Hospital

CULBERSON HOSPITAL

Van Horn, TX · CCN 451338 · Rates published

150 distinct procedures filed

12 distinct payers

512 rate rows

2026-02-10 last MRF observed

Data quality

501 of 512 rate rows are consumer-grade (97.9%)

11 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	9
exceeds 10× this hospital's gross charge — excluded from medians	2

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

Source MRF file	https://machine-readable-files.com/culberson-hospital/201355256_Preferred-Hospital-Leasing-Van-Horn-Inc_standardcharges.csv
Found on page	https://culbersonhospital.org/price-transparency/
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-06-20

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
73706 CPT	CT Angio Le Rt	1	$2,103.21	$2,103.21	$2,103.21	nat. median $760 outlier · 2.8×
74178 CPT	CT Abd/Pel W & Without	1	$2,024.00	$2,024.00	$2,024.00	nat. median $979 outlier · 2.1×
99291 CPT	Critical Care 1St 30-74 M	2	$1,568.00	$1,615.20	$1,591.60	nat. median $1,610 1.0× median
71260 CPT	CT Chest W	3	$1,361.60	$1,509.79	$1,385.28	nat. median $646 outlier · 2.1×
72192 CPT	CT Pelvis Without	1	$1,283.30	$1,283.30	$1,283.30	nat. median $455 outlier · 2.8×
74176 CPT	CT Abd/Pel Without Contrast	4	$1,179.36	$1,286.10	$1,281.10	nat. median $685 1.9× median
72131 CPT	CT L-spine Without	1	$1,193.88	$1,193.88	$1,193.88	nat. median $449 outlier · 2.7×
73700 CPT	CT Lwr Ext Without Rt	4	$1,140.80	$1,326.92	$1,180.40	nat. median $555 outlier · 2.1×
70486 CPT	CT Sinus Without	2	$1,123.20	$1,225.08	$1,174.14	nat. median $463 outlier · 2.5×
71250 CPT	CT Chest Without	1	$1,159.44	$1,159.44	$1,159.44	nat. median $473 outlier · 2.4×
72125 CPT	CT C-spine Without	4	$1,140.80	$1,160.64	$1,158.64	nat. median $469 outlier · 2.5×
70450 CPT	CT Head/Brain Without	4	$94.25	$1,123.20	$1,111.70	nat. median $454 outlier · 2.4×
74177 CPT	CT Abd/Pel With Contrast	4	$270.01	$1,194.07	$1,089.85	nat. median $928 1.2× median
99285 CPT	ER Level 5	9	$50.00	$1,300.00	$973.44	nat. median $1,227 0.8× median
11000001 CDM	Inpatient Room	2	$673.44	$850.00	$761.72	nat. median $1,400 0.5× median
A0433 HCPCS	Als Level 2 Transport	1	$691.84	$691.84	$691.84	nat. median $1,173 0.6× median
99284 CPT	ER Level 4	9	$50.00	$1,009.79	$673.92	nat. median $780 0.9× median
A0427 HCPCS	Als 1 Emergency Transport	6	$373.38	$697.76	$647.64	nat. median $864 0.7× median
A0429 HCPCS	Amb Bls Emergency Transport	5	$20.25	$686.40	$584.06	nat. median $623 0.9× median
99283 CPT	ER Level 3	10	$51.50	$528.00	$449.18	nat. median $475 0.9× median
31500 CPT	Intubate Et Tube Emergenc	2	$208.29	$605.70	$407.00	nat. median $467 0.9× median
87637 CPT	Rsv, Covid, And Flu	9	$119.81	$462.00	$386.40	nat. median $192 outlier · 2.0×
71101 CPT	Ribs With Pa Chest Lt	1	$383.92	$383.92	$383.92	nat. median $175 outlier · 2.2×
80074 CPT	Hepatitis Profile	1	$330.69	$330.69	$330.69	nat. median $124 outlier · 2.7×
A0428 HCPCS	Bls Non Emergency Transfer	2	$283.77	$295.01	$289.39	nat. median $437 0.7× median
10060 CPT	I&d Abscess Smple/Single	1	$278.18	$278.18	$278.18	nat. median $302 0.9× median
86756 CPT	Rsv Antigen	2	$270.85	$274.09	$272.47	nat. median $20 outlier · 13.9×
72100 CPT	Xr L-spine 2-3v	2	$257.60	$285.39	$271.50	nat. median $170 1.6× median
73610 CPT	Xr Ankle Comp Min 3v Lt	3	$214.00	$264.35	$239.20	nat. median $164 1.5× median
94640 CPT	Hhn Tx Per Tx	3	$234.61	$315.00	$235.87	nat. median $195 1.2× median
80321 CPT	Phosphatidylethanol	1	$227.75	$227.75	$227.75	nat. median $81 outlier · 2.8×
73630 CPT	Xr Foot Comp Min 3v Rt	3	$29.78	$244.02	$224.64	nat. median $161 1.4× median
71046 CPT	Xr Chest Ap/Lat	4	$220.80	$249.00	$224.39	nat. median $148 1.5× median
73110 CPT	Xr Wrist 3v Rt	3	$35.84	$224.64	$224.14	nat. median $165 1.4× median
73030 CPT	Xr Shoulder 2v Rt	5	$109.09	$248.02	$224.14	nat. median $167 1.3× median
73130 CPT	Xr Hand Min 3v Rt	3	$220.80	$224.64	$223.44	nat. median $163 1.4× median
83970 CPT	Pth Intact	2	$223.44	$223.44	$223.44	nat. median $102 outlier · 2.2×
87636 CPT	Pcr Covid And Flu	3	$220.80	$244.02	$223.44	nat. median $165 1.4× median
72040 CPT	Xr C-spine 2-3v	2	$221.47	$221.94	$221.70	nat. median $152 1.5× median
73060 CPT	Xr Humerus 2v Lt	1	$221.24	$221.24	$221.24	nat. median $153 1.4× median
97163 CPT	Pt Eval High Complexity	1	$212.66	$212.66	$212.66	nat. median $208 1.0× median
86361 CPT	Cd4 Panel	1	$208.54	$208.54	$208.54	nat. median $50 outlier · 4.2×
73590 CPT	Xr Leg 2v Lt	1	$208.00	$208.00	$208.00	nat. median $159 1.3× median
82803 CPT	Venous Blood Gas	1	$204.82	$204.82	$204.82	nat. median $82 outlier · 2.5×
77078 CPT	CT Qct Bmd Survey	2	$180.57	$210.03	$195.30	nat. median $115 1.7× median
80053 CPT	Cmp Lab	12	$8.87	$259.00	$192.90	nat. median $37 outlier · 5.2×
72170 CPT	Xr Pelvis 1v	2	$137.03	$244.02	$190.53	nat. median $154 1.2× median
73080 CPT	Elbow 3 Views Rt	4	$27.79	$190.94	$189.19	nat. median $160 1.2× median
83880 CPT	Bnp Triage	6	$53.79	$196.00	$185.10	nat. median $99 1.9× median
12001 CPT	Rpr Smple Sclp Nck Trnk E	1	$183.01	$183.01	$183.01	nat. median $289 0.6× median

Other procedures at this hospital

Browse this hospital's 150 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

73706	CPT	CT Angio Le Rt	1	1	$2,583.00	$1,937.25 25% off	$2,103.21	$2,103.21	$2,103.21	2026-02-10
74178	CPT	CT Abd/Pel W & Without	1	1	$2,750.00	$2,062.50 25% off	$2,024.00	$2,024.00	$2,024.00	2026-02-10
99291	CPT	Critical Care 1St 30-74 M	2	2	$2,000.00	$1,500.00 25% off	$1,568.00	$1,615.20	$1,591.60	2026-02-10
71260	CPT	CT Chest W	3	3	$1,850.00	$1,387.50 25% off	$1,361.60	$1,509.79	$1,385.28	2026-02-10
72192	CPT	CT Pelvis Without	1	1	$1,575.00	$1,181.25 25% off	$1,283.30	$1,283.30	$1,283.30	2026-02-10
74176	CPT	CT Abd/Pel Without Contrast	4	4	$1,575.00	$1,181.25 25% off	$1,179.36	$1,286.10	$1,281.10	2026-02-10
72131	CPT	CT L-spine Without	1	1	$1,600.00	$1,200.00 25% off	$1,193.88	$1,193.88	$1,193.88	2026-02-10
73700	CPT	CT Lwr Ext Without Rt	4	4	$1,550.00	$1,162.50 25% off	$1,140.80	$1,326.92	$1,180.40	2026-02-10
70486	CPT	CT Sinus Without	2	2	$1,500.00	$1,125.00 25% off	$1,123.20	$1,225.08	$1,174.14	2026-02-10
71250	CPT	CT Chest Without	1	1	$1,550.00	$1,162.50 25% off	$1,159.44	$1,159.44	$1,159.44	2026-02-10
72125	CPT	CT C-spine Without	4	4	$1,550.00	$1,162.50 25% off	$1,140.80	$1,160.64	$1,158.64	2026-02-10
70450	CPT	CT Head/Brain Without	4	4	$1,500.00	$1,125.00 25% off	$94.25	$1,123.20	$1,111.70	2026-02-10
74177	CPT	CT Abd/Pel With Contrast	4	4	$1,468.00	$1,101.00 25% off	$270.01	$1,194.07	$1,089.85	2026-02-10
99285	CPT	ER Level 5	9	9	$1,300.00	$975.00 25% off	$50.00	$1,300.00	$973.44	2026-02-10
11000001	CDM	Inpatient Room	2	2	$915.00	$686.25 25% off	$673.44	$850.00	$761.72	2026-02-10
A0433	HCPCS	Als Level 2 Transport	1	1	$940.00	$705.00 25% off	$691.84	$691.84	$691.84	2026-02-10
99284	CPT	ER Level 4	9	9	$900.00	$675.00 25% off	$50.00	$1,009.79	$673.92	2026-02-10
A0427	HCPCS	Als 1 Emergency Transport	6	6	$890.00	$667.50 25% off	$373.38	$697.76	$647.64	2026-02-10
A0429	HCPCS	Amb Bls Emergency Transport	5	5	$780.00	$585.00 25% off	$20.25	$686.40	$584.06	2026-02-10
99283	CPT	ER Level 3	10	10	$600.00	$450.00 25% off	$51.50	$528.00	$449.18	2026-02-10
31500	CPT	Intubate Et Tube Emergenc	2	2	$283.00	$212.25 25% off	$208.29	$605.70	$407.00	2026-02-10
87637	CPT	Rsv, Covid, And Flu	9	9	$525.00	$393.75 25% off	$119.81	$462.00	$386.40	2026-02-10
71101	CPT	Ribs With Pa Chest Lt	1	1	$472.00	$354.00 25% off	$383.92	$383.92	$383.92	2026-02-10
80074	CPT	Hepatitis Profile	1	1	$444.00	$333.00 25% off	$330.69	$330.69	$330.69	2026-02-10
A0428	HCPCS	Bls Non Emergency Transfer	2	2	$381.00	$285.75 25% off	$283.77	$295.01	$289.39	2026-02-10
10060	CPT	I&d Abscess Smple/Single	1	1	$342.00	$256.50 25% off	$278.18	$278.18	$278.18	2026-02-10
86756	CPT	Rsv Antigen	2	2	$368.00	$276.00 25% off	$270.85	$274.09	$272.47	2026-02-10
72100	CPT	Xr L-spine 2-3v	2	2	$350.00	$262.50 25% off	$257.60	$285.39	$271.50	2026-02-10
73610	CPT	Xr Ankle Comp Min 3v Lt	3	3	$325.00	$243.75 25% off	$214.00	$264.35	$239.20	2026-02-10
94640	CPT	Hhn Tx Per Tx	3	3	$315.00	$236.25 25% off	$234.61	$315.00	$235.87	2026-02-10
80321	CPT	Phosphatidylethanol	1	1	$280.00	$210.00 25% off	$227.75	$227.75	$227.75	2026-02-10
73630	CPT	Xr Foot Comp Min 3v Rt	3	3	$300.00	$225.00 25% off	$29.78	$244.02	$224.64	2026-02-10
71046	CPT	Xr Chest Ap/Lat	4	4	$300.00	$225.00 25% off	$220.80	$249.00	$224.39	2026-02-10
73030	CPT	Xr Shoulder 2v Rt	5	5	$300.00	$225.00 25% off	$109.09	$248.02	$224.14	2026-02-10
73110	CPT	Xr Wrist 3v Rt	3	3	$300.00	$225.00 25% off	$35.84	$224.64	$224.14	2026-02-10
87636	CPT	Pcr Covid And Flu	3	3	$300.00	$225.00 25% off	$220.80	$244.02	$223.44	2026-02-10
83970	CPT	Pth Intact	2	2	$300.00	$225.00 25% off	$223.44	$223.44	$223.44	2026-02-10
73130	CPT	Xr Hand Min 3v Rt	3	3	$300.00	$225.00 25% off	$220.80	$224.64	$223.44	2026-02-10
72040	CPT	Xr C-spine 2-3v	2	2	$272.00	$204.00 25% off	$221.47	$221.94	$221.70	2026-02-10
73060	CPT	Xr Humerus 2v Lt	1	1	$272.00	$204.00 25% off	$221.24	$221.24	$221.24	2026-02-10
97163	CPT	Pt Eval High Complexity	1	1	$284.00	$213.00 25% off	$212.66	$212.66	$212.66	2026-02-10
86361	CPT	Cd4 Panel	1	1	$280.00	$210.00 25% off	$208.54	$208.54	$208.54	2026-02-10
73590	CPT	Xr Leg 2v Lt	1	1	$286.00	$214.50 25% off	$208.00	$208.00	$208.00	2026-02-10
82803	CPT	Venous Blood Gas	1	1	$275.00	$206.25 25% off	$204.82	$204.82	$204.82	2026-02-10
77078	CPT	CT Qct Bmd Survey	2	2	$222.00	$166.50 25% off	$180.57	$210.03	$195.30	2026-02-10
80053	CPT	Cmp Lab	12	12	$259.00	$194.25 25% off	$8.87	$259.00	$192.90	2026-02-10
72170	CPT	Xr Pelvis 1v	2	2	$300.00	$225.00 25% off	$137.03	$244.02	$190.53	2026-02-10
73080	CPT	Elbow 3 Views Rt	4	4	$255.00	$191.25 25% off	$27.79	$190.94	$189.19	2026-02-10
83880	CPT	Bnp Triage	6	6	$250.00	$187.50 25% off	$53.79	$196.00	$185.10	2026-02-10
12001	CPT	Rpr Smple Sclp Nck Trnk E	1	1	$225.00	$168.75 25% off	$183.01	$183.01	$183.01	2026-02-10
84481	CPT	Ft3 (Free T3) Lab	4	4	$245.00	$183.75 25% off	$14.66	$182.48	$182.48	2026-02-10
99282	CPT	ER Level 2	2	2	$400.00	$300.00 25% off	$50.00	$299.52	$174.76	2026-02-10
97161	CPT	Pt Eval Low Complexity	5	5	$225.00	$168.75 25% off	$134.11	$225.00	$168.48	2026-02-10
97162	CPT	Pt Eval Mod Complexity	3	3	$225.00	$168.75 25% off	$130.20	$168.58	$168.48	2026-02-10
80048	CPT	Bmp	3	3	$225.00	$168.75 25% off	$167.58	$167.58	$167.58	2026-02-10
82306	CPT	Vitamin D 25-hydr Lab	8	8	$225.00	$168.75 25% off	$25.61	$183.01	$166.59	2026-02-10
71045	CPT	Xr Chest 1v	7	7	$225.00	$168.75 25% off	$109.09	$176.40	$165.60	2026-02-10
73560	CPT	Xr Knee 1/2v Rt	3	3	$221.00	$165.75 25% off	$29.78	$179.76	$165.48	2026-02-10
G0103	HCPCS	Psa Scrn/Ultrasensative	2	2	$200.00	$150.00 25% off	$147.20	$162.68	$154.94	2026-02-10
99281	CPT	ER Level I	1	1	$250.00	$187.50 25% off	$154.50	$154.50	$154.50	2026-02-10
73562	CPT	Xr Knee 3v Lt	3	3	$325.00	$243.75 25% off	$109.09	$242.06	$150.68	2026-02-10
51702	CPT	Cath Foley Temp Simple	1	1	$200.00	$150.00 25% off	$149.76	$149.76	$149.76	2026-02-10
87040	CPT	Culture Blood	4	4	$200.00	$150.00 25% off	$121.40	$154.86	$148.96	2026-02-10
84484	CPT	Troponin Lab	5	5	$200.00	$150.00 25% off	$147.20	$156.80	$148.96	2026-02-10
73660	CPT	Xr Toes 2v Lt	2	2	$242.00	$181.50 25% off	$92.87	$197.54	$145.20	2026-02-10
85378	CPT	D-dimer Lab	3	3	$175.00	$131.25 25% off	$128.80	$142.34	$137.20	2026-02-10
82140	CPT	Ammonia Level	2	2	$182.00	$136.50 25% off	$135.55	$135.55	$135.55	2026-02-10
84425	CPT	Thiamine Level	1	1	$165.00	$123.75 25% off	$134.21	$134.21	$134.21	2026-02-10
73200	CPT	CT Upr Ext Without Rt	1	1	$1,560.00	$1,170.00 25% off	$131.99	$131.99	$131.99	2026-02-10
80143	CPT	Acetaminophen Level	1	1	$176.00	$132.00 25% off	$131.08	$131.08	$131.08	2026-02-10
84443	CPT	Tsh Level	8	8	$175.00	$131.25 25% off	$14.11	$142.34	$129.57	2026-02-10
87490	CPT	Chlamydia DNA Probe	2	2	$170.00	$127.50 25% off	$125.12	$126.62	$125.87	2026-02-10
84703	CPT	Hcg Qualitative Serum	2	2	$169.00	$126.75 25% off	$124.38	$124.38	$124.38	2026-02-10
82746	CPT	Folic Acid Level	1	1	$152.00	$114.00 25% off	$123.64	$123.64	$123.64	2026-02-10
93005	CPT	EKG 12 Lead Tracing Only	7	7	$165.00	$123.75 25% off	$121.44	$1,350.30	$123.55	2026-02-10
84480	CPT	T3 Total Lab	3	3	$163.00	$122.25 25% off	$19.43	$121.40	$121.40	2026-02-10
82077	CPT	Alcohol Ethanol Lab	2	2	$156.00	$117.00 25% off	$116.19	$116.19	$116.19	2026-02-10
96365	CPT	IV Inf Initial Hour	3	3	$150.00	$112.50 25% off	$111.72	$123.25	$112.32	2026-02-10
84153	CPT	Psa, Total W Reflex To Psa Fre	4	4	$150.00	$112.50 25% off	$110.40	$122.01	$111.72	2026-02-10
86677	CPT	H. Pylori Antibodies Igg	3	3	$150.00	$112.50 25% off	$110.40	$111.72	$111.72	2026-02-10
80061	CPT	Lipid Profile	8	8	$150.00	$112.50 25% off	$11.25	$122.01	$111.06	2026-02-10
73140	CPT	Xr Finger 2v Lt	2	2	$227.00	$170.25 25% off	$32.28	$188.41	$110.34	2026-02-10
73070	CPT	Xr Elbow 2v Lt	1	1	$227.00	$170.25 25% off	$109.09	$109.09	$109.09	2026-02-10
12011	CPT	Rpr Smple Fce Ear Elid No	1	1	$266.00	$199.50 25% off	$108.60	$108.60	$108.60	2026-02-10
82533	CPT	Cortisol, Random	1	1	$200.00	$150.00 25% off	$104.93	$104.93	$104.93	2026-02-10
87186	CPT	Sensitivity Test Lab	6	6	$140.00	$105.00 25% off	$71.58	$412.16	$104.27	2026-02-10
82627	CPT	Dhea-s Lab	1	1	$95.00	$71.25 25% off	$99.23	$99.23	$99.23	2026-02-10
84482	CPT	Reverse T3	3	3	$129.00	$96.75 25% off	$21.59	$104.93	$96.08	2026-02-10
96374	CPT	Ivp Singl Or Initl Drug	6	6	$125.00	$93.75 25% off	$91.10	$112.00	$95.80	2026-02-10
86403	CPT	Strep Screen Rapid	6	6	$129.00	$96.75 25% off	$9.69	$113.52	$95.51	2026-02-10
82728	CPT	Ferritin	4	4	$172.00	$129.00 25% off	$18.67	$139.90	$93.48	2026-02-10
84439	CPT	Ft4 (Free Thyroxine)	4	4	$125.00	$93.75 25% off	$7.81	$93.10	$93.10	2026-02-10
83735	CPT	Magnesium Serum	7	7	$115.00	$86.25 25% off	$36.06	$85.65	$84.64	2026-02-10
83550	CPT	Iron Binding Capacity	3	3	$113.00	$84.75 25% off	$11.97	$91.91	$84.16	2026-02-10
80306	CPT	Drug Screen Profile Ua	4	4	$112.00	$84.00 25% off	$24.18	$83.42	$82.93	2026-02-10
86376	CPT	Anti-microsomal Ab	1	1	$121.00	$90.75 25% off	$82.67	$82.67	$82.67	2026-02-10
97530	CPT	Pt -therapeutic Activities	4	4	$105.00	$78.75 25% off	$78.63	$105.00	$82.06	2026-02-10
97164	CPT	Pt Re-eval	3	3	$108.00	$81.00 25% off	$36.69	$89.35	$80.44	2026-02-10
84436	CPT	T4 (Thyroxine)	3	3	$107.00	$80.25 25% off	$9.41	$91.23	$79.69	2026-02-10
97116	CPT	Gait Training	2	2	$100.00	$75.00 25% off	$74.88	$82.04	$78.46	2026-02-10
87428	CPT	Rapid Covid/Flu With Qw	1	1	$105.00	$78.75 25% off	$78.20	$78.20	$78.20	2026-02-10
86703	CPT	HIV Ab Screen	2	2	$180.00	$135.00 25% off	$18.78	$134.06	$76.42	2026-02-10
73620	CPT	Xr Foot 2v Rt	2	2	$220.00	$165.00 25% off	$24.14	$127.30	$75.72	2026-02-10
96372	CPT	Im/Subq Injection	3	3	$100.00	$75.00 25% off	$74.48	$88.00	$74.88	2026-02-10
97140	CPT	Pt-manual Therapy	4	4	$100.00	$75.00 25% off	$74.48	$81.56	$74.88	2026-02-10
86140	CPT	C-reactive Protein Lab	5	5	$100.00	$75.00 25% off	$7.10	$77.43	$74.48	2026-02-10
82550	CPT	Cpk Lab	3	3	$100.00	$75.00 25% off	$39.86	$81.34	$74.48	2026-02-10
85730	CPT	Ptt Lab	5	5	$100.00	$75.00 25% off	$73.21	$78.40	$74.48	2026-02-10
83615	CPT	Ldh Lab	1	1	$100.00	$75.00 25% off	$74.48	$74.48	$74.48	2026-02-10
87086	CPT	Culture Ua	4	4	$100.00	$75.00 25% off	$73.60	$74.48	$74.04	2026-02-10
83036	CPT	Hemoglobin A1c	8	8	$100.00	$75.00 25% off	$8.16	$81.34	$74.04	2026-02-10
82043	CPT	Microalbumin, Random Urin	8	8	$97.00	$72.75 25% off	$4.86	$80.51	$71.82	2026-02-10
80076	CPT	Liver Panel	2	2	$93.00	$69.75 25% off	$69.27	$69.55	$69.41	2026-02-10
76856	CPT	US Pelvic, Non-OB	1	1	$683.00	$512.25 25% off	$68.65	$68.65	$68.65	2026-02-10
86430	CPT	Rheumatioid Factor,Qual	2	2	$87.00	$65.25 25% off	$64.80	$70.77	$67.78	2026-02-10
96367	CPT	Add Seg Infuse Up To 1 Hr	2	2	$90.00	$67.50 25% off	$67.03	$67.39	$67.21	2026-02-10
85610	CPT	Pt/Inr Lab	7	7	$90.00	$67.50 25% off	$3.71	$70.56	$67.03	2026-02-10
84550	CPT	Uric Acid Blood	3	3	$87.00	$65.25 25% off	$64.03	$70.77	$64.80	2026-02-10
A0422	HCPCS	Oxygen & Devices	2	2	$85.00	$63.75 25% off	$62.56	$62.56	$62.56	2026-02-10
83540	CPT	Iron Serum	2	2	$80.00	$60.00 25% off	$59.58	$65.07	$62.32	2026-02-10
82570	CPT	Creatinine 24Hr Urine Lab	7	5	$75.00	$56.25 25% off	$55.20	$68.06	$61.07	2026-02-10
83605	CPT	Lactate/Lactic Acid	6	6	$80.00	$60.00 25% off	$23.83	$61.95	$59.23	2026-02-10
97110	CPT	Pt -therapeutic Exercise	5	5	$77.00	$57.75 25% off	$57.66	$77.00	$57.70	2026-02-10
96366	CPT	IV Inf Ea Addl Hr	2	2	$75.00	$56.25 25% off	$55.86	$58.07	$56.97	2026-02-10
81001	CPT	Ua W/Micro	9	9	$75.00	$56.25 25% off	$4.34	$66.00	$55.86	2026-02-10
85651	CPT	Esr (Sed Rate)	7	7	$75.00	$56.25 25% off	$5.85	$61.00	$55.86	2026-02-10
83690	CPT	Lipase Lab	7	7	$75.00	$56.25 25% off	$9.72	$61.00	$55.86	2026-02-10
96376	CPT	Add Seq Ivp Sm Drug	3	3	$75.00	$56.25 25% off	$48.00	$61.00	$55.86	2026-02-10
85025	CPT	Cbc	12	12	$71.00	$53.25 25% off	$6.53	$583.30	$52.88	2026-02-10
82274	CPT	Occult Blood Stool Series	2	2	$66.00	$49.50 25% off	$49.16	$53.68	$51.42	2026-02-10
87491	CPT	Chlamydia Trach Amp Probe	1	1	$383.00	$287.25 25% off	$49.51	$49.51	$49.51	2026-02-10
J2360	HCPCS	Orphenadrine Inj 60Mg/2Ml	1	1	$62.40	$46.80 25% off	$45.93	$45.93	$45.93	2026-02-10
86901	CPT	Rh Typing Chrg	2	2	$120.00	$90.00 25% off	$2.51	$88.32	$45.41	2026-02-10
82310	CPT	Calcium Total	1	1	$55.00	$41.25 25% off	$44.74	$44.74	$44.74	2026-02-10
82607	CPT	Vitamin B12 Level	3	3	$150.00	$112.50 25% off	$37.24	$122.01	$40.71	2026-02-10
90471	CPT	Immunization Admin Single	3	3	$31.00	$23.25 25% off	$37.45	$50.00	$40.67	2026-02-10
96375	CPT	Ea Addl Seq Ivp New Drug	5	5	$50.00	$37.50 25% off	$37.24	$96.00	$39.04	2026-02-10
87389	CPT	HIV P24 Antigen/Ab With Reflex	1	1	$100.00	$75.00 25% off	$33.98	$33.98	$33.98	2026-02-10
81025	CPT	Hcg Qualitative Urine	2	2	$35.00	$26.25 25% off	$25.76	$27.56	$26.66	2026-02-10
87077	CPT	Aerobic Identification	3	3	$75.00	$56.25 25% off	$25.72	$26.03	$26.03	2026-02-10
A0398	HCPCS	Etc02 Detector	2	2	$35.00	$26.25 25% off	$25.76	$25.76	$25.76	2026-02-10
86308	CPT	Monospot Lab	2	2	$53.00	$39.75 25% off	$7.31	$39.47	$23.39	2026-02-10
86780	CPT	Rpr Lab	1	1	$161.00	$120.75 25% off	$18.68	$18.68	$18.68	2026-02-10
86663	CPT	Epstein-barr Virus	1	1	$50.00	$37.50 25% off	$18.52	$18.52	$18.52	2026-02-10
J2543	HCPCS	Zosyn Inj 4.5 Gm/Vial	2	2	$23.40	$17.55 25% off	$14.75	$17.22	$15.98	2026-02-10
86039	CPT	Ana By Ifa, Igg	3	3	$46.00	$34.50 25% off	$9.37	$34.26	$15.29	2026-02-10
36415	CPT	Venipuncture	7	7	$14.00	$10.50 25% off	$10.43	$14.00	$10.98	2026-02-10
A0425	HCPCS	Ground Mileage	8	8	$10.00	$7.50 25% off	$6.75	$14.52	$9.23	2026-02-10
J2550	HCPCS	Promethzine 50mg/ml Ampul	1	1	$25.00	$18.75 25% off	$8.83	$8.83	$8.83	2026-02-10
86593	CPT	Rpr Confirmation Fta-abs	1	1	$44.00	$33.00 25% off	$6.03	$6.03	$6.03	2026-02-10

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