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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

NORTHEASTERN VERMONT REGIONAL HOSPITAL

Saint Johnsbury, VT · CCN 471303 · Rates published

3,688 distinct procedures filed
10 distinct payers
64,092 rate rows
2026-07-31 last MRF observed
Data quality

60,083 of 64,092 rate rows are consumer-grade (93.7%)

4,009 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,383
template filing: same amount across many unrelated codes — excluded 1,315
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 164
placeholder amount (≤ $0.02) — excluded from medians 74
per-diem day rate — not a per-procedure price 45
exceeds 10× this hospital's gross charge — excluded from medians 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nvrh.org/wp-content/uploads/2026/05/036013761_NORTHEASTERN-VERMONT-Regional-Hospital_standardcharges.csv
Found on page https://nvrh.org/patients-visitors/billing-financial/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 12d3834329121b19… · 4,206,803 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
J1303
HCPCS 		Ravulizumab-cwvz 1100mg/11ml 4 $76,826.64 $202,736.96 $79,131.44 nat. median
$504
outlier · 157.1×
J3241
HCPCS 		Teprotumumab-trbw 500mg Vial 4 $39,534.03 $104,325.92 $40,720.05 nat. median
$709
outlier · 57.5×
J2350
HCPCS 		Ocrelizumab 300 Mg/ml Vial 4 $22,908.53 $60,453.06 $23,595.79 nat. median
$133
outlier · 177.5×
J1458
HCPCS 		Galsulfase 5 Mg/5 Ml Vial 4 $18,452.54 $48,694.21 $19,006.12 nat. median
$973
outlier · 19.5×
Q5151
HCPCS 		Eculizumab-aagh 300mg/30mlvial 4 $17,441.73 $46,026.80 $17,964.98 nat. median
$43
outlier · 416.8×
J0896
HCPCS 		Luspatercept-aamt 25 Mg Vial 4 $3,436.23 $27,087.55 $9,666.29 nat. median
$228
outlier · 42.5×
J9332
HCPCS 		Efgartigimod Alfa-fcab 400mg 4 $8,442.10 $22,277.76 $8,695.36 nat. median
$84
outlier · 102.9×
174
OTHER 		Newborn - Level IV 2 $6,307.26 $6,442.90 $6,307.26 nat. median
$1
J1602
HCPCS 		Golimumab 50 Mg/4ml Vial 4 $5,614.51 $14,816.06 $5,782.95 nat. median
$55
outlier · 105.9×
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Vial 4 $5,590.49 $14,752.69 $5,758.20 nat. median
$6,265
0.9× median
J2323
HCPCS 		Natalizumab 300 Mg/15ml Vial 4 $5,588.38 $14,747.12 $5,756.03 nat. median
$50
outlier · 114.1×
J3380
HCPCS 		Vedolizumab 300 Mg Vial 4 $5,552.90 $14,653.49 $5,719.49 nat. median
$59
outlier · 97.3×
J3101
HCPCS 		Tenecteplase 1 Mg 4 $5,303.35 $13,994.96 $5,462.45 nat. median
$498
outlier · 11.0×
200
OTHER 		Rm & Bd ICU 6 $4,315.93 $10,564.80 $5,339.20 nat. median
$4,113
1.3× median
341
OTHER 		Mpi Rest & Stress Nuc 4 $3,425.38 $7,310.85 $5,109.77 —
Q0224
HCPCS 		Pemivibart 500 Mg/4ml Vial 4 $4,872.75 $12,858.64 $5,018.93 nat. median
$6,668
0.8× median
J0490
HCPCS 		Belimumab 400 Mg Vial 4 $4,808.46 $12,688.98 $4,952.71 nat. median
$164
outlier · 30.3×
173
OTHER 		Newborn - Level Iii 2 $4,756.95 $4,859.25 $4,756.95 nat. median
$16,753
outlier · 0.3×
J3032
HCPCS 		Eptinezumab-jjmr 100mg/ml Vial 4 $4,578.43 $12,081.96 $4,715.78 nat. median
$35
outlier · 134.7×
J0491
HCPCS 		Anifrolumab-fnia 300 Mg/2ml Vi 4 $4,426.36 $11,680.67 $4,559.15 nat. median
$45
outlier · 102.0×
C1783
HCPCS 		Stent Phipps Istent 4 $4,416.48 $11,654.60 $4,548.97 nat. median
$2,313
2.0× median
J3262
HCPCS 		Tocilizumab 200 Mg/10 Ml Ml 4 $2,522.55 $11,123.43 $4,341.65 nat. median
$1,287
outlier · 3.4×
Q5119
HCPCS 		Rituximab Pvvr 500 Mg/50ml Via 4 $4,123.43 $10,881.27 $4,247.13 nat. median
$318
outlier · 13.4×
J0875
HCPCS 		Dalbavancin 500 Mg Vial 4 $3,929.75 $10,370.16 $4,047.64 nat. median
$49
outlier · 81.9×
J9312
HCPCS 		riTUXimab 500 Mg/50 Ml Vial 4 $3,888.57 $10,261.50 $4,005.23 nat. median
$739
outlier · 5.4×
J0129
HCPCS 		Abatacept 250 Mg Vial 4 $3,822.65 $10,087.56 $3,937.33 nat. median
$122
outlier · 32.2×
122
OTHER 		Rm & Bd Obs 7 $2,052.82 $4,159.86 $3,773.28 nat. median
$2,068
1.8× median
78802
CPT 		Abscess Imaging Whole Body 4 $3,647.16 $9,624.45 $3,756.57 nat. median
$741
outlier · 5.1×
J7168
HCPCS 		Human Prothrombin 1,703 U Vial 4 $3,445.51 $9,092.33 $3,548.88 nat. median
$589
outlier · 6.0×
Q4101
HCPCS 		Apligraf 4 $125.99 $8,615.55 $3,362.79 nat. median
$119
outlier · 28.2×
J2182
HCPCS 		Mepolizumab 100 Mg/ml Syr 4 $3,246.85 $8,568.08 $3,344.26 nat. median
$80
outlier · 42.0×
Q5104
HCPCS 		Infliximab-abda 100 Mg Vial 4 $3,156.13 $8,328.69 $3,250.81 nat. median
$181
outlier · 18.0×
J1561
HCPCS 		Immune Globulin 10 Gm/100 Ml V 4 $636.13 $11,154.56 $3,244.68 nat. median
$994
outlier · 3.3×
29893
CPT 		Scope, Plantar, Fasciotomy 4 $3,116.16 $8,223.20 $3,209.64 nat. median
$3,639
0.9× median
J1745
HCPCS 		inFLIXimab 100 Mg Vial 4 $3,054.56 $8,060.64 $3,146.20 nat. median
$190
outlier · 16.6×
Q5103
HCPCS 		Inlfiximab-dyyb 100mg Vial 4 $3,021.24 $7,972.70 $3,111.88 nat. median
$138
outlier · 22.5×
172
OTHER 		Newborn - Level Ii 2 $3,003.90 $3,068.50 $3,003.90 nat. median
$1
610
OTHER 		MRI Pelvis Without Contrast 9 $1,301.76 $3,894.05 $2,833.01 nat. median
$2,802
1.0× median
78804
CPT 		Whole Body Gallium Scan 4 $2,684.52 $7,084.15 $2,765.06 nat. median
$893
outlier · 3.1×
121
OTHER 		Rm & Bd Semi-private 7 $1,282.47 $11,031.00 $2,665.38 nat. median
$2,667
1.0× median
J1569
HCPCS 		Immune Globulin, Gamma 10 Gm/1 4 $960.14 $7,194.42 $2,533.70 nat. median
$946
outlier · 2.7×
28665
CPT 		Disc Toe W Anesth 28665~TC,Technical Component 4 $208.80 $9,044.00 $2,519.72 nat. median
$428
outlier · 5.9×
110
OTHER 		Rm & Bd Private 2 $1,114.14 $3,976.70 $2,515.54 —
20102
CPT 		Wound Exploratn Abmn 201O2~T,Technical Component 4 $380.16 $6,562.60 $2,486.88 nat. median
$2,172
1.1× median
Q4160
HCPCS 		Nushield 4 $125.99 $6,345.05 $2,476.57 nat. median
$320
outlier · 7.7×
Q4195
HCPCS 		Puraply 4 $125.99 $6,345.05 $2,476.57 nat. median
$247
outlier · 10.0×
45346
CPT 		Endoscopy Procedure 4 $1,659.33 $4,251.25 $2,462.87 nat. median
$1,448
1.7× median
391
OTHER 		Rm & Bd Semi-private 7 $1,457.64 $3,846.55 $2,431.55 nat. median
$5,575
outlier · 0.4×
J1437
HCPCS 		Ferric Derisomaltose 1000mg/10 4 $2,308.09 $6,090.78 $2,377.33 nat. median
$41
outlier · 57.9×
J3111
HCPCS 		Romosozumab-aqqg 210mg/2.34ml 4 $2,298.84 $6,066.39 $2,367.81 nat. median
$19
outlier · 124.6×

Other procedures at this hospital

Browse this hospital's 3,688 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
             
J1303 HCPCS Ravulizumab-cwvz 1100mg/11ml 7 4 $213,407.33 $160,055.50 25% off $76,826.64 $202,736.96 $79,131.44 2026-05-18
J3241 HCPCS Teprotumumab-trbw 500mg Vial 7 4 $109,816.76 $82,362.57 25% off $39,534.03 $104,325.92 $40,720.05 2026-05-18
J2350 HCPCS Ocrelizumab 300 Mg/ml Vial 7 4 $63,634.80 $47,726.10 25% off $22,908.53 $60,453.06 $23,595.79 2026-05-18
J1458 HCPCS Galsulfase 5 Mg/5 Ml Vial 7 4 $51,257.06 $38,442.80 25% off $18,452.54 $48,694.21 $19,006.12 2026-05-18
Q5151 HCPCS Eculizumab-aagh 300mg/30mlvial 7 4 $48,449.26 $36,336.95 25% off $17,441.73 $46,026.80 $17,964.98 2026-05-18
J0896 HCPCS Luspatercept-aamt 25 Mg Vial 14 4 $19,029.14 $14,271.85 25% off $3,436.23 $27,087.55 $9,666.29 2026-05-18
J9332 HCPCS Efgartigimod Alfa-fcab 400mg 7 4 $23,450.27 $17,587.70 25% off $8,442.10 $22,277.76 $8,695.36 2026-05-18
174 OTHER Newborn - Level IV 3 2 $6,782.00 $5,086.50 25% off $6,307.26 $6,442.90 $6,307.26 2026-05-18
J1602 HCPCS Golimumab 50 Mg/4ml Vial 7 4 $15,595.85 $11,696.89 25% off $5,614.51 $14,816.06 $5,782.95 2026-05-18
J1162 HCPCS Digoxin Immune Fab 40 Mg Vial 7 4 $15,529.15 $11,646.86 25% off $5,590.49 $14,752.69 $5,758.20 2026-05-18
J2323 HCPCS Natalizumab 300 Mg/15ml Vial 7 4 $15,523.28 $11,642.46 25% off $5,588.38 $14,747.12 $5,756.03 2026-05-18
J3380 HCPCS Vedolizumab 300 Mg Vial 7 4 $15,424.73 $11,568.55 25% off $5,552.90 $14,653.49 $5,719.49 2026-05-18
J3101 HCPCS Tenecteplase 1 Mg 7 4 $14,731.54 $11,048.66 25% off $5,303.35 $13,994.96 $5,462.45 2026-05-18
200 OTHER Rm & Bd ICU 10 6 $5,680.00 $4,260.00 25% off $4,315.93 $10,564.80 $5,339.20 2026-07-31
341 OTHER Mpi Rest & Stress Nuc 6 4 $8,911.00 $6,683.25 25% off $3,425.38 $7,310.85 $5,109.77 2026-07-31
Q0224 HCPCS Pemivibart 500 Mg/4ml Vial 7 4 $13,535.41 $10,151.56 25% off $4,872.75 $12,858.64 $5,018.93 2026-05-18
J0490 HCPCS Belimumab 400 Mg Vial 7 4 $13,356.82 $10,017.62 25% off $4,808.46 $12,688.98 $4,952.71 2026-05-18
173 OTHER Newborn - Level Iii 3 2 $5,115.00 $3,836.25 25% off $4,756.95 $4,859.25 $4,756.95 2026-05-18
J3032 HCPCS Eptinezumab-jjmr 100mg/ml Vial 7 4 $12,717.85 $9,538.39 25% off $4,578.43 $12,081.96 $4,715.78 2026-05-18
J0491 HCPCS Anifrolumab-fnia 300 Mg/2ml Vi 7 4 $12,295.44 $9,221.58 25% off $4,426.36 $11,680.67 $4,559.15 2026-05-18
C1783 HCPCS Stent Phipps Istent 7 4 $12,268.00 $9,201.00 25% off $4,416.48 $11,654.60 $4,548.97 2026-05-18
J3262 HCPCS Tocilizumab 200 Mg/10 Ml Ml 14 4 $9,357.98 $7,018.48 25% off $2,522.55 $11,123.43 $4,341.65 2026-05-18
Q5119 HCPCS Rituximab Pvvr 500 Mg/50ml Via 7 4 $11,453.97 $8,590.48 25% off $4,123.43 $10,881.27 $4,247.13 2026-05-18
J0875 HCPCS Dalbavancin 500 Mg Vial 7 4 $10,915.96 $8,186.97 25% off $3,929.75 $10,370.16 $4,047.64 2026-05-18
J9312 HCPCS riTUXimab 500 Mg/50 Ml Vial 7 4 $10,801.58 $8,101.19 25% off $3,888.57 $10,261.50 $4,005.23 2026-05-18
J0129 HCPCS Abatacept 250 Mg Vial 7 4 $10,618.48 $7,963.86 25% off $3,822.65 $10,087.56 $3,937.33 2026-05-18
122 OTHER Rm & Bd Obs 8 7 $3,229.00 $2,421.75 25% off $2,052.82 $4,159.86 $3,773.28 2026-07-31
78802 CPT Abscess Imaging Whole Body 7 4 $10,131.00 $7,598.25 25% off $3,647.16 $9,624.45 $3,756.57 2026-05-18
J7168 HCPCS Human Prothrombin 1,703 U Vial 7 4 $9,570.87 $7,178.15 25% off $3,445.51 $9,092.33 $3,548.88 2026-05-18
Q4101 HCPCS Apligraf 15 4 $6,679.00 $5,009.25 25% off $125.99 $8,615.55 $3,362.79 2026-05-18
J2182 HCPCS Mepolizumab 100 Mg/ml Syr 7 4 $9,019.03 $6,764.27 25% off $3,246.85 $8,568.08 $3,344.26 2026-05-18
Q5104 HCPCS Infliximab-abda 100 Mg Vial 7 4 $8,767.04 $6,575.28 25% off $3,156.13 $8,328.69 $3,250.81 2026-05-18
J1561 HCPCS Immune Globulin 10 Gm/100 Ml V 28 4 $6,713.25 $5,034.94 25% off $636.13 $11,154.56 $3,244.68 2026-05-18
29893 CPT Scope, Plantar, Fasciotomy 7 4 $8,656.00 $6,492.00 25% off $3,116.16 $8,223.20 $3,209.64 2026-05-18
J1745 HCPCS inFLIXimab 100 Mg Vial 7 4 $8,484.88 $6,363.66 25% off $3,054.56 $8,060.64 $3,146.20 2026-05-18
Q5103 HCPCS Inlfiximab-dyyb 100mg Vial 7 4 $8,392.32 $6,294.24 25% off $3,021.24 $7,972.70 $3,111.88 2026-05-18
172 OTHER Newborn - Level Ii 3 2 $3,230.00 $2,422.50 25% off $3,003.90 $3,068.50 $3,003.90 2026-05-18
610 OTHER MRI Pelvis Without Contrast 36 9 $3,452.00 $2,589.00 25% off $1,301.76 $3,894.05 $2,833.01 2026-07-31
78804 CPT Whole Body Gallium Scan 7 4 $7,457.00 $5,592.75 25% off $2,684.52 $7,084.15 $2,765.06 2026-05-18
121 OTHER Rm & Bd Semi-private 11 7 $2,866.00 $2,149.50 25% off $1,282.47 $11,031.00 $2,665.38 2026-07-31
J1569 HCPCS Immune Globulin, Gamma 10 Gm/1 21 4 $5,323.72 $3,992.79 25% off $960.14 $7,194.42 $2,533.70 2026-05-18
28665 CPT Disc Toe W Anesth 28665~TC,Technical Component 20 4 $4,348.00 $3,261.00 25% off $208.80 $9,044.00 $2,519.72 2026-05-18
110 OTHER Rm & Bd Private 6 2 $2,692.00 $2,019.00 25% off $1,114.14 $3,976.70 $2,515.54 2026-05-18
20102 CPT Wound Exploratn Abmn 201O2~T,Technical Component 13 4 $6,908.00 $5,181.00 25% off $380.16 $6,562.60 $2,486.88 2026-05-18
Q4195 HCPCS Puraply 7 4 $6,679.00 $5,009.25 25% off $125.99 $6,345.05 $2,476.57 2026-05-18
Q4160 HCPCS Nushield 7 4 $6,679.00 $5,009.25 25% off $125.99 $6,345.05 $2,476.57 2026-05-18
45346 CPT Endoscopy Procedure 7 4 $4,475.00 $3,356.25 25% off $1,659.33 $4,251.25 $2,462.87 2026-05-18
391 OTHER Rm & Bd Semi-private 10 7 $4,049.00 $3,036.75 25% off $1,457.64 $3,846.55 $2,431.55 2026-07-31
J1437 HCPCS Ferric Derisomaltose 1000mg/10 7 4 $6,411.35 $4,808.51 25% off $2,308.09 $6,090.78 $2,377.33 2026-05-18
J3111 HCPCS Romosozumab-aqqg 210mg/2.34ml 7 4 $6,385.67 $4,789.25 25% off $2,298.84 $6,066.39 $2,367.81 2026-05-18
63650 CPT Implant Neuroelectrodes 7 4 $2,540.00 $1,905.00 25% off $941.83 $2,413.00 $2,354.17 2026-05-18
78473 CPT Muga Ejection Fraction 7 4 $6,288.00 $4,716.00 25% off $2,263.68 $5,973.60 $2,331.59 2026-05-18
J0256 HCPCS Alpha-1-proteinase Inhibitor V 7 4 $6,271.99 $4,703.99 25% off $2,257.92 $5,958.39 $2,325.66 2026-05-18
59618 CPT Attempted Vbac Delivery 7 4 $4,476.00 $3,357.00 25% off $1,659.70 $4,252.20 $2,273.29 2026-05-18
59510 CPT Cesarean Delivery 7 4 $4,408.00 $3,306.00 25% off $1,634.49 $4,187.60 $2,252.16 2026-05-18
Q5121 HCPCS Inlfiximab-axxq 100 Mb Vial 7 4 $5,907.81 $4,430.86 25% off $2,126.81 $5,612.42 $2,190.61 2026-05-18
78451 CPT Mpi Spect Single Study 7 4 $5,844.00 $4,383.00 25% off $2,103.84 $5,551.80 $2,166.96 2026-05-18
59610 CPT Vbac Delivery 7 4 $4,173.00 $3,129.75 25% off $1,547.35 $3,964.35 $2,119.23 2026-05-18
70553 CPT MRI Iac And/or Brain 7 4 $5,680.00 $4,260.00 25% off $2,044.80 $5,396.00 $2,106.14 2026-05-18
C1781 HCPCS Mesh Hernia Med.oval Ventrio 70 4 $4,357.50 $3,268.12 25% off $652.68 $10,085.20 $2,084.13 2026-05-18
78315 CPT 3 Phase Bone Scan 7 4 $5,556.00 $4,167.00 25% off $2,000.16 $5,278.20 $2,060.16 2026-05-18
59400 CPT Obstetrical Care 7 4 $3,981.00 $2,985.75 25% off $1,476.15 $3,781.95 $2,034.30 2026-05-18
P9052 HCPCS Plt Pheresis Hla Matcher Lr 7 4 $5,335.00 $4,001.25 25% off $1,920.60 $5,068.25 $1,978.22 2026-05-18
58563 CPT Hysteroscopy, Ablation 7 4 $3,840.00 $2,880.00 25% off $1,423.87 $3,648.00 $1,977.82 2026-05-18
340 OTHER Bone Scan Whole Body Grp 4 4 $3,256.00 $2,442.00 25% off $1,256.80 $2,670.70 $1,975.53 2026-07-31
C8911 HCPCS MRA Without Fol W/cont, Chest 7 4 $5,296.00 $3,972.00 25% off $1,906.56 $5,031.20 $1,963.76 2026-05-18
52284 CPT Cysto Rx Balo Cath 8 4 $3,440.00 $2,580.00 25% off $1,238.40 $3,268.00 $1,963.09 2026-05-18
47780 CPT Anastomosis Royx-en-y 8 4 $4,619.00 $3,464.25 25% off $1,662.84 $4,388.05 $1,908.37 2026-05-18
70546 CPT MRA Head Without & W Contrast 21 4 $4,604.00 $3,453.00 25% off $1,115.64 $4,835.50 $1,887.37 2026-05-18
78708 CPT Renogram W/lasix/captopril 7 4 $5,080.00 $3,810.00 25% off $1,828.80 $4,826.00 $1,883.66 2026-05-18
81440 CPT Mayo Mitochondrial Nuc Gene 7 4 $4,988.00 $3,741.00 25% off $1,795.68 $4,738.60 $1,849.55 2026-05-18
78803 CPT Bone Scan Spect 7 4 $4,966.00 $3,724.50 25% off $1,787.76 $4,717.70 $1,841.39 2026-05-18
72157 CPT MRI Thoracic Spine W/wo Cont 7 4 $4,959.00 $3,719.25 25% off $1,785.24 $4,711.05 $1,838.80 2026-05-18
64635 CPT Destroy Lumb/sac Facet Jnt 42 4 $3,675.50 $2,756.62 25% off $226.19 $9,231.15 $1,801.72 2026-05-18
C8909 HCPCS MRA W/cont, Chest (0284) 7 4 $4,832.00 $3,624.00 25% off $1,739.52 $4,590.40 $1,791.71 2026-05-18
C8900 HCPCS MRA W/cont, Abd (0284) C8900 7 4 $4,832.00 $3,624.00 25% off $1,739.52 $4,590.40 $1,791.71 2026-05-18
71552 CPT MRI Chest W/wo Contrast 7 4 $4,788.00 $3,591.00 25% off $1,723.68 $4,548.60 $1,775.39 2026-05-18
72197 CPT MRI Pelvis Wo & W 7 4 $4,788.00 $3,591.00 25% off $1,723.68 $4,548.60 $1,775.39 2026-05-18
74183 CPT MRI Abdomen W/wo Contrast 7 4 $4,788.00 $3,591.00 25% off $1,723.68 $4,548.60 $1,775.39 2026-05-18
37785 CPT Lig Varicose Veins 37785~T,Technical Component 20 4 $3,408.00 $2,556.00 25% off $416.16 $6,008.75 $1,770.35 2026-05-18
35206 CPT Repair Blood Vessel Lesion 14 4 $1,878.00 $1,408.50 25% off $670.79 $8,016.60 $1,765.32 2026-05-18
28675 CPT Treatment Of Fx/dislocation 7 4 $4,753.00 $3,564.75 25% off $1,711.08 $4,515.35 $1,762.41 2026-05-18
72158 CPT MRI Lumbar Spine W Without Contras 7 4 $4,752.00 $3,564.00 25% off $1,710.72 $4,514.40 $1,762.04 2026-05-18
59409 CPT ER Vaginal Deliver 5940954~t 33 4 $3,152.00 $2,364.00 25% off $686.72 $4,553.35 $1,756.11 2026-05-18
171 OTHER Newborn - Level I 8 7 $609.00 $456.75 25% off $1,530.12 $2,357.90 $1,735.65 2026-07-31
72147 CPT MRI Thoracic Spine With Cont 14 4 $4,564.50 $3,423.38 25% off $1,613.88 $4,413.70 $1,722.74 2026-05-18
73222 CPT MRI Upper Joint W CONTRAST,Left Side 14 4 $4,564.50 $3,423.38 25% off $1,613.88 $4,413.70 $1,722.74 2026-05-18
737323 OTHER MRI Lt Lower Joint WO/W,Left Side 7 4 $4,604.00 $3,453.00 25% off $1,657.44 $4,373.80 $1,707.16 2026-05-18
70543 CPT MRI Orbit/face/neck W&without Cont 7 4 $4,604.00 $3,453.00 25% off $1,657.44 $4,373.80 $1,707.16 2026-05-18
73220 CPT MRI Lt Upper Extremity WO/W,Left Side 14 4 $4,604.00 $3,453.00 25% off $1,657.44 $4,373.80 $1,707.16 2026-05-18
73723 CPT MRI Rt Lower Joint WO/W,Right Side 7 4 $4,604.00 $3,453.00 25% off $1,657.44 $4,373.80 $1,707.16 2026-05-18
72156 CPT MRI Cervical Spine W/wo Contr 7 4 $4,604.00 $3,453.00 25% off $1,657.44 $4,373.80 $1,707.16 2026-05-18
73720 CPT MRI Lt Lower Extremity WO/W,Left Side 14 4 $4,604.00 $3,453.00 25% off $1,657.44 $4,373.80 $1,707.16 2026-05-18
12057 CPT 2 Lyr Clos >30 Cm 12057~TC,Technical Component 20 4 $3,747.00 $2,810.25 25% off $587.52 $4,919.10 $1,690.92 2026-05-18
P9055 HCPCS Pltph Lr Cmv 7 4 $4,543.00 $3,407.25 25% off $1,635.48 $4,315.85 $1,684.54 2026-05-18
C8910 HCPCS MRA Without Cont, Chest (0336) 7 4 $4,513.00 $3,384.75 25% off $1,624.68 $4,287.35 $1,673.42 2026-05-18
C8901 HCPCS MRA Without Cont, Abd (0336) 7 4 $4,513.00 $3,384.75 25% off $1,624.68 $4,287.35 $1,673.42 2026-05-18
73129 CPT MRI Rt Upper Extrem W CONT,Right Side 7 4 $4,483.00 $3,362.25 25% off $1,613.88 $4,258.85 $1,662.30 2026-05-18
73223 CPT MRI-l Upper Joint Wo/w CONTR,Left Side 14 4 $4,483.00 $3,362.25 25% off $1,613.88 $4,258.85 $1,662.30 2026-05-18
73219 CPT MRI Lt Upper Extrem W CONTR,Left Side 7 4 $4,483.00 $3,362.25 25% off $1,613.88 $4,258.85 $1,662.30 2026-05-18
73719 CPT MRI Lt Lwr Extrem W CONTRAST,Left Side 14 4 $4,483.00 $3,362.25 25% off $1,613.88 $4,258.85 $1,662.30 2026-05-18
72142 CPT MRI Cervical Spine W/contrast 7 4 $4,483.00 $3,362.25 25% off $1,613.88 $4,258.85 $1,662.30 2026-05-18
78830 CPT Tumor Localization Spect W/ct 14 4 $4,168.00 $3,126.00 25% off $1,389.60 $4,252.20 $1,659.70 2026-05-18
P9053 HCPCS Pltph Lr Irr Cmv 7 4 $4,436.00 $3,327.00 25% off $1,596.96 $4,214.20 $1,644.87 2026-05-18
26727 CPT Treat Finger Fracture Each 27 4 $4,421.00 $3,315.75 25% off $397.13 $6,588.25 $1,639.31 2026-05-18
27134 CPT Revise Hip Joint Replacement 10 4 $4,410.00 $3,307.50 25% off $465.00 $4,189.50 $1,635.23 2026-05-18
73221 CPT MRI Lt Upper Joint Without CONTRAS,Left Side 14 4 $4,339.00 $3,254.25 25% off $1,562.04 $4,122.05 $1,608.90 2026-05-18
73721 CPT Lt Lower Joint Without CONTRAST,Left Side 14 4 $4,339.00 $3,254.25 25% off $1,562.04 $4,122.05 $1,608.90 2026-05-18
73722 CPT MRI Rt Lower Joint W,Right Side 28 4 $3,877.00 $2,907.75 25% off $1,277.64 $4,107.80 $1,603.34 2026-05-18
P9037 HCPCS Pltph Lr Irr 7 4 $4,276.00 $3,207.00 25% off $1,539.36 $4,062.20 $1,585.54 2026-05-18
78306 CPT Bone Scan Whole Body Grp 7 4 $4,269.00 $3,201.75 25% off $1,536.84 $4,055.55 $1,582.95 2026-05-18
31525 CPT Direct Laryngoscopy 31525~TC,Technical Component 20 4 $2,887.00 $2,165.25 25% off $253.44 $5,524.25 $1,581.95 2026-05-18
78305 CPT Bone Scan Multi Areas 7 4 $4,216.00 $3,162.00 25% off $1,517.76 $4,005.20 $1,563.29 2026-05-18
36430 CPT Transfusion, Blood Components 35 4 $3,966.00 $2,974.50 25% off $1,368.00 $3,991.90 $1,558.10 2026-05-18
36584 CPT Replacement Of Picc Line 7 4 $4,199.00 $3,149.25 25% off $1,511.64 $3,989.05 $1,556.99 2026-05-18
12037 CPT 2 Layer Clos < 30 Cm 12037~TC,Technical Component 20 4 $3,122.00 $2,341.50 25% off $477.36 $4,916.25 $1,548.09 2026-05-18
72149 CPT MRI Lumbar Spine W Contrast 7 4 $4,156.00 $3,117.00 25% off $1,496.16 $3,948.20 $1,541.04 2026-05-18
12047 CPT 2 Lyr Clos > 30 Cm 12047~TC,Technical Component 20 4 $3,152.00 $2,364.00 25% off $470.88 $4,919.10 $1,540.26 2026-05-18
44210 CPT Laparo Total Proctocolectomy 7 4 $3,767.00 $2,825.25 25% off $1,396.80 $3,578.65 $1,531.76 2026-05-18
70552 CPT MRI Brain/pittu/ica W/cont 7 4 $4,126.00 $3,094.50 25% off $1,485.36 $3,919.70 $1,529.92 2026-05-18
31603 CPT Tracheostomy-transtr 31603~T,Technical Component 20 4 $3,029.00 $2,271.75 25% off $346.68 $5,057.80 $1,519.89 2026-05-18
72141 CPT MRI Cervical Spine Without Contras 14 4 $4,090.00 $3,067.50 25% off $1,472.40 $3,885.50 $1,516.57 2026-05-18
71551 CPT MRI Chest W 7 4 $4,088.00 $3,066.00 25% off $1,471.68 $3,883.60 $1,515.83 2026-05-18
26418 CPT Repair Finger Tendon 28 4 $3,249.00 $2,436.75 25% off $546.12 $4,603.70 $1,510.64 2026-05-18
87999 CPT Mayo Trofile Phenotypic Core 7 4 $4,048.00 $3,036.00 25% off $1,457.28 $3,845.60 $1,501.00 2026-05-18
76498 CPT MRI Ctl Spinal Survey Without Cont 14 4 $3,750.50 $2,812.88 25% off $1,248.84 $3,830.40 $1,495.07 2026-05-18
74181 CPT MRI Abdomen Without Contrast 7 4 $4,032.00 $3,024.00 25% off $1,451.52 $3,830.40 $1,495.07 2026-05-18
71550 CPT MRI Chest Without Contrast 7 4 $4,032.00 $3,024.00 25% off $1,451.52 $3,830.40 $1,495.07 2026-05-18
70336 CPT MRI Tmj Without Contrast 7 4 $4,032.00 $3,024.00 25% off $1,451.52 $3,830.40 $1,495.07 2026-05-18
P9035 HCPCS Plt Pheresis Leuko-reduced 7 4 $4,030.00 $3,022.50 25% off $1,450.80 $3,828.50 $1,494.32 2026-05-18
64633 CPT Destroy Cerv/thor Facet Jnt 42 4 $2,549.00 $1,911.75 25% off $333.72 $7,631.35 $1,489.50 2026-05-18
70544 CPT MRI Venogram Brain Wo 7 4 $4,006.00 $3,004.50 25% off $1,442.16 $3,805.70 $1,485.42 2026-05-18
70551 CPT MRI Brain/pituit/iac Without Cont 7 4 $4,004.00 $3,003.00 25% off $1,441.44 $3,803.80 $1,484.68 2026-05-18
72146 CPT MRI Thoracic Spine Without Contras 14 4 $3,995.00 $2,996.25 25% off $1,438.20 $3,795.25 $1,481.35 2026-05-18
27487 CPT Revise/replace Knee Joint 12 4 $3,979.00 $2,984.25 25% off $465.00 $3,780.05 $1,475.41 2026-05-18
73218 CPT MRI Lt Upper Extrem Without CONTR,Left Side 14 4 $3,962.00 $2,971.50 25% off $1,426.32 $3,763.90 $1,469.11 2026-05-18
44155 CPT Removal Of Colon/ileostomy 10 4 $3,961.00 $2,970.75 25% off $465.00 $3,762.95 $1,468.74 2026-05-18
44207 CPT Coloctomy Part W/anastom 10 4 $3,925.00 $2,943.75 25% off $465.00 $3,728.75 $1,455.39 2026-05-18
31515 CPT Direct Laryngnoscopy 31515~TC,Technical Component 20 4 $2,705.00 $2,028.75 25% off $173.88 $5,019.80 $1,452.62 2026-05-18
26705 CPT Dslc Mp Fgr W Anest 2670554~T,Technical Component 20 4 $1,562.00 $1,171.50 25% off $560.88 $4,474.50 $1,450.80 2026-05-18
32652 CPT Thoracoscopy, Surgical 7 4 $3,191.00 $2,393.25 25% off $1,183.22 $3,031.45 $1,448.69 2026-05-18
95714 CPT EEG 12-26 Hours 7 4 $3,902.00 $2,926.50 25% off $1,404.72 $3,706.90 $1,446.86 2026-05-18
78582 CPT Vent & Perf Scan W/a9558&a9540 14 4 $3,815.00 $2,861.25 25% off $1,343.52 $3,703.10 $1,445.38 2026-05-18
70547 CPT MRA Neck/orbit/face Without Cont 7 4 $3,877.00 $2,907.75 25% off $1,395.72 $3,683.15 $1,437.59 2026-05-18
70548 CPT MRA With Contrast, Neck 7 4 $3,877.00 $2,907.75 25% off $1,395.72 $3,683.15 $1,437.59 2026-05-18
73718 CPT MRI Lt Lwr Extrem Without CONTR,Left Side 14 4 $3,877.00 $2,907.75 25% off $1,395.72 $3,683.15 $1,437.59 2026-05-18
70549 CPT MRA Neck W/wo Contrast 7 4 $3,877.00 $2,907.75 25% off $1,395.72 $3,683.15 $1,437.59 2026-05-18
72148 CPT MRI Lumbar Spine Without Contrast 14 4 $3,566.00 $2,674.50 25% off $1,171.80 $3,683.15 $1,437.59 2026-05-18
29868 CPT Meniscal Trnspl, Knee W/scpe 8 4 $3,850.00 $2,887.50 25% off $1,386.00 $3,657.50 $1,427.58 2026-05-18
J0897 HCPCS Inj Denosumab 1 Mg 29 4 $1,874.00 $1,405.50 25% off $29.46 $4,386.93 $1,417.65 2026-05-18
70545 CPT MRI Venogram Brain W 7 4 $3,823.00 $2,867.25 25% off $1,376.28 $3,631.85 $1,417.57 2026-05-18
72196 CPT MRI Pelvis W Contrast 7 4 $3,823.00 $2,867.25 25% off $1,376.28 $3,631.85 $1,417.57 2026-05-18
43632 CPT Removal Of Stomach, Partial 10 4 $3,801.00 $2,850.75 25% off $465.00 $3,610.95 $1,409.41 2026-05-18
26410 CPT Repair Hand Tendon 40 4 $1,952.50 $1,464.38 25% off $7.20 $4,603.70 $1,395.00 2026-05-18
19281 CPT Needle Localization Placement 7 4 $3,756.00 $2,817.00 25% off $1,352.16 $3,568.20 $1,392.72 2026-05-18
27132 CPT Total Hip Arthroplasty 10 4 $3,702.00 $2,776.50 25% off $465.00 $3,516.90 $1,372.70 2026-05-18
47800 CPT Reconstruction Of Bile Ducts 7 4 $3,157.00 $2,367.75 25% off $1,170.62 $2,999.15 $1,354.54 2026-05-18
44206 CPT Lap Part Colectomy W/stoma 10 4 $3,620.00 $2,715.00 25% off $465.00 $3,439.00 $1,342.30 2026-05-18
55845 CPT Extensive Prostate Surgery 12 4 $3,668.00 $2,751.00 25% off $465.00 $3,484.60 $1,340.28 2026-05-18
81432 CPT Mayo Hereditary Brst/gyn Cance 7 4 $3,580.00 $2,685.00 25% off $1,288.80 $3,401.00 $1,327.46 2026-05-18
44661 CPT Repair Bowel-bladder Fistula 7 4 $3,241.00 $2,430.75 25% off $1,201.76 $3,078.95 $1,314.87 2026-05-18
44150 CPT Removal Of Colon 10 4 $3,546.00 $2,659.50 25% off $465.00 $3,368.70 $1,314.86 2026-05-18
70540 CPT MRI Orbit/face/neck Without Cont 7 4 $3,539.00 $2,654.25 25% off $1,274.04 $3,362.05 $1,312.26 2026-05-18
44145 CPT Partial Removal Of Colon 10 4 $3,519.00 $2,639.25 25% off $465.00 $3,343.05 $1,304.85 2026-05-18
27138 CPT Repair Femoral Comp Only 10 4 $3,479.00 $2,609.25 25% off $465.00 $3,305.05 $1,290.01 2026-05-18
78227 CPT Hepatobiliary(cck) 7 4 $3,469.00 $2,601.75 25% off $1,248.84 $3,295.55 $1,286.31 2026-05-18
J1459 HCPCS Immune Globulin 10 Gm/100 Ml V 28 4 $2,747.55 $2,060.66 25% off $426.27 $6,225.45 $1,277.08 2026-05-18
44141 CPT Colon Resect W/skin Colos 10 4 $3,442.00 $2,581.50 25% off $465.00 $3,269.90 $1,276.29 2026-05-18
21603 CPT Excision Chest Wall Tumor 20 4 $3,400.00 $2,550.00 25% off $28.80 $3,306.00 $1,275.55 2026-05-18
27447 CPT Total Knee Arthroplasty 10 4 $3,432.00 $2,574.00 25% off $465.00 $3,260.40 $1,272.59 2026-05-18
27091 CPT Removal Of Hip Prosthesis 22 4 $3,400.00 $2,550.00 25% off $14.76 $3,268.95 $1,260.72 2026-05-18
23472 CPT Reconstruct Shoulder Joint 10 4 $3,375.00 $2,531.25 25% off $465.00 $3,206.25 $1,251.45 2026-05-18
44603 CPT Suture, Small Intestine 8 4 $3,040.00 $2,280.00 25% off $1,094.40 $2,888.00 $1,249.12 2026-05-18
58558 CPT Hysteroscopy, Biopsy 7 4 $1,670.00 $1,252.50 25% off $619.24 $1,586.50 $1,246.92 2026-05-18
23474 CPT Revision Reconst Should Joint 10 4 $3,350.00 $2,512.50 25% off $465.00 $3,182.50 $1,242.18 2026-05-18
27006 CPT Incision Of Hip Tendon 10 4 $3,346.00 $2,509.50 25% off $465.00 $3,178.70 $1,240.70 2026-05-18
36475 CPT Endovenous Rf, 1st Vein 8 4 $3,343.00 $2,507.25 25% off $1,028.71 $3,175.85 $1,239.58 2026-05-18
44144 CPT Colon Resection Procedure 10 4 $3,337.00 $2,502.75 25% off $465.00 $3,170.15 $1,237.36 2026-05-18
V5259 HCPCS Hearing Aid Binaural Itc 6 3 $1,900.00 $1,425.00 25% off $704.52 $1,805.00 $1,235.76 2026-05-18
V5260 HCPCS Hearing Aid Digital, Binaura 6 3 $1,900.00 $1,425.00 25% off $704.52 $1,805.00 $1,235.76 2026-05-18
V5261 HCPCS Hearing Aid Digital, Binaura 6 3 $1,900.00 $1,425.00 25% off $704.52 $1,805.00 $1,235.76 2026-05-18
V5258 HCPCS Hearing Aid Binaural Cic 6 3 $1,900.00 $1,425.00 25% off $704.52 $1,805.00 $1,235.76 2026-05-18
45388 CPT Colonoscopy W/ablation Tumor 20 4 $3,322.00 $2,491.50 25% off $64.08 $3,325.00 $1,231.80 2026-05-18
44204 CPT Laparo Partial Colectomy 10 4 $3,314.00 $2,485.50 25% off $465.00 $3,148.30 $1,228.83 2026-05-18
32160 CPT Thoracotomy-cardiac 6 3 $3,309.00 $2,481.75 25% off $1,191.24 $3,077.37 $1,226.98 2026-05-18
26765 CPT Treat Finger Fracture, Each 35 4 $2,052.00 $1,539.00 25% off $345.96 $9,044.00 $1,226.67 2026-05-18
81448 CPT Mayo Motor/sensory Neuropathy 14 4 $3,256.00 $2,442.00 25% off $1,156.32 $3,135.00 $1,223.64 2026-05-18
27137 CPT Revise Hip Joint Replacement 22 4 $3,300.00 $2,475.00 25% off $14.40 $3,173.00 $1,223.64 2026-05-18
44227 CPT Lap, Close Enterostomy 10 4 $3,286.00 $2,464.50 25% off $465.00 $3,121.70 $1,218.45 2026-05-18
482 OTHER C Lab Stress Testing 6 5 $1,548.00 $1,161.00 25% off $519.25 $1,419.30 $1,210.66 2026-07-31
90375 CPT Rabies Ig 14 4 $3,202.97 $2,402.22 25% off $63.72 $5,917.48 $1,205.28 2026-05-18
78707 CPT Renogram Image Wo Ph 7 4 $3,226.00 $2,419.50 25% off $1,161.36 $3,064.70 $1,196.20 2026-05-18
27245 CPT Treat Thigh Fracture 12 4 $3,238.00 $2,428.50 25% off $465.00 $3,076.10 $1,183.16 2026-05-18
44143 CPT Colon Resection W/end Colost 10 4 $3,185.00 $2,388.75 25% off $465.00 $3,025.75 $1,181.00 2026-05-18
27130 CPT Total Hip Arthroplasty 10 4 $3,178.00 $2,383.50 25% off $465.00 $3,019.10 $1,178.40 2026-05-18
59622 CPT Attempted Vbac After Care 7 4 $2,702.00 $2,026.50 25% off $1,001.90 $2,566.90 $1,177.04 2026-05-18
V5221 HCPCS Hearing Aid Binaural Bte/bte 6 3 $1,800.00 $1,350.00 25% off $667.44 $1,710.00 $1,170.72 2026-05-18
Q4159 HCPCS Affinity 7 4 $3,150.00 $2,362.50 25% off $125.99 $2,992.50 $1,168.02 2026-05-18
43282 CPT Lap Repair Hernia W/mesh 10 4 $3,142.00 $2,356.50 25% off $465.00 $2,984.90 $1,165.05 2026-05-18
81229 CPT Mayo Chromosomal Micro Blood 7 4 $3,122.00 $2,341.50 25% off $1,123.92 $2,965.90 $1,157.64 2026-05-18
49020 CPT Drain Abdominal Abscess 10 4 $3,117.00 $2,337.75 25% off $465.00 $2,961.15 $1,155.78 2026-05-18
27486 CPT Revise/replace Knee Joint 10 4 $3,113.00 $2,334.75 25% off $465.00 $2,957.35 $1,154.30 2026-05-18
21602 CPT Excision Chest Wall Tumor 20 4 $3,100.00 $2,325.00 25% off $18.72 $2,994.40 $1,149.48 2026-05-18
50545 CPT Laparo Radical Nephrectomy 10 4 $3,086.00 $2,314.50 25% off $465.00 $2,931.70 $1,144.29 2026-05-18
81450 CPT Dhmc Myeloid Panel 14 4 $2,310.50 $1,732.88 25% off $556.56 $2,921.25 $1,140.21 2026-05-18
25425 CPT Repair/graft Radius Of Ulna 22 4 $3,100.00 $2,325.00 25% off $33.48 $3,033.35 $1,132.74 2026-05-18
23473 CPT Revis Reconst Shoulder Joint 10 4 $3,050.00 $2,287.50 25% off $465.00 $2,897.50 $1,130.94 2026-05-18
31653 CPT Bronch Ebus Samplng 3> Node 8 4 $2,366.00 $1,774.50 25% off $851.76 $2,247.70 $1,128.25 2026-05-18
58554 CPT Laparo-vag Hyst W/t/o, Compl 7 4 $3,035.00 $2,276.25 25% off $1,090.98 $2,883.25 $1,125.38 2026-05-18
59515 CPT Cesarean Delivery 7 4 $2,471.00 $1,853.25 25% off $916.25 $2,347.45 $1,124.05 2026-05-18
26775 CPT Treat Finger Dislocation 27 4 $3,027.00 $2,270.25 25% off $260.30 $4,474.50 $1,122.41 2026-05-18
44605 CPT Repair Of Bowel Lesion 7 4 $2,643.00 $1,982.25 25% off $980.02 $2,510.85 $1,119.86 2026-05-18
27513 CPT Treatment Of Thigh Fracture 10 4 $3,012.00 $2,259.00 25% off $465.00 $2,861.40 $1,116.85 2026-05-18
36572 CPT Insert Of Picc Linew/imag<5age 14 4 $2,629.00 $1,971.75 25% off $211.36 $4,453.60 $1,114.59 2026-05-18
45550 CPT Repair Rectum/remove Sigmoid 22 4 $3,000.00 $2,250.00 25% off $13.68 $2,886.10 $1,112.40 2026-05-18
81162 CPT Mayo Brca 1&brca2 Gene Analy 7 4 $2,981.00 $2,235.75 25% off $1,073.16 $2,831.95 $1,105.35 2026-05-18
42420 CPT Excise Parotid Gland/lesion 10 4 $2,965.00 $2,223.75 25% off $465.00 $2,816.75 $1,099.42 2026-05-18
C1788 HCPCS Kit Power Port Chrono Flex 8fr 7 4 $2,951.00 $2,213.25 25% off $1,062.36 $2,803.45 $1,094.23 2026-05-18
31652 CPT Bronch Ebus Sample 1/2 Node 8 4 $2,283.00 $1,712.25 25% off $821.88 $2,168.85 $1,091.45 2026-05-18
44205 CPT Colectomy 10 4 $2,941.00 $2,205.75 25% off $465.00 $2,793.95 $1,090.52 2026-05-18
44202 CPT Lap Resect S/intestine Singl 10 4 $2,934.00 $2,200.50 25% off $465.00 $2,787.30 $1,087.93 2026-05-18
59620 CPT Attempted Vbac Delivery Only 7 4 $2,393.00 $1,794.75 25% off $887.32 $2,273.35 $1,086.21 2026-05-18
81435 CPT Mayo Lynch Syndrome Panel 7 4 $2,923.00 $2,192.25 25% off $1,052.28 $2,776.85 $1,083.85 2026-05-18
44055 CPT Correct Malrotation Of Bowel 10 4 $2,912.00 $2,184.00 25% off $465.00 $2,766.40 $1,079.77 2026-05-18
70542 CPT MRI Orbit/face/neck W Contrast 7 4 $2,893.00 $2,169.75 25% off $1,041.48 $2,748.35 $1,072.72 2026-05-18
58291 CPT Vag Hyst Incl T/o, Complex 7 4 $2,889.00 $2,166.75 25% off $1,027.85 $2,744.55 $1,071.24 2026-05-18
120 OTHER Rm & Bd Swb Semi-private 15 6 $846.00 $634.50 25% off $25.96 $5,396.00 $1,068.57 2026-07-31
27506 CPT Treatment, Thigh Fracture 10 4 $2,867.00 $2,150.25 25% off $465.00 $2,723.65 $1,063.08 2026-05-18
36571 CPT Insert Picvad Cath 8 4 $2,190.00 $1,642.50 25% off $788.40 $2,080.50 $1,062.03 2026-05-18
44640 CPT Repair Bowel-skin Fistula 10 4 $2,863.00 $2,147.25 25% off $465.00 $2,719.85 $1,061.60 2026-05-18
25405 CPT Repair/graft Radius Or Ulna 22 4 $2,900.00 $2,175.00 25% off $19.80 $2,807.25 $1,059.66 2026-05-18
74485 CPT Nephrostomy Dilatation 7 4 $2,853.00 $2,139.75 25% off $1,027.08 $2,710.35 $1,057.89 2026-05-18
78452 CPT Mpi Rest & Stress Nuc 20 4 $1,134.00 $850.50 25% off $408.24 $11,094.10 $1,054.62 2026-05-18
15734 CPT Muscle-skin Graft, Trunk 10 4 $2,842.00 $2,131.50 25% off $465.00 $2,699.90 $1,053.81 2026-05-18
722 OTHER Labor Room & Delivery 31 7 $2,840.00 $2,130.00 25% off $218.88 $5,057.80 $1,053.07 2026-07-31
78278 CPT Gi Bleed Tagged Rbc 7 4 $2,822.00 $2,116.50 25% off $1,015.92 $2,680.90 $1,046.40 2026-05-18
78580 CPT Lung Scan, Perfusion W/a9540 7 4 $2,810.00 $2,107.50 25% off $1,011.60 $2,669.50 $1,041.95 2026-05-18
44140 CPT Partial Removal Of Colon 10 4 $2,807.00 $2,105.25 25% off $465.00 $2,666.65 $1,040.84 2026-05-18
27472 CPT Repair/graft Of Thigh 22 4 $2,800.00 $2,100.00 25% off $30.24 $2,739.80 $1,038.24 2026-05-18
49618 CPT Hernia Repair >10cm 7 4 $2,243.00 $1,682.25 25% off $831.70 $2,130.85 $1,035.70 2026-05-18
58573 CPT Tlh W/t/o Uterus Over 250 G 7 4 $2,571.00 $1,928.25 25% off $953.33 $2,442.45 $1,035.16 2026-05-18
44660 CPT Repair Bladder-bowel Fistula 10 4 $2,789.00 $2,091.75 25% off $465.00 $2,649.55 $1,034.16 2026-05-18
23470 CPT Reconstruct Shoulder Joint 12 4 $2,791.00 $2,093.25 25% off $465.00 $2,651.45 $1,030.08 2026-05-18
57020 CPT Colpocentesis (seppr) 57020~T,Technical Component 20 4 $1,834.00 $1,375.50 25% off $128.16 $3,636.60 $1,029.07 2026-05-18
43281 CPT Lap Paraesophag Hern Repair 10 4 $2,770.00 $2,077.50 25% off $465.00 $2,631.50 $1,027.12 2026-05-18
78290 CPT Gi Bleed Sulfur-colloid 7 4 $2,765.00 $2,073.75 25% off $995.40 $2,626.75 $1,025.26 2026-05-18
J1439 HCPCS Ferric Carboxymaltose 750mg/15 7 4 $2,749.57 $2,062.18 25% off $989.85 $2,612.09 $1,019.55 2026-05-18
59614 CPT Vbac Care After Delivery 7 4 $2,288.00 $1,716.00 25% off $848.39 $2,173.60 $1,016.94 2026-05-18
J0248 HCPCS Remdesivir (eua) 100mg Vial 7 4 $2,737.24 $2,052.93 25% off $985.41 $2,600.38 $1,014.97 2026-05-18
29889 CPT Knee Arthroscopy/surgery 10 4 $2,693.00 $2,019.75 25% off $465.00 $2,558.35 $998.56 2026-05-18
36598 CPT Dye Studycath Placement&pa 14 4 $2,209.00 $1,656.75 25% off $247.32 $3,544.45 $997.90 2026-05-18
43501 CPT Surgical Repair Of Stomach 10 4 $2,688.00 $2,016.00 25% off $465.00 $2,553.60 $996.71 2026-05-18
50546 CPT Laparoscopic Nephrectomy 9 4 $2,685.00 $2,013.75 25% off $465.00 $2,550.75 $995.60 2026-05-18
20692 CPT Apply Bone Fixation Device 7 4 $2,120.00 $1,590.00 25% off $786.10 $2,014.00 $994.58 2026-05-18
74415 CPT Rad. Uro Int 7 4 $2,658.00 $1,993.50 25% off $956.88 $2,525.10 $985.59 2026-05-18
74280 CPT Rad. Air Cont Bar En 7 4 $2,658.00 $1,993.50 25% off $956.88 $2,525.10 $985.59 2026-05-18
77075 CPT Rad. Bone Survey 7 4 $2,657.00 $1,992.75 25% off $956.52 $2,524.15 $985.22 2026-05-18
59426 CPT Antepartum Care Only 7 4 $1,198.00 $898.50 25% off $444.22 $1,138.10 $983.41 2026-05-18
27603 CPT Drain Lower Leg Lesion 28 4 $2,152.00 $1,614.00 25% off $363.96 $2,702.75 $981.14 2026-05-18
44602 CPT Suture, Small Intestine 10 4 $2,644.00 $1,983.00 25% off $465.00 $2,511.80 $980.40 2026-05-18
59410 CPT Obstetrical Care 7 4 $2,071.00 $1,553.25 25% off $767.93 $1,967.45 $976.41 2026-05-18
58553 CPT Laparo-vag Hyst, Complex 7 4 $2,633.00 $1,974.75 25% off $926.89 $2,501.35 $976.32 2026-05-18
15260 CPT Skin Full Graft 7 4 $1,714.00 $1,285.50 25% off $635.55 $1,628.30 $973.62 2026-05-18
27530 CPT Clsd Tmt Tbl Frx Prcml 27530~T,Technical Component 13 4 $2,625.00 $1,968.75 25% off $551.16 $2,493.75 $973.35 2026-05-18
14061 CPT Skin Tissue Rearrangement 7 4 $2,003.00 $1,502.25 25% off $742.71 $1,902.85 $970.28 2026-05-18
27488 CPT Removal Of Knee Prosthesis 10 4 $2,604.00 $1,953.00 25% off $465.00 $2,473.80 $965.56 2026-05-18
47801 CPT Placement, Bile Duct Support 7 4 $2,162.00 $1,621.50 25% off $801.67 $2,053.90 $965.39 2026-05-18
27470 CPT Repair Of Thigh 22 4 $2,600.00 $1,950.00 25% off $15.48 $2,510.85 $964.08 2026-05-18
27429 CPT Reconstruction, Knee 22 4 $2,600.00 $1,950.00 25% off $16.20 $2,512.75 $964.08 2026-05-18
27828 CPT Treatment Of Fx\disloc Foot 10 4 $2,592.00 $1,944.00 25% off $465.00 $2,462.40 $961.11 2026-05-18
64624 CPT Nerve Block 42 4 $2,011.00 $1,508.25 25% off $308.51 $4,479.25 $960.37 2026-05-18
27244 CPT Treatment Thigh Frx 10 4 $2,586.00 $1,939.50 25% off $465.00 $2,456.70 $958.89 2026-05-18
49060 CPT Drain, Open, Retrop Abscess 7 4 $2,189.00 $1,641.75 25% off $811.68 $2,079.55 $953.31 2026-05-18
47533 CPT Plmt Biliary Drainage 8 4 $2,185.00 $1,638.75 25% off $786.60 $2,075.75 $951.27 2026-05-18
390 OTHER Rbc Pedi Proc Fee 3 3 $713.00 $534.75 25% off $860.71 $1,030.05 $950.00 2026-07-31
27495 CPT Reinforce Thigh 10 4 $2,559.00 $1,919.25 25% off $465.00 $2,431.05 $948.88 2026-05-18
69550 CPT Remove Ear Lesion 7 4 $2,368.00 $1,776.00 25% off $878.05 $2,249.60 $947.28 2026-05-18
43840 CPT Repair Of Stomach Lesion 10 4 $2,551.00 $1,913.25 25% off $465.00 $2,423.45 $945.91 2026-05-18
29827 CPT Arthroscop Rotator Cuff Repr 10 4 $2,551.00 $1,913.25 25% off $465.00 $2,423.45 $945.91 2026-05-18
24675 CPT Clsd Tx Prox Ulna Fx,w/man -tc 14 4 $1,882.50 $1,411.88 25% off $337.06 $2,713.20 $945.86 2026-05-18
24605 CPT Treat Elbow Dislocation 20 4 $1,938.00 $1,453.50 25% off $375.62 $2,467.15 $942.09 2026-05-18
44346 CPT Open Enterostomy Procedure 8 4 $2,302.00 $1,726.50 25% off $828.72 $2,186.90 $940.49 2026-05-18
47610 CPT Chole W/explo Common Duct 10 4 $2,535.00 $1,901.25 25% off $465.00 $2,408.25 $939.98 2026-05-18
27236 CPT Treat Thigh Fracture 12 4 $2,532.00 $1,899.00 25% off $465.00 $2,405.40 $938.87 2026-05-18
27827 CPT Treat Lower Leg Fracture 10 4 $2,531.00 $1,898.25 25% off $465.00 $2,404.45 $938.49 2026-05-18
30117 CPT Removal Of Intranasal Lesion 7 4 $1,120.00 $840.00 25% off $415.30 $1,064.00 $934.46 2026-05-18
24586 CPT Treat Elbow Fracture 7 4 $2,507.00 $1,880.25 25% off $929.60 $2,381.65 $933.82 2026-05-18
L8606 HCPCS Coaptite Implant 7 4 $2,515.00 $1,886.25 25% off $905.40 $2,389.25 $932.56 2026-05-18
0232T CPT Platelet-rich Plasma Injection 7 4 $1,000.00 $750.00 25% off $370.80 $1,000.00 $930.00 2026-05-18
27446 CPT Revision Of Knee Joint 22 4 $2,500.00 $1,875.00 25% off $27.72 $2,448.15 $927.00 2026-05-18
44160 CPT Removal Of Colon 10 4 $2,495.00 $1,871.25 25% off $465.00 $2,370.25 $925.15 2026-05-18
59514 CPT Cesarean Delivery Only 8 4 $2,186.00 $1,639.50 25% off $786.96 $2,076.70 $923.75 2026-05-18
45540 CPT Correct Rectal Prolapse 7 4 $2,173.00 $1,629.75 25% off $805.75 $2,064.35 $919.05 2026-05-18
28445 CPT Treat Ankle Fracture 22 4 $2,477.00 $1,857.75 25% off $18.00 $2,400.65 $918.47 2026-05-18
44130 CPT Bowel To Bowel Fusion 10 4 $2,466.00 $1,849.50 25% off $465.00 $2,342.70 $914.39 2026-05-18
43332 CPT Transab Esoph Hiat Hern Rpr 8 4 $2,222.00 $1,666.50 25% off $799.92 $2,110.90 $909.25 2026-05-18
16035 CPT Escharotomy 16035~TC,Technical Component 20 4 $1,870.00 $1,402.50 25% off $312.12 $2,658.10 $906.79 2026-05-18
35207 CPT Repair Blood Vessel Lesion 33 4 $1,647.00 $1,235.25 25% off $16.92 $5,557.50 $904.75 2026-05-18
19305 CPT Mast Rad W/pectoral Musc Ax 8 4 $2,128.00 $1,596.00 25% off $766.08 $2,021.60 $904.68 2026-05-18
24149 CPT Radical Resection Elbow 10 4 $2,437.00 $1,827.75 25% off $465.00 $2,315.15 $903.64 2026-05-18
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