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 →

Export CSV
Hospital

SEDAN CITY HOSPITAL

Sedan, KS · CCN 171318 · Rates published

Your selected procedure

You selected 93306 (CPT)

US, ECHOCARDIOGRAM COMPLETE

This hospital’s price: $1,532 across 1 payer

Source: https://sedancityhospital.org/standardcharges.csv · observed 2025-12-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

277 distinct procedures filed
1 distinct payers
1,079 rate rows
2025-12-31 last MRF observed
Data quality

280 of 1,079 rate rows are consumer-grade (25.9%)

799 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 798
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sedancityhospital.org/standardcharges.csv
Found on page https://sedancityhospital.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-21
Content fingerprint 3a789c3407679038… · 113,946 bytes · first seen 2026-05-14

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
93306
CPT 		Us, Echocardiogram Complete 1 $1,532.17 $1,532.17 $1,532.17 nat. median
$991
1.5× median
71275
CPT 		CTA Chest (pe) 1 $1,143.85 $1,143.85 $1,143.85 nat. median
$754
1.5× median
93975
CPT 		Us, Doppler Renal/aorta Complete 93975 1 $480.76 $480.76 $480.76 nat. median
$563
0.9× median
93970
CPT 		Us, Venous Doppler, Bilat 1 $480.76 $480.76 $480.76 nat. median
$564
0.9× median
93971
CPT 		Us, Venous Doppler Lower Ext 1 $480.76 $480.76 $480.76 nat. median
$345
1.4× median
76536
CPT 		Us, Thyroid 1 $480.76 $480.76 $480.76 nat. median
$261
1.8× median
74178
CPT 		CT Pelvis & Abdomen W/wo Contr 1 $480.41 $480.41 $480.41 nat. median
$1,024
outlier · 0.5×
70450
CPT 		CT Head/brain Without Contrast 1 $480.41 $480.41 $480.41 nat. median
$450
1.1× median
74150
CPT 		CT Abdomen Without Contrast 1 $480.41 $480.41 $480.41 nat. median
$448
1.1× median
70490
CPT 		CT Soft Tissue Neck Without Contr 1 $480.41 $480.41 $480.41 nat. median
$450
1.1× median
71260
CPT 		CT Chest/thorax W/contrast 1 $480.41 $480.41 $480.41 nat. median
$648
0.7× median
71271
CPT 		Annual CT Lung Cancer Screen 1 $480.41 $480.41 $480.41 nat. median
$213
outlier · 2.3×
72125
CPT 		CT Cervical Spine Without Contrast 1 $480.41 $480.41 $480.41 nat. median
$472
1.0× median
74176
CPT 		CT Pelvis & Abdomen Wo Contras 1 $480.41 $480.41 $480.41 nat. median
$694
0.7× median
70491
CPT 		CT Soft Tissue Neck/ W/contras 1 $480.41 $480.41 $480.41 nat. median
$627
0.8× median
71250
CPT 		CT Chest/thorax/wo Contrast 1 $480.41 $480.41 $480.41 nat. median
$465
1.0× median
74177
CPT 		CT Pelvis & Abdomen W/contrast 1 $480.41 $480.41 $480.41 nat. median
$974
outlier · 0.5×
97597
CPT 		Selective Debride 20 Sq Cm 1 $278.76 $278.76 $278.76 nat. median
$234
1.2× median
11042
CPT 		Debride Skin, Into Sq 11042 1 $94.24 $451.17 $272.70 nat. median
$523
0.5× median
74022
CPT 		Abdominal Series 1 $263.89 $263.89 $263.89 nat. median
$181
1.5× median
10060
CPT 		Incision & Drainage 10060 1 $248.38 $248.38 $248.38 nat. median
$293
0.8× median
97605
CPT 		Neg Press Wound Tx, <50 Cm 97 1 $223.75 $223.75 $223.75 nat. median
$208
1.1× median
82306
CPT 		Vitamin D, 25-hydroxy 1 $218.43 $218.43 $218.43 nat. median
$63
outlier · 3.4×
73564
CPT 		Knee 4 View Min (right) 1 $216.50 $216.50 $216.50 nat. median
$184
1.2× median
12032
CPT 		Repair 2.6cm-7.5cm 12032 1 $213.64 $213.64 $213.64 nat. median
$546
outlier · 0.4×
72072
CPT 		T-spine 3 Views 1 $201.64 $201.64 $201.64 nat. median
$171
1.2× median
71101
CPT 		Ribs Unilateral With Chest 1 $199.78 $199.78 $199.78 nat. median
$170
1.2× median
99214
CPT 		Estab Patient Level 4 99214 1 $188.57 $188.57 $188.57 nat. median
$179
1.1× median
93243
CPT 		Holter Monitor 72+ Hrs 1 $185.72 $185.72 $185.72 nat. median
$195
1.0× median
83090
CPT 		Homocystine 1 $176.58 $176.58 $176.58 nat. median
$49
outlier · 3.6×
72100
CPT 		Lumbar Spine (min 2 Views) 1 $174.69 $174.69 $174.69 nat. median
$166
1.1× median
93005
CPT 		EKG 1 $164.68 $164.68 $164.68 nat. median
$119
1.4× median
99284
CPT 		Emergency Room Level IV 99284 1 $162.21 $162.21 $162.21 nat. median
$754
outlier · 0.2×
72040
CPT 		C Spine 2-3 Views 1 $159.82 $159.82 $159.82 nat. median
$149
1.1× median
76770
CPT 		Us, Renal/aorta 1 $151.50 $151.50 $151.50 nat. median
$300
0.5× median
73080
CPT 		Elbow 3 View Minimum 1 $151.46 $151.46 $151.46 nat. median
$154
1.0× median
71046
CPT 		Chest Pa And Lat 1 $150.77 $150.77 $150.77 nat. median
$146
1.0× median
80307
CPT 		Acetaminophen Qualitative 1 $150.08 $150.08 $150.08 nat. median
$117
1.3× median
74019
CPT 		Abd Flat And Upright 1 $149.60 $149.60 $149.60 nat. median
$168
0.9× median
73562
CPT 		Knee - 3 View (left) 1 $149.60 $149.60 $149.60 nat. median
$159
0.9× median
36592
CPT 		Picc Blood Draw 1 $144.89 $144.89 $144.89 nat. median
$148
1.0× median
73030
CPT 		Shoulder 2 View Minimum 1 $140.31 $140.31 $140.31 nat. median
$159
0.9× median
73610
CPT 		Ankle - 3 View (min) 1 $139.38 $139.38 $139.38 nat. median
$156
0.9× median
80074
CPT 		Hepatitis Profile 1 $137.99 $137.99 $137.99 nat. median
$114
1.2× median
73130
CPT 		Hand 3 View 1 $136.59 $136.59 $136.59 nat. median
$155
0.9× median
72190
CPT 		Pelvis - Min 3 Views 1 $135.66 $135.66 $135.66 nat. median
$161
0.8× median
74018
CPT 		Abd Ap Portable 1 $134.73 $134.73 $134.73 nat. median
$135
1.0× median
73630
CPT 		Foot 3 View 1 $134.73 $134.73 $134.73 nat. median
$154
0.9× median
72070
CPT 		Thoracic Spine Ap And Lat 1 $133.80 $133.80 $133.80 nat. median
$153
0.9× median
99213
CPT 		Estab Patient Visit Level 3 9 1 $133.49 $133.49 $133.49 nat. median
$142
0.9× median

Other procedures at this hospital

Browse this hospital's 277 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
             
93306 CPT Us, Echocardiogram Complete 1 1 $382.01 $286.51 25% off $1,532.17 $1,532.17 $1,532.17 2025-12-31
71275 CPT CTA Chest (pe) 1 1 $2,586.00 $1,939.50 25% off $1,143.85 $1,143.85 $1,143.85 2025-12-31
93971 CPT Us, Venous Doppler Lower Ext 1 1 $307.89 $230.92 25% off $480.76 $480.76 $480.76 2025-12-31
93975 CPT Us, Doppler Renal/aorta Complete 93975 1 1 $465.00 $348.75 25% off $480.76 $480.76 $480.76 2025-12-31
76536 CPT Us, Thyroid 1 1 $349.46 $262.10 25% off $480.76 $480.76 $480.76 2025-12-31
93970 CPT Us, Venous Doppler, Bilat 1 1 $479.69 $359.77 25% off $480.76 $480.76 $480.76 2025-12-31
71250 CPT CT Chest/thorax/wo Contrast 1 1 $1,403.25 $1,052.44 25% off $480.41 $480.41 $480.41 2025-12-31
74150 CPT CT Abdomen Without Contrast 1 1 $1,403.25 $1,052.44 25% off $480.41 $480.41 $480.41 2025-12-31
74176 CPT CT Pelvis & Abdomen Wo Contras 1 1 $1,403.25 $1,052.44 25% off $480.41 $480.41 $480.41 2025-12-31
74177 CPT CT Pelvis & Abdomen W/contrast 1 1 $1,430.50 $1,072.88 25% off $480.41 $480.41 $480.41 2025-12-31
74178 CPT CT Pelvis & Abdomen W/wo Contr 1 1 $1,668.00 $1,251.00 25% off $480.41 $480.41 $480.41 2025-12-31
71271 CPT Annual CT Lung Cancer Screen 1 1 $643.75 $482.81 25% off $480.41 $480.41 $480.41 2025-12-31
71260 CPT CT Chest/thorax W/contrast 1 1 $1,634.75 $1,226.06 25% off $480.41 $480.41 $480.41 2025-12-31
70450 CPT CT Head/brain Without Contrast 1 1 $1,383.00 $1,037.25 25% off $480.41 $480.41 $480.41 2025-12-31
70490 CPT CT Soft Tissue Neck Without Contr 1 1 $1,068.00 $801.00 25% off $480.41 $480.41 $480.41 2025-12-31
70491 CPT CT Soft Tissue Neck/ W/contras 1 1 $1,351.00 $1,013.25 25% off $480.41 $480.41 $480.41 2025-12-31
72125 CPT CT Cervical Spine Without Contrast 1 1 $1,217.25 $912.94 25% off $480.41 $480.41 $480.41 2025-12-31
97597 CPT Selective Debride 20 Sq Cm 1 1 $746.00 $559.50 25% off $278.76 $278.76 $278.76 2025-12-31
11042 CPT Debride Skin, Into Sq 11042 2 1 $425.36 $319.02 25% off $94.24 $451.17 $272.70 2025-12-31
74022 CPT Abdominal Series 1 1 $250.00 $187.50 25% off $263.89 $263.89 $263.89 2025-12-31
10060 CPT Incision & Drainage 10060 1 1 $230.00 $172.50 25% off $248.38 $248.38 $248.38 2025-12-31
97605 CPT Neg Press Wound Tx, <50 Cm 97 1 1 $895.00 $671.25 25% off $223.75 $223.75 $223.75 2025-12-31
82306 CPT Vitamin D, 25-hydroxy 1 1 $193.00 $144.75 25% off $218.43 $218.43 $218.43 2025-12-31
73564 CPT Knee 4 View Min (right) 1 1 $285.50 $214.13 25% off $216.50 $216.50 $216.50 2025-12-31
12032 CPT Repair 2.6cm-7.5cm 12032 1 1 $483.00 $362.25 25% off $213.64 $213.64 $213.64 2025-12-31
72072 CPT T-spine 3 Views 1 1 $250.00 $187.50 25% off $201.64 $201.64 $201.64 2025-12-31
71101 CPT Ribs Unilateral With Chest 1 1 $300.00 $225.00 25% off $199.78 $199.78 $199.78 2025-12-31
99214 CPT Estab Patient Level 4 99214 1 1 $438.00 $328.50 25% off $188.57 $188.57 $188.57 2025-12-31
93243 CPT Holter Monitor 72+ Hrs 1 1 $187.00 $140.25 25% off $185.72 $185.72 $185.72 2025-12-31
83090 CPT Homocystine 1 1 $114.00 $85.50 25% off $176.58 $176.58 $176.58 2025-12-31
72100 CPT Lumbar Spine (min 2 Views) 1 1 $294.00 $220.50 25% off $174.69 $174.69 $174.69 2025-12-31
93005 CPT EKG 1 1 $114.00 $85.50 25% off $164.68 $164.68 $164.68 2025-12-31
99284 CPT Emergency Room Level IV 99284 1 1 $1,001.40 $751.05 25% off $162.21 $162.21 $162.21 2025-12-31
72040 CPT C Spine 2-3 Views 1 1 $294.00 $220.50 25% off $159.82 $159.82 $159.82 2025-12-31
76770 CPT Us, Renal/aorta 1 1 $349.46 $262.10 25% off $151.50 $151.50 $151.50 2025-12-31
73080 CPT Elbow 3 View Minimum 1 1 $216.25 $162.19 25% off $151.46 $151.46 $151.46 2025-12-31
71046 CPT Chest Pa And Lat 1 1 $230.50 $172.88 25% off $150.77 $150.77 $150.77 2025-12-31
80307 CPT Acetaminophen Qualitative 1 1 $77.05 $57.79 25% off $150.08 $150.08 $150.08 2025-12-31
73562 CPT Knee - 3 View (left) 1 1 $298.00 $223.50 25% off $149.60 $149.60 $149.60 2025-12-31
74019 CPT Abd Flat And Upright 1 1 $364.25 $273.19 25% off $149.60 $149.60 $149.60 2025-12-31
36592 CPT Picc Blood Draw 1 1 $87.00 $65.25 25% off $144.89 $144.89 $144.89 2025-12-31
73030 CPT Shoulder 2 View Minimum 1 1 $240.25 $180.19 25% off $140.31 $140.31 $140.31 2025-12-31
73610 CPT Ankle - 3 View (min) 1 1 $249.75 $187.31 25% off $139.38 $139.38 $139.38 2025-12-31
80074 CPT Hepatitis Profile 1 1 $165.25 $123.94 25% off $137.99 $137.99 $137.99 2025-12-31
73130 CPT Hand 3 View 1 1 $260.00 $195.00 25% off $136.59 $136.59 $136.59 2025-12-31
72190 CPT Pelvis - Min 3 Views 1 1 $367.50 $275.63 25% off $135.66 $135.66 $135.66 2025-12-31
73630 CPT Foot 3 View 1 1 $249.75 $187.31 25% off $134.73 $134.73 $134.73 2025-12-31
74018 CPT Abd Ap Portable 1 1 $242.75 $182.06 25% off $134.73 $134.73 $134.73 2025-12-31
72070 CPT Thoracic Spine Ap And Lat 1 1 $200.00 $150.00 25% off $133.80 $133.80 $133.80 2025-12-31
99213 CPT Estab Patient Visit Level 3 9 1 1 $301.00 $225.75 25% off $133.49 $133.49 $133.49 2025-12-31
73110 CPT Wrist 3 View 1 1 $220.00 $165.00 25% off $132.93 $132.93 $132.93 2025-12-31
76705 CPT Us, Abdomen Limited 1 1 $349.46 $262.10 25% off $132.93 $132.93 $132.93 2025-12-31
73521 CPT Bilateral Hips - 2 Views 1 1 $210.00 $157.50 25% off $132.93 $132.93 $132.93 2025-12-31
99239 CPT Hosp Ip/obs Dschg >30 Min 1 1 $180.00 $135.00 25% off $130.34 $130.34 $130.34 2025-12-31
73090 CPT Forearm 1 1 $214.50 $160.88 25% off $124.51 $124.51 $124.51 2025-12-31
71045 CPT Chest Portable 1 1 $145.00 $108.75 25% off $123.58 $123.58 $123.58 2025-12-31
97162 CPT Pt Evaluation Moderate 30 Min 1 1 $254.71 $191.03 25% off $120.30 $120.30 $120.30 2025-12-31
82024 CPT Acth 1 1 $196.20 $147.15 25% off $118.38 $118.38 $118.38 2025-12-31
73000 CPT Clavicle 1 1 $239.75 $179.81 25% off $114.29 $114.29 $114.29 2025-12-31
87428 CPT Influenza/covid 19 (rapid) 1 1 $178.00 $133.50 25% off $113.56 $113.56 $113.56 2025-12-31
99221 CPT Initial Inpatient Services (simple) 1 1 $230.00 $172.50 25% off $113.10 $113.10 $113.10 2025-12-31
G0481 HCPCS Urine Drug Screen 80100 X 10 1 1 $211.75 $158.81 25% off $112.96 $112.96 $112.96 2025-12-31
86666 CPT E-chaff-ab Igg 1 1 $107.45 $80.59 25% off $112.11 $112.11 $112.11 2025-12-31
73140 CPT Fingers 1 1 $237.75 $178.31 25% off $110.06 $110.06 $110.06 2025-12-31
73552 CPT Femur, Minimum 2 View 1 1 $211.75 $158.81 25% off $110.06 $110.06 $110.06 2025-12-31
73560 CPT Knee Ap And Lat 1 1 $198.50 $148.88 25% off $110.06 $110.06 $110.06 2025-12-31
84402 CPT Testosterone, Free And Total 1 1 $418.00 $313.50 25% off $108.65 $108.65 $108.65 2025-12-31
84403 CPT Testosterone, Total 1 1 $130.55 $97.91 25% off $104.86 $104.86 $104.86 2025-12-31
12004 CPT Repair 7.6cm-12.5cm 12004 1 1 $345.00 $258.75 25% off $102.18 $102.18 $102.18 2025-12-31
99283 CPT Emergency Room Level 111 99283 1 1 $595.17 $446.38 25% off $96.36 $96.36 $96.36 2025-12-31
82626 CPT Dhea 1 1 $190.00 $142.50 25% off $91.51 $91.51 $91.51 2025-12-31
99238 CPT Hospital Dc Services 1 1 $165.00 $123.75 25% off $90.90 $90.90 $90.90 2025-12-31
96365 CPT IV Infusion 1st Hr (er)96365 1 1 $520.77 $390.58 25% off $89.51 $89.51 $89.51 2025-12-31
82652 CPT Vitamin D, 1,25 1 1 $195.30 $146.48 25% off $88.45 $88.45 $88.45 2025-12-31
99212 CPT Estab Patient Visit Level 2 9 1 1 $52.98 $39.74 25% off $85.38 $85.38 $85.38 2025-12-31
12002 CPT Repair 2.6cm To 7.5cm 12002 1 1 $293.00 $219.75 25% off $83.06 $83.06 $83.06 2025-12-31
J0500 HCPCS Bentyl 20 Mg/2 Ml 1 1 $94.55 $70.91 25% off $80.36 $80.36 $80.36 2025-12-31
84146 CPT Prolactin 1 1 $109.55 $82.16 25% off $79.04 $79.04 $79.04 2025-12-31
86618 CPT Lymes Titer Igm/igg 1 1 $179.00 $134.25 25% off $76.68 $76.68 $76.68 2025-12-31
29075 CPT Elbow - Finger Short Arm Cast 1 1 $154.00 $115.50 25% off $74.63 $74.63 $74.63 2025-12-31
83001 CPT Fsh 1 1 $196.00 $147.00 25% off $71.29 $71.29 $71.29 2025-12-31
G0103 HCPCS Psa - Screening 1 1 $87.50 $65.63 25% off $69.98 $69.98 $69.98 2025-12-31
83002 CPT Lh 1 1 $81.40 $61.05 25% off $69.56 $69.56 $69.56 2025-12-31
82677 CPT Estriol, Serum 1 1 $255.00 $191.25 25% off $69.53 $69.53 $69.53 2025-12-31
86800 CPT Thyroglobulin Level And Ab 1 1 $217.85 $163.39 25% off $69.07 $69.07 $69.07 2025-12-31
84512 CPT Troponin I (quantitative) 1 1 $136.25 $102.19 25% off $68.59 $68.59 $68.59 2025-12-31
82803 CPT Abg Istat (arterial) 1 1 $204.00 $153.00 25% off $68.05 $68.05 $68.05 2025-12-31
36600 CPT Arterial Puncture 1 1 $57.00 $42.75 25% off $67.67 $67.67 $67.67 2025-12-31
82530 CPT Cortisol, Free 1 1 $76.17 $57.13 25% off $66.51 $66.51 $66.51 2025-12-31
12001 CPT Pa Simple Repair 12001 1 1 $264.00 $198.00 25% off $64.34 $64.34 $64.34 2025-12-31
96360 CPT Hydrat IV Infus, Init 31-60 Mi 1 1 $324.72 $243.54 25% off $62.13 $62.13 $62.13 2025-12-31
82746 CPT Folate 1 1 $68.40 $51.30 25% off $61.81 $61.81 $61.81 2025-12-31
96374 CPT IV Push (er) 96374 1 1 $324.72 $243.54 25% off $61.58 $61.58 $61.58 2025-12-31
80320 CPT Blood Alcohol 1 1 $132.50 $99.38 25% off $60.63 $60.63 $60.63 2025-12-31
82533 CPT Cortisol 1 1 $172.00 $129.00 25% off $60.54 $60.54 $60.54 2025-12-31
97140 CPT Joint Mobilization 1 1 $92.97 $69.73 25% off $58.08 $58.08 $58.08 2025-12-31
87040 CPT Culture, Blood X1 2 1 $177.00 $132.75 25% off $38.41 $76.82 $57.61 2025-12-31
82607 CPT Vitamin B12 1 1 $159.00 $119.25 25% off $57.41 $57.41 $57.41 2025-12-31
90714 CPT Tetanus Tox With Dipth 1 1 $93.95 $70.46 25% off $57.29 $57.29 $57.29 2025-12-31
86256 CPT Antimitochondrial Antibody Ama 1 1 $65.00 $48.75 25% off $57.05 $57.05 $57.05 2025-12-31
97110 CPT Therapeutic Exercise - General 1 1 $100.08 $75.06 25% off $56.91 $56.91 $56.91 2025-12-31
97530 CPT Thera/dynamic Act 1 1 $107.82 $80.87 25% off $56.91 $56.91 $56.91 2025-12-31
600135 LOCAL Heparin Sodium 25,000 Units 1 1 $65.00 $48.75 25% off $55.25 $55.25 $55.25 2025-12-31
87324 CPT C-diff Analyzer 1 1 $28.00 $21.00 25% off $54.84 $54.84 $54.84 2025-12-31
80162 CPT Digoxin 1 1 $140.00 $105.00 25% off $54.39 $54.39 $54.39 2025-12-31
82553 CPT Ckmb 1 1 $121.00 $90.75 25% off $54.02 $54.02 $54.02 2025-12-31
82728 CPT Ferritin 1 1 $144.00 $108.00 25% off $53.23 $53.23 $53.23 2025-12-31
99231 CPT Inpatient Hospital Visits 1 1 $117.00 $87.75 25% off $51.63 $51.63 $51.63 2025-12-31
86376 CPT Liver-kidney Microsomal Anti 1 1 $225.30 $168.98 25% off $50.96 $50.96 $50.96 2025-12-31
82103 CPT Alpha 1 - Antitrypsin 1 1 $194.40 $145.80 25% off $50.80 $50.80 $50.80 2025-12-31
83525 CPT Insulin, Fasting 1 1 $116.70 $87.53 25% off $50.72 $50.72 $50.72 2025-12-31
97112 CPT Neuromuscular Re-education 1 1 $103.71 $77.78 25% off $50.50 $50.50 $50.50 2025-12-31
J3490 HCPCS Donnatol 5 Ml/ud 2 1 $59.30 $44.48 25% off $21.25 $79.56 $50.41 2025-12-31
82140 CPT Ammonia 1 1 $156.00 $117.00 25% off $49.38 $49.38 $49.38 2025-12-31
810866 LOCAL Xarelto 15 Mg 1 1 $57.50 $43.13 25% off $48.88 $48.88 $48.88 2025-12-31
84134 CPT Pre Albumin 1 1 $73.00 $54.75 25% off $48.81 $48.81 $48.81 2025-12-31
85378 CPT D-dimer 1 1 $155.35 $116.51 25% off $48.30 $48.30 $48.30 2025-12-31
99282 CPT Emergency Room Level 11 99282 1 1 $338.37 $253.78 25% off $47.65 $47.65 $47.65 2025-12-31
29125 CPT Splint Application - Arm 2912 1 1 $107.00 $80.25 25% off $47.55 $47.55 $47.55 2025-12-31
83605 CPT Lactate 1 1 $95.50 $71.63 25% off $47.35 $47.35 $47.35 2025-12-31
84480 CPT F-t3 (free T3) 1 1 $150.00 $112.50 25% off $47.20 $47.20 $47.20 2025-12-31
83516 CPT Celiac Disease Antibody 1 1 $301.00 $225.75 25% off $45.34 $45.34 $45.34 2025-12-31
97116 CPT Gait Training 1 1 $88.38 $66.29 25% off $44.46 $44.46 $44.46 2025-12-31
86038 CPT Ana Screen 1 1 $127.00 $95.25 25% off $44.30 $44.30 $44.30 2025-12-31
84443 CPT Tsh 1 1 $177.00 $132.75 25% off $43.97 $43.97 $43.97 2025-12-31
96367 CPT Tx/proph/dg Addl Seq IV Inf 96 1 1 $160.62 $120.47 25% off $43.46 $43.46 $43.46 2025-12-31
96376 CPT Inj Same Drug Add On 1 1 $75.00 $56.25 25% off $43.43 $43.43 $43.43 2025-12-31
80061 CPT Lipid Profile 1 1 $155.00 $116.25 25% off $43.18 $43.18 $43.18 2025-12-31
83921 CPT Methylmalonic Acid Level 1 1 $295.00 $221.25 25% off $42.99 $42.99 $42.99 2025-12-31
83550 CPT Tibc 1 1 $92.00 $69.00 25% off $41.23 $41.23 $41.23 2025-12-31
600124 LOCAL Ketamine Hcl 200 Mg/20 Ml 1 1 $47.00 $35.25 25% off $39.95 $39.95 $39.95 2025-12-31
97033 CPT Iontophoresis (ele Current) 1 1 $99.33 $74.50 25% off $38.38 $38.38 $38.38 2025-12-31
Q3014 HCPCS Telehealth Facility Fee 1 1 $71.00 $53.25 25% off $38.38 $38.38 $38.38 2025-12-31
83519 CPT Bnp 1 1 $142.00 $106.50 25% off $36.48 $36.48 $36.48 2025-12-31
97012 CPT Traction-mechanical 1 1 $50.43 $37.82 25% off $36.36 $36.36 $36.36 2025-12-31
83036 CPT Hgb A1c 1 1 $91.00 $68.25 25% off $35.94 $35.94 $35.94 2025-12-31
29130 CPT Splint Finger Application 291 1 1 $75.00 $56.25 25% off $35.76 $35.76 $35.76 2025-12-31
600156 LOCAL Vancomycin 1 Gm Pre Mix Bag 1 1 $42.00 $31.50 25% off $35.70 $35.70 $35.70 2025-12-31
86039 CPT Ana Titer 1 1 $117.00 $87.75 25% off $34.50 $34.50 $34.50 2025-12-31
84703 CPT Hcg Qualitative 1 1 $79.00 $59.25 25% off $34.32 $34.32 $34.32 2025-12-31
82274 CPT Occult Blood 1 1 $21.25 $15.94 25% off $34.14 $34.14 $34.14 2025-12-31
97016 CPT Vasopneumatic Device 1+ Areas 1 1 $55.00 $41.25 25% off $33.33 $33.33 $33.33 2025-12-31
80076 CPT Liver Panel 1 1 $86.00 $64.50 25% off $31.88 $31.88 $31.88 2025-12-31
87177 CPT Ova & Parasite 1 1 $92.00 $69.00 25% off $31.41 $31.41 $31.41 2025-12-31
97014 CPT Electric Stim 1+ Areas 1 1 $40.00 $30.00 25% off $31.31 $31.31 $31.31 2025-12-31
87338 CPT H Pylori Antigen Detect Stool 1 1 $305.00 $228.75 25% off $31.18 $31.18 $31.18 2025-12-31
84439 CPT T 4 Free 1 1 $92.45 $69.34 25% off $30.77 $30.77 $30.77 2025-12-31
87077 CPT Culture, Identification 1 1 $85.00 $63.75 25% off $30.65 $30.65 $30.65 2025-12-31
87086 CPT Urine Culture 1 1 $85.00 $63.75 25% off $30.38 $30.38 $30.38 2025-12-31
87045 CPT Stool Culture 1 1 $175.00 $131.25 25% off $29.62 $29.62 $29.62 2025-12-31
96366 CPT IV Inf @ Add'l Hr (er) 96366 1 1 $97.74 $73.31 25% off $29.30 $29.30 $29.30 2025-12-31
86200 CPT Ccp Ab 1 1 $113.70 $85.28 25% off $27.79 $27.79 $27.79 2025-12-31
83690 CPT Lipase 1 1 $87.50 $65.63 25% off $27.78 $27.78 $27.78 2025-12-31
96375 CPT Tx/pro/dx Inj New Drug Add On 1 1 $97.74 $73.31 25% off $26.53 $26.53 $26.53 2025-12-31
86140 CPT C-reactive Protein 1 1 $53.35 $40.01 25% off $26.14 $26.14 $26.14 2025-12-31
83735 CPT Magnesium, Serum 1 1 $119.25 $89.44 25% off $25.85 $25.85 $25.85 2025-12-31
87184 CPT Sensitivity 1 1 $48.50 $36.38 25% off $25.79 $25.79 $25.79 2025-12-31
86431 CPT Ra Factor Quantitative 1 1 $59.00 $44.25 25% off $25.74 $25.74 $25.74 2025-12-31
83540 CPT Iron 1 1 $59.00 $44.25 25% off $25.62 $25.62 $25.62 2025-12-31
86668 CPT Tularemia 1 1 $51.95 $38.96 25% off $25.32 $25.32 $25.32 2025-12-31
96372 CPT Inj Sc/im Erm Room 96372 1 1 $160.62 $120.47 25% off $25.25 $25.25 $25.25 2025-12-31
82150 CPT Amylase 1 1 $69.50 $52.13 25% off $25.05 $25.05 $25.05 2025-12-31
J0171 HCPCS Epinephrine 1 1 $29.25 $21.94 25% off $24.86 $24.86 $24.86 2025-12-31
82043 CPT Micro Albumin 1 1 $70.45 $52.84 25% off $24.82 $24.82 $24.82 2025-12-31
82550 CPT Cpk/ck 1 1 $69.00 $51.75 25% off $23.11 $23.11 $23.11 2025-12-31
83615 CPT Ldh 1 1 $29.40 $22.05 25% off $22.78 $22.78 $22.78 2025-12-31
80053 CPT Comprehensive Metabolic 1 1 $80.00 $60.00 25% off $22.68 $22.68 $22.68 2025-12-31
85730 CPT Ptt 1 1 $74.75 $56.06 25% off $22.53 $22.53 $22.53 2025-12-31
86403 CPT Rapid Strep 1 1 $124.80 $93.60 25% off $21.88 $21.88 $21.88 2025-12-31
86015 CPT Actin Smooth Muscle Anti 1 1 $77.40 $58.05 25% off $21.62 $21.62 $21.62 2025-12-31
82247 CPT Bilirubin, Total 1 1 $132.25 $99.19 25% off $21.30 $21.30 $21.30 2025-12-31
J2060 HCPCS Lorazepam 2mg/ml 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
600170 LOCAL Acetaminophen 1000 Mg/100 Ml 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
600147 LOCAL Cefapime 2 Gram Vial 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
600138 LOCAL Ketamine 50 Mg/ml 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
600013 LOCAL Lr 1000 Cc 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
600004 LOCAL Ns 0.9 % 500 Cc 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
A9270 HCPCS Fentanyl Patch 25 Mcg 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
C9113 HCPCS Protonix 40 Mg IV 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
J2310 HCPCS Naloxone 0.4 Mg Per Ml 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
J2270 HCPCS Morphine 10 Mg 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
J1940 HCPCS Furosemide 40 Mg 1 1 $25.00 $18.75 25% off $21.25 $21.25 $21.25 2025-12-31
97010 CPT Hot Packs 1 1 $37.00 $27.75 25% off $21.21 $21.21 $21.21 2025-12-31
801251 LOCAL Zofran 4 Mg (6 Pack) 1 1 $24.00 $18.00 25% off $20.40 $20.40 $20.40 2025-12-31
96361 CPT Hydrate IV Inf Add-on (op) 1 1 $97.74 $73.31 25% off $20.26 $20.26 $20.26 2025-12-31
82248 CPT Direct Bilirubin 1 1 $24.30 $18.23 25% off $20.18 $20.18 $20.18 2025-12-31
80048 CPT Basic Metabolic Profile 1 1 $89.00 $66.75 25% off $19.65 $19.65 $19.65 2025-12-31
86308 CPT Mono Spot 1 1 $54.00 $40.50 25% off $19.50 $19.50 $19.50 2025-12-31
85610 CPT Protime 1 1 $69.00 $51.75 25% off $16.08 $16.08 $16.08 2025-12-31
99218 CPT Observation 1st Hour - Room 1 1 $40.00 $30.00 25% off $15.99 $15.99 $15.99 2025-12-31
J2360 HCPCS Orphenadrine Citrate 30 Mg/ml 1 1 $45.60 $34.20 25% off $15.86 $15.86 $15.86 2025-12-31
830043 LOCAL Motrin Susp Childrens 120 Ml 1 1 $18.32 $13.74 25% off $15.57 $15.57 $15.57 2025-12-31
81000 CPT Ua Dip & Micro 1 1 $61.00 $45.75 25% off $15.54 $15.54 $15.54 2025-12-31
801155 LOCAL Oxycodone 7.5/325 (4 Pack) 1 1 $17.40 $13.05 25% off $14.79 $14.79 $14.79 2025-12-31
84550 CPT Uric Acid- Serum 1 1 $47.00 $35.25 25% off $14.72 $14.72 $14.72 2025-12-31
87205 CPT Gram Stain 1 1 $45.00 $33.75 25% off $14.54 $14.54 $14.54 2025-12-31
600002 LOCAL Ns 0.9 % 100 Cc 1 1 $17.00 $12.75 25% off $14.45 $14.45 $14.45 2025-12-31
85027 CPT Cbc 1 1 $75.00 $56.25 25% off $13.90 $13.90 $13.90 2025-12-31
801254 LOCAL Cephalexin 250 Mg (4 Pack) 1 1 $16.00 $12.00 25% off $13.60 $13.60 $13.60 2025-12-31
J7030 HCPCS Ns 0.9 % 1000 Cc 1 1 $16.00 $12.00 25% off $13.60 $13.60 $13.60 2025-12-31
801157 LOCAL Hydrocodone 7.5/325 (4 Pack) 1 1 $16.00 $12.00 25% off $13.60 $13.60 $13.60 2025-12-31
85025 CPT Cbc W/auto Diff 1 1 $82.00 $61.50 25% off $13.36 $13.36 $13.36 2025-12-31
85651 CPT Sed Rate 1 1 $37.00 $27.75 25% off $13.24 $13.24 $13.24 2025-12-31
36415 CPT Venipuncture 1 1 $15.50 $11.63 25% off $12.05 $12.05 $12.05 2025-12-31
99211 CPT Estab Pt Level 1 99211/physici 1 1 $51.50 $38.63 25% off $11.58 $11.58 $11.58 2025-12-31
84460 CPT Alt / Sgpt 1 1 $66.00 $49.50 25% off $11.36 $11.36 $11.36 2025-12-31
84450 CPT Ast / Sgot 1 1 $82.50 $61.88 25% off $11.11 $11.11 $11.11 2025-12-31
84075 CPT Alk Phos 1 1 $59.50 $44.63 25% off $11.11 $11.11 $11.11 2025-12-31
82565 CPT Creatinine 1 1 $54.00 $40.50 25% off $11.00 $11.00 $11.00 2025-12-31
82040 CPT Albumin 1 1 $61.50 $46.13 25% off $10.63 $10.63 $10.63 2025-12-31
84155 CPT T Protein 1 1 $38.00 $28.50 25% off $8.64 $8.64 $8.64 2025-12-31
90471 CPT Immunization Admin. 90471 1 1 $160.62 $120.47 25% off $8.08 $8.08 $8.08 2025-12-31
800289 LOCAL Prednisone 5 Mg 1 1 $9.40 $7.05 25% off $7.99 $7.99 $7.99 2025-12-31
82962 CPT Accucheck Fsbg 1 1 $15.00 $11.25 25% off $7.99 $7.99 $7.99 2025-12-31
85007 CPT Manual Diff (rml) 1 1 $26.00 $19.50 25% off $7.53 $7.53 $7.53 2025-12-31
800547 LOCAL Tamiflu 75 Mg 1 1 $7.90 $5.93 25% off $6.72 $6.72 $6.72 2025-12-31
801033 LOCAL Pantoprazole Dr 40 Mg 1 1 $6.50 $4.88 25% off $5.53 $5.53 $5.53 2025-12-31
801235 LOCAL Buspirone 7.5 Mg 1 1 $6.20 $4.65 25% off $5.27 $5.27 $5.27 2025-12-31
Q9967 HCPCS Omnipaque 100 Ml 1 1 $61.70 $46.28 25% off $5.05 $5.05 $5.05 2025-12-31
800653 LOCAL Meloxicam 7.5 (mobic) Po 1 1 $4.60 $3.45 25% off $3.91 $3.91 $3.91 2025-12-31
800502 LOCAL Lovastatin 20mg 1 1 $4.60 $3.45 25% off $3.91 $3.91 $3.91 2025-12-31
870053 LOCAL Tetracaine Opth Sol 1 1 $4.50 $3.38 25% off $3.83 $3.83 $3.83 2025-12-31
800919 LOCAL Oxycodone/apap 7.5 Mg 1 1 $4.35 $3.26 25% off $3.70 $3.70 $3.70 2025-12-31
801302 LOCAL Valacyclovir 500 Mg 1 1 $4.10 $3.08 25% off $3.49 $3.49 $3.49 2025-12-31
800618 LOCAL Tramadol (ultram) 50 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800014 LOCAL Amiodarone 200 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800022 LOCAL Amoxicillin 250 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800023 LOCAL Amoxicillin 500 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800032 LOCAL Atarax 25 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800076 LOCAL Clonidine 0.1 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800111 LOCAL Doxycycline 100 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800138 LOCAL Folic Acid 1 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800158 LOCAL Hydrocodone 7.5 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800161 LOCAL Ibuprofen 200 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800195 LOCAL Lomotil 2.5 Mg/0.025 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800198 LOCAL Lorazepam 1 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800212 LOCAL Meclizine 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800227 LOCAL Nitrostat 0.4 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800285 LOCAL Potassium Cl 10 Meq 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800286 LOCAL Potassium Chl 20 Meq 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800291 LOCAL Prednisone 20 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800393 LOCAL Tylenol 325 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800394 LOCAL Tylenol 500 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800524 LOCAL Cozaar 50 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800533 LOCAL Oxycodone/apap 5/325 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800540 LOCAL Zofran (ondansetron) 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800602 LOCAL Benzonatate 100 Mg (tessalon P 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800610 LOCAL Famotidine 20mg (pepcid) 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800638 LOCAL Loperamide (imodium) 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800917 LOCAL Ibuprofen 400 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800918 LOCAL Oxycodone 10/325 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800937 LOCAL Senna Plus 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800954 LOCAL Aspirin 81 Mg Chewable 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
801046 LOCAL Amlodipine - Besylate 5 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
801049 LOCAL Melatonin 5 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
801082 LOCAL Hydrocodone 5/325 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
801083 LOCAL Hydrocodone 10/325 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
801091 LOCAL Dicyclomine 20 Mg (bentanyl) 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
801226 LOCAL Cyclobenzaprine 5 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
801256 LOCAL Metoprolol Succinate 25 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
830139 LOCAL Acetamin Susp 160 Mg/5 Ml 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800677 LOCAL Sucralfate 1 Gm (carafate) 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800738 LOCAL Cetirizine 10 Mg (zyrtec) 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800755 LOCAL Amoxicillin/clavulanate 875/12 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
800862 LOCAL Magnesium Oxide 400 Mg 1 1 $4.00 $3.00 25% off $3.40 $3.40 $3.40 2025-12-31
J0744 HCPCS Cipro 400 Mg IV 1 1 $48.50 $36.38 25% off $3.17 $3.17 $3.17 2025-12-31
J1885 HCPCS Ketorolac 60 Mg/2 Ml 1 1 $25.00 $18.75 25% off $2.19 $2.19 $2.19 2025-12-31
J2765 HCPCS Metoclopramide 10mg IV (reglan 1 1 $25.00 $18.75 25% off $1.45 $1.45 $1.45 2025-12-31
J3010 HCPCS Fentanyl 100 Mcg IV 1 1 $25.00 $18.75 25% off $1.09 $1.09 $1.09 2025-12-31
J1200 HCPCS Diphenhydramine 50 Mg Vl (bena 1 1 $25.00 $18.75 25% off $0.84 $0.84 $0.84 2025-12-31
J0696 HCPCS Ceftriaxone 1 Gm (rocephin) 1 1 $25.00 $18.75 25% off $0.75 $0.75 $0.75 2025-12-31
J3475 HCPCS Magnesium Sulfate 50% 1 1 $25.00 $18.75 25% off $0.63 $0.63 $0.63 2025-12-31
J2919 HCPCS Solu Medrol 125 Mg 1 1 $25.00 $18.75 25% off $0.32 $0.32 $0.32 2025-12-31
J3480 HCPCS Potassium 20 Meq/15 Ml Liquid 1 1 $43.60 $32.70 25% off $0.26 $0.26 $0.26 2025-12-31
J2550 HCPCS Promethazine 25 Mg 1 1 $25.00 $18.75 25% off $0.17 $0.17 $0.17 2025-12-31
J1100 HCPCS Dexamethasone 4mg J1100 1 1 $25.00 $18.75 25% off $0.12 $0.12 $0.12 2025-12-31
J2405 HCPCS Ondansetron 4 Mg Syringe 1 1 $25.00 $18.75 25% off $0.11 $0.11 $0.11 2025-12-31
See an error in this hospital's data? Submit a correction