Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY

Fairview, OK · CCN 371329 · Rates published

275 distinct procedures filed
140 distinct payers
1,416 rate rows
2026-08-01 last MRF observed
Data quality

1,005 of 1,416 rate rows are consumer-grade (71.0%)

411 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
per-diem day rate — not a per-procedure price 283
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 124
placeholder amount (≤ $0.02) — excluded from medians 3
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
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 viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint 9ad0ed8d34a800b6… · 153,015 bytes · first seen 2026-11-02

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
CPT 		Routine Obstetric Care For Cesarean Delivery, Including Pre-and Post-delivery Ca… 1 $2,348.39 $2,348.39 $2,348.39 nat. median
$3,682
0.6× median
45391
CPT 		Ultrasound Examination Of Lower Large Bowel, Endoscope 1 $1,654.68 $1,654.68 $1,654.68 nat. median
$1,575
1.1× median
70553
CPT 		Hc MRI Brain With & Without Contrast 1 $287.83 $1,190.12 $566.11 nat. median
$1,122
0.5× median
95810
CPT 		Sleep Study 1 $490.81 $610.89 $550.85 nat. median
$1,814
outlier · 0.3×
74178
CPT 		Hc CT Abdomen Pelvis Wwo Contrast 1 $306.61 $868.04 $479.33 nat. median
$1,023
outlier · 0.5×
45385
CPT 		Removal Of Polyps Or Growths Large Bowel, Endoscope 1 $349.80 $3,263.41 $450.66 nat. median
$1,666
outlier · 0.3×
P9035
HCPCS 		Lchg Platelet Pheresis Lr 1 $389.81 $2,683.30 $424.17 nat. median
$806
0.5× median
74177
CPT 		Hc CT Abdomen Pelvis W Contrast 1 $273.87 $868.04 $418.84 nat. median
$970
outlier · 0.4×
71275
CPT 		Hc CT Angio Chest W/wo Contrast 1 $220.35 $813.48 $413.26 nat. median
$753
0.5× median
45380
CPT 		Biopsy Of Large Bowel, Endoscope 1 $275.34 $2,007.01 $412.34 nat. median
$1,558
outlier · 0.3×
66821
CPT 		Removal Of Recurring Cataract In Lens Capsule 1 $300.57 $1,193.54 $407.93 nat. median
$893
outlier · 0.5×
45378
CPT 		Diagnosic Exam Of Large Bowel, Endoscope 1 $254.21 $2,007.01 $374.50 nat. median
$1,342
outlier · 0.3×
72141
CPT 		Hc MRI Spine Cervical Non Contrast 1 $172.06 $572.63 $362.81 nat. median
$778
outlier · 0.5×
72148
CPT 		Hc MRI Spine Lumbar Non Contrast 1 $172.62 $671.54 $359.95 nat. median
$803
outlier · 0.4×
43239
CPT 		Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel, Endoscope 1 $189.38 $1,927.03 $326.44 nat. median
$1,370
outlier · 0.2×
72193
CPT 		CT Scan, Pelvis W/contrast 1 $192.78 $868.04 $316.05 nat. median
$636
outlier · 0.5×
73721
CPT 		Hc MRI Lower Ext Any Joint Non Contrast 1 $182.02 $758.13 $313.31 nat. median
$854
outlier · 0.4×
43235
CPT 		Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Endoscope 1 $167.84 $1,927.03 $282.49 nat. median
$1,312
outlier · 0.2×
71260
CPT 		Hc CT Chest With Contrast 1 $149.59 $706.79 $282.28 nat. median
$647
outlier · 0.4×
74176
CPT 		Hc CT Abdomen Pelvis Wo Contrast 1 $165.63 $868.04 $269.71 nat. median
$691
outlier · 0.4×
72125
CPT 		Hc CT Cervical Spine Non Contrast 1 $116.49 $487.56 $227.71 nat. median
$471
outlier · 0.5×
71250
CPT 		Hc CT Chest Non Contrast 1 $119.81 $706.79 $227.18 nat. median
$463
outlier · 0.5×
73700
CPT 		Hc CT Lower Extremity Non Contrast 1 $116.21 $602.69 $224.24 nat. median
$499
outlier · 0.4×
70486
CPT 		Hc CT Sinus Facial Bones Non Contrast 1 $114.82 $602.69 $222.25 nat. median
$473
outlier · 0.5×
G0424
HCPCS 		Hc Pulm Rehab With Exer One Hr For COPD 1 $33.30 $409.54 $221.42 nat. median
$151
1.5× median
99205
CPT 		Pr Office/outpt Visit, New Levl V 1 $188.86 $262.22 $201.11 nat. median
$274
0.7× median
P9016
HCPCS 		Lchg Rbc Lr 1 $136.54 $2,683.30 $197.09 nat. median
$332
0.6× median
99285
CPT 		Hc Ed Emergent Level V 1 $159.76 $284.41 $194.83 nat. median
$1,175
outlier · 0.2×
93306
CPT 		Hc Tte 2d Wo Con W Doppler And Color Cmpl 1 $169.79 $210.91 $190.35 nat. median
$988
outlier · 0.2×
70450
CPT 		Hc CT Head Non Contrast 1 $95.42 $335.21 $172.56 nat. median
$446
outlier · 0.4×
99244
CPT 		Office Consultation 60 Minutes 1 $162.02 $182.45 $172.24 nat. median
$258
0.7× median
76805
CPT 		Hc US OB 14+ Wks Single Gest 1 $111.42 $372.96 $156.81 nat. median
$258
0.6× median
99204
CPT 		Pr Office/outpt Visit,new,levl IV 1 $147.63 $208.15 $155.25 nat. median
$223
0.7× median
99215
CPT 		Pr Office/outpt Visit,est,levl V 1 $132.08 $183.27 $147.74 nat. median
$234
0.6× median
99386
CPT 		Initial Preventive Med Eval 40-64 Age 1 $123.29 $193.79 $139.62 nat. median
$178
0.8× median
76700
CPT 		Hc US Abdomen Complete 1 $101.46 $317.11 $137.66 nat. median
$307
outlier · 0.4×
76830
CPT 		Hc US Transvaginal Non OB 1 $58.18 $371.11 $137.25 nat. median
$250
0.6× median
77066
CPT 		Mammogram Both Breast 1 $136.73 $136.73 $136.73 nat. median
$234
0.6× median
99284
CPT 		Hc Ed Emergent Level IV Facility 2 $109.78 $207.55 $131.94 nat. median
$750
outlier · 0.2×
90837
CPT 		Pr Psytx Pt And Or Family 60 Minutes 1 $92.00 $133.90 $130.35 nat. median
$216
0.6× median
76536
CPT 		Hc US Head Neck Tissues B - Scan Real Time 1 $93.04 $270.41 $128.16 nat. median
$260
outlier · 0.5×
76856
CPT 		Hc US Pelvis Complete 1 $91.75 $270.41 $123.75 nat. median
$267
outlier · 0.5×
G0439
HCPCS 		Pr Annual Wellness Vst; Pps Subsqt Vst 1 $123.65 $123.65 $123.65 nat. median
$159
0.8× median
99385
CPT 		Initial Preventive Med Eval 18-39 Age 1 $106.22 $167.00 $119.61 nat. median
$159
0.8× median
95806
CPT 		Hc Sleep Study Unattended 1 $98.66 $141.61 $119.16 nat. median
$322
outlier · 0.4×
Q4186
HCPCS 		Hc Epifix Per Sq Cm 1 $93.67 $143.68 $118.68 nat. median
$449
outlier · 0.3×
99381
CPT 		Pr Preventive Visit,new,infant 1 $88.88 $139.24 $116.17 nat. median
$144
0.8× median
99243
CPT 		Office Consultation 40 Minutes 1 $108.76 $114.88 $111.82 nat. median
$180
0.6× median
99347
CPT 		Pr Dom/r-home E/m Est Pt Lw Mod Severity 1 $87.23 $122.02 $111.64 nat. median
$62
1.8× median
99396
CPT 		Pr Preventive Visit,est,40-64 1 $101.81 $160.78 $111.11 nat. median
$151
0.7× median

Other procedures at this hospital

Browse this hospital's 275 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
43239 CPT Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel, Endoscope 4 1 — $5,107.00 $189.38 $1,927.03 $326.44 2026-08-01
45380 CPT Biopsy Of Large Bowel, Endoscope 4 1 — $4,688.00 $275.34 $2,007.01 $412.34 2026-08-01
55700 CPT Biopsy Of Prostate Gland 0 0 — — — — — 2026-08-01
72193 CPT CT Scan, Pelvis W/contrast 4 1 — — $192.78 $868.04 $316.05 2026-08-01
45378 CPT Diagnosic Exam Of Large Bowel, Endoscope 3 1 — — $254.21 $2,007.01 $374.50 2026-08-01
43235 CPT Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Endoscope 3 1 — — $167.84 $1,927.03 $282.49 2026-08-01
0 OTHER DRG 216 0 0 — — — — — 2026-08-01
93000 CPT Electrocardiogram, Routine, With Report And Interpretation 3 1 — — $14.33 $43.53 $17.47 2026-08-01
90846 CPT Family Psychotherapy 50 Minutes 3 1 — — $82.00 $134.46 $87.76 2026-08-01
90847 CPT Family Psychotherapy W/patient 50 Minutes 4 1 — — $82.00 $139.72 $101.85 2026-08-01
90853 CPT Group Psychotherapy 4 1 — — $24.29 $40.00 $30.02 2026-08-01
73610 CPT Hc Ankle 3+ Vw 4 1 — $325.00 $25.89 $99.99 $39.90 2026-08-01
82075 CPT Hc Bat Non Dot Dot 4 2 — $51.00 $36.00 $45.57 $40.78 2026-08-01
93798 CPT Hc Card Rehab With EKG 4 1 — $221.00 $15.18 $152.35 $20.98 2026-08-01
72040 CPT Hc Cervical Spine 2 Or 3 Vw 4 1 — $325.00 $27.51 $99.99 $43.42 2026-08-01
G1004 HCPCS Hc Clin Decision Support Ndsc Auc2 0 0 — — — — — 2026-08-01
74177 CPT Hc CT Abdomen Pelvis W Contrast 4 1 — $3,063.00 $273.87 $868.04 $418.84 2026-08-01
74176 CPT Hc CT Abdomen Pelvis Wo Contrast 4 1 — $1,943.00 $165.63 $868.04 $269.71 2026-08-01
74178 CPT Hc CT Abdomen Pelvis Wwo Contrast 4 1 — $3,898.00 $306.61 $868.04 $479.33 2026-08-01
71275 CPT Hc CT Angio Chest W/wo Contrast 4 1 — $3,007.00 $220.35 $813.48 $413.26 2026-08-01
72125 CPT Hc CT Cervical Spine Non Contrast 4 1 — $1,746.00 $116.49 $487.56 $227.71 2026-08-01
71250 CPT Hc CT Chest Non Contrast 4 1 — $1,746.00 $119.81 $706.79 $227.18 2026-08-01
71260 CPT Hc CT Chest With Contrast 4 1 — $2,695.00 $149.59 $706.79 $282.28 2026-08-01
70450 CPT Hc CT Head Non Contrast 4 1 — $1,746.00 $95.42 $335.21 $172.56 2026-08-01
73700 CPT Hc CT Lower Extremity Non Contrast 4 1 — $1,746.00 $116.21 $602.69 $224.24 2026-08-01
70486 CPT Hc CT Sinus Facial Bones Non Contrast 4 1 — $1,746.00 $114.82 $602.69 $222.25 2026-08-01
97597 CPT Hc Debrid Selective 1st 20sq Cm Or < Pt 4 1 — $214.00 $44.04 $214.05 $73.75 2026-08-01
77080 CPT Hc Dexa Bone Density Axial Skeleton 4 1 — $302.00 $32.71 $141.93 $45.92 2026-08-01
99001 CPT Hc Drug Collection Non Dot 2 1 — $17.00 $8.00 $13.00 $10.50 2026-08-01
99282 CPT Hc Ed Emergent Level Ii 4 1 — $357.00 $37.94 $86.20 $45.99 2026-08-01
99283 CPT Hc Ed Emergent Level Iii Facility 8 2 — $432.00 $57.41 $119.49 $73.02 2026-08-01
99284 CPT Hc Ed Emergent Level IV Facility 8 2 — $783.00 $109.78 $207.55 $131.94 2026-08-01
99285 CPT Hc Ed Emergent Level V 4 1 — $1,224.00 $159.76 $284.41 $194.83 2026-08-01
96375 CPT Hc Ed Inj Ther/diag Ivp Ea Addl New Drug 3 1 — $141.00 $13.27 $27.20 $17.11 2026-08-01
96374 CPT Hc Ed Inj Ther/proph/diag Ivp Sngl Or Init 3 1 — $156.00 $31.80 $65.20 $43.48 2026-08-01
96372 CPT Hc Ed Inj Ther/proph/diag Subq/im 4 1 — $114.00 $12.39 $30.62 $22.11 2026-08-01
51702 CPT Hc Ed Insert Cath Temp Indwell Bladder Smpl 4 1 — $219.00 $35.44 $214.05 $65.36 2026-08-01
96360 CPT Hc Ed IV Inf Hydration Init 31 Min To 1hr 4 1 — $206.00 $27.86 $245.13 $50.34 2026-08-01
96365 CPT Hc Ed IV Inf Ther/proph/diag 1st Hr 3 1 — $390.00 $54.35 $116.60 $57.04 2026-08-01
96376 CPT Hc Ed Ivp Tpd Ea Add Push Same Drug 2 1 — $71.00 $11.33 $13.60 $12.46 2026-08-01
12011 CPT Hc Ed Rpr Face Ear Smpl <=2.5cm 4 1 — $339.00 $77.82 $789.29 $98.72 2026-08-01
12001 CPT Hc Ed Rpr Sclp/trnk/extrm Smpl <= 2.5cm 4 1 — $283.00 $41.14 $789.29 $72.06 2026-08-01
29540 CPT Hc Ed Strapping Ankle/foot 4 1 — $120.00 $24.69 $617.93 $31.22 2026-08-01
93005 CPT Hc EKG 12 Lead 4 1 — $211.00 $5.31 $43.53 $7.96 2026-08-01
73070 CPT Hc Elbow 2 Vw 4 1 — $325.00 $22.09 $99.99 $32.30 2026-08-01
G0283 HCPCS Hc Elec Stim Unattended Non Wound Pt 2 1 — $64.00 $8.74 $77.05 $42.90 2026-08-01
Q4186 HCPCS Hc Epifix Per Sq Cm 2 1 — $594.00 $93.67 $143.68 $118.68 2026-08-01
73140 CPT Hc Fingers (multiple) 4 1 — $325.00 $25.97 $99.99 $40.61 2026-08-01
73630 CPT Hc Foot 3+ Vw 4 1 — $325.00 $24.40 $99.99 $37.33 2026-08-01
73090 CPT Hc Forearm 2 Vw 4 1 — $325.00 $21.64 $99.99 $32.55 2026-08-01
97116 CPT Hc Gait Training Ea 15 Min Pt 4 1 — $80.00 $18.26 $77.05 $30.77 2026-08-01
73130 CPT Hc Hand 3+ Vw 4 1 — $325.00 $25.14 $99.99 $39.90 2026-08-01
73060 CPT Hc Humerus 2+ Vw 4 1 — $325.00 $22.42 $99.99 $35.48 2026-08-01
90471 CPT Hc Immuniz Admin 1 Sngl/comb Vac/toxoid 4 1 — $80.00 $10.00 $30.62 $17.48 2026-08-01
94640 CPT Hc Inhalation Treatment W/med 8 2 — $88.00 $7.56 $815.38 $15.92 2026-08-01
P9612 HCPCS Hc Insert Bladder Cath For Specimen 2 1 — $64.00 $2.10 $7.85 $4.97 2026-08-01
96361 CPT Hc IV Inf Hydration Ea Addl Hr 4 1 — $73.00 $10.98 $121.20 $17.13 2026-08-01
96366 CPT Hc IV Inf Ther/proph/diag Ea Addl Hr 4 1 — $60.00 $16.95 $121.20 $27.10 2026-08-01
73560 CPT Hc Knee 1 Or 2 Vw 4 1 — $325.00 $24.08 $99.99 $37.77 2026-08-01
73562 CPT Hc Knee 3 Vw 4 1 — $325.00 $29.08 $99.99 $44.37 2026-08-01
82962 CPT Hc Lab Glucose Bld Poct (ip) 4 1 — $19.00 $2.25 $23.81 $3.43 2026-08-01
72100 CPT Hc Lumbar Spine 2 Or 3 Vw 4 1 — $325.00 $27.76 $99.99 $43.56 2026-08-01
72110 CPT Hc Lumbar Spine 4+ Vw 4 1 — $434.00 $37.79 $99.99 $55.50 2026-08-01
97140 CPT Hc Manual Ther Tech 1+regions Ea 15 Min Pt 4 1 — $85.00 $19.39 $77.05 $28.55 2026-08-01
99152 CPT Hc Mod Sed Same Phys 5>=yrs Init 15 Min 3 1 — $59.00 $14.65 $42.96 $40.86 2026-08-01
99153 CPT Hc Mod Sed Same Phys Ea Addl 15 Min 3 1 — $59.00 $8.54 $11.51 $9.22 2026-08-01
70553 CPT Hc MRI Brain With & Without Contrast 4 1 — $3,427.00 $287.83 $1,190.12 $566.11 2026-08-01
73721 CPT Hc MRI Lower Ext Any Joint Non Contrast 4 1 — $2,163.00 $182.02 $758.13 $313.31 2026-08-01
72141 CPT Hc MRI Spine Cervical Non Contrast 4 1 — $2,206.00 $172.06 $572.63 $362.81 2026-08-01
72148 CPT Hc MRI Spine Lumbar Non Contrast 4 1 — $2,206.00 $172.62 $671.54 $359.95 2026-08-01
72170 CPT Hc Pelvis 1 Or 2 Vw 4 1 — $325.00 $22.35 $99.99 $31.79 2026-08-01
97161 CPT Hc Pt Eval Low Complexity 4 1 — $175.00 $54.12 $99.12 $83.42 2026-08-01
97162 CPT Hc Pt Eval Mod Complexity 4 1 — $228.00 $54.12 $99.12 $83.42 2026-08-01
G0424 HCPCS Hc Pulm Rehab With Exer One Hr For COPD 2 1 — $283.00 $33.30 $409.54 $221.42 2026-08-01
G0378 HCPCS Hc Rb Observation Per Hr 2 1 — $36.00 $45.30 $73.57 $59.43 2026-08-01
71100 CPT Hc Ribs Unilateral 2 Vw 4 1 — $325.00 $25.11 $99.99 $40.62 2026-08-01
73030 CPT Hc Shoulder 2+ Vw 4 1 — $325.00 $23.88 $99.99 $37.76 2026-08-01
95806 CPT Hc Sleep Study Unattended 3 1 — $388.00 $98.66 $141.61 $119.16 2026-08-01
94010 CPT Hc Spirometry 4 1 — $17.00 $23.05 $216.55 $32.06 2026-08-01
97530 CPT Hc Ther Activities Ea 15 Min Pt 5 1 — $82.00 $22.48 $77.05 $45.13 2026-08-01
97110 CPT Hc Ther Exercise Ea 15 Min Pt 4 1 — $96.00 $20.68 $77.05 $30.97 2026-08-01
72072 CPT Hc Thoracic Spine 3 Vw 4 1 — $325.00 $28.57 $99.99 $43.58 2026-08-01
73590 CPT Hc Tibia And Fibula 2 Vw 4 1 — $325.00 $21.43 $99.99 $34.77 2026-08-01
93306 CPT Hc Tte 2d Wo Con W Doppler And Color Cmpl 2 1 — $2,710.00 $169.79 $210.91 $190.35 2026-08-01
92507 CPT Hc Tx Speech Disorder Individ 30 Min St 4 1 — $317.00 $45.52 $161.93 $76.45 2026-08-01
97035 CPT Hc Ultrasound Therapy Ea 15 Min Pt 3 1 — $54.00 $8.23 $77.05 $16.76 2026-08-01
76700 CPT Hc US Abdomen Complete 4 1 — $773.00 $101.46 $317.11 $137.66 2026-08-01
76705 CPT Hc US Abdomen Limited 4 1 — $773.00 $76.49 $317.11 $104.69 2026-08-01
76536 CPT Hc US Head Neck Tissues B - Scan Real Time 4 1 — $773.00 $93.04 $270.41 $128.16 2026-08-01
76805 CPT Hc US OB 14+ Wks Single Gest 4 1 — $773.00 $111.42 $372.96 $156.81 2026-08-01
76856 CPT Hc US Pelvis Complete 4 1 — $773.00 $91.75 $270.41 $123.75 2026-08-01
76830 CPT Hc US Transvaginal Non OB 4 1 — $773.00 $58.18 $371.11 $137.25 2026-08-01
73110 CPT Hc Wrist 3+ Vw 4 1 — $325.00 $29.11 $99.99 $44.23 2026-08-01
74019 CPT Hc Xray Abdomen 2 Views 4 1 — $325.00 $26.16 $99.99 $40.91 2026-08-01
71045 CPT Hc Xray Chest 1 View 4 1 — $121.00 $15.69 $99.99 $29.08 2026-08-01
71046 CPT Hc Xray Chest 2 Views 4 1 — $223.00 $23.96 $99.99 $37.30 2026-08-01
73502 CPT Hc Xray Hip Unilat 2-3 Views 4 1 — $325.00 $31.62 $99.99 $51.31 2026-08-01
V2632 HCPCS Implt Lens Tecnis Silicon 1 1 — $434.00 $106.85 $106.85 $106.85 2026-08-01
99385 CPT Initial Preventive Med Eval 18-39 Age 4 1 — — $106.22 $167.00 $119.61 2026-08-01
99386 CPT Initial Preventive Med Eval 40-64 Age 4 1 — — $123.29 $193.79 $139.62 2026-08-01
64483 CPT Inj Of Anesthetic Into Spine Using Imaging Guidance 0 0 — — — — — 2026-08-01
62322 CPT Inj Of Sub Into Spinal Canal Using Guidance 0 0 — — — — — 2026-08-01
93452 CPT Insertion Of Cath Into Left Heart For Dx 0 0 — — — — — 2026-08-01
80069 CPT Kidney Function Panel 4 1 — — $7.72 $49.37 $9.39 2026-08-01
82150 CPT Lchg Amylase Blood 4 1 — $66.00 $5.76 $45.57 $7.01 2026-08-01
86038 CPT Lchg Ana Blood Screen 4 1 — $30.00 $10.75 $39.77 $13.07 2026-08-01
86850 CPT Lchg Antibody Screen 4 1 — $55.00 $8.69 $39.77 $10.96 2026-08-01
83880 CPT Lchg B-type Natriuretic Peptide 4 1 — $402.00 $32.66 $138.33 $41.02 2026-08-01
80047 CPT Lchg Basic Metabolic Panel (ca Ionized) 4 1 — $65.00 $8.14 $49.37 $14.35 2026-08-01
80048 CPT Lchg Basic Metabolic Panel (ca Total) 4 1 — $91.00 $7.53 $49.37 $9.14 2026-08-01
36415 CPT Lchg Blood Draw 3 1 — $13.00 $3.12 $7.85 $4.14 2026-08-01
82803 CPT Lchg Blood Gases Arterial I 4 1 — $186.00 $18.62 $45.57 $27.23 2026-08-01
86900 CPT Lchg Blood Type Abo 4 1 — $33.00 $2.66 $13.53 $3.23 2026-08-01
86901 CPT Lchg Blood Type Rh I 4 1 — $33.00 $2.66 $13.53 $3.23 2026-08-01
84520 CPT Lchg Bun 4 1 — $45.00 $3.51 $23.81 $4.27 2026-08-01
86140 CPT Lchg C-reactive Protein 4 1 — $33.00 $4.61 $39.77 $5.60 2026-08-01
85025 CPT Lchg Cbc W Auto Differential 4 1 — $49.00 $7.48 $33.51 $17.83 2026-08-01
85027 CPT Lchg Cbc Without Auto Differential 4 1 — $45.00 $5.75 $33.51 $6.99 2026-08-01
87491 CPT Lchg Chlamydia DNA Probe 4 1 — $126.00 $31.21 $42.11 $36.77 2026-08-01
82550 CPT Lchg Ck Blood 4 1 — $54.00 $5.79 $23.81 $7.04 2026-08-01
87324 CPT Lchg Clostridium Difficile Toxin By Eia 4 1 — $90.00 $10.66 $39.77 $12.96 2026-08-01
86922 CPT Lchg Compatibility Test Antiglobulin 3 1 — $225.00 $15.49 $210.68 $42.14 2026-08-01
80053 CPT Lchg Comprehensive Metabolic Panel 4 1 — $134.00 $9.39 $49.37 $11.42 2026-08-01
82565 CPT Lchg Creatinine Blood 4 1 — $45.00 $4.55 $23.81 $5.54 2026-08-01
82570 CPT Lchg Creatinine Urine Random 4 1 — $33.00 $4.61 $23.81 $5.60 2026-08-01
87075 CPT Lchg Culture Anaerobe 4 1 — $66.00 $8.42 $35.55 $10.23 2026-08-01
87040 CPT Lchg Culture Blood 4 1 — $84.00 $9.18 $129.09 $11.16 2026-08-01
87070 CPT Lchg Culture Routine 4 1 — $66.00 $7.67 $35.55 $9.31 2026-08-01
87045 CPT Lchg Culture Salmonella+shigella 4 1 — $66.00 $8.40 $35.55 $10.21 2026-08-01
87046 CPT Lchg Culture Stool Each Organism 4 1 — $70.00 $8.40 $35.55 $10.21 2026-08-01
87086 CPT Lchg Culture Urine 4 1 — $66.00 $7.18 $35.55 $8.72 2026-08-01
85379 CPT Lchg D-dimer Quantitative 4 1 — $150.00 $9.05 $57.42 $11.00 2026-08-01
85007 CPT Lchg Differential Manual 4 1 — $58.00 $3.31 $33.51 $3.97 2026-08-01
80162 CPT Lchg Digoxin Level 4 1 — $112.00 $11.81 $59.46 $14.36 2026-08-01
86225 CPT Lchg DNA Antibody Double Stranded 4 1 — $85.00 $12.22 $39.77 $14.86 2026-08-01
80307 CPT Lchg Drug Screen Sglcls A V 4 1 — $82.00 $55.27 $138.33 $65.22 2026-08-01
82670 CPT Lchg Estradiol 4 1 — $151.00 $24.85 $98.66 $30.21 2026-08-01
82728 CPT Lchg Ferritin 4 1 — $93.00 $12.12 $45.57 $14.73 2026-08-01
82746 CPT Lchg Folate 4 1 — $98.00 $13.08 $45.57 $15.89 2026-08-01
83001 CPT Lchg Fsh 4 1 — $127.00 $16.53 $88.88 $20.09 2026-08-01
87591 CPT Lchg Gc Amplified Probe 4 1 — $117.00 $31.21 $129.09 $37.94 2026-08-01
82977 CPT Lchg Ggt 4 1 — $63.00 $6.40 $23.81 $7.79 2026-08-01
87205 CPT Lchg Gram Stain Smear 4 1 — $33.00 $3.80 $35.55 $4.62 2026-08-01
83010 CPT Lchg Haptoglobin 4 1 — $78.00 $11.19 $45.57 $13.60 2026-08-01
84702 CPT Lchg Hcg Beta Blood Quantitative 4 1 — $102.00 $13.39 $74.32 $16.27 2026-08-01
81025 CPT Lchg Hcg Urine Qualitative 4 1 — $42.00 $6.09 $14.43 $9.00 2026-08-01
86677 CPT Lchg Helicobacter Pylori Antibody Igg Qual 8 2 — $71.00 $13.97 $66.02 $17.61 2026-08-01
85014 CPT Lchg Hematocrit 4 1 — $18.00 $2.11 $33.51 $2.56 2026-08-01
85018 CPT Lchg Hemoglobin 4 1 — $18.00 $2.11 $33.51 $2.56 2026-08-01
83036 CPT Lchg Hemoglobin A1c 4 1 — $58.00 $8.32 $45.57 $10.14 2026-08-01
80076 CPT Lchg Hepatic Function Panel 4 1 — $106.00 $7.27 $49.37 $8.83 2026-08-01
86803 CPT Lchg Hepatitis C Antibody 4 1 — $99.00 $12.69 $66.02 $15.43 2026-08-01
80074 CPT Lchg Hepatitis Screen Acute 4 1 — $127.00 $42.37 $57.16 $47.60 2026-08-01
82784 CPT Lchg Immunoglobulin 4 1 — $45.00 $8.27 $45.57 $10.05 2026-08-01
87804 CPT Lchg Influenza A+b Antigen Rapid 4 1 — $76.00 $11.54 $35.55 $17.29 2026-08-01
83540 CPT Lchg Iron Blood 4 1 — $37.00 $5.36 $23.81 $6.75 2026-08-01
83605 CPT Lchg Istat Lactic Acid 4 1 — $80.00 $10.28 $45.57 $12.09 2026-08-01
83615 CPT Lchg Ldh Blood 4 1 — $45.00 $5.37 $23.81 $6.53 2026-08-01
83721 CPT Lchg Ldl Cholesterol 4 1 — $60.00 $9.18 $45.57 $10.97 2026-08-01
83002 CPT Lchg Lh 4 1 — $127.00 $16.47 $98.66 $20.02 2026-08-01
83883 CPT Lchg Light Chains Free Ea 4 1 — $387.00 $12.10 $66.02 $14.70 2026-08-01
83690 CPT Lchg Lipase Blood 4 1 — $59.00 $6.13 $23.81 $7.45 2026-08-01
80061 CPT Lchg Lipid Profile 4 1 — $82.00 $11.91 $49.37 $14.48 2026-08-01
86618 CPT Lchg Lyme Disease Ab Igm 4 1 — $117.00 $15.15 $66.02 $18.41 2026-08-01
83735 CPT Lchg Magnesium Blood 4 1 — $45.00 $5.96 $23.81 $7.24 2026-08-01
82043 CPT Lchg Microalbumin Urine Random Quant 4 1 — $37.00 $5.14 $14.43 $6.26 2026-08-01
86376 CPT Lchg Microsomal Antibody 4 1 — $48.00 $12.94 $98.66 $15.73 2026-08-01
86308 CPT Lchg Mononucleosis Screen 4 1 — $81.00 $4.61 $39.77 $5.60 2026-08-01
87177 CPT Lchg O+p 4 1 — $45.00 $7.92 $841.00 $23.11 2026-08-01
82270 CPT Lchg Occult Blood Feces 4 1 — $21.00 $3.14 $23.81 $4.58 2026-08-01
87077 CPT Lchg Organism Id Aerobe Each Refer 4 1 — $51.00 $7.19 $35.55 $8.74 2026-08-01
87088 CPT Lchg Organism Id Urine 4 1 — $51.00 $5.92 $35.55 $8.46 2026-08-01
84100 CPT Lchg Phosphorus Blood 4 1 — $45.00 $4.22 $23.81 $5.12 2026-08-01
P9035 HCPCS Lchg Platelet Pheresis Lr 3 1 — $2,303.00 $389.81 $2,683.30 $424.17 2026-08-01
84144 CPT Lchg Progesterone 4 1 — $60.00 $18.55 $74.32 $22.55 2026-08-01
84146 CPT Lchg Prolactin 4 1 — $132.00 $17.24 $98.66 $20.95 2026-08-01
84153 CPT Lchg Prostate Specific Antigen Diag 8 2 — $114.50 $16.36 $45.57 $19.88 2026-08-01
G0103 HCPCS Lchg Prostate Specific Antigen Screen 3 1 — $102.00 $17.18 $45.57 $17.70 2026-08-01
84165 CPT Lchg Protein Electrophoresis Blood 4 1 — $73.00 $9.55 $45.57 $11.61 2026-08-01
84155 CPT Lchg Protein Total Blood I 4 1 — $45.00 $3.26 $23.81 $3.96 2026-08-01
84156 CPT Lchg Protein Urine Random Quantitative 4 1 — $30.00 $3.26 $23.81 $3.96 2026-08-01
84154 CPT Lchg Psa Free 4 1 — $223.00 $16.36 $65.00 $31.63 2026-08-01
85610 CPT Lchg Pt-inr 4 4 — $34.50 $3.78 $17.83 $4.49 2026-08-01
83970 CPT Lchg Pth Intact 4 1 — $259.00 $36.72 $98.66 $44.63 2026-08-01
85730 CPT Lchg Ptt 4 1 — $45.00 $5.35 $17.83 $6.50 2026-08-01
P9016 HCPCS Lchg Rbc Lr 3 1 — $585.00 $136.54 $2,683.30 $197.09 2026-08-01
86431 CPT Lchg Rheumatoid Factor Blood Quant 4 1 — $45.00 $5.04 $39.77 $6.13 2026-08-01
86235 CPT Lchg Rnp Antibody 12 3 — $117.00 $15.95 $66.02 $19.39 2026-08-01
87807 CPT Lchg Rsv Rapid Ag By Immunoassay 4 1 — $94.00 $11.54 $35.55 $13.69 2026-08-01
87635 CPT Lchg Sars-cov-2 (covid-19) 3 1 — $111.00 $48.74 $129.09 $51.31 2026-08-01
86769 CPT Lchg Sars-cov-2 (covid-19) Antibody Igg 4 1 — $54.00 $30.95 $42.13 $39.90 2026-08-01
85651 CPT Lchg Sed Rate Wintrobe 4 1 — $33.00 $3.42 $33.51 $4.46 2026-08-01
87427 CPT Lchg Shiga-like Toxin 4 1 — $270.00 $10.66 $39.77 $12.96 2026-08-01
88305 CPT Lchg Sp G+m Level IV Tc Nl 4 1 — $111.00 $44.51 $106.72 $70.95 2026-08-01
88313 CPT Lchg Sp Stain Group Ii Tc Nl 4 1 — $211.00 $41.33 $106.72 $76.34 2026-08-01
87209 CPT Lchg Stain Trichrome 4 1 — $45.00 $15.99 $129.09 $19.44 2026-08-01
87880 CPT Lchg Strep A Screen Direct Immuno 4 1 — $76.00 $11.54 $35.55 $17.27 2026-08-01
87186 CPT Lchg Susceptibility Urine 4 1 — $57.00 $7.69 $35.55 $9.35 2026-08-01
84481 CPT Lchg T3 Free 4 1 — $117.00 $15.07 $74.32 $18.31 2026-08-01
84480 CPT Lchg T3 Total 4 1 — $45.00 $12.61 $74.32 $15.33 2026-08-01
84479 CPT Lchg T3 Uptake 4 1 — $40.00 $5.75 $74.32 $6.99 2026-08-01
84439 CPT Lchg T4 Free 4 1 — $70.00 $8.02 $74.32 $9.75 2026-08-01
84436 CPT Lchg T4 Total 4 1 — $58.00 $6.11 $74.32 $7.43 2026-08-01
84402 CPT Lchg Testosterone Free 4 1 — $159.00 $22.66 $98.66 $27.53 2026-08-01
84403 CPT Lchg Testosterone Total 4 1 — $177.00 $22.96 $98.66 $27.91 2026-08-01
86800 CPT Lchg Thyroglobulin Antibody 4 1 — $48.00 $14.15 $23.81 $17.20 2026-08-01
83550 CPT Lchg Tibc 4 1 — $59.00 $7.77 $45.57 $9.45 2026-08-01
36430 CPT Lchg Transfusion Service Fee 4 1 — $955.00 $30.85 $2,683.30 $38.24 2026-08-01
84484 CPT Lchg Troponin I 4 1 — $66.00 $9.47 $45.57 $13.03 2026-08-01
84443 CPT Lchg Tsh 4 1 — $114.00 $14.94 $74.32 $18.16 2026-08-01
84550 CPT Lchg Uric Acid Blood 4 1 — $45.00 $4.02 $23.81 $4.88 2026-08-01
81003 CPT Lchg Urinalysis Dipstick Auto 4 1 — $30.00 $2.00 $10.17 $2.43 2026-08-01
81001 CPT Lchg Urinalysis Routine Auto W Microscopic 4 1 — $37.00 $2.82 $14.43 $3.42 2026-08-01
80164 CPT Lchg Valproic Acid Level 4 1 — $93.00 $12.04 $59.46 $13.14 2026-08-01
80202 CPT Lchg Vancomycin Level Trough 4 1 — $103.00 $12.04 $59.46 $14.64 2026-08-01
82607 CPT Lchg Vitamin B12 4 1 — $94.00 $13.41 $74.32 $16.30 2026-08-01
82306 CPT Lchg Vitamin D 25-hydroxy 4 1 — $189.00 $26.33 $138.33 $32.01 2026-08-01
81050 CPT Lchg Volume Measure Urine 4 1 — $37.00 $2.88 $14.43 $3.81 2026-08-01
87210 CPT Lchg Wet Prep Smear 4 1 — $45.00 $4.11 $35.55 $6.08 2026-08-01
77066 CPT Mammogram Both Breast 1 1 — — $136.73 $136.73 $136.73 2026-08-01
77065 CPT Mammogram One Breast 1 1 — — $108.49 $108.49 $108.49 2026-08-01
77067 CPT Mammogram, Screening Bilateral 0 0 — — — — — 2026-08-01
80055 CPT Obstetric Blood Test Panel 4 1 — — $35.68 $57.37 $45.95 2026-08-01
99243 CPT Office Consultation 40 Minutes 2 1 — — $108.76 $114.88 $111.82 2026-08-01
99244 CPT Office Consultation 60 Minutes 2 1 — — $162.02 $182.45 $172.24 2026-08-01
G0439 HCPCS Pr Annual Wellness Vst; Pps Subsqt Vst 1 1 — $257.00 $123.65 $123.65 $123.65 2026-08-01
17000 CPT Pr Destroy Premalig Lesion, 1st Lesion 4 1 — $94.00 $58.54 $647.49 $71.82 2026-08-01
17003 CPT Pr Destroy Premalig Lesion, 2-14 4 1 — $24.00 $2.87 $647.49 $5.88 2026-08-01
17110 CPT Pr Destruct Benign Lesion, 1-14 4 1 — $102.00 $88.18 $759.33 $98.56 2026-08-01
G0108 HCPCS Pr Diab Manage Trn Per Indiv 3 1 — $81.00 $48.68 $67.47 $58.51 2026-08-01
99347 CPT Pr Dom/r-home E/m Est Pt Lw Mod Severity 3 1 — $116.00 $87.23 $122.02 $111.64 2026-08-01
20610 CPT Pr Drain/inject Large Joint/bursa 4 1 — $165.00 $56.78 $1,073.44 $61.67 2026-08-01
98968 CPT Pr Hc Pro Phone Call 21-30 Min 3 1 — $122.00 $30.49 $98.66 $32.15 2026-08-01
99238 CPT Pr Hospital Discharge Day,<30 Min 4 1 — $192.00 $66.56 $93.79 $83.03 2026-08-01
11980 CPT Pr Implant,hormone,subcutaneous 3 1 — $375.00 $82.78 $789.29 $93.22 2026-08-01
99221 CPT Pr Initial Hospital Care,levl I 4 1 — $248.00 $74.55 $131.11 $109.27 2026-08-01
99307 CPT Pr Nursing Fac Care Subseq, Lvl I 4 1 — $90.00 $35.31 $56.94 $46.06 2026-08-01
99315 CPT Pr Nursing Fac Dischrge Day,1-30 Min 4 1 — $149.00 $67.10 $93.31 $79.29 2026-08-01
99304 CPT Pr Nursing Facility Care Init, Stghtfwd Complexity 4 1 — $200.00 $72.02 $117.71 $95.82 2026-08-01
99205 CPT Pr Office/outpt Visit, New Levl V 4 1 — — $188.86 $262.22 $201.11 2026-08-01
99211 CPT Pr Office/outpt Visit,est,levl I 4 1 — $43.00 $11.31 $93.70 $22.21 2026-08-01
99212 CPT Pr Office/outpt Visit,est,levl Ii 4 1 — $78.00 $31.60 $54.07 $44.67 2026-08-01
99213 CPT Pr Office/outpt Visit,est,levl Iii 4 1 — $100.00 $62.88 $90.92 $73.28 2026-08-01
99214 CPT Pr Office/outpt Visit,est,levl IV 4 1 — $156.00 $96.75 $135.42 $105.74 2026-08-01
99215 CPT Pr Office/outpt Visit,est,levl V 4 1 — $212.00 $132.08 $183.27 $147.74 2026-08-01
99202 CPT Pr Office/outpt Visit,new,levl Ii 4 1 — $126.00 $61.86 $93.31 $65.81 2026-08-01
99203 CPT Pr Office/outpt Visit,new,levl Iii 4 1 — $178.00 $92.74 $135.89 $98.95 2026-08-01
99204 CPT Pr Office/outpt Visit,new,levl IV 4 1 — $251.00 $147.63 $208.15 $155.25 2026-08-01
99383 CPT Pr Preventive Visit, New, Age 5-11 4 1 — $222.00 $96.67 $151.68 $109.73 2026-08-01
99394 CPT Pr Preventive Visit,est,12-17 4 1 — $217.00 $93.33 $146.90 $100.81 2026-08-01
99395 CPT Pr Preventive Visit,est,18-39 4 1 — $217.00 $95.34 $150.25 $102.91 2026-08-01
99396 CPT Pr Preventive Visit,est,40-64 4 1 — $238.00 $101.81 $160.78 $111.11 2026-08-01
99392 CPT Pr Preventive Visit,est,age 1-4 4 1 — $196.00 $85.55 $133.98 $92.39 2026-08-01
99393 CPT Pr Preventive Visit,est,age5-11 4 1 — $194.00 $85.29 $133.50 $91.64 2026-08-01
99391 CPT Pr Preventive Visit,est,infant 4 1 — $171.00 $79.90 $103.43 $90.59 2026-08-01
99381 CPT Pr Preventive Visit,new,infant 4 1 — $207.00 $88.88 $139.24 $116.17 2026-08-01
90832 CPT Pr Psytx Pt And Or Family 30 Minutes 4 1 — $202.00 $45.00 $68.73 $65.39 2026-08-01
90834 CPT Pr Psytx Pt And Or Family 45 Minutes 4 1 — $259.00 $80.00 $90.86 $86.94 2026-08-01
90837 CPT Pr Psytx Pt And Or Family 60 Minutes 4 1 — $270.00 $92.00 $133.90 $130.35 2026-08-01
92551 CPT Pr Pure Tone Hearing Test, Air 4 1 — $13.00 $9.34 $125.71 $19.05 2026-08-01
99231 CPT Pr Subsequent Hospital Care,levl I 4 1 — $103.00 $36.13 $50.72 $46.44 2026-08-01
Q3014 HCPCS Pr Telehealth Facility Fee 2 1 — $27.00 $20.00 $26.65 $23.32 2026-08-01
47562 CPT Removal Of Gallbladder, Endoscope 0 0 — — — — — 2026-08-01
29881 CPT Removal Of Knee Cartilage, Endoscope 0 0 — — — — — 2026-08-01
45385 CPT Removal Of Polyps Or Growths Large Bowel, Endoscope 4 1 — $4,757.00 $349.80 $3,263.41 $450.66 2026-08-01
55866 CPT Removal Of Prostate And Lymph Nodes, Endoscope 0 0 — — — — — 2026-08-01
66821 CPT Removal Of Recurring Cataract In Lens Capsule 3 1 — — $300.57 $1,193.54 $407.93 2026-08-01
42820 CPT Removal Of Tonsils And Adenoids Younger Than 12 0 0 — — — — — 2026-08-01
49505 CPT Repair Of Groin Hernia Patient 5 Or Older 0 0 — — — — — 2026-08-01
59510 CPT Routine Obstetric Care For Cesarean Delivery, Including Pre-and Post-delivery Ca… 1 1 — — $2,348.39 $2,348.39 $2,348.39 2026-08-01
59610 CPT Routine Obstetric Care For Vag Delivery After Prior Cesarean Deliery Including P… 0 0 — — — — — 2026-08-01
59400 CPT Routine Obstetric Care For Vag Delivery, Including Pre-and Post-delivery Care 0 0 — — — — — 2026-08-01
29826 CPT Shaving Of Shoulder Bone, Endoscope 0 0 — — — — — 2026-08-01
95810 CPT Sleep Study 2 1 — — $490.81 $610.89 $550.85 2026-08-01
45391 CPT Ultrasound Examination Of Lower Large Bowel, Endoscope 1 1 — — $1,654.68 $1,654.68 $1,654.68 2026-08-01
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