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 →

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Hospital

SAN JOAQUIN GENERAL HOSPITAL

French Camp, CA · CCN 050167 · Rates published

125 distinct procedures filed
17 distinct payers
97,817 rate rows
2026-05-08 last MRF observed
Data quality

97,206 of 97,817 rate rows are consumer-grade (99.4%)

611 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
exceeds 10× this hospital's gross charge — excluded from medians 542
per-diem day rate — not a per-procedure price 65
placeholder amount (≤ $0.02) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=9150f7c69ef6e33ccd3eab7900459e38729dcdbe49a0561ed9dd8d5b35f7449a
Found on page https://www.sanjoaquingeneral.org/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint da610787b1cf423c… · 53,931,024 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
682
OTHER 		G0390 Trauma W/critical Care W/notice 12 $6,642.40 $27,147.20 $21,660.00 nat. median
$14,531
1.5× median
208
OTHER 		Intensive Care Trauma 7 $5,926.87 $24,222.86 $16,118.51 nat. median
$26,262
0.6× median
210
OTHER 		Icu/ccu Room And Bed 7 $4,940.63 $20,192.14 $13,436.36 nat. median
$1,922
outlier · 7.0×
174
OTHER 		Icn Level IV 7 $4,940.63 $20,192.14 $13,436.36 nat. median
$4,092
outlier · 3.3×
206
OTHER 		M/s Telemetry-intermed. 7 $3,705.76 $15,145.28 $10,078.06 nat. median
$9,116
1.1× median
275
OTHER 		Claria MRI Quad Crt-d 12 $171.12 $152,240.00 $9,973.54 nat. median
$29,655
outlier · 0.3×
173
OTHER 		Icn Level Iii 7 $3,294.06 $13,462.68 $8,958.41 nat. median
$25,789
outlier · 0.3×
123
OTHER 		Peds Room And Board 7 $3,088.44 $12,622.32 $8,399.22 nat. median
$6,551
1.3× median
122
OTHER 		Ldrp Room Rate 7 $2,849.93 $11,647.54 $7,750.57 nat. median
$7,004
1.1× median
121
OTHER 		Med Surge Telemetry 7 $2,162.23 $12,622.32 $6,110.65 nat. median
$10,782
0.6× median
172
OTHER 		Icn Level Ii 7 $1,882.78 $7,694.84 $5,120.34 nat. median
$2,832
1.8× median
169
OTHER 		Room/bed: Admin Days 7 $1,370.34 $5,600.52 $3,726.73 nat. median
$4,813
0.8× median
171
OTHER 		Newborn Room Rate 7 $1,235.79 $5,050.62 $3,360.81 nat. median
$3,070
1.1× median
481
OTHER 		33289 Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 17 $28.85 $75,881.17 $2,302.82 nat. median
$11,210
outlier · 0.2×
352
OTHER 		CT Abdomen/Pelvis Without Contrast 17 $97.60 $19,195.74 $1,894.20 nat. median
$6,313
outlier · 0.3×
546
OTHER 		Transport Team Charge 7 $577.76 $2,361.28 $1,571.26 nat. median
$12,122
outlier · 0.1×
800
OTHER 		90999 Sustained Low Efficiency Dialysis (sled) Outpatient 7 $528.31 $2,159.18 $1,436.78 nat. median
$20,454
outlier · 0.1×
344
OTHER 		Sjgh Iso Sr89 Strontium/Per Mci 7 $30.13 $4,459.36 $1,184.72 nat. median
$22,960
outlier · 0.1×
821
OTHER 		G0491 Dialysis At Acu Kidney No Esrd 7 $429.18 $1,754.04 $1,167.18 nat. median
$17,778
outlier · 0.1×
351
OTHER 		CT Facial Bones Without Contrast 17 $111.87 $6,690.92 $1,162.78 nat. median
$11,639
outlier · 0.1×
881
OTHER 		Plasma Ultrafiltration (puf) 7 $412.16 $1,684.48 $1,120.89 nat. median
$7,053
outlier · 0.2×
611
OTHER 		Mr Head Without Cont 17 $206.09 $9,794.80 $1,082.88 nat. median
$1,777
0.6× median
361
OTHER 		43762 Perq Replacement Gtube Not Req Revj Gstrst Trc 17 $18.35 $44,539.08 $1,007.76 nat. median
$1,764
0.6× median
610
OTHER 		Mr Breast Rt W/wo 17 $205.08 $11,182.24 $994.61 nat. median
$2,142
outlier · 0.5×
769
OTHER 		Expl Laparotomy 17 $527.28 $22,298.68 $993.38 nat. median
$14,424
outlier · 0.1×
920
OTHER 		Mslt/mwt; Global 17 $101.75 $5,403.12 $914.80 nat. median
$1,176
0.8× median
360
OTHER 		90935 Hemodilysis Procedure W/phys/qhp Evaluation 17 $11.75 $17,719.00 $910.53 nat. median
$7,392
outlier · 0.1×
801
OTHER 		90935 Hd Maint Hosp Ip Icu/pcu Charge 17 $69.62 $2,019.12 $880.88 nat. median
$14,730
outlier · 0.1×
341
OTHER 		Nm Bone Imaging Whole Body 17 $48.26 $11,362.72 $871.81 nat. median
$1,279
0.7× median
322
OTHER 		Arthrogram Hip Lt 17 $60.83 $3,359.56 $871.07 nat. median
$15,755
outlier · 0.1×
750
OTHER 		Gi Tract Capsule Endoscopy 17 $18.35 $7,166.56 $842.45 nat. median
$2,494
outlier · 0.3×
278
OTHER 		Plate Calcaneal Y 87mm 17 $1.84 $87,544.36 $695.36 nat. median
$1,931
outlier · 0.4×
483
OTHER 		Echo Tte With Dopler Complete 17 $294.90 $3,062.52 $690.25 nat. median
$15,534
outlier · 0.0×
740
OTHER 		Cerebral Silence 17 $50.21 $2,043.56 $667.97 nat. median
$1,846
outlier · 0.4×
986
OTHER 		Cerebral Silence Tracing Read/rpt Pf 13 $48.98 $667.97 $667.97 nat. median
$1,920
outlier · 0.3×
720
OTHER 		Amniocentesis Diagnostic Charge 17 $28.50 $7,525.10 $615.00 nat. median
$2,844
outlier · 0.2×
450
OTHER 		Ed Facility Level 2 Limited Care 17 $4.50 $40,269.60 $572.09 nat. median
$1,147
outlier · 0.5×
391
OTHER 		Transfusion Blood Blood Prod 16 $33.41 $1,151.50 $550.37 nat. median
$9,924
outlier · 0.1×
343
OTHER 		Sjgh Iso Tc99M Disofenin/To 15 Mci 7 $52.44 $2,145.08 $545.96 nat. median
$292
1.9× median
809
OTHER 		90945 Crrt Req Single Eval By Phy 17 $86.80 $2,019.12 $536.06 nat. median
$12,208
outlier · 0.0×
412
OTHER 		Venitlator Initiation Mgmt 17 $11.18 $4,277.94 $488.84 nat. median
$16,569
outlier · 0.0×
761
OTHER 		Fna W/image 17 $2.83 $14,000.78 $472.15 nat. median
$1,231
outlier · 0.4×
710
OTHER 		Recovery Room 1st 60 7 $164.91 $715.34 $461.71 nat. median
$1,650
outlier · 0.3×
615
OTHER 		Mrv Head Wo 17 $227.48 $8,205.26 $449.59 nat. median
$12,512
outlier · 0.0×
612
OTHER 		Mr Pelvis Without Contrast 17 $199.72 $7,441.04 $435.64 nat. median
$2,164
outlier · 0.2×
616
OTHER 		MRA Ext Low W/wo Contrast 17 $355.32 $6,238.78 $405.96 nat. median
$32,708
outlier · 0.0×
618
OTHER 		MRA Ext Upp W/wo Lt 17 $343.88 $6,238.78 $401.62 nat. median
$11,751
outlier · 0.0×
482
OTHER 		Stress Test 17 $72.98 $1,234.22 $392.02 nat. median
$14,209
outlier · 0.0×
320
OTHER 		Fistulogram / Sinus Tract 17 $17.38 $12,793.84 $381.22 nat. median
$470
0.8× median
350
OTHER 		CT Soft Tissu Neck W Wo Conts 17 $35.39 $10,714.12 $371.61 nat. median
$1,785
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 125 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
             
307 OTHER Ua Dipstick Poc 150 17 $76.00 $41.80 45% off $1.73 $120.32 $3.67 2026-05-08
542 OTHER Bus Transport 11 8 $6.00 $3.30 45% off $1.38 $50.00 $3.90 2026-05-08
371 OTHER 99152 Mod Sed Same Phys/qhp Initial 15 Mins 5/> Yrs 50 17 $850.00 $467.50 45% off $11.57 $1,065.02 $12.75 2026-05-08
500 OTHER Hc Pro Phone Call 5 To 10 Min 25 17 $127.00 $69.85 45% off $11.56 $119.38 $14.64 2026-05-08
305 OTHER Blood Smear Periph Interp W/rp 981 17 $57.00 $31.35 45% off $1.09 $272.60 $14.85 2026-05-08
540 OTHER Cc Transport Mileage Per Mile 10 7 $25.00 $13.75 45% off $5.75 $23.50 $15.64 2026-05-08
910 OTHER Sign Lang/interpreter Per 15 Min 12 9 $26.00 $14.30 45% off $5.98 $24.44 $15.67 2026-05-08
302 OTHER 15 HIV-1/hiv-2 Ab Confirmation Test Phsj 2,971 17 $44.00 $24.20 45% off $1.43 $851.36 $15.74 2026-05-08
301 OTHER Oxalate, Serum/Plasma Cref 5,798 17 $65.99 $36.29 45% off $0.64 $1,271.82 $18.64 2026-05-08
309 OTHER Body Fluid Cell Count And Diff 132 17 $171.62 $94.39 45% off $2.67 $389.74 $19.66 2026-05-08
985 OTHER 24 Hr Holter W Si; Int Repo 44 13 $374.00 $205.70 45% off $17.92 $351.56 $23.43 2026-05-08
220 OTHER Donor Breastmilk Charge 20 7 $42.50 $23.38 45% off $9.43 $41.36 $26.55 2026-05-08
306 OTHER 15 (afb) Susceptibility Phsj 1,707 17 $122.00 $67.10 45% off $1.43 $783.55 $30.21 2026-05-08
258 OTHER Hetastarch 6% 500mL IV Bag [sjgh] 132 8 $56.14 $30.88 45% off $6.90 $36,936.95 $33.15 2026-05-08
988 OTHER 99446 Ntrprof Ph1/nttrnet/her 5-10 Min Sjgh 31 12 $57.00 $31.35 45% off $17.33 $531.10 $33.58 2026-05-08
250 OTHER Dtap Hib Ipv Admin 10,930 11 $58.14 $31.98 45% off $1.58 $96,274.44 $33.59 2026-05-08
300 OTHER Rbc Antigen Typing 777 17 $114.00 $62.70 45% off $1.84 $851.36 $35.09 2026-05-08
942 OTHER Counseling Smoking Tobacco Cessation 3 To 10 Min 219 17 $98.00 $53.90 45% off $0.92 $280.12 $36.15 2026-05-08
515 OTHER 96160 Pt-focused Hlth Risk Assmt Score Doc Stnd Instrm Sjgh 25 17 $60.00 $33.00 45% off $3.15 $70.50 $37.50 2026-05-08
780 OTHER Telemedicine Peds Ucsf Facility 11 7 $73.00 $40.15 45% off $0.94 $68.62 $43.87 2026-05-08
270 OTHER Walker Adj 1,287 17 $81.00 $44.55 45% off $1.61 $4,185.87 $45.20 2026-05-08
430 OTHER Apply Multlay Comprs Arm/hand 619 17 $245.00 $134.75 45% off $4.11 $707.82 $48.75 2026-05-08
311 OTHER ParoxNoctHgburia Pnh Wflaer Cref 1/2 286 17 $107.50 $59.13 45% off $9.22 $406.53 $49.41 2026-05-08
420 OTHER Pt Lymphedema Wrap Below Knee Charge 543 17 $237.00 $130.35 45% off $4.11 $510.42 $50.00 2026-05-08
771 OTHER 90471: Im/subq First Dose 173 17 $118.00 $64.90 45% off $3.00 $1,349.84 $61.10 2026-05-08
770 OTHER Cancer Screening Pelvic And Breast Exam 30 7 $115.00 $63.25 45% off $14.26 $178.60 $62.39 2026-05-08
971 OTHER 88331 Ap Bill Frozen Single Specimen 105 13 $169.00 $92.95 45% off $9.48 $382.30 $63.94 2026-05-08
274 OTHER Brace Ankle Foam Large 337 17 $85.00 $46.75 45% off $3.60 $1,660.00 $64.60 2026-05-08
915 OTHER Psychosocial Interv/group 10 7 $106.00 $58.30 45% off $24.38 $99.64 $66.31 2026-05-08
914 OTHER Psychosocial Interv Assess 10 7 $106.00 $58.30 45% off $24.38 $99.64 $66.31 2026-05-08
918 OTHER 96112 Developmental Tst Admin Phys/qhp 1st Hour 97 17 $115.00 $63.25 45% off $5.83 $373.18 $67.60 2026-05-08
722 OTHER Delivery Assist (rt) Units 25 17 $1,197.00 $658.35 45% off $67.58 $1,125.18 $70.10 2026-05-08
370 OTHER Mod Sed Oth Phys Qhp 5>yrs 104 17 $458.00 $251.90 45% off $12.19 $1,333.86 $70.81 2026-05-08
730 OTHER ECG Trace Only 68 17 $260.00 $143.00 45% off $13.90 $298.92 $82.89 2026-05-08
440 OTHER Evaluation Of Oral And Pharyngeal Swallowing Function 206 17 $981.00 $539.55 45% off $17.81 $1,395.90 $93.47 2026-05-08
312 OTHER 46 Tc Histochemical Stain 377 17 $175.35 $96.44 45% off $3.85 $1,933.38 $97.44 2026-05-08
390 OTHER Ref Antibody Screen 302 17 $328.00 $180.40 45% off $4.83 $1,079.12 $99.65 2026-05-08
983 OTHER 11981: Insert Drug Delivery Implant 208 17 $143.00 $78.65 45% off $25.20 $4,084.64 $111.92 2026-05-08
310 OTHER Thrombophilia DNA Mutation Analysis Cref 2,166 17 $176.00 $96.80 45% off $3.85 $7,050.00 $114.39 2026-05-08
732 OTHER 93270 Ext Pt Act Event Rec Mon 30 Days, 24 Hr Att; Con/rec 49 17 $1,075.00 $591.25 45% off $36.68 $8,684.71 $115.55 2026-05-08
260 OTHER Hydration IV Infusion 31 To 60 Mins 296 17 $293.00 $161.15 45% off $5.80 $920.26 $117.42 2026-05-08
335 OTHER Chemo IV Push Sngl Drug 61 17 $876.00 $481.80 45% off $22.09 $823.44 $127.40 2026-05-08
403 OTHER Mammo Bil Scr Dig Tomo Add On 56 17 $177.00 $97.35 45% off $43.24 $420.18 $127.75 2026-05-08
324 OTHER Chest 4v 94 17 $1,154.00 $634.70 45% off $21.18 $1,386.50 $133.87 2026-05-08
444 OTHER Behavral And Qualitative Analysis Of Voice 155 17 $471.00 $259.05 45% off $42.75 $675.86 $136.25 2026-05-08
434 OTHER Ot Re_eval Est Plan Care 73 17 $528.00 $290.40 45% off $48.02 $586.56 $137.32 2026-05-08
731 OTHER 93225 Holter Monitor Standard 24 Hour 45900010 127 17 $993.00 $546.15 45% off $17.26 $9,141.19 $140.58 2026-05-08
510 OTHER 28899 Perc Plantar Fasciotomy 482 17 $450.00 $247.50 45% off $4.13 $4,887.06 $140.90 2026-05-08
972 OTHER US OB Transvaginal 26 16 $405.00 $222.75 45% off $25.85 $799.00 $155.88 2026-05-08
919 OTHER Z4300 Center Coordinator 10 7 $256.00 $140.80 45% off $58.88 $240.64 $160.13 2026-05-08
331 OTHER 96401 Chemotx Admn Subq/im Non-hormonal Anti-neo 52 17 $193.00 $106.15 45% off $13.11 $823.44 $160.69 2026-05-08
940 OTHER Phlebotomy Therapeutic 25 17 $267.00 $146.85 45% off $93.45 $305.07 $162.27 2026-05-08
380 OTHER 93 Reference ABO/Rh 25 17 $244.00 $134.20 45% off $2.93 $305.07 $162.27 2026-05-08
471 OTHER Srt/sat Threshold Speech Recognition 149 17 $413.00 $227.15 45% off $12.64 $772.68 $163.80 2026-05-08
401 OTHER Mammo Bil Diag Tomo 67 17 $348.00 $191.40 45% off $32.20 $1,003.92 $164.35 2026-05-08
470 OTHER Comprehensive Audiometry Evaluation Speech Recognition 432 17 $362.50 $199.38 45% off $11.41 $1,255.79 $175.42 2026-05-08
460 OTHER 94618 Pulmonary Stress Test 234 17 $341.00 $187.55 45% off $3.59 $899.58 $186.31 2026-05-08
480 OTHER 92950 Cardiopulmonary Resuscitation Sjgh 397 17 $491.00 $270.05 45% off $14.49 $5,491.48 $190.79 2026-05-08
982 OTHER Brain Canal Inj W Meds 3,024 17 $473.00 $260.15 45% off $2.02 $22,605.71 $191.50 2026-05-08
319 OTHER Lung Cancer Mutation Panel Cref 272 17 $387.00 $212.85 45% off $20.66 $5,620.35 $194.03 2026-05-08
424 OTHER Pt Eval Mod Complex 30 Min 48 17 $543.00 $298.65 45% off $62.91 $531.10 $196.00 2026-05-08
900 OTHER Z4307 Psych. Assessment By Social Worker 35 17 $420.00 $231.00 45% off $7.82 $394.80 $202.27 2026-05-08
323 OTHER 75605 Aortography Thoracic Serialography Rsi 60 13 $4,386.00 $2,412.30 45% off $90.62 $6,867.64 $206.62 2026-05-08
636 OTHER Prolia Charge (j0897 Prolia 60 Mg Charge) 2,849 17 $465.24 $255.88 45% off $0.06 $110,008.20 $206.73 2026-05-08
389 OTHER Split Fee 24 16 $363.00 $199.65 45% off $15.50 $405.56 $215.73 2026-05-08
402 OTHER US Infant Hip Real Time 814 17 $998.00 $548.90 45% off $19.80 $8,089.64 $226.22 2026-05-08
272 OTHER Drain Blake 24fr 11,056 17 $473.00 $260.15 45% off $0.46 $22,748.00 $245.03 2026-05-08
762 OTHER Room/bed: Observation/Isolation Cdcr Allowed Admin 48 17 $8,972.00 $4,934.60 45% off $78.00 $8,433.68 $261.38 2026-05-08
973 OTHER Ir Angio Carotid Cerv Cereb Rt 1,135 13 $764.00 $420.20 45% off $14.10 $22,605.71 $275.44 2026-05-08
280 OTHER 96416 Chemotx Admn Tq Init Prolng Chemotx Nfus Pmp Tech Char 46 17 $876.00 $481.80 45% off $19.84 $823.44 $276.44 2026-05-08
342 OTHER Nm Therapy Thyroid Ca I131 30 17 $1,212.00 $666.60 45% off $136.68 $2,493.82 $282.16 2026-05-08
921 OTHER US Duplx Abd/pel/visceral 294 17 $2,491.00 $1,370.05 45% off $66.74 $6,123.16 $304.30 2026-05-08
410 OTHER Pep Therapy / Acpella 254 17 $1,354.00 $744.70 45% off $13.91 $6,064.88 $320.98 2026-05-08
922 OTHER 95907 Ncs: 1-2 Studies 84 17 $599.00 $329.45 45% off $101.86 $1,255.79 $324.04 2026-05-08
386 OTHER Rho D Immune Globulin Inj 10 7 $545.00 $299.75 45% off $125.35 $512.30 $340.90 2026-05-08
350 OTHER CT Soft Tissu Neck W Wo Conts 442 17 $650.00 $357.50 45% off $35.39 $10,714.12 $371.61 2026-05-08
320 OTHER Fistulogram / Sinus Tract 2,104 17 $907.00 $498.85 45% off $17.38 $12,793.84 $381.22 2026-05-08
482 OTHER Stress Test 24 17 $1,313.00 $722.15 45% off $72.98 $1,234.22 $392.02 2026-05-08
618 OTHER MRA Ext Upp W/wo Lt 104 17 $1,361.00 $748.55 45% off $343.88 $6,238.78 $401.62 2026-05-08
616 OTHER MRA Ext Low W/wo Contrast 29 17 $954.00 $524.70 45% off $355.32 $6,238.78 $405.96 2026-05-08
612 OTHER Mr Pelvis Without Contrast 170 17 $4,002.00 $2,201.10 45% off $199.72 $7,441.04 $435.64 2026-05-08
615 OTHER Mrv Head Wo 118 17 $4,400.00 $2,420.00 45% off $227.48 $8,205.26 $449.59 2026-05-08
710 OTHER Recovery Room 1st 60 20 7 $739.00 $406.45 45% off $164.91 $715.34 $461.71 2026-05-08
761 OTHER Fna W/image 1,943 17 $1,349.00 $741.95 45% off $2.83 $14,000.78 $472.15 2026-05-08
412 OTHER Venitlator Initiation Mgmt 149 17 $2,367.00 $1,301.85 45% off $11.18 $4,277.94 $488.84 2026-05-08
809 OTHER 90945 Crrt Req Single Eval By Phy 50 17 $1,965.00 $1,080.75 45% off $86.80 $2,019.12 $536.06 2026-05-08
343 OTHER Sjgh Iso Tc99M Disofenin/To 15 Mci 100 7 $1,101.00 $605.55 45% off $52.44 $2,145.08 $545.96 2026-05-08
391 OTHER Transfusion Blood Blood Prod 24 16 $1,225.00 $673.75 45% off $33.41 $1,151.50 $550.37 2026-05-08
450 OTHER Ed Facility Level 2 Limited Care 5,187 17 $2,092.00 $1,150.60 45% off $4.50 $40,269.60 $572.09 2026-05-08
720 OTHER Amniocentesis Diagnostic Charge 171 17 $1,326.00 $729.30 45% off $28.50 $7,525.10 $615.00 2026-05-08
740 OTHER Cerebral Silence 69 17 $1,141.00 $627.55 45% off $50.21 $2,043.56 $667.97 2026-05-08
986 OTHER Cerebral Silence Tracing Read/rpt Pf 14 13 $136.00 $74.80 45% off $48.98 $667.97 $667.97 2026-05-08
483 OTHER Echo Tte With Dopler Complete 24 17 $3,258.00 $1,791.90 45% off $294.90 $3,062.52 $690.25 2026-05-08
278 OTHER Plate Calcaneal Y 87mm 25,917 17 $1,365.00 $750.75 45% off $1.84 $87,544.36 $695.36 2026-05-08
750 OTHER Gi Tract Capsule Endoscopy 81 17 $1,369.00 $752.95 45% off $18.35 $7,166.56 $842.45 2026-05-08
322 OTHER Arthrogram Hip Lt 94 17 $2,144.00 $1,179.20 45% off $60.83 $3,359.56 $871.07 2026-05-08
341 OTHER Nm Bone Imaging Whole Body 535 17 $2,397.00 $1,318.35 45% off $48.26 $11,362.72 $871.81 2026-05-08
801 OTHER 90935 Hd Maint Hosp Ip Icu/pcu Charge 25 17 $2,148.00 $1,181.40 45% off $69.62 $2,019.12 $880.88 2026-05-08
360 OTHER 90935 Hemodilysis Procedure W/phys/qhp Evaluation 324 17 $2,324.00 $1,278.20 45% off $11.75 $17,719.00 $910.53 2026-05-08
920 OTHER Mslt/mwt; Global 105 17 $4,243.00 $2,333.65 45% off $101.75 $5,403.12 $914.80 2026-05-08
769 OTHER Expl Laparotomy 50 17 $23,722.00 $13,047.10 45% off $527.28 $22,298.68 $993.38 2026-05-08
610 OTHER Mr Breast Rt W/wo 355 17 $4,629.00 $2,545.95 45% off $205.08 $11,182.24 $994.61 2026-05-08
361 OTHER 43762 Perq Replacement Gtube Not Req Revj Gstrst Trc 2,495 17 $5,323.00 $2,927.65 45% off $18.35 $44,539.08 $1,007.76 2026-05-08
611 OTHER Mr Head Without Cont 154 17 $4,655.00 $2,560.25 45% off $206.09 $9,794.80 $1,082.88 2026-05-08
881 OTHER Plasma Ultrafiltration (puf) 10 7 $1,792.00 $985.60 45% off $412.16 $1,684.48 $1,120.89 2026-05-08
351 OTHER CT Facial Bones Without Contrast 242 17 $3,846.00 $2,115.30 45% off $111.87 $6,690.92 $1,162.78 2026-05-08
821 OTHER G0491 Dialysis At Acu Kidney No Esrd 10 7 $1,866.00 $1,026.30 45% off $429.18 $1,754.04 $1,167.18 2026-05-08
344 OTHER Sjgh Iso Sr89 Strontium/Per Mci 30 7 $2,127.00 $1,169.85 45% off $30.13 $4,459.36 $1,184.72 2026-05-08
800 OTHER 90999 Sustained Low Efficiency Dialysis (sled) Outpatient 10 7 $2,297.00 $1,263.35 45% off $528.31 $2,159.18 $1,436.78 2026-05-08
546 OTHER Transport Team Charge 10 7 $2,512.00 $1,381.60 45% off $577.76 $2,361.28 $1,571.26 2026-05-08
352 OTHER CT Abdomen/Pelvis Without Contrast 733 17 $5,553.00 $3,054.15 45% off $97.60 $19,195.74 $1,894.20 2026-05-08
481 OTHER 33289 Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 1,021 17 $14,064.00 $7,735.20 45% off $28.85 $75,881.17 $2,302.82 2026-05-08
171 OTHER Newborn Room Rate 10 7 $5,373.00 $2,955.15 45% off $1,235.79 $5,050.62 $3,360.81 2026-05-08
169 OTHER Room/bed: Admin Days 10 7 $5,958.00 $3,276.90 45% off $1,370.34 $5,600.52 $3,726.73 2026-05-08
172 OTHER Icn Level Ii 10 7 $8,186.00 $4,502.30 45% off $1,882.78 $7,694.84 $5,120.34 2026-05-08
121 OTHER Med Surge Telemetry 20 7 $11,414.50 $6,277.98 45% off $2,162.23 $12,622.32 $6,110.65 2026-05-08
122 OTHER Ldrp Room Rate 10 7 $12,391.00 $6,815.05 45% off $2,849.93 $11,647.54 $7,750.57 2026-05-08
123 OTHER Peds Room And Board 10 7 $13,428.00 $7,385.40 45% off $3,088.44 $12,622.32 $8,399.22 2026-05-08
173 OTHER Icn Level Iii 10 7 $14,322.00 $7,877.10 45% off $3,294.06 $13,462.68 $8,958.41 2026-05-08
275 OTHER Claria MRI Quad Crt-d 244 12 $20,702.00 $11,386.10 45% off $171.12 $152,240.00 $9,973.54 2026-05-08
206 OTHER M/s Telemetry-intermed. 10 7 $16,112.00 $8,861.60 45% off $3,705.76 $15,145.28 $10,078.06 2026-05-08
174 OTHER Icn Level IV 10 7 $21,481.00 $11,814.55 45% off $4,940.63 $20,192.14 $13,436.36 2026-05-08
210 OTHER Icu/ccu Room And Bed 10 7 $21,481.00 $11,814.55 45% off $4,940.63 $20,192.14 $13,436.36 2026-05-08
208 OTHER Intensive Care Trauma 10 7 $25,769.00 $14,172.95 45% off $5,926.87 $24,222.86 $16,118.51 2026-05-08
682 OTHER G0390 Trauma W/critical Care W/notice 17 12 $28,880.00 $15,884.00 45% off $6,642.40 $27,147.20 $21,660.00 2026-05-08
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