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

AVERA TYLER HOSPITAL

Tyler, MN · CCN 241348 · Rates published

Your selected procedure

You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $2,437 across 5 payers · range $1,297-$3,055

Source: https://www.avera.org/app/files/public/30c119ee-35bd-417a-a15e-30ec553ee995/410853163_avera-tyler-hospital_standardcharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

701 distinct procedures filed
5 distinct payers
10,224 rate rows
2026-07-15 last MRF observed
Data quality

10,192 of 10,224 rate rows are consumer-grade (99.7%)

32 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
exceeds 10× this hospital's gross charge — excluded from medians 10
percent-of-charges filed in the dollar field — excluded from medians 8
placeholder amount (≤ $0.02) — excluded from medians 8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/30c119ee-35bd-417a-a15e-30ec553ee995/410853163_avera-tyler-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint 605e53919fd2c91d… · 2,727,824 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
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $30,637.29 $20,119.54 nat. median
$3,820
outlier · 5.3×
193
MS_DRG 		Ms-DRG 193 1 $19,812.76 $19,812.76 $19,812.76 nat. median
$12,868
1.5× median
J0717
HCPCS 		Certolizumab Pegol 400 Mg Kit 5 $3.42 $25,109.77 $16,489.61 nat. median
$1,598
outlier · 10.3×
871
MS_DRG 		Ms-DRG 871 1 $14,269.00 $14,269.00 $14,269.00 nat. median
$18,642
0.8× median
194
MS_DRG 		Ms-DRG 194 1 $11,901.07 $11,901.07 $11,901.07 nat. median
$8,516
1.4× median
683
MS_DRG 		Ms-DRG 683 1 $11,901.07 $11,901.07 $11,901.07 nat. median
$9,108
1.3× median
644
MS_DRG 		Ms-DRG 644 1 $10,711.33 $10,711.33 $10,711.33 nat. median
$10,447
1.0× median
964
MS_DRG 		Ms-DRG 964 1 $10,710.13 $10,710.13 $10,710.13 nat. median
$14,937
0.7× median
191
MS_DRG 		Ms-DRG 191 1 $10,710.13 $10,710.13 $10,710.13 nat. median
$8,846
1.2× median
J3262
HCPCS 		Tocilizumab 400 Mg/20 Ml Vial 5 $2.72 $11,665.40 $7,660.68 nat. median
$1,416
outlier · 5.4×
690
MS_DRG 		Ms-DRG 690 1 $7,151.26 $7,151.26 $7,151.26 nat. median
$8,376
0.9× median
95811
CPT 		Polysomnogram W CPap 5 $2,792.54 $6,574.66 $5,307.17 nat. median
$1,894
outlier · 2.8×
J0897
HCPCS 		Denosumab 60 Mg/ml Syringe 5 $9.69 $7,340.77 $4,820.69 nat. median
$1,972
outlier · 2.4×
70553
CPT 		MRI Brain Wwo Contrast 5 $729.77 $8,451.61 $4,536.29 nat. median
$1,133
outlier · 4.0×
95810
CPT 		Polysomnogram 5 $2,378.48 $5,599.81 $4,520.26 nat. median
$1,825
outlier · 2.5×
951
MS_DRG 		Ms-DRG 951 1 $3,592.39 $3,592.39 $3,592.39 nat. median
$6,227
0.6× median
176
MS_DRG 		Ms-DRG 176 1 $3,592.39 $3,592.39 $3,592.39 nat. median
$8,588
outlier · 0.4×
391
MS_DRG 		Ms-DRG 391 1 $3,569.27 $3,569.27 $3,569.27 nat. median
$12,539
outlier · 0.3×
81517
CPT 		Enhanced Liver Fibrosis 5 $1,800.85 $4,239.87 $3,402.82 nat. median
$200
outlier · 17.0×
87154
CPT 		Culture Id By Amp Prb 6 Or 6+ 5 $1,779.84 $4,190.40 $3,382.56 nat. median
$289
outlier · 11.7×
74177
CPT 		CT Abd & Pelv W Contrast 5 $227.52 $3,990.58 $3,184.24 nat. median
$974
outlier · 3.3×
74176
CPT 		CT Abd & Pelvis Wo Contrast 5 $95.04 $4,225.32 $3,053.56 nat. median
$694
outlier · 4.4×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $479.88 $4,546.39 $2,985.62 nat. median
$1,024
outlier · 2.9×
J3145
HCPCS 		Testosterone 750 Mg/3 Ml 5 $3.84 $4,379.51 $2,876.03 nat. median
$3
outlier · 1019.9×
72156
CPT 		MRI Neck Spine Wwo Dye 5 $340.05 $4,274.79 $2,807.26 nat. median
$1,103
outlier · 2.5×
73720
CPT 		MRI Le Wwo Dye Lt 5 $233.96 $4,251.51 $2,791.97 nat. median
$1,129
outlier · 2.5×
70549
CPT 		MRA Neck Wwo Contrast 5 $666.92 $4,240.84 $2,784.96 nat. median
$1,055
outlier · 2.6×
72157
CPT 		MRI Chest Spine Wwo Dye 5 $535.35 $4,203.01 $2,760.12 nat. median
$1,105
outlier · 2.5×
750
CDM 		Colonoscopy 5 $1,219.11 $5,239.94 $2,759.94 nat. median
$3,784
0.7× median
74183
CPT 		MRI Abdomen Wwo Dye 5 $619.08 $4,124.44 $2,708.52 nat. median
$1,100
outlier · 2.5×
73223
CPT 		MRI Joint Ue Wwo Dye Rt 5 $597.27 $4,016.77 $2,637.82 nat. median
$1,158
outlier · 2.3×
71275
CPT 		CTA Chest Wwo Contrast 5 $876.00 $3,283.45 $2,589.53 nat. median
$754
outlier · 3.4×
70496
CPT 		CT Angiography Head W Cont 5 $246.84 $3,211.67 $2,532.92 nat. median
$747
outlier · 3.4×
70498
CPT 		CT Angiography Neck W Cont 5 $278.39 $3,211.67 $2,532.92 nat. median
$739
outlier · 3.4×
111
CDM 		Room Medical Unit Priv 5 $1,323.76 $3,116.61 $2,515.78 nat. median
$434
outlier · 5.8×
C8929
HCPCS 		Echo M Mode 2d W Contrast 5 $1,297.39 $3,054.53 $2,500.31 nat. median
$1,354
1.8× median
73723
CPT 		MRI Joint Le Wwo Dye Lt 5 $657.06 $3,783.00 $2,484.30 nat. median
$1,192
outlier · 2.1×
72148
CPT 		MRI Lumbar Spine Wo Dye 5 $315.18 $3,392.09 $2,451.40 nat. median
$805
outlier · 3.0×
94002
CPT 		Vent Assist & Mgmt First Day 5 $1,295.33 $3,049.68 $2,447.61 nat. median
$917
outlier · 2.7×
93306
CPT 		Tte W Doppler Complete 5 $1,297.39 $3,054.53 $2,437.33 nat. median
$991
outlier · 2.5×
A0427
HCPCS 		Amb Als Emergent Home/Hosp 5 $1,288.74 $3,034.16 $2,435.14 nat. median
$820
outlier · 3.0×
73221
CPT 		MRI Joint Ue Wo Dye Lt 5 $408.12 $3,549.23 $2,330.78 nat. median
$844
outlier · 2.8×
73718
CPT 		MRI Le Wo Dye Lt 5 $56.39 $3,517.22 $2,309.76 nat. median
$870
outlier · 2.7×
73218
CPT 		MRI Ue Wo Dye Rt 5 $79.40 $3,517.22 $2,309.76 nat. median
$864
outlier · 2.7×
70551
CPT 		MRI Brain Wo Contrast 5 $447.03 $3,496.85 $2,296.39 nat. median
$784
outlier · 2.9×
72146
CPT 		MRI Chest Spine Wo Dye 5 $390.63 $3,410.52 $2,239.69 nat. median
$797
outlier · 2.8×
73721
CPT 		MRI Joint Le Wo Dye Lt 5 $315.18 $3,400.82 $2,233.32 nat. median
$856
outlier · 2.6×
72141
CPT 		MRI Neck Spine Wo Dye 5 $233.96 $3,371.72 $2,214.21 nat. median
$781
outlier · 2.8×
129
CDM 		Room Swing Bed Skilled 5 $1,124.76 $2,648.10 $2,137.59 nat. median
$985
outlier · 2.2×
70544
CPT 		MRA Head Wo Contrast 5 $408.12 $3,222.34 $2,116.11 nat. median
$826
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 701 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
             
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 11 5 $31,584.00 $30,637.29 $0.41 $30,637.29 $20,119.54 2026-07-15
193 MS_DRG Ms-DRG 193 1 1 — — $19,812.76 $19,812.76 $19,812.76 2026-07-15
J0717 HCPCS Certolizumab Pegol 400 Mg Kit 11 5 $25,886.00 $25,109.77 $3.42 $25,109.77 $16,489.61 2026-07-15
871 MS_DRG Ms-DRG 871 1 1 — — $14,269.00 $14,269.00 $14,269.00 2026-07-15
683 MS_DRG Ms-DRG 683 1 1 — — $11,901.07 $11,901.07 $11,901.07 2026-07-15
194 MS_DRG Ms-DRG 194 1 1 — — $11,901.07 $11,901.07 $11,901.07 2026-07-15
644 MS_DRG Ms-DRG 644 1 1 — — $10,711.33 $10,711.33 $10,711.33 2026-07-15
964 MS_DRG Ms-DRG 964 1 1 — — $10,710.13 $10,710.13 $10,710.13 2026-07-15
191 MS_DRG Ms-DRG 191 1 1 — — $10,710.13 $10,710.13 $10,710.13 2026-07-15
J3262 HCPCS Tocilizumab 400 Mg/20 Ml Vial 11 5 $12,026.00 $11,665.40 $2.72 $11,665.40 $7,660.68 2026-07-15
690 MS_DRG Ms-DRG 690 1 1 — — $7,151.26 $7,151.26 $7,151.26 2026-07-15
95811 CPT Polysomnogram W CPap 9 5 $6,778.00 $6,574.66 $2,792.54 $6,574.66 $5,307.17 2026-07-15
J0897 HCPCS Denosumab 60 Mg/ml Syringe 11 5 $7,567.00 $7,340.77 $9.69 $7,340.77 $4,820.69 2026-07-15
70553 CPT MRI Brain Wwo Contrast 20 5 $5,472.00 $5,307.84 $729.77 $8,451.61 $4,536.29 2026-07-15
95810 CPT Polysomnogram 9 5 $5,773.00 $5,599.81 $2,378.48 $5,599.81 $4,520.26 2026-07-15
951 MS_DRG Ms-DRG 951 1 1 — — $3,592.39 $3,592.39 $3,592.39 2026-07-15
176 MS_DRG Ms-DRG 176 1 1 — — $3,592.39 $3,592.39 $3,592.39 2026-07-15
391 MS_DRG Ms-DRG 391 1 1 — — $3,569.27 $3,569.27 $3,569.27 2026-07-15
81517 CPT Enhanced Liver Fibrosis 8 5 $4,371.00 $4,239.87 $1,800.85 $4,239.87 $3,402.82 2026-07-15
87154 CPT Culture Id By Amp Prb 6 Or 6+ 9 5 $4,320.00 $4,190.40 $1,779.84 $4,190.40 $3,382.56 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 14 5 $4,114.00 $3,990.58 $227.52 $3,990.58 $3,184.24 2026-07-15
74176 CPT CT Abd & Pelvis Wo Contrast 12 5 $4,356.00 $4,225.32 $95.04 $4,225.32 $3,053.56 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 11 5 $4,687.00 $4,546.39 $479.88 $4,546.39 $2,985.62 2026-07-15
J3145 HCPCS Testosterone 750 Mg/3 Ml 11 5 $4,514.00 $4,379.51 $3.84 $4,379.51 $2,876.03 2026-07-15
72156 CPT MRI Neck Spine Wwo Dye 11 5 $4,407.00 $4,274.79 $340.05 $4,274.79 $2,807.26 2026-07-15
73720 CPT MRI Le Wwo Dye Lt 11 5 $4,383.00 $4,251.51 $233.96 $4,251.51 $2,791.97 2026-07-15
70549 CPT MRA Neck Wwo Contrast 11 5 $4,372.00 $4,240.84 $666.92 $4,240.84 $2,784.96 2026-07-15
72157 CPT MRI Chest Spine Wwo Dye 11 5 $4,333.00 $4,203.01 $535.35 $4,203.01 $2,760.12 2026-07-15
750 CDM Colonoscopy 40 5 $3,444.00 $3,340.68 $1,219.11 $5,239.94 $2,759.94 2026-07-15
74183 CPT MRI Abdomen Wwo Dye 11 5 $4,252.00 $4,124.44 $619.08 $4,124.44 $2,708.52 2026-07-15
73223 CPT MRI Joint Ue Wwo Dye Rt 11 5 $4,141.00 $4,016.77 $597.27 $4,016.77 $2,637.82 2026-07-15
71275 CPT CTA Chest Wwo Contrast 9 5 $3,385.00 $3,283.45 $876.00 $3,283.45 $2,589.53 2026-07-15
70498 CPT CT Angiography Neck W Cont 13 5 $3,311.00 $3,211.67 $278.39 $3,211.67 $2,532.92 2026-07-15
70496 CPT CT Angiography Head W Cont 13 5 $3,311.00 $3,211.67 $246.84 $3,211.67 $2,532.92 2026-07-15
111 CDM Room Medical Unit Priv 7 5 $3,213.00 $3,116.61 $1,323.76 $3,116.61 $2,515.78 2026-07-15
C8929 HCPCS Echo M Mode 2d W Contrast 10 5 $3,149.00 $3,054.53 $1,297.39 $3,054.53 $2,500.31 2026-07-15
73723 CPT MRI Joint Le Wwo Dye Lt 22 5 $3,900.00 $3,783.00 $657.06 $3,783.00 $2,484.30 2026-07-15
72148 CPT MRI Lumbar Spine Wo Dye 12 5 $3,497.00 $3,392.09 $315.18 $3,392.09 $2,451.40 2026-07-15
94002 CPT Vent Assist & Mgmt First Day 8 5 $3,144.00 $3,049.68 $1,295.33 $3,049.68 $2,447.61 2026-07-15
93306 CPT Tte W Doppler Complete 11 5 $3,149.00 $3,054.53 $1,297.39 $3,054.53 $2,437.33 2026-07-15
A0427 HCPCS Amb Als Emergent Home/Hosp 8 5 $3,128.00 $3,034.16 $1,288.74 $3,034.16 $2,435.14 2026-07-15
73221 CPT MRI Joint Ue Wo Dye Lt 22 5 $3,659.00 $3,549.23 $408.12 $3,549.23 $2,330.78 2026-07-15
73218 CPT MRI Ue Wo Dye Rt 11 5 $3,626.00 $3,517.22 $79.40 $3,517.22 $2,309.76 2026-07-15
73718 CPT MRI Le Wo Dye Lt 22 5 $3,626.00 $3,517.22 $56.39 $3,517.22 $2,309.76 2026-07-15
70551 CPT MRI Brain Wo Contrast 11 5 $3,605.00 $3,496.85 $447.03 $3,496.85 $2,296.39 2026-07-15
72146 CPT MRI Chest Spine Wo Dye 11 5 $3,516.00 $3,410.52 $390.63 $3,410.52 $2,239.69 2026-07-15
73721 CPT MRI Joint Le Wo Dye Lt 23 5 $3,506.00 $3,400.82 $315.18 $3,400.82 $2,233.32 2026-07-15
72141 CPT MRI Neck Spine Wo Dye 11 5 $3,476.00 $3,371.72 $233.96 $3,371.72 $2,214.21 2026-07-15
129 CDM Room Swing Bed Skilled 7 5 $2,730.00 $2,648.10 $1,124.76 $2,648.10 $2,137.59 2026-07-15
70544 CPT MRA Head Wo Contrast 11 5 $3,322.00 $3,222.34 $408.12 $3,222.34 $2,116.11 2026-07-15
74181 CPT MRI Abdomen Wo Dye 11 5 $3,224.00 $3,127.28 $544.29 $3,127.28 $2,053.69 2026-07-15
74175 CPT CTA Abdom Wwo Dye 11 5 $2,880.00 $2,793.60 $82.17 $2,793.60 $1,834.56 2026-07-15
71260 CPT CT Thorax W Contrast 13 5 $2,382.00 $2,310.54 $80.31 $2,310.54 $1,822.23 2026-07-15
74170 CPT CT Abdomen Wwo Dye 11 5 $2,858.00 $2,772.26 $58.22 $2,772.26 $1,820.55 2026-07-15
72195 CPT MRI Pelvis Wo Dye 9 5 $2,357.00 $2,286.29 $971.08 $2,286.29 $1,803.11 2026-07-15
J0248 HCPCS Remdesivir 100 Mg Vial 11 5 $2,797.00 $2,713.73 $12.70 $2,713.73 $1,782.11 2026-07-15
59409 CPT Obstetrical Care 15 5 $3,308.00 $3,208.76 $1,362.90 $3,208.76 $1,701.85 2026-07-15
72125 CPT CT Cervical Spine Wo Contrast 12 5 $2,365.00 $2,294.05 $172.58 $2,294.05 $1,657.87 2026-07-15
G0390 HCPCS Trauma Team Level 4 8 5 $2,072.00 $2,009.84 $853.66 $2,009.84 $1,613.06 2026-07-15
78227 CPT Hida With Ef w/Pharm 8 5 $2,060.00 $1,998.20 $848.72 $1,998.20 $1,603.71 2026-07-15
74160 CPT CT Abdomen W Dye 11 5 $2,509.00 $2,433.73 $706.77 $2,433.73 $1,598.23 2026-07-15
684 CDM Trauma Team Evaluation Level 4 8 5 $1,973.00 $1,913.81 $812.88 $1,913.81 $1,535.98 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 12 5 $2,150.00 $2,085.50 $357.53 $2,085.50 $1,507.15 2026-07-15
72128 CPT CT Thoracic Spine Wo Contrast 11 5 $2,299.00 $2,230.03 $107.93 $2,230.03 $1,464.46 2026-07-15
90377 CPT Rabies Imm Glo 300U/2Ml Kedrab 11 5 $2,190.00 $2,124.30 $21.92 $2,124.30 $1,395.03 2026-07-15
Q5104 HCPCS Infliximab-abda 100 Mg Vial 11 5 $1,752.00 $1,700.24 $52.52 $5,119.19 $1,372.46 2026-07-15
73200 CPT CT Ue Wo Dye Lt 11 5 $2,150.00 $2,085.50 $70.19 $2,085.50 $1,369.55 2026-07-15
J1745 HCPCS Infliximab (Gen) 100 Mg Vial 11 5 $2,110.00 $2,047.24 $1.46 $2,047.24 $1,344.43 2026-07-15
Q5101 HCPCS Filgrastim-sndz 480 Mcg/0.8ml 11 5 $1,584.00 $1,537.32 $0.72 $2,902.40 $1,240.95 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 16 5 $2,302.00 $2,232.94 $329.00 $2,232.94 $1,207.39 2026-07-15
86366 CPT Musk Antibody Ref 8 5 $1,544.00 $1,497.68 $636.13 $1,497.68 $1,202.01 2026-07-15
70480 CPT CT Orbit Wo Contrast 11 5 $1,865.00 $1,809.05 $192.56 $1,809.05 $1,188.01 2026-07-15
A0429 HCPCS Amb Bls Emergent Home/Hosp 25 5 $1,528.00 $1,482.16 $629.54 $1,482.16 $1,182.67 2026-07-15
73700 CPT CT Le Wo Dye Lt 22 5 $1,852.00 $1,796.44 $76.65 $1,796.44 $1,179.72 2026-07-15
A0428 HCPCS Amb Bls Nonemergent Hosp/Home 32 5 $1,499.00 $1,454.03 $617.59 $1,454.03 $1,166.97 2026-07-15
99285 CPT Emergency Room Visit Level 5 20 5 $1,792.00 $1,738.24 $267.73 $1,738.24 $1,141.50 2026-07-15
93975 CPT Vascular Study 9 5 $1,439.00 $1,395.83 $592.87 $1,395.83 $1,126.74 2026-07-15
0003M CPT Nash-fibrotest 8 5 $1,405.00 $1,362.85 $578.86 $1,362.85 $1,093.80 2026-07-15
93925 CPT Arterial Duplex Le Bi 9 5 $1,353.00 $1,312.41 $557.44 $1,312.41 $1,059.40 2026-07-15
93970 CPT Venous Duplex 10 5 $1,340.00 $1,299.80 $552.08 $1,299.80 $1,049.22 2026-07-15
93880 CPT Extracranial Bilat Study 9 5 $1,321.00 $1,281.37 $544.25 $1,281.37 $1,034.34 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 10 5 $1,328.00 $1,288.16 $524.00 $1,288.16 $1,027.87 2026-07-15
94660 CPT CPap/BiPap First Day 9 5 $1,278.00 $1,239.66 $526.54 $1,239.66 $1,000.67 2026-07-15
71250 CPT CT Thorax Wo Contrast 12 5 $1,395.00 $1,353.15 $71.13 $1,353.15 $977.90 2026-07-15
72192 CPT CT Pelvis Wo Dye 11 5 $1,493.00 $1,448.21 $524.00 $1,448.21 $951.04 2026-07-15
74150 CPT CT Abdomen Wo Dye 11 5 $1,488.00 $1,443.36 $524.00 $1,443.36 $947.86 2026-07-15
76700 CPT Ultrasound Abdomen Complete 8 5 $1,215.00 $1,178.55 $500.58 $1,178.55 $945.88 2026-07-15
710 CDM Recovery Phase Ii 0-2 Hours 16 5 $1,198.50 $1,162.55 $474.62 $1,207.65 $939.89 2026-07-15
87529 CPT Hsv DNA Pcr Subtype Ref 8 5 $1,200.00 $1,164.00 $494.40 $1,164.00 $934.20 2026-07-15
C8957 HCPCS IV Infusion Prolonged 8 5 $1,196.00 $1,160.12 $492.75 $1,160.12 $931.09 2026-07-15
27786 CPT Fx Distal Fibula Rt 8 5 $1,173.00 $1,137.81 $483.28 $1,137.81 $913.18 2026-07-15
28400 CPT Fx Calcaneus Lt 8 5 $1,173.00 $1,137.81 $483.28 $1,137.81 $913.18 2026-07-15
24650 CPT Fx Radial Head/Neck Wo Man Lt 8 5 $1,173.00 $1,137.81 $483.28 $1,137.81 $913.18 2026-07-15
25600 CPT Fx Distal Radius Lt 16 5 $1,173.00 $1,137.81 $483.28 $1,137.81 $913.18 2026-07-15
23620 CPT Closed Tx Gr Tuberosity Fx Lt 8 5 $1,173.00 $1,137.81 $483.28 $1,137.81 $913.18 2026-07-15
70490 CPT CT Soft Tissue Neck Wo Cont 11 5 $1,395.00 $1,353.15 $277.47 $1,353.15 $888.62 2026-07-15
27530 CPT Treat Knee Fracture Rt 8 5 $1,117.00 $1,083.49 $460.20 $1,083.49 $869.59 2026-07-15
26750 CPT Fx Distal Finger/Thumb Wo Man 8 5 $1,117.00 $1,083.49 $460.20 $1,083.49 $869.59 2026-07-15
26600 CPT Fx Metacarpal 8 5 $1,117.00 $1,083.49 $460.20 $1,083.49 $869.59 2026-07-15
23600 CPT Fx Prox Humeral Wo Man Lt 8 5 $1,117.00 $1,083.49 $460.20 $1,083.49 $869.59 2026-07-15
G0379 HCPCS Observation Assess Direct Adm 8 5 $1,116.00 $1,082.52 $459.79 $1,082.52 $868.81 2026-07-15
90675 CPT Rabies Vax Pcec/Pf 2.5Unit Vl 11 5 $1,347.00 $1,307.03 $125.24 $1,307.03 $858.33 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 11 5 $1,328.00 $1,288.16 $234.87 $1,288.16 $845.94 2026-07-15
Q9967 HCPCS Iopamidol-370 100 Ml Vial 14 5 $1,050.00 $1,018.50 $0.28 $1,018.50 $812.70 2026-07-15
70486 CPT CT Maxillofacial Wo Contrast 11 5 $1,241.00 $1,203.77 $187.95 $1,203.77 $790.52 2026-07-15
76830 CPT Ultrasound Transvaginal 8 5 $977.00 $947.69 $402.52 $947.69 $760.60 2026-07-15
76856 CPT Ultrasound Pelvic Complete 9 5 $945.00 $916.65 $389.34 $916.65 $739.94 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 9 5 $933.00 $905.01 $384.40 $905.01 $730.54 2026-07-15
Q0138 HCPCS Ferumoxy 510mg/17ml (non-esrd) 11 5 $1,145.00 $1,111.35 $0.76 $1,111.35 $729.82 2026-07-15
81207 CPT Bcr/abl1 Minor Mutation 8 5 $920.00 $892.40 $379.04 $892.40 $716.22 2026-07-15
81206 CPT Bcr/abl1 Major Mutation 8 5 $920.00 $892.40 $379.04 $892.40 $716.22 2026-07-15
0202U CPT Respir Path 22 Targets Biofire 8 5 $914.00 $886.58 $376.57 $886.58 $711.55 2026-07-15
87799 CPT Bk Virus Quant Pcr, Serum 18 5 $1,112.00 $1,078.64 $321.36 $1,400.68 $710.97 2026-07-15
76705 CPT Ultrasound Abdomen Limited 11 5 $854.00 $828.38 $351.85 $828.38 $668.68 2026-07-15
99284 CPT Emergency Room Visit Level 4 19 5 $1,032.00 $1,001.04 $184.86 $1,001.04 $657.38 2026-07-15
88230 CPT Tissue Culture Non Neoplastic 8 5 $834.00 $808.98 $343.61 $808.98 $649.27 2026-07-15
88262 CPT Chromosome Analysis 15-20 Cell 8 5 $834.00 $808.98 $343.61 $808.98 $649.27 2026-07-15
87536 CPT HIV 1 Na Quan 8 5 $825.00 $800.25 $339.90 $800.25 $642.26 2026-07-15
76817 CPT Transvaginal US Obstetrical 9 5 $814.00 $789.58 $335.37 $789.58 $637.36 2026-07-15
77080 CPT Dexa Scan 12 5 $823.00 $798.31 $88.61 $798.31 $637.00 2026-07-15
23650 CPT Dislocation Shoulder Wo AnesLT 16 5 $747.00 $724.59 $307.76 $802.00 $633.52 2026-07-15
93971 CPT Extremity Study Rt 17 5 $798.00 $774.06 $328.78 $774.06 $624.83 2026-07-15
96413 CPT Chemotherapy Inf Initial 10 5 $798.00 $774.06 $328.78 $774.06 $621.24 2026-07-15
J1610 HCPCS Glucagon 1 Mg/ml Vial 18 5 $779.00 $755.75 $98.91 $1,287.61 $618.62 2026-07-15
76536 CPT Ultrasound Head And Neck 12 5 $790.00 $766.30 $325.48 $766.30 $618.57 2026-07-15
Q5110 HCPCS Filgrastim-aafi 480 Mcg/0.8 Ml 11 5 $780.00 $756.91 $0.58 $927.00 $610.99 2026-07-15
93325 CPT Echo Color Doppler 9 5 $779.00 $755.63 $320.95 $755.63 $609.96 2026-07-15
92950 CPT Heart/Lung Resuscitation Cpr 15 5 $1,460.00 $1,416.20 $275.08 $1,416.20 $601.52 2026-07-15
360 CDM Biopsy Thyroid Percutaneous 16 5 $828.00 $803.16 $269.86 $970.97 $597.04 2026-07-15
71111 CPT X-ray Ribs Bilateral 4 Views 10 5 $759.00 $736.23 $63.74 $736.23 $587.47 2026-07-15
J2997 HCPCS Alteplase 2 Mg Vial 11 5 $899.00 $872.41 $37.08 $872.41 $572.91 2026-07-15
80145 CPT Adalimumab 8 5 $731.00 $709.07 $301.17 $709.07 $569.08 2026-07-15
J0561 HCPCS Pen G Benzathine 600000Unit/ML 18 5 $696.00 $675.15 $53.64 $1,155.52 $552.64 2026-07-15
99292 CPT Critical Care Ea Addl 30 Min 17 5 $865.00 $839.05 $164.83 $839.05 $551.00 2026-07-15
93246 CPT Ext ECG >7 Days Hook Up 10 5 $687.00 $666.39 $283.04 $666.39 $545.48 2026-07-15
93321 CPT Doppler Echo Exam Heart 9 5 $692.00 $671.24 $285.10 $671.24 $541.84 2026-07-15
450 CDM Dissolve Clot Heart Vessel 8 5 $687.00 $666.39 $283.04 $666.39 $534.83 2026-07-15
71271 CPT Ldct For Lung Cancer Screen 13 5 $675.00 $654.75 $101.48 $654.75 $528.53 2026-07-15
83835 CPT Metanephrines 10 5 $675.00 $654.75 $278.10 $654.75 $528.53 2026-07-15
76870 CPT Ultrasound Scrotum 9 5 $661.00 $641.17 $272.33 $641.17 $517.56 2026-07-15
76706 CPT Aaa Screening Medicare 8 5 $663.00 $643.11 $273.16 $643.11 $516.14 2026-07-15
80306 CPT Drug Screen Urine Inst Ass Obv 13 5 $654.00 $634.38 $269.45 $634.38 $512.08 2026-07-15
76775 CPT Ultrasound Aorta 8 5 $653.00 $633.41 $269.04 $633.41 $508.36 2026-07-15
76882 CPT US Extremity Nonvasc Limit Lt 17 5 $637.00 $617.89 $262.44 $617.89 $498.77 2026-07-15
86361 CPT Cd4 Absolute Count 8 5 $633.00 $614.01 $260.80 $614.01 $492.79 2026-07-15
73523 CPT X-ray Hips 5 Views Bi 9 5 $606.00 $587.82 $249.67 $690.20 $487.83 2026-07-15
76604 CPT Ultrasound Chest 8 5 $626.00 $607.22 $257.91 $607.22 $487.34 2026-07-15
70150 CPT X-ray Facial Bones 3 Views 9 5 $630.00 $611.10 $82.17 $611.10 $481.95 2026-07-15
71101 CPT X-ray Ribs Uni W Chest Lt 19 5 $598.00 $580.06 $246.38 $3,427.98 $481.39 2026-07-15
115 CDM Room Hospice Respite Care 7 5 $609.00 $590.73 $250.91 $590.73 $476.85 2026-07-15
110 CDM Room Custodial Care 7 5 $609.00 $590.73 $250.91 $590.73 $476.85 2026-07-15
12034 CPT Repair Lac Interm 7.6-12.5 Cm 15 5 $735.00 $712.95 $302.82 $712.95 $468.19 2026-07-15
93356 CPT Myocardial Strain Image Speckl 8 5 $595.00 $577.15 $245.14 $577.15 $463.21 2026-07-15
72072 CPT X-ray Spine Thoracic 3 Views 10 5 $563.00 $546.11 $231.96 $697.55 $453.22 2026-07-15
74220 CPT Contrast X-ray Esophagus 9 5 $587.00 $569.39 $241.84 $569.39 $449.06 2026-07-15
72050 CPT X-ray Spine Cervical 4-5 Views 9 5 $549.00 $532.53 $226.19 $746.06 $441.95 2026-07-15
81515 CPT Vpp 10 5 $564.00 $547.08 $232.37 $547.08 $441.61 2026-07-15
P9016 HCPCS Red Blood Cells Lekoreduced 9 5 $563.00 $546.11 $231.96 $546.11 $440.83 2026-07-15
92610 CPT Swallow Eval Non Radiol 10 5 $554.00 $537.38 $228.25 $537.38 $439.88 2026-07-15
71046 CPT X-ray Chest 2v PA/Lateral 13 5 $499.00 $484.03 $205.59 $783.14 $425.65 2026-07-15
77067 CPT Mammo Screen Implant Bi 22 5 $532.00 $516.04 $219.18 $757.00 $422.41 2026-07-15
72070 CPT X-ray Spine Thoracic 2 Views 10 5 $521.00 $505.37 $214.65 $1,015.91 $419.41 2026-07-15
81241 CPT Factor V Leiden Mutation 9 5 $532.00 $516.04 $219.18 $516.04 $416.56 2026-07-15
87522 CPT Hep C RNA Pcr Quant 9 5 $530.00 $514.10 $218.36 $514.10 $414.99 2026-07-15
99283 CPT Emergency Room Visit Level 3 19 5 $644.00 $624.68 $108.68 $624.68 $410.23 2026-07-15
87305 CPT Aspergillus Galact Antigen 8 5 $526.00 $510.22 $216.71 $510.22 $409.49 2026-07-15
12041 CPT Repair Lac Interm <2.5 Cm 15 5 $735.00 $712.95 $294.12 $712.95 $409.19 2026-07-15
80074 CPT Acute Hepatitis Panel 9 5 $521.00 $505.37 $214.65 $505.37 $407.94 2026-07-15
73564 CPT X-ray Knee 4 Lt 20 5 $526.00 $510.22 $129.06 $510.22 $407.12 2026-07-15
Q9957 HCPCS Perflutren Lip Micro 2.2mg/2ml 11 5 $638.00 $619.21 $47.75 $619.21 $406.64 2026-07-15
A0998 HCPCS Ambulance No Transport 8 5 $522.00 $506.34 $215.06 $506.34 $406.38 2026-07-15
Q9956 HCPCS Perflutren Protein-a Microdota 11 5 $630.00 $611.25 $77.76 $611.25 $401.41 2026-07-15
87636 CPT Influ & CoV2 Pcr Ceph 9 5 $511.00 $495.67 $210.53 $495.67 $400.11 2026-07-15
87637 CPT Influ/RSV/CoV2 Pcr Ceph 12 5 $511.00 $495.67 $210.53 $495.67 $400.11 2026-07-15
72100 CPT X-ray Lumbosacral 2-3 Views 13 5 $511.00 $495.67 $90.44 $495.67 $400.11 2026-07-15
74019 CPT X-ray Abdomen 12 5 $496.00 $481.12 $204.35 $660.48 $399.28 2026-07-15
87517 CPT Hep B Na Quan 8 5 $510.00 $494.70 $210.12 $494.70 $397.03 2026-07-15
72220 CPT X-ray Sacrum Tailbone 9 5 $492.00 $477.24 $202.70 $477.24 $396.06 2026-07-15
31500 CPT Insert Emergency Airway 15 5 $909.00 $881.73 $273.72 $881.73 $390.88 2026-07-15
84445 CPT Tsi 10 5 $499.00 $484.03 $205.59 $484.03 $390.72 2026-07-15
93308 CPT Echo Limited 9 5 $497.00 $482.09 $204.76 $482.09 $389.15 2026-07-15
96125 CPT Cognitive Performance Test St 9 5 $488.00 $473.36 $201.06 $473.36 $382.10 2026-07-15
73502 CPT X-ray Hip Uni 2-3 Views Rt 42 5 $481.00 $466.57 $183.34 $860.42 $376.62 2026-07-15
92523 CPT Speech Sound Lang Comprehen 9 5 $475.00 $460.75 $195.70 $460.75 $371.93 2026-07-15
P9047 HCPCS Albumin Human 25% 25gr/100ml 11 5 $468.00 $454.76 $106.16 $3,118.50 $367.09 2026-07-15
70140 CPT X-ray Facial Bones < 3 Views 9 5 $472.00 $457.84 $66.51 $457.84 $361.08 2026-07-15
83993 CPT Calprotectin 8 5 $463.00 $449.11 $190.76 $449.11 $360.44 2026-07-15
88184 CPT Flow Cytometry First Mark 9 5 $451.00 $437.47 $185.81 $437.47 $353.13 2026-07-15
36430 CPT Blood Administration 9 5 $451.00 $437.47 $185.81 $437.47 $353.13 2026-07-15
71100 CPT X-ray Ribs 2 Views Rt 10 5 $438.00 $424.86 $180.46 $3,616.49 $352.59 2026-07-15
82397 CPT Alpha Subunit Free 8 5 $445.00 $431.65 $183.34 $431.65 $346.44 2026-07-15
12002 CPT Repair Lac Simple 2.6-7.5 Cm 17 5 $539.00 $522.83 $112.84 $522.83 $343.34 2026-07-15
J0283 HCPCS Amiodarone/D5W 150mg/100ml Bag 18 5 $443.00 $429.86 $5.04 $475.86 $343.00 2026-07-15
82671 CPT Estrogen Fractionated 10 5 $437.00 $423.89 $180.04 $423.89 $342.17 2026-07-15
82024 CPT Acth Adrenocorticotropic Hor 11 5 $437.00 $423.89 $180.04 $423.89 $342.17 2026-07-15
93926 CPT Arterial Duplex Le Lt 8 5 $437.00 $423.89 $180.04 $423.89 $340.21 2026-07-15
73562 CPT X-ray Knee 3 Views Rt 25 5 $434.00 $420.98 $109.76 $420.98 $339.82 2026-07-15
83498 CPT 17Oh Progesterone 9 5 $430.00 $417.10 $177.16 $417.10 $336.69 2026-07-15
99281 CPT Emergency Room Visit Level 1 16 5 $520.50 $504.88 $152.03 $651.84 $336.35 2026-07-15
87497 CPT Cmv Quant By Pcr 10 5 $427.00 $414.19 $175.92 $414.19 $334.34 2026-07-15
93242 CPT Ext ECG 48 Hrs -7days Hook Up 10 5 $426.00 $413.22 $175.51 $413.22 $333.56 2026-07-15
84145 CPT Procalcitonin 9 5 $424.00 $411.28 $174.69 $411.28 $331.99 2026-07-15
96409 CPT Chemotherapy IV Push 9 5 $427.00 $414.19 $175.92 $414.19 $330.50 2026-07-15
56405 CPT I & D Vulva/Perineum 15 5 $749.00 $726.53 $255.90 $726.53 $330.01 2026-07-15
84206 CPT Proinsulin 9 5 $419.00 $406.43 $172.63 $406.43 $328.08 2026-07-15
86480 CPT Tbint Quantiferon 11 5 $417.00 $404.49 $171.80 $404.49 $326.51 2026-07-15
24640 CPT Dislocation Nursemaid Elbow Lt 30 5 $785.00 $761.45 $162.62 $761.45 $323.42 2026-07-15
87798 CPT Bord Pertusis Amp Probe Ref 16 5 $623.50 $604.79 $89.82 $998.13 $317.70 2026-07-15
73110 CPT X-ray Wrist 3 Views Rt 22 5 $410.00 $397.70 $58.22 $397.70 $317.34 2026-07-15
73630 CPT X-ray Foot 3 Views Lt 25 5 $405.00 $392.85 $65.60 $392.85 $317.12 2026-07-15
80197 CPT Tacrolimus 8 5 $407.00 $394.79 $167.68 $394.79 $316.85 2026-07-15
73522 CPT X-ray Hips 3-4 Views Bi 10 5 $390.00 $378.30 $160.68 $793.91 $313.95 2026-07-15
73130 CPT X-ray Hand Lt 24 5 $405.00 $392.85 $59.16 $392.85 $313.48 2026-07-15
82523 CPT Cross Linked C Teleop 9 5 $393.00 $381.21 $161.92 $381.21 $307.72 2026-07-15
87631 CPT Influ And Rsv Amp Probe 9 5 $397.00 $385.09 $163.56 $385.09 $307.28 2026-07-15
A9537 HCPCS Radiophar Tc99M Mebrofenin 8 5 $394.00 $382.18 $162.33 $382.18 $306.73 2026-07-15
82088 CPT Aldosterone 9 5 $388.00 $376.36 $159.86 $376.36 $303.80 2026-07-15
72040 CPT X-ray Spine Cervical 2-3 Views 10 5 $377.00 $365.69 $155.32 $551.93 $303.49 2026-07-15
88305 CPT Surg Path L4 10 5 $394.00 $382.18 $162.33 $382.18 $303.19 2026-07-15
82803 CPT Blood Gas Wo Oximetry 10 5 $381.00 $369.57 $156.97 $369.57 $302.51 2026-07-15
73080 CPT X-ray Elbow Rt 21 5 $394.00 $382.18 $38.91 $382.18 $301.41 2026-07-15
80235 CPT Lacosamide 8 5 $387.00 $375.39 $159.44 $375.39 $301.28 2026-07-15
74018 CPT X-ray Abdomen 12 5 $378.00 $366.66 $155.74 $523.40 $300.13 2026-07-15
86256 CPT dsDNA IgG 16 5 $527.50 $511.68 $118.24 $744.96 $297.40 2026-07-15
82652 CPT Vitamin D 125 Dihydroxy 8 5 $375.00 $363.75 $154.50 $363.75 $291.94 2026-07-15
69210 CPT Remove Impacted Cerumen Bi 8 5 $375.00 $363.75 $154.50 $363.75 $291.94 2026-07-15
73030 CPT X-ray Shoulder Lt 26 5 $371.00 $359.87 $152.85 $359.87 $290.49 2026-07-15
65220 CPT Remove Foreign Body Eye Rt 16 5 $552.00 $535.44 $81.33 $535.44 $289.52 2026-07-15
10120 CPT I&r Foreign Body Simple 15 5 $468.00 $453.96 $192.82 $453.96 $288.79 2026-07-15
70250 CPT X-ray Skull < 4 Views 9 5 $374.00 $362.78 $94.25 $362.78 $286.11 2026-07-15
97166 CPT Ot Eval Mod Complexity 10 5 $363.00 $352.11 $149.56 $352.11 $284.23 2026-07-15
12001 CPT Repair Lac Simple <2.5 Cm 34 5 $539.00 $522.83 $86.23 $522.83 $282.70 2026-07-15
12011 CPT Repair Lac Simple <2.5 Cm 16 5 $539.00 $522.83 $107.01 $522.83 $282.70 2026-07-15
88341 CPT Immunohisto Stain Add Per Spc 8 5 $360.00 $349.20 $148.32 $349.20 $280.26 2026-07-15
92507 CPT Speech Therapy Trmt 11 5 $354.00 $343.38 $145.85 $596.00 $277.18 2026-07-15
11750 CPT Exc Nail Matrix Part/Complete 15 5 $431.00 $418.07 $177.57 $418.07 $274.55 2026-07-15
71045 CPT X-ray Chest 1 View 13 5 $341.00 $330.77 $140.49 $593.33 $274.51 2026-07-15
97162 CPT Pt Eval Mod Complexity 12 5 $350.00 $339.50 $144.20 $339.50 $272.48 2026-07-15
73590 CPT X-ray Lower Leg Lt 22 5 $352.00 $341.44 $73.88 $341.44 $272.45 2026-07-15
86341 CPT Glutmic Acid Decarbox Aby 40 5 $372.50 $361.33 $109.18 $1,299.80 $271.31 2026-07-15
73610 CPT X-ray Ankle 3 Views Lt 22 5 $352.00 $341.44 $99.63 $341.44 $269.28 2026-07-15
93922 CPT Ankle Arm Screen 11 5 $342.00 $331.74 $140.90 $331.74 $267.79 2026-07-15
G0399 HCPCS Sleep Study Type Iii Portable 12 5 $339.00 $328.83 $139.67 $328.83 $265.44 2026-07-15
73090 CPT X-ray Forearm 2 Views Lt 20 5 $328.00 $318.16 $135.14 $318.16 $264.04 2026-07-15
72170 CPT X-ray Pelvis 1-2 Views 9 5 $328.00 $318.16 $135.14 $341.88 $264.04 2026-07-15
36593 CPT Declot/Thrombo Impl Vad 8 5 $338.00 $327.86 $139.26 $327.86 $263.13 2026-07-15
J2020 HCPCS Linezolid 600 Mg/300 Ml Bag 11 5 $333.00 $323.04 $5.96 $968.84 $260.76 2026-07-15
92526 CPT Dysphagia Treatment 11 5 $333.00 $323.01 $137.20 $323.01 $260.74 2026-07-15
J3489 HCPCS Zoledron Ac/Man/H2O 5mg/100ml 11 5 $405.00 $393.80 $11.20 $393.80 $258.61 2026-07-15
85240 CPT Factor 8 8 5 $332.00 $322.04 $136.78 $322.04 $258.47 2026-07-15
73552 CPT X-ray Femur 2 Views Lt 21 5 $336.00 $325.92 $130.01 $325.92 $257.04 2026-07-15
73140 CPT X-ray Finger(s) Rt 21 5 $328.00 $318.16 $64.68 $318.16 $256.82 2026-07-15
12015 CPT Repair Lac Simple 7.6-12.5 Cm 15 5 $513.00 $497.61 $178.06 $497.61 $256.65 2026-07-15
86922 CPT Crossmatch Ahg 9 5 $327.00 $317.19 $134.72 $317.19 $256.04 2026-07-15
51702 CPT Cath Insert Simple Indwelling 18 5 $326.00 $316.22 $133.49 $318.16 $255.34 2026-07-15
82384 CPT Catecholamines Fract 9 5 $326.00 $316.22 $134.31 $316.22 $255.26 2026-07-15
85810 CPT Viscosity 8 5 $327.00 $317.19 $134.72 $317.19 $254.57 2026-07-15
84305 CPT Somatomedin 12 5 $325.00 $315.25 $133.90 $315.25 $254.48 2026-07-15
70030 CPT X-ray Eye Fb Detection 7 5 $323.00 $313.31 $133.08 $313.31 $252.91 2026-07-15
84425 CPT Vitamin B1 9 5 $323.00 $313.31 $133.08 $313.31 $252.91 2026-07-15
73660 CPT X-ray Toe(s) 2 Views Lt 20 5 $328.00 $318.16 $66.51 $318.16 $250.92 2026-07-15
73620 CPT X-ray Foot 2 Views Lt 9 5 $328.00 $318.16 $135.14 $318.16 $250.92 2026-07-15
73560 CPT X-ray Knee 1-2 Views Rt 21 5 $328.00 $318.16 $84.00 $318.16 $250.92 2026-07-15
73120 CPT X-ray Hand Lt 18 5 $328.00 $318.16 $135.14 $318.16 $250.92 2026-07-15
73100 CPT X-ray Wrist 2 Views Lt 9 5 $328.00 $318.16 $66.51 $318.16 $250.92 2026-07-15
73060 CPT X-ray Humerus Lt 19 5 $328.00 $318.16 $67.44 $318.16 $250.92 2026-07-15
73010 CPT X-ray Shoulder Blade Lt 9 5 $328.00 $318.16 $135.14 $318.16 $250.92 2026-07-15
87502 CPT Influenza A&b By Pcr 10 5 $315.00 $305.55 $129.78 $305.55 $250.12 2026-07-15
51703 CPT Cath Insert Compl Indwelling 8 5 $321.00 $311.37 $132.25 $311.37 $249.89 2026-07-15
72202 CPT X-ray Si Joints 3 Views 9 5 $305.00 $295.85 $125.66 $542.46 $245.53 2026-07-15
J0131 HCPCS Acetaminophen 1000mg/100ml Via 13 5 $320.00 $310.72 $0.10 $310.72 $245.05 2026-07-15
86664 CPT Lab-epstein Barr Nuclear Antig 10 5 $312.00 $302.64 $128.54 $302.64 $244.30 2026-07-15
J3480 HCPCS Potassium Chl 10Meq/100ML Bag 19 5 $316.00 $306.80 $0.20 $307.06 $242.17 2026-07-15
73070 CPT X-ray Elbow Lt 10 5 $312.00 $302.64 $41.69 $302.64 $241.49 2026-07-15
94640 CPT Inhalation Treat Acute Initial 41 5 $428.00 $415.16 $115.77 $415.16 $239.69 2026-07-15
88173 CPT Fna Report Interpretation 9 5 $306.00 $296.82 $126.07 $296.82 $239.60 2026-07-15
73565 CPT X-ray Knees Bi 9 5 $297.00 $288.09 $122.36 $288.09 $239.09 2026-07-15
73600 CPT X-ray Ankle 2 Views Lt 18 5 $312.00 $302.64 $86.75 $302.64 $238.68 2026-07-15
84482 CPT Reverse T3 8 5 $306.00 $296.82 $126.07 $296.82 $238.22 2026-07-15
97163 CPT Pt Eval High Complexity 8 5 $305.00 $295.85 $125.66 $295.85 $237.44 2026-07-15
51700 CPT Irrigate Bladder 16 5 $303.50 $294.39 $123.19 $298.76 $237.00 2026-07-15
J1956 HCPCS Levofloxaci/D5W 250mg/50ml Bag 25 5 $309.00 $299.90 $2.07 $299.99 $236.59 2026-07-15
97165 CPT Ot Eval Low Complexity 11 5 $301.00 $291.97 $124.01 $291.97 $235.68 2026-07-15
96415 CPT Chemotherapy Inf Ea Addl Hr 10 5 $301.00 $291.97 $124.01 $291.97 $234.32 2026-07-15
97161 CPT Pt Eval Low Complexity 13 5 $299.00 $290.03 $123.19 $529.00 $234.12 2026-07-15
J2305 HCPCS Nitroglycer/D5W 50mg/250ml Bot 11 5 $363.00 $352.77 $2.82 $352.77 $231.66 2026-07-15
99282 CPT Emergency Room Visit Level 2 18 5 $434.00 $420.98 $64.21 $420.98 $227.63 2026-07-15
82627 CPT Dheas 10 5 $285.00 $276.45 $117.42 $276.45 $226.30 2026-07-15
80053 CPT Comprehensive Metabolic Panel 13 5 $291.00 $282.27 $106.00 $282.27 $225.23 2026-07-15
80185 CPT Phenytoin Total Ref 9 5 $285.00 $276.45 $117.42 $276.45 $223.16 2026-07-15
80162 CPT Digoxin 9 5 $285.00 $276.45 $117.42 $276.45 $223.16 2026-07-15
83655 CPT Lead Blood Ref 8 5 $286.00 $277.42 $117.83 $277.42 $222.65 2026-07-15
12013 CPT Repair Lac Simple 2.6-5.0 Cm 15 5 $539.00 $522.83 $109.90 $522.83 $222.07 2026-07-15
12004 CPT Repair Lac Simple 7.6-12.5 Cm 15 5 $539.00 $522.83 $140.14 $522.83 $222.07 2026-07-15
82306 CPT 25 Hydvit D2 And D3 13 5 $283.00 $274.51 $116.60 $274.51 $221.59 2026-07-15
93005 CPT EKG Tracing 13 5 $283.00 $274.51 $116.60 $274.51 $221.59 2026-07-15
82166 CPT Mullerian Inhib Hormone 8 5 $284.00 $275.48 $117.01 $275.48 $221.09 2026-07-15
83970 CPT Pth 12 5 $278.00 $269.66 $114.54 $269.66 $217.67 2026-07-15
84443 CPT Tsh 14 5 $277.00 $268.69 $114.12 $268.69 $215.64 2026-07-15
84484 CPT Troponin Quant 14 5 $272.00 $263.84 $112.06 $263.84 $212.98 2026-07-15
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