Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

AVERA FLANDREAU HOSPITAL - CAH

Flandreau, SD · CCN 431310 · Rates published

671 distinct procedures filed
6 distinct payers
11,995 rate rows
2026-05-09 last MRF observed
Data quality

11,948 of 11,995 rate rows are consumer-grade (99.6%)

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

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 16
placeholder amount (≤ $0.02) — excluded from medians 12
percent-of-charges filed in the dollar field — excluded from medians 11
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/1e3c55a9-2dbc-464c-87ba-19e0db01977a/460224743_avera-flandreau-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint 07a843fe1cfb120e… · 2,724,991 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
2471
CPT 		Apr-DRG 2471 1 $18,603.36 $18,603.36 $18,603.36 —
J3101
CPT 		Tenecteplase 50 Mg/10 Ml Syrng 6 $0.41 $30,005.60 $15,459.20 nat. median
$5,949
outlier · 2.6×
552
CPT 		Ms-DRG 552 1 $12,978.34 $12,978.34 $12,978.34 —
J0717
CPT 		Certolizumab Pegol 400 Mg Kit 6 $3.42 $24,592.04 $12,670.08 nat. median
$1,372
outlier · 9.2×
65
CPT 		Ms-DRG 65 1 $10,441.12 $10,441.12 $10,441.12 —
309
CPT 		Ms-DRG 309 1 $9,967.78 $9,967.78 $9,967.78 —
194
CPT 		Ms-DRG 194 1 $8,663.40 $8,663.40 $8,663.40 —
195
CPT 		Ms-DRG 195 1 $6,656.36 $6,656.36 $6,656.36 —
871
CPT 		Ms-DRG 871 1 $6,655.48 $6,655.48 $6,655.48 —
74178
CPT 		CT Abd & Pelv Wwo Contrast 6 $479.88 $8,964.20 $6,133.40 nat. median
$977
outlier · 6.3×
74174
CPT 		CTA Abd&Pelv Wwo Dye 6 $71.13 $8,964.20 $6,133.40 nat. median
$958
outlier · 6.4×
J3262
CPT 		Tocilizumab 400 Mg/20 Ml Vial 6 $2.72 $11,424.88 $5,886.22 nat. median
$1,425
outlier · 4.1×
74177
CPT 		CT Abd & Pelv W Contrast 6 $227.52 $7,733.95 $5,617.29 nat. median
$928
outlier · 6.1×
Q5115
CPT 		Rituximab-abbs 500Mg/50Ml Vial 6 $63.66 $10,715.55 $5,520.76 nat. median
$885
outlier · 6.2×
74176
CPT 		CT Abd & Pelvis Wo Contrast 6 $95.04 $6,507.50 $4,726.50 nat. median
$685
outlier · 6.9×
Q5111
CPT 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml 6 $271.10 $8,478.75 $4,368.34 nat. median
$2,111
outlier · 2.1×
J1602
CPT 		Golimumab 50 Mg/4 Ml Vial 6 $21.08 $8,399.98 $4,327.76 nat. median
$496
outlier · 8.7×
Q5135
CPT 		Tocilizumab-aazg 400 Mg/20 Ml 6 $6.17 $7,989.23 $4,116.14 nat. median
$994
outlier · 4.1×
J3032
CPT 		Eptinezumab-jjmr 100Mg/Ml Vial 6 $38.64 $7,699.55 $3,966.89 nat. median
$72
outlier · 55.1×
78452
CPT 		Myocard Perf Spect Rest Stress 6 $1,103.05 $5,417.00 $3,922.97 nat. median
$1,765
outlier · 2.2×
750
CPT 		Colonoscopy 6 $952.19 $9,471.50 $3,913.97 —
J9202
CPT 		Goserelin 10.8 Mg Implant 6 $77.09 $11,629.14 $3,839.97 nat. median
$1,882
outlier · 2.0×
J0897
CPT 		Denosumab 60 Mg/ml Syringe 6 $9.69 $7,238.36 $3,729.28 nat. median
$2,506
1.5× median
78451
CPT 		Myocard Perf Spect Rest Or Str 6 $1,103.05 $4,783.00 $3,671.82 nat. median
$1,533
outlier · 2.4×
70553
CPT 		MRI Brain Wwo Contrast 6 $729.77 $5,052.10 $3,526.07 nat. median
$1,122
outlier · 3.1×
379
CPT 		Ms-DRG 379 1 $3,344.94 $3,344.94 $3,344.94 —
70496
CPT 		CT Angiography Head W Cont 6 $246.84 $4,487.80 $3,259.56 nat. median
$729
outlier · 4.5×
70498
CPT 		CT Angiography Neck W Cont 6 $278.39 $4,487.80 $3,259.56 nat. median
$722
outlier · 4.5×
71260
CPT 		CT Thorax W Contrast 6 $80.31 $4,658.80 $3,187.60 nat. median
$646
outlier · 4.9×
C8929
CPT 		Echo M Mode 2d W Contrast 6 $819.77 $3,546.35 $2,724.89 nat. median
$1,362
outlier · 2.0×
87154
CPT 		Culture Id By Amp Prb 6 Or 6+ 6 $801.76 $3,468.45 $2,668.88 nat. median
$284
outlier · 9.4×
72148
CPT 		MRI Lumbar Spine Wo Dye 6 $315.18 $3,895.95 $2,665.65 nat. median
$770
outlier · 3.5×
70549
CPT 		MRA Neck Wwo Contrast 6 $666.92 $5,052.10 $2,645.35 nat. median
$1,050
outlier · 2.5×
72156
CPT 		MRI Neck Spine Wwo Dye 6 $340.05 $5,052.10 $2,645.35 nat. median
$1,092
outlier · 2.4×
74183
CPT 		MRI Abdomen Wwo Dye 6 $619.08 $5,052.10 $2,645.35 nat. median
$1,101
outlier · 2.4×
72158
CPT 		MRI Lumbar Spine Wwo Dye 6 $340.97 $5,052.10 $2,645.35 nat. median
$1,080
outlier · 2.4×
72157
CPT 		MRI Chest Spine Wwo Dye 6 $535.35 $4,917.20 $2,599.20 nat. median
$1,093
outlier · 2.4×
71271
CPT 		Ldct For Lung Cancer Screen 6 $101.48 $3,467.50 $2,518.50 nat. median
$205
outlier · 12.3×
71275
CPT 		CTA Chest Wwo Contrast 6 $65.60 $3,510.25 $2,475.65 nat. median
$735
outlier · 3.4×
70450
CPT 		CT Head/Brain Wo Contrast 6 $24.20 $3,258.50 $2,366.70 nat. median
$454
outlier · 5.2×
70551
CPT 		MRI Brain Wo Contrast 6 $447.03 $3,457.05 $2,365.35 nat. median
$772
outlier · 3.1×
73721
CPT 		MRI Joint Le Wo Dye Lt 6 $315.18 $3,457.05 $2,365.35 nat. median
$899
outlier · 2.6×
689
CPT 		Trauma Team Evaluation Level 5 6 $706.67 $3,057.10 $2,352.36 —
72125
CPT 		CT Cervical Spine Wo Contrast 6 $172.58 $3,258.50 $2,342.78 nat. median
$468
outlier · 5.0×
72129
CPT 		CT Thoracic Spine W Contrast 6 $128.15 $4,514.40 $2,325.87 nat. median
$584
outlier · 4.0×
70487
CPT 		CT Maxillofacial W Contrast 6 $268.29 $4,514.40 $2,325.87 nat. median
$596
outlier · 3.9×
71250
CPT 		CT Thorax Wo Contrast 6 $71.13 $3,258.50 $2,318.86 nat. median
$473
outlier · 4.9×
70486
CPT 		CT Maxillofacial Wo Contrast 6 $187.95 $3,258.50 $2,318.86 nat. median
$463
outlier · 5.0×
74170
CPT 		CT Abdomen Wwo Dye 6 $58.22 $4,487.80 $2,312.16 nat. median
$702
outlier · 3.3×
70490
CPT 		CT Soft Tissue Neck Wo Cont 6 $277.47 $3,258.50 $2,298.10 nat. median
$441
outlier · 5.2×

Other procedures at this hospital

Browse this hospital's 671 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
             
2471 CPT Apr-DRG 2471 2 1 — — $18,603.36 $18,603.36 $18,603.36 2026-05-09
J3101 CPT Tenecteplase 50 Mg/10 Ml Syrng 14 6 $31,584.00 $30,637.29 $0.41 $30,005.60 $15,459.20 2026-05-09
552 CPT Ms-DRG 552 2 1 — — $12,978.34 $12,978.34 $12,978.34 2026-05-09
J0717 CPT Certolizumab Pegol 400 Mg Kit 12 6 $25,886.00 $25,109.77 $3.42 $24,592.04 $12,670.08 2026-05-09
65 CPT Ms-DRG 65 1 1 — — $10,441.12 $10,441.12 $10,441.12 2026-05-09
309 CPT Ms-DRG 309 1 1 — — $9,967.78 $9,967.78 $9,967.78 2026-05-09
194 CPT Ms-DRG 194 2 1 — — $8,663.40 $8,663.40 $8,663.40 2026-05-09
195 CPT Ms-DRG 195 2 1 — — $6,656.36 $6,656.36 $6,656.36 2026-05-09
871 CPT Ms-DRG 871 1 1 — — $6,655.48 $6,655.48 $6,655.48 2026-05-09
74178 CPT CT Abd & Pelv Wwo Contrast 13 6 $9,436.00 $9,152.92 $479.88 $8,964.20 $6,133.40 2026-05-09
74174 CPT CTA Abd&Pelv Wwo Dye 13 6 $9,436.00 $9,152.92 $71.13 $8,964.20 $6,133.40 2026-05-09
J3262 CPT Tocilizumab 400 Mg/20 Ml Vial 12 6 $12,026.00 $11,665.40 $2.72 $11,424.88 $5,886.22 2026-05-09
74177 CPT CT Abd & Pelv W Contrast 17 6 $8,141.00 $7,896.77 $227.52 $7,733.95 $5,617.29 2026-05-09
Q5115 CPT Rituximab-abbs 500Mg/50Ml Vial 12 6 $11,279.00 $10,941.14 $63.66 $10,715.55 $5,520.76 2026-05-09
74176 CPT CT Abd & Pelvis Wo Contrast 16 6 $6,850.00 $6,644.50 $95.04 $6,507.50 $4,726.50 2026-05-09
Q5111 CPT Pegfilgrastim-cbqv 6 Mg/0.6 Ml 12 6 $8,925.00 $8,657.25 $271.10 $8,478.75 $4,368.34 2026-05-09
J1602 CPT Golimumab 50 Mg/4 Ml Vial 12 6 $8,842.00 $8,576.82 $21.08 $8,399.98 $4,327.76 2026-05-09
Q5135 CPT Tocilizumab-aazg 400 Mg/20 Ml 12 6 $8,409.00 $8,157.43 $6.17 $7,989.23 $4,116.14 2026-05-09
J3032 CPT Eptinezumab-jjmr 100Mg/Ml Vial 12 6 $8,104.00 $7,861.65 $38.64 $7,699.55 $3,966.89 2026-05-09
78452 CPT Myocard Perf Spect Rest Stress 12 6 $5,023.00 $4,872.31 $1,103.05 $5,417.00 $3,922.97 2026-05-09
750 CPT Colonoscopy 30 6 $5,375.00 $5,213.75 $952.19 $9,471.50 $3,913.97 2026-05-09
J9202 CPT Goserelin 10.8 Mg Implant 20 6 $12,241.00 $11,873.96 $77.09 $11,629.14 $3,839.97 2026-05-09
J0897 CPT Denosumab 60 Mg/ml Syringe 12 6 $7,619.00 $7,390.75 $9.69 $7,238.36 $3,729.28 2026-05-09
78451 CPT Myocard Perf Spect Rest Or Str 12 6 $5,023.00 $4,872.31 $1,103.05 $4,783.00 $3,671.82 2026-05-09
70553 CPT MRI Brain Wwo Contrast 14 6 $5,318.00 $5,158.46 $729.77 $5,052.10 $3,526.07 2026-05-09
379 CPT Ms-DRG 379 1 1 — — $3,344.94 $3,344.94 $3,344.94 2026-05-09
70496 CPT CT Angiography Head W Cont 15 6 $4,724.00 $4,582.28 $246.84 $4,487.80 $3,259.56 2026-05-09
70498 CPT CT Angiography Neck W Cont 15 6 $4,724.00 $4,582.28 $278.39 $4,487.80 $3,259.56 2026-05-09
71260 CPT CT Thorax W Contrast 13 6 $4,904.00 $4,756.88 $80.31 $4,658.80 $3,187.60 2026-05-09
C8929 CPT Echo M Mode 2d W Contrast 14 6 $3,733.00 $3,621.01 $819.77 $3,546.35 $2,724.89 2026-05-09
87154 CPT Culture Id By Amp Prb 6 Or 6+ 10 6 $3,651.00 $3,541.47 $801.76 $3,468.45 $2,668.88 2026-05-09
72148 CPT MRI Lumbar Spine Wo Dye 15 6 $4,101.00 $3,977.97 $315.18 $3,895.95 $2,665.65 2026-05-09
70549 CPT MRA Neck Wwo Contrast 12 6 $5,318.00 $5,158.46 $666.92 $5,052.10 $2,645.35 2026-05-09
72156 CPT MRI Neck Spine Wwo Dye 12 6 $5,318.00 $5,158.46 $340.05 $5,052.10 $2,645.35 2026-05-09
72158 CPT MRI Lumbar Spine Wwo Dye 12 6 $5,318.00 $5,158.46 $340.97 $5,052.10 $2,645.35 2026-05-09
74183 CPT MRI Abdomen Wwo Dye 14 6 $5,318.00 $5,158.46 $619.08 $5,052.10 $2,645.35 2026-05-09
72157 CPT MRI Chest Spine Wwo Dye 12 6 $5,176.00 $5,020.72 $535.35 $4,917.20 $2,599.20 2026-05-09
71271 CPT Ldct For Lung Cancer Screen 14 6 $3,650.00 $3,540.50 $101.48 $3,467.50 $2,518.50 2026-05-09
71275 CPT CTA Chest Wwo Contrast 14 6 $3,695.00 $3,584.15 $65.60 $3,510.25 $2,475.65 2026-05-09
70450 CPT CT Head/Brain Wo Contrast 17 6 $3,430.00 $3,327.10 $24.20 $3,258.50 $2,366.70 2026-05-09
70551 CPT MRI Brain Wo Contrast 13 6 $3,639.00 $3,529.83 $447.03 $3,457.05 $2,365.35 2026-05-09
73721 CPT MRI Joint Le Wo Dye Lt 26 6 $3,639.00 $3,529.83 $315.18 $3,457.05 $2,365.35 2026-05-09
689 CPT Trauma Team Evaluation Level 5 10 6 $3,218.00 $3,121.46 $706.67 $3,057.10 $2,352.36 2026-05-09
72125 CPT CT Cervical Spine Wo Contrast 16 6 $3,430.00 $3,327.10 $172.58 $3,258.50 $2,342.78 2026-05-09
72129 CPT CT Thoracic Spine W Contrast 12 6 $4,752.00 $4,609.44 $128.15 $4,514.40 $2,325.87 2026-05-09
70487 CPT CT Maxillofacial W Contrast 12 6 $4,752.00 $4,609.44 $268.29 $4,514.40 $2,325.87 2026-05-09
71250 CPT CT Thorax Wo Contrast 15 6 $3,430.00 $3,327.10 $71.13 $3,258.50 $2,318.86 2026-05-09
70486 CPT CT Maxillofacial Wo Contrast 15 6 $3,430.00 $3,327.10 $187.95 $3,258.50 $2,318.86 2026-05-09
74170 CPT CT Abdomen Wwo Dye 12 6 $4,724.00 $4,582.28 $58.22 $4,487.80 $2,312.16 2026-05-09
70490 CPT CT Soft Tissue Neck Wo Cont 14 6 $3,430.00 $3,327.10 $277.47 $3,258.50 $2,298.10 2026-05-09
93306 CPT Tte W Doppler Complete 15 6 $3,326.00 $3,226.22 $730.39 $3,159.70 $2,294.94 2026-05-09
78227 CPT Hida With Ef w/Pharm 10 6 $3,090.00 $2,997.30 $678.56 $2,935.50 $2,258.79 2026-05-09
G0390 CPT Trauma Team Level 5 10 6 $3,064.00 $2,972.08 $672.85 $2,910.80 $2,239.78 2026-05-09
72128 CPT CT Thoracic Spine Wo Contrast 13 6 $3,430.00 $3,327.10 $107.93 $3,258.50 $2,229.50 2026-05-09
73706 CPT CTA Le Wwo Dye Lt 24 6 $4,284.00 $4,155.48 $71.13 $4,069.80 $2,096.80 2026-05-09
74160 CPT CT Abdomen W Dye 12 6 $4,077.00 $3,954.69 $706.77 $3,873.15 $1,995.49 2026-05-09
70491 CPT CT Soft Tissue Neck W Cont 12 6 $4,076.00 $3,953.72 $357.53 $3,872.20 $1,995.00 2026-05-09
73701 CPT CT Le W Dye Lt 24 6 $4,076.00 $3,953.72 $268.01 $3,872.20 $1,995.00 2026-05-09
72146 CPT MRI Chest Spine Wo Dye 12 6 $4,057.00 $3,935.29 $390.63 $3,854.15 $1,985.70 2026-05-09
72141 CPT MRI Neck Spine Wo Dye 12 6 $4,017.00 $3,896.49 $233.96 $3,816.15 $1,966.12 2026-05-09
70544 CPT MRA Head Wo Contrast 12 6 $3,639.00 $3,529.83 $408.12 $3,457.05 $1,781.11 2026-05-09
73221 CPT MRI Joint Ue Wo Dye Lt 24 6 $3,639.00 $3,529.83 $408.12 $3,457.05 $1,781.11 2026-05-09
73718 CPT MRI Le Wo Dye Lt 12 6 $3,639.00 $3,529.83 $56.39 $3,457.05 $1,781.11 2026-05-09
59409 CPT Obstetrical Care 18 6 $3,348.00 $3,247.56 $735.22 $3,180.60 $1,701.85 2026-05-09
72131 CPT CT Lumbar Spine Wo Contrast 12 6 $3,430.00 $3,327.10 $234.87 $3,258.50 $1,678.82 2026-05-09
70480 CPT CT Orbit Wo Contrast 12 6 $3,430.00 $3,327.10 $192.56 $3,258.50 $1,678.82 2026-05-09
74150 CPT CT Abdomen Wo Dye 12 6 $3,430.00 $3,327.10 $524.00 $3,258.50 $1,678.82 2026-05-09
73200 CPT CT Ue Wo Dye Rt 12 6 $3,430.00 $3,327.10 $70.19 $3,258.50 $1,678.82 2026-05-09
72192 CPT CT Pelvis Wo Dye 12 6 $3,430.00 $3,327.10 $524.00 $3,258.50 $1,678.82 2026-05-09
73700 CPT CT Le Wo Dye Lt 24 6 $3,430.00 $3,327.10 $76.65 $3,258.50 $1,678.82 2026-05-09
120 CPT Room Medical Unit Semi Private 8 6 $2,246.00 $2,178.62 $493.22 $2,133.70 $1,641.83 2026-05-09
Q5121 CPT Infliximab-axxq 100 Mg Vial 14 6 $2,199.00 $2,133.88 $39.66 $4,685.74 $1,608.12 2026-05-09
J0248 CPT Remdesivir 100 Mg Vial 12 6 $2,900.00 $2,813.70 $12.70 $2,755.68 $1,419.76 2026-05-09
80230 CPT Infliximab Qn w/Reflex To Ab,S 10 6 $1,862.00 $1,806.14 $408.90 $1,768.90 $1,361.12 2026-05-09
Q5104 CPT Infliximab-abda 100 Mg Vial 12 6 $1,783.00 $1,729.60 $52.52 $5,119.19 $1,303.44 2026-05-09
J0666 CPT Bupivac Liposome 1.3% Pf 20 Ml 12 6 $1,774.00 $1,721.40 $2.18 $1,713.62 $1,297.26 2026-05-09
360 CPT Or Level 1 60 6 $1,820.00 $1,765.40 $245.73 $2,935.50 $1,294.43 2026-05-09
93880 CPT Extracranial Bilat Study 12 6 $1,733.00 $1,681.01 $380.57 $1,650.00 $1,266.83 2026-05-09
10061 CPT I&d Abscess Comp/Multiple 11 6 $1,614.00 $1,565.58 $354.43 $1,533.30 $1,246.01 2026-05-09
93226 CPT ECG Monit/Report Up To 48 Hour 14 6 $1,704.00 $1,652.88 $374.20 $1,618.80 $1,245.62 2026-05-09
76700 CPT Ultrasound Abdomen Complete 11 6 $1,610.00 $1,561.70 $353.56 $1,529.50 $1,242.92 2026-05-09
87497 CPT Cmv Quant By Pcr 10 6 $1,598.00 $1,550.06 $350.92 $1,518.10 $1,168.14 2026-05-09
25605 CPT Fx Distal Radius W Man Rt 30 6 $1,643.00 $1,593.71 $245.66 $1,560.85 $1,133.67 2026-05-09
93923 CPT Ue/le Artery 3 Levels 10 6 $1,548.00 $1,501.56 $339.94 $1,470.60 $1,131.59 2026-05-09
93970 CPT Venous Duplex 13 6 $1,626.00 $1,577.22 $357.07 $1,626.00 $1,121.94 2026-05-09
76770 CPT Ultrasound Abdo Back Wall Comp 13 6 $1,610.00 $1,561.70 $353.56 $1,610.00 $1,110.90 2026-05-09
93975 CPT Vascular Study 10 6 $1,517.00 $1,471.49 $333.13 $1,441.15 $1,108.92 2026-05-09
82397 CPT Infliximab Ab, S 10 6 $1,428.00 $1,385.16 $313.59 $1,356.60 $1,043.87 2026-05-09
76856 CPT Ultrasound Pelvic Complete 10 6 $1,422.00 $1,379.34 $312.27 $1,350.90 $1,039.48 2026-05-09
93017 CPT Cardiovascular Stress Test 12 6 $1,414.00 $1,371.58 $310.51 $1,346.00 $1,033.63 2026-05-09
93978 CPT Abdomen Vascular Complete 11 6 $1,300.00 $1,261.00 $285.48 $1,235.00 $1,003.60 2026-05-09
83993 CPT Calprotectin 11 6 $1,446.00 $1,402.62 $317.54 $1,373.70 $997.74 2026-05-09
86366 CPT Musk Antibody Ref 10 6 $1,326.00 $1,286.22 $291.19 $1,259.70 $969.31 2026-05-09
82653 CPT Pancreatic Elastase 10 6 $1,300.00 $1,261.00 $285.48 $1,235.00 $950.30 2026-05-09
A0426 CPT Amb Als Nonemerg Hosp/Hosp 10 6 $1,266.00 $1,228.02 $278.01 $1,202.70 $925.44 2026-05-09
93356 CPT Myocardial Strain Image Speckl 11 6 $1,270.00 $1,231.90 $278.89 $1,206.50 $876.30 2026-05-09
76882 CPT US Extremity Nonvasc Limit Lt 10 6 $1,163.00 $1,128.11 $255.39 $1,104.85 $850.15 2026-05-09
76870 CPT Ultrasound Scrotum 12 6 $1,163.00 $1,128.11 $255.39 $1,104.85 $850.15 2026-05-09
93925 CPT Arterial Duplex Le Bi 13 6 $1,204.00 $1,167.88 $229.20 $1,143.80 $830.76 2026-05-09
76705 CPT Ultrasound Abdomen Limited 15 6 $1,152.00 $1,117.44 $252.98 $1,094.40 $802.47 2026-05-09
76536 CPT Ultrasound Head And Neck 13 6 $1,163.00 $1,128.11 $255.39 $1,107.00 $802.47 2026-05-09
0202U CPT Respir Path 22 Targets Biofire 10 6 $1,084.00 $1,051.48 $238.05 $1,029.80 $792.40 2026-05-09
Q9967 CPT Iopamidol-370 100 Ml Vial 27 6 $1,800.00 $1,746.00 $0.28 $1,710.00 $767.70 2026-05-09
90675 CPT Rabies Vax Pcec/Pf 2.5Unit Vl 12 6 $1,347.00 $1,307.03 $125.24 $1,280.08 $765.70 2026-05-09
129 CPT Room Swing Bed Skilled 8 6 $1,037.00 $1,005.89 $227.73 $985.15 $758.04 2026-05-09
P9016 CPT Red Blood Cells Lekoreduced 13 6 $1,096.00 $1,063.12 $219.20 $1,041.20 $756.24 2026-05-09
87522 CPT Hep C RNA Pcr Quant 10 6 $1,026.00 $995.22 $225.31 $974.70 $750.01 2026-05-09
93971 CPT Extremity Study Lt 22 6 $985.00 $955.45 $216.31 $935.75 $720.03 2026-05-09
93926 CPT Arterial Duplex Le Lt 10 6 $985.00 $955.45 $216.31 $935.75 $720.03 2026-05-09
71111 CPT X-ray Ribs Bilateral 4 Views 10 6 $1,064.00 $1,032.08 $63.74 $1,010.80 $712.88 2026-05-09
73523 CPT X-ray Hips 5 Views Bi 11 6 $983.00 $953.51 $215.87 $933.85 $690.20 2026-05-09
J0881 CPT Darbepoet Alfa 40mcg/0.4ml Syr 28 6 $997.00 $967.74 $5.94 $2,669.46 $679.35 2026-05-09
23650 CPT Dislocation Shoulder Wo Anes 8 6 $691.00 $670.27 $629.84 $802.00 $674.64 2026-05-09
93976 CPT Vascular Study 11 6 $968.00 $938.96 $212.57 $919.60 $667.92 2026-05-09
710 CPT Recovery Phase 1 Per 15 Min 30 6 $979.00 $949.63 $53.14 $1,115.30 $643.69 2026-05-09
80169 CPT Everolimus 10 6 $864.00 $838.08 $189.73 $820.80 $631.59 2026-05-09
84445 CPT Tsi 12 6 $910.00 $882.70 $199.84 $864.50 $627.90 2026-05-09
76830 CPT Ultrasound Transvaginal 14 6 $857.00 $831.29 $188.20 $857.00 $626.47 2026-05-09
77080 CPT Dexa Scan 14 6 $903.00 $875.91 $88.61 $857.85 $623.07 2026-05-09
73522 CPT X-ray Hips 3-4 Views Bi 12 6 $819.00 $794.43 $179.85 $793.91 $598.69 2026-05-09
99291 CPT Critical Care 1st 30-74 Min 18 6 $2,159.00 $2,094.23 $329.00 $2,051.05 $592.11 2026-05-09
80285 CPT Voriconazole 10 6 $809.00 $784.73 $177.66 $768.55 $591.38 2026-05-09
74300 CPT X-ray Bile Ducts/Pancreas 11 6 $755.00 $732.35 $165.80 $965.04 $582.86 2026-05-09
76775 CPT Ultrasound Aorta 11 6 $842.00 $816.74 $184.90 $799.90 $580.98 2026-05-09
Q5110 CPT Filgrastim-aafi 480 Mcg/0.8 Ml 12 6 $780.00 $756.91 $0.58 $927.00 $570.41 2026-05-09
96413 CPT Chemotherapy Inf Initial 12 6 $823.00 $798.31 $180.73 $781.85 $567.87 2026-05-09
45388 CPT Colonoscopy W Ablation 8 6 $1,018.00 $987.46 $528.09 $752.92 $566.81 2026-05-09
71101 CPT X-ray Ribs Uni W Chest Lt 20 6 $693.00 $672.21 $152.18 $3,427.98 $563.07 2026-05-09
Q0138 CPT Ferumoxy 510mg/17ml (non-esrd) 12 6 $1,145.00 $1,111.35 $0.76 $1,088.43 $560.77 2026-05-09
J0561 CPT Pen G Benzathine 1200000Un/2ML 12 6 $1,141.00 $1,107.02 $53.64 $1,084.20 $558.59 2026-05-09
76817 CPT Transvaginal US Obstetrical 11 6 $809.00 $784.73 $177.66 $768.55 $558.21 2026-05-09
87385 CPT Histoplasma Antigen 10 6 $763.00 $740.11 $167.55 $724.85 $557.75 2026-05-09
80074 CPT Acute Hepatitis Panel 12 6 $785.00 $761.45 $172.39 $745.75 $541.65 2026-05-09
45385 CPT Colonoscopy W Lesion Removal 8 6 $1,163.00 $1,128.11 $497.75 $709.52 $532.76 2026-05-09
94002 CPT Vent Assist & Mgmt First Day 10 6 $725.00 $703.25 $159.21 $688.75 $529.98 2026-05-09
82610 CPT Cystatin C 10 6 $721.00 $699.37 $158.33 $684.95 $527.05 2026-05-09
12035 CPT Repair Lac Interm 12.6-20.0 Cm 18 6 $772.00 $748.84 $169.53 $733.40 $523.68 2026-05-09
J1610 CPT Glucagon 1 Mg/ml Vial 13 6 $794.00 $770.88 $98.91 $754.98 $516.57 2026-05-09
99284 CPT Emergency Room Visit Level 4 24 6 $1,055.00 $1,023.35 $184.86 $1,002.25 $516.37 2026-05-09
A9502 CPT Radiophar Tc99M Myoview 12 6 $706.00 $684.82 $155.04 $672.00 $516.09 2026-05-09
72190 CPT X-ray Pelvis 3 Views 10 6 $632.00 $613.04 $138.79 $600.40 $505.19 2026-05-09
99285 CPT Emergency Room Visit Level 5 23 6 $1,514.00 $1,468.58 $267.73 $1,438.30 $497.95 2026-05-09
86870 CPT Rbc Antibody Identif Panel 10 6 $671.00 $650.87 $147.35 $637.45 $490.50 2026-05-09
99281 CPT Sane Exam 11 6 $706.00 $684.82 $155.04 $670.70 $487.14 2026-05-09
A9500 CPT Radiophar Tc99M Sestamibi Dose 10 6 $666.00 $646.02 $146.25 $632.70 $486.85 2026-05-09
93246 CPT Ext ECG >7 Days Hook Up 14 6 $691.00 $670.27 $151.74 $656.45 $476.79 2026-05-09
93242 CPT Ext ECG 48 Hrs -7days Hook Up 11 6 $691.00 $670.27 $151.74 $656.45 $476.79 2026-05-09
72120 CPT X-ray Ls Spine Bending 2-3 V 10 6 $708.00 $686.76 $152.07 $672.60 $474.36 2026-05-09
83880 CPT Pro-b Type Natriuretic Peptide 27 6 $556.00 $539.32 $122.10 $797.00 $474.27 2026-05-09
77067 CPT Mammo Screen Implant Bi 28 6 $593.00 $575.21 $130.22 $757.00 $463.13 2026-05-09
96415 CPT Chemotherapy Inf Ea Addl Hr 12 6 $669.00 $648.93 $146.91 $635.55 $461.61 2026-05-09
94664 CPT Inhalation Treat Chronic Init 10 6 $625.00 $606.25 $137.25 $593.75 $456.88 2026-05-09
80203 CPT Zonisamide 10 6 $623.00 $604.31 $136.81 $591.85 $455.41 2026-05-09
82024 CPT Acth Adrenocorticotropic Hor 10 6 $622.00 $603.34 $136.59 $590.90 $454.68 2026-05-09
P9047 CPT Albumin Human 25% 25gr/100ml 12 6 $618.00 $600.27 $106.16 $3,118.50 $452.37 2026-05-09
71046 CPT X-ray Chest 2v PA/Lateral 16 6 $596.00 $578.12 $130.88 $783.14 $446.56 2026-05-09
G0379 CPT Observation Assess Direct Adm 10 6 $609.00 $590.73 $133.74 $578.55 $445.18 2026-05-09
11104 CPT Punch Biopsy 1st Lesion 10 6 $607.00 $588.79 $133.30 $576.65 $443.72 2026-05-09
74019 CPT X-ray Abdomen 14 6 $592.00 $574.24 $130.00 $660.48 $432.75 2026-05-09
Q9956 CPT Perflutren Protein-a Microdota 14 6 $643.00 $624.62 $77.76 $611.74 $431.44 2026-05-09
94660 CPT CPap/BiPap First Day 22 6 $680.00 $659.60 $115.07 $794.20 $430.47 2026-05-09
73030 CPT X-ray Shoulder Lt 25 6 $632.00 $613.04 $138.79 $600.40 $426.71 2026-05-09
45380 CPT Colonoscopy W Biopsy(s) 8 6 $1,036.00 $1,004.92 $393.92 $558.91 $422.80 2026-05-09
71045 CPT X-ray Chest 1 View 16 6 $518.00 $502.46 $113.75 $593.33 $420.88 2026-05-09
87799 CPT Bk Virus Quant Pcr, Serum 20 6 $572.00 $554.84 $123.85 $551.00 $417.81 2026-05-09
94625 CPT Pulmonary Rehab Without Monitoring 10 6 $570.00 $552.90 $125.17 $541.50 $416.67 2026-05-09
43251 CPT Egd Remove Lesion Snare 8 6 $479.00 $464.63 $384.52 $546.39 $411.45 2026-05-09
J2404 CPT Nicardipine/Ns 40 Mg/200ml Bag 12 6 $560.00 $543.26 $0.16 $1,828.74 $409.40 2026-05-09
96402 CPT Injection Chemo Sq/IM Hormonal 10 6 $560.00 $543.20 $122.98 $532.00 $409.36 2026-05-09
12032 CPT Repair Lac Interm 2.6-7.5 Cm 18 6 $480.00 $465.60 $105.41 $534.49 $407.91 2026-05-09
74250 CPT Gastrografin Challenge 10 6 $607.00 $588.79 $133.30 $576.65 $406.69 2026-05-09
72072 CPT X-ray Spine Thoracic 3 Views 13 6 $585.00 $567.45 $128.47 $697.55 $403.65 2026-05-09
94060 CPT Pft Pre & Post Screen Spirome 10 6 $552.00 $535.44 $121.22 $524.40 $403.51 2026-05-09
83520 CPT Lambda Light Chain 33 6 $592.00 $574.24 $59.07 $940.50 $393.68 2026-05-09
45378 CPT Colonoscopy Diagnostic 8 6 $868.00 $841.96 $362.29 $514.44 $388.75 2026-05-09
73564 CPT X-ray Knee 4 Lt 27 6 $574.00 $556.78 $126.05 $545.30 $387.66 2026-05-09
C1781 CPT Mesh Srg 13x9cm Lt 40 6 $760.50 $738.15 $88.94 $1,146.30 $384.75 2026-05-09
84207 CPT Vitamin B6 10 6 $525.00 $509.25 $115.29 $498.75 $383.77 2026-05-09
G0480 CPT Amitriptyline/Nortriptyline 20 6 $832.00 $807.04 $88.28 $1,198.90 $381.90 2026-05-09
72220 CPT X-ray Sacrum Tailbone 23 6 $492.00 $477.24 $108.04 $468.00 $379.82 2026-05-09
86036 CPT Anca 10 6 $517.00 $501.49 $113.53 $491.15 $377.93 2026-05-09
82542 CPT Pth Like Protein 10 6 $508.00 $492.76 $111.56 $482.60 $371.35 2026-05-09
82088 CPT Aldosterone 10 6 $504.00 $488.88 $110.68 $478.80 $368.42 2026-05-09
96365 CPT Inf Therapy Med Initial 31 6 $546.00 $529.62 $94.65 $518.70 $367.64 2026-05-09
86300 CPT Ca 27-29 10 6 $498.00 $483.06 $109.36 $473.10 $364.04 2026-05-09
81515 CPT Vpp 10 6 $497.00 $482.09 $109.14 $472.15 $363.31 2026-05-09
83010 CPT Haptoglobin Quant 10 6 $496.00 $481.12 $108.92 $471.20 $362.58 2026-05-09
P9045 CPT Albumin Human 5% 12.5 Gr/250ml 12 6 $495.00 $481.10 $106.16 $3,123.57 $362.56 2026-05-09
87637 CPT Influ/RSV/CoV2 Pcr Ceph 13 6 $524.00 $508.28 $115.07 $497.80 $361.56 2026-05-09
87338 CPT H Pylori Antigen Stool 11 6 $523.00 $507.31 $114.85 $496.85 $360.87 2026-05-09
92950 CPT Heart/Lung Resuscitation Cpr 19 6 $494.00 $479.18 $108.48 $469.30 $360.12 2026-05-09
26720 CPT Fx Finger/Thumb Wo Man 10 6 $491.00 $476.27 $107.82 $466.45 $358.92 2026-05-09
99282 CPT Emergency Room Visit Level 2 14 6 $520.00 $504.40 $114.19 $494.00 $358.80 2026-05-09
87798 CPT Bord Parapertussis Amp Arup 20 6 $491.50 $476.75 $104.53 $481.65 $358.65 2026-05-09
G0121 CPT Screen Colonoscopy Not Hi Risk 8 6 $868.00 $841.96 $171.02 $514.81 $358.38 2026-05-09
G0105 CPT Screening Colonoscopy Hi Risk 8 6 $868.00 $841.96 $170.90 $514.08 $357.97 2026-05-09
36430 CPT Blood Administration 13 6 $515.00 $499.55 $103.00 $489.25 $355.35 2026-05-09
87636 CPT Influ & CoV2 Pcr Ceph 10 6 $486.00 $471.42 $106.73 $461.70 $355.26 2026-05-09
84305 CPT Somatomedin 10 6 $478.00 $463.66 $104.97 $454.10 $349.42 2026-05-09
88342 CPT Immunohisto Stain Init Pr Spec 10 6 $473.00 $458.81 $103.87 $449.35 $345.76 2026-05-09
88341 CPT Immunohisto Stain Add Per Spc 10 6 $473.00 $458.81 $103.87 $449.35 $345.76 2026-05-09
87045 CPT Culture Stool 11 6 $499.00 $484.03 $109.58 $474.05 $344.31 2026-05-09
87449 CPT Blastomyces Ag Qnt 20 6 $678.50 $658.14 $81.25 $937.65 $338.06 2026-05-09
93922 CPT Ankle Arm Screen 13 6 $488.00 $473.36 $91.20 $463.60 $336.72 2026-05-09
26770 CPT Dislocation Finger Wo Anes 18 6 $348.00 $337.56 $76.42 $710.47 $330.60 2026-05-09
73502 CPT X-ray Hip Uni 2-3 Views Lt 41 6 $346.00 $335.62 $75.98 $860.42 $328.70 2026-05-09
12041 CPT Repair Lac Interm <2.5 Cm 18 6 $504.00 $488.88 $110.68 $478.80 $328.19 2026-05-09
72100 CPT X-ray Lumbosacral 2-3 Views 14 6 $478.00 $463.66 $90.44 $454.10 $326.44 2026-05-09
82652 CPT Vitamin D 125 Dihydroxy 10 6 $444.00 $430.68 $97.50 $421.80 $324.56 2026-05-09
72070 CPT X-ray Spine Thoracic 2 Views 13 6 $420.00 $407.40 $92.23 $1,015.91 $324.24 2026-05-09
99223 CPT IP/Obs Initial High Comp 8 6 $350.00 $339.50 $270.04 $389.40 $318.47 2026-05-09
J3375 CPT Vancomycin (Swfi/Peg) 1750/350 20 6 $432.00 $419.52 $84.05 $458.13 $317.07 2026-05-09
27840 CPT Treat Ankle Dislocation 18 6 $331.00 $321.07 $72.69 $1,037.29 $314.45 2026-05-09
82523 CPT Cross Linked C Teleop 10 6 $430.00 $417.10 $94.43 $408.50 $314.33 2026-05-09
82626 CPT Dhea 11 6 $407.00 $394.79 $89.38 $386.65 $314.20 2026-05-09
71100 CPT X-ray Ribs 2 Views Lt 10 6 $385.00 $373.45 $84.55 $3,616.49 $312.82 2026-05-09
J2805 CPT Sincalide 5 Mcg Vial 12 6 $601.00 $583.22 $132.04 $571.20 $309.80 2026-05-09
80197 CPT Tacrolimus 10 6 $422.00 $409.34 $92.67 $400.90 $308.48 2026-05-09
99283 CPT Emergency Room Visit Level 3 23 6 $671.00 $650.87 $108.68 $637.45 $307.02 2026-05-09
72080 CPT X-ray Thoracolumbar Junc 2v 10 6 $455.00 $441.35 $79.40 $432.25 $304.85 2026-05-09
70030 CPT X-ray Eye Fb Detection 8 6 $415.00 $402.55 $91.13 $394.25 $303.37 2026-05-09
72040 CPT X-ray Spine Cervical 2-3 Views 13 6 $433.00 $420.01 $95.09 $551.93 $298.77 2026-05-09
80189 CPT Itraconazole 10 6 $407.00 $394.79 $89.38 $386.65 $297.51 2026-05-09
96360 CPT Inf Therapy Hyd Initial 29 6 $405.00 $392.85 $88.94 $409.45 $297.39 2026-05-09
70150 CPT X-ray Facial Bones 3 Views 10 6 $442.00 $428.74 $82.17 $419.90 $296.14 2026-05-09
51700 CPT Irrigation Bladder Simple 23 6 $371.00 $359.87 $81.47 $432.25 $295.75 2026-05-09
83970 CPT Pth 11 6 $424.00 $411.28 $93.11 $402.80 $292.56 2026-05-09
43239 CPT Egd Biopsy Single/Multiple 8 6 $765.00 $742.05 $272.42 $385.31 $290.85 2026-05-09
87149 CPT Afb Id By Na Probe 10 6 $397.00 $385.09 $87.18 $377.15 $290.21 2026-05-09
Q9957 CPT Perflutren Lip Micro 2.2mg/2ml 12 6 $582.00 $565.41 $47.75 $553.76 $285.30 2026-05-09
93005 CPT EKG Tracing 17 6 $413.00 $400.61 $90.69 $392.35 $284.97 2026-05-09
86335 CPT Immunofix Electroph Fluid 10 6 $388.00 $376.36 $85.20 $368.60 $283.63 2026-05-09
73090 CPT X-ray Forearm 2 Views Lt 20 6 $365.00 $354.05 $80.15 $346.75 $282.25 2026-05-09
82077 CPT Alcohol/Ethanol Auto Analyzer 16 6 $385.00 $373.45 $84.55 $365.75 $281.44 2026-05-09
70100 CPT X-ray Mandible < 4 Views 8 6 $385.00 $373.45 $84.55 $365.75 $281.44 2026-05-09
27520 CPT Treat Kneecap Fracture Rt 21 6 $364.00 $353.08 $79.93 $345.80 $281.01 2026-05-09
74018 CPT X-ray Abdomen 14 6 $382.00 $370.54 $83.89 $523.40 $279.24 2026-05-09
82627 CPT Dheas 11 6 $403.00 $390.91 $88.50 $382.85 $278.07 2026-05-09
56405 CPT I & D Vulva/Perineum 18 6 $371.00 $359.87 $81.47 $352.45 $273.12 2026-05-09
73080 CPT X-ray Elbow Lt 21 6 $420.00 $407.40 $38.91 $399.00 $273.00 2026-05-09
73630 CPT X-ray Foot 3 Views Rt 27 6 $420.00 $407.40 $65.60 $399.00 $273.00 2026-05-09
73610 CPT X-ray Ankle 3 Views Rt 25 6 $420.00 $407.40 $92.23 $399.00 $273.00 2026-05-09
73130 CPT X-ray Hand Rt 25 6 $420.00 $407.40 $59.16 $399.00 $273.00 2026-05-09
84244 CPT Renin 11 6 $353.00 $342.41 $77.52 $335.35 $272.52 2026-05-09
80171 CPT Neurontin/Gabapentin 10 6 $369.00 $357.93 $81.03 $350.55 $269.74 2026-05-09
72170 CPT X-ray Pelvis 1-2 Views 13 6 $346.00 $335.62 $75.98 $341.88 $267.11 2026-05-09
84165 CPT Protein Electrophoresis 11 6 $345.00 $334.65 $75.76 $327.75 $266.34 2026-05-09
24650 CPT Fx Radial Head/Neck Wo Man Lt 10 6 $364.00 $353.08 $79.93 $345.80 $266.08 2026-05-09
26750 CPT Fx Distal Finger/Thumb Wo Man 10 6 $364.00 $353.08 $79.93 $345.80 $266.08 2026-05-09
82306 CPT Vitamin D 25 Oh 15 6 $385.00 $373.45 $84.55 $365.75 $265.65 2026-05-09
83516 CPT Glom Base Membrane Aby 30 6 $351.00 $340.47 $66.98 $450.30 $265.57 2026-05-09
84481 CPT T3 Free 12 6 $340.00 $329.80 $74.66 $323.00 $265.54 2026-05-09
30905 CPT Control Posterior Hemorrhage 18 6 $477.00 $462.69 $104.75 $453.15 $264.50 2026-05-09
82232 CPT Beta 2 Microglobulin 10 6 $355.00 $344.35 $77.96 $337.25 $259.50 2026-05-09
A9585 CPT Gadobutrol Inj 10 Mm/10 Ml Vl 32 6 $675.00 $654.75 $0.56 $855.00 $259.01 2026-05-09
84681 CPT C Peptide 10 6 $351.00 $340.47 $77.08 $333.45 $256.58 2026-05-09
97166 CPT Ot Eval Mod Complexity 11 6 $370.00 $358.90 $81.25 $351.50 $255.30 2026-05-09
73110 CPT X-ray Wrist 3 Views Lt 25 6 $369.00 $357.93 $58.22 $350.55 $254.61 2026-05-09
84432 CPT Thyroglobulin 10 6 $346.00 $335.62 $75.98 $328.70 $252.93 2026-05-09
24530 CPT Fx Supra/Transcondylar Hum Lt 10 6 $346.00 $335.62 $75.98 $328.70 $252.93 2026-05-09
23600 CPT Fx Prox Humeral Wo Man Lt 20 6 $346.00 $335.62 $75.98 $328.70 $252.93 2026-05-09
27786 CPT Fx Distal Fibula Lt 10 6 $346.00 $335.62 $75.98 $328.70 $252.93 2026-05-09
93798 CPT Cardiac Rehab Ii Monitored 16 6 $323.00 $313.31 $70.93 $504.00 $252.26 2026-05-09
84166 CPT Protein Electrophoresis Urine 10 6 $345.00 $334.65 $75.76 $327.75 $252.19 2026-05-09
73562 CPT X-ray Knee 3 Views Rt 26 6 $369.00 $357.93 $81.03 $350.55 $251.91 2026-05-09
25600 CPT Fx Distal Radius Lt 22 6 $364.00 $353.08 $79.93 $345.80 $251.16 2026-05-09
84482 CPT Reverse T3 10 6 $340.00 $329.80 $74.66 $323.00 $248.54 2026-05-09
84402 CPT Testosterone Fre Female/Child 22 6 $346.50 $336.11 $71.81 $347.70 $247.91 2026-05-09
97165 CPT Ot Eval Low Complexity 14 6 $338.00 $327.86 $74.22 $338.00 $247.08 2026-05-09
82105 CPT Afp Tm 12 6 $357.00 $346.29 $78.40 $339.15 $246.33 2026-05-09
51701 CPT Cath Insert Straight Non-indwe 20 6 $337.50 $327.38 $71.81 $330.60 $246.28 2026-05-09
86376 CPT Microsome Liver/Kidney Aby 22 6 $333.00 $323.01 $61.71 $365.75 $244.97 2026-05-09
J2020 CPT Linezolid 600 Mg/300 Ml Bag 12 6 $333.00 $323.04 $5.96 $968.84 $243.44 2026-05-09
80306 CPT Drug Screen Urine Inst Ass Obv 16 6 $331.00 $321.07 $72.69 $314.45 $241.96 2026-05-09
24500 CPT Fx Humeral Shaft Wo Man Lt 10 6 $329.00 $319.13 $72.25 $312.55 $240.50 2026-05-09
26600 CPT Fx Metacarpal 10 6 $329.00 $319.13 $72.25 $312.55 $240.50 2026-05-09
82803 CPT Blood Gas Wo Oximetry 12 6 $329.00 $319.13 $72.25 $312.55 $240.50 2026-05-09
96361 CPT Inf Therapy Hyd Ea Addl Hour 29 6 $327.00 $317.19 $71.81 $330.60 $240.12 2026-05-09
85379 CPT D-dimer Quant 14 6 $348.00 $337.56 $76.42 $330.60 $240.12 2026-05-09
96366 CPT Inf Therapy Med Ea Addl Hr 29 6 $345.00 $334.65 $75.76 $330.60 $240.12 2026-05-09
97163 CPT Pt Eval High Complexity 10 6 $328.00 $318.16 $72.03 $311.60 $239.77 2026-05-09
92507 CPT Speech Therapy Trmt 12 6 $307.00 $297.79 $67.42 $596.00 $239.76 2026-05-09
97162 CPT Pt Eval Mod Complexity 14 6 $347.00 $336.59 $76.20 $329.65 $239.43 2026-05-09
84403 CPT Testosterone Total 29 6 $392.00 $380.24 $55.34 $372.40 $239.40 2026-05-09
93225 CPT Holter Monitor Hook Up <48 Hrs 14 6 $327.00 $317.19 $71.81 $310.65 $239.03 2026-05-09
99222 CPT Inpatient Initial/Obs Mod Comp 8 6 $279.00 $270.63 $202.33 $274.01 $239.01 2026-05-09
73552 CPT X-ray Femur 2 Views Lt 21 6 $346.00 $335.62 $75.98 $328.70 $238.74 2026-05-09
83835 CPT Metanephrines Urine 11 6 $305.00 $295.85 $66.98 $289.75 $235.46 2026-05-09
J0613 CPT Calcium Gluc/NS (Wgcc) 1,000Mg 12 6 $340.00 $330.60 $0.22 $323.78 $235.17 2026-05-09
97161 CPT Pt Eval Low Complexity 16 6 $301.00 $291.97 $66.10 $529.00 $235.08 2026-05-09
30300 CPT Remove Foreign Body Nose 10 6 $320.00 $310.40 $70.27 $304.00 $233.92 2026-05-09
10060 CPT I&d Abscess Simple/Single 18 6 $318.00 $308.46 $69.83 $302.10 $233.39 2026-05-09
82104 CPT Alpha 1 Antitrypsin Pheno 10 6 $318.00 $308.46 $69.83 $302.10 $232.46 2026-05-09
77071 CPT X-ray Stress View 10 6 $346.00 $335.62 $75.98 $328.70 $231.82 2026-05-09
88312 CPT Special Stain Pas Fungus 10 6 $317.00 $307.49 $69.61 $301.15 $231.72 2026-05-09
84425 CPT Vitamin B1 12 6 $334.00 $323.98 $73.35 $317.30 $230.46 2026-05-09
82670 CPT Estradiol Total 12 6 $293.00 $284.21 $64.34 $278.35 $228.83 2026-05-09
85520 CPT Heparin Xa 12 6 $331.00 $321.07 $72.69 $314.45 $228.39 2026-05-09
73620 CPT X-ray Foot 2 Views Rt 22 6 $331.00 $321.07 $72.69 $314.45 $228.39 2026-05-09
84153 CPT Psa Total 13 6 $293.00 $284.21 $64.34 $279.00 $226.20 2026-05-09
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