Hospital

FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY

Fairview, OK · CCN 371329 · Rates published

276 distinct procedures filed

5 distinct payers

1,389 rate rows

2025-01-01 last MRF observed · ⚠ 22 mo old

Data quality

972 of 1,389 rate rows are consumer-grade (70.0%)

417 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	284
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	129
exceeds 10× this hospital's gross charge — excluded from medians	3
placeholder amount (≤ $0.02) — excluded from medians	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://fairviewregionalmedicalcenter.com/wp-content/uploads/2025/10/47-2059580_fairviewregionalmedicalcenter_standardcharges.csv
Found on page	https://fairviewregionalmedicalcenter.com/frmc-price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-11
Content fingerprint	da10419347ac2c92… · 181,958 bytes · first seen 2026-06-15

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
59510 OTHER	Routine Obstetric Care For Cesarean Delivery, Including Pre-and Post-delivery Ca…	1	$2,348.39	$2,348.39	$2,348.39	nat. median $2,765 0.8× median
45391 OTHER	Ultrasound Examination Of Lower Large Bowel, Endoscope	1	$1,654.68	$1,654.68	$1,654.68	nat. median $1,069 1.5× median
70553 OTHER	Hc MRI Brain With & Without Contrast	4	$287.83	$1,190.12	$566.11	nat. median $587 1.0× median
95810 OTHER	Sleep Study	3	$55.35	$610.89	$490.81	nat. median $904 0.5× median
74178 OTHER	Hc CT Abdomen Pelvis Wwo Contrast	4	$306.61	$868.04	$479.33	nat. median $550 0.9× median
45385 OTHER	Removal Of Polyps Or Growths Large Bowel, Endoscope	4	$349.80	$3,263.41	$450.66	nat. median $1,217 outlier · 0.4×
P9035 HCPCS	Lchg Platelet Pheresis Lr	3	$389.81	$2,683.30	$424.17	nat. median $804 0.5× median
74177 OTHER	Hc CT Abdomen Pelvis W Contrast	4	$273.87	$868.04	$418.84	nat. median $521 0.8× median
71275 OTHER	Hc CT Angio Chest W/wo Contrast	4	$220.35	$813.48	$413.26	nat. median $455 0.9× median
45380 OTHER	Biopsy Of Large Bowel, Endoscope	4	$275.34	$2,007.01	$412.34	nat. median $1,278 outlier · 0.3×
66821 OTHER	Removal Of Recurring Cataract In Lens Capsule	3	$300.57	$1,193.54	$407.93	nat. median $514 0.8× median
45378 OTHER	Diagnosic Exam Of Large Bowel, Endoscope	3	$254.21	$2,007.01	$374.50	nat. median $950 outlier · 0.4×
72141 OTHER	Hc MRI Spine Cervical Non Contrast	4	$172.06	$572.63	$362.81	nat. median $413 0.9× median
72148 OTHER	Hc MRI Spine Lumbar Non Contrast	4	$172.62	$671.54	$359.95	nat. median $430 0.8× median
43239 OTHER	Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel, Endoscope	4	$189.38	$1,927.03	$326.44	nat. median $922 outlier · 0.4×
72193 OTHER	CT Scan, Pelvis W/contrast	4	$192.78	$868.04	$316.05	nat. median $300 1.1× median
73721 OTHER	Hc MRI Lower Ext Any Joint Non Contrast	4	$182.02	$758.13	$313.31	nat. median $357 0.9× median
43235 OTHER	Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Endoscope	3	$167.84	$1,927.03	$282.49	nat. median $927 outlier · 0.3×
71260 OTHER	Hc CT Chest With Contrast	4	$149.59	$706.79	$282.28	nat. median $317 0.9× median
74176 OTHER	Hc CT Abdomen Pelvis Wo Contrast	4	$165.63	$868.04	$269.71	nat. median $352 0.8× median
72125 OTHER	Hc CT Cervical Spine Non Contrast	4	$116.49	$487.56	$227.71	nat. median $332 0.7× median
71250 OTHER	Hc CT Chest Non Contrast	4	$119.81	$706.79	$227.18	nat. median $255 0.9× median
73700 OTHER	Hc CT Lower Extremity Non Contrast	4	$116.21	$602.69	$224.24	nat. median $233 1.0× median
70486 OTHER	Hc CT Sinus Facial Bones Non Contrast	4	$114.82	$602.69	$222.25	nat. median $275 0.8× median
G0424 HCPCS	Hc Pulm Rehab With Exer One Hr For COPD	2	$33.30	$409.54	$221.42	nat. median $150 1.5× median
99205 OTHER	Pr Office/outpt Visit, New Levl V	4	$188.86	$262.22	$201.11	nat. median $246 0.8× median
P9016 HCPCS	Lchg Rbc Lr	3	$136.54	$2,683.30	$197.09	nat. median $331 0.6× median
99285 OTHER	Hc Ed Emergent Level V	4	$159.76	$284.41	$194.83	nat. median $639 outlier · 0.3×
93306 OTHER	Hc Tte 2d Wo Con W Doppler And Color Cmpl	2	$169.79	$210.91	$190.35	nat. median $612 outlier · 0.3×
70450 OTHER	Hc CT Head Non Contrast	4	$95.42	$335.21	$172.56	nat. median $344 0.5× median
99244 OTHER	Office Consultation 60 Minutes	2	$162.02	$182.45	$172.24	nat. median $208 0.8× median
76805 OTHER	Hc US OB 14+ Wks Single Gest	4	$111.42	$372.96	$156.81	nat. median $168 0.9× median
99204 OTHER	Pr Office/outpt Visit,new,levl IV	4	$147.63	$208.15	$155.25	nat. median $184 0.8× median
99215 OTHER	Pr Office/outpt Visit,est,levl V	4	$132.08	$183.27	$147.74	nat. median $204 0.7× median
99386 OTHER	Initial Preventive Med Eval 40-64 Age	4	$123.29	$193.79	$139.62	nat. median $123 1.1× median
76700 OTHER	Hc US Abdomen Complete	4	$101.46	$317.11	$137.66	nat. median $163 0.8× median
76830 OTHER	Hc US Transvaginal Non OB	4	$58.18	$371.11	$137.25	nat. median $163 0.8× median
77066 OTHER	Mammogram Both Breast	1	$136.73	$136.73	$136.73	nat. median $133 1.0× median
99284 OTHER	Hc Ed Emergent Level IV Facility	4	$109.78	$207.55	$131.94	nat. median $434 outlier · 0.3×
90837 OTHER	Pr Psytx Pt And Or Family 60 Minutes	4	$92.00	$133.90	$130.35	nat. median $179 0.7× median
76536 OTHER	Hc US Head Neck Tissues B - Scan Real Time	4	$93.04	$270.41	$128.16	nat. median $134 1.0× median
76856 OTHER	Hc US Pelvis Complete	4	$91.75	$270.41	$123.75	nat. median $173 0.7× median
G0439 HCPCS	Pr Annual Wellness Vst; Pps Subsqt Vst	1	$123.65	$123.65	$123.65	nat. median $159 0.8× median
99385 OTHER	Initial Preventive Med Eval 18-39 Age	4	$106.22	$167.00	$119.61	nat. median $119 1.0× median
95806 OTHER	Hc Sleep Study Unattended	3	$98.66	$141.61	$119.16	nat. median $196 0.6× median
Q4186 HCPCS	Hc Epifix Per Sq Cm	2	$93.67	$143.68	$118.68	nat. median $449 outlier · 0.3×
99381 OTHER	Pr Preventive Visit,new,infant	4	$88.88	$139.24	$116.17	nat. median $92 1.3× median
99243 OTHER	Office Consultation 40 Minutes	2	$108.76	$114.88	$111.82	nat. median $140 0.8× median
99347 OTHER	Pr Dom/r-home E/m Est Pt Lw Mod Severity	3	$87.23	$122.02	$111.64	nat. median $70 1.6× median
99396 OTHER	Pr Preventive Visit,est,40-64	4	$101.81	$160.78	$111.11	nat. median $112 1.0× median

Other procedures at this hospital

Browse this hospital's 276 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

59510	OTHER	Routine Obstetric Care For Cesarean Delivery, Including Pre-and Post-delivery Ca…	1	1	—	—	$2,348.39	$2,348.39	$2,348.39	2025-01-01
45391	OTHER	Ultrasound Examination Of Lower Large Bowel, Endoscope	1	1	—	—	$1,654.68	$1,654.68	$1,654.68	2025-01-01
70553	OTHER	Hc MRI Brain With & Without Contrast	4	4	$3,427.00	$2,056.20 40% off	$287.83	$1,190.12	$566.11	2025-01-01
95810	OTHER	Sleep Study	3	3	—	—	$55.35	$610.89	$490.81	2025-01-01
74178	OTHER	Hc CT Abdomen Pelvis Wwo Contrast	4	4	$3,898.00	$2,338.80 40% off	$306.61	$868.04	$479.33	2025-01-01
45385	OTHER	Removal Of Polyps Or Growths Large Bowel, Endoscope	4	4	$4,757.00	$2,854.20 40% off	$349.80	$3,263.41	$450.66	2025-01-01
P9035	HCPCS	Lchg Platelet Pheresis Lr	3	3	$2,303.00	$1,381.80 40% off	$389.81	$2,683.30	$424.17	2025-01-01
74177	OTHER	Hc CT Abdomen Pelvis W Contrast	4	4	$3,063.00	$1,837.80 40% off	$273.87	$868.04	$418.84	2025-01-01
71275	OTHER	Hc CT Angio Chest W/wo Contrast	4	4	$3,007.00	$1,804.20 40% off	$220.35	$813.48	$413.26	2025-01-01
45380	OTHER	Biopsy Of Large Bowel, Endoscope	4	4	$4,688.00	$2,812.80 40% off	$275.34	$2,007.01	$412.34	2025-01-01
66821	OTHER	Removal Of Recurring Cataract In Lens Capsule	3	3	—	—	$300.57	$1,193.54	$407.93	2025-01-01
45378	OTHER	Diagnosic Exam Of Large Bowel, Endoscope	3	3	—	—	$254.21	$2,007.01	$374.50	2025-01-01
72141	OTHER	Hc MRI Spine Cervical Non Contrast	4	4	$2,206.00	$1,323.60 40% off	$172.06	$572.63	$362.81	2025-01-01
72148	OTHER	Hc MRI Spine Lumbar Non Contrast	4	4	$2,206.00	$1,323.60 40% off	$172.62	$671.54	$359.95	2025-01-01
43239	OTHER	Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel, Endoscope	4	4	$5,107.00	$3,064.20 40% off	$189.38	$1,927.03	$326.44	2025-01-01
72193	OTHER	CT Scan, Pelvis W/contrast	4	4	—	—	$192.78	$868.04	$316.05	2025-01-01
73721	OTHER	Hc MRI Lower Ext Any Joint Non Contrast	4	4	$2,163.00	$1,323.60 39% off	$182.02	$758.13	$313.31	2025-01-01
43235	OTHER	Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Endoscope	3	3	—	—	$167.84	$1,927.03	$282.49	2025-01-01
71260	OTHER	Hc CT Chest With Contrast	4	4	$2,695.00	$1,617.00 40% off	$149.59	$706.79	$282.28	2025-01-01
74176	OTHER	Hc CT Abdomen Pelvis Wo Contrast	4	4	$1,943.00	$1,165.80 40% off	$165.63	$868.04	$269.71	2025-01-01
72125	OTHER	Hc CT Cervical Spine Non Contrast	4	4	$1,746.00	$1,047.60 40% off	$116.49	$487.56	$227.71	2025-01-01
71250	OTHER	Hc CT Chest Non Contrast	4	4	$1,746.00	$1,047.60 40% off	$119.81	$706.79	$227.18	2025-01-01
73700	OTHER	Hc CT Lower Extremity Non Contrast	4	4	$1,746.00	$1,047.60 40% off	$116.21	$602.69	$224.24	2025-01-01
70486	OTHER	Hc CT Sinus Facial Bones Non Contrast	4	4	$1,746.00	$1,047.60 40% off	$114.82	$602.69	$222.25	2025-01-01
G0424	HCPCS	Hc Pulm Rehab With Exer One Hr For COPD	2	2	$283.00	$169.80 40% off	$33.30	$409.54	$221.42	2025-01-01
99205	OTHER	Pr Office/outpt Visit, New Levl V	4	4	—	—	$188.86	$262.22	$201.11	2025-01-01
P9016	HCPCS	Lchg Rbc Lr	3	3	$585.00	$351.00 40% off	$136.54	$2,683.30	$197.09	2025-01-01
99285	OTHER	Hc Ed Emergent Level V	4	4	$1,224.00	$734.40 40% off	$159.76	$284.41	$194.83	2025-01-01
93306	OTHER	Hc Tte 2d Wo Con W Doppler And Color Cmpl	2	2	$2,710.00	$1,626.00 40% off	$169.79	$210.91	$190.35	2025-01-01
70450	OTHER	Hc CT Head Non Contrast	4	4	$1,746.00	$1,047.60 40% off	$95.42	$335.21	$172.56	2025-01-01
99244	OTHER	Office Consultation 60 Minutes	2	2	—	—	$162.02	$182.45	$172.24	2025-01-01
76805	OTHER	Hc US OB 14+ Wks Single Gest	4	4	$773.00	$463.80 40% off	$111.42	$372.96	$156.81	2025-01-01
99204	OTHER	Pr Office/outpt Visit,new,levl IV	4	4	$251.00	$150.60 40% off	$147.63	$208.15	$155.25	2025-01-01
99215	OTHER	Pr Office/outpt Visit,est,levl V	4	4	$212.00	$127.20 40% off	$132.08	$183.27	$147.74	2025-01-01
99386	OTHER	Initial Preventive Med Eval 40-64 Age	4	4	—	—	$123.29	$193.79	$139.62	2025-01-01
76700	OTHER	Hc US Abdomen Complete	4	4	$773.00	$463.80 40% off	$101.46	$317.11	$137.66	2025-01-01
76830	OTHER	Hc US Transvaginal Non OB	4	4	$773.00	$463.80 40% off	$58.18	$371.11	$137.25	2025-01-01
77066	OTHER	Mammogram Both Breast	1	1	—	—	$136.73	$136.73	$136.73	2025-01-01
99284	OTHER	Hc Ed Emergent Level IV Facility	4	4	$867.00	$520.20 40% off	$109.78	$207.55	$131.94	2025-01-01
90837	OTHER	Pr Psytx Pt And Or Family 60 Minutes	4	4	$270.00	$162.00 40% off	$92.00	$133.90	$130.35	2025-01-01
76536	OTHER	Hc US Head Neck Tissues B - Scan Real Time	4	4	$773.00	$463.80 40% off	$93.04	$270.41	$128.16	2025-01-01
76856	OTHER	Hc US Pelvis Complete	4	4	$773.00	$463.80 40% off	$91.75	$270.41	$123.75	2025-01-01
G0439	HCPCS	Pr Annual Wellness Vst; Pps Subsqt Vst	1	1	$257.00	$154.20 40% off	$123.65	$123.65	$123.65	2025-01-01
99385	OTHER	Initial Preventive Med Eval 18-39 Age	4	4	—	—	$106.22	$167.00	$119.61	2025-01-01
95806	OTHER	Hc Sleep Study Unattended	3	3	$388.00	$232.80 40% off	$98.66	$141.61	$119.16	2025-01-01
Q4186	HCPCS	Hc Epifix Per Sq Cm	2	2	$594.00	$356.40 40% off	$93.67	$143.68	$118.68	2025-01-01
99381	OTHER	Pr Preventive Visit,new,infant	4	4	$207.00	$124.20 40% off	$88.88	$139.24	$116.17	2025-01-01
99243	OTHER	Office Consultation 40 Minutes	2	2	—	—	$108.76	$114.88	$111.82	2025-01-01
99347	OTHER	Pr Dom/r-home E/m Est Pt Lw Mod Severity	3	3	$116.00	$69.60 40% off	$87.23	$122.02	$111.64	2025-01-01
99396	OTHER	Pr Preventive Visit,est,40-64	4	4	$238.00	$142.80 40% off	$101.81	$160.78	$111.11	2025-01-01
99383	OTHER	Pr Preventive Visit, New, Age 5-11	4	4	$222.00	$133.20 40% off	$96.67	$151.68	$109.73	2025-01-01
99221	OTHER	Pr Initial Hospital Care,levl I	4	4	$248.00	$148.80 40% off	$74.55	$131.11	$109.27	2025-01-01
77065	OTHER	Mammogram One Breast	1	1	—	—	$108.49	$108.49	$108.49	2025-01-01
V2632	HCPCS	Implt Lens Tecnis Silicon	1	1	$434.00	$260.40 40% off	$106.85	$106.85	$106.85	2025-01-01
99214	OTHER	Pr Office/outpt Visit,est,levl IV	4	4	$156.00	$93.60 40% off	$96.75	$135.42	$105.74	2025-01-01
76705	OTHER	Hc US Abdomen Limited	4	4	$773.00	$463.80 40% off	$76.49	$317.11	$104.69	2025-01-01
99395	OTHER	Pr Preventive Visit,est,18-39	4	4	$217.00	$130.20 40% off	$95.34	$150.25	$102.91	2025-01-01
90847	OTHER	Family Psychotherapy W/patient 50 Minutes	4	4	—	—	$82.00	$139.72	$101.85	2025-01-01
99394	OTHER	Pr Preventive Visit,est,12-17	4	4	$217.00	$130.20 40% off	$93.33	$146.90	$100.81	2025-01-01
99203	OTHER	Pr Office/outpt Visit,new,levl Iii	4	4	$178.00	$106.80 40% off	$92.74	$135.89	$98.95	2025-01-01
12011	OTHER	Hc Ed Rpr Face Ear Smpl <=2.5cm	4	4	$339.00	$203.40 40% off	$77.82	$789.29	$98.72	2025-01-01
17110	OTHER	Pr Destruct Benign Lesion, 1-14	4	4	$102.00	$61.20 40% off	$88.18	$759.33	$98.56	2025-01-01
99304	OTHER	Pr Nursing Facility Care Init, Stghtfwd Complexity	4	4	$200.00	$120.00 40% off	$72.02	$117.71	$95.82	2025-01-01
99392	OTHER	Pr Preventive Visit,est,age 1-4	4	4	$196.00	$117.60 40% off	$85.55	$133.98	$92.39	2025-01-01
99393	OTHER	Pr Preventive Visit,est,age5-11	4	4	$194.00	$116.40 40% off	$85.29	$133.50	$91.64	2025-01-01
99391	OTHER	Pr Preventive Visit,est,infant	4	4	$171.00	$102.60 40% off	$79.90	$103.43	$90.59	2025-01-01
11980	OTHER	Pr Implant,hormone,subcutaneous	2	2	$375.00	$225.00 40% off	$82.78	$93.22	$88.00	2025-01-01
90846	OTHER	Family Psychotherapy 50 Minutes	3	3	—	—	$82.00	$134.46	$87.76	2025-01-01
90834	OTHER	Pr Psytx Pt And Or Family 45 Minutes	4	4	$259.00	$155.40 40% off	$80.00	$90.86	$86.94	2025-01-01
97162	OTHER	Hc Pt Eval Mod Complexity	4	4	$228.00	$136.80 40% off	$54.12	$99.12	$83.42	2025-01-01
97161	OTHER	Hc Pt Eval Low Complexity	4	4	$175.00	$105.00 40% off	$54.12	$99.12	$83.42	2025-01-01
99238	OTHER	Pr Hospital Discharge Day,<30 Min	4	4	$192.00	$115.20 40% off	$66.56	$93.79	$83.03	2025-01-01
99315	OTHER	Pr Nursing Fac Dischrge Day,1-30 Min	4	4	$149.00	$89.40 40% off	$67.10	$93.31	$79.29	2025-01-01
92507	OTHER	Hc Tx Speech Disorder Individ 30 Min St	4	4	$317.00	$190.20 40% off	$45.52	$161.93	$76.45	2025-01-01
88313	OTHER	Lchg Sp Stain Group Ii Tc Nl	4	4	$211.00	$126.60 40% off	$41.33	$106.72	$76.34	2025-01-01
97597	OTHER	Hc Debrid Selective 1st 20sq Cm Or < Pt	4	4	$214.00	$128.40 40% off	$44.04	$214.05	$73.75	2025-01-01
99213	OTHER	Pr Office/outpt Visit,est,levl Iii	4	4	$100.00	$60.00 40% off	$62.88	$90.92	$73.28	2025-01-01
99283	OTHER	Hp Emergency Dept Visit Level 3 Professional Fee	4	4	$328.00	$196.80 40% off	$57.41	$119.49	$73.02	2025-01-01
12001	OTHER	Hc Ed Rpr Sclp/trnk/extrm Smpl <= 2.5cm	4	4	$283.00	$169.80 40% off	$41.14	$789.29	$72.06	2025-01-01
17000	OTHER	Pr Destroy Premalig Lesion, 1st Lesion	4	4	$94.00	$56.40 40% off	$58.54	$647.49	$71.82	2025-01-01
88305	OTHER	Lchg Sp G+m Level IV Tc Nl	4	4	$111.00	$66.60 40% off	$44.51	$106.72	$70.95	2025-01-01
99202	OTHER	Pr Office/outpt Visit,new,levl Ii	4	4	$126.00	$75.60 40% off	$61.86	$93.31	$65.81	2025-01-01
90832	OTHER	Pr Psytx Pt And Or Family 30 Minutes	4	4	$202.00	$121.20 40% off	$45.00	$68.73	$65.39	2025-01-01
51702	OTHER	Hc Ed Insert Cath Temp Indwell Bladder Smpl	4	4	$219.00	$131.40 40% off	$35.44	$214.05	$65.36	2025-01-01
80307	OTHER	Lchg Drug Screen Sglcls A V	4	4	$82.00	$49.20 40% off	$55.27	$138.33	$65.22	2025-01-01
20610	OTHER	Pr Drain/inject Large Joint/bursa	4	4	$165.00	$99.00 40% off	$56.78	$1,073.44	$61.67	2025-01-01
G0378	HCPCS	Hc Rb Observation Per Hr	2	2	$36.00	$21.60 40% off	$45.30	$73.57	$59.43	2025-01-01
G0108	HCPCS	Pr Diab Manage Trn Per Indiv	3	3	$81.00	$48.60 40% off	$48.68	$67.47	$58.51	2025-01-01
96365	OTHER	Hc Ed IV Inf Ther/proph/diag 1st Hr	3	3	$390.00	$234.00 40% off	$54.35	$116.60	$57.04	2025-01-01
72110	OTHER	Hc Lumbar Spine 4+ Vw	4	4	$434.00	$260.40 40% off	$37.79	$99.99	$55.50	2025-01-01
73502	OTHER	Hc Xray Hip Unilat 2-3 Views	4	4	$325.00	$195.00 40% off	$31.62	$99.99	$51.31	2025-01-01
87635	OTHER	Lchg Sars-cov-2 (covid-19)	3	3	$111.00	$66.60 40% off	$48.74	$129.09	$51.31	2025-01-01
96360	OTHER	Hc Ed IV Inf Hydration Init 31 Min To 1hr	4	4	$206.00	$123.60 40% off	$27.86	$245.13	$50.34	2025-01-01
80074	OTHER	Lchg Hepatitis Screen Acute	4	4	$127.00	$76.20 40% off	$42.37	$57.16	$47.60	2025-01-01
99231	OTHER	Pr Subsequent Hospital Care,levl I	4	4	$103.00	$61.80 40% off	$36.13	$50.72	$46.44	2025-01-01
99307	OTHER	Pr Nursing Fac Care Subseq, Lvl I	4	4	$90.00	$54.00 40% off	$35.31	$56.94	$46.06	2025-01-01
99282	OTHER	Hc Ed Emergent Level Ii	4	4	$357.00	$214.20 40% off	$37.94	$86.20	$45.99	2025-01-01
80055	OTHER	Obstetric Blood Test Panel	4	4	—	—	$35.68	$57.37	$45.95	2025-01-01
77080	OTHER	Hc Dexa Bone Density Axial Skeleton	4	4	$302.00	$181.20 40% off	$32.71	$141.93	$45.92	2025-01-01
97530	OTHER	Hc Ther Activities Ea 15 Min Pt	5	4	$82.00	$49.20 40% off	$22.48	$77.05	$45.13	2025-01-01
99212	OTHER	Pr Office/outpt Visit,est,levl Ii	4	4	$78.00	$46.80 40% off	$31.60	$54.07	$44.67	2025-01-01
83970	OTHER	Lchg Pth Intact	4	4	$259.00	$155.40 40% off	$36.72	$98.66	$44.63	2025-01-01
73562	OTHER	Hc Knee 3 Vw	4	4	$325.00	$195.00 40% off	$29.08	$99.99	$44.37	2025-01-01
73110	OTHER	Hc Wrist 3+ Vw	4	4	$325.00	$195.00 40% off	$29.11	$99.99	$44.23	2025-01-01
72072	OTHER	Hc Thoracic Spine 3 Vw	4	4	$325.00	$195.00 40% off	$28.57	$99.99	$43.58	2025-01-01
72100	OTHER	Hc Lumbar Spine 2 Or 3 Vw	4	4	$325.00	$195.00 40% off	$27.76	$99.99	$43.56	2025-01-01
96374	OTHER	Hc Ed Inj Ther/proph/diag Ivp Sngl Or Init	3	3	$156.00	$93.60 40% off	$31.80	$65.20	$43.48	2025-01-01
72040	OTHER	Hc Cervical Spine 2 Or 3 Vw	4	4	$325.00	$195.00 40% off	$27.51	$99.99	$43.42	2025-01-01
G0283	HCPCS	Hc Elec Stim Unattended Non Wound Pt	2	2	$64.00	$38.40 40% off	$8.74	$77.05	$42.90	2025-01-01
86922	OTHER	Lchg Compatibility Test Antiglobulin	3	3	$225.00	$135.00 40% off	$15.49	$210.68	$42.14	2025-01-01
83880	OTHER	Lchg B-type Natriuretic Peptide	4	4	$402.00	$241.20 40% off	$32.66	$138.33	$41.02	2025-01-01
74019	OTHER	Hc Xray Abdomen 2 Views	4	4	$325.00	$195.00 40% off	$26.16	$99.99	$40.91	2025-01-01
99152	OTHER	Hc Mod Sed Same Phys 5>=yrs Init 15 Min	3	3	$59.00	$35.40 40% off	$14.65	$42.96	$40.86	2025-01-01
82075	OTHER	Hc Bat Non Dot Dot	2	2	$27.00	$16.20 40% off	$36.00	$45.57	$40.78	2025-01-01
71100	OTHER	Hc Ribs Unilateral 2 Vw	4	4	$325.00	$195.00 40% off	$25.11	$99.99	$40.62	2025-01-01
73140	OTHER	Hc Fingers (multiple)	4	4	$325.00	$195.00 40% off	$25.97	$99.99	$40.61	2025-01-01
73610	OTHER	Hc Ankle 3+ Vw	4	4	$325.00	$195.00 40% off	$25.89	$99.99	$39.90	2025-01-01
73130	OTHER	Hc Hand 3+ Vw	4	4	$325.00	$195.00 40% off	$25.14	$99.99	$39.90	2025-01-01
86769	OTHER	Lchg Sars-cov-2 (covid-19) Antibody Igg	4	4	$54.00	$32.40 40% off	$30.95	$42.13	$39.90	2025-01-01
36430	OTHER	Lchg Transfusion Service Fee	4	4	$955.00	$573.00 40% off	$30.85	$2,683.30	$38.24	2025-01-01
87591	OTHER	Lchg Gc Amplified Probe	4	4	$117.00	$70.20 40% off	$31.21	$129.09	$37.94	2025-01-01
73560	OTHER	Hc Knee 1 Or 2 Vw	4	4	$325.00	$195.00 40% off	$24.08	$99.99	$37.77	2025-01-01
73030	OTHER	Hc Shoulder 2+ Vw	4	4	$325.00	$195.00 40% off	$23.88	$99.99	$37.76	2025-01-01
73630	OTHER	Hc Foot 3+ Vw	4	4	$325.00	$195.00 40% off	$24.40	$99.99	$37.33	2025-01-01
71046	OTHER	Hc Xray Chest 2 Views	4	4	$223.00	$133.80 40% off	$23.96	$99.99	$37.30	2025-01-01
87491	OTHER	Lchg Chlamydia DNA Probe	4	4	$126.00	$75.60 40% off	$31.21	$42.11	$36.77	2025-01-01
73060	OTHER	Hc Humerus 2+ Vw	4	4	$325.00	$195.00 40% off	$22.42	$99.99	$35.48	2025-01-01
73590	OTHER	Hc Tibia And Fibula 2 Vw	4	4	$325.00	$195.00 40% off	$21.43	$99.99	$34.77	2025-01-01
73090	OTHER	Hc Forearm 2 Vw	4	4	$325.00	$195.00 40% off	$21.64	$99.99	$32.55	2025-01-01
73070	OTHER	Hc Elbow 2 Vw	4	4	$325.00	$195.00 40% off	$22.09	$99.99	$32.30	2025-01-01
98968	OTHER	Pr Hc Pro Phone Call 21-30 Min	3	3	$122.00	$73.20 40% off	$30.49	$98.66	$32.15	2025-01-01
82306	OTHER	Lchg Vitamin D 25-hydroxy	4	4	$189.00	$113.40 40% off	$26.33	$138.33	$32.01	2025-01-01
72170	OTHER	Hc Pelvis 1 Or 2 Vw	4	4	$325.00	$195.00 40% off	$22.35	$99.99	$31.79	2025-01-01
84154	OTHER	Lchg Psa Free	4	4	$223.00	$133.80 40% off	$16.36	$65.00	$31.63	2025-01-01
29540	OTHER	Hc Ed Strapping Ankle/foot	4	4	$120.00	$72.00 40% off	$24.69	$617.93	$31.22	2025-01-01
97110	OTHER	Hc Ther Exercise Ea 15 Min Pt	4	4	$96.00	$57.60 40% off	$20.68	$77.05	$30.97	2025-01-01
97116	OTHER	Hc Gait Training Ea 15 Min Pt	4	4	$80.00	$48.00 40% off	$18.26	$77.05	$30.77	2025-01-01
82670	OTHER	Lchg Estradiol	4	4	$151.00	$90.60 40% off	$24.85	$98.66	$30.21	2025-01-01
90853	OTHER	Group Psychotherapy	4	4	—	—	$24.29	$40.00	$30.02	2025-01-01
71045	OTHER	Hc Xray Chest 1 View	4	4	$121.00	$72.60 40% off	$15.69	$99.99	$29.08	2025-01-01
97140	OTHER	Hc Manual Ther Tech 1+regions Ea 15 Min Pt	4	4	$85.00	$51.00 40% off	$19.39	$77.05	$28.55	2025-01-01
94010	OTHER	Hc Spirometry	3	3	$17.00	$10.20 40% off	$23.05	$35.60	$28.52	2025-01-01
84403	OTHER	Lchg Testosterone Total	4	4	$177.00	$106.20 40% off	$22.96	$98.66	$27.91	2025-01-01
84402	OTHER	Lchg Testosterone Free	4	4	$159.00	$95.40 40% off	$22.66	$98.66	$27.53	2025-01-01
82803	OTHER	Lchg Blood Gases Arterial I	4	4	$186.00	$111.60 40% off	$18.62	$45.57	$27.23	2025-01-01
96366	OTHER	Hc IV Inf Ther/proph/diag Ea Addl Hr	4	4	$60.00	$36.00 40% off	$16.95	$121.20	$27.10	2025-01-01
Q3014	HCPCS	Pr Telehealth Facility Fee	2	2	$27.00	$16.20 40% off	$20.00	$26.65	$23.32	2025-01-01
84144	OTHER	Lchg Progesterone	4	4	$60.00	$36.00 40% off	$18.55	$74.32	$22.55	2025-01-01
99211	OTHER	Pr Office/outpt Visit,est,levl I	4	4	$43.00	$25.80 40% off	$11.31	$93.70	$22.21	2025-01-01
96372	OTHER	Hc Ed Inj Ther/proph/diag Subq/im	4	4	$114.00	$68.40 40% off	$12.39	$30.62	$22.11	2025-01-01
93798	OTHER	Hc Card Rehab With EKG	4	4	$221.00	$132.60 40% off	$15.18	$152.35	$20.98	2025-01-01
84146	OTHER	Lchg Prolactin	4	4	$132.00	$79.20 40% off	$17.24	$98.66	$20.95	2025-01-01
83001	OTHER	Lchg Fsh	4	4	$127.00	$76.20 40% off	$16.53	$88.88	$20.09	2025-01-01
83002	OTHER	Lchg Lh	4	4	$127.00	$76.20 40% off	$16.47	$98.66	$20.02	2025-01-01
84153	OTHER	Lchg Prostate Specific Antigen Diag	4	4	$114.00	$68.40 40% off	$16.36	$45.57	$19.88	2025-01-01
87209	OTHER	Lchg Stain Trichrome	4	4	$45.00	$27.00 40% off	$15.99	$129.09	$19.44	2025-01-01
86235	OTHER	Lchg Ss-a Antibody	4	4	$117.00	$70.20 40% off	$15.95	$66.02	$19.39	2025-01-01
92551	OTHER	Pr Pure Tone Hearing Test, Air	4	4	$13.00	$7.80 40% off	$9.34	$125.71	$19.05	2025-01-01
86618	OTHER	Lchg Lyme Disease Ab Igm	4	4	$117.00	$70.20 40% off	$15.15	$66.02	$18.41	2025-01-01
84481	OTHER	Lchg T3 Free	4	4	$117.00	$70.20 40% off	$15.07	$74.32	$18.31	2025-01-01
84443	OTHER	Lchg Tsh	4	4	$114.00	$68.40 40% off	$14.94	$74.32	$18.16	2025-01-01
85025	OTHER	Lchg Cbc W Auto Differential	4	4	$49.00	$29.40 40% off	$7.48	$33.51	$17.83	2025-01-01
G0103	HCPCS	Lchg Prostate Specific Antigen Screen	3	3	$102.00	$61.20 40% off	$17.18	$45.57	$17.70	2025-01-01
86677	OTHER	Lchg Helicobacter Pylori Igm	4	4	$99.00	$59.40 40% off	$13.97	$66.02	$17.61	2025-01-01
90471	OTHER	Hc Immuniz Admin 1 Sngl/comb Vac/toxoid	4	4	$80.00	$48.00 40% off	$10.00	$30.62	$17.48	2025-01-01
93000	OTHER	Electrocardiogram, Routine, With Report And Interpretation	3	3	—	—	$14.33	$43.53	$17.47	2025-01-01
87804	OTHER	Lchg Influenza A+b Antigen Rapid	4	4	$76.00	$45.60 40% off	$11.54	$35.55	$17.29	2025-01-01
87880	OTHER	Lchg Strep A Screen Direct Immuno	4	4	$76.00	$45.60 40% off	$11.54	$35.55	$17.27	2025-01-01
86800	OTHER	Lchg Thyroglobulin Antibody	4	4	$48.00	$28.80 40% off	$14.15	$23.81	$17.20	2025-01-01
96361	OTHER	Hc IV Inf Hydration Ea Addl Hr	4	4	$73.00	$43.80 40% off	$10.98	$121.20	$17.13	2025-01-01
96375	OTHER	Hc Ed Inj Ther/diag Ivp Ea Addl New Drug	3	3	$141.00	$84.60 40% off	$13.27	$27.20	$17.11	2025-01-01
97035	OTHER	Hc Ultrasound Therapy Ea 15 Min Pt	3	3	$54.00	$32.40 40% off	$8.23	$77.05	$16.76	2025-01-01
82607	OTHER	Lchg Vitamin B12	4	4	$94.00	$56.40 40% off	$13.41	$74.32	$16.30	2025-01-01
84702	OTHER	Lchg Hcg Beta Blood Quantitative	4	4	$102.00	$61.20 40% off	$13.39	$74.32	$16.27	2025-01-01
94640	OTHER	Hc Inhalation Treatment W/med Subsequent	4	4	$84.00	$50.40 40% off	$7.56	$815.38	$15.92	2025-01-01
82746	OTHER	Lchg Folate	4	4	$98.00	$58.80 40% off	$13.08	$45.57	$15.89	2025-01-01
86376	OTHER	Lchg Microsomal Antibody	4	4	$48.00	$28.80 40% off	$12.94	$98.66	$15.73	2025-01-01
86803	OTHER	Lchg Hepatitis C Antibody	4	4	$99.00	$59.40 40% off	$12.69	$66.02	$15.43	2025-01-01
84480	OTHER	Lchg T3 Total	4	4	$45.00	$27.00 40% off	$12.61	$74.32	$15.33	2025-01-01
86225	OTHER	Lchg DNA Antibody Double Stranded	4	4	$85.00	$51.00 40% off	$12.22	$39.77	$14.86	2025-01-01
82728	OTHER	Lchg Ferritin	4	4	$93.00	$55.80 40% off	$12.12	$45.57	$14.73	2025-01-01
83883	OTHER	Lchg Light Chains Free Ea	4	4	$387.00	$232.20 40% off	$12.10	$66.02	$14.70	2025-01-01
80202	OTHER	Lchg Vancomycin Level Trough	4	4	$103.00	$61.80 40% off	$12.04	$59.46	$14.64	2025-01-01
80061	OTHER	Lchg Lipid Profile	4	4	$82.00	$49.20 40% off	$11.91	$49.37	$14.48	2025-01-01
80162	OTHER	Lchg Digoxin Level	4	4	$112.00	$67.20 40% off	$11.81	$59.46	$14.36	2025-01-01
80047	OTHER	Lchg Basic Metabolic Panel (ca Ionized)	4	4	$65.00	$39.00 40% off	$8.14	$49.37	$14.35	2025-01-01
87807	OTHER	Lchg Rsv Rapid Ag By Immunoassay	4	4	$94.00	$56.40 40% off	$11.54	$35.55	$13.69	2025-01-01
83010	OTHER	Lchg Haptoglobin	4	4	$78.00	$46.80 40% off	$11.19	$45.57	$13.60	2025-01-01
80164	OTHER	Lchg Valproic Acid Level	4	4	$93.00	$55.80 40% off	$12.04	$59.46	$13.14	2025-01-01
86038	OTHER	Lchg Ana Blood Screen	4	4	$30.00	$18.00 40% off	$10.75	$39.77	$13.07	2025-01-01
84484	OTHER	Lchg Troponin I	4	4	$66.00	$39.60 40% off	$9.47	$45.57	$13.03	2025-01-01
87427	OTHER	Lchg Shiga-like Toxin	4	4	$270.00	$162.00 40% off	$10.66	$39.77	$12.96	2025-01-01
87324	OTHER	Lchg Clostridium Difficile Toxin By Eia	4	4	$90.00	$54.00 40% off	$10.66	$39.77	$12.96	2025-01-01
96376	OTHER	Hc Ed Ivp Tpd Ea Add Push Same Drug	2	2	$71.00	$42.60 40% off	$11.33	$13.60	$12.46	2025-01-01
83605	OTHER	Lchg Istat Lactic Acid	4	4	$80.00	$48.00 40% off	$10.28	$45.57	$12.09	2025-01-01
84165	OTHER	Lchg Protein Electrophoresis Blood	4	4	$73.00	$43.80 40% off	$9.55	$45.57	$11.61	2025-01-01
80053	OTHER	Lchg Comprehensive Metabolic Panel	4	4	$134.00	$80.40 40% off	$9.39	$49.37	$11.42	2025-01-01
87040	OTHER	Lchg Culture Blood	4	4	$84.00	$50.40 40% off	$9.18	$129.09	$11.16	2025-01-01
85379	OTHER	Lchg D-dimer Quantitative	4	4	$150.00	$90.00 40% off	$9.05	$57.42	$11.00	2025-01-01
83721	OTHER	Lchg Ldl Cholesterol	4	4	$60.00	$36.00 40% off	$9.18	$45.57	$10.97	2025-01-01
86850	OTHER	Lchg Antibody Screen	4	4	$55.00	$33.00 40% off	$8.69	$39.77	$10.96	2025-01-01
87177	OTHER	Lchg O+p	3	3	$45.00	$27.00 40% off	$7.92	$35.55	$10.68	2025-01-01
99001	OTHER	Hc Drug Collection Non Dot	2	2	$17.00	$10.20 40% off	$8.00	$13.00	$10.50	2025-01-01
87075	OTHER	Lchg Culture Anaerobe	4	4	$66.00	$39.60 40% off	$8.42	$35.55	$10.23	2025-01-01
87045	OTHER	Lchg Culture Salmonella+shigella	4	4	$66.00	$39.60 40% off	$8.40	$35.55	$10.21	2025-01-01
87046	OTHER	Lchg Culture Stool Each Organism	4	4	$70.00	$42.00 40% off	$8.40	$35.55	$10.21	2025-01-01
83036	OTHER	Lchg Hemoglobin A1c	4	4	$58.00	$34.80 40% off	$8.32	$45.57	$10.14	2025-01-01
82784	OTHER	Lchg Immunoglobulin	4	4	$45.00	$27.00 40% off	$8.27	$45.57	$10.05	2025-01-01
84439	OTHER	Lchg T4 Free	4	4	$70.00	$42.00 40% off	$8.02	$74.32	$9.75	2025-01-01
83550	OTHER	Lchg Tibc	4	4	$59.00	$35.40 40% off	$7.77	$45.57	$9.45	2025-01-01
80069	OTHER	Kidney Function Panel	4	4	—	—	$7.72	$49.37	$9.39	2025-01-01
87186	OTHER	Lchg Susceptibility Urine	4	4	$57.00	$34.20 40% off	$7.69	$35.55	$9.35	2025-01-01
87070	OTHER	Lchg Culture Routine	4	4	$66.00	$39.60 40% off	$7.67	$35.55	$9.31	2025-01-01
99153	OTHER	Hc Mod Sed Same Phys Ea Addl 15 Min	3	3	$59.00	$35.40 40% off	$8.54	$11.51	$9.22	2025-01-01
80048	OTHER	Lchg Basic Metabolic Panel (ca Total)	4	4	$91.00	$54.60 40% off	$7.53	$49.37	$9.14	2025-01-01
81025	OTHER	Lchg Hcg Urine Qualitative	4	4	$42.00	$25.20 40% off	$6.09	$14.43	$9.00	2025-01-01
80076	OTHER	Lchg Hepatic Function Panel	4	4	$106.00	$63.60 40% off	$7.27	$49.37	$8.83	2025-01-01
87077	OTHER	Lchg Organism Id Aerobe Each Refer	4	4	$51.00	$30.60 40% off	$7.19	$35.55	$8.74	2025-01-01
87086	OTHER	Lchg Culture Urine	4	4	$66.00	$39.60 40% off	$7.18	$35.55	$8.72	2025-01-01
87088	OTHER	Lchg Organism Id Urine	4	4	$51.00	$30.60 40% off	$5.92	$35.55	$8.46	2025-01-01
93005	OTHER	Hc EKG 12 Lead	4	4	$211.00	$126.60 40% off	$5.31	$43.53	$7.96	2025-01-01
82977	OTHER	Lchg Ggt	4	4	$63.00	$37.80 40% off	$6.40	$23.81	$7.79	2025-01-01
83690	OTHER	Lchg Lipase Blood	4	4	$59.00	$35.40 40% off	$6.13	$23.81	$7.45	2025-01-01
84436	OTHER	Lchg T4 Total	4	4	$58.00	$34.80 40% off	$6.11	$74.32	$7.43	2025-01-01
83735	OTHER	Lchg Magnesium Blood	4	4	$45.00	$27.00 40% off	$5.96	$23.81	$7.24	2025-01-01
82550	OTHER	Lchg Ck Blood	4	4	$54.00	$32.40 40% off	$5.79	$23.81	$7.04	2025-01-01
82150	OTHER	Lchg Amylase Blood	4	4	$66.00	$39.60 40% off	$5.76	$45.57	$7.01	2025-01-01
84479	OTHER	Lchg T3 Uptake	4	4	$40.00	$24.00 40% off	$5.75	$74.32	$6.99	2025-01-01
85027	OTHER	Lchg Cbc Without Auto Differential	4	4	$45.00	$27.00 40% off	$5.75	$33.51	$6.99	2025-01-01
83540	OTHER	Lchg Iron Blood	4	4	$37.00	$22.20 40% off	$5.36	$23.81	$6.75	2025-01-01
83615	OTHER	Lchg Ldh Blood	4	4	$45.00	$27.00 40% off	$5.37	$23.81	$6.53	2025-01-01
85730	OTHER	Lchg Ptt	4	4	$45.00	$27.00 40% off	$5.35	$17.83	$6.50	2025-01-01
82043	OTHER	Lchg Microalbumin Urine Random Quant	4	4	$37.00	$22.20 40% off	$5.14	$14.43	$6.26	2025-01-01
86431	OTHER	Lchg Rheumatoid Factor Blood Quant	4	4	$45.00	$27.00 40% off	$5.04	$39.77	$6.13	2025-01-01
87210	OTHER	Lchg Wet Prep Smear	4	4	$45.00	$27.00 40% off	$4.11	$35.55	$6.08	2025-01-01
17003	OTHER	Pr Destroy Premalig Lesion, 2-14	3	3	$24.00	$14.40 40% off	$2.87	$6.00	$5.77	2025-01-01
86308	OTHER	Lchg Mononucleosis Screen	4	4	$81.00	$48.60 40% off	$4.61	$39.77	$5.60	2025-01-01
86140	OTHER	Lchg C-reactive Protein	4	4	$33.00	$19.80 40% off	$4.61	$39.77	$5.60	2025-01-01
82570	OTHER	Lchg Creatinine Urine Random	4	4	$33.00	$19.80 40% off	$4.61	$23.81	$5.60	2025-01-01
82565	OTHER	Lchg Creatinine Blood	4	4	$45.00	$27.00 40% off	$4.55	$23.81	$5.54	2025-01-01
84100	OTHER	Lchg Phosphorus Blood	4	4	$45.00	$27.00 40% off	$4.22	$23.81	$5.12	2025-01-01
P9612	HCPCS	Hc Insert Bladder Cath For Specimen	2	2	$64.00	$38.40 40% off	$2.10	$7.85	$4.97	2025-01-01
84550	OTHER	Lchg Uric Acid Blood	4	4	$45.00	$27.00 40% off	$4.02	$23.81	$4.88	2025-01-01
87205	OTHER	Lchg Gram Stain Smear	4	4	$33.00	$19.80 40% off	$3.80	$35.55	$4.62	2025-01-01
82270	OTHER	Lchg Occult Blood Feces	4	4	$21.00	$12.60 40% off	$3.14	$23.81	$4.58	2025-01-01
85610	OTHER	Lchg Pt-inr	4	4	$34.50	$21.30 38% off	$3.78	$17.83	$4.49	2025-01-01
85651	OTHER	Lchg Sed Rate Wintrobe	4	4	$33.00	$19.80 40% off	$3.42	$33.51	$4.46	2025-01-01
84520	OTHER	Lchg Bun	4	4	$45.00	$27.00 40% off	$3.51	$23.81	$4.27	2025-01-01
36415	OTHER	Lchg Blood Draw	3	3	$13.00	$7.80 40% off	$3.12	$7.85	$4.14	2025-01-01
85007	OTHER	Lchg Differential Manual	4	4	$58.00	$34.80 40% off	$3.31	$33.51	$3.97	2025-01-01
84156	OTHER	Lchg Protein Urine Random Quantitative	4	4	$30.00	$18.00 40% off	$3.26	$23.81	$3.96	2025-01-01
84155	OTHER	Lchg Protein Total Blood I	4	4	$45.00	$27.00 40% off	$3.26	$23.81	$3.96	2025-01-01
81050	OTHER	Lchg Volume Measure Urine	4	4	$37.00	$22.20 40% off	$2.88	$14.43	$3.81	2025-01-01
82962	OTHER	Hc Lab Glucose Bld Poct (ip)	4	4	$19.00	$11.40 40% off	$2.25	$23.81	$3.43	2025-01-01
81001	OTHER	Lchg Urinalysis Routine Auto W Microscopic	4	4	$37.00	$22.20 40% off	$2.82	$14.43	$3.42	2025-01-01
86901	OTHER	Lchg Blood Type Rh I	4	4	$33.00	$19.80 40% off	$2.66	$13.53	$3.23	2025-01-01
86900	OTHER	Lchg Blood Type Abo	4	4	$33.00	$19.80 40% off	$2.66	$13.53	$3.23	2025-01-01
85014	OTHER	Lchg Hematocrit	4	4	$18.00	$10.80 40% off	$2.11	$33.51	$2.56	2025-01-01
85018	OTHER	Lchg Hemoglobin	4	4	$18.00	$10.80 40% off	$2.11	$33.51	$2.56	2025-01-01
81003	OTHER	Lchg Urinalysis Dipstick Auto	4	4	$30.00	$18.00 40% off	$2.00	$10.17	$2.43	2025-01-01
62322	OTHER	Inj Of Sub Into Spinal Canal Using Guidance	0	0	—	—	—	—	—	2025-01-01
59610	OTHER	Routine Obstetric Care For Vag Delivery After Prior Cesarean Deliery Including P…	0	0	—	—	—	—	—	2025-01-01
59400	OTHER	Routine Obstetric Care For Vag Delivery, Including Pre-and Post-delivery Care	0	0	—	—	—	—	—	2025-01-01
55866	OTHER	Removal Of Prostate And Lymph Nodes, Endoscope	0	0	—	—	—	—	—	2025-01-01
55700	OTHER	Biopsy Of Prostate Gland	0	0	—	—	—	—	—	2025-01-01
49505	OTHER	Repair Of Groin Hernia Patient 5 Or Older	0	0	—	—	—	—	—	2025-01-01
47562	OTHER	Removal Of Gallbladder, Endoscope	0	0	—	—	—	—	—	2025-01-01
42820	OTHER	Removal Of Tonsils And Adenoids Younger Than 12	0	0	—	—	—	—	—	2025-01-01
29881	OTHER	Removal Of Knee Cartilage, Endoscope	0	0	—	—	—	—	—	2025-01-01
29826	OTHER	Shaving Of Shoulder Bone, Endoscope	0	0	—	—	—	—	—	2025-01-01
19120	OTHER	Removal Of Breast Growth, Open	0	0	—	—	—	—	—	2025-01-01
0	OTHER	DRG 216	0	0	—	—	—	—	—	2025-01-01
93452	OTHER	Insertion Of Cath Into Left Heart For Dx	0	0	—	—	—	—	—	2025-01-01
G1004	HCPCS	Hc Clin Decision Support Ndsc Auc2	0	0	—	—	—	—	—	2025-01-01
77067	OTHER	Mammogram, Screening Bilateral	0	0	—	—	—	—	—	2025-01-01
64483	OTHER	Inj Of Anesthetic Into Spine Using Imaging Guidance	0	0	—	—	—	—	—	2025-01-01

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