Price Transparencybeta 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 WESKOTA MEMORIAL MEDICAL CENTER - CAH

Wessington Springs, SD · CCN 431324 · Rates published

Your selected procedure

You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $3,454 across 5 payers · range $2,363-$3,636

Source: https://www.avera.org/app/files/public/a1d389d7-460f-4083-a41e-f5e4849e761b/460224604_avera-weskota-memorial-med-center_standardcharges.csv · observed 2026-07-15

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.

505 distinct procedures filed
5 distinct payers
6,436 rate rows
2026-07-15 last MRF observed
Data quality

6,420 of 6,436 rate rows are consumer-grade (99.8%)

16 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 8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/a1d389d7-460f-4083-a41e-f5e4849e761b/460224604_avera-weskota-memorial-med-center_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint 6a316881614a714a… · 1,827,665 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
J2350
HCPCS 		Ocrelizumab 300 Mg/10 Ml 5 $6.09 $88,789.71 $72,141.64 nat. median
$470
outlier · 153.6×
J3245
HCPCS 		Tildrakizumab-asmn 100Mg/Ml Sy 5 $5.04 $56,787.72 $46,140.03 nat. median
$256
outlier · 180.2×
J3380
HCPCS 		Vedolizumab 300 Mg Vial 5 $72.63 $40,041.04 $32,533.35 nat. median
$162
outlier · 200.8×
177
MS_DRG 		Ms-DRG 177 1 $24,153.28 $24,153.28 $24,153.28 nat. median
$15,388
1.6× median
J0565
HCPCS 		Bezlotoxumab 1,000 Mg/40 Ml Vl 5 $61.10 $17,249.78 $14,015.44 nat. median
$159
outlier · 87.9×
J1306
HCPCS 		Inclisiran 284mg/1.5ml Syringe 5 $5.81 $15,596.97 $12,672.54 nat. median
$44
outlier · 287.0×
J3111
HCPCS 		Romosozumab-aqqg 210 Mg/2.34Ml 5 $1.56 $11,819.99 $9,603.74 nat. median
$681
outlier · 14.1×
J0897
HCPCS 		Denosumab 60 Mg/ml Syringe 5 $9.69 $13,669.48 $7,492.43 nat. median
$1,972
outlier · 3.8×
Q5111
HCPCS 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml 5 $1,112.40 $8,925.00 $7,251.57 nat. median
$1,982
outlier · 3.7×
Q5122
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml Syr 5 $3,939.75 $7,952.39 $6,461.32 nat. median
$561
outlier · 11.5×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $479.88 $7,294.00 $5,926.38 nat. median
$1,024
outlier · 5.8×
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $4,213.95 $6,483.00 $5,844.43 nat. median
$988
outlier · 5.9×
74176
CPT 		CT Abd & Pelvis Wo Contrast 5 $95.04 $6,188.00 $5,578.48 nat. median
$694
outlier · 8.0×
74177
CPT 		CT Abd & Pelv W Contrast 5 $227.52 $6,188.00 $5,578.48 nat. median
$974
outlier · 5.7×
J9312
HCPCS 		Rituximab 100 Mg/10 Ml Vial 5 $322.14 $21,289.20 $4,222.68 nat. median
$1,071
outlier · 3.9×
71275
CPT 		CTA Chest Wwo Contrast 5 $2,741.05 $4,217.00 $4,006.15 nat. median
$754
outlier · 5.3×
Q5115
HCPCS 		Rituximab-abbs 100Mg/10Ml Via 5 $1,511.85 $11,329.54 $3,708.00 nat. median
$840
outlier · 4.4×
689
CDM 		Trauma Team Evaluation Level 5 5 $2,889.90 $4,446.00 $3,652.39 nat. median
$1,169
outlier · 3.1×
G0390
HCPCS 		Trauma Team Level 5 5 $2,889.90 $4,446.00 $3,652.39 nat. median
$3,197
1.1× median
J1561
HCPCS 		Immune Glob 10% 40 Gm/400 Ml 5 $3.60 $14,030.31 $3,601.96 nat. median
$1,093
outlier · 3.3×
111
CDM 		Room Medical Unit Priv 5 $2,538.25 $3,905.00 $3,520.36 nat. median
$434
outlier · 8.1×
74170
CPT 		CT Abdomen Wwo Dye 5 $58.22 $4,252.00 $3,454.75 nat. median
$710
outlier · 4.9×
93306
CPT 		Tte W Doppler Complete 5 $2,363.40 $3,636.00 $3,454.20 nat. median
$991
outlier · 3.5×
C8929
HCPCS 		Echo M Mode 2d W Contrast 5 $2,397.85 $3,689.00 $3,325.64 nat. median
$1,354
outlier · 2.5×
72131
CPT 		CT Lumbar Spine Wo Contrast 5 $234.87 $3,990.00 $3,241.88 nat. median
$457
outlier · 7.1×
71260
CPT 		CT Thorax W Contrast 5 $80.31 $3,630.00 $3,210.19 nat. median
$648
outlier · 5.0×
71270
CPT 		CT Thorax Wwo Contrast 5 $82.17 $3,946.00 $3,206.12 nat. median
$672
outlier · 4.8×
72125
CPT 		CT Cervical Spine Wo Contrast 5 $172.58 $3,517.00 $3,170.57 nat. median
$472
outlier · 6.7×
70498
CPT 		CT Angiography Neck W Cont 5 $278.39 $3,884.00 $3,155.75 nat. median
$739
outlier · 4.3×
70496
CPT 		CT Angiography Head W Cont 5 $246.84 $3,884.00 $3,155.75 nat. median
$747
outlier · 4.2×
74160
CPT 		CT Abdomen W Dye 5 $706.77 $3,832.00 $3,113.50 nat. median
$652
outlier · 4.8×
120
CDM 		Room Medical Unit Semi Private 5 $2,221.05 $3,417.00 $3,080.43 nat. median
$1,499
outlier · 2.1×
70450
CPT 		CT Head/Brain Wo Contrast 5 $2,029.95 $3,123.00 $2,970.43 nat. median
$450
outlier · 6.6×
70492
CPT 		CT Soft Tissue Neck Wwo Cont 5 $422.85 $3,578.00 $2,907.12 nat. median
$647
outlier · 4.5×
72128
CPT 		CT Thoracic Spine Wo Contrast 5 $107.93 $3,517.00 $2,857.56 nat. median
$458
outlier · 6.2×
74150
CPT 		CT Abdomen Wo Dye 5 $791.13 $3,512.00 $2,853.50 nat. median
$448
outlier · 6.4×
71250
CPT 		CT Thorax Wo Contrast 5 $71.13 $3,332.00 $2,707.25 nat. median
$465
outlier · 5.8×
99291
CPT 		Critical Care 1st 30-74 Min 5 $329.00 $4,116.00 $2,706.27 nat. median
$1,530
1.8× median
70491
CPT 		CT Soft Tissue Neck W Cont 5 $357.53 $3,167.00 $2,603.72 nat. median
$627
outlier · 4.2×
J0175
HCPCS 		Donanemab-azbt 350 Mg/20 Ml 5 $0.83 $3,167.92 $2,573.93 nat. median
$8
outlier · 310.5×
72192
CPT 		CT Pelvis Wo Dye 5 $597.02 $2,873.00 $2,334.32 nat. median
$459
outlier · 5.1×
76700
CPT 		Ultrasound Abdomen Complete 5 $1,568.45 $2,413.00 $2,292.35 nat. median
$311
outlier · 7.4×
J0248
HCPCS 		Remdesivir 100 Mg Vial 5 $70.71 $2,810.16 $2,283.26 nat. median
$510
outlier · 4.5×
73700
CPT 		CT Le Wo Dye Lt 5 $76.65 $2,512.00 $2,264.57 nat. median
$500
outlier · 4.5×
76770
CPT 		Ultrasound Abdo Back Wall Comp 5 $1,498.90 $2,306.00 $2,078.86 nat. median
$300
outlier · 6.9×
70480
CPT 		CT Orbit Wo Contrast 5 $192.56 $2,525.00 $2,051.57 nat. median
$476
outlier · 4.3×
99285
CPT 		Emergency Room Visit Level 5 5 $267.73 $2,679.00 $1,924.87 nat. median
$1,186
1.6× median
93975
CPT 		Vascular Study 5 $1,482.65 $2,281.00 $1,873.84 nat. median
$563
outlier · 3.3×
93970
CPT 		Venous Duplex 5 $1,404.00 $2,160.00 $1,774.44 nat. median
$564
outlier · 3.1×
93226
CPT 		ECG Monit/Report Up To 48 Hour 5 $1,208.35 $1,859.00 $1,766.05 nat. median
$265
outlier · 6.7×

Other procedures at this hospital

Browse this hospital's 505 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml 8 5 $88,789.00 $86,126.02 $6.09 $88,789.71 $72,141.64 2026-07-15
J3245 HCPCS Tildrakizumab-asmn 100Mg/Ml Sy 8 5 $56,787.00 $55,084.09 $5.04 $56,787.72 $46,140.03 2026-07-15
J3380 HCPCS Vedolizumab 300 Mg Vial 8 5 $40,041.00 $38,839.81 $72.63 $40,041.04 $32,533.35 2026-07-15
177 MS_DRG Ms-DRG 177 2 1 — — $24,153.28 $24,153.28 $24,153.28 2026-07-15
J0565 HCPCS Bezlotoxumab 1,000 Mg/40 Ml Vl 8 5 $17,249.00 $16,732.29 $61.10 $17,249.78 $14,015.44 2026-07-15
J1306 HCPCS Inclisiran 284mg/1.5ml Syringe 8 5 $15,596.00 $15,129.06 $5.81 $15,596.97 $12,672.54 2026-07-15
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34Ml 8 5 $11,819.00 $11,465.39 $1.56 $11,819.99 $9,603.74 2026-07-15
J0897 HCPCS Denosumab 60 Mg/ml Syringe 14 5 $7,568.00 $7,341.07 $9.69 $13,669.48 $7,492.43 2026-07-15
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml 8 5 $8,925.00 $8,657.25 $1,112.40 $8,925.00 $7,251.57 2026-07-15
Q5122 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Syr 8 5 $7,952.00 $7,713.82 $3,939.75 $7,952.39 $6,461.32 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 8 5 $7,294.00 $7,075.18 $479.88 $7,294.00 $5,926.38 2026-07-15
74174 CPT CTA Abd&Pelv Wwo Dye 6 5 $6,483.00 $6,288.51 $4,213.95 $6,483.00 $5,844.43 2026-07-15
74176 CPT CT Abd & Pelvis Wo Contrast 10 5 $6,188.00 $6,002.36 $95.04 $6,188.00 $5,578.48 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 10 5 $6,188.00 $6,002.36 $227.52 $6,188.00 $5,578.48 2026-07-15
J9312 HCPCS Rituximab 100 Mg/10 Ml Vial 14 5 $4,265.00 $4,137.38 $322.14 $21,289.20 $4,222.68 2026-07-15
71275 CPT CTA Chest Wwo Contrast 9 5 $4,217.00 $4,090.49 $2,741.05 $4,217.00 $4,006.15 2026-07-15
Q5115 HCPCS Rituximab-abbs 100Mg/10Ml Via 14 5 $2,325.00 $2,256.15 $1,511.85 $11,329.54 $3,708.00 2026-07-15
G0390 HCPCS Trauma Team Level 5 8 5 $4,446.00 $4,312.62 $2,889.90 $4,446.00 $3,652.39 2026-07-15
689 CDM Trauma Team Evaluation Level 5 8 5 $4,446.00 $4,312.62 $2,889.90 $4,446.00 $3,652.39 2026-07-15
J1561 HCPCS Immune Glob 10% 40 Gm/400 Ml 16 5 $8,881.00 $8,615.01 $3.60 $14,030.31 $3,601.96 2026-07-15
111 CDM Room Medical Unit Priv 6 5 $3,905.00 $3,787.85 $2,538.25 $3,905.00 $3,520.36 2026-07-15
74170 CPT CT Abdomen Wwo Dye 8 5 $4,252.00 $4,124.44 $58.22 $4,252.00 $3,454.75 2026-07-15
93306 CPT Tte W Doppler Complete 11 5 $3,636.00 $3,526.92 $2,363.40 $3,636.00 $3,454.20 2026-07-15
C8929 HCPCS Echo M Mode 2d W Contrast 10 5 $3,689.00 $3,578.33 $2,397.85 $3,689.00 $3,325.64 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 8 5 $3,990.00 $3,870.30 $234.87 $3,990.00 $3,241.88 2026-07-15
71260 CPT CT Thorax W Contrast 10 5 $3,630.00 $3,521.10 $80.31 $3,630.00 $3,210.19 2026-07-15
71270 CPT CT Thorax Wwo Contrast 8 5 $3,946.00 $3,827.62 $82.17 $3,946.00 $3,206.12 2026-07-15
72125 CPT CT Cervical Spine Wo Contrast 10 5 $3,517.00 $3,411.49 $172.58 $3,517.00 $3,170.57 2026-07-15
70496 CPT CT Angiography Head W Cont 8 5 $3,884.00 $3,767.48 $246.84 $3,884.00 $3,155.75 2026-07-15
70498 CPT CT Angiography Neck W Cont 8 5 $3,884.00 $3,767.48 $278.39 $3,884.00 $3,155.75 2026-07-15
74160 CPT CT Abdomen W Dye 8 5 $3,832.00 $3,717.04 $706.77 $3,832.00 $3,113.50 2026-07-15
120 CDM Room Medical Unit Semi Private 6 5 $3,417.00 $3,314.49 $2,221.05 $3,417.00 $3,080.43 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 8 5 $3,123.00 $3,029.31 $2,029.95 $3,123.00 $2,970.43 2026-07-15
70492 CPT CT Soft Tissue Neck Wwo Cont 8 5 $3,578.00 $3,470.66 $422.85 $3,578.00 $2,907.12 2026-07-15
72128 CPT CT Thoracic Spine Wo Contrast 8 5 $3,517.00 $3,411.49 $107.93 $3,517.00 $2,857.56 2026-07-15
74150 CPT CT Abdomen Wo Dye 8 5 $3,512.00 $3,406.64 $791.13 $3,512.00 $2,853.50 2026-07-15
71250 CPT CT Thorax Wo Contrast 10 5 $3,332.00 $3,232.04 $71.13 $3,332.00 $2,707.25 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 14 5 $4,116.00 $3,992.52 $329.00 $4,116.00 $2,706.27 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 10 5 $3,167.00 $3,071.99 $357.53 $3,167.00 $2,603.72 2026-07-15
J0175 HCPCS Donanemab-azbt 350 Mg/20 Ml 8 5 $3,167.00 $3,072.88 $0.83 $3,167.92 $2,573.93 2026-07-15
72192 CPT CT Pelvis Wo Dye 8 5 $2,873.00 $2,786.81 $597.02 $2,873.00 $2,334.32 2026-07-15
76700 CPT Ultrasound Abdomen Complete 11 5 $2,413.00 $2,340.61 $1,568.45 $2,413.00 $2,292.35 2026-07-15
J0248 HCPCS Remdesivir 100 Mg Vial 8 5 $2,810.00 $2,725.86 $70.71 $2,810.16 $2,283.26 2026-07-15
73700 CPT CT Le Wo Dye Lt 20 5 $2,512.00 $2,436.64 $76.65 $2,512.00 $2,264.57 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 10 5 $2,306.00 $2,236.82 $1,498.90 $2,306.00 $2,078.86 2026-07-15
70480 CPT CT Orbit Wo Contrast 8 5 $2,525.00 $2,449.25 $192.56 $2,525.00 $2,051.57 2026-07-15
99285 CPT Emergency Room Visit Level 5 16 5 $2,679.00 $2,598.63 $267.73 $2,679.00 $1,924.87 2026-07-15
93975 CPT Vascular Study 8 5 $2,281.00 $2,212.57 $1,482.65 $2,281.00 $1,873.84 2026-07-15
93970 CPT Venous Duplex 8 5 $2,160.00 $2,095.20 $1,404.00 $2,160.00 $1,774.44 2026-07-15
93226 CPT ECG Monit/Report Up To 48 Hour 11 5 $1,859.00 $1,803.23 $1,208.35 $1,859.00 $1,766.05 2026-07-15
129 CDM Room Swing Bed Skilled 6 5 $1,709.00 $1,657.73 $1,110.85 $1,709.00 $1,540.66 2026-07-15
70486 CPT CT Maxillofacial Wo Contrast 10 5 $1,894.00 $1,837.18 $187.95 $1,894.00 $1,538.88 2026-07-15
76856 CPT Ultrasound Pelvic Complete 8 5 $1,775.00 $1,721.75 $1,153.75 $1,775.00 $1,458.16 2026-07-15
99284 CPT Emergency Room Visit Level 4 17 5 $1,877.00 $1,820.69 $184.86 $1,877.00 $1,449.04 2026-07-15
27810 CPT Fx Bimalleolar Ankle W Man Rt 8 5 $1,643.00 $1,593.71 $1,067.95 $1,643.00 $1,349.72 2026-07-15
93971 CPT Extremity Study Lt 20 5 $1,537.00 $1,490.89 $482.94 $1,537.00 $1,311.06 2026-07-15
93880 CPT Extracranial Bilat Study 8 5 $1,550.00 $1,503.50 $1,007.50 $1,550.00 $1,273.33 2026-07-15
71101 CPT X-ray Ribs Uni W Chest Lt 16 5 $1,262.00 $1,224.14 $820.30 $3,427.98 $1,217.83 2026-07-15
93246 CPT Ext ECG >7 Days Hook Up 10 5 $1,286.00 $1,247.42 $835.90 $1,351.00 $1,159.33 2026-07-15
76775 CPT Ultrasound Aorta 8 5 $1,405.00 $1,362.85 $913.25 $1,405.00 $1,154.21 2026-07-15
90675 CPT Rabies Vax Pcec/Pf 2.5Unit Vl 8 5 $1,347.00 $1,307.03 $125.24 $1,347.45 $1,094.80 2026-07-15
72110 CPT X-ray Lumbosacral 4 Views 8 5 $1,338.00 $1,297.86 $67.44 $1,338.00 $1,087.12 2026-07-15
0202U CPT Respir Path 22 Targets Biofire 8 5 $1,296.00 $1,257.12 $842.40 $1,296.00 $1,064.66 2026-07-15
93242 CPT Ext ECG 48 Hrs -7days Hook Up 10 5 $1,161.00 $1,126.17 $754.65 $1,286.00 $1,046.64 2026-07-15
94660 CPT CPap/BiPap First Day 16 5 $1,260.00 $1,222.20 $791.05 $1,303.00 $1,033.73 2026-07-15
73523 CPT X-ray Hips 5 Views Bi 8 5 $1,248.00 $1,210.56 $690.20 $1,248.00 $1,014.00 2026-07-15
J0712 HCPCS Ceftaroline 600 Mg Vial 8 5 $1,198.00 $1,162.55 $6.68 $1,198.50 $973.78 2026-07-15
72050 CPT X-ray Spine Cervical 4-5 Views 8 5 $1,193.00 $1,157.21 $746.06 $1,193.00 $969.32 2026-07-15
J0174 HCPCS Lecanemab-irmb 200 Mg/2Ml Vial 8 5 $1,184.00 $1,148.62 $0.08 $1,184.14 $962.12 2026-07-15
76705 CPT Ultrasound Abdomen Limited 10 5 $1,067.00 $1,034.99 $693.55 $1,616.00 $961.90 2026-07-15
Q0138 HCPCS Ferumoxy 510mg/17ml (non-esrd) 8 5 $1,145.00 $1,111.35 $7.28 $1,145.72 $930.90 2026-07-15
76536 CPT Ultrasound Head And Neck 10 5 $971.00 $941.87 $631.15 $971.00 $875.36 2026-07-15
84445 CPT Tsi 8 5 $1,061.00 $1,029.17 $689.65 $1,061.00 $871.61 2026-07-15
71100 CPT X-ray Ribs 2 Views Lt 16 5 $891.00 $864.27 $579.15 $3,616.49 $859.82 2026-07-15
72100 CPT X-ray Lumbosacral 2-3 Views 8 5 $1,032.00 $1,001.04 $90.44 $1,032.00 $838.50 2026-07-15
76870 CPT Ultrasound Scrotum 8 5 $1,019.00 $988.43 $662.35 $1,019.00 $837.11 2026-07-15
Q9967 HCPCS Iopamidol-370 100 Ml Vial 11 5 $964.00 $935.08 $253.80 $964.00 $822.29 2026-07-15
99283 CPT Emergency Room Visit Level 3 17 5 $1,039.00 $1,007.83 $108.68 $1,039.00 $802.11 2026-07-15
110 CDM Room Custodial Care 6 5 $879.00 $852.63 $571.35 $879.00 $792.42 2026-07-15
80306 CPT Drug Screen Urine Inst Ass Obv 11 5 $825.00 $800.25 $536.25 $825.00 $783.75 2026-07-15
J2997 HCPCS Alteplase 2 Mg Vial 8 5 $953.00 $925.31 $37.08 $953.93 $775.07 2026-07-15
73564 CPT X-ray Knee 4 Lt 20 5 $831.00 $806.07 $129.06 $831.00 $749.14 2026-07-15
72040 CPT X-ray Spine Cervical 2-3 Views 10 5 $811.00 $786.67 $527.15 $811.00 $731.12 2026-07-15
76857 CPT Ultrasound Bladder Limited 8 5 $874.00 $847.78 $568.10 $874.00 $717.99 2026-07-15
71046 CPT X-ray Chest 2v PA/Lateral 12 5 $738.00 $715.86 $479.70 $783.14 $712.62 2026-07-15
72070 CPT X-ray Spine Thoracic 2 Views 10 5 $695.00 $674.15 $451.75 $1,015.91 $688.05 2026-07-15
96365 CPT Inf Therapy Med Initial 11 5 $724.00 $702.28 $470.60 $724.00 $687.80 2026-07-15
13151 CPT Repair Lac Comp 1.1-2.5 Cm 8 5 $830.00 $805.10 $539.50 $830.00 $681.85 2026-07-15
76830 CPT Ultrasound Transvaginal 8 5 $807.00 $782.79 $524.55 $807.00 $662.95 2026-07-15
93325 CPT Echo Color Doppler 8 5 $802.00 $777.94 $521.30 $802.00 $658.85 2026-07-15
74019 CPT X-ray Abdomen 11 5 $672.00 $651.84 $436.80 $672.00 $658.56 2026-07-15
96360 CPT Inf Therapy Hyd Initial 10 5 $724.00 $702.28 $470.60 $724.00 $652.68 2026-07-15
82653 CPT Pancreatic Elastase 8 5 $785.00 $761.45 $510.25 $785.00 $644.88 2026-07-15
93225 CPT Holter Monitor Hook Up <48 Hrs 11 5 $678.00 $657.66 $440.70 $678.00 $644.10 2026-07-15
73552 CPT X-ray Femur 2 Views Lt 10 5 $705.00 $683.85 $130.01 $705.00 $635.56 2026-07-15
76882 CPT Ultrasound Axilla Lt 8 5 $768.00 $744.96 $499.20 $768.00 $630.91 2026-07-15
J1610 HCPCS Glucagon 1 Mg/ml Vial 8 5 $763.00 $740.62 $98.91 $763.53 $620.37 2026-07-15
J1611 HCPCS Glucagon (Fresenius Kabi) Vial 8 5 $763.00 $740.62 $81.80 $763.53 $620.37 2026-07-15
73502 CPT X-ray Hip Uni 2-3 Views Lt 34 5 $422.00 $409.34 $274.30 $864.00 $614.31 2026-07-15
73130 CPT X-ray Hand Lt 20 5 $672.00 $651.84 $59.16 $672.00 $605.81 2026-07-15
73630 CPT X-ray Foot 3 Views Rt 21 5 $634.00 $614.98 $65.60 $634.00 $602.30 2026-07-15
70220 CPT X-ray Sinuses 3 Views 8 5 $738.00 $715.86 $94.13 $738.00 $599.62 2026-07-15
80197 CPT Tacrolimus 10 5 $645.00 $625.65 $419.25 $992.00 $581.47 2026-07-15
J3301 HCPCS Triamcinolon Acet 40mg/ml 5ml 8 5 $695.00 $674.15 $2.88 $695.00 $564.69 2026-07-15
73562 CPT X-ray Knee 3 Views Lt 20 5 $608.00 $589.76 $109.76 $608.00 $548.11 2026-07-15
96413 CPT Chemotherapy Inf Initial 8 5 $662.00 $642.14 $430.30 $662.00 $543.84 2026-07-15
73560 CPT X-ray Knee 1-2 Views Rt 21 5 $571.00 $553.87 $84.00 $571.00 $542.45 2026-07-15
73110 CPT X-ray Wrist 3 Views Lt 18 5 $629.00 $610.13 $58.22 $629.00 $536.54 2026-07-15
86870 CPT Rbc Antibody Identif Panel 8 5 $649.00 $629.53 $421.85 $649.00 $533.15 2026-07-15
73565 CPT X-ray Knees Bi 8 5 $649.00 $629.53 $267.09 $649.00 $527.32 2026-07-15
70360 CPT X-ray Neck Soft Tissue 8 5 $648.00 $628.56 $70.19 $648.00 $526.50 2026-07-15
73030 CPT X-ray Shoulder Rt 18 5 $617.00 $598.49 $237.65 $617.00 $526.30 2026-07-15
87497 CPT Cmv Quant By Pcr 10 5 $583.00 $565.51 $378.95 $583.00 $525.58 2026-07-15
73610 CPT X-ray Ankle 3 Views Lt 20 5 $580.00 $562.60 $99.63 $580.00 $522.87 2026-07-15
Q5110 HCPCS Filgrastim-aafi 300 Mcg/0.5 Ml 8 5 $539.00 $522.95 $350.43 $927.00 $520.25 2026-07-15
G0480 HCPCS Nicotine Cotinine 8 5 $632.00 $613.04 $410.80 $632.00 $519.19 2026-07-15
Q9956 HCPCS Perflutren Protein-a Microdota 10 5 $630.00 $611.25 $77.76 $630.15 $512.00 2026-07-15
P9016 HCPCS Red Blood Cells Lekoreduced 8 5 $617.00 $598.49 $401.05 $617.00 $506.87 2026-07-15
92523 CPT Speech Sound Lang Comprehen 10 5 $556.00 $539.32 $361.40 $655.00 $501.24 2026-07-15
87799 CPT Bk Virus Quant Pcr, Serum 10 5 $554.00 $537.38 $360.10 $894.00 $499.43 2026-07-15
71045 CPT X-ray Chest 1 View 11 5 $508.00 $492.76 $330.20 $593.33 $497.84 2026-07-15
83880 CPT Pro-b Type Natriuretic Peptide 19 5 $472.00 $457.84 $306.80 $762.00 $495.30 2026-07-15
73080 CPT X-ray Elbow Lt 16 5 $609.00 $590.73 $38.91 $609.00 $494.81 2026-07-15
73060 CPT X-ray Humerus Rt 8 5 $605.00 $586.85 $67.44 $605.00 $491.57 2026-07-15
77067 CPT Mammography Screening Digital 27 5 $571.00 $553.87 $371.15 $571.00 $487.06 2026-07-15
85379 CPT D-dimer Quant 11 5 $499.00 $484.03 $324.35 $499.00 $474.05 2026-07-15
96125 CPT Cognitive Performance Test St 8 5 $574.00 $556.78 $373.10 $574.00 $471.54 2026-07-15
72220 CPT X-ray Sacrum Tailbone 8 5 $576.00 $558.72 $374.40 $576.00 $469.51 2026-07-15
72170 CPT X-ray Pelvis 1-2 Views 10 5 $517.00 $501.49 $336.05 $517.00 $466.07 2026-07-15
73590 CPT X-ray Lower Leg Lt 16 5 $564.00 $547.08 $73.88 $564.00 $458.25 2026-07-15
80175 CPT Lamotrigine 8 5 $556.00 $539.32 $361.40 $556.00 $456.75 2026-07-15
93321 CPT Doppler Echo Exam Heart 8 5 $556.00 $539.32 $361.40 $556.00 $456.75 2026-07-15
12034 CPT Repair Lac Interm 7.6-12.5 Cm 8 5 $548.00 $531.56 $356.20 $548.00 $450.18 2026-07-15
12042 CPT Repair Lac Interm 2.6-7.5 Cm 8 5 $548.00 $531.56 $356.20 $548.00 $450.18 2026-07-15
99282 CPT Emergency Room Visit Level 2 14 5 $677.00 $656.69 $64.21 $677.00 $445.12 2026-07-15
93308 CPT Echo Limited 8 5 $524.00 $508.28 $340.60 $524.00 $430.47 2026-07-15
70250 CPT X-ray Skull < 4 Views 8 5 $522.00 $506.34 $94.25 $522.00 $424.12 2026-07-15
73070 CPT X-ray Elbow Lt 16 5 $519.00 $503.43 $41.69 $519.00 $421.69 2026-07-15
73000 CPT X-ray Collar Bone Lt 16 5 $519.00 $503.43 $187.04 $519.00 $421.69 2026-07-15
74018 CPT X-ray Abdomen 10 5 $422.00 $409.34 $274.30 $523.40 $417.78 2026-07-15
70160 CPT X-ray Facial Bones 3 Views 8 5 $512.00 $496.64 $86.75 $512.00 $416.00 2026-07-15
82024 CPT Acth Adrenocorticotropic Hor 8 5 $502.00 $486.94 $326.30 $502.00 $412.39 2026-07-15
70100 CPT X-ray Mandible < 4 Views 6 5 $456.00 $442.32 $296.40 $456.00 $411.09 2026-07-15
80053 CPT Comprehensive Metabolic Panel 12 5 $455.00 $441.35 $295.75 $455.00 $410.19 2026-07-15
73090 CPT X-ray Forearm 2 Views Lt 18 5 $480.00 $465.60 $282.72 $480.00 $409.44 2026-07-15
80069 CPT Renal Function Panel 11 5 $425.00 $412.25 $276.25 $425.00 $403.75 2026-07-15
82088 CPT Aldosterone 8 5 $482.00 $467.54 $313.30 $482.00 $395.96 2026-07-15
84305 CPT Somatomedin 8 5 $474.00 $459.78 $308.10 $474.00 $389.39 2026-07-15
30905 CPT Control Posterior Hemorrhage 8 5 $472.00 $457.84 $306.80 $472.00 $387.75 2026-07-15
30903 CPT Control Anterior Hemorrhage Lt 8 5 $472.00 $457.84 $306.80 $472.00 $387.75 2026-07-15
84402 CPT Testosterone Free 9 5 $448.00 $434.56 $291.20 $448.00 $382.14 2026-07-15
80061 CPT Lipid Panel 11 5 $445.00 $431.65 $289.25 $445.00 $379.59 2026-07-15
92610 CPT Swallow Eval Non Radiol 8 5 $459.00 $445.23 $298.35 $459.00 $377.07 2026-07-15
84145 CPT Procalcitonin 8 5 $455.00 $441.35 $295.75 $455.00 $373.78 2026-07-15
82077 CPT Alcohol/Ethanol Auto Analyzer 10 5 $414.00 $401.58 $269.10 $414.00 $373.22 2026-07-15
83993 CPT Calprotectin 10 5 $413.00 $400.61 $268.45 $413.00 $372.32 2026-07-15
36430 CPT Blood Administration 8 5 $451.00 $437.47 $293.15 $451.00 $370.50 2026-07-15
73120 CPT X-ray Hand Lt 16 5 $451.00 $437.47 $198.99 $451.00 $366.44 2026-07-15
93798 CPT Cardiac Rehab Ii Monitored 8 5 $443.00 $429.71 $287.95 $443.00 $363.93 2026-07-15
73660 CPT X-ray Toe(s) 2 Views Lt 20 5 $403.00 $390.91 $66.51 $403.00 $363.31 2026-07-15
73600 CPT X-ray Ankle 2 Views Rt 18 5 $425.00 $412.25 $86.75 $425.00 $362.53 2026-07-15
80048 CPT Basic Metabolic Panel 11 5 $381.00 $369.57 $247.65 $381.00 $361.95 2026-07-15
86140 CPT C-reactive Protein 11 5 $375.00 $363.75 $243.75 $375.00 $356.25 2026-07-15
87329 CPT Giardia Antigen 10 5 $394.00 $382.18 $256.10 $394.00 $355.19 2026-07-15
83003 CPT Human Growth Hormone 8 5 $432.00 $419.04 $280.80 $432.00 $354.89 2026-07-15
81256 CPT Hemochromat Mutation 8 5 $423.00 $410.31 $274.95 $423.00 $347.50 2026-07-15
73620 CPT X-ray Foot 2 Views Lt 8 5 $425.00 $412.25 $212.82 $425.00 $345.31 2026-07-15
87807 CPT Rsv 8 5 $417.00 $404.49 $271.05 $417.00 $342.56 2026-07-15
82803 CPT Blood Gas Wo Oximetry 10 5 $377.00 $365.69 $245.05 $377.00 $339.87 2026-07-15
84702 CPT Hcg Beta Quan Serum 10 5 $377.00 $365.69 $245.05 $377.00 $339.87 2026-07-15
83519 CPT Vgk Channel Ab 8 5 $413.00 $400.61 $268.45 $413.00 $339.28 2026-07-15
J3489 HCPCS Zoledron Ac/Man/H2O 5mg/100ml 8 5 $414.00 $402.39 $17.25 $414.84 $337.06 2026-07-15
99223 CPT IP/Obs Initial High Comp 6 5 $620.00 $601.40 $270.04 $389.40 $334.66 2026-07-15
73100 CPT X-ray Wrist 2 Views Lt 8 5 $405.00 $392.85 $66.51 $405.00 $329.07 2026-07-15
85025 CPT Cbc W Auto Diff 12 5 $365.00 $354.05 $237.25 $365.00 $329.05 2026-07-15
27530 CPT Treat Knee Fracture Rt 8 5 $396.00 $384.12 $257.40 $396.00 $325.31 2026-07-15
99195 CPT Phlebotomy Therapeutic 9 5 $377.00 $365.69 $245.05 $377.00 $321.58 2026-07-15
92526 CPT Dysphagia Treatment 8 5 $388.00 $376.36 $252.20 $388.00 $318.74 2026-07-15
84481 CPT T3 Free 10 5 $385.00 $373.45 $32.19 $385.00 $316.28 2026-07-15
97166 CPT Ot Eval Mod Complexity 10 5 $385.00 $373.45 $250.25 $385.00 $316.28 2026-07-15
99292 CPT Critical Care Ea Addl 30 Min 14 5 $479.00 $464.63 $164.83 $479.00 $314.95 2026-07-15
87040 CPT Culture Blood 11 5 $329.00 $319.13 $213.85 $329.00 $312.55 2026-07-15
96367 CPT Inf Therapy Med Sequential 19 5 $329.00 $319.13 $213.85 $366.00 $312.20 2026-07-15
73140 CPT X-ray Finger(s) Rt 18 5 $365.00 $354.05 $64.68 $365.00 $311.35 2026-07-15
84403 CPT Testosterone Total 9 5 $365.00 $354.05 $237.25 $365.00 $311.35 2026-07-15
27786 CPT Fx Distal Fibula Rt 8 5 $377.00 $365.69 $245.05 $377.00 $309.70 2026-07-15
25600 CPT Fx Distal Radius Rt 8 5 $377.00 $365.69 $245.05 $377.00 $309.70 2026-07-15
26720 CPT Fx Finger/Thumb Wo Man 8 5 $377.00 $365.69 $245.05 $377.00 $309.70 2026-07-15
80156 CPT Carbamazepine 8 5 $373.00 $361.81 $242.45 $373.00 $306.42 2026-07-15
82670 CPT Estradiol Total 9 5 $359.00 $348.23 $233.35 $359.00 $306.23 2026-07-15
97162 CPT Pt Eval Mod Complexity 11 5 $358.00 $347.26 $232.70 $358.00 $305.37 2026-07-15
J0134 HCPCS Acetaminoph IV(Fresenius Kabi) 11 5 $320.00 $311.18 $21.48 $320.80 $304.76 2026-07-15
80076 CPT Hepatic Function Panel 10 5 $338.00 $327.86 $219.70 $338.00 $304.71 2026-07-15
87493 CPT C Diff By Pcr 8 5 $366.00 $355.02 $237.90 $366.00 $300.67 2026-07-15
86255 CPT Amphiphysin 16 5 $381.00 $369.57 $195.00 $462.00 $300.15 2026-07-15
84484 CPT Troponin Quant 11 5 $315.00 $305.55 $204.75 $315.00 $299.25 2026-07-15
80299 CPT Dexamethasone 8 5 $361.00 $350.17 $234.65 $361.00 $296.56 2026-07-15
12015 CPT Repair Lac Simple 7.6-12.5 Cm 8 5 $357.00 $346.29 $232.05 $357.00 $293.27 2026-07-15
12013 CPT Repair Lac Simple 2.6-5.0 Cm 8 5 $357.00 $346.29 $232.05 $357.00 $293.27 2026-07-15
12011 CPT Repair Lac Simple <2.5 Cm 8 5 $357.00 $346.29 $232.05 $357.00 $293.27 2026-07-15
82746 CPT Folic Acid Blood 8 5 $355.00 $344.35 $230.75 $355.00 $291.63 2026-07-15
82378 CPT Cea 8 5 $353.00 $342.41 $229.45 $353.00 $289.99 2026-07-15
J2305 HCPCS Nitroglycer/D5W 50mg/250ml Bot 8 5 $354.00 $343.78 $3.20 $354.41 $287.96 2026-07-15
87641 CPT Mrsa By Pcr 8 5 $350.00 $339.50 $227.50 $350.00 $287.52 2026-07-15
82800 CPT Ph Blood 8 5 $349.00 $338.53 $226.85 $349.00 $286.70 2026-07-15
86334 CPT Immunofix Electroph Serum 8 5 $341.00 $330.77 $221.65 $341.00 $280.13 2026-07-15
97161 CPT Pt Eval Low Complexity 11 5 $327.00 $317.19 $212.55 $327.00 $278.93 2026-07-15
87177 CPT Ova And Parasites Smears 8 5 $338.00 $327.86 $219.70 $338.00 $277.66 2026-07-15
84439 CPT T4 Free 10 5 $308.00 $298.76 $200.20 $308.00 $277.66 2026-07-15
J3480 HCPCS D5/Ns Kcl 20 Meq 1000 Ml Bag 41 5 $313.00 $304.01 $9.57 $328.28 $277.30 2026-07-15
82043 CPT Microalbumin Quant 11 5 $290.00 $281.30 $188.50 $290.00 $275.50 2026-07-15
87804 CPT Influenza A Antigen 12 5 $304.00 $294.88 $197.60 $304.00 $274.06 2026-07-15
86922 CPT Crossmatch Ahg 8 5 $333.00 $323.01 $216.45 $333.00 $273.56 2026-07-15
85027 CPT Cbc Wo Auto Diff 11 5 $287.00 $278.39 $186.55 $287.00 $272.65 2026-07-15
82627 CPT Dheas 8 5 $329.00 $319.13 $213.85 $329.00 $270.27 2026-07-15
12001 CPT Repair Lac Simple <2.5 Cm 16 5 $375.00 $363.75 $86.23 $375.00 $269.44 2026-07-15
12002 CPT Repair Lac Simple 2.6-7.5 Cm 16 5 $375.00 $363.75 $112.84 $375.00 $269.44 2026-07-15
87880 CPT Strep Group A Rapid 10 5 $298.00 $289.06 $193.70 $298.00 $268.64 2026-07-15
82607 CPT B12 10 5 $297.00 $288.09 $193.05 $297.00 $267.75 2026-07-15
87328 CPT Cryptosporidium Antigen 10 5 $297.00 $288.09 $193.05 $297.00 $267.67 2026-07-15
72020 CPT X-ray Spine Single View 8 5 $328.00 $318.16 $213.20 $328.00 $266.50 2026-07-15
87338 CPT H Pylori Antigen Stool 9 5 $312.00 $302.64 $202.80 $312.00 $266.14 2026-07-15
80202 CPT Vancomycin 8 5 $320.00 $310.40 $208.00 $320.00 $262.88 2026-07-15
86706 CPT Hep B Surface Antibody 8 5 $320.00 $310.40 $208.00 $320.00 $262.88 2026-07-15
86480 CPT Tbint Quantiferon 8 5 $320.00 $310.40 $208.00 $320.00 $262.88 2026-07-15
J0131 HCPCS Acetaminophen 1000mg/100ml Via 8 5 $322.00 $312.76 $145.73 $322.43 $261.97 2026-07-15
87385 CPT Histoplasma Antigen 8 5 $318.00 $308.46 $206.70 $318.00 $261.24 2026-07-15
J1450 HCPCS Fluconazole/Ns 200mg/100ml Bot 8 5 $320.00 $311.08 $0.08 $320.70 $260.57 2026-07-15
83935 CPT Osmolality Urine 8 5 $315.00 $305.55 $204.75 $315.00 $258.77 2026-07-15
84146 CPT Prolactin 8 5 $315.00 $305.55 $204.75 $315.00 $258.77 2026-07-15
83930 CPT Osmolality Blood 8 5 $315.00 $305.55 $204.75 $315.00 $258.77 2026-07-15
J0136 HCPCS Acetamin IV (b Braun) 1,000 Mg 8 5 $317.00 $308.25 $16.88 $317.78 $258.20 2026-07-15
80179 CPT Salicylate 8 5 $314.00 $304.58 $204.10 $314.00 $257.95 2026-07-15
23650 CPT Dislocation Shoulder Wo AnesLT 14 5 $260.00 $252.20 $169.00 $802.00 $257.40 2026-07-15
86618 CPT Lyme Disease Antibody 8 5 $312.00 $302.64 $202.80 $312.00 $256.31 2026-07-15
86788 CPT West Nile Virus IgM 8 5 $312.00 $302.64 $202.80 $312.00 $256.31 2026-07-15
J0744 HCPCS Ciprofloxac/D5 400mg/200ml Bag 8 5 $311.00 $302.57 $5.85 $311.93 $253.44 2026-07-15
84443 CPT Tsh 10 5 $279.00 $270.63 $181.35 $279.00 $251.52 2026-07-15
J1956 HCPCS Levofloxac/D5W 750mg/150ml Bag 8 5 $309.00 $299.90 $2.07 $309.18 $251.21 2026-07-15
86800 CPT Thyroglobulin Antibody 10 5 $278.00 $269.66 $180.70 $278.00 $250.62 2026-07-15
82150 CPT Amylase Serum 10 5 $277.00 $268.69 $180.05 $277.00 $249.71 2026-07-15
84156 CPT Protein Urine 11 5 $262.00 $254.14 $170.30 $262.00 $248.90 2026-07-15
87086 CPT Culture Urine W Col Count 10 5 $276.00 $267.72 $179.40 $276.00 $248.81 2026-07-15
83690 CPT Lipase 10 5 $276.00 $267.72 $179.40 $276.00 $248.81 2026-07-15
82728 CPT Ferritin 9 5 $291.00 $282.27 $189.15 $291.00 $248.22 2026-07-15
J1836 HCPCS Metronidazole/Ns 500mg/100ml 8 5 $304.00 $295.10 $0.32 $304.23 $247.19 2026-07-15
83970 CPT Pth 11 5 $260.00 $252.20 $169.00 $260.00 $247.00 2026-07-15
99222 CPT Inpatient Initial/Obs Mod Comp 6 5 $417.00 $404.49 $202.33 $274.01 $246.06 2026-07-15
84144 CPT Progesterone 8 5 $297.00 $288.09 $193.05 $297.00 $243.99 2026-07-15
96368 CPT Inf Therapy Med Concurrent 19 5 $308.00 $298.76 $161.85 $308.00 $243.32 2026-07-15
97165 CPT Ot Eval Low Complexity 10 5 $269.00 $260.93 $174.85 $269.00 $242.50 2026-07-15
96376 CPT IV Injection Ea Addl Same Drug 19 5 $335.00 $324.95 $156.00 $335.00 $240.00 2026-07-15
96374 CPT IV Push Injection Initial 19 5 $335.00 $324.95 $156.00 $335.00 $240.00 2026-07-15
96375 CPT IV Injection Subsequent 21 5 $335.00 $324.95 $156.00 $335.00 $240.00 2026-07-15
82553 CPT Cpk Mb Fraction 11 5 $252.00 $244.44 $163.80 $252.00 $239.40 2026-07-15
83036 CPT Hemoglobin A1c 11 5 $279.00 $270.63 $181.35 $279.00 $237.99 2026-07-15
G0103 HCPCS Psa Screen 10 5 $262.00 $254.14 $170.30 $262.00 $236.19 2026-07-15
85045 CPT Reticulocyte Count Automated 8 5 $287.00 $278.39 $186.55 $287.00 $235.77 2026-07-15
80143 CPT Acetaminophen 8 5 $285.00 $276.45 $185.25 $285.00 $234.13 2026-07-15
85610 CPT Prothrombin Time 11 5 $246.00 $238.62 $159.90 $255.00 $233.70 2026-07-15
87327 CPT Cryptococcus NeBlood Agn 8 5 $284.00 $275.48 $184.60 $284.00 $233.31 2026-07-15
86787 CPT Varicella Zoster IgG Ref 8 5 $283.00 $274.51 $183.95 $283.00 $232.49 2026-07-15
29125 CPT Apply Short Arm Splint Lt 14 5 $353.00 $342.41 $82.03 $353.00 $232.10 2026-07-15
83550 CPT Iron Binding Capacity 11 5 $243.00 $235.71 $157.95 $243.00 $230.85 2026-07-15
87340 CPT Hep B Surface Agn 8 5 $281.00 $272.57 $182.65 $281.00 $230.84 2026-07-15
83002 CPT Lh 8 5 $279.00 $270.63 $181.35 $279.00 $229.20 2026-07-15
83001 CPT Fsh 8 5 $279.00 $270.63 $181.35 $279.00 $229.20 2026-07-15
86665 CPT Epstein Barr Capsid IgM 8 5 $277.00 $268.69 $180.05 $277.00 $227.56 2026-07-15
82306 CPT 25 Hydvit D2 And D3 11 5 $266.00 $258.02 $172.90 $266.00 $226.90 2026-07-15
51702 CPT Cath Insert Simple Indwelling 8 5 $276.00 $267.72 $179.40 $276.00 $226.74 2026-07-15
83605 CPT Lactic Acid Poct 10 5 $251.00 $243.47 $163.15 $251.00 $226.27 2026-07-15
90471 CPT Immunization Administration 10 5 $249.00 $241.53 $161.85 $249.00 $224.48 2026-07-15
93005 CPT EKG Tracing 11 5 $235.00 $227.95 $152.75 $240.00 $223.25 2026-07-15
86596 CPT Calcium Chan Binding Aby 8 5 $269.00 $260.93 $174.85 $269.00 $220.99 2026-07-15
87305 CPT Aspergillus Galact Antigen 8 5 $268.00 $259.96 $174.20 $268.00 $220.16 2026-07-15
94640 CPT Inhalation Treat Acute Initial 35 5 $224.00 $217.28 $145.60 $292.00 $219.52 2026-07-15
80201 CPT Topiramate 8 5 $267.00 $258.99 $173.55 $267.00 $219.34 2026-07-15
82570 CPT Creatinine Urine 11 5 $230.00 $223.10 $149.50 $230.00 $218.50 2026-07-15
82523 CPT Cross Linked C Teleop 8 5 $265.00 $257.05 $172.25 $265.00 $217.70 2026-07-15
82533 CPT Cortisol Total 8 5 $264.00 $256.08 $171.60 $264.00 $216.88 2026-07-15
86162 CPT Complement Total 8 5 $264.00 $256.08 $171.60 $264.00 $216.88 2026-07-15
87581 CPT Mycoplasma Pneum Pcr 8 5 $262.00 $254.14 $170.30 $262.00 $215.24 2026-07-15
82530 CPT Cortisol Free Urine 8 5 $261.00 $253.17 $169.65 $261.00 $214.41 2026-07-15
24640 CPT Dislocation Nursemaid Elbow Lt 8 5 $260.00 $252.20 $169.00 $260.00 $213.59 2026-07-15
82705 CPT Fats/Lipids Feces Qual 8 5 $255.00 $247.35 $165.75 $255.00 $209.49 2026-07-15
81001 CPT Urinalysis Auto W Micro 11 5 $220.00 $213.40 $143.00 $220.00 $209.00 2026-07-15
86335 CPT Immunofix Electroph Fluid 8 5 $252.00 $244.44 $163.80 $252.00 $207.02 2026-07-15
99239 CPT IP/Obs Discharge >30 Min 6 5 $263.00 $255.11 $179.47 $243.58 $204.89 2026-07-15
99233 CPT Inpatient/Obs Subsequent High 6 5 $300.00 $291.00 $184.54 $250.08 $204.29 2026-07-15
51798 CPT Bladder Scan 19 5 $281.00 $272.57 $132.60 $281.00 $204.00 2026-07-15
86880 CPT Coombs Test DireCT 8 5 $247.00 $239.59 $160.55 $247.00 $202.91 2026-07-15
87081 CPT Culture Group A Screen 8 5 $247.00 $239.59 $160.55 $247.00 $202.91 2026-07-15
96361 CPT Inf Therapy Hyd Ea Addl Hour 21 5 $244.00 $236.68 $133.25 $244.00 $200.90 2026-07-15
84244 CPT Renin 8 5 $242.00 $234.74 $157.30 $242.00 $198.81 2026-07-15
86141 CPT C-reactive Protein High Sens 8 5 $242.00 $234.74 $157.30 $242.00 $198.81 2026-07-15
83525 CPT Insulin 8 5 $242.00 $234.74 $157.30 $242.00 $198.81 2026-07-15
86780 CPT Treponema Pallidum Eia 8 5 $242.00 $234.74 $157.30 $242.00 $198.81 2026-07-15
80189 CPT Itraconazole 8 5 $242.00 $234.74 $157.30 $242.00 $198.81 2026-07-15
87186 CPT Minimum Inhibitory Conc 10 5 $220.00 $213.40 $143.00 $220.00 $198.33 2026-07-15
80307 CPT Drug Screen Multichan Urine 8 5 $241.00 $233.77 $156.65 $241.00 $197.98 2026-07-15
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