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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

SAN JUAN HOSPITAL

Monticello, UT · CCN 461308 · Rates published

2,017 distinct procedures filed
28 distinct payers
79,321 rate rows
2026-05-08 last MRF observed
Data quality

77,037 of 79,321 rate rows are consumer-grade (97.1%)

2,284 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
template filing: same amount across many unrelated codes — excluded 2,151
placeholder amount (≤ $0.02) — excluded from medians 112
percent-of-charges filed in the dollar field — excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sanjuanhealth.goredde.com/Estimator/Files/87-6000616_San_Juan_Health_Hospital_standardcharges.xlsx
Found on page https://sanjuanhealth.goredde.com/estimator/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 8bee5ebe6a77371b… · 4,779,824 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
55040
CPT 		Excise Of Hydrocele; Unilateral Charge 28 $251.64 $5,744.75 $5,170.27 nat. median
$3,652
1.4× median
44204
CPT 		Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis 28 $1,143.61 $5,124.14 $4,611.73 nat. median
$3,782
1.2× median
27138
CPT 		Revision Of Total Hip Arthroplasty; Femoral Component Only, With Or Without Auto… 28 $1,134.68 $5,071.74 $4,564.57 nat. median
$10,346
outlier · 0.4×
73723
CPT 		MRI Ankle With + Without Contrast Left 28 $1,949.38 $4,436.74 $3,993.07 nat. median
$1,263
outlier · 3.2×
72196
CPT 		MRI Pelvis With Contrast 28 $2,573.27 $4,288.78 $3,967.12 nat. median
$953
outlier · 4.2×
72197
CPT 		MRI Pelvis With + Without Contrast 28 $2,573.27 $4,288.78 $3,967.12 nat. median
$1,064
outlier · 3.7×
70553
CPT 		MRI Brain With + Without Contrast 28 $2,390.78 $4,067.87 $3,742.44 nat. median
$1,122
outlier · 3.3×
74183
CPT 		MRI Abdomen With + Without Contrast 28 $2,414.21 $4,023.69 $3,721.91 nat. median
$1,101
outlier · 3.4×
70543
CPT 		MRI Face Neck Orbit With + Without Contrast 28 $2,390.78 $3,984.64 $3,685.80 nat. median
$1,077
outlier · 3.4×
72158
CPT 		MRI Spine Lumbar With + Without Contrast 28 $2,343.32 $3,905.53 $3,612.61 nat. median
$1,080
outlier · 3.3×
70549
CPT 		MRA Neck With + Without Contrast 28 $2,335.30 $3,892.17 $3,600.26 nat. median
$1,050
outlier · 3.4×
72157
CPT 		MRI Spine Thoracic With + Without Contrast 28 $2,298.31 $3,830.52 $3,543.23 nat. median
$1,093
outlier · 3.2×
72156
CPT 		MRI Spine Cervical With + Without Contrast 28 $2,298.31 $3,830.52 $3,543.23 nat. median
$1,092
outlier · 3.2×
44141
CPT 		Colectomy Part W/Cecostom 28 $1,349.45 $3,914.78 $3,523.30 nat. median
$3,147
1.1× median
44150
CPT 		Colct Tot Abdl Without Prctect W/ileost/ileopxts 28 $1,378.47 $3,908.61 $3,517.75 nat. median
$3,298
1.1× median
73220
CPT 		MRI Humerus With + Without Contrast Left 28 $2,087.47 $4,040.13 $3,479.12 nat. median
$1,185
outlier · 2.9×
73725
CPT 		MRA Lower Extremity Bilat 28 $2,204.60 $3,674.34 $3,380.39 nat. median
$1,228
outlier · 2.8×
70542
CPT 		MRI Face Neck Orbit With Contrast 28 $2,191.04 $3,651.74 $3,377.86 nat. median
$905
outlier · 3.7×
43645
CPT 		Laparoscopy, Surgical/gastric Restrictive Procedure/removal Of Adjustable Gastri… 28 $1,824.11 $3,697.36 $3,327.62 nat. median
$6,262
0.5× median
43644
CPT 		Unlisted Laparoscopy Proc 28 $1,296.58 $3,667.46 $3,300.71 nat. median
$5,564
0.6× median
73720
CPT 		MRI Foot With + Without Contrast Left 28 $1,978.97 $4,436.74 $3,298.28 nat. median
$1,189
outlier · 2.8×
27620
CPT 		Removal For Body Ankle Ed Charge 28 $333.01 $3,657.90 $3,292.11 nat. median
$3,640
0.9× median
71552
CPT 		MRI Chest With + Without Contrast 28 $2,123.23 $3,538.71 $3,273.31 nat. median
$1,093
outlier · 3.0×
44143
CPT 		Colct Prtl W/End Clst&Cls 28 $1,231.69 $3,574.67 $3,217.20 nat. median
$3,062
1.1× median
74182
CPT 		MRI Abdomen With Contrast 28 $2,077.61 $3,462.68 $3,202.98 nat. median
$990
outlier · 3.2×
26356
CPT 		Lac Ten No Mans Land Ed Charge 28 $596.87 $3,527.41 $3,174.67 nat. median
$3,726
0.9× median
72147
CPT 		MRI Spine Thoracic With Contrast 28 $2,056.03 $3,426.71 $3,169.70 nat. median
$963
outlier · 3.3×
73223
CPT 		MRI Elbow With + Without Contrast Left 28 $1,884.64 $4,040.13 $3,141.07 nat. median
$1,223
outlier · 2.6×
73719
CPT 		MRI Ankle With Contrast Left 28 $1,884.64 $3,554.12 $3,141.07 nat. median
$973
outlier · 3.2×
73722
CPT 		MRI Ankle With Contrast Right 28 $1,884.64 $3,554.12 $3,141.07 nat. median
$1,302
outlier · 2.4×
73219
CPT 		MRI Forearm With Contrast Left 28 $1,884.64 $3,479.12 $3,131.21 nat. median
$959
outlier · 3.3×
73222
CPT 		MRI Ue Joint With Contrast Left 28 $1,884.64 $3,479.12 $3,131.21 nat. median
$1,312
outlier · 2.4×
43281
CPT 		Laparoscopy, Surgical, Repair Of Paraesophageal Hernia, Includes Fundoplasty, Wh… 28 $1,146.80 $3,438.02 $3,094.22 nat. median
$10,140
outlier · 0.3×
25260
CPT 		Laceration Tendon Ed Charge 28 $477.66 $3,424.66 $3,082.19 nat. median
$3,484
0.9× median
71260
CPT 		CT Chest 28 $1,990.99 $3,318.82 $3,069.68 nat. median
$646
outlier · 4.8×
74185
CPT 		MRA Abdomen 28 $1,988.83 $3,314.72 $3,066.11 nat. median
$1,240
outlier · 2.5×
72198
CPT 		MRA Pelvis 28 $1,988.83 $3,314.72 $3,066.11 nat. median
$1,148
outlier · 2.7×
75635
CPT 		CT Angiography Aorta With Runoff 28 $1,799.56 $3,355.82 $2,999.27 nat. median
$705
outlier · 4.3×
70336
CPT 		MRI Tmj 28 $1,933.34 $3,222.24 $2,980.57 nat. median
$755
outlier · 3.9×
70551
CPT 		MRI Brain Without Contrast 28 $1,933.34 $3,222.24 $2,980.57 nat. median
$772
outlier · 3.9×
70552
CPT 		MRI Brain With Contrast 28 $1,933.34 $3,222.24 $2,980.57 nat. median
$959
outlier · 3.1×
70540
CPT 		MRI Face Neck Orbit Without Contrast 28 $1,933.34 $3,222.24 $2,980.57 nat. median
$784
outlier · 3.8×
71555
CPT 		MRA Chest With + Without Contrast 28 $1,786.62 $3,314.72 $2,977.70 nat. median
$1,139
outlier · 2.6×
27511
CPT 		Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture Without Interc… 28 $744.40 $3,292.11 $2,962.90 nat. median
$4,934
0.6× median
72133
CPT 		CT Spine Lumbar With + Without Contrast 28 $1,914.23 $3,190.39 $2,951.11 nat. median
$615
outlier · 4.8×
72130
CPT 		CT Spine Thoracic With + Without Contrast 28 $1,914.23 $3,190.39 $2,951.11 nat. median
$592
outlier · 5.0×
74178
CPT 		CT Abdomen/Pelvis W + Without Contrast 28 $1,910.53 $3,184.22 $2,945.40 nat. median
$977
outlier · 3.0×
74174
CPT 		CT Angiography Abdomen/Pelvis 28 $1,913.00 $3,188.33 $2,933.26 nat. median
$958
outlier · 3.1×
70482
CPT 		CT Orbit Sella Etc. With + Without Contrast 28 $1,890.80 $3,151.34 $2,914.99 nat. median
$648
outlier · 4.5×
73225
CPT 		MRA Upper Extremity Left 28 $1,884.64 $3,141.07 $2,905.49 nat. median
$1,202
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 2,017 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
             
0101T CPT Lithotripsy, Extracorporeal Shock Wave Charge 28 28 $1,541.25 $1,078.88 30% off $924.75 $1,541.25 $1,425.65 2026-05-08
11005 CPT Debridement Skin Sub 28 28 $1,690.24 $1,183.17 30% off $574.92 $1,690.24 $1,521.22 2026-05-08
13160 CPT Secndry Clo Surg Wnd-exte 28 28 $1,678.94 $1,175.26 30% off $593.45 $1,678.94 $1,511.05 2026-05-08
14040 CPT Adj Tissue Trans Hand <10 Clinic Charge 56 28 $1,568.61 $1,098.03 30% off $563.45 $1,594.68 $1,435.21 2026-05-08
14041 CPT Att F/c/m/n/a/g/h/f; 10.1-30sqcm 28 28 $1,914.23 $1,339.96 30% off $684.53 $1,914.23 $1,722.81 2026-05-08
15572 CPT Formation Of Direct/tubed Pedicle, W/wo Transfer; Scalp, Arms, Or Legs 28 28 $1,396.37 $977.46 30% off $837.82 $1,396.37 $1,291.64 2026-05-08
15734 CPT Flap Island Pedicle 28 28 $3,191.42 $2,233.99 30% off $1,117.94 $3,191.42 $2,872.28 2026-05-08
19302 CPT Mastectomy Partial W/axillary Lymphadenectomy 28 28 $1,888.54 $1,321.98 30% off $677.58 $1,888.54 $1,699.69 2026-05-08
19303 CPT Mastectomy, Simple, Complete 28 28 $1,655.30 $1,158.71 30% off $715.62 $1,655.30 $1,489.77 2026-05-08
19304 CPT Mastectomy, Subcutaneous 28 28 $1,472.41 $1,030.69 30% off $883.45 $1,472.41 $1,361.98 2026-05-08
19305 CPT Mastectomy Radical Muscle/lymp ProFee 28 28 $2,397.16 $1,678.01 30% off $859.90 $2,397.16 $2,157.44 2026-05-08
19307 CPT Mastectomy Modified Radical W/wo Pectoralis Minor Muscle Excluding Pectoralis Ma… 47 28 $1,770.38 $1,239.27 30% off $881.24 $2,537.93 $1,681.86 2026-05-08
20005 CPT Inc St Absc; Deep Ed Charge 28 28 $2,845.15 $1,991.61 30% off $1,707.09 $2,845.15 $2,631.76 2026-05-08
20692 CPT Application Of A Multiplane (pins Or Wires In More Than 1 Plane) Unilateral, Ext… 28 28 $2,468.05 $1,727.63 30% off $838.95 $2,468.05 $2,221.24 2026-05-08
21315 CPT Cl Tx Of Nasal Bone Fx; Wo Stabiliz Ed Charge 28 28 $2,019.04 $1,413.33 30% off $60.40 $2,019.04 $1,817.14 2026-05-08
21320 CPT Cl Tx Of Nasal Bone Fx; W Stabiliz Ed Charge 28 28 $2,268.72 $1,588.10 30% off $95.22 $2,268.72 $2,041.85 2026-05-08
21932 CPT Excision, Tumor, Soft Tissue Of Back/flank Less Than 5 Cm 28 28 $1,470.35 $1,029.24 30% off $497.85 $1,470.35 $1,323.32 2026-05-08
23078 CPT Radical Resection Tumor, Soft Tissue Shoulder; 5 Cm Or > 28 28 $2,098.16 $1,468.71 30% off $1,069.83 $2,098.16 $1,888.34 2026-05-08
23130 CPT Acromioplasty Or Acromionectomy, Partial, With Or Without Coracoacromial Ligamen… 56 28 $1,467.78 $1,027.45 30% off $464.29 $1,619.34 $1,272.95 2026-05-08
23395 CPT Muscle Transfer, Any Type, Shoulder Or Upper Arm; Single 28 28 $2,762.95 $1,934.07 30% off $956.82 $2,762.95 $2,486.66 2026-05-08
23410 CPT Repair Of Ruptured Musculotendinous Cuff (Eg, Rotator Cuff) Open; Acute 28 28 $1,514.54 $1,060.18 30% off $614.57 $1,514.54 $1,363.09 2026-05-08
23412 CPT Repair Of Ruptured Musculotendinous Cuff, Open; Chronic 28 28 $1,491.93 $1,044.35 30% off $638.38 $1,491.93 $1,342.74 2026-05-08
23415 CPT Release Of Shoulder Ligament-sc Pf 28 28 $1,464.19 $1,024.93 30% off $523.87 $1,464.19 $1,317.77 2026-05-08
23430 CPT Tenodesis Of Long Tendon Of Biceps 28 28 $1,638.86 $1,147.20 30% off $558.11 $1,638.86 $1,474.97 2026-05-08
23455 CPT Capsulorrhaphy, Anterior; With Labral Repair (Eg, Bankart Pr 28 28 $1,774.49 $1,242.14 30% off $740.05 $1,774.49 $1,597.04 2026-05-08
23466 CPT Capsulorrhaphy, Glenohumeral Joint, Any Type Multi-directional Instability Charg… 28 28 $2,398.18 $1,678.73 30% off $838.07 $2,398.18 $2,158.36 2026-05-08
23472 CPT Arthroplasty, Glenohumeral Joint, Total Shoulder Replacement, Pos 21 28 28 $2,534.84 $1,774.39 30% off $1,078.78 $2,534.84 $2,281.36 2026-05-08
23505 CPT Cl Tx Clavicular Fx; W Manip Ed Charge 28 28 $2,086.85 $1,460.80 30% off $272.53 $2,086.85 $1,878.16 2026-05-08
23515 CPT Open Trmt Clavicular Fracture W Internal Fixation 47 28 $1,584.40 $1,109.08 30% off $540.84 $1,584.40 $1,399.92 2026-05-08
23550 CPT Open Treat, Ac Dislocation 28 28 $2,085.82 $1,460.07 30% off $430.55 $2,085.82 $1,877.24 2026-05-08
23605 CPT Cl Tx Gr Tuberosity Fx; W Manip Ed Charge 28 28 $2,086.85 $1,460.80 30% off $356.11 $2,086.85 $1,878.16 2026-05-08
23615 CPT Open Tx Prox Humeral Fx 28 28 $1,856.69 $1,299.68 30% off $661.45 $1,856.69 $1,671.02 2026-05-08
24076 CPT Excise Tumr Uparm/Elb<5Cm 28 28 $2,548.20 $1,783.74 30% off $410.51 $2,548.20 $2,293.38 2026-05-08
24342 CPT Reinsertion Of Ruptured Biceps W/wo Graft 28 28 $1,425.14 $997.60 30% off $580.98 $1,425.14 $1,282.63 2026-05-08
24515 CPT Open Treatment Of Humeral Shaft Fracture With Plate/screws, With Or Without Cerc… 28 28 $1,908.07 $1,335.65 30% off $659.93 $1,908.07 $1,717.26 2026-05-08
24545 CPT Orif Supracondylar Fx 28 28 $1,923.48 $1,346.44 30% off $694.02 $1,923.48 $1,731.13 2026-05-08
24666 CPT Radial Head Replacement Clinic Charge 28 28 $1,567.96 $1,097.57 30% off $549.85 $1,567.96 $1,411.16 2026-05-08
25130 CPT Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Carpal Bones 28 28 $1,440.56 $1,008.39 30% off $339.97 $1,440.56 $1,296.50 2026-05-08
25260 CPT Laceration Tendon Ed Charge 28 28 $3,424.66 $2,397.26 30% off $477.66 $3,424.66 $3,082.19 2026-05-08
25312 CPT Tendon Transplantation Or Transfer, Flexor Or Extensor, Fore 28 28 $1,432.34 $1,002.64 30% off $539.26 $1,432.34 $1,289.11 2026-05-08
25320 CPT Capsulorrahaphy Wrist Open 28 28 $1,757.02 $1,229.91 30% off $1,054.21 $1,757.02 $1,625.24 2026-05-08
25400 CPT Preair Of Nonunion Or Malunion Radius/ulna Without Graft 28 28 $1,530.98 $1,071.69 30% off $602.69 $1,530.98 $1,377.88 2026-05-08
25575 CPT Open Treatment Of Radial And Ulnar Shaft Fractures, With Internal Fixation, When… 28 28 $2,933.51 $2,053.46 30% off $677.61 $2,933.51 $2,640.16 2026-05-08
25607 CPT Treat Fracture Rad Extra-articul 28 28 $2,997.22 $2,098.05 30% off $555.66 $2,997.22 $2,697.50 2026-05-08
25608 CPT Treat Fracture Rad Intra-articul 47 28 $1,416.92 $991.84 30% off $620.91 $2,677.66 $1,346.07 2026-05-08
25652 CPT Open Treatment Of Ulnar Styloid Fracture 28 28 $2,014.93 $1,410.45 30% off $468.73 $2,014.93 $1,813.44 2026-05-08
26035 CPT Decomprfingers/hand, Inj Injury Ed Charge 28 28 $1,756.00 $1,229.20 30% off $644.90 $1,756.00 $1,580.40 2026-05-08
26320 CPT Rmvl Frgn Db Hand & Fi Ed Charge 28 28 $2,059.11 $1,441.38 30% off $263.39 $2,059.11 $1,853.20 2026-05-08
26350 CPT Repair Flexor Tendon Clinic Charge 28 28 $1,457.00 $1,019.90 30% off $559.24 $1,457.00 $1,311.30 2026-05-08
26356 CPT Lac Ten No Mans Land Ed Charge 28 28 $3,527.41 $2,469.19 30% off $596.87 $3,527.41 $3,174.67 2026-05-08
26370 CPT Repair Or Advancement Of Profundus Tendon, With Intact Superficialis Tendon; Pri… 28 28 $1,556.66 $1,089.66 30% off $588.55 $1,556.66 $1,400.99 2026-05-08
26418 CPT Lac Ten Fin Extensor Ed Charge 28 28 $2,201.93 $1,541.35 30% off $467.31 $2,201.93 $1,981.74 2026-05-08
26540 CPT Repair Of Collateral Ligament, Metacarpophalangeal Or Interphalangeal Joint 28 28 $2,064.25 $1,444.97 30% off $525.61 $2,064.25 $1,857.83 2026-05-08
26756 CPT Perc Sktl Fix D Phalang Fx Finger Thumb Ed Charge 28 28 $3,161.62 $2,213.13 30% off $320.42 $3,161.62 $2,845.46 2026-05-08
26910 CPT Amputation, Metacarpal, With Finger Or Thumb, Single, With Or Without Interosseo… 28 28 $1,503.23 $1,052.26 30% off $572.86 $1,503.23 $1,352.91 2026-05-08
27125 CPT Hemiarthroplasty, Hip, Partial 28 28 $1,863.88 $1,304.72 30% off $844.92 $1,863.88 $1,677.49 2026-05-08
27130 CPT Arthroplasty Acetabular And Proximal Femoral Prosthetic Replacement W/wo Autogra… 28 28 $3,020.85 $2,114.59 30% off $958.53 $3,020.85 $2,718.76 2026-05-08
27132 CPT Conversion Of Previous Hip Surgery To Total Hip Arthroplasty W/wo Autograft Or A… 28 28 $3,028.04 $2,119.63 30% off $1,245.56 $3,028.04 $2,725.24 2026-05-08
27138 CPT Revision Of Total Hip Arthroplasty; Femoral Component Only, With Or Without Auto… 28 28 $5,071.74 $3,550.22 30% off $1,134.68 $5,071.74 $4,564.57 2026-05-08
27222 CPT Fx/dis Hip Sock W/ma Ed Charge 28 28 $2,159.80 $1,511.86 30% off $737.65 $2,159.80 $1,943.82 2026-05-08
27235 CPT Percutaneous Skeletal Fixation Of Femoral Fx, Proximal End, Neck Charge 28 28 $1,626.53 $1,138.57 30% off $677.79 $1,626.53 $1,463.88 2026-05-08
27236 CPT Open Treatment Of Femoral Fracture, Proximal End, Neck, Internal Fixation Or Pro… 56 28 $2,088.91 $1,462.24 30% off $890.45 $2,171.11 $1,906.37 2026-05-08
27244 CPT Trmt Of Intertronchanteric Peritrochanteric Or Subtrochanteric Femoral Fx, W/wo … 28 28 $2,168.02 $1,517.61 30% off $916.20 $2,168.02 $1,951.22 2026-05-08
27245 CPT Opn Tx Fem Fx W/Intramedu 28 28 $2,597.52 $1,818.26 30% off $915.28 $2,597.52 $2,337.77 2026-05-08
27248 CPT Open Tx Gtr Trochanteric Fract 28 28 $1,567.92 $1,097.54 30% off $558.02 $1,567.92 $1,411.13 2026-05-08
27252 CPT Cl Tx Trauma Hip Disloc W Anesth Ed Charge 28 28 $1,902.93 $1,332.05 30% off $565.13 $1,902.93 $1,712.64 2026-05-08
27266 CPT Closed Treatment Of Post Hip Arthroplasty Dislocation; Requiring Regional Or Gen… 28 28 $1,891.63 $1,324.14 30% off $439.21 $1,891.63 $1,702.47 2026-05-08
27310 CPT Arthro Knee W/Drain Remov 28 28 $1,530.98 $1,071.69 30% off $549.52 $1,530.98 $1,377.88 2026-05-08
27380 CPT Suture Of Infrapatellar Tendon; Primary 28 28 $1,928.62 $1,350.03 30% off $468.15 $1,928.62 $1,735.76 2026-05-08
27407 CPT Osteochondrl Allogrft Opn 28 28 $1,615.23 $1,130.66 30% off $597.25 $1,615.23 $1,453.71 2026-05-08
27418 CPT Anterior Tibial Tubercleplasty, Pos 22 28 28 $1,763.19 $1,234.23 30% off $621.74 $1,763.19 $1,586.87 2026-05-08
27427 CPT Arthplsty Femrl/Tib Knee 28 28 $1,524.81 $1,067.37 30% off $532.89 $1,524.81 $1,372.33 2026-05-08
27428 CPT Ligamentous Reconstruction (Augmentation), Knee; Intra-articular (Open) 28 28 $2,036.50 $1,425.55 30% off $834.95 $2,036.50 $1,832.85 2026-05-08
27429 CPT Liga Reconstr Knee Intra 28 28 $2,593.41 $1,815.39 30% off $940.72 $2,593.41 $2,334.07 2026-05-08
27447 CPT Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments With Or… 57 28 $3,019.82 $2,113.87 30% off $957.58 $3,110.24 $2,799.22 2026-05-08
27502 CPT Cl Tx Femoral Shaft Fx W Manip Ed Charge 28 28 $2,223.51 $1,556.46 30% off $567.61 $2,223.51 $2,001.16 2026-05-08
27506 CPT Intramedullary Rodding [sjh] 28 28 $2,972.56 $2,080.79 30% off $998.73 $2,972.56 $2,675.30 2026-05-08
27511 CPT Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture Without Interc… 28 28 $3,292.11 $2,304.48 30% off $744.40 $3,292.11 $2,962.90 2026-05-08
27514 CPT Open Treatment Of Femoral Fracture, Distal End, Medial Or Lateral Condyle 28 28 $1,592.62 $1,114.83 30% off $721.65 $1,592.62 $1,433.36 2026-05-08
27524 CPT Open Treatment Of Patellar Fracture, With Internal Fixation And/Or Partial Or Comp… 28 28 $1,611.12 $1,127.78 30% off $564.87 $1,611.12 $1,450.01 2026-05-08
27532 CPT Libial Prox Mx W/man Ed Charge 28 28 $1,846.42 $1,292.49 30% off $467.08 $1,846.42 $1,661.78 2026-05-08
27535 CPT Open Treatment Of Tibial Fracture, Proximal (plateau); Unicondylar, Includes Int… 28 28 $2,956.12 $2,069.28 30% off $670.44 $2,956.12 $2,660.51 2026-05-08
27540 CPT Opn Tx Fx Knee W/Wo Fix 28 28 $1,731.34 $1,211.94 30% off $610.75 $1,731.34 $1,558.21 2026-05-08
27620 CPT Removal For Body Ankle Ed Charge 28 28 $3,657.90 $2,560.53 30% off $333.01 $3,657.90 $3,292.11 2026-05-08
27650 CPT Repair, Primary, Open Or Percutancous, Ruptured Achilles Tendon 28 28 $1,444.66 $1,011.26 30% off $492.93 $1,444.66 $1,300.19 2026-05-08
27654 CPT Rpr 2Ndry Ach Tnd W/Wo Gr 28 28 $1,516.59 $1,061.61 30% off $535.57 $1,516.59 $1,364.93 2026-05-08
27691 CPT Trans Tndn W/Musc Deep 28 28 $1,601.87 $1,121.31 30% off $556.45 $1,601.87 $1,441.68 2026-05-08
27702 CPT Repair Of Ankle 28 28 $1,999.52 $1,399.66 30% off $719.17 $1,999.52 $1,799.57 2026-05-08
27705 CPT Osteotomy Tibia 28 28 $1,595.71 $1,117.00 30% off $564.98 $1,595.71 $1,436.14 2026-05-08
27758 CPT Open Treatment Of Tibial Shaft Fracture (with Or Without Fibular Fracture), With… 28 28 $1,946.08 $1,362.26 30% off $670.76 $1,946.08 $1,751.47 2026-05-08
27759 CPT Trmt Of Tibial Shaft Facture By Intramedullary Implant 28 28 $1,756.00 $1,229.20 30% off $745.54 $1,756.00 $1,580.40 2026-05-08
27822 CPT Open Treatment Of Trimalleolar Ankle Fracture Includes Internal Fixation When Pe… 28 28 $1,477.54 $1,034.28 30% off $654.34 $1,477.54 $1,329.79 2026-05-08
27827 CPT Open Treatment Of Fracture Of Weight Bearing Articular Surface/portion Of Distal… 28 28 $2,386.88 $1,670.82 30% off $838.20 $2,386.88 $2,148.19 2026-05-08
27829 CPT Open Treatment Of Distal Tibiofibular Joint (syndesmosis) Disruption, Includes I… 28 28 $1,487.82 $1,041.47 30% off $529.72 $1,487.82 $1,339.04 2026-05-08
27870 CPT Arthrodesis Ankle Open 28 28 $2,140.28 $1,498.20 30% off $755.72 $2,140.28 $1,926.25 2026-05-08
28291 CPT Hallux Rgdus Cor W/Cheilc 28 28 $1,493.98 $1,045.79 30% off $489.57 $1,493.98 $1,344.58 2026-05-08
28292 CPT Keller Mcbride/Mayo Proc 28 28 $1,572.08 $1,100.46 30% off $488.55 $1,572.08 $1,414.87 2026-05-08
28296 CPT Hallux Valgus W/Meta Oste 28 28 $1,863.88 $1,304.72 30% off $517.57 $1,863.88 $1,677.49 2026-05-08
28297 CPT Splint Finger 28 28 $2,141.31 $1,498.92 30% off $608.63 $2,141.31 $1,927.18 2026-05-08
28307 CPT Osteotomy Othr Than 1St 28 28 $1,405.62 $983.93 30% off $526.79 $1,405.62 $1,265.06 2026-05-08
28415 CPT Opn Tx Calc Fx W/Int Fix 28 28 $2,412.57 $1,688.80 30% off $841.72 $2,412.57 $2,171.31 2026-05-08
28445 CPT Open Tx Talus Fx 28 28 $2,215.29 $1,550.70 30% off $777.90 $2,215.29 $1,993.76 2026-05-08
28446 CPT Anes ProFee Per Minute 28 28 $2,584.16 $1,808.91 30% off $1,232.11 $2,584.16 $2,325.74 2026-05-08
28585 CPT Reduction Toe Frac 28 28 $1,788.88 $1,252.22 30% off $657.32 $1,788.88 $1,609.99 2026-05-08
28615 CPT Orif Tarsomet Jnt Disloc 28 28 $1,676.88 $1,173.82 30% off $617.92 $1,676.88 $1,509.19 2026-05-08
28725 CPT Arthrodesis; Subtalar 28 28 $1,613.18 $1,129.23 30% off $581.41 $1,613.18 $1,451.86 2026-05-08
28730 CPT Arthrodesis Mid/Tarso Multi/Transve 28 28 $1,539.20 $1,077.44 30% off $544.75 $1,539.20 $1,385.28 2026-05-08
28735 CPT Amputate Transmetatarsal 28 28 $1,636.81 $1,145.77 30% off $786.92 $1,636.81 $1,473.13 2026-05-08
28740 CPT Arthrodesis Tendon Length Midt 28 28 $1,790.93 $1,253.65 30% off $612.58 $1,790.93 $1,611.84 2026-05-08
28750 CPT Arthrodesis Great Toe Jt 28 28 $1,664.55 $1,165.18 30% off $578.56 $1,664.55 $1,498.10 2026-05-08
28805 CPT Amputation Metatarsal W Toe 28 28 $1,536.11 $1,075.28 30% off $529.54 $1,536.11 $1,382.50 2026-05-08
29807 CPT Arthroscopy, Shoulder, Surgical; Repair Of Slap Lesion 28 28 $1,589.54 $1,112.68 30% off $773.50 $1,589.54 $1,430.59 2026-05-08
29824 CPT Shoulder Arthroscopy/distal Clavi 28 28 $1,514.54 $1,060.18 30% off $507.63 $1,514.54 $1,363.09 2026-05-08
29827 CPT Scope Shldr Rt Cuff Repr 28 28 $2,213.24 $1,549.27 30% off $799.19 $2,213.24 $1,991.92 2026-05-08
29828 CPT Biceps Tenodesis 28 28 $1,956.36 $1,369.45 30% off $685.17 $1,956.36 $1,760.72 2026-05-08
29887 CPT Arthroscopy Knee With Lysis Of Adhesions, With Or Without Manipulation 28 28 $1,550.50 $1,085.35 30% off $564.00 $1,550.50 $1,395.45 2026-05-08
29888 CPT Arthroscopically Aided Anterior Cruciate Ligament Repair/Augmentation Or Reconst… 28 28 $1,620.37 $1,134.26 30% off $729.32 $1,620.37 $1,458.33 2026-05-08
32556 CPT Pleural Drainage, Insertion Catheter 28 28 $1,469.32 $1,028.52 30% off $121.98 $1,469.32 $1,322.39 2026-05-08
32557 CPT Pleural Drainage Percutan 28 28 $1,457.00 $1,019.90 30% off $147.31 $1,457.00 $1,311.30 2026-05-08
35206 CPT Repair Blood Vessel Direct Upper Extremity 28 28 $1,737.50 $1,216.25 30% off $579.67 $1,737.50 $1,563.75 2026-05-08
35207 CPT Rep Blood Vessel, Direct Hand Finger Ed Charge 28 28 $2,953.04 $2,067.13 30% off $566.26 $2,953.04 $2,657.74 2026-05-08
35840 CPT Exploration For Postoperative Hemorrhage Thrombosis Or Infection Abdomen 28 28 $2,640.68 $1,848.48 30% off $900.81 $2,640.68 $2,376.61 2026-05-08
36475 CPT Inj Sclero Solution Singl 28 28 $2,834.87 $1,984.41 30% off $269.08 $2,834.87 $2,551.38 2026-05-08
36561 CPT Insertion Of Tunneled Centrally Inserted Cntrl Venous Access 28 28 $2,127.75 $1,489.42 30% off $328.61 $2,127.75 $1,914.97 2026-05-08
37722 CPT Ligation, Division, & Stripping, Long Saphenous Veins 28 28 $1,845.39 $1,291.77 30% off $343.14 $1,845.39 $1,660.85 2026-05-08
38570 CPT Laparoscopy, Surgical W Lymph Node Sampling (biopsy), Single Or Multiple 28 28 $1,760.11 $1,232.08 30% off $384.72 $1,760.11 $1,584.10 2026-05-08
41805 CPT Rmvl Frgn Bdy Sft Ts Ed Charge 28 28 $3,179.08 $2,225.36 30% off $203.73 $3,179.08 $2,861.17 2026-05-08
43255 CPT Egd Control Bleeding Any ProFee 28 28 $1,404.59 $983.21 30% off $197.86 $1,404.59 $1,264.13 2026-05-08
43280 CPT Laparoscopy, Fundoplasty 47 28 $1,885.46 $1,319.82 30% off $804.43 $2,319.07 $1,791.19 2026-05-08
43281 CPT Laparoscopy, Surgical, Repair Of Paraesophageal Hernia, Includes Fundoplasty, Wh… 28 28 $3,438.02 $2,406.61 30% off $1,146.80 $3,438.02 $3,094.22 2026-05-08
43644 CPT Unlisted Laparoscopy Proc 28 28 $3,667.46 $2,567.22 30% off $1,296.58 $3,667.46 $3,300.71 2026-05-08
43645 CPT Laparoscopy, Surgical/gastric Restrictive Procedure/removal Of Adjustable Gastri… 28 28 $3,697.36 $2,588.15 30% off $1,824.11 $3,697.36 $3,327.62 2026-05-08
43772 CPT Colonoscopy A Stoma 28 28 $2,005.68 $1,403.98 30% off $941.25 $2,005.68 $1,805.11 2026-05-08
43774 CPT Tube Placement With Fluro Guidance 28 28 $2,024.18 $1,416.93 30% off $953.92 $2,024.18 $1,821.76 2026-05-08
43775 CPT Gastrostomy, Open Without Const Gastric Tube 28 28 $2,410.52 $1,687.36 30% off $827.59 $2,410.52 $2,169.47 2026-05-08
43840 CPT Gastrorrhaphy Perf Duodnl 28 28 $2,925.29 $2,047.70 30% off $1,015.61 $2,925.29 $2,632.76 2026-05-08
44005 CPT Lysis Of Adhesions 28 28 $2,355.03 $1,648.52 30% off $814.42 $2,355.03 $2,119.53 2026-05-08
44021 CPT Enterotomy Sm Int Oth/thn Duo Dcmprn 28 28 $1,960.47 $1,372.33 30% off $726.28 $1,960.47 $1,764.42 2026-05-08
44125 CPT Enterectomy Resectn 28 28 $2,366.33 $1,656.43 30% off $876.00 $2,366.33 $2,129.70 2026-05-08
44130 CPT Enteroenterostomy Anastomosis Of Intestine With Or Without Cutaneous Enterostomy 28 28 $2,886.25 $2,020.38 30% off $981.25 $2,886.25 $2,597.63 2026-05-08
44140 CPT Colectomy Partial With Anastomosis 28 28 $1,490.90 $1,043.63 30% off $894.54 $1,490.90 $1,341.81 2026-05-08
44141 CPT Colectomy Part W/Cecostom 28 28 $3,914.78 $2,740.35 30% off $1,349.45 $3,914.78 $3,523.30 2026-05-08
44143 CPT Colct Prtl W/End Clst&Cls 28 28 $3,574.67 $2,502.27 30% off $1,231.69 $3,574.67 $3,217.20 2026-05-08
44150 CPT Colct Tot Abdl Without Prctect W/ileost/ileopxts 28 28 $3,908.61 $2,736.03 30% off $1,378.47 $3,908.61 $3,517.75 2026-05-08
44160 CPT Colectomy W Removal 28 28 $2,613.96 $1,829.77 30% off $925.72 $2,613.96 $2,352.56 2026-05-08
44188 CPT Pf Laparoscpy Surg Colostmy 28 28 $2,613.96 $1,829.77 30% off $904.38 $2,613.96 $2,352.56 2026-05-08
44204 CPT Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis 28 28 $5,124.14 $3,586.90 30% off $1,143.61 $5,124.14 $4,611.73 2026-05-08
44205 CPT Lap Colectomy 28 28 $2,868.78 $2,008.15 30% off $993.47 $2,868.78 $2,581.90 2026-05-08
44310 CPT Ileostomy/jejunostomy,non-tube 28 28 $2,187.55 $1,531.29 30% off $775.35 $2,187.55 $1,968.80 2026-05-08
44602 CPT Suture Small Intestine 28 28 $2,830.76 $1,981.53 30% off $1,049.47 $2,830.76 $2,547.68 2026-05-08
44620 CPT Clos Enterostomy Int 28 28 $1,817.65 $1,272.36 30% off $645.03 $1,817.65 $1,635.88 2026-05-08
44625 CPT Suture Lrg Intestine 28 28 $2,023.15 $1,416.20 30% off $753.05 $2,023.15 $1,820.84 2026-05-08
45005 CPT I&d Rectum Abscess Ed Charge 28 28 $1,736.48 $1,215.54 30% off $168.33 $1,736.48 $1,562.83 2026-05-08
45303 CPT Diagnostic Sigmoidoscopy-pf 28 28 $1,774.49 $1,242.14 30% off $84.93 $1,774.49 $1,597.04 2026-05-08
47010 CPT Hepatotomy; For Open Drainage Of Abscess Or Cyst, One Or Two Stages 28 28 $1,623.45 $1,136.41 30% off $905.26 $1,623.45 $1,461.11 2026-05-08
47100 CPT Closure Enterostomy Lg/sm Intestine 28 28 $1,804.29 $1,263.00 30% off $633.52 $1,804.29 $1,623.86 2026-05-08
47379 CPT Unlisted Laparoscopic Procedure, Liver Charge 25 25 $1,847.44 $1,293.21 30% off $1,108.46 $1,847.44 $1,699.64 2026-05-08
47552 CPT Biliary Endoscopy, Perc, Diag 28 28 $2,347.84 $1,643.49 30% off $206.78 $2,347.84 $2,113.06 2026-05-08
47562 CPT Laparoscopy, Surgical; Cholecystectomy Charge 28 28 $2,616.02 $1,831.21 30% off $493.26 $2,616.02 $2,354.42 2026-05-08
47600 CPT Cholecystectomy [sjh Amb] 28 28 $1,913.20 $1,339.24 30% off $1,147.92 $1,913.20 $1,769.71 2026-05-08
49000 CPT Exploratory Laparotomy ProFee 28 28 $1,644.00 $1,150.80 30% off $574.00 $1,644.00 $1,479.60 2026-05-08
49002 CPT Reopening Of Laparoscopy 28 28 $2,249.20 $1,574.44 30% off $777.92 $2,249.20 $2,024.28 2026-05-08
49406 CPT Image Cath Fluid Peri/retro Pro 28 28 $1,744.70 $1,221.29 30% off $191.15 $1,744.70 $1,570.23 2026-05-08
49561 CPT Repair Initial Incisional Hernia; Incarcerated Or Strangulated 28 28 $1,511.45 $1,058.02 30% off $906.87 $1,511.45 $1,390.53 2026-05-08
49566 CPT Repair Recurrent Incisional Or Ventral Hernia Incarcerated Or Strangulated 28 28 $1,602.90 $1,122.03 30% off $961.74 $1,602.90 $1,482.68 2026-05-08
49585 CPT Repair Umbilical Hernia Age 5 Years Or Older Reducible 28 28 $1,557.69 $1,090.38 30% off $934.61 $1,557.69 $1,440.86 2026-05-08
49653 CPT Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 28 28 $2,795.83 $1,957.08 30% off $1,677.50 $2,795.83 $2,586.14 2026-05-08
49654 CPT Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When … 28 28 $1,696.40 $1,187.48 30% off $1,017.84 $1,696.40 $1,569.17 2026-05-08
49657 CPT Laparoscopy, Recurrent Incision Hernia; Incarcerated/strang. 28 28 $1,602.90 $1,122.03 30% off $961.74 $1,602.90 $1,482.68 2026-05-08
49659 CPT Unlisted Laparoscopy Procedure Herniplasty, Herniorrhaphy, Herniotomy 28 28 $2,191.66 $1,534.16 30% off $1,315.00 $2,191.66 $2,027.28 2026-05-08
50545 CPT Laporoscopy, Radical Nephrectomy 28 28 $1,616.26 $1,131.38 30% off $969.76 $1,616.26 $1,454.63 2026-05-08
51102 CPT Suprapubic Cath Insr Ed Charge 28 28 $2,476.28 $1,733.40 30% off $142.09 $2,476.28 $2,228.65 2026-05-08
51865 CPT Cystorrhaphy Complicated 28 28 $1,877.24 $1,314.07 30% off $666.72 $1,877.24 $1,689.52 2026-05-08
51992 CPT Lap Sling 4 Stress Incont 28 28 $1,899.85 $1,329.89 30% off $623.49 $1,899.85 $1,709.87 2026-05-08
55040 CPT Excise Of Hydrocele; Unilateral Charge 28 28 $5,744.75 $4,021.32 30% off $251.64 $5,744.75 $5,170.27 2026-05-08
57288 CPT Sling Procedure 28 28 $1,529.95 $1,070.96 30% off $557.82 $1,529.95 $1,376.95 2026-05-08
57531 CPT Radical Trachelectomy; C Lymphadenectomy 28 28 $2,016.98 $1,411.89 30% off $1,210.19 $2,016.98 $1,815.28 2026-05-08
58150 CPT Total Abd. Hysterectomy, With Or Without Removal Of Tube(s) Or Ovary(s) Charge 28 28 $1,413.84 $989.69 30% off $761.94 $1,413.84 $1,272.46 2026-05-08
58550 CPT Laparoscopy, Surgical, With Vaginal Hysterectomy, For Uterus 250 G Or Less; With… 28 28 $1,880.32 $1,316.22 30% off $663.86 $1,880.32 $1,692.29 2026-05-08
58552 CPT Lap Vag Hyst Utrus 250 Gms/<; 28 28 $1,962.52 $1,373.76 30% off $738.58 $1,962.52 $1,766.27 2026-05-08
58553 CPT Laparoscopy, Surgical, With Vaginal Hysterectomy, For Uterus Greater Than 250 G 28 28 $1,908.07 $1,335.65 30% off $843.79 $1,908.07 $1,717.26 2026-05-08
58554 CPT Laparoscopy, Surgical; With Vaginal Hysterectomy 28 28 $1,550.50 $1,085.35 30% off $930.30 $1,550.50 $1,395.45 2026-05-08
58571 CPT Laparoscopy w/Total Hysterectomy,Uterus <250gr Removal Of Tubes Profee 28 28 $1,760.11 $1,232.08 30% off $681.80 $1,760.11 $1,584.10 2026-05-08
58661 CPT Laparoscopy Surgical With Removal Adnexal Structures Charge 28 28 $1,738.53 $1,216.97 30% off $491.18 $1,738.53 $1,564.68 2026-05-08
58662 CPT Laparoscopy Surgical With Fulguration/Excsicion Lesions Charge 28 28 $1,738.53 $1,216.97 30% off $535.74 $1,738.53 $1,564.68 2026-05-08
58740 CPT Lysis Of Adhesions (salpingoly ProFee 28 28 $1,852.58 $1,296.81 30% off $678.39 $1,852.58 $1,667.32 2026-05-08
59400 CPT Routine OB Care, Antepartum/Vaginal Delivery/Postpartum Charge 28 28 $2,370.44 $1,659.31 30% off $1,422.26 $2,370.44 $2,133.40 2026-05-08
59410 CPT Delivery Vaginal-only With Postpartum Care Charge 28 28 $1,407.68 $985.38 30% off $844.61 $1,407.68 $1,266.91 2026-05-08
59510 CPT Routine Obstetric Care Including Antepartum Care, Cesarean Delivery, And Postpar… 28 28 $2,626.29 $1,838.40 30% off $1,575.77 $2,626.29 $2,363.66 2026-05-08
59515 CPT Cesarean Delivery Including Postpartum Care 28 28 $2,606.77 $1,824.74 30% off $934.65 $2,606.77 $2,346.09 2026-05-08
60212 CPT Thyroid Lobectomy Total Clinic Charge 28 28 $2,194.74 $1,536.32 30% off $767.15 $2,194.74 $1,975.27 2026-05-08
60240 CPT Trdec Tot/Compl 28 28 $1,602.90 $1,122.03 30% off $687.34 $1,602.90 $1,442.61 2026-05-08
60500 CPT Parathyroidectomy Or Exploration Of Parathroids 47 28 $1,622.25 $1,135.58 30% off $726.02 $2,041.64 $1,541.14 2026-05-08
64831 CPT Suture Of A Digital Nerve, Hand Or Foot, 1 Nerve 28 28 $1,461.10 $1,022.77 30% off $518.95 $1,461.10 $1,314.99 2026-05-08
70336 CPT MRI Tmj 28 28 $3,222.24 $2,255.57 30% off $1,933.34 $3,222.24 $2,980.57 2026-05-08
70450 CPT CT Head Or Brain Without Contrast 28 28 $1,620.37 $1,134.26 30% off $972.22 $1,620.37 $1,498.84 2026-05-08
70460 CPT CT Head Or Brain With Contrast 28 28 $2,137.20 $1,496.04 30% off $1,282.32 $2,137.20 $1,976.91 2026-05-08
70470 CPT CT Head Or Brain With + Without Contrast 28 28 $2,585.19 $1,809.63 30% off $1,551.11 $2,585.19 $2,391.30 2026-05-08
70480 CPT CT Orbit Sella Etc. Without Contrast 28 28 $2,082.74 $1,457.92 30% off $1,249.64 $2,082.74 $1,926.53 2026-05-08
70481 CPT CT Orbit Sella Etc. With Contrast 28 28 $2,288.24 $1,601.77 30% off $1,372.94 $2,288.24 $2,116.62 2026-05-08
70482 CPT CT Orbit Sella Etc. With + Without Contrast 28 28 $3,151.34 $2,205.94 30% off $1,890.80 $3,151.34 $2,914.99 2026-05-08
70487 CPT CT Maxillofacial With Contrast 56 28 $1,965.61 $1,375.93 30% off $1,030.79 $2,213.24 $1,717.98 2026-05-08
70488 CPT CT Maxillofacial With + Without Contrast 28 28 $2,774.25 $1,941.97 30% off $1,664.55 $2,774.25 $2,566.18 2026-05-08
70491 CPT CT Soft Tissue Neck With Contrast 56 28 $2,332.43 $1,632.70 30% off $1,382.20 $2,361.20 $2,172.30 2026-05-08
70492 CPT CT Soft Tissue Neck With + Without Contrast 28 28 $2,640.68 $1,848.48 30% off $1,584.41 $2,640.68 $2,442.63 2026-05-08
70496 CPT CT Angiography Head With + Without Contrast 28 28 $2,847.20 $1,993.04 30% off $1,708.32 $2,847.20 $2,633.66 2026-05-08
70498 CPT CT Angiography Neck With Contrast 38 28 $2,847.20 $1,993.04 30% off $195.44 $2,847.20 $2,562.48 2026-05-08
70540 CPT MRI Face Neck Orbit Without Contrast 28 28 $3,222.24 $2,255.57 30% off $1,933.34 $3,222.24 $2,980.57 2026-05-08
70542 CPT MRI Face Neck Orbit With Contrast 28 28 $3,651.74 $2,556.22 30% off $2,191.04 $3,651.74 $3,377.86 2026-05-08
70543 CPT MRI Face Neck Orbit With + Without Contrast 28 28 $3,984.64 $2,789.25 30% off $2,390.78 $3,984.64 $3,685.80 2026-05-08
70544 CPT MRA Head Without Contrast 56 28 $2,397.67 $1,678.37 30% off $1,438.60 $2,397.67 $2,217.85 2026-05-08
70545 CPT MRA Head With Contrast 28 28 $2,489.63 $1,742.74 30% off $1,493.78 $2,489.63 $2,302.91 2026-05-08
70546 CPT MRA Head With + Without Contrast 28 28 $3,049.62 $2,134.73 30% off $1,829.77 $3,049.62 $2,820.90 2026-05-08
70547 CPT MRA Neck Without Contrast 28 28 $2,052.95 $1,437.07 30% off $1,231.77 $2,052.95 $1,898.97 2026-05-08
70548 CPT MRA Neck With Contrast 28 28 $3,038.32 $2,126.82 30% off $1,822.99 $3,038.32 $2,810.44 2026-05-08
70549 CPT MRA Neck With + Without Contrast 28 28 $3,892.17 $2,724.52 30% off $2,335.30 $3,892.17 $3,600.26 2026-05-08
70551 CPT MRI Brain Without Contrast 28 28 $3,222.24 $2,255.57 30% off $1,933.34 $3,222.24 $2,980.57 2026-05-08
70552 CPT MRI Brain With Contrast 28 28 $3,222.24 $2,255.57 30% off $1,933.34 $3,222.24 $2,980.57 2026-05-08
70553 CPT MRI Brain With + Without Contrast 57 28 $4,067.87 $2,847.51 30% off $2,390.78 $4,067.87 $3,742.44 2026-05-08
71250 CPT CT Thorax Without Contrast 28 28 $2,260.50 $1,582.35 30% off $1,356.30 $2,260.50 $2,090.96 2026-05-08
71260 CPT CT Chest 84 28 $3,318.32 $2,322.82 30% off $1,990.99 $3,318.82 $3,069.68 2026-05-08
71270 CPT CT Thorax With + Without Contrast 28 28 $3,113.32 $2,179.32 30% off $1,867.99 $3,113.32 $2,879.82 2026-05-08
71271 CPT CT Low Dose Lung Screening 28 28 $2,260.50 $1,582.35 30% off $1,356.30 $2,260.50 $2,090.96 2026-05-08
71275 CPT CT Angiography Chest With Contrast 56 28 $3,120.52 $2,184.36 30% off $237.45 $3,120.52 $2,808.47 2026-05-08
71550 CPT MRI Chest Without Contrast 28 28 $2,977.70 $2,084.39 30% off $1,786.62 $2,977.70 $2,754.37 2026-05-08
71551 CPT MRI Chest With Contrast 28 28 $2,977.70 $2,084.39 30% off $1,786.62 $2,977.70 $2,754.37 2026-05-08
71552 CPT MRI Chest With + Without Contrast 28 28 $3,538.71 $2,477.10 30% off $2,123.23 $3,538.71 $3,273.31 2026-05-08
71555 CPT MRA Chest With + Without Contrast 56 28 $3,146.21 $2,202.35 30% off $1,786.62 $3,314.72 $2,977.70 2026-05-08
72125 CPT CT Spine Cervical Without Contrast 28 28 $2,330.37 $1,631.26 30% off $1,398.22 $2,330.37 $2,155.59 2026-05-08
72126 CPT CT Spine Cervical With Contrast 28 28 $2,630.40 $1,841.28 30% off $1,578.24 $2,630.40 $2,433.12 2026-05-08
72127 CPT CT Spine Cervical With + Without Contrast 28 28 $2,466.00 $1,726.20 30% off $1,479.60 $2,466.00 $2,281.05 2026-05-08
72128 CPT CT Spine Thoracic Without Contrast 28 28 $1,962.52 $1,373.76 30% off $1,177.51 $1,962.52 $1,815.33 2026-05-08
72129 CPT CT Spine Thoracic With Contrast 28 28 $2,630.40 $1,841.28 30% off $1,578.24 $2,630.40 $2,433.12 2026-05-08
72130 CPT CT Spine Thoracic With + Without Contrast 28 28 $3,190.39 $2,233.27 30% off $1,914.23 $3,190.39 $2,951.11 2026-05-08
72131 CPT CT Spine Lumbar Without Contrast 28 28 $2,303.66 $1,612.56 30% off $1,382.20 $2,303.66 $2,130.89 2026-05-08
72132 CPT CT Spine Lumbar With Contrast 28 28 $2,630.40 $1,841.28 30% off $1,578.24 $2,630.40 $2,433.12 2026-05-08
72133 CPT CT Spine Lumbar With + Without Contrast 28 28 $3,190.39 $2,233.27 30% off $1,914.23 $3,190.39 $2,951.11 2026-05-08
72141 CPT MRI Spine Cervical Without Contrast 28 28 $2,602.66 $1,821.86 30% off $1,561.60 $2,602.66 $2,407.46 2026-05-08
72142 CPT MRI Spine Cervical With Contrast 28 28 $3,046.54 $2,132.58 30% off $1,827.92 $3,046.54 $2,818.05 2026-05-08
72146 CPT MRI Spine Thoracic Without Contrast 28 28 $3,082.50 $2,157.75 30% off $1,849.50 $3,082.50 $2,851.31 2026-05-08
72147 CPT MRI Spine Thoracic With Contrast 28 28 $3,426.71 $2,398.70 30% off $2,056.03 $3,426.71 $3,169.70 2026-05-08
72148 CPT MRI Spine Lumbar Without Contrast 28 28 $3,102.02 $2,171.41 30% off $1,861.21 $3,102.02 $2,869.37 2026-05-08
72149 CPT MRI Spine Lumbar With Contrast 28 28 $3,102.02 $2,171.41 30% off $1,861.21 $3,102.02 $2,869.37 2026-05-08
72156 CPT MRI Spine Cervical With + Without Contrast 28 28 $3,830.52 $2,681.36 30% off $2,298.31 $3,830.52 $3,543.23 2026-05-08
72157 CPT MRI Spine Thoracic With + Without Contrast 28 28 $3,830.52 $2,681.36 30% off $2,298.31 $3,830.52 $3,543.23 2026-05-08
72158 CPT MRI Spine Lumbar With + Without Contrast 28 28 $3,905.53 $2,733.87 30% off $2,343.32 $3,905.53 $3,612.61 2026-05-08
72159 CPT MRA Spinal Canal 28 28 $2,977.70 $2,084.39 30% off $1,786.62 $2,977.70 $2,754.37 2026-05-08
72192 CPT CT Pelvis Without Contrast 28 28 $1,600.84 $1,120.59 30% off $960.50 $1,600.84 $1,480.78 2026-05-08
72193 CPT CT Pelvis With Contrast 28 28 $2,435.18 $1,704.63 30% off $1,461.11 $2,435.18 $2,252.55 2026-05-08
72194 CPT CT Pelvis With + Without Contrast 28 28 $2,589.30 $1,812.51 30% off $1,553.58 $2,589.30 $2,395.11 2026-05-08
72195 CPT MRI Pelvis Without Contrast 28 28 $2,833.84 $1,983.69 30% off $1,700.30 $2,833.84 $2,621.30 2026-05-08
72196 CPT MRI Pelvis With Contrast 28 28 $4,288.78 $3,002.15 30% off $2,573.27 $4,288.78 $3,967.12 2026-05-08
72197 CPT MRI Pelvis With + Without Contrast 28 28 $4,288.78 $3,002.15 30% off $2,573.27 $4,288.78 $3,967.12 2026-05-08
72198 CPT MRA Pelvis 28 28 $3,314.72 $2,320.30 30% off $1,988.83 $3,314.72 $3,066.11 2026-05-08
73200 CPT CT Upper Extremity Without Contrast Left 56 28 $1,671.66 $1,170.16 30% off $945.00 $1,768.33 $1,575.00 2026-05-08
73201 CPT CT Upper Extremity With Contrast Left 28 28 $2,545.12 $1,781.58 30% off $1,527.07 $2,545.12 $2,354.24 2026-05-08
73202 CPT CT Upper Extremity W/+without Contrast Left 28 28 $3,096.88 $2,167.82 30% off $1,858.13 $3,096.88 $2,864.61 2026-05-08
73218 CPT MRI Hand Without Contrast Left 56 28 $3,029.07 $2,120.35 30% off $1,750.24 $3,141.07 $2,826.96 2026-05-08
73219 CPT MRI Forearm With Contrast Left 56 28 $3,310.10 $2,317.07 30% off $1,884.64 $3,479.12 $3,131.21 2026-05-08
73220 CPT MRI Humerus With + Without Contrast Left 56 28 $3,759.62 $2,631.74 30% off $2,087.47 $4,040.13 $3,479.12 2026-05-08
73221 CPT MRI Elbow Without Contrast Left 56 28 $2,947.39 $2,063.17 30% off $1,750.24 $2,977.70 $2,739.48 2026-05-08
73222 CPT MRI Ue Joint With Contrast Left 57 28 $3,141.07 $2,198.75 30% off $1,884.64 $3,479.12 $3,131.21 2026-05-08
73223 CPT MRI Elbow With + Without Contrast Left 56 28 $3,590.60 $2,513.42 30% off $1,884.64 $4,040.13 $3,141.07 2026-05-08
73225 CPT MRA Upper Extremity Left 28 28 $3,141.07 $2,198.75 30% off $1,884.64 $3,141.07 $2,905.49 2026-05-08
73700 CPT CT Foot Without Contrast Left 84 28 $1,978.96 $1,385.27 30% off $1,061.00 $1,978.96 $1,781.06 2026-05-08
73701 CPT CT Ankle With Contrast Left 84 28 $2,105.35 $1,473.74 30% off $1,187.38 $2,203.99 $1,978.96 2026-05-08
73702 CPT CT Foot With + Without Contrast Left 56 28 $2,476.28 $1,733.39 30% off $1,457.41 $2,523.54 $2,307.56 2026-05-08
73706 CPT CT Angiography Lower Extremity Left 29 28 $2,429.01 $1,700.31 30% off $1,457.41 $2,429.01 $2,234.69 2026-05-08
73718 CPT MRI Femur Without Contrast Left 28 28 $3,141.07 $2,198.75 30% off $1,884.64 $3,141.07 $2,905.49 2026-05-08
73719 CPT MRI Ankle With Contrast Left 56 28 $3,347.60 $2,343.32 30% off $1,884.64 $3,554.12 $3,141.07 2026-05-08
73720 CPT MRI Foot With + Without Contrast Left 84 28 $3,400.00 $2,380.00 30% off $1,978.97 $4,436.74 $3,298.28 2026-05-08
73721 CPT MRI Ankle Without Contrast Left 56 28 $2,746.51 $1,922.56 30% off $1,411.17 $3,141.07 $2,351.95 2026-05-08
73722 CPT MRI Ankle With Contrast Right 56 28 $3,347.60 $2,343.32 30% off $1,884.64 $3,554.12 $3,141.07 2026-05-08
73723 CPT MRI Ankle With + Without Contrast Left 84 28 $4,436.74 $3,105.72 30% off $1,949.38 $4,436.74 $3,993.07 2026-05-08
73725 CPT MRA Lower Extremity Bilat 28 28 $3,674.34 $2,572.04 30% off $2,204.60 $3,674.34 $3,380.39 2026-05-08
74150 CPT CT Abdomen Without Contrast 28 28 $1,470.35 $1,029.24 30% off $882.21 $1,470.35 $1,360.08 2026-05-08
74160 CPT CT Abdomen With Contrast 28 28 $2,568.75 $1,798.13 30% off $1,541.25 $2,568.75 $2,376.10 2026-05-08
74170 CPT CT Abdomen With + Without Contrast 28 28 $2,847.20 $1,993.04 30% off $1,708.32 $2,847.20 $2,633.66 2026-05-08
74174 CPT CT Angiography Abdomen/Pelvis 28 28 $3,188.33 $2,231.83 30% off $1,913.00 $3,188.33 $2,933.26 2026-05-08
74175 CPT CT Angiography Abdomen 28 28 $2,848.23 $1,993.76 30% off $1,708.94 $2,848.23 $2,634.61 2026-05-08
74176 CPT CT Renal Stone 28 28 $2,754.73 $1,928.31 30% off $1,652.84 $2,754.73 $2,548.12 2026-05-08
74177 CPT CT Abd/Pelvis W/Contrast 57 28 $3,094.83 $2,166.38 30% off $1,856.90 $3,094.83 $2,847.24 2026-05-08
74178 CPT CT Abdomen/Pelvis W + Without Contrast 28 28 $3,184.22 $2,228.95 30% off $1,910.53 $3,184.22 $2,945.40 2026-05-08
74181 CPT MRI Abdomen Without Contrast 28 28 $2,977.70 $2,084.39 30% off $1,786.62 $2,977.70 $2,754.37 2026-05-08
74182 CPT MRI Abdomen With Contrast 28 28 $3,462.68 $2,423.88 30% off $2,077.61 $3,462.68 $3,202.98 2026-05-08
74183 CPT MRI Abdomen With + Without Contrast 28 28 $4,023.69 $2,816.58 30% off $2,414.21 $4,023.69 $3,721.91 2026-05-08
74185 CPT MRA Abdomen 28 28 $3,314.72 $2,320.30 30% off $1,988.83 $3,314.72 $3,066.11 2026-05-08
75635 CPT CT Angiography Aorta With Runoff 56 28 $3,177.55 $2,224.28 30% off $1,799.56 $3,355.82 $2,999.27 2026-05-08
75710 CPT CT Angiography Upper Extremity Left 28 28 $2,429.01 $1,700.31 30% off $1,457.41 $2,429.01 $2,246.84 2026-05-08
81270 CPT Jak2 Gene, V617f Mutation, Qual Ihc 28 28 $1,566.30 $1,096.41 30% off $939.78 $1,566.30 $1,448.83 2026-05-08
93015 CPT Cv Stress Test Continuous S&i 28 28 $1,443.64 $1,010.55 30% off $866.18 $1,443.64 $1,335.37 2026-05-08
93306 CPT US Echo Color Flow Doppler 28 28 $1,796.07 $1,257.25 30% off $1,077.64 $1,796.07 $1,661.37 2026-05-08
93351 CPT US Echo 2d Complete-stress 28 28 $2,570.80 $1,799.56 30% off $1,542.48 $2,570.80 $2,365.14 2026-05-08
93990 CPT US Duplex Hemodialysis Access Flow 28 28 $1,388.15 $971.71 30% off $832.89 $1,388.15 $1,277.10 2026-05-08
95810 CPT Polysomnography 4+ 28 28 $2,387.91 $1,671.54 30% off $1,432.75 $2,387.91 $2,196.88 2026-05-08
95811 CPT Polysomnography With Cpap 28 28 $2,785.55 $1,949.88 30% off $1,671.33 $2,785.55 $2,562.71 2026-05-08
99285 CPT Ed Level 5, High Dec Making 112 28 $1,725.68 $1,207.98 30% off $132.85 $1,972.80 $1,534.26 2026-05-08
99291 CPT Critical Care 153 28 $2,867.75 $2,007.42 30% off $163.37 $3,904.50 $2,580.97 2026-05-08
99468 CPT Initial Inpatient Neonatal Critical Care, Per Day 28 Days Of Age Or Younger 28 28 $1,993.35 $1,395.35 30% off $671.35 $1,993.35 $1,794.02 2026-05-08
C8930 CPT US Echo 2d Comp-stress 28 28 $2,750.62 $1,925.43 30% off $1,650.37 $2,750.62 $2,530.57 2026-05-08
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