Hospital

COLLEGE HOSPITAL

Cerritos, CA · CCN 054055 · Rates published

365 distinct procedures filed

121 distinct payers

635 rate rows

2025-03-01 last MRF observed · ⚠ 15 mo old

Data quality

429 of 635 rate rows are consumer-grade (67.6%)

206 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
per-diem day rate — not a per-procedure price	206

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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://chc.la/953421289_college-hospital-cerritos_standcharges_03_2025.csv
Found on page	https://www.mrfdatasolutions.com/payers-1
Discovered via	Public MRF directory
Last fetch	success · 2026-06-15
Content fingerprint	508c5905b1d83067… · 208,401 bytes · first seen 2026-06-15

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
0204 RC		11	$2,145.00	$2,145.00	$2,145.00	nat. median $2,890 0.7× median
0320 RC		1	$1,130.90	$1,130.90	$1,130.90	nat. median $204 outlier · 5.5×
74420 CPT	Xr Retro Pylegram	1	$603.90	$603.90	$603.90	nat. median $470 1.3× median
74320 CPT	Xr Cholangiogram/percutaneou	1	$574.60	$574.60	$574.60	nat. median $218 outlier · 2.6×
74327 CPT	Xr Biliary Drainage	1	$574.60	$574.60	$574.60	nat. median $413 1.4× median
31622 CPT	Bronchoscopy Diag Flx	1	$542.90	$542.90	$542.90	nat. median $2,074 outlier · 0.3×
74470 CPT	Xr Renal Cyst Puncture	1	$518.50	$518.50	$518.50	nat. median $559 0.9× median
74249 CPT	Xr Usi/sml Bowel	1	$464.80	$464.80	$464.80	nat. median $429 1.1× median
74415 CPT	Xr Urogram-inf W/tomos	1	$447.70	$447.70	$447.70	nat. median $273 1.6× median
74405 CPT	Xr Urogram-1v W/toms	1	$430.70	$430.70	$430.70	nat. median $1,197 outlier · 0.4×
76001 CPT	Xr Room Time Per Hour	1	$406.30	$406.30	$406.30	nat. median $329 1.2× median
74280 CPT	Xr Barium Enema/air	1	$402.60	$402.60	$402.60	nat. median $370 1.1× median
74400 CPT	Xr Ivp	1	$377.00	$377.00	$377.00	nat. median $306 1.2× median
74246 CPT	Xr Ugi/air	1	$377.00	$377.00	$377.00	nat. median $319 1.2× median
90744 CPT	Engerix B Inj 20mcg/ml (hep B)	1	$370.40	$370.40	$370.40	nat. median $48 outlier · 7.7×
90670 CPT	Pneumovax 23 Vac 25mcg/0.5ml Sdv	1	$360.60	$360.60	$360.60	nat. median $302 1.2× median
76100 CPT	Xr Laminogr Indep	1	$353.80	$353.80	$353.80	nat. median $154 outlier · 2.3×
76061 CPT	Xr Bone Survey	1	$333.10	$333.10	$333.10	nat. median $243 1.4× median
74300 CPT	Xr Cholangio Operative	1	$328.20	$328.20	$328.20	nat. median $410 0.8× median
74241 CPT	Xr Ugi/kub	1	$328.20	$328.20	$328.20	nat. median $275 1.2× median
J1631 HCPCS	Haldol Dec Inj 100mg/ml 1 Ml Vial	1	$308.90	$308.90	$308.90	nat. median $61 outlier · 5.0×
73530 CPT	Xr Hip In O R Up To 4 Views	1	$308.70	$308.70	$308.70	nat. median $64 outlier · 4.8×
72052 CPT	Xr Cervical Sp 7v	1	$301.30	$301.30	$301.30	nat. median $205 1.5× median
74250 CPT	Xr Small Bowel	1	$289.10	$289.10	$289.10	nat. median $286 1.0× median
31715 CPT	Xr Bronchogram/trans-trachea	1	$280.60	$280.60	$280.60	nat. median $3,718 outlier · 0.1×
94656 CPT	P Ipap	1	$276.90	$276.90	$276.90	nat. median $216 1.3× median
74270 CPT	Xr Barium Enema	1	$275.70	$275.70	$275.70	nat. median $324 0.9× median
70130 CPT	Xr Mastoids-complete	1	$268.40	$268.40	$268.40	nat. median $155 1.7× median
90471 CPT	Adacel Vaccine Inj	1	$260.11	$260.11	$260.11	nat. median $66 outlier · 3.9×
95819 CPT	EEG	1	$256.20	$256.20	$256.20	nat. median $569 outlier · 0.4×
70134 CPT	Xr Internal Aud Meatus	1	$255.00	$255.00	$255.00	nat. median $493 0.5× median
72050 CPT	Xr Cervical Sp Comp	1	$252.50	$252.50	$252.50	nat. median $189 1.3× median
74290 CPT	Xr Cholecystectomy Oral	1	$252.50	$252.50	$252.50	nat. median $202 1.3× median
74305 CPT	Xr Cholangio Post-op	1	$252.50	$252.50	$252.50	nat. median $154 1.6× median
70260 CPT	Xr Skull Comp	1	$252.50	$252.50	$252.50	nat. median $185 1.4× median
72110 CPT	Xr Lumbar Sp Comp	1	$252.50	$252.50	$252.50	nat. median $195 1.3× median
J2358 HCPCS	Zyprexa Inj 10 Mg Vial (olanzapine)	1	$247.08	$247.08	$247.08	nat. median $5 outlier · 50.8×
76000 CPT	Xr Fluoroscopy/ind Procedur	1	$242.80	$242.80	$242.80	nat. median $312 0.8× median
76499 CPT	Xr After Regular Hours	1	$241.60	$241.60	$241.60	nat. median $137 1.8× median
70330 CPT	Xr Tm Joints Bil	1	$239.10	$239.10	$239.10	nat. median $145 1.6× median
70110 CPT	Xr Mandible Comp	1	$230.60	$230.60	$230.60	nat. median $168 1.4× median
70220 CPT	Xr Paranasal Sinuses	1	$226.90	$226.90	$226.90	nat. median $151 1.5× median
92950 CPT	Resus 1/2 Hr	1	$219.60	$219.60	$219.60	nat. median $604 outlier · 0.4×
76040 CPT	Xr Bone Length	1	$213.50	$213.50	$213.50	nat. median $292 0.7× median
71110 CPT	Xr Ribs Bil	1	$213.50	$213.50	$213.50	nat. median $171 1.2× median
0730 RC		1	$213.50	$213.50	$213.50	nat. median $165 1.3× median
70150 CPT	Xr Facial Bones	1	$207.40	$207.40	$207.40	nat. median $175 1.2× median
74220 CPT	Xr Esophogram	1	$203.70	$203.70	$203.70	nat. median $261 0.8× median
70030 CPT	Xr Eye/foreign Body	1	$197.60	$197.60	$197.60	nat. median $123 1.6× median
80076 CPT	Hepatic Function Panel	1	$193.60	$193.60	$193.60	nat. median $29 outlier · 6.6×

Other procedures at this hospital

Browse this hospital's 365 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

0204	RC	—	13	11	$2,145.00	—	$2,145.00	$2,145.00	$2,145.00	2025-03-01
0320	RC	—	1	1	$1,130.90	—	$1,130.90	$1,130.90	$1,130.90	2025-03-01
74420	CPT	Xr Retro Pylegram	1	1	$603.90	—	$603.90	$603.90	$603.90	2025-03-01
74327	CPT	Xr Biliary Drainage	1	1	$574.60	—	$574.60	$574.60	$574.60	2025-03-01
74320	CPT	Xr Cholangiogram/percutaneou	1	1	$574.60	—	$574.60	$574.60	$574.60	2025-03-01
31622	CPT	Bronchoscopy Diag Flx	1	1	$542.90	—	$542.90	$542.90	$542.90	2025-03-01
74470	CPT	Xr Renal Cyst Puncture	1	1	$518.50	—	$518.50	$518.50	$518.50	2025-03-01
74249	CPT	Xr Usi/sml Bowel	1	1	$464.80	—	$464.80	$464.80	$464.80	2025-03-01
74415	CPT	Xr Urogram-inf W/tomos	1	1	$447.70	—	$447.70	$447.70	$447.70	2025-03-01
74405	CPT	Xr Urogram-1v W/toms	1	1	$430.70	—	$430.70	$430.70	$430.70	2025-03-01
76001	CPT	Xr Room Time Per Hour	1	1	$406.30	—	$406.30	$406.30	$406.30	2025-03-01
74280	CPT	Xr Barium Enema/air	1	1	$402.60	—	$402.60	$402.60	$402.60	2025-03-01
74246	CPT	Xr Ugi/air	1	1	$377.00	—	$377.00	$377.00	$377.00	2025-03-01
74400	CPT	Xr Ivp	1	1	$377.00	—	$377.00	$377.00	$377.00	2025-03-01
90744	CPT	Engerix B Inj 20mcg/ml (hep B)	1	1	$370.40	—	$370.40	$370.40	$370.40	2025-03-01
90670	CPT	Pneumovax 23 Vac 25mcg/0.5ml Sdv	1	1	$360.60	—	$360.60	$360.60	$360.60	2025-03-01
76100	CPT	Xr Laminogr Indep	1	1	$353.80	—	$353.80	$353.80	$353.80	2025-03-01
76061	CPT	Xr Bone Survey	1	1	$333.10	—	$333.10	$333.10	$333.10	2025-03-01
74241	CPT	Xr Ugi/kub	1	1	$328.20	—	$328.20	$328.20	$328.20	2025-03-01
74300	CPT	Xr Cholangio Operative	1	1	$328.20	—	$328.20	$328.20	$328.20	2025-03-01
J1631	HCPCS	Haldol Dec Inj 100mg/ml 1 Ml Vial	1	1	$308.90	—	$308.90	$308.90	$308.90	2025-03-01
73530	CPT	Xr Hip In O R Up To 4 Views	1	1	$308.70	—	$308.70	$308.70	$308.70	2025-03-01
72052	CPT	Xr Cervical Sp 7v	1	1	$301.30	—	$301.30	$301.30	$301.30	2025-03-01
74250	CPT	Xr Small Bowel	1	1	$289.10	—	$289.10	$289.10	$289.10	2025-03-01
31715	CPT	Xr Bronchogram/trans-trachea	1	1	$280.60	—	$280.60	$280.60	$280.60	2025-03-01
94656	CPT	P Ipap	1	1	$276.90	—	$276.90	$276.90	$276.90	2025-03-01
74270	CPT	Xr Barium Enema	1	1	$275.70	—	$275.70	$275.70	$275.70	2025-03-01
70130	CPT	Xr Mastoids-complete	1	1	$268.40	—	$268.40	$268.40	$268.40	2025-03-01
90471	CPT	Adacel Vaccine Inj	1	1	$260.11	—	$260.11	$260.11	$260.11	2025-03-01
95819	CPT	EEG	1	1	$256.20	—	$256.20	$256.20	$256.20	2025-03-01
70134	CPT	Xr Internal Aud Meatus	1	1	$255.00	—	$255.00	$255.00	$255.00	2025-03-01
74305	CPT	Xr Cholangio Post-op	1	1	$252.50	—	$252.50	$252.50	$252.50	2025-03-01
70260	CPT	Xr Skull Comp	1	1	$252.50	—	$252.50	$252.50	$252.50	2025-03-01
72050	CPT	Xr Cervical Sp Comp	1	1	$252.50	—	$252.50	$252.50	$252.50	2025-03-01
72110	CPT	Xr Lumbar Sp Comp	1	1	$252.50	—	$252.50	$252.50	$252.50	2025-03-01
74290	CPT	Xr Cholecystectomy Oral	1	1	$252.50	—	$252.50	$252.50	$252.50	2025-03-01
J2358	HCPCS	Zyprexa Inj 10 Mg Vial (olanzapine)	1	1	$247.08	—	$247.08	$247.08	$247.08	2025-03-01
76000	CPT	Xr Fluoroscopy/ind Procedur	1	1	$242.80	—	$242.80	$242.80	$242.80	2025-03-01
76499	CPT	Xr After Regular Hours	1	1	$241.60	—	$241.60	$241.60	$241.60	2025-03-01
70330	CPT	Xr Tm Joints Bil	1	1	$239.10	—	$239.10	$239.10	$239.10	2025-03-01
70110	CPT	Xr Mandible Comp	1	1	$230.60	—	$230.60	$230.60	$230.60	2025-03-01
70220	CPT	Xr Paranasal Sinuses	1	1	$226.90	—	$226.90	$226.90	$226.90	2025-03-01
92950	CPT	Resus 1/2 Hr	1	1	$219.60	—	$219.60	$219.60	$219.60	2025-03-01
71110	CPT	Xr Ribs Bil	1	1	$213.50	—	$213.50	$213.50	$213.50	2025-03-01
76040	CPT	Xr Bone Length	1	1	$213.50	—	$213.50	$213.50	$213.50	2025-03-01
0730	RC	—	1	1	$213.50	—	$213.50	$213.50	$213.50	2025-03-01
70150	CPT	Xr Facial Bones	1	1	$207.40	—	$207.40	$207.40	$207.40	2025-03-01
74220	CPT	Xr Esophogram	1	1	$203.70	—	$203.70	$203.70	$203.70	2025-03-01
70030	CPT	Xr Eye/foreign Body	1	1	$197.60	—	$197.60	$197.60	$197.60	2025-03-01
80076	CPT	Hepatic Function Panel	1	1	$193.60	—	$193.60	$193.60	$193.60	2025-03-01
73510	CPT	Xr Hip 2v Comp Lt	1	1	$190.30	—	$190.30	$190.30	$190.30	2025-03-01
74020	CPT	Xr Abdomen 3 Views	1	1	$190.30	—	$190.30	$190.30	$190.30	2025-03-01
71030	CPT	Xr Chest 4v	1	1	$190.30	—	$190.30	$190.30	$190.30	2025-03-01
73050	CPT	Xr A C Joints	1	1	$181.80	—	$181.80	$181.80	$181.80	2025-03-01
73030	CPT	Xr Shoulder Comp Left	1	1	$181.80	—	$181.80	$181.80	$181.80	2025-03-01
74440	CPT	Xr Vasogram	1	1	$178.10	—	$178.10	$178.10	$178.10	2025-03-01
72202	CPT	Xr Sacro Iliac Joints Comp	1	1	$176.90	—	$176.90	$176.90	$176.90	2025-03-01
76096	CPT	Xr Breast Biopsy	1	1	$170.80	—	$170.80	$170.80	$170.80	2025-03-01
71022	CPT	Xr Chest 3v	1	1	$170.80	—	$170.80	$170.80	$170.80	2025-03-01
70100	CPT	Xr Mandible Ltd	1	1	$170.80	—	$170.80	$170.80	$170.80	2025-03-01
0410	RC	—	1	1	$170.80	—	$170.80	$170.80	$170.80	2025-03-01
72190	CPT	Xr Pelvis Comp 2v+	1	1	$168.40	—	$168.40	$168.40	$168.40	2025-03-01
72072	CPT	Xr Thoracic Sp Comp	1	1	$167.10	—	$167.10	$167.10	$167.10	2025-03-01
86850	CPT	Antibody Identification Qst	1	1	$166.30	—	$166.30	$166.30	$166.30	2025-03-01
71130	CPT	Xr Sternoclav Joints 3 View	1	1	$164.70	—	$164.70	$164.70	$164.70	2025-03-01
71120	CPT	Xr Sternum	1	1	$164.70	—	$164.70	$164.70	$164.70	2025-03-01
73562	CPT	Xr Knee 4v Comp Lt	1	1	$164.70	—	$164.70	$164.70	$164.70	2025-03-01
94799	CPT	Incentive Spiro Rx/day	1	1	$163.50	—	$163.50	$163.50	$163.50	2025-03-01
80061	CPT	Lipid Battery (profile)	1	1	$160.10	—	$160.10	$160.10	$160.10	2025-03-01
76090	CPT	Xr Mammography Unilateral	1	1	$159.80	—	$159.80	$159.80	$159.80	2025-03-01
76091	CPT	Xr Mammography Bilateral	1	1	$159.80	—	$159.80	$159.80	$159.80	2025-03-01
73110	CPT	Xr Wrist	1	1	$154.90	—	$154.90	$154.90	$154.90	2025-03-01
73080	CPT	Xr Elbow Comp Lt	1	1	$154.90	—	$154.90	$154.90	$154.90	2025-03-01
72040	CPT	Xr Cervical Sp 2v	1	1	$151.30	—	$151.30	$151.30	$151.30	2025-03-01
73650	CPT	Xr Os Calcis Lt	1	1	$151.30	—	$151.30	$151.30	$151.30	2025-03-01
70140	CPT	Xr Facial Bones Ltd	1	1	$151.30	—	$151.30	$151.30	$151.30	2025-03-01
73010	CPT	Xr Scapula Lt	1	1	$151.30	—	$151.30	$151.30	$151.30	2025-03-01
73610	CPT	Xr Ankle Comp Lt	1	1	$151.30	—	$151.30	$151.30	$151.30	2025-03-01
73020	CPT	Xr Shoulder Ltd	1	1	$148.80	—	$148.80	$148.80	$148.80	2025-03-01
80069	CPT	Renal Function Panel	1	1	$147.00	—	$147.00	$147.00	$147.00	2025-03-01
74340	CPT	Xr Tube Placement	1	1	$146.40	—	$146.40	$146.40	$146.40	2025-03-01
72220	CPT	Xr Coccyx	1	1	$146.40	—	$146.40	$146.40	$146.40	2025-03-01
73550	CPT	Xr Femur 2v Lt	1	1	$146.40	—	$146.40	$146.40	$146.40	2025-03-01
72100	CPT	Xr Lumbar Sp Ltd	1	1	$146.40	—	$146.40	$146.40	$146.40	2025-03-01
71020	CPT	Xr Chest Pa And Lateral	1	1	$141.50	—	$141.50	$141.50	$141.50	2025-03-01
76150	CPT	Xr Xerography-ind	1	1	$139.10	—	$139.10	$139.10	$139.10	2025-03-01
70160	CPT	Xr Nasal Bone	1	1	$139.10	—	$139.10	$139.10	$139.10	2025-03-01
73130	CPT	Xr Hand Lt	1	1	$139.10	—	$139.10	$139.10	$139.10	2025-03-01
73630	CPT	Xr Foot Comp Lt	1	1	$135.40	—	$135.40	$135.40	$135.40	2025-03-01
74010	CPT	Xr Abdomen 2v	1	1	$135.40	—	$135.40	$135.40	$135.40	2025-03-01
70250	CPT	Xr Skull Ltd	1	1	$135.40	—	$135.40	$135.40	$135.40	2025-03-01
70200	CPT	Xr Orbits	1	1	$135.40	—	$135.40	$135.40	$135.40	2025-03-01
76098	CPT	Xr Surgical Specimen	1	1	$135.40	—	$135.40	$135.40	$135.40	2025-03-01
72070	CPT	Xr Thoracic Sp Ltd	1	1	$125.70	—	$125.70	$125.70	$125.70	2025-03-01
73000	CPT	Xr Clavicle Lt	1	1	$125.70	—	$125.70	$125.70	$125.70	2025-03-01
73060	CPT	Xr Humerus Lt	1	1	$125.70	—	$125.70	$125.70	$125.70	2025-03-01
73500	CPT	Xr Hip 1v Lt	1	1	$125.70	—	$125.70	$125.70	$125.70	2025-03-01
73590	CPT	Xr Tib/fib 2v Left	1	1	$125.70	—	$125.70	$125.70	$125.70	2025-03-01
76020	CPT	Xr Bone Age	1	1	$125.70	—	$125.70	$125.70	$125.70	2025-03-01
86922	CPT	Blood Bank Crossmatch X1	1	1	$124.80	—	$124.80	$124.80	$124.80	2025-03-01
82486	CPT	Drug Screen Quant Thc Qst	1	1	$124.80	—	$124.80	$124.80	$124.80	2025-03-01
88164	CPT	Pap Smear Uci	1	1	$114.00	—	$114.00	$114.00	$114.00	2025-03-01
82803	CPT	Arterial Blood Gas Abg	1	1	$113.50	—	$113.50	$113.50	$113.50	2025-03-01
73090	CPT	Xr Radius/ulna Left	1	1	$113.50	—	$113.50	$113.50	$113.50	2025-03-01
73560	CPT	Xr Knee 2v Lim Lt	1	1	$113.50	—	$113.50	$113.50	$113.50	2025-03-01
74022	CPT	Xr Abd/kub 1 View	1	1	$113.50	—	$113.50	$113.50	$113.50	2025-03-01
80051	CPT	Electrolyte Panel	1	1	$113.40	—	$113.40	$113.40	$113.40	2025-03-01
70360	CPT	Xr Neck/soft Tissue	1	1	$106.10	—	$106.10	$106.10	$106.10	2025-03-01
72200	CPT	Xr Sacro Iliac Joints Ltd	1	1	$106.10	—	$106.10	$106.10	$106.10	2025-03-01
72170	CPT	Xr Pelvis 1v	1	1	$106.10	—	$106.10	$106.10	$106.10	2025-03-01
94650	CPT	Ippb Initial Rx	1	1	$104.90	—	$104.90	$104.90	$104.90	2025-03-01
71046	CPT	Xr Chest 1 View	1	1	$103.70	—	$103.70	$103.70	$103.70	2025-03-01
73070	CPT	Xr Elbow Ltd Lt	1	1	$103.70	—	$103.70	$103.70	$103.70	2025-03-01
73620	CPT	Xr Foot Limited Lt	1	1	$102.50	—	$102.50	$102.50	$102.50	2025-03-01
72020	CPT	Xr Cervical Sp 1v	1	1	$102.50	—	$102.50	$102.50	$102.50	2025-03-01
70380	CPT	Xr Salivary Glands	1	1	$102.50	—	$102.50	$102.50	$102.50	2025-03-01
73120	CPT	Xr Finger Limited Lt	1	1	$102.50	—	$102.50	$102.50	$102.50	2025-03-01
73600	CPT	Xr Ankle Ltd Lt	1	1	$102.50	—	$102.50	$102.50	$102.50	2025-03-01
70240	CPT	Xr Sella Turcica	1	1	$102.50	—	$102.50	$102.50	$102.50	2025-03-01
84999	CPT	Comp Drug Panel Qst	1	1	$100.00	—	$100.00	$100.00	$100.00	2025-03-01
93005	CPT	EKG	1	1	$100.00	—	$100.00	$100.00	$100.00	2025-03-01
90662	CPT	Flu Vaccine Inj 0.5 Ml (influenza)	1	1	$97.12	—	$97.12	$97.12	$97.12	2025-03-01
83615	CPT	HIV-1 RNA - Pcr Qst	1	1	$91.61	—	$91.61	$91.61	$91.61	2025-03-01
83890	CPT	HIV RNA Tma Qst	1	1	$91.61	—	$91.61	$91.61	$91.61	2025-03-01
90832	CPT	Indiv Thx 16-37 Mins	1	1	$100.00	—	$89.37	$89.37	$89.37	2025-03-01
90853	CPT	Mh Intensive Outpatient	19	19	$400.00	—	$89.37	$400.00	$89.37	2025-03-01
90847	CPT	Family Therapy W/pt	1	1	$100.00	—	$89.37	$89.37	$89.37	2025-03-01
G0410	HCPCS	Partial Hospitalization	19	19	$400.00	—	$89.37	$400.00	$89.37	2025-03-01
90846	CPT	Family Therapy Without Pt	1	1	$100.00	—	$89.37	$89.37	$89.37	2025-03-01
90837	CPT	Indiv Thx 53 Mins Or >	1	1	$195.00	—	$89.37	$89.37	$89.37	2025-03-01
90834	CPT	Indiv Thx 38-52 Mins	1	1	$150.00	—	$89.37	$89.37	$89.37	2025-03-01
82553	CPT	Cardiac Panel	1	1	$88.00	—	$88.00	$88.00	$88.00	2025-03-01
80342	CPT	Paliperidone Qst	1	1	$86.00	—	$86.00	$86.00	$86.00	2025-03-01
84443	CPT	Tsh	1	1	$85.50	—	$85.50	$85.50	$85.50	2025-03-01
80185	CPT	Phenytoin (dilantin)	1	1	$82.00	—	$82.00	$82.00	$82.00	2025-03-01
76092	CPT	Xr Mammography Screening	1	1	$80.50	—	$80.50	$80.50	$80.50	2025-03-01
85260	CPT	Factor X Uci	1	1	$80.00	—	$80.00	$80.00	$80.00	2025-03-01
86885	CPT	Coombs Indirect Ab Screen	1	1	$75.60	—	$75.60	$75.60	$75.60	2025-03-01
0239	RC	—	13	12	$138.00	—	$35.00	$114.00	$75.00	2025-03-01
80164	CPT	Depakene (valproic Acid)	1	1	$75.00	—	$75.00	$75.00	$75.00	2025-03-01
82962	CPT	Accucheck Fingerstick	1	1	$74.50	—	$74.50	$74.50	$74.50	2025-03-01
83718	CPT	Hdl Direct	1	1	$73.10	—	$73.10	$73.10	$73.10	2025-03-01
94664	CPT	Hhn Initial	1	1	$69.50	—	$69.50	$69.50	$69.50	2025-03-01
94640	CPT	Hhn Subsequent	1	1	$69.50	—	$69.50	$69.50	$69.50	2025-03-01
0460	RC	—	1	1	$69.50	—	$69.50	$69.50	$69.50	2025-03-01
80156	CPT	Carbamazepine (tegretol)	1	1	$68.00	—	$68.00	$68.00	$68.00	2025-03-01
86359	CPT	T Cell Panel 3 Qst	1	1	$67.00	—	$67.00	$67.00	$67.00	2025-03-01
85025	CPT	Cbc W/auto Diff & Plt Cnt	1	1	$66.00	—	$66.00	$66.00	$66.00	2025-03-01
84479	CPT	T3 Uptake	1	1	$65.00	—	$65.00	$65.00	$65.00	2025-03-01
94660	CPT	Cpap	1	1	$64.70	—	$64.70	$64.70	$64.70	2025-03-01
94657	CPT	Volume Vent 1 Hr B Ipap	1	1	$64.70	—	$64.70	$64.70	$64.70	2025-03-01
82150	CPT	Amylase Qst	1	1	$61.80	—	$61.80	$61.80	$61.80	2025-03-01
84460	CPT	Alt (sgpt)	1	1	$61.80	—	$61.80	$61.80	$61.80	2025-03-01
87491	CPT	Gc Chlamydia Ur Qst	1	1	$60.63	—	$60.63	$60.63	$60.63	2025-03-01
86694	CPT	Herpes 1/2 IgG/IgM Panl (10937)	1	1	$60.00	—	$60.00	$60.00	$60.00	2025-03-01
84478	CPT	Triglycerides	1	1	$56.80	—	$56.80	$56.80	$56.80	2025-03-01
86709	CPT	Hepatitis Panel (x5677) Qst	1	1	$56.80	—	$56.80	$56.80	$56.80	2025-03-01
82465	CPT	Cholesterol	1	1	$56.80	—	$56.80	$56.80	$56.80	2025-03-01
84703	CPT	Hcg Beta Serum Pregnancy	1	1	$56.80	—	$56.80	$56.80	$56.80	2025-03-01
82248	CPT	Bilirubin Direct	1	1	$56.80	—	$56.80	$56.80	$56.80	2025-03-01
82247	CPT	Bilirubin Total	1	1	$56.80	—	$56.80	$56.80	$56.80	2025-03-01
94667	CPT	Pst Drain Perc Subsequent	2	1	$56.75	—	$34.20	$79.30	$56.75	2025-03-01
85027	CPT	Cbc2 On Act Diff	1	1	$56.00	—	$56.00	$56.00	$56.00	2025-03-01
84550	CPT	Uric Acid	1	1	$54.20	—	$54.20	$54.20	$54.20	2025-03-01
82550	CPT	Ck	1	1	$54.20	—	$54.20	$54.20	$54.20	2025-03-01
84075	CPT	Alkaline Phosphatase	1	1	$54.20	—	$54.20	$54.20	$54.20	2025-03-01
87390	CPT	HIV Antigen P24 Qst	1	1	$54.00	—	$54.00	$54.00	$54.00	2025-03-01
83880	CPT	B Type Natiuretic (bnp) Uci	1	1	$52.00	—	$52.00	$52.00	$52.00	2025-03-01
80338	CPT	Trazodone Qst	1	1	$52.00	—	$52.00	$52.00	$52.00	2025-03-01
87635	CPT	Covid-19 **nasal Swab 24hr-uci	1	1	$51.31	—	$51.31	$51.31	$51.31	2025-03-01
86769	CPT	Binaxnow Covid-19 Antigen Test	1	1	$50.00	—	$50.00	$50.00	$50.00	2025-03-01
84482	CPT	T3 Free Qst	1	1	$50.00	—	$50.00	$50.00	$50.00	2025-03-01
83721	CPT	Ldl Direct	1	1	$50.00	—	$50.00	$50.00	$50.00	2025-03-01
82040	CPT	Albumin Serum	1	1	$49.20	—	$49.20	$49.20	$49.20	2025-03-01
84520	CPT	Bun	1	1	$49.20	—	$49.20	$49.20	$49.20	2025-03-01
82310	CPT	Calcium Blood	1	1	$49.20	—	$49.20	$49.20	$49.20	2025-03-01
82565	CPT	Creatinine Serum	1	1	$49.20	—	$49.20	$49.20	$49.20	2025-03-01
84155	CPT	Protein Serum	1	1	$49.20	—	$49.20	$49.20	$49.20	2025-03-01
85610	CPT	Prothrombin Time Q8	1	1	$49.20	—	$49.20	$49.20	$49.20	2025-03-01
87210	CPT	Wet Mount Qst	1	1	$49.20	—	$49.20	$49.20	$49.20	2025-03-01
82947	CPT	Glucose	1	1	$49.20	—	$49.20	$49.20	$49.20	2025-03-01
82728	CPT	Ferritin	1	1	$46.60	—	$46.60	$46.60	$46.60	2025-03-01
82607	CPT	Vitamin B12	1	1	$46.10	—	$46.10	$46.10	$46.10	2025-03-01
82746	CPT	Folate (folic Acid)	1	1	$45.60	—	$45.60	$45.60	$45.60	2025-03-01
83550	CPT	Feb-iron Binding Capacity	1	1	$45.50	—	$45.50	$45.50	$45.50	2025-03-01
86880	CPT	Coombs Direct	1	1	$45.40	—	$45.40	$45.40	$45.40	2025-03-01
94760	CPT	Pulse Oximetry Sensor	1	1	$45.10	—	$45.10	$45.10	$45.10	2025-03-01
83970	CPT	Parathyroid N Qst	2	1	$44.25	—	$42.50	$46.00	$44.25	2025-03-01
86580	CPT	Skin Test-TB	1	1	$44.20	—	$44.20	$44.20	$44.20	2025-03-01
86904	CPT	Crossmatch Add Screen	1	1	$44.20	—	$44.20	$44.20	$44.20	2025-03-01
80178	CPT	Lithium	1	1	$44.20	—	$44.20	$44.20	$44.20	2025-03-01
85999	CPT	Eosinophil Count Qst	1	1	$44.20	—	$44.20	$44.20	$44.20	2025-03-01
80322	CPT	Fluvoxamine Qst	1	1	$41.00	—	$41.00	$41.00	$41.00	2025-03-01
84481	CPT	T3, Free Qst	1	1	$41.00	—	$41.00	$41.00	$41.00	2025-03-01
84207	CPT	Vitamin B6 Qst	1	1	$41.00	—	$41.00	$41.00	$41.00	2025-03-01
82374	CPT	Co2 Bicarbonate	1	1	$40.30	—	$40.30	$40.30	$40.30	2025-03-01
84295	CPT	Sodium Serum	1	1	$40.30	—	$40.30	$40.30	$40.30	2025-03-01
84132	CPT	Potassium	1	1	$40.30	—	$40.30	$40.30	$40.30	2025-03-01
80332	CPT	Fluoxetine Qst	1	1	$40.00	—	$40.00	$40.00	$40.00	2025-03-01
64484	CPT	Troponin I	1	1	$40.00	—	$40.00	$40.00	$40.00	2025-03-01
0270	RC	—	1	1	$38.56	—	$38.56	$38.56	$38.56	2025-03-01
83540	CPT	Iron - Total	1	1	$37.80	—	$37.80	$37.80	$37.80	2025-03-01
84402	CPT	Testosterone Free & Totl Qst	1	1	$37.50	—	$37.50	$37.50	$37.50	2025-03-01
80175	CPT	Lamotrigine Qst	1	1	$37.17	—	$37.17	$37.17	$37.17	2025-03-01
89050	CPT	Spinal Fluid Cell Count Qst	1	1	$36.60	—	$36.60	$36.60	$36.60	2025-03-01
89051	CPT	Cell Count Fluid Mdt Csf Qst	1	1	$36.60	—	$36.60	$36.60	$36.60	2025-03-01
82384	CPT	Catecholamines U 24hr Qst	1	1	$36.00	—	$36.00	$36.00	$36.00	2025-03-01
82491	CPT	Opiates Urine Q Qst	1	1	$35.00	—	$35.00	$35.00	$35.00	2025-03-01
85379	CPT	D-dimer Uci	1	1	$35.00	—	$35.00	$35.00	$35.00	2025-03-01
82140	CPT	Ammonia (plasma) Uci	1	1	$35.00	—	$35.00	$35.00	$35.00	2025-03-01
82306	CPT	Vit D 25-oh Qst	1	1	$35.00	—	$35.00	$35.00	$35.00	2025-03-01
84484	CPT	Troponin I Qst	1	1	$35.00	—	$35.00	$35.00	$35.00	2025-03-01
87324	CPT	Clostridium Difficile Qst	1	1	$34.92	—	$34.92	$34.92	$34.92	2025-03-01
82435	CPT	Chloride Serum	1	1	$34.10	—	$34.10	$34.10	$34.10	2025-03-01
0260	RC	—	1	1	$32.90	—	$32.90	$32.90	$32.90	2025-03-01
87088	CPT	Urine Colony Id Qst	1	1	$32.80	—	$32.80	$32.80	$32.80	2025-03-01
86927	CPT	Frsh Fzn Plasma Processng	1	1	$31.60	—	$31.60	$31.60	$31.60	2025-03-01
99001	CPT	Handling Fee To Ref Lab	1	1	$31.60	—	$31.60	$31.60	$31.60	2025-03-01
86965	CPT	Platelet Conc Processing	1	1	$31.60	—	$31.60	$31.60	$31.60	2025-03-01
80101	CPT	Benzodiazepine Screen Ur Qst	1	1	$30.50	—	$30.50	$30.50	$30.50	2025-03-01
86901	CPT	Rh Type	1	1	$30.20	—	$30.20	$30.20	$30.20	2025-03-01
86900	CPT	Abo Type	1	1	$30.20	—	$30.20	$30.20	$30.20	2025-03-01
80174	CPT	Imipramine (tofranil) Qst	1	1	$30.00	—	$30.00	$30.00	$30.00	2025-03-01
86360	CPT	Lymph Subset Panel 5 Qst	1	1	$30.00	—	$30.00	$30.00	$30.00	2025-03-01
80182	CPT	Nortrip Amitriptyline Qst	1	1	$30.00	—	$30.00	$30.00	$30.00	2025-03-01
80307	CPT	Rapid Drug Sc Urine Qst	1	1	$30.00	—	$30.00	$30.00	$30.00	2025-03-01
85049	CPT	Platelet Count	1	1	$30.00	—	$30.00	$30.00	$30.00	2025-03-01
89190	CPT	Nasal Smear - Eosinophils Qst	1	1	$29.00	—	$29.00	$29.00	$29.00	2025-03-01
82668	CPT	Erythropoiten Qst	1	1	$28.81	—	$28.81	$28.81	$28.81	2025-03-01
84403	CPT	Testosterone Total Qst	1	1	$28.50	—	$28.50	$28.50	$28.50	2025-03-01
85007	CPT	Differential Manual	1	1	$27.70	—	$27.70	$27.70	$27.70	2025-03-01
80299	CPT	Haldol (haloperidol) Qst	1	1	$27.41	—	$27.41	$27.41	$27.41	2025-03-01
80159	CPT	Clozaril -(clozapine) Qst	1	1	$26.80	—	$26.80	$26.80	$26.80	2025-03-01
84120	CPT	Porphyrins Urine Qst	1	1	$26.70	—	$26.70	$26.70	$26.70	2025-03-01
82626	CPT	Dhea-unconjugated Serum Qst	1	1	$26.00	—	$26.00	$26.00	$26.00	2025-03-01
87207	CPT	Chlamydia Dfa Qst - Glass Slide	1	1	$26.00	—	$26.00	$26.00	$26.00	2025-03-01
82627	CPT	Dhea-sulfate Serum Qst	1	1	$25.10	—	$25.10	$25.10	$25.10	2025-03-01
82670	CPT	Estradiol Qst	1	1	$25.01	—	$25.01	$25.01	$25.01	2025-03-01
86689	CPT	HIV 1/2 Ab Reflex Qst	1	1	$25.00	—	$25.00	$25.00	$25.00	2025-03-01
86701	CPT	HIV Antibody Htlv Iii Qst	1	1	$25.00	—	$25.00	$25.00	$25.00	2025-03-01
82043	CPT	Micro Albumin Rndm Without Creat Qst	1	1	$25.00	—	$25.00	$25.00	$25.00	2025-03-01
82552	CPT	Ck Isoenzymes Qst	1	1	$25.00	—	$25.00	$25.00	$25.00	2025-03-01
94770	CPT	Etco2 / Hours	1	1	$24.90	—	$24.90	$24.90	$24.90	2025-03-01
87070	CPT	Mrsa Nares Screen Qst	1	1	$24.74	—	$24.74	$24.74	$24.74	2025-03-01
82024	CPT	Acth Qst	1	1	$24.09	—	$24.09	$24.09	$24.09	2025-03-01
81015	CPT	Urine Microscopic	1	1	$24.00	—	$24.00	$24.00	$24.00	2025-03-01
86162	CPT	Complement Total Ch50 Qst	1	1	$23.10	—	$23.10	$23.10	$23.10	2025-03-01
86325	CPT	Immunoepg+pep Csf/urine Qst	1	1	$23.00	—	$23.00	$23.00	$23.00	2025-03-01
80160	CPT	Desipramine (norpramine) Qst	1	1	$23.00	—	$23.00	$23.00	$23.00	2025-03-01
81003	CPT	Urinalysis	1	1	$22.60	—	$22.60	$22.60	$22.60	2025-03-01
86800	CPT	Thyroglobulin Ab Qst	1	1	$22.00	—	$22.00	$22.00	$22.00	2025-03-01
80198	CPT	Theophylline Qst	1	1	$22.00	—	$22.00	$22.00	$22.00	2025-03-01
85018	CPT	Hemoglobin	1	1	$21.50	—	$21.50	$21.50	$21.50	2025-03-01
85014	CPT	Hematocrit	1	1	$21.50	—	$21.50	$21.50	$21.50	2025-03-01
87163	CPT	Other Organisim Id Qst	1	1	$21.15	—	$21.15	$21.15	$21.15	2025-03-01
86664	CPT	Epstein Barr Group Qst	1	1	$20.80	—	$20.80	$20.80	$20.80	2025-03-01
84146	CPT	Prolactin Qst	1	1	$20.29	—	$20.29	$20.29	$20.29	2025-03-01
85048	CPT	Wbc Count	1	1	$20.00	—	$20.00	$20.00	$20.00	2025-03-01
82520	CPT	Cocaine Qst	1	1	$20.00	—	$20.00	$20.00	$20.00	2025-03-01
84681	CPT	C-peptide Qst	1	1	$20.00	—	$20.00	$20.00	$20.00	2025-03-01
83002	CPT	Lh (luteinzing Hormone) Qst	1	1	$20.00	—	$20.00	$20.00	$20.00	2025-03-01
86677	CPT	Helicobacter Pylori Panel Qst	1	1	$19.85	—	$19.85	$19.85	$19.85	2025-03-01
86803	CPT	Hepatitis C / Rflx Qst	1	1	$19.80	—	$19.80	$19.80	$19.80	2025-03-01
82378	CPT	Carcinoembryonic Ag-cea Qst	1	1	$19.74	—	$19.74	$19.74	$19.74	2025-03-01
84144	CPT	Progesterone Qst	1	1	$19.28	—	$19.28	$19.28	$19.28	2025-03-01
82690	CPT	Placidyl Serum Qst	1	1	$19.00	—	$19.00	$19.00	$19.00	2025-03-01
85041	CPT	Rbc Count	1	1	$19.00	—	$19.00	$19.00	$19.00	2025-03-01
84442	CPT	Thyroid Binding Globulin Qst	1	1	$19.00	—	$19.00	$19.00	$19.00	2025-03-01
82677	CPT	Estriol (pregnant) S Qst	1	1	$19.00	—	$19.00	$19.00	$19.00	2025-03-01
86256	CPT	Ana Screen / Titer Qst	1	1	$18.20	—	$18.20	$18.20	$18.20	2025-03-01
82330	CPT	Calcium Ionized Uci	1	1	$18.20	—	$18.20	$18.20	$18.20	2025-03-01
99050	CPT	Reference Lab Referral Fe	1	1	$18.00	—	$18.00	$18.00	$18.00	2025-03-01
84436	CPT	T4 Free Qst	1	1	$18.00	—	$18.00	$18.00	$18.00	2025-03-01
86316	CPT	Ca 125 Qst	1	1	$17.92	—	$17.92	$17.92	$17.92	2025-03-01
81002	CPT	Specific Gravity	1	1	$17.60	—	$17.60	$17.60	$17.60	2025-03-01
81000	CPT	Protein Qualatative Ur Qst	1	1	$17.60	—	$17.60	$17.60	$17.60	2025-03-01
82270	CPT	Occult Blood	1	1	$17.60	—	$17.60	$17.60	$17.60	2025-03-01
80053	CPT	Back-up Cmp2	1	1	$17.40	—	$17.40	$17.40	$17.40	2025-03-01
80048	CPT	Back-up Bmp-cmp1	1	1	$17.40	—	$17.40	$17.40	$17.40	2025-03-01
80184	CPT	Phenobarbital Uci	1	1	$17.20	—	$17.20	$17.20	$17.20	2025-03-01
94762	CPT	Oximetry 02 By Po2	1	1	$17.10	—	$17.10	$17.10	$17.10	2025-03-01
82785	CPT	Immunoglobin Qst	1	1	$17.00	—	$17.00	$17.00	$17.00	2025-03-01
86708	CPT	Hepatitis A Igm Qst	1	1	$16.46	—	$16.46	$16.46	$16.46	2025-03-01
86320	CPT	Immunoepg (fixat) Serum Qst	1	1	$16.00	—	$16.00	$16.00	$16.00	2025-03-01
87177	CPT	Ova & Parasites Qst	1	1	$16.00	—	$16.00	$16.00	$16.00	2025-03-01
86255	CPT	Ana Fluorescent Qst	1	1	$15.73	—	$15.73	$15.73	$15.73	2025-03-01
84480	CPT	T3 Total Qst	1	1	$15.73	—	$15.73	$15.73	$15.73	2025-03-01
82003	CPT	Acetaminophen Uci	1	1	$15.68	—	$15.68	$15.68	$15.68	2025-03-01
83003	CPT	Growth Hormone (hgh) Qst	1	1	$15.50	—	$15.50	$15.50	$15.50	2025-03-01
86663	CPT	Epstein Barr Early Ag Qst	1	1	$15.10	—	$15.10	$15.10	$15.10	2025-03-01
80202	CPT	Vancomycin U9 Qst	1	1	$15.00	—	$15.00	$15.00	$15.00	2025-03-01
83001	CPT	Fsh Serum Qst	1	1	$14.50	—	$14.50	$14.50	$14.50	2025-03-01
0250	RC	—	3	1	$14.45	—	$3.80	$49.05	$14.45	2025-03-01
86225	CPT	Anti DNA Ab 1fa Qst	1	1	$13.46	—	$13.46	$13.46	$13.46	2025-03-01
83625	CPT	Ld Izoenzymes Qst	1	1	$13.20	—	$13.20	$13.20	$13.20	2025-03-01
86706	CPT	Hepatitis B Surface Antib Qst	1	1	$13.12	—	$13.12	$13.12	$13.12	2025-03-01
83715	CPT	Lipoprdt Epg S Qst	1	1	$13.00	—	$13.00	$13.00	$13.00	2025-03-01
86376	CPT	Tpo -thyroid Perox Qst	1	1	$13.00	—	$13.00	$13.00	$13.00	2025-03-01
82205	CPT	Barbiturates Serium Qst	1	1	$13.00	—	$13.00	$13.00	$13.00	2025-03-01
84439	CPT	Free Thyroxin Qst	1	1	$13.00	—	$13.00	$13.00	$13.00	2025-03-01

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