Price Transparency Hospital negotiated rates

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 →

Export CSV
Hospital

DALE MEDICAL CENTER

Ozark, AL · CCN 010021 · Rates published

603 distinct procedures filed
8 distinct payers
19,920 rate rows
2026-05-23 last MRF observed
Data quality

19,726 of 19,920 rate rows are consumer-grade (99.0%)

194 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
placeholder amount (≤ $0.02) — excluded from medians 100
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 66
per-diem day rate — not a per-procedure price 16
exceeds 10× this hospital's gross charge — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dalemedical.org/docs/636001875_dale-medical-center_standardcharges.csv
Found on page https://www.dalemedical.org/getpage.php?name=Hospital_Pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 41ecd64da0dba9e8… · 38,789,023 bytes · first seen 2026-05-09

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
790
OTHER 		Lithotripsy Unilateral 8 $12,835.74 $20,323.26 $12,835.74 nat. median
$42,495
outlier · 0.3×
64582
OTHER 		Inspire Stimulation Lead 4063 8 $3,732.80 $48,600.00 $11,250.00 nat. median
$28,637
outlier · 0.4×
J1162
OTHER 		Digibind(digoxin Immune Fab)inj:40mg 4ml,340b 8 $5,063.65 $13,245.12 $5,063.65 nat. median
$5,270
1.0× median
J2507
OTHER 		Krystexxa(pegloticase)infusion:8mg 1ml,340b 8 $3,693.43 $4,522.57 $3,693.43 nat. median
$3,771
1.0× median
A9566
OTHER 		Nm Neutrospec 99m 8 $3,360.00 $3,360.00 $3,360.00 nat. median
$492
outlier · 6.8×
J2993
OTHER 		Retavase Kit(tiss Plasm Activ)10 Units,340b 8 $2,846.49 $5,810.28 $2,846.49 nat. median
$3,063
0.9× median
75710
OTHER 		Angiogram Extremity Unilateral Left 8 $2,666.85 $3,265.54 $2,666.85 nat. median
$3,267
0.8× median
619
OTHER 		MRI Upper Ext Joint W 8 $2,332.00 $3,241.56 $2,357.60 nat. median
$26,261
outlier · 0.1×
611
OTHER 		MRI Brain Without 8 $2,225.88 $3,383.20 $2,348.01 nat. median
$1,777
1.3× median
612
OTHER 		MRI L-spine Without Contrast 8 $1,430.47 $3,438.40 $2,346.00 nat. median
$2,164
1.1× median
610
OTHER 		MRI Breast Without Contrast Unilateral 8 $495.00 $3,294.40 $2,163.20 nat. median
$2,142
1.0× median
352
OTHER 		CT Lung Cancer Screening Low Dose Scan 8 $338.50 $3,805.60 $1,876.00 nat. median
$6,313
outlier · 0.3×
J0840
OTHER 		Crofab:1gm Vial(antivenin Crot) Inj,340b 8 $1,789.99 $9,210.24 $1,789.99 nat. median
$2,112
0.8× median
J1950
OTHER 		Lupron (leuprolide Acet)inj: 11.25mg,340b 8 $792.50 $2,859.57 $1,728.59 nat. median
$1,808
1.0× median
278
OTHER 		Trachial Bronchial Y-sten 8 $94.50 $3,765.72 $1,700.75 nat. median
$1,931
0.9× median
350
OTHER 		CT Guided Needle Biopsy 8 $579.20 $1,764.00 $1,672.00 nat. median
$1,785
0.9× median
351
OTHER 		CT Head/brain Without Contras 8 $1,486.42 $2,344.00 $1,520.00 nat. median
$11,639
outlier · 0.1×
341
OTHER 		Nm V-q Lung 8 $252.00 $3,689.60 $1,429.03 nat. median
$1,279
1.1× median
323
OTHER 		Aortogram Abdominal 8 $1,328.54 $3,164.00 $1,339.22 nat. median
$31,081
outlier · 0.0×
A9504
OTHER 		Nm Acutect 8 $1,313.20 $1,313.20 $1,313.20 nat. median
$607
outlier · 2.2×
J2325
OTHER 		Natrecor 1.5mg (nesiritide):inj,340b 8 $1,179.53 $1,179.53 $1,179.53 nat. median
$79
outlier · 14.9×
384
OTHER 		Bb Platelet Lr Pheresis Ea Unit 8 $1,173.04 $1,173.04 $1,173.04 nat. median
$8,971
outlier · 0.1×
J3246
OTHER 		Aggrastat(tirofiban Hcl)12.5me/50ml:inj,340b 8 $1,140.76 $1,140.76 $1,140.76 nat. median
$5
outlier · 238.2×
750
OTHER 		Motility Esophageal 8 $1,138.22 $1,138.22 $1,138.22 nat. median
$2,494
outlier · 0.5×
C1898
OTHER 		Lead Pacemaker Rva Right Apex Lpa1231/ 8 $960.00 $960.00 $960.00 nat. median
$2,194
outlier · 0.4×
C1779
OTHER 		Lead Pacemaker Ventricular #1 1346t/58 8 $924.00 $924.00 $924.00 nat. median
$1,332
0.7× median
36217
OTHER 		Inj Thor/brachio 3rd Ord Left 8 $917.28 $917.28 $917.28 nat. median
$1,054
0.9× median
114
OTHER 		Behavioral Pvt 2 $880.00 $950.00 $915.00 nat. median
$10,012
outlier · 0.1×
154
OTHER 		Behavioral Semi Pvt 2 $800.00 $950.00 $875.00 nat. median
$15,473
outlier · 0.1×
740
OTHER 		EEG Awake/asleep 8 $871.20 $871.20 $871.20 nat. median
$1,846
outlier · 0.5×
200
OTHER 		ICU 2 $792.00 $950.00 $871.00 nat. median
$10,206
outlier · 0.1×
J3489
OTHER 		Reclast 5mg/100ml Mannitol Water,340b 8 $126.62 $864.00 $864.00 nat. median
$16
outlier · 54.0×
120
OTHER 		Semi Private 1st Floor 2 $308.00 $950.00 $800.00 nat. median
$1,852
outlier · 0.4×
391
OTHER 		Bb Blood Product Administration 8 $799.40 $799.40 $799.40 nat. median
$9,924
outlier · 0.1×
99292
OTHER 		Critical Care Addl 30 Min 8 $796.00 $796.00 $796.00 nat. median
$156
outlier · 5.1×
43200
OTHER 		Esophagoscopy 8 $766.06 $1,664.60 $766.06 nat. median
$925
0.8× median
43235
OTHER 		Endoscopy Upper Gi 8 $766.06 $1,752.80 $766.06 nat. median
$1,079
0.7× median
921
OTHER 		US Carotid Duplex Bilat 8 $183.12 $1,125.26 $749.60 nat. median
$1,000
0.7× median
91035
OTHER 		Ph Bravo Test 8 $725.31 $926.10 $725.31 nat. median
$612
1.2× median
J2785
OTHER 		Lexiscan 0.4 Mg/5ml Syringe 8 $720.00 $720.00 $720.00 nat. median
$61
outlier · 11.8×
36216
OTHER 		Inj Thor/brachio 2nd Ord Left 8 $710.64 $710.64 $710.64 nat. median
$929
0.8× median
36215
OTHER 		Inj Thor/brachio 1st Ord Left 8 $710.64 $710.64 $710.64 nat. median
$883
0.8× median
111
OTHER 		Private 2nd Floor 2 $468.00 $950.00 $709.00 nat. median
$4,074
outlier · 0.2×
116
OTHER 		Detoxification Pvt 2 $468.00 $950.00 $709.00 nat. median
$17,102
outlier · 0.0×
121
OTHER 		Semi Private 2nd Floor 2 $460.00 $950.00 $705.00 nat. median
$10,782
outlier · 0.1×
126
OTHER 		Detoxification Semi 2 $460.00 $950.00 $705.00 nat. median
$925
0.8× median
99291
OTHER 		ER Critical Carew/modifier,same Day Em Visit 8 $697.67 $1,405.60 $697.67 nat. median
$887
0.8× median
322
OTHER 		Drain/inj Joint/bursa Without US Right Hip 8 $616.56 $616.56 $616.56 nat. median
$15,755
outlier · 0.0×
901
OTHER 		Electroconvulsive Therapy 8 $600.00 $600.00 $600.00 nat. median
$29,541
outlier · 0.0×
54160
OTHER 		Circumcision (includes Circ Tray 8 $588.95 $743.06 $588.95 nat. median
$644
0.9× median

Other procedures at this hospital

Browse this hospital's 603 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
             
J3101 OTHER Tnkase Kit 50mg/10ml Sterile Water Inj.,340b 14 7 $28,179.00 $19,725.30 30% off $183.23 $22,543.20 $183.23 2026-05-23
J0517 OTHER Fasenra 30mg/ml Pen Sq,340b, Zero Drug Waste 14 7 $20,436.30 $14,305.41 30% off $160.69 $16,349.04 $160.69 2026-05-23
J9312 OTHER Rituxan (rituximab) 500mg/50ml,340b 14 7 $16,911.36 $11,837.95 30% off $73.27 $13,529.09 $73.27 2026-05-23
J1162 OTHER Digibind(digoxin Immune Fab)inj:40mg 4ml,340b 16 8 $16,556.40 $11,589.48 30% off $5,063.65 $13,245.12 $5,063.65 2026-05-23
790 OTHER Lithotripsy Unilateral 18 8 $16,044.68 $11,231.28 30% off $12,835.74 $20,323.26 $12,835.74 2026-05-23
J1561 OTHER Gamunex-c 20gm/200ml 28 7 $15,000.00 $10,500.00 30% off $48.10 $16,000.00 $48.10 2026-05-23
J0840 OTHER Crofab:1gm Vial(antivenin Crot) Inj,340b 16 8 $11,512.80 $8,058.96 30% off $1,789.99 $9,210.24 $1,789.99 2026-05-23
J0490 OTHER Benlysta 400mg/250ml Ns Infusion,zero Drug Waste 14 7 $7,768.83 $5,438.18 30% off $56.02 $6,215.06 $56.02 2026-05-23
J2993 OTHER Retavase Kit(tiss Plasm Activ)10 Units,340b 16 8 $7,262.85 $5,084.00 30% off $2,846.49 $5,810.28 $2,846.49 2026-05-23
64582 OTHER Inspire Stimulation Lead 4063 46 8 $6,500.00 $4,550.00 30% off $3,732.80 $48,600.00 $11,250.00 2026-05-23
J0129 OTHER Orencia (abatacept) 250mg IV Vial 20 7 $5,775.30 $4,042.71 30% off $43.87 $18,480.96 $48.80 2026-05-23
J2507 OTHER Krystexxa(pegloticase)infusion:8mg 1ml,340b 16 8 $4,999.00 $3,499.30 30% off $3,693.43 $4,522.57 $3,693.43 2026-05-23
A9566 OTHER Nm Neutrospec 99m 16 8 $4,200.00 $2,100.00 50% off $3,360.00 $3,360.00 $3,360.00 2026-05-23
Q4101 OTHER Graft Skin Apligraf 1978-0001-99 14 7 $4,151.60 $2,075.80 50% off $105.10 $3,321.28 $105.10 2026-05-23
75710 OTHER Angiogram Extremity Unilateral Left 16 8 $3,955.00 $1,977.50 50% off $2,666.85 $3,265.54 $2,666.85 2026-05-23
C8905 OTHER MRI Breast W And Without Contrast Unilateral 16 8 $2,949.14 $2,064.40 30% off $294.67 $2,359.31 $294.67 2026-05-23
619 OTHER MRI Upper Ext Joint W 28 8 $2,947.00 $2,062.90 30% off $2,332.00 $3,241.56 $2,357.60 2026-05-23
611 OTHER MRI Brain Without 26 8 $2,935.01 $2,054.51 30% off $2,225.88 $3,383.20 $2,348.01 2026-05-23
612 OTHER MRI L-spine Without Contrast 44 8 $2,932.50 $2,052.75 30% off $1,430.47 $3,438.40 $2,346.00 2026-05-23
J1950 OTHER Lupron (leuprolide Acet)inj: 11.25mg,340b 28 8 $2,759.03 $1,931.32 30% off $792.50 $2,859.57 $1,728.59 2026-05-23
610 OTHER MRI Breast Without Contrast Unilateral 62 8 $2,704.00 $1,892.80 30% off $495.00 $3,294.40 $2,163.20 2026-05-23
352 OTHER CT Lung Cancer Screening Low Dose Scan 84 8 $2,345.00 $1,641.50 30% off $338.50 $3,805.60 $1,876.00 2026-05-23
J1670 OTHER Tetanus Immune Globulin Inj:250 Unit,340b 16 8 $2,337.00 $1,635.90 30% off $576.77 $1,869.60 $576.77 2026-05-23
43235 OTHER Endoscopy Upper Gi 16 8 $2,191.00 $1,095.50 50% off $766.06 $1,752.80 $766.06 2026-05-23
278 OTHER Trachial Bronchial Y-sten 26 8 $2,125.94 $1,062.97 50% off $94.50 $3,765.72 $1,700.75 2026-05-23
350 OTHER CT Guided Needle Biopsy 22 8 $2,090.00 $1,463.00 30% off $579.20 $1,764.00 $1,672.00 2026-05-23
43200 OTHER Esophagoscopy 16 8 $2,080.75 $1,040.38 50% off $766.06 $1,664.60 $766.06 2026-05-23
351 OTHER CT Head/brain Without Contras 42 8 $1,900.00 $1,330.00 30% off $1,486.42 $2,344.00 $1,520.00 2026-05-23
C8901 OTHER MRA Abdomen 16 8 $1,788.09 $1,251.66 30% off $201.53 $1,430.47 $201.53 2026-05-23
341 OTHER Nm V-q Lung 82 8 $1,786.29 $1,250.40 30% off $252.00 $3,689.60 $1,429.03 2026-05-23
99291 OTHER ER Critical Carew/modifier,same Day Em Visit 16 8 $1,757.00 $1,229.90 30% off $697.67 $1,405.60 $697.67 2026-05-23
J1430 OTHER Ethamolin (ethanolamine Oleate)inj:100mg,340b 16 8 $1,729.44 $1,210.61 30% off $506.74 $1,383.55 $506.74 2026-05-23
91020 OTHER Motility Gastric 16 8 $1,692.00 $846.00 50% off $315.18 $1,353.60 $315.18 2026-05-23
J9217 OTHER Lupron Depo (leuprolide Acet)inj: 7.5mg,340b 18 8 $1,677.90 $1,174.53 30% off $167.36 $3,812.76 $167.36 2026-05-23
323 OTHER Aortogram Abdominal 32 8 $1,674.03 $1,171.83 30% off $1,328.54 $3,164.00 $1,339.22 2026-05-23
A9504 OTHER Nm Acutect 16 8 $1,641.50 $820.75 50% off $1,313.20 $1,313.20 $1,313.20 2026-05-23
90675 OTHER Rabies Vaccine (imovax) 2.5 Units:1ml,340b 16 8 $1,561.71 $1,093.20 30% off $313.36 $1,249.37 $313.36 2026-05-23
J2325 OTHER Natrecor 1.5mg (nesiritide):inj,340b 16 8 $1,474.41 $1,032.09 30% off $1,179.53 $1,179.53 $1,179.53 2026-05-23
384 OTHER Bb Platelet Lr Pheresis Ea Unit 16 8 $1,466.30 $1,026.41 30% off $1,173.04 $1,173.04 $1,173.04 2026-05-23
J3246 OTHER Aggrastat(tirofiban Hcl)12.5me/50ml:inj,340b 16 8 $1,425.95 $998.17 30% off $1,140.76 $1,140.76 $1,140.76 2026-05-23
750 OTHER Motility Esophageal 16 8 $1,422.78 $995.95 30% off $1,138.22 $1,138.22 $1,138.22 2026-05-23
C1898 OTHER Lead Pacemaker Rva Right Apex Lpa1231/ 16 8 $1,200.00 $840.00 30% off $960.00 $960.00 $960.00 2026-05-23
99285 OTHER ER Level V W/modifier,same Day Em Visit 16 8 $1,172.41 $820.69 30% off $304.08 $937.93 $502.99 2026-05-23
91035 OTHER Ph Bravo Test 16 8 $1,157.63 $578.82 50% off $725.31 $926.10 $725.31 2026-05-23
C1779 OTHER Lead Pacemaker Ventricular #1 1346t/58 16 8 $1,155.00 $808.50 30% off $924.00 $924.00 $924.00 2026-05-23
36217 OTHER Inj Thor/brachio 3rd Ord Left 16 8 $1,146.60 $802.62 30% off $917.28 $917.28 $917.28 2026-05-23
93930 OTHER US Up Ext Dup Arterial Bilat 16 8 $1,140.22 $570.11 50% off $165.79 $912.18 $201.53 2026-05-23
114 OTHER Behavioral Pvt 4 2 $1,100.00 $770.00 30% off $880.00 $950.00 $915.00 2026-05-23
73580 OTHER Arthrogram Knee Left,left Side 32 8 $1,099.00 $769.30 30% off $294.67 $879.20 $294.67 2026-05-23
740 OTHER EEG Awake/asleep 16 8 $1,089.00 $762.30 30% off $871.20 $871.20 $871.20 2026-05-23
73040 OTHER Arthrogram Shoulder Lt,left Side 32 8 $1,081.88 $757.32 30% off $172.94 $865.50 $294.67 2026-05-23
J3489 OTHER Reclast 5mg/100ml Mannitol Water,340b 20 8 $1,080.00 $756.00 30% off $126.62 $864.00 $864.00 2026-05-23
73525 OTHER Arthrogram Hip Left,left Side 32 8 $1,050.00 $735.00 30% off $172.94 $840.00 $294.67 2026-05-23
154 OTHER Behavioral Semi Pvt 4 2 $1,000.00 $700.00 30% off $800.00 $950.00 $875.00 2026-05-23
120 OTHER Semi Private 1st Floor 6 2 $1,000.00 $700.00 30% off $308.00 $950.00 $800.00 2026-05-23
391 OTHER Bb Blood Product Administration 16 8 $999.25 $699.48 30% off $799.40 $799.40 $799.40 2026-05-23
99292 OTHER Critical Care Addl 30 Min 16 8 $995.00 $696.50 30% off $796.00 $796.00 $796.00 2026-05-23
200 OTHER ICU 4 2 $990.00 $693.00 30% off $792.00 $950.00 $871.00 2026-05-23
921 OTHER US Carotid Duplex Bilat 46 8 $937.00 $655.90 30% off $183.12 $1,125.26 $749.60 2026-05-23
54160 OTHER Circumcision (includes Circ Tray 16 8 $928.83 $464.42 50% off $588.95 $743.06 $588.95 2026-05-23
J2785 OTHER Lexiscan 0.4 Mg/5ml Syringe 16 8 $900.00 $630.00 30% off $720.00 $720.00 $720.00 2026-05-23
87633 OTHER Respiratory Pcr Panel 16 8 $900.00 $450.00 50% off $162.39 $720.00 $408.44 2026-05-23
36215 OTHER Inj Thor/brachio 1st Ord Left 16 8 $888.30 $621.81 30% off $710.64 $710.64 $710.64 2026-05-23
36216 OTHER Inj Thor/brachio 2nd Ord Left 16 8 $888.30 $621.81 30% off $710.64 $710.64 $710.64 2026-05-23
36430 OTHER Bb Rbc Lr Storage/processing 16 8 $873.76 $611.63 30% off $372.63 $699.01 $372.63 2026-05-23
73115 OTHER Arthrogram Wrist Left,left Side 32 8 $864.00 $604.80 30% off $294.67 $691.20 $294.67 2026-05-23
90375 OTHER Rabies Imm Globulin:inj:2ml,340b 16 8 $827.67 $579.37 30% off $274.35 $662.14 $274.35 2026-05-23
99284 OTHER ER Level IV W/modifier,same Day Em Visit 16 8 $798.05 $558.64 30% off $254.18 $638.44 $352.43 2026-05-23
J1610 OTHER Glucagon (glucagon) Inj:1mg,340b 16 8 $797.94 $558.56 30% off $161.56 $638.35 $161.56 2026-05-23
93931 OTHER US Up Ext Dup Arter Unilat 16 8 $782.00 $391.00 50% off $88.30 $625.60 $88.30 2026-05-23
73085 OTHER Arthrogram Elbow Left,left Side 32 8 $775.00 $542.50 30% off $172.94 $620.00 $294.67 2026-05-23
322 OTHER Drain/inj Joint/bursa Without US Right Hip 16 8 $770.70 $539.49 30% off $616.56 $616.56 $616.56 2026-05-23
901 OTHER Electroconvulsive Therapy 16 8 $750.00 $525.00 30% off $600.00 $600.00 $600.00 2026-05-23
J1205 OTHER Diuril (chlorothiazide) Inj: 500mg/20ml,340b 16 8 $733.95 $513.77 30% off $587.16 $587.16 $587.16 2026-05-23
90371 OTHER H Big(hepatitis B Immu Gl Inj)do:1ml,340b 16 8 $732.06 $512.44 30% off $135.07 $585.65 $135.07 2026-05-23
722 OTHER Delivery Flat Rate 16 8 $718.20 $502.74 30% off $574.56 $574.56 $574.56 2026-05-23
343 OTHER Nm Maa 18 8 $703.34 $492.34 30% off $228.80 $562.67 $562.67 2026-05-23
C1713 OTHER Corkscrew 6.5mm Anchor Suture Ar-1925s 16 8 $668.56 $467.99 30% off $534.85 $534.85 $534.85 2026-05-23
634 OTHER Retacrit 20,000 Unit/ml Vial 16 8 $661.80 $463.26 30% off $529.44 $529.44 $529.44 2026-05-23
710 OTHER Recovery Room 26 8 $657.09 $459.96 30% off $89.63 $525.67 $525.67 2026-05-23
483 OTHER US Echo Color Flow 24 8 $652.00 $456.40 30% off $521.60 $2,040.00 $521.60 2026-05-23
J2997 OTHER Cathflo-activase(alteplase):2mg Inj.,340b 20 8 $634.86 $444.40 30% off $91.95 $507.89 $102.28 2026-05-23
482 OTHER Stress Test 16 8 $633.77 $443.64 30% off $507.02 $507.02 $507.02 2026-05-23
480 OTHER US 3d Ultrasound 32 8 $618.75 $433.13 30% off $60.00 $1,650.00 $495.00 2026-05-23
402 OTHER US Guided Thoracentesis 74 8 $605.00 $423.50 30% off $183.12 $826.72 $484.00 2026-05-23
111 OTHER Private 2nd Floor 4 2 $585.00 $409.50 30% off $468.00 $950.00 $709.00 2026-05-23
116 OTHER Detoxification Pvt 4 2 $585.00 $409.50 30% off $468.00 $950.00 $709.00 2026-05-23
126 OTHER Detoxification Semi 4 2 $575.00 $402.50 30% off $460.00 $950.00 $705.00 2026-05-23
121 OTHER Semi Private 2nd Floor 4 2 $575.00 $402.50 30% off $460.00 $950.00 $705.00 2026-05-23
J1566 OTHER Gammar Piv : 5gm 16 8 $573.04 $286.52 50% off $77.31 $458.43 $77.31 2026-05-23
92950 OTHER ER Code Blue 16 8 $562.08 $393.46 30% off $182.37 $1,361.79 $182.37 2026-05-23
390 OTHER Bb Cmv Neg Lr Ea Unit 24 8 $549.00 $384.30 30% off $83.49 $439.20 $439.20 2026-05-23
77080 OTHER Bone Density (tbs) 16 8 $536.00 $375.20 30% off $88.30 $428.80 $88.30 2026-05-23
J0878 OTHER Cubicin Daptomycin 500mg/15ml Vial,340b 16 8 $534.54 $374.18 30% off $427.63 $427.63 $427.63 2026-05-23
73564 OTHER Knee 4v Left Routine,left Side 32 8 $517.70 $362.39 30% off $82.02 $414.16 $88.30 2026-05-23
510 OTHER Office Visit New Level 2 72 8 $516.20 $361.34 30% off $96.00 $6,939.91 $412.96 2026-05-23
77066 OTHER Mm Mammo Digital Bilateral Diagnostic 16 8 $509.35 $356.55 30% off $75.86 $407.48 $94.60 2026-05-23
23350 OTHER Injection Shoulder Arthrogram 16 8 $507.90 $355.53 30% off $406.32 $406.32 $406.32 2026-05-23
J3243 OTHER Tygacil 50 Mg In 100 Ml Ns,340b 16 8 $507.00 $354.90 30% off $405.60 $405.60 $405.60 2026-05-23
370 OTHER Anes General 1st Hr 20 8 $501.69 $351.18 30% off $33.10 $401.35 $401.35 2026-05-23
99283 OTHER ER Level Iii W/modifer,same Day Em Visit 18 8 $490.10 $343.07 30% off $230.56 $460.00 $230.56 2026-05-23
97608 OTHER Neg Press Wound Treatment > 50 Cm Nondme,physical Therapy 16 8 $475.80 $333.06 30% off $341.29 $417.91 $341.29 2026-05-23
92612 OTHER St Flexible Endoscopic Eval Swallow C/v,speech Therapy 16 8 $467.00 $326.90 30% off $175.84 $373.60 $175.84 2026-05-23
74019 OTHER Abdomen Flat/uprt Or Decube Routine 16 8 $442.60 $221.30 50% off $88.30 $354.08 $88.30 2026-05-23
361 OTHER Polypectomy 94 8 $441.22 $308.85 30% off $110.17 $2,087.87 $352.98 2026-05-23
78456 OTHER Nm Acute Venous Thromb Imag. Peptide 16 8 $434.00 $217.00 50% off $347.20 $1,338.95 $434.00 2026-05-23
481 OTHER Inj Aorta 46 8 $428.49 $299.94 30% off $238.25 $7,271.60 $342.79 2026-05-23
96365 OTHER IV Inf 1 Hr Initial 20 8 $428.13 $299.69 30% off $179.65 $454.11 $199.81 2026-05-23
320 OTHER Facial Bones<3views 184 8 $423.58 $296.50 30% off $94.93 $2,087.87 $338.87 2026-05-23
90732 OTHER Pneumovax 23(pneumc Vac)inj:0.5ml Dose,340b 16 8 $421.49 $295.04 30% off $337.19 $337.19 $337.19 2026-05-23
A9502 OTHER Nm Myoview 16 8 $415.50 $290.85 30% off $332.40 $332.40 $332.40 2026-05-23
73030 OTHER Shoulder 2+ Views Left Routine,left Side 32 8 $415.00 $290.50 30% off $73.50 $332.00 $73.50 2026-05-23
73080 OTHER Elbow 3v Left Routine,left Side 32 8 $413.00 $289.10 30% off $73.50 $330.40 $73.50 2026-05-23
73130 OTHER Hand 3v Left Routine,left Side 32 8 $410.05 $287.04 30% off $73.50 $328.04 $73.50 2026-05-23
73610 OTHER Ankle Complete 3+ Views Left Routine,left Side 32 8 $408.65 $286.06 30% off $73.50 $326.92 $73.50 2026-05-23
450 OTHER I&d Simple 172 8 $405.75 $284.02 30% off $27.61 $3,198.27 $324.60 2026-05-23
77067 OTHER Mm Mammo Digital Bilateral Screening 18 8 $405.25 $283.68 30% off $75.86 $324.20 $78.09 2026-05-23
73630 OTHER Foot 3v Left Routine,left Side 32 8 $404.00 $282.80 30% off $73.50 $323.20 $73.50 2026-05-23
73110 OTHER Wrist 3+ Views Left Routine,left Side 32 8 $401.77 $281.24 30% off $73.50 $321.42 $73.50 2026-05-23
96413 OTHER Remicade Infusion 1st Hr 16 8 $401.43 $281.00 30% off $278.98 $341.60 $278.98 2026-05-23
77065 OTHER Mm Mammo Digital Unilat Right Diagnostic 16 8 $399.81 $279.87 30% off $73.74 $319.85 $73.79 2026-05-23
621 OTHER MRI Contrast Gadolinium 16 8 $395.75 $277.03 30% off $316.60 $316.60 $316.60 2026-05-23
J2175 OTHER Demerol 500mg/50ml Bag Pca:10mg/ml 20 8 $393.68 $275.58 30% off $28.03 $314.94 $314.94 2026-05-23
73010 OTHER Scapula Complete Left Routine,left Side 32 8 $385.27 $269.69 30% off $88.30 $308.22 $88.30 2026-05-23
73590 OTHER Tibia/fibula Ap And Lateral Right Routi,right Side 32 8 $383.00 $268.10 30% off $41.01 $306.40 $73.50 2026-05-23
71100 OTHER Ribs Unilat 2 Views Left Routine,left Side 32 8 $381.77 $267.24 30% off $73.50 $305.42 $73.50 2026-05-23
360 OTHER Chemodeverv Musc; Innerv Facial Nrv 86 8 $376.25 $263.38 30% off $48.16 $12,835.74 $301.00 2026-05-23
73502 OTHER Hip W/pelvis 2-3 Views Left Routine,left Side 32 8 $372.00 $260.40 30% off $73.50 $297.60 $73.50 2026-05-23
73060 OTHER Humerus 2v Left Routine,left Side 32 8 $368.85 $258.20 30% off $42.90 $295.08 $73.50 2026-05-23
73090 OTHER Forearm 2v Left Routine 32 8 $368.10 $257.67 30% off $73.50 $294.48 $73.50 2026-05-23
73120 OTHER Hand 2v Left,left Side 32 8 $365.19 $255.63 30% off $42.90 $292.15 $88.30 2026-05-23
96125 OTHER St Cognitive Test By Hc Pro,speech Therapy 16 8 $365.00 $255.50 30% off $94.77 $292.00 $94.77 2026-05-23
73000 OTHER Clavicle Left Routine,left Side 32 8 $364.00 $254.80 30% off $73.50 $291.20 $73.50 2026-05-23
73560 OTHER Knee Ap And Lateral Left,left Side 32 8 $360.06 $252.04 30% off $73.50 $288.05 $73.50 2026-05-23
73552 OTHER Femur 2v Left Routine,left Side 32 8 $358.23 $250.76 30% off $73.50 $286.58 $73.50 2026-05-23
J2010 OTHER Lincocin (lincomycin):600mg In 100 Ml Ns,340b 16 8 $356.31 $249.42 30% off $285.05 $285.05 $285.05 2026-05-23
92523 OTHER St Evaluation/speech Sound & Language,speech Therapy 16 8 $352.00 $246.40 30% off $209.80 $281.60 $209.80 2026-05-23
92521 OTHER St Evaluation Of Speech Fluency 16 8 $352.00 $176.00 50% off $123.34 $281.60 $123.34 2026-05-23
92522 OTHER St Evaluation Of Speech Production 16 8 $352.00 $176.00 50% off $103.40 $281.60 $103.40 2026-05-23
92524 OTHER St Behavral/qualit Analysis Of Voice 16 8 $352.00 $176.00 50% off $101.50 $281.60 $101.50 2026-05-23
731 OTHER Holter Monitor 20 8 $351.64 $246.15 30% off $220.50 $344.24 $281.31 2026-05-23
73600 OTHER Ankle Ap And Lateral Left,left Side 32 8 $346.00 $242.20 30% off $73.50 $276.80 $73.50 2026-05-23
33010 OTHER Pericardiocentesis 16 8 $343.82 $171.91 50% off $275.06 $1,628.03 $343.82 2026-05-23
73620 OTHER Foot 2v Left,left Side 32 8 $342.30 $239.61 30% off $42.90 $273.84 $73.50 2026-05-23
G0166 OTHER External Counterpulsation Per Tx Session 16 8 $342.00 $239.40 30% off $112.38 $273.60 $112.38 2026-05-23
73100 OTHER Wrist Ap And Lateral Left,left Side 32 8 $340.00 $238.00 30% off $73.50 $272.00 $73.50 2026-05-23
J2430 OTHER Pamidronate Inj:90mg/10ml Vial,340b 16 8 $336.81 $235.77 30% off $269.45 $269.45 $269.45 2026-05-23
73070 OTHER Elbow 2v Left,left Side 32 8 $335.00 $234.50 30% off $73.50 $268.00 $73.50 2026-05-23
J0834 OTHER Cosyntropin(cortrosyn) Inj: 0.25mg,340b 16 8 $334.97 $234.48 30% off $267.98 $267.98 $267.98 2026-05-23
J1364 OTHER Erythrocin 500mg In 100 Ml Ns,340b 18 8 $332.18 $232.53 30% off $265.74 $523.52 $265.74 2026-05-23
73650 OTHER Calcaneus 2+ Views Left Routine,left Side 32 8 $332.00 $232.40 30% off $73.50 $265.60 $73.50 2026-05-23
77074 OTHER Oscalsis Right 18 8 $316.91 $158.46 50% off $88.30 $253.53 $88.30 2026-05-23
260 OTHER Hydration 1 Hr Initial 18 8 $315.00 $220.50 30% off $81.48 $252.00 $252.00 2026-05-23
90384 OTHER Bb Rhogam 16 8 $314.49 $220.14 30% off $251.59 $251.59 $251.59 2026-05-23
70110 OTHER Mandible 4+ Views Right 16 8 $314.21 $157.11 50% off $82.02 $251.37 $88.30 2026-05-23
324 OTHER Chest 1 View 22 8 $314.00 $219.80 30% off $251.20 $340.93 $251.20 2026-05-23
92626 OTHER St Aud Rehab Eval 1st Hour,speech Therapy 16 8 $313.62 $219.53 30% off $77.80 $250.90 $77.80 2026-05-23
C2627 OTHER Catheter Suprapubic Percutaneous 420-100 16 8 $311.79 $218.25 30% off $249.43 $249.43 $249.43 2026-05-23
73020 OTHER Shoulder One View Lt,left Side 32 8 $309.00 $216.30 30% off $73.50 $247.20 $73.50 2026-05-23
401 OTHER Mm Mammo Unilat Rt 18 8 $307.89 $215.52 30% off $246.31 $351.34 $246.31 2026-05-23
J0500 OTHER Bentyl (dicyclomine) Inj:20mg/2ml Vial,zero Drug Waste 16 8 $302.61 $211.83 30% off $242.09 $242.09 $242.09 2026-05-23
C1751 OTHER Kit Multi Lumen Central 20cm 7fr 22 8 $300.00 $210.00 30% off $240.00 $548.74 $240.00 2026-05-23
99282 OTHER ER Level Ii W/modifier,same Day Em Visit 16 8 $299.81 $209.87 30% off $129.68 $239.85 $129.68 2026-05-23
460 OTHER 6 Minute Walk 32 8 $298.00 $208.60 30% off $40.58 $296.80 $238.40 2026-05-23
J2597 OTHER Ddavp (desmopressin Acetate)inj: 4mcg,340b 16 8 $292.11 $204.48 30% off $233.69 $233.69 $233.69 2026-05-23
93926 OTHER US Unilat Limited Art Gra Right 16 8 $290.13 $145.07 50% off $82.90 $232.10 $88.30 2026-05-23
90673 OTHER Flublok 9yrs+, High Dose (egg Free) 16 8 $284.49 $199.14 30% off $227.59 $227.59 $227.59 2026-05-23
J1110 OTHER Dhe-45 (dihydroergotamine)inj:1mg/1ml 16 8 $280.80 $196.56 30% off $224.64 $224.64 $224.64 2026-05-23
92611 OTHER St Modified Barium Swallow,speech Therapy 16 8 $277.20 $194.04 30% off $83.33 $221.76 $83.33 2026-05-23
J0743 OTHER Primaxin (imipenem/cilas)500mg /ns 100ml,340b 22 8 $269.70 $188.79 30% off $73.79 $431.71 $215.76 2026-05-23
J1756 OTHER Venofer 100mg In 100 Ml Ns 16 8 $266.62 $186.63 30% off $213.30 $213.30 $213.30 2026-05-23
29125 OTHER Whfo Rigid Without Joints,occupational Therapy 32 8 $266.14 $186.31 30% off $68.97 $293.53 $112.38 2026-05-23
92610 OTHER St Dysphagia Eval,speech Therapy, Unusual Non Overlapping Service 16 8 $255.15 $178.61 30% off $77.97 $204.12 $77.97 2026-05-23
J2730 OTHER Protopam(pralidoxime)inj:1 Gram,340b 16 8 $250.95 $175.67 30% off $200.76 $200.76 $200.76 2026-05-23
72190 OTHER *pelvis Ap And Frog Views 16 8 $248.67 $124.34 50% off $85.81 $198.94 $88.30 2026-05-23
920 OTHER Oxytocin 24 8 $244.49 $171.14 30% off $195.59 $2,650.89 $195.59 2026-05-23
96374 OTHER IV Push Initial 16 8 $235.11 $164.58 30% off $179.65 $219.98 $179.65 2026-05-23
J2020 OTHER Zyvox (linezolid) 600mg/300 Ml Premix 16 8 $234.36 $164.05 30% off $187.49 $187.49 $187.49 2026-05-23
J0515 OTHER Cogentin (benztropine Mesyl)inj:2mg/2ml,340b 16 8 $225.00 $157.50 30% off $180.00 $180.00 $180.00 2026-05-23
97597 OTHER Wound Care Less Than 20,physical Therapy 16 8 $218.79 $153.15 30% off $89.63 $175.03 $89.63 2026-05-23
P9017 OTHER Bb Ffp Storage/processing 16 8 $218.55 $152.99 30% off $84.26 $174.84 $84.26 2026-05-23
96105 OTHER St Aphasia Assessment,speech Therapy 16 8 $218.52 $152.96 30% off $90.00 $174.82 $90.00 2026-05-23
310 OTHER Immunocytochemistry 16 2 $216.49 $151.54 30% off $22.43 $1,018.71 $173.19 2026-05-23
J1335 OTHER Invanz 1gm/nacl 50ml 34 8 $216.00 $108.00 50% off $74.34 $239.99 $172.80 2026-05-23
84445 OTHER Tsi 16 8 $210.11 $105.06 50% off $48.55 $168.09 $49.84 2026-05-23
940 OTHER Irrigation Of Implanted Venous Access 26 8 $210.00 $147.00 30% off $49.82 $194.88 $168.00 2026-05-23
Q9956 OTHER Optison Per Ml 16 8 $209.64 $104.82 50% off $167.71 $167.71 $167.71 2026-05-23
J0278 OTHER Amikacin 500mg / D5w 100ml,340b 16 8 $207.24 $145.07 30% off $165.79 $165.79 $165.79 2026-05-23
70100 OTHER Mandible (4 Views Right 16 8 $203.25 $101.63 50% off $73.50 $162.60 $73.50 2026-05-23
62270 OTHER Lumbar Puncture 16 8 $198.94 $139.26 30% off $159.15 $730.03 $198.94 2026-05-23
922 OTHER Ndle Emg;1 Ext W/wo Rel Parasp Area 20 8 $195.96 $137.17 30% off $90.44 $156.77 $156.77 2026-05-23
29126 OTHER Ot Splint Short Arm Dynamic,occupational Therapy 32 8 $191.23 $133.86 30% off $75.11 $152.98 $75.11 2026-05-23
916 OTHER Family Psychotherapy W/p Patient 18 8 $191.00 $133.70 30% off $87.99 $152.80 $152.80 2026-05-23
96401 OTHER IM Sub Non-hormonal Anti-neoplastic 16 8 $187.00 $130.90 30% off $60.81 $149.60 $60.81 2026-05-23
70120 OTHER Mastoids ( 3 Views Right 16 8 $185.88 $92.94 50% off $88.30 $148.70 $88.30 2026-05-23
76831 OTHER Inj Hystreosalping 16 8 $184.51 $92.26 50% off $147.61 $246.77 $184.51 2026-05-23
J1631 OTHER Haldol Decanoate Inj: 100mg,340b 16 8 $183.75 $128.63 30% off $147.00 $147.00 $147.00 2026-05-23
97163 OTHER Pt Evaluation High Complexity 45 Min,physical Therapy, Unusual Non Overlapping S… 32 8 $181.30 $126.91 30% off $90.12 $171.00 $90.12 2026-05-23
771 OTHER Immunization Admin 26 8 $178.47 $124.93 30% off $20.00 $400.00 $142.78 2026-05-23
99281 OTHER ER Level 1 W/modifier,same Day Em Visit 16 8 $172.00 $120.40 30% off $71.22 $241.08 $71.22 2026-05-23
90715 OTHER Adacel(tdap)inj:0.5ml Dose 16 8 $170.85 $119.60 30% off $38.78 $136.68 $136.68 2026-05-23
J3471 OTHER Wydase (hyaluronidase 1ml) Inj:150u,340b 16 8 $168.00 $117.60 30% off $134.40 $134.40 $134.40 2026-05-23
918 OTHER Psychological Testing 16 8 $167.84 $117.49 30% off $134.27 $134.27 $134.27 2026-05-23
P9047 OTHER Albumin (human) 12.5gm/50ml,340b 16 8 $167.61 $117.33 30% off $134.09 $254.77 $167.61 2026-05-23
92526 OTHER St Dysphagia Treatment,speech Therapy 16 8 $167.25 $117.08 30% off $77.56 $133.80 $77.56 2026-05-23
97602 OTHER Wound Care Non Selective,physical Therapy 4 2 $166.29 $116.40 30% off $133.03 $133.03 $133.03 2026-05-23
J1050 OTHER Depo-provera (medroxyprogest)inj:150mg/m,340b 16 8 $166.22 $116.35 30% off $132.98 $132.98 $132.98 2026-05-23
96415 OTHER Remicade Infusion Ea Additional Hr 16 8 $161.69 $113.18 30% off $60.81 $129.35 $60.81 2026-05-23
92597 OTHER St Comm Device Eval,speech Therapy 16 8 $156.45 $109.52 30% off $65.84 $125.16 $65.84 2026-05-23
721 OTHER Labor Rm 1st Hr Level I 22 8 $155.35 $108.75 30% off $55.02 $124.28 $124.28 2026-05-23
471 OTHER Baer- Brainstem Auditory Evoked Potentia 18 8 $154.37 $108.06 30% off $123.50 $252.00 $123.50 2026-05-23
97001 OTHER Pt Wheelchair Eval,physical Therapy 4 2 $148.84 $104.19 30% off $119.07 $119.07 $119.07 2026-05-23
97162 OTHER Pt Evaluation Mod Complexity 30 Min,physical Therapy, Unusual Non Overlapping Se… 32 8 $145.67 $101.97 30% off $79.30 $119.07 $79.30 2026-05-23
G0480 OTHER Salicylate 20 8 $144.44 $101.11 30% off $110.04 $137.32 $112.14 2026-05-23
J1120 OTHER Diamox Inj:500mg,340b 16 8 $144.00 $100.80 30% off $115.20 $115.20 $115.20 2026-05-23
C1893 OTHER Introducer Sheath Input Ps 7fr 070023 16 8 $143.33 $71.67 50% off $114.66 $114.66 $114.66 2026-05-23
C1894 OTHER Introducer Sheath Input Ps 6fr 060023 16 8 $143.33 $71.67 50% off $114.66 $114.66 $114.66 2026-05-23
255 OTHER Nm Medronate Up To 30 Mci 28 8 $140.30 $98.21 30% off $69.54 $1,345.18 $112.24 2026-05-23
A9505 OTHER Nm Thallium Per Mci 16 8 $140.00 $98.00 30% off $112.00 $112.00 $112.00 2026-05-23
J1380 OTHER Delestroge(estrad Valera20mg/ml):100mg,340b 16 8 $139.44 $97.61 30% off $111.55 $111.55 $111.55 2026-05-23
900 OTHER Psychiatric Diagnostic Interview Exam 18 8 $138.92 $97.24 30% off $87.99 $111.14 $111.14 2026-05-23
J3535 OTHER Proventil-hfa (albuterol) 17gm Inhaler 20 8 $134.94 $94.46 30% off $107.95 $1,359.53 $107.95 2026-05-23
90714 OTHER Tetanus/diphtheria Toxoid Inj:0.5ml,340b 16 8 $132.66 $92.86 30% off $106.13 $106.13 $106.13 2026-05-23
J0702 OTHER Celestone Inj(beta-methasone):60mg/10ml,340b 18 8 $131.99 $92.39 30% off $105.59 $158.50 $105.59 2026-05-23
J2919 OTHER Solu-medrol Inj Powder For Solution 1gm,zero Drug Waste, 340b 22 8 $129.99 $90.99 30% off $17.72 $103.99 $103.99 2026-05-23
J1956 OTHER Levaquin(levofloxacin)750mg In 150 Ml 20 8 $127.04 $88.93 30% off $52.67 $101.63 $101.63 2026-05-23
J0133 OTHER Zovirax (acyclovir) 500mg/10 Ml Inj Vial,340b 18 8 $126.98 $88.89 30% off $0.80 $101.58 $101.58 2026-05-23
59025 OTHER Non-stress 16 8 $126.05 $88.24 30% off $100.84 $209.09 $126.05 2026-05-23
270 OTHER Armboard 3,966 8 $124.92 $79.10 37% off $0.42 $26,640.00 $99.94 2026-05-23
29105 OTHER Ot Splint Long Arm Static,occupational Therapy 32 8 $124.36 $87.05 30% off $84.82 $103.86 $84.82 2026-05-23
97161 OTHER Pt Evaluation,physical Therapy, Unusual Non Overlapping Service 32 8 $121.89 $85.32 30% off $75.94 $119.07 $90.12 2026-05-23
J3360 OTHER Valium Inj(diazepam):5mg/ml 2ml 16 8 $121.17 $84.82 30% off $96.94 $96.94 $96.94 2026-05-23
420 OTHER Pt Hydrodebridement 30 2 $120.34 $84.24 30% off $39.02 $221.42 $96.27 2026-05-23
305 OTHER Fdp 76 2 $119.95 $83.97 30% off $18.48 $259.92 $95.96 2026-05-23
J3486 OTHER Geodon (ziprasidone) 20mg IM Inj,340b 16 8 $118.04 $82.63 30% off $94.43 $94.43 $94.43 2026-05-23
311 OTHER Cyto Fluids Screen 26 2 $115.87 $81.11 30% off $37.72 $1,040.89 $92.70 2026-05-23
302 OTHER Cryptococcus Ag 158 2 $115.55 $80.89 30% off $27.22 $600.00 $92.44 2026-05-23
312 OTHER Gross & Micro Level IV 36 2 $115.24 $80.66 30% off $29.86 $280.14 $92.19 2026-05-23
300 OTHER Cell Count Body Fluid 546 2 $115.00 $80.50 30% off $8.40 $960.00 $92.00 2026-05-23
J1410 OTHER Premarin (estrog Conj 5ml) Inj:25mg,340b 16 8 $110.83 $77.58 30% off $88.66 $470.11 $110.83 2026-05-23
90632 OTHER Havrix (hepatitis A)inj: 1440 Units/ml,340b 16 8 $110.59 $77.41 30% off $88.47 $88.47 $88.47 2026-05-23
92507 OTHER St Speech Treatment,speech Therapy, Unusual Non Overlapping Service 16 8 $110.25 $77.18 30% off $70.52 $88.20 $70.52 2026-05-23
915 OTHER Group Therapy 16 8 $109.99 $76.99 30% off $87.99 $87.99 $87.99 2026-05-23
440 OTHER St Augmentative Comm Evaluation 10 2 $109.64 $76.75 30% off $20.48 $93.54 $87.71 2026-05-23
J2185 OTHER Merrem (meropenem) 1 Gram/ns 50ml Premix,340b 16 8 $108.00 $75.60 30% off $86.40 $86.40 $86.40 2026-05-23
J2680 OTHER Prolixin Decanoate 5ml Inj:25mg/1ml,340b 16 8 $108.00 $75.60 30% off $86.40 $86.40 $86.40 2026-05-23
J3410 OTHER Atarax (hydroxyzine Hcl) Inj:50mg/ml,340b 16 8 $106.34 $74.44 30% off $85.07 $85.07 $85.07 2026-05-23
J1212 OTHER Rimso 50(dimethyl Sulfoxide): 50% 50ml,340b 16 8 $105.37 $73.76 30% off $84.30 $899.08 $105.37 2026-05-23
362 OTHER Splint Hand Thera Plus Med 787901 18 8 $105.16 $52.58 50% off $34.90 $84.13 $84.13 2026-05-23
914 OTHER Individual Psychotherapy 30 Min 18 8 $104.21 $72.95 30% off $83.37 $111.14 $83.37 2026-05-23
J3230 OTHER Thorazine 25mg Inj:1ml (chlorpromazine),340b 16 8 $104.00 $72.80 30% off $83.20 $83.20 $83.20 2026-05-23
730 OTHER EKG 16 8 $102.97 $72.08 30% off $82.38 $82.38 $82.38 2026-05-23
90744 OTHER Recombivax Hb Inj: 10 Mcg,340b 16 8 $101.88 $71.32 30% off $81.50 $81.50 $81.50 2026-05-23
Q0081 OTHER *iv Infusion 16 8 $101.85 $50.93 50% off $81.48 $81.48 $81.48 2026-05-23
J0895 OTHER Desferal (deferoxamine Mes) Inj : 500mg,340b 16 8 $101.48 $71.04 30% off $81.18 $81.18 $81.18 2026-05-23
91303 OTHER J & J Covid-19 Vaccine 16 8 $100.00 $70.00 30% off $80.00 $80.00 $80.00 2026-05-23
91300 OTHER Pfizer Covid-19 Vaccine 16 8 $100.00 $70.00 30% off $80.00 $80.00 $80.00 2026-05-23
J3030 OTHER Imitrex (sumatriptan Succ) Inj: 6mg 16 8 $97.49 $68.24 30% off $77.99 $77.99 $77.99 2026-05-23
306 OTHER TB By Pcr/culture 76 2 $96.87 $67.81 30% off $24.82 $243.47 $77.50 2026-05-23
J1652 OTHER Arixtra (fondaparinux Na)inj: 2.5mg,340b 16 8 $95.92 $67.14 30% off $76.74 $76.74 $76.74 2026-05-23
97165 OTHER Ot Eval Low Complex 30 Min,occupational Therapy, Distinct Procedural Service 16 8 $94.93 $66.45 30% off $75.94 $94.93 $92.41 2026-05-23
97166 OTHER Ot Eval Mod Complex 45 Min,occupational Therapy, Unusual Non Overlapping Service 16 8 $94.93 $66.45 30% off $75.94 $94.93 $92.41 2026-05-23
97167 OTHER Ot Eval High Complex 60 Min,occupational Therapy, Distinct Procedural Service 16 8 $94.93 $66.45 30% off $75.94 $94.93 $92.41 2026-05-23
97003 OTHER Ot Evaluation,occupational Therapy 4 2 $94.93 $66.45 30% off $75.94 $75.94 $75.94 2026-05-23
J2760 OTHER Regitine (phentol Mesylate)inj:5mg/ml,340b 16 8 $93.14 $65.20 30% off $74.51 $504.67 $93.14 2026-05-23
800 OTHER Fee Without Dialysis-dry Run 24 8 $92.98 $65.09 30% off $74.38 $1,738.93 $74.38 2026-05-23
J0630 OTHER Miacalcin(calcitonin)inj:200u/ml,340b 16 8 $92.87 $65.01 30% off $74.30 $74.30 $74.30 2026-05-23
942 OTHER Diab Manage Trn Per Indiv 36 8 $88.58 $62.01 30% off $28.00 $282.45 $70.86 2026-05-23
100 OTHER Dressing Mepilex Border 4x4 10x10 395390 10 1 $86.06 $60.24 30% off $12.16 $186.40 $68.85 2026-05-23
92630 OTHER Aural Rehab,speech Therapy 4 2 $85.55 $59.89 30% off $68.44 $68.44 $68.44 2026-05-23
J1459 OTHER ****polygam (immune Glob)inj:500mg 10%,340b 16 8 $85.00 $59.50 30% off $49.27 $68.00 $49.27 2026-05-23
29580 OTHER Pt Unnaboot Strapping,physical Therapy 16 8 $84.23 $58.96 30% off $55.63 $68.12 $55.63 2026-05-23
95834 OTHER Pt Mmt Total Body Including Hands,physical Therapy 16 8 $81.59 $57.11 30% off $51.12 $65.27 $51.12 2026-05-23
430 OTHER Ot Contrast Bath 20 2 $81.28 $56.89 30% off $20.37 $135.83 $65.02 2026-05-23
J3373 OTHER Vancomycin 1250mg In 250 Ml Premix 28 8 $81.00 $56.70 30% off $12.79 $77.76 $64.80 2026-05-23
92609 OTHER St Generating Device Treatment,speech Therapy 16 8 $78.75 $55.13 30% off $63.00 $78.75 $77.18 2026-05-23
J2560 OTHER Phenobarbital Inj:65mg,340b 18 8 $78.55 $54.99 30% off $3.06 $62.84 $62.84 2026-05-23
J0456 OTHER Zithromax 500mg/nacl 250ml 16 8 $78.28 $39.14 50% off $62.62 $62.62 $62.62 2026-05-23
J3490 OTHER Ascorbic Acid 3000 Mg/250 Ml Drip,340b 38 8 $75.25 $52.68 30% off $16.13 $773.82 $60.20 2026-05-23
J0612 OTHER Calcium Gluconate 1000mg/50ml Ns Premix,340b 16 8 $75.23 $52.66 30% off $60.18 $60.18 $60.18 2026-05-23
94640 OTHER Hhn Initial,usual Non Overlapping Service 16 8 $73.66 $51.56 30% off $58.93 $226.48 $73.66 2026-05-23
J0696 OTHER Rocephin (ceftriaxone) 1 Gram Pwd Inj.,zero Drug Waste 38 8 $73.49 $51.44 30% off $6.80 $83.98 $58.79 2026-05-23
J1720 OTHER Solu-cortef (hydrocort Nasucc)inj:100mg,340b 16 8 $73.44 $51.41 30% off $58.75 $58.75 $58.75 2026-05-23
636 OTHER Apligraf, Per Sq Cm 204 8 $72.09 $50.46 30% off $0.17 $7,833.88 $57.67 2026-05-23
J0694 OTHER Mefoxin (cefoxitin) 2gm Vial,340b 24 8 $71.82 $50.27 30% off $34.82 $61.46 $57.46 2026-05-23
J3105 OTHER Brethine (terbutaline)inj:1mg/ml,340b 16 8 $71.66 $50.16 30% off $57.33 $57.33 $57.33 2026-05-23
J1800 OTHER Inderal (propranolol Hcl) Inj:1mg/ml,340b 16 8 $70.93 $49.65 30% off $56.74 $56.74 $56.74 2026-05-23
90656 OTHER Fluzone 6mth+ Pfs 0.5ml 16 8 $69.69 $48.78 30% off $55.75 $55.75 $55.75 2026-05-23
J0744 OTHER Depo-test (testos Cyp)inj:200mg 18 8 $69.54 $48.68 30% off $40.00 $55.63 $55.63 2026-05-23
J0285 OTHER Fungizone(amphotericin) Inj: 50me,340b 16 8 $69.04 $48.33 30% off $55.23 $55.23 $55.23 2026-05-23
J2360 OTHER Norflex (orphenadrine Citrate) Inj:60mg 16 8 $68.20 $47.74 30% off $54.56 $54.56 $54.56 2026-05-23
J0692 OTHER Maxipime(cefepime) 1gm/nacl 50ml,340b 34 8 $68.00 $47.60 30% off $50.40 $96.89 $54.40 2026-05-23
96372 OTHER Injection Sc/im 20 8 $65.38 $45.77 30% off $52.30 $74.46 $60.81 2026-05-23
J2405 OTHER Zofran Ondansetron Hcl 4mg/2ml Inj 16 8 $65.31 $45.72 30% off $52.25 $52.25 $52.25 2026-05-23
J7030 OTHER Kcl 20 Meq In 0.9% Nacl 1000 Ml 18 8 $64.26 $44.98 30% off $21.59 $51.41 $51.41 2026-05-23
29131 OTHER Ot Splint Finger Dynamic,occupational Therapy 30 8 $62.85 $44.00 30% off $26.64 $62.85 $50.28 2026-05-23
762 OTHER Observation Per Hr 16 8 $61.11 $42.78 30% off $48.89 $48.89 $48.89 2026-05-23
J2800 OTHER Robaxin (methocarbamol)inj:100mg/ml 10ml,340b 16 8 $60.22 $42.15 30% off $48.18 $48.18 $48.18 2026-05-23
97039 OTHER Cpm,physical Therapy 4 2 $60.20 $42.14 30% off $48.16 $48.16 $48.16 2026-05-23
J1650 OTHER Lovenox (enoxaparin)inj:40mg 28 8 $60.06 $42.04 30% off $48.05 $134.64 $48.05 2026-05-23
See an error in this hospital's data? Submit a correction