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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

GRACE COTTAGE HOSPITAL

Townshend, VT · CCN 471300 · Rates published

2,037 distinct procedures filed
9 distinct payers
17,989 rate rows
2026-08-14 last MRF observed
Data quality

17,987 of 17,989 rate rows are consumer-grade (100.0%)

2 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 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/5f6520a384/machine-readable/030343282_grace-cottage-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/grace-cottage
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-25
Content fingerprint 3a715fec31c8f270… · 6,172,091 bytes · first seen 2026-09-25

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
1914315
CDM 		Tenecteplase 50 Mg Pow [Gch] 9 $7,233.00 $24,111.00 $22,905.00 nat. median
$22,905
1.0× median
1920190
CDM 		Pegfilgrastim 6 Mg/0.6 Ml Sol [non-form][gch] 9 $3,628.00 $12,092.00 $11,487.00 nat. median
$11,487
1.0× median
J1930
HCPCS 		Lanreotide Acetate 120mg/0.5 Ml 8 $3,450.00 $11,500.00 $10,637.50 nat. median
$5,088
outlier · 2.1×
J2353
HCPCS 		Octreotide 30 Mg IM 8 $3,368.00 $11,228.00 $10,386.00 nat. median
$5,568
1.9× median
1920439
CDM 		Immune Globulin Intravenous 10% Sol [Gch] 9 $2,534.00 $8,446.00 $8,024.00 nat. median
$8,024
1.0× median
15240
CPT 		15240 Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Forehe… 8 $2,078.00 $6,928.00 $6,408.50 nat. median
$2,235
outlier · 2.9×
74175
CPT 		CT Angio Abdomen 8 $1,832.00 $6,106.00 $5,648.00 nat. median
$714
outlier · 7.9×
74178
CPT 		CT Abdomen/pelvis With + Without Contrast 8 $1,765.00 $6,311.00 $5,635.00 nat. median
$1,024
outlier · 5.5×
1907140
CDM 		Calcitonin Inj. 200iu/ml Mdv [Gch] 9 $1,728.00 $5,760.00 $5,472.00 nat. median
$5,472
1.0× median
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 8 $1,587.00 $5,289.00 $4,892.50 nat. median
$972
outlier · 5.0×
27752
CPT 		27752 Closed Treatment Of Tibial Shaft Fracture (with Or W/out Fibular Fracture);… 8 $1,543.00 $5,143.00 $4,757.50 nat. median
$1,775
outlier · 2.7×
74174
CPT 		CT Angio Abdomen/pelvis 8 $1,471.00 $5,289.00 $4,708.00 nat. median
$988
outlier · 4.8×
25505
CPT 		25505 Closed Treatment Of Radial Shaft Fracture; With Manipulation 8 $1,522.00 $5,074.00 $4,693.50 nat. median
$1,670
outlier · 2.8×
1920005
CDM 		Pegfilgrastim Jmdb 6 Mg/0.6 Ml Sol [Gch] 9 $1,366.00 $4,554.00 $4,326.00 nat. median
$4,326
1.0× median
71275
CPT 		CT Angio Pulmonary 8 $1,394.00 $4,645.00 $4,297.00 nat. median
$753
outlier · 5.7×
28192
CPT 		28192 Removal Of Foreign Body, Foot; Deep 8 $1,392.00 $4,640.00 $4,292.00 nat. median
$1,857
outlier · 2.3×
73706
CPT 		CT Angio Lower Extremity Left 8 $1,392.00 $4,640.00 $4,292.00 nat. median
$740
outlier · 5.8×
72191
CPT 		CT Angio Pelvis With + Without Contrast 8 $1,386.00 $4,620.00 $4,273.50 nat. median
$632
outlier · 6.8×
73206
CPT 		CT Angio Upper Extremity Left 8 $1,385.00 $4,618.00 $4,271.50 nat. median
$686
outlier · 6.2×
70471
CPT 		CT Angio Head/neck 8 $1,383.00 $4,609.00 $4,263.50 nat. median
$835
outlier · 5.1×
27846
CPT 		27846 Open Treatment Of Ankle Dislocation, With Or W/out Percutaneous Skeletal Fix… 8 $1,352.00 $4,506.00 $4,168.00 nat. median
$6,937
0.6× median
10121
CPT 		Inc & Rem Fb Skin; Complicated Charge 8 $1,328.00 $4,426.00 $4,094.00 nat. median
$1,665
outlier · 2.5×
J2799
HCPCS 		Uzedy (Risperidone) 100 Mg/0.28ml Sc Inj 8 $1,322.00 $4,406.00 $4,075.50 nat. median
$1,155
outlier · 3.5×
72130
CPT 		CT Spine Thoracic With + Without Contrast 8 $1,313.00 $4,375.00 $4,047.00 nat. median
$599
outlier · 6.8×
72127
CPT 		CT Spine Cervical With + Without Contrast 8 $1,313.00 $4,375.00 $4,047.00 nat. median
$607
outlier · 6.7×
72133
CPT 		CT Spine Lumbar With + Without Contrast 8 $1,313.00 $4,375.00 $4,047.00 nat. median
$632
outlier · 6.4×
71270
CPT 		CT Chest With + Without Contrast 8 $1,308.00 $4,359.00 $4,032.00 nat. median
$672
outlier · 6.0×
1920438
CDM 		Immune Globulin Intravenous 10% Sol [Gch] 9 $1,267.00 $4,223.00 $4,012.00 nat. median
$4,012
1.0× median
27086
CPT 		27086 Removal Of Foreign Body, Pelvis Or Hip; Subcutaneous Tissue 8 $1,296.00 $4,321.00 $3,997.00 nat. median
$2,701
1.5× median
21320
CPT 		21320 Closed Treatment Of Nasal Bone Fracture; With Stabilization 8 $1,260.00 $4,199.00 $3,884.00 nat. median
$3,110
1.2× median
72194
CPT 		CT Pelvis With + Without Contrast 8 $1,254.00 $4,180.00 $3,866.50 nat. median
$663
outlier · 5.8×
74176
CPT 		CT Abdomen/pelvis Without Contrast 8 $1,208.00 $4,398.00 $3,866.00 nat. median
$694
outlier · 5.6×
75635
CPT 		CT Angio Abd Aorta + Iliofemoral 8 $1,251.00 $4,170.00 $3,857.50 nat. median
$719
outlier · 5.4×
32551
CPT 		32551 Tube Thoracostomy, Includes Conncection To Drainage System, When Performed… 8 $1,205.00 $4,017.00 $3,715.50 nat. median
$1,576
outlier · 2.4×
46040
CPT 		I&d Peri-rectal Abscess (Sep Proc) Charge 8 $1,183.00 $3,943.00 $3,647.50 nat. median
$1,699
outlier · 2.1×
20520
CPT 		20520 Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple 8 $1,181.00 $3,938.00 $3,642.50 nat. median
$1,536
outlier · 2.4×
31622
CPT 		31622 Bronchoscopy, Rigid Or Flexible 8 $1,175.00 $3,917.00 $3,623.00 nat. median
$2,056
1.8× median
70496
CPT 		CT Angio Head With + Without Contrast 8 $1,172.00 $3,908.00 $3,615.00 nat. median
$746
outlier · 4.8×
24200
CPT 		24200 Removal Of Foreign Body, Upper Arm Or Elbow Area; Subcutaneous 8 $1,172.00 $3,908.00 $3,615.00 nat. median
$1,545
outlier · 2.3×
31603
CPT 		31603 Tracheostomy, Emergency Procedure; Transtracheal 8 $1,165.00 $3,884.00 $3,593.00 nat. median
$1,665
outlier · 2.2×
31612
CPT 		31612 Tracheal Puncture, Percutaneous With Transtracheal Aspiration And/or Injec… 8 $1,154.00 $3,845.00 $3,557.00 nat. median
$3,240
1.1× median
55250
CPT 		55250 Vasectomy,unilateral Or Bilateral Including Postopeative Semen Examination… 8 $1,151.00 $3,838.00 $3,550.00 nat. median
$2,140
1.7× median
1920710
CDM 		Denosumab 60 Mg/ml Sol [Gch] 9 $1,116.00 $3,719.00 $3,533.00 nat. median
$3,533
1.0× median
70492
CPT 		CT Soft Tissue Neck With + Without Contrast 8 $1,143.00 $3,811.00 $3,525.00 nat. median
$645
outlier · 5.5×
73202
CPT 		CT Upper Extremity W/+without Contrast Left 8 $1,139.00 $3,797.00 $3,512.00 nat. median
$710
outlier · 4.9×
70488
CPT 		CT Maxillofacial With + Without Contrast 8 $1,139.00 $3,796.00 $3,511.00 nat. median
$637
outlier · 5.5×
73702
CPT 		CT Lower Extremity W/+without Contrast Left 8 $1,136.00 $3,788.00 $3,504.00 nat. median
$700
outlier · 5.0×
23655
CPT 		23655 Closed Treatment Shoulder Dislocation With Manipulation Requiring Sedation 8 $1,134.00 $3,779.00 $3,495.50 nat. median
$1,762
2.0× median
21315
CPT 		21315 Closed Treatment Of Nasal Bone Fracture; Without Stabilization 8 $1,120.00 $3,733.00 $3,453.00 nat. median
$1,683
outlier · 2.1×
70470
CPT 		CT Head Or Brain With + Without Contrast 8 $1,106.00 $3,687.00 $3,410.50 nat. median
$619
outlier · 5.5×

Other procedures at this hospital

Browse this hospital's 2,037 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
1914315 CDM Tenecteplase 50 Mg Pow [Gch] 9 9 $24,111.00 $19,289.00 $7,233.00 $24,111.00 $22,905.00 2026-08-14
1920190 CDM Pegfilgrastim 6 Mg/0.6 Ml Sol [non-form][gch] 9 9 $12,092.00 $9,674.00 $3,628.00 $12,092.00 $11,487.00 2026-08-14
J1930 HCPCS Lanreotide Acetate 120mg/0.5 Ml 16 8 $11,500.00 $9,200.00 20% off $3,450.00 $11,500.00 $10,637.50 2026-08-14
J2353 HCPCS Octreotide 30 Mg IM 8 8 $11,228.00 $8,982.00 20% off $3,368.00 $11,228.00 $10,386.00 2026-08-14
1920439 CDM Immune Globulin Intravenous 10% Sol [Gch] 9 9 $8,446.00 $6,757.00 $2,534.00 $8,446.00 $8,024.00 2026-08-14
15240 CPT 15240 Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Forehe… 8 8 $6,928.00 $5,542.00 20% off $2,078.00 $6,928.00 $6,408.50 2026-08-14
74175 CPT CT Angio Abdomen 8 8 $6,106.00 $4,885.00 $1,832.00 $6,106.00 $5,648.00 2026-08-14
74178 CPT CT Abdomen/pelvis With + Without Contrast 16 8 $6,097.50 $4,878.00 20% off $1,765.00 $6,311.00 $5,635.00 2026-08-14
1907140 CDM Calcitonin Inj. 200iu/ml Mdv [Gch] 9 9 $5,760.00 $4,608.00 20% off $1,728.00 $5,760.00 $5,472.00 2026-08-14
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 8 8 $5,289.00 $4,231.00 20% off $1,587.00 $5,289.00 $4,892.50 2026-08-14
27752 CPT 27752 Closed Treatment Of Tibial Shaft Fracture (with Or W/out Fibular Fracture); … 8 8 $5,143.00 $4,114.00 20% off $1,543.00 $5,143.00 $4,757.50 2026-08-14
74174 CPT CT Angio Abdomen/pelvis 16 8 $5,096.50 $4,077.00 20% off $1,471.00 $5,289.00 $4,708.00 2026-08-14
25505 CPT 25505 Closed Treatment Of Radial Shaft Fracture; With Manipulation 8 8 $5,074.00 $4,059.00 20% off $1,522.00 $5,074.00 $4,693.50 2026-08-14
1920005 CDM Pegfilgrastim Jmdb 6 Mg/0.6 Ml Sol [Gch] 9 9 $4,554.00 $3,643.00 20% off $1,366.00 $4,554.00 $4,326.00 2026-08-14
71275 CPT CT Angio Pulmonary 8 8 $4,645.00 $3,716.00 20% off $1,394.00 $4,645.00 $4,297.00 2026-08-14
28192 CPT 28192 Removal Of Foreign Body, Foot; Deep 8 8 $4,640.00 $3,712.00 20% off $1,392.00 $4,640.00 $4,292.00 2026-08-14
73706 CPT CT Angio Lower Extremity Left 8 8 $4,640.00 $3,712.00 20% off $1,392.00 $4,640.00 $4,292.00 2026-08-14
72191 CPT CT Angio Pelvis With + Without Contrast 8 8 $4,620.00 $3,696.00 20% off $1,386.00 $4,620.00 $4,273.50 2026-08-14
73206 CPT CT Angio Upper Extremity Left 8 8 $4,618.00 $3,694.00 20% off $1,385.00 $4,618.00 $4,271.50 2026-08-14
70471 CPT CT Angio Head/neck 8 8 $4,609.00 $3,687.00 20% off $1,383.00 $4,609.00 $4,263.50 2026-08-14
27846 CPT 27846 Open Treatment Of Ankle Dislocation, With Or W/out Percutaneous Skeletal Fix… 8 8 $4,506.00 $3,605.00 $1,352.00 $4,506.00 $4,168.00 2026-08-14
10121 CPT Inc & Rem Fb Skin; Complicated Charge 8 8 $4,426.00 $3,541.00 $1,328.00 $4,426.00 $4,094.00 2026-08-14
J2799 HCPCS Uzedy (Risperidone) 100 Mg/0.28ml Sc Inj 8 8 $4,406.00 $3,525.00 $1,322.00 $4,406.00 $4,075.50 2026-08-14
72130 CPT CT Spine Thoracic With + Without Contrast 8 8 $4,375.00 $3,500.00 20% off $1,313.00 $4,375.00 $4,047.00 2026-08-14
72127 CPT CT Spine Cervical With + Without Contrast 8 8 $4,375.00 $3,500.00 20% off $1,313.00 $4,375.00 $4,047.00 2026-08-14
72133 CPT CT Spine Lumbar With + Without Contrast 8 8 $4,375.00 $3,500.00 20% off $1,313.00 $4,375.00 $4,047.00 2026-08-14
71270 CPT CT Chest With + Without Contrast 8 8 $4,359.00 $3,487.00 20% off $1,308.00 $4,359.00 $4,032.00 2026-08-14
1920438 CDM Immune Globulin Intravenous 10% Sol [Gch] 9 9 $4,223.00 $3,378.00 20% off $1,267.00 $4,223.00 $4,012.00 2026-08-14
27086 CPT 27086 Removal Of Foreign Body, Pelvis Or Hip; Subcutaneous Tissue 8 8 $4,321.00 $3,457.00 $1,296.00 $4,321.00 $3,997.00 2026-08-14
21320 CPT 21320 Closed Treatment Of Nasal Bone Fracture; With Stabilization 8 8 $4,199.00 $3,359.00 20% off $1,260.00 $4,199.00 $3,884.00 2026-08-14
72194 CPT CT Pelvis With + Without Contrast 8 8 $4,180.00 $3,344.00 20% off $1,254.00 $4,180.00 $3,866.50 2026-08-14
74176 CPT CT Abdomen/pelvis Without Contrast 16 8 $4,212.50 $3,370.00 20% off $1,208.00 $4,398.00 $3,866.00 2026-08-14
75635 CPT CT Angio Abd Aorta + Iliofemoral 8 8 $4,170.00 $3,336.00 20% off $1,251.00 $4,170.00 $3,857.50 2026-08-14
32551 CPT 32551 Tube Thoracostomy, Includes Conncection To Drainage System, When Performed… 8 8 $4,017.00 $3,214.00 $1,205.00 $4,017.00 $3,715.50 2026-08-14
46040 CPT I&d Peri-rectal Abscess (Sep Proc) Charge 8 8 $3,943.00 $3,154.00 20% off $1,183.00 $3,943.00 $3,647.50 2026-08-14
20520 CPT 20520 Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple 8 8 $3,938.00 $3,150.00 20% off $1,181.00 $3,938.00 $3,642.50 2026-08-14
31622 CPT 31622 Bronchoscopy, Rigid Or Flexible 8 8 $3,917.00 $3,134.00 $1,175.00 $3,917.00 $3,623.00 2026-08-14
70496 CPT CT Angio Head With + Without Contrast 8 8 $3,908.00 $3,126.00 20% off $1,172.00 $3,908.00 $3,615.00 2026-08-14
24200 CPT 24200 Removal Of Foreign Body, Upper Arm Or Elbow Area; Subcutaneous 8 8 $3,908.00 $3,126.00 20% off $1,172.00 $3,908.00 $3,615.00 2026-08-14
31603 CPT 31603 Tracheostomy, Emergency Procedure; Transtracheal 8 8 $3,884.00 $3,107.00 20% off $1,165.00 $3,884.00 $3,593.00 2026-08-14
31612 CPT 31612 Tracheal Puncture, Percutaneous With Transtracheal Aspiration And/or Injec… 8 8 $3,845.00 $3,076.00 20% off $1,154.00 $3,845.00 $3,557.00 2026-08-14
55250 CPT 55250 Vasectomy,unilateral Or Bilateral Including Postopeative Semen Examination… 8 8 $3,838.00 $3,070.00 20% off $1,151.00 $3,838.00 $3,550.00 2026-08-14
1920710 CDM Denosumab 60 Mg/ml Sol [Gch] 9 9 $3,719.00 $2,975.00 20% off $1,116.00 $3,719.00 $3,533.00 2026-08-14
70492 CPT CT Soft Tissue Neck With + Without Contrast 8 8 $3,811.00 $3,049.00 $1,143.00 $3,811.00 $3,525.00 2026-08-14
73202 CPT CT Upper Extremity W/+without Contrast Left 8 8 $3,797.00 $3,038.00 $1,139.00 $3,797.00 $3,512.00 2026-08-14
70488 CPT CT Maxillofacial With + Without Contrast 8 8 $3,796.00 $3,037.00 $1,139.00 $3,796.00 $3,511.00 2026-08-14
73702 CPT CT Lower Extremity W/+without Contrast Left 8 8 $3,788.00 $3,030.00 20% off $1,136.00 $3,788.00 $3,504.00 2026-08-14
23655 CPT 23655 Closed Treatment Shoulder Dislocation With Manipulation Requiring Sedation 8 8 $3,779.00 $3,023.00 20% off $1,134.00 $3,779.00 $3,495.50 2026-08-14
21315 CPT 21315 Closed Treatment Of Nasal Bone Fracture; Without Stabilization 8 8 $3,733.00 $2,986.00 20% off $1,120.00 $3,733.00 $3,453.00 2026-08-14
70470 CPT CT Head Or Brain With + Without Contrast 8 8 $3,687.00 $2,950.00 $1,106.00 $3,687.00 $3,410.50 2026-08-14
71260 CPT CT Chest With Contrast 8 8 $3,662.00 $2,930.00 $1,099.00 $3,662.00 $3,387.50 2026-08-14
72129 CPT CT Spine Thoracic With Contrast 8 8 $3,650.00 $2,920.00 20% off $1,095.00 $3,650.00 $3,376.50 2026-08-14
72132 CPT CT Spine Lumbar With Contrast 8 8 $3,650.00 $2,920.00 20% off $1,095.00 $3,650.00 $3,376.50 2026-08-14
72126 CPT CT Spine Cervical With Contrast 8 8 $3,650.00 $2,920.00 20% off $1,095.00 $3,650.00 $3,376.50 2026-08-14
70482 CPT CT Iac With + Without Contrast 16 8 $3,656.50 $2,925.50 $1,051.00 $3,811.00 $3,362.00 2026-08-14
1920215 CDM Omalizumab 150 Mg/ml Sol [Gch] 9 9 $3,487.00 $2,790.00 $1,046.00 $3,487.00 $3,313.00 2026-08-14
74170 CPT CT Abdomen With + Without Contrast 16 8 $3,573.00 $2,858.50 $1,027.00 $3,722.00 $3,287.00 2026-08-14
74160 CPT CT Abdomen With Contrast 8 8 $3,524.00 $2,819.00 20% off $1,057.00 $3,524.00 $3,260.00 2026-08-14
1100078 CDM Room/bed: Telemetry 8 8 $3,518.00 $2,814.00 20% off $1,055.00 $3,518.00 $3,254.00 2026-08-14
72193 CPT CT Scan Of Pelvis With Contrast 8 8 $3,435.00 $2,748.00 20% off $1,031.00 $3,435.00 $3,177.50 2026-08-14
25605 CPT 25605 Closed Treatment Of Distal Radial Fracture W/manipulation 8 8 $3,426.00 $2,741.00 $1,028.00 $3,426.00 $3,169.00 2026-08-14
36556 CPT 36556 Insertion Of Non-tunneled Centrally Inserted Central Venous Catheter; Age … 8 8 $3,154.00 $2,523.00 20% off $946.00 $3,154.00 $2,917.50 2026-08-14
70487 CPT CT Maxillofacial With Contrast 8 8 $3,152.00 $2,522.00 $946.00 $3,152.00 $2,915.50 2026-08-14
73201 CPT CT Upper Extremity With Contrast Left 8 8 $3,150.00 $2,520.00 20% off $945.00 $3,150.00 $2,914.00 2026-08-14
70491 CPT CT Soft Tissue Neck With Contrast 8 8 $3,145.00 $2,516.00 20% off $944.00 $3,145.00 $2,909.50 2026-08-14
36555 CPT 36555 Insertion Of Non-tunneled Centrally Inserted Central Venous Catheter; Unde… 8 8 $3,119.00 $2,495.00 20% off $936.00 $3,119.00 $2,885.00 2026-08-14
72192 CPT CT Pelvis Without Contrast 8 8 $3,104.00 $2,483.00 20% off $931.00 $3,104.00 $2,871.50 2026-08-14
46320 CPT 46320 Excision Of Thrombosed Hemorrhoid, External 8 8 $3,084.00 $2,467.00 20% off $925.00 $3,084.00 $2,853.00 2026-08-14
10140 CPT I&d Hematoma/seroma/fluid Coll Charge 8 8 $3,080.00 $2,464.00 20% off $924.00 $3,080.00 $2,849.00 2026-08-14
74150 CPT CT Abdomen Without Contrast 8 8 $3,069.00 $2,455.00 20% off $921.00 $3,069.00 $2,839.00 2026-08-14
70460 CPT CT Head Or Brain With Contrast 8 8 $3,057.00 $2,446.00 $917.00 $3,057.00 $2,827.50 2026-08-14
72128 CPT CT Spine Thoracic Without Contrast 8 8 $3,055.00 $2,444.00 20% off $917.00 $3,055.00 $2,826.00 2026-08-14
70481 CPT CT Iac With Contrast 16 8 $3,065.00 $2,452.00 20% off $875.00 $3,213.00 $2,800.00 2026-08-14
72125 CPT CT Spine Cervical Without Contrast 8 8 $3,023.00 $2,418.00 20% off $907.00 $3,023.00 $2,796.50 2026-08-14
71250 CPT CT Chest Without Contrast 8 8 $3,023.00 $2,418.00 20% off $907.00 $3,023.00 $2,796.50 2026-08-14
72131 CPT CT Spine Lumbar Without Contrast 8 8 $3,023.00 $2,418.00 20% off $907.00 $3,023.00 $2,796.50 2026-08-14
73701 CPT CT Lower Extremity With Contrast Left 8 8 $3,022.00 $2,418.00 $907.00 $3,022.00 $2,795.50 2026-08-14
33010 CPT 33010 Pericardiocentesis; Initial 8 8 $2,911.00 $2,329.00 $873.00 $2,911.00 $2,692.50 2026-08-14
70490 CPT CT Soft Tissue Neck Without Contrast 8 8 $2,722.00 $2,178.00 $817.00 $2,722.00 $2,518.00 2026-08-14
73200 CPT CT Upper Extremity Without Contrast Left 8 8 $2,717.00 $2,174.00 $815.00 $2,717.00 $2,513.00 2026-08-14
73700 CPT CT Lower Extremity Without Contrast Left 8 8 $2,715.00 $2,172.00 20% off $815.00 $2,715.00 $2,511.50 2026-08-14
19020 CPT 19020 Incision Breast Lesion 8 8 $2,712.00 $2,170.00 $814.00 $2,712.00 $2,508.50 2026-08-14
70486 CPT CT Maxillofacial Without Contrast 8 8 $2,682.00 $2,146.00 $805.00 $2,682.00 $2,481.00 2026-08-14
46608 CPT 46608 Anoscopy; Diagnostic With Removal Of Foreign Body 8 8 $2,620.00 $2,096.00 20% off $786.00 $2,620.00 $2,423.50 2026-08-14
70480 CPT CT Iac Without Contrast 16 8 $2,643.00 $2,114.50 $752.00 $2,779.00 $2,411.00 2026-08-14
1913641 CDM Leuprolide 3.75 Mg/month Pwd [Gch] 9 9 $2,494.00 $1,995.00 20% off $748.00 $2,494.00 $2,369.00 2026-08-14
49082 CPT Paracentesis Charge 8 8 $2,530.00 $2,024.00 20% off $759.00 $2,530.00 $2,340.50 2026-08-14
13122 CPT 13122 Complex Suturing: Each Addition 5.0cm 8 8 $2,528.00 $2,022.00 20% off $758.00 $2,528.00 $2,338.50 2026-08-14
46050 CPT 46050 Incision And Drainage, Perianal Abscess, Superficial 8 8 $2,510.00 $2,008.00 20% off $753.00 $2,510.00 $2,322.00 2026-08-14
13133 CPT 13133 Each Additional 5.0 Cm Or Less. 8 8 $2,469.00 $1,975.00 20% off $741.00 $2,469.00 $2,284.00 2026-08-14
13132 CPT 13132 Complex Suture 2.6-7.5 Cm. 8 8 $2,467.00 $1,974.00 $740.00 $2,467.00 $2,282.00 2026-08-14
13102 CPT 13102 Complex Each Addition 5.0 Cm. 8 8 $2,461.00 $1,969.00 $738.00 $2,461.00 $2,276.50 2026-08-14
13101 CPT 13101 Complex Suture 2.6-7.5 Cm. 8 8 $2,427.00 $1,942.00 $728.00 $2,427.00 $2,245.00 2026-08-14
1000073 CDM Room/bed: Acute 8 8 $2,425.00 $1,940.00 20% off $728.00 $2,425.00 $2,243.50 2026-08-14
13121 CPT 13121 Complex Suturing 2.6-7.5cm 8 8 $2,421.00 $1,937.00 $726.00 $2,421.00 $2,239.50 2026-08-14
76380 CPT CT Limited Or Localized F/u Study 8 8 $2,369.00 $1,895.00 20% off $711.00 $2,369.00 $2,191.50 2026-08-14
52235 CPT 52235 Cystourethroscopy, With Fulguration Or And/or Resection Of Medium Bladder … 8 8 $2,366.00 $1,893.00 $710.00 $2,366.00 $2,188.50 2026-08-14
26700 CPT 26700 Closed Treatment Of Metacarpophalangeal Dislocation, Single, With Manipula… 8 8 $2,361.00 $1,889.00 $708.00 $2,361.00 $2,184.00 2026-08-14
H0046 HCPCS Mental Health Services Not Otherwise Specified 8 8 $2,328.00 $1,862.00 20% off $698.00 $2,328.00 $2,153.50 2026-08-14
70450 CPT CT Scan 24 8 $2,464.00 $1,971.00 20% off $55.00 $2,647.00 $2,052.00 2026-08-14
1910193 CDM Denosumab Nxxp 60 Mg/ml [Gch] 9 9 $2,158.00 $1,726.00 20% off $647.00 $2,158.00 $2,050.00 2026-08-14
12044 CPT 12044 Intermediate Suturing 7.6-12.5cm 8 8 $2,202.00 $1,762.00 $661.00 $2,202.00 $2,037.00 2026-08-14
1920437 CDM Immune Globulin Intravenous 10% Sol [Gch] 9 9 $2,111.00 $1,689.00 $633.00 $2,111.00 $2,005.00 2026-08-14
13120 CPT 13120 Complex Suturing 1.1-2.5cm 8 8 $2,167.00 $1,734.00 $650.00 $2,167.00 $2,004.50 2026-08-14
1910261 CDM Prothrombin Complex Lans Pow [Gch] 9 9 $2,010.00 $1,608.00 20% off $603.00 $2,010.00 $1,910.00 2026-08-14
62270 CPT Lumbar Puncture Charge Gch 8 8 $2,049.00 $1,639.00 20% off $615.00 $2,049.00 $1,895.50 2026-08-14
27840 CPT 27840 Closed Treatment Of Ankle Dislocation; Without Anesthesia 8 8 $2,048.00 $1,638.00 20% off $614.00 $2,048.00 $1,894.50 2026-08-14
1910634 CDM Tetanus Immune Globulin (Human) 250 Units [Gch] 9 9 $1,982.00 $1,586.00 $595.00 $1,982.00 $1,883.00 2026-08-14
10080 CPT I&d Pilondial Cyst Simple Charge 8 8 $2,034.00 $1,627.00 20% off $610.00 $2,034.00 $1,881.50 2026-08-14
1915513 CDM Darbepoetin Alfa 40 Mcg/0.4 Ml Soln 9 9 $1,973.00 $1,578.00 20% off $592.00 $1,973.00 $1,874.00 2026-08-14
23330 CPT 23330 Removal Of Foreign Body, Shoulder; Subcutaneous 8 8 $2,023.00 $1,618.00 20% off $607.00 $2,023.00 $1,871.50 2026-08-14
52234 CPT 52234 Cystourethroscopy, With Fulguration Or And/or Resection Of Small Bladder T… 8 8 $2,019.00 $1,615.00 20% off $606.00 $2,019.00 $1,867.50 2026-08-14
10081 CPT 10081 Incision And Drainage Of Pilonidal Cyst-complicated 8 8 $1,983.00 $1,586.00 20% off $595.00 $1,983.00 $1,834.50 2026-08-14
1913683 CDM Leuprolide 30 Mg/4 Months Kit [Gch] 9 9 $1,926.00 $1,541.00 $578.00 $1,926.00 $1,830.00 2026-08-14
27550 CPT Reduce Pattella Charge 8 8 $1,977.00 $1,582.00 $593.00 $1,977.00 $1,828.50 2026-08-14
1910000 CDM Daptomycin 550 Mg Bag [Gch] 9 9 $1,918.00 $1,534.00 20% off $575.00 $1,918.00 $1,822.00 2026-08-14
28190 CPT 28190 Removal Of Foreign Body, Foot; Subcutaneous 8 8 $1,962.00 $1,570.00 $589.00 $1,962.00 $1,815.00 2026-08-14
81220 CPT Cystic Fibrosis Mutation Panel 8 8 $1,948.00 $1,558.00 20% off $584.00 $1,948.00 $1,802.00 2026-08-14
1912901 CDM Remdesivir 100 Mg Pow [Gch] 9 9 $1,886.00 $1,509.00 $566.00 $1,886.00 $1,792.00 2026-08-14
1920318 CDM Rabies Immune Globulin, Human 300 Intl Units/ml Sol [Gch] 9 9 $1,876.00 $1,501.00 $563.00 $1,876.00 $1,782.00 2026-08-14
12054 CPT 12054 Repair,intermediate,wound Of Face,ear,elyelids 7.5 To 12.5 Cm 8 8 $1,919.00 $1,535.00 20% off $576.00 $1,919.00 $1,775.00 2026-08-14
92960 CPT 92960 Cardioversion, Elective, Electrical Conversion Of Arrhythmia; External 8 8 $1,906.00 $1,525.00 $572.00 $1,906.00 $1,763.00 2026-08-14
93975 CPT US Art/vein Abd/pelvis/scrotal Complete 8 8 $1,897.00 $1,518.00 $569.00 $1,897.00 $1,754.50 2026-08-14
13131 CPT 13131 Complex Suture 1.1-2.5 Cm. 8 8 $1,867.00 $1,494.00 $560.00 $1,867.00 $1,727.00 2026-08-14
25600 CPT 25600 Closed Treatment Of Distal Radial Fracture 8 8 $1,824.00 $1,459.00 20% off $547.00 $1,824.00 $1,687.50 2026-08-14
12053 CPT 12053 Intermediate Suture 5.1-7.5 Cm. 8 8 $1,805.00 $1,444.00 20% off $542.00 $1,805.00 $1,670.00 2026-08-14
27831 CPT Closed Treatment Of Proximal Tibiofibular Joint Dislocation; Requiring Anesthesi… 8 8 $1,804.00 $1,443.00 20% off $541.00 $1,804.00 $1,669.00 2026-08-14
1900964 CDM Rabies Vaccine, Purified Chick Embryo Cell 2.5 Intl Units Pow [Gch] 9 9 $1,751.00 $1,401.00 $525.00 $1,751.00 $1,663.00 2026-08-14
26725 CPT 26725 Closed Treatment Of Phalangeal Shaft Fracture, Proximal Or Middle Phalanx,… 8 8 $1,794.00 $1,435.00 20% off $538.00 $1,794.00 $1,659.50 2026-08-14
64413 CPT 64413 Injection, Anesthetic Agent; Cervical Plexus 8 8 $1,774.00 $1,419.00 20% off $532.00 $1,774.00 $1,641.00 2026-08-14
64445 CPT 64445 Injection, Anesthetic Agent; Sciatic Nerve, Single 8 8 $1,742.00 $1,394.00 $523.00 $1,742.00 $1,611.50 2026-08-14
11406 CPT 11406 Excision, Benign Lesion Including Margins, Trunk, Arms Or Legs; Excised Di… 8 8 $1,734.00 $1,387.00 20% off $520.00 $1,734.00 $1,604.00 2026-08-14
64447 CPT 64447 Injection, Anesthetic Agent; Femoral Nerve, Single 8 8 $1,719.00 $1,375.00 20% off $516.00 $1,719.00 $1,590.00 2026-08-14
12052 CPT 12052 Intermediate Suture 2.6-5.0 Cm. 8 8 $1,715.00 $1,372.00 20% off $515.00 $1,715.00 $1,586.50 2026-08-14
12014 CPT 12014 Simple Suture 5.1-7.5cm. 8 8 $1,709.00 $1,367.00 20% off $513.00 $1,709.00 $1,581.00 2026-08-14
2300005 CDM Platelets Charge 8 8 $1,701.00 $1,361.00 $510.00 $1,701.00 $1,573.50 2026-08-14
J7307 HCPCS Etonogestrel 68 Mg Implant System (Nexplanon) 8 8 $1,679.00 $1,343.00 20% off $504.00 $1,679.00 $1,553.00 2026-08-14
12034 CPT 12034 Intermediate Suture 7.6-12.5 Cm. 8 8 $1,652.00 $1,322.00 $496.00 $1,652.00 $1,528.00 2026-08-14
64450 CPT 64450 Injection, Anesthetic Agent; Other Peripheral Nerve Or Branch 8 8 $1,644.00 $1,315.00 20% off $493.00 $1,644.00 $1,521.00 2026-08-14
23585 CPT Liletta IUD 8 8 $1,640.00 $1,312.00 20% off $492.00 $1,640.00 $1,517.00 2026-08-14
52630 CPT 52630 Transurethral Resection; Residual Or Regrowth Of Obstructive Prostate Tiss… 8 8 $1,634.00 $1,307.00 20% off $490.00 $1,634.00 $1,511.50 2026-08-14
25500 CPT 25500 Closed Treatment Of Radial Shaft Fracture; Without Manipulation 8 8 $1,630.00 $1,304.00 20% off $489.00 $1,630.00 $1,508.00 2026-08-14
52240 CPT 52240 Cystourethroscopy, With Fulguration Or And/or Resection Of Large Bladder T… 8 8 $1,605.00 $1,284.00 20% off $482.00 $1,605.00 $1,485.00 2026-08-14
17281 CPT 17281 Destruction Malignant Lesion 0.6-1.0cm 8 8 $1,601.00 $1,281.00 $480.00 $1,601.00 $1,481.00 2026-08-14
J73001 CDM Intraut Copper Contraceptive 8 8 $1,600.00 $1,280.00 20% off $480.00 $1,600.00 $1,480.00 2026-08-14
24600 CPT Reduction Of Elbow Charge 8 8 $1,595.00 $1,276.00 20% off $479.00 $1,595.00 $1,475.50 2026-08-14
13152 CPT 13152 Complex Suture 2.6-7.5 Cm 16 8 $2,004.00 $1,603.00 20% off $268.00 $2,535.00 $1,473.00 2026-08-14
12032 CPT 12032 Intermediate Suture 2.6-7.5 Cm. 8 8 $1,589.00 $1,271.00 20% off $477.00 $1,589.00 $1,470.00 2026-08-14
93930 CPT US Ue Arterial Duplex Bilateral 8 8 $1,580.00 $1,264.00 20% off $474.00 $1,580.00 $1,461.50 2026-08-14
J7300 HCPCS Medication Charge 16 8 $1,569.00 $1,255.00 20% off $461.00 $1,600.00 $1,450.50 2026-08-14
32555 CPT 32555 Thoracentesis With Imaging Guidance 8 8 $1,562.00 $1,250.00 $469.00 $1,562.00 $1,445.00 2026-08-14
55060 CPT 55060 Repair Of Tunica Vaginalis Hydrocele (Bottle Type) 8 8 $1,554.00 $1,243.00 20% off $466.00 $1,554.00 $1,437.50 2026-08-14
1910209 CDM Filgrastim 480mcg/0.8 Ml Syringe (non-form)[gch] 9 9 $1,506.00 $1,205.00 $452.00 $1,506.00 $1,431.00 2026-08-14
93970 CPT US Reflux Le Bilateral 16 8 $1,566.00 $1,252.50 20% off $444.00 $1,653.00 $1,428.50 2026-08-14
J7298 HCPCS Mirena IUD 8 8 $1,538.00 $1,230.00 20% off $461.00 $1,538.00 $1,422.50 2026-08-14
12031 CPT 12031 Intermediate Suture 2.5 Or Less. 8 8 $1,534.00 $1,227.00 20% off $460.00 $1,534.00 $1,419.00 2026-08-14
12041 CPT 12041 Intermediate Suturing 2.5cm 8 8 $1,505.00 $1,204.00 20% off $452.00 $1,505.00 $1,392.50 2026-08-14
1911309 CDM Epoetin Alfa Epbx 40,000 Units/ml Preservative-free Sol [Gch] 9 9 $1,458.00 $1,166.00 20% off $437.00 $1,458.00 $1,385.00 2026-08-14
12007 CPT 12007 Simple Suture Over 30.0 Cm 8 8 $1,483.00 $1,186.00 20% off $445.00 $1,483.00 $1,372.00 2026-08-14
12042 CPT 12042repair Intermediate: Suturing To Neck, Hands, Feet And/or External Genitali… 8 8 $1,461.00 $1,169.00 $438.00 $1,461.00 $1,351.50 2026-08-14
12051 CPT 12051 Intermdiate Suture 2.5 Or Less. 8 8 $1,460.00 $1,168.00 20% off $438.00 $1,460.00 $1,350.50 2026-08-14
92953 CPT 92953 Temporary Transcutaneous Pacing 8 8 $1,455.00 $1,164.00 20% off $437.00 $1,455.00 $1,346.00 2026-08-14
1920436 CDM Immune Globulin Intravenous 10% Sol [Gch] 9 9 $1,408.00 $1,126.00 20% off $422.00 $1,408.00 $1,338.00 2026-08-14
27560 CPT 27560 Closed Treatment Of Patellar Dislocation; Without Anesthesia 8 8 $1,446.00 $1,157.00 $434.00 $1,446.00 $1,337.50 2026-08-14
12006 CPT 12006 Simple Suture 20.1 Cm To 30.0 Cm 8 8 $1,445.00 $1,156.00 20% off $434.00 $1,445.00 $1,337.00 2026-08-14
11750 CPT 11750 Excision Of Nail And Nail Matrix, Partial Or Complete (Eg. Ingrown Or Defo… 8 8 $1,427.00 $1,142.00 $428.00 $1,427.00 $1,320.00 2026-08-14
52317 CPT 52317 Litholapaxy: Crushing Or Fragmentation Of Calculus By Any Means In Bladder… 8 8 $1,423.00 $1,138.00 20% off $427.00 $1,423.00 $1,316.50 2026-08-14
30906 CPT 30906 Control Nasal Hem, Posterior, Subsequent 8 8 $1,400.00 $1,120.00 20% off $420.00 $1,400.00 $1,295.00 2026-08-14
23650 CPT Clsd Tx Shoulder Disloc W/manip, W/anes Charge 8 8 $1,382.00 $1,106.00 $415.00 $1,382.00 $1,278.50 2026-08-14
21030 CPT Excise Max/zygoma B9 Tumor 8 8 $1,376.00 $1,101.00 $413.00 $1,376.00 $1,272.50 2026-08-14
10061 CPT I&d Abscess/paronychia; Complicated/multiple Charge 8 8 $1,365.00 $1,092.00 20% off $410.00 $1,365.00 $1,263.00 2026-08-14
93971 CPT US Reflux Le Right 16 8 $1,384.50 $1,107.50 20% off $391.00 $1,465.00 $1,262.50 2026-08-14
31605 CPT 31605 Tracheostomy, Emergency Procedure; Cricothyroid Membrane 8 8 $1,364.00 $1,091.00 20% off $409.00 $1,364.00 $1,262.00 2026-08-14
77075 CPT Xr Bone Survey Complete 8 8 $1,363.00 $1,090.00 20% off $409.00 $1,363.00 $1,261.00 2026-08-14
26770 CPT 26770 Reduced Ipso Joint Finger/manip Charge 8 8 $1,340.00 $1,072.00 20% off $402.00 $1,340.00 $1,239.50 2026-08-14
93925 CPT US Le Arterial Duplex Bilateral 8 8 $1,340.00 $1,072.00 20% off $402.00 $1,340.00 $1,239.50 2026-08-14
1912989 CDM Morphine 10mg/ml Cassette For Cadd [Gch] 9 9 $1,296.00 $1,037.00 $389.00 $1,296.00 $1,231.00 2026-08-14
13151 CPT 13151 Complex Suturing 1.1-2.5 Cm 16 8 $1,775.50 $1,420.00 20% off $224.00 $2,333.00 $1,218.00 2026-08-14
11446 CPT 11446 Excision Benign Lesion Over 4.0cm 8 8 $1,313.00 $1,050.00 20% off $394.00 $1,313.00 $1,214.50 2026-08-14
76801 CPT US Pregnancy 1st Trimester 8 8 $1,294.00 $1,035.00 20% off $388.00 $1,294.00 $1,197.00 2026-08-14
12021 CPT 12021 Treatment Of Superficial Wound Dehiscence With Packing. 8 8 $1,293.00 $1,034.00 20% off $388.00 $1,293.00 $1,196.00 2026-08-14
J7301 HCPCS J7301 Skyla 13.5 Mg IUD 8 8 $1,282.00 $1,026.00 $385.00 $1,282.00 $1,186.00 2026-08-14
27250 CPT 27250 Closed Treatment Of Hip Dislocation, Traumatic; Without Anesthesia 8 8 $1,278.00 $1,022.00 20% off $383.00 $1,278.00 $1,182.00 2026-08-14
76811 CPT US Pregnancy Complete With Detail 8 8 $1,278.00 $1,022.00 20% off $383.00 $1,278.00 $1,182.00 2026-08-14
1000071 CDM Room/bed: Skilled Nursing 8 8 $1,274.00 $1,019.00 20% off $382.00 $1,274.00 $1,178.50 2026-08-14
67700 CPT 67700 Dainage Of Eyelid Abscess 8 8 $1,259.00 $1,007.00 20% off $378.00 $1,259.00 $1,164.50 2026-08-14
52281 CPT 52281 Cystourethroscopy, With Calibration And/or Dilation Of Urethral Stricture … 8 8 $1,251.00 $1,001.00 $375.00 $1,251.00 $1,157.00 2026-08-14
93976 CPT US Art/vein Abd/pelvis/scrotal Limited 8 8 $1,239.00 $991.00 20% off $372.00 $1,239.00 $1,146.00 2026-08-14
93880 CPT US Carotid Duplex Bilateral 8 8 $1,236.00 $989.00 $371.00 $1,236.00 $1,143.00 2026-08-14
10120 CPT Inc & Rem Fb Skin; Simple Charge 8 8 $1,232.00 $986.00 $370.00 $1,232.00 $1,139.50 2026-08-14
77074 CPT Xr Bone Survey Limited (Mets) 8 8 $1,230.00 $984.00 20% off $369.00 $1,230.00 $1,138.00 2026-08-14
66720 CPT Destruction, Ciliary Body 8 8 $1,224.00 $979.00 20% off $367.00 $1,224.00 $1,132.50 2026-08-14
1910162 CDM Morphine 25 Mg/ml Preservative-free Sol [Gch] 9 9 $1,186.00 $949.00 $356.00 $1,186.00 $1,127.00 2026-08-14
28495 CPT 28495 Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges; With Manipul… 8 8 $1,218.00 $974.00 20% off $365.00 $1,218.00 $1,126.50 2026-08-14
1920101 CDM Phentolamine 5 Mg Pow [Gch] 9 9 $1,181.00 $945.00 $354.00 $1,181.00 $1,122.00 2026-08-14
76700 CPT Ultrasound Of Abdomen 8 8 $1,204.00 $963.00 20% off $361.00 $1,204.00 $1,114.00 2026-08-14
76830 CPT Ultrasound Pelvis Through Vagina 8 8 $1,201.00 $961.00 $360.00 $1,201.00 $1,111.00 2026-08-14
28515 CPT 28515 Closed Treatment Of Fracture, Phalanx Or Phalanges, Other Than Great Toe; … 8 8 $1,191.00 $953.00 $357.00 $1,191.00 $1,101.50 2026-08-14
52001 CPT 52001 Cystourethroscopy With Irrigation And Evacuation Of Multiple Obstructing C… 8 8 $1,178.00 $942.00 20% off $353.00 $1,178.00 $1,089.50 2026-08-14
11606 CPT Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diam… 8 8 $1,176.00 $941.00 $353.00 $1,176.00 $1,087.50 2026-08-14
1916893 CDM Chlorothiazide 0.5 G Inj (Nonform) [Gch] 9 9 $1,144.00 $915.00 20% off $343.00 $1,144.00 $1,087.00 2026-08-14
36680 CPT 36680 Placement Of Needle For Intraosseous Infusion 8 8 $1,171.00 $937.00 $351.00 $1,171.00 $1,083.00 2026-08-14
2300004 CDM Leuko Reduced Prbc 8 8 $1,170.00 $936.00 20% off $351.00 $1,170.00 $1,082.50 2026-08-14
11644 CPT 11644 Excision, Malignant Lesion Incl Margins, Face, Ears,eyelids,nose,lips; Exc… 16 8 $1,600.50 $1,280.50 $229.00 $2,134.00 $1,067.00 2026-08-14
1920701 CDM Penicillin G Benzathine 1,200,000 Units/2 Ml Sus [Gch] 9 9 $1,122.00 $898.00 $337.00 $1,122.00 $1,066.00 2026-08-14
36430 CPT Blood Transfusion Charge 8 8 $1,151.00 $921.00 $345.00 $1,151.00 $1,064.50 2026-08-14
11404 CPT 11404 Excision, Benign Lesion Including Margins, Trunk, Arms Or Legs; Excised Di… 8 8 $1,147.00 $918.00 $344.00 $1,147.00 $1,061.00 2026-08-14
76805 CPT Abdomial Ultrasound Of Pregnant Uterus 8 8 $1,142.00 $914.00 $343.00 $1,142.00 $1,056.50 2026-08-14
76817 CPT US Pregnancy Transvaginal 8 8 $1,142.00 $914.00 $343.00 $1,142.00 $1,056.50 2026-08-14
11622 CPT Excision, Malignant Lesion Margins, Scalp, Neck, Hands, Feet, Genitalia Excised … 8 8 $1,126.00 $901.00 $338.00 $1,126.00 $1,041.50 2026-08-14
46083 CPT Incision Thrombosed Hemorrhoid,external Charge 8 8 $1,111.00 $889.00 $333.00 $1,111.00 $1,027.50 2026-08-14
65220 CPT 65220 Removal Of Foreign Body, External Eye; Corneal, Without Slit Lamp 8 8 $1,104.00 $883.00 20% off $331.00 $1,104.00 $1,021.50 2026-08-14
30905 CPT 30905 Control Nasal Hemorrhage, Posterior, With Posterior Nasal Packs And/or Cau… 8 8 $1,102.00 $882.00 $331.00 $1,102.00 $1,019.50 2026-08-14
76881 CPT US Lower Extremity Non-vascular Left 8 8 $1,095.00 $876.00 20% off $329.00 $1,095.00 $1,013.00 2026-08-14
12020 CPT 12020 Treatment Of Superficial Wound Dehiscence: Simple. 8 8 $1,075.00 $860.00 20% off $323.00 $1,075.00 $994.50 2026-08-14
G0439 HCPCS Annual Wellness Visit; Subsequent Visit, Includes A Personalized Prevention Plan… 8 8 $1,066.00 $853.00 $320.00 $1,066.00 $986.00 2026-08-14
G0438 HCPCS Annual Wellness Visit; Initial Visit, Including A Personalized Prevention Plan O… 8 8 $1,066.00 $853.00 $320.00 $1,066.00 $986.00 2026-08-14
28630 CPT 28630 Closed Treatment Of Metatarsophalangeal Joint Dislocation; Without Anesthe… 8 8 $1,052.00 $842.00 $316.00 $1,052.00 $973.00 2026-08-14
92977 CPT Thrombolysis Coronary By IV Infusion Charge 8 8 $1,047.00 $838.00 $314.00 $1,047.00 $968.50 2026-08-14
11403 CPT 11403 Excision, Benign Lesion Including Margins, Trunk, Arms Or Legs; Excised Di… 8 8 $1,043.00 $834.00 20% off $313.00 $1,043.00 $965.00 2026-08-14
26010 CPT 26010 Drainage Of Finger Abscess; Simple 8 8 $1,035.00 $828.00 20% off $311.00 $1,035.00 $957.50 2026-08-14
76536 CPT US Thyroid 16 8 $1,041.00 $833.00 $294.00 $1,102.00 $949.50 2026-08-14
43753 CPT Gastric Intubation Charge 8 8 $1,022.00 $818.00 $307.00 $1,022.00 $945.50 2026-08-14
76770 CPT US Retroperitoneal Complete 8 8 $1,015.00 $812.00 20% off $305.00 $1,015.00 $939.00 2026-08-14
41800 CPT 41800 I&d Of Gingival Abscess 8 8 $1,012.00 $810.00 $304.00 $1,012.00 $936.00 2026-08-14
1914347 CDM Pneumococcal 21-valent Conjugate Vaccine (Cvx 327)sus [Gch] 9 9 $984.00 $787.00 20% off $295.00 $984.00 $935.00 2026-08-14
56405 CPT 56405 Incision And Drainage Of Vulva Or Perineal Abscess 8 8 $1,008.00 $806.00 20% off $302.00 $1,008.00 $932.50 2026-08-14
12035 CPT 12035 Intermediate Suture 12.6-20.0 Cm 8 8 $998.00 $798.00 20% off $299.00 $998.00 $923.00 2026-08-14
76816 CPT US Pregnancy Follow-up 16 8 $1,036.50 $829.50 $279.00 $1,142.00 $917.00 2026-08-14
76800 CPT US Spinal Canal 8 8 $987.00 $790.00 $296.00 $987.00 $913.00 2026-08-14
99291 CPT 99291 Critical Care Fct Charge 16 8 $1,546.50 $1,237.50 $191.00 $2,187.00 $906.00 2026-08-14
27256 CPT 27256 Treatment Of Spontaneous Hip Dislocation 8 8 $978.00 $782.00 20% off $293.00 $978.00 $904.50 2026-08-14
12005 CPT 12005 Simple Suture 12.6 Cm To 20.0 Cm 8 8 $965.00 $772.00 20% off $290.00 $965.00 $893.00 2026-08-14
64400 CPT 64400 Injection, Anesthetic Agent, Trigeminal Nerve, Any Branch 8 8 $961.00 $769.00 $288.00 $961.00 $889.00 2026-08-14
12016 CPT 12016 Simple Suture 12.6-20.0cm 8 8 $949.00 $759.00 20% off $285.00 $949.00 $878.00 2026-08-14
30300 CPT Removal Fb, Nose Charge 8 8 $948.00 $758.00 20% off $284.00 $948.00 $877.00 2026-08-14
13100 CPT 13100 Complex Suture 1.1-2.5 Cm 16 8 $1,530.00 $1,224.00 20% off $165.00 $2,185.00 $875.00 2026-08-14
1910080 CDM Fidaxomicin 200 Mg Tab [Gch] 9 9 $917.00 $734.00 $275.00 $917.00 $871.00 2026-08-14
1922000 CDM Pneumococcal 20-valent Conjugate Vaccinesus [Gch] 9 9 $912.00 $730.00 $274.00 $912.00 $866.00 2026-08-14
CP17867443395977348 CDM Tpn 2 In 1 Patient Custom [Gch] 9 9 $900.00 $720.00 20% off $270.00 $900.00 $855.00 2026-08-14
CP17867443395972160 CDM Tpn 3 In 1 Patient Custom [Gch] 9 9 $900.00 $720.00 20% off $270.00 $900.00 $855.00 2026-08-14
76506 CPT US Encephalogram 16 8 $935.50 $748.50 $260.00 $1,004.00 $852.00 2026-08-14
11444 CPT 11444 Excision Benign Lesion 3.1-4.0cm 8 8 $916.00 $733.00 $275.00 $916.00 $847.00 2026-08-14
20611 CPT 20611 Intra-articular Glenohumeral Joint Injection, With Ultrasound Guidance, Reco… 8 8 $911.00 $729.00 $273.00 $911.00 $842.50 2026-08-14
1000072 CDM Room/bed: Custodial Care 8 8 $910.00 $728.00 20% off $273.00 $910.00 $842.00 2026-08-14
76705 CPT US Abdomen Limited 8 8 $904.00 $723.00 20% off $271.00 $904.00 $836.50 2026-08-14
87901 CPT HIV-1 Genotypic Drug Resistance Mayo 8 8 $901.00 $721.00 $270.00 $901.00 $833.50 2026-08-14
87902 CPT Hepatitis C Virus Genotype After Amplification Mayo 8 8 $901.00 $721.00 $270.00 $901.00 $833.50 2026-08-14
29345 CPT 29345 Application Of Long Leg Cast (Thigh To Toes) 8 8 $900.00 $720.00 20% off $270.00 $900.00 $832.50 2026-08-14
76856 CPT US Pelvis Non-OB Complete 8 8 $894.00 $715.00 20% off $268.00 $894.00 $827.00 2026-08-14
31500 CPT Emg. Endotracheal Intubation Charge 8 8 $892.00 $714.00 $268.00 $892.00 $825.00 2026-08-14
28660 CPT 28660 Closed Tx Interphalangeal Joint Toe 8 8 $892.00 $714.00 $268.00 $892.00 $825.00 2026-08-14
20610 CPT 20610 Intra-articular Glenohumeral Joint Injection, W/out Ultrasound Guidance 8 8 $878.00 $702.00 20% off $263.00 $878.00 $812.00 2026-08-14
71111 CPT Xr Ribs With Pa Chest Bilateral 8 8 $877.00 $702.00 $263.00 $877.00 $811.00 2026-08-14
11643 CPT Excision, Malignant Lesion Incl Margins, Face, Ears,eyelids,nose,lips; Excised D… 8 8 $859.00 $687.00 20% off $258.00 $859.00 $794.50 2026-08-14
88189 CPT Bill Flow Cytometry, Interpretation; 16 Or More Markers 8 8 $859.00 $687.00 20% off $258.00 $859.00 $794.50 2026-08-14
12004 CPT 12004 Simple Suture 7.6-12.5cm. 8 8 $856.00 $685.00 $257.00 $856.00 $791.50 2026-08-14
12045 CPT 12045 Intermediate Suture 12.6-20.0 Cm 8 8 $855.00 $684.00 20% off $257.00 $855.00 $791.00 2026-08-14
24640 CPT Clsd Tx Rdls Head Sblx In Child Charge 8 8 $850.00 $680.00 20% off $255.00 $850.00 $786.50 2026-08-14
29065 CPT 29065 Application Of Long Arm Cast (Shoulder To Hand) 8 8 $846.00 $677.00 $254.00 $846.00 $782.50 2026-08-14
76706 CPT Gch Screening Ultrasound Aaa 16 8 $862.50 $690.00 20% off $237.00 $935.00 $778.00 2026-08-14
M0247 HCPCS Sotrovimab 8 8 $840.00 $672.00 20% off $252.00 $840.00 $777.00 2026-08-14
20612 CPT 20612 Aspiration And/or Injection Of Ganglion Cyst(s) Any Location 8 8 $836.00 $669.00 $251.00 $836.00 $773.00 2026-08-14
10160 CPT Punture Asp. Abscess/hematoma/bulla/cyst Charge 8 8 $836.00 $669.00 $251.00 $836.00 $773.00 2026-08-14
52224 CPT 52224 Cystourethroscopy, With Fulguration Or Treatment Of Minor Lesion(s) With O… 8 8 $836.00 $669.00 $251.00 $836.00 $773.00 2026-08-14
1300593 CDM Xr Pelvis W/bilateral Hips 8 8 $835.00 $668.00 20% off $251.00 $835.00 $772.50 2026-08-14
11604 CPT Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diam… 8 8 $835.00 $668.00 20% off $251.00 $835.00 $772.50 2026-08-14
20553 CPT 20553 Injection(s); Single Or Multiple Trigger Point(s), 3 Or More Muscle(s) Ed 8 8 $835.00 $668.00 20% off $251.00 $835.00 $772.50 2026-08-14
12013 CPT 12013 Simple Suture 2.6-5.0cm. 8 8 $828.00 $662.00 20% off $248.00 $828.00 $766.00 2026-08-14
73522 CPT Xr Hips Bil With Pelvis 3-4 Views 8 8 $826.00 $661.00 $248.00 $826.00 $764.00 2026-08-14
29075 CPT 29075 Application Of Short Arm Cast (Elbow To Finger) 8 8 $819.00 $655.00 20% off $246.00 $819.00 $757.50 2026-08-14
30903 CPT Cntrl Nasal Hem, Ant, Complex Charge 8 8 $818.00 $654.00 20% off $245.00 $818.00 $756.50 2026-08-14
1910082 CDM Salmeterol 50 Mcg Inh Pwdr [non-form] [Gch] 9 9 $792.00 $634.00 $238.00 $792.00 $752.00 2026-08-14
20552 CPT 20552 Injection(s); Single Or Multiple Trigger Point(s), 1 Or 2 Muscle(s) Ed 8 8 $812.00 $650.00 $244.00 $812.00 $751.00 2026-08-14
11402 CPT 11402 Excision, Benign Lesion Including Margins, Trunk, Arms Or Legs; Excised Di… 8 8 $812.00 $650.00 $244.00 $812.00 $751.00 2026-08-14
11300346 CDM Report 8 8 $810.00 $648.00 20% off $243.00 $810.00 $749.50 2026-08-14
12011 CPT 12011 Simple Suture < 2.5 8 8 $805.00 $644.00 20% off $242.00 $805.00 $745.00 2026-08-14
11623 CPT Excision, Malignant Lesion Margins, Scalp, Neck, Hands, Feet, Genitalia Excised … 8 8 $804.00 $643.00 20% off $241.00 $804.00 $744.00 2026-08-14
54161 CPT 54161 Circumcision, Surgical Excision Other Than Clamp, Device, Or Dorsal Slit, … 8 8 $804.00 $643.00 20% off $241.00 $804.00 $744.00 2026-08-14
49083 CPT 49083 Abdominal Paracentesis (Diagnostic Or Therapeutic); With Image Guidance 8 8 $802.00 $642.00 $241.00 $802.00 $742.00 2026-08-14
12002 CPT 12002 Simple Suture 2.6-7.5cm. 8 8 $797.00 $638.00 $239.00 $797.00 $737.00 2026-08-14
17262 CPT 17262 Destruction Malignant Lesion 1.1-2.0cm 8 8 $791.00 $633.00 $237.00 $791.00 $731.50 2026-08-14
10060 CPT I&d Abscess/paronychia; Simp/single Charge 8 8 $791.00 $633.00 $237.00 $791.00 $731.50 2026-08-14
76882 CPT US Le Non-vascular Limited Bil 16 8 $801.00 $641.00 $224.00 $855.00 $730.00 2026-08-14
76857 CPT US Pelvis Non-OB Limited 8 8 $789.00 $631.00 20% off $237.00 $789.00 $730.00 2026-08-14
73521 CPT Xr Hips Bil With Pelvis 2 Views 8 8 $779.00 $623.00 20% off $234.00 $779.00 $720.50 2026-08-14
56420 CPT 56420 Incision And Drainage Of Bartholin's Gland Abscess 8 8 $779.00 $623.00 20% off $234.00 $779.00 $720.50 2026-08-14
76642 CPT US Breast Left 8 8 $770.00 $616.00 20% off $231.00 $770.00 $712.50 2026-08-14
12015 CPT 12015 Simple Suture 7.6-12.5cm 8 8 $767.00 $614.00 $230.00 $767.00 $709.50 2026-08-14
76775 CPT US Kidney Limited 24 8 $830.00 $664.00 20% off $212.00 $915.00 $709.50 2026-08-14
1907463 CDM Acyclovir Top 5% Oint Non-form [Gch] 9 9 $746.00 $597.00 $224.00 $746.00 $709.00 2026-08-14
26011 CPT 26011 Drainage Of Finger Abscess; Complicated 8 8 $761.00 $609.00 $228.00 $761.00 $704.00 2026-08-14
1920400 CDM Ceftaroline 400 Mg Pow [Gch] 9 9 $741.00 $593.00 $222.00 $741.00 $704.00 2026-08-14
11603 CPT Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diam… 8 8 $757.00 $606.00 $227.00 $757.00 $700.00 2026-08-14
76604 CPT US Chest 8 8 $756.00 $605.00 $227.00 $756.00 $699.00 2026-08-14
93926 CPT US Duplex Le Arteries Or Art Graft Uni/l 8 8 $755.00 $604.00 20% off $227.00 $755.00 $698.50 2026-08-14
11642 CPT 11642 Excision, Malignant Lesion 1.1-2.0cm 8 8 $754.00 $603.00 20% off $226.00 $754.00 $697.50 2026-08-14
12001 CPT 12001 Simple Suture 2.5 Or Less. 8 8 $752.00 $602.00 $226.00 $752.00 $695.50 2026-08-14
81208 CPT Bcr/abl,rna-qual Mayo 8 8 $751.00 $601.00 $225.00 $751.00 $694.50 2026-08-14
11730 CPT Nail Plate Avulsion; 1st Charge 8 8 $750.00 $600.00 20% off $225.00 $750.00 $694.00 2026-08-14
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