Hospital

Saint Luke's Hospital Crittenton Children's Center

Kansas City, MO · CCN 264018 · Rates published

132 distinct procedures filed

12 distinct payers

36,321 rate rows

2025-12-31 last MRF observed

Data quality

36,022 of 36,321 rate rows are consumer-grade (99.2%)

299 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	265
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	4
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2

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

Source MRF file	https://www.saintlukeskc.org/hpt/46/440545297_SaintLukesHospitalCrittentonChildrensCenter_standardcharges.json
Found on page	https://www.saintlukeskc.org/patients-visitors/billing/transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-03
Content fingerprint	7056bd154f5fcd20… · 14,070,827 bytes · first seen 2026-07-09

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
885 MS_DRG	Psychoses	4	$3,032.82	$20,330.62	$11,693.83	nat. median $8,240 1.4× median
J0561 HCPCS	Penicillin G Benzathine 1 200 000 Unit/2 Ml Intramuscular Syringe	11	$292.42	$6,417.40	$4,171.31	nat. median $177 outlier · 23.6×
J3490 HCPCS	Liraglutide 0.6 Mg/0.1 Ml (18 Mg/3 Ml) Subcutaneous Pen Injector	9	$652.11	$5,407.45	$3,071.74	nat. median $45 outlier · 68.7×
93925 CPT	Hc US Arterial Duplex Bilat Le	11	$79.38	$4,230.00	$2,749.50	nat. median $405 outlier · 6.8×
J0167 HCPCS	Epinephrine (jr) 0.15 Mg/0.3 Ml Injection Auto-injector	10	$652.11	$5,291.75	$2,608.45	nat. median $2 outlier · 1230.4×
93880 CPT	Hc US Carotid Duplex Bilateral	11	$142.48	$3,663.00	$2,380.95	nat. median $401 outlier · 5.9×
J1611 HCPCS	Glucagon Hcl 1 Mg/ml Solution For Injection	11	$108.93	$4,394.00	$2,324.43	nat. median $273 outlier · 8.5×
93970 CPT	Hc US Venous Duplex Bilat Lower Ext	11	$79.38	$3,259.00	$2,118.35	nat. median $418 outlier · 5.1×
93975 CPT	Hc US Dup Abdpel Scrot Retr Complete	11	$79.38	$2,883.00	$1,873.95	nat. median $405 outlier · 4.6×
93971 CPT	Hc US Vein Mapping Bilat W Dup Ltd	11	$104.75	$2,133.00	$1,386.45	nat. median $272 outlier · 5.1×
93926 CPT	Hc US Arterial Duplex Le Unilat/Ltd	11	$35.62	$1,915.00	$1,244.75	nat. median $211 outlier · 5.9×
93930 CPT	Hc US Arterial Duplex Bilat Ue	11	$79.38	$1,890.00	$1,228.50	nat. median $397 outlier · 3.1×
76700 CPT	Hc US Abdomen Complete	11	$59.96	$1,871.00	$1,216.15	nat. median $161 outlier · 7.6×
93931 CPT	Hc US Arterial Duplex Unilateral Or Limited Ue Lt	11	$35.62	$1,821.00	$1,183.65	nat. median $215 outlier · 5.5×
76882 CPT	Hc US Extremity Non Vasc Or Joint Limited Lt	10	$52.87	$1,726.00	$1,156.42	nat. median $130 outlier · 8.9×
73564 CPT	Hc Dx Knee 4 Or More Views Left	11	$36.66	$1,937.00	$1,148.25	nat. median $134 outlier · 8.6×
76770 CPT	Hc US Renal	11	$59.96	$1,735.00	$1,127.75	nat. median $159 outlier · 7.1×
76536 CPT	Hc US Thyroid Soft Tiss Neck Or Head	11	$59.96	$1,715.00	$1,114.75	nat. median $150 outlier · 7.4×
76937 CPT	Hc US Guided Vascular Access W/Image	11	$12.30	$1,652.00	$1,073.80	nat. median $150 outlier · 7.2×
73030 CPT	Hc Dx Shoulder Min 2 View Ea Bilat	11	$26.38	$1,719.00	$1,019.02	nat. median $111 outlier · 9.1×
71111 CPT	Hc Dx Ribs W Chest Min 4 Views Bilat	11	$38.37	$1,541.00	$1,001.65	nat. median $134 outlier · 7.5×
71048 CPT	Hc X-ray Exam Chest 4+ Views	11	$24.70	$1,504.00	$977.60	nat. median $131 outlier · 7.5×
71110 CPT	Hc Dx Ribs 3 Views Bilat	11	$31.17	$1,468.00	$954.20	nat. median $130 outlier · 7.3×
73610 CPT	Hc Dx Ankle Min 3 Views Bilat	11	$29.47	$1,589.00	$941.96	nat. median $110 outlier · 8.6×
71101 CPT	Hc Dx Ribs W Chest Min 3 View Left	11	$30.50	$1,436.00	$933.40	nat. median $130 outlier · 7.2×
71047 CPT	Hc X-ray Exam Chest 3 Views	11	$22.87	$1,432.00	$930.80	nat. median $108 outlier · 8.6×
72074 CPT	Hc Dx Spine Thoracic Min 4 Views	11	$33.57	$1,412.00	$917.80	nat. median $118 outlier · 7.7×
93976 CPT	Hc US Dup Abdpel Scrot Or Retr Ltd	11	$39.18	$1,386.00	$917.33	nat. median $224 outlier · 4.1×
72114 CPT	Hc Dx Spine Lumbar Compl Min 6 Views	11	$48.65	$1,384.00	$899.60	nat. median $134 outlier · 6.7×
93978 CPT	Hc US Dup Aorta Or Ivc Iliacs Compl	11	$79.38	$1,380.00	$897.00	nat. median $352 outlier · 2.6×
71046 CPT	Hc X-ray Exam Chest 2 Views	11	$23.98	$1,364.00	$886.60	nat. median $102 outlier · 8.7×
74022 CPT	Hc Dx Acute Abdomen Series W Pa Cxr	11	$35.63	$1,262.00	$820.30	nat. median $133 outlier · 6.2×
72050 CPT	Hc Dx Spine Cervical 4 Or 5 Views	11	$41.46	$1,242.00	$807.30	nat. median $134 outlier · 6.0×
76604 CPT	Hc US Chest Soft Tissue Superficial	11	$30.15	$1,208.00	$785.20	nat. median $134 outlier · 5.9×
72110 CPT	Hc Dx Spine Lumbar Min 4 Views	11	$40.09	$1,204.00	$782.60	nat. median $134 outlier · 5.8×
73080 CPT	Hc Dx Elbow Min 3 Views Bilat	11	$25.01	$1,247.00	$739.22	nat. median $109 outlier · 6.8×
73110 CPT	Hc Dx Wrist Min 3 Views Ea Bilat	11	$33.57	$1,226.00	$726.77	nat. median $110 outlier · 6.6×
72072 CPT	Hc Dx Spine Thoracic 3 Views	11	$29.47	$1,107.00	$719.55	nat. median $123 outlier · 5.9×
76705 CPT	Hc US Abd Low Back Soft Tiss Superf	11	$59.96	$1,101.00	$715.65	nat. median $146 outlier · 4.9×
73130 CPT	Hc Dx Hand Min 3 Views Ea Bilat	11	$29.47	$1,206.00	$714.92	nat. median $109 outlier · 6.6×
73000 CPT	Hc Dx Clavicle Bilat	11	$25.01	$1,193.00	$707.21	nat. median $109 outlier · 6.5×
73562 CPT	Hc Dx Knee 3 Views Ea Bilat	11	$32.54	$1,182.00	$700.69	nat. median $111 outlier · 6.3×
J0515 HCPCS	Benztropine 1 Mg/ml Injection Solution	10	$33.12	$1,043.40	$699.08	nat. median $68 outlier · 10.2×
76775 CPT	Hc US Retroperitoneal Limited	11	$32.54	$1,073.00	$697.45	nat. median $135 outlier · 5.2×
73630 CPT	Hc Dx Foot Min 3 Views Bilat	11	$27.07	$1,167.00	$691.80	nat. median $109 outlier · 6.4×
70150 CPT	Hc Dx Facial Bones Min 3 Views	11	$35.63	$1,043.00	$677.95	nat. median $133 outlier · 5.1×
74019 CPT	Hc X-ray Exam Abdomen 2 Views	11	$26.72	$1,035.00	$672.75	nat. median $122 outlier · 5.5×
76857 CPT	Hc US Pelvis Limited Or Follow Up	11	$26.04	$1,025.00	$666.25	nat. median $132 outlier · 5.0×
72190 CPT	Hc Dx Pelvis Min 3 Views	11	$31.17	$1,021.00	$663.65	nat. median $126 outlier · 5.3×
73060 CPT	Hc Dx Humerus 1 View	11	$25.01	$1,116.00	$661.56	nat. median $111 outlier · 5.9×

Other procedures at this hospital

Browse this hospital's 132 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

885	MS_DRG	Psychoses	36	4	$17,949.90	$10,769.94 40% off	$3,032.82	$20,330.62	$11,693.83	2025-12-31
J0561	HCPCS	Penicillin G Benzathine 1 200 000 Unit/2 Ml Intramuscular Syringe	112	11	$6,417.40	$3,850.44 40% off	$292.42	$6,417.40	$4,171.31	2025-12-31
J3490	HCPCS	Liraglutide 0.6 Mg/0.1 Ml (18 Mg/3 Ml) Subcutaneous Pen Injector	200	9	$4,725.75	$2,835.45 40% off	$652.11	$5,407.45	$3,071.74	2025-12-31
93925	CPT	Hc US Arterial Duplex Bilat Le	55	11	$4,230.00	$2,538.00 40% off	$79.38	$4,230.00	$2,749.50	2025-12-31
J0167	HCPCS	Epinephrine (jr) 0.15 Mg/0.3 Ml Injection Auto-injector	102	10	$3,950.10	$2,370.06 40% off	$652.11	$5,291.75	$2,608.45	2025-12-31
93880	CPT	Hc US Carotid Duplex Bilateral	55	11	$3,663.00	$2,197.80 40% off	$142.48	$3,663.00	$2,380.95	2025-12-31
J1611	HCPCS	Glucagon Hcl 1 Mg/ml Solution For Injection	105	11	$2,608.45	$1,565.07 40% off	$108.93	$4,394.00	$2,324.43	2025-12-31
93970	CPT	Hc US Venous Duplex Bilat Lower Ext	55	11	$3,259.00	$1,955.40 40% off	$79.38	$3,259.00	$2,118.35	2025-12-31
93975	CPT	Hc US Dup Abdpel Scrot Retr Complete	55	11	$2,883.00	$1,729.80 40% off	$79.38	$2,883.00	$1,873.95	2025-12-31
93971	CPT	Hc US Vein Mapping Bilat W Dup Ltd	55	11	$2,133.00	$1,279.80 40% off	$104.75	$2,133.00	$1,386.45	2025-12-31
93926	CPT	Hc US Arterial Duplex Le Unilat/Ltd	55	11	$1,915.00	$1,149.00 40% off	$35.62	$1,915.00	$1,244.75	2025-12-31
93930	CPT	Hc US Arterial Duplex Bilat Ue	55	11	$1,890.00	$1,134.00 40% off	$79.38	$1,890.00	$1,228.50	2025-12-31
76700	CPT	Hc US Abdomen Complete	55	11	$1,871.00	$1,122.60 40% off	$59.96	$1,871.00	$1,216.15	2025-12-31
93931	CPT	Hc US Arterial Duplex Unilateral Or Limited Ue Lt	55	11	$1,821.00	$1,092.60 40% off	$35.62	$1,821.00	$1,183.65	2025-12-31
76882	CPT	Hc US Extremity Non Vasc Or Joint Limited Lt	49	10	$1,726.00	$1,035.60 40% off	$52.87	$1,726.00	$1,156.42	2025-12-31
73564	CPT	Hc Dx Knee 4 Or More Views Left	101	11	$1,291.00	$774.60 40% off	$36.66	$1,937.00	$1,148.25	2025-12-31
76770	CPT	Hc US Renal	55	11	$1,735.00	$1,041.00 40% off	$59.96	$1,735.00	$1,127.75	2025-12-31
76536	CPT	Hc US Thyroid Soft Tiss Neck Or Head	55	11	$1,715.00	$1,029.00 40% off	$59.96	$1,715.00	$1,114.75	2025-12-31
76937	CPT	Hc US Guided Vascular Access W/Image	55	11	$1,652.00	$991.20 40% off	$12.30	$1,652.00	$1,073.80	2025-12-31
73030	CPT	Hc Dx Shoulder Min 2 View Ea Bilat	101	11	$1,719.00	$1,031.40 40% off	$26.38	$1,719.00	$1,019.02	2025-12-31
71111	CPT	Hc Dx Ribs W Chest Min 4 Views Bilat	55	11	$1,541.00	$924.60 40% off	$38.37	$1,541.00	$1,001.65	2025-12-31
71048	CPT	Hc X-ray Exam Chest 4+ Views	110	11	$1,504.00	$902.40 40% off	$24.70	$1,504.00	$977.60	2025-12-31
71110	CPT	Hc Dx Ribs 3 Views Bilat	55	11	$1,468.00	$880.80 40% off	$31.17	$1,468.00	$954.20	2025-12-31
73610	CPT	Hc Dx Ankle Min 3 Views Bilat	101	11	$1,589.00	$953.40 40% off	$29.47	$1,589.00	$941.96	2025-12-31
71101	CPT	Hc Dx Ribs W Chest Min 3 View Left	55	11	$1,436.00	$861.60 40% off	$30.50	$1,436.00	$933.40	2025-12-31
71047	CPT	Hc X-ray Exam Chest 3 Views	109	11	$1,432.00	$859.20 40% off	$22.87	$1,432.00	$930.80	2025-12-31
72074	CPT	Hc Dx Spine Thoracic Min 4 Views	55	11	$1,412.00	$847.20 40% off	$33.57	$1,412.00	$917.80	2025-12-31
93976	CPT	Hc US Dup Abdpel Scrot Or Retr Ltd	52	11	$1,386.00	$831.60 40% off	$39.18	$1,386.00	$917.33	2025-12-31
72114	CPT	Hc Dx Spine Lumbar Compl Min 6 Views	55	11	$1,384.00	$830.40 40% off	$48.65	$1,384.00	$899.60	2025-12-31
93978	CPT	Hc US Dup Aorta Or Ivc Iliacs Compl	55	11	$1,380.00	$828.00 40% off	$79.38	$1,380.00	$897.00	2025-12-31
71046	CPT	Hc X-ray Exam Chest 2 Views	55	11	$1,364.00	$818.40 40% off	$23.98	$1,364.00	$886.60	2025-12-31
74022	CPT	Hc Dx Acute Abdomen Series W Pa Cxr	55	11	$1,262.00	$757.20 40% off	$35.63	$1,262.00	$820.30	2025-12-31
72050	CPT	Hc Dx Spine Cervical 4 Or 5 Views	55	11	$1,242.00	$745.20 40% off	$41.46	$1,242.00	$807.30	2025-12-31
76604	CPT	Hc US Chest Soft Tissue Superficial	55	11	$1,208.00	$724.80 40% off	$30.15	$1,208.00	$785.20	2025-12-31
72110	CPT	Hc Dx Spine Lumbar Min 4 Views	55	11	$1,204.00	$722.40 40% off	$40.09	$1,204.00	$782.60	2025-12-31
73080	CPT	Hc Dx Elbow Min 3 Views Bilat	101	11	$1,247.00	$748.20 40% off	$25.01	$1,247.00	$739.22	2025-12-31
73110	CPT	Hc Dx Wrist Min 3 Views Ea Bilat	101	11	$1,226.00	$735.60 40% off	$33.57	$1,226.00	$726.77	2025-12-31
72072	CPT	Hc Dx Spine Thoracic 3 Views	55	11	$1,107.00	$664.20 40% off	$29.47	$1,107.00	$719.55	2025-12-31
76705	CPT	Hc US Abd Low Back Soft Tiss Superf	55	11	$1,101.00	$660.60 40% off	$59.96	$1,101.00	$715.65	2025-12-31
73130	CPT	Hc Dx Hand Min 3 Views Ea Bilat	101	11	$1,206.00	$723.60 40% off	$29.47	$1,206.00	$714.92	2025-12-31
73000	CPT	Hc Dx Clavicle Bilat	101	11	$1,193.00	$715.80 40% off	$25.01	$1,193.00	$707.21	2025-12-31
73562	CPT	Hc Dx Knee 3 Views Ea Bilat	101	11	$1,182.00	$709.20 40% off	$32.54	$1,182.00	$700.69	2025-12-31
J0515	HCPCS	Benztropine 1 Mg/ml Injection Solution	50	10	$1,043.40	$626.04 40% off	$33.12	$1,043.40	$699.08	2025-12-31
76775	CPT	Hc US Retroperitoneal Limited	55	11	$1,073.00	$643.80 40% off	$32.54	$1,073.00	$697.45	2025-12-31
73630	CPT	Hc Dx Foot Min 3 Views Bilat	101	11	$1,167.00	$700.20 40% off	$27.07	$1,167.00	$691.80	2025-12-31
70150	CPT	Hc Dx Facial Bones Min 3 Views	55	11	$1,043.00	$625.80 40% off	$35.63	$1,043.00	$677.95	2025-12-31
74019	CPT	Hc X-ray Exam Abdomen 2 Views	55	11	$1,035.00	$621.00 40% off	$26.72	$1,035.00	$672.75	2025-12-31
76857	CPT	Hc US Pelvis Limited Or Follow Up	55	11	$1,025.00	$615.00 40% off	$26.04	$1,025.00	$666.25	2025-12-31
72190	CPT	Hc Dx Pelvis Min 3 Views	55	11	$1,021.00	$612.60 40% off	$31.17	$1,021.00	$663.65	2025-12-31
73060	CPT	Hc Dx Humerus 1 View	101	11	$744.00	$446.40 40% off	$25.01	$1,116.00	$661.56	2025-12-31
J1815	HCPCS	Insulin Glargine-yfgn (u-100) 100 Unit/ml Subcutaneous Solution	224	11	$1,423.50	$854.10 40% off	$7.80	$2,190.00	$657.00	2025-12-31
73600	CPT	Hc Dx Ankle 1 View	101	11	$735.00	$441.00 40% off	$25.35	$1,103.00	$653.86	2025-12-31
73590	CPT	Hc Dx Tibia And Fibula 1 View	101	11	$732.00	$439.20 40% off	$24.67	$1,098.00	$650.89	2025-12-31
73010	CPT	Hc Dx Scapula Bilat	101	11	$1,089.00	$653.40 40% off	$15.42	$1,089.00	$645.56	2025-12-31
73090	CPT	Hc Dx Forearm 1 View	101	11	$722.00	$433.20 40% off	$22.27	$1,083.00	$642.00	2025-12-31
70260	CPT	Hc Dx Skull Min 4 Views	55	11	$956.00	$573.60 40% off	$32.20	$956.00	$621.40	2025-12-31
73020	CPT	Hc Dx Shoulder 1 View Bilat	101	11	$1,047.00	$628.20 40% off	$14.73	$1,047.00	$620.66	2025-12-31
93005	CPT	Hc EKG	54	11	$946.00	$567.60 40% off	$15.17	$946.00	$616.65	2025-12-31
73560	CPT	Hc Dx Knee 1 Or 2 Views Bilat	101	11	$1,019.00	$611.40 40% off	$27.07	$1,019.00	$604.06	2025-12-31
73650	CPT	Hc Dx Calcaneus Heel Min 2 V Bilat	101	11	$992.00	$595.20 40% off	$21.58	$992.00	$588.06	2025-12-31
74018	CPT	Hc Dx Abd Icn Lateral Only	55	11	$899.00	$539.40 40% off	$21.92	$899.00	$584.35	2025-12-31
70160	CPT	Hc Dx Nasal Bones Min 3 Views	55	11	$899.00	$539.40 40% off	$26.37	$899.00	$584.35	2025-12-31
70200	CPT	Hc Dx Orbits Min 4 Views Bilat	55	11	$867.00	$520.20 40% off	$35.63	$867.00	$563.55	2025-12-31
70220	CPT	Hc Dx Sinus Min 3 Views	55	11	$859.00	$515.40 40% off	$28.10	$859.00	$558.35	2025-12-31
73140	CPT	Hc Dx Fingers 1 View	101	11	$626.00	$375.60 40% off	$26.37	$939.00	$556.64	2025-12-31
72100	CPT	Hc Dx Spine Lumbar 2 Or 3 Views	55	11	$838.00	$502.80 40% off	$30.15	$838.00	$544.70	2025-12-31
73660	CPT	Hc Dx Toes 1 View	101	11	$611.00	$366.60 40% off	$23.64	$917.00	$543.60	2025-12-31
93979	CPT	Hc US Dup Aorta Or Ivc Iliacs Limted	55	11	$832.00	$499.20 40% off	$35.62	$832.00	$540.80	2025-12-31
73565	CPT	Hc Dx Knees Standing Bilat Ap	55	11	$825.00	$495.00 40% off	$26.37	$825.00	$536.25	2025-12-31
71100	CPT	Hc Dx Ribs 2 Views Left	55	11	$820.00	$492.00 40% off	$27.07	$820.00	$533.00	2025-12-31
73620	CPT	Hc Dx Foot 1 View Bilat	101	11	$899.00	$539.40 40% off	$21.58	$899.00	$532.93	2025-12-31
71045	CPT	Hc X-ray Exam Chest 1 View	55	11	$817.00	$490.20 40% off	$17.82	$817.00	$531.05	2025-12-31
71130	CPT	Hc Dx Sterno Clavic Jnts Min 3 Views	55	11	$806.00	$483.60 40% off	$31.86	$806.00	$523.90	2025-12-31
73070	CPT	Hc Dx Elbow 1 View	101	11	$581.00	$348.60 40% off	$21.92	$872.00	$516.92	2025-12-31
70140	CPT	Hc Dx Facial Bones <3 Views	55	11	$791.00	$474.60 40% off	$23.30	$791.00	$514.15	2025-12-31
72170	CPT	Hc Dx Pelvis One Or Two Views	55	11	$788.00	$472.80 40% off	$20.21	$788.00	$512.20	2025-12-31
72040	CPT	Hc Dx Spine Cervical 2 Or 3 Views	55	11	$787.00	$472.20 40% off	$29.81	$787.00	$511.55	2025-12-31
70210	CPT	Hc Dx Sinus <3 Views	55	11	$782.00	$469.20 40% off	$24.67	$782.00	$508.30	2025-12-31
71120	CPT	Hc Dx Sternum Min 2 Views	55	11	$768.00	$460.80 40% off	$25.01	$768.00	$499.20	2025-12-31
73120	CPT	Hc Dx Hand 1 View	101	11	$554.00	$332.40 40% off	$23.98	$831.00	$492.62	2025-12-31
73050	CPT	Hc Dx Acromioclavicular Bilat	55	11	$744.00	$446.40 40% off	$20.21	$744.00	$483.60	2025-12-31
J1050	HCPCS	Medroxyprogesterone 150 Mg/ml Intramuscular Suspension	294	10	$727.30	$436.38 40% off	$36.00	$915.25	$482.73	2025-12-31
72070	CPT	Hc Dx Spine Thoracic 2 View	55	11	$738.00	$442.80 40% off	$23.98	$738.00	$479.70	2025-12-31
72220	CPT	Hc Dx Sacrum Coccyx Min 2 Views	55	11	$726.00	$435.60 40% off	$25.01	$726.00	$471.90	2025-12-31
72202	CPT	Hc Dx Sacroiliac Joints 3 Or >Views	55	11	$716.00	$429.60 40% off	$29.47	$716.00	$465.40	2025-12-31
70110	CPT	Hc Dx Mandible Complete Min 4 Views	55	11	$698.00	$418.80 40% off	$19.88	$698.00	$453.70	2025-12-31
J3486	HCPCS	Ziprasidone 20 Mg/ml (final Concentration) Intramuscular Solution	292	10	$693.45	$416.07 40% off	$14.86	$993.95	$450.74	2025-12-31
70250	CPT	Hc Dx Skull <4 Views	55	11	$691.00	$414.60 40% off	$28.10	$691.00	$449.15	2025-12-31
J1817	HCPCS	Insulin Lispro 100 Unit/ml For Subcutaneous Pump	102	10	$657.00	$394.20 40% off	$87.90	$657.00	$440.19	2025-12-31
70100	CPT	Hc Dx Mandible <4 Views	55	11	$662.00	$397.20 40% off	$16.75	$662.00	$430.30	2025-12-31
70360	CPT	Hc Dx Neck Soft Tissue	55	11	$617.00	$370.20 40% off	$23.64	$617.00	$401.05	2025-12-31
73100	CPT	Hc Dx Wrist 1 View	147	11	$587.00	$352.20 40% off	$26.37	$800.00	$395.17	2025-12-31
1001	RC	Hc Long Term Resident Care	21	7	$656.00	$393.60 40% off	$223.04	$656.00	$392.29	2025-12-31
72200	CPT	Hc Dx Sacroiliac Joints <3 Views	55	11	$595.00	$357.00 40% off	$25.70	$595.00	$386.75	2025-12-31
73522	CPT	Hc Dx Hip Bil 3or4v Inc Pelv If Perf	55	11	$582.00	$349.20 40% off	$40.77	$582.00	$378.30	2025-12-31
90849	CPT	Hc Multi Family Group Therapy	50	10	$567.00	$340.20 40% off	$23.65	$567.00	$362.31	2025-12-31
73552	CPT	Hc Dx Femur Min 2 Views Bilat	101	11	$557.00	$334.20 40% off	$27.75	$557.00	$330.19	2025-12-31
J2359	HCPCS	Olanzapine 10 Mg Intramuscular Solution	502	11	$422.95	$253.77 40% off	$17.40	$835.15	$323.60	2025-12-31
73551	CPT	Hc Dx Femur 1 View Bilat	102	11	$530.00	$318.00 40% off	$21.92	$530.00	$314.18	2025-12-31
H0015	HCPCS	Hc Iop Tx Chemical Dependency	18	7	$412.00	$247.20 40% off	$203.12	$412.00	$267.39	2025-12-31
73521	CPT	Hc Dx Hip Bilat 1v Each Inc Pelv If Perf	101	11	$390.00	$234.00 40% off	$31.53	$446.00	$266.71	2025-12-31
73502	CPT	Hc Dx Hip Uni 2 Or 3views Inc Pelv If Perf Lt	55	11	$353.00	$211.80 40% off	$37.35	$353.00	$229.45	2025-12-31
72120	CPT	Hc Dx Spine Lumbar Flex Extension Only	55	11	$353.00	$211.80 40% off	$30.84	$353.00	$229.45	2025-12-31
90899	CPT	Hc Initial Rehab Assess	105	11	$761.00	$456.60 40% off	$60.50	$761.00	$228.00	2025-12-31
J3410	HCPCS	Hydroxyzine Hcl 50 Mg/ml Intramuscular Solution	100	10	$341.15	$204.69 40% off	$12.41	$341.15	$225.16	2025-12-31
73501	CPT	Hc Dx Hip 1 View Inc Pel If Perf Lt	55	11	$323.00	$193.80 40% off	$24.67	$323.00	$209.95	2025-12-31
90853	CPT	Hc Group Career Counseling	60	12	$317.00	$190.20 40% off	$22.24	$317.00	$202.56	2025-12-31
90837	CPT	Hc Individual Career Counseling Therapy 60 (53 Minutes Or More)	60	12	$311.00	$186.60 40% off	$90.19	$311.00	$198.73	2025-12-31
J3535	HCPCS	Albuterol Sulfate Hfa 90 Mcg/actuation Aerosol Inhaler	102	10	$239.68	$143.81 40% off	$49.13	$282.85	$167.67	2025-12-31
J8499	HCPCS	Viloxazine ER 150 Mg Capsule Extended Release 24 Hr	98	9	$239.80	$143.88 40% off	$59.95	$239.80	$160.67	2025-12-31
90834	CPT	Hc Individual Career Counseling Therapy 45 Minutes (38-52 Minutes)	60	12	$220.00	$132.00 40% off	$62.67	$220.00	$140.58	2025-12-31
90847	CPT	Hc Family Therapy With Patient 50 (26 Minutes Or More)	60	12	$208.00	$124.80 40% off	$60.32	$208.00	$132.91	2025-12-31
90846	CPT	Hc Family Therapy Without Patient 50 (26 Minutes Or More)	50	10	$199.00	$119.40 40% off	$57.71	$199.00	$127.16	2025-12-31
90673	HCPCS	Flu Vaccine Tv2025(9 Yr Up)rcmb(pf)135 Mcg(45 Mcgx3)/0.5 Ml IM Syringe	2	2	$117.65	$70.59 40% off	$117.65	$117.65	$117.65	2025-12-31
J7626	HCPCS	Budesonide 0.5 Mg/2 Ml Suspension For Nebulization	56	11	$177.90	$106.74 40% off	$1.74	$177.90	$115.64	2025-12-31
90832	CPT	Hc Individual Career Counseling Therapy 30 Minutes (16-37 Minutes)	60	12	$156.00	$93.60 40% off	$34.00	$156.00	$99.69	2025-12-31
0906	RC	Hc Combat IV Iop Treatment	18	7	$150.00	$90.00 40% off	$73.95	$150.00	$97.35	2025-12-31
90662	HCPCS	Flu Vaccine Ts2025-26(65yr Up)(pf)180 Mcg/0.5 Ml Intramuscular Syringe	50	10	$117.65	$70.59 40% off	$34.12	$135.06	$78.83	2025-12-31
97152	CPT	Hc Career Counseling Assessment Each 15 Minutes	55	11	$118.00	$70.80 40% off	$12.17	$118.00	$76.70	2025-12-31
99409	CPT	Hc Substance Abuse Assessment 31 Minute Or More	16	4	$309.00	$185.40 40% off	$48.00	$309.00	$58.97	2025-12-31
0900	RC	Hc Combat Assessment	96	10	$100.00	$60.00 40% off	$14.50	$150.00	$50.00	2025-12-31
J2060	HCPCS	Lorazepam 2 Mg/ml Injection Solution	206	11	$67.35	$40.41 40% off	$1.38	$81.30	$48.19	2025-12-31
J0696	HCPCS	Ceftriaxone 1 Gram Solution For Injection	357	11	$67.85	$40.71 40% off	$0.86	$74.05	$40.25	2025-12-31
25000003	OTHER	Lidocaine 4 % Topical Cream	969	10	$40.20	$24.12 40% off	$1.75	$296.45	$29.88	2025-12-31
99408	CPT	Hc Substance Abuse Assessment 15-30 Minutes	16	4	$107.00	$64.20 40% off	$24.00	$107.00	$29.63	2025-12-31
A9270	HCPCS	Methylphenidate ER 27 Mg Tablet Extended Release 24 Hr	24,174	10	$40.35	$24.21 40% off	$0.49	$10,280.60	$27.68	2025-12-31
J1200	HCPCS	Diphenhydramine 50 Mg/ml Injection Solution	103	11	$24.80	$14.88 40% off	$0.76	$58.20	$24.80	2025-12-31
90656	HCPCS	Flu Vaccine Ts 2025-26(6mos Up)(pf) 45 Mcg(15mcg X3)/0.5 Ml IM Syringe	55	11	$29.65	$17.79 40% off	$8.60	$36.38	$19.87	2025-12-31
J7507	HCPCS	Tacrolimus 1 Mg Capsule Immediate-release	292	10	$26.05	$15.63 40% off	$0.44	$28.50	$16.23	2025-12-31
J2312	HCPCS	Naloxone 0.4 Mg/ml Intranasal Solution	202	10	$14.85	$8.91 40% off	$3.71	$148.05	$14.85	2025-12-31
Q0169	HCPCS	Promethazine 25 Mg Tablet	100	10	$7.00	$4.20 40% off	$0.08	$7.00	$4.62	2025-12-31
J7512	HCPCS	Prednisone 10 Mg Tablet	100	10	$7.00	$4.20 40% off	$0.07	$7.00	$4.62	2025-12-31

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