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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 SUSONI

Arecibo, PR · CCN 400117 · Rates published

245 distinct procedures filed
26 distinct payers
5,239 rate rows
2025-04-10 last MRF observed · ⚠ 14 mo old
Data quality

5,239 of 5,239 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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=EED40A19-47C4-44EA-AD28-AA3698D28525
Found on page https://hpt.inmediata.com/index?h=EED40A19-47C4-44EA-AD28-AA3698D28525
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 60dc23649b284ee4… · 713,769 bytes · first seen 2026-05-09

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
71552
CPT 		MRI Of Chest With And Without Contrast 20 $226.53 $1,300.00 $372.40 nat. median
$1,093
outlier · 0.3×
70554
CPT 		Mapping Of Functional Brain Activity Using MRI 11 $169.31 $650.00 $341.12 nat. median
$479
0.7× median
70546
CPT 		MRI Of Blood Vessels Of Head With And Without Contrast 9 $176.86 $650.00 $341.12 nat. median
$1,043
outlier · 0.3×
71551
CPT 		MRI Of Chest With Contrast 20 $180.90 $675.00 $325.00 nat. median
$1,144
outlier · 0.3×
70543
CPT 		MRI Of Face Or Neck With And Without Contrast 20 $180.33 $1,300.00 $325.00 nat. median
$1,077
outlier · 0.3×
72198
CPT 		MRI Of Blood Vessels Of Pelvis 11 $160.74 $650.00 $325.00 nat. median
$1,148
outlier · 0.3×
72197
CPT 		MRI Of Pelvis With And Without Contrast 20 $197.07 $1,300.00 $325.00 nat. median
$1,064
outlier · 0.3×
70553
CPT 		MRI Of Brain With And Without Contrast 20 $188.27 $1,300.00 $325.00 nat. median
$1,122
outlier · 0.3×
70547
CPT 		MRI Of Blood Vessels Of Neck Without Contrast 12 $139.89 $650.00 $325.00 nat. median
$751
outlier · 0.4×
72157
CPT 		MRI Of Middle Spinal Canal With And Without Contrast 20 $164.91 $1,300.00 $312.50 nat. median
$1,093
outlier · 0.3×
72156
CPT 		MRI Of Upper Spinal Canal With And Without Contrast 20 $172.17 $1,300.00 $312.50 nat. median
$1,092
outlier · 0.3×
70545
CPT 		MRI Of Blood Vessels Of Head With Contrast 14 $153.64 $650.00 $312.50 nat. median
$903
outlier · 0.3×
70548
CPT 		MRI Of Blood Vessels Of Neck With Contrast 14 $164.35 $650.00 $312.50 nat. median
$917
outlier · 0.3×
72158
CPT 		MRI Of Lower Spinal Canal With And Without Contrast 20 $186.44 $1,300.00 $312.50 nat. median
$1,080
outlier · 0.3×
70336
CPT 		MRI Of Jaw Joint 20 $126.22 $650.00 $312.50 nat. median
$755
outlier · 0.4×
71550
CPT 		MRI Of Chest Without Contrast 20 $140.46 $650.00 $300.75 nat. median
$809
outlier · 0.4×
72149
CPT 		MRI Of Lower Spinal Canal With Contrast 20 $158.90 $727.50 $300.75 nat. median
$970
outlier · 0.3×
70542
CPT 		MRI Of Face Or Neck With Contrast 20 $160.62 $650.00 $300.75 nat. median
$905
outlier · 0.3×
72195
CPT 		MRI Of Pelvis Without Contrast 20 $139.26 $650.00 $300.75 nat. median
$787
outlier · 0.4×
72142
CPT 		MRI Of Upper Spinal Canal With Contrast 20 $153.60 $727.50 $300.75 nat. median
$958
outlier · 0.3×
70540
CPT 		MRI Of Face Or Neck Without Contrast 20 $139.07 $650.00 $300.75 nat. median
$784
outlier · 0.4×
72196
CPT 		MRI Of Pelvis With Contrast 20 $162.09 $650.00 $300.75 nat. median
$953
outlier · 0.3×
72147
CPT 		MRI Of Middle Spinal Canal With Contrast 20 $141.75 $727.50 $300.75 nat. median
$963
outlier · 0.3×
70552
CPT 		MRI Of Brain With Contrast 20 $158.61 $725.00 $295.48 nat. median
$959
outlier · 0.3×
72148
CPT 		MRI Of Lower Spinal Canal Without Contrast 20 $119.38 $650.00 $292.50 nat. median
$770
outlier · 0.4×
72146
CPT 		MRI Of Middle Spinal Canal Without Contrast 20 $120.60 $650.00 $287.50 nat. median
$772
outlier · 0.4×
73721
CPT 		MRI Of Leg Joint Without Contrast 20 $104.98 $650.00 $287.50 nat. median
$899
outlier · 0.3×
72141
CPT 		MRI Of Upper Spinal Canal Without Contrast 20 $120.48 $650.00 $287.50 nat. median
$765
outlier · 0.4×
71275
CPT 		Cat Scan Of Blood Vessels In Chest With Contrast 9 $140.99 $330.00 $230.22 nat. median
$735
outlier · 0.3×
74177
CPT 		Cat Scan Of Abdomen And Pelvis With Contrast 16 $143.52 $467.50 $225.00 nat. median
$928
outlier · 0.2×
70496
CPT 		Cat Scan Of Blood Vessels In Head With Contrast 1 $210.25 $210.25 $210.25 nat. median
$729
outlier · 0.3×
70498
CPT 		Cat Scan Of Blood Vessels In Neck With Contrast 7 $123.00 $330.00 $206.37 nat. median
$722
outlier · 0.3×
72191
CPT 		Cat Scan Of Blood Vessels Of Pelvis With Contrast 7 $146.91 $330.00 $203.22 nat. median
$602
outlier · 0.3×
70482
CPT 		Cat Scan Of Eye, Ear, Or Sella Turcica With And Without Contrast 20 $126.09 $650.00 $197.31 nat. median
$648
outlier · 0.3×
70481
CPT 		Cat Scan Of Eye, Ear, Or Sella Turcica With Contrast 20 $112.04 $325.00 $175.63 nat. median
$630
outlier · 0.3×
72130
CPT 		Cat Scan Of Mid Spine With And Without Contrast 20 $122.78 $650.00 $175.40 nat. median
$592
outlier · 0.3×
70488
CPT 		Cat Scan Of Facial Bones With And Without Contrast 20 $115.64 $650.00 $175.00 nat. median
$634
outlier · 0.3×
72133
CPT 		Cat Scan Of Lower Spine With And Without Contrast 20 $110.28 $650.00 $175.00 nat. median
$615
outlier · 0.3×
72127
CPT 		Cat Scan Of Neck Spine With And Without Contrast 20 $110.26 $650.00 $175.00 nat. median
$595
outlier · 0.3×
71270
CPT 		Cat Scan Of Chest With And Without Contrast 20 $112.19 $650.00 $173.78 nat. median
$661
outlier · 0.3×
72194
CPT 		Cat Scan Of Pelvis With And Without Contrast 20 $107.21 $650.00 $173.44 nat. median
$657
outlier · 0.3×
70492
CPT 		Cat Scan Of Soft Tissue Of The Neck With And Without Contrast 20 $115.72 $325.00 $172.63 nat. median
$633
outlier · 0.3×
72129
CPT 		Cat Scan Of Mid Spine With Contrast 20 $104.90 $325.00 $170.56 nat. median
$584
outlier · 0.3×
45380
CPT 		Exam Of Entire Large Intestine With Biopsy Using Colonoscope 6 $125.00 $569.40 $166.00 nat. median
$1,566
outlier · 0.1×
43235
CPT 		Diagnostic Exam Of Esophagus, Stomach And Small Bowel Using Endoscope Inserted T… 6 $88.00 $454.04 $166.00 nat. median
$1,340
outlier · 0.1×
72193
CPT 		Cat Scan Of Pelvis With Contrast 20 $99.70 $325.00 $162.50 nat. median
$629
outlier · 0.3×
72132
CPT 		Cat Scan Of Lower Spine With Contrast 20 $91.48 $325.00 $162.50 nat. median
$760
outlier · 0.2×
72126
CPT 		Cat Scan Of Neck Spine With Contrast 20 $104.37 $325.00 $162.50 nat. median
$753
outlier · 0.2×
70487
CPT 		Cat Scan Of Facial Bones With Contrast 20 $93.53 $325.00 $157.50 nat. median
$596
outlier · 0.3×
71260
CPT 		Cat Scan Of Chest With Contrast 20 $93.38 $325.00 $157.24 nat. median
$646
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 245 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
             
85014 CPT Lab Test - Red Blood Cell Volume 23 20 $7.00 $7.00 $3.00 $6.55 $3.39 2025-04-10
85018 CPT Lab Test - Hemoglobin Blood Count 23 20 $25.00 $25.00 $2.00 $6.55 $3.39 2025-04-10
85048 CPT Lab Test - Automated Leukocyte White Blood Cell Count 24 21 $10.00 $10.00 $2.00 $22.43 $3.62 2025-04-10
81002 CPT Lab Test - Manual Analysis Of Urine By Dipstick 14 13 $4.00 $4.00 $3.30 $4.00 $3.66 2025-04-10
81000 CPT Lab Test - Manual Analysis Of Urine By Dipstick With Microscope Evaluation 14 13 $8.00 $8.00 $4.02 $7.75 $4.54 2025-04-10
81001 CPT Lab Test - Machine Analysis Of Urine By Dipstick With Microscope Evaluation 19 16 $15.00 $15.00 $4.32 $8.00 $4.54 2025-04-10
82270 CPT Lab Test - Identification Of Hidden Blood In Stool Sample Using Chemical Reagent… 23 20 $25.00 $25.00 $3.00 $24.00 $4.66 2025-04-10
85008 CPT Lab Test - Examination Of White Blood Cells Using Microscope 23 20 $10.00 $10.00 $3.00 $17.00 $4.93 2025-04-10
85002 CPT Lab Test - Bleeding Time 23 20 $25.00 $25.00 $2.00 $12.00 $5.00 2025-04-10
84156 CPT Lab Test - Total Protein Level In Urine 19 16 $18.00 $18.00 $2.63 $30.00 $5.25 2025-04-10
82947 CPT Lab Test - Glucose Level In Blood 23 20 $25.00 $25.00 $5.00 $8.00 $5.62 2025-04-10
84155 CPT Lab Test - Total Protein Level In Blood 23 20 $15.00 $15.00 $4.00 $10.00 $5.63 2025-04-10
85045 CPT Lab Test - Immature Red Blood Cell Count 20 18 $17.00 $17.00 $2.87 $10.00 $5.67 2025-04-10
84520 CPT Lab Test - Urea Nitrogen Level In Blood 23 20 $15.00 $15.00 $5.00 $10.00 $5.83 2025-04-10
85660 CPT Lab Test - Screening For Sickle Cell Anemia 23 20 $28.00 $28.00 $3.00 $25.00 $5.85 2025-04-10
85345 CPT Lab Test - Measurement Of Blood Clot Formation Time Using Lee And White Method 23 20 $33.00 $33.00 $3.00 $7.00 $6.01 2025-04-10
82465 CPT Lab Test - Total Cholesterol Level 23 20 $30.00 $30.00 $5.00 $10.00 $6.24 2025-04-10
84300 CPT Lab Test - Sodium Level In Urine Sample 23 20 $30.00 $30.00 $6.00 $8.00 $6.96 2025-04-10
84295 CPT Lab Test - Sodium Level In Blood Or Plasma Sample 23 20 $30.00 $30.00 $6.00 $8.00 $7.05 2025-04-10
82247 CPT Lab Test - Total Bilirubin Level 22 19 $33.00 $33.00 $5.00 $24.00 $7.19 2025-04-10
82570 CPT Lab Test - Creatinine Level In Sample Other Than Blood 22 19 $33.00 $33.00 $5.00 $12.10 $7.23 2025-04-10
82310 CPT Lab Test - Total Calcium Level In Blood 23 20 $27.00 $27.00 $6.00 $23.10 $7.39 2025-04-10
84075 CPT Lab Test - Total Alkaline Phosphatase Level 23 20 $15.00 $15.00 $6.00 $11.10 $7.41 2025-04-10
84450 CPT Lab Test - Sgot Enzyme Level 23 20 $25.00 $25.00 $7.00 $10.18 $7.41 2025-04-10
84460 CPT Lab Test - Sgpt Enzyme Level 23 20 $25.00 $25.00 $7.00 $11.03 $7.58 2025-04-10
85610 CPT Lab Test - Measurement Of Prothrombin Time 22 19 $20.00 $20.00 $4.85 $12.00 $7.78 2025-04-10
82248 CPT Lab Test - Direct Bilirubin Level 22 19 $53.00 $53.00 $7.02 $10.18 $8.00 2025-04-10
85670 CPT Lab Test - Thrombin Clotting Time Test 22 19 $112.00 $112.00 $4.00 $16.88 $8.27 2025-04-10
82340 CPT Lab Test - Calcium Level In Urine 23 20 $27.00 $27.00 $6.00 $15.00 $8.43 2025-04-10
83690 CPT Lab Test - Lipase Enzyme Level 23 20 $39.00 $39.00 $6.00 $15.00 $8.49 2025-04-10
85730 CPT Lab Test - Thromboplastin Time 22 19 $30.00 $30.00 $8.00 $14.00 $8.60 2025-04-10
83540 CPT Lab Test - Iron Level 23 20 $33.00 $33.00 $7.00 $14.00 $9.05 2025-04-10
81025 CPT Lab Test - Urine Pregnancy Test 23 20 $20.00 $20.00 $7.00 $13.00 $9.06 2025-04-10
84436 CPT Lab Test - Total Thyroxine Level 23 20 $35.00 $35.00 $9.00 $20.00 $9.84 2025-04-10
85025 CPT Lab Test - Complete Blood Cell Count With White Blood Cell Percentage 22 19 $27.00 $27.00 $8.00 $11.14 $9.88 2025-04-10
84479 CPT Lab Test - Thyroid Hormone Uptake Analysis 23 20 $33.00 $33.00 $8.84 $15.00 $10.00 2025-04-10
73020 CPT X-ray Of Shoulder, 1 View 23 20 $56.00 $56.00 $4.90 $25.00 $10.03 2025-04-10
85362 CPT Lab Test - Measurement Of Blood Clot Dissolving Activity Using Agglutination Sli… 20 17 $56.00 $56.00 $9.62 $40.00 $10.93 2025-04-10
72020 CPT X-ray Of Back, Single View 23 20 $46.00 $46.00 $8.00 $24.00 $11.16 2025-04-10
80048 CPT Lab Test - Basic Metabolic Panel With Total Calcium 22 19 $33.00 $33.00 $9.15 $40.00 $12.00 2025-04-10
71045 CPT X-ray Of Chest, 1 View 17 14 $56.00 $56.00 $4.90 $38.08 $12.14 2025-04-10
80069 CPT Lab Test - Kidney Function Panel 23 20 $21.00 $21.00 $11.48 $53.00 $12.21 2025-04-10
85613 CPT Lab Test - Measurement Of Blood Clotting Factor X Using Diluted Russell Viper Ve… 19 17 $93.00 $93.00 $5.55 $75.00 $12.38 2025-04-10
70360 CPT X-ray Of Soft Tissue Of The Neck 23 20 $60.00 $60.00 $4.90 $24.00 $12.75 2025-04-10
72220 CPT X-ray Of Tailbone 23 20 $89.00 $89.00 $6.30 $25.50 $12.99 2025-04-10
73070 CPT X-ray Of Elbow , 2 Views 23 20 $67.00 $67.00 $7.35 $26.00 $13.00 2025-04-10
82575 CPT Lab Test - Calculation Of Creatinine Clearance 23 20 $66.00 $66.00 $8.00 $23.13 $13.20 2025-04-10
72200 CPT X-ray Of Sacroiliac Joints, 1-2 Views 20 19 $67.00 $67.00 $4.20 $27.00 $13.25 2025-04-10
70160 CPT X-ray Of Nose Bones 23 20 $76.00 $76.00 $7.35 $27.00 $13.50 2025-04-10
73090 CPT X-ray Of Lower Arm 23 20 $67.00 $67.00 $7.35 $27.00 $13.50 2025-04-10
72170 CPT X-ray Of Pelvis, 1-2 Views 23 20 $67.00 $67.00 $5.25 $27.00 $13.50 2025-04-10
80076 CPT Lab Test - Liver Function Panel 23 20 $267.00 $267.00 $9.15 $35.00 $13.60 2025-04-10
71120 CPT X-ray Of Breastbone 23 20 $89.00 $89.00 $7.35 $27.00 $13.62 2025-04-10
83721 CPT Lab Test - Ldl Cholesterol Level 22 19 $30.00 $30.00 $13.33 $30.00 $13.66 2025-04-10
73120 CPT X-ray Of Hand, 2 Views 23 20 $67.00 $67.00 $7.35 $26.00 $13.69 2025-04-10
70140 CPT X-ray Of Face Bones, 1-2 Views 23 20 $89.00 $89.00 $7.35 $31.00 $13.77 2025-04-10
82180 CPT Lab Test - Vitamin C Level 23 20 $66.00 $66.00 $13.00 $100.00 $13.81 2025-04-10
70210 CPT X-ray Of Paranasal Sinuses, 1-2 Views 23 20 $112.00 $112.00 $7.35 $30.00 $13.87 2025-04-10
71046 CPT X-ray Of Chest, 2 Views 15 12 $78.00 $78.00 $7.35 $25.00 $13.93 2025-04-10
73140 CPT X-ray Of Fingers 23 20 $67.00 $67.00 $4.90 $27.21 $14.00 2025-04-10
73000 CPT X-ray Of Collarbone 23 20 $67.00 $67.00 $4.20 $27.00 $14.00 2025-04-10
84439 CPT Lab Test - Free Thyroxine Level 22 19 $57.00 $57.00 $10.00 $37.75 $14.19 2025-04-10
85379 CPT Lab Test - Quantitative D-dimer Test 20 18 $180.00 $180.00 $7.74 $180.00 $14.20 2025-04-10
73092 CPT X-ray Of Baby's Arm 23 20 $46.00 $46.00 $10.43 $26.00 $14.23 2025-04-10
73060 CPT X-ray Of Upper Arm 23 20 $78.00 $78.00 $7.35 $29.00 $14.39 2025-04-10
73030 CPT X-ray Of Shoulder, 2 Or More Views 23 20 $101.00 $101.00 $8.40 $29.00 $14.50 2025-04-10
73100 CPT X-ray Of Wrist, 2 Views 23 20 $67.00 $67.00 $7.35 $26.00 $14.57 2025-04-10
70030 CPT X-ray Of Eye To Detect Foreign Body 23 20 $78.00 $78.00 $8.40 $32.00 $14.62 2025-04-10
72040 CPT X-ray Of Neck, 2 Or 3 Views 23 20 $78.00 $78.00 $7.35 $32.00 $14.65 2025-04-10
72070 CPT X-ray Of Mid Back, 2 Views 23 20 $89.00 $89.00 $7.35 $33.00 $14.78 2025-04-10
83036 CPT Lab Test - Hemoglobin A1c Level 22 19 $50.00 $50.00 $13.56 $30.00 $14.80 2025-04-10
84703 CPT Lab Test - Pregnancy Hormone Identification 23 20 $50.00 $50.00 $10.24 $25.00 $15.00 2025-04-10
83718 CPT Lab Test - Hdl Cholesterol Level 23 20 $47.00 $47.00 $11.44 $24.00 $15.00 2025-04-10
71100 CPT X-ray Of Ribs On One Side, 2 Views 23 20 $89.00 $89.00 $9.80 $31.00 $15.09 2025-04-10
70328 CPT X-ray Of One Side Of Jaw Joint 23 20 $78.00 $78.00 $5.95 $27.00 $15.32 2025-04-10
73010 CPT X-ray Of Shoulder Blade 23 20 $78.00 $78.00 $7.35 $24.00 $15.32 2025-04-10
84165 CPT Lab Test - Protein Level In Blood 23 20 $30.00 $30.00 $11.86 $30.75 $15.38 2025-04-10
85301 CPT Lab Test - Measurement Of Antithrombin Iii Blood Clotting Inhibitor Level 20 18 $95.00 $95.00 $7.75 $75.00 $15.49 2025-04-10
73130 CPT X-ray Of Hand, 3 Or More Views 23 20 $46.00 $46.00 $8.75 $32.00 $15.50 2025-04-10
73080 CPT X-ray Of Elbow, 3 Or More Views 23 20 $101.00 $101.00 $8.40 $32.00 $16.00 2025-04-10
83719 CPT Lab Test - Vldl Cholesterol Level 21 18 $96.00 $96.00 $10.00 $25.63 $16.26 2025-04-10
71130 CPT X-ray Of Shoulder Joint Without Contrast 23 20 $89.00 $89.00 $9.80 $32.00 $16.48 2025-04-10
70120 CPT X-ray Of Mastoid Processes Of Skull, 1-3 Views 23 20 $78.00 $78.00 $7.35 $31.00 $16.50 2025-04-10
70250 CPT X-ray Of Skull Bones, 1-3 Views 23 20 $112.00 $112.00 $7.35 $34.00 $16.83 2025-04-10
80186 CPT Lab Test - Free Phenytoin Level 19 17 $91.00 $91.00 $16.80 $65.00 $17.00 2025-04-10
72072 CPT X-ray Of Mid Back, 3 Views 23 20 $45.00 $45.00 $10.50 $34.00 $17.00 2025-04-10
72100 CPT X-ray Of Lower Back, 2-3 Views 23 20 $123.00 $123.00 $9.80 $29.00 $17.00 2025-04-10
80201 CPT Lab Test - Topiramate Level 18 16 $175.00 $175.00 $8.54 $125.00 $17.07 2025-04-10
71101 CPT X-ray Of Ribs One On Side And Chest, 3 Or More Views 23 20 $44.00 $44.00 $14.00 $35.00 $17.16 2025-04-10
80053 CPT Lab Test - Comprehensive Metabolic Panel 23 20 $41.00 $41.00 $13.04 $55.00 $17.25 2025-04-10
73110 CPT X-ray Of Wrist, 3 Or More Views 23 20 $78.00 $78.00 $8.40 $32.00 $17.32 2025-04-10
72080 CPT X-ray Of Mid/Lower Back Junction 23 20 $89.00 $89.00 $7.70 $34.00 $17.39 2025-04-10
85302 CPT Lab Test - Measurement Of Protein C Blood Clotting Inhibitor Antigen 22 19 $126.00 $126.00 $16.80 $77.00 $17.80 2025-04-10
72202 CPT X-ray Of Sacroiliac Joints, 3 Or More Views 23 20 $112.00 $112.00 $7.00 $32.00 $17.85 2025-04-10
72190 CPT X-ray Of Pelvis, 3 Or More Views 23 20 $89.00 $89.00 $8.40 $34.00 $18.24 2025-04-10
70220 CPT X-ray Of Paranasal Sinuses, 3 Or More Views 23 20 $123.00 $123.00 $11.90 $40.00 $18.29 2025-04-10
83625 CPT Lab Test - Ldh Enzyme Level 23 20 $44.00 $44.00 $12.53 $45.00 $18.41 2025-04-10
70110 CPT X-ray Of Jaw, 4 Or More Views 23 20 $134.00 $134.00 $10.50 $40.00 $18.41 2025-04-10
72120 CPT X-ray Of Lower Back, 2-3 Bending Views 23 20 $145.00 $145.00 $9.80 $36.00 $18.57 2025-04-10
80185 CPT Lab Test - Total Phenytoin Level 23 20 $74.00 $74.00 $15.00 $40.00 $18.99 2025-04-10
71110 CPT X-ray Of Ribs On Both Sides, 3 Or More Views 23 20 $101.00 $101.00 $11.90 $40.00 $19.01 2025-04-10
70150 CPT X-ray Of Face Bones, 3 Or More Views 23 20 $107.00 $107.00 $11.90 $40.00 $19.03 2025-04-10
82728 CPT Lab Test - Ferritin Level 22 19 $53.00 $53.00 $17.00 $40.30 $19.27 2025-04-10
82330 CPT Lab Test - Ionized Calcium Level 23 20 $140.00 $140.00 $10.02 $52.00 $19.51 2025-04-10
84597 CPT Lab Test - Vitamin K Level 19 16 $189.00 $189.00 $17.00 $210.00 $19.63 2025-04-10
80197 CPT Lab Test - Tacrolimus Level 21 18 $190.00 $190.00 $9.83 $170.00 $19.66 2025-04-10
85303 CPT Lab Test - Measurement Of Protein C Blood Clotting Inhibitor Activity 21 18 $206.00 $206.00 $17.50 $150.00 $19.81 2025-04-10
80184 CPT Lab Test - Phenobarbital Level 23 20 $80.00 $80.00 $16.01 $40.00 $20.00 2025-04-10
85305 CPT Lab Test - Measurement Of Total Protein S Blood Clotting Inhibitor Level 22 19 $131.00 $131.00 $14.25 $126.24 $20.46 2025-04-10
70200 CPT X-ray Of Both Eyes, 4 Or More Views 23 20 $112.00 $112.00 $11.90 $41.00 $20.60 2025-04-10
97110 CPT Individual Physical Therapy Exercises 16 14 $38.00 $38.00 $12.00 $25.56 $20.78 2025-04-10
80156 CPT Lab Test - Total Carbamazepine Level 23 20 $60.00 $60.00 $16.80 $42.75 $21.00 2025-04-10
84630 CPT Lab Test - Zinc Level 23 20 $53.00 $53.00 $5.00 $60.00 $21.00 2025-04-10
70260 CPT X-ray Of Skull Bones, 4 Or More Views 23 20 $123.00 $123.00 $13.30 $47.00 $21.05 2025-04-10
82607 CPT Lab Test - Vitamin B-12 Level 23 20 $66.00 $66.00 $18.61 $45.50 $21.49 2025-04-10
72050 CPT X-ray Of Neck, 4 Or 5 Views 23 20 $134.00 $134.00 $11.90 $41.00 $21.51 2025-04-10
84480 CPT Lab Test - Total T3 Thyroid Hormone Level 22 19 $60.00 $60.00 $19.31 $45.00 $21.93 2025-04-10
71111 CPT X-ray Of Ribs On Both Sides And Chest, 4 Or More Views 23 20 $55.00 $55.00 $12.25 $46.00 $22.08 2025-04-10
82274 CPT Lab Test - Identification Of Hidden Blood In Stool Using Immunoassay 16 13 $46.00 $46.00 $9.00 $25.00 $22.78 2025-04-10
70330 CPT X-ray Of Both Sides Of Jaw Joint 23 20 $134.00 $134.00 $8.00 $40.00 $22.84 2025-04-10
80162 CPT Lab Test - Total Digoxin Level 23 20 $40.00 $40.00 $18.55 $40.80 $23.00 2025-04-10
84432 CPT Lab Test - Thyroglobulin Hormone Level 22 19 $82.00 $82.00 $22.00 $175.00 $23.14 2025-04-10
72110 CPT X-ray Of Lower Back, Minimum Of 4 Views 23 20 $134.00 $134.00 $14.35 $48.00 $23.38 2025-04-10
85300 CPT Lab Test - Measurement Of Antithrombin Iii Blood Clotting Inhibitor Activity 22 19 $126.00 $126.00 $12.53 $125.00 $23.38 2025-04-10
84482 CPT Lab Test - Reverse T3 Thyroid Hormone Level 22 19 $140.00 $140.00 $5.51 $100.00 $23.51 2025-04-10
72074 CPT X-ray Of Mid Back, 4 Or More Views 23 20 $50.00 $50.00 $15.00 $39.00 $23.61 2025-04-10
84702 CPT Lab Test - Pregnancy Hormone Level 23 20 $75.00 $75.00 $21.00 $54.75 $23.89 2025-04-10
82239 CPT Lab Test - Bile Acids Level 21 18 $130.00 $130.00 $20.00 $60.00 $23.94 2025-04-10
84443 CPT Lab Test - Thyroid Stimulating Hormone Level 23 20 $83.00 $83.00 $20.75 $41.63 $25.00 2025-04-10
85306 CPT Lab Test - Measurement Of Free Protein S Blood Clotting Inhibitor Level 23 20 $253.00 $253.00 $14.01 $125.00 $25.00 2025-04-10
80164 CPT Lab Test - Total Valproic Acid Level 23 20 $86.00 $86.00 $18.93 $50.00 $25.00 2025-04-10
80061 CPT Lab Test - Cholesterol Panel 23 20 $187.00 $187.00 $18.72 $60.00 $25.00 2025-04-10
82533 CPT Lab Test - Cortisol Hormone Level 23 20 $83.00 $83.00 $22.78 $45.00 $25.00 2025-04-10
84166 CPT Lab Test - Protein Level In Body Fluid Other Than Blood 17 14 $45.00 $45.00 $12.77 $54.00 $25.54 2025-04-10
71047 CPT X-ray Of Chest, 3 Views 12 9 $67.00 $67.00 $17.48 $41.50 $25.56 2025-04-10
72114 CPT X-ray Of Lower Back, Minimum Of 6 Views 23 20 $81.00 $81.00 $16.00 $64.00 $26.23 2025-04-10
84152 CPT Lab Test - Direct Measurement Of Prostate Specific Antigen Level 19 17 $166.00 $166.00 $13.17 $100.00 $26.34 2025-04-10
84154 CPT Lab Test - Free Prostate Specific Antigen Level 22 19 $160.00 $160.00 $13.17 $145.00 $26.34 2025-04-10
83002 CPT Lab Test - Lh Hormone Level 23 20 $74.00 $74.00 $25.00 $40.00 $26.53 2025-04-10
72052 CPT X-ray Of Neck, 6 Or More Views 23 20 $157.00 $157.00 $16.80 $55.00 $26.72 2025-04-10
85280 CPT Lab Test - Measurement Of Blood Clotting Factor Xii 21 18 $195.00 $195.00 $25.27 $100.00 $27.04 2025-04-10
85293 CPT Lab Test - Measurement Of Blood Clotting Factor, Fitzgerald Assay 21 18 $250.00 $250.00 $14.00 $140.00 $27.13 2025-04-10
71048 CPT X-ray Of Chest, 4 Or More Views 12 9 $157.00 $157.00 $20.00 $71.50 $27.21 2025-04-10
84481 CPT Lab Test - Free T3 Thyroid Hormone Level 22 19 $333.00 $333.00 $23.07 $115.00 $28.82 2025-04-10
84252 CPT Lab Test - Vitamin B-2 Level 21 19 $247.00 $247.00 $14.50 $225.00 $28.99 2025-04-10
83001 CPT Lab Test - Fsh Hormone Level 23 20 $83.00 $83.00 $25.31 $60.00 $29.00 2025-04-10
84146 CPT Lab Test - Prolactin Hormone Level 23 20 $50.00 $50.00 $27.08 $62.25 $30.00 2025-04-10
84153 CPT Lab Test - Total Prostate Specific Antigen Level 23 20 $35.00 $35.00 $22.00 $58.00 $30.00 2025-04-10
82672 CPT Lab Test - Estrogen Hormone Level 23 20 $71.00 $71.00 $23.00 $70.00 $31.07 2025-04-10
85246 CPT Lab Test - Measurement Of Blood Clotting Factor Von Willebrand Antigen 21 18 $199.00 $199.00 $12.53 $150.00 $32.00 2025-04-10
85247 CPT Lab Test - Measurement Of Blood Clotting Factors Viii And Von Willebrand 21 18 $220.00 $220.00 $12.53 $250.00 $32.06 2025-04-10
85397 CPT Lab Test - Evaluation Of Blood Clotting Or Dissolving Function 10 10 $350.00 $350.00 $32.29 $37.00 $32.29 2025-04-10
84144 CPT Lab Test - Progesterone Hormone Level 22 19 $116.00 $116.00 $25.00 $65.00 $32.41 2025-04-10
85250 CPT Lab Test - Measurement Of Blood Clotting Factor Ix 22 19 $83.00 $83.00 $26.53 $125.00 $33.00 2025-04-10
85240 CPT Lab Test - Measurement Of Blood Clotting Factor Viii Deficiency 22 19 $83.00 $83.00 $12.53 $125.00 $34.40 2025-04-10
70390 CPT X-ray Of Salivary Gland With Contrast Injection 23 20 $98.00 $98.00 $10.50 $100.00 $35.00 2025-04-10
82677 CPT Lab Test - Estriol Hormone Level 22 19 $253.00 $253.00 $30.00 $65.00 $35.98 2025-04-10
84425 CPT Lab Test - Vitamin B-1 Level 22 19 $140.00 $140.00 $29.67 $90.00 $36.23 2025-04-10
84590 CPT Lab Test - Vitamin A Level 22 19 $50.00 $50.00 $16.20 $75.74 $36.27 2025-04-10
84403 CPT Lab Test - Total Testosterone Level 23 20 $119.00 $119.00 $30.00 $75.50 $37.00 2025-04-10
82679 CPT Lab Test - Estrone Hormone Level 20 17 $270.00 $270.00 $34.88 $112.74 $37.88 2025-04-10
86361 CPT Lab Test - Measurement Of Cd4 White Blood T Cells 21 18 $56.00 $56.00 $36.47 $69.38 $38.35 2025-04-10
84446 CPT Lab Test - Vitamin E Level 22 19 $160.00 $160.00 $19.81 $65.00 $39.20 2025-04-10
85220 CPT Lab Test - Measurement Of Blood Clotting Factor V 22 19 $161.00 $161.00 $24.66 $210.00 $39.32 2025-04-10
84402 CPT Lab Test - Free Testosterone Level 23 20 $380.00 $380.00 $35.57 $170.00 $40.00 2025-04-10
82670 CPT Lab Test - Estradiol Hormone Level 22 19 $243.00 $243.00 $38.06 $76.00 $44.75 2025-04-10
82157 CPT Lab Test - Androstenedione Hormone Levels 20 17 $300.00 $300.00 $40.90 $125.00 $45.97 2025-04-10
83498 CPT Lab Test - Hydroxyprogestone 17-d Level 22 19 $246.00 $246.00 $37.95 $100.00 $49.23 2025-04-10
84260 CPT Lab Test - Serotonin Hormone Level 22 19 $187.00 $187.00 $24.53 $140.00 $49.89 2025-04-10
76830 CPT Ultrasound Of Non-pregnant Uterus 23 20 $65.00 $65.00 $29.96 $125.00 $50.00 2025-04-10
87635 CPT Lab Test - Identification Of Covid-19 Virus DNA Using Amplified Probe Technique 29 26 $175.00 $175.00 $51.33 $76.33 $51.33 2025-04-10
84207 CPT Lab Test - Vitamin B-6 Level 22 19 $248.00 $248.00 $39.25 $150.00 $56.06 2025-04-10
82024 CPT Lab Test - Pituitary Hormone Level 22 19 $333.00 $333.00 $52.00 $140.00 $57.77 2025-04-10
82306 CPT Lab Test - Vitamin D-3 Level 22 19 $130.00 $130.00 $36.55 $150.00 $65.00 2025-04-10
76805 CPT External Ultrasound Of Pregnant Uterus In 2nd Or 3rd Trimester 23 20 $47.00 $47.00 $35.00 $125.00 $65.16 2025-04-10
77065 CPT Diagnostic Mammogram Of One Breast 13 10 $110.00 $110.00 $25.00 $96.79 $66.75 2025-04-10
77067 CPT Screening Mammogram 13 10 $110.00 $110.00 $32.50 $102.22 $67.00 2025-04-10
76700 CPT Complete Ultrasound Of Abdomen 23 20 $47.00 $47.00 $37.50 $125.00 $67.21 2025-04-10
86360 CPT Lab Test - Measurement Of Cd4 And Cd8 White Blood T Cells With Ratio 22 19 $333.00 $333.00 $40.00 $130.25 $67.30 2025-04-10
82652 CPT Lab Test - Vitamin D Level 22 19 $196.00 $196.00 $52.44 $195.00 $74.28 2025-04-10
77066 CPT Diagnostic Mammogram Of Both Breasts 13 10 $122.00 $122.00 $37.50 $123.61 $85.20 2025-04-10
99203 CPT Outpatient Clinic Visit New Patient Level 3 2 2 $85.00 $85.00 $60.00 $114.10 $87.05 2025-04-10
43239 CPT Exam Of Esophagus, Stomach, And Upper Small Intestine With Biopsy Using Endoscop… 13 10 $130.00 $130.00 $88.00 $405.48 $127.00 2025-04-10
70450 CPT Cat Scan Of Head Or Brain Without Contrast 23 20 $194.00 $194.00 $58.42 $300.00 $137.50 2025-04-10
72125 CPT Cat Scan Of Neck Spine Without Contrast 23 20 $194.00 $194.00 $74.73 $300.00 $137.50 2025-04-10
72131 CPT Cat Scan Of Lower Spine Without Contrast 23 20 $194.00 $194.00 $72.68 $300.00 $137.50 2025-04-10
70486 CPT Cat Scan Of Facial Bones Without Contrast 23 20 $194.00 $194.00 $75.49 $300.00 $138.75 2025-04-10
71250 CPT Cat Scan Of Chest Without Contrast 23 20 $194.00 $194.00 $72.95 $300.00 $138.75 2025-04-10
70480 CPT Cat Scan Of Eye, Ear, Or Sella Turcica Without Contrast 23 20 $194.00 $194.00 $86.74 $300.00 $138.75 2025-04-10
70490 CPT Cat Scan Of Soft Tissue Of The Neck Without Contrast 23 20 $194.00 $194.00 $82.79 $300.00 $138.95 2025-04-10
70470 CPT Cat Scan Of Head Or Brain With And Without Contrast 23 20 $194.00 $194.00 $86.85 $650.00 $150.00 2025-04-10
70460 CPT Cat Scan Of Head Or Brain With Contrast 23 20 $194.00 $194.00 $79.24 $325.00 $150.00 2025-04-10
72192 CPT Cat Scan Of Pelvis Without Contrast 23 20 $194.00 $194.00 $67.73 $300.00 $150.00 2025-04-10
72128 CPT Cat Scan Of Mid Spine Without Contrast 23 20 $194.00 $194.00 $74.40 $300.00 $150.00 2025-04-10
70491 CPT Cat Scan Of Soft Tissue Of The Neck With Contrast 23 20 $194.00 $194.00 $98.55 $325.00 $154.24 2025-04-10
71260 CPT Cat Scan Of Chest With Contrast 23 20 $194.00 $194.00 $93.38 $325.00 $157.24 2025-04-10
70487 CPT Cat Scan Of Facial Bones With Contrast 23 20 $194.00 $194.00 $93.53 $325.00 $157.50 2025-04-10
72126 CPT Cat Scan Of Neck Spine With Contrast 23 20 $194.00 $194.00 $104.37 $325.00 $162.50 2025-04-10
72193 CPT Cat Scan Of Pelvis With Contrast 23 20 $194.00 $194.00 $99.70 $325.00 $162.50 2025-04-10
72132 CPT Cat Scan Of Lower Spine With Contrast 23 20 $194.00 $194.00 $91.48 $325.00 $162.50 2025-04-10
43235 CPT Diagnostic Exam Of Esophagus, Stomach And Small Bowel Using Endoscope Inserted T… 7 6 $120.00 $120.00 $88.00 $454.04 $166.00 2025-04-10
45380 CPT Exam Of Entire Large Intestine With Biopsy Using Colonoscope 6 6 $410.00 $410.00 $125.00 $569.40 $166.00 2025-04-10
72129 CPT Cat Scan Of Mid Spine With Contrast 23 20 $194.00 $194.00 $104.90 $325.00 $170.56 2025-04-10
70492 CPT Cat Scan Of Soft Tissue Of The Neck With And Without Contrast 23 20 $194.00 $194.00 $115.72 $325.00 $172.63 2025-04-10
72194 CPT Cat Scan Of Pelvis With And Without Contrast 23 20 $194.00 $194.00 $107.21 $650.00 $173.44 2025-04-10
71270 CPT Cat Scan Of Chest With And Without Contrast 23 20 $194.00 $194.00 $112.19 $650.00 $173.78 2025-04-10
72127 CPT Cat Scan Of Neck Spine With And Without Contrast 23 20 $194.00 $194.00 $110.26 $650.00 $175.00 2025-04-10
70488 CPT Cat Scan Of Facial Bones With And Without Contrast 23 20 $194.00 $194.00 $115.64 $650.00 $175.00 2025-04-10
72133 CPT Cat Scan Of Lower Spine With And Without Contrast 23 20 $194.00 $194.00 $110.28 $650.00 $175.00 2025-04-10
72130 CPT Cat Scan Of Mid Spine With And Without Contrast 23 20 $194.00 $194.00 $122.78 $650.00 $175.40 2025-04-10
70481 CPT Cat Scan Of Eye, Ear, Or Sella Turcica With Contrast 23 20 $194.00 $194.00 $112.04 $325.00 $175.63 2025-04-10
70482 CPT Cat Scan Of Eye, Ear, Or Sella Turcica With And Without Contrast 23 20 $194.00 $194.00 $126.09 $650.00 $197.31 2025-04-10
72191 CPT Cat Scan Of Blood Vessels Of Pelvis With Contrast 9 7 $194.00 $194.00 $146.91 $330.00 $203.22 2025-04-10
70498 CPT Cat Scan Of Blood Vessels In Neck With Contrast 8 7 $194.00 $194.00 $123.00 $330.00 $206.37 2025-04-10
70496 CPT Cat Scan Of Blood Vessels In Head With Contrast 1 1 $194.00 $194.00 $210.25 $210.25 $210.25 2025-04-10
74177 CPT Cat Scan Of Abdomen And Pelvis With Contrast 19 16 $585.00 $585.00 $143.52 $467.50 $225.00 2025-04-10
71275 CPT Cat Scan Of Blood Vessels In Chest With Contrast 11 9 $194.00 $194.00 $140.99 $330.00 $230.22 2025-04-10
72141 CPT MRI Of Upper Spinal Canal Without Contrast 23 20 $552.00 $552.00 $120.48 $650.00 $287.50 2025-04-10
73721 CPT MRI Of Leg Joint Without Contrast 23 20 $552.00 $552.00 $104.98 $650.00 $287.50 2025-04-10
72146 CPT MRI Of Middle Spinal Canal Without Contrast 23 20 $552.00 $552.00 $120.60 $650.00 $287.50 2025-04-10
72148 CPT MRI Of Lower Spinal Canal Without Contrast 23 20 $552.00 $552.00 $119.38 $650.00 $292.50 2025-04-10
70552 CPT MRI Of Brain With Contrast 23 20 $552.00 $552.00 $158.61 $725.00 $295.48 2025-04-10
72196 CPT MRI Of Pelvis With Contrast 23 20 $552.00 $552.00 $162.09 $650.00 $300.75 2025-04-10
72147 CPT MRI Of Middle Spinal Canal With Contrast 23 20 $552.00 $552.00 $141.75 $727.50 $300.75 2025-04-10
71550 CPT MRI Of Chest Without Contrast 23 20 $552.00 $552.00 $140.46 $650.00 $300.75 2025-04-10
70540 CPT MRI Of Face Or Neck Without Contrast 23 20 $552.00 $552.00 $139.07 $650.00 $300.75 2025-04-10
72195 CPT MRI Of Pelvis Without Contrast 23 20 $552.00 $552.00 $139.26 $650.00 $300.75 2025-04-10
72149 CPT MRI Of Lower Spinal Canal With Contrast 23 20 $552.00 $552.00 $158.90 $727.50 $300.75 2025-04-10
72142 CPT MRI Of Upper Spinal Canal With Contrast 23 20 $552.00 $552.00 $153.60 $727.50 $300.75 2025-04-10
70542 CPT MRI Of Face Or Neck With Contrast 23 20 $552.00 $552.00 $160.62 $650.00 $300.75 2025-04-10
72157 CPT MRI Of Middle Spinal Canal With And Without Contrast 23 20 $552.00 $552.00 $164.91 $1,300.00 $312.50 2025-04-10
72158 CPT MRI Of Lower Spinal Canal With And Without Contrast 23 20 $552.00 $552.00 $186.44 $1,300.00 $312.50 2025-04-10
70336 CPT MRI Of Jaw Joint 23 20 $552.00 $552.00 $126.22 $650.00 $312.50 2025-04-10
70545 CPT MRI Of Blood Vessels Of Head With Contrast 17 14 $552.00 $552.00 $153.64 $650.00 $312.50 2025-04-10
70548 CPT MRI Of Blood Vessels Of Neck With Contrast 17 14 $552.00 $552.00 $164.35 $650.00 $312.50 2025-04-10
72156 CPT MRI Of Upper Spinal Canal With And Without Contrast 23 20 $552.00 $552.00 $172.17 $1,300.00 $312.50 2025-04-10
70543 CPT MRI Of Face Or Neck With And Without Contrast 23 20 $552.00 $552.00 $180.33 $1,300.00 $325.00 2025-04-10
71551 CPT MRI Of Chest With Contrast 23 20 $552.00 $552.00 $180.90 $675.00 $325.00 2025-04-10
72198 CPT MRI Of Blood Vessels Of Pelvis 14 11 $552.00 $552.00 $160.74 $650.00 $325.00 2025-04-10
72197 CPT MRI Of Pelvis With And Without Contrast 23 20 $552.00 $552.00 $197.07 $1,300.00 $325.00 2025-04-10
70553 CPT MRI Of Brain With And Without Contrast 23 20 $552.00 $552.00 $188.27 $1,300.00 $325.00 2025-04-10
70547 CPT MRI Of Blood Vessels Of Neck Without Contrast 15 12 $552.00 $552.00 $139.89 $650.00 $325.00 2025-04-10
70554 CPT Mapping Of Functional Brain Activity Using MRI 14 11 $552.00 $552.00 $169.31 $650.00 $341.12 2025-04-10
70546 CPT MRI Of Blood Vessels Of Head With And Without Contrast 12 9 $552.00 $552.00 $176.86 $650.00 $341.12 2025-04-10
71552 CPT MRI Of Chest With And Without Contrast 23 20 $552.00 $552.00 $226.53 $1,300.00 $372.40 2025-04-10
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