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 GREGORY HOSPITAL

Gregory, SD · CCN 431338 · Rates published

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You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $1,486 across 5 payers · range $106-$2,192

Source: https://www.avera.org/app/files/public/f4c0aa3d-4558-43d3-a8ee-1294599240ef/460224743_avera-gregory-hospital_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.

961 distinct procedures filed
5 distinct payers
13,691 rate rows
2026-07-15 last MRF observed
Data quality

13,667 of 13,691 rate rows are consumer-grade (99.8%)

24 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 8
placeholder amount (≤ $0.02) — excluded from medians 6
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/f4c0aa3d-4558-43d3-a8ee-1294599240ef/460224743_avera-gregory-hospital_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 a22744c0a46227eb… · 3,793,675 bytes · first seen 2026-05-05

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 $86,126.02 $72,141.64 nat. median
$470
outlier · 153.6×
J3380
HCPCS 		Vedolizumab 300 Mg Vial 5 $72.63 $37,975.12 $31,809.06 nat. median
$162
outlier · 196.3×
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $30,637.29 $25,662.68 nat. median
$3,820
outlier · 6.7×
J9306
HCPCS 		Pertuzumab 420 Mg/14 Ml Vial 5 $508.34 $28,780.39 $24,107.29 nat. median
$80
outlier · 302.9×
J2353
HCPCS 		Octreotide (Depot) 30 Mg Syr 5 $17.33 $27,006.83 $22,621.69 nat. median
$5,573
outlier · 4.1×
4652
APR_DRG 		Apr-DRG 4652 1 $21,284.59 $21,284.59 $21,284.59 nat. median
$5,288
outlier · 4.0×
J9271
HCPCS 		Pembrolizumab 100 Mg/4 Ml Vial 5 $13.37 $25,257.65 $21,156.53 nat. median
$276
outlier · 76.7×
J0717
HCPCS 		Certolizumab Pegol 400 Mg Kit 5 $3.42 $25,109.77 $21,032.67 nat. median
$1,598
outlier · 13.2×
177
MS_DRG 		Ms-DRG 177 1 $15,919.96 $15,919.96 $15,919.96 nat. median
$15,388
1.0× median
391
MS_DRG 		Ms-DRG 391 1 $15,306.82 $15,306.82 $15,306.82 nat. median
$12,539
1.2× median
J9173
HCPCS 		Durvalumab 500 Mg/10 Ml Vial 5 $16.91 $17,675.82 $14,805.77 nat. median
$1,119
outlier · 13.2×
689
MS_DRG 		Ms-DRG 689 1 $14,044.45 $14,044.45 $14,044.45 nat. median
$11,514
1.2× median
64
MS_DRG 		Ms-DRG 64 1 $13,776.36 $13,776.36 $13,776.36 nat. median
$19,252
0.7× median
191
MS_DRG 		Ms-DRG 191 1 $13,655.90 $13,655.90 $13,655.90 nat. median
$8,846
1.5× median
872
MS_DRG 		Ms-DRG 872 1 $13,022.54 $13,022.54 $13,022.54 nat. median
$10,401
1.3× median
36482
CPT 		Endoven Ther Chem Adhes 1St 5 $10,240.10 $15,281.38 $12,941.91 nat. median
$6,035
outlier · 2.1×
J1569
HCPCS 		Immune Glob Gamagar 30gr/300ml 5 $21.77 $13,708.84 $11,482.92 nat. median
$1,070
outlier · 10.7×
392
MS_DRG 		Ms-DRG 392 1 $9,198.70 $9,198.70 $9,198.70 nat. median
$8,177
1.1× median
603
MS_DRG 		Ms-DRG 603 1 $9,197.50 $9,197.50 $9,197.50 nat. median
$8,986
1.0× median
536
MS_DRG 		Ms-DRG 536 1 $9,197.50 $9,197.50 $9,197.50 nat. median
$8,433
1.1× median
193
MS_DRG 		Ms-DRG 193 1 $9,197.50 $9,197.50 $9,197.50 nat. median
$12,868
0.7× median
194
MS_DRG 		Ms-DRG 194 2 $9,197.50 $19,638.50 $9,197.50 nat. median
$8,516
1.1× median
195
MS_DRG 		Ms-DRG 195 1 $9,197.50 $9,197.50 $9,197.50 nat. median
$6,818
1.3× median
J9317
HCPCS 		Sacituzumab Gov-hziy 180Mg 5 $4,156.37 $10,589.85 $8,870.36 nat. median
$109
outlier · 81.0×
Q5119
HCPCS 		Rituximab-pvvr 500Mg/50Ml Vial 5 $1,112.40 $10,189.19 $8,534.76 nat. median
$826
outlier · 10.3×
1391
APR_DRG 		Apr-DRG 1391 1 $8,240.73 $8,240.73 $8,240.73 nat. median
$4,074
outlier · 2.0×
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $5,700.50 $8,506.90 $7,599.20 nat. median
$988
outlier · 7.7×
Q5111
HCPCS 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml 5 $1,112.40 $8,657.25 $7,251.57 nat. median
$1,982
outlier · 3.7×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $479.88 $8,718.00 $7,172.89 nat. median
$1,024
outlier · 7.0×
J1602
HCPCS 		Golimumab 50 Mg/4 Ml Vial 5 $43.11 $8,335.92 $6,982.40 nat. median
$273
outlier · 25.6×
74177
CPT 		CT Abd & Pelv W Contrast 5 $227.52 $7,528.17 $6,724.91 nat. median
$974
outlier · 6.9×
Q5116
HCPCS 		Trastuzumab Qyyp 420Mg Vial 5 $2,896.88 $7,858.11 $6,582.18 nat. median
$431
outlier · 15.3×
Q5108
HCPCS 		Pegfilgrastim-jmdb 6 Mg/0.6 Ml 5 $5,230.88 $7,806.08 $6,538.60 nat. median
$1,244
outlier · 5.3×
Q5112
HCPCS 		Trastuzumab-dttb 420 Mg Vial 5 $3,051.38 $7,675.65 $6,429.34 nat. median
$69
outlier · 93.2×
95811
CPT 		Polysomnogram W CPap 5 $4,873.05 $7,272.09 $6,158.78 nat. median
$1,894
outlier · 3.3×
153
MS_DRG 		Ms-DRG 153 1 $6,142.84 $6,142.84 $6,142.84 nat. median
$7,678
0.8× median
Q5122
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml Syr 5 $3,939.75 $7,328.37 $6,138.45 nat. median
$561
outlier · 10.9×
J0897
HCPCS 		Denosumab 60 Mg/ml Syringe 5 $9.69 $13,322.09 $6,038.99 nat. median
$1,972
outlier · 3.1×
74176
CPT 		CT Abd & Pelvis Wo Contrast 5 $95.04 $6,949.00 $5,607.99 nat. median
$694
outlier · 8.1×
70553
CPT 		MRI Brain Wwo Contrast 5 $729.77 $6,131.37 $5,391.81 nat. median
$1,133
outlier · 4.8×
95810
CPT 		Polysomnogram 5 $4,240.60 $6,328.28 $5,359.47 nat. median
$1,825
outlier · 2.9×
J0129
HCPCS 		Abatacept 250 Mg Vial 5 $588.00 $6,273.41 $5,254.79 nat. median
$902
outlier · 5.8×
73723
CPT 		MRI Joint Le Wwo Dye Lt 5 $657.06 $5,858.80 $5,233.66 nat. median
$1,192
outlier · 4.4×
72197
CPT 		MRI Pelvis Wwo Dye 5 $618.17 $6,131.37 $5,135.81 nat. median
$1,063
outlier · 4.8×
73720
CPT 		MRI Le Wwo Dye Lt 5 $233.96 $5,858.80 $4,907.50 nat. median
$1,129
outlier · 4.3×
73223
CPT 		MRI Joint Ue Wwo Dye Lt 5 $597.27 $5,858.80 $4,907.50 nat. median
$1,158
outlier · 4.2×
72156
CPT 		MRI Neck Spine Wwo Dye 5 $340.05 $5,858.80 $4,907.50 nat. median
$1,103
outlier · 4.4×
72158
CPT 		MRI Lumbar Spine Wwo Dye 5 $340.97 $5,858.80 $4,907.50 nat. median
$1,093
outlier · 4.5×
72157
CPT 		MRI Chest Spine Wwo Dye 5 $535.35 $5,858.80 $4,907.50 nat. median
$1,105
outlier · 4.4×
73220
CPT 		MRI Ue Wwo Dye Lt 5 $319.79 $5,858.80 $4,907.50 nat. median
$1,130
outlier · 4.3×

Other procedures at this hospital

Browse this hospital's 961 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
             
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml 8 5 $88,789.00 $86,126.02 $6.09 $86,126.02 $72,141.64 2026-07-15
J3380 HCPCS Vedolizumab 300 Mg Vial 8 5 $39,149.00 $37,975.12 $72.63 $37,975.12 $31,809.06 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 8 5 $31,584.00 $30,637.29 $0.41 $30,637.29 $25,662.68 2026-07-15
J9306 HCPCS Pertuzumab 420 Mg/14 Ml Vial 8 5 $29,670.00 $28,780.39 $508.34 $28,780.39 $24,107.29 2026-07-15
J2353 HCPCS Octreotide (Depot) 30 Mg Syr 8 5 $27,842.00 $27,006.83 $17.33 $27,006.83 $22,621.69 2026-07-15
4652 APR_DRG Apr-DRG 4652 2 1 — — $21,284.59 $21,284.59 $21,284.59 2026-07-15
J9271 HCPCS Pembrolizumab 100 Mg/4 Ml Vial 8 5 $26,038.00 $25,257.65 $13.37 $25,257.65 $21,156.53 2026-07-15
J0717 HCPCS Certolizumab Pegol 400 Mg Kit 8 5 $25,886.00 $25,109.77 $3.42 $25,109.77 $21,032.67 2026-07-15
177 MS_DRG Ms-DRG 177 2 1 — — $15,919.96 $15,919.96 $15,919.96 2026-07-15
391 MS_DRG Ms-DRG 391 2 1 — — $15,306.82 $15,306.82 $15,306.82 2026-07-15
J9173 HCPCS Durvalumab 500 Mg/10 Ml Vial 8 5 $18,222.00 $17,675.82 $16.91 $17,675.82 $14,805.77 2026-07-15
689 MS_DRG Ms-DRG 689 2 1 — — $14,044.45 $14,044.45 $14,044.45 2026-07-15
64 MS_DRG Ms-DRG 64 1 1 — — $13,776.36 $13,776.36 $13,776.36 2026-07-15
191 MS_DRG Ms-DRG 191 2 1 — — $13,655.90 $13,655.90 $13,655.90 2026-07-15
872 MS_DRG Ms-DRG 872 1 1 — — $13,022.54 $13,022.54 $13,022.54 2026-07-15
36482 CPT Endoven Ther Chem Adhes 1St 8 5 $15,754.00 $15,281.38 $10,240.10 $15,281.38 $12,941.91 2026-07-15
J1569 HCPCS Immune Glob Gamagar 30gr/300ml 8 5 $14,132.00 $13,708.84 $21.77 $13,708.84 $11,482.92 2026-07-15
392 MS_DRG Ms-DRG 392 2 1 — — $9,198.70 $9,198.70 $9,198.70 2026-07-15
193 MS_DRG Ms-DRG 193 2 1 — — $9,197.50 $9,197.50 $9,197.50 2026-07-15
194 MS_DRG Ms-DRG 194 3 2 — — $9,197.50 $19,638.50 $9,197.50 2026-07-15
536 MS_DRG Ms-DRG 536 2 1 — — $9,197.50 $9,197.50 $9,197.50 2026-07-15
603 MS_DRG Ms-DRG 603 2 1 — — $9,197.50 $9,197.50 $9,197.50 2026-07-15
195 MS_DRG Ms-DRG 195 2 1 — — $9,197.50 $9,197.50 $9,197.50 2026-07-15
J9317 HCPCS Sacituzumab Gov-hziy 180Mg 8 5 $10,917.00 $10,589.85 $4,156.37 $10,589.85 $8,870.36 2026-07-15
Q5119 HCPCS Rituximab-pvvr 500Mg/50Ml Vial 8 5 $10,504.00 $10,189.19 $1,112.40 $10,189.19 $8,534.76 2026-07-15
1391 APR_DRG Apr-DRG 1391 2 1 — — $8,240.73 $8,240.73 $8,240.73 2026-07-15
74174 CPT CTA Abd&Pelv Wwo Dye 6 5 $8,770.00 $8,506.90 $5,700.50 $8,506.90 $7,599.20 2026-07-15
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml 8 5 $8,925.00 $8,657.25 $1,112.40 $8,657.25 $7,251.57 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 10 5 $8,278.00 $8,029.66 $479.88 $8,718.00 $7,172.89 2026-07-15
J1602 HCPCS Golimumab 50 Mg/4 Ml Vial 8 5 $8,593.00 $8,335.92 $43.11 $8,335.92 $6,982.40 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 12 5 $7,761.00 $7,528.17 $227.52 $7,528.17 $6,724.91 2026-07-15
Q5116 HCPCS Trastuzumab Qyyp 420Mg Vial 8 5 $8,101.00 $7,858.11 $2,896.88 $7,858.11 $6,582.18 2026-07-15
Q5108 HCPCS Pegfilgrastim-jmdb 6 Mg/0.6 Ml 8 5 $8,047.00 $7,806.07 $5,230.88 $7,806.08 $6,538.60 2026-07-15
Q5112 HCPCS Trastuzumab-dttb 420 Mg Vial 8 5 $7,913.00 $7,675.65 $3,051.38 $7,675.65 $6,429.34 2026-07-15
95811 CPT Polysomnogram W CPap 8 5 $7,497.00 $7,272.09 $4,873.05 $7,272.09 $6,158.78 2026-07-15
153 MS_DRG Ms-DRG 153 2 1 — — $6,142.84 $6,142.84 $6,142.84 2026-07-15
Q5122 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Syr 8 5 $7,555.00 $7,328.37 $3,939.75 $7,328.37 $6,138.45 2026-07-15
J0897 HCPCS Denosumab 60 Mg/ml Syringe 20 5 $7,432.00 $7,209.62 $9.69 $13,322.09 $6,038.99 2026-07-15
74176 CPT CT Abd & Pelvis Wo Contrast 12 5 $6,472.00 $6,277.84 $95.04 $6,949.00 $5,607.99 2026-07-15
70553 CPT MRI Brain Wwo Contrast 11 5 $6,321.00 $6,131.37 $729.77 $6,131.37 $5,391.81 2026-07-15
95810 CPT Polysomnogram 8 5 $6,524.00 $6,328.28 $4,240.60 $6,328.28 $5,359.47 2026-07-15
J0129 HCPCS Abatacept 250 Mg Vial 8 5 $6,467.00 $6,273.41 $588.00 $6,273.41 $5,254.79 2026-07-15
73723 CPT MRI Joint Le Wwo Dye Lt 10 5 $6,040.00 $5,858.80 $657.06 $5,858.80 $5,233.66 2026-07-15
72197 CPT MRI Pelvis Wwo Dye 8 5 $6,321.00 $6,131.37 $618.17 $6,131.37 $5,135.81 2026-07-15
73720 CPT MRI Le Wwo Dye Lt 16 5 $6,040.00 $5,858.80 $233.96 $5,858.80 $4,907.50 2026-07-15
73220 CPT MRI Ue Wwo Dye Lt 8 5 $6,040.00 $5,858.80 $319.79 $5,858.80 $4,907.50 2026-07-15
73223 CPT MRI Joint Ue Wwo Dye Lt 8 5 $6,040.00 $5,858.80 $597.27 $5,858.80 $4,907.50 2026-07-15
72158 CPT MRI Lumbar Spine Wwo Dye 10 5 $6,040.00 $5,858.80 $340.97 $5,858.80 $4,907.50 2026-07-15
72156 CPT MRI Neck Spine Wwo Dye 10 5 $6,040.00 $5,858.80 $340.05 $5,858.80 $4,907.50 2026-07-15
72157 CPT MRI Chest Spine Wwo Dye 10 5 $6,040.00 $5,858.80 $535.35 $5,858.80 $4,907.50 2026-07-15
J1459 HCPCS Immune Glob Privige 10gr/100ml 14 5 $5,023.00 $4,872.64 $0.29 $18,085.01 $4,822.41 2026-07-15
72195 CPT MRI Pelvis Wo Dye 6 5 $5,444.00 $5,280.68 $3,538.60 $5,280.68 $4,717.23 2026-07-15
72149 CPT MRI Lumbar Spine W Dye 8 5 $5,753.00 $5,580.41 $386.03 $5,580.41 $4,674.32 2026-07-15
72148 CPT MRI Lumbar Spine Wo Dye 11 5 $5,468.00 $5,303.96 $315.18 $5,303.96 $4,664.20 2026-07-15
J9202 HCPCS Goserelin 10.8 Mg Implant 14 5 $12,241.00 $11,873.96 $77.09 $11,873.96 $4,519.74 2026-07-15
73721 CPT MRI Joint Le Wo Dye Lt 21 5 $4,608.00 $4,469.76 $315.18 $4,469.76 $4,055.04 2026-07-15
73718 CPT MRI Le Wo Dye Lt 20 5 $4,831.00 $4,686.07 $56.39 $4,902.38 $4,055.04 2026-07-15
73221 CPT MRI Joint Ue Wo Dye Rt 21 5 $4,608.00 $4,469.76 $408.12 $4,515.00 $3,930.62 2026-07-15
78452 CPT Myocard Perf Spect Rest Stress 8 5 $4,658.00 $4,518.26 $3,027.70 $4,518.26 $3,826.55 2026-07-15
72141 CPT MRI Neck Spine Wo Dye 11 5 $4,329.00 $4,199.13 $233.96 $4,300.00 $3,809.52 2026-07-15
72146 CPT MRI Chest Spine Wo Dye 10 5 $4,329.00 $4,199.13 $390.63 $4,300.00 $3,751.08 2026-07-15
73218 CPT MRI Ue Wo Dye Lt 8 5 $4,608.00 $4,469.76 $79.40 $4,469.76 $3,744.00 2026-07-15
70544 CPT MRA Head Wo Contrast 8 5 $4,608.00 $4,469.76 $408.12 $4,469.76 $3,744.00 2026-07-15
Q5115 HCPCS Rituximab-abbs 100Mg/10Ml Via 14 5 $2,300.00 $2,231.90 $1,495.60 $11,086.65 $3,708.00 2026-07-15
71260 CPT CT Thorax W Contrast 11 5 $4,108.00 $3,984.76 $80.31 $4,217.00 $3,615.04 2026-07-15
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 9 5 $4,236.00 $4,109.74 $11.91 $4,109.74 $3,614.03 2026-07-15
71270 CPT CT Thorax Wwo Contrast 10 5 $4,108.00 $3,984.76 $82.17 $4,023.00 $3,559.58 2026-07-15
J9217 HCPCS Leuprolide Acetate 22.5 Mg Syr 20 5 $4,281.00 $4,152.89 $1.47 $6,157.39 $3,478.58 2026-07-15
70547 CPT MRA Neck Wo Contrast 8 5 $4,043.00 $3,921.71 $456.87 $3,921.71 $3,284.94 2026-07-15
70551 CPT MRI Brain Wo Contrast 11 5 $3,761.00 $3,648.17 $447.03 $4,300.00 $3,208.13 2026-07-15
750 CDM Colonoscopy 24 5 $3,889.00 $3,772.33 $2,039.05 $6,082.87 $3,194.82 2026-07-15
72194 CPT CT Pelvis Wwo Dye 8 5 $3,913.00 $3,795.61 $719.64 $3,795.61 $3,179.32 2026-07-15
74170 CPT CT Abdomen Wwo Dye 8 5 $3,913.00 $3,795.61 $58.22 $3,795.61 $3,179.32 2026-07-15
72133 CPT CT Lumbar Spine Wwo Contrast 8 5 $3,913.00 $3,795.61 $385.11 $3,795.61 $3,179.32 2026-07-15
72192 CPT CT Pelvis Wo Dye 10 5 $3,644.00 $3,534.68 $597.02 $3,681.00 $3,157.52 2026-07-15
72125 CPT CT Cervical Spine Wo Contrast 12 5 $3,616.00 $3,507.52 $172.58 $3,507.52 $3,133.26 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 10 5 $3,616.00 $3,507.52 $234.87 $3,780.00 $3,133.26 2026-07-15
71271 CPT Ldct For Lung Cancer Screen 11 5 $3,650.00 $3,540.50 $101.48 $3,540.50 $3,113.45 2026-07-15
70492 CPT CT Soft Tissue Neck Wwo Cont 9 5 $3,644.00 $3,534.68 $422.85 $3,534.68 $3,108.33 2026-07-15
446 MS_DRG Ms-DRG 446 2 1 — — $3,088.18 $3,088.18 $3,088.18 2026-07-15
190 MS_DRG Ms-DRG 190 2 1 — — $3,088.18 $3,088.18 $3,088.18 2026-07-15
690 MS_DRG Ms-DRG 690 2 1 — — $3,088.18 $3,088.18 $3,088.18 2026-07-15
73700 CPT CT Le Wo Dye Lt 20 5 $3,616.00 $3,507.52 $76.65 $4,296.00 $3,084.45 2026-07-15
70470 CPT CT Head/Brain Wwo Contrast 8 5 $3,790.00 $3,676.30 $241.32 $3,676.30 $3,079.38 2026-07-15
J1561 HCPCS Immune Glob Gamunex 20gr/200ml 20 5 $3,732.00 $3,620.62 $3.60 $6,950.21 $3,032.74 2026-07-15
72193 CPT CT Pelvis W Dye 8 5 $3,616.00 $3,507.52 $593.33 $3,507.52 $2,938.00 2026-07-15
71275 CPT CTA Chest Wwo Contrast 9 5 $3,241.00 $3,143.77 $2,106.65 $4,400.00 $2,852.08 2026-07-15
87154 CPT Culture Id By Amp Prb 6 Or 6+ 8 5 $3,467.00 $3,362.99 $2,253.55 $3,362.99 $2,848.14 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 10 5 $3,241.00 $3,143.77 $357.53 $4,112.00 $2,808.32 2026-07-15
70490 CPT CT Soft Tissue Neck Wo Cont 10 5 $3,180.00 $3,084.60 $277.47 $3,084.60 $2,755.47 2026-07-15
70486 CPT CT Maxillofacial Wo Contrast 10 5 $3,180.00 $3,084.60 $187.95 $3,084.60 $2,755.47 2026-07-15
70482 CPT CT Orbit Wwo Contrast 10 5 $3,180.00 $3,084.60 $261.57 $3,084.60 $2,752.27 2026-07-15
73200 CPT CT Ue Wo Dye Lt 18 5 $3,180.00 $3,084.60 $70.19 $3,084.60 $2,712.54 2026-07-15
74160 CPT CT Abdomen W Dye 8 5 $3,317.00 $3,217.49 $706.77 $3,217.49 $2,695.06 2026-07-15
70460 CPT CT Head/Brain W Contrast 8 5 $3,241.00 $3,143.77 $61.91 $3,143.77 $2,633.31 2026-07-15
78227 CPT Hida With Ef w/Pharm 8 5 $3,202.00 $3,105.94 $2,081.30 $3,105.94 $2,630.44 2026-07-15
Q4278 HCPCS Graft Sft Epieffct 2SqCM 2x1cm 16 5 $3,295.50 $3,196.93 $1,827.35 $3,666.89 $2,592.32 2026-07-15
73202 CPT CT Ue Wwo Dye Rt 8 5 $3,180.00 $3,084.60 $286.41 $3,084.60 $2,583.75 2026-07-15
G0416 HCPCS Prostate Sat Biopsy 8 5 $3,060.00 $2,968.20 $1,989.00 $2,968.20 $2,513.79 2026-07-15
70487 CPT CT Maxillofacial W Contrast 8 5 $3,087.00 $2,994.39 $268.29 $2,994.39 $2,508.18 2026-07-15
70481 CPT CT Orbit W Contrast 8 5 $3,087.00 $2,994.39 $80.31 $2,994.39 $2,508.18 2026-07-15
73701 CPT CT Le W Dye Lt 16 5 $3,087.00 $2,994.39 $268.01 $2,994.39 $2,508.18 2026-07-15
73201 CPT CT Ue W Dye Rt 8 5 $3,087.00 $2,994.39 $90.44 $2,994.39 $2,508.18 2026-07-15
G0491 HCPCS Dialysis Acute w/Kidney Injury 8 5 $2,947.00 $2,858.59 $1,915.55 $2,858.59 $2,420.96 2026-07-15
J0248 HCPCS Remdesivir 100 Mg Vial 8 5 $2,843.00 $2,757.82 $70.71 $2,757.82 $2,310.03 2026-07-15
72128 CPT CT Thoracic Spine Wo Contrast 11 5 $2,560.00 $2,483.20 $107.93 $3,068.50 $2,252.80 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 11 5 $2,560.00 $2,483.20 $1,664.00 $3,254.00 $2,252.80 2026-07-15
Q4187 HCPCS Graft Epicord 2SqCm 8 5 $2,679.00 $2,598.63 $1,741.35 $2,598.63 $2,200.80 2026-07-15
71250 CPT CT Thorax Wo Contrast 11 5 $2,560.00 $2,483.20 $71.13 $2,483.20 $2,183.68 2026-07-15
70480 CPT CT Orbit Wo Contrast 9 5 $2,560.00 $2,483.20 $192.56 $2,483.20 $2,183.68 2026-07-15
120 CDM Room Medical Unit Semi Private 6 5 $2,368.00 $2,296.96 $1,539.20 $2,296.96 $2,051.87 2026-07-15
C9809 HCPCS Tip Crysg G2 Iovera 2190 1x90 8 5 $2,490.00 $2,415.30 $1,618.50 $2,415.30 $2,045.53 2026-07-15
C8924 HCPCS Tte 2d W Contrast Limited 8 5 $2,154.00 $2,089.38 $1,400.10 $2,089.38 $1,769.51 2026-07-15
36556 CPT Insert Non-tunnel Cv Catheter 8 5 $2,085.00 $2,022.45 $1,355.25 $2,022.45 $1,712.83 2026-07-15
J1745 HCPCS Infliximab (Gen) 100 Mg Vial 8 5 $2,106.00 $2,043.75 $1.46 $2,043.75 $1,711.90 2026-07-15
78306 CPT Bone Scan Whole Body 8 5 $2,083.00 $2,020.51 $1,353.95 $2,020.51 $1,711.18 2026-07-15
Q4186 HCPCS Graft Sft Tis Epifix 2.5 Sq Cm 8 5 $2,058.00 $1,996.55 $1,337.89 $1,996.55 $1,690.89 2026-07-15
Q5104 HCPCS Infliximab-abda 100 Mg Vial 8 5 $1,783.00 $1,729.60 $1,159.01 $5,119.19 $1,631.53 2026-07-15
80145 CPT Adalimumab 8 5 $1,919.00 $1,861.43 $1,247.35 $1,861.43 $1,576.46 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 16 5 $2,372.00 $2,300.84 $329.00 $2,300.84 $1,559.59 2026-07-15
93970 CPT Venous Duplex 8 5 $1,885.00 $1,828.45 $1,225.25 $1,828.45 $1,548.53 2026-07-15
Q9967 HCPCS Iopamidol-370 100 Ml Vial 12 5 $1,800.00 $1,746.00 $253.80 $1,746.00 $1,535.40 2026-07-15
93306 CPT Tte W Doppler Complete 14 5 $2,260.00 $2,192.20 $105.90 $2,192.20 $1,485.95 2026-07-15
93880 CPT Extracranial Bilat Study 8 5 $1,769.00 $1,715.93 $1,149.85 $1,715.93 $1,453.24 2026-07-15
C8929 HCPCS Echo M Mode 2d W Contrast 14 5 $2,154.00 $2,089.38 $110.50 $2,089.38 $1,416.26 2026-07-15
87471 CPT Bartonella DNA Amp Probe 9 5 $1,649.00 $1,599.53 $1,071.85 $1,599.53 $1,406.60 2026-07-15
J9155 HCPCS Degarelix 80 Mg Vial 8 5 $1,612.00 $1,564.32 $135.29 $1,564.32 $1,310.32 2026-07-15
A9500 HCPCS Radiophar Tc99M Sestamibi Dose 8 5 $1,562.00 $1,515.14 $1,015.30 $1,515.14 $1,283.18 2026-07-15
76700 CPT Ultrasound Abdomen Complete 8 5 $1,481.00 $1,436.57 $962.65 $1,436.57 $1,216.64 2026-07-15
80285 CPT Voriconazole 8 5 $1,430.00 $1,387.10 $929.50 $1,387.10 $1,174.74 2026-07-15
90675 CPT Rabies Vax Pcec/Pf 2.5Unit Vl 14 5 $1,347.00 $1,307.03 $125.24 $1,324.92 $1,157.24 2026-07-15
710 CDM Recovery Phase 1 Per 15 Min 24 5 $1,449.00 $1,405.53 $313.95 $1,686.83 $1,137.53 2026-07-15
C1781 HCPCS Mesh Hernia Umb Spr Sm Crc 1.7 16 5 $1,584.50 $1,537.47 $407.12 $2,467.39 $1,130.47 2026-07-15
99285 CPT Emergency Room Visit Level 5 18 5 $1,544.00 $1,497.68 $267.73 $1,497.68 $1,109.37 2026-07-15
689 CDM Trauma Team Evaluation Level 5 8 5 $1,342.00 $1,301.74 $872.30 $1,301.74 $1,102.45 2026-07-15
G0390 HCPCS Trauma Team Level 5 8 5 $1,342.00 $1,301.74 $872.30 $1,301.74 $1,102.45 2026-07-15
J1610 HCPCS Glucagon 1 Mg Emergency Kit 8 5 $1,327.00 $1,287.61 $98.91 $1,287.61 $1,078.54 2026-07-15
86255 CPT Pla2R Elisa 8 5 $1,310.00 $1,270.70 $851.50 $1,270.70 $1,076.16 2026-07-15
82726 CPT Adrenoleukodystro Nbs 8 5 $1,301.00 $1,261.97 $845.65 $1,261.97 $1,068.77 2026-07-15
82653 CPT Pancreatic Elastase 8 5 $1,300.00 $1,261.00 $845.00 $1,261.00 $1,067.95 2026-07-15
86341 CPT Glutmic Acid Decarbox Aby 19 5 $423.00 $410.31 $274.95 $2,414.00 $1,064.70 2026-07-15
93975 CPT Vascular Study 8 5 $1,285.00 $1,246.45 $835.25 $1,246.45 $1,055.63 2026-07-15
76937 CPT US Guide Vascular Access 8 5 $1,284.00 $1,245.48 $834.60 $1,245.48 $1,054.81 2026-07-15
761 CDM Application/Rem Cast Or Splint 72 5 $1,304.00 $1,264.88 $215.15 $15,281.38 $1,051.03 2026-07-15
93356 CPT Myocardial Strain Image Speckl 8 5 $1,270.00 $1,231.90 $825.50 $1,231.90 $1,043.30 2026-07-15
74300 CPT X-ray Bile Ducts/Pancreas 8 5 $1,268.00 $1,229.96 $824.20 $1,229.96 $1,030.25 2026-07-15
76942 CPT US Guide For Needle Placement 11 5 $1,151.00 $1,116.47 $748.15 $1,376.00 $1,012.88 2026-07-15
93925 CPT Arterial Duplex Le Bi 8 5 $1,220.00 $1,183.40 $793.00 $1,183.40 $1,002.23 2026-07-15
70496 CPT CT Angiography Head W Cont 11 5 $1,124.00 $1,090.28 $246.84 $4,945.00 $989.12 2026-07-15
70498 CPT CT Angiography Neck W Cont 11 5 $1,124.00 $1,090.28 $278.39 $4,945.00 $989.12 2026-07-15
76536 CPT Ultrasound Head And Neck 8 5 $1,201.00 $1,164.97 $780.65 $1,164.97 $986.62 2026-07-15
Q0138 HCPCS Ferumoxy 510mg/17ml (non-esrd) 9 5 $1,141.00 $1,107.30 $7.28 $1,107.30 $973.74 2026-07-15
360 CDM Biopsy Prostate 72 5 $1,112.00 $1,078.64 $436.15 $4,139.96 $966.72 2026-07-15
G0378 HCPCS Observation 1st Hour 21 5 $1,436.00 $1,392.92 $37.05 $1,951.00 $933.40 2026-07-15
76817 CPT Transvaginal US Obstetrical 8 5 $1,112.00 $1,078.64 $722.80 $1,078.64 $913.51 2026-07-15
90684 CPT Pneumo Conjugate Vaccine 21 Va 10 5 $1,050.00 $1,018.79 $474.00 $1,050.30 $910.09 2026-07-15
93017 CPT Cardiovascular Stress Test 8 5 $1,099.00 $1,066.03 $714.35 $1,066.03 $902.83 2026-07-15
93971 CPT Extremity Study Lt 16 5 $1,084.00 $1,051.48 $704.60 $1,051.48 $890.50 2026-07-15
129 CDM Room Swing Bed Skilled 6 5 $1,018.00 $987.46 $661.70 $987.46 $882.10 2026-07-15
99284 CPT Emergency Room Visit Level 4 19 5 $1,130.00 $1,096.10 $184.86 $1,096.10 $872.36 2026-07-15
76830 CPT Ultrasound Transvaginal 8 5 $1,056.00 $1,024.32 $686.40 $1,024.32 $867.50 2026-07-15
76856 CPT Ultrasound Pelvic Complete 8 5 $1,055.00 $1,023.35 $685.75 $1,023.35 $866.68 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 8 5 $1,055.00 $1,023.35 $685.75 $1,023.35 $866.68 2026-07-15
76705 CPT Ultrasound Abdomen Limited 16 5 $1,059.00 $1,027.23 $596.05 $1,164.97 $839.06 2026-07-15
80299 CPT Dexamethasone 16 5 $1,159.50 $1,124.72 $343.20 $1,737.27 $838.15 2026-07-15
93926 CPT Arterial Duplex Le Lt 16 5 $1,005.00 $974.85 $653.25 $974.85 $825.61 2026-07-15
93931 CPT Arterial Duplex Ue Lt 16 5 $1,005.00 $974.85 $653.25 $974.85 $825.61 2026-07-15
81256 CPT Hemochromat Mutation 8 5 $935.00 $906.95 $607.75 $906.95 $768.11 2026-07-15
76775 CPT Ultrasound Aorta 16 5 $986.50 $956.90 $501.80 $1,164.97 $764.75 2026-07-15
A9585 HCPCS Gadobutrol Inj 7.5 Mm/7.5 Ml 11 5 $890.00 $863.30 $2.69 $863.30 $759.17 2026-07-15
81270 CPT Jak2 Mutation 8 5 $923.00 $895.31 $599.95 $895.31 $758.25 2026-07-15
76641 CPT Ultrasound Breast Complete Bi 16 5 $1,000.50 $970.48 $434.85 $1,292.04 $757.37 2026-07-15
76882 CPT US Extremity Nonvasc Limit Lt 16 5 $917.00 $889.49 $596.05 $889.49 $753.32 2026-07-15
76857 CPT US Urine Capacity Measure 8 5 $917.00 $889.49 $596.05 $889.49 $753.32 2026-07-15
76000 CPT Fluoroscope Examination 8 5 $868.00 $841.96 $564.20 $841.96 $753.11 2026-07-15
0202U CPT Respir Path 22 Targets Biofire 8 5 $914.00 $886.58 $594.10 $886.58 $750.85 2026-07-15
76870 CPT Ultrasound Scrotum 8 5 $910.00 $882.70 $591.50 $882.70 $747.57 2026-07-15
90671 HCPCS Pneumo Conjugate Vaccine 15 Va 8 5 $916.00 $888.52 $16.40 $888.52 $744.25 2026-07-15
87798 CPT Bord Pertusis Amp Probe Ref 36 5 $871.50 $845.36 $403.00 $1,788.68 $742.75 2026-07-15
77002 CPT Needle Localization By X-ray 11 5 $837.00 $811.89 $83.48 $1,116.00 $736.56 2026-07-15
J2997 HCPCS Alteplase 2 Mg Vial 8 5 $895.00 $868.84 $37.08 $868.84 $727.76 2026-07-15
87529 CPT Hsv DNA Amp Probe 16 5 $933.50 $905.50 $487.50 $1,083.49 $726.77 2026-07-15
J0882 HCPCS Darbepoetin Kd 100mcg/0.5ml Sy 26 5 $993.00 $963.58 $303.58 $1,540.76 $724.05 2026-07-15
73522 CPT X-ray Hips 3-4 Views Bi 8 5 $787.00 $763.39 $511.55 $793.91 $720.11 2026-07-15
P9016 HCPCS Red Blood Cells Lekoreduced 10 5 $826.00 $801.22 $536.90 $1,324.00 $715.73 2026-07-15
76819 CPT Fetal Biophys Profil Wo Nst 8 5 $868.00 $841.96 $564.20 $841.96 $713.06 2026-07-15
J0881 HCPCS Darbepoet Alfa 40mcg/0.4ml Syr 26 5 $676.00 $656.66 $327.08 $2,669.46 $708.61 2026-07-15
76604 CPT Ultrasound Chest 8 5 $854.00 $828.38 $555.10 $828.38 $701.56 2026-07-15
31500 CPT Insert Emergency Airway 16 5 $1,028.00 $997.16 $273.72 $997.16 $675.91 2026-07-15
93922 CPT Ankle Arm Screen 8 5 $815.00 $790.55 $529.75 $790.55 $669.53 2026-07-15
13132 CPT Repair Lac Comp 2.6-7.5 Cm 8 5 $815.00 $790.55 $529.75 $790.55 $669.53 2026-07-15
C1788 HCPCS Port Impl Pp MRI 96f 1 Lmn 8 5 $814.00 $790.07 $529.42 $790.07 $669.12 2026-07-15
82166 CPT Mullerian Inhib Hormone 8 5 $801.00 $776.97 $520.65 $776.97 $658.02 2026-07-15
73610 CPT X-ray Ankle 3 Views Lt 24 5 $771.00 $747.87 $99.63 $747.87 $657.66 2026-07-15
99283 CPT Emergency Room Visit Level 3 19 5 $847.00 $821.59 $108.68 $821.59 $653.88 2026-07-15
87305 CPT Aspergillus Galact Antigen 8 5 $791.00 $767.27 $514.15 $767.27 $649.81 2026-07-15
23650 CPT Dislocation Shoulder Wo AnesRT 20 5 $1,187.00 $1,151.39 $282.10 $802.00 $648.53 2026-07-15
C1726 HCPCS Dil Pebax 180Cm Od15-18 8 5 $781.00 $758.00 $507.94 $758.00 $641.96 2026-07-15
73503 CPT X-ray Hip Uni W Pelvis 4 V Rt 8 5 $787.00 $763.39 $392.75 $763.39 $639.43 2026-07-15
76815 CPT OB US Limited Fetus(s) 8 5 $777.00 $753.69 $505.05 $753.69 $638.31 2026-07-15
73523 CPT X-ray Hips 5 Views Bi 10 5 $696.00 $675.12 $452.40 $1,239.00 $636.84 2026-07-15
76805 CPT OB US >14 Wk Tvta Single Fetus 8 5 $771.00 $747.87 $501.15 $747.87 $633.38 2026-07-15
51720 CPT Bladder Instillation Chemo 8 5 $768.00 $744.96 $499.20 $744.96 $630.91 2026-07-15
93226 CPT ECG Monit/Report Up To 48 Hour 8 5 $758.00 $735.26 $492.70 $735.26 $622.70 2026-07-15
80050 CPT General Health Panel 12 5 $712.00 $690.64 $462.80 $829.00 $616.95 2026-07-15
76642 CPT Ultrasound Breast Limited Bi 24 5 $669.00 $648.93 $434.85 $1,292.04 $612.13 2026-07-15
93321 CPT Doppler Echo Exam Heart 8 5 $742.00 $719.74 $482.30 $719.74 $609.55 2026-07-15
77080 CPT Dexa Scan 17 5 $1,055.00 $1,023.35 $16.12 $1,023.35 $609.00 2026-07-15
J9030 HCPCS Bcg Live 50 Mg Vial 8 5 $744.00 $722.51 $0.27 $722.51 $605.20 2026-07-15
74019 CPT X-ray Abdomen 12 5 $655.00 $635.35 $425.75 $660.48 $602.12 2026-07-15
32554 CPT Thoracentesis Wo Guide 8 5 $724.00 $702.28 $470.60 $702.28 $594.77 2026-07-15
93308 CPT Echo Limited 8 5 $722.00 $700.34 $469.30 $700.34 $593.12 2026-07-15
450 CDM Dissolve Clot Heart Vessel 8 5 $722.00 $700.34 $469.30 $700.34 $593.12 2026-07-15
83993 CPT Calprotectin 10 5 $717.00 $695.49 $466.05 $695.49 $589.01 2026-07-15
72070 CPT X-ray Spine Thoracic 2 Views 12 5 $669.00 $648.93 $434.85 $1,015.91 $588.72 2026-07-15
72110 CPT X-ray Lumbosacral 4 Views 8 5 $711.00 $689.67 $67.44 $689.67 $577.68 2026-07-15
87799 CPT Ebv By Pcr Quant 8 5 $695.00 $674.15 $451.75 $674.15 $570.94 2026-07-15
93246 CPT Ext ECG >7 Days Hook Up 10 5 $691.00 $670.27 $449.15 $670.27 $567.65 2026-07-15
93242 CPT Ext ECG 48 Hrs -7days Hook Up 10 5 $691.00 $670.27 $449.15 $670.27 $567.65 2026-07-15
P9047 HCPCS Albumin Human 25% 25gr/100ml 8 5 $618.00 $600.27 $402.24 $3,118.50 $566.23 2026-07-15
32556 CPT Insert Cath Pleura Wo Image Rt 14 5 $856.00 $830.32 $240.06 $830.32 $562.82 2026-07-15
96413 CPT Chemotherapy Inf Initial 10 5 $649.00 $629.53 $421.85 $914.00 $562.36 2026-07-15
83921 CPT Methylmalonic Acid 8 5 $684.00 $663.48 $444.60 $663.48 $561.90 2026-07-15
87536 CPT HIV 1 Na Quan 8 5 $682.00 $661.54 $443.30 $661.54 $560.26 2026-07-15
G0480 HCPCS Phosphatidylethanol (PEth) 18 5 $1,056.00 $1,024.32 $290.55 $1,024.32 $560.00 2026-07-15
12031 CPT Repair Lac Intermed <2.5 Cm 8 5 $675.00 $654.75 $438.75 $654.75 $554.51 2026-07-15
96411 CPT Chemotherapy IV Push Addl 8 5 $669.00 $648.93 $434.85 $648.93 $549.59 2026-07-15
94002 CPT Vent Assist & Mgmt First Day 8 5 $667.00 $646.99 $433.55 $646.99 $547.94 2026-07-15
86256 CPT dsDNA IgG 16 5 $767.00 $743.99 $186.55 $1,209.59 $544.47 2026-07-15
99281 CPT Emergency Room Visit Level 1 16 5 $699.50 $678.52 $358.80 $821.59 $543.00 2026-07-15
85220 CPT Factor 5 Activity 8 5 $658.00 $638.26 $427.70 $638.26 $540.55 2026-07-15
87497 CPT Cmv Quant By Pcr 9 5 $630.00 $611.10 $409.50 $611.10 $537.39 2026-07-15
93320 CPT Cardiac Doppler 8 5 $649.00 $629.53 $421.85 $629.53 $533.15 2026-07-15
96416 CPT Chemo Prolong Infuse W Pump 8 5 $649.00 $629.53 $421.85 $629.53 $533.15 2026-07-15
77066 CPT Mammo Dx Digit Impl Bi 16 5 $647.50 $628.08 $404.95 $651.84 $531.15 2026-07-15
94660 CPT CPap/BiPap First Day 16 5 $680.00 $659.60 $340.60 $810.92 $525.84 2026-07-15
76801 CPT OB US < 14 Wks Single Fetus 8 5 $633.00 $614.01 $411.45 $614.01 $520.01 2026-07-15
80235 CPT Lacosamide 8 5 $632.00 $613.04 $410.80 $613.04 $519.19 2026-07-15
73000 CPT X-ray Collar Bone Lt 16 5 $637.00 $617.89 $187.04 $617.89 $517.56 2026-07-15
94626 CPT Pulmonary Rehab W Cont Monitor 8 5 $625.00 $606.25 $406.25 $606.25 $513.44 2026-07-15
J2404 HCPCS Nicardipine/Ns 40 Mg/200ml Bag 8 5 $560.00 $543.26 $364.04 $1,828.74 $512.45 2026-07-15
87517 CPT Hep B Na Quan 8 5 $622.00 $603.34 $404.30 $603.34 $510.98 2026-07-15
Q9957 HCPCS Perflutren Lip Micro 2.2mg/2ml 8 5 $626.00 $607.57 $47.75 $607.57 $508.92 2026-07-15
92950 CPT Heart/Lung Resuscitation Cpr 16 5 $704.00 $682.88 $275.08 $1,216.00 $505.83 2026-07-15
99282 CPT Emergency Room Visit Level 2 10 5 $613.00 $594.61 $398.45 $594.61 $504.44 2026-07-15
93351 CPT Stress Tte Complete 6 5 $314.00 $304.58 $126.80 $561.70 $502.57 2026-07-15
72050 CPT X-ray Spine Cervical 4-5 Views 10 5 $570.00 $552.90 $370.50 $746.06 $501.60 2026-07-15
87449 CPT Beta D Glucan 32 5 $678.50 $658.14 $135.85 $988.43 $500.22 2026-07-15
82308 CPT Calcitonin 8 5 $607.00 $588.79 $394.55 $588.79 $498.65 2026-07-15
87522 CPT Hep C RNA Pcr Quant 8 5 $606.00 $587.82 $393.90 $587.82 $497.83 2026-07-15
Q9956 HCPCS Perflutren Protein-a Microdota 8 5 $611.00 $593.59 $77.76 $593.59 $497.21 2026-07-15
88184 CPT Flow Cytometry First Mark 11 5 $582.00 $564.54 $360.00 $564.54 $496.45 2026-07-15
72100 CPT X-ray Lumbosacral 2-3 Views 12 5 $570.00 $552.90 $90.44 $552.90 $493.90 2026-07-15
J3030 HCPCS Sumatriptan 6 Mg/0.5 Ml Syr 8 5 $603.00 $585.82 $171.59 $585.82 $490.70 2026-07-15
J2805 HCPCS Sincalide 5 Mcg Vial 8 5 $601.00 $583.22 $163.05 $583.22 $488.52 2026-07-15
12041 CPT Repair Lac Interm <2.5 Cm 16 5 $675.00 $654.75 $294.12 $826.00 $484.99 2026-07-15
12032 CPT Repair Lac Interm 2.6-7.5 Cm 14 5 $675.00 $654.75 $387.06 $654.75 $484.99 2026-07-15
87385 CPT Histoplasma Antigen 16 5 $624.50 $605.76 $315.90 $740.11 $483.69 2026-07-15
87476 CPT Lyme Disease DNA Amp Probe 8 5 $583.00 $565.51 $378.95 $565.51 $478.94 2026-07-15
74018 CPT X-ray Abdomen 10 5 $543.00 $526.71 $352.95 $526.71 $477.84 2026-07-15
71046 CPT X-ray Chest 2v PA/Lateral 19 5 $552.00 $535.44 $17.88 $783.14 $470.86 2026-07-15
72080 CPT X-ray Thoracolumbar Junc 2v 8 5 $570.00 $552.90 $79.40 $552.90 $463.12 2026-07-15
71111 CPT X-ray Ribs Bilateral 4 Views 8 5 $570.00 $552.90 $63.74 $552.90 $463.12 2026-07-15
73564 CPT X-ray Knee 4 Lt 16 5 $570.00 $552.90 $129.06 $552.90 $463.12 2026-07-15
72220 CPT X-ray Sacrum Tailbone 8 5 $552.00 $535.44 $358.80 $535.44 $459.27 2026-07-15
90999 CPT Renal Dialysis Trmt Inpt 8 5 $557.00 $540.29 $362.05 $540.29 $457.57 2026-07-15
P9045 HCPCS Albumin Human 5% 12.5 Gr/250ml 8 5 $495.00 $481.10 $322.39 $3,123.57 $453.82 2026-07-15
94060 CPT Pft Pre & Post Screen Spirome 8 5 $552.00 $535.44 $358.80 $535.44 $453.47 2026-07-15
77065 CPT Mammography Dx Digital Lt 16 5 $552.00 $535.44 $358.80 $535.44 $453.47 2026-07-15
72202 CPT X-ray Si Joints 3 Views 8 5 $495.00 $480.15 $321.75 $542.46 $452.93 2026-07-15
77067 CPT Mammo Screen Implant Bi 45 5 $552.00 $535.44 $307.45 $826.00 $449.35 2026-07-15
73050 CPT X-ray Ac Joints 8 5 $552.00 $535.44 $196.25 $535.44 $448.50 2026-07-15
73562 CPT X-ray Knee 3 Views Lt 21 5 $525.00 $509.25 $109.76 $509.25 $447.83 2026-07-15
90739 CPT Hepatitis B Vaccine Pf 20 Mcg 8 5 $550.00 $533.99 $146.96 $533.99 $447.28 2026-07-15
87637 CPT Influ/RSV/CoV2 Pcr Ceph 11 5 $486.00 $471.42 $315.90 $471.42 $427.68 2026-07-15
99195 CPT Phlebotomy Therapeutic 10 5 $491.00 $476.27 $319.15 $516.00 $425.45 2026-07-15
72120 CPT X-ray Ls Spine Bending 2-3 V 9 5 $495.00 $480.15 $152.07 $480.15 $422.24 2026-07-15
27810 CPT Fx Bimalleolar Ankle W Man Rt 22 5 $479.00 $464.63 $311.35 $1,167.04 $421.52 2026-07-15
87631 CPT Influ And Rsv Amp Probe 10 5 $486.00 $471.42 $315.90 $486.00 $421.12 2026-07-15
87636 CPT Influ & CoV2 Pcr Ceph 10 5 $486.00 $471.42 $315.90 $511.00 $421.12 2026-07-15
J1805 HCPCS Esmolol 100 Mg/10 Ml Vial 14 5 $164.00 $159.90 $107.15 $588.08 $420.76 2026-07-15
73030 CPT X-ray Shoulder Lt 22 5 $478.50 $464.14 $237.65 $464.63 $420.64 2026-07-15
36430 CPT Blood Administration 10 5 $485.00 $470.45 $315.25 $748.00 $420.25 2026-07-15
110 CDM Room Custodial Care 6 5 $478.00 $463.66 $310.70 $463.66 $414.19 2026-07-15
84207 CPT Vitamin B6 8 5 $503.00 $487.91 $326.95 $487.91 $413.22 2026-07-15
96521 CPT Refill Portable Pump 8 5 $500.00 $485.00 $325.00 $485.00 $410.75 2026-07-15
72040 CPT X-ray Spine Cervical 2-3 Views 12 5 $448.00 $434.56 $291.20 $634.00 $409.92 2026-07-15
96365 CPT Inf Therapy Med Initial 23 5 $719.00 $697.43 $139.10 $697.43 $409.00 2026-07-15
83970 CPT Pth 11 5 $478.00 $463.66 $310.70 $463.66 $407.73 2026-07-15
32551 CPT Insertion Chest Tube Lt 14 5 $577.00 $559.69 $297.55 $559.69 $405.32 2026-07-15
51700 CPT Irrigation Bladder Simple 8 5 $493.00 $478.21 $320.45 $478.21 $405.00 2026-07-15
82668 CPT Erythropoietin 8 5 $493.00 $478.21 $320.45 $478.21 $405.00 2026-07-15
73110 CPT X-ray Wrist 3 Views Lt 20 5 $479.00 $464.63 $58.22 $464.63 $399.29 2026-07-15
73502 CPT X-ray Hip Uni 2-3 Views Rt 36 5 $608.00 $589.76 $253.50 $860.42 $395.20 2026-07-15
92524 CPT Behavral Qualit Analys Voice 8 5 $479.00 $464.63 $311.35 $464.63 $393.50 2026-07-15
92521 CPT Evaluation St Fluency 8 5 $479.00 $464.63 $311.35 $464.63 $393.50 2026-07-15
76816 CPT OB US Follow-up Per Fetus 8 5 $479.00 $464.63 $311.35 $464.63 $393.50 2026-07-15
27824 CPT Fx Distal Tibia Lt 8 5 $479.00 $464.63 $311.35 $464.63 $393.50 2026-07-15
27786 CPT Fx Distal Fibula Lt 16 5 $479.00 $464.63 $311.35 $464.63 $393.50 2026-07-15
27780 CPT Treatment Fibula Fracture Rt 8 5 $479.00 $464.63 $311.35 $464.63 $393.50 2026-07-15
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