Hospital

BEACON BEHAVIORAL HOSPITAL - CENTRAL

Bunkie, LA · CCN 194112 · Rates published

234 distinct procedures filed

49 distinct payers

508 rate rows

2025-10-01 last MRF observed · ⚠ 12 mo old

Data quality

216 of 508 rate rows are consumer-grade (42.5%)

292 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	251
percent-of-charges filed in the dollar field — excluded from medians	34
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	6
per-diem day rate — not a per-procedure price	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://beaconbh.com/wp-content/uploads/2026/04/853294005-320433074-1184044430_bunkie-hospital_standardcharges_2026.csv
Found on page	https://www.beaconbh.com/price-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-23
Content fingerprint	3e5cef24fe43ddd4… · 178,074 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
126 MS_DRG	Semi Private Detox Room And Board, All Inclusive Except Prof. Fees	14	$740.00	$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	25	$700.00	$1,545.00	$1,545.00	nat. median $13,125 outlier · 0.1×
J8499 HCPCS	Abreva	1	$1,545.00	$1,545.00	$1,545.00	nat. median $60 outlier · 25.6×
J0750 HCPCS	Emtricitabine/Tenofovir (Tdf)	1	$384.69	$384.69	$384.69	nat. median $4 outlier · 100.6×
80349 CPT	Urine Drug Screen 80349	1	$343.29	$343.29	$343.29	nat. median $76 outlier · 4.5×
80350 CPT	Urine Drug Screen 80350	1	$343.29	$343.29	$343.29	nat. median $28 outlier · 12.2×
80351 CPT	Urine Drug Screen 80351	1	$287.40	$287.40	$287.40	nat. median $18 outlier · 16.1×
J7644 HCPCS	Ipratropium Bromide	1	$200.40	$200.40	$200.40	nat. median $2 outlier · 90.7×
80352 CPT	Urine Drug Screen 80352	1	$186.42	$186.42	$186.42	nat. median $68 outlier · 2.7×
80353 CPT	Urine Drug Screen 80353	1	$185.94	$185.94	$185.94	nat. median $66 outlier · 2.8×
90715 CPT	Adacel Tdap	1	$182.28	$182.28	$182.28	nat. median $88 outlier · 2.1×
80356 CPT	Urine Drug Screen 80356	1	$180.45	$180.45	$180.45	nat. median $52 outlier · 3.5×
80355 CPT	Urine Drug Screen 80355	1	$180.45	$180.45	$180.45	nat. median $35 outlier · 5.2×
80354 CPT	Urine Drug Screen 80354	1	$180.45	$180.45	$180.45	nat. median $67 outlier · 2.7×
90837 HCPCS	Psychotherapy, 60 Minutes With Patient And/or Family Member�(53 Minutes Or Longe…	2	$85.65	$275.00	$180.32	nat. median $217 0.8× median
80357 CPT	Urine Drug Screen 80357	1	$175.86	$175.86	$175.86	nat. median $50 outlier · 3.5×
J3230 HCPCS	chlorproMAZINE Hcl	1	$170.25	$170.25	$170.25	nat. median $74 outlier · 2.3×
90839 HCPCS	Psychotherapy For Crisis, First 60 Minutes	2	$85.65	$250.00	$167.82	nat. median $215 0.8× median
90834 HCPCS	Psychotherapy, 45 Minutes With Patient And/or Family Member�(38 To 52 Minutes)	2	$85.65	$250.00	$167.82	nat. median $197 0.9× median
80358 CPT	Urine Drug Screen 80358	1	$153.93	$153.93	$153.93	nat. median $71 outlier · 2.2×
80360 CPT	Urine Drug Screen 80360	1	$142.89	$142.89	$142.89	nat. median $59 outlier · 2.4×
80359 CPT	Urine Drug Screen 80359	1	$142.89	$142.89	$142.89	nat. median $55 outlier · 2.6×
90832 HCPCS	Psychotherapy, 30 Minutes With Patient And/or Family Member�(16 To 37 Minutes)	2	$85.65	$200.00	$142.82	nat. median $175 0.8× median
80361 CPT	Urine Drug Screen 80361	1	$135.33	$135.33	$135.33	nat. median $69 2.0× median
90846 HCPCS	Family Psychotherapy (without The Patient Present), 50 Minutes	2	$85.65	$150.00	$117.83	nat. median $194 0.6× median
90853 HCPCS	Group Psychotherapy (other Than Of A Multiple-family Group)	2	$85.65	$150.00	$117.83	nat. median $145 0.8× median
80362 CPT	Urine Drug Screen 80362	1	$117.78	$117.78	$117.78	nat. median $66 1.8× median
J1815 HCPCS	HumuLIN R	1	$115.89	$115.89	$115.89	nat. median $42 outlier · 2.7×
80363 CPT	Urine Drug Screen 80363	1	$111.81	$111.81	$111.81	nat. median $29 outlier · 3.8×
80367 CPT	Urine Drug Screen 80367	1	$105.27	$105.27	$105.27	nat. median $62 1.7× median
80368 CPT	Urine Drug Screen 80368	1	$105.27	$105.27	$105.27	nat. median $49 outlier · 2.2×
80366 CPT	Urine Drug Screen 80366	1	$105.27	$105.27	$105.27	nat. median $43 outlier · 2.4×
80364 CPT	Urine Drug Screen 80364	1	$105.27	$105.27	$105.27	nat. median $52 outlier · 2.0×
80365 CPT	Urine Drug Screen 80365	1	$105.27	$105.27	$105.27	nat. median $61 1.7× median
80369 CPT	Urine Drug Screen 80369	1	$97.62	$97.62	$97.62	nat. median $80 1.2× median
80370 CPT	Urine Drug Screen 80370	1	$97.62	$97.62	$97.62	nat. median $24 outlier · 4.1×
J0561 HCPCS	Bicillin L-a	1	$96.33	$96.33	$96.33	nat. median $245 outlier · 0.4×
J2799 HCPCS	risperiDONE	1	$89.61	$89.61	$89.61	nat. median $1,132 outlier · 0.1×
80371 CPT	Urine Drug Screen 80371	1	$77.46	$77.46	$77.46	nat. median $50 1.5× median
80372 CPT	Urine Drug Screen 80372	1	$72.24	$72.24	$72.24	nat. median $38 1.9× median
80373 CPT	Urine Drug Screen 80373	1	$67.08	$67.08	$67.08	nat. median $62 1.1× median
80374 CPT	Urine Drug Screen 80374	1	$67.08	$67.08	$67.08	nat. median $29 outlier · 2.3×
80375 CPT	Urine Drug Screen 80375	1	$65.04	$65.04	$65.04	nat. median $105 0.6× median
80376 CPT	Urine Drug Screen 80376	1	$65.04	$65.04	$65.04	nat. median $42 1.5× median
J0515 HCPCS	Benztropine Mesylate	1	$61.71	$61.71	$61.71	nat. median $90 0.7× median
80377 CPT	Urine Drug Screen 80377	1	$60.45	$60.45	$60.45	nat. median $113 0.5× median
86803 CPT	Hcv Ab w/Rflx To Quant. Rt-pcr	1	$58.14	$58.14	$58.14	nat. median $41 1.4× median
80164 CPT	Valproic Acid Level (Depakote)	1	$55.92	$55.92	$55.92	nat. median $41 1.4× median
80061 CPT	Lipid Panel	1	$53.94	$53.94	$53.94	nat. median $35 1.5× median
80177 CPT	Keppra Level (Levetiracetam)	1	$50.82	$50.82	$50.82	nat. median $32 1.6× median

Other procedures at this hospital

Browse this hospital's 234 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

126	MS_DRG	Semi Private Detox Room And Board, All Inclusive Except Prof. Fees	15	14	$1,500.00	$1,545.00	$740.00	$1,545.00	$1,545.00	2025-10-01
124	MS_DRG	Semi Private Psychiatric Room And Board, All Inclusive Except Prof. Fees	28	25	$1,500.00	$1,545.00	$700.00	$1,545.00	$1,545.00	2025-10-01
J8499	HCPCS	Abreva	1	1	$92.94	$439.29	$1,545.00	$1,545.00	$1,545.00	2025-10-01
J0750	HCPCS	Emtricitabine/Tenofovir (Tdf)	1	1	$194.43	$194.43	$384.69	$384.69	$384.69	2025-10-01
80349	CPT	Urine Drug Screen 80349	1	1	$43.56	$43.56	$343.29	$343.29	$343.29	2025-10-01
80350	CPT	Urine Drug Screen 80350	1	1	$43.56	$43.56	$343.29	$343.29	$343.29	2025-10-01
80351	CPT	Urine Drug Screen 80351	1	1	$43.56	$43.56	$287.40	$287.40	$287.40	2025-10-01
J7644	HCPCS	Ipratropium Bromide	1	1	$0.42	$136.89	$200.40	$200.40	$200.40	2025-10-01
80352	CPT	Urine Drug Screen 80352	1	1	$43.56	$43.56	$186.42	$186.42	$186.42	2025-10-01
80353	CPT	Urine Drug Screen 80353	1	1	$43.56	$43.56	$185.94	$185.94	$185.94	2025-10-01
90715	CPT	Adacel Tdap	1	1	$115.89	$115.89	$182.28	$182.28	$182.28	2025-10-01
80356	CPT	Urine Drug Screen 80356	1	1	$43.56	$43.56	$180.45	$180.45	$180.45	2025-10-01
80355	CPT	Urine Drug Screen 80355	1	1	$43.56	$43.56	$180.45	$180.45	$180.45	2025-10-01
80354	CPT	Urine Drug Screen 80354	1	1	$43.56	$43.56	$180.45	$180.45	$180.45	2025-10-01
90837	HCPCS	Psychotherapy, 60 Minutes With Patient And/or Family Member�(53 Minutes Or Longe…	2	2	$283.25	$275.00	$85.65	$275.00	$180.32	2025-10-01
80357	CPT	Urine Drug Screen 80357	1	1	$43.56	$43.56	$175.86	$175.86	$175.86	2025-10-01
J3230	HCPCS	chlorproMAZINE Hcl	1	1	$91.44	$91.44	$170.25	$170.25	$170.25	2025-10-01
90839	HCPCS	Psychotherapy For Crisis, First 60 Minutes	2	2	$250.00	$250.00	$85.65	$250.00	$167.82	2025-06-16
90834	HCPCS	Psychotherapy, 45 Minutes With Patient And/or Family Member�(38 To 52 Minutes)	2	2	$250.00	$250.00	$85.65	$250.00	$167.82	2025-06-16
80358	CPT	Urine Drug Screen 80358	1	1	$43.56	$43.56	$153.93	$153.93	$153.93	2025-10-01
80359	CPT	Urine Drug Screen 80359	1	1	$43.56	$43.56	$142.89	$142.89	$142.89	2025-10-01
80360	CPT	Urine Drug Screen 80360	1	1	$43.56	$43.56	$142.89	$142.89	$142.89	2025-10-01
90832	HCPCS	Psychotherapy, 30 Minutes With Patient And/or Family Member�(16 To 37 Minutes)	2	2	$200.00	$200.00	$85.65	$200.00	$142.82	2025-06-16
80361	CPT	Urine Drug Screen 80361	1	1	$43.56	$43.56	$135.33	$135.33	$135.33	2025-10-01
90846	HCPCS	Family Psychotherapy (without The Patient Present), 50 Minutes	2	2	$150.00	$150.00	$85.65	$150.00	$117.83	2025-06-16
90853	HCPCS	Group Psychotherapy (other Than Of A Multiple-family Group)	2	2	$103.00	$100.00	$85.65	$150.00	$117.83	2025-10-01
80362	CPT	Urine Drug Screen 80362	1	1	$43.56	$43.56	$117.78	$117.78	$117.78	2025-10-01
J1815	HCPCS	HumuLIN R	1	1	$5.35	$81.35	$115.89	$115.89	$115.89	2025-10-01
80363	CPT	Urine Drug Screen 80363	1	1	$43.56	$43.56	$111.81	$111.81	$111.81	2025-10-01
80366	CPT	Urine Drug Screen 80366	1	1	$43.56	$43.56	$105.27	$105.27	$105.27	2025-10-01
80365	CPT	Urine Drug Screen 80365	1	1	$43.56	$43.56	$105.27	$105.27	$105.27	2025-10-01
80367	CPT	Urine Drug Screen 80367	1	1	$43.56	$43.56	$105.27	$105.27	$105.27	2025-10-01
80364	CPT	Urine Drug Screen 80364	1	1	$43.56	$43.56	$105.27	$105.27	$105.27	2025-10-01
80368	CPT	Urine Drug Screen 80368	1	1	$43.56	$43.56	$105.27	$105.27	$105.27	2025-10-01
80369	CPT	Urine Drug Screen 80369	1	1	$43.56	$43.56	$97.62	$97.62	$97.62	2025-10-01
80370	CPT	Urine Drug Screen 80370	1	1	$43.56	$43.56	$97.62	$97.62	$97.62	2025-10-01
J0561	HCPCS	Bicillin L-a	1	1	$80.46	$80.46	$96.33	$96.33	$96.33	2025-10-01
J2799	HCPCS	risperiDONE	1	1	$74.16	$74.16	$89.61	$89.61	$89.61	2025-10-01
80371	CPT	Urine Drug Screen 80371	1	1	$43.56	$43.56	$77.46	$77.46	$77.46	2025-10-01
80372	CPT	Urine Drug Screen 80372	1	1	$43.56	$43.56	$72.24	$72.24	$72.24	2025-10-01
80374	CPT	Urine Drug Screen 80374	1	1	$43.56	$43.56	$67.08	$67.08	$67.08	2025-10-01
80373	CPT	Urine Drug Screen 80373	1	1	$43.56	$43.56	$67.08	$67.08	$67.08	2025-10-01
80375	CPT	Urine Drug Screen 80375	1	1	$43.56	$43.56	$65.04	$65.04	$65.04	2025-10-01
80376	CPT	Urine Drug Screen 80376	1	1	$43.56	$43.56	$65.04	$65.04	$65.04	2025-10-01
J0515	HCPCS	Benztropine Mesylate	1	1	$50.67	$50.67	$61.71	$61.71	$61.71	2025-10-01
80377	CPT	Urine Drug Screen 80377	1	1	$43.56	$43.56	$60.45	$60.45	$60.45	2025-10-01
86803	CPT	Hcv Ab w/Rflx To Quant. Rt-pcr	1	1	$42.81	$42.81	$58.14	$58.14	$58.14	2025-10-01
80164	CPT	Valproic Acid Level (Depakote)	1	1	$40.62	$40.62	$55.92	$55.92	$55.92	2025-10-01
80061	CPT	Lipid Panel	1	1	$40.17	$40.17	$53.94	$53.94	$53.94	2025-10-01
80162	CPT	Digoxin Level	1	1	$39.84	$39.84	$50.82	$50.82	$50.82	2025-10-01
80177	CPT	Keppra Level (Levetiracetam)	1	1	$39.75	$39.75	$50.82	$50.82	$50.82	2025-10-01
J2426	HCPCS	Invega Sustenna	1	1	$44.19	$44.19	$50.76	$50.76	$50.76	2025-10-01
80175	CPT	Lamotrigine Level (Lamictal)	1	1	$39.75	$39.75	$50.40	$50.40	$50.40	2025-10-01
80183	CPT	Oxcarbazepine(Trileptal) LeveL	1	1	$39.75	$39.75	$45.24	$45.24	$45.24	2025-10-01
84466	CPT	Transferrin	1	1	$38.28	$38.28	$45.15	$45.15	$45.15	2025-10-01
80306	CPT	Urine Drug Screen 80306	1	1	$37.32	$37.32	$44.10	$44.10	$44.10	2025-10-01
J2427	HCPCS	Paliperidone Palmitate	1	1	$37.86	$37.86	$43.80	$43.80	$43.80	2025-10-01
86706	CPT	Hepatitis B Surface Antibody	1	1	$32.22	$32.22	$43.77	$43.77	$43.77	2025-10-01
J2798	HCPCS	Perseris	1	1	$36.57	$36.57	$43.77	$43.77	$43.77	2025-10-01
80053	CPT	Comprehensive Metabolic Panel	1	1	$31.68	$31.68	$43.71	$43.71	$43.71	2025-10-01
85610	CPT	Pt/inr	1	1	$12.87	$30.90	$43.71	$43.71	$43.71	2025-10-01
85018	CPT	Hemoglobin & Hematocrit	1	1	$28.50	$28.50	$43.56	$43.56	$43.56	2025-10-01
85014	CPT	Hematocrit	1	1	$28.50	$28.50	$43.56	$43.56	$43.56	2025-10-01
84479	CPT	Thyroid Level (t4)	1	1	$19.41	$19.41	$43.56	$43.56	$43.56	2025-10-01
84450	CPT	Uric Acid Level	1	1	$15.54	$15.54	$43.56	$43.56	$43.56	2025-10-01
84439	CPT	Free T4	1	1	$27.06	$27.06	$43.56	$43.56	$43.56	2025-10-01
84132	CPT	Potassium Level	1	1	$14.28	$14.28	$43.56	$43.56	$43.56	2025-10-01
83735	CPT	Magnesium Serum	1	1	$20.10	$20.10	$43.56	$43.56	$43.56	2025-10-01
83690	CPT	Lipase Level	1	1	$20.67	$20.67	$43.56	$43.56	$43.56	2025-10-01
83036	CPT	Hemoglobin A1c	1	1	$29.13	$29.13	$43.56	$43.56	$43.56	2025-10-01
85730	CPT	Thromboplastin Time Partial	1	1	$18.03	$18.03	$43.56	$43.56	$43.56	2025-10-01
86140	CPT	C-reactive Protein Non Cardiac	1	1	$15.54	$15.54	$43.56	$43.56	$43.56	2025-10-01
86593	CPT	Rpr W/reflex-quantitative	1	1	$13.20	$13.20	$43.56	$43.56	$43.56	2025-10-01
82550	CPT	Creatine Phosphokinase (cpk)	1	1	$19.53	$19.53	$43.56	$43.56	$43.56	2025-10-01
87075	CPT	Miscellaneous Culture	1	1	$25.86	$25.86	$43.56	$43.56	$43.56	2025-10-01
87076	CPT	Miscellaneous Culture 87076	1	1	$24.24	$24.24	$43.56	$43.56	$43.56	2025-10-01
87177	CPT	Stool Specimen	1	1	$26.70	$26.70	$43.56	$43.56	$43.56	2025-10-01
89055	CPT	Stool For Wbc	1	1	$12.81	$12.81	$43.56	$43.56	$43.56	2025-10-01
36415	CPT	Blood Culture & Specimen	1	1	$27.27	$27.27	$43.56	$43.56	$43.56	2025-10-01
80178	CPT	Lithium Drug Level	1	1	$19.83	$19.83	$43.56	$43.56	$43.56	2025-10-01
82540	CPT	Creatine Kinase	1	1	$13.92	$13.92	$43.56	$43.56	$43.56	2025-10-01
85025	CPT	Cbc With Diff	1	1	$23.31	$23.31	$43.56	$43.56	$43.56	2025-10-01
80076	CPT	Hepatic Function Panel (lft)	1	1	$24.51	$24.51	$43.56	$43.56	$43.56	2025-10-01
80048	CPT	Basic Metabolic Panel (bmp)	1	1	$25.38	$25.38	$43.56	$43.56	$43.56	2025-10-01
36416	CPT	Miscellaneous Culture 36416	1	1	$27.27	$27.27	$43.56	$43.56	$43.56	2025-10-01
81000	CPT	Urinalysis	1	1	$12.06	$12.06	$43.56	$43.56	$43.56	2025-10-01
81001	CPT	Ua w/Reflex To Culture-routine	1	1	$9.51	$9.51	$43.56	$43.56	$43.56	2025-10-01
81025	CPT	Hcg Urine (Pregnancy Test)	1	1	$25.83	$25.83	$43.56	$43.56	$43.56	2025-10-01
82977	CPT	Gamma Glutamyl Transferase	1	1	$21.60	$21.60	$43.56	$43.56	$43.56	2025-10-01
82150	CPT	Amylase	1	1	$19.44	$19.44	$43.56	$43.56	$43.56	2025-10-01
82270	CPT	Occult Blood (Single)	1	1	$13.14	$13.14	$43.56	$43.56	$43.56	2025-10-01
82310	CPT	Calcium Level	1	1	$15.48	$15.48	$43.56	$43.56	$43.56	2025-10-01
85027	CPT	Cbc	1	1	$19.41	$19.41	$43.56	$43.56	$43.56	2025-10-01
J7626	HCPCS	Budesonide	1	1	$28.23	$28.23	$34.80	$34.80	$34.80	2025-10-01
J2680	HCPCS	fluPHENAZine Decanoate	1	1	$28.23	$28.23	$34.41	$34.41	$34.41	2025-10-01
J0573	HCPCS	Buprenorphine HCL/Naloxone Hcl	1	1	$26.40	$26.40	$30.21	$30.21	$30.21	2025-10-01
J3360	HCPCS	diazePAM	1	1	$25.65	$25.65	$28.65	$28.65	$28.65	2025-10-01
J8611	HCPCS	Methotrexate (Jylamvo)	1	1	$24.30	$24.30	$27.06	$27.06	$27.06	2025-10-01
J1380	HCPCS	estradioL Valerate	1	1	$23.82	$23.82	$26.88	$26.88	$26.88	2025-10-01
J7517	HCPCS	Mycophenolate mofetiL	1	1	$23.85	$23.85	$26.88	$26.88	$26.88	2025-10-01
Q0144	HCPCS	Azithromycin	1	1	$23.34	$23.34	$26.82	$26.82	$26.82	2025-10-01
J0572	HCPCS	Buprenorphine Hcl	1	1	$23.22	$23.22	$26.61	$26.61	$26.61	2025-10-01
J3486	HCPCS	Ziprasidone Mesylate	1	1	$21.57	$21.57	$24.90	$24.90	$24.90	2025-10-01
J8612	HCPCS	Methotrexate (Xatmep)	1	1	$21.36	$21.36	$23.82	$23.82	$23.82	2025-10-01
J0401	HCPCS	Abilify Maintena	1	1	$21.21	$21.21	$23.40	$23.40	$23.40	2025-10-01
J1944	HCPCS	Aristada	1	1	$9.69	$17.76	$21.21	$21.21	$21.21	2025-10-01
J1631	HCPCS	haloperidoL Decanoate	1	1	$16.65	$16.65	$20.16	$20.16	$20.16	2025-10-01
J7507	HCPCS	Tacrolimus	1	1	$13.38	$13.38	$15.15	$15.15	$15.15	2025-10-01
96372	CPT	Injection Of Drug/substance Un	1	1	$12.94	$12.94	$14.73	$14.73	$14.73	2025-10-01
J2315	HCPCS	Naltrexone Microspheres	1	1	$12.36	$12.36	$13.86	$13.86	$13.86	2025-10-01
J1943	HCPCS	Aristada Initio	1	1	$9.39	$9.39	$10.65	$10.65	$10.65	2025-10-01
J1438	HCPCS	EnbreL	1	1	$9.00	$9.00	$10.11	$10.11	$10.11	2025-10-01
J3490	HCPCS	Trulicity	1	1	$9.00	$9.00	$10.11	$10.11	$10.11	2025-10-01
J7620	HCPCS	Ipratropium/Albuterol Sulfate	1	1	$6.81	$6.81	$7.56	$7.56	$7.56	2025-10-01
J7643	HCPCS	Glycopyrrolate	1	1	$6.60	$6.60	$7.23	$7.23	$7.23	2025-10-01
J2060	HCPCS	LORazepam	1	1	$4.05	$4.05	$4.44	$4.44	$4.44	2025-10-01
J3420	HCPCS	Cyanocobalamin (Vitamin B-12)	1	1	$3.81	$3.81	$4.29	$4.29	$4.29	2025-10-01
J1630	HCPCS	haloperidoL Lactate	1	1	$3.63	$3.63	$4.05	$4.05	$4.05	2025-10-01
S0138	HCPCS	Finasteride	1	1	$2.88	$2.88	$3.18	$3.18	$3.18	2025-10-01
J0171	HCPCS	EPINEPHrine	1	1	$2.28	$2.28	$2.43	$2.43	$2.43	2025-10-01
J1200	HCPCS	diphenhydrAMINE Hcl	1	1	$2.19	$2.19	$2.34	$2.34	$2.34	2025-10-01
J1650	HCPCS	Enoxaparin Sodium	1	1	$1.68	$1.68	$1.92	$1.92	$1.92	2025-10-01
J7627	HCPCS	Budesonide/Formoterol Fumarate	1	1	$1.62	$1.62	$1.89	$1.89	$1.89	2025-10-01
J0696	HCPCS	cefTRIAXone Sodium	1	1	$1.35	$1.35	$1.62	$1.62	$1.62	2025-10-01
G0480	HCPCS	Blood Alcohol Concentration	1	1	$343.29	$343.29	$1.26	$1.26	$1.26	2025-10-01
80320	CPT	Alcohol Level	1	1	$343.29	$343.29	$1.26	$1.26	$1.26	2025-10-01
87502	CPT	Influenza A+b Alere I	1	1	$287.40	$287.40	$1.14	$1.14	$1.14	2025-10-01
J7512	HCPCS	predniSONE	1	1	$0.63	$0.72	$0.99	$0.99	$0.99	2025-10-01
80305	CPT	Urine Drug Screen (Send Out)	1	1	$186.42	$186.42	$0.90	$0.90	$0.90	2025-10-01
86480	CPT	TB Gold Plus-quantiferon	1	1	$185.94	$185.94	$0.84	$0.84	$0.84	2025-10-01
J7609	HCPCS	Symbicort	1	1	$0.60	$0.60	$0.78	$0.78	$0.78	2025-10-01
87510	CPT	Gardnerella Vaginalis, Direct	1	1	$180.45	$180.45	$0.57	$0.57	$0.57	2025-10-01
87660	CPT	Trichomonoas Vaginalis, Direct	1	1	$180.45	$180.45	$0.54	$0.54	$0.54	2025-10-01
87480	CPT	Urine BV/Trichomoniasis (naat)	1	1	$180.45	$180.45	$0.51	$0.51	$0.51	2025-10-01
87539	CPT	HIV 2	1	1	$175.86	$175.86	$0.42	$0.42	$0.42	2025-10-01
87635	CPT	Covid Test (send-out) Nasal Sw	1	1	$153.93	$153.93	$0.36	$0.36	$0.36	2025-10-01
80074	CPT	Hepatitis Iii	1	1	$142.89	$142.89	$0.30	$0.30	$0.30	2025-10-01
80307	CPT	Urine Drug Screen 80307	1	1	$135.33	$135.33	$0.27	$0.27	$0.27	2025-10-01
83880	CPT	Brain Natriuretic Peptide(BNP)	1	1	$117.78	$117.78	$0.24	$0.24	$0.24	2025-10-01
87491	CPT	Chlamydia/Gonococcus, Naa Swab	1	1	$105.27	$105.27	$0.21	$0.21	$0.21	2025-10-01
87493	CPT	C. Difficile Toxin Gene, Naa	1	1	$111.81	$111.81	$0.21	$0.21	$0.21	2025-10-01
87563	CPT	Mycoplasma Genitalium	1	1	$105.27	$105.27	$0.18	$0.18	$0.18	2025-10-01
87591	CPT	Neisseria Gonorrhoeae Amplifie	1	1	$105.27	$105.27	$0.18	$0.18	$0.18	2025-10-01
87661	CPT	Trichomonas Vaginalis, Naa	1	1	$105.27	$105.27	$0.18	$0.18	$0.18	2025-10-01
86695	CPT	Herpes Simplex Type 1 Test	1	1	$97.62	$97.62	$0.15	$0.15	$0.15	2025-10-01
86696	CPT	Herpes Simplex Type 2 Test	1	1	$97.62	$97.62	$0.15	$0.15	$0.15	2025-10-01
84443	CPT	Thyroid Level (tsh)	1	1	$50.40	$77.46	$0.15	$0.15	$0.15	2025-10-01
87389	CPT	HIV Ag/Ab W/reflex-qualitative	1	1	$72.24	$72.24	$0.15	$0.15	$0.15	2025-10-01
83550	CPT	Iron Binding Test	1	1	$65.04	$65.04	$0.12	$0.12	$0.12	2025-10-01
87205	CPT	Gram/Giemsa Stain On A Primary	1	1	$67.08	$67.08	$0.12	$0.12	$0.12	2025-10-01
87070	CPT	Anaerobic And Aerobic Culture	1	1	$25.86	$67.08	$0.12	$0.12	$0.12	2025-10-01
80159	CPT	Clozapine Level	1	1	$60.45	$60.45	$0.09	$0.09	$0.09	2025-10-01
90653	CPT	Flu Vacc Ts2024-25(6mos Up)/Pf	1	1	$250.47	$250.47	$0.09	$0.09	$0.09	2025-10-01
80143	CPT	Acetaminophen Level	1	1	$55.92	$55.92	$0.09	$0.09	$0.09	2025-10-01
83540	CPT	Iron Level & Total Iron (tibc)	1	1	$65.04	$65.04	$0.09	$0.09	$0.09	2025-10-01
84146	CPT	Prolactin Level	1	1	$58.14	$58.14	$0.09	$0.09	$0.09	2025-10-01
84481	CPT	Free T3	1	1	$50.82	$50.82	$0.06	$0.06	$0.06	2025-10-01
82607	CPT	Vitamin B12 Level	1	1	$45.24	$45.24	$0.06	$0.06	$0.06	2025-10-01
82140	CPT	Ammonia Level	1	1	$43.71	$43.71	$0.06	$0.06	$0.06	2025-10-01
80156	CPT	Carbamazepine Level (Tegretol)	1	1	$43.71	$43.71	$0.06	$0.06	$0.06	2025-10-01
84702	CPT	Hcg Serum	1	1	$45.15	$45.15	$0.06	$0.06	$0.06	2025-10-01
82746	CPT	Folate (Folic Acid) Level	1	1	$44.10	$44.10	$0.06	$0.06	$0.06	2025-10-01
87209	CPT	Stool Specimen 87209	1	1	$53.94	$53.94	$0.06	$0.06	$0.06	2025-10-01
84134	CPT	Prealbumin Level	1	1	$43.77	$43.77	$0.06	$0.06	$0.06	2025-10-01
80322	CPT	Urine Drug Screen 80322	1	1	$43.56	$43.56	$0.03	$0.03	$0.03	2025-10-01
80321	CPT	Urine Drug Screen 80321	1	1	$43.56	$43.56	$0.03	$0.03	$0.03	2025-10-01
80323	CPT	Urine Drug Screen 80323	1	1	$43.56	$43.56	$0.03	$0.03	$0.03	2025-10-01
J7613	HCPCS	Albuterol Sulfate	0	0	$2.40	—	—	—	—	2025-06-16
73030	CPT	Xr Shoulder Compl Min 2 Views	0	0	$91.20	—	—	—	—	2025-06-16
72220	CPT	Xr Sacrum & Coccyx Min 2 Views	0	0	$85.95	—	—	—	—	2025-06-16
72100	CPT	Xr Lumbar Spine AP/Lat	0	0	$104.46	—	—	—	—	2025-06-16
72070	CPT	Xr Thoracic Spine AP/Lat	0	0	$87.15	—	—	—	—	2025-06-16
71100	CPT	Radiology Order - Other	0	0	$96.78	—	—	—	—	2025-06-16
71046	CPT	Xr Chest Ap/lat 2 Views	0	0	$89.07	—	—	—	—	2025-06-16
S9480	HCPCS	Intensive Outpatient Mental Health, Per Diem	0	0	$900.00	—	—	—	—	2025-06-16
71045	CPT	Xr Chest 1 View Frontal	0	0	$68.97	—	—	—	—	2025-06-16
70260	CPT	Xr SKull Complete Min 4 Views	0	0	$117.99	—	—	—	—	2025-06-16
80348	CPT	Urine Drug Screen 80348	0	0	$43.56	—	—	—	—	2025-06-16
80347	CPT	Urine Drug Screen 80347	0	0	$43.56	—	—	—	—	2025-06-16
80346	CPT	Urine Drug Screen 80346	0	0	$43.56	—	—	—	—	2025-06-16
80345	CPT	Urine Drug Screen 80345	0	0	$43.56	—	—	—	—	2025-06-16
80344	CPT	Urine Drug Screen 80344	0	0	$43.56	—	—	—	—	2025-06-16
80343	CPT	Urine Drug Screen 80343	0	0	$43.56	—	—	—	—	2025-06-16
80342	CPT	Urine Drug Screen 80342	0	0	$43.56	—	—	—	—	2025-06-16
80341	CPT	Urine Drug Screen 80341	0	0	$43.56	—	—	—	—	2025-06-16
80340	CPT	Urine Drug Screen 80340	0	0	$43.56	—	—	—	—	2025-06-16
80339	CPT	Urine Drug Screen 80339	0	0	$43.56	—	—	—	—	2025-06-16
80338	CPT	Urine Drug Screen 80338	0	0	$43.56	—	—	—	—	2025-06-16
80337	CPT	Urine Drug Screen 80337	0	0	$43.56	—	—	—	—	2025-06-16
80336	CPT	Urine Drug Screen 80336	0	0	$43.56	—	—	—	—	2025-06-16
80335	CPT	Urine Drug Screen 80335	0	0	$43.56	—	—	—	—	2025-06-16
80334	CPT	Urine Drug Screen 80334	0	0	$43.56	—	—	—	—	2025-06-16
80333	CPT	Urine Drug Screen 80333	0	0	$43.56	—	—	—	—	2025-06-16
80332	CPT	Urine Drug Screen 80332	0	0	$43.56	—	—	—	—	2025-06-16
80331	CPT	Urine Drug Screen 80331	0	0	$43.56	—	—	—	—	2025-06-16
80330	CPT	Urine Drug Screen 80330	0	0	$43.56	—	—	—	—	2025-06-16
80329	CPT	Urine Drug Screen 80329	0	0	$43.56	—	—	—	—	2025-06-16
80328	CPT	Urine Drug Screen 80328	0	0	$43.56	—	—	—	—	2025-06-16
80327	CPT	Urine Drug Screen 80327	0	0	$43.56	—	—	—	—	2025-06-16
90471	CPT	Admin Influenza Virus Vac	0	0	$55.08	—	—	—	—	2025-06-16
90472	CPT	Immunization Admin Each Add	0	0	$39.45	—	—	—	—	2025-06-16
90656	CPT	Flu Vacc Ts2024-25(6mos Up)/Pf	0	0	$67.05	—	—	—	—	2025-06-16
80326	CPT	Urine Drug Screen 80326	0	0	$43.56	—	—	—	—	2025-06-16
90832	CPT	Individual Psych Tx 16-37 Mins	0	0	$600.00	—	—	—	—	2025-06-16
90834	CPT	Individual Psych Tx 38-52 Mins	0	0	$750.00	—	—	—	—	2025-06-16
90837	CPT	Individual Psych Tx 53 + Mins	0	0	$825.00	—	—	—	—	2025-06-16
90839	CPT	Psych Crisis Tx First 60 Mins	0	0	$825.00	—	—	—	—	2025-06-16
90846	CPT	Family Psych Tx No Pt Present	0	0	$750.00	—	—	—	—	2025-06-16
90847	CPT	Family Psych Tx Patient Presen	0	0	$750.00	—	—	—	—	2025-06-16
90853	CPT	Group Psych Tx	0	0	$300.00	—	—	—	—	2025-06-16
90875	CPT	Psych Interactive Tx Add On	0	0	$75.00	—	—	—	—	2025-06-16
93000	CPT	EKG	0	0	$38.91	—	—	—	—	2025-06-16
93971	CPT	US Lower Ext Venous Doppler	0	0	$308.34	—	—	—	—	2025-06-16
80325	CPT	Urine Drug Screen 80325	0	0	$43.56	$43.56	—	—	—	2025-10-01
80324	CPT	Urine Drug Screen 80324	0	0	$43.56	$43.56	—	—	—	2025-10-01
J0402	HCPCS	ARIPiprazole	0	0	$17.76	—	—	—	—	2025-06-16
J0574	HCPCS	Buprenorphine HCL/Naloxone Hcl	0	0	$26.40	—	—	—	—	2025-06-16
74019	CPT	Xr Abdomen Ant/post View	0	0	$97.74	—	—	—	—	2025-06-16
74018	CPT	Xr Abdomen 1 View	0	0	$79.23	—	—	—	—	2025-06-16
J1610	HCPCS	Glucagon Emergency Kit	0	0	$552.54	—	—	—	—	2025-06-16
73630	CPT	Xr Foot Complete Min 3 Views	0	0	$89.37	—	—	—	—	2025-06-16
73620	CPT	Xr Foot 2 Views	0	0	$74.70	—	—	—	—	2025-06-16
73610	CPT	Xr Ankle Complete Min 3 Views	0	0	$95.34	—	—	—	—	2025-06-16
J2359	HCPCS	OLANZapine	0	0	$2.25	—	—	—	—	2025-06-16
73600	CPT	Xr Ankle 2 Views	0	0	$84.12	—	—	—	—	2025-06-16
73590	CPT	Xr Tibia/Fibula	0	0	$83.25	—	—	—	—	2025-06-16
73562	CPT	Xr Knee Complete 3 Views	0	0	$106.56	—	—	—	—	2025-06-16
73521	CPT	Xr Hip B/l Including Pelvis	0	0	$108.75	—	—	—	—	2025-06-16
73502	CPT	Xr Hip Complete 2 Views	0	0	$124.98	—	—	—	—	2025-06-16
73130	CPT	Xr Hand Complete Min 3 Views	0	0	$97.92	—	—	—	—	2025-06-16
73120	CPT	Xr Hand	0	0	$82.41	—	—	—	—	2025-06-16
73110	CPT	Xr Wrist Complete Min 3 Views	0	0	$108.18	—	—	—	—	2025-06-16
73090	CPT	Xr Forearm 2 Views	0	0	$77.28	—	—	—	—	2025-06-16
73060	CPT	Xr Humerus Min 2 Views	0	0	$84.12	—	—	—	—	2025-06-16

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