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

CULBERSON HOSPITAL

Van Horn, TX · CCN 451338 · Rates published

938 distinct procedures filed
18 distinct payers
14,603 rate rows
2026-08-01 last MRF observed
Data quality

13,805 of 14,603 rate rows are consumer-grade (94.5%)

798 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 709
percent-of-charges filed in the dollar field — excluded from medians 56
professional (physician) fee — not the facility price 18
placeholder amount (≤ $0.02) — excluded from medians 9
exceeds 10× this hospital's gross charge — excluded from medians 4
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
per-diem day rate — not a per-procedure price 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricetransparencyfiles.com/preferred-hospital-leasing-van-horn-inc/201355256_Preferred-Hospital-Leasing-Van-Horn-Inc_standardcharges.csv
Found on page https://culbersonhospital.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-02
Content fingerprint 8625d1715a080e7d… · 171,835 bytes · first seen 2026-08-01

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
J2997
HCPCS 		Activase 100mg 6 $6,461.34 $7,901.10 $7,023.20 nat. median
$500
outlier · 14.0×
71271
CPT 		CT Low Dose Lung Cancer Screening; Without 6 $2,355.20 $2,880.00 $2,560.00 nat. median
$213
outlier · 12.0×
72191
CPT 		CTA Pelvis 6 $2,060.80 $2,520.00 $2,240.00 nat. median
$632
outlier · 3.5×
74170
CPT 		CT Abdomen W/without Contrast 6 $1,993.82 $2,438.10 $2,167.20 nat. median
$710
outlier · 3.1×
70492
CPT 		CT Softis Neck W/without Contrast 6 $1,993.82 $2,438.10 $2,167.20 nat. median
$647
outlier · 3.4×
74174
CPT 		CTA Abdomen/Pelvis 6 $1,840.00 $2,250.00 $2,000.00 nat. median
$988
outlier · 2.0×
74178
CPT 		Pelvis/abdomen W/without Contrast 7 $1,779.65 $2,176.20 $1,934.40 nat. median
$1,024
1.9× median
74175
CPT 		CTA Abdomen 6 $1,545.60 $1,890.00 $1,680.00 nat. median
$714
outlier · 2.4×
73206
CPT 		CTA Upper Extremity 6 $1,472.00 $1,800.00 $1,600.00 nat. median
$689
outlier · 2.3×
99291
CPT 		Critical Care- 1st Hr 8 $258.56 $1,800.00 $1,540.00 nat. median
$1,530
1.0× median
70470
CPT 		CT Head/brain W/without Contrast 6 $1,367.49 $1,672.20 $1,486.40 nat. median
$622
outlier · 2.4×
71260
CPT 		CT Thorax W/contrast 9 $1,329.22 $1,625.40 $1,444.80 nat. median
$648
outlier · 2.2×
74160
CPT 		CT Abdomen W/contrast 6 $1,329.22 $1,625.40 $1,444.80 nat. median
$652
outlier · 2.2×
70460
CPT 		CT Head/brain W/contrast 6 $1,329.22 $1,625.40 $1,444.80 nat. median
$576
outlier · 2.5×
32110
CPT 		Thoracotomy 6 $1,359.81 $1,359.81 $1,359.81 nat. median
$2,883
outlier · 0.5×
73702
CPT 		CT Lower Extrem W/without Contrast 6 $1,243.84 $1,521.00 $1,352.00 nat. median
$703
1.9× median
72133
CPT 		CT L-spine W/without Contrast 6 $1,190.11 $1,455.30 $1,293.60 nat. median
$633
outlier · 2.0×
71270
CPT 		CT Chest W/wo Contrast 6 $1,184.22 $1,448.10 $1,287.20 nat. median
$672
1.9× median
74176
CPT 		CT Abdomen/Pelvis Without Contrast 10 $1,080.45 $1,321.20 $1,281.10 nat. median
$694
1.8× median
86945
CPT 		Blood Product/irradiation 6 $1,177.60 $1,440.00 $1,280.00 nat. median
$60
outlier · 21.2×
0683
RC 		6 $1,104.00 $1,350.00 $1,200.00 nat. median
$3,396
outlier · 0.4×
70486
CPT 		CT Sinus Without 8 $1,080.45 $1,321.20 $1,174.40 nat. median
$478
outlier · 2.5×
74150
CPT 		CT Abdomen Without Contrast 6 $1,080.45 $1,321.20 $1,174.40 nat. median
$448
outlier · 2.6×
71250
CPT 		CT Chest Without Contrast 7 $1,080.45 $1,321.20 $1,174.40 nat. median
$465
outlier · 2.5×
71275
CPT 		CT Chest Angiography/pe Protoc 6 $1,080.45 $1,321.20 $1,174.40 nat. median
$754
1.6× median
73200
CPT 		CT Upper Extrem Without Contrast 7 $131.99 $1,321.20 $1,174.40 nat. median
$521
outlier · 2.3×
72192
CPT 		CT Pelvis Without Contrast 7 $1,080.45 $1,321.20 $1,174.40 nat. median
$459
outlier · 2.6×
72131
CPT 		CT L-spine Without Contrast 7 $1,080.45 $1,321.20 $1,174.40 nat. median
$457
outlier · 2.6×
73700
CPT 		CT Lower Extrem Without Contrast 10 $1,080.45 $1,326.92 $1,174.40 nat. median
$500
outlier · 2.3×
72125
CPT 		CT Soft Tissue Neck Without Contra 10 $1,080.45 $1,321.20 $1,160.64 nat. median
$472
outlier · 2.5×
74177
CPT 		CT Abdomen/Pelvis With Contrast 10 $270.01 $1,321.20 $1,130.36 nat. median
$974
1.2× median
73701
CPT 		CT Lower Extrem W/contrast 6 $1,037.76 $1,269.00 $1,128.00 nat. median
$671
1.7× median
70482
CPT 		CT Orbit Sella P Fossa W/without 6 $1,036.29 $1,267.20 $1,126.40 nat. median
$656
1.7× median
70450
CPT 		CT Head/brain Without Contrast 10 $94.25 $1,350.90 $1,123.20 nat. median
$450
outlier · 2.5×
73202
CPT 		CT Upper Extrem W/without Contrast 6 $969.31 $1,185.30 $1,053.60 nat. median
$711
1.5× median
72128
CPT 		CT T-spine Without Contrast 6 $960.48 $1,174.50 $1,044.00 nat. median
$458
outlier · 2.3×
27810
CPT 		Pf Treatment Ankle Fx 6 $920.00 $1,125.00 $1,000.00 nat. median
$1,642
0.6× median
70498
CPT 		CT Angiography Neck-carotids 6 $910.43 $1,113.30 $989.60 nat. median
$739
1.3× median
70487
CPT 		CT Maxillofacial With Contrast 6 $901.60 $1,102.50 $980.00 nat. median
$605
1.6× median
99285
CPT 		ER Level 5 15 $50.00 $1,300.00 $973.44 nat. median
$1,186
0.8× median
70481
CPT 		CT Orbit,sella,p Fossa W/contr 6 $864.06 $1,056.60 $939.20 nat. median
$627
1.5× median
70491
CPT 		CT Softis Neck W/contrast 6 $864.06 $1,056.60 $939.20 nat. median
$627
1.5× median
73201
CPT 		CT Upper Extrem W/contrast 6 $808.13 $988.20 $878.40 nat. median
$804
1.1× median
87507
CPT 		Gi Profile, Stool Pcr 6 $780.16 $954.00 $848.00 nat. median
$549
1.5× median
70480
CPT 		CT Orbit,sella,p Fossa Without 6 $750.72 $918.00 $816.00 nat. median
$476
1.7× median
81257
CPT 		Alpha Globin DNA Panel 6 $750.72 $918.00 $816.00 nat. median
$141
outlier · 5.8×
11000001
CDM 		Inpatient Room 2 $673.44 $850.00 $761.72 nat. median
$1,400
0.5× median
A0433
HCPCS 		Als, Level 2 Transport 7 $691.84 $846.00 $752.00 nat. median
$1,082
0.7× median
59409
CPT 		Vaginal Delivery Only 6 $741.37 $741.37 $741.37 nat. median
$3,153
outlier · 0.2×
32160
CPT 		Thoracotomy W/cardiac Massage 6 $737.95 $737.95 $737.95 nat. median
$2,130
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 938 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
             
0120 RC — 17 6 $350.00 $262.50 25% off $257.60 $360.00 $308.00 2026-08-01
0683 RC — 9 6 $1,500.00 $1,125.00 25% off $1,104.00 $1,350.00 $1,200.00 2026-08-01
10061 CPT Inc & Drainage On Back 18 6 $567.50 $425.62 25% off $204.32 $660.60 $372.27 2026-08-01
10080 CPT I&d Pilonidal Cyst 9 6 $250.00 $187.50 25% off $238.84 $238.84 $238.84 2026-08-01
10120 CPT Incision Removal Foreign Body Subq Tiss 18 6 $495.50 $371.62 25% off $145.33 $660.60 $342.77 2026-08-01
10121 CPT Incision/removal Foreign Body 9 6 $531.00 $398.25 25% off $251.57 $251.57 $251.57 2026-08-01
10160 CPT Pf Puncture Aspiration 9 6 $400.00 $300.00 25% off $368.00 $450.00 $400.00 2026-08-01
11000001 CDM Inpatient Room 4 2 $915.00 $686.25 25% off $673.44 $850.00 $761.72 2026-02-10
11042 CPT Debridement Subcutaneous Tissue 20 Cm /< 18 6 $492.00 $369.00 25% off $123.46 $660.60 $331.84 2026-08-01
11043 CPT Debridement Muscle Fascia 9 6 $312.00 $234.00 25% off $220.39 $220.39 $220.39 2026-08-01
11044 CPT Debridement Bone Muscle 9 6 $319.00 $239.25 25% off $294.08 $294.08 $294.08 2026-08-01
11402 CPT Excis(ben) 1.1-2.0cm Trk,arms 9 6 $460.00 $345.00 25% off $164.21 $164.21 $164.21 2026-08-01
11403 CPT Excis(ben) 2.1-3.0cm Trk,arms 9 6 $460.00 $345.00 25% off $188.91 $188.91 $188.91 2026-08-01
11406 CPT Excis(ben)over 4.0cm Trnk,legs 9 6 $1,070.00 $802.50 25% off $302.84 $302.84 $302.84 2026-08-01
11423 CPT Excis(bgn)2.1-3.0cm Scp,nk,hds 9 6 $436.00 $327.00 25% off $195.96 $195.96 $195.96 2026-08-01
11426 CPT Escis(bgn)over 4.0cm Scp,nk,hd 9 6 $1,900.00 $1,425.00 25% off $311.46 $311.46 $311.46 2026-08-01
11441 CPT Excis(bngn)0.6-1.0cm Face Eye 9 6 $460.00 $345.00 25% off $166.39 $166.39 $166.39 2026-08-01
11442 CPT Excis(bgn) 1.1-3.0cm Face,eye 9 6 $460.00 $345.00 25% off $184.63 $184.63 $184.63 2026-08-01
11443 CPT Excis(bgn)2.1-3.0cm Face,eye 9 6 $1,070.00 $802.50 25% off $217.33 $217.33 $217.33 2026-08-01
11444 CPT Excis(ben)3.1-4.0cm Face,eye 9 6 $1,070.00 $802.50 25% off $269.55 $269.55 $269.55 2026-08-01
11602 CPT Excis(malgnt)1.1-2.0cmtrk,arm 9 6 $433.00 $324.75 25% off $233.37 $233.37 $233.37 2026-08-01
11603 CPT Excis(mlgnt)2.1-3.0cm Trk,arm 9 6 $478.00 $358.50 25% off $265.35 $265.35 $265.35 2026-08-01
11621 CPT Exc(mlgnt)0.6-1.0cm Scp,nk,hd, 9 6 $460.00 $345.00 25% off $218.61 $218.61 $218.61 2026-08-01
11642 CPT Excis(mlgn)1.1-2.0cm Face,ear 9 6 $546.00 $409.50 25% off $255.45 $255.45 $255.45 2026-08-01
11643 CPT Excis(mlgnt)2.1-3.0cm Face,ear 9 6 $1,070.00 $802.50 25% off $299.38 $299.38 $299.38 2026-08-01
11730 CPT Avulsion Nail Plate 18 6 $302.50 $226.88 25% off $109.73 $359.10 $201.69 2026-08-01
11760 CPT Repair Nail Bed 9 6 $415.00 $311.25 25% off $176.03 $176.03 $176.03 2026-08-01
12005 CPT Lac R-simp12-6-20.0cm Scl 9 6 $554.00 $415.50 25% off $167.71 $167.71 $167.71 2026-08-01
12006 CPT Lac Rpr-simple 12-6=20.0cm 18 6 $511.40 $383.55 25% off $193.44 $562.50 $326.72 2026-08-01
12015 CPT Lac-simple 7.5-12.5cm Face Lip 9 6 $441.00 $330.75 25% off $162.94 $162.94 $162.94 2026-08-01
12016 CPT Lac-simple 12.6-20.0cm Face, 9 6 $569.70 $427.28 25% off $206.41 $206.41 $206.41 2026-08-01
12031 CPT Lac R-intr>2.5 Sclp,trk. 18 6 $282.00 $211.50 25% off $111.14 $250.48 $193.19 2026-08-01
12032 CPT Lac R-intm 2.6-7.5 Sclp,t 18 6 $336.00 $252.00 25% off $123.65 $289.47 $220.34 2026-08-01
12034 CPT Lac Rpr-interm 7.6-12.5cm Slcp 9 6 $571.00 $428.25 25% off $318.44 $318.44 $318.44 2026-08-01
12035 CPT Lac R-intm 12.6-20.0cm Slcp 9 6 $620.00 $465.00 25% off $369.21 $369.21 $369.21 2026-08-01
12036 CPT Rpr Intermediate 20.1-30.0cm 9 6 $652.00 $489.00 25% off $410.35 $410.35 $410.35 2026-08-01
12041 CPT Lac Interm->2.5 Cm Neck,hands 18 6 $221.30 $165.97 25% off $111.14 $251.08 $193.49 2026-08-01
12042 CPT Lac R-intm2.6-7.5cm Nck 18 6 $543.50 $407.62 25% off $295.32 $486.00 $346.38 2026-08-01
12044 CPT Lac R-intm7.6-12.5cm Nk,hds,ft 18 6 $395.50 $296.62 25% off $142.05 $363.97 $268.84 2026-08-01
12045 CPT Lac Interm-12.6-20.0cm Neck,hn 9 6 $535.50 $401.63 25% off $392.09 $392.09 $392.09 2026-08-01
12051 CPT Lac R-intm>2.5 Face,ear 18 6 $339.50 $254.62 25% off $116.29 $269.89 $206.04 2026-08-01
12052 CPT Lac R-intm2.6-5.0cm Face 18 6 $356.50 $267.38 25% off $123.65 $300.30 $225.75 2026-08-01
12053 CPT Lac R-intm5.1-7.5cm Face 9 6 $592.00 $444.00 25% off $345.85 $345.85 $345.85 2026-08-01
12054 CPT Lac Interm-7.6-12.5cm Face Ear 18 6 $638.83 $479.12 25% off $363.58 $642.83 $444.63 2026-08-01
12055 CPT Lac Interm-20.1-30.0cm Face,ea 9 6 $940.50 $705.38 25% off $477.06 $477.06 $477.06 2026-08-01
12057 CPT Lac Interm-over 30.0cm 18 6 $1,105.20 $828.90 25% off $573.99 $1,020.60 $704.31 2026-08-01
13100 CPT Lac Complex-1.1-2.5cm Trunk 18 6 $479.00 $359.25 25% off $252.45 $323.67 $316.19 2026-08-01
13101 CPT Lac-complex 2.6-7.5cm Trunk 9 6 $711.00 $533.25 25% off $376.97 $376.97 $376.97 2026-08-01
13120 CPT Lac Complx-1.1-2.5cm Scalp/ext 18 6 $433.50 $325.12 25% off $165.60 $337.27 $269.88 2026-08-01
13121 CPT Lac Complex 2.6-7.5cm Scal/arm 18 6 $525.50 $394.12 25% off $206.08 $403.81 $327.90 2026-08-01
13131 CPT Lac Complx-2.6-7.5 Face,nck,hn 18 6 $469.00 $351.75 25% off $165.60 $368.50 $285.50 2026-08-01
13132 CPT Lac Complex-2.6-7.5cm Face 18 6 $692.00 $519.00 25% off $290.72 $446.74 $401.12 2026-08-01
13133 CPT Rpr Complex Face/neck/head Addl 5cm 18 6 $292.00 $219.00 25% off $158.95 $201.60 $161.91 2026-08-01
13151 CPT Lac Complex 1.1-2.5cm Eye,lip 18 6 $827.00 $620.25 25% off $401.20 $678.60 $478.07 2026-08-01
13152 CPT Lac Complex-2.6-7.5cm Eye,lip 9 6 $1,145.00 $858.75 25% off $470.96 $470.96 $470.96 2026-08-01
13153 CPT Rpr Compx Eye/nose/lip/ear Addl 5 Cm 9 6 $414.00 $310.50 25% off $174.37 $174.37 $174.37 2026-08-01
16025 CPT Burn Care Medium 18 6 $258.50 $193.88 25% off $149.30 $312.30 $202.34 2026-08-01
16030 CPT Burn Care Large 18 6 $323.50 $242.62 25% off $186.69 $357.30 $239.44 2026-08-01
17004 CPT Destruction 15 Or More Lesions 9 6 $454.50 $340.88 25% off $159.69 $159.69 $159.69 2026-08-01
20605 CPT Arthrocentesis Intermediate Joint 18 6 $389.00 $291.75 25% off $52.38 $520.20 $238.90 2026-08-01
23330 CPT Removal Foreign Body Shoulder 9 6 $800.00 $600.00 25% off $287.38 $287.38 $287.38 2026-08-01
23505 CPT Clsd Tx Clavicular Fx W Manipulation 9 6 $1,035.00 $776.25 25% off $353.41 $353.41 $353.41 2026-08-01
23605 CPT Cltx Prox Humeral Fx 9 6 $1,400.00 $1,050.00 25% off $459.38 $459.38 $459.38 2026-08-01
23650 CPT Clsd Tx Shoulder Dislc W Mani Without Anes 18 6 $306.21 $229.66 25% off $179.58 $327.51 $273.56 2026-08-01
24200 CPT Removal Fb Upper Arm 9 6 $1,070.00 $802.50 25% off $209.81 $209.81 $209.81 2026-08-01
24600 CPT Trt Closed Elbow Dislocation 9 6 $545.00 $408.75 25% off $369.79 $369.79 $369.79 2026-08-01
24655 CPT Clsd Tx Radial Head/neck Fx 18 6 $420.00 $315.00 25% off $294.40 $440.00 $400.00 2026-08-01
25505 CPT Clsd Fx Reduction Radius 9 6 $500.00 $375.00 25% off $497.75 $497.75 $497.75 2026-08-01
25565 CPT Clsd Tx Rad/ulnar Shaft Fx 9 6 $1,320.00 $990.00 25% off $506.86 $506.86 $506.86 2026-08-01
25605 CPT Fx/dislocation Of Radius 9 6 $300.00 $225.00 25% off $300.00 $300.00 $300.00 2026-08-01
26010 CPT Drainage Finger Abscess 18 6 $305.50 $229.12 25% off $213.00 $358.20 $252.97 2026-08-01
26418 CPT Rpr Extensor Tendon Finger Without Graft 9 6 $1,190.00 $892.50 25% off $601.11 $601.11 $601.11 2026-08-01
26600 CPT Closed Reduc/metacarpal Bone 9 6 $205.89 $154.42 25% off $205.89 $205.89 $205.89 2026-08-01
26605 CPT Cltx Metacarpal Fx 18 6 $294.00 $220.50 25% off $193.57 $325.00 $280.85 2026-08-01
26700 CPT Cltx Metacarpophalangeal Disclocation 9 6 $408.00 $306.00 25% off $334.39 $334.39 $334.39 2026-08-01
26725 CPT Phalangeal Fx With Manipulation 9 6 $831.00 $623.25 25% off $336.99 $336.99 $336.99 2026-08-01
26755 CPT Treatment Closed Distal Fracture 9 6 $852.00 $639.00 25% off $314.99 $314.99 $314.99 2026-08-01
26770 CPT Interphalangeal Jt Dislcoation 18 6 $482.00 $361.50 25% off $285.52 $597.60 $387.11 2026-08-01
27250 CPT Dislocated Hip Reduction 9 6 $750.00 $562.50 25% off $166.53 $166.53 $166.53 2026-08-01
27256 CPT Dislocated Spontaneous Hip Reduction 9 6 $454.00 $340.50 25% off $300.99 $300.99 $300.99 2026-08-01
27510 CPT Cltx Fem Fx Dstl End Media/lat 9 6 $445.00 $333.75 25% off $445.00 $445.00 $445.00 2026-08-01
27550 CPT Clsd Tx Knee Dislocation 9 6 $1,500.00 $1,125.00 25% off $496.58 $496.58 $496.58 2026-08-01
27560 CPT Trt Patellar Dislocation 9 6 $938.00 $703.50 25% off $366.80 $366.80 $366.80 2026-08-01
27810 CPT Pf Treatment Ankle Fx 9 6 $1,075.00 $806.25 25% off $920.00 $1,125.00 $1,000.00 2026-08-01
27818 CPT Cltx Trimalleolar Ankle Fx 9 6 $422.00 $316.50 25% off $422.00 $422.00 $422.00 2026-08-01
27840 CPT Closed Tx Ankle Dislocation 9 6 $185.00 $138.75 25% off $185.00 $185.00 $185.00 2026-08-01
28190 CPT Removal Foreign Body Foot Subcutaneous 9 6 $768.00 $576.00 25% off $228.86 $228.86 $228.86 2026-08-01
28475 CPT Closed Fx Reduction Metatarsal 9 6 $260.00 $195.00 25% off $254.07 $254.07 $254.07 2026-08-01
28495 CPT Cltx Fx Reduction Great Toe 9 6 $180.00 $135.00 25% off $176.04 $176.04 $176.04 2026-08-01
28515 CPT Cltx Fx Phlx/phlg Oth Thn Grt Toe 9 6 $299.00 $224.25 25% off $161.51 $161.51 $161.51 2026-08-01
29105 CPT Application Long Arm Splint 18 6 $252.50 $189.38 25% off $79.94 $288.00 $157.73 2026-08-01
29705 CPT Removal Of Cast (short) 9 6 $200.00 $150.00 25% off $147.20 $180.00 $160.00 2026-08-01
30300 CPT Removal Foreign Body Intranasal 18 6 $227.50 $170.62 25% off $89.06 $200.91 $154.91 2026-08-01
30901 CPT Control Nasal Hemorrh. 18 6 $204.50 $153.38 25% off $148.53 $224.10 $165.89 2026-08-01
30903 CPT Control Nasal Hemorrhage Anterior Complx 18 6 $475.00 $356.25 25% off $231.52 $472.50 $308.96 2026-08-01
30905 CPT Ctrl Nsl Hemrrg Pst Nasal Packs/cautery 18 6 $722.25 $541.69 25% off $332.52 $675.00 $442.26 2026-08-01
31500 CPT Endotracheal Intubation 22 8 $300.00 $225.00 25% off $130.55 $675.00 $380.14 2026-08-01
31605 CPT Tracheostomy Cricothyroid Membrane 9 6 $992.00 $744.00 25% off $304.67 $304.67 $304.67 2026-08-01
32110 CPT Thoracotomy 9 6 $1,470.00 $1,102.50 25% off $1,359.81 $1,359.81 $1,359.81 2026-08-01
32160 CPT Thoracotomy W/cardiac Massage 9 6 $800.00 $600.00 25% off $737.95 $737.95 $737.95 2026-08-01
32551 CPT Thoracostomy Tube 18 6 $594.38 $445.78 25% off $143.25 $601.88 $317.73 2026-08-01
32554 CPT Thoracentesis 9 6 $517.00 $387.75 25% off $222.07 $222.07 $222.07 2026-08-01
32555 CPT Thoracentesis Needle Cath With Imaging 9 6 $849.00 $636.75 25% off $296.55 $296.55 $296.55 2026-08-01
36010 CPT Insertation Central Line 9 6 $500.00 $375.00 25% off $500.00 $500.00 $500.00 2026-08-01
36430 CPT Transfusion 9 6 $900.00 $675.00 25% off $662.40 $810.00 $720.00 2026-08-01
36555 CPT Central Line <5 Years 9 6 $235.00 $176.25 25% off $177.57 $177.57 $177.57 2026-08-01
36556 CPT Central Line >5 Years 9 6 $235.00 $176.25 25% off $200.92 $200.92 $200.92 2026-08-01
40801 CPT Drain Mouth Lesion; Complicated 9 6 $400.00 $300.00 25% off $368.00 $450.00 $400.00 2026-08-01
40810 CPT Excision Les.mucosa And Sub 9 6 $1,800.00 $1,350.00 25% off $206.95 $206.95 $206.95 2026-08-01
41250 CPT Rpr Laceration Mth/tng < 2.5cm 9 6 $685.00 $513.75 25% off $269.33 $269.33 $269.33 2026-08-01
41252 CPT Rpr Laceration Tng/mth >2.5cm 9 6 $800.00 $600.00 25% off $309.83 $309.83 $309.83 2026-08-01
41800 CPT Drainage Of Gum Lesion 18 6 $531.00 $398.25 25% off $277.53 $477.90 $334.17 2026-08-01
42700 CPT I/d Abscess; Peritonsillar 9 6 $315.00 $236.25 25% off $368.00 $450.00 $400.00 2026-08-01
42809 CPT Removal Foreign Body Pharynx 9 6 $592.00 $444.00 25% off $197.62 $197.62 $197.62 2026-08-01
43752 CPT Naso Or Oro Gastrtic Tube Placmnt 9 6 $155.00 $116.25 25% off $184.00 $225.00 $200.00 2026-08-01
46050 CPT I&d Perianal Abscess 18 6 $780.00 $585.00 25% off $225.22 $900.00 $480.61 2026-08-01
46320 CPT Excision-external Hemorrhoid 18 6 $420.00 $315.00 25% off $100.00 $666.00 $322.32 2026-08-01
46608 CPT Anoscopy With Foreign Body Removal 9 6 $250.00 $187.50 25% off $250.00 $250.00 $250.00 2026-08-01
49082 CPT Abdominal Paracentesis 9 6 $200.00 $150.00 25% off $200.00 $200.00 $200.00 2026-08-01
49083 CPT Abdominal Paracentesis With Imaging 9 6 $300.00 $225.00 25% off $276.26 $276.26 $276.26 2026-08-01
51705 CPT Change Cystostomy Tube 9 6 $212.50 $159.38 25% off $220.80 $270.00 $240.00 2026-08-01
55100 CPT Drainage Scrotal Wall Abscess 9 6 $643.00 $482.25 25% off $220.27 $220.27 $220.27 2026-08-01
56405 CPT I&d Vulva/perineal Abs 9 6 $356.50 $267.38 25% off $292.93 $358.20 $318.40 2026-08-01
56420 CPT I&d Bartholins Gland Abscess 9 6 $272.00 $204.00 25% off $177.87 $177.87 $177.87 2026-08-01
59409 CPT Vaginal Delivery Only 9 6 $3,600.00 $2,700.00 25% off $741.37 $741.37 $741.37 2026-08-01
64400 CPT Nerve Block Dental 18 6 $464.00 $348.00 25% off $107.59 $520.20 $266.50 2026-08-01
64405 CPT Inj Aneth And/or Steroid Gr Occipital Ne 18 6 $975.00 $731.25 25% off $70.98 $990.00 $440.29 2026-08-01
64450 CPT Digital /other Nerve Block 18 6 $334.50 $250.88 25% off $71.49 $387.00 $193.99 2026-08-01
67938 CPT Rmvl Embedded Foreign Body Eyelid 9 6 $194.00 $145.50 25% off $194.00 $194.00 $194.00 2026-08-01
70100 CPT Mandible / Maxilla 9 6 $233.00 $174.75 25% off $171.49 $209.70 $186.40 2026-08-01
70150 CPT Facial Bones Complete 9 6 $283.00 $212.25 25% off $208.29 $254.70 $226.40 2026-08-01
70160 CPT Nose Comp Min 2 Views 9 6 $196.00 $147.00 25% off $144.26 $176.40 $156.80 2026-08-01
70220 CPT Sinuses Comp Min 3 Views 9 6 $270.00 $202.50 25% off $198.72 $243.00 $216.00 2026-08-01
70250 CPT Skull 2 Views 9 6 $208.00 $156.00 25% off $153.09 $187.20 $166.40 2026-08-01
70260 CPT Skull Series Min 3 Views 9 6 $233.00 $174.75 25% off $171.49 $209.70 $186.40 2026-08-01
70450 CPT CT Head/brain Without Contrast 17 10 $1,501.00 $1,125.75 25% off $94.25 $1,350.90 $1,123.20 2026-08-01
70460 CPT CT Head/brain W/contrast 9 6 $1,806.00 $1,354.50 25% off $1,329.22 $1,625.40 $1,444.80 2026-08-01
70470 CPT CT Head/brain W/without Contrast 9 6 $1,858.00 $1,393.50 25% off $1,367.49 $1,672.20 $1,486.40 2026-08-01
70480 CPT CT Orbit,sella,p Fossa Without 9 6 $1,020.00 $765.00 25% off $750.72 $918.00 $816.00 2026-08-01
70481 CPT CT Orbit,sella,p Fossa W/contr 9 6 $1,174.00 $880.50 25% off $864.06 $1,056.60 $939.20 2026-08-01
70482 CPT CT Orbit Sella P Fossa W/without 9 6 $1,408.00 $1,056.00 25% off $1,036.29 $1,267.20 $1,126.40 2026-08-01
70486 CPT CT Sinus Without 13 8 $1,468.00 $1,101.00 25% off $1,080.45 $1,321.20 $1,174.40 2026-08-01
70487 CPT CT Maxillofacial With Contrast 9 6 $1,225.00 $918.75 25% off $901.60 $1,102.50 $980.00 2026-08-01
70491 CPT CT Softis Neck W/contrast 9 6 $1,174.00 $880.50 25% off $864.06 $1,056.60 $939.20 2026-08-01
70492 CPT CT Softis Neck W/without Contrast 9 6 $2,709.00 $2,031.75 25% off $1,993.82 $2,438.10 $2,167.20 2026-08-01
70496 CPT CT Angiography Head 9 6 $576.00 $432.00 25% off $423.94 $518.40 $460.80 2026-08-01
70498 CPT CT Angiography Neck-carotids 9 6 $1,237.00 $927.75 25% off $910.43 $1,113.30 $989.60 2026-08-01
71045 CPT Xr Chest 1v 23 13 $225.00 $168.75 25% off $109.09 $176.40 $165.60 2026-08-01
71046 CPT Chest 2 Views 17 10 $237.00 $177.75 25% off $174.43 $249.00 $213.30 2026-08-01
71101 CPT Ribs With Pa Chest Lt 2 1 $472.00 $354.00 25% off $383.92 $383.92 $383.92 2026-02-10
71110 CPT Ribs 1 Side 3 Views 9 6 $289.00 $216.75 25% off $212.70 $260.10 $231.20 2026-08-01
71111 CPT Ris-bil Min 4 Views 9 6 $366.00 $274.50 25% off $269.38 $329.40 $292.80 2026-08-01
71250 CPT CT Chest Without Contrast 11 7 $1,468.00 $1,101.00 25% off $1,080.45 $1,321.20 $1,174.40 2026-08-01
71260 CPT CT Thorax W/contrast 15 9 $1,806.00 $1,354.50 25% off $1,329.22 $1,625.40 $1,444.80 2026-08-01
71270 CPT CT Chest W/wo Contrast 9 6 $1,609.00 $1,206.75 25% off $1,184.22 $1,448.10 $1,287.20 2026-08-01
71271 CPT CT Low Dose Lung Cancer Screening; Without 9 6 $3,200.00 $2,400.00 25% off $2,355.20 $2,880.00 $2,560.00 2026-08-01
71275 CPT CT Chest Angiography/pe Protoc 9 6 $1,468.00 $1,101.00 25% off $1,080.45 $1,321.20 $1,174.40 2026-08-01
72040 CPT Spine Cervical 3 Views 13 8 $235.00 $176.25 25% off $172.96 $221.94 $206.80 2026-08-01
72050 CPT Spine Cervical 9 6 $368.00 $276.00 25% off $270.85 $331.20 $294.40 2026-08-01
72070 CPT Spine Dorsal 2 View 9 6 $235.00 $176.25 25% off $172.96 $211.50 $188.00 2026-08-01
72100 CPT Spine Lumbar 2 Views 13 8 $229.00 $171.75 25% off $168.54 $285.39 $201.52 2026-08-01
72110 CPT Spine Lumbar Comp 9 6 $386.00 $289.50 25% off $284.10 $347.40 $308.80 2026-08-01
72125 CPT CT Soft Tissue Neck Without Contra 17 10 $1,468.00 $1,101.00 25% off $1,080.45 $1,321.20 $1,160.64 2026-08-01
72128 CPT CT T-spine Without Contrast 9 6 $1,305.00 $978.75 25% off $960.48 $1,174.50 $1,044.00 2026-08-01
72131 CPT CT L-spine Without Contrast 11 7 $1,468.00 $1,101.00 25% off $1,080.45 $1,321.20 $1,174.40 2026-08-01
72133 CPT CT L-spine W/without Contrast 9 6 $1,617.00 $1,212.75 25% off $1,190.11 $1,455.30 $1,293.60 2026-08-01
72191 CPT CTA Pelvis 9 6 $2,800.00 $2,100.00 25% off $2,060.80 $2,520.00 $2,240.00 2026-08-01
72192 CPT CT Pelvis Without Contrast 11 7 $1,468.00 $1,101.00 25% off $1,080.45 $1,321.20 $1,174.40 2026-08-01
72220 CPT Coccyx 1 View Rt 9 6 $196.00 $147.00 25% off $144.26 $176.40 $156.80 2026-08-01
73030 CPT Xr Shoulder 2v Rt 19 11 $300.00 $225.00 25% off $109.09 $248.02 $198.00 2026-08-01
73040 CPT Shoulder 3 Veiws 9 6 $360.00 $270.00 25% off $264.96 $324.00 $288.00 2026-08-01
73060 CPT Humerous 2 Views Rt 11 7 $204.00 $153.00 25% off $150.14 $221.24 $163.20 2026-08-01
73110 CPT Wrist Comp Min 3 Views 15 9 $208.00 $156.00 25% off $35.84 $224.64 $166.40 2026-08-01
73130 CPT Hand 3 Views 15 9 $187.00 $140.25 25% off $137.63 $224.64 $168.30 2026-08-01
73200 CPT CT Upper Extrem Without Contrast 11 7 $1,468.00 $1,101.00 25% off $131.99 $1,321.20 $1,174.40 2026-08-01
73201 CPT CT Upper Extrem W/contrast 9 6 $1,098.00 $823.50 25% off $808.13 $988.20 $878.40 2026-08-01
73202 CPT CT Upper Extrem W/without Contrast 9 6 $1,317.00 $987.75 25% off $969.31 $1,185.30 $1,053.60 2026-08-01
73206 CPT CTA Upper Extremity 9 6 $2,000.00 $1,500.00 25% off $1,472.00 $1,800.00 $1,600.00 2026-08-01
73502 CPT Hip 2 Veiws 9 6 $211.00 $158.25 25% off $155.30 $189.90 $168.80 2026-08-01
73521 CPT Xray Hips; Bilateral 9 6 $358.00 $268.50 25% off $263.49 $322.20 $286.40 2026-08-01
73551 CPT Femur 1 View Rt 9 6 $208.00 $156.00 25% off $153.09 $187.20 $166.40 2026-08-01
73552 CPT Femur 2 Views 9 6 $208.00 $156.00 25% off $153.09 $187.20 $166.40 2026-08-01
73564 CPT Knee Comp Incl Patellar 9 6 $282.00 $211.50 25% off $207.55 $253.80 $225.60 2026-08-01
73590 CPT Leg 2 Views 11 7 $208.00 $156.00 25% off $153.09 $208.00 $166.40 2026-08-01
73610 CPT Amk;e Series Rt 15 9 $214.00 $160.50 25% off $157.50 $264.35 $192.60 2026-08-01
73700 CPT CT Lower Extrem Without Contrast 17 10 $1,468.00 $1,101.00 25% off $1,080.45 $1,326.92 $1,174.40 2026-08-01
73701 CPT CT Lower Extrem W/contrast 9 6 $1,410.00 $1,057.50 25% off $1,037.76 $1,269.00 $1,128.00 2026-08-01
73702 CPT CT Lower Extrem W/without Contrast 9 6 $1,690.00 $1,267.50 25% off $1,243.84 $1,521.00 $1,352.00 2026-08-01
73706 CPT Angiography Lower Ex-do Notuse 11 7 $863.00 $647.25 25% off $635.17 $2,103.21 $690.40 2026-08-01
74019 CPT Abdomen-2 Views 9 6 $247.00 $185.25 25% off $181.79 $222.30 $197.60 2026-08-01
74021 CPT Abdomen-3 Views 9 6 $340.00 $255.00 25% off $250.24 $306.00 $272.00 2026-08-01
74150 CPT CT Abdomen Without Contrast 9 6 $1,468.00 $1,101.00 25% off $1,080.45 $1,321.20 $1,174.40 2026-08-01
74160 CPT CT Abdomen W/contrast 9 6 $1,806.00 $1,354.50 25% off $1,329.22 $1,625.40 $1,444.80 2026-08-01
74170 CPT CT Abdomen W/without Contrast 9 6 $2,709.00 $2,031.75 25% off $1,993.82 $2,438.10 $2,167.20 2026-08-01
74174 CPT CTA Abdomen/Pelvis 9 6 $2,500.00 $1,875.00 25% off $1,840.00 $2,250.00 $2,000.00 2026-08-01
74175 CPT CTA Abdomen 9 6 $2,100.00 $1,575.00 25% off $1,545.60 $1,890.00 $1,680.00 2026-08-01
74176 CPT CT Abdomen/Pelvis Without Contrast 17 10 $1,468.00 $1,101.00 25% off $1,080.45 $1,321.20 $1,281.10 2026-08-01
74177 CPT CT Abdomen/Pelvis With Contrast 17 10 $1,468.00 $1,101.00 25% off $270.01 $1,321.20 $1,130.36 2026-08-01
74178 CPT Pelvis/abdomen W/without Contrast 11 7 $2,418.00 $1,813.50 25% off $1,779.65 $2,176.20 $1,934.40 2026-08-01
75635 CPT CT Aorta-ileofemoral 9 6 $914.00 $685.50 25% off $672.70 $822.60 $731.20 2026-08-01
76536 CPT Thyroid, Ultra Sound 9 6 $501.00 $375.75 25% off $368.74 $450.90 $400.80 2026-08-01
76604 CPT Chest, Ultra Sound 9 6 $414.00 $310.50 25% off $304.70 $372.60 $331.20 2026-08-01
76700 CPT Abdominal Complete, Ultra Sound 9 6 $481.00 $360.75 25% off $354.02 $432.90 $384.80 2026-08-01
76705 CPT Abdominal Limit, Ultra Sound 9 6 $359.00 $269.25 25% off $264.22 $323.10 $287.20 2026-08-01
76706 CPT US Aaa Abdom Aorta For Aneurysm 9 6 $400.00 $300.00 25% off $294.40 $360.00 $320.00 2026-08-01
76770 CPT Kidney, Ultra Sound 9 6 $359.00 $269.25 25% off $264.22 $323.10 $287.20 2026-08-01
76815 CPT OB Limit 9 6 $300.00 $225.00 25% off $220.80 $270.00 $240.00 2026-08-01
76856 CPT Pelvic, Ultra Sound 11 7 $416.00 $312.00 25% off $68.65 $374.40 $332.80 2026-08-01
76857 CPT Bladder, Ultra Sound 9 6 $450.00 $337.50 25% off $331.20 $405.00 $360.00 2026-08-01
77078 CPT CT Qct Bmd Survey 13 8 $282.00 $211.50 25% off $180.57 $253.80 $217.14 2026-08-01
80048 CPT Basic Metabolic Panel 15 9 $220.00 $165.00 25% off $161.92 $198.00 $169.40 2026-08-01
80050 CPT Panel: General Health 9 6 $495.00 $371.25 25% off $364.32 $445.50 $396.00 2026-08-01
80053 CPT Cmp Lab 33 18 $259.00 $194.25 25% off $8.87 $259.00 $199.43 2026-08-01
80074 CPT Panel: Hepatitis Abc Acute 11 7 $259.00 $194.25 25% off $190.62 $330.69 $207.20 2026-08-01
80076 CPT Hepatic Function Panel 13 8 $280.00 $210.00 25% off $69.27 $252.00 $215.60 2026-08-01
80321 CPT Phosphatidylethanol 2 1 $280.00 $210.00 25% off $227.75 $227.75 $227.75 2026-02-10
80324 CPT Methamphetamine Conf; Whole Blood 9 6 $446.00 $334.50 25% off $328.26 $401.40 $356.80 2026-08-01
80354 CPT Fentanyl & Metabolite 9 6 $215.00 $161.25 25% off $158.24 $193.50 $172.00 2026-08-01
81256 CPT Hemochrom Hered DNA 9 6 $300.00 $225.00 25% off $220.80 $270.00 $240.00 2026-08-01
81257 CPT Alpha Globin DNA Panel 9 6 $1,020.00 $765.00 25% off $750.72 $918.00 $816.00 2026-08-01
81270 CPT Jak 2 Mutation Analysis 9 6 $580.00 $435.00 25% off $426.88 $522.00 $464.00 2026-08-01
82157 CPT Androstenedione 9 6 $218.00 $163.50 25% off $160.45 $196.20 $174.40 2026-08-01
82306 CPT Vitamin D 25-hydr Lab 25 14 $225.00 $168.75 25% off $25.61 $280.80 $167.58 2026-08-01
82530 CPT Cortisol Free 9 6 $300.00 $225.00 25% off $220.80 $270.00 $240.00 2026-08-01
82656 CPT Pancreatic Elastase, Fecal 9 6 $309.00 $231.75 25% off $227.42 $278.10 $247.20 2026-08-01
82803 CPT Gases, Blood Any Combination 11 7 $259.00 $194.25 25% off $190.62 $233.10 $207.20 2026-08-01
83013 CPT H Pylori Breath Test 9 6 $302.00 $226.50 25% off $222.27 $271.80 $241.60 2026-08-01
83497 CPT 5 Hiaa Urine 9 6 $215.00 $161.25 25% off $158.24 $193.50 $172.00 2026-08-01
83527 CPT Free Insulin Assay 9 6 $270.00 $202.50 25% off $198.72 $243.00 $216.00 2026-08-01
83880 CPT Bnp Triage 21 12 $250.00 $187.50 25% off $53.79 $196.00 $174.60 2026-08-01
83993 CPT Calprotectin, Stool 9 6 $260.00 $195.00 25% off $191.36 $234.00 $208.00 2026-08-01
84145 CPT Procalcitonin 9 6 $530.00 $397.50 25% off $390.08 $477.00 $424.00 2026-08-01
84154 CPT Psa Free 9 6 $198.00 $148.50 25% off $145.73 $178.20 $158.40 2026-08-01
84402 CPT Free Testosterone 9 6 $236.00 $177.00 25% off $173.70 $212.40 $188.80 2026-08-01
84445 CPT Tsi Thyroid Stimulating Immglo 9 6 $417.00 $312.75 25% off $306.91 $375.30 $333.60 2026-08-01
84588 CPT Adh (Vasopressin) 9 6 $367.00 $275.25 25% off $270.11 $330.30 $293.60 2026-08-01
84597 CPT Vitamin K 9 6 $215.00 $161.25 25% off $158.24 $193.50 $172.00 2026-08-01
86146 CPT Beta 2 Glycoprotein Iga 9 6 $200.00 $150.00 25% off $147.20 $180.00 $160.00 2026-08-01
86361 CPT Cd4 Panel 2 1 $280.00 $210.00 25% off $208.54 $208.54 $208.54 2026-02-10
86480 CPT Quantiferon 9 6 $274.00 $205.50 25% off $201.66 $246.60 $219.20 2026-08-01
86644 CPT Donor Cmv Total Rfx Total Igg 9 6 $200.00 $150.00 25% off $147.20 $180.00 $160.00 2026-08-01
86645 CPT Donor Cmv Total Rflx Igm 9 6 $200.00 $150.00 25% off $147.20 $180.00 $160.00 2026-08-01
86945 CPT Blood Product/irradiation 9 6 $1,600.00 $1,200.00 25% off $1,177.60 $1,440.00 $1,280.00 2026-08-01
87101 CPT Fungus Culture With Reflex To Rapid Id 9 6 $220.00 $165.00 25% off $161.92 $198.00 $176.00 2026-08-01
87252 CPT Virus Culture 9 6 $288.00 $216.00 25% off $211.97 $259.20 $230.40 2026-08-01
87328 CPT Crysptosoridium 9 6 $200.00 $150.00 25% off $147.20 $180.00 $160.00 2026-08-01
87329 CPT Giardia 9 6 $200.00 $150.00 25% off $147.20 $180.00 $160.00 2026-08-01
87385 CPT Histoplasma Antigen, Urine 9 6 $200.00 $150.00 25% off $147.20 $180.00 $160.00 2026-08-01
87493 CPT Clostridium Difficile Pcr 9 6 $350.00 $262.50 25% off $257.60 $315.00 $280.00 2026-08-01
87496 CPT Cmv DNA Probe Pcr 9 6 $400.00 $300.00 25% off $294.40 $360.00 $320.00 2026-08-01
87502 CPT Flu A & B By Pcr 9 6 $200.00 $150.00 25% off $147.20 $180.00 $160.00 2026-08-01
87507 CPT Gi Profile, Stool Pcr 9 6 $1,060.00 $795.00 25% off $780.16 $954.00 $848.00 2026-08-01
87536 CPT HIV Guant RNA Pcr 9 6 $321.00 $240.75 25% off $236.26 $288.90 $256.80 2026-08-01
87633 CPT Resp Pcr 12-25 9 6 $750.00 $562.50 25% off $552.00 $675.00 $600.00 2026-08-01
87634 CPT Rsv By Pcr 9 6 $200.00 $150.00 25% off $147.20 $180.00 $160.00 2026-08-01
87635 CPT Covid-19 Reference Lab 18 6 $325.00 $243.75 25% off $184.00 $360.00 $259.70 2026-08-01
87636 CPT Pcr Covid And Flu 6 3 $300.00 $225.00 25% off $220.80 $244.02 $223.44 2026-02-10
87637 CPT Rsv, Covid, And Flu 18 9 $525.00 $393.75 25% off $119.81 $462.00 $386.40 2026-02-10
87799 CPT Bk Virus 9 6 $360.00 $270.00 25% off $264.96 $324.00 $288.00 2026-08-01
90675 CPT Imovax Rabies 1 Dose Vial 9 6 $236.00 $177.00 25% off $236.00 $236.00 $236.00 2026-08-01
92950 CPT Cpr 18 6 $401.00 $300.75 25% off $222.27 $307.25 $289.52 2026-08-01
92960 CPT Cardioversion External 18 6 $536.00 $402.00 25% off $145.53 $482.40 $270.01 2026-08-01
93308 CPT Echo Transthoracic Lmtd 9 6 $473.00 $354.75 25% off $348.13 $425.70 $378.40 2026-08-01
93880 CPT Carotid Doppler 9 6 $515.00 $386.25 25% off $379.04 $463.50 $412.00 2026-08-01
93922 CPT Arterial Index Extremities 9 6 $400.00 $300.00 25% off $294.40 $360.00 $320.00 2026-08-01
93925 CPT Arteries Low Ext Cmple Bi 9 6 $551.00 $413.25 25% off $405.54 $495.90 $440.80 2026-08-01
93970 CPT Veins Extremity Cmple Bil 9 6 $675.00 $506.25 25% off $496.80 $607.50 $540.00 2026-08-01
93971 CPT Peri. Ven. (ltd) 9 6 $394.00 $295.50 25% off $289.98 $354.60 $315.20 2026-08-01
96365 CPT Initial Infusion Up To 1 Hr 15 9 $206.00 $154.50 25% off $111.72 $185.40 $158.62 2026-08-01
99204 CPT New Pat-comprehensive IV 9 6 $245.00 $183.75 25% off $158.75 $158.75 $158.75 2026-08-01
99205 CPT New Pat-complex V 9 6 $305.00 $228.75 25% off $209.29 $209.29 $209.29 2026-08-01
99215 CPT Estab Pat-high Complex V 27 6 $175.00 $131.25 25% off $142.00 $171.67 $171.67 2026-08-01
99218 CPT Observation Adm Level 1 9 6 $270.00 $202.50 25% off $283.36 $346.50 $308.00 2026-08-01
99223 CPT Hospital Admit Level 3 9 6 $350.00 $262.50 25% off $162.67 $162.67 $162.67 2026-08-01
99236 CPT Adm/dis Obs Same Day Lvl 3 9 6 $348.00 $261.00 25% off $195.56 $195.56 $195.56 2026-08-01
99282 CPT Emergency Room Level 2 31 8 $400.00 $300.00 25% off $39.02 $360.00 $308.00 2026-08-01
99283 CPT ER Level 3 47 16 $600.00 $450.00 25% off $51.50 $540.00 $462.00 2026-08-01
99284 CPT ER Level 4 45 15 $900.00 $675.00 25% off $50.00 $1,009.79 $693.00 2026-08-01
99285 CPT ER Level 5 45 15 $1,300.00 $975.00 25% off $50.00 $1,300.00 $973.44 2026-08-01
99291 CPT Critical Care- 1st Hr 22 8 $2,000.00 $1,500.00 25% off $258.56 $1,800.00 $1,540.00 2026-08-01
99292 CPT Critical Care Addl 30 Min 18 6 $394.50 $295.88 25% off $112.93 $260.10 $162.81 2026-08-01
99306 CPT Swgbed Admit Level 3 18 6 $166.00 $124.50 25% off $140.00 $171.78 $155.89 2026-08-01
99350 CPT Home Visit Est Mod-high Comple 9 6 $212.00 $159.00 25% off $174.91 $174.91 $174.91 2026-08-01
A0426 HCPCS Als-1 Emergency Transfer 9 6 $890.00 $667.50 25% off $655.04 $801.00 $712.00 2026-08-01
A0427 HCPCS Als 1 Emergency Transport 21 12 $890.00 $667.50 25% off $373.38 $702.00 $640.25 2026-08-01
A0428 HCPCS Bls Non Emergency Transfer 4 2 $381.00 $285.75 25% off $283.77 $295.01 $289.39 2026-02-10
A0429 HCPCS Amb Bls Emergency Transport 28 11 $535.00 $401.25 25% off $20.25 $686.40 $419.98 2026-08-01
A0433 HCPCS Als, Level 2 Transport 11 7 $940.00 $705.00 25% off $691.84 $846.00 $752.00 2026-08-01
A0999 HCPCS Extrication Hrly 9 6 $280.00 $210.00 25% off $206.08 $252.00 $224.00 2026-08-01
G0402 HCPCS Welcome To Medicare 9 6 $237.00 $177.75 25% off $157.95 $157.95 $157.95 2026-08-01
G0438 HCPCS Wellness Visit Initial Annual 9 6 $237.00 $177.75 25% off $157.63 $157.63 $157.63 2026-08-01
J0558 HCPCS Bicillin Cr Inj - 1.2 Mu 9 6 $225.80 $169.35 25% off $166.19 $203.22 $180.64 2026-08-01
J0561 HCPCS Bicillin L-a Inj - 1.2 Mu 9 6 $283.26 $212.45 25% off $208.48 $254.93 $226.61 2026-08-01
J2997 HCPCS Activase 100mg 9 6 $8,779.00 $6,584.25 25% off $6,461.34 $7,901.10 $7,023.20 2026-08-01
J7321 HCPCS Supartz Pfs 25mq/2.5 Ml Single 9 6 $467.00 $350.25 25% off $343.71 $420.30 $373.60 2026-08-01
J7325 HCPCS Synviscone Inj 9 6 $389.84 $292.38 25% off $286.92 $350.86 $311.87 2026-08-01
M0243 HCPCS Regen-cov Infusion/SubQ 9 6 $850.00 $637.50 25% off $625.60 $765.00 $680.00 2026-08-01
P9016 HCPCS Prbc Packed Red Blood Cells 9 6 $300.00 $225.00 25% off $220.80 $270.00 $240.00 2026-08-01
P9035 HCPCS Platelet Pheresis 9 6 $718.00 $538.50 25% off $528.45 $646.20 $574.40 2026-08-01
P9040 HCPCS Prbc Irradiated 9 6 $326.00 $244.50 25% off $239.94 $293.40 $260.80 2026-08-01
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