Hospital

JANE TODD CRAWFORD HOSPITAL

Greensburg, KY · CCN 181325 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHO. M-MODE/2D

This hospital’s price: $1,487 across 13 payers · range $1,110-$1,529

Source: https://www.janetoddhospital.com/Content/Uploads/janetoddhospital.com/images/JTCH%20Standard%20%20Charges%201.8.21.xlsx · observed 2026-07-31

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.

6,600 distinct procedures filed

26 distinct payers

51,596 rate rows

2026-07-31 last MRF observed

Data quality

51,574 of 51,596 rate rows are consumer-grade (100.0%)

22 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
placeholder amount (≤ $0.02) — excluded from medians	13
exceeds 10× this hospital's gross charge — excluded from medians	9

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

Source MRF file	https://www.janetoddhospital.com/Content/Uploads/janetoddhospital.com/files/204474637_Jane-Todd-Crawford-Hospital_standardcharges.csv
Found on page	https://www.janetoddhospital.com/patient-information/price-transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-21
Content fingerprint	e46f2133583d0874… · 2,891,046 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J2505 HCPCS	Neulasta 6mg	13	$6,641.60	$9,147.86	$8,897.24	nat. median $6,278 1.4× median
36573 CPT	Picc Insertion	9	$1,137.91	$1,524.37	$1,524.37	nat. median $2,034 0.7× median
36581 CPT	Cath Replace Tunnel	9	$1,124.75	$1,506.74	$1,506.74	nat. median $3,434 outlier · 0.4×
81229 CPT	Chromosome Rfx Micr	12	$1,160.00	$1,853.10	$1,491.00	nat. median $1,323 1.1× median
93306 CPT	Echo. M-mode/2d	13	$1,109.82	$1,528.62	$1,486.74	nat. median $993 1.5× median
36584 CPT	Replacement Picc	9	$1,001.12	$1,341.12	$1,341.12	nat. median $1,833 0.7× median
73702 CPT	CT Lower E W&without C B	14	$236.00	$2,526.18	$1,259.54	nat. median $700 1.8× median
S0146 HCPCS	Pegasys 180mcg Inj	13	$886.56	$1,221.11	$1,187.65	nat. median $43 outlier · 27.5×
73202 CPT	CT Upper E W&without C B	14	$236.00	$2,374.24	$1,187.12	nat. median $710 1.7× median
J1566 HCPCS	Carimune 12 Gram Immune Globulin	13	$79.37	$2,433.27	$1,183.21	nat. median $789 1.5× median
342-6 OTHER	Dest First Lesion	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
50211-2 OTHER	Breast Bx Add Lesion	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
357-4 OTHER	Endometrial Biopsy	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
171-9 OTHER	Lay/body Less-2.5 Cm	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
343-4 OTHER	Dest Sec-14 Lesions	6	$20.00	$1,168.00	$1,138.00	nat. median $14,571 outlier · 0.1×
164-4 OTHER	Dest First Lesion	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
297303-0 OTHER	Exc Benign Lesion	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
344-2 OTHER	Exc Benign Lesion	6	$20.00	$1,168.00	$1,138.00	nat. median $5,684 outlier · 0.2×
192-5 OTHER	Endometrial Biopsy	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
502000-3 OTHER	Renal Biopsy	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
168-5 OTHER	Removal Skin Tag	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
345-9 OTHER	Lay/body Less-2.5 Cm	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
99164-6 OTHER	Central Line Insert	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
366-5 OTHER	I & D Of Abscess	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
148-7 OTHER	Exc Benign Lesion	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
347-5 OTHER	Biopsy Skin S Lesion	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
153-7 OTHER	Biopsy Skin S Lesion	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
361-6 OTHER	Removal Skin Tag	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
165-1 OTHER	Dest Sec-14 Lesions	6	$20.00	$1,168.00	$1,138.00	nat. median $25,140 outlier · 0.0×
143-8 OTHER	I & D Of Abscess	6	$20.00	$1,168.00	$1,138.00	nat. median $1,138 1.0× median
73701 CPT	CT Lower Ex W/con Bi	14	$236.00	$2,274.84	$1,137.42	nat. median $668 1.7× median
73201 CPT	CT Upper Ex W/con Bi	14	$236.00	$2,078.88	$1,039.44	nat. median $802 1.3× median
J1162 HCPCS	Digibind 10mg/ml 4ml	13	$717.36	$1,471.68	$1,028.26	nat. median $7,155 outlier · 0.1×
38505 CPT	Biopsy Inguin\axill	9	$756.03	$1,012.80	$1,012.80	nat. median $1,742 0.6× median
20219-2 OTHER	Emerg. Room-level 5	6	$15.00	$994.00	$994.00	nat. median $994 1.0× median
19083 CPT	Breast Bpsy U/s Plmt	10	$68.00	$984.72	$984.72	nat. median $2,144 outlier · 0.5×
70492 CPT	CT Neck W&without Cont	14	$236.00	$1,124.64	$982.08	nat. median $645 1.5× median
74170 CPT	CT Abd W&without Cont	14	$236.00	$1,124.64	$982.08	nat. median $710 1.4× median
72194 CPT	CT Pelvis W&without Cont	14	$236.00	$1,124.64	$982.08	nat. median $663 1.5× median
36556 CPT	Central Line Insert	9	$732.99	$981.93	$981.93	nat. median $2,483 outlier · 0.4×
71270 CPT	CT Chest W&without Cont	14	$236.00	$1,099.08	$959.76	nat. median $672 1.4× median
36010 CPT	Perm Cath Insertion	9	$709.67	$950.69	$950.69	nat. median $1,235 0.8× median
20217-6 OTHER	Emerg. Room-level 4	6	$15.00	$950.00	$950.00	nat. median $950 1.0× median
73700 CPT	CT Lower Ex Without C Bi	14	$236.00	$1,867.30	$933.65	nat. median $498 1.9× median
J0630 HCPCS	Miacalcin 200un 1ml	13	$686.39	$945.40	$919.50	nat. median $1,892 outlier · 0.5×
J1742 HCPCS	Corvert 1mg/10ml Inj	13	$672.54	$926.33	$900.95	nat. median $363 outlier · 2.5×
73200 CPT	CT Upper Ex Without C Bi	14	$236.00	$1,651.46	$893.18	nat. median $518 1.7× median
70470 CPT	CT Brain W&without Cont	14	$236.00	$1,022.40	$892.80	nat. median $619 1.4× median
70488 CPT	CT Facial/sinus W/wo	14	$236.00	$1,022.40	$892.80	nat. median $637 1.4× median
10005 CPT	Fine Needle Asp W/us	8	$662.50	$887.50	$887.50	nat. median $930 1.0× median

Other procedures at this hospital

Browse this hospital's 6,600 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

J2505	HCPCS	Neulasta 6mg	13	13	$12,531.32	—	$6,641.60	$9,147.86	$8,897.24	2026-07-31
36573	CPT	Picc Insertion	9	9	$2,147.00	—	$1,137.91	$1,524.37	$1,524.37	2026-07-31
36581	CPT	Cath Replace Tunnel	9	9	$2,122.17	—	$1,124.75	$1,506.74	$1,506.74	2026-07-31
81229	CPT	Chromosome Rfx Micr	19	12	$2,100.00	—	$1,160.00	$1,853.10	$1,491.00	2026-07-31
93306	CPT	Echo. M-mode/2d	13	13	$2,094.00	—	$1,109.82	$1,528.62	$1,486.74	2026-07-31
36584	CPT	Replacement Picc	9	9	$1,888.90	—	$1,001.12	$1,341.12	$1,341.12	2026-07-31
73702	CPT	CT Lower E W&without C B	22	14	$3,558.00	—	$236.00	$2,526.18	$1,259.54	2026-07-31
S0146	HCPCS	Pegasys 180mcg Inj	13	13	$1,672.75	—	$886.56	$1,221.11	$1,187.65	2026-07-31
73202	CPT	CT Upper E W&without C B	22	14	$3,344.00	—	$236.00	$2,374.24	$1,187.12	2026-07-31
J1566	HCPCS	Carimune 12 Gram Immune Globulin	39	13	$1,666.50	—	$79.37	$2,433.27	$1,183.21	2026-07-31
342-6	OTHER	Dest First Lesion	6	6	$168.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
50211-2	OTHER	Breast Bx Add Lesion	6	6	$1,089.45	—	$20.00	$1,168.00	$1,138.00	2026-05-09
357-4	OTHER	Endometrial Biopsy	6	6	$197.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
171-9	OTHER	Lay/body Less-2.5 Cm	6	6	$421.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
343-4	OTHER	Dest Sec-14 Lesions	6	6	$150.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
164-4	OTHER	Dest First Lesion	6	6	$168.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
297303-0	OTHER	Exc Benign Lesion	6	6	$221.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
344-2	OTHER	Exc Benign Lesion	6	6	$421.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
192-5	OTHER	Endometrial Biopsy	6	6	$197.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
502000-3	OTHER	Renal Biopsy	6	6	$300.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
168-5	OTHER	Removal Skin Tag	6	6	$181.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
345-9	OTHER	Lay/body Less-2.5 Cm	6	6	$421.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
99164-6	OTHER	Central Line Insert	6	6	$1,383.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
366-5	OTHER	I & D Of Abscess	6	6	$295.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
148-7	OTHER	Exc Benign Lesion	6	6	$421.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
347-5	OTHER	Biopsy Skin S Lesion	6	6	$210.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
153-7	OTHER	Biopsy Skin S Lesion	6	6	$210.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
361-6	OTHER	Removal Skin Tag	6	6	$181.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
165-1	OTHER	Dest Sec-14 Lesions	6	6	$150.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
143-8	OTHER	I & D Of Abscess	6	6	$295.00	—	$20.00	$1,168.00	$1,138.00	2026-05-09
73701	CPT	CT Lower Ex W/con Bi	22	14	$3,204.00	—	$236.00	$2,274.84	$1,137.42	2026-07-31
73201	CPT	CT Upper Ex W/con Bi	22	14	$2,928.00	—	$236.00	$2,078.88	$1,039.44	2026-07-31
J1162	HCPCS	Digibind 10mg/ml 4ml	26	13	$1,684.75	—	$717.36	$1,471.68	$1,028.26	2026-07-31
38505	CPT	Biopsy Inguin\axill	9	9	$1,426.48	—	$756.03	$1,012.80	$1,012.80	2026-07-31
20219-2	OTHER	Emerg. Room-level 5	6	6	$425.00	—	$15.00	$994.00	$994.00	2026-05-09
19083	CPT	Breast Bpsy U/s Plmt	10	10	$1,386.93	—	$68.00	$984.72	$984.72	2026-07-31
70492	CPT	CT Neck W&without Cont	14	14	$1,584.00	—	$236.00	$1,124.64	$982.08	2026-07-31
74170	CPT	CT Abd W&without Cont	14	14	$1,584.00	—	$236.00	$1,124.64	$982.08	2026-07-31
72194	CPT	CT Pelvis W&without Cont	14	14	$1,584.00	—	$236.00	$1,124.64	$982.08	2026-07-31
36556	CPT	Central Line Insert	9	9	$1,383.00	—	$732.99	$981.93	$981.93	2026-07-31
71270	CPT	CT Chest W&without Cont	14	14	$1,548.00	—	$236.00	$1,099.08	$959.76	2026-07-31
36010	CPT	Perm Cath Insertion	9	9	$1,339.00	—	$709.67	$950.69	$950.69	2026-07-31
20217-6	OTHER	Emerg. Room-level 4	6	6	$269.00	—	$15.00	$950.00	$950.00	2026-05-09
73700	CPT	CT Lower Ex Without C Bi	22	14	$2,630.00	—	$236.00	$1,867.30	$933.65	2026-07-31
J0630	HCPCS	Miacalcin 200un 1ml	13	13	$1,295.07	—	$686.39	$945.40	$919.50	2026-07-31
J1742	HCPCS	Corvert 1mg/10ml Inj	13	13	$1,268.94	—	$672.54	$926.33	$900.95	2026-07-31
73200	CPT	CT Upper Ex Without C Bi	22	14	$2,326.00	—	$236.00	$1,651.46	$893.18	2026-07-31
70470	CPT	CT Brain W&without Cont	14	14	$1,440.00	—	$236.00	$1,022.40	$892.80	2026-07-31
70488	CPT	CT Facial/sinus W/wo	14	14	$1,440.00	—	$236.00	$1,022.40	$892.80	2026-07-31
10005	CPT	Fine Needle Asp W/us	8	8	$1,250.00	—	$662.50	$887.50	$887.50	2026-07-31
72125	CPT	CT C-spine	14	14	$1,404.00	—	$236.00	$996.84	$870.48	2026-07-31
74160	CPT	CT Abd W/contrast	14	14	$1,404.00	—	$236.00	$996.84	$870.48	2026-07-31
72131	CPT	CT L-spine Without Contrast	14	14	$1,404.00	—	$236.00	$996.84	$870.48	2026-07-31
70491	CPT	CT Neck W/contrast	14	14	$1,404.00	—	$236.00	$996.84	$870.48	2026-07-31
72128	CPT	CT T-spine	14	14	$1,404.00	—	$236.00	$996.84	$870.48	2026-07-31
72193	CPT	CT Pelvis W/contrast	14	14	$1,404.00	—	$236.00	$996.84	$870.48	2026-07-31
71260	CPT	CT Chest W/contrast	14	14	$1,404.00	—	$236.00	$996.84	$870.48	2026-07-31
93970	CPT	Venous Dopp U/l Bi	14	14	$1,226.00	—	$80.00	$894.98	$870.46	2026-07-31
93880	CPT	Cartoid Art Ultrasnd	14	14	$1,214.00	—	$80.00	$886.22	$861.94	2026-07-31
70482	CPT	CT Orbits W & Without Contrast	14	14	$1,367.00	—	$236.00	$970.57	$847.54	2026-07-31
90375	CPT	Rabies Imm Glob 1ml	13	13	$1,117.52	—	$592.29	$815.79	$793.44	2026-07-31
70460	CPT	CT Brain W/contrast	14	14	$1,260.00	—	$236.00	$894.60	$781.20	2026-07-31
71250	CPT	CT Chest Without Cont	14	14	$1,260.00	—	$236.00	$894.60	$781.20	2026-07-31
74150	CPT	CT Abd Without Contrast	14	14	$1,260.00	—	$236.00	$894.60	$781.20	2026-07-31
70490	CPT	CT Neck Without Contrast	14	14	$1,260.00	—	$236.00	$894.60	$781.20	2026-07-31
70487	CPT	CT Facial/sinus W/co	14	14	$1,260.00	—	$236.00	$894.60	$781.20	2026-07-31
72192	CPT	CT Pelvis Without Contrast	14	14	$1,260.00	—	$236.00	$894.60	$781.20	2026-07-31
32405	CPT	Biopsy Of Lung	9	9	$1,100.00	—	$583.00	$781.00	$781.00	2026-07-31
49450	CPT	Replace Gtube W/fluo	9	9	$1,099.00	—	$582.47	$780.29	$780.29	2026-07-31
19084	CPT	Add Breast Bx	9	9	$1,089.45	—	$577.41	$773.51	$773.51	2026-07-31
36589	CPT	Removal Picc	9	9	$1,086.60	—	$575.90	$771.49	$771.49	2026-07-31
72132	CPT	CT L-spine W/cont	14	14	$1,241.00	—	$236.00	$881.11	$769.42	2026-07-31
88237	CPT	Chromosome Analysis-hematology	12	12	$1,090.00	—	$143.75	$773.90	$768.45	2026-07-31
72133	CPT	CT L-spine W&without Con	14	14	$1,235.00	—	$236.00	$876.85	$765.70	2026-07-31
76700	CPT	U/s Abdomen	14	14	$1,066.00	—	$350.00	$778.18	$756.86	2026-07-31
J1670	HCPCS	Hypertet 250unit 1ml	13	13	$1,059.48	—	$561.52	$773.42	$752.23	2026-07-31
47100	CPT	Biopsy Of Liver	9	9	$986.00	—	$522.58	$700.06	$700.06	2026-07-31
47000	CPT	Biopsy Of Liver	9	9	$986.00	—	$522.58	$700.06	$700.06	2026-07-31
70481	CPT	CT Orbits W/contrast	14	14	$1,116.00	—	$236.00	$792.36	$691.92	2026-07-31
32555	CPT	Thoracentesis /tube	9	9	$957.90	—	$507.69	$680.11	$680.11	2026-07-31
72240	CPT	Myelogram C-spine	14	14	$926.00	—	$175.00	$675.98	$657.46	2026-07-31
72255	CPT	Myelogram Thoracic	14	14	$926.00	—	$175.00	$675.98	$657.46	2026-07-31
72265	CPT	Myelogram L-spine	14	14	$926.00	—	$175.00	$675.98	$657.46	2026-07-31
70450	CPT	CT Brain W/0 Contras	14	14	$1,044.00	—	$236.00	$741.24	$647.28	2026-07-31
70486	CPT	CT Facial/sinus Without	14	14	$1,044.00	—	$236.00	$741.24	$647.28	2026-07-31
88361	CPT	Circulating Tumor Cell	11	11	$907.00	—	$589.55	$643.97	$643.97	2026-07-31
36904	CPT	Declot Dialysis Cath	9	9	$884.53	—	$468.80	$628.02	$628.02	2026-07-31
A4301	HCPCS	Triumph I Access Port	13	13	$864.00	—	$457.92	$630.72	$613.44	2026-07-31
20103-8	OTHER	Emerg. Room-level 3	6	6	$239.00	—	$15.00	$607.00	$607.00	2026-05-09
73206	CPT	CTA Upper Ext Bil	22	14	$1,692.36	—	$236.00	$1,201.58	$600.79	2026-07-31
73706	CPT	CTA Lower Ext Bil	22	14	$1,692.36	—	$236.00	$1,201.58	$600.79	2026-07-31
93925	CPT	Lower E Arterial Bi	14	14	$845.00	—	$80.00	$616.85	$599.95	2026-07-31
J1563	HCPCS	Carimure 3 Gram	13	13	$833.50	—	$441.75	$608.46	$591.78	2026-07-31
J7320	HCPCS	Synvisc 2ml	13	13	$827.75	—	$438.71	$604.26	$587.70	2026-07-31
77054	CPT	Mammo Ductogram/mult	14	14	$833.00	—	$85.00	$591.43	$587.26	2026-07-31
J1205	HCPCS	Chlorothiazide Na500	13	13	$813.66	—	$431.24	$593.97	$577.70	2026-07-31
74150-4	OTHER	Pf CT Abd Comb IV No	2	2	$193.00	—	$88.00	$1,042.00	$565.00	2026-05-09
730173-2	OTHER	Pf CT Abd Comb Oc	2	2	$193.00	—	$88.00	$1,042.00	$565.00	2026-05-09
62284	CPT	Myelogram Injection	9	9	$792.00	—	$419.76	$562.32	$562.32	2026-07-31
88121	CPT	Cytp Urine 3-5 Probe	11	11	$789.08	—	$512.90	$560.25	$560.25	2026-07-31
71275	CPT	CTA Chest	14	14	$846.18	—	$236.00	$600.79	$557.89	2026-07-31
70496	CPT	CTA Brain	14	14	$846.18	—	$236.00	$600.79	$557.89	2026-07-31
74175	CPT	CTA Abdomen	14	14	$846.18	—	$236.00	$600.79	$557.89	2026-07-31
70498	CPT	CTA Neck	14	14	$846.18	—	$236.00	$600.79	$557.89	2026-07-31
75635	CPT	CTA Abdomen Aorta	14	14	$846.18	—	$236.00	$600.79	$557.89	2026-07-31
72191	CPT	CTA Pelvis	14	14	$846.18	—	$236.00	$600.79	$557.89	2026-07-31
49083	CPT	Paracentesis W/image	9	9	$785.50	—	$416.31	$557.70	$557.70	2026-07-31
49082	CPT	Paracentesis	9	9	$785.50	—	$416.31	$557.70	$557.70	2026-07-31
70480	CPT	CT Orbits Without Contr	14	14	$845.00	—	$236.00	$599.95	$557.48	2026-07-31
74178	CPT	CT Abd/pelvis W&w/oc	14	14	$835.60	—	$236.00	$593.28	$554.14	2026-07-31
62329	CPT	Lumbar Punt W/imag	9	9	$766.00	—	$405.98	$543.86	$543.86	2026-07-31
27330	CPT	Arthrotomy Knee, W/synovial Bx Only	18	9	$924.00	—	$307.93	$899.57	$542.01	2026-07-31
20225	CPT	Biopsy Deep Bone	9	9	$739.00	—	$391.67	$524.69	$524.69	2026-07-31
74177	CPT	CT Abd/pelvis W/con	14	14	$749.52	—	$236.00	$532.16	$523.58	2026-07-31
93930	CPT	Upp/e Arterial U/s B	14	14	$737.00	—	$80.00	$538.01	$523.27	2026-07-31
90376	CPT	Rabies Vaccine 1 Ml	13	13	$694.50	—	$368.09	$506.99	$493.09	2026-07-31
74174	CPT	CTA Abdomen/pelvis	14	14	$664.86	—	$236.00	$515.00	$472.05	2026-07-31
77053	CPT	Mammo Ductogram/sing	14	14	$665.00	—	$85.00	$472.15	$468.82	2026-07-31
P9036	HCPCS	Platelets Aph Irr	13	13	$646.00	—	$342.38	$471.58	$458.66	2026-07-31
87516	CPT	Hbv-ngi Ultraqual	12	12	$632.50	—	$35.09	$449.07	$445.91	2026-07-31
93971	CPT	Venous Dopp U/l Lt	14	14	$618.00	—	$80.00	$451.14	$438.78	2026-07-31
76830	CPT	U/s Pelvic, Transvaginal	14	14	$612.00	—	$324.36	$446.76	$434.52	2026-07-31
J3489	HCPCS	Reclast 1mg Inj	13	13	$606.36	—	$321.37	$442.64	$430.52	2026-07-31
87799	CPT	Bk Quant Pcr	19	12	$726.00	—	$42.84	$515.46	$426.00	2026-07-31
P9035	HCPCS	Platelet Apheresis	11	11	$597.00	—	$388.05	$423.87	$423.87	2026-07-31
94002	CPT	Mech Vent Initial	14	14	$597.00	—	$63.00	$435.81	$423.87	2026-07-31
31600	CPT	Tracheostomy	9	9	$590.00	—	$312.70	$418.90	$418.90	2026-07-31
93926	CPT	Lower E Arterial Lt	14	14	$589.00	—	$80.00	$429.97	$418.19	2026-07-31
75820	CPT	Venogram	14	14	$588.00	—	$175.00	$429.24	$417.48	2026-07-31
85270	CPT	Factor Xi Activity	12	12	$584.00	—	$17.90	$414.64	$411.72	2026-07-31
85280	CPT	Factor Xii Activity	12	12	$584.00	—	$19.35	$414.64	$411.72	2026-07-31
81255	CPT	Clopidogrel	12	12	$583.50	—	$51.45	$414.28	$411.37	2026-07-31
20611	CPT	Joint Asp/inj W U/s	9	9	$577.50	—	$306.07	$410.02	$410.02	2026-07-31
87497	CPT	Cmv Pcr	12	12	$575.00	—	$42.84	$408.25	$405.38	2026-07-31
90838	CPT	Ind Psythpy E/m 60 M	13	13	$566.00	—	$299.98	$413.18	$401.86	2026-07-31
90837	CPT	Ind Psythpy 60 M	13	13	$566.00	—	$299.98	$413.18	$401.86	2026-07-31
74240	CPT	Ugi	14	14	$545.00	—	$175.00	$397.85	$386.95	2026-07-31
99291	CPT	Critical C Int 30-74	14	14	$544.38	—	$288.52	$500.00	$386.51	2026-07-31
94003	CPT	Mech Vent Subsq	14	14	$537.00	—	$63.00	$392.01	$381.27	2026-07-31
76870	CPT	U/s Scrotum	14	14	$532.00	—	$281.96	$388.36	$377.72	2026-07-31
76770	CPT	U/s Aorta Abd	14	14	$532.00	—	$281.96	$388.36	$377.72	2026-07-31
76536	CPT	U/s Thyroid/neck	14	14	$532.00	—	$281.96	$388.36	$377.72	2026-07-31
76856	CPT	U/s Pelvic/transab	14	14	$532.00	—	$281.96	$388.36	$377.72	2026-07-31
76872	CPT	U/s Prostate	14	14	$532.00	—	$281.96	$388.36	$377.72	2026-07-31
93931	CPT	Upp/e Arterial U/s L	14	14	$522.00	—	$80.00	$381.06	$370.62	2026-07-31
77032	CPT	Needle Loc W/mammo	14	14	$522.00	—	$175.00	$381.06	$370.62	2026-07-31
88275	CPT	Interphase In Situ Hybridization	12	12	$516.00	—	$51.19	$366.36	$363.78	2026-07-31
88273	CPT	Chromosomal In Situ Hybridization	12	12	$516.00	—	$34.81	$366.36	$363.78	2026-07-31
87902	CPT	Hcv Genotype	12	12	$512.50	—	$257.45	$363.88	$361.31	2026-07-31
20103	CPT	Removable Of Foreign Without Incision	9	9	$504.00	—	$267.12	$357.84	$357.84	2026-07-31
76857	CPT	Pelvic U/s Limited	14	14	$500.00	—	$265.00	$365.00	$355.00	2026-07-31
84145	CPT	Procalcitonin	12	12	$502.00	—	$27.22	$356.42	$353.91	2026-07-31
76881	CPT	U/s Extremities Bi	27	14	$892.00	—	$236.38	$651.16	$350.00	2026-07-31
74176	CPT	CT Abd/pelvis Without C	14	14	$484.62	—	$236.00	$515.00	$344.08	2026-07-31
48102	CPT	Biopsy Of Pancreas	9	9	$482.00	—	$255.46	$342.22	$342.22	2026-07-31
85520	CPT	Heparin Anti-xa	12	12	$481.00	—	$13.09	$341.51	$339.11	2026-07-31
88309	CPT	Tissue Ex Pathologis	11	11	$474.40	—	$308.36	$336.82	$336.82	2026-07-31
87522	CPT	Hcv Quantasure	26	12	$474.38	—	$42.84	$379.50	$334.44	2026-07-31
81270	CPT	Jak2	12	12	$467.00	—	$91.66	$331.57	$329.24	2026-07-31
72130	CPT	CT T-spine W/wo	14	14	$459.00	—	$236.00	$515.00	$325.89	2026-07-31
88367	CPT	Insitu Hybridiz Auto	11	11	$455.00	—	$295.75	$323.05	$323.05	2026-07-31
36430	CPT	Blood Adm	13	13	$454.00	—	$240.62	$331.42	$322.34	2026-07-31
87471	CPT	Bartonella DNA	12	12	$450.00	—	$35.09	$319.50	$317.25	2026-07-31
43752	CPT	Fluoro Guide Ng Tube	9	9	$440.00	—	$233.20	$312.40	$312.40	2026-07-31
74430	CPT	Cystogram	14	14	$436.00	—	$175.00	$318.28	$309.56	2026-07-31
74425	CPT	Urography Antegrade	14	14	$435.24	—	$175.00	$317.73	$309.02	2026-07-31
76604	CPT	U/s Chest	14	14	$434.00	—	$230.02	$350.00	$308.14	2026-07-31
87498	CPT	Enterovirus Pcr	12	12	$437.00	—	$35.09	$310.27	$308.08	2026-07-31
20610	CPT	Minor Surg. Inject	9	9	$432.00	—	$228.96	$306.72	$306.72	2026-07-31
76942	CPT	U/s Guid Ndle Place	14	14	$432.00	—	$228.96	$350.00	$306.72	2026-07-31
80347	CPT	Benzodiazepine Blood	11	11	$432.00	—	$280.80	$306.72	$306.72	2026-07-31
83789	CPT	Baclofen	12	12	$433.50	—	$24.11	$307.78	$305.62	2026-07-31
84597	CPT	Vitki	12	12	$433.00	—	$13.72	$307.43	$305.26	2026-07-31
95816	CPT	EEG	14	14	$425.18	—	$225.35	$310.38	$301.88	2026-07-31
87536	CPT	HIV Ultra Sens RNA Quant	33	12	$550.00	—	$85.10	$394.05	$301.75	2026-07-31
99285	CPT	Emerg. Room-level 5	14	14	$425.00	—	$225.25	$994.00	$301.75	2026-07-31
90670	CPT	Prevnar 13 0.5ml	14	14	$424.39	—	$224.93	$309.80	$301.32	2026-07-31
90806	CPT	Individual 45-50	13	13	$420.00	—	$222.60	$306.60	$298.20	2026-07-31
90836	CPT	Ind Psythpy E/m 45 M	13	13	$420.00	—	$222.60	$306.60	$298.20	2026-07-31
90834	CPT	Ind Psythpy 45 M	13	13	$420.00	—	$222.60	$306.60	$298.20	2026-07-31
85421	CPT	Plasminogen Act Inhibitor Ag	12	12	$420.00	—	$10.18	$298.20	$296.10	2026-07-31
74450	CPT	Retro Urethrogram	14	14	$417.00	—	$175.00	$304.41	$296.07	2026-07-31
730178-1	OTHER	Pf CT Abd/pel W IV Oc	2	2	$172.00	—	$88.00	$500.00	$294.00	2026-05-09
730177-3	OTHER	Pf CT Abpel Wo IV Oc	2	2	$172.00	—	$88.00	$500.00	$294.00	2026-05-09
704861-4	OTHER	Pf CT Facial/sin Without	2	2	$156.00	—	$88.00	$500.00	$294.00	2026-05-09
52199-7	OTHER	Pf CT Abdpel W IV No	2	2	$172.00	—	$88.00	$500.00	$294.00	2026-05-09
84591	CPT	Vitamin B3	12	12	$414.00	—	$17.06	$293.94	$291.87	2026-07-31
88189	CPT	Flow Cyt Interp	11	11	$405.00	—	$85.56	$287.55	$287.55	2026-07-31
52030-4	OTHER	CT Neck W/contrast	10	7	$1,404.00	—	$15.00	$515.00	$286.50	2026-05-09
50318-5	OTHER	CTA Neck	10	7	$846.18	—	$15.00	$846.00	$286.50	2026-05-09
52197-1	OTHER	CT Abd/pel Com IV No	10	7	$835.60	—	$15.00	$515.00	$286.50	2026-05-09
52039-5	OTHER	CT Neck Without Contrast	10	7	$1,260.00	—	$15.00	$515.00	$286.50	2026-05-09
50315-1	OTHER	CT L-spine Without Contrast	10	7	$1,404.00	—	$15.00	$515.00	$286.50	2026-05-09
52037-9	OTHER	CT Chest W/contrast	10	7	$1,404.00	—	$15.00	$959.50	$286.50	2026-05-09
52196-3	OTHER	CT Abd/pel W IV No	10	7	$749.52	—	$15.00	$515.00	$286.50	2026-05-09
50239-3	OTHER	CT Abd/pel Without IV Oc	10	7	$749.52	—	$15.00	$515.00	$286.50	2026-05-09
50240-1	OTHER	CT Abd/pel W IV Oc	10	7	$749.52	—	$15.00	$515.00	$286.50	2026-05-09
50241-9	OTHER	CT Abd/pel Com IV Oc	10	7	$835.60	—	$15.00	$515.00	$286.50	2026-05-09
50214-6	OTHER	CT Head Without Cont	10	7	$1,044.00	—	$15.00	$515.00	$286.50	2026-05-09
52050-2	OTHER	CT Facial/sinus Without	10	7	$1,044.00	—	$15.00	$515.00	$286.50	2026-05-09
50216-1	OTHER	CT Head W-without Cont	10	7	$1,440.00	—	$15.00	$515.00	$286.50	2026-05-09
50316-9	OTHER	CT Chest Without Cont	10	7	$1,260.00	—	$15.00	$515.00	$286.50	2026-05-09
36596	CPT	Picc Declot	9	9	$403.00	—	$213.59	$286.13	$286.13	2026-07-31
90846	CPT	Family Therapy Without	13	13	$401.00	—	$212.53	$292.73	$284.71	2026-07-31
74280	CPT	Barium Enema W/air	14	14	$401.00	—	$175.00	$292.73	$284.71	2026-07-31
86360	CPT	Cd4/cd8 Ratio	12	12	$396.00	—	$46.98	$281.16	$279.18	2026-07-31
31529	CPT	Subs Dil Inc Laryngy	10	10	$393.12	—	$63.00	$279.12	$279.12	2026-07-31
J2353	HCPCS	Sandostatin Lar 1m I	13	13	$388.32	—	$205.81	$283.47	$275.71	2026-07-31
77075	CPT	Bone Survey	14	14	$378.00	—	$175.00	$275.94	$268.38	2026-07-31
50219-5	OTHER	CT Abd Comb IV No	10	7	$1,584.00	—	$15.00	$500.00	$267.50	2026-05-09
50235-1	OTHER	CT Abd Comb Oc	10	7	$1,584.00	—	$15.00	$500.00	$267.50	2026-05-09
86171	CPT	Atypical Pneumonia	12	12	$379.00	—	$10.01	$269.09	$267.19	2026-07-31
93978	CPT	Aortic Sonogram	14	14	$374.00	—	$80.00	$273.02	$265.54	2026-07-31
J1610	HCPCS	Glucagon W/dil 1mg	13	13	$370.35	—	$196.29	$270.36	$262.95	2026-07-31
77003	CPT	Fluro Guide Spine	27	14	$618.00	—	$175.00	$451.14	$262.80	2026-07-31
80307	CPT	Drug Panel Bld 7drug	12	12	$370.00	—	$62.14	$262.70	$260.85	2026-07-31
88368	CPT	Insitu Hybridiz Manu	11	11	$367.13	—	$238.63	$260.66	$260.66	2026-07-31
87328	CPT	Cryptosporidium - Stool	12	12	$367.00	—	$13.82	$260.57	$258.74	2026-07-31
86148	CPT	Phosphaticylserine	12	12	$366.00	—	$16.07	$259.86	$258.03	2026-07-31
20206	CPT	Biopsy Mus Perc Ndle	9	9	$360.00	—	$190.80	$255.60	$255.60	2026-07-31
19290	CPT	Needle Loc W/ultsd	9	9	$360.00	—	$190.80	$255.60	$255.60	2026-07-31
93886	CPT	Transcranial Doppler	14	14	$358.00	—	$80.00	$261.34	$254.18	2026-07-31
93888	CPT	Transcranial Doppler Limited	14	14	$358.00	—	$80.00	$261.34	$254.18	2026-07-31
86804	CPT	Hep C Verify	12	12	$360.00	—	$15.49	$255.60	$253.80	2026-07-31
20102-0	OTHER	Emerg. Room-level 2	6	6	$164.00	—	$15.00	$253.00	$253.00	2026-05-09
74246	CPT	Ac Ugi Without Kub	27	14	$343.00	—	$175.00	$338.72	$250.39	2026-07-31
50335-9	OTHER	CTA Abdomen/pelvis	10	7	$664.86	—	$15.00	$500.00	$250.00	2026-05-09
730180-7	OTHER	Pf CT Abd/pel Renal	2	2	$169.00	—	$88.00	$411.50	$249.75	2026-05-09
52198-9	OTHER	Pf CT Abpel Wo Ivno	2	2	$169.00	—	$88.00	$411.50	$249.75	2026-05-09
76705	CPT	U/s Gallbladder	28	14	$360.00	—	$57.24	$446.76	$249.68	2026-07-31
31528	CPT	Dilation Lry Int Dil	10	10	$351.20	—	$63.00	$249.35	$249.35	2026-07-31
L8501	HCPCS	Passy Muir Speak Val	13	13	$350.00	—	$185.50	$255.50	$248.50	2026-07-31
49452	CPT	Replace Gj Tube W/f	9	9	$348.63	—	$184.77	$247.53	$247.53	2026-07-31
81256	CPT	Hered Hemochromatosi	12	12	$350.00	—	$65.36	$248.50	$246.75	2026-07-31
90792	CPT	New Patient Eval Psy	13	13	$346.15	—	$183.46	$252.69	$245.77	2026-07-31
992841-7	OTHER	Extended Exam	2	2	$292.96	—	$88.00	$400.00	$244.00	2026-05-09
81241	CPT	Factor V Leiden	12	12	$346.00	—	$73.37	$245.66	$243.93	2026-07-31
88307	CPT	Tissue Ex Pathologis	11	11	$341.80	—	$222.17	$242.68	$242.68	2026-07-31
84255	CPT	Selenium	12	12	$344.00	—	$25.53	$244.24	$242.52	2026-07-31
86359	CPT	T Cell Total Count	12	12	$343.00	—	$37.73	$243.53	$241.81	2026-07-31
88262	CPT	Cgh-karyotype	26	12	$340.00	—	$125.49	$687.28	$239.70	2026-07-31
73010	CPT	Scapula Bil	27	14	$450.00	—	$172.25	$328.50	$237.25	2026-07-31
84432	CPT	Thyroglobulin Quant	12	12	$335.00	—	$16.06	$237.85	$236.18	2026-07-31
73521	CPT	Hips Bi W/wo Pelvis	14	14	$330.00	—	$174.90	$240.90	$234.30	2026-07-31
81235	CPT	Egfr Gene Com Var	12	12	$329.51	—	$230.66	$324.58	$233.95	2026-07-31
52195-5	OTHER	CT Abd/pel Without IV No	10	7	$484.62	—	$15.00	$500.00	$230.00	2026-05-09
50242-7	OTHER	CT Abd/pel Renal	10	7	$484.62	—	$15.00	$500.00	$230.00	2026-05-09
J2995	HCPCS	Streptase 250m/u	13	13	$323.50	—	$171.46	$236.16	$229.69	2026-07-31
82145	CPT	Amph Confirm-blood	11	11	$320.00	—	$208.00	$227.20	$227.20	2026-07-31
80197	CPT	Tacrolimus	12	12	$319.00	—	$13.73	$226.49	$224.90	2026-07-31
73564	CPT	Knee 4 Views Bi	27	14	$614.00	—	$162.71	$448.22	$224.11	2026-07-31
P9040	HCPCS	Blood Unit Irr	13	13	$311.11	—	$164.89	$227.11	$220.89	2026-07-31
73580	CPT	Arthrogram Knee	14	14	$310.00	—	$164.30	$226.30	$220.10	2026-07-31
73115	CPT	Arthrogram - Wrist	14	14	$310.00	—	$164.30	$226.30	$220.10	2026-07-31
76770-7	OTHER	Pf U/s Renal	2	2	$83.00	—	$88.00	$350.00	$219.00	2026-05-09
76705-3	OTHER	Pf U/s Abd Limited	2	2	$83.00	—	$88.00	$350.00	$219.00	2026-05-09
76833-3	OTHER	Pf U/s Gallbladder	2	2	$83.00	—	$88.00	$350.00	$219.00	2026-05-09
767701-6	OTHER	Pf U/s Abd Aorta	2	2	$94.00	—	$88.00	$350.00	$219.00	2026-05-09
74400	CPT	Ivp	14	14	$307.00	—	$162.71	$224.11	$217.97	2026-07-31
74270	CPT	Barium Enema Without Air	14	14	$307.00	—	$162.71	$224.11	$217.97	2026-07-31
81240	CPT	Factor Ii DNA	12	12	$308.10	—	$65.69	$218.75	$217.21	2026-07-31
52103-9	OTHER	CT Chest W&without Cont	10	7	$1,548.00	—	$15.00	$500.00	$216.50	2026-05-09
50319-3	OTHER	CTA Chest	10	7	$846.18	—	$15.00	$500.00	$216.50	2026-05-09
72114	CPT	Lumbar Flex/ext Comp	14	14	$301.00	—	$159.53	$219.73	$213.71	2026-07-31
50200	CPT	Renal Biopsy	9	9	$300.00	—	$159.00	$213.00	$213.00	2026-07-31
74021	CPT	Abd 3v	14	14	$300.00	—	$159.00	$219.00	$213.00	2026-07-31
76642	CPT	U/s Breast U Limit B	27	14	$400.00	—	$106.00	$350.00	$212.00	2026-07-31
76641	CPT	U/s Breast Bi	27	14	$400.00	—	$106.00	$350.00	$212.00	2026-07-31
52090-8	OTHER	U/s Limited Abdomina	10	7	$612.00	—	$15.00	$446.00	$211.50	2026-05-09
52061-9	OTHER	U/s Abdomen	10	7	$1,066.00	—	$15.00	$778.00	$211.50	2026-05-09
50204-7	OTHER	U/s Renal	10	7	$532.00	—	$15.00	$388.00	$211.50	2026-05-09
50200-5	OTHER	U/s Thyroid/neck	10	7	$532.00	—	$15.00	$388.00	$211.50	2026-05-09
50203-9	OTHER	U/s Gallbladder	10	7	$612.00	—	$15.00	$446.00	$211.50	2026-05-09
52020-5	OTHER	U/s Aorta Abd	10	7	$532.00	—	$15.00	$388.00	$211.50	2026-05-09
52045-2	OTHER	U/s Pelvic, Transvaginal	10	7	$612.00	—	$15.00	$446.00	$211.50	2026-05-09
72126	CPT	CT C-spine W/cont	14	14	$297.25	—	$157.54	$515.00	$211.05	2026-07-31
52022-1	OTHER	U/s Scrotum	10	7	$532.00	—	$15.00	$350.00	$211.00	2026-05-09
P9047	HCPCS	Serum Albumin 25% 50 Ml	13	13	$295.00	—	$156.35	$215.35	$209.45	2026-07-31
J2020	HCPCS	Linezolid 600mg/300m	39	13	$290.75	—	$61.12	$285.63	$206.43	2026-07-31
80366	CPT	Pregabalin (lyrica)	11	11	$290.00	—	$188.50	$205.90	$205.90	2026-07-31
19000	CPT	Aspiration Breast Cyst	9	9	$288.00	—	$152.64	$204.48	$204.48	2026-07-31
21930	CPT	Excision, Tumor, Soft Tissue Of Back Or Flank	9	9	$288.00	—	$152.64	$204.48	$204.48	2026-07-31
85210	CPT	Factor Ii Activity	12	12	$290.00	—	$12.98	$205.90	$204.45	2026-07-31
82495	CPT	Chromium	12	12	$288.00	—	$20.28	$204.48	$203.04	2026-07-31
86833	CPT	Hla Class Ii Ab	12	12	$285.00	—	$199.50	$325.80	$202.35	2026-07-31
86832	CPT	Hla Class I Ab	12	12	$285.00	—	$199.50	$323.75	$202.35	2026-07-31
82507	CPT	Citrate 24 Hr Urine	12	12	$287.00	—	$27.80	$203.77	$202.34	2026-07-31
83519	CPT	Acetylcholine Recpt	40	12	$287.00	—	$18.40	$383.40	$202.34	2026-07-31
90832	CPT	Ind Psythpy 30 M	13	13	$283.00	—	$149.99	$206.59	$200.93	2026-07-31
90833	CPT	Ind Psythpy E/m 30 M	13	13	$283.00	—	$149.99	$206.59	$200.93	2026-07-31
84207	CPT	Vitamin B6	12	12	$284.00	—	$28.10	$201.64	$200.22	2026-07-31
86226	CPT	Ss DNA Ab	12	12	$283.00	—	$12.11	$200.93	$199.51	2026-07-31
83921	CPT	Methylamalonic Acid	12	12	$282.00	—	$21.21	$200.22	$198.81	2026-07-31
50313-6	OTHER	CT C-spine	10	7	$1,404.00	—	$15.00	$500.00	$197.00	2026-05-09
84445	CPT	Thyroid Stimulating Immunoglobulin	12	12	$278.00	—	$50.86	$197.38	$195.99	2026-07-31
51725	CPT	Cystometrogram	9	9	$272.00	—	$144.16	$193.12	$193.12	2026-07-31
77066	CPT	Mammo Diag Bil Dig	14	14	$273.40	—	$68.00	$194.11	$192.75	2026-07-31
73501	CPT	Hip 1v W/wo Pelvis L	14	14	$270.00	—	$143.10	$197.10	$191.70	2026-07-31
71048	CPT	Chest 4v Or More	14	14	$269.00	—	$142.57	$196.37	$190.99	2026-07-31
99284	CPT	Emerg. Room-level 4	14	14	$269.00	—	$142.57	$950.00	$190.99	2026-07-31

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