Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL

Mount Pleasant, UT · CCN 461303 · Rates published

16,107 distinct procedures filed
42 distinct payers
723,225 rate rows
2026-05-14 last MRF observed
Data quality

714,888 of 723,225 rate rows are consumer-grade (98.8%)

8,337 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 7,720
placeholder amount (≤ $0.02) — excluded from medians 617
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/-/media/files-sc9/price-transparency/machine-readable/942854057_sanpete-valley-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/sanpete-valley-hospital/about/hospital-prices/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-08

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
2722109771
OTHER 		Hc Catheter Hemo/perit Long-term Implant Lvl 10 40 $33,714.86 $119,875.06 $118,626.36 nat. median
$113,676
1.0× median
2782649771
OTHER 		Hc Stent Coated/covered Implant Lvl 44 40 $33,714.86 $119,875.06 $118,626.36 nat. median
$113,676
1.0× median
2721649601
OTHER 		Hc Sphenopalatine Ganglion Block Via Sphenocath Thru Nose 40 $32,361.12 $115,061.76 $113,863.20 nat. median
$109,112
1.0× median
278TRIG470
OTHER 		Hc Com Con Neutrophil Cytoplasm Ab Screen 40 $32,109.39 $114,166.70 $112,977.47 nat. median
$108,263
1.0× median
2782649770
OTHER 		Hc Dressing Quikclot Ctl+ 3in 40 $32,109.39 $114,166.70 $112,977.47 nat. median
$108,263
1.0× median
2721649701
OTHER 		Hc Morph Ish Sngl Per Spec/man 40 $32,100.76 $114,136.03 $112,947.12 nat. median
$108,234
1.0× median
2721040201
OTHER 		Hc Org Id Agglutinations 40 $32,100.76 $114,136.03 $112,947.12 nat. median
$106,751
1.1× median
275C188267
OTHER 		Hc One Donor Fresh Frozn Plasma 40 $27,737.26 $98,621.38 $97,594.07 nat. median
$93,521
1.0× median
278C188966
OTHER 		Hc Platelet Aggregation, Each Agent 40 $26,416.44 $93,925.10 $92,946.72 nat. median
$89,068
1.0× median
278C182366
OTHER 		Hc Drug Screening Tapentadol 40 $26,416.44 $93,925.10 $92,946.72 nat. median
$89,068
1.0× median
2782649766
OTHER 		Hc Di Ankle 2 View Unilateral 40 $26,416.44 $93,925.10 $92,946.72 nat. median
$89,068
1.0× median
2782649765
OTHER 		Hc Closure Device-vascular Non Implant Lvl 34 40 $25,158.51 $89,452.46 $88,520.67 nat. median
$84,827
1.0× median
2782649764
OTHER 		Hc Anchor/screw Bone/soft Tissue-to-bone Implant Lvl 25 40 $23,960.48 $85,192.80 $84,305.38 nat. median
$80,787
1.0× median
2782669764
OTHER 		Hc Lactation Education; Non Physician Provider Per Session 40 $23,960.48 $85,192.80 $84,305.38 nat. median
$80,787
1.0× median
2782649763
OTHER 		Hc Tissue Ish Sngl Probe Per Spec 40 $22,819.48 $81,135.94 $80,290.77 nat. median
$76,940
1.0× median
278C188963
OTHER 		Hc Gi Supply Lvl 13 40 $22,819.48 $81,135.94 $80,290.77 nat. median
$76,940
1.0× median
2782669762
OTHER 		Hc Metanephrines Plasma 40 $21,732.84 $77,272.32 $76,467.40 nat. median
$73,276
1.0× median
278C187462
OTHER 		Hc Occult Bld Feces 1-3 Tests Poc 40 $21,732.84 $77,272.32 $76,467.40 nat. median
$73,276
1.0× median
278C188962
OTHER 		Hc Connective Tissue Non-human Lvl 15 40 $21,732.84 $77,272.32 $76,467.40 nat. median
$73,276
1.0× median
278C182361
OTHER 		Hc Ctlso Infant Immobilizer 40 $20,697.94 $73,592.69 $72,826.10 nat. median
$69,787
1.0× median
2782649761
OTHER 		Hc Somatomedin 40 $20,697.94 $73,592.69 $72,826.10 nat. median
$69,787
1.0× median
2722109761
OTHER 		Hc Kit Cannula Aortic/venous Bio-medicus 40 $20,697.94 $73,592.69 $72,826.10 nat. median
$69,787
1.0× median
2721649501
OTHER 		Hc Antipsychotics Nos 1-3 40 $19,857.96 $70,606.08 $69,870.60 nat. median
$66,955
1.0× median
2722109760
OTHER 		Hc Culture, Bacterial, Other Source 40 $19,712.31 $70,088.21 $69,358.12 nat. median
$66,464
1.0× median
275C172159
OTHER 		Hc Stent Non Coronary W/del Sys Temp Implant Lvl 10 40 $18,773.63 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
278C188959
OTHER 		Hc Prefab Tlso Thor Rigd Ots 40 $18,773.63 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
2782649759
OTHER 		Hc Radiation Oncology Non Implant Supply Lvl 36 40 $18,773.63 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
278C182359
OTHER 		Hc General Bronchoscopy Non Implant Supply Lvl 23 40 $18,773.63 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
272C176959
OTHER 		Hc Smear Chlamydia 40 $18,773.63 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
278C262459
OTHER 		Hc Hydrogel Cooling Kit - Pad 40 $18,773.63 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
2722109759
OTHER 		Hc Guidewire Vas Fixedcore Crv .038x80cmx3mm 40 $18,773.63 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
275C188259
OTHER 		Hc Drug Scrn Quan Mycophenolate 40 $18,773.63 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
278LIMFW59
OTHER 		Hc Trach Tu Cuf Fixd Hf 7mm 40 $18,773.63 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
2782649758
OTHER 		Hc Hla X-match Addl Sample 40 $17,879.64 $63,572.06 $62,909.85 nat. median
$60,285
1.0× median
2722109758
OTHER 		Hc Hpv Low-risk Types; Ia 40 $17,879.64 $63,572.06 $62,909.85 nat. median
$60,285
1.0× median
2722109757
OTHER 		Hc Medication Therapy Initial 15 Min New Patient 40 $17,028.21 $60,544.75 $59,914.08 nat. median
$57,414
1.0× median
4813347701
OTHER 		Hc Echo Tee For Intervention Guidance 40 $16,669.69 $59,270.03 $58,652.63 nat. median
$49,392
1.2× median
2721489756
OTHER 		Hc Hemosiderin; Qual 40 $16,217.35 $57,661.68 $57,061.04 nat. median
$54,680
1.0× median
275C188256
OTHER 		Hc Sheath Introducer Bio-med Ven 40 $16,217.35 $57,661.68 $57,061.04 nat. median
$54,680
1.0× median
278C182656
OTHER 		Hc Protein Electrophoresis; Other Fluid 40 $16,217.35 $57,661.68 $57,061.04 nat. median
$54,680
1.0× median
275C172256
OTHER 		Hc Catheter Cannula Apex Infant 5/6mm 40 $16,217.35 $57,661.68 $57,061.04 nat. median
$54,680
1.0× median
4813322101
OTHER 		Hc Hepatitis C RNA Quantitative 40 $15,620.22 $55,538.56 $54,960.04 nat. median
$41,654
1.3× median
2782649755
OTHER 		Hc Gi Supply Lvl 17 40 $15,445.08 $54,915.84 $54,343.80 nat. median
$52,076
1.0× median
275C188255
OTHER 		Hc Myoglobin 40 $15,445.08 $54,915.84 $54,343.80 nat. median
$52,076
1.0× median
2782669755
OTHER 		Hc Valve Implant Lvl 61 40 $15,445.08 $54,915.84 $54,343.80 nat. median
$52,076
1.0× median
Q2043
OTHER 		Sipuleucel-t Auto Cd54+ 10 $53,981.46 $53,981.46 $53,981.46 nat. median
$55,946
1.0× median
7613722902
OTHER 		Hc Remove Foreign Body From Eye Bilat 40 $15,211.17 $54,084.16 $53,520.79 nat. median
$42,750
1.3× median
275C188254
OTHER 		Hc Benzodiazepines; 1-12 40 $14,709.59 $52,300.75 $51,755.95 nat. median
$49,596
1.0× median
2782669754
OTHER 		Hc Catheter Ablat Non-cardiac Endovasc 30 40 $14,709.59 $52,300.75 $51,755.95 nat. median
$49,596
1.0× median
4813399941
OTHER 		Hc Phase I Recovery Per Minute 40 $14,671.35 $52,164.81 $51,621.42 nat. median
$45,644
1.1× median

Other procedures at this hospital

Browse this hospital's 16,107 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
             
2782649771 OTHER Hc Stent Coated/covered Implant Lvl 44 73 40 $124,869.85 $93,652.39 25% off $33,714.86 $119,875.06 $118,626.36 2026-05-14
2722109771 OTHER Hc Catheter Hemo/perit Long-term Implant Lvl 10 73 40 $124,869.85 $93,652.39 25% off $33,714.86 $119,875.06 $118,626.36 2026-05-14
2721649601 OTHER Hc Sphenopalatine Ganglion Block Via Sphenocath Thru Nose 73 40 $119,856.00 $89,892.00 25% off $32,361.12 $115,061.76 $113,863.20 2026-05-14
2782649770 OTHER Hc Dressing Quikclot Ctl+ 3in 73 40 $118,923.65 $89,192.74 25% off $32,109.39 $114,166.70 $112,977.47 2026-05-14
278TRIG470 OTHER Hc Com Con Neutrophil Cytoplasm Ab Screen 73 40 $118,923.65 $89,192.74 25% off $32,109.39 $114,166.70 $112,977.47 2026-05-14
2721649701 OTHER Hc Morph Ish Sngl Per Spec/man 73 40 $118,891.70 $89,168.78 25% off $32,100.76 $114,136.03 $112,947.12 2026-05-14
2721040201 OTHER Hc Org Id Agglutinations 73 40 $118,891.70 $89,168.78 25% off $32,100.76 $114,136.03 $112,947.12 2026-05-14
275C188267 OTHER Hc One Donor Fresh Frozn Plasma 73 40 $102,730.60 $77,047.95 25% off $27,737.26 $98,621.38 $97,594.07 2026-05-14
278C188966 OTHER Hc Platelet Aggregation, Each Agent 73 40 $97,838.65 $73,378.99 25% off $26,416.44 $93,925.10 $92,946.72 2026-05-14
2782649766 OTHER Hc Di Ankle 2 View Unilateral 73 40 $97,838.65 $73,378.99 25% off $26,416.44 $93,925.10 $92,946.72 2026-05-14
278C182366 OTHER Hc Drug Screening Tapentadol 73 40 $97,838.65 $73,378.99 25% off $26,416.44 $93,925.10 $92,946.72 2026-05-14
2782649765 OTHER Hc Closure Device-vascular Non Implant Lvl 34 73 40 $93,179.65 $69,884.74 25% off $25,158.51 $89,452.46 $88,520.67 2026-05-14
2782669764 OTHER Hc Lactation Education; Non Physician Provider Per Session 73 40 $88,742.50 $66,556.88 25% off $23,960.48 $85,192.80 $84,305.38 2026-05-14
2782649764 OTHER Hc Anchor/screw Bone/soft Tissue-to-bone Implant Lvl 25 73 40 $88,742.50 $66,556.88 25% off $23,960.48 $85,192.80 $84,305.38 2026-05-14
2782649763 OTHER Hc Tissue Ish Sngl Probe Per Spec 73 40 $84,516.60 $63,387.45 25% off $22,819.48 $81,135.94 $80,290.77 2026-05-14
278C188963 OTHER Hc Gi Supply Lvl 13 73 40 $84,516.60 $63,387.45 25% off $22,819.48 $81,135.94 $80,290.77 2026-05-14
278C187462 OTHER Hc Occult Bld Feces 1-3 Tests Poc 73 40 $80,492.00 $60,369.00 25% off $21,732.84 $77,272.32 $76,467.40 2026-05-14
278C188962 OTHER Hc Connective Tissue Non-human Lvl 15 73 40 $80,492.00 $60,369.00 25% off $21,732.84 $77,272.32 $76,467.40 2026-05-14
2782669762 OTHER Hc Metanephrines Plasma 73 40 $80,492.00 $60,369.00 25% off $21,732.84 $77,272.32 $76,467.40 2026-05-14
278C182361 OTHER Hc Ctlso Infant Immobilizer 73 40 $76,659.05 $57,494.29 25% off $20,697.94 $73,592.69 $72,826.10 2026-05-14
2782649761 OTHER Hc Somatomedin 73 40 $76,659.05 $57,494.29 25% off $20,697.94 $73,592.69 $72,826.10 2026-05-14
2722109761 OTHER Hc Kit Cannula Aortic/venous Bio-medicus 73 40 $76,659.05 $57,494.29 25% off $20,697.94 $73,592.69 $72,826.10 2026-05-14
2721649501 OTHER Hc Antipsychotics Nos 1-3 73 40 $73,548.00 $55,161.00 25% off $19,857.96 $70,606.08 $69,870.60 2026-05-14
2722109760 OTHER Hc Culture, Bacterial, Other Source 73 40 $73,008.55 $54,756.41 25% off $19,712.31 $70,088.21 $69,358.12 2026-05-14
2722109759 OTHER Hc Guidewire Vas Fixedcore Crv .038x80cmx3mm 73 40 $69,531.95 $52,148.96 25% off $18,773.63 $66,750.67 $66,055.35 2026-05-14
2782649759 OTHER Hc Radiation Oncology Non Implant Supply Lvl 36 73 40 $69,531.95 $52,148.96 25% off $18,773.63 $66,750.67 $66,055.35 2026-05-14
278C182359 OTHER Hc General Bronchoscopy Non Implant Supply Lvl 23 73 40 $69,531.95 $52,148.96 25% off $18,773.63 $66,750.67 $66,055.35 2026-05-14
278C262459 OTHER Hc Hydrogel Cooling Kit - Pad 73 40 $69,531.95 $52,148.96 25% off $18,773.63 $66,750.67 $66,055.35 2026-05-14
272C176959 OTHER Hc Smear Chlamydia 73 40 $69,531.95 $52,148.96 25% off $18,773.63 $66,750.67 $66,055.35 2026-05-14
275C172159 OTHER Hc Stent Non Coronary W/del Sys Temp Implant Lvl 10 73 40 $69,531.95 $52,148.96 25% off $18,773.63 $66,750.67 $66,055.35 2026-05-14
278C188959 OTHER Hc Prefab Tlso Thor Rigd Ots 73 40 $69,531.95 $52,148.96 25% off $18,773.63 $66,750.67 $66,055.35 2026-05-14
278LIMFW59 OTHER Hc Trach Tu Cuf Fixd Hf 7mm 73 40 $69,531.95 $52,148.96 25% off $18,773.63 $66,750.67 $66,055.35 2026-05-14
275C188259 OTHER Hc Drug Scrn Quan Mycophenolate 73 40 $69,531.95 $52,148.96 25% off $18,773.63 $66,750.67 $66,055.35 2026-05-14
2722109758 OTHER Hc Hpv Low-risk Types; Ia 73 40 $66,220.90 $49,665.68 25% off $17,879.64 $63,572.06 $62,909.85 2026-05-14
2782649758 OTHER Hc Hla X-match Addl Sample 73 40 $66,220.90 $49,665.68 25% off $17,879.64 $63,572.06 $62,909.85 2026-05-14
2722109757 OTHER Hc Medication Therapy Initial 15 Min New Patient 73 40 $63,067.45 $47,300.59 25% off $17,028.21 $60,544.75 $59,914.08 2026-05-14
4813347701 OTHER Hc Echo Tee For Intervention Guidance 73 40 $61,739.61 $46,304.71 25% off $16,669.69 $59,270.03 $58,652.63 2026-05-14
275C172256 OTHER Hc Catheter Cannula Apex Infant 5/6mm 73 40 $60,064.25 $45,048.19 25% off $16,217.35 $57,661.68 $57,061.04 2026-05-14
275C188256 OTHER Hc Sheath Introducer Bio-med Ven 73 40 $60,064.25 $45,048.19 25% off $16,217.35 $57,661.68 $57,061.04 2026-05-14
278C182656 OTHER Hc Protein Electrophoresis; Other Fluid 73 40 $60,064.25 $45,048.19 25% off $16,217.35 $57,661.68 $57,061.04 2026-05-14
2721489756 OTHER Hc Hemosiderin; Qual 73 40 $60,064.25 $45,048.19 25% off $16,217.35 $57,661.68 $57,061.04 2026-05-14
4813322101 OTHER Hc Hepatitis C RNA Quantitative 73 40 $57,852.67 $43,389.50 25% off $15,620.22 $55,538.56 $54,960.04 2026-05-14
2782649755 OTHER Hc Gi Supply Lvl 17 73 40 $57,204.00 $42,903.00 25% off $15,445.08 $54,915.84 $54,343.80 2026-05-14
2782669755 OTHER Hc Valve Implant Lvl 61 73 40 $57,204.00 $42,903.00 25% off $15,445.08 $54,915.84 $54,343.80 2026-05-14
275C188255 OTHER Hc Myoglobin 73 40 $57,204.00 $42,903.00 25% off $15,445.08 $54,915.84 $54,343.80 2026-05-14
Q2043 OTHER Sipuleucel-t Auto Cd54+ 14 10 — — $53,981.46 $53,981.46 $53,981.46 2026-05-14
7613722902 OTHER Hc Remove Foreign Body From Eye Bilat 73 40 $56,337.67 $42,253.25 25% off $15,211.17 $54,084.16 $53,520.79 2026-05-14
275C188254 OTHER Hc Benzodiazepines; 1-12 73 40 $54,479.95 $40,859.96 25% off $14,709.59 $52,300.75 $51,755.95 2026-05-14
2782669754 OTHER Hc Catheter Ablat Non-cardiac Endovasc 30 73 40 $54,479.95 $40,859.96 25% off $14,709.59 $52,300.75 $51,755.95 2026-05-14
4813399941 OTHER Hc Phase I Recovery Per Minute 73 40 $54,338.34 $40,753.75 25% off $14,671.35 $52,164.81 $51,621.42 2026-05-14
7613722702 OTHER Hc Avlsn Nail Plate Part/comp Ea Addl 73 40 $53,148.75 $39,861.56 25% off $14,350.16 $51,022.80 $50,491.31 2026-05-14
278C261601 OTHER Hc M/phmtrc Analys Ish Quant/semiq Computer-assist Each Addtl Single Probe 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
2721489753 OTHER Hc Cytp C/v Auto Thin Lyr Addl 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
2782019753 OTHER Hc Guidewire Lvl 33 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
275C172153 OTHER Hc Embolization Thrombectomy Non Implant Supply Lvl 40 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
2782669753 OTHER Hc Vasopressin Antiduretic Horm 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
278C171701 OTHER Hc Stent Non Coated/non Covered Implant Lvl 29 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
278C187453 OTHER Hc Op/home Hemo-dialysis Treatment 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
278C188953 OTHER Hc Retrieval Device Lvl 17 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
278C182053 OTHER Hc Antidepressant Tricyclic And Other Cyclicals; 1 Or 2 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
2781909753 OTHER Hc Connective Tissue Non-human Lvl 16 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
275C188253 OTHER Hc Fiber Laser Supply Lvl 29 73 40 $51,722.65 $38,791.99 25% off $13,965.12 $49,653.74 $49,136.52 2026-05-14
4813399945 OTHER Hc Di Hand Min 3 View Unilateral 73 40 $51,682.99 $38,762.24 25% off $13,954.41 $49,615.67 $49,098.84 2026-05-14
4810646T01 OTHER Hc Stent Non Coated/non Covered Implant Lvl 23 73 40 $51,682.99 $38,762.24 25% off $13,954.41 $49,615.67 $49,098.84 2026-05-14
323C800401 OTHER Hc Endoscopic Mucosal Resection 73 40 $49,059.90 $36,794.93 25% off $13,246.17 $47,097.50 $46,606.90 2026-05-14
4819358001 OTHER Hc Catheter Atherectomy Rotational Lvl 32 73 40 $48,374.14 $36,280.61 25% off $13,061.02 $46,439.17 $45,955.43 2026-05-14
2781909752 OTHER Hc Tray Ciaglia Rhino G2 Without Tu 73 40 $47,020.55 $35,265.41 25% off $12,695.55 $45,139.73 $44,669.52 2026-05-14
275C188252 OTHER Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 73 40 $47,020.55 $35,265.41 25% off $12,695.55 $45,139.73 $44,669.52 2026-05-14
2782019752 OTHER Hc Urethrogram Retrograde 73 40 $47,020.55 $35,265.41 25% off $12,695.55 $45,139.73 $44,669.52 2026-05-14
2782649752 OTHER Hc Complement Antigen; Each Component 73 40 $47,020.55 $35,265.41 25% off $12,695.55 $45,139.73 $44,669.52 2026-05-14
278C188952 OTHER Hc Genotype Dna/rna HIV 73 40 $47,020.55 $35,265.41 25% off $12,695.55 $45,139.73 $44,669.52 2026-05-14
278C182052 OTHER Hc Bleeding Time 73 40 $47,020.55 $35,265.41 25% off $12,695.55 $45,139.73 $44,669.52 2026-05-14
278C187452 OTHER Hc Pacemaker Single Chamber Lvl 37 73 40 $47,020.55 $35,265.41 25% off $12,695.55 $45,139.73 $44,669.52 2026-05-14
275C172252 OTHER Hc Blood Gases W/02 Saturation 73 40 $47,020.55 $35,265.41 25% off $12,695.55 $45,139.73 $44,669.52 2026-05-14
2782679752 OTHER Hc Kit Cvc Pres Inject 7fr-8.5fr X 16/18/20cm Agb (cdc) 73 40 $47,020.55 $35,265.41 25% off $12,695.55 $45,139.73 $44,669.52 2026-05-14
4819359001 OTHER Hc CTA Coronary Arteries W/contrast 73 40 $46,945.26 $35,208.94 25% off $12,675.22 $45,067.45 $44,598.00 2026-05-14
4819293301 OTHER Hc Carotid Approach Tavr 73 40 $45,885.89 $34,414.42 25% off $12,389.19 $44,050.45 $43,591.60 2026-05-14
4819293306 OTHER Hc Complete Replacement Picc Rs&i 73 40 $45,885.89 $34,414.42 25% off $12,389.19 $44,050.45 $43,591.60 2026-05-14
4819293313 OTHER Hc IV Infusion Therap Concurrent 73 40 $45,885.89 $34,414.42 25% off $12,389.19 $44,050.45 $43,591.60 2026-05-14
J9226 OTHER Supprelin La Implant 14 10 — — $43,324.60 $43,324.60 $43,324.60 2026-05-14
481C977501 OTHER Hc Closed Tx Ulnar Fracture Proximal End W/manj Bilat 73 40 $44,904.63 $33,678.47 25% off $12,124.25 $43,108.44 $42,659.40 2026-05-14
481C976701 OTHER Hc Fna W US Guidance; Ea Additional 73 40 $44,904.61 $33,678.46 25% off $12,124.24 $43,108.43 $42,659.38 2026-05-14
2781949751 OTHER Hc Citric Acid 24 Hr Urine 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
275C172251 OTHER Hc Embolization Protection Device Lvl 37 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
2782649751 OTHER Hc Electrolyte Panel Poc 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
275C188251 OTHER Hc Lead Neurostim Test Kit Lvl 34 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
278C188951 OTHER Hc Respiratory Supply Lvl 16 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
275C262151 OTHER Hc I&d Hematoma,seroma Or Fluid 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
272C188951 OTHER Hc Pack Custom Bb9f16r3 Circul 3/8 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
278C187651 OTHER Hc Lead Pacing Cs/lv Lvl 27 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
278C187451 OTHER Hc Prealbumin 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
2782669751 OTHER Hc Urine Vma Acid 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
275C172151 OTHER Hc Cholesterol,fluid 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
2781909751 OTHER Hc Catheter Ep Diag/abl Non-3d/map/cool-tip Lvl 27 73 40 $42,745.95 $32,059.46 25% off $11,541.41 $41,036.11 $40,608.65 2026-05-14
4810571T01 OTHER Hc Injection Of G,d,j,gj Tube 73 40 $41,433.93 $31,075.45 25% off $11,187.16 $39,776.57 $39,362.23 2026-05-14
2721649401 OTHER Hc Pretreat Rbc; Chem Or Drugs 73 40 $40,775.55 $30,581.66 25% off $11,009.40 $39,144.53 $38,736.77 2026-05-14
7613389501 OTHER Hc Anti Insulin Antibodies-rl 73 40 $39,137.23 $29,352.92 25% off $10,567.05 $37,571.74 $37,180.37 2026-05-14
7613389401 OTHER Hc Icd Single Chamber Lvl 48 73 40 $39,137.23 $29,352.92 25% off $10,567.05 $37,571.74 $37,180.37 2026-05-14
275C188250 OTHER Hc Angio Extremity Bilateral 73 40 $38,859.95 $29,144.96 25% off $10,492.19 $37,305.55 $36,916.95 2026-05-14
278C187650 OTHER Hc General Nursing Supply Sterile Lvl 16 73 40 $38,859.95 $29,144.96 25% off $10,492.19 $37,305.55 $36,916.95 2026-05-14
272C175750 OTHER Hc Sperm Count Post-vasectomy 73 40 $38,859.95 $29,144.96 25% off $10,492.19 $37,305.55 $36,916.95 2026-05-14
2721489750 OTHER Hc Immuno Ea Sgle Ab Computer 73 40 $38,859.95 $29,144.96 25% off $10,492.19 $37,305.55 $36,916.95 2026-05-14
272C188750 OTHER Hc Implantable Tissue Marker Lvl 13 73 40 $38,859.95 $29,144.96 25% off $10,492.19 $37,305.55 $36,916.95 2026-05-14
278C188950 OTHER Hc Kit Unit Control Arrow Sys Navig Cv Vps 73 40 $38,859.95 $29,144.96 25% off $10,492.19 $37,305.55 $36,916.95 2026-05-14
2782669750 OTHER Hc Desoxycorticosterone 11 73 40 $38,859.95 $29,144.96 25% off $10,492.19 $37,305.55 $36,916.95 2026-05-14
275C172150 OTHER Hc Guidewire Lvl 17 73 40 $38,859.95 $29,144.96 25% off $10,492.19 $37,305.55 $36,916.95 2026-05-14
2781909750 OTHER Hc Ab; Lcmigg 73 40 $38,859.95 $29,144.96 25% off $10,492.19 $37,305.55 $36,916.95 2026-05-14
216126 OTHER Elotuzumab 400 Mg Intravenous Solution 73 40 $37,662.87 $28,247.16 25% off $10,168.97 $36,156.36 $35,779.73 2026-05-14
7613722502 OTHER Hc Chemo Infusion Each Addl Hour 73 40 $37,644.00 $28,233.00 25% off $10,163.88 $36,138.24 $35,761.80 2026-05-14
4819294341 OTHER Hc Di Nasal Bones Min 3 Views 73 40 $37,524.65 $28,143.49 25% off $10,131.66 $36,023.66 $35,648.42 2026-05-14
4819294301 OTHER Hc Catheter Laser Lvl 34 73 40 $37,510.50 $28,132.88 25% off $10,127.84 $36,010.08 $35,634.98 2026-05-14
206941 OTHER Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 73 40 $37,501.99 $28,126.49 25% off $10,125.54 $36,001.91 $35,626.89 2026-05-14
4819293341 OTHER Hc Fetal Hgb Screen Rosette 73 40 $37,479.72 $28,109.79 25% off $10,119.52 $35,980.53 $35,605.73 2026-05-14
2721489749 OTHER Hc Cus Plastic Afo 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
272C175749 OTHER Hc Catheter Angiographic Dual Lumen Bi-caval 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
275C172249 OTHER Hc Vngrph Chd Azygs/hemiazygs 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
2782669749 OTHER Hc Surgical Supply Non Implant Lvl 18 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
275C172149 OTHER Hc Icd Dual Chamber Lvl 44 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
2781909749 OTHER Hc Angio Pulmonary Bilateral 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
275C178649 OTHER Hc Catheter Blln Occlusion Lvl 24 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
275C188249 OTHER Hc Catheter Iaballon Supply Lvl 21 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
278C187649 OTHER Hc Catheter Iaballon Supply Lvl 23 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
278C188949 OTHER Hc Culture Urine 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
275C262149 OTHER Hc Prefab Non-pnmtc Boot Ots 73 40 $35,327.15 $26,495.36 25% off $9,538.33 $33,914.06 $33,560.79 2026-05-14
4819294306 OTHER Hc Injection Anesthetic Steroid Intercostal 1 Level 73 40 $35,261.83 $26,446.37 25% off $9,520.69 $33,851.36 $33,498.74 2026-05-14
203316 OTHER Sodium Polystyrene Sulfonate 15 Gram-sorbitol 20 Gram/60 Ml Oral Susp 73 40 $34,733.50 $26,050.13 25% off $9,378.04 $33,344.16 $32,996.82 2026-05-14
4813390202 OTHER Hc Ab; HIV-1 Diagnostic 73 40 $34,497.58 $25,873.18 25% off $9,314.35 $33,117.68 $32,772.70 2026-05-14
2721649301 OTHER Hc Lrp4 Autoantibody 73 40 $34,322.40 $25,741.80 25% off $9,267.05 $32,949.50 $32,606.28 2026-05-14
7613723102 OTHER Hc Resuperf Wnd Body >30 Cm 73 40 $33,564.26 $25,173.20 25% off $9,062.35 $32,221.69 $31,886.05 2026-05-14
7613723103 OTHER Hc Colonoscopy Addl Intervention 73 40 $33,564.26 $25,173.20 25% off $9,062.35 $32,221.69 $31,886.05 2026-05-14
4813322801 OTHER Hc Venogram Extremity Bilateral 73 40 $33,298.03 $24,973.52 25% off $8,990.47 $31,966.11 $31,633.13 2026-05-14
144240 OTHER Brentuximab Vedotin 50 Mg Intravenous Solution 73 40 $32,651.75 $24,488.82 25% off $8,815.97 $31,345.68 $31,019.16 2026-05-14
7613690601 OTHER Hc Mdpp Session 2cm 10-12m 5% Wl Ach 73 40 $32,544.63 $24,408.47 25% off $8,787.05 $31,242.84 $30,917.40 2026-05-14
7613724201 OTHER Hc US Guided Compression Repair 73 40 $32,241.96 $24,181.47 25% off $8,705.33 $30,952.28 $30,629.86 2026-05-14
278C187448 OTHER Hc Icd Dual Chamber Lvl 51 73 40 $32,115.60 $24,086.70 25% off $8,671.21 $30,830.98 $30,509.82 2026-05-14
272C175748 OTHER Hc Cardiovascular Non Implant Supply Lvl 33 73 40 $32,115.60 $24,086.70 25% off $8,671.21 $30,830.98 $30,509.82 2026-05-14
275C188248 OTHER Hc Triiodothyronine T3 Free 73 40 $32,115.60 $24,086.70 25% off $8,671.21 $30,830.98 $30,509.82 2026-05-14
275C178648 OTHER Hc Creatinine Blood 73 40 $32,115.60 $24,086.70 25% off $8,671.21 $30,830.98 $30,509.82 2026-05-14
275C172148 OTHER Hc Sensitivity Mac Dil Ea Antibio 73 40 $32,115.60 $24,086.70 25% off $8,671.21 $30,830.98 $30,509.82 2026-05-14
275C172248 OTHER Hc Biopsy/aspiration Supply Non Implant Lvl 20 73 40 $32,115.60 $24,086.70 25% off $8,671.21 $30,830.98 $30,509.82 2026-05-14
2782669748 OTHER Hc Gentamicin 73 40 $32,115.60 $24,086.70 25% off $8,671.21 $30,830.98 $30,509.82 2026-05-14
481C977401 OTHER Hc Leadless Pm Removal W/img 73 40 $31,362.19 $23,521.64 25% off $8,467.79 $30,107.70 $29,794.08 2026-05-14
7613723601 OTHER Hc US Transcranial Doppler Complt 73 40 $30,814.92 $23,111.19 25% off $8,320.03 $29,582.32 $29,274.17 2026-05-14
7613722302 OTHER Hc Tracheostomy-emergent 73 40 $30,564.61 $22,923.46 25% off $8,252.44 $29,342.03 $29,036.38 2026-05-14
4819293741 OTHER Hc Duod/jejuno Tube Replacement 73 40 $30,022.71 $22,517.03 25% off $8,106.13 $28,821.80 $28,521.57 2026-05-14
4819293701 OTHER Hc Rescue Cerclage Placement L&d Or 73 40 $30,022.71 $22,517.03 25% off $8,106.13 $28,821.80 $28,521.57 2026-05-14
7613622403 OTHER Hc Nm Meckels Bowel Imaging 73 40 $29,978.00 $22,483.50 25% off $8,094.06 $28,778.88 $28,479.10 2026-05-14
7613718201 OTHER Hc US Elastography; 1st Target Lesion 73 40 $29,422.40 $22,066.80 25% off $7,944.05 $28,245.50 $27,951.28 2026-05-14
4819293706 OTHER Hc Rehab Private Room/board 73 40 $29,390.62 $22,042.96 25% off $7,935.47 $28,215.00 $27,921.09 2026-05-14
4813320801 OTHER Hc Immasy Tumor Ag Quan 73 40 $29,267.89 $21,950.92 25% off $7,902.33 $28,097.17 $27,804.50 2026-05-14
272C175747 OTHER Hc Lithotripsy Supply Lvl 34 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
275C172247 OTHER Hc Column Chromatography/mass Spect (ss/mp) Qn Ea Specimen 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
278C187447 OTHER Hc H Pylori Stool 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
272A464947 OTHER Hc Stone Removal Supply Lvl 14 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
275C188247 OTHER Hc Ear Culture 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
272C173347 OTHER Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
275C178647 OTHER Hc Ab; Candida 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
278C181747 OTHER Hc Stone Removal Supply Lvl 19 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
2782669747 OTHER Hc Affinity 2.5x2.5cm 6.25cm Per Sq Cm 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
2781949747 OTHER Hc Intro-sheath Peel-away Lvl 14 73 40 $29,195.95 $21,896.96 25% off $7,882.91 $28,028.11 $27,736.15 2026-05-14
7613722802 OTHER Hc Pt Therapeutic Activity 15 Min 73 40 $28,760.00 $21,570.00 25% off $7,765.20 $27,609.60 $27,322.00 2026-05-14
196494 OTHER Ado-trastuzumab Emtansine 160 Mg Intravenous Solution 73 40 $28,028.28 $21,021.21 25% off $7,567.64 $26,907.15 $26,626.87 2026-05-14
481C976501 OTHER Hc Abdomen Aortography Runoff 73 40 $27,877.51 $20,908.13 25% off $7,526.93 $26,762.41 $26,483.63 2026-05-14
4819292841 OTHER Hc Csf Culture And Gram Stain 73 40 $27,296.69 $20,472.52 25% off $7,370.11 $26,204.82 $25,931.86 2026-05-14
2721649201 OTHER Hc Molecular Pathology Proc Level 6 73 40 $27,240.00 $20,430.00 25% off $7,354.80 $26,150.40 $25,878.00 2026-05-14
7616165101 OTHER Hc Insrt Tunnel Cath W/port <5yrs 73 40 $27,115.60 $20,336.70 25% off $7,321.21 $26,030.98 $25,759.82 2026-05-14
3603398101 OTHER Hc Application Of Long Leg Cast Unilat 73 40 $27,075.00 $20,306.25 25% off $7,310.25 $25,992.00 $25,721.25 2026-05-14
3603398601 OTHER Hc Nm Gastro Reflux Imaging 73 40 $27,075.00 $20,306.25 25% off $7,310.25 $25,992.00 $25,721.25 2026-05-14
7616165001 OTHER Hc Truluml Balo Angiop 1st Art 73 40 $27,035.10 $20,276.32 25% off $7,299.48 $25,953.70 $25,683.34 2026-05-14
4813320701 OTHER Hc Vascular Stent Graft Implant Lvl 46 73 40 $26,832.64 $20,124.48 25% off $7,244.81 $25,759.33 $25,491.01 2026-05-14
4819294101 OTHER Hc Capsule Endoscopy Esoph Through Ileum 73 40 $26,572.05 $19,929.04 25% off $7,174.45 $25,509.17 $25,243.45 2026-05-14
4819294106 OTHER Hc Nm Liver/spleen Static Imaging 73 40 $26,572.05 $19,929.04 25% off $7,174.45 $25,509.17 $25,243.45 2026-05-14
4819294141 OTHER Hc Change G-tube To G-j Tube Perc 73 40 $26,572.05 $19,929.04 25% off $7,174.45 $25,509.17 $25,243.45 2026-05-14
272C175746 OTHER Hc Di Arthrogram Wrist 1 Inj S&i Unilateral 73 40 $26,541.75 $19,906.31 25% off $7,166.27 $25,480.08 $25,214.66 2026-05-14
2782669746 OTHER Hc Pneumat Walking Boot Pre Cast 73 40 $26,541.75 $19,906.31 25% off $7,166.27 $25,480.08 $25,214.66 2026-05-14
278C187446 OTHER Hc Hb Glycosylated A1c Home Dev 73 40 $26,541.75 $19,906.31 25% off $7,166.27 $25,480.08 $25,214.66 2026-05-14
275C188246 OTHER Hc Kit Articgel Sun Cooling Md & Lg 73 40 $26,541.75 $19,906.31 25% off $7,166.27 $25,480.08 $25,214.66 2026-05-14
275C178646 OTHER Hc Ab; Salmonella; Eia 73 40 $26,541.75 $19,906.31 25% off $7,166.27 $25,480.08 $25,214.66 2026-05-14
275C172146 OTHER Hc Upr/lxtr Art Stdy 3+ Lvls Unilateral 73 40 $26,541.75 $19,906.31 25% off $7,166.27 $25,480.08 $25,214.66 2026-05-14
278C182346 OTHER Hc Drug Assay Itraconazole 73 40 $26,541.75 $19,906.31 25% off $7,166.27 $25,480.08 $25,214.66 2026-05-14
278C181746 OTHER Hc Gi Supply Lvl 32 73 40 $26,541.75 $19,906.31 25% off $7,166.27 $25,480.08 $25,214.66 2026-05-14
275C172246 OTHER Hc Catheter Drainage Lvl 12 73 40 $26,541.75 $19,906.31 25% off $7,166.27 $25,480.08 $25,214.66 2026-05-14
7613722102 OTHER Hc Implantable-insertable Device Noc Lvl 66 73 40 $26,512.45 $19,884.34 25% off $7,158.36 $25,451.95 $25,186.83 2026-05-14
7613722103 OTHER Hc Catheter Guiding Lvl 26 73 40 $26,512.45 $19,884.34 25% off $7,158.36 $25,451.95 $25,186.83 2026-05-14
4813390001 OTHER Hc Cath Percut EMG Crico 6mm Kit 73 40 $26,489.68 $19,867.26 25% off $7,152.21 $25,430.09 $25,165.20 2026-05-14
7613724401 OTHER Hc Di Humerus 1 View Unilateral-limited 73 40 $26,361.38 $19,771.04 25% off $7,117.57 $25,306.92 $25,043.31 2026-05-14
7613723502 OTHER Hc Observation/hr Radiology Carveout 73 40 $26,110.34 $19,582.76 25% off $7,049.79 $25,065.93 $24,804.82 2026-05-14
7613722602 OTHER Hc Cath Plcmnt 2nd Order Venous Bilateral 73 40 $25,961.54 $19,471.16 25% off $7,009.62 $24,923.08 $24,663.46 2026-05-14
171888 OTHER Bevacizumab-adcd 25 Mg/ml Intravenous Solution 73 40 $25,949.15 $19,461.86 25% off $7,006.27 $24,911.18 $24,651.69 2026-05-14
217022 OTHER Fosphenytoin 500 Mg Pe/10 Ml Injection Solution 73 40 $25,665.70 $19,249.27 25% off $6,929.74 $24,639.07 $24,382.42 2026-05-14
7613690301 OTHER Hc Peri-proc Eval & Program Icd Sys In Person 73 40 $25,525.62 $19,144.22 25% off $6,891.92 $24,504.60 $24,249.34 2026-05-14
219104 OTHER Levetiracetam 500 Mg/5 Ml Intravenous Solution 73 40 $25,280.62 $18,960.46 25% off $6,825.77 $24,269.40 $24,016.59 2026-05-14
481C977301 OTHER Hc Bx Breast 1st Lesion MRI Guide 73 40 $25,089.76 $18,817.32 25% off $6,774.24 $24,086.17 $23,835.27 2026-05-14
210135 OTHER Golimumab 12.5 Mg/ml Intravenous Solution 73 40 $24,966.36 $18,724.77 25% off $6,740.92 $23,967.71 $23,718.04 2026-05-14
7616164501 OTHER Hc Moderate Sedation Same Phys As Perf Intital 15 Min <5 Yrs 73 40 $24,883.27 $18,662.45 25% off $6,718.48 $23,887.94 $23,639.11 2026-05-14
J9266 OTHER Pegaspargase Injection 14 10 — — $23,577.00 $23,577.00 $23,577.00 2026-05-14
7613690901 OTHER Hc Pacu Phase 1 Per Minute 73 40 $24,744.44 $18,558.33 25% off $6,681.00 $23,754.66 $23,507.22 2026-05-14
4813321001 OTHER Hc Mdpp Session 2cm 10-12 No Wl 73 40 $24,729.11 $18,546.83 25% off $6,676.86 $23,739.95 $23,492.65 2026-05-14
172923 OTHER Bortezomib 3.5 Mg Injection Powder For Solution 73 40 $24,583.00 $18,437.25 25% off $6,637.41 $23,599.68 $23,353.85 2026-05-14
4813321701 OTHER Hc Prefab Cus Ankle Contracture Boot 73 40 $24,581.35 $18,436.01 25% off $6,636.96 $23,598.10 $23,352.28 2026-05-14
4813320601 OTHER Hc Voriconazole, Serum 73 40 $24,477.97 $18,358.48 25% off $6,609.05 $23,498.85 $23,254.07 2026-05-14
275C172245 OTHER Hc Vngrph Chd Anom/persist Svc 73 40 $24,128.85 $18,096.64 25% off $6,514.79 $23,163.70 $22,922.41 2026-05-14
272C175745 OTHER Hc Prefab Fit & Adj Upper Ext Fracture Orthosis/brace, Wrist 73 40 $24,128.85 $18,096.64 25% off $6,514.79 $23,163.70 $22,922.41 2026-05-14
278C187445 OTHER Hc Kit Port Evac Subdural Seps 73 40 $24,128.85 $18,096.64 25% off $6,514.79 $23,163.70 $22,922.41 2026-05-14
278C181745 OTHER Hc Cus Fit & Adj Fo Nontorsion Joint 73 40 $24,128.85 $18,096.64 25% off $6,514.79 $23,163.70 $22,922.41 2026-05-14
278C188945 OTHER Hc Carcinoembronic Antigen (cea) 73 40 $24,128.85 $18,096.64 25% off $6,514.79 $23,163.70 $22,922.41 2026-05-14
272C173345 OTHER Hc Hydroxycorticosteroids, 17-ohcs 73 40 $24,128.85 $18,096.64 25% off $6,514.79 $23,163.70 $22,922.41 2026-05-14
275C172145 OTHER Hc Intro-sheath Peel-away Lvl 19 73 40 $24,128.85 $18,096.64 25% off $6,514.79 $23,163.70 $22,922.41 2026-05-14
275C178645 OTHER Hc Wireless Pressure Sensor Implant Lvl 37 73 40 $24,128.85 $18,096.64 25% off $6,514.79 $23,163.70 $22,922.41 2026-05-14
2782019745 OTHER Hc Chimerism Post Sorted 73 40 $24,128.85 $18,096.64 25% off $6,514.79 $23,163.70 $22,922.41 2026-05-14
7613299803 OTHER Hc Cardiopulmonary Exercise Testing 73 40 $24,108.56 $18,081.42 25% off $6,509.31 $23,144.22 $22,903.13 2026-05-14
481C976403 OTHER Hc Rem Perc Biliary Drain Cat Req Fluor Inc Dx Cholang W/img 73 40 $23,581.04 $17,685.78 25% off $6,366.88 $22,637.80 $22,401.99 2026-05-14
270Q407901 OTHER Hc Leave Of Absence- Therapeutic Leave 73 40 $23,535.35 $17,651.51 25% off $6,354.54 $22,593.94 $22,358.58 2026-05-14
270Q050843 OTHER Hc Epicord 3x5cm Sq Cm 73 40 $23,535.35 $17,651.51 25% off $6,354.54 $22,593.94 $22,358.58 2026-05-14
240182 OTHER Etoposide Phosphate 100 Mg Intravenous Solution 73 40 $23,398.27 $17,548.71 25% off $6,317.53 $22,462.34 $22,228.36 2026-05-14
7613724101 OTHER Hc Ot Contrast Bath Per 15 Min 73 40 $22,613.75 $16,960.31 25% off $6,105.71 $21,709.20 $21,483.06 2026-05-14
4813328501 OTHER Hc Surg Path Level-IV Gross & Micro 73 40 $22,565.89 $16,924.42 25% off $6,092.79 $21,663.25 $21,437.60 2026-05-14
4819293841 OTHER Hc Clsd Tx Nsl Fx W/mnpj&stablj 73 40 $22,193.49 $16,645.12 25% off $5,992.24 $21,305.75 $21,083.82 2026-05-14
4819293806 OTHER Hc Imm Admn Sarscov2 Vaccine Single Dose 73 40 $22,193.49 $16,645.12 25% off $5,992.24 $21,305.75 $21,083.82 2026-05-14
4819293801 OTHER Hc Aspirate/inj Ganglion Cyst 73 40 $22,193.49 $16,645.12 25% off $5,992.24 $21,305.75 $21,083.82 2026-05-14
7613718301 OTHER Hc Pt E-stim Unattended Non-wnd Ulcer G0282 73 40 $21,960.46 $16,470.34 25% off $5,929.32 $21,082.04 $20,862.44 2026-05-14
275C172244 OTHER Hc CT Lower Extremity W/contrast Unilateral 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
278C181744 OTHER Hc Rx Metab Genomic Seq Alys Panel At Least 6 Genes 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
2782669744 OTHER Hc Tube Button Balloon Miniace All Sizes 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
2722039744 OTHER Hc Intro-sheath Non-special Lvl 37 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
278C187444 OTHER Hc Chloride; Blood 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
272C175744 OTHER Hc Catheter Blln Pta Lvl 11 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
272C198244 OTHER Hc C. Trachomatis Igg 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
278C187644 OTHER Hc Stent Non Coated/non Covered Implant Lvl 18 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
275C172144 OTHER Hc Drug Assay Salicylate 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
278C188944 OTHER Hc Cardiovascular Non Implant Supply Lvl 56 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
2781909744 OTHER Hc Intro-sheath Non-special Lvl 22 73 40 $21,935.30 $16,451.47 25% off $5,922.53 $21,057.89 $20,838.54 2026-05-14
7613723302 OTHER Hc Tilt Table Cv Evaluation 73 40 $21,865.39 $16,399.04 25% off $5,903.66 $20,990.77 $20,772.12 2026-05-14
7613481203 OTHER Hc Di Chest 3 Views 73 40 $21,827.07 $16,370.30 25% off $5,893.31 $20,953.99 $20,735.72 2026-05-14
187069 OTHER Tbo-filgrastim 480 Mcg/0.8 Ml Subcutaneous Syringe 73 40 $21,284.44 $15,963.33 25% off $5,746.80 $20,433.06 $20,220.22 2026-05-14
481C976401 OTHER Hc Fna Without Image Guidance 73 40 $21,039.19 $15,779.39 25% off $5,680.58 $20,197.62 $19,987.23 2026-05-14
7613690801 OTHER Hc Screening Colonoscopy Low Risk 73 40 $20,696.88 $15,522.66 25% off $5,588.16 $19,869.00 $19,662.04 2026-05-14
7613723801 OTHER Hc Major Jt Asprnt/inject Bilateral Includ US Guide 73 40 $20,634.10 $15,475.58 25% off $5,571.21 $19,808.74 $19,602.39 2026-05-14
4819293401 OTHER Hc MRI Pelvis W/wo Contrast 73 40 $20,440.92 $15,330.69 25% off $5,519.05 $19,623.28 $19,418.87 2026-05-14
4819293406 OTHER Hc Closed Tx Carpal Scaphoid Fracture W/manj Unilat 73 40 $20,440.92 $15,330.69 25% off $5,519.05 $19,623.28 $19,418.87 2026-05-14
4819293412 OTHER Hc N-invas Physiologic Std Lxtr Art Compl Bi 73 40 $20,440.92 $15,330.69 25% off $5,519.05 $19,623.28 $19,418.87 2026-05-14
275C172243 OTHER Hc Set Warm Flud 3spk Bag 120ml 73 40 $19,941.15 $14,955.86 25% off $5,384.11 $19,143.50 $18,944.09 2026-05-14
2782669743 OTHER Hc Card MRI W/stress Img & Dye 73 40 $19,941.15 $14,955.86 25% off $5,384.11 $19,143.50 $18,944.09 2026-05-14
275C262143 OTHER Hc Sucroferric Oxyhydroxide Oral 5mg 73 40 $19,941.15 $14,955.86 25% off $5,384.11 $19,143.50 $18,944.09 2026-05-14
278C181743 OTHER Hc Catheter Diagnostic Supply Lvl 27 73 40 $19,941.15 $14,955.86 25% off $5,384.11 $19,143.50 $18,944.09 2026-05-14
278C187643 OTHER Hc Alpha 1 Antitrypsin Phenotype 73 40 $19,941.15 $14,955.86 25% off $5,384.11 $19,143.50 $18,944.09 2026-05-14
2782019743 OTHER Hc Catheter Guiding Lvl 16 73 40 $19,941.15 $14,955.86 25% off $5,384.11 $19,143.50 $18,944.09 2026-05-14
278C187443 OTHER Hc Catheter Guiding Lvl 5 73 40 $19,941.15 $14,955.86 25% off $5,384.11 $19,143.50 $18,944.09 2026-05-14
272C175743 OTHER Hc Monitoring Supply Lvl 25 73 40 $19,941.15 $14,955.86 25% off $5,384.11 $19,143.50 $18,944.09 2026-05-14
2781909743 OTHER Hc Occult Bld Fhg Qual 1-3 73 40 $19,941.15 $14,955.86 25% off $5,384.11 $19,143.50 $18,944.09 2026-05-14
206261 OTHER Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 73 40 $19,619.80 $14,714.85 25% off $5,297.35 $18,835.01 $18,638.81 2026-05-14
7612251401 OTHER Hc CT Facet Rhizotomy C Or T Spine Single Level Each Addl Unilateral Level 73 40 $19,568.59 $14,676.44 25% off $5,283.52 $18,785.85 $18,590.16 2026-05-14
4810569T01 OTHER Hc Ph; Body Fluid (nitrozene) Poc 73 40 $19,556.15 $14,667.11 25% off $5,280.16 $18,773.90 $18,578.34 2026-05-14
202322 OTHER Belatacept 250 Mg Intravenous Solution 73 40 $19,398.24 $14,548.68 25% off $5,237.52 $18,622.31 $18,428.33 2026-05-14
7612251301 OTHER Hc Urgent Care 73 40 $19,304.51 $14,478.38 25% off $5,212.22 $18,532.33 $18,339.28 2026-05-14
275C172241 OTHER Hc Catheter Thromb/embolectomy Lvl 26 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C262341 OTHER Hc Di Os Calcis 1 View Unilateral-limited 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
2721809740 OTHER Hc Nudt15 Gene Analysis Common Variant 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
275C262141 OTHER Hc Apc Gene Full Sequence 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
278C176440 OTHER Hc Catheter Blln Pta Drug Coated Lvl 31 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
2781909742 OTHER Hc Rsv Antigen 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
275C262140 OTHER Hc Di Sterno-clavicular Joints 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
278C181740 OTHER Hc Prefab Rdg Knee Brac Ots 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
278C181741 OTHER Hc Catheter Swan-ganz Lvl 13 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C173240 OTHER Hc Stent Coated/covered Implant Lvl 28 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C175741 OTHER Hc Kit Ventriculostomy 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C175740 OTHER Hc Cytopath Cell Enhance Tech 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
2721929740 OTHER Hc Cath Quat 9.3f 45cm 3l Kit 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C961040 OTHER Hc Percutaneous Ventricular Assist Device Lvl 60 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
278C187441 OTHER Hc Foreign Body Xray Peds 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
275C189640 OTHER Hc Quinidine 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
278C187442 OTHER Hc Icd Single Chamber Lvl 44 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C175742 OTHER Hc Device Fixation Supply Non Implant 23 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C188942 OTHER Hc Kyphoplasty Supply Non Implant Lvl 24 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
275C262142 OTHER Hc Sulfate; Urine 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
275C177741 OTHER Hc Osmolality Urine 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
278C187642 OTHER Hc Msh6 Gene Full Seq 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
275C189540 OTHER Hc Percutaneous Ventricular Assist Device Lvl 58 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C188941 OTHER Hc Glucose; Blood Reagent Strip Poc 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
278C188941 OTHER Hc Anchor/screw Bone/soft Tissue-to-bone Implant Lvl 27 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C961042 OTHER Hc Fluorescent Ab; Titer Ea Ab 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C188640 OTHER Hc Kit Lvad Heartmate 3 Modular Cable Replacement 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
272C961041 OTHER Hc Di Cervical Spine 6 Or More Views 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
278C181742 OTHER Hc CT Lumbar Spine Without Contrast 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
2782669740 OTHER Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Adenovirus 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
2782669741 OTHER Hc Sealer Enseal X1 Large Jaw 73 40 $19,130.00 $14,347.50 25% off $5,165.10 $18,364.80 $18,173.50 2026-05-14
481C977201 OTHER Hc Cltx Fem Fx Prox End Nck Without Manj Unilat 73 40 $18,935.29 $14,201.47 25% off $5,112.53 $18,177.88 $17,988.53 2026-05-14
7613389701 OTHER Hc CTA Pelvis W/wo Contrast 73 40 $18,933.94 $14,200.46 25% off $5,112.16 $18,176.58 $17,987.24 2026-05-14
4819292001 OTHER Hc Di Elbow 1 View-limited 73 40 $18,733.31 $14,049.98 25% off $5,057.99 $17,983.98 $17,796.64 2026-05-14
4819294401 OTHER Hc MRA Abdomen Without Contrast 73 40 $18,106.67 $13,580.00 25% off $4,888.80 $17,382.40 $17,201.34 2026-05-14
4819294406 OTHER Hc Ot Eval High Complexity 73 40 $18,106.67 $13,580.00 25% off $4,888.80 $17,382.40 $17,201.34 2026-05-14
4819294441 OTHER Hc Repr Intmd Wnd Scalp 7.6-12.5 73 40 $18,106.67 $13,580.00 25% off $4,888.80 $17,382.40 $17,201.34 2026-05-14
4819297201 OTHER Hc Incisional Bx Skin; Ea Sep/addl Lesion 73 40 $17,971.74 $13,478.80 25% off $4,852.37 $17,252.87 $17,073.15 2026-05-14
7610075T01 OTHER Hc Di X-ray Sm Int F-thru Std 73 40 $17,930.65 $13,447.99 25% off $4,841.28 $17,213.42 $17,034.12 2026-05-14
7613724301 OTHER Hc Cltx Post Hip Arthrp Dislc Req Anes Unilat 73 40 $17,919.05 $13,439.29 25% off $4,838.14 $17,202.29 $17,023.10 2026-05-14
203091 OTHER Bevacizumab 25 Mg/ml Intravenous Solution 146 40 $20,467.73 $15,350.80 25% off $4,735.04 $22,462.34 $16,660.33 2026-05-14
220521 OTHER Sodium Chloride 0.9 % Irrigation Solution 146 40 $20,467.73 $15,350.80 25% off $4,735.04 $22,462.34 $16,660.33 2026-05-14
270Q048141 OTHER Hc Lead Icd Dual Coil Lvl 33 73 40 $17,433.60 $13,075.20 25% off $4,707.07 $16,736.26 $16,561.92 2026-05-14
3611019897 OTHER Hc I&d Abscess Simple Or Single 73 40 $17,388.33 $13,041.25 25% off $4,694.85 $16,692.80 $16,518.91 2026-05-14
137212 OTHER Paclitaxel 6 Mg/ml Concentrate,intravenous 73 40 $17,191.69 $12,893.77 25% off $4,641.76 $16,504.02 $16,332.11 2026-05-14
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