Hospital

CONCHO COUNTY HOSPITAL

Eden, TX · CCN 451325 · Rates published

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You selected 93306 (CPT)

VS ECHOCARDIOGRAM

This hospital’s price: $1,092 across 1 payer

Source: https://machine-readable-files.com/concho-county-hospital/751297735_Concho-County-Hospital_standardcharges.csv · observed 2025-11-05

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.

160 distinct procedures filed

17 distinct payers

665 rate rows

2025-11-05 last MRF observed

Data quality

602 of 665 rate rows are consumer-grade (90.5%)

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

Excluded — reason	Rows
professional (physician) fee — not the facility price	63

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://machine-readable-files.com/concho-county-hospital/751297735_Concho-County-Hospital_standardcharges.csv
Found on page	https://ezcost.info/concho-county-hospital?sub=Price%20Transparency
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint	f3d8b0e97080e612… · 224,143 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
74176 CPT	CT Abdmn And Pelvis Wo Cont	3	$1,965.75	$2,171.57	$2,171.57	nat. median $694 outlier · 3.1×
74178 CPT	CT Abdmn And Pelvis Wwo Cont	2	$1,965.75	$1,965.75	$1,965.75	nat. median $1,027 1.9× median
74170 CPT	CT Abd Wwo Contrast	1	$1,965.75	$1,965.75	$1,965.75	nat. median $714 outlier · 2.8×
74177 CPT	CT Abdmn And Pelvis W Cont	6	$1,759.94	$2,171.57	$1,862.85	nat. median $976 1.9× median
70496 CPT	CTA Head	1	$1,766.83	$1,766.83	$1,766.83	nat. median $752 outlier · 2.3×
74175 CPT	CTA Abdomen	1	$1,766.83	$1,766.83	$1,766.83	nat. median $718 outlier · 2.5×
70498 CPT	CTA Neck	1	$1,766.83	$1,766.83	$1,766.83	nat. median $744 outlier · 2.4×
71275 CPT	CTA Chest	3	$1,766.83	$1,766.83	$1,766.83	nat. median $759 outlier · 2.3×
99291 CPT	Critical Care	2	$1,654.40	$1,654.40	$1,654.40	nat. median $1,530 1.1× median
71260 CPT	CT Chest W Cont	3	$1,642.79	$1,642.79	$1,642.79	nat. median $651 outlier · 2.5×
74150 CPT	CT Abd Wo Contrast	1	$1,392.43	$1,392.43	$1,392.43	nat. median $448 outlier · 3.1×
71250 CPT	CT Chest Wo Contrast	3	$1,128.52	$1,392.46	$1,260.50	nat. median $469 outlier · 2.7×
70450 CPT	CT Head Wo Cont	7	$1,123.59	$1,386.39	$1,254.99	nat. median $454 outlier · 2.8×
72125 CPT	CT Cervical Wo Contrast	4	$1,136.63	$1,402.48	$1,203.09	nat. median $480 outlier · 2.5×
72128 CPT	CT Thoracic Wo Cont	1	$1,162.37	$1,162.37	$1,162.37	nat. median $462 outlier · 2.5×
73701 CPT	CT Hip Lt W Contrast	1	$1,145.66	$1,145.66	$1,145.66	nat. median $677 1.7× median
99285 CPT	ER Visit L-5	11	$1,013.59	$1,258.17	$1,138.92	nat. median $1,187 1.0× median
93306 CPT	Vs Echocardiogram	1	$1,091.90	$1,091.90	$1,091.90	nat. median $993 1.1× median
72192 CPT	CT Pelvis Wo Contrast	2	$1,047.57	$1,047.57	$1,047.57	nat. median $463 outlier · 2.3×
73700 CPT	CT Hip Lt Wo	1	$1,009.30	$1,009.30	$1,009.30	nat. median $505 2.0× median
73200 CPT	CT Shoulder Lt Wo Contrast	1	$845.43	$845.43	$845.43	nat. median $524 1.6× median
93970 CPT	Vs Duplex Venous Lwr Ext Comp Bilat	1	$843.74	$843.74	$843.74	nat. median $565 1.5× median
99284 CPT	ER L-4	14	$724.03	$894.97	$808.70	nat. median $754 1.1× median
70486 CPT	CT Facial Wo Contrast	2	$671.10	$671.10	$671.10	nat. median $481 1.4× median
92950 CPT	Cpr	1	$652.73	$652.73	$652.73	nat. median $581 1.1× median
76770 CPT	US Renal Bilateral	1	$562.50	$562.50	$562.50	nat. median $300 1.9× median
76700 CPT	US Abdomen Complete	1	$562.50	$562.50	$562.50	nat. median $313 1.8× median
20605 CPT	A-centesis Asprate Inj	1	$547.52	$547.52	$547.52	nat. median $374 1.5× median
99283 CPT	ER L-3	10	$477.14	$592.28	$536.14	nat. median $460 1.2× median
84145 CPT	Procalcitonin	9	$363.95	$449.59	$406.77	nat. median $70 outlier · 5.8×
84425 CPT	Vitamin B1 Thiamine	1	$396.00	$396.00	$396.00	nat. median $39 outlier · 10.1×
10060 CPT	I&d Abscess Smple Sngle	1	$382.25	$382.25	$382.25	nat. median $292 1.3× median
96365 CPT	IV Inf Dx/px/tx Up To 1hr	6	$338.55	$417.74	$378.14	nat. median $317 1.2× median
12001 CPT	Rpr Smp Scl/nk/trnk/hd/ft 2.5<	2	$343.70	$380.47	$362.09	nat. median $282 1.3× median
11042 CPT	Debridement Sub Tissue 1st 20sq Cm	1	$351.96	$351.96	$351.96	nat. median $523 0.7× median
96360 CPT	IV Infusion 1st Hour	2	$329.47	$363.97	$346.72	nat. median $284 1.2× median
12013 CPT	Rpr Smpl Fce/ear/eyelid 2.6cm To 5.0cm	2	$307.71	$379.68	$343.69	nat. median $307 1.1× median
99282 CPT	ER L-2	3	$278.22	$344.00	$310.75	nat. median $283 1.1× median
12002 CPT	Rpr S Scpl/nk/trnk/hnd/ft 2.6cm To 7.5cm	3	$307.71	$379.68	$307.71	nat. median $299 1.0× median
29105 CPT	Splint Arm Long Apply	1	$280.80	$280.80	$280.80	nat. median $220 1.3× median
99211 CPT	Trtmnt Room Est 4 Hours	1	$264.56	$264.56	$264.56	nat. median $92 outlier · 2.9×
83880 CPT	Bnp B Type Natriuretic Peptid	10	$229.24	$283.18	$256.21	nat. median $97 outlier · 2.6×
72100 CPT	Xr Lumbar 2-3 Views	5	$226.73	$279.77	$253.25	nat. median $166 1.5× median
72070 CPT	Xr T Spine 2 Views	1	$253.25	$253.25	$253.25	nat. median $153 1.7× median
73120 CPT	Xr Hand 2v Lt	1	$253.25	$253.25	$253.25	nat. median $156 1.6× median
83970 CPT	Pth Intact W Calcium	1	$250.98	$250.98	$250.98	nat. median $95 outlier · 2.6×
51702 CPT	Cath Urethra Smple	4	$225.97	$252.40	$239.19	nat. median $182 1.3× median
97162 CPT	Pt Eval Moderate Complexity	5	$201.48	$222.58	$201.48	nat. median $185 1.1× median
97161 CPT	Pt Eval Low Complexity	3	$180.39	$222.58	$201.48	nat. median $168 1.2× median
97163 CPT	Pt Eval High Complexity	1	$201.48	$201.48	$201.48	nat. median $198 1.0× median

Other procedures at this hospital

Browse this hospital's 160 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

74176	CPT	CT Abdmn And Pelvis Wo Cont	3	3	$2,625.20	$2,625.20	$1,965.75	$2,171.57	$2,171.57	2025-11-05
74178	CPT	CT Abdmn And Pelvis Wwo Cont	2	2	$2,625.20	$2,625.20	$1,965.75	$1,965.75	$1,965.75	2025-11-05
74170	CPT	CT Abd Wwo Contrast	1	1	$2,625.20	$2,625.20	$1,965.75	$1,965.75	$1,965.75	2025-11-05
74177	CPT	CT Abdmn And Pelvis W Cont	6	6	$2,625.20	$2,625.20	$1,759.94	$2,171.57	$1,862.85	2025-11-05
70498	CPT	CTA Neck	1	1	$2,359.55	$2,359.55	$1,766.83	$1,766.83	$1,766.83	2025-11-05
71275	CPT	CTA Chest	3	3	$2,359.55	$2,359.55	$1,766.83	$1,766.83	$1,766.83	2025-11-05
70496	CPT	CTA Head	1	1	$2,359.55	$2,359.55	$1,766.83	$1,766.83	$1,766.83	2025-11-05
74175	CPT	CTA Abdomen	1	1	$2,359.55	$2,359.55	$1,766.83	$1,766.83	$1,766.83	2025-11-05
99291	CPT	Critical Care	2	2	$2,000.00	$2,000.00	$1,654.40	$1,654.40	$1,654.40	2025-11-05
71260	CPT	CT Chest W Cont	3	3	$2,193.90	$2,193.90	$1,642.79	$1,642.79	$1,642.79	2025-11-05
74150	CPT	CT Abd Wo Contrast	1	1	$1,859.55	$1,859.55	$1,392.43	$1,392.43	$1,392.43	2025-11-05
71250	CPT	CT Chest Wo Contrast	3	3	$1,683.35	$1,683.35	$1,128.52	$1,392.46	$1,260.50	2025-11-05
70450	CPT	CT Head Wo Cont	7	7	$1,676.00	$1,676.00	$1,123.59	$1,386.39	$1,254.99	2025-11-05
72125	CPT	CT Cervical Wo Contrast	4	4	$1,695.45	$1,695.45	$1,136.63	$1,402.48	$1,203.09	2025-11-05
72128	CPT	CT Thoracic Wo Cont	1	1	$1,733.85	$1,733.85	$1,162.37	$1,162.37	$1,162.37	2025-11-05
73701	CPT	CT Hip Lt W Contrast	1	1	$1,530.00	$1,530.00	$1,145.66	$1,145.66	$1,145.66	2025-11-05
99285	CPT	ER Visit L-5	11	11	$1,521.00	$1,521.00	$1,013.59	$1,258.17	$1,138.92	2025-11-05
93306	CPT	Vs Echocardiogram	1	1	$1,320.00	$1,320.00	$1,091.90	$1,091.90	$1,091.90	2025-11-05
72192	CPT	CT Pelvis Wo Contrast	2	2	$1,562.60	$1,562.60	$1,047.57	$1,047.57	$1,047.57	2025-11-05
73700	CPT	CT Hip Lt Wo	1	1	$1,347.90	$1,347.90	$1,009.30	$1,009.30	$1,009.30	2025-11-05
73200	CPT	CT Shoulder Lt Wo Contrast	1	1	$1,129.05	$1,129.05	$845.43	$845.43	$845.43	2025-11-05
93970	CPT	Vs Duplex Venous Lwr Ext Comp Bilat	1	1	$1,020.00	$1,020.00	$843.74	$843.74	$843.74	2025-11-05
99284	CPT	ER L-4	14	14	$1,080.00	$1,080.00	$724.03	$894.97	$808.70	2025-11-05
70486	CPT	CT Facial Wo Contrast	2	2	$1,001.05	$1,001.05	$671.10	$671.10	$671.10	2025-11-05
92950	CPT	Cpr	1	1	$871.00	$871.00	$652.73	$652.73	$652.73	2025-11-05
76700	CPT	US Abdomen Complete	1	1	$680.00	$680.00	$562.50	$562.50	$562.50	2025-11-05
76770	CPT	US Renal Bilateral	1	1	$680.00	$680.00	$562.50	$562.50	$562.50	2025-11-05
20605	CPT	A-centesis Asprate Inj	1	1	$815.00	$815.00	$547.52	$547.52	$547.52	2025-11-05
99283	CPT	ER L-3	10	10	$716.00	$716.00	$477.14	$592.28	$536.14	2025-11-05
84145	CPT	Procalcitonin	9	9	$546.15	$546.15	$363.95	$449.59	$406.77	2025-11-05
84425	CPT	Vitamin B1 Thiamine	1	1	$481.05	$481.05	$396.00	$396.00	$396.00	2025-11-05
10060	CPT	I&d Abscess Smple Sngle	1	1	$462.11	$462.11	$382.25	$382.25	$382.25	2025-11-05
96365	CPT	IV Inf Dx/px/tx Up To 1hr	7	6	$505.00	$505.00	$338.55	$417.74	$378.14	2025-11-05
12001	CPT	Rpr Smp Scl/nk/trnk/hd/ft 2.5<	2	2	$459.00	$459.00	$343.70	$380.47	$362.09	2025-11-05
11042	CPT	Debridement Sub Tissue 1st 20sq Cm	1	1	$525.00	$525.00	$351.96	$351.96	$351.96	2025-11-05
96360	CPT	IV Infusion 1st Hour	2	2	$440.00	$440.00	$329.47	$363.97	$346.72	2025-11-05
12013	CPT	Rpr Smpl Fce/ear/eyelid 2.6cm To 5.0cm	2	2	$459.00	$459.00	$307.71	$379.68	$343.69	2025-11-05
99282	CPT	ER L-2	3	3	$415.00	$415.00	$278.22	$344.00	$310.75	2025-11-05
12002	CPT	Rpr S Scpl/nk/trnk/hnd/ft 2.6cm To 7.5cm	3	3	$459.00	$459.00	$307.71	$379.68	$307.71	2025-11-05
29105	CPT	Splint Arm Long Apply	1	1	$375.00	$375.00	$280.80	$280.80	$280.80	2025-11-05
99211	CPT	Trtmnt Room Est 4 Hours	1	1	$319.82	$319.82	$264.56	$264.56	$264.56	2025-11-05
83880	CPT	Bnp B Type Natriuretic Peptid	10	10	$344.00	$344.00	$229.24	$283.18	$256.21	2025-11-05
72100	CPT	Xr Lumbar 2-3 Views	5	5	$338.21	$338.21	$226.73	$279.77	$253.25	2025-11-05
72070	CPT	Xr T Spine 2 Views	1	1	$338.21	$338.21	$253.25	$253.25	$253.25	2025-11-05
73120	CPT	Xr Hand 2v Lt	1	1	$338.21	$338.21	$253.25	$253.25	$253.25	2025-11-05
83970	CPT	Pth Intact W Calcium	1	1	$304.88	$304.88	$250.98	$250.98	$250.98	2025-11-05
51702	CPT	Cath Urethra Smple	4	4	$337.08	$337.08	$225.97	$252.40	$239.19	2025-11-05
97162	CPT	Pt Eval Moderate Complexity	5	5	$269.07	$269.07	$201.48	$222.58	$201.48	2025-11-05
97163	CPT	Pt Eval High Complexity	1	1	$269.07	$269.07	$201.48	$201.48	$201.48	2025-11-05
97161	CPT	Pt Eval Low Complexity	3	3	$269.07	$269.07	$180.39	$222.58	$201.48	2025-11-05
96374	CPT	Injection IV Push	11	10	$269.00	$269.00	$180.34	$402.85	$201.43	2025-11-05
30901	CPT	Control Nasal Hemmorage Anterior Simple	1	1	$300.00	$300.00	$201.12	$201.12	$201.12	2025-11-05
83605	CPT	Lactic Acid Plasma Q	13	13	$250.75	$250.75	$167.10	$206.42	$186.76	2025-11-05
73562	CPT	Xr Knee 3v Rt	1	1	$185.23	$185.23	$153.22	$153.22	$153.22	2025-11-05
97164	CPT	Pt Re-eval Of Pt Est Care	2	2	$185.00	$185.00	$153.03	$153.03	$153.03	2025-11-05
73502	CPT	Xr Hip 2v Lt	4	4	$214.85	$214.85	$144.04	$177.72	$152.46	2025-11-05
82306	CPT	Vitamin D 25 Hydroxy	1	1	$200.74	$200.74	$149.51	$149.51	$149.51	2025-11-05
73630	CPT	Xr Foot 3v Lt	1	1	$179.58	$179.58	$148.55	$148.55	$148.55	2025-11-05
73140	CPT	Xr Fingers 2v Lt	1	1	$179.58	$179.58	$148.55	$148.55	$148.55	2025-11-05
G0378	HCPCS	Observation Hours	3	3	$217.35	$217.35	$145.71	$162.75	$145.71	2025-11-05
94640	CPT	Neb Treatment	5	5	$175.00	$175.00	$131.04	$262.08	$144.76	2025-11-05
73130	CPT	Xr Hand 3v Lt	4	4	$179.58	$179.58	$120.39	$148.55	$141.51	2025-11-05
80202	CPT	Vancomycin Peak Level	1	1	$93.56	$93.56	$139.37	$139.37	$139.37	2025-11-05
73110	CPT	Xr Wrist 3v Lt	3	3	$181.52	$181.52	$135.93	$150.16	$135.93	2025-11-05
96366	CPT	IV Inf Dx/px/tx Ea Add Hr	3	3	$113.86	$113.86	$85.32	$255.77	$135.53	2025-11-05
73080	CPT	Xr Elbow 3v Lt	3	3	$179.58	$179.58	$120.39	$148.55	$134.47	2025-11-05
71045	CPT	Xr Chest 1v	14	14	$179.58	$179.58	$120.39	$148.82	$134.47	2025-11-05
71046	CPT	Xr Chest 2v	10	10	$179.58	$179.58	$120.39	$134.86	$134.47	2025-11-05
71100	CPT	Xr Ribs 2v Lt	1	1	$179.58	$179.58	$134.47	$134.47	$134.47	2025-11-05
73030	CPT	Xr Shoulder 3v Lt	1	1	$179.58	$179.58	$134.47	$134.47	$134.47	2025-11-05
73060	CPT	Xr Humerus 2v Lt	1	1	$179.58	$179.58	$134.47	$134.47	$134.47	2025-11-05
73090	CPT	Xr Forearm 2v Lt	1	1	$179.58	$179.58	$134.47	$134.47	$134.47	2025-11-05
73560	CPT	Xr Knee 2v Lt	1	1	$179.58	$179.58	$134.47	$134.47	$134.47	2025-11-05
74018	CPT	Xr Abdomen 1v	4	4	$179.58	$179.58	$120.39	$148.55	$127.43	2025-11-05
96367	CPT	IV Infusion Ther Proph Addl Sequential T	2	2	$158.85	$158.85	$118.95	$131.40	$125.18	2025-11-05
93005	CPT	EKG 12 Lead Tracing	14	14	$163.65	$163.65	$109.71	$135.62	$122.54	2025-11-05
J1956	HCPCS	Levofloxacin/d5w 750mg/150ml Premix	1	1	$50.35	$50.35	$122.01	$122.01	$122.01	2025-11-05
72040	CPT	Xr C Spine 3v	1	1	$179.58	$179.58	$120.39	$120.39	$120.39	2025-11-05
96372	CPT	Inj For Dx/px/tx Im/sub Q	8	8	$159.00	$159.00	$106.60	$131.52	$119.06	2025-11-05
87075	CPT	Culture Anaerobic With Gram Stain	1	1	$132.85	$132.85	$109.36	$109.36	$109.36	2025-11-05
86803	CPT	Hep C Ab W Rflx To Hcv RNA Rt Pcr	1	1	$146.45	$146.45	$109.07	$109.07	$109.07	2025-11-05
82803	CPT	Arterial Blood Gas	3	3	$125.00	$125.00	$93.10	$102.90	$102.90	2025-11-05
87426	CPT	Covid 19 Antigen Sofia	4	4	$150.00	$150.00	$99.96	$111.72	$99.96	2025-11-05
97530	CPT	Pt Therapeutic Activities Ea	7	7	$129.06	$129.06	$86.52	$106.76	$96.64	2025-11-05
85025	CPT	.cbc With Auto Differential	15	15	$125.00	$125.00	$83.30	$125.00	$93.10	2025-11-05
84443	CPT	Tsh	8	8	$124.12	$124.12	$82.71	$124.12	$92.44	2025-11-05
84439	CPT	T4 Free Ft4	1	1	$121.50	$121.50	$90.49	$90.49	$90.49	2025-11-05
80053	CPT	Comprehensive Metabolic Panel	15	15	$120.75	$120.75	$80.47	$99.40	$89.93	2025-11-05
J0456	HCPCS	Azithromycin 500 Mg Vial	1	1	$108.70	$108.70	$89.92	$89.92	$89.92	2025-11-05
90471	CPT	Admin Immunization 1	5	5	$118.00	$118.00	$79.11	$97.61	$88.36	2025-11-05
82728	CPT	Ferritin	1	1	$100.69	$100.69	$82.89	$82.89	$82.89	2025-11-05
87086	CPT	Culture Urine	7	7	$105.00	$105.00	$69.97	$86.44	$78.20	2025-11-05
96361	CPT	IV Infus Ea Add Hr	9	9	$104.33	$104.33	$69.94	$86.46	$78.12	2025-11-05
97116	CPT	Pt Gait Training Ea 15min	2	2	$97.31	$97.31	$72.87	$80.49	$76.68	2025-11-05
96375	CPT	Therapeutic Injection Ivp New Drug	11	10	$100.75	$100.75	$67.54	$83.49	$75.44	2025-11-05
96376	CPT	Ther Proph/dx Njx Ea Seql Ivp Sbst/drg	7	7	$100.75	$100.75	$67.54	$83.34	$75.44	2025-11-05
97112	CPT	Pt Neuromuscular Re Ed Ea 15 Min	7	7	$111.93	$111.93	$75.04	$92.59	$75.04	2025-11-05
97535	CPT	Pt Selfcare/home Manag Tran	2	2	$110.47	$110.47	$74.06	$74.06	$74.06	2025-11-05
97110	CPT	Pt Ther Ex 15 Min	9	9	$98.41	$98.41	$65.98	$81.40	$73.69	2025-11-05
80061	CPT	Lipid Panel	5	5	$98.92	$98.92	$73.68	$98.92	$73.68	2025-11-05
87070	CPT	Culture Throat	2	2	$88.20	$88.20	$65.69	$72.61	$69.15	2025-11-05
85610	CPT	Pt/inr	6	6	$82.00	$82.00	$61.07	$67.50	$64.28	2025-11-05
80048	CPT	Basic Metabolic Panel Q	4	4	$86.10	$86.10	$64.13	$70.87	$64.13	2025-11-05
97140	CPT	Pt Manual Therapy 15 Min Ea	6	6	$89.67	$89.67	$60.12	$74.17	$60.12	2025-11-05
83036	CPT	Hemoglobin A1c	3	3	$71.72	$71.72	$53.42	$71.72	$59.04	2025-11-05
87804	CPT	Influenza A	2	2	$88.52	$88.52	$58.99	$58.99	$58.99	2025-11-05
87880	CPT	Strep A Rapid	5	5	$88.52	$88.52	$58.99	$65.93	$58.99	2025-11-05
84484	CPT	Troponin I High Sensitivity	13	13	$75.60	$75.60	$56.31	$62.23	$56.31	2025-11-05
85651	CPT	Esr Erythrocyte Sedimentation Rate	2	2	$75.00	$75.00	$55.86	$55.86	$55.86	2025-11-05
83550	CPT	Total Iron Binding Capacity	1	1	$64.56	$64.56	$53.15	$53.15	$53.15	2025-11-05
85730	CPT	Activated Partial Thromboplastin Time	4	4	$63.00	$63.00	$46.92	$51.86	$51.86	2025-11-05
90714	CPT	Vac Tetanus/diphtheria Toxoid	1	1	$62.50	$62.50	$51.70	$51.70	$51.70	2025-11-05
85379	CPT	Ddimer	7	7	$68.76	$68.76	$45.82	$56.60	$51.21	2025-11-05
J1335	HCPCS	Ertapenem 1 G Vial	2	2	$130.00	$130.00	$43.58	$53.77	$48.67	2025-11-05
87205	CPT	Gram Stain	1	1	$59.00	$59.00	$48.57	$48.57	$48.57	2025-11-05
82365	CPT	Stone Analysis With Image	1	1	$65.00	$65.00	$48.41	$48.41	$48.41	2025-11-05
81000	CPT	Urinalysis W Micro	14	14	$62.00	$62.00	$41.32	$51.04	$46.18	2025-11-05
84466	CPT	Transferrin Serum	1	1	$52.50	$52.50	$39.10	$39.10	$39.10	2025-11-05
87040	CPT	Culture Blood 2nd Specimen	9	9	$52.50	$52.50	$34.99	$43.22	$39.10	2025-11-05
83690	CPT	Lipase	9	9	$50.88	$50.88	$33.91	$41.89	$37.90	2025-11-05
82150	CPT	Amylase	4	4	$47.87	$47.87	$35.65	$39.41	$37.53	2025-11-05
J0500	HCPCS	Dicyclomine 10 mg/mL (2 Ml) Vial	1	1	$25.00	$25.00	$37.44	$37.44	$37.44	2025-11-05
83735	CPT	Magnesium	8	8	$49.48	$49.48	$32.98	$40.73	$36.85	2025-11-05
J0360	HCPCS	hydrALAZINE 20 Mg/1 Ml (1 Ml) Vial	4	4	$48.70	$48.70	$32.65	$40.36	$36.47	2025-11-05
82550	CPT	Creatine Kinase	3	3	$49.61	$49.61	$33.06	$40.84	$33.06	2025-11-05
G0328	HCPCS	Immunochemical Fecal Occult Bld Ifob Fit	1	1	$39.00	$39.00	$32.10	$32.10	$32.10	2025-11-05
82043	CPT	Microalbumin Creat Panel Randm	3	3	$41.14	$41.14	$30.64	$33.87	$30.64	2025-11-05
82140	CPT	Ammonia Level	2	2	$42.00	$42.00	$27.99	$31.28	$29.63	2025-11-05
J3370	HCPCS	Vancomycin 1g Sdv	3	3	$77.00	$77.00	$28.83	$28.85	$28.83	2025-11-05
86140	CPT	C Reactive Protein	5	5	$38.23	$38.23	$28.47	$31.47	$28.47	2025-11-05
J7060	HCPCS	Ivf D5w ( 500 Ml)	2	2	$26.00	$26.00	$26.15	$29.20	$27.67	2025-11-05
83540	CPT	Iron	1	1	$33.60	$33.60	$27.66	$27.66	$27.66	2025-11-05
84550	CPT	Uric Acid	1	1	$33.38	$33.38	$27.48	$27.48	$27.48	2025-11-05
L0174	HCPCS	Cervical Vista Collar	1	1	$40.75	$40.75	$27.32	$27.32	$27.32	2025-11-05
82553	CPT	Ckmb	7	7	$31.50	$31.50	$20.99	$25.93	$23.46	2025-11-05
L3660	HCPCS	Shoulder Immob One Size Fits Most	1	1	$29.75	$29.75	$22.28	$22.28	$22.28	2025-11-05
J2175	HCPCS	Meperidine 25 Mg/1 Ml (1 Ml) Syringe	1	1	$29.00	$29.00	$21.72	$21.72	$21.72	2025-11-05
J2270	HCPCS	Morphine Sulf 10 Mg/1 Ml (1 Ml) Syringe	4	4	$20.00	$20.00	$14.98	$26.82	$19.90	2025-11-05
J0171	HCPCS	Epinepherine Jr Auto-inject 0.15mg/0.3m	1	1	$454.62	$454.62	$17.69	$17.69	$17.69	2025-11-05
97010	CPT	Pt Hot Or Cold Packs	3	3	$25.00	$25.00	$16.76	$20.68	$16.76	2025-11-05
J3490	HCPCS	dilTIAZem 5 Mg/1 Ml (5 Ml) Vial	1	1	$18.85	$18.85	$16.54	$16.54	$16.54	2025-11-05
J2550	HCPCS	Promethazine 25 mg/mL (1 Ml) Vial	4	4	$20.00	$20.00	$13.41	$27.71	$15.76	2025-11-05
J2060	HCPCS	LORazepam 2 mg/mL (1 Ml) Syringe	1	1	$20.00	$20.00	$14.98	$14.98	$14.98	2025-11-05
J2765	HCPCS	Metoclopramide 5 mg/mL (2 Ml) Vial	1	1	$20.00	$20.00	$13.41	$13.41	$13.41	2025-11-05
36415	CPT	Venipuncture	12	12	$16.16	$16.16	$10.77	$13.30	$12.03	2025-11-05
J2543	HCPCS	Piperacillin-tazobactam 3.375 Gm Sdv	2	2	$50.00	$50.00	$11.17	$12.48	$11.82	2025-11-05
J0744	HCPCS	Ciprofloxacin 400mg/200ml Premix	2	2	$20.00	$20.00	$7.49	$8.27	$7.88	2025-11-05
J1815	HCPCS	Ins Humulin R U-100	1	1	$6.50	$6.50	$7.50	$7.50	$7.50	2025-11-05
J1885	HCPCS	Cl-ketorolac IM Inj [15 mg/mL]	7	7	$6.00	$6.00	$6.71	$8.29	$7.49	2025-11-05
J0282	HCPCS	Amiodarone 50 mg/mL (3 Ml) Vial	1	1	$20.00	$20.00	$6.71	$6.71	$6.71	2025-11-05
J0696	HCPCS	cefTRIAXone 250 Mg Vial	9	9	$49.35	$49.35	$3.74	$4.14	$3.75	2025-11-05
J2405	HCPCS	Ondansetron 2 Mg/1 Ml (2 Ml) Vial	7	7	$20.00	$20.00	$3.35	$4.14	$3.74	2025-11-05
A4351	HCPCS	Cath Urethral 12fr (red Rubber)	1	1	$4.85	$4.85	$3.64	$3.64	$3.64	2025-11-05
J2919	HCPCS	methylPREDNISolone Succ 125 Mg Vial	1	1	$47.00	$47.00	$2.99	$2.99	$2.99	2025-11-05
A4338	HCPCS	Cath Foley 8fr Disp Ea	3	3	$39.30	$39.30	$2.11	$2.11	$2.11	2025-11-05
J1650	HCPCS	Enoxaparin 100 Mg/ Ml (3 Ml) Vial	3	3	$23.60	$23.60	$1.77	$123.70	$1.95	2025-11-05
J1100	HCPCS	dexAMETHasone Sod Phos 10mg/1mL Vial	2	2	$20.00	$20.00	$1.50	$1.65	$1.57	2025-11-05
J1953	HCPCS	levETIRAcetam 100 mg/mL (5 Ml) Vial	1	1	$21.20	$21.20	$1.42	$1.42	$1.42	2025-11-05
A4216	HCPCS	Flush Normal Saline (10 Ml) Syringe	3	3	$1.75	$1.75	$1.31	$1.31	$1.31	2025-11-05
J0131	HCPCS	Acetaminophen 10 Mg/ml 100mL IV Bottle	3	3	$170.50	$170.50	$1.28	$1.28	$1.28	2025-11-05

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