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Hospital

GRACE COTTAGE HOSPITAL

Townshend, VT · CCN 471300 · Rates published

1,782 distinct procedures filed
9 distinct payers
16,304 rate rows
2025-08-19 last MRF observed
Data quality

16,304 of 16,304 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

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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 Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 3effb4c3ccd894bc… · 91,646 bytes · first seen 2026-05-18

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
1914268
CDM 		Alteplase 100mg Vial [Gch] 9 $7,669.00 $25,562.00 $24,284.00 nat. median
$24,284
1.0× median
1914315
CDM 		Tenecteplase 50 Mg Pow[gch] 9 $7,196.00 $23,987.00 $22,788.00 nat. median
$22,788
1.0× median
1900601
CDM 		Heparin 25,000 Units/500 Ml-d5w IV Sol [Gch] 9 $6,818.00 $22,725.00 $21,589.00 nat. median
$21,589
1.0× median
1910044
CDM 		Alteplase 50 Mg Pow [Gch] 9 $3,816.00 $12,721.00 $12,085.00 nat. median
$12,085
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
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
1910730
CDM 		Denosumab 120 Mg/1.7 Ml Sol [Gch] 9 $2,161.00 $7,204.00 $6,844.00 nat. median
$6,844
1.0× median
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 $1,471.00 $4,904.00 $4,536.50 nat. median
$928
outlier · 4.9×
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
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
15240
CPT 		Full Thickness Graft, Free, Including Direct Closure Of Dono 8 $1,127.00 $3,758.00 $3,476.00 nat. median
$2,239
1.6× median
10121
CPT 		Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated 8 $1,101.00 $3,671.00 $3,395.50 nat. median
$1,689
outlier · 2.0×
32551
CPT 		Tube Thoracostomy, Includes Connection To Drainage System (e 8 $1,092.00 $3,639.00 $3,366.00 nat. median
$1,553
outlier · 2.2×
21320
CPT 		Closed Treatment Of Nasal Bone Fracture With Manipulation; W 8 $1,092.00 $3,639.00 $3,366.00 nat. median
$3,129
1.1× median
27086
CPT 		Removal Of Foreign Body, Pelvis Or Hip; Subcutaneous Tissue 8 $1,092.00 $3,639.00 $3,366.00 nat. median
$2,771
1.2× median
31612
CPT 		Tracheal Puncture, Percutaneous With Transtracheal Aspiratio 8 $1,092.00 $3,639.00 $3,366.00 nat. median
$3,248
1.0× median
1920215
CDM 		Omalizumab 150 Mg/ml Sol [Gch] 9 $1,046.00 $3,487.00 $3,313.00 nat. median
$2,999
1.1× median
1100078
CDM 		Room/bed Telemetry 8 $1,055.00 $3,518.00 $3,254.00 nat. median
$3,254
1.0× median
28192
CPT 		Removal Of Foreign Body, Foot; Deep 8 $1,001.00 $3,337.00 $3,086.50 nat. median
$1,917
1.6× median
24200
CPT 		Removal Of Foreign Body, Upper Arm Or Elbow Area; Subcutaneo 8 $1,001.00 $3,336.00 $3,085.50 nat. median
$1,588
1.9× median
20520
CPT 		Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple 8 $1,001.00 $3,336.00 $3,085.50 nat. median
$1,547
2.0× median
31622
CPT 		Bronchoscopy, Rigid Or Flexible, Including Fluoroscopic Guidance, When Performed… 8 $997.00 $3,322.00 $3,073.00 nat. median
$2,074
1.5× median
27752
CPT 		Closed Treatment Of Tibial Shaft Fracture (With Or Without F 8 $956.00 $3,187.00 $2,948.00 nat. median
$1,827
1.6× median
25505
CPT 		Closed Treatment Of Radial Shaft Fracture; With Manipulation 8 $956.00 $3,187.00 $2,948.00 nat. median
$1,714
1.7× median
31603
CPT 		Tracheostomy, Emergency Procedure; Transtracheal 8 $931.00 $3,103.00 $2,870.50 nat. median
$1,716
1.7× median
21315
CPT 		Closed Treatment Of Nasal Bone Fracture With Manipulation; W 8 $931.00 $3,103.00 $2,870.50 nat. median
$1,733
1.7× median
1910386
CDM 		Prothrombin Complexpow [Gch] 9 $837.00 $2,790.00 $2,651.00 nat. median
$2,651
1.0× median
23655
CPT 		Closed Treatment Of Shoulder Dislocation, With Manipulation; 8 $837.00 $2,790.00 $2,581.00 nat. median
$1,762
1.5× median
27846
CPT 		Open Treatment Of Ankle Dislocation, With Or Without Percuta 8 $823.00 $2,743.00 $2,537.50 nat. median
$7,041
outlier · 0.4×
10140
CPT 		Incision And Drainage Of Hematoma, Seroma Or Fluid Collection 8 $800.00 $2,668.00 $2,468.00 nat. median
$1,654
1.5× median
33010
CPT 		Pericardiocentesis; Initial 8 $796.00 $2,654.00 $2,455.00 nat. median
$969
outlier · 2.5×
36555
CPT 		Insertion Of Non-tunneled Centrally Inserted Central Venous 8 $796.00 $2,654.00 $2,455.00 nat. median
$2,692
0.9× median
36556
CPT 		Insertion Of Non-tunneled Centrally Inserted Central Venous 8 $796.00 $2,654.00 $2,455.00 nat. median
$2,458
1.0× median
1910370
CDM 		Hydroxocobalamin 5 G Pow[gch] 9 $769.00 $2,563.00 $2,435.00 nat. median
$2,435
1.0× median
46320
CPT 		Excision Of Thrombosed Hemorrhoid, External 8 $785.00 $2,615.00 $2,419.00 nat. median
$1,338
1.8× median
46040
CPT 		Incision And Drainage Of Ischiorectal And/or Perirectal Abscess (Separate Proced… 8 $785.00 $2,615.00 $2,419.00 nat. median
$1,775
1.4× median
1913641
CDM 		Leuprolide 3.75 Mg/month Pwd [Gch] 9 $748.00 $2,494.00 $2,369.00 nat. median
$2,369
1.0× median
70480
CPT 		Computed Tomography, Orbit, Sella, Or Posterior Fossa Or Outer, Middle, Or Inner… 8 $752.00 $2,507.00 $2,319.00 nat. median
$473
outlier · 4.9×
H0046
HCPCS 		Mental Health Service, Nos 8 $698.00 $2,328.00 $2,153.50 nat. median
$124
outlier · 17.3×
1920437
CDM 		Immune Globulin Intravenous 10% Sol [Gch] 9 $633.00 $2,111.00 $2,005.00 nat. median
$2,005
1.0× median
25605
CPT 		Closed Treatment Of Distal Radial Fracture (Eg, Colles Or Sm 8 $635.00 $2,116.00 $1,957.00 nat. median
$1,664
1.2× median
81208
CPT 		Bcr/abl1 (t(9;22)) (Eg, Chronic Myelogenous Leukemia) Translocation Analysis; Ot… 8 $614.00 $2,045.00 $1,892.00 nat. median
$236
outlier · 8.0×
1910634
CDM 		Tetanus Immune Globulin (Human) 250 Units [Gch] 9 $595.00 $1,982.00 $1,883.00 nat. median
$1,883
1.0× median
49082
CPT 		Paracentesis Charge 8 $610.00 $2,032.00 $1,879.50 nat. median
$1,074
1.8× median
1915513
CDM 		Darbepoetin Alfa 40 Mcg/0.4 Ml Soln 9 $592.00 $1,973.00 $1,874.00 nat. median
$1,874
1.0× median
46608
CPT 		Anoscopy; With Removal Of Foreign Body 8 $597.00 $1,989.00 $1,840.00 nat. median
$1,079
1.7× median
46050
CPT 		Incision And Drainage, Perianal Abscess, Superficial 8 $597.00 $1,989.00 $1,840.00 nat. median
$1,114
1.7× median
19020
CPT 		Mastotomy With Exploration Or Drainage Of Abscess, Deep 8 $595.00 $1,983.00 $1,834.50 nat. median
$2,059
0.9× median
1913683
CDM 		Leuprolide 30 Mg/4 Months Kit [Gch] 9 $578.00 $1,926.00 $1,830.00 nat. median
$1,830
1.0× median

Other procedures at this hospital

Browse this hospital's 1,782 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
             
10061 CPT Incision And Drainage Of Abscess (Eg, Carbuncle, Suppurative Hidradenitis, Cutan… 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
10080 CPT Incision And Drainage Of Pilonidal Cyst; Simple 8 8 $1,547.00 $1,238.00 $464.00 $1,547.00 $1,431.00 2025-08-19
10081 CPT Incision And Drainage Of Pilonidal Cyst; Complicated 8 8 $783.00 $626.00 20% off $235.00 $783.00 $724.50 2025-08-19
10120 CPT Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
10121 CPT Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated 8 8 $3,671.00 $2,937.00 $1,101.00 $3,671.00 $3,395.50 2025-08-19
10140 CPT Incision And Drainage Of Hematoma, Seroma Or Fluid Collection 8 8 $2,668.00 $2,134.00 20% off $800.00 $2,668.00 $2,468.00 2025-08-19
10160 CPT Puncture Aspiration Of Abscess, Hematoma, Bulla, Or Cyst 8 8 $673.00 $538.00 20% off $202.00 $673.00 $622.50 2025-08-19
10180 CPT Incision And Drainage, Complex, Postoperative Wound Infection 8 8 $588.00 $470.00 20% off $176.00 $588.00 $544.00 2025-08-19
1100078 CDM Room/bed Telemetry 8 8 $3,518.00 $2,814.00 20% off $1,055.00 $3,518.00 $3,254.00 2025-08-19
11402 CPT Excision, Benign Lesion Including Margins, Except Skin Tag ( 8 8 $514.00 $411.00 20% off $154.00 $514.00 $475.50 2025-08-19
11403 CPT Excision, Benign Lesion Including Margins, Except Skin Tag ( 8 8 $662.00 $530.00 $199.00 $662.00 $612.50 2025-08-19
11404 CPT Excision, Benign Lesion Including Margins, Except Skin Tag ( 8 8 $729.00 $583.00 20% off $219.00 $729.00 $674.50 2025-08-19
11406 CPT Excision, Benign Lesion Including Margins, Except Skin Tag ( 8 8 $1,101.00 $881.00 $330.00 $1,101.00 $1,018.50 2025-08-19
11423 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewh… 8 8 $536.00 $429.00 $161.00 $536.00 $495.50 2025-08-19
11424 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewh… 8 8 $615.00 $492.00 20% off $185.00 $615.00 $569.00 2025-08-19
11442 CPT Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed … 8 8 $503.00 $402.00 20% off $151.00 $503.00 $465.50 2025-08-19
11443 CPT Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed … 8 8 $597.00 $478.00 $179.00 $597.00 $552.00 2025-08-19
11444 CPT Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed … 8 8 $916.00 $733.00 $275.00 $916.00 $847.00 2025-08-19
11446 CPT Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed … 8 8 $1,313.00 $1,050.00 20% off $394.00 $1,313.00 $1,214.50 2025-08-19
11600 CPT Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diam… 8 8 $501.00 $401.00 $150.00 $501.00 $463.50 2025-08-19
11601 CPT Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diam… 8 8 $610.00 $488.00 20% off $183.00 $610.00 $564.50 2025-08-19
11602 CPT Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diam… 8 8 $668.00 $534.00 20% off $200.00 $668.00 $618.00 2025-08-19
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 2025-08-19
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 2025-08-19
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 2025-08-19
11620 CPT Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitali… 8 8 $512.00 $410.00 $154.00 $512.00 $473.50 2025-08-19
11621 CPT Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitali… 8 8 $640.00 $512.00 20% off $192.00 $640.00 $592.00 2025-08-19
11622 CPT Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitali… 8 8 $1,126.00 $901.00 $338.00 $1,126.00 $1,041.50 2025-08-19
11623 CPT Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitali… 8 8 $804.00 $643.00 20% off $241.00 $804.00 $744.00 2025-08-19
11640 CPT Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; E… 8 8 $533.00 $426.00 20% off $160.00 $533.00 $493.00 2025-08-19
11641 CPT Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; E… 8 8 $642.00 $514.00 $193.00 $642.00 $594.00 2025-08-19
11642 CPT Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; E… 8 8 $754.00 $603.00 20% off $226.00 $754.00 $697.50 2025-08-19
11643 CPT 11643 Excision, Malignant Lesion Including Margins, Face, E 8 8 $859.00 $687.00 20% off $258.00 $859.00 $794.50 2025-08-19
11644 CPT Excision, Malignant Lesion Including Margins, Face, Ears, Ey 8 8 $1,067.00 $854.00 $320.00 $1,067.00 $987.00 2025-08-19
11750 CPT Excision Of Nail And Nail Matrix, Partial Or Complete (Eg, I 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
12006 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck, Axillae, 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
12007 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck, Axillae, 8 8 $837.00 $670.00 $251.00 $837.00 $774.00 2025-08-19
12013 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mu… 8 8 $533.00 $426.00 20% off $160.00 $533.00 $493.00 2025-08-19
12014 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mu… 8 8 $1,288.00 $1,030.00 20% off $386.00 $1,288.00 $1,191.50 2025-08-19
12015 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mu… 8 8 $900.00 $720.00 20% off $270.00 $900.00 $832.50 2025-08-19
12016 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mu… 8 8 $949.00 $759.00 20% off $285.00 $949.00 $878.00 2025-08-19
12017 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mu… 8 8 $700.00 $560.00 20% off $210.00 $700.00 $647.50 2025-08-19
12020 CPT Treatment Of Superficial Wound Dehiscence; Simple Closure 8 8 $845.00 $676.00 20% off $254.00 $845.00 $782.00 2025-08-19
12021 CPT Treatment Of Superficial Wound Dehiscence; With Packing 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
12031 CPT Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or Extremities (Exclud… 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
12032 CPT Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or Extremities (Exclud… 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
12034 CPT Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or Extremities (Exclud… 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
12035 CPT Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or Extremities (Exclud… 8 8 $998.00 $798.00 20% off $299.00 $998.00 $923.00 2025-08-19
12041 CPT Repair, Intermediate, Wounds Of Neck, Hands, Feet And/or External Genitalia; 2.5… 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
12042 CPT Repair, Intermediate, Wounds Of Neck, Hands, Feet And/or External Genitalia; 2.6… 8 8 $852.00 $682.00 $256.00 $852.00 $788.00 2025-08-19
12044 CPT Repair, Intermediate, Wounds Of Neck, Hands, Feet And/or External Genitalia; 7.6… 8 8 $1,288.00 $1,030.00 20% off $386.00 $1,288.00 $1,191.50 2025-08-19
12045 CPT Repair, Intermediate, Wounds Of Neck, Hands, Feet And/or External Genitalia; 12.… 8 8 $855.00 $684.00 20% off $257.00 $855.00 $791.00 2025-08-19
12051 CPT Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Me… 8 8 $730.00 $584.00 20% off $219.00 $730.00 $675.50 2025-08-19
12052 CPT Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Me… 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
12053 CPT Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Me… 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
12054 CPT Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, L 8 8 $960.00 $768.00 20% off $288.00 $960.00 $888.00 2025-08-19
13100 CPT Repair, Complex, Trunk; 1.1 Cm To 2.5 Cm 8 8 $1,288.00 $1,030.00 20% off $386.00 $1,288.00 $1,191.50 2025-08-19
13101 CPT Repair, Complex, Trunk; 2.6 Cm To 7.5 Cm 8 8 $1,288.00 $1,030.00 20% off $386.00 $1,288.00 $1,191.50 2025-08-19
13102 CPT Repair, Complex, Trunk; Each Additional 5 Cm Or Less (List Separately In Additio… 8 8 $1,299.00 $1,039.00 20% off $390.00 $1,299.00 $1,201.50 2025-08-19
13120 CPT Repair, Complex, Scalp, Arms, And/or Legs; 1.1 Cm To 2.5 Cm 8 8 $1,163.00 $930.00 20% off $349.00 $1,163.00 $1,076.00 2025-08-19
13121 CPT Repair, Complex, Scalp, Arms, And/or Legs; 2.6 Cm To 7.5 Cm 8 8 $1,288.00 $1,030.00 20% off $386.00 $1,288.00 $1,191.50 2025-08-19
13122 CPT Repair, Complex, Scalp, Arms, And/or Legs; Each Additional 5 Cm Or Less (List Se… 8 8 $1,352.00 $1,082.00 $406.00 $1,352.00 $1,250.50 2025-08-19
13131 CPT Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands … 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
13132 CPT Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands … 8 8 $1,288.00 $1,030.00 20% off $386.00 $1,288.00 $1,191.50 2025-08-19
13133 CPT Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands … 8 8 $1,288.00 $1,030.00 20% off $386.00 $1,288.00 $1,191.50 2025-08-19
13151 CPT 13151 Complex Suturing 1.1-2.5cm 8 8 $1,288.00 $1,030.00 20% off $386.00 $1,288.00 $1,191.50 2025-08-19
13152 CPT 13152 Complex Suturing 2.6-7.5cm 8 8 $1,288.00 $1,030.00 20% off $386.00 $1,288.00 $1,191.50 2025-08-19
15240 CPT Full Thickness Graft, Free, Including Direct Closure Of Dono 8 8 $3,758.00 $3,006.00 20% off $1,127.00 $3,758.00 $3,476.00 2025-08-19
16030 CPT Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsequent; … 8 8 $838.00 $670.00 20% off $251.00 $838.00 $775.00 2025-08-19
17260 CPT Destruction, Malignant Lesion (Eg, Laser Surgery, Electrosurgery, Cryosurgery, C… 8 8 $691.00 $553.00 $207.00 $691.00 $639.00 2025-08-19
17262 CPT Destruction, Malignant Lesion (Eg, Laser Surgery, Electrosurgery, Cryosurgery, C… 8 8 $791.00 $633.00 $237.00 $791.00 $731.50 2025-08-19
17272 CPT Destruction, Malignant Lesion (Eg, Laser Surgery, Electrosurgery, Cryosurgery, C… 8 8 $542.00 $434.00 $163.00 $542.00 $501.50 2025-08-19
17280 CPT Destruction, Malignant Lesion (Eg, Laser Surgery, Electrosurgery, Cryosurgery, C… 8 8 $638.00 $510.00 20% off $191.00 $638.00 $590.00 2025-08-19
17281 CPT Destruction, Malignant Lesion (Eg, Laser Surgery, Electrosurgery, Cryosurgery, C… 8 8 $801.00 $641.00 $240.00 $801.00 $741.00 2025-08-19
17282 CPT Destruction, Malignant Lesion (Eg, Laser Surgery, Electrosurgery, Cryosurgery, C… 8 8 $613.00 $490.00 20% off $184.00 $613.00 $567.00 2025-08-19
1900601 CDM Heparin 25,000 Units/500 Ml-d5w IV Sol [Gch] 9 9 $22,725.00 $18,180.00 20% off $6,818.00 $22,725.00 $21,589.00 2025-08-19
1900964 CDM Rabies Vaccine, Purified Chick Embryo Cell 2.5 Intl Units Pow[gch] 9 9 $1,350.00 $1,080.00 20% off $405.00 $1,350.00 $1,283.00 2025-08-19
19020 CPT Mastotomy With Exploration Or Drainage Of Abscess, Deep 8 8 $1,983.00 $1,586.00 20% off $595.00 $1,983.00 $1,834.50 2025-08-19
1903262 CDM Nystatin Top 100,000 Units/g Crm [Gch] 9 9 $995.00 $796.00 20% off $299.00 $995.00 $945.00 2025-08-19
1907080 CDM Glucagon 1 Mg Pow 9 9 $635.00 $508.00 20% off $191.00 $635.00 $603.00 2025-08-19
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 2025-08-19
1907463 CDM Acyclovir Top 5% Oint Non-form [Gch] 9 9 $746.00 $597.00 $224.00 $746.00 $709.00 2025-08-19
1907499 CDM Epinephrine 0.3 Mg Inj Syringe [Gch] 9 9 $741.00 $593.00 $222.00 $741.00 $704.00 2025-08-19
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 2025-08-19
1910044 CDM Alteplase 50 Mg Pow [Gch] 9 9 $12,721.00 $10,177.00 $3,816.00 $12,721.00 $12,085.00 2025-08-19
1910080 CDM Fidaxomicin 200 Mg Tab [Gch] 9 9 $917.00 $734.00 $275.00 $917.00 $871.00 2025-08-19
1910082 CDM Salmeterol 50 Mcg Inh Pwdr [non-form] [Gch] 9 9 $792.00 $634.00 $238.00 $792.00 $752.00 2025-08-19
1910110 CDM Sars-cov-2 (covid-19) Mrna-lnp Vaccine (Cvx 312) Preservative-free 50 Mcg/0.5 Ml… 9 9 $729.00 $583.00 20% off $219.00 $729.00 $693.00 2025-08-19
1910117 CDM Conjugated Estrogens 0.625 Mg/g Vag Crm W/appl [Gch] 9 9 $529.00 $423.00 20% off $159.00 $529.00 $503.00 2025-08-19
1910119 CDM Alteplase 2 Mg IV Inj [Gch] 9 9 $574.00 $459.00 20% off $172.00 $574.00 $545.00 2025-08-19
1910159 CDM Triamcinolone 0.1% Dental Paste [Gch] 9 9 $615.00 $492.00 20% off $185.00 $615.00 $584.00 2025-08-19
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 2025-08-19
1910179 CDM Linezolid 600 Mg Tab [Gch] 9 9 $480.00 $384.00 20% off $144.00 $480.00 $456.00 2025-08-19
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 2025-08-19
1910228 CDM Ertapenem 1 G [Restricted Formulary] Inj [Gch] 9 9 $482.00 $386.00 $145.00 $482.00 $458.00 2025-08-19
1910326 CDM Filgrastim Sndz 480 Mcg/0.8 Ml Sol [Gch] 9 9 $509.00 $407.00 20% off $153.00 $509.00 $484.00 2025-08-19
1910370 CDM Hydroxocobalamin 5 G Pow[gch] 9 9 $2,563.00 $2,050.00 20% off $769.00 $2,563.00 $2,435.00 2025-08-19
1910386 CDM Prothrombin Complexpow [Gch] 9 9 $2,790.00 $2,232.00 20% off $837.00 $2,790.00 $2,651.00 2025-08-19
1910501 CDM Epinephrine Auto-injector 0.15 Mg [Gch] 9 9 $1,129.00 $903.00 20% off $339.00 $1,129.00 $1,073.00 2025-08-19
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 2025-08-19
1910678 CDM Oseltamivir 6 Mg/ml Pow[gch] 9 9 $569.00 $455.00 20% off $171.00 $569.00 $541.00 2025-08-19
1910730 CDM Denosumab 120 Mg/1.7 Ml Sol [Gch] 9 9 $7,204.00 $5,763.00 20% off $2,161.00 $7,204.00 $6,844.00 2025-08-19
1910775 CDM Ferumoxytol 30 Mg/ml Sol [Gch] 9 9 $542.00 $434.00 $163.00 $542.00 $515.00 2025-08-19
1912901 CDM Remdesivir 100 Mg Pow [Gch] 9 9 $1,776.00 $1,421.00 $533.00 $1,776.00 $1,687.00 2025-08-19
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 2025-08-19
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 2025-08-19
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 2025-08-19
1914108 CDM Daptomycin 500 Mg Pow [Gch] 9 9 $1,743.00 $1,394.00 20% off $523.00 $1,743.00 $1,656.00 2025-08-19
1914268 CDM Alteplase 100mg Vial [Gch] 9 9 $25,562.00 $20,450.00 $7,669.00 $25,562.00 $24,284.00 2025-08-19
1914315 CDM Tenecteplase 50 Mg Pow[gch] 9 9 $23,987.00 $19,190.00 $7,196.00 $23,987.00 $22,788.00 2025-08-19
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 2025-08-19
1916893 CDM Chlorothiazide 0.5 G Inj (Nonform) [Gch] 9 9 $1,679.00 $1,343.00 20% off $504.00 $1,679.00 $1,595.00 2025-08-19
1918933 CDM Vasopressin 20 Units/ml Sol [Gch] 9 9 $493.00 $394.00 20% off $148.00 $493.00 $468.00 2025-08-19
1920101 CDM Phentolamine 5 Mg Pow [Gch] 9 9 $1,181.00 $945.00 $354.00 $1,181.00 $1,122.00 2025-08-19
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 2025-08-19
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 2025-08-19
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 2025-08-19
1920400 CDM Ceftaroline 400 Mg Pow [Gch] 9 9 $741.00 $593.00 $222.00 $741.00 $704.00 2025-08-19
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 2025-08-19
1920437 CDM Immune Globulin Intravenous 10% Sol [Gch] 9 9 $2,111.00 $1,689.00 $633.00 $2,111.00 $2,005.00 2025-08-19
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 2025-08-19
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 2025-08-19
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 2025-08-19
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 2025-08-19
1922000 CDM Pneumococcal 20-valent Conjugate Vaccinesus [Gch] 9 9 $912.00 $730.00 $274.00 $912.00 $866.00 2025-08-19
1944444 CDM Dorxolamide/timolol Opth Sol [Gch] 9 9 $496.00 $397.00 $149.00 $496.00 $471.00 2025-08-19
20520 CPT Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple 8 8 $3,336.00 $2,669.00 $1,001.00 $3,336.00 $3,085.50 2025-08-19
20552 CPT Injection(s); Single Or Multiple Trigger Point(s), 1 Or 2 Mu 8 8 $660.00 $528.00 20% off $198.00 $660.00 $610.50 2025-08-19
20553 CPT Injection(s); Single Or Multiple Trigger Point(s), 3 Or More 8 8 $660.00 $528.00 20% off $198.00 $660.00 $610.50 2025-08-19
20605 CPT Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa (Eg, Te… 8 8 $660.00 $528.00 20% off $198.00 $660.00 $610.50 2025-08-19
20610 CPT Arthrocentesis, Aspiration And/or Injection, Major Joint Or Bursa (Eg, Shoulder,… 8 8 $660.00 $528.00 20% off $198.00 $660.00 $610.50 2025-08-19
20611 CPT Arthrocentesis, Aspiration And/or Injection, Major Joint Or 8 8 $660.00 $528.00 20% off $198.00 $660.00 $610.50 2025-08-19
20612 CPT Aspiration And/or Injection Of Ganglion Cyst(s) Any Location 8 8 $660.00 $528.00 20% off $198.00 $660.00 $610.50 2025-08-19
21030 CPT Excision Of Benign Tumor Or Cyst Of Maxilla Or Zygoma By Enucleation And Curetta… 8 8 $1,376.00 $1,101.00 $413.00 $1,376.00 $1,272.50 2025-08-19
21315 CPT Closed Treatment Of Nasal Bone Fracture With Manipulation; W 8 8 $3,103.00 $2,482.00 20% off $931.00 $3,103.00 $2,870.50 2025-08-19
21320 CPT Closed Treatment Of Nasal Bone Fracture With Manipulation; W 8 8 $3,639.00 $2,911.00 20% off $1,092.00 $3,639.00 $3,366.00 2025-08-19
21480 CPT Closed Treatment Of Temporomandibular Dislocation; Initial Or Subsequent 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
23330 CPT Removal Of Foreign Body, Shoulder; Subcutaneous 8 8 $1,406.00 $1,125.00 $422.00 $1,406.00 $1,300.50 2025-08-19
23650 CPT Closed Treatment Of Shoulder Dislocation, With Manipulation; 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
23655 CPT Closed Treatment Of Shoulder Dislocation, With Manipulation; 8 8 $2,790.00 $2,232.00 20% off $837.00 $2,790.00 $2,581.00 2025-08-19
24200 CPT Removal Of Foreign Body, Upper Arm Or Elbow Area; Subcutaneo 8 8 $3,336.00 $2,669.00 $1,001.00 $3,336.00 $3,085.50 2025-08-19
24600 CPT Treatment Of Closed Elbow Dislocation; Without Anesthesia 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
24640 CPT Closed Treatment Of Radial Head Subluxation In Child, Nursemaid Elbow, With Mani… 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
25500 CPT Closed Treatment Of Radial Shaft Fracture; Without Manipulat 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
25505 CPT Closed Treatment Of Radial Shaft Fracture; With Manipulation 8 8 $3,187.00 $2,550.00 $956.00 $3,187.00 $2,948.00 2025-08-19
25600 CPT Closed Treatment Of Distal Radial Fracture (Eg, Colles Or Sm 8 8 $546.00 $437.00 $164.00 $546.00 $505.00 2025-08-19
25605 CPT Closed Treatment Of Distal Radial Fracture (Eg, Colles Or Sm 8 8 $2,116.00 $1,693.00 $635.00 $2,116.00 $1,957.00 2025-08-19
26010 CPT Drainage Of Finger Abscess; Simple 8 8 $564.00 $451.00 20% off $169.00 $564.00 $522.00 2025-08-19
26011 CPT Drainage Of Finger Abscess; Complicated (Eg, Felon) 8 8 $761.00 $609.00 $228.00 $761.00 $704.00 2025-08-19
26641 CPT Closed Treatment Of Carpometacarpal Dislocation, Thumb, With 8 8 $1,371.00 $1,097.00 $411.00 $1,371.00 $1,268.00 2025-08-19
26700 CPT Closed Treatment Of Metacarpophalangeal Dislocation, Single, 8 8 $1,128.00 $902.00 20% off $338.00 $1,128.00 $1,043.50 2025-08-19
26725 CPT Closed Treatment Of Phalangeal Shaft Fracture, Proximal Or M 8 8 $546.00 $437.00 $164.00 $546.00 $505.00 2025-08-19
26770 CPT Closed Treatment Of Interphalangeal Joint Dislocation, Single, With Manipulation… 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
27086 CPT Removal Of Foreign Body, Pelvis Or Hip; Subcutaneous Tissue 8 8 $3,639.00 $2,911.00 20% off $1,092.00 $3,639.00 $3,366.00 2025-08-19
27250 CPT Closed Treatment Of Hip Dislocation, Traumatic; Without Anes 8 8 $546.00 $437.00 $164.00 $546.00 $505.00 2025-08-19
27256 CPT Treatment Of Spontaneous Hip Dislocation (Developmental, Including Congenital Or… 8 8 $546.00 $437.00 $164.00 $546.00 $505.00 2025-08-19
27550 CPT Closed Treatment Of Knee Dislocation; Without Anesthesia 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
27560 CPT Closed Treatment Of Patellar Dislocation; Without Anesthesia 8 8 $546.00 $437.00 $164.00 $546.00 $505.00 2025-08-19
27752 CPT Closed Treatment Of Tibial Shaft Fracture (With Or Without F 8 8 $3,187.00 $2,550.00 $956.00 $3,187.00 $2,948.00 2025-08-19
27831 CPT Closed Treatment Of Proximal Tibiofibular Joint Dislocation; 8 8 $898.00 $718.00 20% off $269.00 $898.00 $830.50 2025-08-19
27840 CPT Closed Treatment Of Ankle Dislocation; Without Anesthesia 8 8 $546.00 $437.00 $164.00 $546.00 $505.00 2025-08-19
27846 CPT Open Treatment Of Ankle Dislocation, With Or Without Percuta 8 8 $2,743.00 $2,194.00 20% off $823.00 $2,743.00 $2,537.50 2025-08-19
28190 CPT Removal Of Foreign Body, Foot; Subcutaneous 8 8 $1,406.00 $1,125.00 $422.00 $1,406.00 $1,300.50 2025-08-19
28192 CPT Removal Of Foreign Body, Foot; Deep 8 8 $3,337.00 $2,670.00 $1,001.00 $3,337.00 $3,086.50 2025-08-19
28495 CPT Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
28515 CPT Closed Treatment Of Fracture, Phalanx Or Phalanges, Other Th 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
28630 CPT Closed Treatment Of Metatarsophalangeal Joint Dislocation; W 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
28660 CPT Closed Tx Interphalangeal Joint 8 8 $601.00 $481.00 $180.00 $601.00 $556.00 2025-08-19
29065 CPT Application, Cast; Shoulder To Hand (Long Arm) 8 8 $571.00 $457.00 $171.00 $571.00 $528.00 2025-08-19
29075 CPT Application, Cast; Elbow To Finger (Short Arm) 8 8 $571.00 $457.00 $171.00 $571.00 $528.00 2025-08-19
29345 CPT Application Of Long Leg Cast (Thigh To Toes); 8 8 $571.00 $457.00 $171.00 $571.00 $528.00 2025-08-19
29405 CPT Application Of Short Leg Cast (Below Knee To Toes); 8 8 $571.00 $457.00 $171.00 $571.00 $528.00 2025-08-19
30906 CPT Control Nasal Hemorrhage, Posterior, With Posterior Nasal Packs And/or Cautery, … 8 8 $552.00 $442.00 $166.00 $552.00 $510.50 2025-08-19
31500 CPT Intubation, Endotracheal, Emergency Procedure 8 8 $552.00 $442.00 $166.00 $552.00 $510.50 2025-08-19
31603 CPT Tracheostomy, Emergency Procedure; Transtracheal 8 8 $3,103.00 $2,482.00 20% off $931.00 $3,103.00 $2,870.50 2025-08-19
31605 CPT 31605 Tracheostomy, Emergency Procedure; Cricothyroid Membra 8 8 $562.00 $450.00 $169.00 $562.00 $520.00 2025-08-19
31612 CPT Tracheal Puncture, Percutaneous With Transtracheal Aspiratio 8 8 $3,639.00 $2,911.00 20% off $1,092.00 $3,639.00 $3,366.00 2025-08-19
31622 CPT Bronchoscopy, Rigid Or Flexible, Including Fluoroscopic Guidance, When Performed… 8 8 $3,322.00 $2,658.00 $997.00 $3,322.00 $3,073.00 2025-08-19
32551 CPT Tube Thoracostomy, Includes Connection To Drainage System (e 8 8 $3,639.00 $2,911.00 20% off $1,092.00 $3,639.00 $3,366.00 2025-08-19
32555 CPT Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging… 8 8 $1,095.00 $876.00 20% off $329.00 $1,095.00 $1,013.00 2025-08-19
33010 CPT Pericardiocentesis; Initial 8 8 $2,654.00 $2,123.00 20% off $796.00 $2,654.00 $2,455.00 2025-08-19
36430 CPT Transfusion, Blood Or Blood Components 8 8 $1,151.00 $921.00 $345.00 $1,151.00 $1,064.50 2025-08-19
36555 CPT Insertion Of Non-tunneled Centrally Inserted Central Venous 8 8 $2,654.00 $2,123.00 20% off $796.00 $2,654.00 $2,455.00 2025-08-19
36556 CPT Insertion Of Non-tunneled Centrally Inserted Central Venous 8 8 $2,654.00 $2,123.00 20% off $796.00 $2,654.00 $2,455.00 2025-08-19
36680 CPT Placement Of Needle For Intraosseous Infusion 8 8 $930.00 $744.00 20% off $279.00 $930.00 $860.50 2025-08-19
40800 CPT Drainage Of Abscess, Cyst, Hematoma, Vestibule Of Mouth; Simple 8 8 $566.00 $453.00 $170.00 $566.00 $523.50 2025-08-19
41110 CPT Excision Of Lesion Of Tongue Without Closure 8 8 $560.00 $448.00 20% off $168.00 $560.00 $518.00 2025-08-19
42700 CPT Incision And Drainage Abscess; Peritonsillar 8 8 $552.00 $442.00 $166.00 $552.00 $510.50 2025-08-19
43753 CPT Gastric Intubation 8 8 $673.00 $538.00 20% off $202.00 $673.00 $622.50 2025-08-19
46040 CPT Incision And Drainage Of Ischiorectal And/or Perirectal Abscess (Separate Proced… 8 8 $2,615.00 $2,092.00 20% off $785.00 $2,615.00 $2,419.00 2025-08-19
46050 CPT Incision And Drainage, Perianal Abscess, Superficial 8 8 $1,989.00 $1,591.00 20% off $597.00 $1,989.00 $1,840.00 2025-08-19
46083 CPT Incision Of Thrombosed Hemorrhoid, External 8 8 $617.00 $494.00 $185.00 $617.00 $570.50 2025-08-19
46320 CPT Excision Of Thrombosed Hemorrhoid, External 8 8 $2,615.00 $2,092.00 20% off $785.00 $2,615.00 $2,419.00 2025-08-19
46600 CPT Anoscopy; Diagnostic, Including Collection Of Specimen(s) By 16 8 $1,449.50 $1,159.50 20% off $85.00 $2,615.00 $534.50 2025-08-19
46608 CPT Anoscopy; With Removal Of Foreign Body 8 8 $1,989.00 $1,591.00 20% off $597.00 $1,989.00 $1,840.00 2025-08-19
49082 CPT Paracentesis Charge 8 8 $2,032.00 $1,626.00 $610.00 $2,032.00 $1,879.50 2025-08-19
49083 CPT Abdominal Paracentesis (Diagnostic Or Therapeutic); With Imaging Guidance 8 8 $519.00 $415.00 20% off $156.00 $519.00 $480.00 2025-08-19
52000 CPT Cystourethroscopy (Separate Procedure) 8 8 $548.00 $438.00 20% off $164.00 $548.00 $507.00 2025-08-19
52001 CPT Cystourethroscopy With Irrigation And Evacuation Of Multiple 8 8 $1,178.00 $942.00 20% off $353.00 $1,178.00 $1,089.50 2025-08-19
52204 CPT Cystourethroscopy, With Biopsy(s) 8 8 $582.00 $466.00 $175.00 $582.00 $538.50 2025-08-19
52224 CPT Cystourethroscopy, With Fulguration (Including Cryosurgery O 8 8 $836.00 $669.00 $251.00 $836.00 $773.00 2025-08-19
52234 CPT Cystourethroscopy, With Fulguration (Including Cryosurgery O 8 8 $1,010.00 $808.00 20% off $303.00 $1,010.00 $934.50 2025-08-19
52235 CPT Cystourethroscopy, With Fulguration (Including Cryosurgery O 8 8 $1,183.00 $946.00 20% off $355.00 $1,183.00 $1,094.50 2025-08-19
52240 CPT Cystourethroscopy, With Fulguration (Including Cryosurgery O 8 8 $1,605.00 $1,284.00 20% off $482.00 $1,605.00 $1,485.00 2025-08-19
52281 CPT Cystourethroscopy, With Calibration And/or Dilation Of Ureth 8 8 $626.00 $501.00 $188.00 $626.00 $579.00 2025-08-19
52317 CPT Litholapaxy: Crushing Or Fragmentation Of Calculus By Any Me 8 8 $1,423.00 $1,138.00 20% off $427.00 $1,423.00 $1,316.50 2025-08-19
52332 CPT Cystourethroscopy, With Insertion Of Indwelling Ureteral Ste 8 8 $638.00 $510.00 20% off $191.00 $638.00 $590.00 2025-08-19
52630 CPT Transurethral Resection; Residual Or Regrowth Of Obstructive 8 8 $1,634.00 $1,307.00 20% off $490.00 $1,634.00 $1,511.50 2025-08-19
54056 CPT Destruction Of Lesion(s), Penis (Eg, Condyloma, Papilloma, M 8 8 $531.00 $425.00 $159.00 $531.00 $491.00 2025-08-19
54161 CPT Circumcision, Surgical Excision Other Than Clamp, Device, Or 8 8 $804.00 $643.00 20% off $241.00 $804.00 $744.00 2025-08-19
55060 CPT 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 2025-08-19
55250 CPT Vasectomy, Unilateral Or Bilateral (Separate Procedure), Inc 8 8 $1,919.00 $1,535.00 20% off $576.00 $1,919.00 $1,775.00 2025-08-19
56405 CPT Incision And Drainage Of Vulva Or Perineal Abscess 8 8 $729.00 $583.00 20% off $219.00 $729.00 $674.50 2025-08-19
58300 CPT Insertion Of Intrauterine Device (Iud) 8 8 $648.00 $518.00 20% off $194.00 $648.00 $599.50 2025-08-19
62270 CPT Spinal Puncture, Lumbar, Diagnostic 8 8 $1,597.00 $1,278.00 $479.00 $1,597.00 $1,477.00 2025-08-19
64400 CPT Injection, Anesthetic Agent; Trigeminal Nerve, Any Division Or Branch 8 8 $660.00 $528.00 20% off $198.00 $660.00 $610.50 2025-08-19
64413 CPT Injection, Anesthetic Agent; Cervical Plexus 8 8 $1,454.00 $1,163.00 20% off $436.00 $1,454.00 $1,345.00 2025-08-19
64445 CPT Injection(s), Anesthetic Agent(s) And/or Steroid; Sciatic Ne 8 8 $1,454.00 $1,163.00 20% off $436.00 $1,454.00 $1,345.00 2025-08-19
64447 CPT Injection(s), Anesthetic Agent(s) And/or Steroid; Femoral Ne 8 8 $1,454.00 $1,163.00 20% off $436.00 $1,454.00 $1,345.00 2025-08-19
64450 CPT Injection, Anesthetic Agent; Other Peripheral Nerve Or Branc 8 8 $1,454.00 $1,163.00 20% off $436.00 $1,454.00 $1,345.00 2025-08-19
65220 CPT Removal Of Foreign Body, External Eye; Corneal, Without Slit 8 8 $930.00 $744.00 20% off $279.00 $930.00 $860.50 2025-08-19
66720 CPT Ciliary Body Destruction; Cryotherapy 8 8 $1,224.00 $979.00 20% off $367.00 $1,224.00 $1,132.50 2025-08-19
67700 CPT Blepharotomy, Drainage Of Abscess, Eyelid 8 8 $909.00 $727.00 20% off $273.00 $909.00 $841.00 2025-08-19
70480 CPT Computed Tomography, Orbit, Sella, Or Posterior Fossa Or Outer, Middle, Or Inner… 8 8 $2,507.00 $2,006.00 $752.00 $2,507.00 $2,319.00 2025-08-19
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 8 8 $4,904.00 $3,923.00 20% off $1,471.00 $4,904.00 $4,536.50 2025-08-19
76816 CPT Ultrasound, Pregnant Uterus, Real Time With Image Documentation, Follow-up (Eg, … 8 8 $931.00 $745.00 $279.00 $931.00 $861.00 2025-08-19
81208 CPT Bcr/abl1 (t(9;22)) (Eg, Chronic Myelogenous Leukemia) Translocation Analysis; Ot… 8 8 $2,045.00 $1,636.00 20% off $614.00 $2,045.00 $1,892.00 2025-08-19
81220 CPT Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) (Eg, Cystic Fibrosis)… 8 8 $1,476.00 $1,181.00 $443.00 $1,476.00 $1,365.00 2025-08-19
81240 CPT F2 (Prothrombin, Coagulation Factor Ii) (Eg, Hereditary Hypercoagulability) Gene… 8 8 $897.00 $718.00 $269.00 $897.00 $829.50 2025-08-19
81241 CPT F5 (Coagulation Factor V) (Eg, Hereditary Hypercoagulability) Gene Analysis, Lei… 8 8 $736.00 $589.00 $221.00 $736.00 $680.50 2025-08-19
81243 CPT Fmr1 (Fragile X Messenger Ribonucleoprotein 1) (Eg, Fragile 8 8 $607.00 $486.00 $182.00 $607.00 $561.50 2025-08-19
81270 CPT Jak2 (Janus Kinase 2) (Eg, Myeloproliferative Disorder) Gene 8 8 $1,096.00 $877.00 $329.00 $1,096.00 $1,013.50 2025-08-19
81291 CPT Mthfr (5,10-methylenetetrahydrofolate Reductase) (Eg, Hereditary Hypercoagulabil… 8 8 $705.00 $564.00 20% off $212.00 $705.00 $652.50 2025-08-19
81596 CPT Infectious Disease, Chronic Hepatitis C Virus (Hcv) Infectio 8 8 $840.00 $672.00 20% off $252.00 $840.00 $777.00 2025-08-19
82024 CPT Adrenocorticotropic Hormone (Acth) 8 8 $523.00 $418.00 20% off $157.00 $523.00 $484.00 2025-08-19
82088 CPT Aldosterone 16 8 $546.00 $436.50 20% off $145.00 $608.00 $476.50 2025-08-19
83698 CPT Lipoprotein-associated Phospholipase A2 (lp-pla2) 8 8 $611.00 $489.00 $183.00 $611.00 $565.00 2025-08-19
85397 CPT Coagulation And Fibrinolysis, Functional Activity, Not Other 8 8 $522.00 $418.00 $157.00 $522.00 $483.00 2025-08-19
86480 CPT Tuberculosis Test, Cell Mediated Immunity Antigen Response Measurement; Gamma In… 8 8 $720.00 $576.00 20% off $216.00 $720.00 $666.00 2025-08-19
86628 CPT Antibody; Candida 8 8 $523.00 $418.00 20% off $157.00 $523.00 $484.00 2025-08-19
86757 CPT Antibody; Rickettsia 8 8 $695.00 $556.00 20% off $209.00 $695.00 $643.00 2025-08-19
87493 CPT Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Clostridium Difficile, … 8 8 $521.00 $417.00 $156.00 $521.00 $482.00 2025-08-19
87497 CPT Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Cytomegalovirus, Quanti… 8 8 $856.00 $685.00 $257.00 $856.00 $791.50 2025-08-19
87517 CPT Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Hepatitis B Virus, Quan… 8 8 $1,036.00 $829.00 $311.00 $1,036.00 $958.00 2025-08-19
87522 CPT Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Hepatitis C, Quantifica… 16 8 $782.50 $626.00 20% off $182.00 $959.00 $606.00 2025-08-19
87536 CPT Infectious Agent Detection By Nucleic Acid (Dna Or Rna); HIV-1, Quantification, … 8 8 $892.00 $714.00 $268.00 $892.00 $825.00 2025-08-19
87901 CPT Infectious Agent Genotype Analysis By Nucleic Acid (Dna Or Rna); HIV-1, Reverse … 8 8 $1,474.00 $1,179.00 20% off $442.00 $1,474.00 $1,363.50 2025-08-19
87902 CPT Infectious Agent Genotype Analysis By Nucleic Acid (Dna Or Rna); Hepatitis C Vir… 8 8 $1,784.00 $1,427.00 20% off $535.00 $1,784.00 $1,650.50 2025-08-19
88184 CPT Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Componen… 8 8 $643.00 $514.00 20% off $193.00 $643.00 $595.00 2025-08-19
88189 CPT Flow Cytometry, Interpretation; 16 Or More Markers 8 8 $859.00 $687.00 20% off $258.00 $859.00 $794.50 2025-08-19
88365 CPT In Situ Hybridization (Eg, Fish), Per Specimen; Initial Single Probe Stain Proce… 8 8 $883.00 $706.00 20% off $265.00 $883.00 $817.00 2025-08-19
90675 CPT Rabies Vaccine, For Intramuscular Use 16 8 $768.50 $615.00 $189.00 $907.00 $630.00 2025-08-19
90676 CPT Rabies Vaccine, For Intradermal Use 16 8 $768.50 $615.00 $189.00 $907.00 $630.00 2025-08-19
92522 CPT Evaluation Of Speech Sound Production (Eg, Articulation, Phonological Process, A… 8 8 $595.00 $476.00 20% off $179.00 $595.00 $550.50 2025-08-19
92523 CPT Evaluation Of Speech Sound Production (Eg, Articulation, Phonological Process, A… 8 8 $595.00 $476.00 20% off $179.00 $595.00 $550.50 2025-08-19
92524 CPT Behavioral And Qualitative Analysis Of Voice And Resonance 8 8 $595.00 $476.00 20% off $179.00 $595.00 $550.50 2025-08-19
92610 CPT Evaluation Of Oral And Pharyngeal Swallowing Function 8 8 $595.00 $476.00 20% off $179.00 $595.00 $550.50 2025-08-19
92950 CPT Cardiopulmonary Resuscitation (Eg, In Cardiac Arrest) 8 8 $673.00 $538.00 20% off $202.00 $673.00 $622.50 2025-08-19
92953 CPT Temporary Transcutaneous Pacing 8 8 $1,406.00 $1,125.00 $422.00 $1,406.00 $1,300.50 2025-08-19
92960 CPT Cardioversion, Elective, Electrical Conversion Of Arrhythmia 8 8 $1,406.00 $1,125.00 $422.00 $1,406.00 $1,300.50 2025-08-19
92977 CPT Thrombolysis, Coronary; By Intravenous Infusion 8 8 $769.00 $615.00 20% off $231.00 $769.00 $711.50 2025-08-19
93225 CPT External Electrocardiographic Recording Up To 48 Hours By Continuous Rhythm Reco… 8 8 $538.00 $430.00 20% off $161.00 $538.00 $497.50 2025-08-19
93882 CPT Duplex Scan Of Extracranial Arteries; Unilateral Or Limited Study 8 8 $586.00 $469.00 $176.00 $586.00 $542.00 2025-08-19
93926 CPT Duplex Scan Of Lower Extremity Arteries Or Arterial Bypass Grafts; Unilateral Or… 8 8 $658.00 $526.00 20% off $197.00 $658.00 $608.50 2025-08-19
96125 CPT Standardized Cognitive Performance Testing (Eg, Ross Informa 8 8 $667.00 $534.00 $200.00 $667.00 $617.00 2025-08-19
99205 CPT New Patient Office Or Other Outpatient Visit, 60 Min 8 8 $542.00 $434.00 $163.00 $542.00 $501.50 2025-08-19
99236 CPT Hospital Inpatient Or Observation Care,admission And D/c Sam 8 8 $597.00 $478.00 $179.00 $597.00 $552.00 2025-08-19
99283 CPT Emergency Department Visit For The Evaluation And Management 8 8 $845.00 $676.00 20% off $254.00 $845.00 $782.00 2025-08-19
99284 CPT Emergency Department Visit For The Evaluation And Management 8 8 $1,297.00 $1,038.00 $389.00 $1,297.00 $1,199.50 2025-08-19
99285 CPT Emergency Department Visit For The Evaluation And Management 8 8 $1,813.00 $1,450.00 20% off $544.00 $1,813.00 $1,677.00 2025-08-19
99291 CPT Critical Care, Evaluation And Management Of The Critically I 16 8 $1,546.50 $1,237.50 $272.00 $2,187.00 $906.00 2025-08-19
99327 CPT Domiciliary Or Rest Home Visit For The Evaluation And Manage 8 8 $514.00 $411.00 20% off $154.00 $514.00 $475.50 2025-08-19
99344 CPT Home Or Assisted Living, New Pt. High Mdm> 75 Minutes 8 8 $503.00 $402.00 20% off $151.00 $503.00 $465.50 2025-08-19
99345 CPT Home Or Assisted Living, New Pt. Moderate Mdm> 60 Minutes 8 8 $611.00 $489.00 $183.00 $611.00 $565.00 2025-08-19
99350 CPT Home Or Assisted Living. Established Pt, High Mdm > 60 Minu 8 8 $495.00 $396.00 20% off $149.00 $495.00 $458.00 2025-08-19
99382 CPT New Patient Annual Preventative Exam, 1- 4 Years 8 8 $505.00 $404.00 20% off $152.00 $505.00 $467.50 2025-08-19
99383 CPT New Patient Annual Preventative Exam 5 -11 Years 8 8 $509.00 $407.00 20% off $153.00 $509.00 $471.00 2025-08-19
99384 CPT New Patient Annual Preventative Exam, 12-17 Years 8 8 $533.00 $426.00 20% off $160.00 $533.00 $493.00 2025-08-19
99385 CPT Initial New Patient Preventative Medicine Evaluation (18-39 Years) 8 8 $533.00 $426.00 20% off $160.00 $533.00 $493.00 2025-08-19
99386 CPT Initial New Patient Preventative Medicine Evaluation (40-64 Years) 8 8 $631.00 $505.00 $189.00 $631.00 $583.50 2025-08-19
99387 CPT New Patient Annual Preventative Exam, 65 Yrs And Older 8 8 $600.00 $480.00 20% off $180.00 $600.00 $555.00 2025-08-19
99397 CPT 99397 Established Annual Physical; 65 Yrs And Older 8 8 $533.00 $426.00 20% off $160.00 $533.00 $493.00 2025-08-19
99496 CPT Transitional Care Management Services With The Following Req 8 8 $582.00 $466.00 $175.00 $582.00 $538.50 2025-08-19
CP17552951046791779 CDM Tpn 3 In 1 Patient Custom [Gch] 9 9 $900.00 $720.00 20% off $270.00 $900.00 $855.00 2025-08-19
CP17552951046793024 CDM Tpn 2 In 1 Patient Custom [Gch] 9 9 $900.00 $720.00 20% off $270.00 $900.00 $855.00 2025-08-19
G0402 HCPCS Initial Preventive Physical Examination; Face-to-face Visit, Services Limited To… 8 8 $533.00 $426.00 20% off $160.00 $533.00 $493.00 2025-08-19
G0438 HCPCS Medicare Annual Wellness Visit, Initial Visit 8 8 $533.00 $426.00 20% off $160.00 $533.00 $493.00 2025-08-19
G0439 HCPCS Annual Wellness Visit, Includes A Personalized Prevention Plan Of Service (Pps),… 8 8 $533.00 $426.00 20% off $160.00 $533.00 $493.00 2025-08-19
H0046 HCPCS Mental Health Service, Nos 8 8 $2,328.00 $1,862.00 20% off $698.00 $2,328.00 $2,153.50 2025-08-19
J0696 HCPCS Injection, Ceftriaxone Sodium, Per 250 Mg 8 8 $508.00 $406.00 20% off $152.00 $508.00 $470.00 2025-08-19
J7297 HCPCS Liletta, 52 Mg 8 8 $1,640.00 $1,312.00 20% off $492.00 $1,640.00 $1,517.00 2025-08-19
J7298 HCPCS Mirena IUD 8 8 $1,538.00 $1,230.00 20% off $461.00 $1,538.00 $1,422.50 2025-08-19
J7300 HCPCS Paragard IUD 8 8 $1,538.00 $1,230.00 20% off $461.00 $1,538.00 $1,422.50 2025-08-19
J7301 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System ( 8 8 $1,282.00 $1,026.00 $385.00 $1,282.00 $1,186.00 2025-08-19
J7307 HCPCS Etonogestrel Implant System 8 8 $1,679.00 $1,343.00 20% off $504.00 $1,679.00 $1,553.00 2025-08-19
M0243 HCPCS M0243: Casirivimab-imdevimab Administration 8 8 $900.00 $720.00 20% off $270.00 $900.00 $832.50 2025-08-19
M0247 HCPCS Sotrovimab Infusion 8 8 $840.00 $672.00 20% off $252.00 $840.00 $777.00 2025-08-19
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 8 8 $1,170.00 $936.00 20% off $351.00 $1,170.00 $1,082.50 2025-08-19
P9017 HCPCS Fresh Frozen Plasma 16 8 $587.50 $470.00 20% off $168.00 $615.00 $537.50 2025-08-19
P9019 HCPCS Platelets, Each Unit 8 8 $1,701.00 $1,361.00 $510.00 $1,701.00 $1,573.50 2025-08-19
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