Hospital

HOSPITAL PAVIA YAUCO

Yauco, PR · CCN 400110 · Rates published

234 distinct procedures filed

22 distinct payers

5,948 rate rows

2025-03-27 last MRF observed · ⚠ 15 mo old

Data quality

5,936 of 5,948 rate rows are consumer-grade (99.8%)

12 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	11
exceeds 10× this hospital's gross charge — excluded from medians	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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=E272FB7E-516B-4F3D-80FC-B3C8F204CB20
Found on page	https://hpt.inmediata.com/index?h=E272FB7E-516B-4F3D-80FC-B3C8F204CB20
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	5d88ef5bb112ec23… · 830,519 bytes · first seen 2026-05-05

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
74183 CPT	MRI Of Abdomen With And Without Contrast	18	$190.55	$1,300.00	$320.94	nat. median $1,102 outlier · 0.3×
72197 CPT	MRI Of Pelvis With And Without Contrast	18	$193.48	$1,300.00	$320.48	nat. median $1,065 outlier · 0.3×
74185 CPT	MRI Of Blood Vessels In Abdomen	14	$77.50	$750.00	$316.87	nat. median $1,240 outlier · 0.3×
72146 CPT	MRI Of Middle Spinal Canal Without Contrast	20	$104.46	$700.00	$316.67	nat. median $772 outlier · 0.4×
72196 CPT	MRI Of Pelvis With Contrast	21	$137.50	$750.00	$316.67	nat. median $953 outlier · 0.3×
71550 CPT	MRI Of Chest Without Contrast	21	$135.42	$700.00	$316.67	nat. median $810 outlier · 0.4×
72141 CPT	MRI Of Upper Spinal Canal Without Contrast	21	$104.46	$700.00	$316.67	nat. median $766 outlier · 0.4×
72149 CPT	MRI Of Lower Spinal Canal With Contrast	20	$152.57	$750.00	$314.59	nat. median $970 outlier · 0.3×
74182 CPT	MRI Of Abdomen With Contrast	18	$169.30	$750.00	$314.59	nat. median $991 outlier · 0.3×
70551 CPT	MRI Of Brain Without Contrast	21	$108.59	$700.00	$312.50	nat. median $772 outlier · 0.4×
73221 CPT	MRI Of Arm Without Contrast	21	$112.62	$700.00	$312.50	nat. median $880 outlier · 0.4×
73721 CPT	MRI Of Leg Joint Without Contrast	21	$112.44	$650.00	$294.80	nat. median $899 outlier · 0.3×
70552 CPT	MRI Of Brain With Contrast	20	$151.33	$650.00	$290.64	nat. median $960 outlier · 0.3×
70553 CPT	MRI Of Brain With And Without Contrast	19	$178.32	$750.00	$288.90	nat. median $1,122 outlier · 0.3×
72148 CPT	MRI Of Lower Spinal Canal Without Contrast	20	$103.45	$650.00	$286.92	nat. median $770 outlier · 0.4×
47562 CPT	Removal Of Gallbladder Using Laparoscope	14	$20.03	$1,245.00	$280.20	nat. median $5,956 outlier · 0.0×
72158 CPT	MRI Of Lower Spinal Canal With And Without Contrast	19	$179.72	$1,300.00	$277.79	nat. median $1,081 outlier · 0.3×
73718 CPT	MRI Of Leg Not Including Joint Without Contrast	19	$126.92	$700.00	$272.30	nat. median $917 outlier · 0.3×
29881 CPT	Removal Of Meniscus From Right Or Left Side Of Knee Joint Using Arthroscope	10	$22.16	$650.00	$260.00	nat. median $3,869 outlier · 0.1×
78452 CPT	Multiple Spect Scans Of Heart Muscle	16	$72.00	$422.29	$253.84	nat. median $1,767 outlier · 0.1×
77049 CPT	MRI Of Both Breasts With And Without Contrast	5	$137.67	$325.00	$247.83	nat. median $957 outlier · 0.3×
45385 CPT	Removal Of Growth From Large Intestine By Snare Using Colonoscope	8	$125.00	$236.00	$232.00	nat. median $1,686 outlier · 0.1×
74178 CPT	Cat Scan Of Abdomen And Pelvis With And Without Contrast	19	$113.50	$475.00	$207.19	nat. median $979 outlier · 0.2×
74177 CPT	Cat Scan Of Abdomen And Pelvis With Contrast	19	$113.50	$450.00	$207.19	nat. median $928 outlier · 0.2×
78802 CPT	Nuclear Medicine Study To Locate Tumor Or Infection With Whole Body Imaging Comp…	18	$39.39	$301.23	$203.13	nat. median $1,341 outlier · 0.2×
G0121 HCPCS	Exam Of Entire Large Intestine Using Colonoscope	9	$93.00	$200.00	$200.00	nat. median $1,368 outlier · 0.1×
45378 CPT	Exam Of Entire Large Intestine Using Colonoscope	9	$93.00	$200.00	$200.00	nat. median $1,331 outlier · 0.2×
G0105 HCPCS	Exam Of Entire Large Intestine Using Colonoscope	9	$93.00	$200.00	$200.00	nat. median $1,410 outlier · 0.1×
78707 CPT	Complete Nuclear Medicine Study Of Kidney Without Drug Administration	17	$44.00	$340.00	$199.00	nat. median $747 outlier · 0.3×
78278 CPT	Nuclear Medicine Study Of Blood Or Protein Loss In The Digestive Tract	18	$45.33	$320.44	$185.25	nat. median $695 outlier · 0.3×
78472 CPT	Single Nuclear Medicine Study To Evaluate Blood Ejection From The Heart During S…	18	$45.97	$250.00	$184.38	nat. median $649 outlier · 0.3×
78315 CPT	Nuclear Medicine Study Of Bones And/or Joints With Delayed Images In 3 Phases	19	$46.66	$316.45	$175.50	nat. median $803 outlier · 0.2×
71275 CPT	Cat Scan Of Blood Vessels In Chest With Contrast	14	$131.60	$292.50	$171.75	nat. median $736 outlier · 0.2×
78195 CPT	Nuclear Medicine Study Of Lymph Nodes	17	$55.08	$317.90	$170.63	nat. median $832 outlier · 0.2×
70492 CPT	Cat Scan Of Soft Tissue Of The Neck With And Without Contrast	20	$117.61	$325.00	$164.99	nat. median $634 outlier · 0.3×
73701 CPT	Cat Scan Of Leg With Contrast	21	$90.75	$300.00	$162.50	nat. median $710 outlier · 0.2×
72193 CPT	Cat Scan Of Pelvis With Contrast	21	$115.61	$300.00	$162.50	nat. median $629 outlier · 0.3×
71270 CPT	Cat Scan Of Chest With And Without Contrast	21	$110.12	$650.00	$162.50	nat. median $661 outlier · 0.2×
74170 CPT	Cat Scan Of Abdomen With And Without Contrast	21	$114.72	$450.00	$162.50	nat. median $703 outlier · 0.2×
72129 CPT	Cat Scan Of Mid Spine With Contrast	21	$92.25	$300.00	$161.88	nat. median $584 outlier · 0.3×
74160 CPT	Cat Scan Of Abdomen With Contrast	21	$108.80	$300.00	$154.17	nat. median $646 outlier · 0.2×
78306 CPT	Nuclear Medicine Study Of Bones And/or Joints In Whole Body	20	$39.39	$278.76	$150.91	nat. median $738 outlier · 0.2×
74176 CPT	Cat Scan Of Abdomen And Pelvis Without Contrast	19	$79.65	$425.00	$146.25	nat. median $685 outlier · 0.2×
70470 CPT	Cat Scan Of Head Or Brain With And Without Contrast	21	$89.59	$650.00	$146.18	nat. median $618 outlier · 0.2×
70491 CPT	Cat Scan Of Soft Tissue Of The Neck With Contrast	21	$100.63	$300.00	$142.50	nat. median $617 outlier · 0.2×
49505 CPT	Repair Of Initial Reducible Groin Hernia Requiring Incision For Patients More Th…	11	$20.24	$555.00	$142.00	nat. median $3,829 outlier · 0.0×
72192 CPT	Cat Scan Of Pelvis Without Contrast	21	$64.13	$300.00	$140.16	nat. median $455 outlier · 0.3×
71260 CPT	Cat Scan Of Chest With Contrast	21	$87.37	$300.00	$140.16	nat. median $646 outlier · 0.2×
73700 CPT	Cat Scan Of Leg Without Contrast	21	$69.84	$300.00	$138.75	nat. median $555 outlier · 0.2×
74150 CPT	Cat Scan Of Abdomen Without Contrast	21	$63.12	$300.00	$138.75	nat. median $439 outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 234 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

74183	CPT	MRI Of Abdomen With And Without Contrast	24	18	$852.33	$852.33	$190.55	$1,300.00	$320.94	2025-03-27
72197	CPT	MRI Of Pelvis With And Without Contrast	24	18	$852.33	$852.33	$193.48	$1,300.00	$320.48	2025-03-27
74185	CPT	MRI Of Blood Vessels In Abdomen	18	14	$1,092.73	$1,092.73	$77.50	$750.00	$316.87	2025-03-27
72196	CPT	MRI Of Pelvis With Contrast	27	21	$426.16	$426.16	$137.50	$750.00	$316.67	2025-03-27
72141	CPT	MRI Of Upper Spinal Canal Without Contrast	27	21	$426.16	$426.16	$104.46	$700.00	$316.67	2025-03-27
72146	CPT	MRI Of Middle Spinal Canal Without Contrast	27	20	$426.16	$426.16	$104.46	$700.00	$316.67	2025-03-27
71550	CPT	MRI Of Chest Without Contrast	27	21	$426.16	$426.16	$135.42	$700.00	$316.67	2025-03-27
74182	CPT	MRI Of Abdomen With Contrast	24	18	$426.16	$426.16	$169.30	$750.00	$314.59	2025-03-27
72149	CPT	MRI Of Lower Spinal Canal With Contrast	26	20	$426.16	$426.16	$152.57	$750.00	$314.59	2025-03-27
70551	CPT	MRI Of Brain Without Contrast	27	21	$426.16	$426.16	$108.59	$700.00	$312.50	2025-03-27
73221	CPT	MRI Of Arm Without Contrast	27	21	$344.79	$344.79	$112.62	$700.00	$312.50	2025-03-27
73721	CPT	MRI Of Leg Joint Without Contrast	27	21	$426.16	$426.16	$112.44	$650.00	$294.80	2025-03-27
70552	CPT	MRI Of Brain With Contrast	26	20	$426.16	$426.16	$151.33	$650.00	$290.64	2025-03-27
70553	CPT	MRI Of Brain With And Without Contrast	25	19	$852.33	$852.33	$178.32	$750.00	$288.90	2025-03-27
72148	CPT	MRI Of Lower Spinal Canal Without Contrast	26	20	$426.16	$426.16	$103.45	$650.00	$286.92	2025-03-27
47562	CPT	Removal Of Gallbladder Using Laparoscope	20	14	$600.00	$600.00	$20.03	$1,245.00	$280.20	2025-03-27
72158	CPT	MRI Of Lower Spinal Canal With And Without Contrast	25	19	$852.33	$852.33	$179.72	$1,300.00	$277.79	2025-03-27
73718	CPT	MRI Of Leg Not Including Joint Without Contrast	25	19	$426.16	$426.16	$126.92	$700.00	$272.30	2025-03-27
29881	CPT	Removal Of Meniscus From Right Or Left Side Of Knee Joint Using Arthroscope	14	10	$300.00	$300.00	$22.16	$650.00	$260.00	2025-03-27
78452	CPT	Multiple Spect Scans Of Heart Muscle	22	16	$824.85	$824.85	$72.00	$422.29	$253.84	2025-03-27
77049	CPT	MRI Of Both Breasts With And Without Contrast	8	5	$650.00	$650.00	$137.67	$325.00	$247.83	2025-03-27
45385	CPT	Removal Of Growth From Large Intestine By Snare Using Colonoscope	10	8	$327.82	$327.82	$125.00	$236.00	$232.00	2025-03-27
74177	CPT	Cat Scan Of Abdomen And Pelvis With Contrast	26	19	$450.88	$450.88	$113.50	$450.00	$207.19	2025-03-27
74178	CPT	Cat Scan Of Abdomen And Pelvis With And Without Contrast	25	19	$318.27	$318.27	$113.50	$475.00	$207.19	2025-03-27
78802	CPT	Nuclear Medicine Study To Locate Tumor Or Infection With Whole Body Imaging Comp…	24	18	$491.73	$491.73	$39.39	$301.23	$203.13	2025-03-27
45378	CPT	Exam Of Entire Large Intestine Using Colonoscope	11	9	$160.00	$160.00	$93.00	$200.00	$200.00	2025-03-27
G0121	HCPCS	Exam Of Entire Large Intestine Using Colonoscope	11	9	$160.00	$160.00	$93.00	$200.00	$200.00	2025-03-27
G0105	HCPCS	Exam Of Entire Large Intestine Using Colonoscope	11	9	$160.00	$160.00	$93.00	$200.00	$200.00	2025-03-27
78707	CPT	Complete Nuclear Medicine Study Of Kidney Without Drug Administration	23	17	$609.74	$609.74	$44.00	$340.00	$199.00	2025-03-27
78278	CPT	Nuclear Medicine Study Of Blood Or Protein Loss In The Digestive Tract	24	18	$550.73	$550.73	$45.33	$320.44	$185.25	2025-03-27
78472	CPT	Single Nuclear Medicine Study To Evaluate Blood Ejection From The Heart During S…	24	18	$904.78	$904.78	$45.97	$250.00	$184.38	2025-03-27
78315	CPT	Nuclear Medicine Study Of Bones And/or Joints With Delayed Images In 3 Phases	25	19	$649.08	$649.08	$46.66	$316.45	$175.50	2025-03-27
71275	CPT	Cat Scan Of Blood Vessels In Chest With Contrast	18	14	$128.99	$128.99	$131.60	$292.50	$171.75	2025-03-27
78195	CPT	Nuclear Medicine Study Of Lymph Nodes	23	17	$458.95	$458.95	$55.08	$317.90	$170.63	2025-03-27
70492	CPT	Cat Scan Of Soft Tissue Of The Neck With And Without Contrast	26	20	$426.16	$426.16	$117.61	$325.00	$164.99	2025-03-27
73701	CPT	Cat Scan Of Leg With Contrast	27	21	$213.09	$213.09	$90.75	$300.00	$162.50	2025-03-27
72193	CPT	Cat Scan Of Pelvis With Contrast	27	21	$213.09	$213.09	$115.61	$300.00	$162.50	2025-03-27
74170	CPT	Cat Scan Of Abdomen With And Without Contrast	27	21	$426.16	$426.16	$114.72	$450.00	$162.50	2025-03-27
71270	CPT	Cat Scan Of Chest With And Without Contrast	27	21	$213.09	$213.09	$110.12	$650.00	$162.50	2025-03-27
72129	CPT	Cat Scan Of Mid Spine With Contrast	27	21	$213.09	$213.09	$92.25	$300.00	$161.88	2025-03-27
74160	CPT	Cat Scan Of Abdomen With Contrast	27	21	$213.09	$213.09	$108.80	$300.00	$154.17	2025-03-27
78306	CPT	Nuclear Medicine Study Of Bones And/or Joints In Whole Body	26	20	$649.08	$649.08	$39.39	$278.76	$150.91	2025-03-27
74176	CPT	Cat Scan Of Abdomen And Pelvis Without Contrast	26	19	$172.40	$172.40	$79.65	$425.00	$146.25	2025-03-27
70470	CPT	Cat Scan Of Head Or Brain With And Without Contrast	27	21	$426.16	$426.16	$89.59	$650.00	$146.18	2025-03-27
70491	CPT	Cat Scan Of Soft Tissue Of The Neck With Contrast	27	21	$213.09	$213.09	$100.63	$300.00	$142.50	2025-03-27
49505	CPT	Repair Of Initial Reducible Groin Hernia Requiring Incision For Patients More Th…	15	11	$555.00	$555.00	$20.24	$555.00	$142.00	2025-03-27
72192	CPT	Cat Scan Of Pelvis Without Contrast	27	21	$213.09	$213.09	$64.13	$300.00	$140.16	2025-03-27
71260	CPT	Cat Scan Of Chest With Contrast	28	21	$213.09	$213.09	$87.37	$300.00	$140.16	2025-03-27
73700	CPT	Cat Scan Of Leg Without Contrast	27	21	$213.09	$213.09	$69.84	$300.00	$138.75	2025-03-27
72128	CPT	Cat Scan Of Mid Spine Without Contrast	27	21	$213.09	$213.09	$70.01	$300.00	$138.75	2025-03-27
73200	CPT	Cat Scan Of Arm Without Contrast	27	21	$213.09	$213.09	$62.44	$300.00	$138.75	2025-03-27
74150	CPT	Cat Scan Of Abdomen Without Contrast	27	21	$213.09	$213.09	$63.12	$300.00	$138.75	2025-03-27
72131	CPT	Cat Scan Of Lower Spine Without Contrast	27	21	$213.09	$213.09	$69.84	$300.00	$137.50	2025-03-27
70490	CPT	Cat Scan Of Soft Tissue Of The Neck Without Contrast	27	21	$213.09	$213.09	$79.87	$300.00	$137.05	2025-03-27
78580	CPT	Nuclear Medicine Study Of Blood Circulation Through Lungs	24	18	$721.20	$721.20	$33.97	$216.04	$136.70	2025-03-27
70460	CPT	Cat Scan Of Head Or Brain With Contrast	27	21	$213.09	$213.09	$73.71	$300.00	$136.50	2025-03-27
72125	CPT	Cat Scan Of Neck Spine Without Contrast	28	21	$213.09	$213.09	$71.83	$300.00	$135.41	2025-03-27
70486	CPT	Cat Scan Of Facial Bones Without Contrast	27	21	$213.09	$213.09	$68.16	$300.00	$134.35	2025-03-27
70480	CPT	Cat Scan Of Eye, Ear, Or Sella Turcica Without Contrast	27	21	$213.09	$213.09	$83.21	$300.00	$134.06	2025-03-27
71250	CPT	Cat Scan Of Chest Without Contrast	27	21	$213.09	$213.09	$62.93	$300.00	$130.28	2025-03-27
70450	CPT	Cat Scan Of Head Or Brain Without Contrast	28	21	$213.09	$213.09	$31.73	$300.00	$126.15	2025-03-27
78264	CPT	Nuclear Medicine Study Of Stomach Emptying	24	18	$590.08	$590.08	$35.66	$317.18	$124.38	2025-03-27
43239	CPT	Exam Of Esophagus, Stomach, And Upper Small Intestine With Biopsy Using Endoscop…	10	8	$131.13	$131.13	$98.51	$140.00	$122.95	2025-03-27
43235	CPT	Diagnostic Exam Of Esophagus, Stomach And Small Bowel Using Endoscope Inserted T…	15	12	$267.80	$267.80	$96.50	$260.00	$110.00	2025-03-27
78013	CPT	Nuclear Medicine Scan Of Thyroid	19	15	$150.00	$150.00	$47.50	$185.23	$103.31	2025-03-27
85220	CPT	Lab Test - Measurement Of Blood Clotting Factor V	28	22	$157.35	$157.35	$23.00	$210.00	$87.00	2025-03-27
85245	CPT	Lab Test - Measurement Of Blood Clotting Factor Von Willebrand	27	21	$177.03	$177.03	$3.00	$435.00	$86.00	2025-03-27
82088	CPT	Lab Test - Aldosterone Hormone Level	28	22	$170.47	$170.47	$39.00	$146.00	$85.50	2025-03-27
62322	CPT	Injection Of Drug Into Lower Spinal Canal Without Imaging Guidance	1	1	$200.00	$200.00	$85.00	$85.00	$85.00	2025-03-27
19120	CPT	Removal Of Breast Growth Requiring Incision	20	14	$342.00	$342.00	$20.03	$342.00	$85.00	2025-03-27
84207	CPT	Lab Test - Vitamin B-6 Level	28	22	$157.35	$157.35	$26.98	$150.00	$80.13	2025-03-27
85305	CPT	Lab Test - Measurement Of Total Protein S Blood Clotting Inhibitor Level	27	21	$550.73	$550.73	$11.14	$126.24	$78.30	2025-03-27
82024	CPT	Lab Test - Pituitary Hormone Level	28	22	$137.68	$137.68	$36.96	$140.00	$76.56	2025-03-27
83970	CPT	Lab Test - Parathyroid Hormone Level	27	21	$170.47	$170.47	$52.00	$130.00	$75.00	2025-03-27
80197	CPT	Lab Test - Tacrolimus Level	26	20	$249.15	$249.15	$13.15	$190.00	$73.98	2025-03-27
78070	CPT	Nuclear Medicine Study Of Parathyroid Gland	23	17	$360.60	$360.60	$37.69	$280.00	$71.50	2025-03-27
85240	CPT	Lab Test - Measurement Of Blood Clotting Factor Viii Deficiency	28	22	$262.26	$262.26	$17.19	$125.00	$71.25	2025-03-27
86360	CPT	Lab Test - Measurement Of Cd4 And Cd8 White Blood T Cells With Ratio	27	21	$118.02	$118.02	$50.00	$130.25	$65.65	2025-03-27
82306	CPT	Lab Test - Vitamin D-3 Level	28	22	$65.00	$65.00	$28.33	$145.00	$65.00	2025-03-27
76830	CPT	Ultrasound Of Non-pregnant Uterus	26	20	$65.56	$65.56	$38.33	$125.00	$61.86	2025-03-27
76805	CPT	External Ultrasound Of Pregnant Uterus In 2nd Or 3rd Trimester	27	21	$65.56	$65.56	$35.00	$112.50	$61.66	2025-03-27
76700	CPT	Complete Ultrasound Of Abdomen	27	21	$65.56	$65.56	$40.45	$125.00	$61.23	2025-03-27
77067	CPT	Screening Mammogram	20	13	$88.05	$88.05	$14.92	$176.10	$60.75	2025-03-27
84425	CPT	Lab Test - Vitamin B-1 Level	28	22	$131.13	$131.13	$20.38	$90.00	$59.14	2025-03-27
85300	CPT	Lab Test - Measurement Of Antithrombin Iii Blood Clotting Inhibitor Activity	28	22	$104.91	$104.91	$11.38	$125.00	$56.55	2025-03-27
85303	CPT	Lab Test - Measurement Of Protein C Blood Clotting Inhibitor Activity	26	20	$249.15	$249.15	$13.29	$190.00	$56.55	2025-03-27
76770	CPT	Complete Ultrasound Of Kidneys, Aorta, And Lymph Nodes	27	21	$65.56	$65.56	$36.56	$129.00	$55.81	2025-03-27
80055	CPT	Lab Test - Panel For Pregnant Patients Without HIV Testing	26	20	$229.47	$229.47	$20.00	$175.00	$54.00	2025-03-27
76872	CPT	Ultrasound Of Pelvic Cavity Via Rectum	26	20	$65.56	$65.56	$37.00	$125.00	$53.82	2025-03-27
76856	CPT	Complete Ultrasound Of Female Pelvis Unrelated To Pregnancy	27	21	$65.56	$65.56	$37.50	$92.50	$52.88	2025-03-27
83498	CPT	Lab Test - Hydroxyprogestone 17-d Level	28	22	$131.13	$131.13	$37.07	$100.00	$52.20	2025-03-27
87635	CPT	Lab Test - Identification Of Covid-19 Virus DNA Using Amplified Probe Technique	10	6	$60.00	$60.00	$42.13	$76.33	$51.33	2025-03-27
84402	CPT	Lab Test - Free Testosterone Level	27	21	$131.13	$131.13	$24.46	$170.00	$51.00	2025-03-27
76801	CPT	External Ultrasound Of Pregnant Uterus In 1st Trimester	24	18	$65.56	$65.56	$25.00	$112.50	$50.27	2025-03-27
85246	CPT	Lab Test - Measurement Of Blood Clotting Factor Von Willebrand Antigen	26	20	$196.69	$196.69	$22.03	$150.00	$49.22	2025-03-27
76641	CPT	Ultrasound Of Breast	19	13	$47.50	$47.50	$26.56	$92.43	$48.76	2025-03-27
76536	CPT	Ultrasound Of Soft Tissue Of Head And Neck	28	21	$65.56	$65.56	$35.00	$91.35	$48.75	2025-03-27
82670	CPT	Lab Test - Estradiol Hormone Level	28	22	$91.79	$91.79	$38.12	$76.00	$48.50	2025-03-27
82164	CPT	Lab Test - Angiotensin Converting Enzyme Level	27	21	$72.12	$72.12	$13.97	$62.00	$47.85	2025-03-27
85247	CPT	Lab Test - Measurement Of Blood Clotting Factors Viii And Von Willebrand	26	20	$262.26	$262.26	$8.00	$250.00	$47.56	2025-03-27
76870	CPT	Ultrasound Of Scrotum	27	21	$65.56	$65.56	$27.12	$75.00	$47.50	2025-03-27
76817	CPT	Vaginal Ultrasound Of Pregnant Uterus In 1st Trimester	26	20	$65.56	$65.56	$32.92	$125.00	$47.50	2025-03-27
45380	CPT	Exam Of Entire Large Intestine With Biopsy Using Colonoscope	19	14	$131.13	$131.13	$20.03	$300.00	$40.48	2025-03-27
86361	CPT	Lab Test - Measurement Of Cd4 White Blood T Cells	26	20	$59.01	$59.01	$36.53	$108.00	$40.00	2025-03-27
84481	CPT	Lab Test - Free T3 Thyroid Hormone Level	28	22	$104.91	$104.91	$16.27	$115.00	$38.25	2025-03-27
84403	CPT	Lab Test - Total Testosterone Level	28	22	$91.79	$91.79	$24.79	$75.50	$36.08	2025-03-27
82677	CPT	Lab Test - Estriol Hormone Level	28	22	$98.34	$98.34	$26.10	$65.00	$35.75	2025-03-27
82523	CPT	Lab Test - Urine Or Blood Test To Evaluate Bone Health	26	20	$157.35	$157.35	$25.00	$120.00	$33.82	2025-03-27
77080	CPT	Measurement Of Bone Density Using Dual-energy X-rays Of Hips, Pelvis, And/or Spi…	23	17	$78.98	$78.98	$9.27	$90.00	$31.77	2025-03-27
84432	CPT	Lab Test - Thyroglobulin Hormone Level	27	21	$78.67	$78.67	$21.91	$82.00	$30.45	2025-03-27
82672	CPT	Lab Test - Estrogen Hormone Level	28	22	$98.34	$98.34	$20.83	$70.00	$30.30	2025-03-27
84144	CPT	Lab Test - Progesterone Hormone Level	28	22	$91.79	$91.79	$20.03	$65.00	$29.15	2025-03-27
93000	CPT	12-lead EKG With Physician Interpretation	6	6	$25.00	$25.00	$21.25	$75.00	$28.75	2025-03-27
82747	CPT	Lab Test - Folic Acid Level	26	20	$39.34	$39.34	$16.63	$82.00	$27.50	2025-03-27
84154	CPT	Lab Test - Free Prostate Specific Antigen Level	27	21	$39.34	$39.34	$17.66	$145.00	$26.10	2025-03-27
84597	CPT	Lab Test - Vitamin K Level	27	21	$39.34	$39.34	$17.00	$210.00	$26.00	2025-03-27
84152	CPT	Lab Test - Direct Measurement Of Prostate Specific Antigen Level	27	21	$131.13	$131.13	$17.66	$100.00	$25.70	2025-03-27
84153	CPT	Lab Test - Total Prostate Specific Antigen Level	27	21	$59.01	$59.01	$4.58	$58.00	$25.09	2025-03-27
82533	CPT	Lab Test - Cortisol Hormone Level	28	22	$65.56	$65.56	$15.60	$51.00	$25.00	2025-03-27
80164	CPT	Lab Test - Total Valproic Acid Level	27	21	$65.56	$65.56	$12.97	$50.00	$24.98	2025-03-27
84166	CPT	Lab Test - Protein Level In Body Fluid Other Than Blood	24	19	$65.56	$65.56	$16.53	$50.00	$24.92	2025-03-27
85378	CPT	Lab Test - Qualitative D-dimer Test	27	21	$78.67	$78.67	$9.73	$60.00	$24.36	2025-03-27
72110	CPT	X-ray Of Lower Back, Minimum Of 4 Views	28	21	$26.22	$26.22	$14.34	$42.00	$24.00	2025-03-27
84443	CPT	Lab Test - Thyroid Stimulating Hormone Level	29	22	$52.45	$52.45	$16.14	$41.63	$23.47	2025-03-27
71110	CPT	X-ray Of Ribs On Both Sides, 3 Or More Views	27	21	$10.93	$10.93	$12.00	$33.00	$21.69	2025-03-27
71111	CPT	X-ray Of Ribs On Both Sides And Chest, 4 Or More Views	26	20	$26.22	$26.22	$10.50	$40.00	$21.53	2025-03-27
70260	CPT	X-ray Of Skull Bones, 4 Or More Views	27	21	$22.95	$22.95	$17.55	$38.00	$21.42	2025-03-27
84702	CPT	Lab Test - Pregnancy Hormone Level	27	21	$65.56	$65.56	$20.00	$54.75	$21.18	2025-03-27
84480	CPT	Lab Test - Total T3 Thyroid Hormone Level	28	22	$59.01	$59.01	$13.62	$45.00	$20.91	2025-03-27
72050	CPT	X-ray Of Neck, 4 Or 5 Views	27	21	$22.95	$22.95	$16.09	$33.00	$20.56	2025-03-27
70150	CPT	X-ray Of Face Bones, 3 Or More Views	27	21	$19.67	$19.67	$16.09	$34.00	$20.56	2025-03-27
70200	CPT	X-ray Of Both Eyes, 4 Or More Views	27	21	$19.67	$19.67	$15.34	$34.00	$19.51	2025-03-27
73564	CPT	X-ray Of Knee, 4 Or More Views	27	21	$26.22	$26.22	$6.30	$30.71	$19.34	2025-03-27
82274	CPT	Lab Test - Identification Of Hidden Blood In Stool Using Immunoassay	15	13	$26.22	$26.22	$8.00	$25.00	$19.00	2025-03-27
72080	CPT	X-ray Of Mid/Lower Back Junction	26	20	$16.39	$16.39	$9.26	$56.00	$18.87	2025-03-27
80061	CPT	Lab Test - Cholesterol Panel	29	22	$91.79	$91.79	$12.77	$40.00	$18.72	2025-03-27
83721	CPT	Lab Test - Ldl Cholesterol Level	27	21	$39.34	$39.34	$13.02	$30.00	$18.70	2025-03-27
72190	CPT	X-ray Of Pelvis, 3 Or More Views	27	21	$26.22	$26.22	$12.68	$55.05	$18.69	2025-03-27
71101	CPT	X-ray Of Ribs One On Side And Chest, 3 Or More Views	27	21	$19.67	$19.67	$15.00	$32.17	$18.55	2025-03-27
80185	CPT	Lab Test - Total Phenytoin Level	27	21	$52.45	$52.45	$12.69	$40.00	$18.52	2025-03-27
70220	CPT	X-ray Of Paranasal Sinuses, 3 Or More Views	27	21	$19.67	$19.67	$13.30	$34.00	$18.50	2025-03-27
82951	CPT	Lab Test - Glucose Level Following Sugar Intake	28	22	$39.34	$39.34	$12.36	$30.00	$17.99	2025-03-27
72072	CPT	X-ray Of Mid Back, 3 Views	27	21	$19.67	$19.67	$10.50	$30.23	$17.72	2025-03-27
73110	CPT	X-ray Of Wrist, 3 Or More Views	27	21	$19.67	$19.67	$11.93	$26.82	$17.24	2025-03-27
71100	CPT	X-ray Of Ribs On One Side, 2 Views	27	21	$16.39	$16.39	$13.21	$28.00	$17.00	2025-03-27
73562	CPT	X-ray Of Knee, 3 Views	27	21	$19.67	$19.67	$10.24	$26.82	$16.99	2025-03-27
87045	CPT	Lab Test - Stool Culture For Bacteria	28	22	$39.34	$39.34	$10.00	$28.00	$16.32	2025-03-27
72100	CPT	X-ray Of Lower Back, 2-3 Views	27	20	$19.67	$19.67	$10.25	$25.50	$16.24	2025-03-27
80053	CPT	Lab Test - Comprehensive Metabolic Panel	27	20	$32.78	$32.78	$10.07	$55.00	$16.15	2025-03-27
73565	CPT	X-ray Of Both Knees With Standing Views	26	20	$26.22	$26.22	$7.35	$27.55	$16.12	2025-03-27
80184	CPT	Lab Test - Phenobarbital Level	27	21	$52.45	$52.45	$10.96	$40.00	$16.01	2025-03-27
73080	CPT	X-ray Of Elbow, 3 Or More Views	27	21	$19.67	$19.67	$11.43	$26.00	$16.00	2025-03-27
73630	CPT	X-ray Of Foot, 3 Or More Views	27	21	$19.67	$19.67	$11.10	$28.48	$16.00	2025-03-27
73610	CPT	X-ray Of Ankle, 3 Or More Views	27	21	$19.67	$19.67	$10.61	$26.00	$16.00	2025-03-27
70250	CPT	X-ray Of Skull Bones, 1-3 Views	27	21	$19.67	$19.67	$10.61	$25.50	$15.99	2025-03-27
73130	CPT	X-ray Of Hand, 3 Or More Views	27	21	$19.67	$19.67	$10.32	$24.57	$15.49	2025-03-27
70160	CPT	X-ray Of Nose Bones	27	21	$16.39	$16.39	$9.26	$24.64	$15.10	2025-03-27
84165	CPT	Lab Test - Protein Level In Blood	28	22	$39.34	$39.34	$13.00	$30.75	$15.01	2025-03-27
80069	CPT	Lab Test - Kidney Function Panel	27	21	$39.34	$39.34	$8.28	$70.00	$14.79	2025-03-27
73030	CPT	X-ray Of Shoulder, 2 Or More Views	29	22	$16.39	$16.39	$6.82	$30.79	$14.72	2025-03-27
73551	CPT	X-ray Of Upper Leg, 1 View	20	15	$16.86	$16.86	$8.65	$24.00	$14.71	2025-03-27
70100	CPT	X-ray Of Jaw, 1-3 Views	27	21	$16.39	$16.39	$9.10	$24.28	$14.70	2025-03-27
72040	CPT	X-ray Of Neck, 2 Or 3 Views	27	21	$16.39	$16.39	$8.79	$24.00	$14.50	2025-03-27
70210	CPT	X-ray Of Paranasal Sinuses, 1-2 Views	27	21	$16.39	$16.39	$8.52	$22.50	$14.47	2025-03-27
85379	CPT	Lab Test - Quantitative D-dimer Test	26	20	$19.67	$19.67	$7.50	$18.50	$14.22	2025-03-27
73100	CPT	X-ray Of Wrist, 2 Views	27	21	$16.39	$16.39	$8.86	$23.19	$14.10	2025-03-27
72070	CPT	X-ray Of Mid Back, 2 Views	27	21	$16.39	$16.39	$9.65	$23.19	$14.00	2025-03-27
73650	CPT	X-ray Of Heel	27	21	$13.11	$13.11	$10.00	$25.00	$13.93	2025-03-27
73560	CPT	X-ray Of Knee, 1 Or 2 Views	28	21	$16.39	$16.39	$8.84	$23.19	$13.87	2025-03-27
71046	CPT	X-ray Of Chest, 2 Views	22	15	$16.39	$16.39	$8.79	$25.25	$13.79	2025-03-27
70140	CPT	X-ray Of Face Bones, 1-2 Views	27	21	$16.39	$16.39	$9.26	$21.00	$13.77	2025-03-27
83036	CPT	Lab Test - Hemoglobin A1c Level	29	22	$39.34	$39.34	$9.32	$30.00	$13.56	2025-03-27
73590	CPT	X-ray Of Lower Leg	27	21	$16.39	$16.39	$8.53	$23.40	$13.54	2025-03-27
84703	CPT	Lab Test - Pregnancy Hormone Identification	27	21	$39.34	$39.34	$7.22	$30.00	$13.50	2025-03-27
72200	CPT	X-ray Of Sacroiliac Joints, 1-2 Views	26	20	$16.39	$16.39	$6.83	$19.93	$13.46	2025-03-27
73600	CPT	X-ray Of Ankle, 2 Views	28	21	$16.39	$16.39	$6.06	$21.74	$13.27	2025-03-27
73070	CPT	X-ray Of Elbow , 2 Views	27	21	$16.39	$16.39	$8.34	$20.63	$13.21	2025-03-27
72220	CPT	X-ray Of Tailbone	27	21	$19.67	$19.67	$9.26	$19.93	$13.21	2025-03-27
73120	CPT	X-ray Of Hand, 2 Views	27	21	$16.39	$16.39	$8.22	$21.00	$12.99	2025-03-27
73060	CPT	X-ray Of Upper Arm	28	21	$16.39	$16.39	$6.06	$21.02	$12.86	2025-03-27
82575	CPT	Lab Test - Calculation Of Creatinine Clearance	28	22	$39.34	$39.34	$7.00	$23.13	$12.75	2025-03-27
73620	CPT	X-ray Of Foot, 2 Views	28	21	$16.39	$16.39	$8.22	$19.50	$12.71	2025-03-27
72170	CPT	X-ray Of Pelvis, 1-2 Views	29	22	$19.67	$19.67	$6.31	$33.70	$12.71	2025-03-27
74019	CPT	X-ray Of Abdomen, 2 Views	16	11	$16.39	$16.39	$8.32	$22.11	$12.44	2025-03-27
84478	CPT	Lab Test - Triglycerides Level	28	22	$19.67	$19.67	$5.52	$15.00	$12.31	2025-03-27
73090	CPT	X-ray Of Lower Arm	26	20	$16.39	$16.39	$8.18	$20.25	$12.22	2025-03-27
73140	CPT	X-ray Of Fingers	26	20	$16.39	$16.39	$6.57	$25.73	$12.04	2025-03-27
80048	CPT	Lab Test - Basic Metabolic Panel With Total Calcium	26	20	$32.78	$32.78	$8.06	$40.00	$11.83	2025-03-27
85385	CPT	Lab Test - Measurement Of Blood Clot Activity	26	20	$19.67	$19.67	$6.09	$18.50	$11.77	2025-03-27
70360	CPT	X-ray Of Soft Tissue Of The Neck	27	21	$16.39	$16.39	$6.83	$20.29	$11.29	2025-03-27
73000	CPT	X-ray Of Collarbone	27	21	$16.39	$16.39	$6.83	$65.23	$11.00	2025-03-27
73660	CPT	X-ray Of Toes	27	21	$16.39	$16.39	$6.83	$22.11	$10.46	2025-03-27
71045	CPT	X-ray Of Chest, 1 View	22	15	$13.11	$13.11	$6.13	$15.75	$10.46	2025-03-27
84030	CPT	Lab Test - Pku Test	28	22	$118.02	$118.02	$7.50	$73.00	$10.45	2025-03-27
73020	CPT	X-ray Of Shoulder, 1 View	27	21	$13.11	$13.11	$6.83	$15.22	$9.80	2025-03-27
84436	CPT	Lab Test - Total Thyroxine Level	28	22	$19.67	$19.67	$6.59	$20.00	$9.61	2025-03-27
83735	CPT	Lab Test - Magnesium Level	28	22	$26.22	$26.22	$6.96	$15.00	$9.36	2025-03-27
80178	CPT	Lab Test - Lithium Level	27	21	$39.34	$39.34	$6.33	$22.50	$9.24	2025-03-27
83690	CPT	Lab Test - Lipase Enzyme Level	28	22	$19.67	$19.67	$6.00	$15.00	$9.20	2025-03-27
82150	CPT	Lab Test - Amylase Enzyme Level	27	21	$19.67	$19.67	$5.00	$14.00	$9.06	2025-03-27
85025	CPT	Lab Test - Complete Blood Cell Count With White Blood Cell Percentage	27	20	$19.67	$19.67	$6.50	$11.00	$9.04	2025-03-27
81025	CPT	Lab Test - Urine Pregnancy Test	27	21	$19.67	$19.67	$5.22	$15.00	$8.60	2025-03-27
74018	CPT	X-ray Of Abdomen, 1 View	18	11	$16.39	$16.39	$6.22	$18.48	$8.50	2025-03-27
85730	CPT	Lab Test - Thromboplastin Time	28	22	$19.67	$19.67	$5.66	$14.00	$8.38	2025-03-27
83540	CPT	Lab Test - Iron Level	28	22	$19.67	$19.67	$5.22	$17.00	$8.25	2025-03-27
83615	CPT	Lab Test - Ldh Enzyme Level	28	22	$19.67	$19.67	$3.00	$10.60	$8.05	2025-03-27
82340	CPT	Lab Test - Calcium Level In Urine	28	22	$13.11	$13.11	$4.35	$15.00	$7.25	2025-03-27
84295	CPT	Lab Test - Sodium Level In Blood Or Plasma Sample	28	22	$13.11	$13.11	$4.35	$8.00	$7.06	2025-03-27
82565	CPT	Lab Test - Creatinine Level In Blood Sample	28	22	$19.67	$19.67	$4.00	$10.18	$7.02	2025-03-27
82248	CPT	Lab Test - Direct Bilirubin Level	27	21	$13.11	$13.11	$2.50	$12.00	$7.02	2025-03-27
82247	CPT	Lab Test - Total Bilirubin Level	27	21	$32.78	$32.78	$3.00	$24.00	$7.02	2025-03-27
82310	CPT	Lab Test - Total Calcium Level In Blood	28	22	$13.11	$13.11	$4.35	$23.10	$7.00	2025-03-27
85610	CPT	Lab Test - Measurement Of Prothrombin Time	28	22	$19.67	$19.67	$3.77	$12.00	$6.90	2025-03-27
85660	CPT	Lab Test - Screening For Sickle Cell Anemia	28	22	$13.11	$13.11	$3.00	$10.00	$6.87	2025-03-27
84300	CPT	Lab Test - Sodium Level In Urine Sample	28	22	$13.11	$13.11	$4.35	$8.00	$6.74	2025-03-27
82570	CPT	Lab Test - Creatinine Level In Sample Other Than Blood	28	22	$65.56	$65.56	$4.00	$12.10	$6.57	2025-03-27
82540	CPT	Lab Test - Creatine Level	28	22	$26.22	$26.22	$5.40	$45.00	$6.48	2025-03-27
82465	CPT	Lab Test - Total Cholesterol Level	28	22	$13.11	$13.11	$5.00	$10.00	$6.08	2025-03-27
84155	CPT	Lab Test - Total Protein Level In Blood	28	22	$13.11	$13.11	$4.00	$10.00	$5.61	2025-03-27
85045	CPT	Lab Test - Immature Red Blood Cell Count	26	20	$13.11	$13.11	$4.00	$10.00	$5.59	2025-03-27
84520	CPT	Lab Test - Urea Nitrogen Level In Blood	28	22	$13.11	$13.11	$3.79	$10.00	$5.51	2025-03-27
82947	CPT	Lab Test - Glucose Level In Blood	28	22	$13.11	$13.11	$3.77	$8.00	$5.48	2025-03-27
84156	CPT	Lab Test - Total Protein Level In Urine	24	19	$39.34	$39.34	$4.35	$30.00	$5.12	2025-03-27
85651	CPT	Lab Test - Sedimentation Rate	28	22	$13.11	$13.11	$4.00	$8.33	$4.96	2025-03-27
81001	CPT	Lab Test - Machine Analysis Of Urine By Dipstick With Microscope Evaluation	27	20	$13.11	$13.11	$3.02	$8.00	$4.68	2025-03-27
82270	CPT	Lab Test - Identification Of Hidden Blood In Stool Sample Using Chemical Reagent…	27	21	$19.67	$19.67	$2.61	$10.00	$4.54	2025-03-27
82948	CPT	Lab Test - Glucose Level In Blood Using Strip	28	22	$6.56	$6.56	$2.00	$6.55	$4.43	2025-03-27
85007	CPT	Lab Test - Manual White Blood Cell Count Using Microscope	28	22	$13.11	$13.11	$2.50	$8.00	$4.00	2025-03-27
85002	CPT	Lab Test - Bleeding Time	28	22	$6.56	$6.56	$2.00	$12.00	$3.92	2025-03-27
81002	CPT	Lab Test - Manual Analysis Of Urine By Dipstick	5	5	$4.37	$4.37	$2.44	$4.00	$3.52	2025-03-27
85048	CPT	Lab Test - Automated Leukocyte White Blood Cell Count	28	22	$13.11	$13.11	$2.00	$7.40	$3.32	2025-03-27
85014	CPT	Lab Test - Red Blood Cell Volume	28	22	$13.11	$13.11	$2.18	$6.55	$3.31	2025-03-27
81003	CPT	Lab Test - Machine Analysis Of Urine By Dipstick	5	5	$32.78	$32.78	$2.14	$3.22	$3.06	2025-03-27
85018	CPT	Lab Test - Hemoglobin Blood Count	28	22	$6.56	$6.56	$1.79	$6.55	$3.00	2025-03-27

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