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

HOSPITAL METROPOLITANO DR PILA

Ponce, PR · CCN 400003 · Rates published

265 distinct procedures filed
14 distinct payers
16,843 rate rows
2025-04-10 last MRF observed · ⚠ 19 mo old
Data quality

16,821 of 16,843 rate rows are consumer-grade (99.9%)

22 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 13
exceeds 10× this hospital's gross charge — excluded from medians 9

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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://hpt.inmediata.com/?handler=DF&d=80B96606-DE16-4B1E-AB6C-444DEDAC5FAEv
Found on page https://hpt.inmediata.com/index?h=80B96606-DE16-4B1E-AB6C-444DEDAC5FAE
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-08
Content fingerprint 7bbfa1e001a23ca4… · 2,729,503 bytes · first seen 2026-11-06

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
93452
CPT 		Left Hrt Cath W/ventrclgrphy 11 $239.84 $2,350.00 $1,967.00 nat. median
$5,113
outlier · 0.4×
99205
CPT 		Office O/p New Hi 60 Min 2 $552.00 $600.00 $576.00 nat. median
$274
outlier · 2.1×
99204
CPT 		Office O/p New Mod 45 Min 2 $552.00 $600.00 $576.00 nat. median
$223
outlier · 2.6×
78452
CPT 		Ht Muscle Image Spect Mult 16 $137.43 $710.00 $355.00 nat. median
$1,797
outlier · 0.2×
73723
CPT 		MRI Joint Lwr Extr W/ow/dye 21 $124.11 $1,300.00 $323.68 nat. median
$1,191
outlier · 0.3×
77049
CPT 		MRI Breast C- W/cad Bi 15 $144.45 $750.00 $295.04 nat. median
$954
outlier · 0.3×
73722
CPT 		MRI Joint Of Lwr Extr With Contrast 21 $100.22 $700.00 $292.54 nat. median
$1,282
outlier · 0.2×
72197
CPT 		MRI Pelvis Without With Contrast 22 $133.21 $1,300.00 $287.50 nat. median
$1,058
outlier · 0.3×
74183
CPT 		MRI Abd Without Cntr Flwd Cntr 22 $133.39 $1,300.00 $287.50 nat. median
$1,096
outlier · 0.3×
74182
CPT 		MRI Abdomen W/contrast 22 $118.50 $700.00 $277.25 nat. median
$964
outlier · 0.3×
72157
CPT 		MRI Chest Spine Without With Contrast 22 $102.13 $1,300.00 $264.91 nat. median
$1,099
outlier · 0.2×
72156
CPT 		MRI Neck Spine Without With Contrast 22 $101.96 $1,300.00 $263.83 nat. median
$1,096
outlier · 0.2×
72158
CPT 		MRI Lumbar Spine Without With Contrast 22 $101.78 $1,300.00 $263.10 nat. median
$1,083
outlier · 0.2×
70553
CPT 		MRI Brain Stem Without With Contrast 21 $101.52 $1,300.00 $261.29 nat. median
$1,122
outlier · 0.2×
72196
CPT 		MRI Pelvis With Contrast 22 $107.99 $700.00 $250.72 nat. median
$941
outlier · 0.3×
73719
CPT 		MRI Lower Extremity With Contrast 21 $105.78 $700.00 $249.78 nat. median
$977
outlier · 0.3×
70544
CPT 		Mr Angiography Head Without Contrast 17 $86.49 $650.00 $246.86 nat. median
$822
outlier · 0.3×
72142
CPT 		MRI Neck Spine With Contrast 22 $86.66 $700.00 $242.87 nat. median
$965
outlier · 0.3×
70552
CPT 		MRI Brain Stem With Contrast 21 $85.39 $700.00 $238.93 nat. median
$956
outlier · 0.3×
72149
CPT 		MRI Lumbar Spine With Contrast 22 $85.69 $700.00 $238.52 nat. median
$974
outlier · 0.2×
73718
CPT 		MRI Lower Extremity Without Contrast 21 $88.85 $650.00 $234.30 nat. median
$866
outlier · 0.3×
72195
CPT 		MRI Pelvis Without Contrast 22 $90.67 $650.00 $233.82 nat. median
$802
outlier · 0.3×
99203
CPT 		Office O/p New Low 30 Min 4 $225.00 $600.00 $225.00 nat. median
$162
1.4× median
73218
CPT 		MRI Upper Extremity Without Contrast 24 $75.99 $650.00 $217.82 nat. median
$864
outlier · 0.3×
73221
CPT 		MRI Joint Upr Extrem Without Contrast 24 $75.99 $650.00 $217.82 nat. median
$844
outlier · 0.3×
74181
CPT 		MRI Abdomen Without Contrast 22 $87.66 $650.00 $214.60 nat. median
$816
outlier · 0.3×
74178
CPT 		CT Abdplv Wo Cntr Flwd Cntr 17 $94.49 $450.00 $213.30 nat. median
$1,023
outlier · 0.2×
73721
CPT 		MRI Jnt Of Lwr Extre Without Contrast 23 $63.22 $650.00 $209.01 nat. median
$854
outlier · 0.2×
74177
CPT 		CT Abd Pelvis W/contrast 17 $83.47 $450.00 $206.88 nat. median
$970
outlier · 0.2×
70551
CPT 		MRI Brain Stem Without Contrast 21 $62.26 $650.00 $183.64 nat. median
$779
outlier · 0.2×
78582
CPT 		Lung Ventilatperfus Imaging 16 $71.25 $300.86 $168.79 nat. median
$845
outlier · 0.2×
71275
CPT 		CT Angiography Chest 12 $73.13 $247.50 $165.00 nat. median
$753
outlier · 0.2×
70496
CPT 		CT Angiography Head 14 $68.75 $247.50 $165.00 nat. median
$741
outlier · 0.2×
72146
CPT 		MRI Chest Spine Without Contrast 22 $60.62 $650.00 $162.50 nat. median
$794
outlier · 0.2×
72148
CPT 		MRI Lumbar Spine Without Contrast 22 $60.35 $650.00 $162.50 nat. median
$803
outlier · 0.2×
72141
CPT 		MRI Neck Spine Without Contrast 22 $60.62 $650.00 $162.50 nat. median
$778
outlier · 0.2×
70492
CPT 		CT Sft Tsue Nck Without With Contrast 24 $68.75 $325.00 $160.00 nat. median
$646
outlier · 0.2×
74170
CPT 		CT Abd Wo Cntrst Flwd Cntrst 23 $69.92 $650.00 $159.09 nat. median
$710
outlier · 0.2×
72193
CPT 		CT Pelvis With Contrast 23 $60.07 $325.00 $156.19 nat. median
$636
outlier · 0.2×
74160
CPT 		CT Abdomen W/contrast 23 $61.62 $325.00 $156.19 nat. median
$650
outlier · 0.2×
78803
CPT 		Rp Loclzj Tum Spect 1 Area 17 $88.48 $327.51 $154.00 nat. median
$1,376
outlier · 0.1×
71270
CPT 		CT Thorax Dx C-/c 23 $73.02 $650.00 $152.77 nat. median
$678
outlier · 0.2×
73701
CPT 		CT Lower Extremity With Contrast 23 $60.07 $325.00 $150.00 nat. median
$673
outlier · 0.2×
71260
CPT 		CT Thorax Dx C 24 $61.16 $325.00 $137.39 nat. median
$647
outlier · 0.2×
70491
CPT 		CT Soft Tissue Neck With Contrast 24 $63.21 $325.00 $137.02 nat. median
$626
outlier · 0.2×
70470
CPT 		CT Head/brain Without With Contrast 24 $51.99 $650.00 $130.86 nat. median
$618
outlier · 0.2×
78226
CPT 		Hepatobiliary System Imaging 17 $80.05 $260.91 $128.07 nat. median
$744
outlier · 0.2×
78227
CPT 		Hepatobil Syst Image W/drug 17 $80.05 $260.91 $128.07 nat. median
$931
outlier · 0.1×
73200
CPT 		CT Upper Extremity Without Contrast 23 $43.71 $300.00 $127.54 nat. median
$521
outlier · 0.2×
78708
CPT 		K Flow/funct Image W/drug 19 $48.67 $215.21 $124.39 nat. median
$734
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 265 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
             
70100 CPT X-ray Exam Of Jaw <4views 31 24 $46.00 $46.00 $7.35 $31.04 $14.00 2025-04-10
70140 CPT X-ray Exam Of Facial Bones 32 25 $46.00 $46.00 $6.75 $34.10 $13.74 2025-04-10
70150 CPT X-ray Exam Of Facial Bones 32 25 $48.00 $48.00 $10.00 $44.00 $19.29 2025-04-10
70160 CPT X-ray Exam Of Nasal Bones 32 25 $46.00 $46.00 $6.75 $31.04 $12.50 2025-04-10
70200 CPT X-ray Exam Of Eye Sockets 32 25 $49.00 $49.00 $10.25 $45.10 $19.47 2025-04-10
70210 CPT X-ray Exam Of Sinuses 32 25 $46.00 $46.00 $7.35 $33.00 $12.50 2025-04-10
70220 CPT X-ray Exam Of Sinuses 32 25 $47.00 $47.00 $10.00 $44.00 $18.71 2025-04-10
70250 CPT X-ray Exam Of Skull 32 25 $46.00 $46.00 $7.35 $37.40 $16.00 2025-04-10
70260 CPT X-ray Exam Of Skull 32 25 $81.00 $81.00 $11.75 $52.00 $21.00 2025-04-10
70360 CPT X-ray Exam Of Neck 32 25 $46.00 $46.00 $4.90 $26.40 $10.11 2025-04-10
70450 CPT CT Head/brain Without Contrast 31 24 $300.00 $300.00 $31.72 $300.00 $110.60 2025-04-10
70460 CPT CT Head/brain With Contrast 31 24 $350.00 $350.00 $44.01 $325.00 $108.75 2025-04-10
70470 CPT CT Head/brain Without With Contrast 31 24 $350.00 $350.00 $51.99 $650.00 $130.86 2025-04-10
70480 CPT CT Orbit/ear/fossa Without Contrast 31 24 $300.00 $300.00 $48.23 $300.00 $119.62 2025-04-10
70486 CPT CT Maxillofacial Without Contrast 31 24 $300.00 $300.00 $37.65 $300.00 $98.60 2025-04-10
70487 CPT CT Maxillofacial With Contrast 31 24 $350.00 $350.00 $45.70 $325.00 $113.82 2025-04-10
70490 CPT CT Soft Tissue Neck Without Contrast 31 24 $300.00 $300.00 $48.23 $300.00 $106.21 2025-04-10
70491 CPT CT Soft Tissue Neck With Contrast 31 24 $350.00 $350.00 $63.21 $325.00 $137.02 2025-04-10
70492 CPT CT Sft Tsue Nck Without With Contrast 31 24 $350.00 $350.00 $68.75 $325.00 $160.00 2025-04-10
70496 CPT CT Angiography Head 19 14 $300.00 $300.00 $68.75 $247.50 $165.00 2025-04-10
70544 CPT Mr Angiography Head Without Contrast 22 17 $650.00 $650.00 $86.49 $650.00 $246.86 2025-04-10
70551 CPT MRI Brain Stem Without Contrast 28 21 $650.00 $650.00 $62.26 $650.00 $183.64 2025-04-10
70552 CPT MRI Brain Stem With Contrast 28 21 $700.00 $700.00 $85.39 $700.00 $238.93 2025-04-10
70553 CPT MRI Brain Stem Without With Contrast 28 21 $800.00 $800.00 $101.52 $1,300.00 $261.29 2025-04-10
71045 CPT X-ray Exam Chest 1 View 23 16 $46.00 $46.00 $6.13 $46.00 $10.87 2025-04-10
71046 CPT X-ray Exam Chest 2 Views 23 16 $46.00 $46.00 $7.60 $46.00 $16.00 2025-04-10
71047 CPT X-ray Exam Chest 3 Views 22 15 $51.00 $51.00 $8.45 $40.00 $19.95 2025-04-10
71100 CPT X-ray Exam Ribs Uni 2 Views 32 25 $46.00 $46.00 $7.75 $34.10 $15.61 2025-04-10
71101 CPT X-ray Exam Unilat Ribs/chest 31 24 $44.00 $44.00 $9.86 $38.50 $17.50 2025-04-10
71110 CPT X-ray Exam Ribs Bil 3 Views 32 25 $44.00 $44.00 $10.00 $44.00 $18.75 2025-04-10
71111 CPT X-ray Exam Ribs/chest4/> Vws 31 24 $48.50 $48.50 $12.25 $51.00 $20.00 2025-04-10
71250 CPT CT Thorax Dx C- 31 24 $300.00 $300.00 $44.05 $300.00 $120.00 2025-04-10
71260 CPT CT Thorax Dx C 31 24 $350.00 $350.00 $61.16 $325.00 $137.39 2025-04-10
71270 CPT CT Thorax Dx C-/c 30 23 $350.00 $350.00 $73.02 $650.00 $152.77 2025-04-10
71275 CPT CT Angiography Chest 19 12 $350.00 $350.00 $73.13 $247.50 $165.00 2025-04-10
72040 CPT X-ray Exam Neck Spine 2-3 Vw 23 18 $46.00 $46.00 $10.34 $35.20 $14.83 2025-04-10
72050 CPT X-ray Exam Neck Spine 4/5vws 28 23 $81.00 $81.00 $14.21 $45.10 $20.18 2025-04-10
72070 CPT X-ray Exam Thorac Spine 2vws 30 23 $46.00 $46.00 $9.11 $36.30 $15.00 2025-04-10
72072 CPT X-ray Exam Thorac Spine 3vws 25 20 $45.00 $45.00 $10.78 $37.40 $17.00 2025-04-10
72082 CPT X-ray Exam Entire Spi 2/3 Vw 16 12 $46.00 $46.00 $10.22 $57.55 $29.00 2025-04-10
72100 CPT X-ray Exam L-s Spine 2/3 Vws 32 25 $46.00 $46.00 $8.50 $37.40 $17.00 2025-04-10
72110 CPT X-ray Exam L-2 Spine 4/>vws 29 24 $81.00 $81.00 $14.35 $50.60 $24.00 2025-04-10
72125 CPT CT Neck Spine Without Contrast 30 23 $300.00 $300.00 $44.86 $300.00 $122.82 2025-04-10
72131 CPT CT Lumbar Spine Without Contrast 30 23 $300.00 $300.00 $43.71 $300.00 $122.34 2025-04-10
72141 CPT MRI Neck Spine Without Contrast 29 22 $650.00 $650.00 $60.62 $650.00 $162.50 2025-04-10
72142 CPT MRI Neck Spine With Contrast 29 22 $700.00 $700.00 $86.66 $700.00 $242.87 2025-04-10
72146 CPT MRI Chest Spine Without Contrast 29 22 $650.00 $650.00 $60.62 $650.00 $162.50 2025-04-10
72148 CPT MRI Lumbar Spine Without Contrast 29 22 $650.00 $650.00 $60.35 $650.00 $162.50 2025-04-10
72149 CPT MRI Lumbar Spine With Contrast 29 22 $700.00 $700.00 $85.69 $700.00 $238.52 2025-04-10
72156 CPT MRI Neck Spine Without With Contrast 29 22 $800.00 $800.00 $101.96 $1,300.00 $263.83 2025-04-10
72157 CPT MRI Chest Spine Without With Contrast 29 22 $800.00 $800.00 $102.13 $1,300.00 $264.91 2025-04-10
72158 CPT MRI Lumbar Spine Without With Contrast 29 22 $800.00 $800.00 $101.78 $1,300.00 $263.10 2025-04-10
72170 CPT X-ray Exam Of Pelvis 32 25 $46.00 $46.00 $5.25 $30.00 $12.84 2025-04-10
72190 CPT X-ray Exam Of Pelvis 32 25 $46.00 $46.00 $6.40 $32.00 $16.45 2025-04-10
72192 CPT CT Pelvis Without Contrast 30 23 $300.00 $300.00 $39.98 $300.00 $108.53 2025-04-10
72193 CPT CT Pelvis With Contrast 30 23 $350.00 $350.00 $60.07 $325.00 $156.19 2025-04-10
72195 CPT MRI Pelvis Without Contrast 29 22 $650.00 $650.00 $90.67 $650.00 $233.82 2025-04-10
72196 CPT MRI Pelvis With Contrast 29 22 $700.00 $700.00 $107.99 $700.00 $250.72 2025-04-10
72197 CPT MRI Pelvis Without With Contrast 29 22 $800.00 $800.00 $133.21 $1,300.00 $287.50 2025-04-10
72220 CPT X-ray Exam Sacrum Tailbone 28 23 $46.00 $46.00 $8.75 $32.00 $14.75 2025-04-10
73000 CPT X-ray Exam Of Collar Bone 32 25 $46.00 $46.00 $4.20 $30.00 $10.85 2025-04-10
73020 CPT X-ray Exam Of Shoulder 32 25 $46.00 $46.00 $4.90 $27.50 $10.00 2025-04-10
73030 CPT X-ray Exam Of Shoulder 32 25 $46.00 $46.00 $7.25 $32.00 $14.50 2025-04-10
73060 CPT X-ray Exam Of Humerus 32 25 $46.00 $46.00 $7.25 $31.90 $14.03 2025-04-10
73070 CPT X-ray Exam Of Elbow 32 25 $46.00 $46.00 $6.50 $28.60 $13.00 2025-04-10
73080 CPT X-ray Exam Of Elbow 32 25 $46.00 $46.00 $7.00 $32.00 $16.00 2025-04-10
73090 CPT X-ray Exam Of Forearm 32 25 $46.00 $46.00 $6.75 $30.00 $13.45 2025-04-10
73100 CPT X-ray Exam Of Wrist 32 25 $46.00 $46.00 $6.50 $29.00 $13.00 2025-04-10
73110 CPT X-ray Exam Of Wrist 32 25 $46.00 $46.00 $7.00 $33.83 $16.00 2025-04-10
73120 CPT X-ray Exam Of Hand 32 25 $46.00 $46.00 $6.50 $29.00 $13.00 2025-04-10
73130 CPT X-ray Exam Of Hand 32 25 $46.00 $46.00 $7.00 $32.00 $14.62 2025-04-10
73140 CPT X-ray Exam Of Finger(s) 32 25 $46.00 $46.00 $4.90 $32.08 $11.00 2025-04-10
73200 CPT CT Upper Extremity Without Contrast 30 23 $300.00 $300.00 $43.71 $300.00 $127.54 2025-04-10
73218 CPT MRI Upper Extremity Without Contrast 31 24 $650.00 $650.00 $75.99 $650.00 $217.82 2025-04-10
73221 CPT MRI Joint Upr Extrem Without Contrast 31 24 $650.00 $650.00 $75.99 $650.00 $217.82 2025-04-10
73501 CPT X-ray Exam Hip Uni 1 View 20 14 $46.00 $46.00 $7.00 $24.41 $14.00 2025-04-10
73502 CPT X-ray Exam Hip Uni 2-3 Views 16 13 $46.00 $46.00 $12.50 $37.67 $18.53 2025-04-10
73521 CPT X-ray Exam Hips Bi 2 Views 19 15 $46.00 $46.00 $8.73 $31.74 $18.00 2025-04-10
73551 CPT X-ray Exam Of Femur 1 14 12 $46.00 $46.00 $6.52 $21.97 $14.32 2025-04-10
73552 CPT X-ray Exam Of Femur 2/> 19 14 $46.00 $46.00 $7.60 $27.55 $14.50 2025-04-10
73560 CPT X-ray Exam Of Knee 1 Or 2 32 25 $46.00 $46.00 $6.75 $30.00 $13.60 2025-04-10
73562 CPT X-ray Exam Of Knee 3 32 25 $46.00 $46.00 $7.00 $33.13 $14.80 2025-04-10
73564 CPT X-ray Exam Knee 4 Or More 32 25 $46.00 $46.00 $6.30 $38.50 $17.60 2025-04-10
73565 CPT X-ray Exam Of Knees 32 25 $46.00 $46.00 $6.00 $48.00 $15.00 2025-04-10
73590 CPT X-ray Exam Of Lower Leg 32 25 $46.00 $46.00 $6.75 $55.00 $13.50 2025-04-10
73600 CPT X-ray Exam Of Ankle 32 25 $46.00 $46.00 $6.50 $29.00 $13.12 2025-04-10
73610 CPT X-ray Exam Of Ankle 32 25 $46.00 $46.00 $7.00 $32.00 $16.00 2025-04-10
73620 CPT X-ray Exam Of Foot 32 25 $46.00 $46.00 $6.50 $29.00 $12.54 2025-04-10
73630 CPT X-ray Exam Of Foot 32 25 $46.00 $46.00 $7.00 $32.00 $16.99 2025-04-10
73650 CPT X-ray Exam Of Heel 32 25 $46.00 $46.00 $6.25 $27.50 $13.00 2025-04-10
73660 CPT X-ray Exam Of Toe(s) 32 25 $46.00 $46.00 $4.90 $24.20 $11.00 2025-04-10
73700 CPT CT Lower Extremity Without Contrast 30 23 $300.00 $300.00 $43.71 $300.00 $122.34 2025-04-10
73701 CPT CT Lower Extremity With Contrast 30 23 $350.00 $350.00 $60.07 $325.00 $150.00 2025-04-10
73718 CPT MRI Lower Extremity Without Contrast 28 21 $650.00 $650.00 $88.85 $650.00 $234.30 2025-04-10
73719 CPT MRI Lower Extremity With Contrast 28 21 $700.00 $700.00 $105.78 $700.00 $249.78 2025-04-10
73721 CPT MRI Jnt Of Lwr Extre Without Contrast 30 23 $650.00 $650.00 $63.22 $650.00 $209.01 2025-04-10
73722 CPT MRI Joint Of Lwr Extr With Contrast 28 21 $700.00 $700.00 $100.22 $700.00 $292.54 2025-04-10
73723 CPT MRI Joint Lwr Extr W/ow/dye 28 21 $800.00 $800.00 $124.11 $1,300.00 $323.68 2025-04-10
74018 CPT Radex Abdomen 1 View 22 15 $46.00 $46.00 $6.40 $25.00 $12.80 2025-04-10
74019 CPT Radex Abdomen 2 Views 22 15 $50.00 $50.00 $9.21 $30.00 $16.04 2025-04-10
74021 CPT Radex Abdomen 3 Views 22 15 $50.00 $50.00 $10.12 $41.50 $19.40 2025-04-10
74150 CPT CT Abdomen Without Contrast 30 23 $300.00 $300.00 $41.18 $300.00 $109.56 2025-04-10
74160 CPT CT Abdomen W/contrast 30 23 $350.00 $350.00 $61.62 $325.00 $156.19 2025-04-10
74170 CPT CT Abd Wo Cntrst Flwd Cntrst 30 23 $350.00 $350.00 $69.92 $650.00 $159.09 2025-04-10
74176 CPT CT Abd Pelvis Without Contrast 24 17 $300.00 $300.00 $55.69 $400.00 $116.00 2025-04-10
74177 CPT CT Abd Pelvis W/contrast 24 17 $350.00 $350.00 $83.47 $450.00 $206.88 2025-04-10
74178 CPT CT Abdplv Wo Cntr Flwd Cntr 24 17 $350.00 $350.00 $94.49 $450.00 $213.30 2025-04-10
74181 CPT MRI Abdomen Without Contrast 29 22 $650.00 $650.00 $87.66 $650.00 $214.60 2025-04-10
74182 CPT MRI Abdomen W/contrast 29 22 $700.00 $700.00 $118.50 $700.00 $277.25 2025-04-10
74183 CPT MRI Abd Without Cntr Flwd Cntr 29 22 $800.00 $800.00 $133.39 $1,300.00 $287.50 2025-04-10
74220 CPT X-ray Xm Esophagus 1cntrst 32 25 $105.00 $105.00 $14.35 $75.34 $31.00 2025-04-10
74240 CPT X-ray Xm Upr Gi Trc 1cntrst 28 23 $130.00 $130.00 $32.38 $92.08 $42.84 2025-04-10
74400 CPT Urography IV -kub Tomog 26 20 $169.00 $169.00 $19.50 $120.34 $41.81 2025-04-10
76536 CPT US Exam Of Head And Neck 31 24 $96.00 $96.00 $15.00 $91.35 $44.54 2025-04-10
76641 CPT Ultrasound Breast Complete 23 16 $100.00 $100.00 $26.50 $100.00 $47.50 2025-04-10
76700 CPT US Exam Abdom Complete 30 23 $100.00 $100.00 $33.40 $100.00 $49.50 2025-04-10
76705 CPT Echo Exam Of Abdomen 26 19 $45.00 $45.00 $21.00 $68.00 $45.48 2025-04-10
76770 CPT US Exam Abdo Back Wall Comp 30 23 $100.00 $100.00 $28.00 $100.00 $48.16 2025-04-10
76801 CPT OB US < 14 Wks Single Fetus 25 18 $45.00 $45.00 $19.50 $100.00 $49.17 2025-04-10
76805 CPT OB US < 14 Wks Single Fetus 29 22 $100.00 $100.00 $35.00 $106.00 $47.50 2025-04-10
76817 CPT Transvaginal US Obstetric 27 21 $45.00 $45.00 $31.09 $125.00 $48.54 2025-04-10
76830 CPT Transvaginal US Non-OB 30 23 $100.00 $100.00 $32.87 $125.00 $50.00 2025-04-10
76856 CPT US Exam Pelvic Complete 29 22 $100.00 $100.00 $29.77 $78.30 $45.00 2025-04-10
76870 CPT US Exam Scrotum 31 24 $100.00 $100.00 $18.98 $74.75 $41.00 2025-04-10
76872 CPT US Transrectal 30 23 $100.00 $100.00 $25.00 $125.00 $50.00 2025-04-10
77049 CPT MRI Breast C- W/cad Bi 22 15 $975.00 $975.00 $144.45 $750.00 $295.04 2025-04-10
77065 CPT Dx Mammo Incl Cad Uni 17 11 $100.00 $100.00 $32.27 $96.79 $63.75 2025-04-10
77066 CPT Dx Mammo Incl Cad Bi 20 15 $100.00 $100.00 $40.00 $123.61 $80.72 2025-04-10
77067 CPT Scr Mammo Bi Incl Cad 19 13 $100.00 $100.00 $31.82 $102.22 $66.39 2025-04-10
77072 CPT Bone Age Studies 21 15 $81.00 $81.00 $5.82 $28.00 $13.00 2025-04-10
77075 CPT Radex Osseous Survey Compl 17 13 $134.00 $134.00 $17.37 $76.39 $36.39 2025-04-10
77080 CPT Dxa Bone Density Axial 27 20 $130.00 $130.00 $18.26 $103.00 $34.57 2025-04-10
78070 CPT Parathyroid Planar Imaging 29 22 $260.00 $260.00 $30.23 $278.76 $70.00 2025-04-10
78195 CPT Lymph System Imaging 28 21 $200.00 $200.00 $43.75 $317.90 $100.52 2025-04-10
78226 CPT Hepatobiliary System Imaging 24 17 $260.00 $260.00 $80.05 $260.91 $128.07 2025-04-10
78227 CPT Hepatobil Syst Image W/drug 24 17 $260.00 $260.00 $80.05 $260.91 $128.07 2025-04-10
78264 CPT Gastric Emptying Img Study 29 22 $290.00 $290.00 $35.99 $317.18 $95.00 2025-04-10
78278 CPT Acute Gi Blood Loss Imaging 29 22 $250.00 $250.00 $44.38 $320.44 $100.00 2025-04-10
78306 CPT Bone Imaging Whole Body 26 19 $246.00 $246.00 $64.91 $278.76 $99.56 2025-04-10
78315 CPT Bone Imaging 3 Phase 29 22 $345.00 $345.00 $45.70 $316.45 $100.45 2025-04-10
78452 CPT Ht Muscle Image Spect Mult 20 16 $400.00 $400.00 $137.43 $710.00 $355.00 2025-04-10
78472 CPT Gated Heart Planar Single 28 21 $405.00 $405.00 $43.68 $250.00 $121.88 2025-04-10
78582 CPT Lung Ventilatperfus Imaging 22 16 $300.00 $300.00 $71.25 $300.86 $168.79 2025-04-10
78708 CPT K Flow/funct Image W/drug 26 19 $200.00 $200.00 $48.67 $215.21 $124.39 2025-04-10
78802 CPT Rp Loclzj Tum Whbdy 1 D Img 29 22 $283.00 $283.00 $38.14 $301.23 $112.50 2025-04-10
78803 CPT Rp Loclzj Tum Spect 1 Area 23 17 $492.00 $492.00 $88.48 $327.51 $154.00 2025-04-10
79005 CPT Nuclear Rx Oral Admin 23 17 $250.00 $250.00 $38.13 $465.00 $85.49 2025-04-10
80048 CPT Basic Metabolic Pnl Total Ca 31 24 $21.00 $21.00 $8.00 $40.00 $11.56 2025-04-10
80053 CPT Comprehen Metabolic Panel 32 25 $45.00 $45.00 $10.07 $55.00 $17.38 2025-04-10
80055 CPT Obstetric Panel 29 23 $75.00 $75.00 $45.00 $175.00 $65.00 2025-04-10
80061 CPT Lipid Panel 32 25 $96.00 $96.00 $12.77 $60.00 $25.00 2025-04-10
80069 CPT Renal Function Panel 31 24 $30.00 $30.00 $8.28 $70.00 $12.13 2025-04-10
80162 CPT Assay Of Digoxin Total 31 24 $35.00 $35.00 $12.66 $40.80 $20.70 2025-04-10
80185 CPT Assay Of Phenytoin Total 31 24 $35.00 $35.00 $12.64 $45.00 $18.54 2025-04-10
80198 CPT Assay Of Theophylline 31 24 $40.00 $40.00 $13.49 $42.00 $20.00 2025-04-10
81000 CPT Urinalysis Nonauto W/scope 22 15 $16.00 $16.00 $3.02 $8.00 $4.50 2025-04-10
81001 CPT Urinalysis Auto W/scope 32 25 $8.00 $8.00 $3.00 $8.00 $5.00 2025-04-10
81002 CPT Unlisted Urinalysis Px 20 13 $4.00 $4.00 $2.44 $5.00 $3.48 2025-04-10
81003 CPT Urinalysis Auto Without Scope 20 13 $5.00 $5.00 $1.87 $7.20 $2.47 2025-04-10
82088 CPT Aldosterone Suppression Eval 31 24 $61.50 $61.50 $38.86 $146.00 $62.00 2025-04-10
82150 CPT Assay Of Amylase 32 25 $35.00 $35.00 $6.18 $14.00 $9.63 2025-04-10
82164 CPT Angiotensin I Enzyme Test 30 23 $60.00 $60.00 $13.92 $62.00 $23.45 2025-04-10
82247 CPT Bilirubin Total 30 23 $12.00 $12.00 $4.78 $24.00 $7.04 2025-04-10
82248 CPT Bilirubin Direct 30 23 $25.00 $25.00 $4.78 $12.00 $7.30 2025-04-10
82274 CPT Assay Test For Blood Fecal 20 14 $27.00 $27.00 $10.00 $25.00 $21.86 2025-04-10
82306 CPT Vitamin D 25 Hydroxy 31 24 $25.00 $25.00 $28.23 $150.00 $65.00 2025-04-10
82310 CPT Assay Of Calcium 32 25 $12.00 $12.00 $4.92 $23.10 $7.00 2025-04-10
82330 CPT Assay Of Calcium 31 24 $45.00 $45.00 $9.00 $52.00 $19.09 2025-04-10
82340 CPT Assay Of Calcium In Urine 32 25 $15.00 $15.00 $5.75 $15.00 $7.46 2025-04-10
82465 CPT Assay Bld/serum Cholesterol 32 25 $12.00 $12.00 $4.14 $10.00 $6.12 2025-04-10
82530 CPT Cortisol Free 32 25 $180.00 $180.00 $15.74 $52.50 $25.10 2025-04-10
82533 CPT Total Cortisol 32 25 $180.00 $180.00 $15.74 $52.50 $25.10 2025-04-10
82565 CPT Assay Of Creatinine 32 25 $12.00 $12.00 $4.00 $10.18 $7.07 2025-04-10
82570 CPT Assay Of Urine Creatinine 31 24 $45.00 $45.00 $4.00 $12.10 $6.39 2025-04-10
82575 CPT Creatinine Clearance Test 32 25 $25.00 $25.00 $7.00 $23.13 $11.00 2025-04-10
82607 CPT Vitamin B-12 32 25 $45.00 $45.00 $14.38 $45.50 $20.67 2025-04-10
82652 CPT Vit D 1 25-dihydroxy 29 22 $412.00 $412.00 $36.71 $195.00 $55.14 2025-04-10
82670 CPT Assay Of Total Estradiol 30 23 $18.00 $18.00 $26.64 $116.16 $44.00 2025-04-10
82672 CPT Assay Of Estrogen 31 24 $45.00 $45.00 $20.69 $70.00 $30.34 2025-04-10
82677 CPT Assay Of Estriol 30 23 $37.50 $37.50 $23.06 $65.00 $33.89 2025-04-10
82728 CPT Assay Of Ferritin 31 24 $27.00 $27.00 $13.00 $40.30 $18.49 2025-04-10
82746 CPT Assay Of Folic Acid Serum 32 25 $40.00 $40.00 $9.00 $46.13 $20.00 2025-04-10
82947 CPT Assay Glucose Blood Quant 32 25 $24.00 $24.00 $3.74 $8.00 $5.54 2025-04-10
82948 CPT Reagent Strip/blood Glucose 28 23 $12.00 $12.00 $1.74 $6.55 $4.44 2025-04-10
82950 CPT Glucose Test 32 25 $15.00 $15.00 $4.53 $10.00 $7.00 2025-04-10
83001 CPT Assay Of Gonadotropin (fsh) 32 25 $45.00 $45.00 $17.71 $60.00 $26.36 2025-04-10
83002 CPT Assay Of Gonadotropin (lh) 32 25 $40.00 $40.00 $17.65 $40.00 $25.00 2025-04-10
83036 CPT Hemoglobin Glycosylated A1c 31 24 $23.00 $23.00 $9.25 $30.00 $14.93 2025-04-10
83498 CPT Asy Hydroxyprogesterone 17-d 30 23 $60.00 $60.00 $25.91 $100.00 $43.95 2025-04-10
83540 CPT Assay Of Iron 32 25 $17.00 $17.00 $6.17 $14.00 $8.00 2025-04-10
83615 CPT Lactate (ld) (ldh) Enzyme 32 25 $18.00 $18.00 $5.75 $10.60 $8.00 2025-04-10
83690 CPT Assay Of Lipase 32 25 $94.00 $94.00 $6.00 $15.00 $8.50 2025-04-10
83721 CPT Assay Of Blood Lipoprotein 30 23 $35.00 $35.00 $9.10 $30.00 $13.37 2025-04-10
83735 CPT Assay Of Magnesium 32 25 $41.00 $41.00 $6.38 $15.00 $9.38 2025-04-10
83970 CPT Assay Of Parathormone 29 22 $154.00 $154.00 $39.36 $130.00 $57.67 2025-04-10
84075 CPT Assay Alkaline Phosphatase 32 25 $31.00 $31.00 $4.94 $12.00 $7.03 2025-04-10
84100 CPT Assay Of Phosphorus 32 25 $12.00 $12.00 $4.52 $10.00 $6.54 2025-04-10
84132 CPT Assay Of Serum Potassium 32 25 $15.00 $15.00 $4.24 $10.43 $6.94 2025-04-10
84133 CPT Assay Of Urine Potassium 32 25 $15.00 $15.00 $4.24 $10.43 $6.94 2025-04-10
84144 CPT Assay Of Progesterone 31 24 $53.00 $53.00 $19.89 $65.00 $29.28 2025-04-10
84146 CPT Assay Of Prolactin 32 25 $55.00 $55.00 $18.48 $62.25 $29.00 2025-04-10
84152 CPT Assay Of Psa Complexed 27 22 $123.75 $123.75 $17.54 $100.00 $25.70 2025-04-10
84153 CPT Assay Of Psa Total 31 24 $187.50 $187.50 $17.54 $58.00 $25.92 2025-04-10
84154 CPT Assay Of Psa Free 29 22 $105.00 $105.00 $17.54 $145.00 $25.72 2025-04-10
84155 CPT Assay Of Protein Serum 32 25 $16.00 $16.00 $3.50 $10.00 $5.47 2025-04-10
84156 CPT Assay Of Protein Urine 28 21 $36.00 $36.00 $3.50 $30.00 $5.20 2025-04-10
84157 CPT Assay Of Protein Other 28 21 $18.00 $18.00 $3.50 $50.00 $5.14 2025-04-10
84165 CPT Protein E-phoresis Serum 32 25 $30.00 $30.00 $10.24 $30.75 $14.49 2025-04-10
84166 CPT Protein E-phoresis/urine/csf 26 20 $280.50 $280.50 $17.00 $50.00 $24.92 2025-04-10
84207 CPT Assay Of Vitamin B-6 30 23 $75.00 $75.00 $26.79 $150.00 $47.01 2025-04-10
84295 CPT Assay Of Serum Sodium 32 25 $12.00 $12.00 $4.59 $8.00 $6.82 2025-04-10
84300 CPT Assay Of Urine Sodium 32 25 $15.00 $15.00 $4.64 $8.00 $6.71 2025-04-10
84402 CPT Assay Of Free Testosterone 31 24 $88.00 $88.00 $25.47 $170.00 $38.00 2025-04-10
84403 CPT Assay Of Total Testosterone 32 25 $53.00 $53.00 $24.62 $100.00 $36.17 2025-04-10
84425 CPT Assay Of Vitamin B-1 30 23 $75.00 $75.00 $20.24 $90.00 $30.11 2025-04-10
84432 CPT Assay Of Thyroglobulin 29 22 $37.50 $37.50 $15.31 $157.50 $22.50 2025-04-10
84436 CPT Assay Of Total Thyroxine 31 24 $29.00 $29.00 $6.54 $20.00 $9.68 2025-04-10
84439 CPT Assay Of Free Thyroxine 31 24 $111.00 $111.00 $8.59 $37.75 $12.66 2025-04-10
84443 CPT Assay Thyroid Stim Hormone 32 25 $13.00 $13.00 $13.00 $50.00 $24.53 2025-04-10
84450 CPT Transferase (ast) (sgot) 32 25 $12.00 $12.00 $4.94 $20.00 $7.23 2025-04-10
84460 CPT Alanine Amino (alt) (sgpt) 32 25 $12.00 $12.00 $5.05 $11.03 $7.40 2025-04-10
84478 CPT Assay Of Triglycerides 32 25 $18.00 $18.00 $5.48 $15.00 $11.12 2025-04-10
84479 CPT Assay Of Thyroid (t3 Or T4) 32 25 $29.00 $29.00 $6.16 $15.00 $9.50 2025-04-10
84480 CPT Assay Triiodothyronine (t3) 31 24 $35.00 $35.00 $13.51 $45.00 $20.31 2025-04-10
84481 CPT Free Assay (ft-3) 31 24 $62.00 $62.00 $16.15 $115.00 $25.00 2025-04-10
84520 CPT Assay Of Urea Nitrogen 32 25 $12.00 $12.00 $3.76 $10.00 $5.68 2025-04-10
84525 CPT Urea Nitrogen Semi-quant 28 22 $16.00 $16.00 $2.61 $10.00 $5.16 2025-04-10
84540 CPT Assay Of Urine/urea-n 32 25 $15.00 $15.00 $3.60 $12.10 $5.61 2025-04-10
84550 CPT Assay Of Blood/uric Acid 32 25 $15.00 $15.00 $4.42 $10.00 $6.48 2025-04-10
84560 CPT Assay Of Urine/uric Acid 32 25 $15.00 $15.00 $4.42 $10.00 $6.48 2025-04-10
84702 CPT Chorionic Gonadotropin Test 32 25 $45.00 $45.00 $14.36 $60.00 $21.17 2025-04-10
84703 CPT Chorionic Gonadotropin Assay 31 24 $30.00 $30.00 $7.17 $25.00 $11.00 2025-04-10
85002 CPT Bleeding Time Test 32 25 $10.00 $10.00 $2.00 $12.00 $4.58 2025-04-10
85014 CPT Hematocrit 32 25 $4.00 $4.00 $2.26 $6.55 $3.31 2025-04-10
85018 CPT Hemoglobin 32 25 $24.00 $24.00 $2.00 $6.55 $3.00 2025-04-10
85025 CPT Complete Cbc W/auto Diff Wbc 31 24 $42.00 $42.00 $7.41 $11.14 $9.00 2025-04-10
85027 CPT Complete Cbc W/auto Diff Wbc 27 22 $15.00 $15.00 $5.85 $15.00 $8.58 2025-04-10
85044 CPT Automated Reticulocyte Count 32 25 $12.00 $12.00 $3.00 $11.25 $5.16 2025-04-10
85045 CPT Automated Reticulocyte Count 27 22 $12.00 $12.00 $3.81 $12.00 $5.59 2025-04-10
85048 CPT Smear Gram Stain 32 25 $10.00 $10.00 $2.00 $7.40 $3.22 2025-04-10
85049 CPT Automated Platelet Count 29 22 $12.00 $12.00 $3.00 $10.00 $6.00 2025-04-10
85240 CPT Clot Factor Viii Ahg 1 Stage 31 24 $148.50 $148.50 $12.53 $125.00 $24.39 2025-04-10
85245 CPT Clot Factor Viii Vw Ristoctn 30 23 $233.50 $233.50 $12.53 $130.00 $35.42 2025-04-10
85302 CPT Clot Inhibit Prot C Antigen 29 22 $30.00 $30.00 $11.46 $77.00 $16.87 2025-04-10
85305 CPT Clot Inhibit Prot S Total 29 22 $30.00 $30.00 $11.06 $126.24 $16.22 2025-04-10
85384 CPT Fibrinogen Activity 31 24 $15.00 $15.00 $8.00 $38.49 $11.87 2025-04-10
85610 CPT Prothrombin Time 31 24 $12.00 $12.00 $3.75 $12.00 $6.56 2025-04-10
85613 CPT Russell Viper Venom Diluted 28 22 $45.00 $45.00 $5.55 $75.00 $13.29 2025-04-10
85651 CPT Rbc Sed Rate Nonautomated 32 25 $18.00 $18.00 $2.98 $9.00 $4.49 2025-04-10
85652 CPT Rbc Sed Rate Automated 32 25 $18.00 $18.00 $2.98 $9.00 $4.49 2025-04-10
85660 CPT Rbc Sickle Cell Test 32 25 $12.00 $12.00 $3.00 $10.00 $6.00 2025-04-10
85730 CPT Thromboplastin Time Partial 32 25 $12.00 $12.00 $5.73 $14.00 $8.52 2025-04-10
86328 CPT Ia Nfct Ab Sarscov2 Covid19 11 9 $42.00 $42.00 $19.00 $35.00 $22.00 2025-04-10
86361 CPT T Cell Absolute Count 29 22 $165.00 $165.00 $25.53 $108.00 $37.58 2025-04-10
86769 CPT Sars-cov-2 Covid-19 Antibody 17 10 $50.00 $50.00 $10.00 $62.00 $42.13 2025-04-10
86900 CPT Blood Typing Serologic Abo 31 24 $10.00 $10.00 $2.99 $16.81 $7.00 2025-04-10
86901 CPT Blood Typing Serologic Rh(d) 31 24 $10.00 $10.00 $2.99 $16.81 $7.00 2025-04-10
87045 CPT Feces Culture Aerobic Bact 32 25 $25.00 $25.00 $9.00 $28.00 $14.25 2025-04-10
87426 CPT Sarscov Coronavirus Ag Ia 19 12 $70.00 $70.00 $30.00 $70.00 $45.23 2025-04-10
87635 CPT Sars-cov-2 Covid-19 Amp Prb 20 13 $84.63 $84.63 $51.00 $84.63 $59.00 2025-04-10
93452 CPT Left Hrt Cath W/ventrclgrphy 18 11 $2,500.00 $2,500.00 $239.84 $2,350.00 $1,967.00 2025-04-10
97110 CPT Therapeutic Exercises 18 16 $35.00 $35.00 $10.73 $30.00 $20.80 2025-04-10
99203 CPT Office O/p New Low 30 Min 5 4 $87.29 $87.29 $225.00 $600.00 $225.00 2025-04-10
99204 CPT Office O/p New Mod 45 Min 2 2 $111.11 $111.11 $552.00 $600.00 $576.00 2025-04-10
99205 CPT Office O/p New Hi 60 Min 2 2 $164.08 $164.08 $552.00 $600.00 $576.00 2025-04-10
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