Hospital

Rml Health Providers Limited Partnership

Hinsdale, IL · CCN 142010 · Rates published

2,276 distinct procedures filed

27 distinct payers

9,384 rate rows

2026-05-13 last MRF observed

Data quality

9,330 of 9,384 rate rows are consumer-grade (99.4%)

54 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	46
percent-of-charges filed in the dollar field — excluded from medians	8

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

Source MRF file	https://www.rmlspecialtyhospital.org/wp-content/uploads/2026/03/364113692_RMLHealthProvidersLP_shoppableservices.csv
Found on page	https://www.rmlspecialtyhospital.org/patient-financial-information/
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18

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
982 OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	13	$153,932.00	$153,932.00	$153,932.00	nat. median $17,204 outlier · 8.9×
579 OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	13	$145,241.00	$145,241.00	$145,241.00	nat. median $30,752 outlier · 4.7×
981 OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	13	$75,918.00	$170,246.00	$123,082.00	nat. median $33,955 outlier · 3.6×
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	14	$27,343.00	$140,741.00	$95,528.00	nat. median $66,849 1.4× median
166 OTHER	Other Respiratory System O.r. Procedures With Mcc	13	$27,068.00	$155,843.00	$91,455.50	nat. median $38,129 outlier · 2.4×
919 OTHER	Complications Of Treatment With Mcc	14	$31,373.00	$136,715.00	$84,044.00	nat. median $15,285 outlier · 5.5×
94 OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc*	13	$52,623.00	$52,623.00	$52,623.00	nat. median $34,661 1.5× median
539 OTHER	Osteomyelitis With Mcc*	14	$47,617.00	$47,617.00	$47,617.00	nat. median $18,893 outlier · 2.5×
441 OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	13	$45,740.00	$45,740.00	$45,740.00	nat. median $15,969 outlier · 2.9×
56 OTHER	Degenerative Nervous System Disorders With Mcc	13	$44,610.00	$44,610.00	$44,610.00	nat. median $21,582 outlier · 2.1×
299 OTHER	Peripheral Vascular Disorders With Mcc	13	$37,247.00	$37,247.00	$37,247.00	nat. median $15,709 outlier · 2.4×
208 OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	13	$10,716.00	$59,190.00	$34,953.00	nat. median $26,262 1.3× median
592 OTHER	Skin Ulcers With Mcc	13	$34,652.00	$34,652.00	$34,652.00	nat. median $18,496 1.9× median
189 OTHER	Pulmonary Edema And Respiratory Failure	14	$10,480.00	$50,861.00	$30,670.50	nat. median $12,533 outlier · 2.4×
2582892 OTHER	Emicizumab-kxwh 105mg Inj	3	$17,567.00	$19,909.00	$19,089.00	nat. median $19,089 1.0× median
949 OTHER	Aftercare With Cc/mcc	13	$17,292.00	$17,292.00	$17,292.00	nat. median $11,081 1.6× median
727 OTHER	Inflammation Of The Male Reproductive System With Mcc	14	$11,068.00	$11,068.00	$11,068.00	nat. median $11,418 1.0× median
2582600 OTHER	Digoxin Immune Fab V 40mg Inj	3	$6,794.00	$7,700.00	$7,383.00	nat. median $7,383 1.0× median
2586528 OTHER	Rituximab-abbs 500mg Inj	3	$4,540.00	$5,145.00	$4,933.00	nat. median $4,933 1.0× median
7613719 OTHER	Percut Place Of Ivc Filter	3	$4,206.00	$4,767.00	$4,570.50	nat. median $4,570 1.0× median
2587503 OTHER	Tocilizumab 400mg Inj	3	$3,961.00	$4,489.00	$4,304.00	nat. median $4,304 1.0× median
2586527 OTHER	Rituximab-arrx 500mg Inj	3	$3,742.00	$4,241.00	$4,066.00	nat. median $4,066 1.0× median
2585780 OTHER	Paliperidone 156 Mg/ml Inj	3	$3,389.00	$3,841.00	$3,683.00	nat. median $3,683 1.0× median
2582875 OTHER	Dupilumab 300mg Inj	3	$2,836.00	$3,214.00	$3,081.50	nat. median $3,082 1.0× median
7615046 OTHER	Insert Tunneled Pleural Cath	3	$2,807.00	$3,181.00	$3,050.00	nat. median $3,050 1.0× median
3505085 OTHER	Per. Cholecystostomy Tube Plac	3	$2,807.00	$3,181.00	$3,050.00	nat. median $3,050 1.0× median
3008790 OTHER	Phenosense Integrase	3	$2,663.00	$3,018.00	$2,893.50	nat. median $2,894 1.0× median
3008792 OTHER	Phenotype Resistance	3	$2,663.00	$3,018.00	$2,893.50	nat. median $2,894 1.0× median
2587052 OTHER	Pegfilgrastim 6mg Inj	3	$2,558.00	$2,899.00	$2,779.00	nat. median $2,779 1.0× median
2702618 OTHER	Filter Ivc	3	$2,535.00	$2,873.00	$2,754.50	nat. median $2,754 1.0× median
7615070 OTHER	Repla Tunneled Cath Without Port/p	3	$2,523.00	$2,859.00	$2,741.50	nat. median $2,742 1.0× median
7615097 OTHER	Insert Duoden/jtube W/fluoro	3	$2,519.00	$2,854.00	$2,736.50	nat. median $2,736 1.0× median
3841000 OTHER	Platelets	3	$2,500.00	$2,833.00	$2,716.00	nat. median $2,716 1.0× median
7615063 OTHER	Insert Tun Cent Ven Sub Port	3	$2,447.00	$2,773.00	$2,658.50	nat. median $2,658 1.0× median
7615096 OTHER	Insert Of Gtube W/fluoro	3	$2,341.00	$2,653.00	$2,543.50	nat. median $2,544 1.0× median
4802100 OTHER	Transa Echocard (tee)	3	$2,140.00	$2,425.00	$2,325.00	nat. median $2,325 1.0× median
3523500 OTHER	CT Chest With Without	3	$2,129.00	$2,413.00	$2,313.50	nat. median $2,314 1.0× median
7615098 OTHER	Place Jtube Thru Existing Gtub	3	$2,107.00	$2,388.00	$2,289.00	nat. median $2,289 1.0× median
3522000 OTHER	CT Abdomen With Without	3	$2,056.00	$2,330.00	$2,234.00	nat. median $2,234 1.0× median
3528500 OTHER	CT Pelvis With Without	3	$2,056.00	$2,330.00	$2,234.00	nat. median $2,234 1.0× median
1203000 OTHER	Room/board Semiprivate	3	$2,022.00	$2,292.00	$2,197.50	nat. median $1,130 1.9× median
1214000 OTHER	Room/board Semiprivate Hau	3	$2,022.00	$2,292.00	$2,197.50	nat. median $2,198 1.0× median
7611385 OTHER	Small Bowel; Place Of Pej	3	$2,009.00	$2,277.00	$2,183.50	nat. median $2,184 1.0× median
4101019 OTHER	Ventilator Mgmt Initial	3	$1,983.00	$2,247.00	$2,155.00	nat. median $61 outlier · 35.4×
7615100 OTHER	Replace Gastro-jtube W/fluoro	3	$1,892.00	$2,145.00	$2,056.00	nat. median $2,056 1.0× median
9201010 OTHER	Bronch; Diag W/cell	3	$1,828.00	$2,071.00	$1,986.50	nat. median $1,413 1.4× median
7611020 OTHER	BRONCH;with Biopsy	3	$1,828.00	$2,071.00	$1,986.50	nat. median $1,986 1.0× median
7611080 OTHER	Colonoscopy; Diagnostic	3	$1,811.00	$2,052.00	$1,967.50	nat. median $1,968 1.0× median
7611100 OTHER	Colonoscopy; Biopsy	3	$1,811.00	$2,052.00	$1,967.50	nat. median $183 outlier · 10.8×
7611110 OTHER	Colonoscopy;control Bleeding	3	$1,811.00	$2,052.00	$1,967.50	nat. median $1,968 1.0× median

Other procedures at this hospital

Browse this hospital's 2,276 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

982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	15	13	—	—	$153,932.00	$153,932.00	$153,932.00	2026-05-13
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	15	13	—	—	$145,241.00	$145,241.00	$145,241.00	2026-05-13
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	15	13	—	—	$75,918.00	$170,246.00	$123,082.00	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	16	14	—	—	$27,343.00	$140,741.00	$95,528.00	2026-05-13
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	15	13	—	—	$27,068.00	$155,843.00	$91,455.50	2026-05-13
919	OTHER	Complications Of Treatment With Mcc	16	14	—	—	$31,373.00	$136,715.00	$84,044.00	2026-05-13
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc*	15	13	—	—	$52,623.00	$52,623.00	$52,623.00	2026-05-13
539	OTHER	Osteomyelitis With Mcc*	16	14	—	—	$47,617.00	$47,617.00	$47,617.00	2026-05-13
441	OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	15	13	—	—	$45,740.00	$45,740.00	$45,740.00	2026-05-13
56	OTHER	Degenerative Nervous System Disorders With Mcc	15	13	—	—	$44,610.00	$44,610.00	$44,610.00	2026-05-13
299	OTHER	Peripheral Vascular Disorders With Mcc	15	13	—	—	$37,247.00	$37,247.00	$37,247.00	2026-05-13
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	15	13	—	—	$10,716.00	$59,190.00	$34,953.00	2026-05-13
592	OTHER	Skin Ulcers With Mcc	15	13	—	—	$34,652.00	$34,652.00	$34,652.00	2026-05-13
189	OTHER	Pulmonary Edema And Respiratory Failure	16	14	—	—	$10,480.00	$50,861.00	$30,670.50	2026-05-13
2582892	OTHER	Emicizumab-kxwh 105mg Inj	4	3	$23,422.00	$23,422.00	$17,567.00	$19,909.00	$19,089.00	2026-05-13
949	OTHER	Aftercare With Cc/mcc	15	13	—	—	$17,292.00	$17,292.00	$17,292.00	2026-05-13
727	OTHER	Inflammation Of The Male Reproductive System With Mcc	16	14	—	—	$11,068.00	$11,068.00	$11,068.00	2026-05-13
2582600	OTHER	Digoxin Immune Fab V 40mg Inj	4	3	$9,059.00	$9,059.00	$6,794.00	$7,700.00	$7,383.00	2026-05-13
2586528	OTHER	Rituximab-abbs 500mg Inj	4	3	$6,053.00	$6,053.00	$4,540.00	$5,145.00	$4,933.00	2026-05-13
7613719	OTHER	Percut Place Of Ivc Filter	4	3	$5,608.00	$5,608.00	$4,206.00	$4,767.00	$4,570.50	2026-05-13
2587503	OTHER	Tocilizumab 400mg Inj	4	3	$5,281.00	$5,281.00	$3,961.00	$4,489.00	$4,304.00	2026-05-13
2586527	OTHER	Rituximab-arrx 500mg Inj	4	3	$4,989.00	$4,989.00	$3,742.00	$4,241.00	$4,066.00	2026-05-13
2585780	OTHER	Paliperidone 156 Mg/ml Inj	4	3	$4,519.00	$4,519.00	$3,389.00	$3,841.00	$3,683.00	2026-05-13
2582875	OTHER	Dupilumab 300mg Inj	4	3	$3,781.00	$3,781.00	$2,836.00	$3,214.00	$3,081.50	2026-05-13
7615046	OTHER	Insert Tunneled Pleural Cath	4	3	$3,742.00	$3,742.00	$2,807.00	$3,181.00	$3,050.00	2026-05-13
3505085	OTHER	Per. Cholecystostomy Tube Plac	4	3	$3,742.00	$3,742.00	$2,807.00	$3,181.00	$3,050.00	2026-05-13
3008792	OTHER	Phenotype Resistance	4	3	$3,550.00	$3,550.00	$2,663.00	$3,018.00	$2,893.50	2026-05-13
3008790	OTHER	Phenosense Integrase	4	3	$3,550.00	$3,550.00	$2,663.00	$3,018.00	$2,893.50	2026-05-13
2587052	OTHER	Pegfilgrastim 6mg Inj	4	3	$3,410.00	$3,410.00	$2,558.00	$2,899.00	$2,779.00	2026-05-13
2702618	OTHER	Filter Ivc	4	3	$3,380.00	$3,380.00	$2,535.00	$2,873.00	$2,754.50	2026-05-13
7615070	OTHER	Repla Tunneled Cath Without Port/p	4	3	$3,364.00	$3,364.00	$2,523.00	$2,859.00	$2,741.50	2026-05-13
7615097	OTHER	Insert Duoden/jtube W/fluoro	4	3	$3,358.00	$3,358.00	$2,519.00	$2,854.00	$2,736.50	2026-05-13
3841000	OTHER	Platelets	4	3	$3,333.00	$3,333.00	$2,500.00	$2,833.00	$2,716.00	2026-05-13
7615063	OTHER	Insert Tun Cent Ven Sub Port	4	3	$3,262.00	$3,262.00	$2,447.00	$2,773.00	$2,658.50	2026-05-13
7615096	OTHER	Insert Of Gtube W/fluoro	4	3	$3,121.00	$3,121.00	$2,341.00	$2,653.00	$2,543.50	2026-05-13
4802100	OTHER	Transa Echocard (tee)	4	3	$2,853.00	$2,853.00	$2,140.00	$2,425.00	$2,325.00	2026-05-13
3523500	OTHER	CT Chest With Without	4	3	$2,839.00	$2,839.00	$2,129.00	$2,413.00	$2,313.50	2026-05-13
7615098	OTHER	Place Jtube Thru Existing Gtub	4	3	$2,809.00	$2,809.00	$2,107.00	$2,388.00	$2,289.00	2026-05-13
3522000	OTHER	CT Abdomen With Without	4	3	$2,741.00	$2,741.00	$2,056.00	$2,330.00	$2,234.00	2026-05-13
3528500	OTHER	CT Pelvis With Without	4	3	$2,741.00	$2,741.00	$2,056.00	$2,330.00	$2,234.00	2026-05-13
1214000	OTHER	Room/board Semiprivate Hau	4	3	$2,696.00	$2,696.00	$2,022.00	$2,292.00	$2,197.50	2026-05-13
1203000	OTHER	Room/board Semiprivate	4	3	$2,696.00	$2,696.00	$2,022.00	$2,292.00	$2,197.50	2026-05-13
7611385	OTHER	Small Bowel; Place Of Pej	4	3	$2,679.00	$2,679.00	$2,009.00	$2,277.00	$2,183.50	2026-05-13
4101019	OTHER	Ventilator Mgmt Initial	4	3	$2,644.00	$2,644.00	$1,983.00	$2,247.00	$2,155.00	2026-05-13
7615100	OTHER	Replace Gastro-jtube W/fluoro	4	3	$2,523.00	$2,523.00	$1,892.00	$2,145.00	$2,056.00	2026-05-13
7611020	OTHER	BRONCH;with Biopsy	4	3	$2,437.00	$2,437.00	$1,828.00	$2,071.00	$1,986.50	2026-05-13
9201010	OTHER	Bronch; Diag W/cell	4	3	$2,437.00	$2,437.00	$1,828.00	$2,071.00	$1,986.50	2026-05-13
7611080	OTHER	Colonoscopy; Diagnostic	4	3	$2,414.00	$2,414.00	$1,811.00	$2,052.00	$1,967.50	2026-05-13
7611110	OTHER	Colonoscopy;control Bleeding	4	3	$2,414.00	$2,414.00	$1,811.00	$2,052.00	$1,967.50	2026-05-13
7611100	OTHER	Colonoscopy; Biopsy	4	3	$2,414.00	$2,414.00	$1,811.00	$2,052.00	$1,967.50	2026-05-13
4101020	OTHER	Ventilator Mgmt Add'l Day	4	3	$2,401.00	$2,401.00	$1,801.00	$2,041.00	$1,957.00	2026-05-13
3522500	OTHER	CT Chest Infusion	4	3	$2,365.00	$2,365.00	$1,774.00	$2,010.00	$1,927.50	2026-05-13
3515000	OTHER	CT Head With Without	4	3	$2,365.00	$2,365.00	$1,774.00	$2,010.00	$1,927.50	2026-05-13
7611208	OTHER	Egd With Peg Insertion	4	3	$2,321.00	$2,321.00	$1,741.00	$1,973.00	$1,891.50	2026-05-13
7611005	OTHER	Upper Gastro Endo W/biopsy	4	3	$2,309.00	$2,309.00	$1,732.00	$1,963.00	$1,881.50	2026-05-13
3521000	OTHER	CT Abdomen Infusion	4	3	$2,303.00	$2,303.00	$1,727.00	$1,958.00	$1,876.50	2026-05-13
7611058	OTHER	Central Line Tunneled	4	3	$2,302.00	$2,302.00	$1,727.00	$1,957.00	$1,876.50	2026-05-13
3527500	OTHER	CT Pelvis Infusion	4	3	$2,302.00	$2,302.00	$1,727.00	$1,957.00	$1,876.50	2026-05-13
9201060	OTHER	Central Line Insert Non-tunnel	4	3	$2,177.00	$2,177.00	$1,633.00	$1,850.00	$1,774.50	2026-05-13
7611590	OTHER	Upper Gastro Endoscopy	4	3	$2,162.00	$2,162.00	$1,622.00	$1,838.00	$1,762.00	2026-05-13
7611260	OTHER	Gastro Upper Dilation	4	3	$2,162.00	$2,162.00	$1,622.00	$1,838.00	$1,762.00	2026-05-13
7615099	OTHER	Replace Gtube/cecostomy W/fluo	4	3	$2,103.00	$2,103.00	$1,577.00	$1,788.00	$1,713.50	2026-05-13
3514000	OTHER	CT Head Infusion	4	3	$1,984.00	$1,984.00	$1,488.00	$1,686.00	$1,617.00	2026-05-13
3516000	OTHER	CT Neck Infusion	4	3	$1,984.00	$1,984.00	$1,488.00	$1,686.00	$1,617.00	2026-05-13
3517000	OTHER	CT Neck With Without	4	3	$1,955.00	$1,955.00	$1,466.00	$1,662.00	$1,593.50	2026-05-13
7615021	OTHER	Gastroendo W/rmvl Of Lesion	4	3	$1,910.00	$1,910.00	$1,433.00	$1,624.00	$1,556.50	2026-05-13
7615019	OTHER	Gastro Endo W/rem Of Fb	4	3	$1,910.00	$1,910.00	$1,433.00	$1,624.00	$1,556.50	2026-05-13
7615094	OTHER	Exchange Abscess Drain Cath	4	3	$1,910.00	$1,910.00	$1,433.00	$1,624.00	$1,556.50	2026-05-13
2580864	OTHER	Belatacept 250mg Inj	4	3	$1,889.00	$1,889.00	$1,417.00	$1,606.00	$1,539.50	2026-05-13
2305054	OTHER	Biopsy Bone Trocar; Deep	4	3	$1,842.00	$1,842.00	$1,382.00	$1,566.00	$1,501.50	2026-05-13
9201383	OTHER	Paracentesis With Imaging Guid	4	3	$1,836.00	$1,836.00	$1,377.00	$1,561.00	$1,496.50	2026-05-13
9201580	OTHER	Chest Tube Insertion	4	3	$1,836.00	$1,836.00	$1,377.00	$1,561.00	$1,496.50	2026-05-13
2587452	OTHER	Tocilizumab 200mg Inj	4	3	$1,817.00	$1,817.00	$1,363.00	$1,544.00	$1,481.00	2026-05-13
3528547	OTHER	CT Rt Lower Extremity W/without	4	3	$1,796.00	$1,796.00	$1,347.00	$1,527.00	$1,464.00	2026-05-13
2701432	OTHER	Cath Hickman Power 9.5f	4	3	$1,753.00	$1,753.00	$1,315.00	$1,490.00	$1,428.50	2026-05-13
3528910	OTHER	CT Thoracic Spine Infusion	4	3	$1,735.00	$1,735.00	$1,301.00	$1,475.00	$1,414.00	2026-05-13
2703020	OTHER	Hemosplit Kit 23cm	4	3	$1,735.00	$1,735.00	$1,301.00	$1,475.00	$1,414.00	2026-05-13
3518560	OTHER	CT Sinuses W/without	4	3	$1,735.00	$1,735.00	$1,301.00	$1,475.00	$1,414.00	2026-05-13
3525502	OTHER	CT Lumbar Spine Infusion	4	3	$1,735.00	$1,735.00	$1,301.00	$1,475.00	$1,414.00	2026-05-13
2703015	OTHER	Hemosplit Kit 19cm	4	3	$1,735.00	$1,735.00	$1,301.00	$1,475.00	$1,414.00	2026-05-13
9205013	OTHER	Replace Non-tunneled Catheter	4	3	$1,654.00	$1,654.00	$1,241.00	$1,406.00	$1,348.00	2026-05-13
9205014	OTHER	Replace Catheter (picc)	4	3	$1,654.00	$1,654.00	$1,241.00	$1,406.00	$1,348.00	2026-05-13
3528000	OTHER	CT Pelvis Plain	4	3	$1,633.00	$1,633.00	$1,225.00	$1,388.00	$1,330.50	2026-05-13
3525500	OTHER	CT Lumbar Plain	4	3	$1,633.00	$1,633.00	$1,225.00	$1,388.00	$1,330.50	2026-05-13
3523000	OTHER	CT Chest Plain	4	3	$1,633.00	$1,633.00	$1,225.00	$1,388.00	$1,330.50	2026-05-13
3528920	OTHER	CT Thoracic Spine W/without	4	3	$1,630.00	$1,630.00	$1,223.00	$1,386.00	$1,328.50	2026-05-13
3525501	OTHER	CT Lumbar Spine W/without	4	3	$1,630.00	$1,630.00	$1,223.00	$1,386.00	$1,328.50	2026-05-13
3521500	OTHER	CT Abdomen Plain	4	3	$1,565.00	$1,565.00	$1,174.00	$1,330.00	$1,275.50	2026-05-13
3503510	OTHER	CT Guide For Needle Placement	4	3	$1,527.00	$1,527.00	$1,145.00	$1,298.00	$1,244.50	2026-05-13
3008103	OTHER	Notch3 (cadasil) DNA Ccl	4	3	$1,500.00	$1,500.00	$1,125.00	$1,275.00	$1,222.50	2026-05-13
3517110	OTHER	CT Orbits W	4	3	$1,481.00	$1,481.00	$1,111.00	$1,259.00	$1,207.00	2026-05-13
3518570	OTHER	CT Sinuses With Infusion	4	3	$1,481.00	$1,481.00	$1,111.00	$1,259.00	$1,207.00	2026-05-13
2704116	OTHER	Ponsky Deluxe Pull Peg Kit	4	3	$1,477.00	$1,477.00	$1,108.00	$1,255.00	$1,204.00	2026-05-13
2584729	OTHER	Leuprolide 45mg Inj	4	3	$1,477.00	$1,477.00	$1,108.00	$1,255.00	$1,204.00	2026-05-13
4101012	OTHER	Cpap/bipap Initial & Mgmt	4	3	$1,447.00	$1,447.00	$1,085.00	$1,230.00	$1,179.50	2026-05-13
7611420	OTHER	Sigmoid;flex W/wo Collection	4	3	$1,427.00	$1,427.00	$1,070.00	$1,213.00	$1,163.00	2026-05-13
7611206	OTHER	Egd/tube Or Cath	4	3	$1,407.00	$1,407.00	$1,055.00	$1,196.00	$1,147.00	2026-05-13
3528540	OTHER	CT Rt Upper Extremity W/without	4	3	$1,371.00	$1,371.00	$1,028.00	$1,165.00	$1,117.50	2026-05-13
2584610	OTHER	Interferon Beta 1b 0.3mg Inj	4	3	$1,346.00	$1,346.00	$1,010.00	$1,144.00	$1,097.00	2026-05-13
3522110	OTHER	CT Cervical Spine Infusion	4	3	$1,308.00	$1,308.00	$981.00	$1,112.00	$1,066.00	2026-05-13
3517120	OTHER	CT Orbits W/without	4	3	$1,308.00	$1,308.00	$981.00	$1,112.00	$1,066.00	2026-05-13
3514500	OTHER	CT Head Plain	4	3	$1,307.00	$1,307.00	$980.00	$1,111.00	$1,065.50	2026-05-13
3516500	OTHER	CT Neck Plain	4	3	$1,307.00	$1,307.00	$980.00	$1,111.00	$1,065.50	2026-05-13
2586524	OTHER	Remdesivir 100mg Inj	4	3	$1,301.00	$1,301.00	$976.00	$1,106.00	$1,060.50	2026-05-13
3003897	OTHER	Tissue Culture Bont Marrow	4	3	$1,268.00	$1,268.00	$951.00	$1,078.00	$1,033.00	2026-05-13
2301280	OTHER	Incision Drain Abcess-complex	4	3	$1,212.00	$1,212.00	$909.00	$1,030.00	$988.00	2026-05-13
2506913	OTHER	Osimertinib 80mg Tab	4	3	$1,205.00	$1,205.00	$904.00	$1,024.00	$982.00	2026-05-13
2506914	OTHER	Osimertinib 80mg Liq	4	3	$1,205.00	$1,205.00	$904.00	$1,024.00	$982.00	2026-05-13
7615064	OTHER	Image Cath Fluid Peri/retroper	4	3	$1,170.00	$1,170.00	$878.00	$995.00	$953.50	2026-05-13
2301160	OTHER	Control Nasal Hem.-ant.complex	4	3	$1,116.00	$1,116.00	$837.00	$949.00	$909.50	2026-05-13
3528900	OTHER	CT Thoracic Spine Plain	4	3	$1,091.00	$1,091.00	$818.00	$927.00	$889.50	2026-05-13
3528530	OTHER	CT Rt Upper Extremity Infusion	4	3	$1,091.00	$1,091.00	$818.00	$927.00	$889.50	2026-05-13
3525205	OTHER	CT Lt Lower Extremity Infusion	4	3	$1,091.00	$1,091.00	$818.00	$927.00	$889.50	2026-05-13
3528545	OTHER	CT Rt Lower Extremity Infusion	4	3	$1,091.00	$1,091.00	$818.00	$927.00	$889.50	2026-05-13
3901111	OTHER	Red Blood Cells, Leukocytes	4	3	$1,090.00	$1,090.00	$818.00	$927.00	$888.50	2026-05-13
2705750	OTHER	Transgastric J Tube 22fr	4	3	$1,067.00	$1,067.00	$800.00	$907.00	$870.00	2026-05-13
3901112	OTHER	Rbc, Leukoreduced	4	3	$1,054.00	$1,054.00	$791.00	$896.00	$859.00	2026-05-13
3811200	OTHER	Rbc, Leukoreduced	4	3	$1,054.00	$1,054.00	$791.00	$896.00	$859.00	2026-05-13
2584475	OTHER	Incobotulinum Toxin A 100 Unit	4	3	$1,048.00	$1,048.00	$786.00	$891.00	$854.00	2026-05-13
3522100	OTHER	CT Cervical Spine Plain	4	3	$1,044.00	$1,044.00	$783.00	$887.00	$851.00	2026-05-13
3811000	OTHER	Packed Red Blood	4	3	$1,043.00	$1,043.00	$782.00	$887.00	$850.00	2026-05-13
3006173	OTHER	Serotonin Release Assay	4	3	$1,036.00	$1,036.00	$777.00	$881.00	$844.50	2026-05-13
4834000	OTHER	Echocardiogram	4	3	$1,030.00	$1,030.00	$773.00	$876.00	$839.50	2026-05-13
2580862	OTHER	Botulinum Type A 100 Units Inj	4	3	$1,017.00	$1,017.00	$763.00	$864.00	$829.00	2026-05-13
7611000	OTHER	Biopsy Skin/subcut Single Init	4	3	$1,010.00	$1,010.00	$758.00	$859.00	$823.00	2026-05-13
2588020	OTHER	Von Willebran-wilate 500 Units	4	3	$994.00	$994.00	$746.00	$845.00	$810.00	2026-05-13
4104370	OTHER	Resuscitation Cart	4	3	$986.00	$986.00	$740.00	$838.00	$803.50	2026-05-13
2584728	OTHER	Leuprolide 30mg Inj	4	3	$985.00	$985.00	$739.00	$837.00	$803.00	2026-05-13
2580050	OTHER	Adalimumab-atto 40mcg Inj	4	3	$983.00	$983.00	$737.00	$836.00	$801.00	2026-05-13
2584459	OTHER	Infliximab-axxq 100mg Inj	4	3	$974.00	$974.00	$731.00	$828.00	$793.50	2026-05-13
7615047	OTHER	Egd W Jtube Replacmnt,egd Guid	4	3	$952.00	$952.00	$714.00	$809.00	$776.00	2026-05-13
2584461	OTHER	Infliximab-dyyb 100mg Inj	4	3	$947.00	$947.00	$710.00	$805.00	$772.00	2026-05-13
2584460	OTHER	Infliximab 100mg Vial	4	3	$944.00	$944.00	$708.00	$802.00	$769.50	2026-05-13
2702150	OTHER	Drainage Unit, Pleurevac	4	3	$939.00	$939.00	$704.00	$798.00	$765.00	2026-05-13
2703242	OTHER	Kit Stool Mgmt Sys Dignicare	4	3	$939.00	$939.00	$704.00	$798.00	$765.00	2026-05-13
3008214	OTHER	Gastrointestinal Pathogen Pane	4	3	$937.00	$937.00	$703.00	$796.00	$764.00	2026-05-13
7615031	OTHER	Colon/stoma; Diagnostic	4	3	$934.00	$934.00	$701.00	$794.00	$761.00	2026-05-13
3525230	OTHER	CT Lt Lower Extremity Plain	4	3	$915.00	$915.00	$686.00	$778.00	$745.50	2026-05-13
3525200	OTHER	CT Lt Upper Extremity Plain	4	3	$915.00	$915.00	$686.00	$778.00	$745.50	2026-05-13
3528541	OTHER	CT Rt Lower Extremity Plain	4	3	$915.00	$915.00	$686.00	$778.00	$745.50	2026-05-13
3528510	OTHER	CT Rt Upper Extremity Plain	4	3	$915.00	$915.00	$686.00	$778.00	$745.50	2026-05-13
2587750	OTHER	Tpn Modified	4	3	$899.00	$899.00	$674.00	$764.00	$732.50	2026-05-13
3208810	OTHER	Xr Fistulagram	4	3	$892.00	$892.00	$669.00	$758.00	$727.00	2026-05-13
2508566	OTHER	Tedizolid 200mg Tab	4	3	$881.00	$881.00	$661.00	$749.00	$718.00	2026-05-13
2301180	OTHER	Dcltting Vsclr Dvc/cat By Thro	4	3	$880.00	$880.00	$660.00	$748.00	$717.00	2026-05-13
7615134	OTHER	Chest Tube Insertion W Imaging	4	3	$876.00	$876.00	$657.00	$745.00	$714.00	2026-05-13
3518550	OTHER	CT Sinuses Plain	4	3	$874.00	$874.00	$656.00	$743.00	$712.00	2026-05-13
3517100	OTHER	CT Orbits Without	4	3	$874.00	$874.00	$656.00	$743.00	$712.00	2026-05-13
7615022	OTHER	Gastroendo W/control Of Bleed	4	3	$870.00	$870.00	$653.00	$740.00	$709.00	2026-05-13
8044000	OTHER	I/p Peritoneal Dialysis	4	3	$856.00	$856.00	$642.00	$728.00	$697.50	2026-05-13
3208740	OTHER	Xr Barium Enema W/gastrograph	4	3	$855.00	$855.00	$641.00	$727.00	$697.00	2026-05-13
2581401	OTHER	Ceftazidime/avibact 2.5gm Inj	4	3	$826.00	$826.00	$620.00	$702.00	$673.50	2026-05-13
2581915	OTHER	Darbepoetin 100 Mcg Inj	4	3	$816.00	$816.00	$612.00	$694.00	$665.00	2026-05-13
9205073	OTHER	Remove Tunneled W/port/pump	4	3	$804.00	$804.00	$603.00	$683.00	$655.00	2026-05-13
7615138	OTHER	Nephrostomy Tube Exchange	4	3	$798.00	$798.00	$599.00	$678.00	$650.00	2026-05-13
2701184	OTHER	Scope Ascope 4 Large Broncho	4	3	$780.00	$780.00	$585.00	$663.00	$635.50	2026-05-13
3208750	OTHER	Xr Cholangiogram T-tube	4	3	$770.00	$770.00	$578.00	$655.00	$627.50	2026-05-13
9217400	OTHER	US Bil Venous Lower Ext	4	3	$766.00	$766.00	$575.00	$651.00	$624.50	2026-05-13
3521001	OTHER	CT Abd/pel W/without	4	3	$766.00	$766.00	$575.00	$651.00	$624.50	2026-05-13
2584619	OTHER	Isavuconazonium 372mg Inj	4	3	$746.00	$746.00	$560.00	$634.00	$608.00	2026-05-13
2703971	OTHER	Picc Solo 4-5 Fr	4	3	$745.00	$745.00	$559.00	$633.00	$607.00	2026-05-13
9217402	OTHER	US Lft Venous Lower Ext	4	3	$745.00	$745.00	$559.00	$633.00	$607.00	2026-05-13
3203670	OTHER	Xr Fluoroscopy 1 Hr	4	3	$745.00	$745.00	$559.00	$633.00	$607.00	2026-05-13
2584727	OTHER	Leuprolide 22.5 Mg Inj	4	3	$738.00	$738.00	$554.00	$627.00	$601.50	2026-05-13
9217450	OTHER	US Bil Venous Upper Ext	4	3	$736.00	$736.00	$552.00	$626.00	$600.00	2026-05-13
3004341	OTHER	Gastro Pathogen Panel	4	3	$735.00	$735.00	$551.00	$625.00	$599.00	2026-05-13
2305005	OTHER	Dbrdmnt;sb Tssue & Musc 20sqcm	4	3	$727.00	$727.00	$545.00	$618.00	$592.50	2026-05-13
2709000	OTHER	Oxygen	4	3	$726.00	$726.00	$545.00	$617.00	$592.00	2026-05-13
4022100	OTHER	US Aorta	4	3	$721.00	$721.00	$541.00	$613.00	$587.50	2026-05-13
9213200	OTHER	US Bil Carotid Duplex	4	3	$718.00	$718.00	$539.00	$610.00	$585.00	2026-05-13
9205052	OTHER	Biopsy, Muscle, Percut Needle	4	3	$704.00	$704.00	$528.00	$598.00	$573.50	2026-05-13
2585870	OTHER	Penicillin G Benza 2.4mil Inj	4	3	$701.00	$701.00	$526.00	$596.00	$571.50	2026-05-13
4444240	OTHER	Eval Of Sp W/eval Lang	4	3	$700.00	$700.00	$525.00	$595.00	$570.50	2026-05-13
9213400	OTHER	US Lt Venous Upper Extremity	4	3	$691.00	$691.00	$518.00	$587.00	$563.50	2026-05-13
9213350	OTHER	Doppler Vascular	4	3	$683.00	$683.00	$512.00	$581.00	$556.50	2026-05-13
2701182	OTHER	Scope Ascope 4 Slim Broncho	4	3	$680.00	$680.00	$510.00	$578.00	$554.00	2026-05-13
2701183	OTHER	Scope Ascope 4 Regular Bronch	4	3	$680.00	$680.00	$510.00	$578.00	$554.00	2026-05-13
3008200	OTHER	Opiates 1 Or More	4	3	$673.00	$673.00	$505.00	$572.00	$548.50	2026-05-13
3008201	OTHER	Drug Screening Oxycodone	4	3	$673.00	$673.00	$505.00	$572.00	$548.50	2026-05-13
2584464	OTHER	Immune Globulin 5mg Inj	4	3	$670.00	$670.00	$503.00	$570.00	$546.00	2026-05-13
3521002	OTHER	CT Abd/pel Infusion	4	3	$667.00	$667.00	$500.00	$567.00	$544.00	2026-05-13
9220009	OTHER	Emg, Two Extremities	4	3	$668.00	$668.00	$501.00	$568.00	$544.00	2026-05-13
2704087	OTHER	Power Picc 5 Fr Dual Lumen	4	3	$666.00	$666.00	$500.00	$566.00	$543.00	2026-05-13
9201408	OTHER	Picc Line	4	3	$666.00	$666.00	$500.00	$566.00	$543.00	2026-05-13
3202680	OTHER	Xr Colon Barium Enema	4	3	$655.00	$655.00	$491.00	$557.00	$534.00	2026-05-13
2706029	OTHER	Cath Powerpicc Dual 5 Fr.	4	3	$650.00	$650.00	$488.00	$553.00	$530.00	2026-05-13
2580853	OTHER	Baclofen Pump 1mg/ml 20ml Inj	4	3	$644.00	$644.00	$483.00	$547.00	$525.00	2026-05-13
2703552	OTHER	Transgastric J Tube 18fr	4	3	$643.00	$643.00	$482.00	$547.00	$524.00	2026-05-13
2305012	OTHER	Repair Of Central Catheter	4	3	$638.00	$638.00	$479.00	$542.00	$520.00	2026-05-13
7615028	OTHER	Small Bowel; G-tube To J-tube	4	3	$632.00	$632.00	$474.00	$537.00	$515.50	2026-05-13
2301410	OTHER	Removal Impacted Cerumen, Unil	4	3	$631.00	$631.00	$473.00	$536.00	$514.50	2026-05-13
2305006	OTHER	Debride Bone First 20sq Cm	4	3	$626.00	$626.00	$470.00	$532.00	$510.50	2026-05-13
8011000	OTHER	Hemodialysis	15	11	$2,058.00	$2,058.00	$318.00	$1,749.00	$505.00	2026-05-13
3005491	OTHER	Parathyroid Hormone Related	4	3	$613.00	$613.00	$460.00	$521.00	$499.50	2026-05-13
3008823	OTHER	Tissue Cell Culture	4	3	$611.00	$611.00	$458.00	$519.00	$498.00	2026-05-13
7607200	OTHER	Thoracentesis With Imaging	4	3	$609.00	$609.00	$457.00	$518.00	$496.00	2026-05-13
3005076	OTHER	Immune Cell Function	4	3	$606.00	$606.00	$455.00	$515.00	$494.00	2026-05-13
3005011	OTHER	HIV RNA Quant By Pcr	4	3	$602.00	$602.00	$452.00	$512.00	$491.00	2026-05-13
2502675	OTHER	Collagenase 30gm Oint	4	3	$589.00	$589.00	$442.00	$501.00	$480.00	2026-05-13
3831000	OTHER	Fresh Frozen Plasma Thaw	4	3	$577.00	$577.00	$433.00	$490.00	$470.50	2026-05-13
7615032	OTHER	Colon/stoma Biopsy 1 Or More	4	3	$573.00	$573.00	$430.00	$487.00	$467.00	2026-05-13
2701387	OTHER	Cath Tray Trialysis Tl	4	3	$568.00	$568.00	$426.00	$483.00	$462.50	2026-05-13
2585950	OTHER	Phentolamine 5mg Inj	4	3	$568.00	$568.00	$426.00	$483.00	$462.50	2026-05-13
3008083	OTHER	Cytomegas O Sirus Antiviral	4	3	$563.00	$563.00	$422.00	$479.00	$458.50	2026-05-13
2505100	OTHER	Letermovir 480mg Tab	4	3	$563.00	$563.00	$422.00	$479.00	$458.50	2026-05-13
7615136	OTHER	Cholangiogram	4	3	$563.00	$563.00	$422.00	$479.00	$458.50	2026-05-13
2305127	OTHER	Chemodenerv Of Muscle Face	4	3	$563.00	$563.00	$422.00	$479.00	$458.50	2026-05-13
2701181	OTHER	ENT Scope Disp Slim	4	3	$562.00	$562.00	$422.00	$478.00	$458.00	2026-05-13
3208420	OTHER	Xr Upper Gi	4	3	$560.00	$560.00	$420.00	$476.00	$456.50	2026-05-13
2305002	OTHER	Cmplx Driange,wnd Pst Opertv	4	3	$558.00	$558.00	$419.00	$474.00	$454.50	2026-05-13
2705841	OTHER	Tray 7fr Triple Lumen	4	3	$556.00	$556.00	$417.00	$473.00	$453.00	2026-05-13
2305115	OTHER	Remove Of Tunneled Pleural Cat	4	3	$552.00	$552.00	$414.00	$469.00	$450.00	2026-05-13
7611563	OTHER	Incision, Prepuce	4	3	$549.00	$549.00	$412.00	$467.00	$447.50	2026-05-13
4022000	OTHER	US Abdomen Complete	4	3	$546.00	$546.00	$410.00	$464.00	$445.00	2026-05-13
3008685	OTHER	Hla Antibodies	4	3	$544.00	$544.00	$408.00	$462.00	$443.50	2026-05-13
2506903	OTHER	Omadacycline 150mg Tab	4	3	$539.00	$539.00	$404.00	$458.00	$439.00	2026-05-13
9205059	OTHER	Tube Thoracostomy W/water Sea	4	3	$537.00	$537.00	$403.00	$456.00	$438.00	2026-05-13
3008138	OTHER	Hla B 5701	4	3	$530.00	$530.00	$398.00	$451.00	$432.00	2026-05-13
2585355	OTHER	Minocycline 100mg Inj	4	3	$529.00	$529.00	$397.00	$450.00	$431.00	2026-05-13
3208600	OTHER	Xr Videofloroscopy	4	3	$528.00	$528.00	$396.00	$449.00	$430.00	2026-05-13
4024100	OTHER	US Gallbladder/liver/pancreas	4	3	$522.00	$522.00	$392.00	$444.00	$425.50	2026-05-13
4208863	OTHER	Neg Pres Wnd Tx Plus 50cm Dme	4	3	$517.00	$517.00	$388.00	$439.00	$421.50	2026-05-13
3007170	OTHER	1,25-dihydroxy Vit D	4	3	$515.00	$515.00	$386.00	$438.00	$419.50	2026-05-13
2584960	OTHER	Liraglutide 18mg/3mL Inj	4	3	$515.00	$515.00	$386.00	$438.00	$419.50	2026-05-13
3206600	OTHER	Xr Skull	4	3	$505.00	$505.00	$379.00	$429.00	$411.50	2026-05-13
2508023	OTHER	Ruxolitinib 5mg Tab	4	3	$504.00	$504.00	$378.00	$428.00	$410.50	2026-05-13
2581348	OTHER	Ceftaroline 600mg Inj	4	3	$504.00	$504.00	$378.00	$428.00	$410.50	2026-05-13
2581349	OTHER	Ceftaroline 400mg Inj	4	3	$504.00	$504.00	$378.00	$428.00	$410.50	2026-05-13
2708863	OTHER	Wnd Sesn Lrg Pressr Grtr 50sqc	4	3	$502.00	$502.00	$377.00	$427.00	$409.50	2026-05-13
3003891	OTHER	Cytop Cytoplasmics	4	3	$498.00	$498.00	$374.00	$423.00	$405.50	2026-05-13
3206880	OTHER	Xr Small Bowel Image	4	3	$497.00	$497.00	$373.00	$422.00	$405.50	2026-05-13
3008686	OTHER	Hla Solid Phase	4	3	$495.00	$495.00	$371.00	$421.00	$403.50	2026-05-13
2580854	OTHER	Baclofen 2mg/ml 20ml Inj	4	3	$492.00	$492.00	$369.00	$418.00	$401.00	2026-05-13
3004645	OTHER	Hcv Real Time Pcr	4	3	$492.00	$492.00	$369.00	$418.00	$401.00	2026-05-13
2581913	OTHER	Darbepoetin 60mcg Inj	4	3	$489.00	$489.00	$367.00	$416.00	$398.50	2026-05-13
3008604	OTHER	Aceylcholine Binding Ab	4	3	$488.00	$488.00	$366.00	$415.00	$397.50	2026-05-13
3004771	OTHER	Hbv Real Time Pcr Quant	4	3	$486.00	$486.00	$365.00	$413.00	$396.00	2026-05-13
2507970	OTHER	Ruxolitinib 10mg Tab	4	3	$485.00	$485.00	$364.00	$412.00	$395.50	2026-05-13
2701903	OTHER	Cystoscopy With Irrigation	4	3	$485.00	$485.00	$364.00	$412.00	$395.50	2026-05-13
7615024	OTHER	Small Bowel Endoscopy	4	3	$484.00	$484.00	$363.00	$411.00	$394.50	2026-05-13
4026002	OTHER	Xr Abd W Gastro Tube Placement	4	3	$483.00	$483.00	$362.00	$411.00	$393.50	2026-05-13
2587290	OTHER	Tacrolimus 5mg Inj	4	3	$483.00	$483.00	$362.00	$411.00	$393.50	2026-05-13
2583431	OTHER	Filgrastim-aafi 480mcg Inj	4	3	$478.00	$478.00	$359.00	$406.00	$389.50	2026-05-13
3002009	OTHER	Acth	4	3	$478.00	$478.00	$359.00	$406.00	$389.50	2026-05-13
3521003	OTHER	CT Abd/pel W/out	4	3	$473.00	$473.00	$355.00	$402.00	$385.50	2026-05-13
2305041	OTHER	Tarsorrhahpy Temporary	4	3	$470.00	$470.00	$353.00	$400.00	$383.00	2026-05-13
4208862	OTHER	Neg Pres Wnd Tx Less 50cm Dme	4	3	$470.00	$470.00	$353.00	$400.00	$383.00	2026-05-13
3912000	OTHER	Blood Transfusion Service	4	3	$469.00	$469.00	$352.00	$399.00	$382.00	2026-05-13
4444242	OTHER	Flxble Fbroptc Endo Eval Swall	4	3	$468.00	$468.00	$351.00	$398.00	$381.00	2026-05-13
3007180	OTHER	Vitamin D 25-hydrox	4	3	$468.00	$468.00	$351.00	$398.00	$381.00	2026-05-13
3205620	OTHER	Xr Sinus Series	4	3	$463.00	$463.00	$347.00	$394.00	$377.00	2026-05-13
3205900	OTHER	Xr Rib Bilateral	4	3	$463.00	$463.00	$347.00	$394.00	$377.00	2026-05-13
9205010	OTHER	Bronchoscopy W/lavage	4	3	$461.00	$461.00	$346.00	$392.00	$376.00	2026-05-13
4447000	OTHER	Video Fluoro Swallow Stdy	4	3	$458.00	$458.00	$344.00	$389.00	$373.00	2026-05-13
2708862	OTHER	Wnd Ssin Smll Neg Presr Less	4	3	$457.00	$457.00	$343.00	$388.00	$372.50	2026-05-13
2585066	OTHER	Meropenem/vabobactam 2mg Inj	4	3	$454.00	$454.00	$341.00	$386.00	$370.00	2026-05-13
3203240	OTHER	Barium Swallow	4	3	$452.00	$452.00	$339.00	$384.00	$368.50	2026-05-13
3003898	OTHER	Cytogenetics 100-300	4	3	$451.00	$451.00	$338.00	$383.00	$367.50	2026-05-13
7615133	OTHER	Esophagoscopy W/injections	4	3	$449.00	$449.00	$337.00	$382.00	$366.00	2026-05-13
2508273	OTHER	Sirolimus 60ml Liq	4	3	$449.00	$449.00	$337.00	$382.00	$366.00	2026-05-13
2702667	OTHER	Forcep Raptor Grasping	4	3	$448.00	$448.00	$336.00	$381.00	$365.00	2026-05-13
2586127	OTHER	Pneumococcal-20 (prevnar) Inj	4	3	$448.00	$448.00	$336.00	$381.00	$365.00	2026-05-13
3005065	OTHER	Virus Cult Def Id (vident)	4	3	$446.00	$446.00	$335.00	$379.00	$363.50	2026-05-13
2581310	OTHER	Cefiderocol 1gm Inj	4	3	$441.00	$441.00	$331.00	$375.00	$359.50	2026-05-13
7615095	OTHER	Abscessogram (tube Check)	4	3	$432.00	$432.00	$324.00	$367.00	$352.50	2026-05-13
2585069	OTHER	Meningococcal Group B Vac. Inj	4	3	$427.00	$427.00	$320.00	$363.00	$348.00	2026-05-13
7615135	OTHER	Nephrostogram	4	3	$426.00	$426.00	$320.00	$362.00	$347.50	2026-05-13
3002619	OTHER	Vasopressin. Antidiuretic	4	3	$421.00	$421.00	$316.00	$358.00	$343.00	2026-05-13
3004949	OTHER	Acute Hepatitis Panel	4	3	$421.00	$421.00	$316.00	$358.00	$343.00	2026-05-13
3207440	OTHER	Xr Lumbar Spine Image	4	3	$418.00	$418.00	$314.00	$355.00	$340.50	2026-05-13
9217500	OTHER	US Bil Upper Ext Arterial	4	3	$417.00	$417.00	$313.00	$354.00	$340.00	2026-05-13
3007875	OTHER	HIV Qual By Pcr	4	3	$415.00	$415.00	$311.00	$353.00	$338.00	2026-05-13
2586125	OTHER	Pneumoccal-13 (prevnar) Inj	4	3	$412.00	$412.00	$309.00	$350.00	$336.00	2026-05-13
3004124	OTHER	Fact. 2 Assay	4	3	$411.00	$411.00	$308.00	$349.00	$335.00	2026-05-13
3002721	OTHER	Rapid Id-2, Blood Culture	4	3	$411.00	$411.00	$308.00	$349.00	$335.00	2026-05-13
3207580	OTHER	Xr Thoracic Spine Ap & Lat	4	3	$411.00	$411.00	$308.00	$349.00	$335.00	2026-05-13
3503511	OTHER	CT Gde-fine Ndl Aspira-integum	4	3	$410.00	$410.00	$308.00	$349.00	$334.00	2026-05-13
3505042	OTHER	Puncture Aspiration Of Abscess	4	3	$407.00	$407.00	$305.00	$346.00	$332.00	2026-05-13
2305004	OTHER	Dbrdmnt; Sub Tissue 1st 20sqcm	4	3	$407.00	$407.00	$305.00	$346.00	$332.00	2026-05-13
2305038	OTHER	Tympanostomy - Bilateral	4	3	$404.00	$404.00	$303.00	$343.00	$329.00	2026-05-13
3002001	OTHER	Covid Flu Rsv Panel	4	3	$402.00	$402.00	$302.00	$342.00	$328.00	2026-05-13
2305008	OTHER	Tracheobronchoscopy	4	3	$401.00	$401.00	$301.00	$341.00	$327.00	2026-05-13
7405000	OTHER	EEG	4	3	$401.00	$401.00	$301.00	$341.00	$327.00	2026-05-13
2303594	OTHER	Myrigotomy/aspir. Et Tube Infl	4	3	$400.00	$400.00	$300.00	$340.00	$326.00	2026-05-13
3201140	OTHER	Xr Abdomen Flat / Upright	4	3	$400.00	$400.00	$300.00	$340.00	$326.00	2026-05-13
3004123	OTHER	Fact. 9 Assay	4	3	$395.00	$395.00	$296.00	$336.00	$322.00	2026-05-13
4025100	OTHER	OB Pregnancy Complete	4	3	$394.00	$394.00	$296.00	$335.00	$321.00	2026-05-13
3207160	OTHER	Xr Cervical Spine Ap & Lat	4	3	$394.00	$394.00	$296.00	$335.00	$321.00	2026-05-13
7615116	OTHER	Replace Jtube Perct U/fluor	4	3	$393.00	$393.00	$295.00	$334.00	$320.00	2026-05-13
3005084	OTHER	Immunofixation Urine	4	3	$391.00	$391.00	$293.00	$332.00	$319.00	2026-05-13
3204500	OTHER	Xr Humerus Exam	4	3	$384.00	$384.00	$288.00	$326.00	$313.00	2026-05-13
3204920	OTHER	Xr Knee 3 Views	4	3	$384.00	$384.00	$288.00	$326.00	$313.00	2026-05-13
3206040	OTHER	Xr Rib Unilateral	4	3	$384.00	$384.00	$288.00	$326.00	$313.00	2026-05-13
3203520	OTHER	Xr Femur	4	3	$384.00	$384.00	$288.00	$326.00	$313.00	2026-05-13
2701064	OTHER	Dressng Npwt Vflo Clns Chce Lg	4	3	$382.00	$382.00	$287.00	$325.00	$311.50	2026-05-13
2708118	OTHER	Scope Cysto Disposable Slim	4	3	$381.00	$381.00	$286.00	$324.00	$310.50	2026-05-13
2305050	OTHER	Fna Without Imgn Guidance	4	3	$379.00	$379.00	$284.00	$322.00	$309.00	2026-05-13
4025000	OTHER	US Liver	4	3	$378.00	$378.00	$284.00	$321.00	$308.00	2026-05-13
4027000	OTHER	US Bil Renal	4	3	$378.00	$378.00	$284.00	$321.00	$308.00	2026-05-13
2305015	OTHER	Removal Of Tunneled Cath	4	3	$375.00	$375.00	$281.00	$319.00	$305.50	2026-05-13

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