Hospital

Share Mem Hosp

Alva, OK · CCN 37044E · Rates published

297 distinct procedures filed

3 distinct payers

1,787 rate rows

2026-07-19 last MRF observed

Data quality

1,784 of 1,787 rate rows are consumer-grade (99.8%)

3 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	3

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

Source MRF file	https://www.smcok.com/s/730765084_Share-Medical-Center_standardcharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-14
Content fingerprint	1ae49e5ca0a7a3dc… · 336,903 bytes · first seen 2026-05-13

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
27502 CPT	Reduce Femur Fx 27502	3	$691.44	$1,000.13	$734.61	nat. median $1,893 outlier · 0.4×
25605 CPT	Reduce Wrist Fx W Man 25605	3	$464.62	$672.36	$505.61	nat. median $1,664 outlier · 0.3×
25565 CPT	Reduce Forearm Fx W Man 25565	3	$424.18	$611.32	$486.30	nat. median $1,686 outlier · 0.3×
27788 CPT	Reduce Dist Fibula Fx 27788	3	$350.05	$506.07	$398.29	nat. median $442 0.9× median
87507 CPT	Gi Panel	2	$175.05	$395.94	$395.94	nat. median $454 0.9× median
27840 CPT	Reduce Ankle Disloc 27840	3	$347.49	$498.38	$362.95	nat. median $422 0.9× median
26725 CPT	Reduce Finger Fx W Manip 26725	3	$276.74	$398.90	$322.13	nat. median $416 0.8× median
25600 CPT	Reduce Wrist Fx Wo Man 25600	3	$291.48	$417.16	$318.84	nat. median $416 0.8× median
P9016 HCPCS	Leukoreduced Red Cells	1	$294.45	$294.45	$294.45	nat. median $274 1.1× median
26770 CPT	Reduce Finger Disloc 26770	3	$236.84	$340.75	$274.38	nat. median $374 0.7× median
92950 CPT	Cpr	3	$170.46	$289.48	$226.29	nat. median $452 0.5× median
12032 CPT	Lac Repair Interm	3	$168.86	$270.13	$223.66	nat. median $519 outlier · 0.4×
99291 CPT	Critical Care Time 30-74 Minutes	3	$199.61	$291.72	$215.73	nat. median $1,120 outlier · 0.2×
99285 CPT	ER Level V	3	$163.46	$240.30	$175.00	nat. median $790 outlier · 0.2×
75635 CPT	CTA Runoff	3	$112.70	$401.10	$154.75	nat. median $355 outlier · 0.4×
P9040 HCPCS	Leukoreduced Irr Red Cells	1	$153.35	$153.35	$153.35	nat. median $395 outlier · 0.4×
74183 CPT	MRI Abdomen W/wo Contrast	3	$71.84	$513.79	$139.77	nat. median $611 outlier · 0.2×
31500 CPT	Intubation ER	3	$107.33	$190.80	$138.95	nat. median $383 outlier · 0.4×
73720 CPT	MRI Lower Ext W/wo Contrast	3	$70.42	$510.92	$137.42	nat. median $754 outlier · 0.2×
J3101 HCPCS	Tnkase 50 Mg	1	$127.89	$134.62	$131.25	nat. median $498 outlier · 0.3×
99284 CPT	ER Level IV	3	$112.68	$164.85	$120.05	nat. median $556 outlier · 0.2×
71275 CPT	CTA Chest	3	$86.10	$359.56	$117.00	nat. median $365 outlier · 0.3×
12005 CPT	Lac Repair Interm	3	$87.83	$159.00	$116.87	nat. median $436 outlier · 0.3×
74175 CPT	CTA Abdominal	3	$85.75	$238.41	$115.30	nat. median $355 outlier · 0.3×
70549 CPT	MRA Neck W/wo Contrast	3	$82.67	$309.24	$114.83	nat. median $606 outlier · 0.2×
10060 CPT	Drain Cyst/lesion 10060	3	$91.73	$133.61	$114.65	nat. median $252 outlier · 0.5×
70496 CPT	CTA Brain	3	$57.34	$443.23	$111.53	nat. median $364 outlier · 0.3×
11765 CPT	Nail Excision	3	$82.36	$146.42	$109.86	nat. median $398 outlier · 0.3×
99292 CPT	Critical Care Time Add 30 Minutes	3	$100.23	$146.58	$108.40	nat. median $391 outlier · 0.3×
72191 CPT	CTA Pelvis	3	$58.80	$237.51	$106.80	nat. median $344 outlier · 0.3×
70548 CPT	MRA Neck With Contrast	3	$70.70	$373.03	$97.08	nat. median $544 outlier · 0.2×
97162 CPT	Physical Therapy Mod	3	$61.09	$132.17	$96.25	nat. median $123 0.8× median
97163 CPT	Physical Therapy High	3	$61.09	$132.17	$96.25	nat. median $130 0.7× median
97161 CPT	Physical Therapy Low	3	$61.09	$132.17	$96.25	nat. median $117 0.8× median
99195 CPT	Phleb Therapeutic	3	$77.43	$131.20	$95.55	nat. median $149 0.6× median
30903 CPT	Control Nasal Hemorrhage Cmplx	3	$70.96	$212.83	$94.54	nat. median $220 outlier · 0.4×
72146 CPT	MRI Thoracic Spine Without Cont	3	$70.00	$339.39	$94.12	nat. median $421 outlier · 0.2×
93306 CPT	Echo Compl W Dop/color	3	$60.99	$172.42	$92.24	nat. median $804 outlier · 0.1×
12014 CPT	Lac Repair Facial	3	$69.14	$127.55	$91.92	nat. median $272 outlier · 0.3×
12004 CPT	Lac Repair Simple 12004	3	$67.02	$119.37	$88.85	nat. median $269 outlier · 0.3×
72141 CPT	MRI Cervical Spine Without Contr	3	$48.91	$172.15	$87.54	nat. median $429 outlier · 0.2×
72148 CPT	MRI Lumbar Spine Without Contrast	3	$68.58	$172.73	$87.54	nat. median $408 outlier · 0.2×
74160 CPT	CT Abdomen With Contrast	3	$59.85	$247.91	$82.18	nat. median $330 outlier · 0.2×
70544 CPT	MRA Brain Without Contrast	3	$56.70	$349.73	$77.86	nat. median $435 outlier · 0.2×
72129 CPT	CT T Spine With Contrast	3	$40.28	$234.27	$77.65	nat. median $318 outlier · 0.2×
72126 CPT	CT Cervical Spine W Contrast	3	$40.06	$233.39	$77.65	nat. median $475 outlier · 0.2×
72132 CPT	CT Lumbar Spine With Contrast	3	$40.06	$233.39	$77.65	nat. median $475 outlier · 0.2×
70547 CPT	MRA Neck Without Contrast	3	$55.39	$193.67	$76.71	nat. median $402 outlier · 0.2×
70545 CPT	MRA Brain With Contrast	3	$55.10	$203.76	$76.24	nat. median $524 outlier · 0.1×
74150 CPT	CT Abdomen Without Contrast	3	$54.76	$123.65	$75.77	nat. median $210 outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 297 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

10060	CPT	Drain Cyst/lesion 10060	7	3	$973.35	$632.68 35% off	$91.73	$133.61	$114.65	2026-07-19
11765	CPT	Nail Excision	7	3	$607.80	$395.07 35% off	$82.36	$146.42	$109.86	2026-07-19
12004	CPT	Lac Repair Simple 12004	7	3	$403.40	$262.21 35% off	$67.02	$119.37	$88.85	2026-07-19
12005	CPT	Lac Repair Interm	7	3	$510.47	$331.81 35% off	$87.83	$159.00	$116.87	2026-07-19
12013	CPT	Lac Repair Facial	7	3	$379.61	$246.75 35% off	$53.81	$104.86	$71.35	2026-07-19
12014	CPT	Lac Repair Facial	7	3	$432.60	$281.19 35% off	$69.14	$127.55	$91.92	2026-07-19
12032	CPT	Lac Repair Interm	7	3	$808.96	$525.82 35% off	$168.86	$270.13	$223.66	2026-07-19
25565	CPT	Reduce Forearm Fx W Man 25565	7	3	$1,510.86	$982.06 35% off	$424.18	$611.32	$486.30	2026-07-19
25600	CPT	Reduce Wrist Fx Wo Man 25600	7	3	$186.59	$121.28 35% off	$291.48	$417.16	$318.84	2026-07-19
25605	CPT	Reduce Wrist Fx W Man 25605	7	3	$1,433.85	$932.00 35% off	$464.62	$672.36	$505.61	2026-07-19
26725	CPT	Reduce Finger Fx W Manip 26725	7	3	$628.35	$408.43 35% off	$276.74	$398.90	$322.13	2026-07-19
26770	CPT	Reduce Finger Disloc 26770	7	3	$432.60	$281.19 35% off	$236.84	$340.75	$274.38	2026-07-19
27502	CPT	Reduce Femur Fx 27502	7	3	$2,714.00	$1,764.10 35% off	$691.44	$1,000.13	$734.61	2026-07-19
27788	CPT	Reduce Dist Fibula Fx 27788	7	3	$1,174.51	$763.43 35% off	$350.05	$506.07	$398.29	2026-07-19
27840	CPT	Reduce Ankle Disloc 27840	7	3	$954.96	$620.72 35% off	$347.49	$498.38	$362.95	2026-07-19
29125	CPT	Splint Application Short Arm	7	3	$350.41	$227.77 35% off	$35.55	$61.51	$46.83	2026-07-19
29130	CPT	Splint Appl Finger	7	3	$313.64	$203.87 35% off	$26.57	$39.03	$35.02	2026-07-19
29505	CPT	Splint Application Long Arm	7	3	$351.49	$228.47 35% off	$45.79	$83.67	$61.28	2026-07-19
29515	CPT	Splint Application Short Leg	7	3	$354.73	$230.57 35% off	$44.20	$67.41	$58.65	2026-07-19
30903	CPT	Control Nasal Hemorrhage Cmplx	7	3	$365.13	$237.33 35% off	$70.96	$212.83	$94.54	2026-07-19
31500	CPT	Intubation ER	7	3	$639.17	$415.46 35% off	$107.33	$190.80	$138.95	2026-07-19
36415	CPT	Venipuncture	6	2	$15.00	$9.75 35% off	$1.26	$3.00	$2.85	2026-07-19
36416	CPT	Capillary Puncture	6	2	$17.30	$11.24 35% off	$1.15	$3.00	$2.50	2026-07-19
36430	CPT	Blood Transfusion Svc	7	3	$688.92	$447.80 35% off	$30.55	$45.66	$37.10	2026-07-19
36680	CPT	Place Io	7	3	$498.00	$323.70 35% off	$54.38	$79.30	$57.91	2026-07-19
43752	CPT	Place Ng Tube 43752	7	3	$785.00	$510.25 35% off	$36.90	$54.31	$39.55	2026-07-19
51701	CPT	Straight Cath - Bladder	7	3	$118.00	$76.70 35% off	$23.71	$39.65	$31.08	2026-07-19
51798	CPT	Bladder Scan	7	3	$339.59	$220.73 35% off	$8.95	$17.36	$11.38	2026-07-19
65205	CPT	Remove Fb Extern Eye 65205	7	3	$290.92	$189.10 35% off	$26.15	$43.35	$35.02	2026-07-19
70450	CPT	CT Head Without Contrast	7	3	$1,798.53	$1,169.04 35% off	$38.95	$96.54	$54.12	2026-07-19
70486	CPT	CT Sinuses Without Contrast	7	3	$1,829.90	$1,189.44 35% off	$40.25	$203.38	$55.27	2026-07-19
70487	CPT	CT Sinus With Contrast	7	3	$2,188.96	$1,422.82 35% off	$53.20	$184.89	$73.05	2026-07-19
70496	CPT	CTA Brain	7	3	$2,065.00	$1,342.25 35% off	$57.34	$443.23	$111.53	2026-07-19
70544	CPT	MRA Brain Without Contrast	7	3	$2,261.42	$1,469.92 35% off	$56.70	$349.73	$77.86	2026-07-19
70545	CPT	MRA Brain With Contrast	7	3	$2,904.91	$1,888.19 35% off	$55.10	$203.76	$76.24	2026-07-19
70547	CPT	MRA Neck Without Contrast	7	3	$2,634.53	$1,712.44 35% off	$55.39	$193.67	$76.71	2026-07-19
70548	CPT	MRA Neck With Contrast	7	3	$2,854.08	$1,855.15 35% off	$70.70	$373.03	$97.08	2026-07-19
70549	CPT	MRA Neck W/wo Contrast	7	3	$2,840.02	$1,846.01 35% off	$82.67	$309.24	$114.83	2026-07-19
71045	CPT	Xr Chest Only 1 View	7	3	$148.17	$96.31 35% off	$7.99	$23.06	$11.77	2026-07-19
71046	CPT	Xr Chest 2 Views	7	3	$194.67	$126.54 35% off	$10.50	$29.83	$14.42	2026-07-19
71100	CPT	Xr Ribs	7	3	$175.20	$113.88 35% off	$7.45	$32.43	$13.57	2026-07-19
71250	CPT	CT Chest Without Contrast	7	3	$1,170.18	$760.62 35% off	$51.10	$140.33	$68.71	2026-07-19
71260	CPT	CT Chest With Contrast	7	3	$1,728.78	$1,123.71 35% off	$55.30	$150.32	$74.35	2026-07-19
71275	CPT	CTA Chest	6	3	$1,870.00	$1,215.50 35% off	$86.10	$359.56	$117.00	2026-07-19
72110	CPT	Xr Lumbar Spine 4-5 Views	6	3	$243.34	$158.17 35% off	$15.76	$45.83	$22.75	2026-07-19
72125	CPT	CT Cervical Spine Wo Contrast	7	3	$314.25	$204.26 35% off	$47.60	$117.53	$64.00	2026-07-19
72126	CPT	CT Cervical Spine W Contrast	7	3	$1,099.26	$714.52 35% off	$40.06	$233.39	$77.65	2026-07-19
72128	CPT	CT Thoracic Spine Without Contrast	7	3	$2,008.35	$1,305.43 35% off	$32.87	$141.50	$64.00	2026-07-19
72129	CPT	CT T Spine With Contrast	7	3	$2,200.00	$1,430.00 35% off	$40.28	$234.27	$77.65	2026-07-19
72131	CPT	CT Lumbar Spine Without Contrast	7	3	$314.25	$204.26 35% off	$47.60	$186.67	$65.36	2026-07-19
72132	CPT	CT Lumbar Spine With Contrast	7	3	$1,099.26	$714.52 35% off	$40.06	$233.39	$77.65	2026-07-19
72141	CPT	MRI Cervical Spine Without Contr	7	3	$2,483.12	$1,614.03 35% off	$48.91	$172.15	$87.54	2026-07-19
72146	CPT	MRI Thoracic Spine Without Cont	7	3	$2,829.20	$1,838.98 35% off	$70.00	$339.39	$94.12	2026-07-19
72148	CPT	MRI Lumbar Spine Without Contrast	7	3	$1,492.47	$970.11 35% off	$68.58	$172.73	$87.54	2026-07-19
72170	CPT	Xr Pelvis 1 To 2 Views	7	3	$181.69	$118.10 35% off	$8.15	$24.76	$11.29	2026-07-19
72191	CPT	CTA Pelvis	7	3	$2,165.00	$1,407.25 35% off	$58.80	$237.51	$106.80	2026-07-19
72192	CPT	CT Pelvis Without Contrast	7	3	$1,214.18	$789.22 35% off	$51.45	$155.95	$70.65	2026-07-19
73010	CPT	Xr Scapula	7	3	$321.21	$208.79 35% off	$8.75	$27.75	$12.02	2026-07-19
73020	CPT	Xr Shoulder 1 View	7	3	$158.98	$103.34 35% off	$6.75	$19.21	$9.88	2026-07-19
73030	CPT	Xr Shoulder Min 2 View	7	3	$232.52	$151.14 35% off	$9.10	$30.56	$12.50	2026-07-19
73070	CPT	Xr Elbow 2 View	7	3	$158.98	$103.34 35% off	$8.05	$25.88	$11.05	2026-07-19
73090	CPT	Xr Forearm 2 View	7	3	$294.17	$191.21 35% off	$5.36	$25.88	$10.35	2026-07-19
73100	CPT	Xr Wrist 2 View	7	3	$151.41	$98.42 35% off	$8.05	$29.62	$10.82	2026-07-19
73120	CPT	Xr Hand 2 View	7	3	$270.38	$175.75 35% off	$7.34	$27.61	$10.82	2026-07-19
73130	CPT	Xr Hand 3 View	7	3	$316.88	$205.97 35% off	$5.81	$32.83	$10.50	2026-07-19
73140	CPT	Xr Fingers Hand	7	3	$268.21	$174.34 35% off	$6.65	$33.55	$9.13	2026-07-19
73501	CPT	Xr Hip 1 View	7	3	$163.31	$106.15 35% off	$6.27	$29.40	$12.24	2026-07-19
73552	CPT	Xr Femur	7	3	$375.28	$243.93 35% off	$8.75	$31.42	$12.02	2026-07-19
73560	CPT	Xr Knee 1-2 Views	7	3	$149.25	$97.01 35% off	$8.05	$29.91	$11.05	2026-07-19
73562	CPT	Xr Knee 3 Views	7	3	$160.06	$104.04 35% off	$9.10	$35.75	$12.50	2026-07-19
73590	CPT	Xr Lower Leg	7	3	$323.37	$210.19 35% off	$7.70	$27.89	$10.57	2026-07-19
73600	CPT	Xr Ankle 2 View	7	3	$158.98	$103.34 35% off	$8.05	$28.18	$11.05	2026-07-19
73620	CPT	Xr Foot 2 View	7	3	$158.98	$103.34 35% off	$7.35	$25.01	$10.09	2026-07-19
73650	CPT	Xr Heel	7	3	$302.82	$196.83 35% off	$7.70	$25.01	$10.57	2026-07-19
73700	CPT	CT Lower Extremity Without Contr	7	3	$1,613.60	$1,048.84 35% off	$46.26	$117.24	$64.00	2026-07-19
73720	CPT	MRI Lower Ext W/wo Contrast	7	3	$2,898.00	$1,883.70 35% off	$70.42	$510.92	$137.42	2026-07-19
74018	CPT	Xr Abdomen (flat Plate) 1view	7	3	$166.95	$108.52 35% off	$8.75	$26.52	$12.02	2026-07-19
74150	CPT	CT Abdomen Without Contrast	7	3	$2,341.45	$1,521.94 35% off	$54.76	$123.65	$75.77	2026-07-19
74160	CPT	CT Abdomen With Contrast	7	3	$2,379.30	$1,546.54 35% off	$59.85	$247.91	$82.18	2026-07-19
74175	CPT	CTA Abdominal	7	3	$2,165.00	$1,407.25 35% off	$85.75	$238.41	$115.30	2026-07-19
74183	CPT	MRI Abdomen W/wo Contrast	7	3	$4,196.22	$2,727.54 35% off	$71.84	$513.79	$139.77	2026-07-19
75635	CPT	CTA Runoff	7	3	$3,800.00	$2,470.00 35% off	$112.70	$401.10	$154.75	2026-07-19
76536	CPT	US Thyroid	7	3	$1,161.53	$754.99 35% off	$18.81	$96.38	$34.14	2026-07-19
76700	CPT	US Abdomen Upper Complete	6	3	$389.34	$253.07 35% off	$38.50	$130.16	$52.32	2026-07-19
76705	CPT	US Abdominal Limited	7	3	$612.13	$397.88 35% off	$28.35	$100.00	$38.93	2026-07-19
76706	CPT	US - Screening Aaa	7	3	$500.00	$325.00 35% off	$26.60	$100.55	$36.53	2026-07-19
76770	CPT	US Renal/retroperitoneal	7	3	$333.57	$216.82 35% off	$35.00	$95.55	$47.06	2026-07-19
76775	CPT	US Bladder	7	3	$573.20	$372.58 35% off	$28.00	$100.55	$38.45	2026-07-19
76801	CPT	US OB Pregnancy < 14 Weeks	7	3	$505.06	$328.29 35% off	$47.25	$103.95	$64.88	2026-07-19
76856	CPT	US Pelvic Ultrasound (non Ob)	7	3	$701.89	$456.23 35% off	$32.46	$92.80	$44.24	2026-07-19
76857	CPT	US Pelvic Limited	7	3	$430.44	$279.79 35% off	$23.45	$87.54	$31.68	2026-07-19
76870	CPT	US Scrotum And Cont	7	3	$617.54	$401.40 35% off	$21.18	$88.30	$40.94	2026-07-19
76882	CPT	Ultrasound, Soft Tissue Unilat	7	3	$320.64	$208.42 35% off	$21.09	$57.93	$28.89	2026-07-19
77067	CPT	Mammo Bilateral-screening	7	3	$310.94	$202.11 35% off	$35.16	$113.51	$48.94	2026-07-19
77078	CPT	CT Bone Density Test	7	3	$427.19	$277.67 35% off	$8.18	$87.29	$14.88	2026-07-19
80048	CPT	Bmp	6	2	$89.76	$58.34 35% off	$3.55	$8.04	$8.04	2026-07-19
80053	CPT	Complete Metabolic Profile	6	2	$122.21	$79.44 35% off	$4.44	$10.03	$10.03	2026-07-19
80061	CPT	Lipid Panel	6	2	$95.09	$61.81 35% off	$5.62	$12.72	$12.72	2026-07-19
80069	CPT	Renal Function Panel	6	2	$72.46	$47.10 35% off	$3.65	$8.25	$8.25	2026-07-19
80074	CPT	Hepatitis Panel	6	2	$306.71	$199.36 35% off	$20.00	$45.25	$45.25	2026-07-19
80143	CPT	Acetaminophen	6	2	$241.17	$156.76 35% off	$7.83	$17.71	$17.71	2026-07-19
80179	CPT	Salicylate	6	2	$149.25	$97.01 35% off	$7.83	$17.71	$17.71	2026-07-19
80185	CPT	Phenytoin (dilantin)	6	2	$94.07	$61.15 35% off	$5.57	$12.59	$12.59	2026-07-19
80305	CPT	Drug Screen Qualitative	6	2	$60.00	$39.00 35% off	$5.29	$11.97	$11.97	2026-07-19
80307	CPT	Drug Screen	6	2	$180.00	$117.00 35% off	$26.10	$59.03	$59.03	2026-07-19
80320	CPT	Alcohol	2	1	$192.51	$125.13 35% off	$5.01	$8.96	$6.99	2026-07-19
81000	CPT	Urinalysis	6	2	$15.00	$9.75 35% off	$2.41	$3.82	$3.82	2026-07-19
81001	CPT	Ua	6	2	$71.38	$46.40 35% off	$1.90	$3.01	$3.01	2026-07-19
81003	CPT	Specific Gravity	6	2	$36.77	$23.90 35% off	$1.35	$2.14	$2.14	2026-07-19
81015	CPT	Urinalysis Micro	6	2	$36.77	$23.90 35% off	$1.83	$2.90	$2.90	2026-07-19
81025	CPT	Urine Pregnancy Test	6	2	$25.00	$16.25 35% off	$5.17	$8.18	$8.18	2026-07-19
82140	CPT	Ammonia	6	2	$123.29	$80.14 35% off	$6.12	$13.84	$13.84	2026-07-19
82150	CPT	Amylase	6	2	$60.56	$39.36 35% off	$2.72	$6.16	$6.16	2026-07-19
82157	CPT	Androstenedione	6	2	$44.00	$28.60 35% off	$12.30	$27.82	$27.82	2026-07-19
82164	CPT	Angio Conv Enzyme	6	2	$136.27	$88.58 35% off	$6.13	$13.87	$13.87	2026-07-19
82175	CPT	Arsenic	6	2	$180.61	$117.40 35% off	$7.97	$18.02	$18.02	2026-07-19
82180	CPT	Vitamin C	6	2	$23.36	$15.18 35% off	$4.15	$9.40	$9.40	2026-07-19
82247	CPT	Bilirubin Total	6	2	$80.03	$52.02 35% off	$2.11	$4.77	$4.77	2026-07-19
82270	CPT	Occult Blood Fecal Screening	6	2	$41.64	$27.07 35% off	$2.63	$4.16	$4.16	2026-07-19
82300	CPT	Cadmium	6	2	$120.05	$78.03 35% off	$9.93	$22.46	$22.46	2026-07-19
82306	CPT	Vitamin D	6	2	$220.63	$143.41 35% off	$12.43	$28.12	$28.12	2026-07-19
82310	CPT	Calcium	6	2	$75.71	$49.21 35% off	$2.17	$4.90	$4.90	2026-07-19
82330	CPT	Calcium, 24 Hour Urine	6	2	$128.70	$83.66 35% off	$5.75	$13.00	$13.00	2026-07-19
82365	CPT	Stone Analysis	6	2	$164.39	$106.85 35% off	$5.42	$12.26	$12.26	2026-07-19
82379	CPT	Carnitine	6	2	$209.88	$136.42 35% off	$7.09	$16.03	$16.03	2026-07-19
82436	CPT	Chloride, Urine	6	2	$59.40	$38.61 35% off	$2.42	$5.46	$5.46	2026-07-19
82465	CPT	Cholesterol	6	2	$63.81	$41.48 35% off	$1.83	$4.13	$4.13	2026-07-19
82542	CPT	Bile Acid	6	2	$90.90	$59.09 35% off	$10.12	$22.89	$22.89	2026-07-19
82550	CPT	Creatine Kinase	6	2	$56.24	$36.56 35% off	$2.73	$6.18	$6.18	2026-07-19
82607	CPT	Vitamin B12 Level	6	2	$85.60	$55.64 35% off	$6.33	$14.33	$14.33	2026-07-19
82652	CPT	Vit D 1	6	2	$234.69	$152.55 35% off	$16.17	$36.58	$36.58	2026-07-19
82672	CPT	Estrogen	6	2	$180.61	$117.40 35% off	$9.11	$20.62	$20.62	2026-07-19
82728	CPT	Ferretin	6	2	$96.75	$62.89 35% off	$5.72	$12.95	$12.95	2026-07-19
82746	CPT	Folic Acid	6	2	$127.62	$82.95 35% off	$6.17	$13.97	$13.97	2026-07-19
82803	CPT	Venous Blood Gas	6	2	$134.11	$87.17 35% off	$10.95	$24.77	$24.77	2026-07-19
82941	CPT	Gastrin	6	2	$158.98	$103.34 35% off	$7.40	$16.75	$16.75	2026-07-19
82945	CPT	Glucose	6	2	$41.62	$27.05 35% off	$2.36	$3.73	$3.73	2026-07-19
82951	CPT	Glucose Tolerance Test 3 Spec	6	2	$207.65	$134.97 35% off	$7.72	$12.23	$12.23	2026-07-19
83001	CPT	Follicle Stimulating Hormone	6	2	$160.12	$104.08 35% off	$7.80	$17.65	$17.65	2026-07-19
83003	CPT	Growth Hormone	6	2	$125.45	$81.54 35% off	$7.00	$15.84	$15.84	2026-07-19
83013	CPT	H.pylori Urea Breath Test	6	2	$289.84	$188.40 35% off	$28.29	$63.99	$63.99	2026-07-19
83527	CPT	Insulin	6	2	$97.88	$63.62 35% off	$5.44	$12.30	$12.30	2026-07-19
83540	CPT	Iron (fe)	6	2	$38.31	$24.90 35% off	$2.72	$6.15	$6.15	2026-07-19
83605	CPT	Lactic Acid	6	2	$118.97	$77.33 35% off	$4.86	$10.99	$10.99	2026-07-19
83615	CPT	Ldh	6	2	$42.89	$27.88 35% off	$2.54	$5.74	$5.74	2026-07-19
83631	CPT	Lactoferrin	6	2	$158.13	$102.78 35% off	$8.24	$18.65	$18.65	2026-07-19
83655	CPT	Lead	6	2	$89.76	$58.34 35% off	$5.09	$11.50	$11.50	2026-07-19
83690	CPT	Lipase	6	2	$59.13	$38.43 35% off	$2.89	$6.55	$6.55	2026-07-19
83718	CPT	Hdl	6	2	$63.81	$41.48 35% off	$3.44	$7.78	$7.78	2026-07-19
83735	CPT	Magnesium	6	2	$57.53	$37.39 35% off	$2.81	$6.37	$6.37	2026-07-19
83874	CPT	Myoglobin	6	2	$110.31	$71.70 35% off	$5.43	$12.27	$12.27	2026-07-19
83880	CPT	Bnp (b Type Natriuretic Peptid	6	2	$194.92	$126.70 35% off	$16.49	$37.30	$37.30	2026-07-19
83970	CPT	Pth	6	2	$268.95	$174.82 35% off	$17.34	$39.22	$39.22	2026-07-19
83986	CPT	Ph	6	2	$71.38	$46.40 35% off	$2.15	$3.40	$3.40	2026-07-19
84100	CPT	Phosphorous	6	2	$45.08	$29.30 35% off	$1.99	$4.50	$4.50	2026-07-19
84132	CPT	Potassium	6	2	$50.83	$33.04 35% off	$2.00	$4.52	$4.52	2026-07-19
84133	CPT	Potassium, Urine	6	2	$59.40	$38.61 35% off	$1.99	$4.49	$4.49	2026-07-19
84134	CPT	Prealbumin	6	2	$94.09	$61.16 35% off	$6.13	$13.86	$13.86	2026-07-19
84144	CPT	Progesterone	6	2	$157.90	$102.64 35% off	$8.76	$19.82	$19.82	2026-07-19
84145	CPT	Procalcitonin	6	2	$294.96	$191.72 35% off	$11.43	$25.86	$25.86	2026-07-19
84146	CPT	Prolactin	6	2	$151.41	$98.42 35% off	$8.14	$18.41	$18.41	2026-07-19
84150	CPT	Prostaglandin	6	2	$478.57	$311.07 35% off	$14.41	$39.68	$39.68	2026-07-19
84154	CPT	Psa Free	6	2	$151.41	$98.42 35% off	$7.72	$17.47	$17.47	2026-07-19
84155	CPT	Total Protein	6	2	$60.56	$39.36 35% off	$1.54	$3.49	$3.49	2026-07-19
84300	CPT	Sodium Urine	6	2	$67.05	$43.58 35% off	$2.13	$4.81	$4.81	2026-07-19
84402	CPT	Testosterone, Free	6	2	$176.28	$114.58 35% off	$10.70	$24.20	$24.20	2026-07-19
84425	CPT	Vitamin B1/thiamine	6	2	$206.57	$134.27 35% off	$8.92	$20.17	$20.17	2026-07-19
84436	CPT	Thyroxine (t4)	6	2	$86.52	$56.24 35% off	$2.89	$6.53	$6.53	2026-07-19
84443	CPT	Thyroid Stimulating Hormone	6	2	$120.73	$78.47 35% off	$7.06	$15.96	$15.96	2026-07-19
84480	CPT	T3	6	2	$121.27	$78.83 35% off	$5.96	$13.47	$13.47	2026-07-19
84484	CPT	Troponin	6	2	$148.17	$96.31 35% off	$5.24	$11.85	$11.85	2026-07-19
84550	CPT	Uric Acid, Blood	6	2	$44.34	$28.82 35% off	$1.90	$4.29	$4.29	2026-07-19
84590	CPT	Vitamin A	6	2	$36.34	$23.62 35% off	$4.88	$11.03	$11.03	2026-07-19
84591	CPT	Biotin	6	2	$135.00	$87.75 35% off	$6.67	$16.21	$16.21	2026-07-19
84702	CPT	Hcg Total Qn	6	2	$166.55	$108.26 35% off	$9.03	$14.30	$14.30	2026-07-19
85007	CPT	Manual Differential	6	2	$24.40	$15.86 35% off	$1.60	$3.61	$3.61	2026-07-19
85027	CPT	Complete Blood Count	6	2	$57.32	$37.26 35% off	$2.72	$6.15	$6.15	2026-07-19
85378	CPT	D-dimer	6	2	$158.98	$103.34 35% off	$4.08	$9.23	$9.23	2026-07-19
85610	CPT	Prothrombin Time Profile	6	2	$35.69	$23.20 35% off	$2.57	$4.08	$4.08	2026-07-19
85651	CPT	Erythrocyte Sedimentation Rate	6	2	$42.18	$27.42 35% off	$2.56	$4.06	$4.06	2026-07-19
85730	CPT	Partial Thromboplastin Time	6	2	$51.62	$33.55 35% off	$2.52	$5.71	$5.71	2026-07-19
86008	CPT	Allergy Component Panel	6	2	$68.04	$44.23 35% off	$7.53	$17.03	$17.03	2026-07-19
86021	CPT	Antibody	6	2	$166.55	$108.26 35% off	$6.30	$14.30	$14.30	2026-07-19
86036	CPT	Anca	6	2	$50.00	$32.50 35% off	$5.06	$11.45	$11.45	2026-07-19
86039	CPT	Ana Titer	6	2	$116.80	$75.92 35% off	$4.69	$10.60	$10.60	2026-07-19
86140	CPT	C-reactive Protein	6	2	$80.69	$52.45 35% off	$2.18	$4.92	$4.92	2026-07-19
86256	CPT	Antibody Titer	7	3	$21.63	$14.06 35% off	$5.06	$16.55	$11.45	2026-07-19
86308	CPT	Monoscreen-rapid	6	2	$101.66	$66.08 35% off	$3.11	$4.92	$4.92	2026-07-19
86580	CPT	TB Skin Test	7	3	$61.65	$40.07 35% off	$4.17	$12.02	$8.75	2026-07-19
86617	CPT	Lyme Disease	6	2	$134.11	$87.17 35% off	$6.51	$14.72	$14.72	2026-07-19
86694	CPT	Herpes Simplex Virus Cult/type	6	2	$87.60	$56.94 35% off	$6.04	$13.67	$13.67	2026-07-19
86757	CPT	Rickettsia (rmsf)	6	2	$161.81	$105.18 35% off	$8.13	$18.38	$18.38	2026-07-19
86900	CPT	Abo	6	2	$33.53	$21.79 35% off	$1.26	$2.84	$2.84	2026-07-19
86901	CPT	Rh	6	2	$32.45	$21.09 35% off	$1.26	$2.84	$2.84	2026-07-19
87040	CPT	Culture Blood	6	2	$65.97	$42.88 35% off	$4.33	$9.80	$9.80	2026-07-19
87045	CPT	Stool Culture (salm & Shig)	6	2	$67.82	$44.08 35% off	$3.96	$8.97	$8.97	2026-07-19
87075	CPT	Anaerobic Culture	6	2	$216.30	$140.60 35% off	$3.98	$9.00	$9.00	2026-07-19
87081	CPT	Mrsa Culture	6	2	$196.83	$127.94 35% off	$2.78	$6.30	$6.30	2026-07-19
87086	CPT	Urine Culture	6	2	$65.03	$42.27 35% off	$3.39	$7.67	$7.67	2026-07-19
87177	CPT	Ova And Parasite Exam	6	2	$156.53	$101.74 35% off	$3.74	$8.46	$8.46	2026-07-19
87205	CPT	Gram Stain	6	2	$38.93	$25.30 35% off	$1.79	$4.06	$4.06	2026-07-19
87210	CPT	Wet Prep	6	2	$83.28	$54.13 35% off	$3.49	$5.53	$5.53	2026-07-19
87252	CPT	Viral Culture	6	2	$231.44	$150.44 35% off	$10.95	$24.77	$24.77	2026-07-19
87324	CPT	C. Diff Ag	6	2	$170.88	$111.07 35% off	$5.03	$11.38	$11.38	2026-07-19
87400	CPT	Flu	6	2	$100.00	$65.00 35% off	$5.93	$13.42	$13.42	2026-07-19
87420	CPT	Rsv Test-rapid Or Sofia	6	2	$68.88	$44.77 35% off	$5.84	$13.21	$13.21	2026-07-19
87428	CPT	Flu+sars Ag Sofia2	6	2	$146.00	$94.90 35% off	$12.99	$30.87	$29.39	2026-07-19
87507	CPT	Gi Panel	6	2	$750.00	$487.50 35% off	$175.05	$395.94	$395.94	2026-07-19
87581	CPT	Respiratory Pathogen Panel	6	2	$300.00	$195.00 35% off	$14.74	$33.34	$33.34	2026-07-19
87641	CPT	Mrsa Screen	6	2	$148.17	$96.31 35% off	$14.74	$33.34	$33.34	2026-07-19
87880	CPT	Step Screen	6	2	$69.45	$45.14 35% off	$9.89	$15.70	$15.70	2026-07-19
88108	CPT	Cytology	7	3	$277.95	$180.67 35% off	$12.62	$62.02	$29.18	2026-07-19
88142	CPT	Pap Smear	6	2	$157.90	$102.64 35% off	$12.16	$19.25	$19.25	2026-07-19
90471	CPT	Injection Vaccine-ER	7	3	$101.05	$65.68 35% off	$14.82	$23.62	$19.70	2026-07-19
90715	CPT	Dtap Adult	2	1	$283.00	$183.95 35% off	$34.35	$54.10	$44.23	2026-07-19
92950	CPT	Cpr	7	3	$1,714.18	$1,114.22 35% off	$170.46	$289.48	$226.29	2026-07-19
93005	CPT	Electrocardiogram	7	3	$263.29	$171.14 35% off	$5.18	$8.96	$7.44	2026-07-19
93306	CPT	Echo Compl W Dop/color	7	3	$1,310.78	$852.01 35% off	$60.99	$172.42	$92.24	2026-07-19
93970	CPT	US Dup Bilat U/l Ext Veins	7	3	$816.53	$530.74 35% off	$32.55	$173.87	$44.70	2026-07-19
94640	CPT	Aerosol Treatment	7	3	$236.00	$153.40 35% off	$6.89	$17.30	$15.76	2026-07-19
94660	CPT	Cpap/bipap Treatment	7	3	$600.00	$390.00 35% off	$34.89	$59.04	$45.96	2026-07-19
94680	CPT	Exhaled Air Analysis O2	7	3	$175.39	$114.00 35% off	$12.25	$55.22	$16.82	2026-07-19
96360	CPT	IV Hydration Initial	7	3	$225.43	$146.53 35% off	$27.38	$52.32	$40.71	2026-07-19
96372	CPT	Injection Med Admin Im/sc	7	3	$100.58	$65.38 35% off	$12.80	$23.62	$16.63	2026-07-19
97014	CPT	Physical Therapy Estim	6	2	$93.28	$60.63 35% off	$11.39	$17.30	$14.18	2026-07-19
97035	CPT	Physical Therapy Application Ultrasound/15 Min	7	3	$60.56	$39.36 35% off	$10.00	$18.74	$13.65	2026-07-19
97110	CPT	Physical Therapy - Therapeutic Exercise	7	3	$80.84	$52.55 35% off	$25.11	$39.41	$28.70	2026-07-19
97116	CPT	Physical Therapy Gait Training	7	3	$61.65	$40.07 35% off	$22.18	$39.41	$28.70	2026-07-19
97140	CPT	Physical Therapy Manual Therapy / 15 Min	7	3	$70.30	$45.70 35% off	$23.54	$36.05	$26.25	2026-07-19
97161	CPT	Physical Therapy Low	7	3	$135.70	$88.20 35% off	$61.09	$132.17	$96.25	2026-07-19
97162	CPT	Physical Therapy Mod	7	3	$135.70	$88.20 35% off	$61.09	$132.17	$96.25	2026-07-19
97163	CPT	Physical Therapy High	7	3	$135.70	$88.20 35% off	$61.09	$132.17	$96.25	2026-07-19
97164	CPT	Phyical Therapy Re-evaluation	7	3	$129.78	$84.36 35% off	$41.25	$89.87	$65.45	2026-07-19
97535	CPT	Physical Therapy Adl Training / 15 Min	7	3	$140.60	$91.39 35% off	$27.09	$43.73	$31.85	2026-07-19
99195	CPT	Phleb Therapeutic	7	3	$161.14	$104.74 35% off	$77.43	$131.20	$95.55	2026-07-19
99281	CPT	ER Level I	7	3	$128.43	$83.48 35% off	$10.60	$29.80	$21.70	2026-07-19
99282	CPT	ER Level Ii	7	3	$155.47	$101.06 35% off	$39.05	$57.19	$41.65	2026-07-19
99283	CPT	ER Level Iii	7	3	$324.45	$210.89 35% off	$59.13	$97.08	$70.70	2026-07-19
99284	CPT	ER Level IV	7	3	$551.57	$358.52 35% off	$112.68	$164.85	$120.05	2026-07-19
99285	CPT	ER Level V	7	3	$811.13	$527.23 35% off	$163.46	$240.30	$175.00	2026-07-19
99291	CPT	Critical Care Time 30-74 Minutes	7	3	$1,743.38	$1,133.20 35% off	$199.61	$291.72	$215.73	2026-07-19
99292	CPT	Critical Care Time Add 30 Minutes	7	3	$340.67	$221.44 35% off	$100.23	$146.58	$108.40	2026-07-19
A4212	HCPCS	IV Catheter 20g X 1.00	6	2	$5.57	$3.62 35% off	$2.97	$13.00	$13.00	2026-07-19
A4215	HCPCS	Needle Intraoss Adult 25mm	4	1	$393.75	$255.94 35% off	$0.20	$0.20	$0.20	2026-07-19
A4220	HCPCS	Extension Set W/clamp	5	2	$5.88	$3.82 35% off	$2.91	$25.00	$25.00	2026-07-19
A4221	HCPCS	IV Start Kit	6	2	$47.62	$30.95 35% off	$14.71	$25.41	$25.41	2026-07-19
A4314	HCPCS	Tray Foley Cath 16fr With Bag	6	2	$38.43	$24.98 35% off	$15.92	$29.97	$29.97	2026-07-19
A4351	HCPCS	Cath Straight	6	2	$4.04	$2.63 35% off	$1.18	$2.22	$2.22	2026-07-19
A4412	HCPCS	Ostomy Pouch, Drainable	6	2	$11.71	$7.61 35% off	$1.76	$3.31	$3.31	2026-07-19
A4556	HCPCS	Electrode Needle	6	2	$3.29	$2.14 35% off	$7.89	$14.86	$14.86	2026-07-19
A4580	HCPCS	Plaster Bandage	4	1	$6.21	$4.04 35% off	$20.00	$20.00	$20.00	2026-07-19
A4615	HCPCS	Oxy Cannula Nasal Adult	6	2	$61.00	$39.65 35% off	$0.47	$0.89	$0.89	2026-07-19
A4620	HCPCS	Oxy Mask Non Rebreather	6	2	$3.89	$2.53 35% off	$0.41	$0.78	$0.78	2026-07-19
A4649	HCPCS	Suture Vicryl 3-0 - J864d	1	1	$4,785.00	$3,110.25 35% off	$3.06	$3.06	$3.06	2026-07-19
A5120	HCPCS	Wipe Proctive Skin Gel	6	2	$0.16	$0.10 38% off	$0.16	$0.28	$0.28	2026-07-19
A6022	HCPCS	Drsg Promogram 28	6	2	$33.29	$21.64 35% off	$13.66	$25.72	$25.72	2026-07-19
A6199	HCPCS	Drsg Medihoney Cal Alginate	6	2	$26.25	$17.06 35% off	$3.43	$6.46	$6.46	2026-07-19
A6209	HCPCS	Drsg Foam Nonadh 4x4	6	2	$64.68	$42.04 35% off	$4.85	$9.14	$9.14	2026-07-19
A6212	HCPCS	Drsg Foam Adh Optiva 3x3	6	2	$131.29	$85.34 35% off	$6.30	$11.88	$11.88	2026-07-19
A6213	HCPCS	Drsg Mepilex Ag/border	6	2	$85.20	$55.38 35% off	$7.00	$8.52	$7.00	2026-07-19
A6224	HCPCS	Vaseline Gauze 3 X 18	6	2	$5.30	$3.44 35% off	$2.35	$4.41	$4.41	2026-07-19
A6248	HCPCS	Drsg Silva Sorb Gel 1.5fl	6	2	$30.24	$19.66 35% off	$10.55	$19.88	$19.88	2026-07-19
A6250	HCPCS	Cream Moisture Barrier	4	1	$17.27	$11.23 35% off	$1.61	$1.61	$1.61	2026-07-19
A6255	HCPCS	Silverlon Island Dressing	6	2	$81.00	$52.65 35% off	$1.97	$3.72	$3.72	2026-07-19
A6257	HCPCS	Drsg Transparent Med	6	2	$6.20	$4.03 35% off	$1.00	$1.88	$1.88	2026-07-19
A6266	HCPCS	Drsg Pkg Strip Iodoform	6	2	$10.76	$6.99 35% off	$1.25	$2.34	$2.34	2026-07-19
A6407	HCPCS	Drsg Packing Strip Plain	6	2	$9.29	$6.04 35% off	$1.22	$2.29	$2.29	2026-07-19
A6448	HCPCS	Bandage Ace Compr 3"	6	2	$3.47	$2.26 35% off	$0.76	$1.41	$1.41	2026-07-19
A6449	HCPCS	Bandage Ace Compr 4"	6	2	$34.86	$22.66 35% off	$1.14	$2.14	$2.14	2026-07-19
A6450	HCPCS	Drsg Coban Compression Bandage	6	2	$31.71	$20.61 35% off	$1.16	$2.14	$2.14	2026-07-19
A6530	HCPCS	Stocking Knee High	4	1	$46.00	$29.90 35% off	$28.25	$28.25	$28.25	2026-07-19
A7004	HCPCS	Nebulizer Disoposable	6	2	$3.00	$1.95 35% off	$1.00	$1.46	$1.46	2026-07-19
J0131	HCPCS	Ofirmev(acetamin) Inj/per 10mg	3	2	$1.59	$1.03 35% off	$0.21	$23.69	$0.22	2026-07-19
J0290	HCPCS	Ampicillin 1gm Vl	2	1	$7.50	$4.88 35% off	$0.67	$0.71	$0.69	2026-07-19
J0360	HCPCS	Inj Hydralazine Hci Up To 20mg	2	1	$56.00	$36.40 35% off	$5.08	$5.35	$5.21	2026-07-19
J0696	HCPCS	Rocephin 250 Mg/per 250mg	2	1	$39.50	$25.68 35% off	$0.46	$0.48	$0.47	2026-07-19
J0780	HCPCS	Compazine 10mg/2ml	2	1	$20.00	$13.00 35% off	$3.98	$4.66	$4.32	2026-07-19
J1010	HCPCS	Depo Medrol 1 Mg	1	1	$1.73	$1.12 35% off	$7.53	$7.53	$7.53	2026-07-19
J1100	HCPCS	Dexamethasone 10mg Inj	2	1	$37.28	$24.23 35% off	$0.11	$0.12	$0.11	2026-07-19
J1200	HCPCS	Benadryl 50mg/ml Inj	3	2	$23.00	$14.95 35% off	$1.01	$5.84	$1.18	2026-07-19
J1335	HCPCS	Invanz	2	1	$128.66	$83.63 35% off	$23.26	$24.48	$23.87	2026-07-19
J1756	HCPCS	Venofer 100 Mg/5ml	2	1	$57.75	$37.54 35% off	$0.50	$0.53	$0.52	2026-07-19
J1885	HCPCS	Toradol 30 Mg/ Per 15mg	2	1	$58.04	$37.73 35% off	$0.52	$0.55	$0.54	2026-07-19
J2060	HCPCS	Ativan 2mg/ml Vl	2	1	$1.29	$0.84 35% off	$0.68	$0.80	$0.74	2026-07-19
J2270	HCPCS	Inj Morphine Sulfate ^ To 10mg	3	2	$31.00	$20.15 35% off	$3.01	$4.47	$3.17	2026-07-19
J2405	HCPCS	Zofran 1mg	2	1	$18.00	$11.70 35% off	$0.08	$1.42	$0.75	2026-07-19
J2543	HCPCS	Zosyn 2.25 Gm	3	2	$1.14	$0.74 35% off	$1.35	$13.71	$1.42	2026-07-19
J2704	HCPCS	Injection, Propofol 10mg	2	1	$434.80	$282.62 35% off	$0.13	$0.14	$0.14	2026-07-19
J2765	HCPCS	Reglan 10 Mg/2 Ml	2	1	$25.00	$16.25 35% off	$1.02	$1.19	$1.10	2026-07-19
J2919	HCPCS	Solu-medrol Per 5 Mg	2	1	$2.70	$1.76 35% off	$8.76	$25.71	$17.23	2026-07-19
J3101	HCPCS	Tnkase 50 Mg	2	1	$6,218.86	$4,042.26 35% off	$127.89	$134.62	$131.25	2026-07-19
J3490	HCPCS	Pepcid 20 Mg/2 Ml	2	2	$572.00	$371.80 35% off	$5.19	$13.97	$9.58	2026-07-19
J7030	HCPCS	Normal Saline .9% 1000cc	2	1	$53.00	$34.45 35% off	$2.60	$2.74	$2.67	2026-07-19
J7120	HCPCS	Lr 1000 Ml	2	1	$53.00	$34.45 35% off	$2.35	$2.47	$2.41	2026-07-19
P9016	HCPCS	Leukoreduced Red Cells	1	1	$356.90	$231.98 35% off	$294.45	$294.45	$294.45	2026-07-19
P9040	HCPCS	Leukoreduced Irr Red Cells	1	1	$407.73	$265.02 35% off	$153.35	$153.35	$153.35	2026-07-19
S1015	HCPCS	IV Tubiing Primary	5	2	$26.25	$17.06 35% off	$3.11	$46.06	$46.06	2026-07-19

See an error in this hospital's data? Submit a correction