Hospital

DOCTORS CENTER HOSPITAL ORLANDO HEALTH DORADO

Dorado, PR · CCN 400137 · Rates published

Your selected procedure

You selected 93306 (CPT)

Ct Abdomen W/o & W/dye

This hospital’s price: $400 across 5 payers · range $175-$511

Source: https://secure.claraprice.net/price-transparency/KKXU-1699383282623/machine-readable/660874686_doctors-center-hospital---dorado_standardcharges.json · observed 2025-10-20

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,529 distinct procedures filed

7 distinct payers

10,418 rate rows

2025-10-20 last MRF observed · ⚠ 12 mo old

Data quality

7,618 of 10,418 rate rows are consumer-grade (73.1%)

2,800 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	2,665
exceeds 10× this hospital's gross charge — excluded from medians	133
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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://secure.claraprice.net/price-transparency/KKXU-1699383282623/machine-readable/660874686_doctors-center-hospital---dorado_standardcharges.json
Found on page	https://secure.claraprice.net/price-transparency/dchpr-dorado
Discovered via	CMS hospital list
Last fetch	success · 2026-10-20
Content fingerprint	e23ddc0631ff765c… · 156,445 bytes · first seen 2026-05-19

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
50592 CPT	Biopsy Salivary Gland Needle	1	$5,348.00	$5,348.00	$5,348.00	nat. median $6,794 0.8× median
36563 CPT	Venograp,adrenal,bila,select	1	$5,093.00	$5,093.00	$5,093.00	nat. median $5,469 0.9× median
37182 CPT	Plcmt Interstitial Devi Intra-	4	$3,000.00	$3,600.00	$3,550.00	nat. median $8,293 outlier · 0.4×
43262 CPT	Change Cystostomy Tube Simple	1	$3,549.00	$3,549.00	$3,549.00	nat. median $4,025 0.9× median
50590 CPT	MRI Brain Stem With Contrast	4	$2,500.00	$3,850.00	$3,515.50	nat. median $4,382 0.8× median
37229 CPT	Place Cath Second Abd-pelv-low	1	$3,500.00	$3,500.00	$3,500.00	nat. median $17,146 outlier · 0.2×
37191 CPT	Insti Chest Tube Lyric Sub Day	6	$1,200.00	$6,000.00	$3,400.00	nat. median $6,251 0.5× median
37228 CPT	Place Cath Artery Abd-pelv-low	5	$1,200.00	$4,800.00	$3,300.00	nat. median $11,026 outlier · 0.3×
37241 CPT	Biopsy Thyroid,percutaneous	3	$2,100.00	$3,500.00	$3,300.00	nat. median $12,180 outlier · 0.3×
32998 CPT	CT Pelvis Without & With Contrast	2	$3,000.00	$3,500.00	$3,250.00	nat. median $6,692 outlier · 0.5×
75894 CPT	Vein X-ray Skull Epidural	2	$3,000.00	$3,500.00	$3,250.00	nat. median $2,071 1.6× median
54000 CPT	Calcitriol 0.25 Mcg Cap	1	$3,231.00	$3,231.00	$3,231.00	nat. median $3,379 1.0× median
52332 CPT	Ercp Cal Removal	1	$3,231.00	$3,231.00	$3,231.00	nat. median $3,667 0.9× median
49421 CPT	Plcmt Nephrostomy Cath	1	$3,206.00	$3,206.00	$3,206.00	nat. median $3,758 0.9× median
37248 CPT	Renal Bila (w Or Without Flush) An	4	$1,200.00	$5,297.00	$3,150.00	nat. median $7,141 outlier · 0.4×
37224 CPT	Select Subclavian/inno Artery	6	$1,200.00	$5,297.00	$3,150.00	nat. median $7,267 outlier · 0.4×
37232 CPT	Place Cath Third Order Or More	3	$1,200.00	$3,300.00	$3,000.00	nat. median $5,842 0.5× median
22511 CPT	CT Angiography Chest	1	$3,000.00	$3,000.00	$3,000.00	nat. median $4,195 0.7× median
22510 CPT	CT Thorax Cancer Scre Without Con	1	$3,000.00	$3,000.00	$3,000.00	nat. median $4,204 0.7× median
37221 CPT	Renal Superlective Unilateral	5	$1,200.00	$4,800.00	$3,000.00	nat. median $12,099 outlier · 0.2×
37226 CPT	Sel Vertebral Artery W Angio I	5	$1,200.00	$4,800.00	$3,000.00	nat. median $12,723 outlier · 0.2×
43265 CPT	Plcmt Ure Stent New Acc W Sep	2	$665.00	$5,282.00	$2,973.50	nat. median $5,923 0.5× median
43276 CPT	Injection Proc. Cysto/void	2	$665.00	$5,282.00	$2,973.50	nat. median $6,055 outlier · 0.5×
43274 CPT	Plcmt Ureteral Stent Exist Rep	2	$665.00	$5,282.00	$2,973.50	nat. median $6,022 outlier · 0.5×
36565 CPT	Removal Ureteral Stent Percuta	1	$2,954.00	$2,954.00	$2,954.00	nat. median $3,487 0.8× median
36254 CPT	Biopsy Renal,percutaneous	1	$2,954.00	$2,954.00	$2,954.00	nat. median $4,207 0.7× median
36560 CPT	Venography Cava Sup (Svc)	1	$2,954.00	$2,954.00	$2,954.00	nat. median $3,652 0.8× median
37188 CPT	Pleural Drainage Perc W Image	3	$2,000.00	$3,300.00	$2,954.00	nat. median $4,099 0.7× median
37187 CPT	Pleural Drainage Perc Without Imag	2	$2,000.00	$3,300.00	$2,650.00	nat. median $10,009 outlier · 0.3×
37222 CPT	Neurolytic Inj/inf Single Epid	2	$2,000.00	$3,300.00	$2,650.00	nat. median $6,184 outlier · 0.4×
36902 CPT	Biopsy Pleura Percutaneous	6	$1,200.00	$5,500.00	$2,650.00	nat. median $7,000 outlier · 0.4×
27047 CPT	CT Maxillofacial With Contrast	1	$2,634.00	$2,634.00	$2,634.00	nat. median $2,879 0.9× median
37213 CPT	Change Cystostomy Tube Complex	4	$1,700.00	$3,300.00	$2,527.00	nat. median $3,744 0.7× median
36904 CPT	Extrapleural Enucleation	6	$1,200.00	$5,500.00	$2,500.00	nat. median $6,714 outlier · 0.4×
75726 CPT	Peritoneal Lavage Incl Image G	4	$1,140.00	$5,093.00	$2,400.00	nat. median $5,122 outlier · 0.5×
43277 CPT	Exchange Nephrostomy Cath Perc	2	$665.00	$3,549.00	$2,107.00	nat. median $4,258 outlier · 0.5×
43264 CPT	Balloon Dilation Ureteral Stri	2	$665.00	$3,549.00	$2,107.00	nat. median $4,048 0.5× median
43260 CPT	Plcmt Nephroureteral Cath Perc	2	$665.00	$3,549.00	$2,107.00	nat. median $4,000 0.5× median
36475 CPT	CT Angio Abdominal Arteries	7	$1,140.00	$3,500.00	$2,100.00	nat. median $4,061 0.5× median
75889 CPT	Contrast Inj Abscess Cyst	2	$1,200.00	$2,954.00	$2,077.00	nat. median $3,170 0.7× median
43195 CPT	Spinal Puncture Lumbar Diagnos	2	$475.00	$3,549.00	$2,012.00	nat. median $3,738 0.5× median
36905 CPT	Inser Indwelling Tunneled Pleu	5	$1,200.00	$5,500.00	$2,000.00	nat. median $12,319 outlier · 0.2×
36907 CPT	Abscess Drainage,pleural	5	$1,200.00	$3,500.00	$2,000.00	nat. median $3,752 0.5× median
50436 CPT	Pta Initial Vein	3	$1,700.00	$3,231.00	$2,000.00	nat. median $3,566 0.6× median
47382 CPT	Ins/tunneled Central Ven Cathe	4	$450.00	$3,500.00	$1,937.50	nat. median $6,578 outlier · 0.3×
52648 CPT	CT Maxillofacial Without Contrast	3	$1,750.00	$2,300.00	$1,900.00	nat. median $5,520 outlier · 0.3×
36476 CPT	Cat Scan Follow-up Study	6	$1,140.00	$3,500.00	$1,900.00	nat. median $2,298 0.8× median
50433 CPT	Dx Bone Marrow Biopsies	6	$1,200.00	$3,300.00	$1,900.00	nat. median $3,949 outlier · 0.5×
50688 CPT	Ercp Cal Destruction	1	$1,888.00	$1,888.00	$1,888.00	nat. median $2,256 0.8× median
55700 CPT	Biopsy Of Prostate Gland	1	$1,888.00	$1,888.00	$1,888.00	nat. median $2,097 0.9× median

Other procedures at this hospital

Browse this hospital's 1,529 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

50592	CPT	Biopsy Salivary Gland Needle	1	1	$600.00	$600.00	$5,348.00	$5,348.00	$5,348.00	2025-10-20
36563	CPT	Venograp,adrenal,bila,select	1	1	$900.00	$900.00	$5,093.00	$5,093.00	$5,093.00	2025-10-20
37182	CPT	Plcmt Interstitial Devi Intra-	4	4	$600.00	$600.00	$3,000.00	$3,600.00	$3,550.00	2025-10-20
43262	CPT	Change Cystostomy Tube Simple	1	1	$600.00	$600.00	$3,549.00	$3,549.00	$3,549.00	2025-10-20
50590	CPT	MRI Brain Stem With Contrast	4	4	$1,000.00	$1,000.00	$2,500.00	$3,850.00	$3,515.50	2025-10-20
37229	CPT	Place Cath Second Abd-pelv-low	1	1	$375.00	$375.00	$3,500.00	$3,500.00	$3,500.00	2025-10-20
37191	CPT	Insti Chest Tube Lyric Sub Day	6	6	$600.00	$600.00	$1,200.00	$6,000.00	$3,400.00	2025-10-20
37241	CPT	Biopsy Thyroid,percutaneous	3	3	$800.00	$800.00	$2,100.00	$3,500.00	$3,300.00	2025-10-20
37228	CPT	Place Cath Artery Abd-pelv-low	5	5	$500.00	$500.00	$1,200.00	$4,800.00	$3,300.00	2025-10-20
32998	CPT	CT Pelvis Without & With Contrast	2	2	$495.00	$495.00	$3,000.00	$3,500.00	$3,250.00	2025-10-20
75894	CPT	Vein X-ray Skull Epidural	2	2	$1,200.00	$1,200.00	$3,000.00	$3,500.00	$3,250.00	2025-10-20
54000	CPT	Calcitriol 0.25 Mcg Cap	1	1	$4.00	$4.00	$3,231.00	$3,231.00	$3,231.00	2025-10-20
52332	CPT	Ercp Cal Removal	1	1	$3,200.00	$3,200.00	$3,231.00	$3,231.00	$3,231.00	2025-10-20
49421	CPT	Plcmt Nephrostomy Cath	1	1	$800.00	$800.00	$3,206.00	$3,206.00	$3,206.00	2025-10-20
37224	CPT	Select Subclavian/inno Artery	6	6	$768.00	$768.00	$1,200.00	$5,297.00	$3,150.00	2025-10-20
37248	CPT	Renal Bila (w Or Without Flush) An	4	4	$742.00	$742.00	$1,200.00	$5,297.00	$3,150.00	2025-10-20
22511	CPT	CT Angiography Chest	1	1	$540.00	$540.00	$3,000.00	$3,000.00	$3,000.00	2025-10-20
37221	CPT	Renal Superlective Unilateral	5	5	$700.00	$700.00	$1,200.00	$4,800.00	$3,000.00	2025-10-20
37226	CPT	Sel Vertebral Artery W Angio I	5	5	$768.00	$768.00	$1,200.00	$4,800.00	$3,000.00	2025-10-20
37232	CPT	Place Cath Third Order Or More	3	3	$450.00	$450.00	$1,200.00	$3,300.00	$3,000.00	2025-10-20
22510	CPT	CT Thorax Cancer Scre Without Con	1	1	$495.00	$495.00	$3,000.00	$3,000.00	$3,000.00	2025-10-20
43276	CPT	Injection Proc. Cysto/void	2	2	$600.00	$600.00	$665.00	$5,282.00	$2,973.50	2025-10-20
43265	CPT	Plcmt Ure Stent New Acc W Sep	2	2	$600.00	$600.00	$665.00	$5,282.00	$2,973.50	2025-10-20
43274	CPT	Plcmt Ureteral Stent Exist Rep	2	2	$600.00	$600.00	$665.00	$5,282.00	$2,973.50	2025-10-20
36560	CPT	Venography Cava Sup (Svc)	1	1	$606.00	$606.00	$2,954.00	$2,954.00	$2,954.00	2025-10-20
36565	CPT	Removal Ureteral Stent Percuta	1	1	$800.00	$800.00	$2,954.00	$2,954.00	$2,954.00	2025-10-20
37188	CPT	Pleural Drainage Perc W Image	3	3	$700.00	$700.00	$2,000.00	$3,300.00	$2,954.00	2025-10-20
36254	CPT	Biopsy Renal,percutaneous	1	1	$502.00	$502.00	$2,954.00	$2,954.00	$2,954.00	2025-10-20
37222	CPT	Neurolytic Inj/inf Single Epid	2	2	$800.00	$800.00	$2,000.00	$3,300.00	$2,650.00	2025-10-20
37187	CPT	Pleural Drainage Perc Without Imag	2	2	$700.00	$700.00	$2,000.00	$3,300.00	$2,650.00	2025-10-20
36902	CPT	Biopsy Pleura Percutaneous	6	6	$800.00	$800.00	$1,200.00	$5,500.00	$2,650.00	2025-10-20
27047	CPT	CT Maxillofacial With Contrast	1	1	$477.00	$477.00	$2,634.00	$2,634.00	$2,634.00	2025-10-20
37213	CPT	Change Cystostomy Tube Complex	4	4	$600.00	$600.00	$1,700.00	$3,300.00	$2,527.00	2025-10-20
36904	CPT	Extrapleural Enucleation	6	6	$600.00	$600.00	$1,200.00	$5,500.00	$2,500.00	2025-10-20
75726	CPT	Peritoneal Lavage Incl Image G	4	4	$600.00	$600.00	$1,140.00	$5,093.00	$2,400.00	2025-10-20
43264	CPT	Balloon Dilation Ureteral Stri	2	2	$800.00	$800.00	$665.00	$3,549.00	$2,107.00	2025-10-20
43277	CPT	Exchange Nephrostomy Cath Perc	2	2	$800.00	$800.00	$665.00	$3,549.00	$2,107.00	2025-10-20
43260	CPT	Plcmt Nephroureteral Cath Perc	2	2	$800.00	$800.00	$665.00	$3,549.00	$2,107.00	2025-10-20
36475	CPT	CT Angio Abdominal Arteries	7	7	$1,200.00	$1,200.00	$1,140.00	$3,500.00	$2,100.00	2025-10-20
75889	CPT	Contrast Inj Abscess Cyst	2	2	$600.00	$600.00	$1,200.00	$2,954.00	$2,077.00	2025-10-20
43195	CPT	Spinal Puncture Lumbar Diagnos	2	2	$1,200.00	$1,200.00	$475.00	$3,549.00	$2,012.00	2025-10-20
36907	CPT	Abscess Drainage,pleural	5	5	$600.00	$600.00	$1,200.00	$3,500.00	$2,000.00	2025-10-20
50436	CPT	Pta Initial Vein	3	3	$600.00	$600.00	$1,700.00	$3,231.00	$2,000.00	2025-10-20
36905	CPT	Inser Indwelling Tunneled Pleu	5	5	$600.00	$600.00	$1,200.00	$5,500.00	$2,000.00	2025-10-20
47382	CPT	Ins/tunneled Central Ven Cathe	4	4	$500.00	$500.00	$450.00	$3,500.00	$1,937.50	2025-10-20
52648	CPT	CT Maxillofacial Without Contrast	3	3	$451.00	$451.00	$1,750.00	$2,300.00	$1,900.00	2025-10-20
36476	CPT	Cat Scan Follow-up Study	6	6	$500.00	$500.00	$1,140.00	$3,500.00	$1,900.00	2025-10-20
50433	CPT	Dx Bone Marrow Biopsies	6	6	$600.00	$600.00	$1,200.00	$3,300.00	$1,900.00	2025-10-20
50688	CPT	Ercp Cal Destruction	1	1	$3,200.00	$3,200.00	$1,888.00	$1,888.00	$1,888.00	2025-10-20
55700	CPT	Biopsy Of Prostate Gland	1	1	$3,200.00	$3,200.00	$1,888.00	$1,888.00	$1,888.00	2025-10-20
37192	CPT	Pericardiocentesis	6	6	$600.00	$600.00	$1,200.00	$3,300.00	$1,850.00	2025-10-20
37765	CPT	Inj Sclerosant Spider Vein	6	6	$600.00	$600.00	$1,200.00	$3,300.00	$1,850.00	2025-10-20
37193	CPT	Endovasc Repa 1 Viceral Artery	6	6	$600.00	$600.00	$1,200.00	$3,300.00	$1,850.00	2025-10-20
50432	CPT	Dx Bone Marrow Aspirations	6	6	$600.00	$600.00	$1,200.00	$3,300.00	$1,794.00	2025-10-20
50435	CPT	Biopsy Lymph Nodes Sup. Perc	6	6	$800.00	$800.00	$1,200.00	$3,300.00	$1,794.00	2025-10-20
50384	CPT	Artherectomy W/pta Ve Perf Uni	6	6	$500.00	$500.00	$1,200.00	$3,300.00	$1,794.00	2025-10-20
43246	CPT	Contrast Inj For Any G-tube Pe	1	1	$1,200.00	$1,200.00	$1,764.00	$1,764.00	$1,764.00	2025-10-20
49441	CPT	Introduction Cath Aorta	1	1	$600.00	$600.00	$1,764.00	$1,764.00	$1,764.00	2025-10-20
32556	CPT	CT Angiograph Pelv W/o&with Contrast	1	1	$540.00	$540.00	$1,764.00	$1,764.00	$1,764.00	2025-10-20
49440	CPT	Inj Myelography/com Tomograp	1	1	$800.00	$800.00	$1,764.00	$1,764.00	$1,764.00	2025-10-20
49446	CPT	Inj Antegrade Nepho/ureter Exi	1	1	$800.00	$800.00	$1,764.00	$1,764.00	$1,764.00	2025-10-20
49423	CPT	Venous Infusion For Thrombolys	6	6	$800.00	$800.00	$1,200.00	$3,300.00	$1,732.00	2025-10-20
37214	CPT	Carotid/vertebral,dir Puntu	4	4	$225.00	$225.00	$1,200.00	$2,100.00	$1,700.00	2025-10-20
36468	CPT	CT Hrt W/3d Image	5	5	$250.00	$250.00	$370.00	$2,000.00	$1,700.00	2025-10-20
37215	CPT	Place Cath Artery First Order	3	3	$315.00	$315.00	$1,200.00	$1,700.00	$1,700.00	2025-10-20
37766	CPT	Inj Sclerosant Sol Single Vein	5	5	$600.00	$600.00	$1,200.00	$3,300.00	$1,700.00	2025-10-20
36471	CPT	CT Angio Hrt W/3d Image	5	5	$494.00	$494.00	$370.00	$3,300.00	$1,700.00	2025-10-20
49424	CPT	Trombolytic Infusion Final Day	4	4	$800.00	$800.00	$1,200.00	$3,300.00	$1,700.00	2025-10-20
36470	CPT	CT Hrt W/3d Image Congen	5	5	$269.00	$269.00	$370.00	$2,000.00	$1,700.00	2025-10-20
37212	CPT	Hepatic Venogram W/wo Pre	4	4	$215.00	$215.00	$1,200.00	$2,100.00	$1,700.00	2025-10-20
50695	CPT	Biopsy Liver,percu Separate	5	5	$600.00	$600.00	$1,200.00	$3,300.00	$1,700.00	2025-10-20
50693	CPT	Introd Long Gastroinstest Tube	6	6	$600.00	$600.00	$650.00	$3,300.00	$1,700.00	2025-10-20
36555	CPT	CT Scan For Needle Biopsy	7	7	$630.00	$630.00	$475.00	$3,300.00	$1,700.00	2025-10-20
36903	CPT	Biopsy Lung Percutaneous Inclu	5	5	$800.00	$800.00	$1,200.00	$5,500.00	$1,700.00	2025-10-20
36557	CPT	CT Bone Density Axial	5	5	$275.00	$275.00	$665.00	$2,000.00	$1,700.00	2025-10-20
37211	CPT	Superior Or Inferior Cava,cath	3	3	$175.00	$175.00	$1,200.00	$1,700.00	$1,700.00	2025-10-20
36593	CPT	Aspiration/inj Bone Cyst	3	3	$600.00	$600.00	$314.00	$2,000.00	$1,700.00	2025-10-20
36571	CPT	Puncture Aspiration Abs Hemato	7	7	$400.00	$400.00	$1,140.00	$3,300.00	$1,700.00	2025-10-20
37197	CPT	Extre Vein Needle/intracath Un	5	5	$500.00	$500.00	$1,200.00	$3,300.00	$1,700.00	2025-10-20
36556	CPT	CT Guide For Tissue Ablation	5	5	$263.00	$263.00	$475.00	$2,000.00	$1,700.00	2025-10-20
49422	CPT	Arterial Thrombolytic Infusion	5	5	$800.00	$800.00	$475.00	$2,954.00	$1,700.00	2025-10-20
49418	CPT	Transcatheter F.b. Retrieval	5	5	$800.00	$800.00	$1,200.00	$3,300.00	$1,700.00	2025-10-20
36590	CPT	Small Joint Or Bursa W/e US	7	7	$600.00	$600.00	$475.00	$3,300.00	$1,700.00	2025-10-20
36582	CPT	Biopsy Bone Deep,percutan	5	5	$200.00	$200.00	$1,140.00	$2,000.00	$1,700.00	2025-10-20
50387	CPT	Transluminal Angioplasty	3	3	$500.00	$500.00	$650.00	$1,888.00	$1,700.00	2025-10-20
36598	CPT	Vertebroplasty(cervicothiracic	6	6	$600.00	$600.00	$199.00	$3,300.00	$1,700.00	2025-10-20
50694	CPT	Abscess Drainage,appendiceal	5	5	$600.00	$600.00	$1,200.00	$3,300.00	$1,700.00	2025-10-20
50386	CPT	Stent Placement W/pta Perf Uni	3	3	$500.00	$500.00	$1,700.00	$1,888.00	$1,700.00	2025-10-20
50389	CPT	Tibial/peroneal Vasc W Pta Ang	7	7	$500.00	$500.00	$475.00	$3,300.00	$1,700.00	2025-10-20
36597	CPT	Temporomandibular Joing Inj	6	6	$600.00	$600.00	$1,200.00	$3,300.00	$1,700.00	2025-10-20
78816	CPT	Perc Device Breast Add MRI Gui	5	5	$300.00	$300.00	$1,014.00	$2,300.00	$1,600.00	2025-10-20
78814	CPT	CT Angio Upr Extrm W/o&with Contrast	5	5	$350.00	$350.00	$1,003.00	$2,000.00	$1,600.00	2025-10-20
78815	CPT	Perc Device Breast 1st MRI Gui	5	5	$300.00	$300.00	$1,013.00	$2,250.00	$1,600.00	2025-10-20
36901	CPT	Vertebroplasty(lumbosacral)	6	6	$600.00	$600.00	$1,200.00	$5,500.00	$1,592.00	2025-10-20
47531	CPT	Tunneled, No Port, No Pump	6	6	$375.00	$375.00	$1,080.00	$3,206.00	$1,525.00	2025-10-20
47534	CPT	Removal Tunneled No Port,no Pm	4	4	$300.00	$300.00	$1,080.00	$2,000.00	$1,525.00	2025-10-20
19081	CPT	Cervical Myelogram Via Lumbar	1	1	$600.00	$600.00	$1,503.00	$1,503.00	$1,503.00	2025-10-20
20200	CPT	Removal Ureteral Stent Transur	1	1	$800.00	$800.00	$1,503.00	$1,503.00	$1,503.00	2025-10-20
19083	CPT	Lumbosacral Myelogram Via Lumb	1	1	$600.00	$600.00	$1,503.00	$1,503.00	$1,503.00	2025-10-20
19085	CPT	Stent Intravasc Perc Vessel	1	1	$600.00	$600.00	$1,503.00	$1,503.00	$1,503.00	2025-10-20
19281	CPT	Tube Convert Gastr To Jejun	1	1	$600.00	$600.00	$1,503.00	$1,503.00	$1,503.00	2025-10-20
38220	CPT	Inj Sclerosant Sol Multip Vein	1	1	$600.00	$600.00	$1,503.00	$1,503.00	$1,503.00	2025-10-20
36246	CPT	CT Abd & Pelv 1/> Regns	4	4	$727.00	$727.00	$1,080.00	$2,875.00	$1,495.00	2025-10-20
36245	CPT	CT Abd & Pelv W/contrast	4	4	$727.00	$727.00	$1,080.00	$2,875.00	$1,495.00	2025-10-20
36584	CPT	Egd W/percutaneous Gastro Tube	1	1	$500.00	$500.00	$1,484.00	$1,484.00	$1,484.00	2025-10-20
36580	CPT	Change Tube Drain Cath Cont	1	1	$150.00	$150.00	$1,484.00	$1,484.00	$1,484.00	2025-10-20
36576	CPT	Transcatheter Biopsy	1	1	$625.00	$625.00	$1,484.00	$1,484.00	$1,484.00	2025-10-20
78813	CPT	Perc Device Breast 1st US Guid	5	5	$300.00	$300.00	$1,000.00	$1,750.00	$1,450.00	2025-10-20
78812	CPT	Perc Device Breast Add Stereot	5	5	$300.00	$300.00	$1,000.00	$1,750.00	$1,450.00	2025-10-20
36514	CPT	Embolization Any Method	1	1	$600.00	$600.00	$1,422.00	$1,422.00	$1,422.00	2025-10-20
78811	CPT	Perc Device Breast 1st Stereot	5	5	$300.00	$300.00	$1,000.00	$1,750.00	$1,400.00	2025-10-20
78110	CPT	Alprazolam 1mg Tab	1	1	$3.00	$3.00	$1,316.00	$1,316.00	$1,316.00	2025-10-20
75827	CPT	Rem Tunneled Peritoneal Cathet	2	2	$600.00	$600.00	$1,140.00	$1,484.00	$1,312.00	2025-10-20
36012	CPT	Embolization Central Nervous S	3	3	$600.00	$600.00	$1,140.00	$1,850.00	$1,300.00	2025-10-20
75605	CPT	Abscess Drain,subdiaphagmat	3	3	$600.00	$600.00	$1,140.00	$5,093.00	$1,300.00	2025-10-20
36252	CPT	CT Hrt Without Contrast W/ca Test	3	3	$250.00	$250.00	$1,080.00	$1,850.00	$1,300.00	2025-10-20
75842	CPT	Change Abscess Cyst Drain Unde	3	3	$600.00	$600.00	$1,140.00	$5,093.00	$1,300.00	2025-10-20
75825	CPT	Ins Periton Tunneled Cath W/im	4	4	$600.00	$600.00	$1,140.00	$2,954.00	$1,250.00	2025-10-20
75822	CPT	Image Gui Cath Peri/ret Transv	4	4	$800.00	$800.00	$1,140.00	$1,484.00	$1,250.00	2025-10-20
75716	CPT	X-ray Guide Gu Dilation	4	4	$1,227.00	$1,227.00	$1,140.00	$2,954.00	$1,250.00	2025-10-20
75625	CPT	Abscess Drain,retroperitoneal	4	4	$600.00	$600.00	$1,140.00	$2,954.00	$1,250.00	2025-10-20
36226	CPT	CT Abd & Pelvis Without Contrast	6	6	$702.00	$702.00	$1,080.00	$5,093.00	$1,250.00	2025-10-20
36225	CPT	CT Angio Abd&pelv W/o&with Contrast	6	6	$450.00	$450.00	$1,080.00	$2,954.00	$1,250.00	2025-10-20
36222	CPT	CT Angio Lwr Extr W/o&with Contrast	6	6	$540.00	$540.00	$1,080.00	$2,954.00	$1,250.00	2025-10-20
75743	CPT	Biopsy Abdomen/retro Percuta	4	4	$600.00	$600.00	$1,140.00	$2,954.00	$1,250.00	2025-10-20
36568	CPT	Exc Tumor Soft Tissue Pelvis &	6	6	$1,960.00	$1,960.00	$475.00	$3,300.00	$1,250.00	2025-10-20
75630	CPT	Drain Extraperitoneal Lymphoce	4	4	$600.00	$600.00	$1,140.00	$2,954.00	$1,250.00	2025-10-20
36248	CPT	CT Colonography Dx With Contrast	4	4	$275.00	$275.00	$1,080.00	$1,850.00	$1,220.00	2025-10-20
36247	CPT	CT Colonography Dx	4	4	$350.00	$350.00	$1,080.00	$1,850.00	$1,220.00	2025-10-20
36100	CPT	CT Lower Extremity With Contrast	4	4	$463.00	$463.00	$1,080.00	$1,850.00	$1,220.00	2025-10-20
43275	CPT	Abla Renal Tumor Perc Radiofre	2	2	$600.00	$600.00	$665.00	$1,764.00	$1,214.50	2025-10-20
78608	CPT	Perc Device Breast Add Mamo	2	2	$300.00	$300.00	$970.00	$1,450.00	$1,210.00	2025-10-20
36253	CPT	Computed Tomography, Abdomen;	5	5	$468.00	$468.00	$1,080.00	$1,850.00	$1,200.00	2025-10-20
36227	CPT	CT Angio Abdom Without & With Contrast	5	5	$540.00	$540.00	$1,080.00	$1,850.00	$1,200.00	2025-10-20
36224	CPT	CT Abdomen Without & With Contrast	5	5	$495.00	$495.00	$1,080.00	$1,850.00	$1,200.00	2025-10-20
75774	CPT	Sclerotheraphy Fluid Collectio	3	3	$600.00	$600.00	$1,140.00	$1,300.00	$1,200.00	2025-10-20
36223	CPT	Computed Tomography, Abdomen;	5	5	$451.00	$451.00	$1,080.00	$1,850.00	$1,200.00	2025-10-20
36215	CPT	CT Lwr Extremity W/o&with Contrast	5	5	$495.00	$495.00	$1,080.00	$1,850.00	$1,200.00	2025-10-20
36011	CPT	CT Lower Extremity Without Contrast	5	5	$420.00	$420.00	$1,080.00	$1,850.00	$1,200.00	2025-10-20
36010	CPT	CT Angio Upr Extrm W/o&with Contrast	5	5	$540.00	$540.00	$1,080.00	$1,850.00	$1,200.00	2025-10-20
36005	CPT	CT Uppr Extremity W/o&with Contrast	5	5	$486.00	$486.00	$1,080.00	$1,850.00	$1,200.00	2025-10-20
36581	CPT	Biopsy Bone Superficial	5	5	$250.00	$250.00	$475.00	$1,300.00	$1,200.00	2025-10-20
47536	CPT	Removal Tunneled Central Venou	5	5	$300.00	$300.00	$1,080.00	$2,000.00	$1,200.00	2025-10-20
36569	CPT	Drainage By Catheter Soft Tiss	5	5	$300.00	$300.00	$475.00	$1,484.00	$1,200.00	2025-10-20
47541	CPT	Con Inj W/fluor Eval Cv Device	5	5	$200.00	$200.00	$1,080.00	$2,000.00	$1,200.00	2025-10-20
75710	CPT	X-ray Urethra/bladder	3	3	$266.00	$266.00	$1,140.00	$1,300.00	$1,200.00	2025-10-20
50431	CPT	Stab Phlebectomy Var Vein 21 +	6	6	$600.00	$600.00	$633.00	$1,850.00	$1,170.00	2025-10-20
50430	CPT	Stab Phlebectomy Var Vei 10-20	6	6	$600.00	$600.00	$633.00	$1,850.00	$1,170.00	2025-10-20
47533	CPT	Tunneled Port	4	4	$188.00	$188.00	$1,080.00	$1,850.00	$1,170.00	2025-10-20
75820	CPT	Artery X-rays Chest	7	7	$1,200.00	$1,200.00	$20.00	$1,484.00	$1,153.00	2025-10-20
51600	CPT	Abscess Cyst Drainage, Liver	5	5	$600.00	$600.00	$750.00	$1,850.00	$1,140.00	2025-10-20
47539	CPT	Reposition Central Venous Cath	3	3	$125.00	$125.00	$1,080.00	$1,200.00	$1,140.00	2025-10-20
43453	CPT	Biopsies Spinal Cord	2	2	$800.00	$800.00	$475.00	$1,764.00	$1,119.50	2025-10-20
47537	CPT	Thrombolytic Decloting Of Vasc	4	4	$125.00	$125.00	$840.00	$1,200.00	$1,110.00	2025-10-20
49442	CPT	Renal Superlective Bilateral	1	1	$800.00	$800.00	$1,094.00	$1,094.00	$1,094.00	2025-10-20
78832	CPT	Tumor Imaging Mult Areas	3	3	$378.00	$378.00	$814.00	$1,450.00	$895.00	2025-10-20
80418	CPT	Renin Stimulation Panel	4	4	$1,364.00	$1,364.00	$55.00	$1,375.00	$875.00	2025-10-20
49460	CPT	Revascularization Endovasc Ope	1	1	$500.00	$500.00	$840.00	$840.00	$840.00	2025-10-20
49452	CPT	Replac Duo/jejun Tube Perc	1	1	$1,200.00	$1,200.00	$840.00	$840.00	$840.00	2025-10-20
49451	CPT	Select Inno/cca W Cerv Cere Ex	1	1	$768.00	$768.00	$840.00	$840.00	$840.00	2025-10-20
49450	CPT	Transcath Stnt Cca W/dis Embo	1	1	$800.00	$800.00	$840.00	$840.00	$840.00	2025-10-20
44500	CPT	Tunneled <5 No Port,no Pump	1	1	$250.00	$250.00	$840.00	$840.00	$840.00	2025-10-20
78459	CPT	Vein X-ray Skull Epidural	2	2	$425.00	$425.00	$275.00	$1,316.00	$795.50	2025-10-20
49082	CPT	Tips Revision	4	4	$800.00	$800.00	$450.00	$875.00	$752.50	2025-10-20
72240	CPT	Removal/replace Ext Nephrouret	1	1	$800.00	$800.00	$742.00	$742.00	$742.00	2025-10-20
72270	CPT	Nephrostomy	1	1	$600.00	$600.00	$742.00	$742.00	$742.00	2025-10-20
72255	CPT	Removal Nephrostomy Tube Fluor	1	1	$800.00	$800.00	$742.00	$742.00	$742.00	2025-10-20
47490	CPT	Replace Cath Central Venous Ac	6	6	$800.00	$800.00	$630.00	$3,206.00	$725.00	2025-10-20
50020	CPT	Stent Placement W/pta Within	4	4	$500.00	$500.00	$650.00	$1,888.00	$725.00	2025-10-20
32557	CPT	Computed Tomography, Pelvis; W	6	6	$451.00	$451.00	$630.00	$1,850.00	$725.00	2025-10-20
49040	CPT	Angioplasty Central Dialysis S	2	2	$600.00	$600.00	$700.00	$750.00	$725.00	2025-10-20
32553	CPT	CT Lumbar Spine Without Contrast	6	6	$451.00	$451.00	$630.00	$1,850.00	$725.00	2025-10-20
32550	CPT	Computed Tomography, Thoracic	6	6	$486.00	$486.00	$630.00	$3,206.00	$725.00	2025-10-20
32551	CPT	Computed Tomography, Thoracic	4	4	$486.00	$486.00	$650.00	$1,484.00	$725.00	2025-10-20
49407	CPT	Inc Filter Retriveral (Removal	7	7	$800.00	$800.00	$630.00	$1,850.00	$700.00	2025-10-20
49406	CPT	Repositioning Vena Cava Filter	7	7	$650.00	$650.00	$630.00	$1,850.00	$700.00	2025-10-20
49405	CPT	Transcatheter Ivc Filter	7	7	$600.00	$600.00	$630.00	$1,850.00	$700.00	2025-10-20
49084	CPT	Venous Mech Tromb-day 1	7	7	$600.00	$600.00	$630.00	$1,850.00	$700.00	2025-10-20
49060	CPT	Dialysis Circ Permanet Vasc Em	3	3	$600.00	$600.00	$650.00	$750.00	$700.00	2025-10-20
49020	CPT	Thrombectomy/thromboly W/angio	3	3	$600.00	$600.00	$650.00	$750.00	$700.00	2025-10-20
47010	CPT	Nontunneled Picc Without (Chil<5)	3	3	$250.00	$250.00	$665.00	$750.00	$700.00	2025-10-20
32540	CPT	CT Neck Spine Without & With Contrast	5	5	$486.00	$486.00	$630.00	$1,850.00	$700.00	2025-10-20
32555	CPT	CT Lumbar Spine Without & With Contrast	6	6	$486.00	$486.00	$582.00	$1,850.00	$675.00	2025-10-20
32554	CPT	CT Lumbar Spine With Contrast	6	6	$486.00	$486.00	$582.00	$1,850.00	$675.00	2025-10-20
32552	CPT	CT Chest Spine Without & With Contrast	6	6	$486.00	$486.00	$582.00	$1,850.00	$675.00	2025-10-20
20225	CPT	CT Angiography Head	7	7	$540.00	$540.00	$450.00	$1,503.00	$665.00	2025-10-20
10160	CPT	CT Soft Tissue Neck Without Contrast	7	7	$901.00	$901.00	$370.00	$1,850.00	$665.00	2025-10-20
36578	CPT	Biopsy Muscle,percutneous	1	1	$100.00	$100.00	$665.00	$665.00	$665.00	2025-10-20
49083	CPT	Secondary Mech Thromb Suction	7	7	$600.00	$600.00	$475.00	$1,850.00	$665.00	2025-10-20
44900	CPT	Tunneled(5+ Older) No Port,pum	1	1	$300.00	$300.00	$665.00	$665.00	$665.00	2025-10-20
64490	CPT	Pancreas Pseudocyst Ext Drain	2	2	$600.00	$600.00	$475.00	$845.00	$660.00	2025-10-20
64479	CPT	Placement Choledochal Stent	2	2	$600.00	$600.00	$475.00	$845.00	$660.00	2025-10-20
62282	CPT	Plcmt Bile Duct Stent New Without	2	2	$600.00	$600.00	$475.00	$845.00	$660.00	2025-10-20
10030	CPT	CT Maxillofacial Without & With Contrast	6	6	$495.00	$495.00	$630.00	$1,850.00	$658.50	2025-10-20
78831	CPT	Tumor Imaging Limited Area	4	4	$378.00	$378.00	$140.00	$1,316.00	$657.50	2025-10-20
43450	CPT	Percutaneous Aspiration Spinal	2	2	$800.00	$800.00	$475.00	$840.00	$657.50	2025-10-20
78452	CPT	Vein X-ray Kidney	6	6	$425.00	$425.00	$275.00	$1,316.00	$655.00	2025-10-20
19000	CPT	2 Tunneled Cath 2 Access	1	1	$600.00	$600.00	$652.00	$652.00	$652.00	2025-10-20
10035	CPT	Extremity,unilateral Angiograp	1	1	$688.00	$688.00	$652.00	$652.00	$652.00	2025-10-20
19287	CPT	Ercp Naso Biliary/panc Tube	1	1	$3,200.00	$3,200.00	$652.00	$652.00	$652.00	2025-10-20
19285	CPT	Ercp Biliary Duct	1	1	$3,200.00	$3,200.00	$652.00	$652.00	$652.00	2025-10-20
19283	CPT	Ercp	1	1	$3,200.00	$3,200.00	$652.00	$652.00	$652.00	2025-10-20
32408	CPT	Computed Tomography, Cervical	3	3	$486.00	$486.00	$475.00	$1,503.00	$650.00	2025-10-20
32400	CPT	Computed Tomography, Cervical	5	5	$451.00	$451.00	$475.00	$1,503.00	$650.00	2025-10-20
78454	CPT	Bone Imaging Whole Body	5	5	$510.00	$510.00	$125.00	$1,316.00	$650.00	2025-10-20
38221	CPT	Endovenous Ablat Ther 1st Vein	3	3	$600.00	$600.00	$475.00	$1,503.00	$650.00	2025-10-20
20206	CPT	CT Soft Tissue Neck With Contrast	7	7	$451.00	$451.00	$450.00	$1,503.00	$650.00	2025-10-20
33016	CPT	CT Upper Extremity Without Contrast	3	3	$468.00	$468.00	$630.00	$1,484.00	$650.00	2025-10-20
71551	CPT	Dx Mammo Incl Cad Uni	7	7	$117.00	$117.00	$439.00	$742.00	$650.00	2025-10-20
10004	CPT	Intercostal Nerve Block,single	3	3	$600.00	$600.00	$475.00	$875.00	$650.00	2025-10-20
70549	CPT	3d Render W/intrp Postproces	7	7	$300.00	$300.00	$356.00	$715.00	$640.00	2025-10-20
77048	CPT	PET Image W/ct Full Body	4	4	$1,350.00	$1,350.00	$404.00	$752.00	$637.50	2025-10-20
72159	CPT	OB US Follow-up Per Fetus	6	6	$81.00	$81.00	$520.00	$730.00	$637.50	2025-10-20
77049	CPT	Tee Placem Transeso Probe Onl	4	4	$650.00	$650.00	$412.00	$752.00	$637.50	2025-10-20
74185	CPT	PET Image Ltd Area	6	6	$788.00	$788.00	$520.00	$715.00	$637.50	2025-10-20
73725	CPT	Emergency Room Level 4	6	6	$300.00	$300.00	$520.00	$715.00	$637.50	2025-10-20
70543	CPT	Echocardiography, Fetal, Cardi	7	7	$423.00	$423.00	$356.00	$715.00	$625.00	2025-10-20
70542	CPT	CT Hrt W/3d Image Congen	7	7	$250.00	$250.00	$356.00	$715.00	$625.00	2025-10-20
70540	CPT	CT Hrt W/3d Image	7	7	$250.00	$250.00	$227.00	$715.00	$625.00	2025-10-20
77046	CPT	PET Image W/ct Lmtd	5	5	$1,000.00	$1,000.00	$227.00	$715.00	$625.00	2025-10-20
70336	CPT	CT Hrt Without Contrast W/ca Test	7	7	$250.00	$250.00	$227.00	$715.00	$625.00	2025-10-20
72146	CPT	PET Image Skull-thigh	7	7	$2,100.00	$2,100.00	$227.00	$715.00	$625.00	2025-10-20
74181	CPT	Emergency Room Level 5	7	7	$300.00	$300.00	$227.00	$715.00	$625.00	2025-10-20
72141	CPT	Brain Imaging, Positron Emissi	7	7	$2,500.00	$2,500.00	$227.00	$715.00	$625.00	2025-10-20
72142	CPT	PET Image Ltd Area	7	7	$2,100.00	$2,100.00	$356.00	$730.00	$625.00	2025-10-20
72157	CPT	OB US Nuchal Meas 1 Gest	7	7	$188.00	$188.00	$356.00	$730.00	$625.00	2025-10-20
73221	CPT	US Exam Pelvic Limited	7	7	$74.00	$74.00	$227.00	$715.00	$625.00	2025-10-20
72195	CPT	Transvaginal US Obstetric	7	7	$81.00	$81.00	$227.00	$715.00	$625.00	2025-10-20
73720	CPT	US Guide Vascular Access	7	7	$125.00	$125.00	$356.00	$715.00	$625.00	2025-10-20
73722	CPT	Emergency Room Level 2	7	7	$300.00	$300.00	$543.00	$742.00	$625.00	2025-10-20
74182	CPT	Scr Mammo Bi Incl Cad	7	7	$225.00	$225.00	$356.00	$715.00	$625.00	2025-10-20
74183	CPT	Brain Imaging, Positron Emissi	7	7	$800.00	$800.00	$356.00	$715.00	$625.00	2025-10-20
60100	CPT	Inj Cholangiogram Existi Acces	6	6	$600.00	$600.00	$450.00	$875.00	$625.00	2025-10-20
77047	CPT	PET Image W/ct Skull-thigh	5	5	$1,250.00	$1,250.00	$227.00	$715.00	$625.00	2025-10-20
70544	CPT	CT Angio Abdominal Arteries	7	7	$540.00	$540.00	$227.00	$715.00	$625.00	2025-10-20
49185	CPT	Ins Endovas Vena Cava Filtr Ap	6	6	$800.00	$800.00	$450.00	$1,503.00	$625.00	2025-10-20
49180	CPT	Venous Mech Tromb Repeat Sub D	6	6	$600.00	$600.00	$475.00	$1,503.00	$625.00	2025-10-20
72147	CPT	PET Image Full Body	7	7	$2,100.00	$2,100.00	$356.00	$730.00	$625.00	2025-10-20
73223	CPT	US Transrectal	7	7	$96.00	$96.00	$356.00	$715.00	$625.00	2025-10-20
73219	CPT	Echo Exam Uterus	7	7	$75.00	$75.00	$356.00	$715.00	$625.00	2025-10-20
71552	CPT	Dx Mammo Incl Cad Bi	7	7	$124.00	$124.00	$356.00	$715.00	$625.00	2025-10-20
71550	CPT	US Exam Abdom Complete	7	7	$93.00	$93.00	$227.00	$715.00	$625.00	2025-10-20
73721	CPT	MRI Scan Of Leg Joint	7	7	$300.00	$300.00	$227.00	$715.00	$625.00	2025-10-20
72149	CPT	PET Image W/ct Skull-thigh	7	7	$4,050.00	$4,050.00	$356.00	$730.00	$625.00	2025-10-20
72156	CPT	PET Image W/ct Full Body	7	7	$4,600.00	$4,600.00	$356.00	$730.00	$625.00	2025-10-20
72148	CPT	MRI Scan Of Lower Spinal Canal	7	7	$2,300.00	$2,300.00	$227.00	$715.00	$625.00	2025-10-20
72196	CPT	Ventilation Assit Subsequent	7	7	$150.00	$150.00	$356.00	$715.00	$625.00	2025-10-20
73222	CPT	US Exam Scrotum	5	5	$68.00	$68.00	$543.00	$650.00	$625.00	2025-10-20
70553	CPT	MRI Scan	7	7	$930.00	$930.00	$356.00	$750.00	$625.00	2025-10-20
70552	CPT	US Compl Joint R-t W/img	7	7	$135.00	$135.00	$356.00	$730.00	$625.00	2025-10-20
70551	CPT	3d Render W/intrp Postproces	7	7	$300.00	$300.00	$227.00	$715.00	$625.00	2025-10-20
70547	CPT	CT Guide For Tissue Ablation	7	7	$263.00	$263.00	$227.00	$715.00	$625.00	2025-10-20
70546	CPT	CT Scan For Needle Biopsy	7	7	$500.00	$500.00	$356.00	$715.00	$625.00	2025-10-20
73723	CPT	Emergency Room Level 3	7	7	$300.00	$300.00	$330.00	$715.00	$620.00	2025-10-20
73719	CPT	US Lmtd Jt/nonvasc Xtr Strux	7	7	$131.00	$131.00	$356.00	$715.00	$620.00	2025-10-20
70548	CPT	CT Bone Density Axial	7	7	$275.00	$275.00	$350.00	$715.00	$620.00	2025-10-20
42400	CPT	Ins Non-tunneled Cen Cath <5	7	7	$500.00	$500.00	$450.00	$875.00	$600.00	2025-10-20
10010	CPT	Abdominal Aortogram Serialogra	5	5	$751.00	$751.00	$475.00	$875.00	$600.00	2025-10-20
72198	CPT	Echocardiography, Fetal, Cardi	6	6	$121.00	$121.00	$442.00	$715.00	$600.00	2025-10-20
20615	CPT	Computed Tomography, Thorax; W	7	7	$468.00	$468.00	$450.00	$875.00	$600.00	2025-10-20
62269	CPT	Exchange Biliary Drainage Cath	7	7	$600.00	$600.00	$450.00	$1,503.00	$600.00	2025-10-20
62268	CPT	Perc Placement Drain Cath Int	7	7	$400.00	$400.00	$450.00	$875.00	$600.00	2025-10-20
10006	CPT	Nerve Root Blk/transf L/sw/ima	5	5	$600.00	$600.00	$475.00	$875.00	$600.00	2025-10-20
10009	CPT	Thoracic Aortogram	7	7	$690.00	$690.00	$450.00	$875.00	$600.00	2025-10-20
50390	CPT	Revascularization, Endovascul	7	7	$600.00	$600.00	$450.00	$875.00	$600.00	2025-10-20
50200	CPT	Revas Endovas Perc Fem Pol W T	7	7	$500.00	$500.00	$450.00	$1,503.00	$600.00	2025-10-20
20220	CPT	CT Sft Tsue Nck Without & With Contrast	7	7	$954.00	$954.00	$450.00	$1,503.00	$600.00	2025-10-20
10008	CPT	Facet Inj Cerv/thor 2w/imaging	5	5	$600.00	$600.00	$475.00	$875.00	$600.00	2025-10-20
10005	CPT	Nerve Root Blk/trans C/t W/img	7	7	$600.00	$600.00	$450.00	$875.00	$600.00	2025-10-20
47000	CPT	Tunneled Port 5+ Older	7	7	$300.00	$300.00	$450.00	$1,503.00	$600.00	2025-10-20
71555	CPT	Scr Mammo Bi Incl Cad	6	6	$225.00	$225.00	$390.00	$715.00	$600.00	2025-10-20
73220	CPT	US Exam Pelvic Complete	6	6	$66.00	$66.00	$356.00	$650.00	$600.00	2025-10-20
10007	CPT	Facet Inj Cerv/thor 1w/imaging	7	7	$600.00	$600.00	$450.00	$875.00	$600.00	2025-10-20
36575	CPT	Transcatheter Therapy,emboliza	1	1	$1,250.00	$1,250.00	$582.00	$582.00	$582.00	2025-10-20
75801	CPT	Image Guided Collect Drain Cat	1	1	$600.00	$600.00	$582.00	$582.00	$582.00	2025-10-20
32562	CPT	Computed Tomography, Pelvis; W	1	1	$468.00	$468.00	$582.00	$582.00	$582.00	2025-10-20
94002	CPT	Biopsy Prostate	1	1	$500.00	$500.00	$581.00	$581.00	$581.00	2025-10-20
94003	CPT	Blood (Whole) Transfusion	1	1	$500.00	$500.00	$581.00	$581.00	$581.00	2025-10-20
70545	CPT	Cat Scan Follow-up Study	7	7	$300.00	$300.00	$356.00	$715.00	$575.00	2025-10-20
87633	CPT	N.gonorrhoeae DNA Quant	3	3	$419.00	$419.00	$56.00	$575.00	$573.00	2025-10-20
70557	CPT	US Guide Vascular Access	4	4	$125.00	$125.00	$390.00	$650.00	$568.00	2025-10-20
38505	CPT	Endovenous Ablat The Subs Vein	6	6	$600.00	$600.00	$450.00	$1,503.00	$562.50	2025-10-20
64420	CPT	Balloon Dilat Biliary Duct/amp	2	2	$600.00	$600.00	$475.00	$641.00	$558.00	2025-10-20
51710	CPT	Perc. Cholecystostomy	2	2	$600.00	$600.00	$475.00	$633.00	$554.00	2025-10-20
73718	CPT	US Compl Joint R-t W/img	4	4	$63.00	$63.00	$227.00	$625.00	$547.50	2025-10-20
64483	CPT	Injection(s) Of Anesthetic Into Lower Spine Using Imaging Guidance	4	4	$800.00	$800.00	$475.00	$845.00	$537.50	2025-10-20
62284	CPT	Plcmt Access Biliary Perc New	4	4	$600.00	$600.00	$450.00	$875.00	$537.50	2025-10-20
62270	CPT	Removal Biliary Drainage Cath	6	6	$600.00	$600.00	$450.00	$875.00	$537.50	2025-10-20
36589	CPT	Fistula Or Sinus Tract Study	2	2	$75.00	$75.00	$475.00	$582.00	$528.50	2025-10-20
73225	CPT	Echograp Trans R Pros Study	3	3	$62.00	$62.00	$421.00	$575.00	$520.00	2025-10-20
81528	CPT	Hla I Typing 1 Allele Hr	1	1	$407.00	$407.00	$509.00	$509.00	$509.00	2025-10-20
78121	CPT	Ampicillin 500mg Cap	1	1	$1.00	$1.00	$501.00	$501.00	$501.00	2025-10-20
78598	CPT	Heart Image Spect	1	1	$550.00	$550.00	$501.00	$501.00	$501.00	2025-10-20
93271	CPT	Mr Angiography Head Without Contrast	5	5	$1,000.00	$1,000.00	$75.00	$500.00	$500.00	2025-10-20
78451	CPT	Bone Imaging Limited Area	5	5	$333.00	$333.00	$220.00	$1,316.00	$480.00	2025-10-20
75736	CPT	Contrast Exam Thoracic Aorta	7	7	$1,200.00	$1,200.00	$160.00	$5,093.00	$480.00	2025-10-20
64491	CPT	Abscess Drainage Of Peritoneal	1	1	$600.00	$600.00	$475.00	$475.00	$475.00	2025-10-20
20600	CPT	Computed Tomography, Thorax; W	7	7	$451.00	$451.00	$275.00	$875.00	$475.00	2025-10-20
48102	CPT	Cath Dialysis Cir W/angio Sten	5	5	$600.00	$600.00	$450.00	$1,503.00	$475.00	2025-10-20
47015	CPT	Non Tunneled Picc(5+older)	1	1	$400.00	$400.00	$475.00	$475.00	$475.00	2025-10-20

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