Price Transparencybeta 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

LAKE BUTLER HOSPITAL

Lake Butler, FL · CCN 101303 · Rates published

943 distinct procedures filed
1 distinct payers
3,284 rate rows
2024-07-01 last MRF observed · ⚠ 23 mo old
Data quality

3,284 of 3,284 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 23 months old.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://lakebutlerhospital.com/wp-content/uploads/2024/07/593218382_lake-butler-hospital_standardcharges.csv
Found on page https://lakebutlerhospital.com/patients-visitors/financial-resources/
Discovered viaDiscovered by HANK
Last fetch success · 2026-06-16
Content fingerprint 22133d17f5892308… · 549,691 bytes · first seen 2026-06-16

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
74178
CPT 		CT Urogram Wo & W 1 $4,897.00 $4,897.00 $4,897.00 nat. median
$979
outlier · 5.0×
74174
CPT 		CTA Abd & Pelvic Without &w/contrast 1 $4,425.00 $4,425.00 $4,425.00 nat. median
$959
outlier · 4.6×
74177
CPT 		CT Abd & Pel W/contrast 1 $4,425.00 $4,425.00 $4,425.00 nat. median
$928
outlier · 4.8×
72133
CPT 		CT L-spine W & Without 1 $3,885.62 $3,885.62 $3,885.62 nat. median
$616
outlier · 6.3×
72130
CPT 		CT Thoraic Spine W&without 1 $3,851.87 $3,851.87 $3,851.87 nat. median
$593
outlier · 6.5×
72127
CPT 		CT C-spine W&without Co 1 $3,851.87 $3,851.87 $3,851.87 nat. median
$595
outlier · 6.5×
74176
CPT 		CT Abd & Pel Without Contrast 1 $3,717.00 $3,717.00 $3,717.00 nat. median
$685
outlier · 5.4×
74175
CPT 		CT Angio Abdom Without &with Contrast 1 $3,717.00 $3,717.00 $3,717.00 nat. median
$710
outlier · 5.2×
71275
CPT 		CTA Chest 1 $3,587.20 $3,587.20 $3,587.20 nat. median
$736
outlier · 4.9×
72126
CPT 		CT C-spine W/contra 1 $3,261.28 $3,261.28 $3,261.28 nat. median
$755
outlier · 4.3×
70496
CPT 		CTA Head W Contrast 1 $3,068.00 $3,068.00 $3,068.00 nat. median
$729
outlier · 4.2×
70498
CPT 		CTA Neck W Contrast 1 $3,068.00 $3,068.00 $3,068.00 nat. median
$722
outlier · 4.2×
77078
CPT 		CT Bone Density Study 1 $3,052.66 $3,052.66 $3,052.66 nat. median
$115
outlier · 26.6×
72132
CPT 		CT L-spine W/contr 1 $3,052.66 $3,052.66 $3,052.66 nat. median
$760
outlier · 4.0×
0120
RC 		1 $3,030.00 $3,030.00 $3,030.00 nat. median
$1,017
outlier · 3.0×
74170
CPT 		CT Abd W&without Contrast 1 $3,020.45 $3,020.45 $3,020.45 nat. median
$703
outlier · 4.3×
72194
CPT 		CT Pelvis W&without Contras 1 $3,017.38 $3,017.38 $3,017.38 nat. median
$658
outlier · 4.6×
74160
CPT 		CT Abd W/contrast 1 $3,012.78 $3,012.78 $3,012.78 nat. median
$646
outlier · 4.7×
71270
CPT 		CT Chest W&without Contr 1 $2,857.84 $2,857.84 $2,857.84 nat. median
$661
outlier · 4.3×
0
CPT 		CT W/wo Head 1 $2,831.00 $2,831.00 $2,831.00 —
72131
CPT 		CT L-spine Without Contr 1 $2,776.54 $2,776.54 $2,776.54 nat. median
$449
outlier · 6.2×
72125
CPT 		CT C-spine Without Cont 1 $2,776.54 $2,776.54 $2,776.54 nat. median
$469
outlier · 5.9×
72129
CPT 		CT T-spine W/con 1 $2,776.54 $2,776.54 $2,776.54 nat. median
$584
outlier · 4.8×
31603
CPT 		Trach-emergency 1 $2,736.66 $2,736.66 $2,736.66 nat. median
$1,716
1.6× median
27257
CPT 		Dis/hip,spontaneous W/a 1 $2,153.74 $3,279.69 $2,716.72 nat. median
$1,857
1.5× median
70470
CPT 		CT Head W&without Contrast 1 $2,567.92 $2,567.92 $2,567.92 nat. median
$618
outlier · 4.2×
27252
CPT 		Dis/hip,traumatic W/ane 1 $1,842.33 $3,279.69 $2,561.01 nat. median
$2,058
1.2× median
36430
CPT 		Blood Transfusion Servi 1 $1,816.26 $3,265.89 $2,541.07 nat. median
$699
outlier · 3.6×
72191
CPT 		CTA Pelvis W/o& W Contrast 1 $2,428.32 $2,428.32 $2,428.32 nat. median
$602
outlier · 4.0×
70488
CPT 		CT Maxillo Face W&without 1 $2,428.32 $2,428.32 $2,428.32 nat. median
$634
outlier · 3.8×
70492
CPT 		CT St Neck W&without Con 1 $2,428.32 $2,428.32 $2,428.32 nat. median
$634
outlier · 3.8×
71260
CPT 		CT Chest W/contrast 1 $2,428.32 $2,428.32 $2,428.32 nat. median
$646
outlier · 3.8×
72192
CPT 		CT Pelvis Without Contrast 1 $2,428.32 $2,428.32 $2,428.32 nat. median
$455
outlier · 5.3×
73702
CPT 		CT Low Ext W & Wo 1 $2,428.32 $2,428.32 $2,428.32 nat. median
$710
outlier · 3.4×
70482
CPT 		CT Orb/sella/p-fossa W& 1 $2,428.32 $2,428.32 $2,428.32 nat. median
$650
outlier · 3.7×
13152
CPT 		Lac/comp-2.6 To 7.5 Cm 1 $1,915.97 $2,926.87 $2,421.42 nat. median
$918
outlier · 2.6×
73202
CPT 		CT Upper Extremity W & 1 $2,414.52 $2,414.52 $2,414.52 nat. median
$725
outlier · 3.3×
99291
CPT 		Critical Care 1st Hr 1 $2,024.88 $2,781.26 $2,403.07 nat. median
$1,610
1.5× median
72128
CPT 		CT T-spine Without Contras 1 $2,400.71 $2,400.71 $2,400.71 nat. median
$449
outlier · 5.3×
40650
CPT 		Repair Lip 1 $1,819.32 $2,940.68 $2,380.00 nat. median
$950
outlier · 2.5×
73206
CPT 		CTA Upper Extr W/o&w Contrast 1 $2,301.00 $2,301.00 $2,301.00 nat. median
$697
outlier · 3.3×
74150
CPT 		CT Abd Without Contrast 1 $2,290.26 $2,290.26 $2,290.26 nat. median
$439
outlier · 5.2×
13151
CPT 		Lac/comp-1.1 To 2.5 Cm 1 $1,595.36 $2,913.07 $2,254.22 nat. median
$859
outlier · 2.6×
75635
CPT 		CTA Aorta W/runoffs W&without Contract 1 $2,212.50 $2,212.50 $2,212.50 nat. median
$706
outlier · 3.1×
73706
CPT 		CTA Lower Extr W/o&w Contrast 1 $2,183.00 $2,183.00 $2,183.00 nat. median
$760
outlier · 2.9×
24605
CPT 		Dis/a-c Elbow Closed With 1 $983.29 $3,279.69 $2,131.49 nat. median
$1,929
1.1× median
99288
CPT 		Phys Direction Of Ems 1 $2,109.84 $2,109.84 $2,109.84 nat. median
$266
outlier · 7.9×
12045
CPT 		Lac/inter-12.6 To 20 Cm 1 $1,241.01 $2,946.81 $2,093.91 nat. median
$833
outlier · 2.5×
13150
CPT 		Lac/comp-0 To 1.0 Cm 1 $1,236.40 $2,900.79 $2,068.60 nat. median
$1,703
1.2× median
72193
CPT 		CT Pelvis W/contrast 1 $2,041.75 $2,041.75 $2,041.75 nat. median
$629
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 943 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
             
0 CPT CT W/wo Head 1 1 $2,831.00 $1,415.50 50% off $2,831.00 $2,831.00 $2,831.00 2024-07-01
0120 RC — 1 1 $3,030.00 $1,515.00 50% off $3,030.00 $3,030.00 $3,030.00 2024-07-01
0278 RC — 7 1 $887.26 $443.63 50% off $709.50 $1,102.20 $887.26 2024-07-01
10060 CPT I & D Abscess Simple Or Single 5 1 $460.20 $230.10 50% off $174.88 $649.00 $460.20 2024-07-01
10061 CPT I & D Abscess Complicated Or Multiple 3 1 $782.34 $391.17 50% off $688.77 $1,550.87 $782.34 2024-07-01
10080 CPT I&d Pilonidal Cyst 2 1 $462.50 $231.25 50% off $357.42 $567.58 $462.50 2024-07-01
10120 CPT Incision & Removal F/b 4 1 $487.81 $243.91 50% off $421.85 $645.81 $487.81 2024-07-01
10121 CPT Removal Foreign Bdy,com 2 1 $1,164.31 $582.15 50% off $736.32 $1,592.29 $1,164.31 2024-07-01
10140 CPT I&d Hematoma 2 1 $793.08 $396.54 50% off $455.60 $1,130.56 $793.08 2024-07-01
10160 CPT Puncture Aspiration Of Abscess 2 1 $758.57 $379.28 50% off $750.13 $767.00 $758.57 2024-07-01
10180 CPT I&d Abscess Complex 2 1 $1,265.55 $632.78 50% off $1,058.46 $1,472.64 $1,265.55 2024-07-01
11043 CPT Pt Debridement Full Thick 1 1 $651.95 $325.98 50% off $651.95 $651.95 $651.95 2024-07-01
11442 CPT Exc Ben Lesion 1.1 - 2 2 1 $1,182.72 $591.36 50% off $859.04 $1,506.39 $1,182.72 2024-07-01
11730 CPT Nail Avulsion 3 1 $613.60 $306.80 50% off $214.76 $651.95 $613.60 2024-07-01
11750 CPT Excision Of Nail 3 1 $978.69 $489.35 50% off $767.00 $1,468.04 $978.69 2024-07-01
11760 CPT Repair Of Nail Bed 2 1 $635.08 $317.54 50% off $595.19 $674.96 $635.08 2024-07-01
12001 CPT Lac/simp-up To 2.5 Cm 3 1 $539.97 $269.99 50% off $194.70 $743.99 $539.97 2024-07-01
12002 CPT Lac/simp-2.6 To 7.5 Cm 3 1 $674.96 $337.48 50% off $604.40 $847.24 $674.96 2024-07-01
12004 CPT Lac/simp-7.6 To 12.5 Cm 2 1 $806.88 $403.44 50% off $743.99 $869.78 $806.88 2024-07-01
12005 CPT Lac/simp-12.6 To 20 Cm 2 1 $939.58 $469.79 50% off $932.67 $946.48 $939.58 2024-07-01
12006 CPT Lac/simp-20.1 To 30 Cm 2 1 $1,108.32 $554.16 50% off $1,009.37 $1,207.26 $1,108.32 2024-07-01
12007 CPT Simp Rep Over 30cm 1 1 $1,383.67 $691.84 50% off $1,383.67 $1,383.67 $1,383.67 2024-07-01
12011 CPT Lac/simp-up To 2.5 Cm 3 1 $743.99 $372.00 50% off $572.18 $859.04 $743.99 2024-07-01
12013 CPT Lac/simp-2.6 To 5.0 Cm 2 1 $715.61 $357.81 50% off $661.15 $770.07 $715.61 2024-07-01
12014 CPT Lac/simp-5.1 To 7.5 Cm 1 1 $806.88 $403.44 50% off $806.88 $806.88 $806.88 2024-07-01
12015 CPT Lac/simp-7.6 To 12.5 Cm 2 1 $866.71 $433.36 50% off $863.64 $869.78 $866.71 2024-07-01
12016 CPT Lac/simp-12.6 To 20 Cm 2 1 $954.14 $477.07 50% off $932.67 $975.62 $954.14 2024-07-01
1203 RC — 1 1 $469.64 $234.82 50% off $469.64 $469.64 $469.64 2024-07-01
12031 CPT Lac/inter-up To 2.5 Cm 2 1 $688.76 $344.38 50% off $633.54 $743.99 $688.76 2024-07-01
12032 CPT Lac/inter-2.6 To 7.5 Cm 2 1 $816.86 $408.43 50% off $806.88 $826.83 $816.86 2024-07-01
12034 CPT Lac/inter-7.6 To 12.5 C 2 1 $931.14 $465.57 50% off $869.78 $992.50 $931.14 2024-07-01
12035 CPT Lac/inter-12.6 To 20 Cm 2 1 $1,078.40 $539.21 50% off $932.67 $1,224.13 $1,078.40 2024-07-01
12036 CPT Lac/inter-20.1 To 30 Cm 2 1 $865.17 $432.59 50% off $720.98 $1,009.37 $865.17 2024-07-01
12041 CPT Lac/inter-up To 2.5 Cm 2 1 $692.60 $346.31 50% off $641.21 $743.99 $692.60 2024-07-01
12042 CPT Lac/inter-2.6 To 7.5 Cm 2 1 $825.29 $412.64 50% off $806.88 $843.70 $825.29 2024-07-01
12044 CPT Lac/inter-7.6 To 12.5 C 2 1 $939.58 $469.79 50% off $869.78 $1,009.37 $939.58 2024-07-01
12045 CPT Lac/inter-12.6 To 20 Cm 2 1 $2,093.91 $1,046.96 50% off $1,241.01 $2,946.81 $2,093.91 2024-07-01
12046 CPT Lac,inter,12.6 To 20cm 3 1 $1,009.37 $504.69 50% off $770.07 $1,265.55 $1,009.37 2024-07-01
12051 CPT Lac/inter-up To 2.5 Cm 2 1 $692.60 $346.31 50% off $641.21 $743.99 $692.60 2024-07-01
12052 CPT Lac/inter-2.6 To 5.0 Cm 1 1 $806.88 $403.44 50% off $806.88 $806.88 $806.88 2024-07-01
12053 CPT Lac/inter-5.1 To 7.5 Cm 1 1 $869.78 $434.89 50% off $869.78 $869.78 $869.78 2024-07-01
12054 CPT Lac/inter-7.6 To 12.5 C 2 1 $972.56 $486.28 50% off $932.67 $1,012.44 $972.56 2024-07-01
12055 CPT Lac/inter-12.6 To 20 Cm 2 1 $1,129.03 $564.51 50% off $1,009.37 $1,248.68 $1,129.03 2024-07-01
13100 CPT Lac/comp-1.0 To 2.5 Cm 2 1 $911.20 $455.60 50% off $674.96 $1,147.43 $911.20 2024-07-01
13101 CPT Lac/comp 2.6 To 7.5 Cm 3 1 $751.66 $375.83 50% off $421.85 $1,185.78 $751.66 2024-07-01
13121 CPT Lac/comp-2.5 To 7.5cm 2 1 $936.50 $468.25 50% off $674.96 $1,198.05 $936.50 2024-07-01
13131 CPT Lac/comp-1.0 To 2.5cm 2 1 $1,381.37 $690.68 50% off $1,159.70 $1,603.03 $1,381.37 2024-07-01
13132 CPT Lac/comp-2.6 To 7.5 Cm 2 1 $1,611.47 $805.74 50% off $1,198.05 $2,024.88 $1,611.47 2024-07-01
13150 CPT Lac/comp-0 To 1.0 Cm 2 1 $2,068.60 $1,034.30 50% off $1,236.40 $2,900.79 $2,068.60 2024-07-01
13151 CPT Lac/comp-1.1 To 2.5 Cm 2 1 $2,254.22 $1,127.11 50% off $1,595.36 $2,913.07 $2,254.22 2024-07-01
13152 CPT Lac/comp-2.6 To 7.5 Cm 2 1 $2,421.42 $1,210.72 50% off $1,915.97 $2,926.87 $2,421.42 2024-07-01
13153 CPT Lac Complex Each Add'tl 5 Cm Or Less 2 1 $861.34 $430.67 50% off $802.28 $920.40 $861.34 2024-07-01
16025 CPT Burn Dressing-medium 2 1 $549.17 $274.59 50% off $518.49 $579.85 $549.17 2024-07-01
16030 CPT Burn Dressing-large 2 1 $598.26 $299.13 50% off $592.12 $604.40 $598.26 2024-07-01
17110 CPT Destruction Benign Lesions 3 1 $613.60 $306.80 50% off $322.14 $651.95 $613.60 2024-07-01
17999 CPT Skin Tissue Procedure 2 1 $632.01 $316.01 50% off $478.61 $785.41 $632.01 2024-07-01
20103 CPT Explore Wound, Extremit 2 1 $671.12 $335.56 50% off $504.69 $837.56 $671.12 2024-07-01
20520 CPT Rem/f/b,muscle 5 1 $717.91 $358.96 50% off $483.21 $989.43 $717.91 2024-07-01
20551 CPT Injection Tendon Origin/insertion 2 1 $534.60 $267.31 50% off $191.75 $877.45 $534.60 2024-07-01
23030 CPT I&d Deep Abcess Shoulder 1 1 $1,917.50 $958.75 50% off $1,917.50 $1,917.50 $1,917.50 2024-07-01
23540 CPT Dis/a-c Sep Without Manip 2 1 $470.18 $235.09 50% off $435.66 $504.69 $470.18 2024-07-01
23545 CPT Dis/a-c Sep W/manip 2 1 $603.63 $301.81 50% off $567.58 $639.68 $603.63 2024-07-01
23650 CPT Dis/shoulder,closed Without 2 1 $470.18 $235.09 50% off $435.66 $504.69 $470.18 2024-07-01
24200 CPT Removal Foreign Bdy,arm 2 1 $709.48 $354.74 50% off $421.85 $997.10 $709.48 2024-07-01
24600 CPT Dis/elbow Closed Without An 2 1 $743.22 $371.61 50% off $664.22 $822.22 $743.22 2024-07-01
24605 CPT Dis/a-c Elbow Closed With 2 1 $2,131.49 $1,065.75 50% off $983.29 $3,279.69 $2,131.49 2024-07-01
24640 CPT Dis/radial Head-subluxa 2 1 $608.23 $304.12 50% off $552.24 $664.22 $608.23 2024-07-01
25248 CPT Expl/removal Deep Wrist 1 1 $743.99 $372.00 50% off $743.99 $743.99 $743.99 2024-07-01
26605 CPT Dis/finger/closed With Manipulation 2 1 $1,369.09 $684.55 50% off $1,142.83 $1,595.36 $1,369.09 2024-07-01
26641 CPT Dis/thumb W/manip 2 1 $549.94 $274.97 50% off $435.66 $664.22 $549.94 2024-07-01
26700 CPT Closed Tx Metacar Without A 2 1 $510.05 $255.03 50% off $504.69 $515.42 $510.05 2024-07-01
26770 CPT Dis/finger/closed Without A 2 1 $510.05 $255.03 50% off $504.69 $515.42 $510.05 2024-07-01
26775 CPT Dis/finger/closed W/ane 2 1 $1,974.26 $987.13 50% off $668.82 $3,279.69 $1,974.26 2024-07-01
27250 CPT Dis/hip,traumatic Without A 2 1 $694.90 $347.45 50% off $664.22 $725.58 $694.90 2024-07-01
27252 CPT Dis/hip,traumatic W/ane 2 1 $2,561.01 $1,280.51 50% off $1,842.33 $3,279.69 $2,561.01 2024-07-01
27256 CPT Dis/hip Spontaneous Without 2 1 $622.04 $311.02 50% off $579.85 $664.22 $622.04 2024-07-01
27257 CPT Dis/hip,spontaneous W/a 2 1 $2,716.72 $1,358.36 50% off $2,153.74 $3,279.69 $2,716.72 2024-07-01
27301 CPT I&d Deep Abcess Thigh/knee 1 1 $1,777.91 $888.96 50% off $1,777.91 $1,777.91 $1,777.91 2024-07-01
27310 CPT Remove F/b Leg 1 1 $486.28 $243.14 50% off $486.28 $486.28 $486.28 2024-07-01
28010 CPT Closed Tx Of Metatarsal Fx 1 1 $935.74 $467.87 50% off $935.74 $935.74 $935.74 2024-07-01
28020 CPT Remove F/b Foot/toes 1 1 $743.99 $372.00 50% off $743.99 $743.99 $743.99 2024-07-01
28190 CPT Removal F/b Foot 3 1 $987.90 $493.95 50% off $486.28 $1,464.97 $987.90 2024-07-01
28272 CPT Closed Tx Of Fx Great Toe 1 1 $567.58 $283.79 50% off $567.58 $567.58 $567.58 2024-07-01
28470 CPT Closed Tx Of Fx Phalanx Oth Than Gr Toe 1 1 $552.24 $276.12 50% off $552.24 $552.24 $552.24 2024-07-01
28660 CPT Dis/great Toe 3 1 $696.44 $348.22 50% off $601.80 $756.26 $696.44 2024-07-01
29105 CPT Splint, Long Arm 2 1 $568.35 $284.18 50% off $538.43 $598.26 $568.35 2024-07-01
29405 CPT Cast Short Leg 2 1 $459.43 $229.72 50% off $288.39 $630.47 $459.43 2024-07-01
29505 CPT Splint Long Leg 2 1 $586.75 $293.38 50% off $552.24 $621.27 $586.75 2024-07-01
30300 CPT Foreign Body - Nose 2 1 $554.54 $277.27 50% off $365.09 $743.99 $554.54 2024-07-01
31500 CPT Asst Intubation 3 1 $582.92 $291.46 50% off $265.38 $1,003.00 $582.92 2024-07-01
31603 CPT Trach-emergency 1 1 $2,736.66 $1,368.33 50% off $2,736.66 $2,736.66 $2,736.66 2024-07-01
32551 CPT Insert Of Chest Tube 2 1 $971.02 $485.51 50% off $928.07 $1,013.97 $971.02 2024-07-01
36430 CPT Blood Transfusion Servi 2 1 $2,541.07 $1,270.54 50% off $1,816.26 $3,265.89 $2,541.07 2024-07-01
37618 CPT Ligation Of Artery 1 1 $590.59 $295.30 50% off $590.59 $590.59 $590.59 2024-07-01
40650 CPT Repair Lip 2 1 $2,380.00 $1,190.00 50% off $1,819.32 $2,940.68 $2,380.00 2024-07-01
40800 CPT I&d Mouth 2 1 $499.32 $249.66 50% off $481.68 $516.96 $499.32 2024-07-01
40804 CPT Foreign Body Mouth Simple 2 1 $559.91 $279.96 50% off $467.87 $651.95 $559.91 2024-07-01
41250 CPT Rep Facial Lac 2.5cm 1 1 $859.04 $429.52 50% off $859.04 $859.04 $859.04 2024-07-01
41800 CPT Drainage Of Gum Lession 2 1 $545.75 $272.88 50% off $454.30 $637.20 $545.75 2024-07-01
42809 CPT Remove F/b Pharynx 1 1 $971.02 $485.51 50% off $971.02 $971.02 $971.02 2024-07-01
46050 CPT I&d Perianal Abcess 1 1 $562.98 $281.49 50% off $562.98 $562.98 $562.98 2024-07-01
46083 CPT I&d Thomb.hemorrhoid 2 1 $609.00 $304.50 50% off $498.55 $719.45 $609.00 2024-07-01
56420 CPT I&d Bartholin's Cyst 2 1 $602.87 $301.44 50% off $478.61 $727.12 $602.87 2024-07-01
65205 CPT Foreign Body - Conjunct 2 1 $614.37 $307.19 50% off $259.25 $969.49 $614.37 2024-07-01
65210 CPT Rem Fb Eye-conj-complex 3 1 $645.81 $322.91 50% off $322.14 $679.56 $645.81 2024-07-01
67938 CPT Remove F/b Eyelid 2 1 $767.00 $383.50 50% off $493.95 $1,040.05 $767.00 2024-07-01
70110 CPT Mandible Complete 1 1 $621.27 $310.64 50% off $621.27 $621.27 $621.27 2024-07-01
70150 CPT Facial Bones Complete X 1 1 $559.91 $279.96 50% off $559.91 $559.91 $559.91 2024-07-01
70200 CPT Orbit Bilateral 1 1 $523.09 $261.55 50% off $523.09 $523.09 $523.09 2024-07-01
70200LT CPT Orbit Left 1 1 $523.09 $261.55 50% off $523.09 $523.09 $523.09 2024-07-01
70200RT CPT Orbit Right 1 1 $523.09 $261.55 50% off $523.09 $523.09 $523.09 2024-07-01
70220 CPT Sinuses Complete 1 1 $701.04 $350.52 50% off $701.04 $701.04 $701.04 2024-07-01
70250 CPT Skull Ap & Lat 1 1 $559.91 $279.96 50% off $559.91 $559.91 $559.91 2024-07-01
70330 CPT Temp/mand Joint 1 1 $506.22 $253.11 50% off $506.22 $506.22 $506.22 2024-07-01
70450 CPT CT Head Without Contrast 2 1 $1,559.96 $779.98 50% off $1,454.00 $1,665.92 $1,559.96 2024-07-01
70460 CPT CT Head W/contrast 1 1 $1,928.24 $964.12 50% off $1,928.24 $1,928.24 $1,928.24 2024-07-01
70470 CPT CT Head W&without Contrast 1 1 $2,567.92 $1,283.96 50% off $2,567.92 $2,567.92 $2,567.92 2024-07-01
70480 CPT CT Orb/sella/p-fossa Without 1 1 $1,734.95 $867.48 50% off $1,734.95 $1,734.95 $1,734.95 2024-07-01
70481 CPT CT Orb/sella/p-fossa With 1 1 $2,012.61 $1,006.31 50% off $2,012.61 $2,012.61 $2,012.61 2024-07-01
70482 CPT CT Orb/sella/p-fossa W& 1 1 $2,428.32 $1,214.16 50% off $2,428.32 $2,428.32 $2,428.32 2024-07-01
70486 CPT CT Maxiofacial Without Contrast 1 1 $1,679.73 $839.87 50% off $1,679.73 $1,679.73 $1,679.73 2024-07-01
70487 CPT CT Maxillo Facial W/con 1 1 $1,985.00 $992.50 50% off $1,985.00 $1,985.00 $1,985.00 2024-07-01
70488 CPT CT Maxillo Face W&without 1 1 $2,428.32 $1,214.16 50% off $2,428.32 $2,428.32 $2,428.32 2024-07-01
70490 CPT CT St Neck Without Contrast 1 1 $1,734.95 $867.48 50% off $1,734.95 $1,734.95 $1,734.95 2024-07-01
70491 CPT CT St Neck W/contrast 1 1 $2,018.74 $1,009.37 50% off $2,018.74 $2,018.74 $2,018.74 2024-07-01
70492 CPT CT St Neck W&without Con 1 1 $2,428.32 $1,214.16 50% off $2,428.32 $2,428.32 $2,428.32 2024-07-01
70496 CPT CTA Head W Contrast 1 1 $3,068.00 $1,534.00 50% off $3,068.00 $3,068.00 $3,068.00 2024-07-01
70498 CPT CTA Neck W Contrast 1 1 $3,068.00 $1,534.00 50% off $3,068.00 $3,068.00 $3,068.00 2024-07-01
71101LT CPT Ribs Unilat Left 1 1 $559.91 $279.96 50% off $559.91 $559.91 $559.91 2024-07-01
71101RT CPT Ribs Unilat Right 1 1 $588.82 $294.41 50% off $588.82 $588.82 $588.82 2024-07-01
71111 CPT Ribs Bilateral 1 1 $823.76 $411.88 50% off $823.76 $823.76 $823.76 2024-07-01
71250 CPT CT Chest Without Contrast 1 1 $2,012.61 $1,006.31 50% off $2,012.61 $2,012.61 $2,012.61 2024-07-01
71260 CPT CT Chest W/contrast 1 1 $2,428.32 $1,214.16 50% off $2,428.32 $2,428.32 $2,428.32 2024-07-01
71270 CPT CT Chest W&without Contr 1 1 $2,857.84 $1,428.92 50% off $2,857.84 $2,857.84 $2,857.84 2024-07-01
71271 CPT CT Lung Cancer Screening 1 1 $2,012.61 $1,006.31 50% off $2,012.61 $2,012.61 $2,012.61 2024-07-01
71275 CPT CTA Chest 1 1 $3,587.20 $1,793.60 50% off $3,587.20 $3,587.20 $3,587.20 2024-07-01
72040 CPT Cervical Ap & Lat X-ray 1 1 $532.30 $266.15 50% off $532.30 $532.30 $532.30 2024-07-01
72052 CPT Cervical Inc Flex/ex 1 1 $592.12 $296.06 50% off $592.12 $592.12 $592.12 2024-07-01
72070 CPT Thoracic X-ray 1 1 $653.48 $326.74 50% off $653.48 $653.48 $653.48 2024-07-01
72100 CPT Lumbar Limited 1 1 $621.27 $310.64 50% off $621.27 $621.27 $621.27 2024-07-01
72110 CPT Lumbosacral Complete 1 1 $903.53 $451.77 50% off $903.53 $903.53 $903.53 2024-07-01
72125 CPT CT C-spine Without Cont 1 1 $2,776.54 $1,388.27 50% off $2,776.54 $2,776.54 $2,776.54 2024-07-01
72126 CPT CT C-spine W/contra 1 1 $3,261.28 $1,630.64 50% off $3,261.28 $3,261.28 $3,261.28 2024-07-01
72127 CPT CT C-spine W&without Co 1 1 $3,851.87 $1,925.94 50% off $3,851.87 $3,851.87 $3,851.87 2024-07-01
72128 CPT CT T-spine Without Contras 1 1 $2,400.71 $1,200.36 50% off $2,400.71 $2,400.71 $2,400.71 2024-07-01
72129 CPT CT T-spine W/con 1 1 $2,776.54 $1,388.27 50% off $2,776.54 $2,776.54 $2,776.54 2024-07-01
72130 CPT CT Thoraic Spine W&without 1 1 $3,851.87 $1,925.94 50% off $3,851.87 $3,851.87 $3,851.87 2024-07-01
72131 CPT CT L-spine Without Contr 1 1 $2,776.54 $1,388.27 50% off $2,776.54 $2,776.54 $2,776.54 2024-07-01
72132 CPT CT L-spine W/contr 1 1 $3,052.66 $1,526.33 50% off $3,052.66 $3,052.66 $3,052.66 2024-07-01
72133 CPT CT L-spine W & Without 1 1 $3,885.62 $1,942.81 50% off $3,885.62 $3,885.62 $3,885.62 2024-07-01
72170 CPT Pelvis 1 1 $475.54 $237.77 50% off $475.54 $475.54 $475.54 2024-07-01
72191 CPT CTA Pelvis W/o& W Contrast 1 1 $2,428.32 $1,214.16 50% off $2,428.32 $2,428.32 $2,428.32 2024-07-01
72192 CPT CT Pelvis Without Contrast 1 1 $2,428.32 $1,214.16 50% off $2,428.32 $2,428.32 $2,428.32 2024-07-01
72193 CPT CT Pelvis W/contrast 1 1 $2,041.75 $1,020.88 50% off $2,041.75 $2,041.75 $2,041.75 2024-07-01
72194 CPT CT Pelvis W&without Contras 1 1 $3,017.38 $1,508.69 50% off $3,017.38 $3,017.38 $3,017.38 2024-07-01
72202 CPT Sacrum-iliac Joints 1 1 $500.08 $250.04 50% off $500.08 $500.08 $500.08 2024-07-01
72220 CPT Sacrum & Coccyx 1 1 $592.12 $296.06 50% off $592.12 $592.12 $592.12 2024-07-01
73000LT CPT Clavicle Left 1 1 $559.91 $279.96 50% off $559.91 $559.91 $559.91 2024-07-01
73000RT CPT Clavicle Right 1 1 $559.91 $279.96 50% off $559.91 $559.91 $559.91 2024-07-01
73010LT CPT Scapula Left 1 1 $466.34 $233.17 50% off $466.34 $466.34 $466.34 2024-07-01
73010RT CPT Scapula Right 1 1 $466.34 $233.17 50% off $466.34 $466.34 $466.34 2024-07-01
73030LT CPT Shoulder Left 1 1 $520.03 $260.02 50% off $520.03 $520.03 $520.03 2024-07-01
73030RT CPT Shoulder Right 1 1 $520.03 $260.02 50% off $520.03 $520.03 $520.03 2024-07-01
73060LT CPT Humerus Left 1 1 $512.36 $256.18 50% off $512.36 $512.36 $512.36 2024-07-01
73060RT CPT Humerus Right 1 1 $512.36 $256.18 50% off $512.36 $512.36 $512.36 2024-07-01
73090LT CPT Forearm Left 1 1 $559.32 $279.66 50% off $559.32 $559.32 $559.32 2024-07-01
73090RT CPT Forearm Right 1 1 $532.30 $266.15 50% off $532.30 $532.30 $532.30 2024-07-01
73110LT CPT Wrist Left 1 1 $532.30 $266.15 50% off $532.30 $532.30 $532.30 2024-07-01
73110RT CPT Wrist Right 1 1 $532.30 $266.15 50% off $532.30 $532.30 $532.30 2024-07-01
73130LT CPT Hand Left 1 1 $466.34 $233.17 50% off $466.34 $466.34 $466.34 2024-07-01
73130RT CPT Hand Right 1 1 $466.34 $233.17 50% off $466.34 $466.34 $466.34 2024-07-01
73200 CPT CT Upr Ext Without Contrast 1 1 $1,734.95 $867.48 50% off $1,734.95 $1,734.95 $1,734.95 2024-07-01
73201 CPT CT Upp Ext W/co 1 1 $2,012.61 $1,006.31 50% off $2,012.61 $2,012.61 $2,012.61 2024-07-01
73202 CPT CT Upper Extremity W & 1 1 $2,414.52 $1,207.26 50% off $2,414.52 $2,414.52 $2,414.52 2024-07-01
73206 CPT CTA Upper Extr W/o&w Contrast 1 1 $2,301.00 $1,150.50 50% off $2,301.00 $2,301.00 $2,301.00 2024-07-01
73502LT CPT Hip Left 1 1 $665.52 $332.76 50% off $665.52 $665.52 $665.52 2024-07-01
73502RT CPT Hip Right 1 1 $665.52 $332.76 50% off $665.52 $665.52 $665.52 2024-07-01
73521 CPT Bilateral Hip 1 1 $674.96 $337.48 50% off $674.96 $674.96 $674.96 2024-07-01
73552LT CPT Femur Left 1 1 $559.91 $279.96 50% off $559.91 $559.91 $559.91 2024-07-01
73552RT CPT Femur Right 1 1 $559.91 $279.96 50% off $559.91 $559.91 $559.91 2024-07-01
73562LT CPT Knee 3 View Left 2 1 $535.37 $267.69 50% off $437.19 $633.54 $535.37 2024-07-01
73562RT CPT Knee Right 3 View 1 1 $633.54 $316.77 50% off $633.54 $633.54 $633.54 2024-07-01
73564LT CPT Knee Lt 4 View 1 1 $844.73 $422.37 50% off $844.73 $844.73 $844.73 2024-07-01
73564RT CPT Knee Rt 4 View 1 1 $844.73 $422.37 50% off $844.73 $844.73 $844.73 2024-07-01
73590LT CPT Tib Fib Left 1 1 $559.91 $279.96 50% off $559.91 $559.91 $559.91 2024-07-01
73590RT CPT Tib Fib Right 1 1 $559.91 $279.96 50% off $559.91 $559.91 $559.91 2024-07-01
73610LT CPT Ankle Routine Left 1 1 $474.01 $237.01 50% off $474.01 $474.01 $474.01 2024-07-01
73610RT CPT Ankle Routine Right 1 1 $474.01 $237.01 50% off $474.01 $474.01 $474.01 2024-07-01
73630LT CPT Foot Complete Left 1 1 $466.34 $233.17 50% off $466.34 $466.34 $466.34 2024-07-01
73630RT CPT Foot Complete Right 1 1 $466.34 $233.17 50% off $466.34 $466.34 $466.34 2024-07-01
73700 CPT CT Lower Ext Without 1 1 $1,725.75 $862.88 50% off $1,725.75 $1,725.75 $1,725.75 2024-07-01
73701 CPT CT Low Ext W/co 1 1 $2,004.94 $1,002.47 50% off $2,004.94 $2,004.94 $2,004.94 2024-07-01
73702 CPT CT Low Ext W & Wo 1 1 $2,428.32 $1,214.16 50% off $2,428.32 $2,428.32 $2,428.32 2024-07-01
73706 CPT CTA Lower Extr W/o&w Contrast 1 1 $2,183.00 $1,091.50 50% off $2,183.00 $2,183.00 $2,183.00 2024-07-01
74018 CPT Abdomen 1 View X-ray 1 1 $500.08 $250.04 50% off $500.08 $500.08 $500.08 2024-07-01
74019 CPT Abdomen 2 Views 1 1 $637.60 $318.80 50% off $637.60 $637.60 $637.60 2024-07-01
74022 CPT Abdomen X-ray Series 1 1 $776.20 $388.10 50% off $776.20 $776.20 $776.20 2024-07-01
74150 CPT CT Abd Without Contrast 1 1 $2,290.26 $1,145.13 50% off $2,290.26 $2,290.26 $2,290.26 2024-07-01
74160 CPT CT Abd W/contrast 1 1 $3,012.78 $1,506.39 50% off $3,012.78 $3,012.78 $3,012.78 2024-07-01
74170 CPT CT Abd W&without Contrast 1 1 $3,020.45 $1,510.23 50% off $3,020.45 $3,020.45 $3,020.45 2024-07-01
74174 CPT CTA Abd & Pelvic Without &w/contrast 1 1 $4,425.00 $2,212.50 50% off $4,425.00 $4,425.00 $4,425.00 2024-07-01
74175 CPT CT Angio Abdom Without &with Contrast 1 1 $3,717.00 $1,858.50 50% off $3,717.00 $3,717.00 $3,717.00 2024-07-01
74176 CPT CT Abd & Pel Without Contrast 1 1 $3,717.00 $1,858.50 50% off $3,717.00 $3,717.00 $3,717.00 2024-07-01
74177 CPT CT Abd & Pel W/contrast 1 1 $4,425.00 $2,212.50 50% off $4,425.00 $4,425.00 $4,425.00 2024-07-01
74178 CPT CT Urogram Wo & W 1 1 $4,897.00 $2,448.50 50% off $4,897.00 $4,897.00 $4,897.00 2024-07-01
75635 CPT CTA Aorta W/runoffs W&without Contract 1 1 $2,212.50 $1,106.25 50% off $2,212.50 $2,212.50 $2,212.50 2024-07-01
76376 CPT CT Coronal 2 1 $525.39 $262.70 50% off $50.62 $1,000.17 $525.39 2024-07-01
76499 CPT Portable X-ray 1 1 $546.34 $273.17 50% off $546.34 $546.34 $546.34 2024-07-01
76536 CPT US Thyroid 1 1 $921.93 $460.97 50% off $921.93 $921.93 $921.93 2024-07-01
76604 CPT US Chest Ultrasound 1 1 $467.87 $233.94 50% off $467.87 $467.87 $467.87 2024-07-01
76641 CPT US Breast Ultrasound, Complete 1 1 $529.82 $264.91 50% off $529.82 $529.82 $529.82 2024-07-01
76700 CPT US Abdomen 3 1 $908.60 $454.30 50% off $690.30 $1,364.08 $908.60 2024-07-01
76705 CPT US Abdomen Limited 2 1 $651.19 $325.60 50% off $498.55 $803.82 $651.19 2024-07-01
76706 CPT US Abdominal Aorta Screening 1 1 $997.10 $498.55 50% off $997.10 $997.10 $997.10 2024-07-01
76775 CPT US Gallbladder 1 1 $536.90 $268.45 50% off $536.90 $536.90 $536.90 2024-07-01
76805 CPT US Pregnancy 2nd And 3rd Trimester 1 1 $613.60 $306.80 50% off $613.60 $613.60 $613.60 2024-07-01
76817 CPT US Transvaginal-OB 1 1 $1,012.44 $506.22 50% off $1,012.44 $1,012.44 $1,012.44 2024-07-01
76830 CPT US Transvaginal Ultrasound 2 1 $858.87 $429.44 50% off $706.82 $1,010.91 $858.87 2024-07-01
76856 CPT US Pelvic 2 1 $858.87 $429.44 50% off $706.82 $1,010.91 $858.87 2024-07-01
76857 CPT US Bladder Ultrasound 1 1 $498.55 $249.28 50% off $498.55 $498.55 $498.55 2024-07-01
76870 CPT US Scrotum 1 1 $575.25 $287.63 50% off $575.25 $575.25 $575.25 2024-07-01
76881 CPT US Soft Tissue 1 1 $843.70 $421.85 50% off $843.70 $843.70 $843.70 2024-07-01
77078 CPT CT Bone Density Study 1 1 $3,052.66 $1,526.33 50% off $3,052.66 $3,052.66 $3,052.66 2024-07-01
80361 CPT Opiate 1 Or More 1 1 $531.00 $265.50 50% off $531.00 $531.00 $531.00 2024-07-01
80365 CPT Oxycodone 1 1 $531.00 $265.50 50% off $531.00 $531.00 $531.00 2024-07-01
82570 CPT Creatinine Urine 2 1 $469.11 $234.55 50% off $114.46 $823.76 $469.11 2024-07-01
84145 CPT Procalcitonin 2 1 $815.46 $407.74 50% off $748.13 $882.79 $815.46 2024-07-01
85302 CPT Protein C 1 1 $555.31 $277.66 50% off $555.31 $555.31 $555.31 2024-07-01
85305 CPT Protein S Rl 1 1 $960.28 $480.14 50% off $960.28 $960.28 $960.28 2024-07-01
85613 CPT Lupus Anticoag 1 1 $616.67 $308.34 50% off $616.67 $616.67 $616.67 2024-07-01
86003 CPT Allergen Specific IgE Quant Or Semiquant 1 1 $674.96 $337.48 50% off $674.96 $674.96 $674.96 2024-07-01
86022 CPT Heparin- Induced Platelet Antibody 1 1 $722.46 $361.23 50% off $722.46 $722.46 $722.46 2024-07-01
86304 CPT Ca 125 Serum 1 1 $509.29 $254.65 50% off $509.29 $509.29 $509.29 2024-07-01
86360 CPT Cd4/cd8 Ratio 1 1 $472.47 $236.24 50% off $472.47 $472.47 $472.47 2024-07-01
87521 CPT Hcv Qual RNA-rl 1 1 $644.28 $322.14 50% off $644.28 $644.28 $644.28 2024-07-01
87536 CPT Viral Load 1 1 $898.92 $449.46 50% off $898.92 $898.92 $898.92 2024-07-01
90649 CPT Clinic Gardasil 4 Injection 1 1 $1,165.84 $582.92 50% off $1,165.84 $1,165.84 $1,165.84 2024-07-01
90651 CPT Clinic Gardasil 9 Injection 1 1 $1,165.84 $582.92 50% off $1,165.84 $1,165.84 $1,165.84 2024-07-01
90680 CPT Clinic Rotavirus Susp. 1 1 $776.20 $388.10 50% off $776.20 $776.20 $776.20 2024-07-01
90681 CPT Clinic Rotavirus Susp. 1 1 $776.20 $388.10 50% off $776.20 $776.20 $776.20 2024-07-01
90696 CPT Clinic Kinrix (dtap-ipv) 1 1 $472.47 $236.24 50% off $472.47 $472.47 $472.47 2024-07-01
90698 CPT Clinic Pentacel Inj 1 1 $725.58 $362.79 50% off $725.58 $725.58 $725.58 2024-07-01
90707 CPT Clinic Mmr Immunization 1 1 $464.80 $232.40 50% off $464.80 $464.80 $464.80 2024-07-01
90710 CPT Clinic Proquad (mmrv) 1 1 $1,133.63 $566.82 50% off $1,133.63 $1,133.63 $1,133.63 2024-07-01
90732 CPT Clinic Pneumonia-pps23 (pneumovax) Inj 1 1 $541.96 $270.98 50% off $541.96 $541.96 $541.96 2024-07-01
90734 CPT Menactra Vaccine 1 1 $796.15 $398.08 50% off $796.15 $796.15 $796.15 2024-07-01
90746 CPT Hept B Over 11 1 1 $651.95 $325.98 50% off $651.95 $651.95 $651.95 2024-07-01
92610 CPT St Evaluate Swallowing 1 1 $460.20 $230.10 50% off $460.20 $460.20 $460.20 2024-07-01
92950 CPT Cpr 1 1 $928.07 $464.04 50% off $928.07 $928.07 $928.07 2024-07-01
92960 CPT Cardioversion/er 1 1 $493.95 $246.98 50% off $493.95 $493.95 $493.95 2024-07-01
93041 CPT Cardiac Monitor E/r 1 1 $876.74 $438.37 50% off $876.74 $876.74 $876.74 2024-07-01
93228 CPT Cardiac Monitor Per Day 1 1 $800.75 $400.38 50% off $800.75 $800.75 $800.75 2024-07-01
93306 CPT US Echocardiogram 2d W/color Flow Dopp 1 1 $1,024.71 $512.36 50% off $1,024.71 $1,024.71 $1,024.71 2024-07-01
93307 CPT US Echocardiogram 2d 1 1 $1,859.21 $929.61 50% off $1,859.21 $1,859.21 $1,859.21 2024-07-01
93350 CPT Echocardiogram Amic 1 1 $1,247.14 $623.57 50% off $1,247.14 $1,247.14 $1,247.14 2024-07-01
93880 CPT US Carotid Arteries Duplex Scan Bilat 1 1 $1,277.82 $638.91 50% off $1,277.82 $1,277.82 $1,277.82 2024-07-01
93922 CPT US Arterial Studies Bilateral Single 1 1 $498.55 $249.28 50% off $498.55 $498.55 $498.55 2024-07-01
93925 CPT US Arterial Lower Extremity Bilaterial 2 1 $1,349.92 $674.96 50% off $404.98 $1,349.92 $877.45 2024-07-01
93926 CPT US Arterial Lower Extremity Unilateral 1 1 $935.74 $467.87 50% off $935.74 $935.74 $935.74 2024-07-01
93930 CPT US Upper Extremity Arterial Bilateral 1 1 $1,349.92 $674.96 50% off $1,349.92 $1,349.92 $1,349.92 2024-07-01
93931 CPT US Arterial Upper Extremity Unilateral 1 1 $777.74 $388.87 50% off $777.74 $777.74 $777.74 2024-07-01
93970 CPT US Venous Extremity Bilat 1 1 $1,070.26 $535.13 50% off $1,070.26 $1,070.26 $1,070.26 2024-07-01
93971 CPT US Venous Extremity Unilateral 2 1 $937.51 $468.75 50% off $647.82 $1,227.20 $937.51 2024-07-01
93978 CPT US Aorta Duplex Scan 1 1 $1,242.54 $621.27 50% off $1,242.54 $1,242.54 $1,242.54 2024-07-01
94003 CPT Tril Sub Day 2 1 $498.43 $249.22 50% off $159.30 $837.56 $498.43 2024-07-01
94762 CPT Pulse Ox Cont Overnight Monitoring 1 1 $796.15 $398.08 50% off $796.15 $796.15 $796.15 2024-07-01
95812 CPT EEG (lsh) 1 1 $661.15 $330.58 50% off $661.15 $661.15 $661.15 2024-07-01
96105 CPT St Assess Of Aphasia 1 1 $478.61 $239.31 50% off $478.61 $478.61 $478.61 2024-07-01
96125 CPT St Stand Cogn Testing 1 1 $464.92 $232.46 50% off $464.92 $464.92 $464.92 2024-07-01
96365 CPT IV Infusion Therapy Initial 16 - 60 Mins 2 1 $456.37 $228.19 50% off $237.77 $674.96 $456.37 2024-07-01
97167 CPT Ot Initial Eval High 1 1 $472.00 $236.00 50% off $472.00 $472.00 $472.00 2024-07-01
97804 CPT Med Nut Ther Group 1 1 $575.25 $287.63 50% off $575.25 $575.25 $575.25 2024-07-01
99205 CPT New Pt (99205) 1 1 $797.68 $398.84 50% off $797.68 $797.68 $797.68 2024-07-01
99215 CPT Est Pat Acute/chronic (99215) 1 1 $552.24 $276.12 50% off $552.24 $552.24 $552.24 2024-07-01
99219 CPT Obs Phys Level 2 2 1 $540.02 $270.01 50% off $526.28 $553.77 $540.02 2024-07-01
99220 CPT Obs Initial Care 1 1 $720.98 $360.49 50% off $720.98 $720.98 $720.98 2024-07-01
99222 CPT Initial Hosp Care 1 1 $538.08 $269.04 50% off $538.08 $538.08 $538.08 2024-07-01
99223 CPT Initial Hosp Vst 3 1 1 $791.78 $395.89 50% off $791.78 $791.78 $791.78 2024-07-01
99234 CPT Init Obs Srvcs 1 1 $527.46 $263.73 50% off $527.46 $527.46 $527.46 2024-07-01
99235 CPT Obs Initial Care 1 1 $658.44 $329.22 50% off $658.44 $658.44 $658.44 2024-07-01
99236 CPT Observ/hosp Same Day 1 1 $849.60 $424.80 50% off $849.60 $849.60 $849.60 2024-07-01
99242 CPT ER Initl Consult Intrmt 1 1 $621.86 $310.93 50% off $621.86 $621.86 $621.86 2024-07-01
99281 CPT Emergency Care I 3 1 $599.44 $299.72 50% off $300.66 $610.06 $599.44 2024-07-01
99282 CPT Emergency Level Ii 2 1 $932.20 $466.10 50% off $927.48 $936.92 $932.20 2024-07-01
99283 CPT Emergency Level Iii 2 1 $1,077.93 $538.96 50% off $1,032.50 $1,123.36 $1,077.93 2024-07-01
99284 CPT Emergency Level IV 2 1 $1,467.92 $733.96 50% off $1,254.34 $1,681.50 $1,467.92 2024-07-01
99285 CPT Emergency Level V 2 1 $2,007.18 $1,003.59 50% off $1,467.92 $2,546.44 $2,007.18 2024-07-01
99288 CPT Phys Direction Of Ems 1 1 $2,109.84 $1,054.92 50% off $2,109.84 $2,109.84 $2,109.84 2024-07-01
99291 CPT Critical Care 1st Hr 2 1 $2,403.07 $1,201.54 50% off $2,024.88 $2,781.26 $2,403.07 2024-07-01
99292 CPT Critical Care Addl 30 M 2 1 $1,138.99 $569.50 50% off $1,012.44 $1,265.55 $1,138.99 2024-07-01
99305 CPT Nursing Facility Care 1 1 $516.84 $258.42 50% off $516.84 $516.84 $516.84 2024-07-01
99306 CPT Nursing Facility Care 1 1 $653.72 $326.86 50% off $653.72 $653.72 $653.72 2024-07-01
99310 CPT Subseq.nurs.care High 1 1 $518.02 $259.01 50% off $518.02 $518.02 $518.02 2024-07-01
99342 CPT New Pt House Visit Level 2 1 1 $475.54 $237.77 50% off $475.54 $475.54 $475.54 2024-07-01
99343 CPT New Pt House Visit Level 3 1 1 $782.34 $391.17 50% off $782.34 $782.34 $782.34 2024-07-01
99344 CPT New Pt House Visit Level 4 1 1 $951.08 $475.54 50% off $951.08 $951.08 $951.08 2024-07-01
99349 CPT Est Pt House Visit Level 3 1 1 $652.54 $326.27 50% off $652.54 $652.54 $652.54 2024-07-01
99350 CPT Est Pt House Visit Level 4 1 1 $928.66 $464.33 50% off $928.66 $928.66 $928.66 2024-07-01
99354 CPT Prolonged ER Svc 1 1 $483.80 $241.90 50% off $483.80 $483.80 $483.80 2024-07-01
P9016 HCPCS .blood Bank Handling 4 1 $883.01 $441.51 50% off $190.22 $1,013.62 $883.01 2024-07-01
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