Hospital

HOSPITAL SAN FRANCISCO

San Juan, PR · CCN 400098 · Rates published

247 distinct procedures filed

29 distinct payers

7,983 rate rows

2025-04-10 last MRF observed · ⚠ 14 mo old

Data quality

7,982 of 7,983 rate rows are consumer-grade (100.0%)

1 row is 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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=F2BB6A0B-8C30-481F-B1D2-DA63B3577635
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-19
Content fingerprint	003c4ef195695a90… · 1,108,554 bytes · first seen 2026-05-15

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
73219 CPT	MRI Of Arm With Contrast	24	$105.87	$650.00	$310.00	nat. median $959 outlier · 0.3×
73720 CPT	MRI Of Leg Other Than Joint With And Without Contrast	28	$132.06	$812.50	$293.58	nat. median $1,189 outlier · 0.2×
70543 CPT	MRI Of Face Or Neck With And Without Contrast	24	$129.41	$812.50	$288.47	nat. median $1,077 outlier · 0.3×
74183 CPT	MRI Of Abdomen With And Without Contrast	24	$133.39	$812.50	$287.74	nat. median $1,101 outlier · 0.3×
72149 CPT	MRI Of Lower Spinal Canal With Contrast	28	$85.69	$725.00	$287.50	nat. median $970 outlier · 0.3×
70551 CPT	MRI Of Brain Without Contrast	28	$62.26	$650.00	$287.50	nat. median $772 outlier · 0.4×
72156 CPT	MRI Of Upper Spinal Canal With And Without Contrast	28	$101.96	$812.50	$287.50	nat. median $1,092 outlier · 0.3×
72157 CPT	MRI Of Middle Spinal Canal With And Without Contrast	28	$102.13	$812.50	$287.50	nat. median $1,093 outlier · 0.3×
70552 CPT	MRI Of Brain With Contrast	28	$85.39	$720.00	$287.50	nat. median $959 outlier · 0.3×
72158 CPT	MRI Of Lower Spinal Canal With And Without Contrast	28	$101.78	$812.50	$287.50	nat. median $1,080 outlier · 0.3×
70553 CPT	MRI Of Brain With And Without Contrast	28	$101.52	$812.50	$287.50	nat. median $1,122 outlier · 0.3×
72197 CPT	MRI Of Pelvis With And Without Contrast	24	$133.21	$812.50	$287.01	nat. median $1,064 outlier · 0.3×
72196 CPT	MRI Of Pelvis With Contrast	28	$107.99	$650.00	$283.41	nat. median $953 outlier · 0.3×
72195 CPT	MRI Of Pelvis Without Contrast	28	$90.67	$650.00	$277.74	nat. median $787 outlier · 0.4×
73718 CPT	MRI Of Leg Not Including Joint Without Contrast	28	$88.85	$650.00	$276.66	nat. median $916 outlier · 0.3×
73721 CPT	MRI Of Leg Joint Without Contrast	28	$63.22	$650.00	$272.97	nat. median $899 outlier · 0.3×
74181 CPT	MRI Of Abdomen Without Contrast	28	$87.66	$650.00	$272.51	nat. median $820 outlier · 0.3×
72148 CPT	MRI Of Lower Spinal Canal Without Contrast	28	$60.35	$650.00	$271.51	nat. median $770 outlier · 0.4×
72146 CPT	MRI Of Middle Spinal Canal Without Contrast	28	$60.62	$650.00	$271.47	nat. median $772 outlier · 0.4×
72141 CPT	MRI Of Upper Spinal Canal Without Contrast	28	$60.62	$650.00	$271.47	nat. median $765 outlier · 0.4×
74182 CPT	MRI Of Abdomen With Contrast	24	$81.28	$650.00	$270.64	nat. median $990 outlier · 0.3×
73719 CPT	MRI Of Leg Not Including Joint With Contrast	24	$105.78	$650.00	$228.08	nat. median $973 outlier · 0.2×
78452 CPT	Multiple Spect Scans Of Heart Muscle	8	$105.30	$355.00	$211.67	nat. median $1,765 outlier · 0.1×
70544 CPT	MRI Of Blood Vessels Of Head Without Contrast	26	$86.49	$650.00	$207.07	nat. median $816 outlier · 0.3×
74178 CPT	Cat Scan Of Abdomen And Pelvis With And Without Contrast	27	$94.49	$467.50	$197.26	nat. median $977 outlier · 0.2×
74177 CPT	Cat Scan Of Abdomen And Pelvis With Contrast	27	$83.47	$450.00	$194.47	nat. median $928 outlier · 0.2×
73706 CPT	Cat Scan Of Blood Vessels Of Leg With Contrast	21	$88.47	$330.00	$183.70	nat. median $760 outlier · 0.2×
71275 CPT	Cat Scan Of Blood Vessels In Chest With Contrast	22	$80.58	$343.33	$183.70	nat. median $735 outlier · 0.2×
73702 CPT	Cat Scan Of Leg With And Without Contrast	28	$72.30	$312.50	$164.82	nat. median $710 outlier · 0.2×
70492 CPT	Cat Scan Of Soft Tissue Of The Neck With And Without Contrast	28	$73.98	$325.00	$163.34	nat. median $633 outlier · 0.3×
74170 CPT	Cat Scan Of Abdomen With And Without Contrast	28	$69.92	$312.50	$163.28	nat. median $702 outlier · 0.2×
71270 CPT	Cat Scan Of Chest With And Without Contrast	28	$73.01	$325.00	$162.97	nat. median $661 outlier · 0.2×
70481 CPT	Cat Scan Of Eye, Ear, Or Sella Turcica With Contrast	28	$71.44	$326.67	$162.50	nat. median $630 outlier · 0.3×
73201 CPT	Cat Scan Of Arm With Contrast	28	$59.27	$300.00	$162.50	nat. median $827 outlier · 0.2×
72193 CPT	Cat Scan Of Pelvis With Contrast	28	$60.07	$328.33	$162.50	nat. median $629 outlier · 0.3×
74160 CPT	Cat Scan Of Abdomen With Contrast	28	$61.62	$300.00	$162.50	nat. median $645 outlier · 0.3×
74174 CPT	Cat Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	2	$103.93	$198.62	$151.28	nat. median $958 outlier · 0.2×
72132 CPT	Cat Scan Of Lower Spine With Contrast	28	$60.90	$328.33	$150.00	nat. median $760 outlier · 0.2×
70496 CPT	Cat Scan Of Blood Vessels In Head With Contrast	15	$79.00	$350.00	$150.00	nat. median $729 outlier · 0.2×
73701 CPT	Cat Scan Of Leg With Contrast	28	$60.07	$300.00	$150.00	nat. median $710 outlier · 0.2×
70488 CPT	Cat Scan Of Facial Bones With And Without Contrast	28	$55.26	$328.33	$150.00	nat. median $634 outlier · 0.2×
74176 CPT	Cat Scan Of Abdomen And Pelvis Without Contrast	27	$82.85	$450.00	$146.89	nat. median $685 outlier · 0.2×
70491 CPT	Cat Scan Of Soft Tissue Of The Neck With Contrast	28	$63.21	$328.33	$145.63	nat. median $617 outlier · 0.2×
71260 CPT	Cat Scan Of Chest With Contrast	28	$61.15	$328.33	$140.84	nat. median $646 outlier · 0.2×
70470 CPT	Cat Scan Of Head Or Brain With And Without Contrast	28	$51.99	$333.33	$137.28	nat. median $618 outlier · 0.2×
70487 CPT	Cat Scan Of Facial Bones With Contrast	28	$45.69	$328.33	$129.00	nat. median $596 outlier · 0.2×
70460 CPT	Cat Scan Of Head Or Brain With Contrast	28	$44.01	$326.67	$127.70	nat. median $582 outlier · 0.2×
72128 CPT	Cat Scan Of Mid Spine Without Contrast	28	$43.71	$325.00	$126.75	nat. median $449 outlier · 0.3×
70480 CPT	Cat Scan Of Eye, Ear, Or Sella Turcica Without Contrast	28	$48.22	$325.00	$126.62	nat. median $473 outlier · 0.3×
70490 CPT	Cat Scan Of Soft Tissue Of The Neck Without Contrast	28	$48.22	$325.00	$124.12	nat. median $441 outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 247 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

73219	CPT	MRI Of Arm With Contrast	31	24	$325.00	$325.00	$105.87	$650.00	$310.00	2025-04-10
73720	CPT	MRI Of Leg Other Than Joint With And Without Contrast	35	28	$325.00	$325.00	$132.06	$812.50	$293.58	2025-04-10
70543	CPT	MRI Of Face Or Neck With And Without Contrast	31	24	$325.00	$325.00	$129.41	$812.50	$288.47	2025-04-10
74183	CPT	MRI Of Abdomen With And Without Contrast	31	24	$325.00	$325.00	$133.39	$812.50	$287.74	2025-04-10
72149	CPT	MRI Of Lower Spinal Canal With Contrast	35	28	$325.00	$325.00	$85.69	$725.00	$287.50	2025-04-10
70552	CPT	MRI Of Brain With Contrast	35	28	$325.00	$325.00	$85.39	$720.00	$287.50	2025-04-10
72158	CPT	MRI Of Lower Spinal Canal With And Without Contrast	35	28	$325.00	$325.00	$101.78	$812.50	$287.50	2025-04-10
72157	CPT	MRI Of Middle Spinal Canal With And Without Contrast	35	28	$325.00	$325.00	$102.13	$812.50	$287.50	2025-04-10
72156	CPT	MRI Of Upper Spinal Canal With And Without Contrast	35	28	$325.00	$325.00	$101.96	$812.50	$287.50	2025-04-10
70553	CPT	MRI Of Brain With And Without Contrast	35	28	$325.00	$325.00	$101.52	$812.50	$287.50	2025-04-10
70551	CPT	MRI Of Brain Without Contrast	35	28	$325.00	$325.00	$62.26	$650.00	$287.50	2025-04-10
72197	CPT	MRI Of Pelvis With And Without Contrast	31	24	$325.00	$325.00	$133.21	$812.50	$287.01	2025-04-10
72196	CPT	MRI Of Pelvis With Contrast	35	28	$325.00	$325.00	$107.99	$650.00	$283.41	2025-04-10
72195	CPT	MRI Of Pelvis Without Contrast	35	28	$325.00	$325.00	$90.67	$650.00	$277.74	2025-04-10
73718	CPT	MRI Of Leg Not Including Joint Without Contrast	35	28	$325.00	$325.00	$88.85	$650.00	$276.66	2025-04-10
73721	CPT	MRI Of Leg Joint Without Contrast	35	28	$325.00	$325.00	$63.22	$650.00	$272.97	2025-04-10
74181	CPT	MRI Of Abdomen Without Contrast	35	28	$325.00	$325.00	$87.66	$650.00	$272.51	2025-04-10
72148	CPT	MRI Of Lower Spinal Canal Without Contrast	35	28	$325.00	$325.00	$60.35	$650.00	$271.51	2025-04-10
72141	CPT	MRI Of Upper Spinal Canal Without Contrast	35	28	$325.00	$325.00	$60.62	$650.00	$271.47	2025-04-10
72146	CPT	MRI Of Middle Spinal Canal Without Contrast	35	28	$325.00	$325.00	$60.62	$650.00	$271.47	2025-04-10
74182	CPT	MRI Of Abdomen With Contrast	31	24	$325.00	$325.00	$81.28	$650.00	$270.64	2025-04-10
73719	CPT	MRI Of Leg Not Including Joint With Contrast	31	24	$325.00	$325.00	$105.78	$650.00	$228.08	2025-04-10
78452	CPT	Multiple Spect Scans Of Heart Muscle	10	8	$250.00	$250.00	$105.30	$355.00	$211.67	2025-04-10
70544	CPT	MRI Of Blood Vessels Of Head Without Contrast	33	26	$325.00	$325.00	$86.49	$650.00	$207.07	2025-04-10
74178	CPT	Cat Scan Of Abdomen And Pelvis With And Without Contrast	34	27	$162.50	$162.50	$94.49	$467.50	$197.26	2025-04-10
74177	CPT	Cat Scan Of Abdomen And Pelvis With Contrast	34	27	$162.50	$162.50	$83.47	$450.00	$194.47	2025-04-10
73706	CPT	Cat Scan Of Blood Vessels Of Leg With Contrast	27	21	$175.00	$175.00	$88.47	$330.00	$183.70	2025-04-10
71275	CPT	Cat Scan Of Blood Vessels In Chest With Contrast	29	22	$175.00	$175.00	$80.58	$343.33	$183.70	2025-04-10
73702	CPT	Cat Scan Of Leg With And Without Contrast	35	28	$162.50	$162.50	$72.30	$312.50	$164.82	2025-04-10
70492	CPT	Cat Scan Of Soft Tissue Of The Neck With And Without Contrast	35	28	$162.50	$162.50	$73.98	$325.00	$163.34	2025-04-10
74170	CPT	Cat Scan Of Abdomen With And Without Contrast	35	28	$162.50	$162.50	$69.92	$312.50	$163.28	2025-04-10
71270	CPT	Cat Scan Of Chest With And Without Contrast	35	28	$162.50	$162.50	$73.01	$325.00	$162.97	2025-04-10
70481	CPT	Cat Scan Of Eye, Ear, Or Sella Turcica With Contrast	35	28	$162.50	$162.50	$71.44	$326.67	$162.50	2025-04-10
74160	CPT	Cat Scan Of Abdomen With Contrast	35	28	$162.50	$162.50	$61.62	$300.00	$162.50	2025-04-10
73201	CPT	Cat Scan Of Arm With Contrast	35	28	$162.50	$162.50	$59.27	$300.00	$162.50	2025-04-10
72193	CPT	Cat Scan Of Pelvis With Contrast	35	28	$162.50	$162.50	$60.07	$328.33	$162.50	2025-04-10
74174	CPT	Cat Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	2	2	$162.50	$162.50	$103.93	$198.62	$151.28	2025-04-10
72132	CPT	Cat Scan Of Lower Spine With Contrast	35	28	$162.50	$162.50	$60.90	$328.33	$150.00	2025-04-10
73701	CPT	Cat Scan Of Leg With Contrast	35	28	$162.50	$162.50	$60.07	$300.00	$150.00	2025-04-10
70496	CPT	Cat Scan Of Blood Vessels In Head With Contrast	21	15	$162.50	$162.50	$79.00	$350.00	$150.00	2025-04-10
70488	CPT	Cat Scan Of Facial Bones With And Without Contrast	35	28	$162.50	$162.50	$55.26	$328.33	$150.00	2025-04-10
74176	CPT	Cat Scan Of Abdomen And Pelvis Without Contrast	34	27	$162.50	$162.50	$82.85	$450.00	$146.89	2025-04-10
70491	CPT	Cat Scan Of Soft Tissue Of The Neck With Contrast	35	28	$162.50	$162.50	$63.21	$328.33	$145.63	2025-04-10
71260	CPT	Cat Scan Of Chest With Contrast	35	28	$162.50	$162.50	$61.15	$328.33	$140.84	2025-04-10
70470	CPT	Cat Scan Of Head Or Brain With And Without Contrast	35	28	$162.50	$162.50	$51.99	$333.33	$137.28	2025-04-10
70487	CPT	Cat Scan Of Facial Bones With Contrast	35	28	$162.50	$162.50	$45.69	$328.33	$129.00	2025-04-10
70460	CPT	Cat Scan Of Head Or Brain With Contrast	35	28	$162.50	$162.50	$44.01	$326.67	$127.70	2025-04-10
72128	CPT	Cat Scan Of Mid Spine Without Contrast	35	28	$162.50	$162.50	$43.71	$325.00	$126.75	2025-04-10
70480	CPT	Cat Scan Of Eye, Ear, Or Sella Turcica Without Contrast	35	28	$162.50	$162.50	$48.22	$325.00	$126.62	2025-04-10
70490	CPT	Cat Scan Of Soft Tissue Of The Neck Without Contrast	35	28	$162.50	$162.50	$48.22	$325.00	$124.12	2025-04-10
73200	CPT	Cat Scan Of Arm Without Contrast	35	28	$162.50	$162.50	$43.71	$325.00	$123.68	2025-04-10
71250	CPT	Cat Scan Of Chest Without Contrast	35	28	$162.50	$162.50	$44.05	$325.00	$123.31	2025-04-10
72125	CPT	Cat Scan Of Neck Spine Without Contrast	35	28	$162.50	$162.50	$44.86	$325.00	$123.00	2025-04-10
72131	CPT	Cat Scan Of Lower Spine Without Contrast	35	28	$162.50	$162.50	$43.71	$325.00	$122.91	2025-04-10
73700	CPT	Cat Scan Of Leg Without Contrast	35	28	$162.50	$162.50	$43.71	$300.00	$122.91	2025-04-10
74150	CPT	Cat Scan Of Abdomen Without Contrast	35	28	$162.50	$162.50	$41.18	$300.00	$122.17	2025-04-10
72192	CPT	Cat Scan Of Pelvis Without Contrast	35	28	$162.50	$162.50	$39.98	$325.00	$121.67	2025-04-10
70486	CPT	Cat Scan Of Facial Bones Without Contrast	35	28	$162.50	$162.50	$37.65	$325.00	$120.91	2025-04-10
70450	CPT	Cat Scan Of Head Or Brain Without Contrast	35	28	$162.50	$162.50	$32.55	$325.00	$117.86	2025-04-10
77066	CPT	Diagnostic Mammogram Of Both Breasts	25	18	$75.00	$75.00	$36.64	$122.61	$84.98	2025-04-10
82652	CPT	Lab Test - Vitamin D Level	32	26	$196.00	$196.00	$36.71	$195.00	$75.33	2025-04-10
76872	CPT	Ultrasound Of Pelvic Cavity Via Rectum	35	28	$75.00	$75.00	$25.90	$113.13	$73.74	2025-04-10
84207	CPT	Lab Test - Vitamin B-6 Level	33	26	$248.00	$248.00	$26.79	$150.00	$73.04	2025-04-10
76805	CPT	External Ultrasound Of Pregnant Uterus In 2nd Or 3rd Trimester	35	28	$75.00	$75.00	$35.00	$102.82	$70.13	2025-04-10
77067	CPT	Screening Mammogram	24	18	$60.00	$60.00	$14.92	$120.00	$70.08	2025-04-10
85240	CPT	Lab Test - Measurement Of Blood Clotting Factor Viii Deficiency	33	26	$186.00	$186.00	$12.53	$125.00	$70.00	2025-04-10
77065	CPT	Diagnostic Mammogram Of One Breast	25	18	$60.00	$60.00	$25.00	$97.02	$68.62	2025-04-10
82088	CPT	Lab Test - Aldosterone Hormone Level	32	26	$166.00	$166.00	$36.86	$146.00	$66.87	2025-04-10
83970	CPT	Lab Test - Parathyroid Hormone Level	33	26	$160.00	$160.00	$39.36	$130.00	$66.35	2025-04-10
82306	CPT	Lab Test - Vitamin D-3 Level	34	27	$130.00	$130.00	$28.23	$150.00	$65.00	2025-04-10
76830	CPT	Ultrasound Of Non-pregnant Uterus	35	28	$60.00	$60.00	$32.87	$100.00	$64.05	2025-04-10
76801	CPT	External Ultrasound Of Pregnant Uterus In 1st Trimester	34	27	$75.00	$75.00	$19.50	$89.12	$63.62	2025-04-10
76700	CPT	Complete Ultrasound Of Abdomen	35	28	$50.00	$50.00	$33.40	$119.00	$63.11	2025-04-10
76770	CPT	Complete Ultrasound Of Kidneys, Aorta, And Lymph Nodes	35	28	$50.00	$50.00	$30.85	$100.00	$60.67	2025-04-10
76817	CPT	Vaginal Ultrasound Of Pregnant Uterus In 1st Trimester	35	28	$47.00	$47.00	$19.50	$100.00	$59.40	2025-04-10
76536	CPT	Ultrasound Of Soft Tissue Of Head And Neck	35	28	$50.00	$50.00	$24.38	$89.85	$58.13	2025-04-10
86360	CPT	Lab Test - Measurement Of Cd4 And Cd8 White Blood T Cells With Ratio	33	26	$333.00	$333.00	$39.00	$123.00	$58.01	2025-04-10
82024	CPT	Lab Test - Pituitary Hormone Level	32	26	$333.00	$333.00	$36.83	$140.00	$57.53	2025-04-10
76856	CPT	Complete Ultrasound Of Female Pelvis Unrelated To Pregnancy	35	28	$75.00	$75.00	$29.78	$79.54	$56.79	2025-04-10
80055	CPT	Lab Test - Panel For Pregnant Patients Without HIV Testing	32	26	$75.00	$75.00	$45.58	$80.00	$56.17	2025-04-10
76870	CPT	Ultrasound Of Scrotum	35	28	$50.00	$50.00	$18.98	$100.00	$53.73	2025-04-10
87635	CPT	Lab Test - Identification Of Covid-19 Virus DNA Using Amplified Probe Technique	11	7	$120.00	$120.00	$51.31	$74.77	$51.33	2025-04-10
83498	CPT	Lab Test - Hydroxyprogestone 17-d Level	33	26	$246.00	$246.00	$25.91	$100.00	$49.00	2025-04-10
76705	CPT	Limited Or Follow-up Ultrasound Of Abdomen	35	28	$30.00	$30.00	$24.86	$100.00	$49.00	2025-04-10
76881	CPT	Complete Ultrasound Of Joint	23	18	$50.00	$50.00	$27.19	$76.00	$47.28	2025-04-10
87426	CPT	Lab Test - Identification Of Covid-19 Virus Using Multiple-step Immunoassay Meth…	13	8	$120.00	$120.00	$38.45	$45.23	$45.23	2025-04-10
84425	CPT	Lab Test - Vitamin B-1 Level	33	26	$140.00	$140.00	$20.24	$90.00	$44.14	2025-04-10
76775	CPT	Limited Ultrasound Of Kidneys, Aorta, And Lymph Nodes	35	28	$30.00	$30.00	$16.43	$100.00	$41.75	2025-04-10
82670	CPT	Lab Test - Estradiol Hormone Level	34	27	$30.00	$30.00	$26.64	$76.00	$41.51	2025-04-10
86361	CPT	Lab Test - Measurement Of Cd4 White Blood T Cells	32	25	$56.00	$56.00	$25.53	$45.00	$38.35	2025-04-10
84402	CPT	Lab Test - Free Testosterone Level	33	26	$380.00	$380.00	$24.28	$170.00	$38.00	2025-04-10
77080	CPT	Measurement Of Bone Density Using Dual-energy X-rays Of Hips, Pelvis, And/or Spi…	34	27	$50.00	$50.00	$10.89	$90.00	$34.49	2025-04-10
82677	CPT	Lab Test - Estriol Hormone Level	34	27	$253.00	$253.00	$23.06	$65.00	$33.88	2025-04-10
84403	CPT	Lab Test - Total Testosterone Level	33	26	$119.00	$119.00	$24.62	$75.00	$33.82	2025-04-10
77074	CPT	X-ray For Bone Evaluation In Limited Area	31	26	$42.50	$42.50	$17.46	$90.00	$33.50	2025-04-10
84482	CPT	Lab Test - Reverse T3 Thyroid Hormone Level	33	26	$140.00	$140.00	$11.02	$100.00	$32.50	2025-04-10
85300	CPT	Lab Test - Measurement Of Antithrombin Iii Blood Clotting Inhibitor Activity	33	26	$126.00	$126.00	$11.31	$98.33	$31.25	2025-04-10
82672	CPT	Lab Test - Estrogen Hormone Level	34	27	$71.00	$71.00	$20.69	$70.00	$31.07	2025-04-10
85246	CPT	Lab Test - Measurement Of Blood Clotting Factor Von Willebrand Antigen	32	25	$199.00	$199.00	$12.53	$150.00	$30.38	2025-04-10
72052	CPT	X-ray Of Neck, 6 Or More Views	35	28	$30.00	$30.00	$15.14	$55.00	$30.33	2025-04-10
84144	CPT	Lab Test - Progesterone Hormone Level	33	26	$116.00	$116.00	$19.89	$65.00	$29.88	2025-04-10
76857	CPT	Limited Or Follow-up Ultrasound Of Female Pelvis Unrelated To Pregnancy	35	28	$25.50	$25.50	$13.57	$67.00	$29.40	2025-04-10
84146	CPT	Lab Test - Prolactin Hormone Level	32	26	$50.00	$50.00	$18.48	$40.00	$27.76	2025-04-10
72082	CPT	X-ray Of Entire Back For Scoliosis Evaluation, 2-3 Views	8	6	$45.00	$45.00	$12.93	$43.50	$27.52	2025-04-10
83001	CPT	Lab Test - Fsh Hormone Level	34	27	$83.00	$83.00	$17.71	$60.00	$26.62	2025-04-10
84153	CPT	Lab Test - Total Prostate Specific Antigen Level	33	26	$83.00	$83.00	$17.54	$58.00	$26.34	2025-04-10
84154	CPT	Lab Test - Free Prostate Specific Antigen Level	33	26	$160.00	$160.00	$17.54	$145.00	$26.34	2025-04-10
71111	CPT	X-ray Of Ribs On Both Sides And Chest, 4 Or More Views	35	28	$30.00	$30.00	$12.87	$46.00	$25.86	2025-04-10
97110	CPT	Individual Physical Therapy Exercises	16	15	$21.00	$21.00	$12.00	$25.56	$25.56	2025-04-10
70330	CPT	X-ray Of Both Sides Of Jaw Joint	35	28	$25.00	$25.00	$8.00	$40.01	$25.28	2025-04-10
83002	CPT	Lab Test - Lh Hormone Level	34	27	$74.00	$74.00	$17.65	$40.00	$25.00	2025-04-10
82164	CPT	Lab Test - Angiotensin Converting Enzyme Level	32	26	$153.00	$153.00	$13.92	$62.00	$24.80	2025-04-10
72110	CPT	X-ray Of Lower Back, Minimum Of 4 Views	35	28	$27.50	$27.50	$13.10	$46.00	$24.70	2025-04-10
84481	CPT	Lab Test - Free T3 Thyroid Hormone Level	34	27	$333.00	$333.00	$16.15	$115.00	$24.63	2025-04-10
72050	CPT	X-ray Of Neck, 4 Or 5 Views	35	28	$22.50	$22.50	$12.13	$41.00	$24.46	2025-04-10
82330	CPT	Lab Test - Ionized Calcium Level	33	26	$140.00	$140.00	$9.00	$52.00	$24.08	2025-04-10
84443	CPT	Lab Test - Thyroid Stimulating Hormone Level	33	26	$83.00	$83.00	$16.02	$40.00	$24.06	2025-04-10
84432	CPT	Lab Test - Thyroglobulin Hormone Level	33	26	$82.00	$82.00	$15.31	$98.75	$24.00	2025-04-10
84166	CPT	Lab Test - Protein Level In Body Fluid Other Than Blood	30	24	$45.00	$45.00	$15.65	$50.00	$24.00	2025-04-10
86328	CPT	Lab Test - Identification Of Covid-19 Antibody Using Test Strip	10	6	$120.00	$120.00	$9.51	$45.23	$23.50	2025-04-10
85384	CPT	Lab Test - Measurement Of Blood Clot Activity	31	26	$30.00	$30.00	$11.00	$38.49	$23.40	2025-04-10
70260	CPT	X-ray Of Skull Bones, 4 Or More Views	35	28	$27.50	$27.50	$12.03	$47.00	$22.83	2025-04-10
70150	CPT	X-ray Of Face Bones, 3 Or More Views	35	28	$27.50	$27.50	$11.65	$40.00	$22.29	2025-04-10
73502	CPT	X-ray Of Single Hip, 2-3 Views	21	15	$20.00	$20.00	$10.77	$34.55	$22.27	2025-04-10
73564	CPT	X-ray Of Knee, 4 Or More Views	35	28	$20.00	$20.00	$7.65	$35.00	$22.16	2025-04-10
72074	CPT	X-ray Of Mid Back, 4 Or More Views	35	28	$50.00	$50.00	$7.50	$39.00	$21.97	2025-04-10
71110	CPT	X-ray Of Ribs On Both Sides, 3 Or More Views	35	28	$27.50	$27.50	$10.17	$40.00	$21.96	2025-04-10
85306	CPT	Lab Test - Measurement Of Free Protein S Blood Clotting Inhibitor Level	33	26	$253.00	$253.00	$14.61	$110.00	$21.61	2025-04-10
84702	CPT	Lab Test - Pregnancy Hormone Level	34	27	$75.00	$75.00	$14.36	$50.00	$21.50	2025-04-10
72190	CPT	X-ray Of Pelvis, 3 Or More Views	35	28	$20.00	$20.00	$5.13	$34.00	$20.70	2025-04-10
71101	CPT	X-ray Of Ribs One On Side And Chest, 3 Or More Views	35	28	$44.00	$44.00	$9.86	$35.00	$20.52	2025-04-10
70110	CPT	X-ray Of Jaw, 4 Or More Views	35	28	$134.00	$134.00	$10.19	$34.50	$20.48	2025-04-10
84480	CPT	Lab Test - Total T3 Thyroid Hormone Level	34	27	$60.00	$60.00	$13.51	$45.00	$20.31	2025-04-10
82607	CPT	Lab Test - Vitamin B-12 Level	32	26	$66.00	$66.00	$14.38	$45.00	$20.00	2025-04-10
73521	CPT	X-ray Of Both Hips, 2 Views	22	16	$40.00	$40.00	$9.80	$29.10	$19.88	2025-04-10
85303	CPT	Lab Test - Measurement Of Protein C Blood Clotting Inhibitor Activity	32	25	$206.00	$206.00	$13.19	$130.00	$19.81	2025-04-10
73110	CPT	X-ray Of Wrist, 3 Or More Views	35	28	$20.00	$20.00	$9.27	$30.55	$19.80	2025-04-10
80164	CPT	Lab Test - Total Valproic Acid Level	33	27	$86.00	$86.00	$12.92	$50.00	$19.40	2025-04-10
80061	CPT	Lab Test - Cholesterol Panel	34	27	$187.00	$187.00	$12.77	$60.00	$19.19	2025-04-10
73562	CPT	X-ray Of Knee, 3 Views	35	28	$19.00	$19.00	$9.40	$30.19	$19.18	2025-04-10
82180	CPT	Lab Test - Vitamin C Level	32	26	$66.00	$66.00	$9.42	$100.00	$19.16	2025-04-10
80162	CPT	Lab Test - Total Digoxin Level	33	27	$40.00	$40.00	$12.66	$35.00	$19.02	2025-04-10
72100	CPT	X-ray Of Lower Back, 2-3 Views	35	28	$20.00	$20.00	$9.37	$37.50	$18.81	2025-04-10
70220	CPT	X-ray Of Paranasal Sinuses, 3 Or More Views	35	28	$25.00	$25.00	$10.10	$40.00	$18.70	2025-04-10
72072	CPT	X-ray Of Mid Back, 3 Views	35	28	$22.50	$22.50	$5.25	$34.00	$18.69	2025-04-10
80156	CPT	Lab Test - Total Carbamazepine Level	32	26	$60.00	$60.00	$13.89	$40.00	$18.56	2025-04-10
73565	CPT	X-ray Of Both Knees With Standing Views	35	28	$35.00	$35.00	$7.20	$30.55	$18.27	2025-04-10
72202	CPT	X-ray Of Sacroiliac Joints, 3 Or More Views	35	28	$112.00	$112.00	$6.50	$28.00	$18.18	2025-04-10
82746	CPT	Lab Test - Folic Acid Level	34	27	$75.00	$75.00	$9.75	$40.00	$18.15	2025-04-10
71100	CPT	X-ray Of Ribs On One Side, 2 Views	35	28	$22.50	$22.50	$8.84	$31.00	$17.86	2025-04-10
70160	CPT	X-ray Of Nose Bones	35	28	$20.00	$20.00	$8.93	$28.00	$17.67	2025-04-10
82728	CPT	Lab Test - Ferritin Level	34	27	$53.00	$53.00	$13.00	$40.00	$17.56	2025-04-10
73610	CPT	X-ray Of Ankle, 3 Or More Views	35	28	$22.50	$22.50	$8.22	$28.00	$17.45	2025-04-10
72080	CPT	X-ray Of Mid/Lower Back Junction	35	28	$27.50	$27.50	$8.31	$34.00	$17.43	2025-04-10
73130	CPT	X-ray Of Hand, 3 Or More Views	35	28	$25.00	$25.00	$8.13	$28.00	$17.10	2025-04-10
72040	CPT	X-ray Of Neck, 2 Or 3 Views	35	28	$17.50	$17.50	$7.76	$35.38	$17.06	2025-04-10
73630	CPT	X-ray Of Foot, 3 Or More Views	35	28	$20.00	$20.00	$7.69	$28.00	$16.70	2025-04-10
73140	CPT	X-ray Of Fingers	35	28	$15.00	$15.00	$5.95	$29.10	$16.46	2025-04-10
80185	CPT	Lab Test - Total Phenytoin Level	33	27	$74.00	$74.00	$12.64	$40.00	$16.36	2025-04-10
73501	CPT	X-ray Of Single Hip, 1 View	21	15	$17.50	$17.50	$6.20	$22.55	$16.16	2025-04-10
72070	CPT	X-ray Of Mid Back, 2 Views	35	28	$20.00	$20.00	$8.55	$33.00	$16.15	2025-04-10
73080	CPT	X-ray Of Elbow, 3 Or More Views	35	28	$20.00	$20.00	$8.21	$28.00	$16.10	2025-04-10
73100	CPT	X-ray Of Wrist, 2 Views	35	28	$18.00	$18.00	$7.65	$26.00	$16.10	2025-04-10
71046	CPT	X-ray Of Chest, 2 Views	28	21	$20.00	$20.00	$8.00	$36.00	$16.05	2025-04-10
73560	CPT	X-ray Of Knee, 1 Or 2 Views	35	28	$17.50	$17.50	$8.18	$27.00	$15.92	2025-04-10
70210	CPT	X-ray Of Paranasal Sinuses, 1-2 Views	35	28	$17.50	$17.50	$8.24	$30.00	$15.80	2025-04-10
73030	CPT	X-ray Of Shoulder, 2 Or More Views	35	28	$25.00	$25.00	$7.72	$29.00	$15.77	2025-04-10
73060	CPT	X-ray Of Upper Arm	35	28	$17.50	$17.50	$7.65	$29.00	$15.58	2025-04-10
72200	CPT	X-ray Of Sacroiliac Joints, 1-2 Views	35	28	$17.50	$17.50	$5.10	$27.00	$15.40	2025-04-10
72220	CPT	X-ray Of Tailbone	35	28	$20.00	$20.00	$7.51	$25.50	$15.22	2025-04-10
73600	CPT	X-ray Of Ankle, 2 Views	35	28	$17.50	$17.50	$7.91	$26.00	$15.19	2025-04-10
73000	CPT	X-ray Of Collarbone	35	28	$15.00	$15.00	$5.10	$27.00	$15.00	2025-04-10
73120	CPT	X-ray Of Hand, 2 Views	35	28	$17.50	$17.50	$6.94	$26.00	$15.00	2025-04-10
73590	CPT	X-ray Of Lower Leg	35	28	$17.50	$17.50	$7.56	$27.00	$15.00	2025-04-10
73010	CPT	X-ray Of Shoulder Blade	35	28	$20.00	$20.00	$7.95	$24.00	$14.85	2025-04-10
84165	CPT	Lab Test - Protein Level In Blood	33	26	$30.00	$30.00	$10.24	$30.00	$14.65	2025-04-10
87045	CPT	Lab Test - Stool Culture For Bacteria	34	27	$41.00	$41.00	$9.00	$28.00	$14.55	2025-04-10
72170	CPT	X-ray Of Pelvis, 1-2 Views	35	28	$15.00	$15.00	$6.38	$27.00	$14.52	2025-04-10
73070	CPT	X-ray Of Elbow , 2 Views	35	28	$17.50	$17.50	$7.17	$26.00	$14.52	2025-04-10
70360	CPT	X-ray Of Soft Tissue Of The Neck	35	28	$15.00	$15.00	$5.95	$24.00	$14.47	2025-04-10
80053	CPT	Lab Test - Comprehensive Metabolic Panel	34	27	$41.00	$41.00	$10.07	$55.00	$14.46	2025-04-10
73660	CPT	X-ray Of Toes	35	28	$15.00	$15.00	$5.95	$22.00	$14.35	2025-04-10
73650	CPT	X-ray Of Heel	35	28	$20.00	$20.00	$7.21	$22.50	$14.34	2025-04-10
74018	CPT	X-ray Of Abdomen, 1 View	28	21	$15.00	$15.00	$4.90	$23.33	$14.15	2025-04-10
73620	CPT	X-ray Of Foot, 2 Views	35	28	$17.50	$17.50	$6.94	$26.00	$14.06	2025-04-10
73090	CPT	X-ray Of Lower Arm	35	28	$22.50	$22.50	$6.85	$27.00	$13.95	2025-04-10
83036	CPT	Lab Test - Hemoglobin A1c Level	33	26	$50.00	$50.00	$9.25	$30.00	$13.90	2025-04-10
85379	CPT	Lab Test - Quantitative D-dimer Test	27	24	$80.00	$80.00	$9.71	$17.00	$13.89	2025-04-10
83721	CPT	Lab Test - Ldl Cholesterol Level	31	26	$30.00	$30.00	$9.10	$30.00	$13.33	2025-04-10
80175	CPT	Lab Test - Lamotrigine Level	1	1	$95.00	$95.00	$13.06	$13.06	$13.06	2025-04-10
85613	CPT	Lab Test - Measurement Of Blood Clotting Factor X Using Diluted Russell Viper Ve…	26	24	$240.00	$240.00	$8.33	$75.00	$13.06	2025-04-10
84439	CPT	Lab Test - Free Thyroxine Level	33	26	$57.00	$57.00	$8.59	$30.00	$12.92	2025-04-10
73552	CPT	X-ray Of Upper Leg, 2 Or More Views	10	8	$20.00	$20.00	$6.00	$21.75	$12.14	2025-04-10
82575	CPT	Lab Test - Calculation Of Creatinine Clearance	34	27	$66.00	$66.00	$9.01	$20.00	$11.67	2025-04-10
80069	CPT	Lab Test - Kidney Function Panel	34	27	$42.00	$42.00	$8.28	$53.00	$11.48	2025-04-10
84478	CPT	Lab Test - Triglycerides Level	34	27	$33.00	$33.00	$5.48	$15.00	$11.37	2025-04-10
73020	CPT	X-ray Of Shoulder, 1 View	35	28	$20.00	$20.00	$5.85	$27.50	$11.25	2025-04-10
80048	CPT	Lab Test - Basic Metabolic Panel With Total Calcium	34	27	$75.00	$75.00	$8.06	$40.00	$11.04	2025-04-10
84703	CPT	Lab Test - Pregnancy Hormone Identification	34	27	$50.00	$50.00	$7.17	$21.00	$11.03	2025-04-10
80076	CPT	Lab Test - Liver Function Panel	34	27	$49.00	$49.00	$7.79	$35.00	$10.68	2025-04-10
71045	CPT	X-ray Of Chest, 1 View	28	21	$15.00	$15.00	$4.90	$21.13	$10.59	2025-04-10
73551	CPT	X-ray Of Upper Leg, 1 View	11	8	$20.00	$20.00	$5.79	$25.00	$10.50	2025-04-10
82150	CPT	Lab Test - Amylase Enzyme Level	32	26	$44.00	$44.00	$6.18	$14.00	$9.29	2025-04-10
84479	CPT	Lab Test - Thyroid Hormone Uptake Analysis	34	27	$33.00	$33.00	$6.16	$15.00	$9.27	2025-04-10
83735	CPT	Lab Test - Magnesium Level	33	26	$41.00	$41.00	$6.38	$15.00	$9.14	2025-04-10
85025	CPT	Lab Test - Complete Blood Cell Count With White Blood Cell Percentage	34	27	$20.00	$20.00	$6.96	$11.14	$9.00	2025-04-10
84436	CPT	Lab Test - Total Thyroxine Level	33	26	$35.00	$35.00	$6.54	$15.00	$9.00	2025-04-10
80051	CPT	Lab Test - Electrolyte Panel	34	27	$25.00	$25.00	$6.69	$18.00	$8.88	2025-04-10
83690	CPT	Lab Test - Lipase Enzyme Level	34	27	$39.00	$39.00	$5.69	$15.00	$8.51	2025-04-10
85730	CPT	Lab Test - Thromboplastin Time	34	27	$15.00	$15.00	$5.19	$14.00	$8.14	2025-04-10
85027	CPT	Lab Test - Complete Blood Cell Count Without White Blood Cell Percentage	29	25	$27.00	$27.00	$5.22	$10.00	$7.98	2025-04-10
83615	CPT	Lab Test - Ldh Enzyme Level	34	27	$25.00	$25.00	$4.09	$10.00	$7.45	2025-04-10
82340	CPT	Lab Test - Calcium Level In Urine	33	26	$27.00	$27.00	$4.08	$15.00	$7.44	2025-04-10
83540	CPT	Lab Test - Iron Level	34	27	$33.00	$33.00	$4.74	$14.00	$7.36	2025-04-10
84460	CPT	Lab Test - Sgpt Enzyme Level	34	27	$25.00	$25.00	$5.05	$10.00	$7.27	2025-04-10
82248	CPT	Lab Test - Direct Bilirubin Level	33	26	$53.00	$53.00	$4.78	$10.00	$7.19	2025-04-10
84450	CPT	Lab Test - Sgot Enzyme Level	34	27	$25.00	$25.00	$4.94	$10.00	$7.17	2025-04-10
82565	CPT	Lab Test - Creatinine Level In Blood Sample	34	27	$50.00	$50.00	$4.89	$10.00	$7.00	2025-04-10
84550	CPT	Lab Test - Uric Acid Level	34	27	$20.00	$20.00	$4.31	$10.00	$6.43	2025-04-10
82570	CPT	Lab Test - Creatinine Level In Sample Other Than Blood	34	27	$33.00	$33.00	$4.55	$12.00	$6.39	2025-04-10
84075	CPT	Lab Test - Total Alkaline Phosphatase Level	33	26	$15.00	$15.00	$4.13	$10.00	$6.39	2025-04-10
82310	CPT	Lab Test - Total Calcium Level In Blood	33	26	$27.00	$27.00	$4.05	$10.00	$6.37	2025-04-10
85660	CPT	Lab Test - Screening For Sickle Cell Anemia	34	27	$28.00	$28.00	$4.25	$25.00	$6.33	2025-04-10
82465	CPT	Lab Test - Total Cholesterol Level	32	26	$30.00	$30.00	$4.14	$10.00	$6.24	2025-04-10
82247	CPT	Lab Test - Total Bilirubin Level	33	26	$50.00	$50.00	$4.06	$24.00	$6.19	2025-04-10
84300	CPT	Lab Test - Sodium Level In Urine Sample	33	26	$30.00	$30.00	$4.07	$8.00	$6.00	2025-04-10
84520	CPT	Lab Test - Urea Nitrogen Level In Blood	33	26	$15.00	$15.00	$3.76	$10.00	$6.00	2025-04-10
84295	CPT	Lab Test - Sodium Level In Blood Or Plasma Sample	33	26	$30.00	$30.00	$4.35	$8.00	$6.00	2025-04-10
84100	CPT	Lab Test - Phosphate Level	33	26	$20.00	$20.00	$4.16	$10.00	$6.00	2025-04-10
85610	CPT	Lab Test - Measurement Of Prothrombin Time	34	27	$30.00	$30.00	$3.75	$12.00	$5.93	2025-04-10
82947	CPT	Lab Test - Glucose Level In Blood	34	27	$25.00	$25.00	$3.74	$9.09	$5.70	2025-04-10
84155	CPT	Lab Test - Total Protein Level In Blood	33	26	$15.00	$15.00	$3.50	$10.00	$5.34	2025-04-10
84157	CPT	Lab Test - Total Protein Level In Body Fluid Other Than Blood Or Urine	32	25	$30.00	$30.00	$3.50	$20.99	$5.23	2025-04-10
84156	CPT	Lab Test - Total Protein Level In Urine	32	25	$18.00	$18.00	$3.00	$18.25	$5.21	2025-04-10
85044	CPT	Lab Test - Manual Red Blood Cell Count	34	27	$19.00	$19.00	$3.00	$10.00	$5.11	2025-04-10
82945	CPT	Lab Test - Glucose Level In Body Fluid Other Than Blood	33	26	$24.00	$24.00	$3.74	$12.00	$5.00	2025-04-10
82948	CPT	Lab Test - Glucose Level In Blood Using Strip	29	24	$12.00	$12.00	$1.74	$5.04	$5.00	2025-04-10
85049	CPT	Lab Test - Platelet Count	32	25	$25.00	$25.00	$3.48	$6.40	$5.00	2025-04-10
85651	CPT	Lab Test - Sedimentation Rate	34	27	$13.00	$13.00	$3.38	$8.00	$4.50	2025-04-10
81000	CPT	Lab Test - Manual Analysis Of Urine By Dipstick With Microscope Evaluation	28	21	$15.00	$15.00	$3.02	$8.00	$4.38	2025-04-10
82270	CPT	Lab Test - Identification Of Hidden Blood In Stool Sample Using Chemical Reagent…	33	26	$25.00	$25.00	$2.30	$15.57	$4.38	2025-04-10
85008	CPT	Lab Test - Examination Of White Blood Cells Using Microscope	33	26	$30.00	$30.00	$2.18	$10.00	$4.24	2025-04-10
81002	CPT	Lab Test - Manual Analysis Of Urine By Dipstick	25	20	$4.00	$4.00	$2.11	$5.00	$3.48	2025-04-10
85048	CPT	Lab Test - Automated Leukocyte White Blood Cell Count	34	27	$10.00	$10.00	$2.00	$7.00	$3.30	2025-04-10
85014	CPT	Lab Test - Red Blood Cell Volume	34	27	$7.00	$7.00	$2.18	$6.55	$3.00	2025-04-10
85018	CPT	Lab Test - Hemoglobin Blood Count	34	27	$25.00	$25.00	$1.78	$6.55	$3.00	2025-04-10
81003	CPT	Lab Test - Machine Analysis Of Urine By Dipstick	24	19	$5.00	$5.00	$1.92	$3.22	$2.77	2025-04-10

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