2	$5,861.12	$3,516.67 40% off	$4,102.78	$4,981.95	$4,542.36	2026-05-17
6000242	OTHER	Ins Cath/abd/l-ext Art 3r	2	2	$5,855.06	$3,513.04 40% off	$4,098.54	$4,976.80	$4,537.67	2026-05-17
6009786	OTHER	Ins Cath Abd/l Ext Art 2n Lt	2	2	$5,855.06	$3,513.04 40% off	$4,098.54	$4,976.80	$4,537.67	2026-05-17
6000241	OTHER	Ins Cath Abd/l Ext Art 2n Rt	2	2	$5,855.06	$3,513.04 40% off	$4,098.54	$4,976.80	$4,537.67	2026-05-17
1400047	OTHER	Ir Image Absc/fistula/sinus Tr	2	2	$5,793.73	$3,476.24 40% off	$4,055.61	$4,924.67	$4,490.14	2026-05-17
6009804	OTHER	Injctn For Cholangiogram	2	2	$5,680.12	$3,408.07 40% off	$3,976.08	$4,828.10	$4,402.09	2026-05-17
6000032	OTHER	Delay Flap; Fh/ck/ch/n/hd	2	2	$5,664.33	$3,398.60 40% off	$3,965.03	$4,814.68	$4,389.86	2026-05-17
6000114	OTHER	Exc I P Ulcer W/skin Flap	2	2	$5,664.33	$3,398.60 40% off	$3,965.03	$4,814.68	$4,389.86	2026-05-17
6000120	OTHER	Exc Sp Ulcer; Flap Prep	2	2	$5,664.33	$3,398.60 40% off	$3,965.03	$4,814.68	$4,389.86	2026-05-17
6009795	OTHER	Late Wound Closure	2	2	$5,664.33	$3,398.60 40% off	$3,965.03	$4,814.68	$4,389.86	2026-05-17
8000180	OTHER	Add Sg T/a/l>26sq Cm <100	4	4	$6,376.17	$3,825.70 40% off	$3,342.85	$5,419.74	$4,382.84	2026-05-17
1200060	OTHER	CT Orbit/ear/fossa W/cont	2	2	$5,637.61	$3,382.57 40% off	$3,946.33	$4,791.97	$4,369.15	2026-05-17
1200043	OTHER	CT Chest W/cont	2	2	$5,637.61	$3,382.57 40% off	$3,946.33	$4,791.97	$4,369.15	2026-05-17
1200002	OTHER	CT Abdomen W/cont	2	2	$5,637.61	$3,382.57 40% off	$3,946.33	$4,791.97	$4,369.15	2026-05-17
1200034	OTHER	CT Pelvis W/cont	2	2	$5,637.61	$3,382.57 40% off	$3,946.33	$4,791.97	$4,369.15	2026-05-17
1400190	OTHER	Fl Voiding Cystogram	2	2	$5,635.08	$3,381.05 40% off	$3,944.56	$4,789.82	$4,367.19	2026-05-17
3000605	OTHER	Calcitonin (miacalcin) 400 Unit/2 Ml Mdv	2	2	$5,566.92	$3,340.15 40% off	$3,896.84	$4,731.88	$4,314.36	2026-05-17
1200015	OTHER	CT Lower Ext W/cont Lt	2	2	$5,539.72	$3,323.83 40% off	$3,877.80	$4,708.76	$4,293.28	2026-05-17
1200016	OTHER	CT Lower Ext W/cont Rt	2	2	$5,539.72	$3,323.83 40% off	$3,877.80	$4,708.76	$4,293.28	2026-05-17
1200037	OTHER	CT Soft Tissue Neck W/cont	2	2	$5,539.72	$3,323.83 40% off	$3,877.80	$4,708.76	$4,293.28	2026-05-17
1200025	OTHER	CT Maxillofacial W/cont	2	2	$5,539.72	$3,323.83 40% off	$3,877.80	$4,708.76	$4,293.28	2026-05-17
1200022	OTHER	CT Lumbar Spine W/cont	2	2	$5,539.72	$3,323.83 40% off	$3,877.80	$4,708.76	$4,293.28	2026-05-17
6009814	OTHER	Endolmnl Bx Urtr Rnl Plvs	2	2	$5,474.84	$3,284.90 40% off	$3,832.39	$4,653.61	$4,243.00	2026-05-17
6009812	OTHER	Convert Nephrostomy Cath	2	2	$5,474.84	$3,284.90 40% off	$3,832.39	$4,653.61	$4,243.00	2026-05-17
6009815	OTHER	Plmt Ureteral Stent Prq Pre-ex Tract	2	2	$5,474.84	$3,284.90 40% off	$3,832.39	$4,653.61	$4,243.00	2026-05-17
6009824	OTHER	Plmt Uret Stent Prq New Trct Without Sep Cat	2	2	$5,474.84	$3,284.90 40% off	$3,832.39	$4,653.61	$4,243.00	2026-05-17
6009825	OTHER	Plmt Uret Stent Prq New Trct With Sep Cath	2	2	$5,474.84	$3,284.90 40% off	$3,832.39	$4,653.61	$4,243.00	2026-05-17
6009805	OTHER	Ir Plcmt Nephrostomy Tube Perc	2	2	$5,474.84	$3,284.90 40% off	$3,832.39	$4,653.61	$4,243.00	2026-05-17
6009806	OTHER	Plmt Nephroureteral Cath	2	2	$5,474.84	$3,284.90 40% off	$3,832.39	$4,653.61	$4,243.00	2026-05-17
6009813	OTHER	Exchange Nephrostomy Cath	2	2	$5,474.84	$3,284.90 40% off	$3,832.39	$4,653.61	$4,243.00	2026-05-17
1200011	OTHER	CT Head/brain W/cont	2	2	$5,440.60	$3,264.36 40% off	$3,808.42	$4,624.51	$4,216.47	2026-05-17
6009834	OTHER	Bone Biopsy Trocar/needle	2	2	$5,410.46	$3,246.28 40% off	$3,787.32	$4,598.89	$4,193.11	2026-05-17
6009822	OTHER	Exchange Biliary DRG Cath	2	2	$5,397.09	$3,238.25 40% off	$3,777.96	$4,587.53	$4,182.74	2026-05-17
6009821	OTHER	Convsn Ext Bil DRG Cath	2	2	$5,397.09	$3,238.25 40% off	$3,777.96	$4,587.53	$4,182.74	2026-05-17
1200072	OTHER	CT Cervical Spine W/cont	2	2	$5,319.19	$3,191.51 40% off	$3,723.43	$4,521.31	$4,122.37	2026-05-17
1200071	OTHER	CT Angio Abdomen W/cont	2	2	$5,319.19	$3,191.51 40% off	$3,723.43	$4,521.31	$4,122.37	2026-05-17
1200061	OTHER	CT Orb/ear/fossa Without Cont	2	2	$5,308.03	$3,184.82 40% off	$3,715.62	$4,511.83	$4,113.73	2026-05-17
1200044	OTHER	CT Chest Without Cont	2	2	$5,308.03	$3,184.82 40% off	$3,715.62	$4,511.83	$4,113.73	2026-05-17
1200074	OTHER	CT Abd & Pelvis Without Contr	2	2	$5,285.72	$3,171.43 40% off	$3,700.00	$4,492.86	$4,096.43	2026-05-17
1200003	OTHER	CT Abdomen Without Cont	2	2	$5,208.92	$3,125.35 40% off	$3,646.24	$4,427.58	$4,036.91	2026-05-17
1200038	OTHER	CT Soft Tissue Neck Without Cont	2	2	$5,208.92	$3,125.35 40% off	$3,646.24	$4,427.58	$4,036.91	2026-05-17
1200036	OTHER	CT Pelvis W & Without Cont	2	2	$5,208.92	$3,125.35 40% off	$3,646.24	$4,427.58	$4,036.91	2026-05-17
1200035	OTHER	CT Pelvis Without Cont	2	2	$5,208.92	$3,125.35 40% off	$3,646.24	$4,427.58	$4,036.91	2026-05-17
1200107	OTHER	CT Lower Ext W/wo Cont Rt	2	2	$5,162.65	$3,097.59 40% off	$3,613.86	$4,388.25	$4,001.06	2026-05-17
1200106	OTHER	CT Lower Ext W/wo Cont Lt	2	2	$5,162.65	$3,097.59 40% off	$3,613.86	$4,388.25	$4,001.06	2026-05-17
1200133	OTHER	CT Angio Lwr Ex W/o&w Dye	2	2	$5,133.31	$3,079.99 40% off	$3,593.32	$4,363.31	$3,978.32	2026-05-17
1200018	OTHER	CT Lower Ext Without Cont Rt	2	2	$5,114.73	$3,068.84 40% off	$3,580.31	$4,347.52	$3,963.91	2026-05-17
1200017	OTHER	CT Lower Ext Without Cont Lt	2	2	$5,114.73	$3,068.84 40% off	$3,580.31	$4,347.52	$3,963.91	2026-05-17
1200013	OTHER	CT Head/brain Without Cont	2	2	$5,114.73	$3,068.84 40% off	$3,580.31	$4,347.52	$3,963.91	2026-05-17
1200007	OTHER	CT Cervicalspine Without Cont	2	2	$5,114.73	$3,068.84 40% off	$3,580.31	$4,347.52	$3,963.91	2026-05-17
1200042	OTHER	CT Thoracic Spine W/cont	2	2	$5,114.73	$3,068.84 40% off	$3,580.31	$4,347.52	$3,963.91	2026-05-17
1200041	OTHER	CT Thoracic Spine Without Cont	2	2	$5,114.73	$3,068.84 40% off	$3,580.31	$4,347.52	$3,963.91	2026-05-17
1200023	OTHER	CT Lumbar Spine Without Cont	2	2	$5,114.73	$3,068.84 40% off	$3,580.31	$4,347.52	$3,963.91	2026-05-17
2003716	OTHER	Drug Test Definitive 8-14 Class	2	2	$5,105.29	$3,063.17 40% off	$3,573.70	$4,339.50	$3,956.60	2026-05-17
6000068	OTHER	Si Endo W Ablatn T/p/les	2	2	$5,094.63	$3,056.78 40% off	$3,566.24	$4,330.44	$3,948.34	2026-05-17
6000067	OTHER	Si Endo W Bleed Cntrl	2	2	$5,094.63	$3,056.78 40% off	$3,566.24	$4,330.44	$3,948.34	2026-05-17
1100042	OTHER	MRI Spn;wo Thn W/d Th	2	2	$5,073.84	$3,044.30 40% off	$3,551.69	$4,312.76	$3,932.23	2026-05-17
1200104	OTHER	CT Scan For Localization	2	2	$5,061.17	$3,036.70 40% off	$3,542.82	$4,301.99	$3,922.40	2026-05-17
6000140	OTHER	Ir Perc Abscess Drainage	2	2	$5,053.32	$3,031.99 40% off	$3,537.32	$4,295.32	$3,916.32	2026-05-17
3014042	OTHER	Immune Globulin (privigen) 10% 100 Ml	2	2	$5,042.19	$3,025.31 40% off	$3,529.53	$4,285.86	$3,907.69	2026-05-17
8000184	OTHER	Add Sg S/f/e/g >26sq <100	4	4	$6,376.17	$3,825.70 40% off	$3,342.85	$5,419.74	$3,903.09	2026-05-17
6100006	OTHER	Emergency Rm Level 5	2	2	$5,026.58	$3,015.95 40% off	$3,518.61	$4,272.59	$3,895.60	2026-05-17
6000258	OTHER	Laryngoscopy With Removal Fb	2	2	$5,025.38	$3,015.23 40% off	$3,517.77	$4,271.57	$3,894.67	2026-05-17
6000113	OTHER	Laryngoscopy Ind; W Bx	2	2	$5,025.38	$3,015.23 40% off	$3,517.77	$4,271.57	$3,894.67	2026-05-17
6009790	OTHER	Laryngoscopy Direct Diag Except Nb	2	2	$5,025.38	$3,015.23 40% off	$3,517.77	$4,271.57	$3,894.67	2026-05-17
1100023	OTHER	MRI Brain Without Cont	2	2	$4,871.89	$2,923.13 40% off	$3,410.32	$4,141.11	$3,775.72	2026-05-17
1100142	OTHER	MRI Pelvis Without Contrast	2	2	$4,871.89	$2,923.13 40% off	$3,410.32	$4,141.11	$3,775.72	2026-05-17
1100039	OTHER	MRI Thoracic Spine Without Cont	2	2	$4,871.89	$2,923.13 40% off	$3,410.32	$4,141.11	$3,775.72	2026-05-17
1100138	OTHER	MRI Lumbar Spn Without Contrast	2	2	$4,871.89	$2,923.13 40% off	$3,410.32	$4,141.11	$3,775.72	2026-05-17
6009832	OTHER	Apheresis Plasma	2	2	$4,806.73	$2,884.04 40% off	$3,364.71	$4,085.72	$3,725.22	2026-05-17
6000111	OTHER	Deep St Bx - Ua Or Elbow	2	2	$4,736.28	$2,841.77 40% off	$3,315.40	$4,025.84	$3,670.62	2026-05-17
6000107	OTHER	Removal; Support Implant	2	2	$4,736.28	$2,841.77 40% off	$3,315.40	$4,025.84	$3,670.62	2026-05-17
1400241	OTHER	Fl Upper Gi Without Kub	2	2	$4,655.25	$2,793.15 40% off	$3,258.68	$3,956.96	$3,607.82	2026-05-17
3014820	OTHER	Nf-semaglutide (ozempic) 2mg/1.5ml Pen	2	2	$4,533.27	$2,719.96 40% off	$3,173.29	$3,853.28	$3,513.28	2026-05-17
9009743	OTHER	Powered Air Flotation Bed	2	2	$4,387.56	$2,632.54 40% off	$3,071.29	$3,729.43	$3,400.36	2026-05-17
1409944	OTHER	Ir Suprapubic Cath Exchange	2	2	$4,377.21	$2,626.33 40% off	$3,064.05	$3,720.63	$3,392.34	2026-05-17
6000135	OTHER	Peritoneocentesis; Intl	2	2	$4,325.69	$2,595.41 40% off	$3,027.98	$3,676.84	$3,352.41	2026-05-17
6000158	OTHER	Deb Musc/fas Add-on Lvl 4	2	2	$4,267.38	$2,560.43 40% off	$2,987.17	$3,627.27	$3,307.22	2026-05-17
1200048	OTHER	CT Upper Extremity Without Cont Lt	2	2	$4,254.54	$2,552.72 40% off	$2,978.18	$3,616.36	$3,297.27	2026-05-17
1200049	OTHER	CT Upper Extremity Without Cont Rt	2	2	$4,254.54	$2,552.72 40% off	$2,978.18	$3,616.36	$3,297.27	2026-05-17
8000142	OTHER	Sk Grft Split Hfsf	10	10	$16,609.15	$9,965.49 40% off	$3,281.05	$14,117.78	$3,281.05	2026-05-17
8000181	OTHER	Sk Grft T/a/l >100sq Cm	10	10	$16,606.72	$9,964.03 40% off	$3,281.05	$14,115.71	$3,281.05	2026-05-17
6000204	OTHER	Egd US Exam Duodenum/jeju	2	2	$4,185.99	$2,511.59 40% off	$2,930.19	$3,558.09	$3,244.14	2026-05-17
6000203	OTHER	Esoph Egd Dilation<30mm	2	2	$4,185.99	$2,511.59 40% off	$2,930.19	$3,558.09	$3,244.14	2026-05-17
6000060	OTHER	Egd Cautery Tumor Polyp	2	2	$4,185.99	$2,511.59 40% off	$2,930.19	$3,558.09	$3,244.14	2026-05-17
6000061	OTHER	Egd Control Bleeding Any	2	2	$4,185.99	$2,511.59 40% off	$2,930.19	$3,558.09	$3,244.14	2026-05-17
6000058	OTHER	Egd Dilate Stricture	2	2	$4,185.99	$2,511.59 40% off	$2,930.19	$3,558.09	$3,244.14	2026-05-17
6000205	OTHER	Egd Lesion Ablation Flex	2	2	$4,185.99	$2,511.59 40% off	$2,930.19	$3,558.09	$3,244.14	2026-05-17
6000057	OTHER	Egd Varices Ligation	2	2	$4,185.99	$2,511.59 40% off	$2,930.19	$3,558.09	$3,244.14	2026-05-17
6000059	OTHER	Esoph Egd Dilation<30mm	2	2	$4,184.79	$2,510.87 40% off	$2,929.35	$3,557.07	$3,243.21	2026-05-17
6000173	OTHER	Plcmt Gastrostomy Tube Perc W/fluoro	2	2	$4,184.79	$2,510.87 40% off	$2,929.35	$3,557.07	$3,243.21	2026-05-17
6000041	OTHER	Ir Plcmt G/j Tube Perc	2	2	$4,184.79	$2,510.87 40% off	$2,929.35	$3,557.07	$3,243.21	2026-05-17
6000040	OTHER	Esophagoscpy Balloon>30mm	2	2	$4,184.79	$2,510.87 40% off	$2,929.35	$3,557.07	$3,243.21	2026-05-17
2003715	OTHER	Drug Test Definitive 1-7 Classes	2	2	$4,158.81	$2,495.29 40% off	$2,911.17	$3,534.99	$3,223.08	2026-05-17
3200147	OTHER	Tray Percutaneous Trach	2	2	$4,030.50	$2,418.30 40% off	$2,821.35	$3,425.93	$3,123.64	2026-05-17
6009770	OTHER	Image Cath Fluid Peri/ret	2	2	$3,993.09	$2,395.85 40% off	$2,795.16	$3,394.13	$3,094.64	2026-05-17
6000253	OTHER	Needle Biopsy Lymph Nodes	2	2	$3,993.09	$2,395.85 40% off	$2,795.16	$3,394.13	$3,094.64	2026-05-17
6000047	OTHER	Bronch With Removal Fb	2	2	$3,932.12	$2,359.27 40% off	$2,752.48	$3,342.30	$3,047.39	2026-05-17
3015164	OTHER	Infliximab (renflexis) 100 Mg Inj	2	2	$3,888.04	$2,332.82 40% off	$2,721.63	$3,304.83	$3,013.23	2026-05-17
8000130	OTHER	Deb Bone Add-on Lv 5	4	4	$4,871.11	$2,922.67 40% off	$2,553.78	$4,140.44	$2,981.78	2026-05-17
1400144	OTHER	Fl Small Bowel Series	2	2	$3,818.71	$2,291.23 40% off	$2,673.10	$3,245.90	$2,959.50	2026-05-17
4000145	OTHER	Z-vent Mgmt Inpat Init Day	2	2	$3,777.20	$2,266.32 40% off	$2,644.04	$3,210.62	$2,927.33	2026-05-17

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