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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

COMMUNITY MEMORIAL HOSPITAL

Redfield, SD · CCN 431316 · Rates published

707 distinct procedures filed
5 distinct payers
7,866 rate rows
2026-07-18 last MRF observed
Data quality

7,824 of 7,866 rate rows are consumer-grade (99.5%)

42 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
percent-of-charges filed in the dollar field — excluded from medians 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.redfieldcmh.org/wp-content/uploads/2025/03/466000400_redfield-community-memorial_standardcharges.csv
Found on page https://www.redfieldcmh.org/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 920133fa66fb32f2… · 585,814 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
J3245
HCPCS 		Tildrakizumab-asmn 100Mg/Ml Sy 5 $23,705.47 $33,154.51 $31,496.78 nat. median
$217
outlier · 145.2×
J0717
HCPCS 		Certolizumab Pegol 400 Mg Kit 5 $9,592.81 $13,416.52 $12,745.69 nat. median
$29
outlier · 439.2×
J0491
HCPCS 		Anifrolumab-fnia 300Mg/2Ml Via 5 $8,904.54 $12,453.90 $11,831.21 nat. median
$45
outlier · 264.7×
J1306
HCPCS 		Inclisiran 284mg/1.5ml Syringe 5 $5,983.78 $8,368.92 $7,950.47 nat. median
$25
outlier · 315.5×
Q5120
HCPCS 		Pegfilgrastim-bmez 6 Mg/0.6 Ml 5 $5,667.20 $7,926.15 $7,529.84 nat. median
$347
outlier · 21.7×
70553
CPT 		MRI Brain Wwo Contrast 5 $4,937.08 $6,905.00 $6,559.75 nat. median
$616
outlier · 10.7×
J3111
HCPCS 		Romosozumab-aqqg 210 Mg/2.34Ml 5 $4,152.37 $5,807.51 $5,517.13 nat. median
$19
outlier · 290.4×
70543
CPT 		MRI Orbit Face Neck Wwo Cont 5 $4,150.58 $5,805.00 $5,514.75 nat. median
$605
outlier · 9.1×
Q5111
HCPCS 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml 5 $4,029.46 $5,635.61 $5,353.83 nat. median
$665
outlier · 8.0×
73720
CPT 		MRI Le Wwo Dye Lt 5 $3,915.34 $5,476.00 $5,202.20 nat. median
$754
outlier · 6.9×
74177
CPT 		CT Abd & Pelv W Contrast 5 $3,893.18 $5,445.00 $5,172.75 nat. median
$501
outlier · 10.3×
72158
CPT 		MRI Lumbar Spine Wwo Dye 5 $3,880.31 $5,427.00 $5,155.65 nat. median
$616
outlier · 8.4×
72156
CPT 		MRI Neck Spine Wwo Dye 5 $3,880.31 $5,427.00 $5,155.65 nat. median
$625
outlier · 8.3×
95811
CPT 		Polysomnogram W CPap 5 $3,686.54 $5,156.00 $4,898.20 nat. median
$1,412
outlier · 3.5×
73723
CPT 		MRI Joint Le Wwo Dye Rt 5 $3,664.38 $5,125.00 $4,868.75 nat. median
$756
outlier · 6.4×
72197
CPT 		MRI Pelvis Wwo Dye 5 $3,605.75 $5,043.00 $4,790.85 nat. median
$606
outlier · 7.9×
73218
CPT 		MRI Ue Wo Dye Rt 5 $3,605.75 $5,043.00 $4,790.85 nat. median
$553
outlier · 8.7×
73221
CPT 		MRI Joint Ue Wo Dye Lt 5 $3,605.75 $5,043.00 $4,790.85 nat. median
$547
outlier · 8.8×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $3,552.12 $4,968.00 $4,719.60 nat. median
$539
outlier · 8.8×
73718
CPT 		MRI Le Wo Dye Lt 5 $3,411.27 $4,771.00 $4,532.45 nat. median
$505
outlier · 9.0×
J0897
HCPCS 		Denosumab 120 Mg/1.7 Ml Vial 5 $2,780.18 $7,138.75 $4,496.29 nat. median
$86
outlier · 52.3×
72149
CPT 		MRI Lumbar Spine W Dye 5 $3,383.38 $4,732.00 $4,495.40 nat. median
$549
outlier · 8.2×
74176
CPT 		CT Abd & Pelvis Wo Contrast 5 $3,313.31 $4,634.00 $4,402.30 nat. median
$333
outlier · 13.2×
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $3,293.29 $4,606.00 $4,375.70 nat. median
$549
outlier · 8.0×
74183
CPT 		MRI Abdomen Wwo Dye 5 $3,289.00 $4,600.00 $4,370.00 nat. median
$611
outlier · 7.2×
74182
CPT 		MRI Abdomen W Dye 5 $3,289.00 $4,600.00 $4,370.00 nat. median
$580
outlier · 7.5×
95810
CPT 		Polysomnogram 5 $3,281.14 $4,589.00 $4,359.55 nat. median
$1,446
outlier · 3.0×
72141
CPT 		MRI Neck Spine Wo Dye 5 $3,266.12 $4,568.00 $4,339.60 nat. median
$429
outlier · 10.1×
72148
CPT 		MRI Lumbar Spine Wo Dye 5 $3,266.12 $4,568.00 $4,339.60 nat. median
$408
outlier · 10.6×
72146
CPT 		MRI Chest Spine Wo Dye 5 $3,172.46 $4,437.00 $4,215.15 nat. median
$421
outlier · 10.0×
71260
CPT 		CT Thorax W Contrast 5 $3,118.83 $4,362.00 $4,143.90 nat. median
$327
outlier · 12.7×
73721
CPT 		MRI Joint Le Wo Dye Lt 5 $3,071.64 $4,296.00 $4,081.20 nat. median
$509
outlier · 8.0×
74175
CPT 		CTA Abdom Wwo Dye 5 $3,043.04 $4,256.00 $4,043.20 nat. median
$355
outlier · 11.4×
73706
CPT 		CTA Le Wwo Dye Rt 5 $3,043.04 $4,256.00 $4,043.20 nat. median
$416
outlier · 9.7×
75635
CPT 		CTA Abdominal Arteries 5 $3,043.04 $4,256.00 $4,043.20 nat. median
$355
outlier · 11.4×
71275
CPT 		CTA Chest Wwo Contrast 5 $3,043.04 $4,256.00 $4,043.20 nat. median
$365
outlier · 11.1×
72195
CPT 		MRI Pelvis Wo Dye 5 $3,020.88 $4,225.00 $4,013.75 nat. median
$437
outlier · 9.2×
70551
CPT 		MRI Brain Wo Contrast 5 $2,962.96 $4,144.00 $3,936.80 nat. median
$429
outlier · 9.2×
74170
CPT 		CT Abdomen Wwo Dye 5 $2,817.10 $3,940.00 $3,743.00 nat. median
$366
outlier · 10.2×
70492
CPT 		CT Soft Tissue Neck Wwo Cont 5 $2,631.92 $3,681.00 $3,496.95 nat. median
$337
outlier · 10.4×
70470
CPT 		CT Head/Brain Wwo Contrast 5 $2,584.73 $3,615.00 $3,434.25 nat. median
$330
outlier · 10.4×
70491
CPT 		CT Soft Tissue Neck W Cont 5 $2,584.73 $3,615.00 $3,434.25 nat. median
$327
outlier · 10.5×
J0129
HCPCS 		Abatacept 250 Mg Vial 5 $2,503.39 $3,501.25 $3,326.19 nat. median
$122
outlier · 27.2×
73200
CPT 		CT Ue Wo Dye Lt 5 $2,485.34 $3,476.00 $3,302.20 nat. median
$245
outlier · 13.5×
73701
CPT 		CT Le W Dye Lt 5 $2,436.72 $3,408.00 $3,237.60 nat. median
$390
outlier · 8.3×
73700
CPT 		CT Le Wo Dye Lt 5 $2,385.24 $3,336.00 $3,169.20 nat. median
$238
outlier · 13.3×
J3262
HCPCS 		Tocilizumab 200 Mg/10 Ml Vial 5 $881.52 $6,657.64 $3,112.93 nat. median
$1,287
outlier · 2.4×
71250
CPT 		CT Thorax Wo Contrast 5 $2,269.41 $3,174.00 $3,015.30 nat. median
$230
outlier · 13.1×
120
CDM 		Room Medical Unit Semi Private 5 $1,949.81 $2,727.00 $2,590.65 nat. median
$1,665
1.6× median
70496
CPT 		CT Angiography Head W Cont 5 $1,949.09 $2,726.00 $2,589.70 nat. median
$364
outlier · 7.1×

Other procedures at this hospital

Browse this hospital's 707 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
             
J3245 HCPCS Tildrakizumab-asmn 100Mg/Ml Sy 7 5 $33,154.51 $28,181.33 $23,705.47 $33,154.51 $31,496.78 2026-07-18
J0717 HCPCS Certolizumab Pegol 400 Mg Kit 7 5 $13,416.52 $11,404.04 $9,592.81 $13,416.52 $12,745.69 2026-07-18
J0491 HCPCS Anifrolumab-fnia 300Mg/2Ml Via 7 5 $12,453.90 $10,585.82 $8,904.54 $12,453.90 $11,831.21 2026-07-18
J1306 HCPCS Inclisiran 284mg/1.5ml Syringe 7 5 $8,368.92 $7,113.58 $5,983.78 $8,368.92 $7,950.47 2026-07-18
Q5120 HCPCS Pegfilgrastim-bmez 6 Mg/0.6 Ml 7 5 $7,926.15 $6,737.23 $5,667.20 $7,926.15 $7,529.84 2026-07-18
70553 CPT MRI Brain Wwo Contrast 7 5 $5,632.00 $5,869.25 $4,937.08 $6,905.00 $6,559.75 2026-07-18
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34Ml 7 5 $5,807.51 $4,936.38 $4,152.37 $5,807.51 $5,517.13 2026-07-18
70543 CPT MRI Orbit Face Neck Wwo Cont 7 5 $5,805.00 $4,934.25 $4,150.58 $5,805.00 $5,514.75 2026-07-18
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml 7 5 $5,635.61 $4,790.27 $4,029.46 $5,635.61 $5,353.83 2026-07-18
73720 CPT MRI Le Wwo Dye Lt 7 5 $5,476.00 $4,654.60 $3,915.34 $5,476.00 $5,202.20 2026-07-18
74177 CPT CT Abd & Pelv W Contrast 7 5 $5,445.00 $4,628.25 $3,893.18 $5,445.00 $5,172.75 2026-07-18
72156 CPT MRI Neck Spine Wwo Dye 7 5 $5,427.00 $4,612.95 $3,880.31 $5,427.00 $5,155.65 2026-07-18
72158 CPT MRI Lumbar Spine Wwo Dye 7 5 $5,427.00 $4,612.95 $3,880.31 $5,427.00 $5,155.65 2026-07-18
95811 CPT Polysomnogram W CPap 7 5 $3,160.00 $4,382.60 $3,686.54 $5,156.00 $4,898.20 2026-07-18
73723 CPT MRI Joint Le Wwo Dye Rt 7 5 $4,069.80 $4,356.25 $3,664.38 $5,125.00 $4,868.75 2026-07-18
72197 CPT MRI Pelvis Wwo Dye 7 5 $2,805.00 $4,286.55 $3,605.75 $5,043.00 $4,790.85 2026-07-18
73221 CPT MRI Joint Ue Wo Dye Lt 14 5 $3,255.00 $4,286.55 $3,605.75 $5,043.00 $4,790.85 2026-07-18
73218 CPT MRI Ue Wo Dye Rt 7 5 $3,255.00 $4,286.55 $3,605.75 $5,043.00 $4,790.85 2026-07-18
74178 CPT CT Abd & Pelv Wwo Contrast 7 5 $4,968.00 $4,222.80 $3,552.12 $4,968.00 $4,719.60 2026-07-18
73718 CPT MRI Le Wo Dye Lt 14 5 $2,849.00 $4,055.35 $3,411.27 $4,771.00 $4,532.45 2026-07-18
J0897 HCPCS Denosumab 120 Mg/1.7 Ml Vial 14 5 $5,513.56 $4,686.52 $2,780.18 $7,138.75 $4,496.29 2026-07-18
72149 CPT MRI Lumbar Spine W Dye 7 5 $4,273.50 $4,022.20 $3,383.38 $4,732.00 $4,495.40 2026-07-18
74176 CPT CT Abd & Pelvis Wo Contrast 7 5 $4,634.00 $3,938.90 $3,313.31 $4,634.00 $4,402.30 2026-07-18
74174 CPT CTA Abd&Pelv Wwo Dye 7 5 $4,400.00 $3,915.10 $3,293.29 $4,606.00 $4,375.70 2026-07-18
74183 CPT MRI Abdomen Wwo Dye 7 5 $4,600.00 $3,910.00 $3,289.00 $4,600.00 $4,370.00 2026-07-18
74182 CPT MRI Abdomen W Dye 7 5 $4,600.00 $3,910.00 $3,289.00 $4,600.00 $4,370.00 2026-07-18
95810 CPT Polysomnogram 7 5 $2,772.00 $3,900.65 $3,281.14 $4,589.00 $4,359.55 2026-07-18
72141 CPT MRI Neck Spine Wo Dye 7 5 $4,292.00 $3,882.80 $3,266.12 $4,568.00 $4,339.60 2026-07-18
72148 CPT MRI Lumbar Spine Wo Dye 7 5 $4,292.00 $3,882.80 $3,266.12 $4,568.00 $4,339.60 2026-07-18
72146 CPT MRI Chest Spine Wo Dye 7 5 $4,437.00 $3,771.45 $3,172.46 $4,437.00 $4,215.15 2026-07-18
71260 CPT CT Thorax W Contrast 7 5 $2,738.00 $3,707.70 $3,118.83 $4,362.00 $4,143.90 2026-07-18
73721 CPT MRI Joint Le Wo Dye Lt 14 5 $4,296.00 $3,651.60 $3,071.64 $4,296.00 $4,081.20 2026-07-18
75635 CPT CTA Abdominal Arteries 7 5 $3,518.64 $3,617.60 $3,043.04 $4,256.00 $4,043.20 2026-07-18
73706 CPT CTA Le Wwo Dye Rt 7 5 $929.00 $3,617.60 $3,043.04 $4,256.00 $4,043.20 2026-07-18
74175 CPT CTA Abdom Wwo Dye 7 5 $3,696.00 $3,617.60 $3,043.04 $4,256.00 $4,043.20 2026-07-18
71275 CPT CTA Chest Wwo Contrast 7 5 $3,906.00 $3,617.60 $3,043.04 $4,256.00 $4,043.20 2026-07-18
72195 CPT MRI Pelvis Wo Dye 7 5 $4,225.00 $3,591.25 $3,020.88 $4,225.00 $4,013.75 2026-07-18
70551 CPT MRI Brain Wo Contrast 7 5 $4,144.00 $3,522.40 $2,962.96 $4,144.00 $3,936.80 2026-07-18
74170 CPT CT Abdomen Wwo Dye 7 5 $2,356.20 $3,349.00 $2,817.10 $3,940.00 $3,743.00 2026-07-18
70492 CPT CT Soft Tissue Neck Wwo Cont 7 5 $3,681.00 $3,128.85 $2,631.92 $3,681.00 $3,496.95 2026-07-18
70470 CPT CT Head/Brain Wwo Contrast 7 5 $3,615.00 $3,072.75 $2,584.73 $3,615.00 $3,434.25 2026-07-18
70491 CPT CT Soft Tissue Neck W Cont 7 5 $3,615.00 $3,072.75 $2,584.73 $3,615.00 $3,434.25 2026-07-18
J0129 HCPCS Abatacept 250 Mg Vial 7 5 $3,501.25 $2,976.06 $2,503.39 $3,501.25 $3,326.19 2026-07-18
73200 CPT CT Ue Wo Dye Lt 14 5 $3,476.00 $2,954.60 $2,485.34 $3,476.00 $3,302.20 2026-07-18
73701 CPT CT Le W Dye Lt 14 5 $3,408.00 $2,896.80 $2,436.72 $3,408.00 $3,237.60 2026-07-18
73700 CPT CT Le Wo Dye Lt 14 5 $1,267.00 $2,835.60 $2,385.24 $3,336.00 $3,169.20 2026-07-18
J3262 HCPCS Tocilizumab 200 Mg/10 Ml Vial 21 5 $3,276.77 $2,785.25 $881.52 $6,657.64 $3,112.93 2026-07-18
71250 CPT CT Thorax Wo Contrast 7 5 $1,449.00 $2,697.90 $2,269.41 $3,174.00 $3,015.30 2026-07-18
120 CDM Room Medical Unit Semi Private 7 5 $2,727.00 $2,317.95 $1,949.81 $2,727.00 $2,590.65 2026-07-18
70496 CPT CT Angiography Head W Cont 7 5 $1,408.00 $2,317.10 $1,949.09 $2,726.00 $2,589.70 2026-07-18
70498 CPT CT Angiography Neck W Cont 7 5 $4,069.80 $2,317.10 43% off $1,949.09 $2,726.00 $2,589.70 2026-07-18
74160 CPT CT Abdomen W Dye 7 5 $2,700.00 $2,295.00 $1,930.50 $2,700.00 $2,565.00 2026-07-18
93306 CPT Tte W Doppler Complete 7 5 $2,590.00 $2,201.50 $1,851.85 $2,590.00 $2,460.50 2026-07-18
J9217 HCPCS Leuprolide Acetate 45 Mg Syr 7 5 $2,533.04 $2,153.08 $1,811.12 $2,533.04 $2,406.39 2026-07-18
72192 CPT CT Pelvis Wo Dye 7 5 $2,512.00 $2,135.20 $1,796.08 $2,512.00 $2,386.40 2026-07-18
70488 CPT CT Maxillofac Wwo Contrast 7 5 $2,502.00 $2,126.70 $1,788.93 $2,502.00 $2,376.90 2026-07-18
72131 CPT CT Lumbar Spine Wo Contrast 7 5 $2,502.00 $2,126.70 $1,788.93 $2,502.00 $2,376.90 2026-07-18
70450 CPT CT Head/Brain Wo Contrast 7 5 $2,502.00 $2,126.70 $1,788.93 $2,502.00 $2,376.90 2026-07-18
70490 CPT CT Soft Tissue Neck Wo Cont 7 5 $2,502.00 $2,126.70 $1,788.93 $2,502.00 $2,376.90 2026-07-18
72128 CPT CT Thoracic Spine Wo Contrast 7 5 $2,502.00 $2,126.70 $1,788.93 $2,502.00 $2,376.90 2026-07-18
72132 CPT CT Lumbar Spine W Contrast 7 5 $2,490.00 $2,116.50 $1,780.35 $2,490.00 $2,365.50 2026-07-18
72125 CPT CT Cervical Spine Wo Contrast 7 5 $2,442.00 $2,071.45 $1,742.46 $2,437.00 $2,315.15 2026-07-18
70480 CPT CT Orbit Wo Contrast 7 5 $2,327.00 $1,977.95 $1,663.81 $2,327.00 $2,210.65 2026-07-18
74150 CPT CT Abdomen Wo Dye 7 5 $2,005.50 $1,969.45 $1,656.66 $2,317.00 $2,201.15 2026-07-18
70487 CPT CT Maxillofacial W Contrast 7 5 $2,284.00 $1,941.40 $1,633.06 $2,284.00 $2,169.80 2026-07-18
93975 CPT Vascular Study 7 5 $1,989.00 $1,690.65 $1,422.14 $1,989.00 $1,889.55 2026-07-18
70486 CPT CT Maxillofacial Wo Contrast 7 5 $1,969.00 $1,673.65 $1,407.84 $1,969.00 $1,870.55 2026-07-18
129 CDM Room Swing Bed Skilled 7 5 $1,892.00 $1,608.20 $1,352.78 $1,892.00 $1,797.40 2026-07-18
93970 CPT Venous Duplex 7 5 $1,566.00 $1,331.10 $1,119.69 $1,566.00 $1,487.70 2026-07-18
93925 CPT Arterial Duplex Le Bi 7 5 $1,541.00 $1,309.85 $1,101.82 $1,541.00 $1,463.95 2026-07-18
81229 CPT Snp Microarray Prenatal 7 5 $1,504.00 $1,278.40 $1,075.36 $1,504.00 $1,428.80 2026-07-18
76700 CPT Ultrasound Abdomen Complete 7 5 $1,467.00 $1,246.95 $1,048.91 $1,467.00 $1,393.65 2026-07-18
93880 CPT Extracranial Bilat Study 7 5 $1,441.00 $1,224.85 $1,030.32 $1,441.00 $1,368.95 2026-07-18
G0390 HCPCS Trauma Team Level 5 7 5 $1,425.00 $1,211.25 $1,018.88 $1,425.00 $1,353.75 2026-07-18
A0433 HCPCS Amb Als 2 Hosp/Hosp 7 5 $1,400.00 $1,190.00 $1,001.00 $1,400.00 $1,330.00 2026-07-18
11042 CPT Debride Skin Subq 20 Cm 14 5 $1,740.50 $1,479.42 $166.50 $3,273.00 $1,323.57 2026-07-18
Q5103 HCPCS Infliximab-dyyb 100 Mg Vial 7 5 $1,303.30 $1,107.81 $931.86 $1,303.30 $1,238.14 2026-07-18
Q0138 HCPCS Ferumoxy 510mg/17ml (non-esrd) 7 5 $1,280.73 $1,088.62 $915.72 $1,280.73 $1,216.69 2026-07-18
90371 CPT Hepatitis B Ig 5 Ml Vial 7 5 $1,214.18 $1,032.05 $868.14 $1,214.18 $1,153.47 2026-07-18
90377 CPT Rabies Imm Glo 300U/2Ml Kedrab 7 5 $1,213.33 $1,031.33 $867.53 $1,213.33 $1,152.66 2026-07-18
Q5121 HCPCS Infliximab-axxq 100 Mg Vial 7 5 $1,205.80 $1,024.93 $862.15 $1,205.80 $1,145.51 2026-07-18
J7325 HCPCS Hylan Polymer A&b 48mg/6ml Syr 7 5 $1,205.00 $1,024.25 $861.58 $1,205.00 $1,144.75 2026-07-18
360 CDM Or Level 2 14 5 $1,469.50 $1,249.08 $421.85 $2,349.00 $1,134.77 2026-07-18
76705 CPT Ultrasound Abdomen Limited 7 5 $1,194.00 $1,014.90 $853.71 $1,194.00 $1,134.30 2026-07-18
76706 CPT Aaa Screening Medicare 7 5 $1,112.00 $945.20 $795.08 $1,112.00 $1,056.40 2026-07-18
76801 CPT OB US < 14 Wks Single Fetus 7 5 $1,112.00 $945.20 $795.08 $1,112.00 $1,056.40 2026-07-18
76870 CPT Ultrasound Scrotum 7 5 $1,089.00 $925.65 $778.64 $1,089.00 $1,034.55 2026-07-18
36430 CPT Blood Administration 14 5 $1,118.00 $950.30 $735.74 $1,207.00 $1,027.47 2026-07-18
76830 CPT Ultrasound Transvaginal 7 5 $1,056.00 $897.60 $755.04 $1,056.00 $1,003.20 2026-07-18
45380 CPT Colonoscopy W Biopsy(s) 7 5 $694.00 $589.90 $881.53 $1,066.10 $987.23 2026-07-18
94660 CPT CPap/BiPap First Day 7 5 $1,032.00 $877.20 $737.88 $1,032.00 $980.40 2026-07-18
92950 CPT Heart/Lung Resuscitation Cpr 7 5 $1,027.00 $872.95 $734.31 $1,027.00 $975.65 2026-07-18
93976 CPT Vascular Study 7 5 $1,019.00 $866.15 $728.59 $1,019.00 $968.05 2026-07-18
0202U CPT Respir Path 22 Targets Biofire 7 5 $997.00 $847.45 $712.86 $997.00 $947.15 2026-07-18
76856 CPT Ultrasound Pelvic Complete 7 5 $986.00 $838.10 $704.99 $986.00 $936.70 2026-07-18
93971 CPT Extremity Study Lt 14 5 $985.00 $837.25 $704.28 $985.00 $935.75 2026-07-18
76536 CPT Ultrasound Head And Neck 7 5 $982.00 $834.70 $702.13 $982.00 $932.90 2026-07-18
99291 CPT Critical Care 1st 30-74 Min 14 5 $1,111.00 $944.35 $383.10 $1,790.00 $894.17 2026-07-18
76770 CPT Ultrasound Abdo Back Wall Comp 7 5 $931.00 $791.35 $665.67 $931.00 $884.45 2026-07-18
A0427 HCPCS Amb Als Emergent Home/Hosp 21 5 $956.00 $812.60 $650.65 $956.00 $882.70 2026-07-18
76775 CPT Ultrasound Aorta 7 5 $926.00 $787.10 $662.09 $926.00 $879.70 2026-07-18
12035 CPT Repair Lac Interm 12.6-20.0 Cm 7 5 $260.00 $524.45 $524.45 $993.56 $870.80 2026-07-18
27840 CPT Treat Ankle Dislocation Rt 7 5 $622.00 $528.70 $528.70 $955.64 $864.11 2026-07-18
43239 CPT Egd Biopsy Single/Multiple 7 5 $605.00 $514.25 $661.50 $906.96 $864.11 2026-07-18
73523 CPT X-ray Hips 5 Views Bi 7 5 $897.00 $762.45 $641.36 $897.00 $852.15 2026-07-18
90675 CPT Rabies Vacc Hmn Post-ex Nonim 14 5 $858.62 $729.83 $588.47 $894.20 $807.82 2026-07-18
813 OTHER Anesth Upper And Lower Gi 7 5 $850.00 $722.50 $607.75 $850.00 $807.50 2026-07-18
93926 CPT Arterial Duplex Le Lt 14 5 $847.00 $719.95 $605.61 $847.00 $804.65 2026-07-18
A0429 HCPCS Amb Bls Emergent Home/Hosp 21 5 $844.00 $717.40 $603.46 $844.00 $801.80 2026-07-18
76604 CPT Ultrasound Chest 7 5 $819.00 $696.15 $585.59 $819.00 $778.05 2026-07-18
96413 CPT Chemotherapy Inf Initial 7 5 $810.00 $688.50 $579.15 $810.00 $769.50 2026-07-18
45378 CPT Colonoscopy Diagnostic 7 5 $542.00 $460.70 $677.85 $827.94 $766.99 2026-07-18
G0121 HCPCS Screen Colonoscopy Not Hi Risk 7 5 $542.00 $460.70 $376.13 $827.94 $761.25 2026-07-18
12034 CPT Repair Lac Interm 7.6-12.5 Cm 7 5 $225.00 $455.60 $477.75 $815.01 $748.80 2026-07-18
A0428 HCPCS Amb Bls Nonemergent Hosp/Home 14 5 $779.00 $662.15 $556.99 $779.00 $740.05 2026-07-18
76857 CPT Ultrasound Bladder Limited 7 5 $752.00 $639.20 $537.68 $752.00 $714.40 2026-07-18
76942 CPT US Guide For Needle Plcmnt Pc 7 5 $742.00 $630.70 $530.53 $742.00 $704.90 2026-07-18
93226 CPT ECG Monit/Report Up To 48 Hour 7 5 $723.00 $614.55 $516.95 $723.00 $686.85 2026-07-18
76882 CPT Ultrasound Axilla Rt 21 5 $740.00 $629.00 $488.35 $740.00 $676.36 2026-07-18
43235 CPT Egd Diagnostic Brush Wash 7 5 $462.00 $392.70 $582.00 $676.70 $657.64 2026-07-18
73522 CPT X-ray Hips 3-4 Views Bi 7 5 $676.00 $574.60 $483.34 $676.00 $642.20 2026-07-18
P9016 HCPCS Red Blood Cells Lekoreduced 7 5 $645.00 $548.25 $461.18 $645.00 $612.75 2026-07-18
77080 CPT Dexa Scan 7 5 $642.00 $545.70 $459.03 $642.00 $609.90 2026-07-18
93922 CPT Ankle Arm Screen 7 5 $639.00 $543.15 $456.89 $639.00 $607.05 2026-07-18
710 CDM Recovery Phase 1 Per 15 Min 14 5 $741.00 $629.85 $267.41 $1,108.00 $583.11 2026-07-18
85220 CPT Factor 5 Activity 7 5 $607.00 $515.95 $434.01 $607.00 $576.65 2026-07-18
812 OTHER Anesth Screening Colonoscopy 7 5 $606.67 $515.67 $433.77 $606.67 $576.34 2026-07-18
29581 CPT Appl Multi Layer Ven Wnd Compr 7 5 $602.00 $511.70 $430.43 $602.00 $571.90 2026-07-18
30903 CPT Control Anterior Hemorrhage Lt 7 5 $177.00 $331.50 $329.25 $582.71 $563.30 2026-07-18
731 OTHER Anesth Upper Gi 7 5 $590.00 $501.50 $421.85 $590.00 $560.50 2026-07-18
73502 CPT Hip Unilat W Pelvis 2 View Lt 28 5 $591.50 $502.77 $399.69 $624.00 $550.62 2026-07-18
97605 CPT Neg Pressure Wound Dme <50 Cm 7 5 $573.00 $487.05 $409.70 $573.00 $544.35 2026-07-18
43762 CPT Change Gastrostomy Tube 7 5 $259.00 $309.40 $309.40 $593.79 $526.11 2026-07-18
88230 CPT Tissue Culture Non Neoplastic 7 5 $553.00 $470.05 $395.40 $553.00 $525.35 2026-07-18
70110 CPT X-ray Mandible 4 Views 7 5 $543.00 $461.55 $388.25 $543.00 $515.85 2026-07-18
72170 CPT X-ray Pelvis 1-2 Views 7 5 $542.00 $460.70 $387.53 $542.00 $514.90 2026-07-18
11043 CPT Debride Muscle/Fascia 20 Cm 7 5 $368.00 $312.80 $450.83 $593.84 $514.64 2026-07-18
99285 CPT Emergency Room Visit Level 5 14 5 $632.00 $537.20 $239.33 $995.00 $507.15 2026-07-18
73565 CPT X-ray Knees Bi 7 5 $533.00 $453.05 $381.10 $533.00 $506.35 2026-07-18
811 OTHER Anesth Lower Intestinal 7 5 $527.50 $448.38 $377.16 $527.50 $501.13 2026-07-18
72070 CPT X-ray Spine Thoracic 2 Views 7 5 $525.00 $446.25 $375.38 $525.00 $498.75 2026-07-18
J0881 HCPCS Darbepoet Alfa 60mcg/0.3ml Syr 7 5 $524.95 $446.21 $375.34 $524.95 $498.70 2026-07-18
74019 CPT X-ray Abdomen 7 5 $523.00 $444.55 $373.95 $523.00 $496.85 2026-07-18
110 CDM Room Respite 7 5 $513.00 $436.05 $366.80 $513.00 $487.35 2026-07-18
96365 CPT Inf Therapy Med Initial 7 5 $498.00 $423.30 $356.07 $498.00 $473.10 2026-07-18
Q5101 HCPCS Filgrastim-sndz 300 Mcg/0.5 Ml 14 5 $544.60 $462.90 $323.76 $636.38 $453.91 2026-07-18
70210 CPT X-ray Sinus < 3 Views 7 5 $477.00 $405.45 $341.06 $477.00 $453.15 2026-07-18
87522 CPT Hep C RNA Pcr Quant 7 5 $475.00 $403.75 $339.63 $475.00 $451.25 2026-07-18
31500 CPT Insert Emergency Airway 14 5 $480.50 $408.42 $228.75 $748.00 $450.59 2026-07-18
93225 CPT Holter Monitor Hook Up <48 Hrs 7 5 $465.00 $395.25 $332.48 $465.00 $441.75 2026-07-18
70360 CPT X-ray Neck Soft Tissue 7 5 $465.00 $395.25 $332.48 $465.00 $441.75 2026-07-18
12002 CPT Repair Lac Simple 2.6-7.5 Cm 14 5 $493.50 $419.48 $217.93 $807.00 $441.50 2026-07-18
96360 CPT Inf Therapy Hyd Initial 7 5 $452.00 $384.20 $323.18 $452.00 $429.40 2026-07-18
94762 CPT Desaturation And Hr Study 7 5 $451.00 $383.35 $322.47 $451.00 $428.45 2026-07-18
J1610 HCPCS Glucagon 1 Mg/ml Vial 7 5 $447.01 $379.96 $319.61 $447.01 $424.66 2026-07-18
36680 CPT Insertion Needle Intraosseous 7 5 $447.00 $379.95 $319.61 $447.00 $424.65 2026-07-18
81270 CPT Jak2 Mutation 7 5 $444.00 $377.40 $317.46 $444.00 $421.80 2026-07-18
77067 CPT Mammography Screening Digital 7 5 $440.00 $374.00 $314.60 $440.00 $418.00 2026-07-18
73564 CPT X-ray Knee 4 Lt 14 5 $438.00 $372.30 $313.17 $438.00 $416.10 2026-07-18
99284 CPT Emergency Room Visit Level 4 14 5 $510.00 $433.50 $164.81 $834.00 $401.65 2026-07-18
J1611 HCPCS Glucagon (Fresenius Kabi) Kit 7 5 $420.85 $357.72 $300.91 $420.85 $399.81 2026-07-18
71101 CPT X-ray Ribs Uni W Chest Lt 14 5 $413.00 $351.05 $295.30 $413.00 $392.35 2026-07-18
72120 CPT X-ray Ls Spine Bending 2-3 V 7 5 $411.00 $349.35 $293.87 $411.00 $390.45 2026-07-18
99281 CPT Emergency Room Visit Level 1 7 5 $402.00 $341.70 $287.43 $402.00 $381.90 2026-07-18
73562 CPT X-ray Knee 3 Views Lt 14 5 $398.00 $338.30 $284.57 $398.00 $378.10 2026-07-18
92610 CPT Swallow Eval Non Radiol 7 5 $394.00 $334.90 $281.71 $394.00 $374.30 2026-07-18
17250 CPT Chemical Cauterization Tissue 14 5 $439.00 $373.15 $133.50 $738.00 $368.34 2026-07-18
92523 CPT Speech Sound Lang Comp Or Expr 14 5 $384.00 $326.40 $264.55 $398.00 $361.33 2026-07-18
94060 CPT Pft Pre & Post Screen Spirome 7 5 $584.00 $322.15 45% off $270.99 $379.00 $360.05 2026-07-18
72050 CPT X-ray Spine Cervical 4-5 Views 7 5 $378.00 $321.30 $270.27 $378.00 $359.10 2026-07-18
G0481 HCPCS Drug Test Def 8-14 Classes 7 5 $374.00 $317.90 $267.41 $374.00 $355.30 2026-07-18
74018 CPT X-ray Abdomen 7 5 $370.00 $314.50 $264.55 $370.00 $351.50 2026-07-18
71046 CPT X-ray Chest 2v PA/Lateral 7 5 $363.00 $308.55 $259.55 $363.00 $344.85 2026-07-18
10120 CPT I&r Foreign Body Simple 7 5 $117.00 $208.25 $264.00 $402.80 $341.30 2026-07-18
11045 CPT Debride Skin Subq Addl 20 Cm 14 5 $430.00 $365.50 $72.25 $775.00 $330.21 2026-07-18
72220 CPT X-ray Sacrum Tailbone 7 5 $347.00 $294.95 $248.11 $347.00 $329.65 2026-07-18
71045 CPT X-ray Chest 1 View 7 5 $342.00 $290.70 $244.53 $342.00 $324.90 2026-07-18
88262 CPT Chromosome Analysis 15-20 Cell 7 5 $342.00 $290.70 $244.53 $342.00 $324.90 2026-07-18
72110 CPT X-ray Lumbosacral 4 Views 7 5 $341.00 $289.85 $243.82 $341.00 $323.95 2026-07-18
84150 CPT Prostaglandin 7 5 $340.00 $289.00 $243.10 $340.00 $323.00 2026-07-18
84146 CPT Prolactin 7 5 $340.00 $289.00 $243.10 $340.00 $323.00 2026-07-18
87641 CPT Mrsa By Pcr 7 5 $337.00 $286.45 $240.96 $337.00 $320.15 2026-07-18
87385 CPT Histoplasma Antigen 7 5 $336.00 $285.60 $240.24 $336.00 $319.20 2026-07-18
12014 CPT Repair Lac Simple 5.1-7.5 Cm 7 5 $135.00 $190.40 $190.40 $346.83 $317.35 2026-07-18
73630 CPT X-ray Foot 3 Views Lt 14 5 $332.00 $282.20 $237.38 $332.00 $315.40 2026-07-18
73610 CPT X-ray Ankle 3 Views Lt 14 5 $332.00 $282.20 $237.38 $332.00 $315.40 2026-07-18
73130 CPT X-ray Hand Lt 14 5 $332.00 $282.20 $237.38 $332.00 $315.40 2026-07-18
73110 CPT X-ray Wrist 3 Views Lt 14 5 $332.00 $282.20 $237.38 $332.00 $315.40 2026-07-18
73080 CPT X-ray Elbow Lt 14 5 $332.00 $282.20 $237.38 $332.00 $315.40 2026-07-18
81241 CPT Factor V Leiden Mutation 7 5 $325.00 $276.25 $232.38 $325.00 $308.75 2026-07-18
30901 CPT Control Anterior Hemorrhage Lt 14 5 $150.00 $212.50 $201.00 $361.70 $307.48 2026-07-18
80074 CPT Acute Hepatitis Panel 7 5 $320.00 $272.00 $228.80 $320.00 $304.00 2026-07-18
99223 CPT IP/Obs Initial High Comp 7 5 $272.00 $231.20 $271.47 $358.83 $300.59 2026-07-18
71100 CPT X-ray Ribs 2 Views Lt 14 5 $311.00 $264.35 $222.37 $311.00 $295.45 2026-07-18
73010 CPT X-ray Shoulder Blade Lt 7 5 $310.00 $263.50 $221.65 $310.00 $294.50 2026-07-18
92507 CPT Speech Therapy Trmt 7 5 $310.00 $263.50 $221.65 $310.00 $294.50 2026-07-18
0077U CPT Ig Paraprotein Qual 7 5 $309.00 $262.65 $220.94 $309.00 $293.55 2026-07-18
82024 CPT Acth Adrenocorticotropic Hor 7 5 $308.00 $261.80 $220.22 $308.00 $292.60 2026-07-18
761 CDM Change/Reposition Feeding Tube 21 5 $298.00 $253.30 $206.64 $2,211.00 $289.00 2026-07-18
73030 CPT X-ray Shoulder Lt 14 5 $302.00 $256.70 $215.93 $302.00 $286.90 2026-07-18
97597 CPT Debride Wound 1st 20 Cm 14 5 $336.50 $286.02 $96.75 $510.00 $285.69 2026-07-18
51700 CPT Irrigation Bladder 7 5 $300.00 $255.00 $214.50 $300.00 $285.00 2026-07-18
99214 CPT Est Patient Level 4 Mod Comp 14 5 $343.50 $291.98 $163.50 $482.00 $284.88 2026-07-18
96374 CPT IV Push Injection Initial 7 5 $299.00 $254.15 $213.79 $299.00 $284.05 2026-07-18
80203 CPT Zonisamide 7 5 $289.00 $245.65 $206.64 $289.00 $274.55 2026-07-18
83921 CPT Methylmalonic Acid 7 5 $289.00 $245.65 $206.64 $289.00 $274.55 2026-07-18
71271 CPT Ldct For Lung Cancer Screen 7 5 $289.00 $245.65 $206.64 $289.00 $274.55 2026-07-18
87449 CPT Blastomyces Ag Qnt 14 5 $287.00 $243.95 $205.21 $287.00 $272.65 2026-07-18
87798 CPT Norovirus Pcr 1 Or 2 Each 7 5 $285.00 $242.25 $203.78 $285.00 $270.75 2026-07-18
82652 CPT Vitamin D 125 Dihydroxy 7 5 $283.00 $240.55 $202.35 $283.00 $268.85 2026-07-18
G0378 HCPCS Observation 1st Hour 14 5 $363.00 $308.55 $41.47 $668.00 $267.81 2026-07-18
99283 CPT Emergency Room Visit Level 3 14 5 $336.50 $286.02 $96.99 $564.00 $263.13 2026-07-18
84445 CPT Tsi 7 5 $276.00 $234.60 $197.34 $276.00 $262.20 2026-07-18
12013 CPT Repair Lac Simple 2.6-5.0 Cm 7 5 $130.00 $156.40 $225.89 $333.75 $261.70 2026-07-18
16020 CPT Dress/Debride Small Burn 14 5 $184.50 $238.85 $162.75 $425.00 $259.68 2026-07-18
97167 CPT Ot Eval High Complexity 7 5 $273.00 $232.05 $195.20 $273.00 $259.35 2026-07-18
73070 CPT X-ray Elbow Lt 14 5 $273.00 $232.05 $195.20 $273.00 $259.35 2026-07-18
97163 CPT Pt Eval High Complexity 7 5 $273.00 $232.05 $195.20 $273.00 $259.35 2026-07-18
85520 CPT Apixaban 7 5 $272.00 $231.20 $194.48 $272.00 $258.40 2026-07-18
P9047 HCPCS Albumin Human 25% 25gr/100ml 7 5 $271.41 $230.70 $194.06 $271.41 $257.84 2026-07-18
73600 CPT X-ray Ankle 2 Views Lt 14 5 $271.00 $230.35 $193.77 $271.00 $257.45 2026-07-18
73590 CPT X-ray Lower Leg Lt 14 5 $271.00 $230.35 $193.77 $271.00 $257.45 2026-07-18
73552 CPT X-ray Femur 2 Views Lt 14 5 $271.00 $230.35 $193.77 $271.00 $257.45 2026-07-18
73060 CPT X-ray Humerus Lt 14 5 $271.00 $230.35 $193.77 $271.00 $257.45 2026-07-18
73000 CPT X-ray Collar Bone Lt 14 5 $271.00 $230.35 $193.77 $271.00 $257.45 2026-07-18
72040 CPT X-ray Spine Cervical 2-3 Views 7 5 $271.00 $230.35 $193.77 $271.00 $257.45 2026-07-18
81240 CPT Prothrombin Mutation 7 5 $268.00 $227.80 $191.62 $268.00 $254.60 2026-07-18
86481 CPT Tbint Quantiferon 7 5 $267.00 $226.95 $190.91 $267.00 $253.65 2026-07-18
87177 CPT Ova And Parasites Smears 7 5 $267.00 $226.95 $190.91 $267.00 $253.65 2026-07-18
97602 CPT Debride Wound Non-selective 14 5 $304.50 $258.82 $54.40 $545.00 $253.00 2026-07-18
12011 CPT Repair Lac Simple <2.5 Cm 7 5 $110.00 $150.45 $217.93 $304.50 $251.59 2026-07-18
87799 CPT Bk Virus Quant Pcr, Serum 7 5 $264.00 $224.40 $188.76 $264.00 $250.80 2026-07-18
86870 CPT Rbc Antibody Identif Panel 7 5 $263.00 $223.55 $188.05 $263.00 $249.85 2026-07-18
85303 CPT Protein C Activity 7 5 $263.00 $223.55 $188.05 $263.00 $249.85 2026-07-18
82671 CPT Estrogen Fractionated 7 5 $261.00 $221.85 $186.62 $261.00 $247.95 2026-07-18
72100 CPT X-ray Lumbosacral 2-3 Views 7 5 $259.00 $220.15 $185.19 $259.00 $246.05 2026-07-18
82803 CPT Blood Gas Wo Oximetry 7 5 $258.00 $219.30 $184.47 $258.00 $245.10 2026-07-18
93798 CPT Cardiac Rehab Ii Monitored 7 5 $257.00 $218.45 $183.76 $257.00 $244.15 2026-07-18
70250 CPT X-ray Skull < 4 Views 7 5 $255.00 $216.75 $182.33 $255.00 $242.25 2026-07-18
80197 CPT Tacrolimus 7 5 $254.00 $215.90 $181.61 $254.00 $241.30 2026-07-18
83880 CPT Pro-b Type Natriuretic Peptide 7 5 $253.00 $215.05 $180.90 $253.00 $240.35 2026-07-18
71110 CPT X-ray Ribs Bilateral 3 Views 7 5 $251.00 $213.35 $179.47 $251.00 $238.45 2026-07-18
20611 CPT Asp/Inj Large Joint US Lt 30 5 $158.00 $134.30 $130.90 $576.00 $237.12 2026-07-18
94664 CPT Inhalation Treat Chronic Init 7 5 $248.00 $210.80 $177.32 $248.00 $235.60 2026-07-18
92526 CPT Dysphagia Treatment 7 5 $247.00 $209.95 $176.61 $247.00 $234.65 2026-07-18
85250 CPT Factor 9 Activity 7 5 $247.00 $209.95 $176.61 $247.00 $234.65 2026-07-18
99213 CPT Est Patient Level 3 Low Comp 14 5 $290.00 $246.50 $104.25 $434.00 $234.53 2026-07-18
73050 CPT X-ray Ac Joints 7 5 $240.00 $204.00 $171.60 $240.00 $228.00 2026-07-18
97162 CPT Pt Eval Mod Complexity 7 5 $240.00 $204.00 $171.60 $240.00 $228.00 2026-07-18
82088 CPT Aldosterone 7 5 $238.00 $202.30 $170.17 $238.00 $226.10 2026-07-18
81418 CPT Pharmacogenomic Geno 7 5 $238.00 $202.30 $170.17 $238.00 $226.10 2026-07-18
84305 CPT Somatomedin 7 5 $238.00 $202.30 $170.17 $238.00 $226.10 2026-07-18
99222 CPT Inpatient Initial/Obs Mod Comp 7 5 $204.00 $173.40 $183.82 $241.79 $223.70 2026-07-18
450 CDM Application Splint Or Cast 70 5 $269.50 $229.07 $78.65 $708.00 $223.62 2026-07-18
88342 CPT Immunohisto Stain Init Pr Spec 7 5 $235.00 $199.75 $168.03 $235.00 $223.25 2026-07-18
999 CDM Outreach Rent 7 5 $50.00 $199.44 $167.77 $234.64 $222.91 2026-07-18
36592 CPT Blood Draw Cent/Periph Cath 7 5 $234.00 $198.90 $167.31 $234.00 $222.30 2026-07-18
86812 CPT Hla B27 7 5 $234.00 $198.90 $167.31 $234.00 $222.30 2026-07-18
86301 CPT Ca 19-9 7 5 $232.00 $197.20 $165.88 $232.00 $220.40 2026-07-18
51703 CPT Cath Insert Comp Indwelling 14 5 $266.50 $226.53 $143.00 $333.00 $219.05 2026-07-18
84145 CPT Procalcitonin 7 5 $230.00 $195.50 $164.45 $230.00 $218.50 2026-07-18
87305 CPT Aspergillus Galact Antigen 7 5 $228.00 $193.80 $163.02 $228.00 $216.60 2026-07-18
73100 CPT X-ray Wrist 2 Views Lt 14 5 $228.00 $193.80 $163.02 $228.00 $216.60 2026-07-18
80177 CPT Levetiracetam 7 5 $226.00 $192.10 $161.59 $226.00 $214.70 2026-07-18
85306 CPT Protein S Functional 7 5 $225.00 $191.25 $160.88 $225.00 $213.75 2026-07-18
87493 CPT C Diff By Pcr 7 5 $225.00 $191.25 $160.88 $225.00 $213.75 2026-07-18
86922 CPT Crossmatch Ahg 7 5 $225.00 $191.25 $160.88 $225.00 $213.75 2026-07-18
83874 CPT Myoglobin Urine 7 5 $224.00 $190.40 $160.16 $224.00 $212.80 2026-07-18
86043 CPT Rbc Folic Acid 7 5 $224.00 $190.40 $160.16 $224.00 $212.80 2026-07-18
96125 CPT Cognitive Performance Test Ot 7 5 $223.00 $189.55 $159.45 $223.00 $211.85 2026-07-18
12001 CPT Repair Lac Simple <2.5 Cm 7 5 $109.00 $126.65 $181.13 $288.00 $211.20 2026-07-18
99292 CPT Critical Care Ea Addl 30 Min 7 5 $199.00 $169.15 $166.72 $225.75 $206.43 2026-07-18
84207 CPT Vitamin B6 7 5 $217.00 $184.45 $155.16 $217.00 $206.15 2026-07-18
87338 CPT H Pylori Antigen Stool 7 5 $217.00 $184.45 $155.16 $217.00 $206.15 2026-07-18
0353U CPT Chlmyd & Gonorr Amp Prb 7 5 $216.00 $183.60 $154.44 $216.00 $205.20 2026-07-18
83970 CPT Pth 7 5 $215.00 $182.75 $153.73 $215.00 $204.25 2026-07-18
94761 CPT Pulse Oximetry Multiple 7 5 $213.00 $181.05 $152.30 $213.00 $202.35 2026-07-18
96367 CPT Inf Therapy Med Sequential 7 5 $209.00 $177.65 $149.44 $209.00 $198.55 2026-07-18
73620 CPT X-ray Foot 2 Views Lt 14 5 $208.00 $176.80 $148.72 $208.00 $197.60 2026-07-18
97161 CPT Pt Eval Low Complexity 7 5 $207.00 $175.95 $148.01 $207.00 $196.65 2026-07-18
97165 CPT Ot Eval Low Complexity 7 5 $207.00 $175.95 $148.01 $207.00 $196.65 2026-07-18
92524 CPT Behavral Qualit Analys Voice 7 5 $207.00 $175.95 $148.01 $207.00 $196.65 2026-07-18
J0283 HCPCS Amiodarone/D5W 150mg/100ml Bag 14 5 $212.70 $180.80 $142.66 $225.88 $196.53 2026-07-18
73090 CPT X-ray Forearm 2 Views Lt 14 5 $206.00 $175.10 $147.29 $206.00 $195.70 2026-07-18
99282 CPT Emergency Room Visit Level 2 14 5 $254.00 $215.90 $54.75 $444.00 $194.95 2026-07-18
82379 CPT Carnitine Total And Free 7 5 $205.00 $174.25 $146.58 $205.00 $194.75 2026-07-18
84591 CPT Niacin Vit B3 7 5 $204.00 $173.40 $145.86 $204.00 $193.80 2026-07-18
73560 CPT X-ray Knee 1-2 Views Lt 14 5 $203.00 $172.55 $145.15 $203.00 $192.85 2026-07-18
87389 CPT HIV1Ag/HIV12Ab Sng Result 7 5 $203.00 $172.55 $145.15 $203.00 $192.85 2026-07-18
99212 CPT Est Patient Level 2 Sf Comp 14 5 $245.00 $208.25 $76.50 $399.00 $192.75 2026-07-18
82668 CPT Erythropoietin 7 5 $202.00 $171.70 $144.43 $202.00 $191.90 2026-07-18
86364 CPT Tissue Transglutaminase 7 5 $202.00 $171.70 $144.43 $202.00 $191.90 2026-07-18
96415 CPT Chemotherapy Inf Ea Addl Hr 7 5 $202.00 $171.70 $144.43 $202.00 $191.90 2026-07-18
99239 CPT IP/Obs Discharge >30 Min 7 5 $180.00 $153.00 $144.85 $199.19 $191.70 2026-07-18
85245 CPT Ristocetin CoFactor 7 5 $200.00 $170.00 $143.00 $200.00 $190.00 2026-07-18
85246 CPT Factor Viii Rel Agn 7 5 $200.00 $170.00 $143.00 $200.00 $190.00 2026-07-18
84206 CPT Proinsulin 7 5 $197.00 $167.45 $140.86 $197.00 $187.15 2026-07-18
99233 CPT Inpatient/Obs Subsequent High 7 5 $186.00 $158.10 $140.13 $206.43 $185.09 2026-07-18
87476 CPT Lyme Disease DNA Amp Probe 7 5 $192.00 $163.20 $137.28 $192.00 $182.40 2026-07-18
93005 CPT EKG Tracing 7 5 $192.00 $163.20 $137.28 $192.00 $182.40 2026-07-18
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