Hospital

CARRUS BEHAVIORAL HOSPITAL

Sherman, TX · CCN 454153 · Rates published

4,357 distinct procedures filed

7 distinct payers

15,662 rate rows

2026-10-09 last MRF observed

Data quality

492 of 15,662 rate rows are consumer-grade (3.1%)

15,170 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	15,170

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

Source MRF file	https://machine-readable-files.com/carrus_behavioral_hospital/834188451_carrus-behavioral-hospital-llc_standardcharges.csv
Found on page	https://carrushealth.com/price-transparency/
Discovered via	CMS hospital list
Last fetch	success · 2026-10-09
Content fingerprint	f2ad0273b522000a… · 3,997,484 bytes · first seen 2026-10-09

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
73706 CPT	CT Angio Lwr Ext	6	$464.00	$464.00	$464.00	nat. median $743 0.6× median
72128 CPT	CT Thoracic Spinew/o	6	$464.00	$464.00	$464.00	nat. median $458 1.0× median
71271 CPT	CT Thorax Wo Contras	6	$464.00	$464.00	$464.00	nat. median $213 outlier · 2.2×
73700 CPT	CT Ext Lwr Bilat Without	6	$464.00	$464.00	$464.00	nat. median $500 0.9× median
74175 CPT	CT Angio Abdom W/wo	6	$464.00	$464.00	$464.00	nat. median $714 0.6× median
72129 CPT	CT Thoracic Spine W	6	$464.00	$464.00	$464.00	nat. median $584 0.8× median
70486 CPT	CT Maxilofacial Without	6	$464.00	$464.00	$464.00	nat. median $478 1.0× median
71260 CPT	CT Thorax With	6	$464.00	$464.00	$464.00	nat. median $648 0.7× median
72131 CPT	CT Lumbar Spine Without	6	$464.00	$464.00	$464.00	nat. median $457 1.0× median
73202 CPT	CT Ext Up Bilat W/wo	6	$464.00	$464.00	$464.00	nat. median $711 0.7× median
74177 CPT	CT Abd & Pel With Contrast	6	$464.00	$464.00	$464.00	nat. median $974 outlier · 0.5×
75635 CPT	CT Angio Abd Artery	6	$464.00	$464.00	$464.00	nat. median $722 0.6× median
73200 CPT	CT Ext Up Bilat Without	6	$464.00	$464.00	$464.00	nat. median $521 0.9× median
72132 CPT	CT Lumbar Spine With	6	$464.00	$464.00	$464.00	nat. median $766 0.6× median
70470 CPT	CT Head/brain W/wo	6	$464.00	$464.00	$464.00	nat. median $622 0.7× median
70482 CPT	CT Orbit/ear W/wo	6	$464.00	$464.00	$464.00	nat. median $656 0.7× median
70491 CPT	CT Soft Tiss Neck W	6	$464.00	$464.00	$464.00	nat. median $627 0.7× median
71250 CPT	CT Thorax Without	6	$464.00	$464.00	$464.00	nat. median $465 1.0× median
72127 CPT	CT Cerv Spine W/wo	6	$464.00	$464.00	$464.00	nat. median $612 0.8× median
72130 CPT	CT Thorac Spine W/wo	6	$464.00	$464.00	$464.00	nat. median $600 0.8× median
72193 CPT	CT Pelvis With	6	$464.00	$464.00	$464.00	nat. median $637 0.7× median
73201 CPT	CT Ext Up Bilat W	6	$464.00	$464.00	$464.00	nat. median $804 0.6× median
74170 CPT	CT Abdomen W/wo	6	$464.00	$464.00	$464.00	nat. median $710 0.7× median
74176 CPT	CT Abd & Pel Wo Dye	6	$464.00	$464.00	$464.00	nat. median $694 0.7× median
74178 CPT	CT Abd & Pel W/wo	6	$464.00	$464.00	$464.00	nat. median $1,024 outlier · 0.5×
75571 CPT	CT Heart W/calc Scor	6	$464.00	$464.00	$464.00	nat. median $125 outlier · 3.7×
74160 CPT	CT Abdomen With	6	$464.00	$464.00	$464.00	nat. median $652 0.7× median
74150 CPT	CT Abdomen Without	6	$464.00	$464.00	$464.00	nat. median $448 1.0× median
72194 CPT	CT Pelvis W/wo	6	$464.00	$464.00	$464.00	nat. median $664 0.7× median
72192 CPT	CT Pelvis Without	6	$464.00	$464.00	$464.00	nat. median $459 1.0× median
70450 CPT	CT Head/brain Without	6	$464.00	$464.00	$464.00	nat. median $450 1.0× median
70460 CPT	CT Head/brain With	6	$464.00	$464.00	$464.00	nat. median $576 0.8× median
70480 CPT	CT Orbit/ear Without	6	$464.00	$464.00	$464.00	nat. median $476 1.0× median
70481 CPT	CT Orbit/ear With	6	$464.00	$464.00	$464.00	nat. median $627 0.7× median
70487 CPT	CT Maxilofacial With	6	$464.00	$464.00	$464.00	nat. median $605 0.8× median
70488 CPT	CT Maxilofacial W/wo	6	$464.00	$464.00	$464.00	nat. median $637 0.7× median
70496 CPT	CT Angiography Head	6	$464.00	$464.00	$464.00	nat. median $747 0.6× median
70498 CPT	CT Angiography Neck	6	$464.00	$464.00	$464.00	nat. median $739 0.6× median
71275 CPT	CT Angiography Chest	6	$464.00	$464.00	$464.00	nat. median $754 0.6× median
72125 CPT	CT Cerv Spine Without	6	$464.00	$464.00	$464.00	nat. median $472 1.0× median
31720 CPT	Nt Suction	0	—	—	—	nat. median $235
31626 CPT	Bronch W/markers	0	—	—	—	nat. median $6,539
20553 CPT	Trigger Pt Inj/3+gro	0	—	—	—	nat. median $375
31624 CPT	Bronch W/lavage	0	—	—	—	nat. median $2,229
31623 CPT	Bronchoscopy Assist	0	—	—	—	nat. median $2,191
20552 CPT	Trigger Pt Inj/1-2gr	0	—	—	—	nat. median $366
12005 CPT	Spl Rpr 12.6cm20.0cm	0	—	—	—	nat. median $507
31622 CPT	Bronchoscopy	0	—	—	—	nat. median $2,056
31603 CPT	Tracheostomy ER	0	—	—	—	nat. median $1,663
20551 CPT	Inj Tendon Insert	0	—	—	—	nat. median $328

Other procedures at this hospital

Browse this hospital's 4,357 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

72125	CPT	CT Cerv Spine Without	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
70450	CPT	CT Head/brain Without	12	6	$473.50	$473.50	$464.00	$464.00	$464.00	2026-10-09
70487	CPT	CT Maxilofacial With	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
72128	CPT	CT Thoracic Spinew/o	12	6	$473.50	$473.50	$464.00	$464.00	$464.00	2026-10-09
74160	CPT	CT Abdomen With	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
70460	CPT	CT Head/brain With	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
72132	CPT	CT Lumbar Spine With	12	6	$1,791.75	$1,791.75	$464.00	$464.00	$464.00	2026-10-09
70486	CPT	CT Maxilofacial Without	12	6	$473.50	$473.50	$464.00	$464.00	$464.00	2026-10-09
70496	CPT	CT Angiography Head	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
72130	CPT	CT Thorac Spine W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
75571	CPT	CT Heart W/calc Scor	12	6	$217.25	$217.25	$464.00	$464.00	$464.00	2026-10-09
74176	CPT	CT Abd & Pel Wo Dye	12	6	$949.25	$949.25	$464.00	$464.00	$464.00	2026-10-09
73700	CPT	CT Ext Lwr Bilat Without	24	6	$473.50	$473.50	$464.00	$464.00	$464.00	2026-10-09
70488	CPT	CT Maxilofacial W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
70480	CPT	CT Orbit/ear Without	12	6	$473.50	$473.50	$464.00	$464.00	$464.00	2026-10-09
72192	CPT	CT Pelvis Without	12	6	$473.50	$473.50	$464.00	$464.00	$464.00	2026-10-09
73200	CPT	CT Ext Up Bilat Without	12	6	$473.50	$473.50	$464.00	$464.00	$464.00	2026-10-09
74178	CPT	CT Abd & Pel W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
70470	CPT	CT Head/brain W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
70498	CPT	CT Angiography Neck	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
74175	CPT	CT Angio Abdom W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
73201	CPT	CT Ext Up Bilat W	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
73202	CPT	CT Ext Up Bilat W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
70482	CPT	CT Orbit/ear W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
71250	CPT	CT Thorax Without	12	6	$525.00	$525.00	$464.00	$464.00	$464.00	2026-10-09
71275	CPT	CT Angiography Chest	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
72194	CPT	CT Pelvis W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
72129	CPT	CT Thoracic Spine W	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
74170	CPT	CT Abdomen W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
75635	CPT	CT Angio Abd Artery	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
70491	CPT	CT Soft Tiss Neck W	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
70481	CPT	CT Orbit/ear With	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
74150	CPT	CT Abdomen Without	12	6	$473.50	$473.50	$464.00	$464.00	$464.00	2026-10-09
72193	CPT	CT Pelvis With	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
72127	CPT	CT Cerv Spine W/wo	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
72131	CPT	CT Lumbar Spine Without	12	6	$473.50	$473.50	$464.00	$464.00	$464.00	2026-10-09
73706	CPT	CT Angio Lwr Ext	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
74177	CPT	CT Abd & Pel With Contrast	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
71271	CPT	CT Thorax Wo Contras	12	6	$325.00	$325.00	$464.00	$464.00	$464.00	2026-10-09
71260	CPT	CT Thorax With	12	6	$1,113.50	$1,113.50	$464.00	$464.00	$464.00	2026-10-09
31720	CPT	Nt Suction	0	0	$26.25	$26.25	—	—	—	2026-10-09
31626	CPT	Bronch W/markers	0	0	$20,428.75	$20,428.75	—	—	—	2026-10-09
20553	CPT	Trigger Pt Inj/3+gro	0	0	$2,887.50	$2,887.50	—	—	—	2026-10-09
31624	CPT	Bronch W/lavage	0	0	$1,435.25	$1,435.25	—	—	—	2026-10-09
31623	CPT	Bronchoscopy Assist	0	0	$105.00	$105.00	—	—	—	2026-10-09
20552	CPT	Trigger Pt Inj/1-2gr	0	0	$2,362.50	$2,362.50	—	—	—	2026-10-09
12005	CPT	Spl Rpr 12.6cm20.0cm	0	0	$105.00	$105.00	—	—	—	2026-10-09
31622	CPT	Bronchoscopy	0	0	$1,435.25	$1,435.25	—	—	—	2026-10-09
43246	CPT	Peg Tube Placement	0	0	$10,500.00	$10,500.00	—	—	—	2026-10-09
43235	CPT	Upper Endoscopy Egd	0	0	$3,131.50	$3,131.50	—	—	—	2026-10-09
31603	CPT	Tracheostomy ER	0	0	$476.00	$476.00	—	—	—	2026-10-09
20551	CPT	Inj Tendon Insert	0	0	$970.25	$970.25	—	—	—	2026-10-09
43761	CPT	Insert Duotube	0	0	$105.00	$105.00	—	—	—	2026-10-09
49083	CPT	Paracentesis	0	0	$2,028.00	$2,028.00	—	—	—	2026-10-09
51701	CPT	Insert Bladder Cath	0	0	$383.00	$383.00	—	—	—	2026-10-09
51702	CPT	Insert Foley Cath	0	0	$210.00	$210.00	—	—	—	2026-10-09
61055	CPT	Myelography Inj/c1c2	0	0	$3,045.00	$3,045.00	—	—	—	2026-10-09
62263	CPT	Percutaneous Lysis	0	0	$3,810.50	$3,810.50	—	—	—	2026-10-09
62270	CPT	Spinal Tap Dx	0	0	$2,254.50	$2,254.50	—	—	—	2026-10-09
62272	CPT	Spinal Tap Drain	0	0	$2,254.50	$2,254.50	—	—	—	2026-10-09
62273	CPT	Inj Epidural Bld/clo	0	0	$2,681.75	$2,681.75	—	—	—	2026-10-09
62284	CPT	Inj Myelogr Non C1c2	0	0	$2,641.75	$2,641.75	—	—	—	2026-10-09
38221	CPT	Bone Marrow Biopsy	0	0	$1,050.00	$1,050.00	—	—	—	2026-10-09
36600	CPT	Arterial Puncture	0	0	$59.50	$59.50	—	—	—	2026-10-09
31525	CPT	Laryngoscopy	0	0	$2,100.00	$2,100.00	—	—	—	2026-10-09
36593	CPT	Line Declotting	0	0	$210.00	$210.00	—	—	—	2026-10-09
36590	CPT	Picc Line Removal	0	0	$2,657.00	$2,657.00	—	—	—	2026-10-09
31500	CPT	Emergency Intubation	0	0	$1,575.00	$1,575.00	—	—	—	2026-10-09
20550	CPT	Inj Tendon/ligament	0	0	$887.00	$887.00	—	—	—	2026-10-09
11750	CPT	Ex Nail & Nail Mtx	0	0	$1,050.00	$1,050.00	—	—	—	2026-10-09
11000	CPT	Deb Ecz/inf Skn=<10	0	0	$105.00	$105.00	—	—	—	2026-10-09
36569	CPT	Insert Picc Aborted	0	0	$1,493.75	$1,493.75	—	—	—	2026-10-09
36565	CPT	Tesio Cath Plcmnt	0	0	$9,438.75	$9,438.75	—	—	—	2026-10-09
27093	CPT	Inj Hip Arthrography	0	0	$2,574.50	$2,574.50	—	—	—	2026-10-09
36561	CPT	Cath Plmnt Thor/cerv	0	0	$3,360.00	$3,360.00	—	—	—	2026-10-09
36558	CPT	Ins Tunneled Cvl Without	0	0	$3,170.00	$3,170.00	—	—	—	2026-10-09
23350	CPT	Inj Shoulder Arthro	0	0	$1,715.75	$1,715.75	—	—	—	2026-10-09
20526	CPT	Inj Carpal Tunnel	0	0	$887.00	$887.00	—	—	—	2026-10-09
36556	CPT	Pwr Inject Trip Lume	0	0	$945.00	$945.00	—	—	—	2026-10-09
64445	CPT	Inj Sciatic Nerve	0	0	$1,407.00	$1,407.00	—	—	—	2026-10-09
64425	CPT	Inj Inguinal/hypogas	0	0	$1,373.50	$1,373.50	—	—	—	2026-10-09
36430	CPT	Bld Trans Dly	0	0	$1,657.00	$1,657.00	—	—	—	2026-10-09
22515	CPT	Kyphoplasty Ea Adtl	0	0	$6,639.00	$6,639.00	—	—	—	2026-10-09
64421	CPT	Inj Intcost Nrv Mult	0	0	$1,804.00	$1,804.00	—	—	—	2026-10-09
64450	CPT	Inj Peripheral Nerve	0	0	$1,149.75	$1,149.75	—	—	—	2026-10-09
64479	CPT	Inj Epi Cerv/thor Sg	0	0	$2,499.00	$2,499.00	—	—	—	2026-10-09
64480	CPT	Inj Epi Cerv/thor Ad	0	0	$1,783.00	$1,783.00	—	—	—	2026-10-09
64483	CPT	Inj Epi Lumb/sac Sgl	0	0	$2,324.75	$2,324.75	—	—	—	2026-10-09
64484	CPT	Inj Epi Lumb/sac Ad	0	0	$1,675.75	$1,675.75	—	—	—	2026-10-09
64490	CPT	Inj Cerv/thor Sg Lvl	0	0	$2,070.50	$2,070.50	—	—	—	2026-10-09
64491	CPT	Inj Cerv/thor 2nd Lv	0	0	$1,573.00	$1,573.00	—	—	—	2026-10-09
64492	CPT	Thor/cerv Mbb 3rdlvl	0	0	$705.75	$705.75	—	—	—	2026-10-09
64493	CPT	Inj Lumb/sacr Sgl Lv	0	0	$1,902.50	$1,902.50	—	—	—	2026-10-09
64494	CPT	Inj Lumb/sacr 2nd Lv	0	0	$1,541.50	$1,541.50	—	—	—	2026-10-09
64495	CPT	Lum/sac Mbb 3rdlvl	0	0	$705.75	$705.75	—	—	—	2026-10-09
64505	CPT	Inj Sphenopal Gangli	0	0	$1,310.50	$1,310.50	—	—	—	2026-10-09
64510	CPT	Inj Stellate Ganglio	0	0	$1,888.00	$1,888.00	—	—	—	2026-10-09
64520	CPT	Inj Pavert Lumb/thor	0	0	$2,112.50	$2,112.50	—	—	—	2026-10-09
64530	CPT	Inject Celiac Plexus	0	0	$2,410.75	$2,410.75	—	—	—	2026-10-09
64600	CPT	Rftc Tri Dest Neuro	0	0	$3,099.50	$3,099.50	—	—	—	2026-10-09
64620	CPT	Rftc Int Dest Neuro	0	0	$3,099.50	$3,099.50	—	—	—	2026-10-09
64633	CPT	Rftc Cervical/single	0	0	$5,040.00	$5,040.00	—	—	—	2026-10-09
64634	CPT	Rftc Cerv/addtl Le	0	0	$1,852.25	$1,852.25	—	—	—	2026-10-09
64635	CPT	Rftc Lbr/sin Lum/sac	0	0	$4,725.00	$4,725.00	—	—	—	2026-10-09
64636	CPT	Rftc Lumb/addtl Leve	0	0	$1,568.75	$1,568.75	—	—	—	2026-10-09
64640	CPT	Rftc Peripheral Nrv	0	0	$1,619.00	$1,619.00	—	—	—	2026-10-09
64680	CPT	Rftc Celiac Plexus	0	0	$1,867.00	$1,867.00	—	—	—	2026-10-09
64722	CPT	Decompression	0	0	$2,014.00	$2,014.00	—	—	—	2026-10-09
70140	CPT	Xr Facial Bones	0	0	$182.25	$182.25	—	—	—	2026-10-09
70150	CPT	Xr Facial Bones	0	0	$157.50	$157.50	—	—	—	2026-10-09
70220	CPT	Xr Sinuses 3 Vw	0	0	$157.50	$157.50	—	—	—	2026-10-09
70250	CPT	Xr Skull	0	0	$157.50	$157.50	—	—	—	2026-10-09
70260	CPT	Xr Cmplt Skull >4 V	0	0	$310.25	$310.25	—	—	—	2026-10-09
70360	CPT	Xr Neck Soft Tissue	0	0	$182.25	$182.25	—	—	—	2026-10-09
70370	CPT	Xr Throat & Fluoro	0	0	$332.25	$332.25	—	—	—	2026-10-09
64420	CPT	Inj Intcost Nrv Sng	0	0	$1,350.25	$1,350.25	—	—	—	2026-10-09
36415	CPT	Venipuncture	0	0	$20.00	$20.00	—	—	—	2026-10-09
64418	CPT	Inj Suprascapul Nrv	0	0	$1,311.50	$1,311.50	—	—	—	2026-10-09
74181	CPT	MRI Abdomen Without	0	0	$1,466.75	$1,466.75	—	—	—	2026-10-09
74185	CPT	MRI Angio Abd Wwo	0	0	$2,126.25	$2,126.25	—	—	—	2026-10-09
74230	CPT	Mod Barium Swallow	0	0	$441.00	$441.00	—	—	—	2026-10-09
74270	CPT	Barium Enema	0	0	$758.00	$758.00	—	—	—	2026-10-09
75557	CPT	MRI Heart Wo	0	0	$1,491.00	$1,491.00	—	—	—	2026-10-09
75872	CPT	Epidural Venogram Si	0	0	$2,919.00	$2,919.00	—	—	—	2026-10-09
70490	CPT	CT Neck Wo	0	0	$473.50	$473.50	—	—	—	2026-10-09
76098	CPT	Xr Breast	0	0	$1,417.50	$1,417.50	—	—	—	2026-10-09
64417	CPT	Inj Axillary Nerve	0	0	$1,565.50	$1,565.50	—	—	—	2026-10-09
36000	CPT	Mid Line Insertion	0	0	$630.00	$630.00	—	—	—	2026-10-09
22514	CPT	Kyphoplasty Lumbar	0	0	$26,555.75	$26,555.75	—	—	—	2026-10-09
19084	CPT	US Biopsy Breast 2nd	0	0	$2,745.25	$2,745.25	—	—	—	2026-10-09
11043	CPT	Deb Skn Sub 1 20sqcm	0	0	$4,200.00	$4,200.00	—	—	—	2026-10-09
64415	CPT	Inj Brachial Plexus	0	0	$2,026.50	$2,026.50	—	—	—	2026-10-09
64413	CPT	Inj Cervical Plexus	0	0	$1,661.00	$1,661.00	—	—	—	2026-10-09
32560	CPT	Pleurodesis Talc	0	0	$2,572.75	$2,572.75	—	—	—	2026-10-09
64405	CPT	Inj > Occipital	0	0	$1,305.25	$1,305.25	—	—	—	2026-10-09
64402	CPT	Inj Facial Nerve	0	0	$553.25	$553.25	—	—	—	2026-10-09
32557	CPT	Pleural Drn W/image	0	0	$2,873.25	$2,873.25	—	—	—	2026-10-09
22513	CPT	Kyphoplasty Thoracic	0	0	$26,555.75	$26,555.75	—	—	—	2026-10-09
64400	CPT	Inj Trigeminal	0	0	$1,189.75	$1,189.75	—	—	—	2026-10-09
63650	CPT	Stim Trial	0	0	$22,220.75	$22,220.75	—	—	—	2026-10-09
32556	CPT	Pleural Drn W Insert	0	0	$2,873.25	$2,873.25	—	—	—	2026-10-09
72020	CPT	Xr Spinal Single Vw	0	0	$182.25	$182.25	—	—	—	2026-10-09
71550	CPT	MRI Chest Wo	0	0	$1,491.00	$1,491.00	—	—	—	2026-10-09
62329	CPT	Spinal Tap Drain W/g	0	0	$2,254.50	$2,254.50	—	—	—	2026-10-09
80100	CPT	Tox Drug Screen	0	0	$469.25	$469.25	—	—	—	2026-10-09
80074	CPT	Hep Panel Acute	0	0	$279.50	$279.50	—	—	—	2026-10-09
72040	CPT	Xr Spine Cervical 2	0	0	$157.50	$157.50	—	—	—	2026-10-09
72050	CPT	Xr Spine Cervical C	0	0	$157.50	$157.50	—	—	—	2026-10-09
72052	CPT	Xr Cervical Complete	0	0	$310.25	$310.25	—	—	—	2026-10-09
72070	CPT	Xr Thoracic	0	0	$157.50	$157.50	—	—	—	2026-10-09
72072	CPT	Xr Thorac Spine 3vw	0	0	$182.25	$182.25	—	—	—	2026-10-09
72080	CPT	Xr Thorac/olum 2vw	0	0	$182.25	$182.25	—	—	—	2026-10-09
72100	CPT	Xr Lumbar Spine 2vi	0	0	$450.00	$450.00	—	—	—	2026-10-09
72110	CPT	Lumb Spine Min 3 Vv	0	0	$310.25	$310.25	—	—	—	2026-10-09
72114	CPT	Lumb/sacr Comp Bndg	0	0	$310.25	$310.25	—	—	—	2026-10-09
72120	CPT	Lumb/sacr Bend Min4v	0	0	$182.25	$182.25	—	—	—	2026-10-09
62328	CPT	Spinal Tap Dx W/guid	0	0	$2,254.50	$2,254.50	—	—	—	2026-10-09
72126	CPT	CT Spine Cervical W	0	0	$1,791.75	$1,791.75	—	—	—	2026-10-09
32555	CPT	Thoracentesis W/imag	0	0	$2,028.00	$2,028.00	—	—	—	2026-10-09
20610	CPT	Inj Knee Arthrogrphy	0	0	$2,635.50	$2,635.50	—	—	—	2026-10-09
19083	CPT	US Biopsy Breast 1st	0	0	$5,490.50	$5,490.50	—	—	—	2026-10-09
71270	CPT	CT Chest Wo / W	0	0	$1,113.50	$1,113.50	—	—	—	2026-10-09
80051	CPT	Electrolyte Panel	0	0	$203.50	$203.50	—	—	—	2026-10-09
62323	CPT	Intrlmnr L/s W/image	0	0	$2,130.25	$2,130.25	—	—	—	2026-10-09
72133	CPT	CT Spine Lumbar Wwo	0	0	$1,113.50	$1,113.50	—	—	—	2026-10-09
72141	CPT	MRI Neck Spine Without	0	0	$1,466.75	$1,466.75	—	—	—	2026-10-09
72142	CPT	MRI Neck Spine With	0	0	$1,558.25	$1,558.25	—	—	—	2026-10-09
72146	CPT	MRI Thorac Spinew/o	0	0	$1,155.00	$1,155.00	—	—	—	2026-10-09
72147	CPT	MRI Thorac Spine With	0	0	$1,491.00	$1,491.00	—	—	—	2026-10-09
72148	CPT	MRI Lumb Spine Without	0	0	$1,155.00	$1,155.00	—	—	—	2026-10-09
72149	CPT	MRI-lumbar With	0	0	$1,491.00	$1,491.00	—	—	—	2026-10-09
72156	CPT	MRI Neck Spine W/wo	0	0	$2,126.25	$2,126.25	—	—	—	2026-10-09
72157	CPT	MRI Chest Spine W/wo	0	0	$2,126.25	$2,126.25	—	—	—	2026-10-09
72158	CPT	MRI Lumb Spine W/wo	0	0	$2,126.25	$2,126.25	—	—	—	2026-10-09
72170	CPT	Xr Pelvis - Ap Only	0	0	$157.50	$157.50	—	—	—	2026-10-09
80048	CPT	Basic Metabolic Pnl	0	0	$237.50	$237.50	—	—	—	2026-10-09
71110	CPT	Xr Ribs Bilateral 3v	0	0	$157.50	$157.50	—	—	—	2026-10-09
62321	CPT	Intrlmnr C/t W/image	0	0	$2,130.25	$2,130.25	—	—	—	2026-10-09
72195	CPT	MRI Pelvis Without	0	0	$1,466.75	$1,466.75	—	—	—	2026-10-09
72196	CPT	MRI Pelvis With	0	0	$1,558.25	$1,558.25	—	—	—	2026-10-09
72197	CPT	MRI Pelvis W/wo	0	0	$2,126.25	$2,126.25	—	—	—	2026-10-09
72198	CPT	Mr Angio Pelvis W/wo	0	0	$2,126.25	$2,126.25	—	—	—	2026-10-09
72202	CPT	Joint Stress View	0	0	$182.25	$182.25	—	—	—	2026-10-09
72220	CPT	Xr Sacrum Coccyx 2v	0	0	$262.50	$262.50	—	—	—	2026-10-09
72285	CPT	Diskograph Cerv/tho	0	0	$2,733.25	$2,733.25	—	—	—	2026-10-09
72295	CPT	Diskography Lumb Si	0	0	$2,429.75	$2,429.75	—	—	—	2026-10-09
73000	CPT	Clavicle Complete	0	0	$157.50	$157.50	—	—	—	2026-10-09
73020	CPT	Xr Shoulder 1 View	0	0	$249.25	$249.25	—	—	—	2026-10-09
73030	CPT	Xr Shoulder 2view	0	0	$399.00	$399.00	—	—	—	2026-10-09
73040	CPT	Radio Ex Shldr Artho	0	0	$897.75	$897.75	—	—	—	2026-10-09
73060	CPT	Xr Humerus Left	0	0	$157.50	$157.50	—	—	—	2026-10-09
73070	CPT	Xr Elbow 1-2 Views L	0	0	$157.50	$157.50	—	—	—	2026-10-09
73080	CPT	Xr Elbow 3 Views	0	0	$157.50	$157.50	—	—	—	2026-10-09
73090	CPT	Xr Forearm 2 View	0	0	$157.50	$157.50	—	—	—	2026-10-09
73100	CPT	Xr Wrist 2 V Bilat	0	0	$182.25	$182.25	—	—	—	2026-10-09
73110	CPT	Xr Wrist 3+ Views L	0	0	$255.50	$255.50	—	—	—	2026-10-09
73120	CPT	Xr Hand 2 V Bilat	0	0	$182.25	$182.25	—	—	—	2026-10-09
73130	CPT	Xr Hand 3 View	0	0	$182.25	$182.25	—	—	—	2026-10-09
73140	CPT	Xr Finger 2v	0	0	$157.50	$157.50	—	—	—	2026-10-09
32554	CPT	Thoracentesis	0	0	$2,028.00	$2,028.00	—	—	—	2026-10-09
71101	CPT	Xr Ribs R W/pacxr	0	0	$525.00	$525.00	—	—	—	2026-10-09
71100	CPT	Xr Ribs Right	0	0	$388.50	$388.50	—	—	—	2026-10-09
73206	CPT	CTA Up Ext Bil W/wo	0	0	$1,113.50	$1,113.50	—	—	—	2026-10-09
73218	CPT	Mr Extr Up L Wo	0	0	$1,491.00	$1,491.00	—	—	—	2026-10-09
73501	CPT	Xr Hip 1 View Left	0	0	$262.50	$262.50	—	—	—	2026-10-09
73502	CPT	Xr Hip Ap/lat Right	0	0	$262.50	$262.50	—	—	—	2026-10-09
73521	CPT	Xr Hip Bilateral	0	0	$423.00	$423.00	—	—	—	2026-10-09
73525	CPT	Rad Ex Hip Arthro	0	0	$989.00	$989.00	—	—	—	2026-10-09
73552	CPT	Xr Femur 2 View	0	0	$255.25	$255.25	—	—	—	2026-10-09
73560	CPT	Xr Knee 1-2 Views L	0	0	$157.50	$157.50	—	—	—	2026-10-09
73562	CPT	Xr Knee 3 View	0	0	$320.00	$320.00	—	—	—	2026-10-09
73564	CPT	Xr Knee 4+ Views Bil	0	0	$320.00	$320.00	—	—	—	2026-10-09
73590	CPT	Xr Tib/fib L (llg)	0	0	$157.50	$157.50	—	—	—	2026-10-09
73592	CPT	Xr Leg	0	0	$141.75	$141.75	—	—	—	2026-10-09
73600	CPT	Xr Ankle 2 V Bilat	0	0	$262.50	$262.50	—	—	—	2026-10-09
73610	CPT	Xr Ankle 3+ V Bilat	0	0	$182.25	$182.25	—	—	—	2026-10-09
73620	CPT	Xr Foot 2 Views Left	0	0	$182.00	$182.00	—	—	—	2026-10-09
73630	CPT	Xr Foot 3 View	0	0	$182.00	$182.00	—	—	—	2026-10-09
73650	CPT	Xr Heel/calcan L	0	0	$218.62	$218.62	—	—	—	2026-10-09
73660	CPT	Xr Toe Left Fifth	0	0	$262.50	$262.50	—	—	—	2026-10-09
62319	CPT	Cath Plmnt Lumb/sacr	0	0	$3,068.00	$3,068.00	—	—	—	2026-10-09
73701	CPT	CT Ext Lwr Bilat With	0	0	$1,113.50	$1,113.50	—	—	—	2026-10-09
73702	CPT	CT Ext Lwr Bilat Wwo	0	0	$1,113.50	$1,113.50	—	—	—	2026-10-09
71048	CPT	Xr Chest Comp Min 4v	0	0	$255.25	$255.25	—	—	—	2026-10-09
73718	CPT	MRI Foot Wo Cont	0	0	$1,491.00	$1,491.00	—	—	—	2026-10-09
73720	CPT	MRI Lwr Ext Wo Flw W	0	0	$1,521.00	$1,521.00	—	—	—	2026-10-09
73721	CPT	MRI Jnt Lwr Ext Wo	0	0	$1,466.75	$1,466.75	—	—	—	2026-10-09
74018	CPT	Xr Abdomen (kub)	0	0	$157.50	$157.50	—	—	—	2026-10-09
74019	CPT	Xr Abd Anteroposter	0	0	$182.25	$182.25	—	—	—	2026-10-09
74021	CPT	Xr Abdomen Complete	0	0	$1,117.50	$1,117.50	—	—	—	2026-10-09
74022	CPT	Xr Obstruction Serie	0	0	$548.50	$548.50	—	—	—	2026-10-09
71047	CPT	Xr Chest W Fluro	0	0	$332.25	$332.25	—	—	—	2026-10-09
62311	CPT	Epidural Lumb/sacral	0	0	$2,883.25	$2,883.25	—	—	—	2026-10-09
32552	CPT	Removal Chest Tube	0	0	$1,050.00	$1,050.00	—	—	—	2026-10-09
20605	CPT	Intermediate Joint	0	0	$1,101.50	$1,101.50	—	—	—	2026-10-09
71046	CPT	Xr Chest 2 View	0	0	$446.25	$446.25	—	—	—	2026-10-09
71045	CPT	Xr Chest Sgl V Front	0	0	$388.50	$388.50	—	—	—	2026-10-09
62310	CPT	Epidural Cerv/thorac	0	0	$3,307.50	$3,307.50	—	—	—	2026-10-09
70553	CPT	MRI Brain W/wo	0	0	$4,931.00	$4,931.00	—	—	—	2026-10-09
74182	CPT	MRI Abdomen With	0	0	$1,558.25	$1,558.25	—	—	—	2026-10-09
70552	CPT	MRI Brain With	0	0	$1,558.25	$1,558.25	—	—	—	2026-10-09
74220	CPT	Xr Barium Swallow	0	0	$367.25	$367.25	—	—	—	2026-10-09
62291	CPT	Inj Disk Cerv/thor	0	0	$3,038.75	$3,038.75	—	—	—	2026-10-09
74250	CPT	Xr Small Bowel	0	0	$423.00	$423.00	—	—	—	2026-10-09
32550	CPT	Insertion Chest Tube	0	0	$2,100.00	$2,100.00	—	—	—	2026-10-09
74430	CPT	Bladder Scan	0	0	$15.75	$15.75	—	—	—	2026-10-09
70551	CPT	MRI Brain Without	0	0	$1,403.75	$1,403.75	—	—	—	2026-10-09
76705	CPT	US Abdomen Limited	0	0	$472.50	$472.50	—	—	—	2026-10-09
62290	CPT	Inj Diskograph Ea Lv	0	0	$3,313.75	$3,313.75	—	—	—	2026-10-09
76700	CPT	US Abdominal	0	0	$472.50	$472.50	—	—	—	2026-10-09
76000	CPT	Fluoroscope Ex <1 Hr	0	0	$332.25	$332.25	—	—	—	2026-10-09
76080	CPT	Xr Fistual Abscess	0	0	$424.25	$424.25	—	—	—	2026-10-09
76604	CPT	US Chest	0	0	$472.50	$472.50	—	—	—	2026-10-09
76380	CPT	CT Limited Area	0	0	$251.50	$251.50	—	—	—	2026-10-09
76536	CPT	US Soft Tissue	0	0	$472.50	$472.50	—	—	—	2026-10-09
76497	CPT	CT Scan Unlisted	0	0	$251.50	$251.50	—	—	—	2026-10-09
70492	CPT	CT Neck Wo/w	0	0	$1,113.50	$1,113.50	—	—	—	2026-10-09
62287	CPT	Decompression/lumbar	0	0	$9,115.00	$9,115.00	—	—	—	2026-10-09
32408	CPT	Lung Biopsy	0	0	$5,193.75	$5,193.75	—	—	—	2026-10-09
76706	CPT	US Abd Aorta Scrn	0	0	$472.50	$472.50	—	—	—	2026-10-09
76770	CPT	US Retroperitonea	0	0	$472.50	$472.50	—	—	—	2026-10-09
76775	CPT	US Renal Dop	0	0	$472.50	$472.50	—	—	—	2026-10-09
76776	CPT	US Tx Kidney W/dopp	0	0	$472.50	$472.50	—	—	—	2026-10-09
76830	CPT	US Transvaginal	0	0	$472.50	$472.50	—	—	—	2026-10-09
76856	CPT	US Pelvis	0	0	$472.50	$472.50	—	—	—	2026-10-09
76857	CPT	US Pelvis Non-OB Ltd	0	0	$472.50	$472.50	—	—	—	2026-10-09
76870	CPT	US Scrotum	0	0	$472.50	$472.50	—	—	—	2026-10-09
76872	CPT	US Transrectal	0	0	$472.50	$472.50	—	—	—	2026-10-09
76881	CPT	US Ext Nonvasc Cmplt	0	0	$362.25	$362.25	—	—	—	2026-10-09
76882	CPT	US Ext Nonvasc Ltd	0	0	$252.00	$252.00	—	—	—	2026-10-09
76937	CPT	Picc Line US Guided	0	0	$61.75	$61.75	—	—	—	2026-10-09
76942	CPT	Sonogram Guidance	0	0	$183.25	$183.25	—	—	—	2026-10-09
76975	CPT	US Upper Gi	0	0	$397.00	$397.00	—	—	—	2026-10-09
77001	CPT	Fluoroscopic Guidanc	0	0	$525.00	$525.00	—	—	—	2026-10-09
77002	CPT	Fluoro Guidance	0	0	$105.00	$105.00	—	—	—	2026-10-09
77012	CPT	CT Guided Aspiration	0	0	$105.00	$105.00	—	—	—	2026-10-09
77074	CPT	Xr Bone Survey Mets	0	0	$845.00	$845.00	—	—	—	2026-10-09
77075	CPT	Xr Bone Survey Metab	0	0	$200.00	$200.00	—	—	—	2026-10-09
78315	CPT	Bone Scan 3 Phase	0	0	$4,300.75	$4,300.75	—	—	—	2026-10-09
78580	CPT	Lung Scan	0	0	$1,664.00	$1,664.00	—	—	—	2026-10-09
20600	CPT	Small Joint Inj	0	0	$1,078.25	$1,078.25	—	—	—	2026-10-09
80050	CPT	Chem Test 09	0	0	$17.00	$17.00	—	—	—	2026-10-09
15115	CPT	Autograft Epidermal	0	0	$5,927.00	$5,927.00	—	—	—	2026-10-09
80053	CPT	Chem Test 15	0	0	$471.50	$471.50	—	—	—	2026-10-09
80061	CPT	Lipid Panel	0	0	$78.50	$78.50	—	—	—	2026-10-09
80069	CPT	Renal Function Pnl	0	0	$154.50	$154.50	—	—	—	2026-10-09
11042	CPT	Deb Skin/sub 20sqcm	0	0	$2,901.50	$2,901.50	—	—	—	2026-10-09
80076	CPT	Hepatic Function Pnl	0	0	$48.00	$48.00	—	—	—	2026-10-09
10060	CPT	Skin I&d	0	0	$105.00	$105.00	—	—	—	2026-10-09
80150	CPT	Amikacin	0	0	$88.50	$88.50	—	—	—	2026-10-09
80152	CPT	Amitriptyline	0	0	$105.50	$105.50	—	—	—	2026-10-09
80156	CPT	Carbamzepine; Total	0	0	$85.50	$85.50	—	—	—	2026-10-09
80158	CPT	Cyclosporine Level	0	0	$72.25	$72.25	—	—	—	2026-10-09
80162	CPT	Digoxin	0	0	$177.25	$177.25	—	—	—	2026-10-09
80164	CPT	Valproic Acid Dipr	0	0	$57.25	$57.25	—	—	—	2026-10-09
80170	CPT	Gentmicin Trough	0	0	$236.25	$236.25	—	—	—	2026-10-09
80175	CPT	Lamotrigine Serum	0	0	$20.00	$20.00	—	—	—	2026-10-09
80177	CPT	Levitracetam	0	0	$142.50	$142.50	—	—	—	2026-10-09
80178	CPT	Lithium Assay	0	0	$37.75	$37.75	—	—	—	2026-10-09
10030	CPT	Guided Abscess Drain	0	0	$3,101.75	$3,101.75	—	—	—	2026-10-09

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