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

PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Grand Rapids, MI · CCN 234006 · Rates published

463 distinct procedures filed
173 distinct payers
94,785 rate rows
2024-12-04 last MRF observed · ⚠ 18 mo old
Data quality

92,658 of 94,785 rate rows are consumer-grade (97.8%)

2,127 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 1,207
per-diem day rate — not a per-procedure price 684
exceeds 10× this hospital's gross charge — excluded from medians 231
placeholder amount (≤ $0.02) — excluded from medians 5

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://www.pinerest.org/media/Pine-Rest-2025-Standard-Professional-Charges.csv
Found on page https://www.pinerest.org
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint f34245b03772c767… · 96,080,653 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
PX-1140000002
CDM 		Hc R&b Private Psych With Ect 98 $3,667.00 $3,667.00 $3,667.00 nat. median
$3,667
1.0× median
PX-1240000002
CDM 		Hc R&b Semi Private Psych With Ect 98 $3,667.00 $3,667.00 $3,667.00 nat. median
$3,667
1.0× median
PX-1240000004
CDM 		Hc R&b Semi Private Psych - Acute 1:1 98 $2,450.00 $2,450.00 $2,450.00 nat. median
$2,450
1.0× median
PX-1240000005
CDM 		Hc R&b Semi Private Psych - Acute 2:1 98 $2,450.00 $2,450.00 $2,450.00 nat. median
$2,450
1.0× median
PX-1240000001
CDM 		Hc R&b Semi Private Psych 98 $2,450.00 $2,450.00 $2,450.00 nat. median
$2,450
1.0× median
PX-1240000003
CDM 		Hc R&b Semi Private Psych - 1:2 98 $2,450.00 $2,450.00 $2,450.00 nat. median
$2,450
1.0× median
PX-1240000006
CDM 		Hc R&b Semi Private Psych - Acute Q5 97 $2,450.00 $2,450.00 $2,450.00 nat. median
$2,450
1.0× median
S9976
CPT 		Hc Room/Board - Mh 122 $1,056.50 $1,056.50 $1,056.50 nat. median
$58
outlier · 18.3×
H0010
HCPCS 		Hc Residential Chem Dependency 1 $930.00 $930.00 $930.00 nat. median
$359
outlier · 2.6×
H0012
HCPCS 		Hc Room/Board - Subacute Detox 94 $930.00 $930.00 $930.00 nat. median
$351
outlier · 2.6×
87507
CPT 		Iadna-dna/rna Gi Pthgn Multiplex Probe Tq 12-25 102 $866.90 $866.90 $866.90 nat. median
$549
1.6× median
90869
CPT 		Repet Tms Tx Subseq Motr Threshld W/Deliv & Mn 149 $55.13 $1,013.72 $836.00 nat. median
$350
outlier · 2.4×
0097U
CPT 		Hc Chg Gi Pthgn Mult Rev Trans&Amp Prb Tech 22 Trgt 102 $824.44 $824.44 $824.44 nat. median
$824
1.0× median
87901
CPT 		Hc HIV-1 Genotype 102 $584.66 $584.66 $584.66 nat. median
$319
1.8× median
J1610
HCPCS 		Glucagon (rdna) 1 Mg Ij Kit 98 $560.00 $560.00 $560.00 nat. median
$371
1.5× median
J2794
HCPCS 		Risperidone Microspheres ER 12.5 Mg IM Srer 98 $559.06 $559.06 $559.06 nat. median
$845
0.7× median
99236
CPT 		Hospital IP/Obs Care Same Date High Mdm 85 Min 149 $184.00 $513.00 $513.00 nat. median
$369
1.4× median
99255
CPT 		IP/Obs Consltj New/Est Pt High Mdm 80 Minutes 149 $104.22 $504.50 $504.50 nat. median
$330
1.5× median
90867
CPT 		Repet Tms Tx Initial W/Map/Motr Threshld/Del&M 149 $68.91 $707.14 $478.00 nat. median
$365
1.3× median
99496
CPT 		Transj Care Mgmt High Mdm F2f 7 Cal D Discharge 149 $120.35 $424.50 $424.50 nat. median
$200
outlier · 2.1×
99223
CPT 		1st Hospital IP/Obs Care High Mdm 75 Minutes 149 $168.51 $418.00 $418.00 nat. median
$261
1.6× median
90870
CPT 		Hc Electroconvulsive Therapy 155 $66.46 $1,679.00 $418.00 nat. median
$687
0.6× median
J0561
HCPCS 		Penicillin G Benzathine 1200000 Unit/2ml IM Susy 98 $416.62 $416.62 $416.62 nat. median
$307
1.4× median
99235
CPT 		Hospital IP/Obs Care Same Date Mod Mdm 70 Min 149 $149.00 $416.00 $416.00 nat. median
$297
1.4× median
97167
CPT 		Ot Eval High Complex 102 $414.00 $414.00 $414.00 nat. median
$232
1.8× median
92523
CPT 		Eval Speech Sound Product Language Comprehension 149 $331.82 $412.00 $412.00 nat. median
$305
1.4× median
99254
CPT 		IP/Obs Consltj New/Est Pt Mod Mdm 60 Minutes 149 $87.54 $409.50 $409.50 nat. median
$316
1.3× median
99245
CPT 		Office/OP Consltj New/Est Pt High Mdm 55 Minutes 149 $104.22 $400.00 $400.00 nat. median
$308
1.3× median
T2022
HCPCS 		Case Management, Per Month 149 $399.50 $399.50 $399.50 nat. median
$180
outlier · 2.2×
T2023
HCPCS 		Targeted Case Mgmt Per Month 149 $395.00 $395.00 $395.00 nat. median
$200
2.0× median
80362
CPT 		Drug Screening Opioids And Opiate Analogs 1 Or 2 102 $392.87 $392.87 $392.87 nat. median
$63
outlier · 6.2×
99253
CPT 		IP/Obs Consltj New/Est Pt Low Mdm 45 Minutes 149 $63.05 $383.00 $383.00 nat. median
$239
1.6× median
99252
CPT 		IP/Obs Consltj New/Est Pt Sf Mdm 35 Minutes 149 $44.94 $365.00 $365.00 nat. median
$174
outlier · 2.1×
99350
CPT 		Home/Res Visit Est Patient High Mdm 60 Minutes 149 $117.58 $359.00 $359.00 nat. median
$237
1.5× median
PX-DRLICEVL
CDM 		Driver License Evaluation 149 $359.00 $359.00 $359.00 nat. median
$359
1.0× median
PX-9069085306
CDM 		Hc Iop Bcbs Nonbillable 68 $347.00 $347.00 $347.00 nat. median
$347
1.0× median
PX-9069085312
CDM 		Hc Iop Bcbs Nonbillable 68 $347.00 $347.00 $347.00 nat. median
$347
1.0× median
99345
CPT 		Home/Res Visit New Patient High Mdm 75 Minutes 149 $128.01 $384.26 $345.50 nat. median
$263
1.3× median
99205
CPT 		Office/Outpatient New High Mdm 60 Minutes 149 $91.72 $393.09 $335.62 nat. median
$269
1.2× median
97802
CPT 		Hc 90 Min Medical Nutrition Therapy Initial Assess & Intervention 53 $330.00 $330.00 $330.00 nat. median
$52
outlier · 6.3×
99234
CPT 		Hospital IP/Obs Care Same Date Sf/Low Mdm 45 Min 149 $95.36 $323.00 $323.00 nat. median
$212
1.5× median
99222
CPT 		1st Hospital IP/Obs Care Moderate Mdm 55 Minutes 149 $127.37 $312.00 $312.00 nat. median
$193
1.6× median
99233
CPT 		Sbsq Hospital IP/Obs Care High Mdm 50 Minutes 149 $74.98 $310.00 $310.00 nat. median
$169
1.8× median
99244
CPT 		Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes 149 $84.99 $308.00 $308.00 nat. median
$262
1.2× median
H0031
HCPCS 		Mh Health Assess By Non-md 149 $135.00 $302.50 $302.50 nat. median
$238
1.3× median
87631
CPT 		Hc Rsv And Influenza A/b Combo 102 $296.65 $296.65 $296.65 nat. median
$215
1.4× median
87900
CPT 		Hc Inf Agent Drug Susceptibility 102 $296.02 $296.02 $296.02 nat. median
$171
1.7× median
S9480
HCPCS 		Intensive Outpatient Psychia 149 $255.20 $294.00 $294.00 nat. median
$319
0.9× median
U0004
HCPCS 		Hc Sars-cov-2/2019-ncov Testing 157 $70.00 $291.32 $291.32 nat. median
$106
outlier · 2.7×
U0002
HCPCS 		Hc Sars-cov-2 Testing 157 $42.49 $291.32 $291.32 nat. median
$57
outlier · 5.1×

Other procedures at this hospital

Browse this hospital's 463 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
             
U0004 HCPCS Hc Sars-cov-2/2019-ncov Testing 385 157 $291.32 $233.06 $70.00 $291.32 $291.32 2024-12-04
U0003 HCPCS Covid 19 387 157 $291.32 $233.06 $70.00 $291.32 $291.32 2024-12-04
U0002 HCPCS Hc Sars-cov-2 Testing 391 157 $291.32 $233.06 $42.49 $291.32 $291.32 2024-12-04
80307 CPT Hc Drug Test Prsmv Chem Anlyzr 395 157 $129.25 $103.40 $20.95 $129.25 $129.25 2024-12-04
87635 CPT Hc Sars-cov-2 Covid-19 Amp Prb 393 157 $116.52 $93.22 $42.49 $123.00 $116.52 2024-12-04
96132 CPT Neuropsychological Tst Eval Phys/Qhp 1st Hour 428 156 $245.00 $196.00 20% off $50.18 $245.00 $235.92 2024-12-04
96130 CPT Psychological Tst Eval Svc Phys/Qhp First Hour 428 156 $215.00 $172.00 20% off $51.94 $215.00 $212.49 2024-12-04
96133 CPT Neuropsychological Tst Eval Phys/Qhp Ea Addl Hr 428 156 $228.00 $182.40 20% off $36.11 $228.00 $210.50 2024-12-04
96131 CPT Psychological Tst Eval Svc Phys/Qhp Ea Addl Hour 428 156 $185.00 $148.00 20% off $35.96 $185.00 $172.50 2024-12-04
96146 CPT Hc Psych Test By Psych/Phys 408 156 $145.00 $116.00 20% off $1.12 $145.00 $145.00 2024-12-04
96137 CPT Psycl/Nrpsycl Tst Phys/Qhp 2+ Tst Ea Addl 30 Min 428 156 $114.00 $91.20 20% off $8.47 $117.50 $114.00 2024-12-04
96136 CPT Psyl/Nrpsycl Tst Phys/Qhp 2+ Tst 1st 30 Min 428 156 $114.00 $91.20 20% off $11.03 $117.50 $114.00 2024-12-04
96138 CPT Hc Psych Test By Psych/Phys 411 156 $74.00 $59.20 $16.46 $74.00 $74.00 2024-12-04
90853 CPT Group Psychotherapy 362 156 $78.00 $62.40 20% off $11.51 $347.00 $70.50 2024-12-04
90870 CPT Hc Electroconvulsive Therapy 305 155 $418.00 $334.40 20% off $66.46 $1,679.00 $418.00 2024-12-04
90869 CPT Repet Tms Tx Subseq Motr Threshld W/Deliv & Mn 181 149 $836.00 $668.80 20% off $55.13 $1,013.72 $836.00 2024-12-04
99236 CPT Hospital IP/Obs Care Same Date High Mdm 85 Min 187 149 $514.00 $411.20 20% off $184.00 $513.00 $513.00 2024-12-04
99255 CPT IP/Obs Consltj New/Est Pt High Mdm 80 Minutes 201 149 $504.00 $403.20 20% off $104.22 $504.50 $504.50 2024-12-04
90867 CPT Repet Tms Tx Initial W/Map/Motr Threshld/Del&M 181 149 $478.00 $382.40 20% off $68.91 $707.14 $478.00 2024-12-04
99496 CPT Transj Care Mgmt High Mdm F2f 7 Cal D Discharge 174 149 $432.00 $345.60 $120.35 $424.50 $424.50 2024-12-04
99223 CPT 1st Hospital IP/Obs Care High Mdm 75 Minutes 150 149 $418.00 $334.40 20% off $168.51 $418.00 $418.00 2024-12-04
99235 CPT Hospital IP/Obs Care Same Date Mod Mdm 70 Min 187 149 $416.00 $332.80 20% off $149.00 $416.00 $416.00 2024-12-04
92523 CPT Eval Speech Sound Product Language Comprehension 154 149 $412.00 $329.60 $331.82 $412.00 $412.00 2024-12-04
99254 CPT IP/Obs Consltj New/Est Pt Mod Mdm 60 Minutes 203 149 $383.00 $306.40 20% off $87.54 $409.50 $409.50 2024-12-04
99245 CPT Office/OP Consltj New/Est Pt High Mdm 55 Minutes 179 149 $368.00 $294.40 20% off $104.22 $400.00 $400.00 2024-12-04
T2022 HCPCS Case Management, Per Month 304 149 $399.50 $319.60 $399.50 $399.50 $399.50 2024-12-04
T2023 HCPCS Targeted Case Mgmt Per Month 304 149 $395.00 $316.00 20% off $395.00 $395.00 $395.00 2024-12-04
99253 CPT IP/Obs Consltj New/Est Pt Low Mdm 45 Minutes 200 149 $352.00 $281.60 $63.05 $383.00 $383.00 2024-12-04
99252 CPT IP/Obs Consltj New/Est Pt Sf Mdm 35 Minutes 202 149 $334.00 $267.20 20% off $44.94 $365.00 $365.00 2024-12-04
99350 CPT Home/Res Visit Est Patient High Mdm 60 Minutes 181 149 $330.00 $264.00 20% off $117.58 $359.00 $359.00 2024-12-04
PX-DRLICEVL CDM Driver License Evaluation 152 149 $359.00 $287.20 20% off $359.00 $359.00 $359.00 2024-12-04
99345 CPT Home/Res Visit New Patient High Mdm 75 Minutes 181 149 $318.00 $254.40 20% off $128.01 $384.26 $345.50 2024-12-04
99205 CPT Office/Outpatient New High Mdm 60 Minutes 234 149 $350.00 $280.00 20% off $91.72 $393.09 $335.62 2024-12-04
99234 CPT Hospital IP/Obs Care Same Date Sf/Low Mdm 45 Min 187 149 $323.00 $258.40 20% off $95.36 $323.00 $323.00 2024-12-04
99222 CPT 1st Hospital IP/Obs Care Moderate Mdm 55 Minutes 150 149 $312.00 $249.60 20% off $127.37 $312.00 $312.00 2024-12-04
99233 CPT Sbsq Hospital IP/Obs Care High Mdm 50 Minutes 198 149 $310.00 $248.00 20% off $74.98 $310.00 $310.00 2024-12-04
99244 CPT Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes 178 149 $279.00 $223.20 20% off $84.99 $308.00 $308.00 2024-12-04
H0031 HCPCS Mh Health Assess By Non-md 468 149 $342.00 $273.60 $135.00 $302.50 $302.50 2024-12-04
S9480 HCPCS Intensive Outpatient Psychia 150 149 $294.00 $235.20 20% off $255.20 $294.00 $294.00 2024-12-04
99306 CPT Initial Nursing Facility Care Hi Mdm 50 Minutes 183 149 $263.00 $210.40 20% off $115.45 $299.06 $284.50 2024-12-04
99344 CPT Home/Res Visit New Patient Mod Mdm 60 Minutes 181 149 $260.00 $208.00 20% off $90.10 $315.68 $283.00 2024-12-04
PX-90867T CDM Transcranial Magnetic Stimulation Treatment,Planning Technical 181 149 $281.00 $224.80 $68.91 $707.14 $281.00 2024-12-04
PX-90869T CDM Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt Technical 181 149 $281.00 $224.80 $55.13 $1,013.72 $281.00 2024-12-04
PX-90868T CDM Transcranial Magnetic Stimulation Treatment,Delivery/Management Tech 181 149 $281.00 $224.80 $54.74 $389.11 $281.00 2024-12-04
90868 CPT Therap Repetitive Tms Tx Subseq Delivery & Mng 181 149 $269.00 $215.20 20% off $54.74 $389.11 $269.00 2024-12-04
99239 CPT Hospital IP/Obs Discharge Day Mgmt > 30 Min 189 149 $269.00 $215.20 20% off $64.00 $269.00 $269.00 2024-12-04
99221 CPT 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes 150 149 $268.00 $214.40 20% off $81.00 $268.00 $268.00 2024-12-04
99495 CPT Transj Care Mgmt Mod Mdm F2f 14 Cal D Discharge 174 149 $272.00 $217.60 20% off $88.61 $264.50 $264.50 2024-12-04
PX-PROTECTORD CDM Protective Order Evaluation 152 149 $251.00 $200.80 $251.00 $251.00 $251.00 2024-12-04
99349 CPT Home/Res Visit Est Patient Mod Mdm 40 Minutes 181 149 $230.00 $184.00 20% off $80.73 $249.50 $249.50 2024-12-04
90792 CPT Psychiatric Diagnostic Eval W/Medical Services 235 149 $377.00 $301.60 $108.20 $371.00 $247.46 2024-12-04
99204 CPT Office/Outpatient New Moderate Mdm 45 Minutes 234 149 $260.00 $208.00 20% off $79.21 $283.00 $246.34 2024-12-04
T1001 HCPCS Nursing Assessment/Evaluatn 152 149 $245.00 $196.00 20% off $211.34 $245.00 $245.00 2024-12-04
90838 CPT Psychotherapy W/Patient W/e&m Srvcs 60 Min 234 149 $273.00 $218.40 20% off $55.00 $284.50 $244.01 2024-12-04
99215 CPT Office/Outpatient Established High Mdm 40 Min 243 149 $240.00 $192.00 20% off $57.00 $268.54 $228.25 2024-12-04
99305 CPT Initial Nursing Facility Care Mod Mdm 35 Minutes 183 149 $208.00 $166.40 20% off $84.56 $226.68 $224.50 2024-12-04
H0032 HCPCS Mh Svc Plan Dev By Non-md 312 149 $221.00 $176.80 $110.00 $220.39 $220.00 2024-12-04
99243 CPT Office/OP Consltj New/Est Pt Low Mdm 30 Minutes 178 149 $192.00 $153.60 20% off $55.81 $212.50 $212.50 2024-12-04
99404 CPT Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 60 Min 152 149 $210.00 $168.00 20% off $210.00 $210.00 $210.00 2024-12-04
99238 CPT Hospital IP/Obs Discharge Day Mgmt 30 Min/< 188 149 $201.00 $160.80 $64.00 $201.00 $201.00 2024-12-04
99242 CPT Office/OP Consltj New/Est Pt Sf Mdm 20 Minutes 178 149 $187.00 $149.60 20% off $35.36 $198.00 $198.00 2024-12-04
90837 CPT Psychotherapy W/Patient 60 Minutes 301 149 $200.00 $160.00 20% off $63.92 $265.82 $190.80 2024-12-04
99232 CPT Sbsq Hospital IP/Obs Care Mod Mdm 35 Minutes 198 149 $189.00 $151.20 20% off $38.00 $189.00 $189.00 2024-12-04
99443 CPT Phys/Qhp Telephone Evaluation 21-30 Min 223 149 $173.00 $138.40 $34.74 $192.40 $187.50 2024-12-04
96116 CPT Neurobehavioral Status Xm Phys/Qhp 1st Hour 176 149 $187.00 $149.60 20% off $37.87 $187.00 $187.00 2024-12-04
99203 CPT Office/Outpatient New Low Mdm 30 Minutes 234 149 $189.00 $151.20 20% off $45.86 $201.00 $182.47 2024-12-04
96121 CPT Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour 176 149 $180.00 $144.00 20% off $31.48 $180.00 $180.00 2024-12-04
99348 CPT Home/Res Visit Est Patient Low Mdm 30 Minutes 181 149 $162.00 $129.60 20% off $48.56 $180.66 $177.00 2024-12-04
99487 CPT Complex Chronic Care Mgmt Svc 1st 60 Min Cal Mo 174 149 $180.00 $144.00 20% off $57.08 $172.50 $172.50 2024-12-04
G9001 HCPCS Mccd, Initial Rate 150 149 $172.00 $137.60 20% off $136.39 $172.00 $172.00 2024-12-04
90791 CPT Psychiatric Diagnostic Evaluation 234 149 $257.00 $205.60 20% off $65.00 $279.50 $169.60 2024-12-04
PX-MARTH CDM Marital Therapy 150 149 $144.00 $115.20 20% off $165.50 $165.50 $165.50 2024-12-04
PX-PREMAR CDM Premarital Counseling 150 149 $144.00 $115.20 20% off $165.50 $165.50 $165.50 2024-12-04
99309 CPT Sbsq Nursing Facility Care Mod Mdm 30 Minutes 184 149 $146.00 $116.80 20% off $68.37 $177.11 $165.00 2024-12-04
99214 CPT Office/Outpatient Established Mod Mdm 30 Min 242 149 $174.00 $139.20 20% off $36.94 $209.18 $163.10 2024-12-04
90836 CPT Psychotherapy W/Patient W/e&m Srvcs 45 Min 235 149 $178.00 $142.40 $42.59 $193.00 $162.85 2024-12-04
96156 CPT Health Behavior Assessment/re-assessment 220 149 $180.00 $144.00 20% off $20.00 $180.00 $161.37 2024-12-04
99304 CPT Initial Nursing Facility Care Sf/Low Mdm 25 Min 183 149 $146.00 $116.80 20% off $50.91 $158.99 $157.00 2024-12-04
G0177 HCPCS Opps/php/iop; Train & Educ 152 149 $154.00 $123.20 20% off $141.98 $154.00 $154.00 2024-12-04
99342 CPT Home/Res Visit New Patient Low Mdm 30 Minutes 181 149 $139.00 $111.20 20% off $49.63 $180.66 $151.50 2024-12-04
96170 CPT Health Behavior Ivntj Fam Without Pt F2f 1st 30 Min 150 149 $150.00 $120.00 20% off $64.00 $150.00 $150.00 2024-12-04
90839 CPT Psychotherapy For Crisis Initial 60 Minutes 286 149 $224.00 $179.20 20% off $61.84 $343.53 $144.02 2024-12-04
99231 CPT Sbsq Hospital IP/Obs Care Sf/Low Mdm 25 Minutes 192 149 $139.00 $111.20 20% off $31.31 $139.00 $139.00 2024-12-04
90834 CPT Psychotherapy W/Patient 45 Minutes 304 149 $144.00 $115.20 20% off $43.31 $188.11 $138.97 2024-12-04
90846 CPT Family Psychotherapy Without Patient Present 50 Mins 255 149 $231.00 $184.80 $33.00 $226.29 $138.97 2024-12-04
99442 CPT Phys/Qhp Telephone Evaluation 11-20 Min 224 149 $123.00 $98.40 $27.79 $135.51 $133.00 2024-12-04
90847 CPT Family Psychotherapy W/Patient Present 50 Mins 258 149 $231.00 $184.80 $48.74 $226.29 $129.56 2024-12-04
99308 CPT Sbsq Nursing Facility Care Low Mdm 20 Minutes 184 149 $111.00 $88.80 20% off $47.29 $125.00 $125.00 2024-12-04
99202 CPT Office/Outpatient New Sf Mdm 15 Minutes 234 149 $148.00 $118.40 $30.03 $165.44 $123.03 2024-12-04
96167 CPT Health Behavior Ivntj Fam W/Pt F2f 1st 30 Min 220 149 $132.00 $105.60 20% off $15.00 $132.00 $118.01 2024-12-04
99490 CPT Chronic Care Mgmt Svcs Staff 1st 20 Min Cal Mo 174 149 $116.00 $92.80 20% off $31.74 $116.00 $116.00 2024-12-04
99402 CPT Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 30 Min 152 149 $116.00 $92.80 20% off $116.00 $116.00 $116.00 2024-12-04
99213 CPT Office/Outpatient Established Low Mdm 20 Min 242 149 $141.00 $112.80 20% off $34.20 $161.58 $114.47 2024-12-04
99347 CPT Home/Res Visit Est Patient Sf Mdm 20 Minutes 181 149 $104.00 $83.20 20% off $28.76 $152.86 $113.50 2024-12-04
96158 CPT Health Behavior Ivntj Indiv F2f 1st 30 Min 220 149 $128.00 $102.40 $15.00 $128.00 $110.50 2024-12-04
T1015 HCPCS Clinic Service 153 149 $105.00 $84.00 20% off $55.10 $105.00 $105.00 2024-12-04
99341 CPT Home/Res Visit New Patient Sf Mdm 15 Minutes 181 149 $94.00 $75.20 20% off $31.31 $152.86 $102.50 2024-12-04
90833 CPT Psychotherapy W/Patient W/e&m Srvcs 30 Min 237 149 $111.00 $88.80 20% off $11.00 $118.00 $100.11 2024-12-04
90832 CPT Psychotherapy W/Patient 30 Minutes 303 149 $103.00 $82.40 $32.76 $148.59 $98.80 2024-12-04
G9002 HCPCS Mccd,Maintenance Rate 150 149 $89.00 $71.20 $76.30 $89.00 $89.00 2024-12-04
99489 CPT Cplx Chronic Care Mgmt Svc Ea Addl 30 Min Cal Mo 174 149 $94.00 $75.20 20% off $31.74 $89.10 $86.50 2024-12-04
99441 CPT Phys/Qhp Telephone Evaluation 5-10 Min 224 149 $76.00 $60.80 20% off $13.90 $82.52 $82.50 2024-12-04
99307 CPT Sbsq Nursing Facility Care Sf Mdm 10 Minutes 184 149 $70.00 $56.00 20% off $25.56 $79.50 $79.50 2024-12-04
99484 CPT Care Mgmt Services Behavioral Hlth Cond 20 Mins 177 149 $76.00 $60.80 20% off $27.90 $77.50 $77.50 2024-12-04
90840 CPT Psychotherapy For Crisis Each Addl 30 Minutes 316 149 $115.00 $92.00 20% off $4.86 $162.22 $74.73 2024-12-04
99212 CPT Office/Outpatient Established Sf Mdm 10 Min 243 149 $109.00 $87.20 20% off $22.37 $109.63 $73.00 2024-12-04
H2011 HCPCS Crisis Interven Svc, 15 Min 153 149 $72.00 $57.60 20% off $35.65 $72.00 $72.00 2024-12-04
96171 CPT Health Behavior Ivntj Fam Without Pt F2f Ea Addl 15 150 149 $72.00 $57.60 20% off $24.00 $72.00 $72.00 2024-12-04
96139 CPT Psycl/Nrpsycl Tst Tech 2+ Tst Ea Addl 30 Min 199 149 $65.00 $52.00 20% off $16.94 $70.00 $70.00 2024-12-04
G9008 HCPCS Mccd,Phys Coor-care Ovrsght 150 149 $70.00 $56.00 20% off $65.22 $88.33 $70.00 2024-12-04
98968 CPT Nonphysician Telephone Assessment 21-30 Min 174 149 $69.00 $55.20 $14.70 $69.00 $69.00 2024-12-04
96372 CPT Therapeutic Prophylactic/Dx Injection Subq/Im 178 149 $67.00 $53.60 20% off $9.16 $67.00 $67.00 2024-12-04
T1016 HCPCS Case Management 158 149 $67.00 $53.60 20% off $13.90 $67.00 $67.00 2024-12-04
99211 CPT Office/Outpatient Est Pt May Not Req Phys/Qhp 237 149 $75.00 $60.00 20% off $5.54 $81.00 $64.00 2024-12-04
99417 CPT Prolonged Outpatient E/m Service Each 15 Minutes 213 149 $58.00 $46.40 20% off $18.96 $62.00 $62.00 2024-12-04
G2212 HCPCS Prolong Outpt/office Vis 218 149 $58.00 $46.40 20% off $19.81 $62.00 $62.00 2024-12-04
97158 CPT Grp Adapt Bhv Prtcl Modifcaj Phys/Qhp Ea 15 Min 168 149 $61.00 $48.80 20% off $12.00 $61.00 $61.00 2024-12-04
97152 CPT Behavior Id Support Assmt By 1 Tech Ea 15 Min 168 149 $61.00 $48.80 20% off $12.00 $61.00 $61.00 2024-12-04
T1017 HCPCS Targeted Case Management, Each 15 Minutes 152 149 $61.00 $48.80 20% off $61.00 $61.95 $61.00 2024-12-04
99418 CPT Prolonged Inpatient/Observation Em Svc Ea 15 Min 188 149 $55.00 $44.00 20% off $25.03 $69.74 $59.00 2024-12-04
97151 CPT Behavior Id Assessment By Phys/Qhp Ea 15 Min 169 149 $55.00 $44.00 20% off $23.25 $55.00 $55.00 2024-12-04
G2063 HCPCS Qual Nonmd Est Pt 21>min 152 149 $55.00 $44.00 20% off $55.00 $55.00 $55.00 2024-12-04
S0257 HCPCS End Of Life Counseling 150 149 $52.00 $41.60 20% off $32.04 $52.00 $52.00 2024-12-04
G0316 HCPCS Prolong Inpt Eval Add15 M 201 149 $48.00 $38.40 20% off $25.03 $52.42 $51.50 2024-12-04
96168 CPT Health Behavior Ivntj Fam W/Pt F2f Ea Add 15 Min 174 149 $50.00 $40.00 20% off $10.55 $50.00 $50.00 2024-12-04
PX-BRKAPPT CDM Broken Appointment 304 149 $49.00 $49.00 $49.00 $49.00 $49.00 2024-12-04
82075 CPT Assay Of Alcohol (Ethanol) Breath 176 149 $48.00 $38.40 20% off $17.18 $48.00 $48.00 2024-12-04
T1002 HCPCS Rn Services Up To 15 Minutes 152 149 $48.00 $38.40 20% off $41.85 $48.00 $48.00 2024-12-04
98967 CPT Nonphysician Telephone Assessment 11-20 Min 174 149 $48.00 $38.40 20% off $10.55 $48.00 $48.00 2024-12-04
97156 CPT Family Adapt Bhv Tx Gdn Phys/Qhp Ea 15 Min 169 149 $48.00 $38.40 20% off $16.00 $48.00 $48.00 2024-12-04
96159 CPT Health Behavior Ivntj Indiv F2f Ea Addl 15 Min 174 149 $48.00 $38.40 20% off $9.43 $48.00 $48.00 2024-12-04
98960 CPT Education&Training Self-mgmt Nonphys 1 Pt 150 149 $47.00 $37.60 20% off $39.07 $50.76 $47.00 2024-12-04
G9007 HCPCS Mccd, Sch Team Conf 150 149 $45.00 $36.00 20% off $28.85 $45.00 $45.00 2024-12-04
Q3014 HCPCS Telehealth Facility Fee 191 149 $44.00 $35.20 $16.73 $44.00 $44.00 2024-12-04
1111F CPT Dischrg Meds Reconciled W/Current Med List 150 149 $44.00 $35.20 $44.00 $44.00 $44.00 2024-12-04
S5108 HCPCS Homecare Train Pt 15 Min 160 149 $42.00 $33.60 $18.75 $42.00 $42.00 2024-12-04
G9012 HCPCS Other Specified Case Mgmt 164 149 $42.00 $33.60 $27.54 $65.00 $42.00 2024-12-04
97155 CPT Adapt Bhv Tx Prtcl Modificaj Phys/Qhp Ea 15 Min 169 149 $42.00 $33.60 $18.00 $42.00 $42.00 2024-12-04
97154 CPT Group Adaptive Bhv Tx By Protocol Tech Ea 15 Min 169 149 $42.00 $33.60 $9.00 $42.00 $42.00 2024-12-04
97153 CPT Adaptive Behavior Tx By Protocol Tech Ea 15 Min 169 149 $42.00 $33.60 $12.00 $42.00 $42.00 2024-12-04
H2019 HCPCS Ther Behav Svc, Per 15 Min 318 149 $40.00 $32.00 20% off $14.94 $40.00 $40.00 2024-12-04
G2012 HCPCS Brief Check In By Md/qhp 221 149 $37.00 $29.60 $8.09 $37.00 $37.00 2024-12-04
G2062 HCPCS Qual Nonmd Est Pt 11-20m 152 149 $37.00 $29.60 $37.00 $37.00 $37.00 2024-12-04
PX-90832T CDM Psychotherapy Patient &/ Family 30 Minutes Technical 286 149 $15.00 $12.00 20% off $15.00 $148.59 $32.76 2024-12-04
S5111 HCPCS Family Homecare Train/Sessio 156 149 $32.00 $25.60 $13.75 $32.00 $32.00 2024-12-04
98966 CPT Nonphysician Telephone Assessment 5-10 Min 174 149 $31.00 $24.80 20% off $5.43 $31.00 $31.00 2024-12-04
PX-1:1 M CDM Maple 1:1 152 149 $30.00 $24.00 20% off $30.00 $30.00 $30.00 2024-12-04
80305 CPT Drug Test Prsmv Read Direct Optical Obs Pr Date 182 149 $30.00 $24.00 20% off $7.76 $30.00 $30.00 2024-12-04
93005 CPT Hc EKG 12 Lead Tracing Only 245 127 $71.00 $56.80 20% off $71.00 $71.00 $71.00 2024-12-04
S9976 CPT Hc Room/Board - Mh 130 122 $1,056.50 $845.20 $1,056.50 $1,056.50 $1,056.50 2024-12-04
H2016 CPT Hc Community Living Support (Outlier 2) 129 121 $216.30 $173.04 20% off $127.21 $127.21 $127.21 2024-12-04
T1020 CPT Hc Personal Care (Low) 129 121 $19.21 $15.37 $44.62 $44.62 $44.62 2024-12-04
87507 CPT Iadna-dna/rna Gi Pthgn Multiplex Probe Tq 12-25 216 102 $866.90 $693.52 20% off $866.90 $866.90 $866.90 2024-12-04
0097U CPT Hc Chg Gi Pthgn Mult Rev Trans&Amp Prb Tech 22 Trgt 216 102 $824.44 $659.55 20% off $824.44 $824.44 $824.44 2024-12-04
87901 CPT Hc HIV-1 Genotype 216 102 $584.66 $467.73 $584.66 $584.66 $584.66 2024-12-04
97167 CPT Ot Eval High Complex 216 102 $414.00 $331.20 20% off $414.00 $414.00 $414.00 2024-12-04
80362 CPT Drug Screening Opioids And Opiate Analogs 1 Or 2 216 102 $392.87 $314.30 $392.87 $392.87 $392.87 2024-12-04
87631 CPT Hc Rsv And Influenza A/b Combo 216 102 $296.65 $237.32 $296.65 $296.65 $296.65 2024-12-04
87900 CPT Hc Inf Agent Drug Susceptibility 216 102 $296.02 $236.82 $296.02 $296.02 $296.02 2024-12-04
G0480 HCPCS Hc Drug Screen Quant Alcohols 215 102 $259.86 $207.89 $259.86 $259.86 $259.86 2024-12-04
G0480 CPT Hc MEthadone 215 102 $252.29 $201.83 20% off $252.29 $252.29 $252.29 2024-12-04
97166 CPT Hc Ot Eval Mod Complexity Pt/Fam 216 102 $235.20 $188.16 20% off $235.20 $235.20 $235.20 2024-12-04
97165 CPT Hc Ot Eval Low Complexity Pt/Fam 216 102 $217.00 $173.60 20% off $217.00 $217.00 $217.00 2024-12-04
87536 CPT Hc HIV-1, Dna, Quant 216 102 $193.26 $154.61 $193.26 $193.26 $193.26 2024-12-04
87801 CPT Hc Chlamydia And Gonorrhoeae By Pcr 216 102 $146.02 $116.82 $146.02 $146.02 $146.02 2024-12-04
81256 CPT Hc Hfe Gene Common Variants 216 102 $142.72 $114.18 $142.72 $142.72 $142.72 2024-12-04
80377 CPT Drug/Substance Definitive Qual/Quant Nos 7/More 216 102 $142.41 $113.93 $11.77 $142.41 $142.41 2024-12-04
86480 CPT Hc TB Test,Cell Immun Meas By Gamma Interfron 216 102 $140.75 $112.60 20% off $140.75 $140.75 $140.75 2024-12-04
83840 CPT Hc Metadone Urine Confirmation 216 102 $129.25 $103.40 $129.25 $129.25 $129.25 2024-12-04
PX-30100433 CDM Hc Sars-cov-2 Covid-19 Amp Binax Now 216 102 $116.52 $93.22 $116.52 $116.52 $116.52 2024-12-04
84445 CPT Hc Thyroid Stim Immunoglobulins (Tsi) 216 102 $115.50 $92.40 $115.50 $115.50 $115.50 2024-12-04
80074 CPT Hc Hepatitis Panel,Acute 216 102 $108.62 $86.90 $42.04 $108.62 $108.62 2024-12-04
86360 CPT T Cell Absolute Count/Ratio 216 102 $106.28 $85.02 20% off $106.28 $106.28 $106.28 2024-12-04
87522 CPT Hc Hepatitis C, Rna, Quant 217 102 $97.29 $77.83 20% off $97.29 $97.29 $97.29 2024-12-04
83970 CPT Hc Assay Of Parathormone 216 102 $93.75 $75.00 20% off $30.96 $93.75 $93.75 2024-12-04
82088 CPT Hc Aldosterone 216 102 $92.55 $74.04 $92.55 $92.55 $92.55 2024-12-04
87880 CPT Strep A Assay W/Optic 216 102 $90.83 $72.66 20% off $90.83 $90.83 $90.83 2024-12-04
83880 CPT Hc Natriuretic Peptide 216 102 $89.16 $71.33 $89.16 $89.16 $89.16 2024-12-04
99001 CPT Handlg&/or Convey Of Spec For Tr From Pt To Lab 217 102 $86.38 $69.10 20% off $62.30 $86.38 $86.38 2024-12-04
82024 CPT Hc Acth 216 102 $85.14 $68.11 20% off $85.14 $85.14 $85.14 2024-12-04
87493 CPT Hc Dna/Rna, C. Diff Toxin 216 102 $84.65 $67.72 20% off $84.65 $84.65 $84.65 2024-12-04
80357 CPT Hc Chg Drug Screening Ketamine And Norketamine 216 102 $80.00 $64.00 20% off $80.00 $80.00 $80.00 2024-12-04
87529 CPT Hc Chg Hsv, Dna, Amp Probe 216 102 $79.70 $63.76 20% off $79.70 $79.70 $79.70 2024-12-04
87491 CPT Hc Chylmd Trach, Dna, Amp Probe 216 102 $79.70 $63.76 20% off $79.70 $79.70 $79.70 2024-12-04
87591 CPT Hc N.Gonorrhoeae, Dna, Amp Prob 216 102 $79.70 $63.76 20% off $79.70 $79.70 $79.70 2024-12-04
83722 CPT Hc Lipoprotein, Direct Measure, Small Dense Ldl 216 102 $77.65 $62.12 20% off $25.64 $77.65 $77.65 2024-12-04
87661 CPT Hc Trichomonas Vaginalis Amplif 216 102 $72.99 $58.39 20% off $72.99 $72.99 $72.99 2024-12-04
87798 CPT Hc Detect Agent Nos, Dna, Amp 216 102 $72.99 $58.39 20% off $72.99 $72.99 $72.99 2024-12-04
36415 CPT Venipuncture 216 102 $70.72 $56.58 $70.72 $70.72 $70.72 2024-12-04
80165 CPT Hc Dipropylacetic (Valproic) Acid Free 216 102 $70.03 $56.02 20% off $10.16 $70.03 $70.03 2024-12-04
82306 CPT Hc Assay Of Vit D,Calcifediol W Fractions, If Performed 216 102 $67.23 $53.78 20% off $22.20 $67.23 $67.23 2024-12-04
84207 CPT Hc Assay Vitamin B-6 216 102 $63.81 $51.05 $63.81 $63.81 $63.81 2024-12-04
82670 CPT Hc Estradiol 216 102 $59.86 $47.89 $59.86 $59.86 $59.86 2024-12-04
84403 CPT Hc Assay Total Testosterone 216 102 $58.61 $46.89 $19.36 $58.61 $58.61 2024-12-04
87389 CPT Iaad Ia HIV-1 Ag W/hiv-1 & HIV-2 Antbdy Single 216 102 $54.68 $43.74 20% off $18.06 $54.68 $54.68 2024-12-04
84425 CPT Hc Assay Vitamin B-1 216 102 $48.21 $38.57 $48.21 $48.21 $48.21 2024-12-04
84681 CPT Hc Assay C-peptide 216 102 $47.26 $37.81 $47.26 $47.26 $47.26 2024-12-04
83921 CPT Hc Assay Sngl Organic Acid, Quantitative 217 102 $46.77 $37.42 $46.77 $46.77 $46.77 2024-12-04
80159 CPT Hc Drug Screen Quant Clozapine 216 102 $45.76 $36.61 $45.76 $45.76 $45.76 2024-12-04
84244 CPT Hc Assay Of Renin 216 102 $45.74 $36.59 20% off $45.74 $45.74 $45.74 2024-12-04
87147 CPT Hc Culture By Immuno Method 217 102 $45.53 $36.42 20% off $45.53 $45.53 $45.53 2024-12-04
84146 CPT Hc Assay For Prolactin 216 102 $44.01 $35.21 $14.54 $44.01 $44.01 2024-12-04
86696 CPT Hc Chg Herpes Simplex Test, Type 2 216 102 $43.94 $35.15 20% off $43.94 $43.94 $43.94 2024-12-04
80171 CPT Hc Chg Drug Screen Quantitative Gabapentin 216 102 $43.34 $34.67 20% off $43.34 $43.34 $43.34 2024-12-04
82175 CPT Hc Assay Of Arsenic 216 102 $43.08 $34.46 20% off $43.08 $43.08 $43.08 2024-12-04
83001 CPT Hc Gonadotropin (Fsh) 216 102 $42.19 $33.75 20% off $42.19 $42.19 $42.19 2024-12-04
84153 CPT Hc Prostate Specific Antigen,Total 216 102 $41.77 $33.42 $41.77 $41.77 $41.77 2024-12-04
86665 CPT Hc Epstein-barr Antibody,V Capsid 216 102 $41.19 $32.95 20% off $41.19 $41.19 $41.19 2024-12-04
83021 CPT Hc Hemoglobin Chromotography 216 102 $41.01 $32.81 $41.01 $41.01 $41.01 2024-12-04
87209 CPT Smear, Complex Stain, For Ova/ Para 216 102 $40.83 $32.66 20% off $40.83 $40.83 $40.83 2024-12-04
86235 CPT Hc Nuclear Antigen Antibody 216 102 $40.73 $32.58 20% off $40.73 $40.73 $40.73 2024-12-04
83090 CPT Hc Assay Homocystine 216 102 $40.71 $32.57 $13.44 $40.71 $40.71 2024-12-04
G0103 CPT Hc Psa Screening 216 102 $40.16 $32.13 $40.16 $40.16 $40.16 2024-12-04
82747 CPT Hc Folic Acid, Rbc 216 102 $40.08 $32.06 20% off $40.08 $40.08 $40.08 2024-12-04
86618 CPT Hc Chg Lyme Disease Antibody 216 102 $38.67 $30.94 $38.67 $38.67 $38.67 2024-12-04
83002 CPT Hc Gonadotropin (Lh) 216 102 $38.52 $30.82 $38.52 $38.52 $38.52 2024-12-04
84481 CPT Hc Triiodothyronine Free Assay (ft-3) 216 102 $38.47 $30.78 $38.47 $38.47 $38.47 2024-12-04
84443 CPT Hc Assay Thyroid Stim Hormone 217 102 $38.16 $30.53 $15.53 $38.16 $38.16 2024-12-04
82150 CPT Hc Assay Of Amylase 216 102 $38.08 $30.46 20% off $4.86 $38.08 $38.08 2024-12-04
83825 CPT Hc Assay Mercury 216 102 $36.93 $29.54 20% off $36.93 $36.93 $36.93 2024-12-04
82533 CPT Hc Total Cortisol 216 102 $35.94 $28.75 20% off $35.94 $35.94 $35.94 2024-12-04
83520 CPT Hc Immunoassay For Analyte Nos 216 102 $35.92 $28.74 $35.92 $35.92 $35.92 2024-12-04
84591 CPT Hc Assay Vitamin, Unspecified 216 102 $35.48 $28.38 20% off $35.48 $35.48 $35.48 2024-12-04
86617 CPT Hc Lyme Disease Antibody 216 102 $35.17 $28.14 $35.17 $35.17 $35.17 2024-12-04
86645 CPT Hc Ab Cmv Igm 216 102 $35.05 $28.04 $35.05 $35.05 $35.05 2024-12-04
80184 CPT Hc Assay For Phenobarbital 216 102 $34.75 $27.80 20% off $34.75 $34.75 $34.75 2024-12-04
86664 CPT Hc Epstein-barr Antibody,Nuclear 216 102 $34.73 $27.78 20% off $34.73 $34.73 $34.73 2024-12-04
82607 CPT Hc Vitamin B-12 216 102 $34.24 $27.39 20% off $34.24 $34.24 $34.24 2024-12-04
84702 CPT Hc Chorionic Gonadotropin Test 216 102 $34.17 $27.34 $11.29 $34.17 $34.17 2024-12-04
82746 CPT Hc Blood Folic Acid Serum 216 102 $33.38 $26.70 20% off $11.03 $33.38 $33.38 2024-12-04
84134 CPT Hc Prealbumin 217 102 $33.13 $26.50 20% off $10.94 $33.13 $33.13 2024-12-04
86800 CPT Hc Thyroglobulin Antibody 216 102 $33.09 $26.47 20% off $33.09 $33.09 $33.09 2024-12-04
80156 CPT Hc Carbamazepine Total 216 102 $33.08 $26.46 20% off $33.08 $33.08 $33.08 2024-12-04
86376 CPT Hc Microsomal Antibody 216 102 $33.04 $26.43 20% off $10.91 $33.04 $33.04 2024-12-04
82140 CPT Hc Assay Of Ammonia 216 102 $32.84 $26.27 20% off $13.47 $32.84 $32.84 2024-12-04
80173 CPT Assay Haloperidol 216 102 $32.82 $26.26 $32.82 $32.82 $32.82 2024-12-04
86694 CPT Hc Ab Herpes Simplex Non Specific 216 102 $32.68 $26.14 20% off $32.68 $32.68 $32.68 2024-12-04
84480 CPT Hc Triiodothyronine Total Assay, Tt-3 216 102 $32.20 $25.76 20% off $10.64 $32.20 $32.20 2024-12-04
87449 CPT Hc Ag Detect Nos, Eia, Mult Step 216 102 $32.09 $25.67 20% off $32.09 $32.09 $32.09 2024-12-04
87328 CPT Hc Cryptospor Ag, Eia 216 102 $31.39 $25.11 20% off $31.39 $31.39 $31.39 2024-12-04
80186 CPT Hc Assay For Phenytoin, Free 216 102 $31.25 $25.00 20% off $31.25 $31.25 $31.25 2024-12-04
86225 CPT Hc DNA Antibody, Natv/2 Strand 216 102 $31.20 $24.96 $10.31 $31.20 $31.20 2024-12-04
80197 CPT Hc Assay For Tacrolimus 216 102 $31.18 $24.94 20% off $31.18 $31.18 $31.18 2024-12-04
82728 CPT Hc Assay Ferritin 216 102 $30.95 $24.76 $10.22 $30.95 $30.95 2024-12-04
84080 CPT Hc Assay Alkal Phosphatase,Isoenzymes 216 102 $30.74 $24.59 20% off $30.74 $30.74 $30.74 2024-12-04
80164 CPT Hc Assay, Dipropylacetic Acid 216 102 $30.74 $24.59 20% off $10.16 $30.74 $30.74 2024-12-04
82103 CPT Hc Alpha-1-antitrypsin, Total 216 102 $30.52 $24.42 $30.52 $30.52 $30.52 2024-12-04
80061 CPT Hc Lipid Panel 216 102 $30.40 $24.32 $21.92 $30.40 $30.40 2024-12-04
80185 CPT Hc Assay For Phenytoin 216 102 $30.10 $24.08 20% off $30.10 $30.10 $30.10 2024-12-04
80175 CPT Hc Lamotrigine (Lamictal) 216 102 $30.10 $24.08 20% off $9.94 $30.10 $30.10 2024-12-04
80177 CPT Hc Levetiracetam (Keppra) 216 102 $30.10 $24.08 20% off $30.10 $30.10 $30.10 2024-12-04
86778 CPT Hc Toxoplasma, Igm 216 102 $29.97 $23.98 $29.97 $29.97 $29.97 2024-12-04
86695 CPT Hc Chg Herpes Simplex Test 216 102 $29.95 $23.96 $29.95 $29.95 $29.95 2024-12-04
86762 CPT Hc Rubella 216 102 $29.93 $23.94 20% off $29.93 $29.93 $29.93 2024-12-04
86777 CPT Hc Toxoplasma 216 102 $29.93 $23.94 20% off $29.93 $29.93 $29.93 2024-12-04
86644 CPT Hc Ab Cmv 216 102 $29.93 $23.94 20% off $29.93 $29.93 $29.93 2024-12-04
86663 CPT Hc Epstein-barr Antibody,Early 216 102 $29.80 $23.84 20% off $29.80 $29.80 $29.80 2024-12-04
86803 CPT Hc Hepatitis C Ab Test 216 102 $29.68 $23.74 20% off $29.68 $29.68 $29.68 2024-12-04
83874 CPT Assay Of Myoglobin 216 102 $29.43 $23.54 20% off $29.43 $29.43 $29.43 2024-12-04
86141 CPT Hc C-reactive Protein,High Sensitivity 216 102 $29.41 $23.53 $29.41 $29.41 $29.41 2024-12-04
84466 CPT Hc Transferrin 216 102 $28.98 $23.18 20% off $9.57 $28.98 $28.98 2024-12-04
84484 CPT Assay Of Troponin, Quant 216 102 $28.32 $22.66 $28.32 $28.32 $28.32 2024-12-04
82525 CPT Hc Assay Copper 216 102 $28.17 $22.54 $28.17 $28.17 $28.17 2024-12-04
86702 CPT Hc HIV-2 216 102 $28.12 $22.50 $28.12 $28.12 $28.12 2024-12-04
82375 CPT Hc Assay Blood Carbon Monoxide 216 102 $27.98 $22.38 20% off $27.98 $27.98 $27.98 2024-12-04
80162 CPT Hc Assay For Digoxin 216 102 $27.62 $22.10 $27.62 $27.62 $27.62 2024-12-04
80183 CPT Hc Oxcarbazepine (as 10 Oh Carbazepine) 216 102 $27.56 $22.05 $27.56 $27.56 $27.56 2024-12-04
86780 CPT Antibody Treponema Pallidum 216 102 $27.54 $22.03 20% off $9.93 $27.54 $27.54 2024-12-04
83655 CPT Hc Assay For Lead 216 102 $27.51 $22.01 $9.08 $27.51 $27.51 2024-12-04
86038 CPT Hc Antinuclear Antibodies 216 102 $27.46 $21.97 $9.07 $27.46 $27.46 2024-12-04
86160 CPT Hc Complement, Antigen 216 102 $27.46 $21.97 $27.46 $27.46 $27.46 2024-12-04
84999 CPT Clinical Chemistry Test 216 102 $27.25 $21.80 20% off $27.25 $27.25 $27.25 2024-12-04
PX-1140000002 CDM Hc R&b Private Psych With Ect 105 98 $3,667.00 $2,933.60 20% off $3,667.00 $3,667.00 $3,667.00 2024-12-04
PX-1240000002 CDM Hc R&b Semi Private Psych With Ect 105 98 $3,667.00 $2,933.60 20% off $3,667.00 $3,667.00 $3,667.00 2024-12-04
PX-1240000005 CDM Hc R&b Semi Private Psych - Acute 2:1 105 98 $2,450.00 $1,960.00 20% off $2,450.00 $2,450.00 $2,450.00 2024-12-04
PX-1240000001 CDM Hc R&b Semi Private Psych 105 98 $2,450.00 $1,960.00 20% off $2,450.00 $2,450.00 $2,450.00 2024-12-04
PX-1240000003 CDM Hc R&b Semi Private Psych - 1:2 105 98 $2,450.00 $1,960.00 20% off $2,450.00 $2,450.00 $2,450.00 2024-12-04
PX-1240000004 CDM Hc R&b Semi Private Psych - Acute 1:1 105 98 $2,450.00 $1,960.00 20% off $2,450.00 $2,450.00 $2,450.00 2024-12-04
J1610 HCPCS Glucagon (rdna) 1 Mg Ij Kit 105 98 $560.00 $448.00 20% off $560.00 $560.00 $560.00 2024-12-04
J2794 HCPCS Risperidone Microspheres ER 12.5 Mg IM Srer 105 98 $559.06 $447.25 $559.06 $559.06 $559.06 2024-12-04
J0561 HCPCS Penicillin G Benzathine 1200000 Unit/2ml IM Susy 105 98 $416.62 $333.30 $416.62 $416.62 $416.62 2024-12-04
2500002 HCPCS Pneumococcal Vac Polyvalent 25 Mcg/0.5ml Ij Inj 105 98 $234.17 $187.34 $234.17 $234.17 $234.17 2024-12-04
J1817 HCPCS Insulin Aspart 100 Unit/ml Sc Sopn 105 98 $223.53 $178.82 20% off $223.53 $223.53 $223.53 2024-12-04
J0515 HCPCS Benztropine Mesylate 1 Mg/ml Ij Soln 105 98 $120.00 $96.00 20% off $120.00 $120.00 $120.00 2024-12-04
90715 HCPCS Tetanus-diphth-acell Pertussis 5-2-15.5 Lf-mcg/0.5 IM Susp 105 98 $100.96 $80.77 $100.96 $100.96 $100.96 2024-12-04
J3486 HCPCS Ziprasidone Mesylate 20 Mg IM Solr 105 98 $114.70 $91.76 20% off $90.05 $90.05 $90.05 2024-12-04
J2310 HCPCS Naloxone Hcl 0.4 Mg/ml Ij Soln 105 98 $74.88 $59.90 20% off $74.88 $74.88 $74.88 2024-12-04
J3410 HCPCS Hydroxyzine Hcl 50 Mg/ml IM Soln 105 98 $51.22 $40.98 $51.22 $51.22 $51.22 2024-12-04
J2680 HCPCS Fluphenazine Decanoate 25 Mg/ml Ij Soln 105 98 $24.20 $19.36 20% off $27.50 $27.50 $27.50 2024-12-04
PX-1240000006 CDM Hc R&b Semi Private Psych - Acute Q5 104 97 $2,450.00 $1,960.00 20% off $2,450.00 $2,450.00 $2,450.00 2024-12-04
H0012 HCPCS Hc Room/Board - Subacute Detox 101 94 $930.00 $744.00 20% off $930.00 $930.00 $930.00 2024-12-04
PX-9069085306 CDM Hc Iop Bcbs Nonbillable 74 68 $347.00 $277.60 $347.00 $347.00 $347.00 2024-12-04
PX-9069085312 CDM Hc Iop Bcbs Nonbillable 74 68 $347.00 $277.60 $347.00 $347.00 $347.00 2024-12-04
97802 CPT Hc 90 Min Medical Nutrition Therapy Initial Assess & Intervention 58 53 $330.00 $264.00 20% off $330.00 $330.00 $330.00 2024-12-04
97803 CPT Dietician 75 Min Reassessment & Intervention 58 53 $225.00 $180.00 20% off $225.00 $225.00 $225.00 2024-12-04
97804 CPT Nutrition 30 Min Group 57 52 $35.00 $28.00 20% off $35.00 $35.00 $35.00 2024-12-04
S0201 CPT Hc Education Training 45 Min 46 42 $121.00 $96.80 20% off $121.00 $159.00 $121.00 2024-12-04
h0035 HCPCS Hc Substance Abuse Partial Therapy 120 32 29 $200.00 $160.00 20% off $200.00 $200.00 $200.00 2024-12-04
H0035 HCPCS Hc Substance Abuse Partial Group 30 Min 33 29 $90.00 $72.00 20% off $90.00 $251.00 $90.00 2024-12-04
H0010 HCPCS Hc Residential Chem Dependency 1 1 $930.00 — $930.00 $930.00 $930.00 2024-12-04
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