Price Transparencybeta Hospital negotiated rates

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

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Hospital

BEACON BEHAVIORAL HOSPITAL - NORTHSHORE, LLC

Lacombe, LA · CCN 194080 · Rates published

228 distinct procedures filed
52 distinct payers
336 rate rows
2026-07-31 last MRF observed
Data quality

336 of 336 rate rows are consumer-grade (100.0%)

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

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://beaconbh.com/wp-content/uploads/2026/04/853294015-473632529-1508819202_northshore-hospital_standardcharges_2026.csv
Found on page https://www.beaconbh.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint db6f8a15b89b8ac5… · 199,748 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
J8499
HCPCS 		Sofosbuvir/Velpatasvir 1 $1,545.00 $1,545.00 $1,545.00 nat. median
$66
outlier · 23.3×
126
MS_DRG 		Semi Private Detox Room And Board, All Inclusive Except Prof. Fees 13 $1,545.00 $1,545.00 $1,545.00 nat. median
$1,545
1.0× median
124
MS_DRG 		Semi Private Psychiatric Room And Board, All Inclusive Except Prof. Fees 19 $1,545.00 $1,545.00 $1,545.00 nat. median
$13,673
outlier · 0.1×
90839
CPT 		Psych Crisis Tx First 60 Mins 1 $825.00 $825.00 $825.00 nat. median
$213
outlier · 3.9×
0124
OTHER 		Semi Private Psychiatric Room And Board, All Inclusive Except Prof. Fees 23 $675.00 $850.00 $749.00 nat. median
$792
0.9× median
0126
OTHER 		Semi Private Detoxification Room And Board, All Inclusive Except Prof. Fees 17 $679.88 $850.00 $737.63 nat. median
$850
0.9× median
J1610
HCPCS 		Glucagon Emergency Kit 1 $552.54 $552.54 $552.54 nat. median
$364
1.5× median
90837
CPT 		Individual Psych Tx 53 + Mins 2 $112.58 $825.00 $468.79 nat. median
$215
outlier · 2.2×
90846
CPT 		Family Psych Tx No Pt Present 2 $112.58 $750.00 $431.29 nat. median
$192
outlier · 2.2×
90834
CPT 		Individual Psych Tx 38-52 Mins 2 $112.58 $750.00 $431.29 nat. median
$196
outlier · 2.2×
90847
CPT 		Family Psych Tx Patient Presen 2 $112.58 $750.00 $431.29 nat. median
$204
outlier · 2.1×
80320
CPT 		Alcohol Level 1 $343.29 $343.29 $343.29 nat. median
$85
outlier · 4.0×
G0480
HCPCS 		Blood Alcohol Concentration 1 $343.29 $343.29 $343.29 nat. median
$114
outlier · 3.0×
90832
CPT 		Individual Psych Tx 16-37 Mins 2 $62.60 $600.00 $331.30 nat. median
$175
1.9× median
93971
CPT 		US Lower Ext Venous Doppler 1 $308.34 $308.34 $308.34 nat. median
$354
0.9× median
87502
CPT 		Influenza A+b Alere I 1 $287.40 $287.40 $287.40 nat. median
$138
outlier · 2.1×
90653
CPT 		Flu Vacc Ts2024-25(6mos Up)/Pf 1 $250.47 $250.47 $250.47 nat. median
$98
outlier · 2.6×
0906
OTHER 		Intensive Outpatient Substance Abuse, Per Diem 6 $197.00 $250.00 $250.00 nat. median
$3,950
outlier · 0.1×
0905
OTHER 		Intensive Outpatient Mental Health, Per Diem 14 $170.00 $263.29 $249.65 nat. median
$250
1.0× median
S9480
HCPCS 		Intensive Outpatient Mental Health, Per Diem 9 $175.00 $900.00 $249.30 nat. median
$341
0.7× median
H0015
HCPCS 		Intensive Outpatient Substance Abuse, Per Diem 2 $197.00 $202.05 $199.53 nat. median
$277
0.7× median
J0750
HCPCS 		Emtricitabine/Tenofovir (Tdf) 1 $194.43 $194.43 $194.43 nat. median
$4
outlier · 50.0×
80305
CPT 		Urine Drug Screen (Send Out) 1 $186.42 $186.42 $186.42 nat. median
$24
outlier · 7.7×
86480
CPT 		TB Gold Plus-quantiferon 1 $185.94 $185.94 $185.94 nat. median
$99
1.9× median
90853
CPT 		Group Psych Tx 2 $62.60 $300.00 $181.30 nat. median
$145
1.3× median
87480
CPT 		Urine BV/Trichomoniasis (naat) 1 $180.45 $180.45 $180.45 nat. median
$35
outlier · 5.2×
87660
CPT 		Trichomonoas Vaginalis, Direct 1 $180.45 $180.45 $180.45 nat. median
$35
outlier · 5.2×
87510
CPT 		Gardnerella Vaginalis, Direct 1 $180.45 $180.45 $180.45 nat. median
$35
outlier · 5.2×
87539
CPT 		HIV 2 1 $175.86 $175.86 $175.86 nat. median
$62
outlier · 2.8×
87635
CPT 		Covid Test (send-out) Nasal Sw 1 $153.93 $153.93 $153.93 nat. median
$82
1.9× median
80074
CPT 		Hepatitis Iii 1 $142.89 $142.89 $142.89 nat. median
$117
1.2× median
J7644
HCPCS 		Ipratropium Bromide 1 $136.89 $136.89 $136.89 nat. median
$2
outlier · 63.7×
80307
CPT 		Urine Drug Screen 80307 1 $135.33 $135.33 $135.33 nat. median
$114
1.2× median
73502
CPT 		Xr Hip Complete 2 Views 1 $124.98 $124.98 $124.98 nat. median
$151
0.8× median
70260
CPT 		Xr SKull Complete Min 4 Views 1 $117.99 $117.99 $117.99 nat. median
$185
0.6× median
83880
CPT 		Brain Natriuretic Peptide(BNP) 1 $117.78 $117.78 $117.78 nat. median
$98
1.2× median
90715
CPT 		Adacel Tdap 1 $115.89 $115.89 $115.89 nat. median
$88
1.3× median
87493
CPT 		C. Difficile Toxin Gene, Naa 1 $111.81 $111.81 $111.81 nat. median
$84
1.3× median
73521
CPT 		Xr Hip B/l Including Pelvis 1 $108.75 $108.75 $108.75 nat. median
$171
0.6× median
73110
CPT 		Xr Wrist Complete Min 3 Views 1 $108.18 $108.18 $108.18 nat. median
$161
0.7× median
73562
CPT 		Xr Knee Complete 3 Views 1 $106.56 $106.56 $106.56 nat. median
$162
0.7× median
87563
CPT 		Mycoplasma Genitalium 1 $105.27 $105.27 $105.27 nat. median
$52
outlier · 2.0×
87591
CPT 		Neisseria Gonorrhoeae Amplifie 1 $105.27 $105.27 $105.27 nat. median
$63
1.7× median
87661
CPT 		Trichomonas Vaginalis, Naa 1 $105.27 $105.27 $105.27 nat. median
$59
1.8× median
87491
CPT 		Chlamydia/Gonococcus, Naa Swab 1 $105.27 $105.27 $105.27 nat. median
$63
1.7× median
72100
CPT 		Xr Lumbar Spine AP/Lat 1 $104.46 $104.46 $104.46 nat. median
$168
0.6× median
73130
CPT 		Xr Hand Complete Min 3 Views 1 $97.92 $97.92 $97.92 nat. median
$158
0.6× median
74019
CPT 		Xr Abdomen Ant/post View 1 $97.74 $97.74 $97.74 nat. median
$169
0.6× median
86696
CPT 		Herpes Simplex Type 2 Test 1 $97.62 $97.62 $97.62 nat. median
$37
outlier · 2.7×
86695
CPT 		Herpes Simplex Type 1 Test 1 $97.62 $97.62 $97.62 nat. median
$29
outlier · 3.4×

Other procedures at this hospital

Browse this hospital's 228 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
             
124 MS_DRG Semi Private Psychiatric Room And Board, All Inclusive Except Prof. Fees 21 19 $1,545.00 $825.00 47% off $1,545.00 $1,545.00 $1,545.00 2025-10-01
126 MS_DRG Semi Private Detox Room And Board, All Inclusive Except Prof. Fees 17 13 $1,545.00 $800.00 48% off $1,545.00 $1,545.00 $1,545.00 2025-10-01
J8499 HCPCS Sofosbuvir/Velpatasvir 1 1 $1,028.58 — $1,545.00 $1,545.00 $1,545.00 2025-10-01
90839 CPT Psych Crisis Tx First 60 Mins 1 1 $825.00 — $825.00 $825.00 $825.00 2025-10-01
0124 OTHER Semi Private Psychiatric Room And Board, All Inclusive Except Prof. Fees 23 23 $1,500.00 — $675.00 $850.00 $749.00 2026-07-31
0126 OTHER Semi Private Detoxification Room And Board, All Inclusive Except Prof. Fees 17 17 $1,500.00 — $679.88 $850.00 $737.63 2026-07-31
J1610 HCPCS Glucagon Emergency Kit 1 1 $552.54 — $552.54 $552.54 $552.54 2025-10-01
90837 CPT Individual Psych Tx 53 + Mins 2 2 $550.00 — $112.58 $825.00 $468.79 2026-07-31
90834 CPT Individual Psych Tx 38-52 Mins 2 2 $500.00 — $112.58 $750.00 $431.29 2026-07-31
90846 CPT Family Psych Tx No Pt Present 2 2 $450.00 — $112.58 $750.00 $431.29 2026-07-31
90847 CPT Family Psych Tx Patient Presen 2 2 $450.00 — $112.58 $750.00 $431.29 2026-07-31
G0480 HCPCS Blood Alcohol Concentration 1 1 $343.29 — $343.29 $343.29 $343.29 2025-10-01
80320 CPT Alcohol Level 1 1 $343.29 — $343.29 $343.29 $343.29 2025-10-01
90832 CPT Individual Psych Tx 16-37 Mins 2 2 $400.00 — $62.60 $600.00 $331.30 2026-07-31
93971 CPT US Lower Ext Venous Doppler 1 1 $308.34 — $308.34 $308.34 $308.34 2025-10-01
87502 CPT Influenza A+b Alere I 1 1 $287.40 — $287.40 $287.40 $287.40 2025-10-01
90653 CPT Flu Vacc Ts2024-25(6mos Up)/Pf 1 1 $250.47 — $250.47 $250.47 $250.47 2025-10-01
0906 OTHER Intensive Outpatient Substance Abuse, Per Diem 6 6 $300.00 — $197.00 $250.00 $250.00 2026-07-31
0905 OTHER Intensive Outpatient Mental Health, Per Diem 14 14 $300.00 — $170.00 $263.29 $249.65 2026-07-31
S9480 HCPCS Intensive Outpatient Mental Health, Per Diem 9 9 $300.00 — $175.00 $900.00 $249.30 2026-07-31
H0015 HCPCS Intensive Outpatient Substance Abuse, Per Diem 2 2 $300.00 — $197.00 $202.05 $199.53 2026-07-31
J0750 HCPCS Emtricitabine/Tenofovir (Tdf) 1 1 $194.43 — $194.43 $194.43 $194.43 2025-10-01
80305 CPT Urine Drug Screen (Send Out) 1 1 $186.42 — $186.42 $186.42 $186.42 2025-10-01
86480 CPT TB Gold Plus-quantiferon 1 1 $185.94 — $185.94 $185.94 $185.94 2025-10-01
90853 CPT Group Psych Tx 2 2 $200.00 — $62.60 $300.00 $181.30 2026-07-31
87510 CPT Gardnerella Vaginalis, Direct 1 1 $180.45 — $180.45 $180.45 $180.45 2025-10-01
87660 CPT Trichomonoas Vaginalis, Direct 1 1 $180.45 — $180.45 $180.45 $180.45 2025-10-01
87480 CPT Urine BV/Trichomoniasis (naat) 1 1 $180.45 — $180.45 $180.45 $180.45 2025-10-01
87539 CPT HIV 2 1 1 $175.86 — $175.86 $175.86 $175.86 2025-10-01
87635 CPT Covid Test (send-out) Nasal Sw 1 1 $153.93 — $153.93 $153.93 $153.93 2025-10-01
80074 CPT Hepatitis Iii 1 1 $142.89 — $142.89 $142.89 $142.89 2025-10-01
J7644 HCPCS Ipratropium Bromide 1 1 $136.89 — $136.89 $136.89 $136.89 2025-10-01
80307 CPT Urine Drug Screen 80307 1 1 $135.33 — $135.33 $135.33 $135.33 2025-10-01
73502 CPT Xr Hip Complete 2 Views 1 1 $124.98 — $124.98 $124.98 $124.98 2025-10-01
70260 CPT Xr SKull Complete Min 4 Views 1 1 $117.99 — $117.99 $117.99 $117.99 2025-10-01
83880 CPT Brain Natriuretic Peptide(BNP) 1 1 $117.78 — $117.78 $117.78 $117.78 2025-10-01
90715 CPT Adacel Tdap 1 1 $115.89 — $115.89 $115.89 $115.89 2025-10-01
87493 CPT C. Difficile Toxin Gene, Naa 1 1 $111.81 — $111.81 $111.81 $111.81 2025-10-01
73521 CPT Xr Hip B/l Including Pelvis 1 1 $108.75 — $108.75 $108.75 $108.75 2025-10-01
73110 CPT Xr Wrist Complete Min 3 Views 1 1 $108.18 — $108.18 $108.18 $108.18 2025-10-01
73562 CPT Xr Knee Complete 3 Views 1 1 $106.56 — $106.56 $106.56 $106.56 2025-10-01
87563 CPT Mycoplasma Genitalium 1 1 $105.27 — $105.27 $105.27 $105.27 2025-10-01
87661 CPT Trichomonas Vaginalis, Naa 1 1 $105.27 — $105.27 $105.27 $105.27 2025-10-01
87591 CPT Neisseria Gonorrhoeae Amplifie 1 1 $105.27 — $105.27 $105.27 $105.27 2025-10-01
87491 CPT Chlamydia/Gonococcus, Naa Swab 1 1 $105.27 — $105.27 $105.27 $105.27 2025-10-01
72100 CPT Xr Lumbar Spine AP/Lat 1 1 $104.46 — $104.46 $104.46 $104.46 2025-10-01
73130 CPT Xr Hand Complete Min 3 Views 1 1 $97.92 — $97.92 $97.92 $97.92 2025-10-01
74019 CPT Xr Abdomen Ant/post View 1 1 $97.74 — $97.74 $97.74 $97.74 2025-10-01
86696 CPT Herpes Simplex Type 2 Test 1 1 $97.62 — $97.62 $97.62 $97.62 2025-10-01
86695 CPT Herpes Simplex Type 1 Test 1 1 $97.62 — $97.62 $97.62 $97.62 2025-10-01
71100 CPT Radiology Order - Other 1 1 $96.78 — $96.78 $96.78 $96.78 2025-10-01
73610 CPT Xr Ankle Complete Min 3 Views 1 1 $95.34 — $95.34 $95.34 $95.34 2025-10-01
J3230 HCPCS chlorproMAZINE Hcl 1 1 $91.44 — $91.44 $91.44 $91.44 2025-10-01
73030 CPT Xr Shoulder Compl Min 2 Views 1 1 $91.20 — $91.20 $91.20 $91.20 2025-10-01
73630 CPT Xr Foot Complete Min 3 Views 1 1 $89.37 — $89.37 $89.37 $89.37 2025-10-01
71046 CPT Xr Chest Ap/lat 2 Views 1 1 $89.07 — $89.07 $89.07 $89.07 2025-10-01
72070 CPT Xr Thoracic Spine AP/Lat 1 1 $87.15 — $87.15 $87.15 $87.15 2025-10-01
72220 CPT Xr Sacrum & Coccyx Min 2 Views 1 1 $85.95 — $85.95 $85.95 $85.95 2025-10-01
73600 CPT Xr Ankle 2 Views 1 1 $84.12 — $84.12 $84.12 $84.12 2025-10-01
73060 CPT Xr Humerus Min 2 Views 1 1 $84.12 — $84.12 $84.12 $84.12 2025-10-01
73590 CPT Xr Tibia/Fibula 1 1 $83.25 — $83.25 $83.25 $83.25 2025-10-01
73120 CPT Xr Hand 1 1 $82.41 — $82.41 $82.41 $82.41 2025-10-01
J1815 HCPCS Tresiba Flextouch U-200 1 1 $81.35 — $81.35 $81.35 $81.35 2025-10-01
J0561 HCPCS Bicillin L-a 1 1 $80.46 — $80.46 $80.46 $80.46 2025-10-01
74018 CPT Xr Abdomen 1 View 1 1 $79.23 — $79.23 $79.23 $79.23 2025-10-01
84443 CPT Tsh Reflex To Free T4 1 1 $77.46 — $77.46 $77.46 $77.46 2025-10-01
73090 CPT Xr Forearm 2 Views 1 1 $77.28 — $77.28 $77.28 $77.28 2025-10-01
90875 CPT Psych Interactive Tx Add On 1 1 $75.00 — $75.00 $75.00 $75.00 2025-10-01
73620 CPT Xr Foot 2 Views 1 1 $74.70 — $74.70 $74.70 $74.70 2025-10-01
J2799 HCPCS risperiDONE 1 1 $74.16 — $74.16 $74.16 $74.16 2025-10-01
87389 CPT HIV Ag/Ab W/reflex-qualitative 1 1 $72.24 — $72.24 $72.24 $72.24 2025-10-01
71045 CPT Xr Chest 1 View Frontal 1 1 $68.97 — $68.97 $68.97 $68.97 2025-10-01
87070 CPT Body Fluid Cx- Aer/Ana/GS 1 1 $67.08 — $67.08 $67.08 $67.08 2025-10-01
87205 CPT Gram/Giemsa Stain On A Primary 1 1 $67.08 — $67.08 $67.08 $67.08 2025-10-01
83540 CPT Iron Level & Total Iron (tibc) 1 1 $65.04 — $65.04 $65.04 $65.04 2025-10-01
83550 CPT Iron Binding Test 1 1 $65.04 — $65.04 $65.04 $65.04 2025-10-01
80159 CPT Clozapine Level 1 1 $60.45 — $60.45 $60.45 $60.45 2025-10-01
84146 CPT Prolactin Level 1 1 $58.14 — $58.14 $58.14 $58.14 2025-10-01
80143 CPT Acetaminophen Level 1 1 $55.92 — $55.92 $55.92 $55.92 2025-10-01
90471 CPT Admin Influenza Virus Vac 1 1 $55.08 — $55.08 $55.08 $55.08 2025-10-01
87209 CPT Stool Specimen 87209 1 1 $53.94 — $53.94 $53.94 $53.94 2025-10-01
84481 CPT Free T3 1 1 $50.82 — $50.82 $50.82 $50.82 2025-10-01
J0515 HCPCS Benztropine Mesylate 1 1 $50.67 — $50.67 $50.67 $50.67 2025-10-01
82607 CPT Vitamin B12 Level 1 1 $45.24 — $45.24 $45.24 $45.24 2025-10-01
84702 CPT Hcg Serum 1 1 $45.15 — $45.15 $45.15 $45.15 2025-10-01
J2426 HCPCS Invega Sustenna 1 1 $44.19 — $44.19 $44.19 $44.19 2025-10-01
82746 CPT Folate (Folic Acid) Level 1 1 $44.10 — $44.10 $44.10 $44.10 2025-10-01
84134 CPT Prealbumin Level 1 1 $43.77 — $43.77 $43.77 $43.77 2025-10-01
80156 CPT Carbamazepine Level (Tegretol) 1 1 $43.71 — $43.71 $43.71 $43.71 2025-10-01
82140 CPT Ammonia Level 1 1 $43.71 — $43.71 $43.71 $43.71 2025-10-01
80364 CPT Urine Drug Screen 80364 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80321 CPT Urine Drug Screen 80321 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80322 CPT Urine Drug Screen 80322 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80323 CPT Urine Drug Screen 80323 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80324 CPT Urine Drug Screen 80324 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80325 CPT Urine Drug Screen 80325 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80326 CPT Urine Drug Screen 80326 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80327 CPT Urine Drug Screen 80327 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80328 CPT Urine Drug Screen 80328 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80329 CPT Urine Drug Screen 80329 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80330 CPT Urine Drug Screen 80330 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80331 CPT Urine Drug Screen 80331 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80332 CPT Urine Drug Screen 80332 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80333 CPT Urine Drug Screen 80333 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80334 CPT Urine Drug Screen 80334 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80335 CPT Urine Drug Screen 80335 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80336 CPT Urine Drug Screen 80336 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80337 CPT Urine Drug Screen 80337 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80338 CPT Urine Drug Screen 80338 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80339 CPT Urine Drug Screen 80339 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80340 CPT Urine Drug Screen 80340 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80341 CPT Urine Drug Screen 80341 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80342 CPT Urine Drug Screen 80342 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80343 CPT Urine Drug Screen 80343 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80344 CPT Urine Drug Screen 80344 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80345 CPT Urine Drug Screen 80345 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80346 CPT Urine Drug Screen 80346 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80347 CPT Urine Drug Screen 80347 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80348 CPT Urine Drug Screen 80348 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80349 CPT Urine Drug Screen 80349 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80350 CPT Urine Drug Screen 80350 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80351 CPT Urine Drug Screen 80351 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80352 CPT Urine Drug Screen 80352 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80353 CPT Urine Drug Screen 80353 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80354 CPT Urine Drug Screen 80354 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80355 CPT Urine Drug Screen 80355 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80356 CPT Urine Drug Screen 80356 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80357 CPT Urine Drug Screen 80357 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80358 CPT Urine Drug Screen 80358 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80359 CPT Urine Drug Screen 80359 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80360 CPT Urine Drug Screen 80360 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80361 CPT Urine Drug Screen 80361 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80362 CPT Urine Drug Screen 80362 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80363 CPT Urine Drug Screen 80363 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80365 CPT Urine Drug Screen 80365 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80366 CPT Urine Drug Screen 80366 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80367 CPT Urine Drug Screen 80367 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80368 CPT Urine Drug Screen 80368 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80369 CPT Urine Drug Screen 80369 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80370 CPT Urine Drug Screen 80370 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80371 CPT Urine Drug Screen 80371 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80372 CPT Urine Drug Screen 80372 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80373 CPT Urine Drug Screen 80373 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80374 CPT Urine Drug Screen 80374 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80375 CPT Urine Drug Screen 80375 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80376 CPT Urine Drug Screen 80376 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
80377 CPT Urine Drug Screen 80377 1 1 $43.56 — $43.56 $43.56 $43.56 2025-10-01
86803 CPT Hcv Ab w/Rflx To Quant. Rt-pcr 1 1 $42.81 — $42.81 $42.81 $42.81 2025-10-01
80164 CPT Valproic Acid Level (Depakote) 1 1 $40.62 — $40.62 $40.62 $40.62 2025-10-01
80061 CPT Lipid Panel 1 1 $40.17 — $40.17 $40.17 $40.17 2025-10-01
80162 CPT Digoxin Level 1 1 $39.84 — $39.84 $39.84 $39.84 2025-10-01
80175 CPT Lamotrigine Level (Lamictal) 1 1 $39.75 — $39.75 $39.75 $39.75 2025-10-01
80183 CPT Oxcarbazepine(Trileptal) LeveL 1 1 $39.75 — $39.75 $39.75 $39.75 2025-10-01
80177 CPT Keppra Level (Levetiracetam) 1 1 $39.75 — $39.75 $39.75 $39.75 2025-10-01
90472 CPT Immunization Admin Each Add 1 1 $39.45 — $39.45 $39.45 $39.45 2025-10-01
93000 CPT EKG 1 1 $38.91 — $38.91 $38.91 $38.91 2025-10-01
84466 CPT Transferrin 1 1 $38.28 — $38.28 $38.28 $38.28 2025-10-01
J2427 HCPCS Paliperidone Palmitate 1 1 $37.86 — $37.86 $37.86 $37.86 2025-10-01
80306 CPT Urine Drug Screen 80306 1 1 $37.32 — $37.32 $37.32 $37.32 2025-10-01
J2798 HCPCS Perseris 1 1 $36.57 — $36.57 $36.57 $36.57 2025-10-01
86706 CPT Hepatitis B Surface Antibody 1 1 $32.22 — $32.22 $32.22 $32.22 2025-10-01
80053 CPT Comprehensive Metabolic Panel 1 1 $31.68 — $31.68 $31.68 $31.68 2025-10-01
85610 CPT Pt/ptt 1 1 $30.90 — $30.90 $30.90 $30.90 2025-10-01
83036 CPT Hemoglobin A1c 1 1 $29.13 — $29.13 $29.13 $29.13 2025-10-01
85014 CPT Hematocrit 1 1 $28.50 — $28.50 $28.50 $28.50 2025-10-01
85018 CPT Hemoglobin & Hematocrit 1 1 $28.50 — $28.50 $28.50 $28.50 2025-10-01
J7626 HCPCS Budesonide 1 1 $28.23 — $28.23 $28.23 $28.23 2025-10-01
J2680 HCPCS fluPHENAZine Decanoate 1 1 $28.23 — $28.23 $28.23 $28.23 2025-10-01
36416 CPT Miscellaneous Culture 36416 1 1 $27.27 — $27.27 $27.27 $27.27 2025-10-01
36415 CPT Blood Culture & Specimen 1 1 $27.27 — $27.27 $27.27 $27.27 2025-10-01
84439 CPT Free T4 1 1 $27.06 — $27.06 $27.06 $27.06 2025-10-01
87177 CPT Stool Specimen 1 1 $26.70 — $26.70 $26.70 $26.70 2025-10-01
J0573 HCPCS Buprenorphine HCL/Naloxone Hcl 1 1 $26.40 — $26.40 $26.40 $26.40 2025-10-01
87075 CPT Miscellaneous Culture 1 1 $25.86 — $25.86 $25.86 $25.86 2025-10-01
81025 CPT Hcg Urine (Pregnancy Test) 1 1 $25.83 — $25.83 $25.83 $25.83 2025-10-01
J3360 HCPCS diazePAM 1 1 $25.65 — $25.65 $25.65 $25.65 2025-10-01
80048 CPT Basic Metabolic Panel (bmp) 1 1 $25.38 — $25.38 $25.38 $25.38 2025-10-01
80076 CPT Hepatic Function Panel (lft) 1 1 $24.51 — $24.51 $24.51 $24.51 2025-10-01
J8611 HCPCS Methotrexate (Jylamvo) 1 1 $24.30 — $24.30 $24.30 $24.30 2025-10-01
87076 CPT Miscellaneous Culture 87076 1 1 $24.24 — $24.24 $24.24 $24.24 2025-10-01
J7517 HCPCS Mycophenolate mofetiL 1 1 $23.85 — $23.85 $23.85 $23.85 2025-10-01
J1380 HCPCS estradioL Valerate 1 1 $23.82 — $23.82 $23.82 $23.82 2025-10-01
Q0144 HCPCS Azithromycin 1 1 $23.34 — $23.34 $23.34 $23.34 2025-10-01
85025 CPT Cbc With Diff 1 1 $23.31 — $23.31 $23.31 $23.31 2025-10-01
J0572 HCPCS Buprenorphine Hcl 1 1 $23.22 — $23.22 $23.22 $23.22 2025-10-01
82977 CPT Gamma Glutamyl Transferase 1 1 $21.60 — $21.60 $21.60 $21.60 2025-10-01
J3486 HCPCS Ziprasidone Mesylate 1 1 $21.57 — $21.57 $21.57 $21.57 2025-10-01
J8612 HCPCS Methotrexate (Xatmep) 1 1 $21.36 — $21.36 $21.36 $21.36 2025-10-01
J0401 HCPCS Abilify Maintena 1 1 $21.21 — $21.21 $21.21 $21.21 2025-10-01
83690 CPT Lipase Level 1 1 $20.67 — $20.67 $20.67 $20.67 2025-10-01
83735 CPT Magnesium Serum 1 1 $20.10 — $20.10 $20.10 $20.10 2025-10-01
80178 CPT Lithium Drug Level 1 1 $19.83 — $19.83 $19.83 $19.83 2025-10-01
82550 CPT Creatine Phosphokinase (cpk) 1 1 $19.53 — $19.53 $19.53 $19.53 2025-10-01
82150 CPT Amylase 1 1 $19.44 — $19.44 $19.44 $19.44 2025-10-01
84479 CPT Thyroid Level (t4) 1 1 $19.41 — $19.41 $19.41 $19.41 2025-10-01
85027 CPT Cbc 1 1 $19.41 — $19.41 $19.41 $19.41 2025-10-01
85730 CPT Thromboplastin Time Partial 1 1 $18.03 — $18.03 $18.03 $18.03 2025-10-01
J1944 HCPCS Aristada 1 1 $17.76 — $17.76 $17.76 $17.76 2025-10-01
J1631 HCPCS haloperidoL Decanoate 1 1 $16.65 — $16.65 $16.65 $16.65 2025-10-01
84450 CPT Uric Acid Level 1 1 $15.54 — $15.54 $15.54 $15.54 2025-10-01
86140 CPT C-reactive Protein Non Cardiac 1 1 $15.54 — $15.54 $15.54 $15.54 2025-10-01
82310 CPT Calcium Level 1 1 $15.48 — $15.48 $15.48 $15.48 2025-10-01
84132 CPT Potassium Level 1 1 $14.28 — $14.28 $14.28 $14.28 2025-10-01
82540 CPT Creatine Kinase 1 1 $13.92 — $13.92 $13.92 $13.92 2025-10-01
J7507 HCPCS Tacrolimus 1 1 $13.38 — $13.38 $13.38 $13.38 2025-10-01
86593 CPT Rpr W/reflex-quantitative 1 1 $13.20 — $13.20 $13.20 $13.20 2025-10-01
82270 CPT Occult Blood (Single) 1 1 $13.14 — $13.14 $13.14 $13.14 2025-10-01
96372 CPT Injection Of Drug/substance Un 1 1 $12.94 — $12.94 $12.94 $12.94 2025-10-01
89055 CPT Stool For Wbc 1 1 $12.81 — $12.81 $12.81 $12.81 2025-10-01
J2315 HCPCS Naltrexone Microspheres 1 1 $12.36 — $12.36 $12.36 $12.36 2025-10-01
81000 CPT Urinalysis 1 1 $12.06 — $12.06 $12.06 $12.06 2025-10-01
81001 CPT Ua w/Reflex To Culture-routine 1 1 $9.51 — $9.51 $9.51 $9.51 2025-10-01
J1943 HCPCS Aristada Initio 1 1 $9.39 — $9.39 $9.39 $9.39 2025-10-01
J1438 HCPCS EnbreL 1 1 $9.00 — $9.00 $9.00 $9.00 2025-10-01
J3490 HCPCS Trulicity 1 1 $9.00 — $9.00 $9.00 $9.00 2025-10-01
J7620 HCPCS Ipratropium/Albuterol Sulfate 1 1 $6.81 — $6.81 $6.81 $6.81 2025-10-01
J7643 HCPCS Glycopyrrolate 1 1 $6.60 — $6.60 $6.60 $6.60 2025-10-01
J2060 HCPCS LORazepam 1 1 $4.05 — $4.05 $4.05 $4.05 2025-10-01
J3420 HCPCS Cyanocobalamin (Vitamin B-12) 1 1 $3.81 — $3.81 $3.81 $3.81 2025-10-01
J1630 HCPCS haloperidoL Lactate 1 1 $3.63 — $3.63 $3.63 $3.63 2025-10-01
S0138 HCPCS Finasteride 1 1 $2.88 — $2.88 $2.88 $2.88 2025-10-01
J0171 HCPCS EPINEPHrine 1 1 $2.28 — $2.28 $2.28 $2.28 2025-10-01
J1200 HCPCS diphenhydrAMINE Hcl 1 1 $2.19 — $2.19 $2.19 $2.19 2025-10-01
J1650 HCPCS Enoxaparin Sodium 1 1 $1.68 — $1.68 $1.68 $1.68 2025-10-01
J7627 HCPCS Budesonide/Formoterol Fumarate 1 1 $1.62 — $1.62 $1.62 $1.62 2025-10-01
J0696 HCPCS cefTRIAXone Sodium 1 1 $1.35 — $1.35 $1.35 $1.35 2025-10-01
J7512 HCPCS predniSONE 1 1 $0.72 — $0.72 $0.72 $0.72 2025-10-01
J7609 HCPCS Symbicort 1 1 $0.60 — $0.60 $0.60 $0.60 2025-10-01
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