Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

DEQUINCY MEMORIAL HOSPITAL

Dequincy, LA · CCN 191307 · Rates published

2,668 distinct procedures filed
48 distinct payers
300,835 rate rows
2026-01-15 last MRF observed
Data quality

295,715 of 300,835 rate rows are consumer-grade (98.3%)

5,120 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 3,242
template filing: same amount across many unrelated codes — excluded 1,402
per-diem day rate — not a per-procedure price 265
placeholder amount (≤ $0.02) — excluded from medians 207
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://dequincymemorial.com/36-4911029_DEQUINCY-MEMORIAL-HOSPITAL_standardcharges.csv
Found on page https://dequincymemorial.com
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9faa707fdd7a53e0… · 108,451,973 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
74178
CPT 		CT Abd&pel Wo/w Contrast 45 $240.00 $5,045.00 $3,353.91 nat. median
$977
outlier · 3.4×
74174
CPT 		CTA Abd&pel W Cont 47 $240.00 $4,787.50 $3,182.73 nat. median
$958
outlier · 3.3×
74177
CPT 		CT Abd&pel W Contrast 47 $240.00 $4,451.50 $2,959.35 nat. median
$928
outlier · 3.2×
J2426
CPT 		Invega Sus 234/1.5 J 45 $12.66 $6,424.50 $2,847.33 nat. median
$2,748
1.0× median
81162
CPT 		Brca1 & Brca2 Comprehensive 47 $286.12 $5,250.00 $2,551.95 nat. median
$1,825
1.4× median
74176
CPT 		CT Abd&pel Wo Contrast 47 $184.24 $3,519.00 $2,339.43 nat. median
$685
outlier · 3.4×
0206
RC 		4 $1,000.00 $2,756.25 $2,107.00 nat. median
$3,034
0.7× median
0120
RC 		4 $925.00 $2,177.44 $2,018.19 nat. median
$1,017
2.0× median
70482
CPT 		CT Orbits/iac/mastoid W/wo 47 $151.31 $2,776.50 $1,845.81 nat. median
$648
outlier · 2.8×
71275
CPT 		CT Angio Chest W/without Con 45 $151.31 $2,776.50 $1,845.81 nat. median
$735
outlier · 2.5×
70488
CPT 		CT Maxilo/sinus Wwo Cont 47 $151.31 $2,776.50 $1,845.81 nat. median
$634
outlier · 2.9×
74175
CPT 		CT Angio Abd W&wo Cont 45 $151.31 $2,776.50 $1,845.81 nat. median
$710
outlier · 2.6×
81162-TC
CPT 		Brca1&2 Gen Full Seq Dup/del 1 $1,824.88 $1,824.88 $1,824.88 —
0110
RC 		4 $450.00 $2,177.44 $1,750.00 nat. median
$979
1.8× median
74170
CPT 		CT Abdomen W/without Cont 47 $139.81 $2,565.50 $1,705.54 nat. median
$702
outlier · 2.4×
71270
CPT 		CT Chest W/without Contrast 47 $139.73 $2,564.00 $1,704.54 nat. median
$661
outlier · 2.6×
73702
CPT 		CT Low Extrem Wwo Ctr Lt 45 $137.25 $3,778.00 $1,674.29 nat. median
$710
outlier · 2.4×
70470
CPT 		CT Head/brain W/without Cont 47 $137.25 $2,518.50 $1,674.29 nat. median
$618
outlier · 2.7×
73202
CPT 		CT Up Extrem W/wo Cst Lt 45 $137.25 $2,747.00 $1,674.29 nat. median
$724
outlier · 2.3×
70492
CPT 		CT Neck W/without Contrast 47 $137.20 $2,517.50 $1,673.63 nat. median
$633
outlier · 2.6×
70487
CPT 		CT Maxilo/sinus W Cont 47 $135.62 $2,488.50 $1,654.35 nat. median
$596
outlier · 2.8×
70481
CPT 		CT Orbits/iac/mastoid W 47 $135.62 $2,488.50 $1,654.35 nat. median
$630
outlier · 2.6×
72194
CPT 		CT Pelvis W/wo Contrast 47 $135.13 $2,479.50 $1,648.37 nat. median
$657
outlier · 2.5×
74160
CPT 		CT Abdomen With Cont 47 $126.52 $2,321.50 $1,543.33 nat. median
$645
outlier · 2.4×
71260
CPT 		CT Chest With Contrast 47 $126.52 $2,321.50 $1,543.33 nat. median
$646
outlier · 2.4×
72131
CPT 		CT L-spine Without Contrast 47 $122.92 $2,255.50 $1,499.45 nat. median
$448
outlier · 3.3×
73201
CPT 		CT Up Extrem With Cont Lt 45 $119.05 $2,594.50 $1,452.25 nat. median
$827
1.8× median
70480
CPT 		CT Orbits/iac/mastoid Wo 47 $117.33 $2,153.00 $1,431.31 nat. median
$473
outlier · 3.0×
70486
CPT 		CT Maxilo/sinus Without Cont 47 $117.33 $2,153.00 $1,431.31 nat. median
$463
outlier · 3.1×
72193
CPT 		CT Pelvis With Contrast 47 $116.11 $2,130.50 $1,416.35 nat. median
$629
outlier · 2.3×
70491
CPT 		CT Neck With Contrast 47 $116.11 $2,130.50 $1,416.35 nat. median
$617
outlier · 2.3×
73701
CPT 		CT Low Extrem W\ Ctr Rt 45 $106.13 $3,277.00 $1,376.34 nat. median
$710
1.9× median
70460
CPT 		CT Head/brain With Cont 47 $109.62 $2,011.50 $1,337.24 nat. median
$582
outlier · 2.3×
72125
CPT 		CT C-spine Without Contrast 47 $107.28 $1,968.50 $1,308.65 nat. median
$468
outlier · 2.8×
94013
CPT 		Meas Lung Vol Thru 2 Yrs 45 $19.78 $1,857.10 $1,234.60 nat. median
$492
outlier · 2.5×
72128
CPT 		CT T-spine Without Contrast 47 $101.15 $1,856.00 $1,233.86 nat. median
$449
outlier · 2.7×
72192
CPT 		CT Pelvis Wo Contrast 47 $99.76 $1,830.50 $1,216.91 nat. median
$455
outlier · 2.7×
71271
CPT 		Ldct-lung Screening 47 $97.20 $1,783.50 $1,185.67 nat. median
$205
outlier · 5.8×
71250
CPT 		CT Chest Without Contrast 47 $97.20 $1,783.50 $1,185.67 nat. median
$473
outlier · 2.5×
99291
CPT 		Critical Care Fac 47 $95.92 $1,760.00 $1,170.04 nat. median
$1,611
0.7× median
93306
CPT 		US Echocardiogram Complete 47 $95.70 $1,756.00 $1,167.38 nat. median
$1,008
1.2× median
73700
CPT 		CT Low Extrem Without Ctr Lt 45 $93.49 $2,573.00 $1,140.46 nat. median
$555
outlier · 2.1×
73200
CPT 		CT Up Extrem Without Cont Lt 45 $93.49 $2,573.00 $1,140.46 nat. median
$548
outlier · 2.1×
70490
CPT 		CT Neck Without Contrast 47 $92.10 $1,690.00 $1,123.51 nat. median
$441
outlier · 2.5×
74150
CPT 		CT Abdomen Without Cont 47 $92.10 $1,690.00 $1,123.51 nat. median
$438
outlier · 2.6×
70450
CPT 		CT Head/brain Without Cont 47 $89.89 $1,649.50 $1,096.58 nat. median
$454
outlier · 2.4×
3800002
CDM 		Geri Psych 46 $89.62 $1,644.50 $1,068.92 nat. median
$1,224
0.9× median
P9035
CPT 		Plateletphersis 1 Unit 47 $72.40 $3,401.72 $1,035.85 nat. median
$807
1.3× median
82725
CPT 		Fatty Acid Prf 47 $16.97 $2,211.65 $928.89 nat. median
$32
outlier · 29.1×
94014
CPT 		Patient Recorded Spirometry 45 $52.07 $1,396.64 $928.48 nat. median
$397
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 2,668 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
0110 RC — 17 4 — — $450.00 $2,177.44 $1,750.00 2026-01-15
0120 RC — 14 4 — — $925.00 $2,177.44 $2,018.19 2026-01-15
0124 RC — 4 2 — — $925.00 $1,047.38 $925.00 2026-01-15
0202U CPT Repiratory Pathogen Panel Nfct Ds Bct/v 131 47 $1,037.50 $726.25 30% off $56.54 $1,037.50 $622.50 2026-01-15
0206 RC — 10 4 — — $1,000.00 $2,756.25 $2,107.00 2026-01-15
0480 RC — 6 2 — — $891.00 $891.00 $891.00 2026-01-15
0483 RC — 6 2 — — $740.00 $740.00 $740.00 2026-01-15
0730 RC — 6 2 — — $223.00 $223.00 $223.00 2026-01-15
0900 RC — 2 1 — — $700.00 $700.00 $700.00 2026-01-15
0920 RC — 6 2 — — $170.00 $170.00 $170.00 2026-01-15
0921 RC — 6 2 — — $397.00 $397.00 $397.00 2026-01-15
0940 RC — 6 2 — — $175.00 $175.00 $175.00 2026-01-15
0942 RC — 10 3 $49.50 — $24.75 $175.00 $175.00 2026-01-15
10060 CPT I&d Abscess,cyst Simple-fac 134 47 $439.50 — $23.95 $439.50 $292.17 2026-01-15
10120 CPT Removal F.b.w/incision-fac 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
11740 CPT Evac. Subungual Hematoma 152 45 $319.50 — $17.41 $391.00 $212.40 2026-01-15
11750 CPT Nail Excision Partial Or Compl 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
12001 CPT Lac-sim/2.5orless/scp,trnk,ext 253 47 $246.50 — $12.22 $391.00 $149.08 2026-01-15
12002 CPT Lac Sim/2.6-7.5/scalp/trnk/fac 131 47 $300.00 — $16.35 $316.94 $199.44 2026-01-15
12004 CPT Lac Sim/7.6-12.5/sclp/trnk/nec 134 47 $386.00 — $21.03 $391.00 $256.61 2026-01-15
12005 CPT Lac Sim/12.6-20cmscalp/neck/tr 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
12006 CPT Simple 20.1 To 30 Cm 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
12011 CPT Lac Sim/2.5orless/ears/nosefac 125 45 $286.00 — $15.58 $316.94 $190.13 2026-01-15
12013 CPT Lac Sim/2.6-5.0/ears/nose/fac 131 47 $496.50 — $27.05 $496.50 $316.94 2026-01-15
12031 CPT Lac/layer2.5orless/scalp,trunk 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
12032 CPT Lac/layer-2.6-7.5/sclp/ext Fac 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
12035 CPT Intermediate 12.6 To 20 Cm 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
12036 CPT Lac-inter 20.1-30.0cm Scalp/tr 134 47 $1,598.00 — $87.09 $1,598.00 $901.54 2026-01-15
12041 CPT Lac/layer Neck/hands/feet Fac 128 45 $343.00 — $18.69 $579.56 $228.02 2026-01-15
12042 CPT Lac/layer 2.6-7.5/neck/handfac 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
12051 CPT Lac/layer Face/nose/lips/fac 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
12052 CPT Lac/layer 2.6-5.0/face/nosefac 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
13121 CPT Lac Complex/2.6-7.5/arms/fac 134 47 $1,597.50 — $87.06 $1,597.50 $901.54 2026-01-15
13131 CPT Lac Complex/mouth/hands Fac 134 47 $1,026.00 — $55.91 $1,026.00 $579.56 2026-01-15
13132 CPT Lac Complex/2.6-7.5/mouth/fac 134 47 $1,597.50 — $87.06 $1,597.50 $901.54 2026-01-15
23650 CPT Reduction Shoulder Without Anesth 134 47 $569.50 — $31.03 $569.50 $378.60 2026-01-15
29105 CPT Sugar Tong Splint 155 47 $363.00 — $19.78 $363.00 $241.32 2026-01-15
29125 CPT Appl.short Arm Splint Fac 155 47 $319.50 — $17.41 $319.50 $212.40 2026-01-15
29130 CPT Appl.finger Spling/static Fac 155 47 $319.30 — $17.40 $319.30 $212.27 2026-01-15
29200 CPT Strapping-thorax 149 45 $401.00 — $18.48 $401.00 $266.58 2026-01-15
29515 CPT Appl Of Short Leg Splint Fac 155 47 $400.84 — $21.84 $400.84 $266.47 2026-01-15
29530 CPT Strapping Knee Fac 155 47 $319.50 — $17.41 $319.50 $212.40 2026-01-15
30300 CPT Fb Removal Nare 131 47 $319.30 — $17.40 $319.30 $197.77 2026-01-15
30903 CPT Nasal Hemmroage Cntrl/complex 128 45 $319.50 — $17.41 $391.00 $212.40 2026-01-15
3110002 CDM R&b M/s Private 125 46 $949.50 $664.65 30% off $51.74 $949.50 $617.17 2026-01-15
3110003 CDM R&b M/s Pvt Telem 125 46 $949.50 $664.65 30% off $51.74 $949.50 $617.17 2026-01-15
3110004 CDM R&b M/s Semi Private 125 46 $949.50 $664.65 30% off $51.74 $949.50 $617.17 2026-01-15
3120001 CDM R&b Semi Swing Bed 125 46 $949.50 $664.65 30% off $51.74 $949.50 $617.17 2026-01-15
3120003 CDM R&b Semi Private 125 46 $949.50 $664.65 30% off $51.74 $949.50 $617.17 2026-01-15
36430 CPT Blood Infusion Up To 4 Hours 299 45 $265.50 $898.28 $14.46 $2,301.00 $265.50 2026-01-15
36591 CPT Venous Port Specimen 302 47 $58.50 — $3.18 $406.00 $170.52 2026-01-15
3800002 CDM Geri Psych 125 46 $1,644.50 $1,151.15 30% off $89.62 $1,644.50 $1,068.92 2026-01-15
4304062 CDM Plasminogen Activator Inhibitor 125 46 $310.73 $217.51 30% off $16.93 $310.73 $201.97 2026-01-15
43246 CPT Gastric Tube Check / Gastrograffin 128 45 $440.00 $308.00 30% off $23.98 $2,824.97 $292.51 2026-01-15
43753 CPT Gastric Lavage/intubation-fac 295 45 $980.00 — $23.15 $1,038.50 $651.50 2026-01-15
43762 CPT Gastrostomy Tube Repl 134 47 $591.00 — $32.20 $591.00 $391.00 2026-01-15
4400358 CDM Ciclopirox 8% 3.3ml 125 46 $268.50 $187.95 30% off $14.63 $268.50 $174.52 2026-01-15
4400385 CDM Clindamycin Lot 125 46 $216.25 $151.37 30% off $11.78 $216.25 $140.56 2026-01-15
4400420 CDM Collagenase 30gm Oint 125 46 $571.50 $400.05 30% off $31.14 $571.50 $371.47 2026-01-15
4400694 CDM Flu\salm 100\50mg Ae 125 46 $542.25 $379.57 30% off $29.55 $542.25 $352.46 2026-01-15
4400713 CDM Fluphen Dec 25 Mg/ml Inj 125 46 $279.00 $195.30 30% off $15.20 $279.00 $181.35 2026-01-15
4400726 CDM Flutic\salmet 250mcg 125 46 $673.50 $471.45 30% off $36.70 $673.50 $437.77 2026-01-15
4401283 CDM Neo Pmx Hc Os 7.5ml 125 46 $280.75 $196.52 30% off $15.30 $280.75 $182.48 2026-01-15
4401349 CDM Oflox 0.3% Otic 5ml 125 46 $231.50 $162.05 30% off $12.61 $231.50 $150.47 2026-01-15
4402238 CDM Advair Diskus 500-50mcg 14inp 125 46 $206.75 $144.72 30% off $11.26 $206.75 $134.38 2026-01-15
4405013 CDM Symbicort 160-4.5 Mcg / Puff 125 46 $248.00 $173.60 30% off $13.51 $248.00 $161.20 2026-01-15
4405026 CDM Combivent Respimat 20-100 Aero 125 46 $907.25 $635.07 30% off $49.44 $907.25 $589.71 2026-01-15
4405059 CDM Pneumovax 23 25 Mcg / O.5 Ml Inj 125 46 $210.75 $147.52 30% off $11.48 $210.75 $136.98 2026-01-15
4405144 CDM Brimonidine 0.15%os 125 46 $287.50 $201.25 30% off $15.66 $287.50 $186.87 2026-01-15
4405193 CDM Oxcarbazepine 300 Mg/5 Ml Susp 125 46 $235.50 $164.85 30% off $12.83 $235.50 $153.07 2026-01-15
4405347 CDM Nasones Nasal Spray 50mcg/act 125 46 $384.25 $268.97 30% off $20.94 $384.25 $249.76 2026-01-15
4471771 CDM Wound Vac Dailey 125 46 $255.00 $178.50 30% off $13.89 $255.00 $165.75 2026-01-15
4471772 CDM Nariatric Bed Dailey 125 46 $286.50 $200.55 30% off $15.61 $286.50 $186.22 2026-01-15
4471774 CDM Telemetry Daily 125 46 $293.50 $205.45 30% off $15.99 $293.50 $190.77 2026-01-15
4474122 CDM Adult One-steo Electrode 125 46 $237.50 $166.25 30% off $12.94 $237.50 $154.37 2026-01-15
4474123 CDM Pedi One Step Electrode 125 46 $222.00 $155.40 30% off $12.09 $222.00 $144.30 2026-01-15
4474760 CDM Catheter Multi Lumen 125 46 $952.60 $666.82 30% off $51.91 $952.60 $619.19 2026-01-15
4474804 CDM Thoracentesis Tray 125 46 $300.65 $210.45 30% off $16.38 $300.65 $195.42 2026-01-15
4475062 CDM Thoraseal Drainage System 125 46 $674.00 $471.80 30% off $36.73 $674.00 $438.10 2026-01-15
4475065 CDM 3 Orthoglass 125 46 $409.50 $286.65 30% off $22.31 $409.50 $266.17 2026-01-15
4475066 CDM 4 Orthoglass 125 46 $489.00 $342.30 30% off $26.65 $489.00 $317.85 2026-01-15
4475067 CDM 5 Orthoglass 125 46 $629.50 $440.65 30% off $34.30 $629.50 $409.17 2026-01-15
4475083 CDM Red I/o Module 125 46 $240.00 $168.00 30% off $13.08 $240.00 $156.00 2026-01-15
4475086 CDM Purple Io Module 125 46 $240.00 $168.00 30% off $13.08 $240.00 $156.00 2026-01-15
4475089 CDM Yellow Io Module 125 46 $480.00 $336.00 30% off $26.16 $480.00 $312.00 2026-01-15
4475092 CDM White Io Module 125 46 $240.00 $168.00 30% off $13.08 $240.00 $156.00 2026-01-15
4475095 CDM Blue Io Module 125 46 $240.00 $168.00 30% off $13.08 $240.00 $156.00 2026-01-15
4475098 CDM Orange Io Module 125 46 $240.00 $168.00 30% off $13.08 $240.00 $156.00 2026-01-15
4475101 CDM Green Io Module 125 46 $240.00 $168.00 30% off $13.08 $240.00 $156.00 2026-01-15
4530020 CDM Oxygen Per Day 125 46 $248.50 $173.95 30% off $13.54 $248.50 $161.52 2026-01-15
4530179 CDM Tube, Trach, Xlength 8mm 125 46 $457.50 $320.25 30% off $24.93 $457.50 $297.37 2026-01-15
51701 CPT Insertion Of Non-indwelling Bladder Cath 299 45 $319.50 $223.30 30% off $17.38 $391.00 $212.07 2026-01-15
51702 CPT Cath Insertn/foley 156 45 $319.50 — $17.41 $391.00 $212.40 2026-01-15
51703 CPT Cath Insertion-comp-ER 134 47 $400.00 — $21.80 $400.00 $250.95 2026-01-15
65220 CPT Fb Remvl Cornea 149 45 $1,038.50 — $41.35 $1,038.50 $690.39 2026-01-15
69200 CPT Fb Removal Ear 155 47 $319.30 — $17.40 $319.30 $212.27 2026-01-15
70110 CPT Mandible Min 4 Views 164 47 $243.00 $170.10 30% off $13.24 $243.00 $161.54 2026-01-15
70120 CPT Mastoids 164 47 $300.00 $210.00 30% off $16.35 $300.00 $199.44 2026-01-15
70150 CPT Facial Bones Min 3 Views 164 47 $243.00 $170.10 30% off $13.24 $243.00 $161.54 2026-01-15
70160 CPT Nasal Bone Min 3 Views 164 47 $198.50 $138.95 30% off $10.81 $198.50 $131.96 2026-01-15
70200 CPT Orbits Min 4 Views 164 47 $243.00 $170.10 30% off $13.24 $243.00 $161.54 2026-01-15
70210 CPT Sinuses 2 Views 164 47 $206.00 $144.20 30% off $11.22 $206.00 $136.94 2026-01-15
70220 CPT Sinuses Min 3 Views 164 47 $243.00 $170.10 30% off $13.24 $243.00 $161.54 2026-01-15
70250 CPT Skull < 4 Views 164 47 $226.50 $158.55 30% off $12.34 $226.50 $150.57 2026-01-15
70260 CPT Skull Min 4 Views 164 47 $258.00 $180.60 30% off $14.06 $258.00 $171.51 2026-01-15
70330 CPT Tmj Opened/closed Bilat 164 47 $233.00 $163.10 30% off $12.69 $233.00 $154.89 2026-01-15
70450 CPT CT Head/brain Without Cont 162 47 $1,649.50 $1,154.65 30% off $89.89 $1,649.50 $1,096.58 2026-01-15
70450-TC CPT CT Head/brain Without Contrast 5 2 $1,649.50 — $64.96 $240.00 $240.00 2026-01-15
70460 CPT CT Head/brain With Cont 162 47 $2,011.50 $1,408.05 30% off $109.62 $2,011.50 $1,337.24 2026-01-15
70460-TC CPT CT Head/brain With Contrast 5 2 $2,011.50 — $94.17 $240.00 $240.00 2026-01-15
70470 CPT CT Head/brain W/without Cont 162 47 $2,518.50 $1,762.95 30% off $137.25 $2,518.50 $1,674.29 2026-01-15
70470-TC CPT CT Head/brain Without & With Contrast 5 2 $2,518.50 — $113.34 $240.00 $240.00 2026-01-15
70480 CPT CT Orbits/iac/mastoid Wo 162 47 $2,153.00 $1,507.10 30% off $117.33 $2,153.00 $1,431.31 2026-01-15
70480-TC CPT CT Orbit/ear/fossa Without Contrast 5 2 $2,153.00 — $97.21 $240.00 $240.00 2026-01-15
70481 CPT CT Orbits/iac/mastoid W 162 47 $2,488.50 $1,741.95 30% off $135.62 $2,488.50 $1,654.35 2026-01-15
70481-TC CPT CT Orbit/ear/fossa With Contrast 5 2 $2,488.50 — $126.73 $240.00 $240.00 2026-01-15
70482 CPT CT Orbits/iac/mastoid W/wo 162 47 $2,776.50 $1,943.55 30% off $151.31 $2,776.50 $1,845.81 2026-01-15
70482-TC CPT CT Orbit/ear/fossa W/O&with Contrast 5 2 $2,776.50 — $152.13 $240.00 $240.00 2026-01-15
70486 CPT CT Maxilo/sinus Without Cont 162 47 $2,153.00 $1,507.10 30% off $117.33 $2,153.00 $1,431.31 2026-01-15
70486-TC CPT CT Maxillofacial Without Contrast 5 2 $2,153.00 — $86.26 $240.00 $240.00 2026-01-15
70487 CPT CT Maxilo/sinus W Cont 162 47 $2,488.50 $1,741.95 30% off $135.62 $2,488.50 $1,654.35 2026-01-15
70487-TC CPT CT Maxillofacial With Contrast 5 2 $2,488.50 — $98.43 $240.00 $240.00 2026-01-15
70488 CPT CT Maxilo/sinus Wwo Cont 162 47 $2,776.50 $1,943.55 30% off $151.31 $2,776.50 $1,845.81 2026-01-15
70488-TC CPT CT Maxillofacial Without & With Contrast 5 2 $2,776.50 — $125.21 $240.00 $240.00 2026-01-15
70490 CPT CT Neck Without Contrast 162 47 $1,690.00 $1,183.00 30% off $92.10 $1,690.00 $1,123.51 2026-01-15
70490-TC CPT CT Soft Tissue Neck Without Contrast 5 2 $1,690.00 — $89.30 $240.00 $240.00 2026-01-15
70491 CPT CT Neck With Contrast 162 47 $2,130.50 $1,491.35 30% off $116.11 $2,130.50 $1,416.35 2026-01-15
70491-TC CPT CT Soft Tissue Neck With Contrast 5 2 $2,130.50 — $119.42 $240.00 $240.00 2026-01-15
70492 CPT CT Neck W/without Contrast 162 47 $2,517.50 $1,762.25 30% off $137.20 $2,517.50 $1,673.63 2026-01-15
70492-TC CPT CT Sft Tsue Nck Without & With Contrast 5 2 $2,517.50 — $146.20 $240.00 $240.00 2026-01-15
71046 CPT Xr Chest 2 Views 164 47 $221.50 $155.05 30% off $12.07 $233.00 $147.25 2026-01-15
71047 CPT Xr Chest 2 V's With Obliques 301 45 $442.00 $285.25 35% off $20.32 $442.00 $247.97 2026-01-15
71100 CPT Ribs Unilat 2 Views Lt 158 45 $257.00 $179.90 30% off $14.00 $257.00 $170.85 2026-01-15
71110 CPT Ribs Bilateral 3 Views 164 47 $513.50 $359.45 30% off $27.98 $513.50 $341.37 2026-01-15
71120 CPT Sternum Min 2 Views 164 47 $220.00 $154.00 30% off $11.99 $220.00 $146.25 2026-01-15
71250 CPT CT Chest Without Contrast 162 47 $1,783.50 $1,248.45 30% off $97.20 $1,783.50 $1,185.67 2026-01-15
71250-TC CPT CT Thorax Dx C- 5 2 $1,783.50 — $81.09 $240.00 $240.00 2026-01-15
71260 CPT CT Chest With Contrast 162 47 $2,321.50 $1,625.05 30% off $126.52 $2,321.50 $1,543.33 2026-01-15
71260-TC CPT CT Thorax Dx C+ 5 2 $2,321.50 — $111.21 $240.00 $240.00 2026-01-15
71270 CPT CT Chest W/without Contrast 162 47 $2,564.00 $1,794.80 30% off $139.73 $2,564.00 $1,704.54 2026-01-15
71270-TC CPT CT Thorax Dx C-/c+ 5 2 $2,564.00 — $137.68 $240.00 $240.00 2026-01-15
71271 CPT Ldct-lung Screening 162 47 $1,783.50 $1,248.45 30% off $97.20 $1,783.50 $1,185.67 2026-01-15
71275 CPT CT Angio Chest W/without Con 156 45 $2,776.50 $1,943.55 30% off $151.31 $2,776.50 $1,845.81 2026-01-15
71275-TC CPT CT Angiography Chest 5 2 $2,776.50 — $191.38 $240.00 $240.00 2026-01-15
72040 CPT Cervical Spine 2-3 Views 164 47 $234.00 $163.80 30% off $12.75 $234.00 $155.56 2026-01-15
72050 CPT Cervical Spine Min 4 Vw 164 47 $264.50 $185.15 30% off $14.41 $264.50 $175.83 2026-01-15
72052 CPT Cervical Spine Complete 164 47 $320.00 $224.00 30% off $17.44 $320.00 $212.73 2026-01-15
72070 CPT Thoracic Spine 2 Views 164 47 $234.00 $163.80 30% off $12.75 $234.00 $155.56 2026-01-15
72072 CPT Xr Thoracic Spine 3 Views 164 47 $234.00 $163.80 30% off $12.75 $234.00 $155.56 2026-01-15
72082 CPT Spine Entire 2/3 Vw 164 47 $259.50 $181.65 30% off $14.14 $259.50 $172.51 2026-01-15
72100 CPT Lumbosacral 2-3 Views 164 47 $234.00 $163.80 30% off $12.75 $234.00 $155.56 2026-01-15
72110 CPT Lumbosacral Min 4 View 164 47 $288.50 $201.95 30% off $15.72 $288.50 $191.79 2026-01-15
72114 CPT Lumbosac Comp W/bending 164 47 $348.00 $243.60 30% off $18.96 $348.00 $231.35 2026-01-15
72125 CPT CT C-spine Without Contrast 162 47 $1,968.50 $1,377.95 30% off $107.28 $1,968.50 $1,308.65 2026-01-15
72125-TC CPT CT Neck Spine Without Contrast 5 2 $1,968.50 — $82.00 $240.00 $240.00 2026-01-15
72128 CPT CT T-spine Without Contrast 162 47 $1,856.00 $1,299.20 30% off $101.15 $1,856.00 $1,233.86 2026-01-15
72128-TC CPT CT Chest Spine Without Contrast 5 2 $1,856.00 — $81.69 $240.00 $240.00 2026-01-15
72131 CPT CT L-spine Without Contrast 162 47 $2,255.50 $1,578.85 30% off $122.92 $2,255.50 $1,499.45 2026-01-15
72131-TC CPT CT Lumbar Spine Without Contrast 5 2 $2,255.50 — $81.39 $240.00 $240.00 2026-01-15
72192 CPT CT Pelvis Wo Contrast 162 47 $1,830.50 $1,281.35 30% off $99.76 $1,830.50 $1,216.91 2026-01-15
72192-TC CPT CT Pelvis Without Contrast 5 2 $1,830.50 — $81.09 $240.00 $240.00 2026-01-15
72193 CPT CT Pelvis With Contrast 162 47 $2,130.50 $1,491.35 30% off $116.11 $2,130.50 $1,416.35 2026-01-15
72193-TC CPT CT Pelvis With Contrast 5 2 $2,130.50 — $171.75 $240.00 $240.00 2026-01-15
72194 CPT CT Pelvis W/wo Contrast 162 47 $2,479.50 $1,735.65 30% off $135.13 $2,479.50 $1,648.37 2026-01-15
72194-TC CPT CT Pelvis Without & With Contrast 5 2 $2,479.50 — $194.73 $240.00 $240.00 2026-01-15
72202 CPT Sacroiliac Joints 164 47 $250.50 $175.35 30% off $13.65 $250.50 $166.53 2026-01-15
72220 CPT Sacrum &coccyx Min 2 Vw 164 47 $263.00 $184.10 30% off $14.33 $263.00 $174.84 2026-01-15
73010 CPT Scapula Lt 158 45 $211.50 $148.05 30% off $11.52 $211.50 $140.60 2026-01-15
73050 CPT Xr Ac Joints Bilat 164 47 $311.00 $217.70 30% off $16.94 $311.00 $206.75 2026-01-15
73200 CPT CT Up Extrem Without Cont Lt 299 45 $1,715.50 $1,500.97 $93.49 $2,573.00 $1,140.46 2026-01-15
73200-TC CPT CT Upper Extremity Without Contrast 5 2 $1,715.50 — $115.47 $240.00 $240.00 2026-01-15
73201 CPT CT Up Extrem With Cont Lt 299 45 $2,184.50 $1,672.65 23% off $119.05 $2,594.50 $1,452.25 2026-01-15
73201-TC CPT CT Upper Extremity With Contrast 5 2 $2,184.50 — $147.41 $240.00 $240.00 2026-01-15
73202 CPT CT Up Extrem W/wo Cst Lt 299 45 $2,518.50 $1,842.93 27% off $137.25 $2,747.00 $1,674.29 2026-01-15
73202-TC CPT CT Uppr Extremity W/O&with Contrast 5 2 $2,518.50 — $194.42 $240.00 $240.00 2026-01-15
73522 CPT Xray Hip 3/4 Vw Bil 164 47 $311.00 $217.70 30% off $16.94 $311.00 $206.75 2026-01-15
73564 CPT Knee 4+ Views Rt 301 45 $206.00 $204.92 $11.22 $379.50 $159.39 2026-01-15
73700 CPT CT Low Extrem Without Ctr Lt 299 45 $1,715.50 $1,500.97 $93.49 $2,573.00 $1,140.46 2026-01-15
73700-TC CPT CT Lower Extremity Without Contrast 5 2 $1,715.50 — $81.39 $240.00 $240.00 2026-01-15
73701 CPT CT Low Extrem W\ Ctr Rt 442 45 $2,184.50 $1,529.15 30% off $106.13 $3,277.00 $1,376.34 2026-01-15
73701-TC CPT CT Lower Extremity With Contrast 5 2 $2,184.50 — $111.21 $240.00 $240.00 2026-01-15
73702 CPT CT Low Extrem Wwo Ctr Lt 299 45 $2,518.50 $2,203.78 $137.25 $3,778.00 $1,674.29 2026-01-15
73702-TC CPT CT Lwr Extremity W/O&with Contrast 5 2 $2,518.50 — $135.86 $240.00 $240.00 2026-01-15
74019 CPT Xr Abodomen 2 Vw 164 47 $303.50 $212.45 30% off $16.54 $303.50 $201.76 2026-01-15
74022 CPT Abdomen Series W/chest 164 47 $455.50 $318.85 30% off $24.82 $455.50 $302.81 2026-01-15
74150 CPT CT Abdomen Without Cont 162 47 $1,690.00 $1,183.00 30% off $92.10 $1,690.00 $1,123.51 2026-01-15
74150-TC CPT CT Abdomen Without Contrast 5 2 $1,690.00 — $80.17 $240.00 $240.00 2026-01-15
74160 CPT CT Abdomen With Cont 162 47 $2,321.50 $1,625.05 30% off $126.52 $2,321.50 $1,543.33 2026-01-15
74160-TC CPT CT Abdomen W/contrast 5 2 $2,321.50 — $171.15 $240.00 $240.00 2026-01-15
74170 CPT CT Abdomen W/without Cont 162 47 $2,565.50 $1,795.85 30% off $139.81 $2,565.50 $1,705.54 2026-01-15
74170-TC CPT CT Abd Wo Cntrst Flwd Cntrst 5 2 $2,565.50 — $194.12 $240.00 $240.00 2026-01-15
74174 CPT CTA Abd&pel W Cont 162 47 $4,787.50 $3,351.25 30% off $240.00 $4,787.50 $3,182.73 2026-01-15
74174-TC CPT CTA Abd&plvs W/contrast 5 2 $4,787.50 — $240.00 $272.01 $240.00 2026-01-15
74175 CPT CT Angio Abd W&wo Cont 156 45 $2,776.50 $1,943.55 30% off $151.31 $2,776.50 $1,845.81 2026-01-15
74175-TC CPT CTA Abdomen W/contrast 5 2 $2,776.50 — $215.12 $240.00 $240.00 2026-01-15
74176 CPT CT Abd&pel Wo Contrast 162 47 $3,519.00 $2,463.30 30% off $184.24 $3,519.00 $2,339.43 2026-01-15
74176-TC CPT CT Abd & Pelvis Without Contrast 5 2 $3,519.00 — $100.25 $240.00 $240.00 2026-01-15
74177 CPT CT Abd&pel W Contrast 162 47 $4,451.50 $3,116.05 30% off $240.00 $4,451.50 $2,959.35 2026-01-15
74177-TC CPT CT Abd & Pelvis W/contrast 5 2 $4,451.50 — $217.86 $240.00 $240.00 2026-01-15
74178 CPT CT Abd&pel Wo/w Contrast 156 45 $5,045.00 $3,531.50 30% off $240.00 $5,045.00 $3,353.91 2026-01-15
74178-TC CPT CT Abd&plv Wo Cntr Flwd Cntr 5 2 $5,045.00 — $240.00 $246.15 $240.00 2026-01-15
74220 CPT Esophagram 158 45 $302.50 $211.75 30% off $16.48 $330.53 $201.10 2026-01-15
74250 CPT Small Bowel Series 164 47 $512.50 $358.75 30% off $27.93 $512.50 $340.71 2026-01-15
74400 CPT Xr Ivp 164 47 $718.50 $502.95 30% off $39.15 $718.50 $477.65 2026-01-15
76536 CPT Ultrsnd Soft Tissue Neck/thyroid 164 47 $564.00 $394.80 30% off $30.73 $564.00 $374.94 2026-01-15
76604 CPT Ultrasound Chest 164 47 $564.00 $394.80 30% off $30.73 $564.00 $374.94 2026-01-15
76641 CPT US Breast Comp Bil 301 45 $1,100.00 $582.40 47% off $30.73 $1,100.00 $462.00 2026-01-15
76700 CPT US Abdomen Complete 164 47 $620.00 $434.00 30% off $33.79 $620.00 $412.17 2026-01-15
76705 CPT US Abdomen Limited 164 47 $564.50 $395.15 30% off $30.76 $564.50 $375.27 2026-01-15
76706 CPT US Aorta Screening 164 47 $564.50 $395.15 30% off $30.76 $564.50 $375.27 2026-01-15
76770 CPT US Renal/bladder Complete 164 47 $1,186.50 $830.55 30% off $64.66 $1,186.50 $788.78 2026-01-15
76775 CPT US Aorta 301 45 $564.00 $415.27 26% off $30.73 $622.50 $374.94 2026-01-15
76856 CPT Ultrasound Pelvis Comp 164 47 $941.50 $659.05 30% off $51.31 $941.50 $625.90 2026-01-15
76857 CPT US Bladder 158 45 $564.50 $395.15 30% off $25.24 $564.50 $375.27 2026-01-15
76870 CPT US Scrotum/testicles 164 47 $549.00 $384.30 30% off $29.92 $549.00 $364.97 2026-01-15
76882 CPT US Lower Extremity Limited Lt 301 45 $564.00 $380.10 33% off $28.44 $564.00 $347.02 2026-01-15
77075 CPT Bone Survey Complete 164 47 $569.50 $398.65 30% off $31.03 $569.50 $378.60 2026-01-15
77076 CPT Xr Bone Survey Infant 164 47 $284.50 $199.15 30% off $15.50 $284.50 $189.13 2026-01-15
80177 CPT Levetiracetam Keppra 164 47 $443.00 $310.10 30% off $13.25 $443.00 $186.06 2026-01-15
81162 CPT Brca1 & Brca2 Comprehensive 164 47 $5,250.00 $3,675.00 30% off $286.12 $5,250.00 $2,551.95 2026-01-15
81162-TC CPT Brca1&2 Gen Full Seq Dup/del 2 1 $5,250.00 — $1,824.88 $1,824.88 $1,824.88 2026-01-15
81240 CPT Prothrombin F2 DNA 146 47 $379.50 $265.65 30% off $20.68 $379.50 $160.98 2026-01-15
81270 CPT Jak2 V617f Mutati Whole Blood 146 47 $667.50 $467.25 30% off $36.37 $667.50 $283.15 2026-01-15
82103 CPT A-1-antitrypsin Tot 164 47 $379.50 $265.65 30% off $13.44 $379.50 $159.39 2026-01-15
82610 CPT Cystatin C 164 47 $341.50 $239.05 30% off $6.46 $341.50 $143.43 2026-01-15
82652 CPT Vitamin D 1 25 Dihy 170 47 $313.50 $219.45 30% off $17.08 $313.50 $131.67 2026-01-15
82653 CPT Elastase Pancreatic El-1 Fecal Quantitat 157 47 $323.50 $226.45 30% off $17.23 $323.50 $135.87 2026-01-15
82725 CPT Fatty Acid Prf 164 47 $2,211.65 $1,548.15 30% off $16.97 $2,211.65 $928.89 2026-01-15
83835 CPT Metanephrines 164 47 $443.00 $310.10 30% off $16.94 $443.00 $186.06 2026-01-15
83919 CPT Organic Acids Ql 164 47 $1,102.50 $771.75 30% off $16.45 $1,102.50 $463.05 2026-01-15
83951 CPT Des-y-carboxy Prothrombin (dcp) 170 47 $490.32 $343.22 30% off $26.72 $490.32 $205.93 2026-01-15
83993 CPT Calprotectin Fecal 164 47 $506.00 $354.20 30% off $19.63 $506.00 $212.52 2026-01-15
84145 CPT Procalcitonin 164 47 $626.00 $438.20 30% off $25.57 $626.00 $262.92 2026-01-15
86146 CPT Beta 2 Glycoprotein Ab Panel 164 47 $354.00 $247.80 30% off $16.15 $354.00 $148.68 2026-01-15
86147 CPT Cardiolipin Ab Total 164 47 $589.50 $412.65 30% off $14.15 $589.50 $247.59 2026-01-15
86356 CPT Mononuclear Cell Antigen 170 47 $434.50 $304.15 30% off $23.68 $434.50 $182.49 2026-01-15
86366 CPT Musk Antibody 147 45 $1,575.00 $1,102.50 30% off $13.80 $1,575.00 $661.50 2026-01-15
86606 CPT Aspergillus Ab 164 47 $455.00 $318.50 30% off $15.05 $455.00 $191.10 2026-01-15
87252 CPT Cult Virus Cpe 170 47 $339.00 $237.30 30% off $18.47 $339.00 $142.38 2026-01-15
87507 CPT Gastrointestinal Profile Stool Pcr 164 47 $242.00 $169.40 30% off $13.18 $799.25 $169.40 2026-01-15
87507-TC CPT Iadna-dna/rna Probe Tq 12-25 2 1 $242.00 — $416.78 $416.78 $416.78 2026-01-15
87517 CPT Hep B DNA Quant 164 47 $921.00 $644.70 30% off $42.84 $921.00 $386.82 2026-01-15
87522 CPT Hcv Rna, Pcr Qual/quant 170 47 $632.50 $442.75 30% off $34.47 $632.50 $265.65 2026-01-15
87635 CPT Novel Coronavirus (covid-19) 164 47 $330.00 $231.00 30% off $17.98 $330.00 $138.60 2026-01-15
87798 CPT Jc Vrius Dna, Pcr, Whole Blood 170 47 $437.50 $306.25 30% off $23.84 $437.50 $183.75 2026-01-15
87902 CPT Hep C Geno Type 1 Ns5a Resist 170 47 $835.00 $584.50 30% off $45.50 $835.00 $352.45 2026-01-15
87902-TC CPT Nfct Agt Gntyp Alys Hep C 2 1 $835.00 — $257.45 $257.45 $257.45 2026-01-15
90791 CPT Eval/assmt I/p 135 47 $220.00 $154.00 30% off $11.99 $238.27 $146.25 2026-01-15
90834 CPT Individual Ther 45-50 Min I/p 135 47 $253.00 $177.10 30% off $13.78 $253.00 $168.19 2026-01-15
90853 CPT Iop Group Therapy 248 45 $316.50 $199.32 37% off $13.78 $316.50 $168.19 2026-01-15
92507 CPT St Treatment (1-4 Increments) 162 47 $322.50 — $17.57 $322.50 $136.80 2026-01-15
92522 CPT St Eval Speech Sound 159 47 $613.00 — $33.40 $613.00 $257.46 2026-01-15
92950 CPT Cpr 298 47 $94.00 $65.80 30% off $5.12 $1,072.50 $187.18 2026-01-15
93225 CPT Holter Monitor Recording 135 47 $287.50 $201.25 30% off $15.66 $287.50 $191.13 2026-01-15
93306 CPT US Echocardiogram Complete 159 47 $1,756.00 $1,229.20 30% off $95.70 $1,756.00 $1,167.38 2026-01-15
93880 CPT US Carotid Dup Bilat 161 47 $942.50 $659.75 30% off $51.36 $942.50 $626.57 2026-01-15
93880-TC CPT Extracranial Bilat Study 2 1 $942.50 — $144.22 $144.22 $144.22 2026-01-15
93925 CPT US Artery Lower Extremity Bi 161 47 $942.50 $659.75 30% off $51.36 $942.50 $626.57 2026-01-15
93925-TC CPT Lower Extremity Study 2 1 $942.50 — $193.82 $193.82 $193.82 2026-01-15
93926 CPT US Artery Lower Extremity Rt 161 47 $575.50 $402.85 30% off $31.36 $606.86 $382.59 2026-01-15
93930 CPT US Artery Upper Extremity Bi 161 47 $818.50 $572.95 30% off $44.60 $818.50 $544.13 2026-01-15
93930-TC CPT Upper Extremity Study 2 1 $818.50 — $150.00 $150.00 $150.00 2026-01-15
93931 CPT US Artery Upper Extremity Lt 161 47 $499.50 $349.65 30% off $27.22 $526.72 $332.06 2026-01-15
93970 CPT US Vein Lower Extremity Bilat 161 47 $942.50 $659.75 30% off $51.36 $993.86 $626.57 2026-01-15
93970-TC CPT Extremity Study 2 1 $942.50 — $145.44 $145.44 $145.44 2026-01-15
93971 CPT US Vein Lower Extremity Lt 161 47 $551.50 $386.05 30% off $30.05 $1,159.31 $366.63 2026-01-15
93975 CPT US Abdomen Duplex Limited 304 47 $632.50 $422.80 33% off $31.36 $636.91 $382.59 2026-01-15
93975-TC CPT Vascular Study 2 1 $632.50 — $198.69 $198.69 $198.69 2026-01-15
94010 CPT Pulmonary Function Test 159 47 $375.00 $262.50 30% off $20.43 $375.00 $249.30 2026-01-15
94011 CPT Spirometry Up To 2 Yrs Old 159 47 $547.60 $383.32 30% off $29.84 $547.60 $364.04 2026-01-15
94012 CPT Spirmtry W/brnchdil 159 47 $1,089.90 $762.93 30% off $59.39 $1,089.90 $724.56 2026-01-15
94013 CPT Meas Lung Vol Thru 2 Yrs 153 45 $1,857.10 $1,299.97 30% off $19.78 $1,857.10 $1,234.60 2026-01-15
94014 CPT Patient Recorded Spirometry 153 45 $1,396.64 — $52.07 $1,396.64 $928.48 2026-01-15
94015 CPT Patient Recorded Spirometry 153 45 $1,089.90 $762.93 30% off $27.54 $1,089.90 $724.56 2026-01-15
94060 CPT Evaluation Of Wheezing 302 47 $70.50 $264.77 $3.84 $686.00 $288.12 2026-01-15
94070 CPT Evaluation Of Wheezing 159 47 $900.00 — $49.05 $900.00 $598.32 2026-01-15
94150 CPT Vital Capacity Test 153 45 $547.61 $383.32 30% off $22.83 $547.61 $364.05 2026-01-15
94200 CPT Lung Function Test (mbc/mvv) 159 47 $207.90 $145.53 30% off $11.33 $207.90 $138.21 2026-01-15
94375 CPT Flow Volume Loop 153 45 $1,089.90 $762.93 30% off $36.07 $1,089.90 $724.56 2026-01-15
94660 CPT Bipap Vent Init & Mgmt 302 47 $543.90 $380.73 30% off $15.06 $543.90 $228.43 2026-01-15
99281 CPT ER Level 1 165 47 $330.00 — $17.98 $350.00 $219.38 2026-01-15
99282 CPT ER Level 2 165 47 $385.00 — $20.98 $400.00 $255.94 2026-01-15
99283 CPT ER Level 3 165 47 $605.00 — $32.97 $605.00 $402.20 2026-01-15
99284 CPT ER Level 4 165 47 $935.00 — $50.95 $935.00 $621.58 2026-01-15
99285 CPT ER Level 5(transfer) 165 47 $1,375.00 — $74.93 $1,375.00 $914.10 2026-01-15
99291 CPT Critical Care Fac 165 47 $1,760.00 — $95.92 $1,760.00 $1,170.04 2026-01-15
99292 CPT Critical Care E&m Add'l 30 Min 121 44 $265.50 — $14.46 $265.50 $176.50 2026-01-15
J0558 CPT Pen G 900-300k/2ml J 151 45 $437.50 $306.25 30% off $11.79 $437.50 $290.85 2026-01-15
J0561 CPT Bicillin L-a 1.2 Mmu/ 2 Ml Inj 151 45 $664.25 $464.97 30% off $14.95 $664.25 $441.59 2026-01-15
J1610 CPT Glucagon 1u\1mg J 133 47 $504.00 $352.80 30% off $27.46 $504.00 $307.94 2026-01-15
J1742 CPT Ibultilide 1mg\10ml J 133 47 $1,007.75 $705.42 30% off $54.92 $1,007.75 $531.34 2026-01-15
J2426 CPT Invega Sus 234/1.5 J 246 45 $6,424.50 $3,747.62 42% off $12.66 $6,424.50 $2,847.33 2026-01-15
J3101 CPT Tenecteplase 1 Mg 252 47 $266.50 $197.82 26% off $14.52 $298.70 $177.16 2026-01-15
P9016 CPT Prbc Leukoreduced 1 Unit 605 45 $1,083.50 $758.45 30% off $58.15 $2,375.00 $720.31 2026-01-15
P9017 CPT Ffp Storage 367 45 $449.50 $314.65 30% off $9.64 $2,375.50 $188.79 2026-01-15
P9034 CPT Shipping Handling Lifeshare 254 47 $2,375.50 $841.05 65% off $1.49 $2,519.45 $572.67 2026-01-15
P9034-TC CPT Platelets, Pheresis 2 1 $2,375.50 — $323.99 $323.99 $323.99 2026-01-15
P9035 CPT Plateletphersis 1 Unit 254 47 $2,466.33 $1,328.19 46% off $72.40 $3,401.72 $1,035.85 2026-01-15
P9035-TC CPT Platelet Pheres Leukoreduced 2 1 $2,466.33 — $486.80 $486.80 $486.80 2026-01-15
PER CASE LOCAL Plan Pays Per Case 27 3 — — $80.00 $1,000.00 $400.00 2026-01-15
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