Hospital

BATH COMMUNITY HOSPITAL

Hot Springs, VA · CCN 491300 · Rates published

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You selected 93306 (HCPCS)

ECHO 2D W COLOR & DOPPLER,TECHNICAL COMPONENT

This hospital’s price: $1,686 across 4 payers · range $1,165-$1,952

Source: https://bathhospital.org/wp-content/uploads/2026/09/540505913_bath-community-hospital_standardcharges.csv · observed 2026-03-25

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,465 distinct procedures filed

8 distinct payers

21,637 rate rows

2025-07-08 last MRF observed · ⚠ 15 mo old

Data quality

21,294 of 21,637 rate rows are consumer-grade (98.4%)

343 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 — reason	Rows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	184
per-diem day rate — not a per-procedure price	120
placeholder amount (≤ $0.02) — excluded from medians	19
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	18
exceeds 10× this hospital's gross charge — excluded from medians	2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://bathhospital.org/wp-content/uploads/2026/09/540505913_bath-community-hospital_standardcharges.csv
Found on page	https://bathhospital.org/patients-and-visitors/financial-services/understanding-pricing/
Discovered via	CMS hospital list
Last fetch	success · 2026-10-22
Content fingerprint	30b033ac0b659cf8… · 5,682,614 bytes · first seen 2026-09-21

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
884 MS_DRG	Organic Disturbances And Intellectual Disabil	1	$21,667.15	$21,667.15	$21,667.15	nat. median $14,244 1.5× median
564 MS_DRG	Other Musculoskeletal System And Connective T	1	$16,988.06	$16,988.06	$16,988.06	nat. median $14,999 1.1× median
193 MS_DRG	Simple Pneumonia And Pleurisy With Mcc	1	$14,912.19	$14,912.19	$14,912.19	nat. median $12,868 1.2× median
181 MS_DRG	Respiratory Neoplasms With Cc	1	$14,017.87	$14,017.87	$14,017.87	nat. median $11,134 1.3× median
948 MS_DRG	Signs And Symptoms Without Mcc	1	$13,585.31	$13,585.31	$13,585.31	nat. median $7,969 1.7× median
426 MS_DRG	Multiple Level Combined Anterior And Posterio	1	$13,438.41	$13,438.41	$13,438.41	nat. median $93,276 outlier · 0.1×
372 MS_DRG	Major Gastrointestinal Disorders And Peritone	1	$13,206.25	$13,206.25	$13,206.25	nat. median $10,410 1.3× median
189 MS_DRG	Pulmonary Edema And Respiratory Failure	1	$12,751.96	$12,751.96	$12,751.96	nat. median $12,282 1.0× median
603 MS_DRG	Cellulitis Without Mcc	1	$12,706.88	$12,706.88	$12,706.88	nat. median $8,986 1.4× median
689 MS_DRG	Kidney And Urinary Tract Infections With Mcc	1	$12,366.40	$12,366.40	$12,366.40	nat. median $11,514 1.1× median
190 MS_DRG	Chronic Obstructive Pulmonary Disease With Mc	1	$12,346.71	$12,346.71	$12,346.71	nat. median $11,062 1.1× median
949 MS_DRG	Aftercare With Cc/mcc	1	$12,287.17	$12,287.17	$12,287.17	nat. median $11,796 1.0× median
698 MS_DRG	Other Kidney And Urinary Tract Diagnoses With	1	$12,034.32	$12,034.32	$12,034.32	nat. median $15,903 0.8× median
565 MS_DRG	Other Musculoskeletal System And Connective T	1	$11,150.71	$11,150.71	$11,150.71	nat. median $10,094 1.1× median
541 MS_DRG	Osteomyelitis Without Cc/mcc	1	$10,989.07	$10,989.07	$10,989.07	nat. median $8,705 1.3× median
419 MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. W	1	$10,820.17	$10,820.17	$10,820.17	nat. median $13,553 0.8× median
617 MS_DRG	Amputation Of Lower Limb For Endocrine, Nutri	1	$10,493.17	$10,493.17	$10,493.17	nat. median $18,284 0.6× median
195 MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	1	$9,951.81	$9,951.81	$9,951.81	nat. median $6,818 1.5× median
249 MS_DRG	Percutaneous Cardiovascular Procedures With N	1	$9,908.80	$9,908.80	$9,908.80	nat. median $11,553 0.9× median
187 MS_DRG	Pleural Effusion With Cc	1	$9,906.10	$9,906.10	$9,906.10	nat. median $10,201 1.0× median
728 MS_DRG	Inflammation Of The Male Reproductive System	1	$9,632.17	$9,632.17	$9,632.17	nat. median $8,516 1.1× median
683 MS_DRG	Renal Failure With Cc	1	$9,474.19	$9,474.19	$9,474.19	nat. median $9,108 1.0× median
872 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Ho	1	$9,386.81	$9,386.81	$9,386.81	nat. median $10,401 0.9× median
638 MS_DRG	Diabetes With Cc	1	$9,076.70	$9,076.70	$9,076.70	nat. median $9,225 1.0× median
291 MS_DRG	Heart Failure And Shock With Mcc	1	$9,073.18	$9,073.18	$9,073.18	nat. median $12,770 0.7× median
682 MS_DRG	Renal Failure With Mcc	1	$9,055.73	$9,055.73	$9,055.73	nat. median $14,434 0.6× median
378 MS_DRG	Gastrointestinal Hemorrhage With Cc	1	$9,050.17	$9,050.17	$9,050.17	nat. median $10,022 0.9× median
871 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Ho	1	$8,850.88	$8,850.88	$8,850.88	nat. median $18,642 outlier · 0.5×
206 MS_DRG	Other Respiratory System Diagnoses Without Mc	1	$8,551.35	$8,551.35	$8,551.35	nat. median $9,495 0.9× median
0671T OTHER	Insert Anterior Aqueous Drain	3	$6,914.56	$10,004.31	$8,347.28	nat. median $5,276 1.6× median
47563 HCPCS	Lap Surgical Chole W/cholangi	3	$765.75	$12,056.87	$8,333.19	nat. median $6,020 1.4× median
47562 HCPCS	Laparoscopic Cholecystectomy	3	$704.58	$12,056.87	$8,333.19	nat. median $5,993 1.4× median
392 MS_DRG	Esophagitis, Gastroenteritis And Miscellaneou	1	$8,207.64	$8,207.64	$8,207.64	nat. median $8,177 1.0× median
44180 HCPCS	Lap Enterolysis	3	$976.27	$11,860.28	$8,197.33	nat. median $5,902 1.4× median
641 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabol	1	$8,173.95	$8,173.95	$8,173.95	nat. median $8,109 1.0× median
194 MS_DRG	Simple Pneumonia And Pleurisy With Cc	1	$8,076.11	$8,076.11	$8,076.11	nat. median $8,516 0.9× median
58661 HCPCS	Lap Part/total Ooph And/or Sal	3	$696.38	$11,677.53	$8,071.02	nat. median $5,965 1.4× median
49651 HCPCS	Lap Repair Recur Ingl Hernia	3	$606.23	$11,601.87	$8,018.72	nat. median $5,985 1.3× median
175 MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulm	1	$7,940.48	$7,940.48	$7,940.48	nat. median $13,728 0.6× median
281 MS_DRG	Acute Myocardial Infarction, Discharged Alive	1	$7,564.74	$7,564.74	$7,564.74	nat. median $9,714 0.8× median
49650 HCPCS	Lap Repair Initial Ingl Hernia	3	$465.12	$10,925.00	$7,550.90	nat. median $5,844 1.3× median
71 MS_DRG	Nonspecific Cerebrovascular Disorders With Cc	1	$7,541.92	$7,541.92	$7,541.92	nat. median $10,551 0.7× median
192 MS_DRG	Chronic Obstructive Pulmonary Disease Without	1	$7,187.03	$7,187.03	$7,187.03	nat. median $7,110 1.0× median
640 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabol	1	$7,085.34	$7,085.34	$7,085.34	nat. median $12,850 0.6× median
179 MS_DRG	Respiratory Infections And Inflammations With	1	$6,848.98	$6,848.98	$6,848.98	nat. median $8,191 0.8× median
65265 HCPCS	F Rvl Fb INTRAOCULARPOST/without	3	$1,170.18	$9,793.13	$6,768.61	nat. median $2,643 outlier · 2.6×
65235 HCPCS	F Rvl Fb Intraocularanter	3	$774.72	$9,793.13	$6,768.61	nat. median $2,482 outlier · 2.7×
65260 HCPCS	F Rvl Fb Intraocularpost/w/mag	3	$1,041.40	$9,793.13	$6,768.61	nat. median $2,365 outlier · 2.9×
373 MS_DRG	Major Gastrointestinal Disorders And Peritone	1	$6,728.81	$6,728.81	$6,728.81	nat. median $7,839 0.9× median
947 MS_DRG	Signs And Symptoms With Mcc	1	$6,266.23	$6,266.23	$6,266.23	nat. median $12,117 0.5× median

Other procedures at this hospital

Browse this hospital's 1,465 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

884	MS_DRG	Organic Disturbances And Intellectual Disabil	1	1	$44,888.75	$33,666.56 25% off	$21,667.15	$21,667.15	$21,667.15	2025-07-08
564	MS_DRG	Other Musculoskeletal System And Connective T	1	1	$34,490.75	$25,868.06 25% off	$16,988.06	$16,988.06	$16,988.06	2025-07-08
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	1	1	$29,877.72	$22,408.29 25% off	$14,912.19	$14,912.19	$14,912.19	2025-07-08
181	MS_DRG	Respiratory Neoplasms With Cc	1	1	$27,890.34	$20,917.76 25% off	$14,017.87	$14,017.87	$14,017.87	2025-07-08
948	MS_DRG	Signs And Symptoms Without Mcc	1	1	$26,929.10	$20,196.83 25% off	$13,585.31	$13,585.31	$13,585.31	2025-07-08
426	MS_DRG	Multiple Level Combined Anterior And Posterio	1	1	$26,602.64	$19,951.98 25% off	$13,438.41	$13,438.41	$13,438.41	2025-07-08
372	MS_DRG	Major Gastrointestinal Disorders And Peritone	1	1	$26,086.73	$19,565.05 25% off	$13,206.25	$13,206.25	$13,206.25	2025-07-08
189	MS_DRG	Pulmonary Edema And Respiratory Failure	1	1	$25,077.21	$18,807.90 25% off	$12,751.96	$12,751.96	$12,751.96	2025-07-08
603	MS_DRG	Cellulitis Without Mcc	1	1	$24,977.03	$18,732.77 25% off	$12,706.88	$12,706.88	$12,706.88	2025-07-08
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	1	1	$24,220.40	$18,165.30 25% off	$12,366.40	$12,366.40	$12,366.40	2025-07-08
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mc	1	1	$24,176.66	$18,132.49 25% off	$12,346.71	$12,346.71	$12,346.71	2025-07-08
949	MS_DRG	Aftercare With Cc/mcc	1	1	$24,044.34	$18,033.26 25% off	$12,287.17	$12,287.17	$12,287.17	2025-07-08
698	MS_DRG	Other Kidney And Urinary Tract Diagnoses With	1	1	$23,482.46	$17,611.85 25% off	$12,034.32	$12,034.32	$12,034.32	2025-07-08
565	MS_DRG	Other Musculoskeletal System And Connective T	1	1	$21,518.88	$16,139.16 25% off	$11,150.71	$11,150.71	$11,150.71	2025-07-08
541	MS_DRG	Osteomyelitis Without Cc/mcc	1	1	$21,159.67	$15,869.75 25% off	$10,989.07	$10,989.07	$10,989.07	2025-07-08
419	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. W	1	1	$20,784.33	$15,588.25 25% off	$10,820.17	$10,820.17	$10,820.17	2025-07-08
617	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutri	1	1	$20,057.67	$15,043.25 25% off	$10,493.17	$10,493.17	$10,493.17	2025-07-08
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	1	1	$18,854.64	$14,140.98 25% off	$9,951.81	$9,951.81	$9,951.81	2025-07-08
249	MS_DRG	Percutaneous Cardiovascular Procedures With N	1	1	$18,759.08	$14,069.31 25% off	$9,908.80	$9,908.80	$9,908.80	2025-07-08
187	MS_DRG	Pleural Effusion With Cc	1	1	$18,753.08	$14,064.81 25% off	$9,906.10	$9,906.10	$9,906.10	2025-07-08
728	MS_DRG	Inflammation Of The Male Reproductive System	1	1	$18,144.35	$13,608.26 25% off	$9,632.17	$9,632.17	$9,632.17	2025-07-08
683	MS_DRG	Renal Failure With Cc	1	1	$17,793.29	$13,344.97 25% off	$9,474.19	$9,474.19	$9,474.19	2025-07-08
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Ho	1	1	$17,599.09	$13,199.31 25% off	$9,386.81	$9,386.81	$9,386.81	2025-07-08
638	MS_DRG	Diabetes With Cc	1	1	$16,909.97	$12,682.47 25% off	$9,076.70	$9,076.70	$9,076.70	2025-07-08
291	MS_DRG	Heart Failure And Shock With Mcc	1	1	$16,902.14	$12,676.61 25% off	$9,073.18	$9,073.18	$9,073.18	2025-07-08
682	MS_DRG	Renal Failure With Mcc	1	1	$16,863.35	$12,647.51 25% off	$9,055.73	$9,055.73	$9,055.73	2025-07-08
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	1	1	$16,851.02	$12,638.26 25% off	$9,050.17	$9,050.17	$9,050.17	2025-07-08
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Ho	1	1	$16,408.13	$12,306.10 25% off	$8,850.88	$8,850.88	$8,850.88	2025-07-08
206	MS_DRG	Other Respiratory System Diagnoses Without Mc	1	1	$15,742.53	$11,806.90 25% off	$8,551.35	$8,551.35	$8,551.35	2025-07-08
0671T	OTHER	Insert Anterior Aqueous Drain	4	3	$10,530.85	$7,898.14 25% off	$6,914.56	$10,004.31	$8,347.28	2025-07-08
47562	HCPCS	Laparoscopic Cholecystectomy	7	3	$12,691.44	$9,518.58 25% off	$704.58	$12,056.87	$8,333.19	2025-07-08
47563	HCPCS	Lap Surgical Chole W/cholangi	7	3	$12,691.44	$9,518.58 25% off	$765.75	$12,056.87	$8,333.19	2025-07-08
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneou	1	1	$14,978.72	$11,234.04 25% off	$8,207.64	$8,207.64	$8,207.64	2025-07-08
44180	HCPCS	Lap Enterolysis	7	3	$12,484.50	$9,363.38 25% off	$976.27	$11,860.28	$8,197.33	2025-07-08
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabol	1	1	$14,903.87	$11,177.90 25% off	$8,173.95	$8,173.95	$8,173.95	2025-07-08
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	1	1	$14,686.45	$11,014.84 25% off	$8,076.11	$8,076.11	$8,076.11	2025-07-08
58661	HCPCS	Lap Part/total Ooph And/or Sal	7	3	$12,292.14	$9,219.11 25% off	$696.38	$11,677.53	$8,071.02	2025-07-08
49651	HCPCS	Lap Repair Recur Ingl Hernia	7	3	$12,212.49	$9,159.37 25% off	$606.23	$11,601.87	$8,018.72	2025-07-08
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulm	1	1	$14,385.05	$10,788.79 25% off	$7,940.48	$7,940.48	$7,940.48	2025-07-08
281	MS_DRG	Acute Myocardial Infarction, Discharged Alive	1	1	$13,550.06	$10,162.55 25% off	$7,564.74	$7,564.74	$7,564.74	2025-07-08
49650	HCPCS	Lap Repair Initial Ingl Hernia	7	3	$11,500.00	$8,625.00 25% off	$465.12	$10,925.00	$7,550.90	2025-07-08
71	MS_DRG	Nonspecific Cerebrovascular Disorders With Cc	1	1	$13,499.34	$10,124.51 25% off	$7,541.92	$7,541.92	$7,541.92	2025-07-08
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without	1	1	$12,710.71	$9,533.03 25% off	$7,187.03	$7,187.03	$7,187.03	2025-07-08
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabol	1	1	$12,484.72	$9,363.54 25% off	$7,085.34	$7,085.34	$7,085.34	2025-07-08
179	MS_DRG	Respiratory Infections And Inflammations With	1	1	$11,959.49	$8,969.62 25% off	$6,848.98	$6,848.98	$6,848.98	2025-07-08
65235	HCPCS	F Rvl Fb Intraocularanter	7	3	$10,308.56	$7,731.42 25% off	$774.72	$9,793.13	$6,768.61	2025-07-08
65260	HCPCS	F Rvl Fb Intraocularpost/w/mag	7	3	$10,308.56	$7,731.42 25% off	$1,041.40	$9,793.13	$6,768.61	2025-07-08
65265	HCPCS	F Rvl Fb INTRAOCULARPOST/without	7	3	$10,308.56	$7,731.42 25% off	$1,170.18	$9,793.13	$6,768.61	2025-07-08
373	MS_DRG	Major Gastrointestinal Disorders And Peritone	1	1	$11,692.44	$8,769.33 25% off	$6,728.81	$6,728.81	$6,728.81	2025-07-08
947	MS_DRG	Signs And Symptoms With Mcc	1	1	$10,664.48	$7,998.36 25% off	$6,266.23	$6,266.23	$6,266.23	2025-07-08
690	MS_DRG	Kidney And Urinary Tract Infections Without M	1	1	$10,574.29	$7,930.72 25% off	$6,225.65	$6,225.65	$6,225.65	2025-07-08
176	MS_DRG	Pulmonary Embolism Without Mcc	1	1	$10,180.65	$7,635.49 25% off	$6,048.51	$6,048.51	$6,048.51	2025-07-08
32100	HCPCS	F Thoracotomy With Expl	7	3	$9,106.50	$6,829.88 25% off	$272.54	$8,651.18	$5,979.33	2025-07-08
38531	HCPCS	Bx/exc Lymph Node(s) Open Ing	7	3	$9,099.17	$6,824.38 25% off	$478.55	$8,644.21	$5,974.51	2025-07-08
24065	HCPCS	Biopsy Soft Tissue Of Upper A	7	3	$8,406.10	$6,304.58 25% off	$176.18	$7,985.80	$5,519.45	2025-07-08
36565	HCPCS	F Tun W/2 Caths Via 2 Sep Site	7	3	$7,783.02	$5,837.27 25% off	$136.56	$7,393.87	$5,110.33	2025-07-08
36560	HCPCS	F Tun < 5 With Port	7	3	$7,783.02	$5,837.27 25% off	$405.34	$7,393.87	$5,110.33	2025-07-08
36563	HCPCS	F Tun With Pump	7	3	$7,783.02	$5,837.27 25% off	$380.93	$7,393.87	$5,110.33	2025-07-08
66982	HCPCS	Cataract Removal And Lens Inse	12	3	$6,200.00	$4,650.00 25% off	$4,070.92	$5,890.00	$4,914.43	2025-07-08
66985	HCPCS	Cataract Under Intraocular Len,left Side	8	3	$6,200.00	$4,650.00 25% off	$4,070.92	$5,890.00	$4,914.43	2025-07-08
66984	HCPCS	Cataract Removal And Lens Inse,left Side	8	3	$6,200.00	$4,650.00 25% off	$4,070.92	$5,890.00	$4,914.43	2025-07-08
29877	HCPCS	Arthroscopy Dx Knee Chondropla	7	3	$7,458.23	$5,593.67 25% off	$675.46	$7,085.32	$4,897.07	2025-07-08
29880	HCPCS	Arthroscopy Menisectomy Med/la	7	3	$7,458.23	$5,593.67 25% off	$611.72	$7,085.32	$4,897.07	2025-07-08
446	MS_DRG	Disorders Of The Biliary Tract Without Cc/mcc	1	1	$7,555.62	$5,666.72 25% off	$4,867.24	$4,867.24	$4,867.24	2025-07-08
44970	HCPCS	Laparoscopy Appendectomy	7	3	$7,407.53	$5,555.65 25% off	$643.00	$7,037.15	$4,863.79	2025-07-08
49320	HCPCS	Laparoscopy Adb.dx	7	3	$7,407.53	$5,555.65 25% off	$352.90	$7,037.15	$4,863.79	2025-07-08
27266	HCPCS	Fac Dislocation Prosthetic Joi	4	3	$6,074.75	$4,556.06 25% off	$3,988.68	$5,771.01	$4,815.15	2025-07-08
696	MS_DRG	Kidney And Urinary Tract Signs And Symptoms W	1	1	$7,230.15	$5,422.61 25% off	$4,720.78	$4,720.78	$4,720.78	2025-07-08
22903	HCPCS	Fac.exc.abd Wall.tumor: 3 Cm >	7	3	$7,100.05	$5,325.04 25% off	$474.08	$6,745.05	$4,661.89	2025-07-08
49595	HCPCS	Repair Init Incis Vent Hernia	7	3	$7,051.00	$5,288.25 25% off	$814.96	$6,698.45	$4,629.69	2025-07-08
24071	HCPCS	Exc Tumor/soft Tiss Up Arm/elb	7	3	$6,876.66	$5,157.50 25% off	$438.85	$6,532.83	$4,515.21	2025-07-08
46947	HCPCS	Hemorrhoidopexy By Stapling	7	3	$6,817.86	$5,113.40 25% off	$417.88	$6,476.97	$4,476.61	2025-07-08
49593	HCPCS	Repair Init Incis Vent Hernia	7	3	$6,800.00	$5,100.00 25% off	$604.22	$6,460.00	$4,464.88	2025-07-08
27043	HCPCS	Exc Tumor Soft Tissue Pelvis	7	3	$6,783.10	$5,087.33 25% off	$505.21	$6,443.94	$4,453.79	2025-07-08
23071	HCPCS	Bx Soft Tissue Shoulder =/> 3c	7	3	$6,783.10	$5,087.33 25% off	$454.47	$6,443.94	$4,453.79	2025-07-08
49596	HCPCS	Repair Hernia Inc/vent Incar/	7	3	$6,702.00	$5,026.50 25% off	$1,081.47	$6,366.90	$4,400.53	2025-07-08
36557	HCPCS	F Tun < 5 Without Port Or Pump	7	3	$6,681.69	$5,011.27 25% off	$339.92	$6,347.61	$4,387.20	2025-07-08
78452	HCPCS	Nm Myocrd Spect Rs Multi - Pur,technical Component	4	3	$5,530.07	$4,147.55 25% off	$3,631.05	$5,253.57	$4,383.41	2025-07-08
49591	HCPCS	Repair Init Incis Vent Hernia	7	3	$6,551.69	$4,913.77 25% off	$361.47	$6,224.11	$4,301.84	2025-07-08
49505	HCPCS	Repair Init Ing Hernia >5yrs	7	3	$6,551.69	$4,913.77 25% off	$560.40	$6,224.11	$4,301.84	2025-07-08
49520	HCPCS	Repair Recur Inguinal Hernia	7	3	$6,551.69	$4,913.77 25% off	$676.29	$6,224.11	$4,301.84	2025-07-08
49329	HCPCS	Lysis Of Adhesions Omrntum	7	3	$6,551.69	$4,913.77 25% off	$992.87	$6,224.11	$4,301.84	2025-07-08
21931	HCPCS	Exc Tumor Soft Tiss Subq Back	7	3	$6,467.34	$4,850.51 25% off	$506.30	$6,143.97	$4,246.46	2025-07-08
21554	HCPCS	Exc Tumor Soft Tiss Subfasc >	7	3	$6,467.34	$4,850.51 25% off	$785.22	$6,143.97	$4,246.46	2025-07-08
21552	HCPCS	Exc Tumor Soft Tiss Neck Subq	7	3	$6,467.34	$4,850.51 25% off	$481.74	$6,143.97	$4,246.46	2025-07-08
21933	HCPCS	Exc Tumor Soft Tiss Subq Back	7	3	$6,467.34	$4,850.51 25% off	$790.63	$6,143.97	$4,246.46	2025-07-08
49594	HCPCS	Repr Hernia Inc/vent Incar/st	7	3	$6,452.00	$4,839.00 25% off	$785.73	$6,129.40	$4,236.38	2025-07-08
29881	HCPCS	Arthroscopy Knee W/meniscectom	7	3	$6,310.81	$4,733.11 25% off	$589.90	$5,995.27	$4,143.68	2025-07-08
29875	HCPCS	Arthroscopy Knee Surgicalsynov	7	3	$6,310.81	$4,733.11 25% off	$541.58	$5,995.27	$4,143.68	2025-07-08
29870	HCPCS	Arthroscopy Knee Dx W/wo Bx	7	3	$6,310.81	$4,733.11 25% off	$452.69	$5,995.27	$4,143.68	2025-07-08
49617	HCPCS	Hernia Rpr Rcrnt Incis/vent R	7	3	$6,261.15	$4,695.86 25% off	$936.53	$5,948.09	$4,111.07	2025-07-08
49592	HCPCS	Repair Hernia Inc/vent Incar/	7	3	$6,202.00	$4,651.50 25% off	$502.17	$5,891.90	$4,072.23	2025-07-08
552	MS_DRG	Medical Back Problems Without Mcc	1	1	$5,578.43	$4,183.82 25% off	$3,977.51	$3,977.51	$3,977.51	2025-07-08
49615	HCPCS	Hernia Rpr Rcrnt Incis/vent R	7	3	$6,011.15	$4,508.36 25% off	$673.78	$5,710.59	$3,946.92	2025-07-08
26045	HCPCS	Dupuytrens Contracture Release	7	3	$5,967.80	$4,475.85 25% off	$520.72	$5,669.41	$3,918.46	2025-07-08
49613	HCPCS	Hernia Rpr Recrnt Incis/vent	7	3	$5,761.15	$4,320.86 25% off	$444.69	$5,473.09	$3,782.77	2025-07-08
49521	HCPCS	Repair Recur Inguinal Hernia	7	3	$5,731.15	$4,298.36 25% off	$765.58	$5,444.59	$3,763.07	2025-07-08
44950	HCPCS	Appendectomy	7	3	$5,730.90	$4,298.18 25% off	$682.12	$5,444.36	$3,762.91	2025-07-08
26910	HCPCS	Amp Metacarpal Fig/thmb Sngl W	7	3	$5,701.40	$4,276.05 25% off	$822.93	$5,416.33	$3,743.54	2025-07-08
55250	HCPCS	Vasectomy	7	3	$5,542.83	$4,157.12 25% off	$249.61	$5,265.69	$3,639.43	2025-07-08
28800	HCPCS	Amputation Foot	7	3	$5,251.42	$3,938.57 25% off	$571.16	$4,988.85	$3,448.08	2025-07-08
58563	HCPCS	Endometrial Ablation W/novasu	7	3	$5,247.90	$3,935.93 25% off	$260.77	$4,985.50	$3,445.77	2025-07-08
58558	HCPCS	Hysteroscopy W Biop Or Polp Ww	7	3	$5,247.90	$3,935.93 25% off	$245.75	$4,985.50	$3,445.77	2025-07-08
46258	HCPCS	Hemorrh Int Ext Smp W Fistlect	7	3	$5,164.24	$3,873.18 25% off	$519.25	$4,906.03	$3,390.84	2025-07-08
46250	HCPCS	Hemorrhoidectomy Ext 2 Or More	7	3	$5,164.24	$3,873.18 25% off	$346.05	$4,906.03	$3,390.84	2025-07-08
46257	HCPCS	Hemorrh Intern Ext Smpl W Fiss	7	3	$5,164.24	$3,873.18 25% off	$452.75	$4,906.03	$3,390.84	2025-07-08
46255	HCPCS	Hemorrhoidectomy Simple	7	3	$5,164.24	$3,873.18 25% off	$382.95	$4,906.03	$3,390.84	2025-07-08
46200	HCPCS	Fissurectomy W/wo Sphincterect	7	3	$5,164.24	$3,873.18 25% off	$368.97	$4,906.03	$3,390.84	2025-07-08
56620	HCPCS	Vulvectomy Partial Simple	7	3	$5,001.57	$3,751.18 25% off	$630.69	$4,751.49	$3,284.03	2025-07-08
46260	HCPCS	Hemorrhoidectomy Ex/in 2+ Col	7	3	$4,888.52	$3,666.39 25% off	$520.15	$4,644.09	$3,209.80	2025-07-08
27087	HCPCS	Fac Remove Fb.pelvis/hip:deep	7	3	$4,565.40	$3,424.05 25% off	$665.10	$4,337.13	$2,997.64	2025-07-08
25028	HCPCS	I & D Forearm And/or Wrist	7	3	$4,565.40	$3,424.05 25% off	$571.19	$4,337.13	$2,997.64	2025-07-08
28090	HCPCS	Exc Lesion Tendon Sheath Foot	7	3	$4,548.18	$3,411.14 25% off	$337.87	$4,320.77	$2,986.33	2025-07-08
36561	HCPCS	F Tun > 5 With Port	8	3	$4,292.26	$3,219.20 25% off	$349.09	$7,393.87	$2,935.88	2025-07-08
28160	HCPCS	Hemiphalangectomy	7	3	$4,334.70	$3,251.03 25% off	$292.80	$4,117.96	$2,846.16	2025-07-08
28810	HCPCS	Amputation Metatarsal W/toe Si	7	3	$4,274.69	$3,206.02 25% off	$454.95	$4,060.96	$2,806.76	2025-07-08
24073	HCPCS	Excision Arm 5cm Or Greater	7	3	$4,240.73	$3,180.55 25% off	$747.70	$4,028.69	$2,784.46	2025-07-08
64721	HCPCS	Carpal Tunnel Neuroplasty/tran	7	3	$4,237.56	$3,178.17 25% off	$478.90	$4,025.68	$2,782.39	2025-07-08
32557	HCPCS	F Pleural Drain Tube W	7	3	$4,131.32	$3,098.49 25% off	$156.74	$3,924.75	$2,712.62	2025-07-08
31515	HCPCS	F Laryngo/direct W Or Without Trac	7	3	$4,131.32	$3,098.49 25% off	$119.10	$3,924.75	$2,712.62	2025-07-08
27603	HCPCS	I & D-lower Leg/ankle	4	3	$3,358.23	$2,518.67 25% off	$2,205.01	$3,190.32	$2,661.90	2025-07-08
594	MS_DRG	Skin Ulcers Without Cc/mcc	1	1	$3,144.48	$2,358.36 25% off	$2,630.68	$2,630.68	$2,630.68	2025-07-08
28825	HCPCS	Amputation Foot/toe Interphala	7	3	$3,973.48	$2,980.11 25% off	$185.51	$3,774.81	$2,608.99	2025-07-08
36555	HCPCS	F Non -tun < 5 Without Port/pump	7	3	$3,873.97	$2,905.48 25% off	$89.25	$3,680.27	$2,543.65	2025-07-08
36558	HCPCS	F Tun > 5 Without Port Or Pump	7	3	$3,873.97	$2,905.48 25% off	$273.24	$3,680.27	$2,543.65	2025-07-08
36570	HCPCS	F Picc < 5 W Port/pump W/image	7	3	$3,872.67	$2,904.50 25% off	$127.45	$3,679.04	$2,542.80	2025-07-08
26951	HCPCS	Amp Fin/thumb Inc Neurectomies	7	3	$3,869.66	$2,902.25 25% off	$761.57	$3,676.18	$2,540.82	2025-07-08
24105	HCPCS	Excision Olecranon Bursal	7	3	$3,864.00	$2,898.00 25% off	$399.13	$3,670.80	$2,537.10	2025-07-08
38500	HCPCS	Biop Or Exc Of Lymph Node(s)	7	3	$3,834.00	$2,875.50 25% off	$272.43	$3,642.30	$2,517.40	2025-07-08
27614	HCPCS	Bx Soft Tiss Leg/ankle Deep	7	3	$3,791.35	$2,843.51 25% off	$448.55	$3,601.78	$2,489.40	2025-07-08
11451	HCPCS	Fac.exc.hidradenitis.cpx Rpr	7	3	$3,791.35	$2,843.51 25% off	$358.71	$3,601.78	$2,489.40	2025-07-08
20525	HCPCS	F Fb Rml-musc/tend Deep/compl	7	3	$3,791.35	$2,843.51 25% off	$268.08	$3,601.78	$2,489.40	2025-07-08
46922	HCPCS	Fac Destruct Lesion Anus Simpl	7	3	$3,779.20	$2,834.40 25% off	$148.91	$3,590.24	$2,481.42	2025-07-08
46230	HCPCS	Exc Tags Multi Papillae	7	3	$3,756.34	$2,817.26 25% off	$187.39	$3,568.52	$2,466.42	2025-07-08
46220	HCPCS	Papillectomy Sgl Tag Anus	7	3	$3,756.34	$2,817.26 25% off	$131.36	$3,568.52	$2,466.42	2025-07-08
12046	HCPCS	F Layer Ext 21.1-30.0cm	7	3	$3,741.00	$2,805.75 25% off	$339.44	$3,553.95	$2,456.34	2025-07-08
46080	HCPCS	Sphincterotomy	7	3	$3,729.40	$2,797.05 25% off	$169.66	$3,542.93	$2,448.73	2025-07-08
59409	HCPCS	Pro Fee OB Or Newborn Delivery	4	3	$4,242.93	$3,182.20 25% off	$837.75	$4,030.78	$2,434.26	2025-07-08
30310	HCPCS	F Rpr Fb Intranasal W/gen Anes	7	3	$3,698.54	$2,773.91 25% off	$197.42	$3,513.61	$2,428.46	2025-07-08
12056	HCPCS	Fac Layer Face 20.1-30cm	7	3	$3,676.00	$2,757.00 25% off	$412.84	$3,492.20	$2,413.66	2025-07-08
13153	HCPCS	F Cpx Face- Add 5cm/less	7	3	$3,676.00	$2,757.00 25% off	$145.46	$3,492.20	$2,413.66	2025-07-08
15100	HCPCS	Exe.surg.s/t Agrt.1st100.child	7	3	$3,676.00	$2,757.00 25% off	$768.15	$3,492.20	$2,413.66	2025-07-08
11646	HCPCS	Exc Malig Lesion Face/ear >4.0	7	3	$3,672.06	$2,754.05 25% off	$414.46	$3,488.46	$2,411.07	2025-07-08
26115	HCPCS	Excision Hand < 1.5cm	7	3	$3,672.06	$2,754.05 25% off	$366.97	$3,488.46	$2,411.07	2025-07-08
95811	HCPCS	Polysomnography W/cpap****< 6,reduced Services, Technical Component	8	3	$3,029.24	$2,271.93 25% off	$1,989.00	$2,877.78	$2,401.13	2025-07-08
64425	HCPCS	P Inj(s) Ilioinguinal	7	3	$3,648.68	$2,736.51 25% off	$58.29	$3,466.25	$2,395.73	2025-07-08
30320	HCPCS	F Rpr Fb Intranasal Latrhinot	7	3	$3,648.67	$2,736.50 25% off	$486.88	$3,466.24	$2,395.72	2025-07-08
11771	HCPCS	Exc Pilonidal Cyst Or Sinus Ex	7	3	$3,622.10	$2,716.58 25% off	$483.66	$3,441.00	$2,378.27	2025-07-08
36556	HCPCS	F Non -tun > 5 Without Port/pump	11	3	$2,980.00	$2,235.00 25% off	$88.63	$3,680.27	$2,330.36	2025-07-08
74177	HCPCS	CT Abd/pel W/contrast,technical Component	12	3	$3,214.67	$2,411.00 25% off	$92.91	$3,053.94	$2,312.31	2025-07-08
36568	HCPCS	F Picc < 5 Without Port Or Pump	7	3	$3,487.80	$2,615.85 25% off	$97.59	$3,313.41	$2,290.09	2025-07-08
36569	HCPCS	F Picc > 5 Without Port Or Pump	11	3	$2,951.21	$2,213.41 25% off	$99.63	$3,313.41	$2,290.09	2025-07-08
45990	HCPCS	Fac.anorectal Ex.surg, W/anest	7	3	$3,477.82	$2,608.37 25% off	$113.22	$3,303.93	$2,283.54	2025-07-08
72158	HCPCS	MRI Spine Lum W/wo Contrast,technical Component	8	3	$3,344.95	$2,508.71 25% off	$116.99	$5,805.82	$2,281.16	2025-07-08
70553	HCPCS	MRI Brain W/wo Contrast,technical Component	8	3	$3,343.57	$2,507.67 25% off	$116.65	$5,805.82	$2,279.85	2025-07-08
11426	HCPCS	Exc Ben Les Scalp/neck/hand/ft	7	3	$3,454.00	$2,590.50 25% off	$290.40	$3,281.30	$2,267.90	2025-07-08
11626	HCPCS	Exc Malig Lesion Exc Diam > 4	7	3	$3,453.49	$2,590.12 25% off	$310.46	$3,280.82	$2,267.56	2025-07-08
26160	HCPCS	Excision Ganglion Hand	7	3	$3,436.19	$2,577.14 25% off	$349.81	$3,264.38	$2,256.20	2025-07-08
24076	HCPCS	Excision Excision Arm <5cm	7	3	$3,434.75	$2,576.06 25% off	$594.63	$3,263.01	$2,255.25	2025-07-08
11641	HCPCS	Exc Malig Lesion Face/ear 0.6-	7	3	$3,434.75	$2,576.06 25% off	$167.69	$3,263.01	$2,255.25	2025-07-08
11772	HCPCS	Exc Of Pilonidal Cyst Or Sinus	7	3	$3,434.75	$2,576.06 25% off	$621.97	$3,263.01	$2,255.25	2025-07-08
11644	HCPCS	Exc Malig Lesion Face/ear 3.1	7	3	$3,434.75	$2,576.06 25% off	$301.42	$3,263.01	$2,255.25	2025-07-08
15240	HCPCS	Graft Full Free Close 20sq C	7	3	$3,393.23	$2,544.92 25% off	$859.21	$3,223.57	$2,227.99	2025-07-08
23930	HCPCS	I & D Upper Arm/ Elbow	7	3	$3,358.23	$2,518.67 25% off	$233.81	$3,190.32	$2,205.01	2025-07-08
21501	HCPCS	Incision & Drainage Neck	7	3	$3,358.23	$2,518.67 25% off	$367.39	$3,190.32	$2,205.01	2025-07-08
95810	HCPCS	Polysomnography-4 Or More Para,technical Component	8	3	$2,776.93	$2,082.70 25% off	$1,823.33	$2,638.08	$2,201.13	2025-07-08
74183	HCPCS	MRI Abdomen W/wo Contrast,technical Component	8	3	$3,220.12	$2,415.09 25% off	$112.00	$5,580.72	$2,197.33	2025-07-08
72197	HCPCS	MRI Pelvis W/wo Contrast,technical Component	8	3	$3,220.12	$2,415.09 25% off	$112.00	$5,580.72	$2,197.33	2025-07-08
46615	HCPCS	Anoscopy Diag Abl Tumor	7	3	$3,340.32	$2,505.24 25% off	$96.79	$3,173.30	$2,193.25	2025-07-08
14040	HCPCS	Adj Tis Tran/rearng =/-10 Sq C	7	3	$3,330.00	$2,497.50 25% off	$674.34	$3,163.50	$2,186.48	2025-07-08
73223	HCPCS	MRI Up Ex Jt W/wo Contrast,technical Component	8	3	$3,199.40	$2,399.55 25% off	$109.82	$5,566.72	$2,179.82	2025-07-08
11044	HCPCS	Debridement Bone Up To 20 Sq/	7	3	$3,197.90	$2,398.43 25% off	$238.77	$3,038.00	$2,099.74	2025-07-08
25111	HCPCS	Excision Ganglion Wrist Prima	7	3	$3,171.86	$2,378.90 25% off	$361.26	$3,013.27	$2,082.65	2025-07-08
27825	HCPCS	Pro Fee Closed Reduction Tib O	4	3	$3,756.45	$2,817.34 25% off	$543.12	$3,568.63	$2,055.88	2025-07-08
15200	HCPCS	Graft Full Thick Free Clos Tr	7	3	$3,111.56	$2,333.67 25% off	$723.88	$2,955.98	$2,043.06	2025-07-08
45388	HCPCS	Flex Colonoscopy W/ablatin	7	3	$3,110.81	$2,333.11 25% off	$284.55	$2,955.27	$2,042.56	2025-07-08
14020	HCPCS	Adj Tis Tran/rearng =/-10 Sq C	7	3	$3,110.46	$2,332.85 25% off	$613.48	$2,954.94	$2,042.33	2025-07-08
45398	HCPCS	Colonoscopy Flex Dx Brush/was	7	3	$3,108.48	$2,331.36 25% off	$247.52	$2,953.06	$2,041.03	2025-07-08
23655	HCPCS	Treat Should Disloc Closed With	10	3	$2,830.46	$2,122.85 25% off	$450.24	$2,688.97	$2,035.96	2025-07-08
27618	HCPCS	Exc Tumor/soft Tis Leg/ankle <	7	3	$3,084.86	$2,313.65 25% off	$332.64	$2,930.62	$2,025.52	2025-07-08
24075	HCPCS	Exc Tumor/soft Tis Up Arm/elb	7	3	$3,084.86	$2,313.65 25% off	$359.52	$2,930.62	$2,025.52	2025-07-08
11606	HCPCS	Exc Mal Les Tnk Extrm >4.0 Cm	7	3	$3,081.12	$2,310.84 25% off	$336.97	$2,927.06	$2,023.06	2025-07-08
26055	HCPCS	Tendon Sheath Incision	7	3	$3,040.00	$2,280.00 25% off	$323.46	$2,888.00	$1,996.06	2025-07-08
36571	HCPCS	F Picc > 5 W Port/pump W/image	7	3	$2,980.00	$2,235.00 25% off	$328.99	$2,831.00	$1,956.67	2025-07-08
57460	HCPCS	Colposcopy W/loop Elec Bx Cerv	7	3	$2,900.00	$2,175.00 25% off	$170.31	$2,755.00	$1,904.14	2025-07-08
23700	HCPCS	Manip Shoulder Joint W/anes Ex	7	3	$2,831.00	$2,123.25 25% off	$213.45	$2,689.45	$1,858.83	2025-07-08
15120	HCPCS	Autograft Split-thick 1st 100	8	3	$2,577.45	$1,933.09 25% off	$741.96	$4,017.51	$1,828.18	2025-07-08
81220	HCPCS	Cftr Gene Analysis	4	3	$2,294.77	$1,721.08 25% off	$1,506.75	$2,180.03	$1,818.95	2025-07-08
87902	HCPCS	Hepatitis C Genotype 550475	4	3	$2,284.81	$1,713.61 25% off	$1,500.20	$2,170.57	$1,811.05	2025-07-08
45390	HCPCS	Colonoscopy Flex Endo Muc Res	7	3	$2,735.46	$2,051.60 25% off	$349.58	$2,598.69	$1,796.10	2025-07-08
71270	HCPCS	CT Chest Abdomen W/wo	12	3	$2,398.98	$1,799.24 25% off	$63.46	$2,407.39	$1,769.94	2025-07-08
28043	HCPCS	Exc Tumor Soft Tissue Foot Sub	7	3	$2,694.36	$2,020.77 25% off	$284.52	$2,559.64	$1,769.12	2025-07-08
11770	HCPCS	Exc Pilonidal Cyst Or Sinus Si	7	3	$2,694.36	$2,020.77 25% off	$197.62	$2,559.64	$1,769.12	2025-07-08
G0105	HCPCS	Colonoscopy Screening Medicare	7	3	$2,682.00	$2,011.50 25% off	$195.13	$2,547.90	$1,761.00	2025-07-08
0121	RC	—	9	2	$1,946.00	$1,459.50 25% off	$1,357.16	$2,374.20	$1,751.40	2025-07-08
27503	HCPCS	Pro Fee Reduction Thigh Fractu	4	3	$2,756.28	$2,067.21 25% off	$867.20	$2,618.47	$1,742.84	2025-07-08
70549	HCPCS	MRA Neck W&without Contrast,technical Component	8	3	$2,538.41	$1,903.81 25% off	$91.27	$4,400.27	$1,732.00	2025-07-08
87507	HCPCS	Gastrointestinal Panel Pcr 183	4	3	$2,173.00	$1,629.75 25% off	$1,426.79	$2,064.35	$1,722.43	2025-07-08
49440	HCPCS	P Insert G-tube Percut Ufluoro	7	3	$2,580.18	$1,935.14 25% off	$214.66	$2,451.17	$1,694.15	2025-07-08
46020	HCPCS	Placement Of Seton	7	3	$2,580.00	$1,935.00 25% off	$124.93	$2,451.00	$1,694.03	2025-07-08
0164	RC	—	5	2	$1,834.00	$1,375.50 25% off	$1,357.16	$2,145.80	$1,650.60	2025-07-08
74178	HCPCS	CT Abd/pel W/wo Contrast,technical Component	8	3	$2,398.22	$1,798.66 25% off	$102.01	$4,076.62	$1,648.79	2025-07-08
36590	HCPCS	F Rml Ctrl Ven Access W/port	8	3	$2,063.68	$1,547.76 25% off	$200.28	$2,154.15	$1,627.84	2025-07-08
36572	HCPCS	F Picc < 5 Without Port/pump W/im	7	3	$2,367.69	$1,775.77 25% off	$85.45	$2,249.31	$1,554.62	2025-07-08
62329	HCPCS	F Splpunc Lumbar Therap W/imag	7	3	$2,348.39	$1,761.29 25% off	$110.47	$2,230.97	$1,541.95	2025-07-08
45384	HCPCS	Colonoscopy W Polpectomy	7	3	$2,330.92	$1,748.19 25% off	$240.27	$2,214.37	$1,530.49	2025-07-08
45350	HCPCS	Sigmoidoscopy Flex Dx Spec	7	3	$2,330.92	$1,748.19 25% off	$106.89	$2,214.37	$1,530.49	2025-07-08
45380	HCPCS	Colonoscopy Flex Splen Bx	7	3	$2,330.92	$1,748.19 25% off	$212.20	$2,214.37	$1,530.49	2025-07-08
45385	HCPCS	Colonoscopy Lesn Rmvl Snare	7	3	$2,330.92	$1,748.19 25% off	$267.72	$2,214.37	$1,530.49	2025-07-08
45382	HCPCS	Colonoscopy Flex Splen Control	7	3	$2,330.92	$1,748.19 25% off	$272.80	$2,214.37	$1,530.49	2025-07-08
81301	HCPCS	Microsatellite Instability	4	3	$1,929.36	$1,447.02 25% off	$1,266.82	$1,832.89	$1,529.31	2025-07-08
45381	HCPCS	Colonoscopy W Submucosal Inj	7	3	$2,313.39	$1,735.04 25% off	$212.20	$2,197.72	$1,518.97	2025-07-08
45386	HCPCS	Colonoscopy W/dil Balloon	7	3	$2,313.39	$1,735.04 25% off	$223.94	$2,197.72	$1,518.97	2025-07-08
73718	HCPCS	MRI Low Ex Without Contrast,technical Component	11	3	$2,142.49	$1,606.87 25% off	$68.54	$2,186.90	$1,511.49	2025-07-08
G0121	HCPCS	Colonoscopy Screening Medica	7	3	$2,295.18	$1,721.39 25% off	$195.40	$2,180.42	$1,507.01	2025-07-08
45378	HCPCS	Colonoscopy	7	3	$2,295.18	$1,721.39 25% off	$195.13	$2,180.42	$1,507.01	2025-07-08
36573	HCPCS	F Picc > 5 Without Port/pump W/im	8	3	$2,229.40	$1,672.05 25% off	$87.94	$3,967.48	$1,505.27	2025-07-08
43235	HCPCS	Esophgstrduodscpy Flex Trans D	7	3	$2,284.18	$1,713.14 25% off	$130.05	$2,169.97	$1,499.79	2025-07-08
43238	HCPCS	Flex Egd W Guidance Aspir Bx	7	3	$2,284.18	$1,713.14 25% off	$245.35	$2,169.97	$1,499.79	2025-07-08
43237	HCPCS	Flexible Egd W/us Exam	7	3	$2,284.18	$1,713.14 25% off	$206.27	$2,169.97	$1,499.79	2025-07-08
43246	HCPCS	Egd Peg Placement	7	3	$2,264.07	$1,698.05 25% off	$210.82	$2,150.87	$1,486.59	2025-07-08
15002	HCPCS	Exe.s Prep Graft 1st100.child	7	3	$2,258.79	$1,694.09 25% off	$233.72	$2,145.85	$1,483.12	2025-07-08
15221	HCPCS	Graft Full Thick Free Closure	7	3	$2,243.61	$1,682.71 25% off	$72.92	$2,131.43	$1,473.16	2025-07-08
15220	HCPCS	Graft Full Thick Free Closure	7	3	$2,243.61	$1,682.71 25% off	$657.54	$2,131.43	$1,473.16	2025-07-08
27562	HCPCS	Pro Fee Closed Reduc Discloc K	4	3	$2,460.52	$1,845.39 25% off	$541.41	$2,337.49	$1,439.45	2025-07-08
43247	HCPCS	Egd W/removal Of Foreign Body	7	3	$2,170.39	$1,627.79 25% off	$186.31	$2,061.87	$1,425.08	2025-07-08
12036	HCPCS	F Layer Scalp 20.1-30.0cm	8	3	$2,060.19	$1,545.14 25% off	$301.94	$3,492.20	$1,417.91	2025-07-08
95808	HCPCS	Multiple Sleep Latency Test,technical Component	4	3	$1,780.00	$1,335.00 25% off	$1,168.75	$1,691.00	$1,410.92	2025-07-08
93306	HCPCS	Echo 2d W Color & Doppler,technical Component	4	3	$1,774.54	$1,330.91 25% off	$1,165.16	$1,685.81	$1,406.59	2025-07-08
72157	HCPCS	MRI Spine Thor W/wo Contrast,technical Component	8	3	$2,013.10	$1,509.82 25% off	$116.99	$3,277.92	$1,406.26	2025-07-08
71552	HCPCS	MRI Chest W/wo Contrast,technical Component	8	3	$2,008.12	$1,506.09 25% off	$115.19	$3,277.92	$1,401.53	2025-07-08
71260	HCPCS	CT Chest W/contrast,technical Component	11	3	$2,027.59	$1,520.69 25% off	$59.17	$2,023.82	$1,398.78	2025-07-08
73220	HCPCS	MRI Up Ex W/wo Contrast,technical Component	8	3	$1,994.77	$1,496.08 25% off	$109.82	$3,277.92	$1,388.85	2025-07-08
73723	HCPCS	MRI Low Ext Jt W/wo Contrast,technical Component	8	3	$1,994.77	$1,496.08 25% off	$109.82	$3,277.92	$1,388.85	2025-07-08
70543	HCPCS	MRI Fac/ob/nk W/wo Contrast,technical Component	8	3	$1,993.89	$1,495.42 25% off	$109.46	$3,277.92	$1,388.02	2025-07-08
73720	HCPCS	MRI Low Ex W/wo Contrast,technical Component	8	3	$1,993.89	$1,495.42 25% off	$109.82	$3,277.92	$1,388.02	2025-07-08
46040	HCPCS	Faci&d Ischiorectal/perire Abs	7	3	$2,110.00	$1,582.50 25% off	$462.39	$2,004.50	$1,385.43	2025-07-08
46320	HCPCS	Exc Of Thrombosed Hemorrhoid	7	3	$2,110.00	$1,582.50 25% off	$122.14	$2,004.50	$1,385.43	2025-07-08
0120	RC	—	9	2	$1,649.00	$1,236.75 25% off	$918.34	$2,077.34	$1,384.20	2025-07-08
87899	HCPCS	Cryptococcus Ag Serum 006551	7	3	$2,103.84	$1,577.88 25% off	$123.12	$1,998.65	$1,381.38	2025-07-08
25605	HCPCS	F Cld Tx-ulna/rad Fx-w/manip	11	3	$1,864.88	$1,398.66 25% off	$564.93	$2,926.79	$1,377.50	2025-07-08
25565	HCPCS	F Cld Tx-ulna/rad Fx-w/manip	11	3	$1,864.88	$1,398.66 25% off	$513.48	$2,229.65	$1,371.57	2025-07-08
43249	HCPCS	Egd W/balloon Dialation	7	3	$2,088.48	$1,566.36 25% off	$162.13	$1,984.06	$1,371.29	2025-07-08
43239	HCPCS	Egd Flex Transoral W Bx Sngl	7	3	$2,088.48	$1,566.36 25% off	$146.22	$1,984.06	$1,371.29	2025-07-08
43245	HCPCS	Egd Dilat Gastro Out	7	3	$2,088.48	$1,566.36 25% off	$186.07	$1,984.06	$1,371.29	2025-07-08
27552	HCPCS	Pro Fee Reduction Knee	4	3	$2,058.27	$1,543.70 25% off	$693.95	$1,955.36	$1,324.65	2025-07-08
52000	HCPCS	Cystoscope	4	3	$1,617.03	$1,212.77 25% off	$1,061.74	$1,536.18	$1,281.74	2025-07-08
26011	HCPCS	I & D Finger/thumb-complicated	7	3	$1,949.42	$1,462.07 25% off	$201.71	$1,851.95	$1,279.99	2025-07-08
19100	HCPCS	Biopsy Breast	7	3	$1,949.42	$1,462.07 25% off	$71.95	$1,851.95	$1,279.99	2025-07-08
19020	HCPCS	I & D Breast	7	3	$1,949.42	$1,462.07 25% off	$337.65	$1,851.95	$1,279.99	2025-07-08
49082	HCPCS	Paracenthesis Without Image G,technical Component	11	3	$1,609.44	$1,207.08 25% off	$77.52	$1,528.97	$1,258.58	2025-07-08
74174	HCPCS	CTA Abd/pelvis,technical Component	8	3	$1,841.64	$1,381.24 25% off	$111.56	$3,222.20	$1,251.99	2025-07-08
70488	HCPCS	CT Maxillofacial W/wo Contrast,technical Component	11	3	$1,587.23	$1,190.42 25% off	$64.18	$1,824.35	$1,241.21	2025-07-08
70545	HCPCS	MRA Brain With Contrast,technical Component	8	3	$1,766.46	$1,324.85 25% off	$60.63	$2,836.16	$1,240.18	2025-07-08
36430	HCPCS	Blood Admin Or Monitor	4	3	$1,560.98	$1,170.74 25% off	$1,024.94	$1,482.93	$1,237.31	2025-07-08
49561	HCPCS	Surgn Rpr Hrnia Inc/vent Inca	4	3	$1,478.91	$1,109.18 25% off	$1,065.07	$1,404.96	$1,235.02	2025-07-08
10005	HCPCS	Bx Fine Needle W/us Guide Firs	7	3	$1,872.00	$1,404.00 25% off	$77.46	$1,778.40	$1,229.16	2025-07-08
11404	HCPCS	Exc Ben Les Tnk Extrm 3.1 - 4.	7	3	$1,871.63	$1,403.72 25% off	$178.81	$1,778.05	$1,228.91	2025-07-08
11403	HCPCS	Exc Ben Les Tnk Extrm 2.1-3.0	7	3	$1,871.63	$1,403.72 25% off	$162.81	$1,778.05	$1,228.91	2025-07-08
25520	HCPCS	F Cld Tx/disloc Tx-rad Fx	7	3	$1,864.88	$1,398.66 25% off	$603.61	$1,771.64	$1,224.48	2025-07-08
25505	HCPCS	F Cld Tx-radl Shft Fx- W/mnp	7	3	$1,864.88	$1,398.66 25% off	$511.57	$1,771.64	$1,224.48	2025-07-08
26675	HCPCS	Pro Fee Dislocation W Manipul	4	3	$2,057.40	$1,543.05 25% off	$470.92	$1,954.53	$1,212.72	2025-07-08
70470	HCPCS	CT Head W/wo Contrast,technical Component	8	3	$1,766.06	$1,324.54 25% off	$64.54	$3,051.74	$1,206.49	2025-07-08
0975	RC	—	4	3	$1,269.45	$952.09 25% off	$1,205.98	$1,205.98	$1,205.98	2025-07-08
43251	HCPCS	Egd Flex/trans Dx W Rmvl Snar	7	3	$1,836.48	$1,377.36 25% off	$206.74	$1,744.66	$1,205.83	2025-07-08
72149	HCPCS	MRI Spine Lum With Contrast,technical Component	8	3	$1,724.25	$1,293.19 25% off	$91.08	$2,848.58	$1,198.16	2025-07-08
70552	HCPCS	MRI Brain With Contrast,technical Component	8	3	$1,717.71	$1,288.29 25% off	$90.53	$2,836.16	$1,193.87	2025-07-08
72147	HCPCS	MRI Spine Thor With Contrast,technical Component	8	3	$1,717.01	$1,287.76 25% off	$90.53	$2,836.16	$1,193.20	2025-07-08
72142	HCPCS	MRI Spine Cerv With Contrast,technical Component	8	3	$1,717.01	$1,287.76 25% off	$91.44	$2,836.16	$1,193.20	2025-07-08
M0222	HCPCS	IV Injection/push Bebtelovimab	4	3	$1,480.00	$1,110.00 25% off	$971.77	$1,406.00	$1,188.88	2025-07-08
M0243	HCPCS	IV Infusion Casirivimab And IM	4	3	$1,480.00	$1,110.00 25% off	$971.77	$1,406.00	$1,188.88	2025-07-08
M0247	HCPCS	IV Infusion Sotrovimab	4	3	$1,480.00	$1,110.00 25% off	$971.77	$1,406.00	$1,188.88	2025-07-08
P9035	HCPCS	Plt Pheresis Process/store	4	3	$1,499.04	$1,124.28 25% off	$984.27	$1,424.09	$1,188.22	2025-07-08
72196	HCPCS	MRI Pelvis With Contrast,technical Component	8	3	$1,710.79	$1,283.09 25% off	$87.63	$2,836.16	$1,187.29	2025-07-08
71551	HCPCS	MRI Chest With Contrast,technical Component	8	3	$1,709.91	$1,282.44 25% off	$87.63	$2,836.16	$1,186.46	2025-07-08
74182	HCPCS	MRI Abdomen With Contrast,technical Component	8	3	$1,709.91	$1,282.44 25% off	$87.63	$2,836.16	$1,186.46	2025-07-08
11624	HCPCS	Exc Malg Les Inc Mrgn Excised	7	3	$1,801.00	$1,350.75 25% off	$254.60	$1,710.95	$1,182.54	2025-07-08
73202	HCPCS	CT Shoulder W/wo Cont-lt,technical Component, Left Side	14	3	$946.72	$710.04 25% off	$0.95	$1,710.29	$1,182.09	2025-07-08
72146	HCPCS	MRI Spine Thor Without Contrast,technical Component	8	3	$1,713.92	$1,285.44 25% off	$75.36	$2,901.01	$1,180.24	2025-07-08
32554	HCPCS	Thoracentesis	4	3	$1,484.59	$1,113.44 25% off	$974.79	$1,410.36	$1,176.76	2025-07-08
37799	HCPCS	Vascular Surgery Unlisted	7	3	$1,790.25	$1,342.69 25% off	$408.50	$1,700.74	$1,175.48	2025-07-08
11424	HCPCS	Exc Ben Les Scalp Extrem Gen	7	3	$1,790.00	$1,342.50 25% off	$196.74	$1,700.50	$1,175.31	2025-07-08
73722	HCPCS	MRI Low Ext Jt With Contrast,technical Component	8	3	$1,698.11	$1,273.59 25% off	$82.62	$2,836.16	$1,175.25	2025-07-08
73719	HCPCS	MRI Low Ex With Contrast,technical Component	8	3	$1,697.41	$1,273.06 25% off	$82.26	$2,836.16	$1,174.59	2025-07-08
73219	HCPCS	MRI Up Ex With Contrast,technical Component	8	3	$1,697.41	$1,273.06 25% off	$82.26	$2,836.16	$1,174.59	2025-07-08
70542	HCPCS	MRI Fac/or/nk With Contrast,technical Component	8	3	$1,696.54	$1,272.41 25% off	$82.26	$2,836.16	$1,173.76	2025-07-08
74176	HCPCS	CT Abd/pel Without Contrast,technical Component	8	3	$1,683.39	$1,262.54 25% off	$88.36	$2,782.38	$1,169.56	2025-07-08
71250	HCPCS	CT Chest Abd/plvs Without	12	3	$1,496.12	$1,122.09 25% off	$54.82	$1,611.35	$1,141.84	2025-07-08
45338	HCPCS	Flex Sigmoid Dx W/remvl Tumr/p	7	3	$1,730.89	$1,298.17 25% off	$127.51	$1,644.35	$1,136.51	2025-07-08
45331	HCPCS	Flex Sigmoid Dx W/biopsy	7	3	$1,730.89	$1,298.17 25% off	$77.25	$1,644.35	$1,136.51	2025-07-08
90675	HCPCS	Phy Fee Rabies Vaccine	4	3	$1,193.62	$895.22 25% off	$1,133.94	$1,133.94	$1,133.94	2025-07-08
15271	HCPCS	Fac.app.graft.first 25 Sq CMs	7	3	$1,725.86	$1,294.40 25% off	$89.63	$1,639.57	$1,133.20	2025-07-08
0155	RC	—	5	2	$250.00	$187.50 25% off	$185.00	$1,559.71	$1,110.00	2025-07-08
72148	HCPCS	MRI Spine Lum Without Contrast,technical Component	8	3	$1,601.16	$1,200.87 25% off	$75.36	$2,685.43	$1,106.41	2025-07-08
23650	HCPCS	Pro Fee Clos Treat Should Dis	4	3	$1,973.70	$1,480.28 25% off	$337.44	$1,875.02	$1,106.23	2025-07-08
11604	HCPCS	Exc Mal Les Tnk Extrm 3.1-4.0	7	3	$1,672.10	$1,254.08 25% off	$228.42	$1,588.50	$1,097.90	2025-07-08
11444	HCPCS	Exc Other Benign 3.1 Cm To 4.0	7	3	$1,672.10	$1,254.08 25% off	$245.24	$1,588.50	$1,097.90	2025-07-08
11643	HCPCS	Exc Malignant Les Face 2.1-3cm	7	3	$1,672.10	$1,254.08 25% off	$244.31	$1,588.50	$1,097.90	2025-07-08
72141	HCPCS	MRI Spine Cerv Without Contrast,technical Component	8	3	$1,562.64	$1,171.98 25% off	$75.36	$2,613.57	$1,080.91	2025-07-08
70551	HCPCS	MRI Brain Without Contrast,technical Component	8	3	$1,561.07	$1,170.80 25% off	$75.00	$2,613.57	$1,079.42	2025-07-08

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