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

RANKEN JORDAN PEDIATRIC BRIDGE HOSPITAL

Maryland Heights, MO · CCN 263303 · Rates published

731 distinct procedures filed
15 distinct payers
12,449 rate rows
2026-04-24 last MRF observed
Data quality

1,186 of 12,449 rate rows are consumer-grade (9.5%)

11,263 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 10,752
professional (physician) fee — not the facility price 451
per-diem day rate — not a per-procedure price 60
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8493/430666765_ranken-jordan-home-for-convalescent-crippled-children-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/RankenJordanPediatricBridgeHospital/8493
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 59f544674cd2b945… · 48,358,549 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
0194
RC 		Room/bed: Level 4 1 $2,131.15 $2,131.15 $2,131.15 nat. median
$881
outlier · 2.4×
0193
RC 		Room/bed: Level 3 1 $1,981.15 $1,981.15 $1,981.15 nat. median
$881
outlier · 2.2×
0192
RC 		Room/bed: Level 2 1 $1,943.65 $1,943.65 $1,943.65 nat. median
$881
outlier · 2.2×
0191
RC 		Room/bed: Level 1 1 $1,859.15 $1,859.15 $1,859.15 nat. median
$881
outlier · 2.1×
95991
CPT 		Baclofen Pump Analysis W/refill And W/out Reprogramming, Administered By Physici… 1 $1,479.72 $1,479.72 $1,479.72 nat. median
$334
outlier · 4.4×
97607
CPT 		Neg Prs Wnd Thr Ndme<=50sqcm 3 $322.44 $983.44 $702.92 nat. median
$440
1.6× median
97606
CPT 		Wound Vac Dressing Change (physician) Greater Than 50 Square Centimeters 3 $322.44 $983.44 $702.92 nat. median
$385
1.8× median
97608
CPT 		Neg Prs Wnd Ther Ndme>50sqcm 3 $322.44 $983.44 $702.92 nat. median
$473
1.5× median
29035
CPT 		Appl Body Cast Sho To Hips 3 $207.36 $632.45 $452.04 nat. median
$349
1.3× median
29055
CPT 		Appl Cast Shoulder Spica 3 $207.36 $632.45 $452.04 nat. median
$352
1.3× median
29058
CPT 		Appl Cast Plaster Velpeau 3 $207.36 $632.45 $452.04 nat. median
$318
1.4× median
29358
CPT 		Appl Long Leg Cast Brace 3 $207.36 $632.45 $452.04 nat. median
$346
1.3× median
29305
CPT 		Appl Hip Spica Cast 1 Leg 3 $207.36 $632.45 $452.04 nat. median
$360
1.3× median
29046
CPT 		Appl Bdy Cst Sho To Hip B Th 3 $207.36 $632.45 $452.04 nat. median
$357
1.3× median
29000
CPT 		Appl Halo Type Body Cast 3 $207.36 $632.45 $452.04 nat. median
$370
1.2× median
29049
CPT 		Appl Cast Figure-of-eight 3 $207.36 $632.45 $452.04 nat. median
$314
1.4× median
29010
CPT 		Appl Risser Jacket Body Only 3 $207.36 $632.45 $452.04 nat. median
$359
1.3× median
29015
CPT 		Appl Rissr Jacket Bdy W/head 3 $207.36 $632.45 $452.04 nat. median
$354
1.3× median
92616
CPT 		Fees W/laryngeal Sense Test 3 $198.98 $606.89 $433.78 nat. median
$223
1.9× median
92612
CPT 		Endoscopy Swallow (fees) Vid 3 $174.23 $531.40 $379.82 nat. median
$259
1.5× median
97605
CPT 		Wound Vac Dressing Change (physician) Less Than Or Equal To 50 Square Centimeter… 3 $156.08 $476.04 $340.25 nat. median
$208
1.6× median
92614
CPT 		Laryngoscopic Sensory Vid 3 $130.41 $397.75 $284.29 nat. median
$146
1.9× median
29105
CPT 		Application Long Arm Splint 3 $125.98 $384.24 $274.64 nat. median
$231
1.2× median
29799
CPT 		Unlisted Px Casting/strpg 3 $125.98 $384.24 $274.64 nat. median
$209
1.3× median
29505
CPT 		Application Long Leg Splint 3 $125.98 $384.24 $274.64 nat. median
$246
1.1× median
29584
CPT 		Appl Mltlay Cmprn Sys Up Arm 3 $125.98 $384.24 $274.64 nat. median
$218
1.3× median
29440
CPT 		Adding Walker To Prev Cast 3 $125.98 $384.24 $274.64 nat. median
$190
1.4× median
29580
CPT 		Strapping Unna Boot 3 $125.98 $384.24 $274.64 nat. median
$222
1.2× median
29044
CPT 		Appl Bdy Cst Sho To Hip 1thi 3 $125.98 $384.24 $274.64 nat. median
$237
1.2× median
29540
CPT 		Strapping Ankle &/foot 3 $125.98 $384.24 $274.64 nat. median
$179
1.5× median
29200
CPT 		Strapping Thorax 3 $125.98 $384.24 $274.64 nat. median
$187
1.5× median
29581
CPT 		Appl Multlayer Cmprn Sys Leg 3 $125.98 $384.24 $274.64 nat. median
$253
1.1× median
29515
CPT 		Application Short Leg Splint 3 $125.98 $384.24 $274.64 nat. median
$221
1.2× median
93702
CPT 		Bis Xtracell Fluid Analysis 3 $125.69 $383.35 $274.00 nat. median
$198
1.4× median
92640
CPT 		Aud Brainstem Implt Programg 3 $125.69 $383.35 $274.00 nat. median
$167
1.6× median
92626
CPT 		Eval Aud Funcj 1st Hour 3 $125.69 $383.35 $274.00 nat. median
$204
1.3× median
92562
CPT 		Loudness Balance Test 3 $125.69 $383.35 $274.00 nat. median
$287
1.0× median
98975
CPT 		Rtm 1st Set-up&pt Educaj Eqp 3 $104.46 $318.60 $227.72 nat. median
$128
1.8× median
29125
CPT 		Appl Short Arm Splint Static 3 $100.36 $306.10 $218.78 nat. median
$200
1.1× median
92549
CPT 		Cdp-sot 6 Cond W/i&r Mct&adt 3 $100.36 $306.10 $218.78 nat. median
$150
1.5× median
29240
CPT 		Strapping Of Shoulder 3 $100.36 $306.10 $218.78 nat. median
$170
1.3× median
29520
CPT 		Strapping Of Hip 3 $100.36 $306.10 $218.78 nat. median
$163
1.3× median
29530
CPT 		Strapping Of Knee 3 $100.36 $306.10 $218.78 nat. median
$168
1.3× median
29130
CPT 		Appl Finger Splint Static 3 $100.36 $306.10 $218.78 nat. median
$167
1.3× median
29126
CPT 		Appl Short Arm Splint Dyn 3 $100.36 $306.10 $218.78 nat. median
$208
1.1× median
92611
CPT 		Motion Fluoroscopy/swallow 3 $81.67 $249.09 $178.04 nat. median
$270
0.7× median
90791
CPT 		Psychiatric Diagnostic Evaluation 3 $95.00 $219.46 $177.45 nat. median
$226
0.8× median
20974
CPT 		Estim Aid Bone Healg N-invas 3 $73.48 $224.11 $160.19 nat. median
$100
1.6× median
90837
CPT 		Psychotherapy, 60 Minutes Per Patient 5 $110.00 $198.32 $147.07 nat. median
$218
0.7× median
92066
CPT 		Orthop Traing Supvj Phys/qhp 3 $49.68 $151.52 $108.30 nat. median
$70
1.5× median

Other procedures at this hospital

Browse this hospital's 731 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0194 RC Room/bed: Level 4 1 1 $3,300.00 $2,640.00 20% off $2,131.15 $2,131.15 $2,131.15 2026-04-24
0193 RC Room/bed: Level 3 1 1 $3,300.00 $2,640.00 20% off $1,981.15 $1,981.15 $1,981.15 2026-04-24
0192 RC Room/bed: Level 2 1 1 $3,300.00 $2,640.00 20% off $1,943.65 $1,943.65 $1,943.65 2026-04-24
0191 RC Room/bed: Level 1 1 1 $3,300.00 $2,640.00 20% off $1,859.15 $1,859.15 $1,859.15 2026-04-24
95991 CPT Baclofen Pump Analysis W/refill And W/out Reprogramming, Administered By Physici… 1 1 $357.50 $286.00 20% off $1,479.72 $1,479.72 $1,479.72 2026-04-24
97607 CPT Neg Prs Wnd Thr Ndme<=50sqcm 3 3 — — $322.44 $983.44 $702.92 2026-04-24
97606 CPT Wound Vac Dressing Change (physician) Greater Than 50 Square Centimeters 3 3 $316.80 $253.44 20% off $322.44 $983.44 $702.92 2026-04-24
97608 CPT Neg Prs Wnd Ther Ndme>50sqcm 3 3 — — $322.44 $983.44 $702.92 2026-04-24
29055 CPT Appl Cast Shoulder Spica 3 3 — — $207.36 $632.45 $452.04 2026-04-24
29015 CPT Appl Rissr Jacket Bdy W/head 3 3 — — $207.36 $632.45 $452.04 2026-04-24
29358 CPT Appl Long Leg Cast Brace 3 3 — — $207.36 $632.45 $452.04 2026-04-24
29046 CPT Appl Bdy Cst Sho To Hip B Th 3 3 — — $207.36 $632.45 $452.04 2026-04-24
29305 CPT Appl Hip Spica Cast 1 Leg 3 3 — — $207.36 $632.45 $452.04 2026-04-24
29049 CPT Appl Cast Figure-of-eight 3 3 — — $207.36 $632.45 $452.04 2026-04-24
29035 CPT Appl Body Cast Sho To Hips 3 3 — — $207.36 $632.45 $452.04 2026-04-24
29058 CPT Appl Cast Plaster Velpeau 3 3 — — $207.36 $632.45 $452.04 2026-04-24
29010 CPT Appl Risser Jacket Body Only 3 3 — — $207.36 $632.45 $452.04 2026-04-24
29000 CPT Appl Halo Type Body Cast 3 3 — — $207.36 $632.45 $452.04 2026-04-24
92616 CPT Fees W/laryngeal Sense Test 3 3 — — $198.98 $606.89 $433.78 2026-04-24
92612 CPT Endoscopy Swallow (fees) Vid 3 3 — — $174.23 $531.40 $379.82 2026-04-24
97605 CPT Wound Vac Dressing Change (physician) Less Than Or Equal To 50 Square Centimeter… 3 3 $221.10 $176.88 20% off $156.08 $476.04 $340.25 2026-04-24
92614 CPT Laryngoscopic Sensory Vid 3 3 — — $130.41 $397.75 $284.29 2026-04-24
29440 CPT Adding Walker To Prev Cast 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29580 CPT Strapping Unna Boot 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29515 CPT Application Short Leg Splint 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29200 CPT Strapping Thorax 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29105 CPT Application Long Arm Splint 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29505 CPT Application Long Leg Splint 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29799 CPT Unlisted Px Casting/strpg 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29584 CPT Appl Mltlay Cmprn Sys Up Arm 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29540 CPT Strapping Ankle &/foot 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29044 CPT Appl Bdy Cst Sho To Hip 1thi 3 3 — — $125.98 $384.24 $274.64 2026-04-24
29581 CPT Appl Multlayer Cmprn Sys Leg 3 3 — — $125.98 $384.24 $274.64 2026-04-24
92640 CPT Aud Brainstem Implt Programg 3 3 — — $125.69 $383.35 $274.00 2026-04-24
92626 CPT Eval Aud Funcj 1st Hour 3 3 — — $125.69 $383.35 $274.00 2026-04-24
92562 CPT Loudness Balance Test 3 3 — — $125.69 $383.35 $274.00 2026-04-24
93702 CPT Bis Xtracell Fluid Analysis 3 3 — — $125.69 $383.35 $274.00 2026-04-24
98975 CPT Rtm 1st Set-up&pt Educaj Eqp 3 3 — — $104.46 $318.60 $227.72 2026-04-24
92549 CPT Cdp-sot 6 Cond W/i&r Mct&adt 3 3 — — $100.36 $306.10 $218.78 2026-04-24
29125 CPT Appl Short Arm Splint Static 3 3 — — $100.36 $306.10 $218.78 2026-04-24
29520 CPT Strapping Of Hip 3 3 — — $100.36 $306.10 $218.78 2026-04-24
29530 CPT Strapping Of Knee 3 3 — — $100.36 $306.10 $218.78 2026-04-24
29240 CPT Strapping Of Shoulder 3 3 — — $100.36 $306.10 $218.78 2026-04-24
29126 CPT Appl Short Arm Splint Dyn 3 3 — — $100.36 $306.10 $218.78 2026-04-24
29130 CPT Appl Finger Splint Static 3 3 — — $100.36 $306.10 $218.78 2026-04-24
92611 CPT Motion Fluoroscopy/swallow 3 3 — — $81.67 $249.09 $178.04 2026-04-24
90791 CPT Psychiatric Diagnostic Evaluation 3 3 $368.50 $294.80 $95.00 $219.46 $177.45 2026-04-24
20974 CPT Estim Aid Bone Healg N-invas 3 3 — — $73.48 $224.11 $160.19 2026-04-24
90837 CPT Psychotherapy, 60 Minutes Per Patient 5 5 $279.14 $223.32 $110.00 $198.32 $147.07 2026-04-24
29550 CPT Strapping Of Toes 3 3 — — $49.68 $151.52 $108.30 2026-04-24
29131 CPT Appl Finger Splint Dynamic 3 3 — — $49.68 $151.52 $108.30 2026-04-24
29260 CPT Strapping Of Elbow Or Wrist 3 3 — — $49.68 $151.52 $108.30 2026-04-24
29280 CPT Strapping Of Hand Or Finger 3 3 — — $49.68 $151.52 $108.30 2026-04-24
92066 CPT Orthop Traing Supvj Phys/qhp 3 3 — — $49.68 $151.52 $108.30 2026-04-24
90846 CPT Family Psychotherapy, Without Patient Present, 50 Minutes 3 3 $224.84 $179.88 $71.00 $99.97 $97.65 2026-04-24
96156 CPT Health Behavior Assessment Or Re-assessment 5 5 $165.00 $132.00 20% off $41.25 $96.72 $94.63 2026-04-24
96170 CPT Health Behavior Intervention Without Patient, Initial 30 Minutes 1 1 $143.00 $114.40 $81.77 $81.77 $81.77 2026-04-24
97162 CPT Pt Mod Eval Units 15 14 $358.00 $286.40 20% off $32.60 $274.07 $80.00 2026-04-24
97166 CPT Ot Mod Eval Units 15 14 $358.00 $286.40 20% off $32.60 $274.07 $80.00 2026-04-24
92523 CPT Slp Eval Language Comp/exp Units 15 14 $358.00 $286.40 20% off $32.60 $621.53 $80.00 2026-04-24
97167 CPT Ot High Eval Units 14 13 $358.00 $286.40 20% off $32.60 $274.07 $80.00 2026-04-24
97165 CPT Ot Low Eval Units 13 12 $358.00 $286.40 20% off $32.60 $274.07 $80.00 2026-04-24
92610 CPT Ot Eval Oral And Pharyngeal Units 14 13 $358.00 $286.40 20% off $32.60 $286.05 $77.89 2026-04-24
97161 CPT Pt Low Eval Units 14 13 $358.00 $286.40 20% off $32.60 $274.07 $77.09 2026-04-24
90847 CPT Family Psychotherapy, Conjoint Psychoterapy, With Patient Present, 50 Minutes 2 2 $233.49 $186.80 $52.35 $101.11 $76.73 2026-04-24
29365 CPT Pt Cylindrical Cast App Units 12 11 $358.00 $286.40 20% off $32.60 $632.45 $76.00 2026-04-24
29355 CPT Pt Application Of Long Lef Ambulatory Cast Units 12 11 $358.00 $286.40 20% off $32.60 $632.45 $76.00 2026-04-24
29345 CPT Pt Long Leg Cast App Units 12 11 $358.00 $286.40 20% off $32.60 $632.45 $76.00 2026-04-24
96105 CPT Slp Assessment Of Aphasia Units 12 11 $292.00 $233.60 20% off $32.60 $265.69 $76.00 2026-04-24
29405 CPT Ot Apply Short Leg Cast Units 12 11 $358.00 $286.40 20% off $32.60 $632.45 $76.00 2026-04-24
92521 CPT Slp Eval Speech Fluency Units 12 11 $358.00 $286.40 20% off $32.60 $362.49 $76.00 2026-04-24
29085 CPT Ot Hand And Lower Forearm Cast Units 12 11 $358.00 $286.40 20% off $32.60 $384.24 $76.00 2026-04-24
29700 CPT Ot Cast Removal Short Units 12 11 $358.00 $286.40 20% off $32.60 $632.45 $76.00 2026-04-24
29086 CPT Ot Finger Cast Units 12 11 $358.00 $286.40 20% off $32.60 $384.24 $76.00 2026-04-24
29445 CPT Pt Rigid Total Contact Leg Cast App Unit 12 11 $358.00 $286.40 20% off $32.60 $632.45 $76.00 2026-04-24
29065 CPT Ot Long Arm Cast Units 12 11 $325.00 $260.00 20% off $32.60 $632.45 $76.00 2026-04-24
92507 CPT Slp Auditory Processing Tx Units 14 13 $358.00 $286.40 20% off $32.60 $286.05 $76.00 2026-04-24
92609 CPT Ot Aac Therapy For Speech Device Units 12 11 $119.00 $95.20 20% off $32.60 $281.12 $76.00 2026-04-24
96112 CPT Ot Dev Test Full Eval Units 12 11 $358.00 $286.40 20% off $32.60 $738.28 $76.00 2026-04-24
29425 CPT Pt Application Of Short Leg Ambulatory Cast Units 12 11 $358.00 $286.40 20% off $32.60 $632.45 $76.00 2026-04-24
29075 CPT Ot Short Arm Cast Units 12 11 $358.00 $286.40 20% off $32.60 $632.45 $76.00 2026-04-24
97163 CPT Pt High Eval Units 12 11 $358.00 $286.40 20% off $32.60 $274.07 $76.00 2026-04-24
29705 CPT Ot Cast Removal Long Units 12 11 $358.00 $286.40 20% off $32.60 $632.45 $76.00 2026-04-24
97602 CPT Debridement, Non-excisional (97602) 12 11 $221.10 $176.88 20% off $32.60 $476.04 $76.00 2026-04-24
97597 CPT Debridement, Excisional, First 20 Sq Cm Or Less (97597) 12 11 $275.00 $220.00 20% off $32.60 $476.04 $76.00 2026-04-24
92524 CPT Slp Behavioral Analysis Of Voice Units 12 11 $358.00 $286.40 20% off $32.60 $299.51 $76.00 2026-04-24
92522 CPT Slp Eval Speech Sound And Prod Units 12 11 $358.00 $286.40 20% off $32.60 $303.11 $76.00 2026-04-24
90832 CPT Psychotherapy, 30 Minutes Per Patient 5 5 $139.15 $111.32 20% off $53.00 $101.74 $75.57 2026-04-24
92526 CPT Ot Swallow And Oral Feeding Units 12 11 $358.00 $286.40 20% off $32.60 $231.28 $73.91 2026-04-24
97116 CPT Pt Gait Training Units 13 12 $73.00 $58.40 20% off $26.36 $87.00 $72.00 2026-04-24
90901 CPT Biofeedback 9 8 $413.60 $330.88 20% off $32.60 $87.00 $72.00 2026-04-24
29450 CPT Pt Club Foot Molding App Units 9 8 $358.00 $286.40 20% off $32.60 $87.00 $72.00 2026-04-24
92607 CPT Ot Aac Eval For Speech Device Units 9 8 $292.00 $233.60 20% off $32.60 $87.00 $72.00 2026-04-24
29435 CPT Pt Patellar Tendon Bearing Cast App Unit 9 8 $358.00 $286.40 20% off $32.60 $87.00 $72.00 2026-04-24
96153 CPT Ot Health & Behavior Group Intervention Units 9 8 $73.00 $58.40 20% off $32.60 $87.00 $72.00 2026-04-24
96154 CPT Ot Health & Behavior Intervention Family & Pt Units 9 8 $73.00 $58.40 20% off $32.60 $87.00 $72.00 2026-04-24
97018 CPT Ot Paraffin Bath Units 12 11 $358.00 $286.40 20% off $5.06 $87.00 $72.00 2026-04-24
97033 CPT Ot Iontophoresis Units 12 11 $66.00 $52.80 20% off $17.62 $87.00 $72.00 2026-04-24
97032 CPT Ot Attended E-stim Units 12 11 $73.00 $58.40 20% off $12.91 $87.00 $72.00 2026-04-24
97022 CPT Ot Whirlpool, Fluidotherapy Units 12 11 $325.00 $260.00 20% off $15.17 $87.00 $72.00 2026-04-24
97113 CPT Ot Aquatic Therapy Exercise Units 13 12 $73.00 $58.40 20% off $32.60 $100.22 $72.00 2026-04-24
97110 CPT Ot Therapeutic Exercise Units 14 13 $73.00 $58.40 20% off $26.36 $87.00 $72.00 2026-04-24
0440 RC Slp Auditory Processing Eval Units 9 8 $357.50 $286.00 20% off $32.60 $87.00 $72.00 2026-04-24
0430 RC Ot Cognitive Skills Development Units 9 8 $54.00 $43.20 $32.60 $87.00 $72.00 2026-04-24
0434 RC Ot Evaluation Units 9 8 $358.00 $286.40 20% off $32.60 $87.00 $72.00 2026-04-24
97150 CPT Ot Group Therapy Units 9 8 $358.00 $286.40 20% off $32.60 $87.00 $72.00 2026-04-24
0420 RC Pt Orthotic Prosthetic Check Out Units 9 8 $73.00 $58.40 20% off $32.60 $87.00 $72.00 2026-04-24
0424 RC Pt Evaluation Units 9 8 $358.00 $286.40 20% off $32.60 $87.00 $72.00 2026-04-24
97763 CPT Ot Orthotic Training Units 12 11 $73.00 $58.40 20% off $32.60 $144.17 $72.00 2026-04-24
97760 CPT Ot Orthotic Management, Train Units 12 11 $73.00 $58.40 20% off $32.60 $131.67 $72.00 2026-04-24
97761 CPT Ot Prosthetic Management, Train Units 12 11 $73.00 $58.40 20% off $32.60 $113.77 $72.00 2026-04-24
97034 CPT Ot Contrast Bath Units 12 11 $73.00 $58.40 20% off $12.87 $87.00 $72.00 2026-04-24
97124 CPT Ot Massage Units 12 11 $73.00 $58.40 20% off $26.84 $87.00 $72.00 2026-04-24
97598 CPT Debridement, Excisional, Ea Add'l 20 Sq Cm Or Part Thereof (97598) 9 8 $275.00 $220.00 20% off $32.60 $87.00 $72.00 2026-04-24
97537 CPT Ot Community, Work Reintegration Units 10 9 $73.00 $58.40 20% off $13.20 $87.00 $72.00 2026-04-24
97530 CPT Ot Therapeutic Activities Units 14 13 $73.00 $58.40 20% off $22.64 $100.99 $72.00 2026-04-24
97533 CPT Ot Sensory Integrative Techniques Units 12 11 $73.00 $58.40 20% off $32.60 $171.99 $72.00 2026-04-24
97542 CPT Ot Wheelchair Management Units 13 12 $66.00 $52.80 20% off $22.57 $87.00 $72.00 2026-04-24
97164 CPT Pt Reevaluation Units 13 12 $358.00 $286.40 20% off $32.60 $189.65 $72.00 2026-04-24
97130 CPT Ot Cognitive Function Intervention Addl 15 Min 12 11 $80.00 $64.00 20% off $19.33 $87.00 $72.00 2026-04-24
97139 CPT Ot Other Theraputic Procedure Units 9 8 $73.00 $58.40 20% off $32.60 $87.00 $72.00 2026-04-24
97127 CPT St Cognitive Function Units 9 8 $358.00 $286.40 20% off $32.60 $87.00 $72.00 2026-04-24
97035 CPT Ot Ultrasound Units 12 11 $73.00 $58.40 20% off $12.87 $87.00 $72.00 2026-04-24
97129 CPT Ot Cognitive Function Intervention 1st 15 Min 13 12 $119.00 $95.20 20% off $9.02 $87.00 $72.00 2026-04-24
97168 CPT Ot Re-evaluation Units 12 11 $358.00 $286.40 20% off $32.60 $188.73 $72.00 2026-04-24
97750 CPT Ot Physical Performance Test 12 11 $73.00 $58.40 20% off $30.19 $92.08 $72.00 2026-04-24
97755 CPT Ot Assistive Technology Eval Units 12 11 $73.00 $58.40 20% off $32.60 $105.16 $72.00 2026-04-24
96151 CPT Ot Health & Behavior Re-assess Units 9 8 $73.00 $58.40 20% off $32.60 $87.00 $72.00 2026-04-24
96152 CPT Ot Health & Behavior Intervention Patient Units 9 8 $73.00 $58.40 20% off $32.60 $87.00 $72.00 2026-04-24
95851 CPT Ot Rom, Extremity Units 12 11 $358.00 $286.40 20% off $18.69 $87.00 $72.00 2026-04-24
95852 CPT Ot Rom, Hand Units 12 11 $358.00 $286.40 20% off $15.40 $87.00 $72.00 2026-04-24
96150 CPT Ot Health & Behavior Assessment Units 9 8 $73.00 $58.40 20% off $32.60 $87.00 $72.00 2026-04-24
92606 CPT Ot Aac Therapy Of Non-speech Device Units 9 8 $358.00 $286.40 20% off $32.60 $87.00 $72.00 2026-04-24
92597 CPT Slp Use,Fit Speech Prosthetic Eval Units 12 11 $358.00 $286.40 20% off $32.60 $196.02 $72.00 2026-04-24
92605 CPT Ot Aac Eval Non-speech Units 9 8 $292.00 $233.60 20% off $32.60 $87.00 $72.00 2026-04-24
92551 CPT Slp Screening Test, Pure Tone, Air Units 9 8 $358.00 $286.40 20% off $32.60 $87.00 $72.00 2026-04-24
90913 CPT Ot Biofeedback, Pelvic Floor, Ea Add'l 15 Min 9 8 $215.00 $172.00 20% off $32.60 $87.00 $72.00 2026-04-24
96110 CPT Ot Dev Screen/Partial Units 9 8 $358.00 $286.40 20% off $32.60 $87.00 $72.00 2026-04-24
90912 CPT Ot Biofeedback, Pelvic Floor, 1st 15 Min 9 8 $537.00 $429.60 $32.60 $87.00 $72.00 2026-04-24
96155 CPT Ot Health & Behavior Intervention Family Only Units 9 8 $73.00 $58.40 20% off $32.60 $87.00 $72.00 2026-04-24
92508 CPT Slp Group Therapy Units 12 11 $358.00 $286.40 20% off $21.23 $87.00 $72.00 2026-04-24
97535 CPT Ot Self Care, Home Management Units 13 12 $73.00 $58.40 20% off $20.16 $89.37 $72.00 2026-04-24
97140 CPT Ot Manual Therapy Units 12 11 $73.00 $58.40 20% off $24.28 $87.00 $72.00 2026-04-24
97112 CPT Ot Neuromuscular Reeducation Units 14 13 $73.00 $58.40 20% off $30.24 $92.23 $72.00 2026-04-24
96167 CPT Health Behavior Intervention Family With Patient, Initial 30 Minutes 5 5 $165.00 $132.00 20% off $41.25 $70.65 $69.02 2026-04-24
90834 CPT Psychotherapy, 45 Minutes Per Patient 4 4 $185.57 $148.46 $68.00 $101.90 $68.00 2026-04-24
97036 CPT App Mdlty 1+hubbrd Tnk Ea 15 3 3 — — $30.88 $94.18 $67.32 2026-04-24
98977 CPT Rtm Dev Sply Mscskl 16-30 D 3 3 — — $30.25 $92.26 $65.95 2026-04-24
96158 CPT Health Behavior Intervention Individual, Initial 30 Mins 2 2 $110.00 $88.00 20% off $27.50 $89.17 $58.34 2026-04-24
92700 CPT Unlisted Orl Service/px 3 3 — — $21.57 $65.79 $47.02 2026-04-24
20979 CPT Lw Ntsty US Stimj Bone Healg 3 3 — — $21.57 $65.79 $47.02 2026-04-24
97012 CPT Mechanical Traction Therapy 3 3 — — $12.91 $39.38 $28.14 2026-04-24
97016 CPT Vasopneumatic Device Therapy 3 3 — — $10.48 $31.96 $22.85 2026-04-24
97014 CPT Electric Stimulation Therapy 3 3 — — $9.92 $30.26 $21.63 2026-04-24
97028 CPT Ultraviolet Therapy 3 3 — — $7.43 $22.66 $16.20 2026-04-24
99366 CPT Inpatient Medical Team Conference Direct Contact 30 Min Or More, By Non-physicia… 1 1 $55.00 $44.00 20% off $16.13 $16.13 $16.13 2026-04-24
97024 CPT Diathermy Eg Microwave 3 3 — — $6.53 $19.92 $14.24 2026-04-24
97026 CPT Infrared Therapy 3 3 — — $5.94 $18.12 $12.95 2026-04-24
81002 CPT Clinitest 1 1 $28.04 $22.44 $3.30 $3.30 $3.30 2026-04-24
70553 CPT MRI Brain With + Without Contrast 0 0 $3,095.40 $2,476.32 20% off — — — 2026-04-24
82040 CPT Albumin Level 0 0 $6.60 $5.28 — — — 2026-04-24
70552 CPT MRI Brain With Contrast 0 0 $2,765.40 $2,212.32 — — — 2026-04-24
70551 CPT MRI Brain Without Contrast 0 0 $3,865.40 $3,092.32 20% off — — — 2026-04-24
81005 CPT Urinalysis Reflex 0 0 $40.76 $32.61 — — — 2026-04-24
70488 CPT CT Maxillofacial With + Without Contrast 0 0 $2,640.99 $2,112.80 — — — 2026-04-24
31502 CPT Trach Tube Change -> Tube Changed 0 0 $192.50 $154.00 20% off — — — 2026-04-24
70487 CPT CT Maxillofacial With Contrast 0 0 $2,420.99 $1,936.80 — — — 2026-04-24
80299 CPT Caffeine Level 0 0 $22.00 $17.60 — — — 2026-04-24
70486 CPT CT Maxillofacial Without Contrast 0 0 $2,200.99 $1,760.80 — — — 2026-04-24
80200 CPT Tobramycin Level 0 0 $36.56 $29.25 — — — 2026-04-24
80186 CPT Phenytoin Level Free 0 0 $28.78 $23.03 — — — 2026-04-24
70470 CPT CT Head Or Brain With + Without Contrast 0 0 $2,545.40 $2,036.32 20% off — — — 2026-04-24
70460 CPT CT Head Or Brain With Contrast 0 0 $2,215.40 $1,772.32 20% off — — — 2026-04-24
30999 CPT Nasal Stent Removal 0 0 $1,116.50 $893.20 — — — 2026-04-24
70450 CPT CT Head Or Brain Without Contrast 0 0 $1,995.40 $1,596.32 20% off — — — 2026-04-24
80170 CPT Gentamicin Level 0 0 $49.83 $39.87 — — — 2026-04-24
70260 CPT Xr Skull Complete 0 0 $833.80 $667.04 20% off — — — 2026-04-24
80162 CPT Digoxin Level 0 0 $28.17 $22.54 — — — 2026-04-24
80156 CPT Carbamazepine Level 0 0 $80.65 $64.52 20% off — — — 2026-04-24
70250 CPT Xr Skull < 4 Views 0 0 $359.70 $287.76 20% off — — — 2026-04-24
69420 CPT Bilateral Myringotomy With Or W/out Tubes 0 0 $929.50 $743.60 20% off — — — 2026-04-24
69210 CPT Cerumen Removal 0 0 $82.50 $66.00 20% off — — — 2026-04-24
80069 CPT Piccolo Renal Function Panel 0 0 $9.81 $7.85 — — — 2026-04-24
64647 CPT Botox, Trunk, 6 Or More Muscles 0 0 $605.00 $484.00 20% off — — — 2026-04-24
80053 CPT Comprehensive Metabolic Panel 0 0 $11.31 $9.05 — — — 2026-04-24
80048 CPT Basic Metabolic Panel 0 0 $9.05 $7.24 20% off — — — 2026-04-24
64646 CPT Botox, Trunk, 1-5 Muscle(s) 0 0 $577.50 $462.00 20% off — — — 2026-04-24
64645 CPT Botox, Each Additional Extremity, 5 Or More Muscles 0 0 $544.50 $435.60 — — — 2026-04-24
20610 CPT Aspiration And/or Injection, Major Joint Or Bursa (shoulder, Hip, Knee, Subacrom… 0 0 $212.30 $169.84 20% off — — — 2026-04-24
16020 CPT Burn Dressing And/or Debridement, Less Than 5% Tbsa 0 0 $247.50 $198.00 20% off — — — 2026-04-24
64644 CPT Botox, One Extremity, 5 Or More Muscles 0 0 $544.50 $435.60 — — — 2026-04-24
77074 CPT Xr Bone Survey Limited (Mets) 0 0 $503.80 $403.04 20% off — — — 2026-04-24
64643 CPT Botox, Each Additional Extremity, 1-4 Muscle(s) 0 0 $510.40 $408.32 20% off — — — 2026-04-24
76886 CPT US Hips Infant Static Limited 0 0 $561.00 $448.80 20% off — — — 2026-04-24
76856 CPT US Pelvis Non-OB Limited 0 0 $1,045.00 $836.00 20% off — — — 2026-04-24
64642 CPT Botox, One Extremity, 1-4 Muscle(s) 0 0 $510.40 $408.32 20% off — — — 2026-04-24
64616 CPT Botox Injection, Neck, Unilateral (except Larynx) 0 0 $405.90 $324.72 — — — 2026-04-24
64612 CPT Botox Injection, Facial, Unilateral 0 0 $446.60 $357.28 20% off — — — 2026-04-24
76700 CPT US Abdomen Complete 0 0 $983.40 $786.72 — — — 2026-04-24
62370 CPT Baclofen Pump Analysis W/refill And Reprogramming, Administered By Physician 0 0 $418.00 $334.40 20% off — — — 2026-04-24
76536 CPT US Head/Neck Soft Tissue 0 0 $687.50 $550.00 20% off — — — 2026-04-24
76000 CPT Xr Fluoroscopy Up To 1 Hour 0 0 $1,065.90 $852.72 20% off — — — 2026-04-24
62368 CPT Baclofen Pump Analysis W/reprogramming 0 0 $272.25 $217.80 — — — 2026-04-24
62367 CPT Baclofen Pump Analysis W/out Reprog Or Refill 0 0 $272.25 $217.80 — — — 2026-04-24
20553 CPT Injection(s), Single Or Multiple Trigger Points, 3 Or More Muscles 0 0 $210.10 $168.08 — — — 2026-04-24
74455 CPT Cystourethrogram, Voiding 0 0 $933.90 $747.12 20% off — — — 2026-04-24
74450 CPT Cystourethrogram, Retrograde 0 0 $1,743.50 $1,394.80 20% off — — — 2026-04-24
76506 CPT US Brain 0 0 $852.50 $682.00 20% off — — — 2026-04-24
51785 CPT Electromyography (emg), Needle, Urological 0 0 $367.40 $293.92 — — — 2026-04-24
76604 CPT US Chest 0 0 $696.30 $557.04 20% off — — — 2026-04-24
74240 CPT Xr Upper Gi 0 0 $705.10 $564.08 — — — 2026-04-24
76705 CPT US Abdomen Limited 0 0 $873.40 $698.72 — — — 2026-04-24
76770 CPT US Aorta Complete 0 0 $900.90 $720.72 — — — 2026-04-24
76775 CPT US Retroperitoneal Limited 0 0 $680.90 $544.72 — — — 2026-04-24
74230 CPT Modified Barium Swallow Study With Video 0 0 $600.60 $480.48 20% off — — — 2026-04-24
76885 CPT US Hips Infant Dynamic 0 0 $781.00 $624.80 20% off — — — 2026-04-24
51784 CPT Electromyography (emg), Urological 0 0 $367.40 $293.92 — — — 2026-04-24
77072 CPT Xr Bone Age Studies 0 0 $231.00 $184.80 — — — 2026-04-24
74170 CPT CT Abdomen With + Without Contrast 0 0 $1,621.40 $1,297.12 20% off — — — 2026-04-24
77075 CPT Xr Bone Survey Complete (Mets) 0 0 $723.80 $579.04 20% off — — — 2026-04-24
77076 CPT Xr Bone Survey Infant 0 0 $696.30 $557.04 20% off — — — 2026-04-24
78315 CPT Nm Bone Three Phase Study 0 0 $2,475.00 $1,980.00 20% off — — — 2026-04-24
74160 CPT CT Abdomen With Contrast 0 0 $1,390.40 $1,112.32 20% off — — — 2026-04-24
80051 CPT Electrolyte Panel 0 0 $7.55 $6.04 20% off — — — 2026-04-24
74150 CPT CT Abdomen Without Contrast 0 0 $1,061.17 $848.94 — — — 2026-04-24
80061 CPT Lipid Panel 0 0 $21.45 $17.16 — — — 2026-04-24
74021 CPT Xr Abdomen Complete With Decub/Erect 0 0 $563.97 $451.18 — — — 2026-04-24
80076 CPT Hepatic Function Panel 0 0 $8.67 $6.94 — — — 2026-04-24
80104 CPT Drug Abuse Panel 6-50 No Confirm 0 0 $21.79 $17.44 — — — 2026-04-24
80150 CPT Amikacin Level 0 0 $108.11 $86.49 — — — 2026-04-24
51729 CPT Complex Cystometrogram, With Voiding & Urethral Pressure 0 0 $1,922.80 $1,538.24 20% off — — — 2026-04-24
80157 CPT Carbamazepine Level Free 0 0 $49.50 $39.60 20% off — — — 2026-04-24
51728 CPT Complex Cystometrogram, With Voiding Pressure 0 0 $1,813.90 $1,451.12 20% off — — — 2026-04-24
80164 CPT Valproic Acid Level 0 0 $37.17 $29.74 — — — 2026-04-24
74019 CPT Xr Abdomen Ap Obliques Cone Views 0 0 $530.97 $424.78 — — — 2026-04-24
80178 CPT Lithium Level 0 0 $15.88 $12.71 — — — 2026-04-24
80184 CPT Phenobarbital Level 0 0 $40.81 $32.65 — — — 2026-04-24
80185 CPT Phenytoin Level Total 0 0 $82.94 $66.36 — — — 2026-04-24
74018 CPT Xr Abdomen Ap 0 0 $310.97 $248.78 — — — 2026-04-24
80197 CPT Tacrolimus, Highly Sesti+ 0 0 $257.84 $206.28 — — — 2026-04-24
51727 CPT Complex Cystometrogram, With Urethral Pressure 0 0 $1,813.90 $1,451.12 20% off — — — 2026-04-24
80202 CPT Vancomycin Level 0 0 $30.80 $24.64 20% off — — — 2026-04-24
73723 CPT MRI Le Joint With + Without Contrast Bilateral 0 0 $1,783.17 $1,426.54 — — — 2026-04-24
80307 CPT Drug Screen Urine 0 0 $66.00 $52.80 20% off — — — 2026-04-24
80329 CPT Acetaminophen Level 0 0 $86.37 $69.10 — — — 2026-04-24
81001 CPT Urinalysis, Complete 0 0 $5.75 $4.60 20% off — — — 2026-04-24
73722 CPT MRI Le Joint w/Contrast Bilateral 0 0 $1,448.80 $1,159.04 20% off — — — 2026-04-24
51726 CPT Complex Cystometrogram 0 0 $1,744.60 $1,395.68 — — — 2026-04-24
81007 CPT Urinalysis, Screen 0 0 $2.65 $2.12 — — — 2026-04-24
81015 CPT Urinalysis Microscopic 0 0 $3.10 $2.48 20% off — — — 2026-04-24
73721 CPT MRI Le Joint Without Contrast Bilateral 0 0 $1,032.55 $826.04 20% off — — — 2026-04-24
82085 CPT Aldolase 0 0 $223.20 $178.56 — — — 2026-04-24
82103 CPT Alpha-1-antitrypsin, Random Feces 0 0 $156.02 $124.82 — — — 2026-04-24
82150 CPT Amylase Level 0 0 $27.58 $22.07 — — — 2026-04-24
73720 CPT MRI Le Non Joint With + Without Contrast Bilateral 0 0 $1,615.69 $1,292.56 — — — 2026-04-24
73719 CPT MRI Le Non Joint w/Contrast Bilateral 0 0 $1,298.61 $1,038.89 — — — 2026-04-24
73718 CPT MRI Le Non Joint Without Contrast Bilateral 0 0 $1,165.26 $932.21 — — — 2026-04-24
51725 CPT Simple Cystometrogram (cmg) 0 0 $1,657.70 $1,326.16 20% off — — — 2026-04-24
49465 CPT G-tube, G-j-tube Injection 0 0 $2,283.60 $1,826.88 — — — 2026-04-24
20552 CPT Injection(s), Single Or Multiple Trigger Points, 1 Or 2 Muscles 0 0 $205.70 $164.56 — — — 2026-04-24
12011 CPT Suture Wound, 2.5 Cm Or Less (face, Ears, Eyelids, Nose, Lips And/or Mucous Memb… 0 0 $385.00 $308.00 20% off — — — 2026-04-24
11730 CPT Removal Of Toenail Or Fingernail, Simple; Single 0 0 $495.00 $396.00 20% off — — — 2026-04-24
73650 CPT Xr Calcaneous Bilateral 0 0 $354.92 $283.94 — — — 2026-04-24
73630 CPT Xr Foot Complete Bilateral 0 0 $565.79 $452.64 — — — 2026-04-24
49452 CPT Replacement Of G-j-tube, W/fluoroscopy 0 0 $4,461.60 $3,569.28 20% off — — — 2026-04-24
73620 CPT Xr Foot 2 Views Bilateral 0 0 $622.37 $497.90 — — — 2026-04-24
73600 CPT Xr Ankle 2 Views Bilateral 0 0 $752.13 $601.71 — — — 2026-04-24
49450 CPT Replacement Of G-tube, W/fluoroscopy 0 0 $4,679.40 $3,743.52 — — — 2026-04-24
73592 CPT Xr Lower Extremity Infant Bilateral 0 0 $413.28 $330.63 — — — 2026-04-24
73590 CPT Xr Tibia/Fibula Bilateral 0 0 $518.27 $414.62 — — — 2026-04-24
73562 CPT Xr Knee 3 Views Bilateral 0 0 $436.00 $348.80 20% off — — — 2026-04-24
73560 CPT Xr Knee 1 Or 2 Views Bilateral 0 0 $390.56 $312.45 — — — 2026-04-24
49441 CPT Gj Tube Placement, W/fluoroscopy 0 0 $4,684.90 $3,747.92 — — — 2026-04-24
49440 CPT G-button, G-tube Placement, W/fluoroscopy 0 0 $1,397.00 $1,117.60 20% off — — — 2026-04-24
73552 CPT Xr Hip Complete Bilateral 0 0 $678.65 $542.92 20% off — — — 2026-04-24
73551 CPT Xr Femur Bilateral 0 0 $627.00 $501.60 — — — 2026-04-24
47556 CPT Biliary Stent Dilatation 0 0 $2,530.00 $2,024.00 20% off — — — 2026-04-24
73521 CPT Xr Hip Bilateral w/Pelvis 0 0 $504.90 $403.92 — — — 2026-04-24
73501 CPT Xr Hip 1 View Left 0 0 $180.29 $144.24 — — — 2026-04-24
47100 CPT Liver Biopsy, Wedge 0 0 $2,150.50 $1,720.40 — — — 2026-04-24
73223 CPT MRI Ue Joint With + Without Contrast Bilateral 0 0 $3,412.53 $2,730.03 — — — 2026-04-24
73222 CPT MRI Ue Joint With Contrast Bilateral 0 0 $3,412.53 $2,730.03 — — — 2026-04-24
73221 CPT MRI Ue Joint Without Contrast Bilateral 0 0 $3,412.53 $2,730.03 — — — 2026-04-24
73220 CPT MRI Ue Non Joint With + Without Contrast Bilat 0 0 $2,888.33 $2,310.67 — — — 2026-04-24
47000 CPT Liver Biopsy, Percutaneous 0 0 $1,870.00 $1,496.00 20% off — — — 2026-04-24
45915 CPT Removal Fecal Impaction W/anesthesia 0 0 $1,454.20 $1,163.36 20% off — — — 2026-04-24
20550 CPT Injection(s), Single Tendon Sheath, Or Ligament, Aponeurosis 0 0 $245.30 $196.24 20% off — — — 2026-04-24
73219 CPT MRI Ue Non Joint With Contrast Bilateral 0 0 $2,888.33 $2,310.67 — — — 2026-04-24
73218 CPT MRI Ue Non Joint Without Contrast Bilateral 0 0 $2,888.33 $2,310.67 — — — 2026-04-24
45380 CPT Colonoscopy, Flexible, Diagnostic, W/biopsy 0 0 $1,556.50 $1,245.20 20% off — — — 2026-04-24
73130 CPT Xr Hand Complete Bilateral 0 0 $424.71 $339.77 — — — 2026-04-24
73100 CPT Xr Wrist 2 Views Bilateral 0 0 $470.45 $376.36 — — — 2026-04-24
45378 CPT Colonoscopy W/out Biopsy 0 0 $1,122.00 $897.60 20% off — — — 2026-04-24
73090 CPT Xr Forearm 2 Views Bilateral 0 0 $365.31 $292.25 — — — 2026-04-24
73070 CPT Xr Elbow 2 Views Bilateral 0 0 $405.11 $324.09 — — — 2026-04-24
73060 CPT Xr Humerus Bilateral 0 0 $559.85 $447.88 20% off — — — 2026-04-24
73030 CPT Xr Shoulder, Complete, Minimum 2 View 0 0 $535.70 $428.56 20% off — — — 2026-04-24
43870 CPT G-tube, Gj-tube, Peg Removal 0 0 $4,253.70 $3,402.96 — — — 2026-04-24
43762 CPT G-tube/button Replacement W/out Imaging Guidance 0 0 $272.80 $218.24 20% off — — — 2026-04-24
73020 CPT Xr Shoulder 1 View Bilateral 0 0 $613.31 $490.65 — — — 2026-04-24
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