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Hospital

BLUE MOUNTAIN HOSPITAL

Blanding, UT · CCN 461310 · Rates published

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You selected 27447 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

344 distinct procedures filed
19 distinct payers
1,208 rate rows
2025-10-06 last MRF observed
Data quality

1,152 of 1,208 rate rows are consumer-grade (95.4%)

56 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
professional (physician) fee — not the facility price 55
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://machine-readable-files.com/blue-mountain-hospital/273785598_Blue-Mountain-Hospital_standardcharges.csv
Found on page https://ezcost.info/blue-mountain-hospital
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint e1c29d08c3fb64e2… · 406,545 bytes · first seen 2026-05-08

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
95811
CPT 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 8 $2,515.10 $3,888.00 $3,348.00 nat. median
$1,923
1.7× median
72156
CPT 		MRI Neck Spine Without & With Contrast 1 $3,277.27 $3,277.27 $3,277.27 nat. median
$1,111
outlier · 3.0×
72197
CPT 		MRI Pelvis W&without Contrast 1 $3,269.16 $3,269.16 $3,269.16 nat. median
$1,074
outlier · 3.0×
70553
CPT 		MRI Brain W&without Contrast 4 $1,817.28 $3,627.97 $3,125.57 nat. median
$1,137
outlier · 2.7×
64635
CPT 		Destroy L/s Facet Jnt Addl 1 $3,113.99 $3,113.99 $3,113.99 nat. median
$2,381
1.3× median
72147
CPT 		MRI Thor Spine W/contrast 1 $2,937.67 $2,937.67 $2,937.67 nat. median
$976
outlier · 3.0×
95810
CPT 		Psg-sleep Study In Sleep Lab (6 Years Or Older) 6 $2,769.12 $3,888.00 $2,914.79 nat. median
$1,777
1.6× median
99291
CPT 		ER Critical Care Evl&mgt; Firs 2 $2,302.34 $2,810.61 $2,556.48 nat. median
$1,562
1.6× median
72195
CPT 		MRI Pelvis Without Contrast 1 $2,544.88 $2,544.88 $2,544.88 nat. median
$802
outlier · 3.2×
72148
CPT 		MRI Lumbar Spine Without Contrast 7 $1,544.35 $2,763.59 $2,396.03 nat. median
$797
outlier · 3.0×
74177
CPT 		CT Abd/pel W/cont 11 $1,390.88 $3,026.47 $2,309.92 nat. median
$968
outlier · 2.4×
81479
CPT 		Unlisted Molecular Pathology 1 $2,300.40 $2,300.40 $2,300.40 nat. median
$468
outlier · 4.9×
74170
CPT 		CT Abdomen W&without Cont 1 $2,286.62 $2,286.62 $2,286.62 nat. median
$720
outlier · 3.2×
74178
CPT 		CT Abd/pel W/wo Cont 4 $1,390.88 $2,776.61 $2,190.26 nat. median
$1,024
outlier · 2.1×
46707
CPT 		Repair Of Abnormal Anal Drainage Tract 1 $2,186.01 $2,186.01 $2,186.01 nat. median
$3,136
0.7× median
73718
CPT 		MRI Lwr Ext Rt,no Jnt Without C 1 $2,153.02 $2,153.02 $2,153.02 nat. median
$886
outlier · 2.4×
62321
CPT 		Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 2 $1,738.80 $2,153.62 $1,946.21 nat. median
$1,091
1.8× median
64483
CPT 		Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 3 $1,288.99 $1,919.54 $1,919.54 nat. median
$1,310
1.5× median
73721
CPT 		MRI Any Joint Of Lwr Ext; Without Contrast 6 $1,094.16 $2,682.81 $1,877.97 nat. median
$866
outlier · 2.2×
72192
CPT 		CT Pelvis Without Cont 1 $1,858.54 $1,858.54 $1,858.54 nat. median
$467
outlier · 4.0×
70498
CPT 		CT Angiography Neck W & Without Contrast 1 $1,825.20 $1,825.20 $1,825.20 nat. median
$747
outlier · 2.4×
74183
CPT 		MRI Abdomen W&without Contras 1 $1,817.28 $1,817.28 $1,817.28 nat. median
$1,106
1.6× median
72141
CPT 		MRI Cervical Spine Without Cont 3 $1,766.35 $2,342.28 $1,799.24 nat. median
$785
outlier · 2.3×
70551
CPT 		MRI Brain Without Contrast 1 $1,761.53 $1,761.53 $1,761.53 nat. median
$791
outlier · 2.2×
71275
CPT 		CT Scan Of Blood Vessels In Chest With Contrast 3 $1,730.70 $1,755.00 $1,730.70 nat. median
$754
outlier · 2.3×
74181
CPT 		MRI Abdomen Without Contrast 1 $1,713.42 $1,713.42 $1,713.42 nat. median
$829
outlier · 2.1×
100ROOM
CDM 		Med/surge Room Charge 6 $1,367.10 $1,953.00 $1,676.65 nat. median
$1,677
1.0× median
10001999
CDM 		Room & Board 6 $1,367.10 $1,953.00 $1,676.65 nat. median
$1,677
1.0× median
120ROOM
CDM 		Critical Care Room Charge 6 $1,367.10 $1,953.00 $1,676.65 nat. median
$1,677
1.0× median
73221
CPT 		MRI Upr Ext Rt, Any Jnt Without 2 $1,660.27 $1,662.45 $1,661.36 nat. median
$843
2.0× median
93351
CPT 		Stress Echo - Echocardiography, Transthoracic 1 $1,652.40 $1,652.40 $1,652.40 nat. median
$808
outlier · 2.0×
93350
CPT 		Transthoracic Stress Echo, Complete 1 $1,652.40 $1,652.40 $1,652.40 nat. median
$822
outlier · 2.0×
74176
CPT 		CT Abd/pel Without Cont 6 $767.88 $2,161.40 $1,608.22 nat. median
$697
outlier · 2.3×
70496
CPT 		CTA Head W & Without Contrast 5 $947.44 $2,046.52 $1,534.30 nat. median
$760
outlier · 2.0×
62323
CPT 		Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 5 $100.00 $2,070.36 $1,474.56 nat. median
$1,131
1.3× median
64493
CPT 		Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 1 $1,458.26 $1,458.26 $1,458.26 nat. median
$1,289
1.1× median
71260
CPT 		CT Thorax W/cont 4 $149.95 $1,868.03 $1,444.65 nat. median
$650
outlier · 2.2×
72132
CPT 		CT Lumbar Spine W/cont 1 $1,390.88 $1,390.88 $1,390.88 nat. median
$780
1.8× median
70491
CPT 		CT Neck Soft Tissue W/cont 6 $947.44 $1,724.96 $1,362.18 nat. median
$635
outlier · 2.1×
99285
CPT 		ER Service Level 5 10 $967.27 $1,686.89 $1,332.45 nat. median
$1,204
1.1× median
C8930
HCPCS 		Tte W Or Without Contr, Cont ECG 2 $1,251.30 $1,404.00 $1,327.65 nat. median
$1,188
1.1× median
92950
CPT 		Arrest C/defib 1 $1,228.24 $1,228.24 $1,228.24 nat. median
$589
outlier · 2.1×
64484
CPT 		Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 3 $817.41 $1,217.27 $1,217.27 nat. median
$862
1.4× median
70480
CPT 		CT Orbits/iacs Without Cont 1 $1,210.66 $1,210.66 $1,210.66 nat. median
$484
outlier · 2.5×
73700
CPT 		CT Lower Extremity Without Contrast 5 $449.96 $1,483.36 $1,197.64 nat. median
$524
outlier · 2.3×
70450
CPT 		CT Head Without Cont Cash Only 11 $449.96 $1,568.99 $1,176.29 nat. median
$456
outlier · 2.6×
72125
CPT 		CT Cervical Spine Without Cont 6 $449.96 $2,492.17 $1,170.17 nat. median
$483
outlier · 2.4×
71250
CPT 		CT Thorax Without Cont 3 $449.96 $1,296.87 $1,161.94 nat. median
$470
outlier · 2.5×
93306
CPT 		Resting Echo W/contrast 5 $1,107.65 $1,555.20 $1,130.57 nat. median
$994
1.1× median
70547
CPT 		MRA Neck W/out Contrast 1 $1,094.16 $1,094.16 $1,094.16 nat. median
$763
1.4× median

Other procedures at this hospital

Browse this hospital's 344 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
95811 CPT Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 8 8 $4,320.00 $4,320.00 $2,515.10 $3,888.00 $3,348.00 2025-10-06
72156 CPT MRI Neck Spine Without & With Contrast 1 1 $5,532.00 $5,532.00 $3,277.27 $3,277.27 $3,277.27 2025-10-06
72197 CPT MRI Pelvis W&without Contrast 1 1 $4,790.91 $4,790.91 $3,269.16 $3,269.16 $3,269.16 2025-10-06
70553 CPT MRI Brain W&without Contrast 4 4 $4,184.50 $4,184.50 $1,817.28 $3,627.97 $3,125.57 2025-10-06
64635 CPT Destroy L/s Facet Jnt Addl 1 1 $2,214.00 $2,214.00 $3,113.99 $3,113.99 $3,113.99 2025-10-06
72147 CPT MRI Thor Spine W/contrast 1 1 $3,388.32 $3,388.32 $2,937.67 $2,937.67 $2,937.67 2025-10-06
95810 CPT Psg-sleep Study In Sleep Lab (6 Years Or Older) 6 6 $4,320.00 $4,320.00 $2,769.12 $3,888.00 $2,914.79 2025-10-06
99291 CPT ER Critical Care Evl&mgt; Firs 2 2 $3,113.52 $3,113.52 $2,302.34 $2,810.61 $2,556.48 2025-10-06
72195 CPT MRI Pelvis Without Contrast 1 1 $2,590.69 $2,590.69 $2,544.88 $2,544.88 $2,544.88 2025-10-06
72148 CPT MRI Lumbar Spine Without Contrast 7 7 $2,763.59 $2,763.59 $1,544.35 $2,763.59 $2,396.03 2025-10-06
74177 CPT CT Abd/pel W/cont 11 11 $3,553.72 $3,553.72 $1,390.88 $3,026.47 $2,309.92 2025-10-06
81479 CPT Unlisted Molecular Pathology 1 1 $2,300.40 $2,300.40 $2,300.40 $2,300.40 $2,300.40 2025-10-06
74170 CPT CT Abdomen W&without Cont 1 1 $3,986.46 $3,986.46 $2,286.62 $2,286.62 $2,286.62 2025-10-06
74178 CPT CT Abd/pel W/wo Cont 4 4 $4,953.93 $4,953.93 $1,390.88 $2,776.61 $2,190.26 2025-10-06
46707 CPT Repair Of Abnormal Anal Drainage Tract 1 1 $2,742.39 $2,742.39 $2,186.01 $2,186.01 $2,186.01 2025-10-06
73718 CPT MRI Lwr Ext Rt,no Jnt Without C 1 1 $2,948.36 $2,948.36 $2,153.02 $2,153.02 $2,153.02 2025-10-06
62321 CPT Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 2 2 $2,484.00 $2,484.00 $1,738.80 $2,153.62 $1,946.21 2025-10-06
64483 CPT Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 3 3 $2,214.00 $2,214.00 $1,288.99 $1,919.54 $1,919.54 2025-10-06
73721 CPT MRI Any Joint Of Lwr Ext; Without Contrast 6 6 $2,682.81 $2,682.81 $1,094.16 $2,682.81 $1,877.97 2025-10-06
72192 CPT CT Pelvis Without Cont 1 1 $1,896.47 $1,896.47 $1,858.54 $1,858.54 $1,858.54 2025-10-06
70498 CPT CT Angiography Neck W & Without Contrast 1 1 $2,808.00 $2,808.00 $1,825.20 $1,825.20 $1,825.20 2025-10-06
74183 CPT MRI Abdomen W&without Contras 1 1 $5,094.83 $5,094.83 $1,817.28 $1,817.28 $1,817.28 2025-10-06
72141 CPT MRI Cervical Spine Without Cont 3 3 $2,755.62 $2,755.62 $1,766.35 $2,342.28 $1,799.24 2025-10-06
70551 CPT MRI Brain Without Contrast 1 1 $2,942.78 $2,942.78 $1,761.53 $1,761.53 $1,761.53 2025-10-06
71275 CPT CT Scan Of Blood Vessels In Chest With Contrast 3 3 $2,700.00 $2,700.00 $1,730.70 $1,755.00 $1,730.70 2025-10-06
74181 CPT MRI Abdomen Without Contrast 1 1 $3,668.50 $3,668.50 $1,713.42 $1,713.42 $1,713.42 2025-10-06
100ROOM CDM Med/surge Room Charge 6 6 $1,953.00 $1,953.00 $1,367.10 $1,953.00 $1,676.65 2025-10-06
10001999 CDM Room & Board 6 6 $1,953.00 $1,953.00 $1,367.10 $1,953.00 $1,676.65 2025-10-06
120ROOM CDM Critical Care Room Charge 6 6 $3,218.00 $3,218.00 $1,367.10 $1,953.00 $1,676.65 2025-10-06
73221 CPT MRI Upr Ext Rt, Any Jnt Without 2 2 $2,557.62 $2,557.62 $1,660.27 $1,662.45 $1,661.36 2025-10-06
93351 CPT Stress Echo - Echocardiography, Transthoracic 1 1 $1,944.00 $1,944.00 $1,652.40 $1,652.40 $1,652.40 2025-10-06
93350 CPT Transthoracic Stress Echo, Complete 1 1 $1,836.00 $1,836.00 $1,652.40 $1,652.40 $1,652.40 2025-10-06
74176 CPT CT Abd/pel Without Cont 6 6 $2,626.58 $2,626.58 $767.88 $2,161.40 $1,608.22 2025-10-06
70496 CPT CTA Head W & Without Contrast 5 5 $2,443.80 $2,443.80 $947.44 $2,046.52 $1,534.30 2025-10-06
62323 CPT Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 5 5 $2,300.40 $2,300.40 $100.00 $2,070.36 $1,474.56 2025-10-06
64493 CPT Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 1 1 $2,592.00 $2,592.00 $1,458.26 $1,458.26 $1,458.26 2025-10-06
71260 CPT CT Thorax W/cont 4 4 $2,154.59 $2,154.59 $149.95 $1,868.03 $1,444.65 2025-10-06
72132 CPT CT Lumbar Spine W/cont 1 1 $2,222.16 $2,222.16 $1,390.88 $1,390.88 $1,390.88 2025-10-06
70491 CPT CT Neck Soft Tissue W/cont 6 6 $2,740.23 $2,740.23 $947.44 $1,724.96 $1,362.18 2025-10-06
99285 CPT ER Service Level 5 10 10 $2,084.20 $2,084.20 $967.27 $1,686.89 $1,332.45 2025-10-06
C8930 HCPCS Tte W Or Without Contr, Cont ECG 2 2 $2,160.00 $2,160.00 $1,251.30 $1,404.00 $1,327.65 2025-10-06
92950 CPT Arrest C/defib 1 1 $1,251.06 $1,251.06 $1,228.24 $1,228.24 $1,228.24 2025-10-06
64484 CPT Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 3 3 $1,404.00 $1,404.00 $817.41 $1,217.27 $1,217.27 2025-10-06
70480 CPT CT Orbits/iacs Without Cont 1 1 $2,484.33 $2,484.33 $1,210.66 $1,210.66 $1,210.66 2025-10-06
73700 CPT CT Lower Extremity Without Contrast 5 5 $2,088.15 $2,088.15 $449.96 $1,483.36 $1,197.64 2025-10-06
70450 CPT CT Head Without Cont Cash Only 11 11 $393.12 $393.12 $449.96 $1,568.99 $1,176.29 2025-10-06
72125 CPT CT Cervical Spine Without Cont 6 6 $2,114.02 $2,114.02 $449.96 $2,492.17 $1,170.17 2025-10-06
71250 CPT CT Thorax Without Cont 3 3 $1,995.78 $1,995.78 $449.96 $1,296.87 $1,161.94 2025-10-06
93306 CPT Resting Echo W/contrast 5 5 $1,728.00 $1,728.00 $1,107.65 $1,555.20 $1,130.57 2025-10-06
70544 CPT MRA Head Without Contrast 1 1 $2,427.25 $2,427.25 $1,094.16 $1,094.16 $1,094.16 2025-10-06
70547 CPT MRA Neck W/out Contrast 1 1 $2,331.18 $2,331.18 $1,094.16 $1,094.16 $1,094.16 2025-10-06
27096 CPT Inject Si Joint Arthrgrphy&/anes/steroid W/ima 1 1 $1,512.00 $1,512.00 $1,058.40 $1,058.40 $1,058.40 2025-10-06
73200 CPT CT Upper Extremity Rt Without C 3 3 $2,549.56 $2,549.56 $914.23 $1,497.80 $1,056.26 2025-10-06
24505 CPT Treat Humerus Fracture 1 1 $1,495.31 $1,495.31 $1,046.72 $1,046.72 $1,046.72 2025-10-06
36556 CPT Insertion Of Central Venous Catheter For Infusion, Patient 5 Years Or Older 1 1 $3,147.50 $3,147.50 $1,045.38 $1,045.38 $1,045.38 2025-10-06
70486 CPT CT Sinus Without Cont 5 5 $1,588.26 $1,588.26 $1,018.08 $1,377.02 $1,033.28 2025-10-06
73525 CPT Xr, Arthrogram, Hip 1 1 $999.00 $999.00 $999.00 $999.00 $999.00 2025-10-06
72131 CPT CT Lumbar Spine Without Cont 4 4 $1,959.27 $1,959.27 $449.96 $1,273.53 $901.82 2025-10-06
36430 CPT Blood Transfusion 2 2 $957.73 $957.73 $861.96 $938.58 $900.27 2025-10-06
140ROOM CDM Nursery Room Charge 5 5 $1,000.00 $1,000.00 $700.00 $870.00 $850.00 2025-10-06
14002000 CDM Nursery Room & Board 5 5 $1,000.00 $1,000.00 $700.00 $870.00 $850.00 2025-10-06
64417 CPT Axillary Nerve Block 2 2 $999.00 $999.00 $699.30 $999.00 $849.15 2025-10-06
99284 CPT ER Service Level 4 16 16 $1,091.40 $1,091.40 $611.18 $1,072.07 $845.84 2025-10-06
95806 CPT Sleep Study Including Heart Rate, Breathing, Airflow, And Effort 1 1 $918.00 $918.00 $795.91 $795.91 $795.91 2025-10-06
64415 CPT Brachial Plexus Interscalene Block 1 1 $918.00 $918.00 $780.30 $780.30 $780.30 2025-10-06
64494 CPT Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Second Le… 1 1 $1,296.00 $1,296.00 $729.13 $729.13 $729.13 2025-10-06
93971 CPT Venous Doppler Unilateral 1 1 $808.16 $808.16 $727.34 $727.34 $727.34 2025-10-06
64420 CPT Intercostal Nerve Block 1 1 $702.00 $702.00 $690.77 $690.77 $690.77 2025-10-06
93970 CPT Ultrasound Venous-bilat 1 1 $1,057.22 $1,057.22 $687.19 $687.19 $687.19 2025-10-06
73040 CPT Xr, Arthrogram, Shoulder 1 1 $1,053.00 $1,053.00 $684.45 $684.45 $684.45 2025-10-06
99292 CPT ER Critical Care Evl&mgt; Ea A 2 2 $752.21 $752.21 $603.86 $738.57 $671.22 2025-10-06
P9016 HCPCS Red Blood Cells, Leukocytes Reduced Each Unit 2 2 $1,080.00 $1,080.00 $288.16 $972.00 $630.08 2025-10-06
31500 CPT Endotracheal Intubation 1 1 $775.28 $775.28 $622.38 $622.38 $622.38 2025-10-06
76811 CPT Ultrasound 20 Wks Ob/anatomic 1 1 $747.99 $747.99 $614.32 $614.32 $614.32 2025-10-06
76856 CPT US Pelvis, Non-OB 2 2 $792.79 $792.79 $601.26 $614.32 $607.79 2025-10-06
93880 CPT US Carotid Doppler 3 3 $811.08 $811.08 $524.01 $703.21 $567.76 2025-10-06
76830 CPT US Trans Vaginal (non-ob) 1 1 $855.74 $855.74 $534.87 $534.87 $534.87 2025-10-06
87631 CPT Biofire Respiratory Panel 2.1 9 9 $756.00 $756.00 $434.22 $740.88 $529.20 2025-10-06
76801 CPT Ultrasound OB < 14 Weeks 1 1 $607.25 $607.25 $526.48 $526.48 $526.48 2025-10-06
C9290 HCPCS Exparel 133 Mg/10 Ml Vial 133 Mg, 10 Ml 1 1 $302.50 $302.50 $524.54 $524.54 $524.54 2025-10-06
64447 CPT Adductor Canal Block W Image Guidance 1 1 $783.00 $783.00 $516.78 $516.78 $516.78 2025-10-06
99283 CPT ER Service Level 3 18 18 $664.80 $664.80 $372.29 $653.70 $515.22 2025-10-06
76819 CPT US Biophys Prof Without Non-str 1 1 $673.53 $673.53 $471.47 $471.47 $471.47 2025-10-06
76817 CPT Us, Pregnancy, Transvaginal 1 1 $531.65 $531.65 $460.94 $460.94 $460.94 2025-10-06
76805 CPT Ultrasound OB > 14 Weeks 1 1 $654.66 $654.66 $458.26 $458.26 $458.26 2025-10-06
12041 CPT Repair Of Wound (2.5 Centimeters Or Less) Of Neck, Hands, Feet, And/or Genitals 1 1 $918.00 $918.00 $455.87 $455.87 $455.87 2025-10-06
12032 CPT Int Repair 2.6 To 7.5 Te 1 1 $620.92 $620.92 $455.87 $455.87 $455.87 2025-10-06
20610 CPT Arthrocen/aspir Lrg Jnt 1 1 $702.00 $702.00 $452.04 $452.04 $452.04 2025-10-06
72128 CPT CT Thoracic Spine Without Contr 1 1 $1,857.54 $1,857.54 $449.96 $449.96 $449.96 2025-10-06
76881 CPT US Extremity Non-vascular 2 2 $794.83 $794.83 $447.38 $447.38 $447.38 2025-10-06
87154 CPT Culture Typing Id Bld Pthgn&resist Typing 6+trgt 1 1 $432.00 $432.00 $423.36 $423.36 $423.36 2025-10-06
93308 CPT Echocardiography, Transthoracic, Real-time With Image Documentation (2d), Includ… 2 2 $648.00 $648.00 $415.37 $415.37 $415.37 2025-10-06
76770 CPT Us,retroperitoneal Renal,ao 3 3 $737.90 $737.90 $413.22 $487.01 $415.14 2025-10-06
71110 CPT Ribs Bilat 3 Or More Views 1 1 $414.32 $414.32 $402.76 $402.76 $402.76 2025-10-06
72110 CPT Spine Lumbosacral Min 4 View 4 4 $492.98 $492.98 $316.00 $419.03 $402.76 2025-10-06
59025 CPT OB Treatment/nst 3 3 $462.33 $462.33 $323.63 $416.10 $400.84 2025-10-06
76641 CPT Us, Breast(s) 3 3 $550.61 $550.61 $368.28 $468.02 $385.43 2025-10-06
80074 CPT Acute Hepatitis Panel 1 1 $373.13 $373.13 $373.13 $373.13 $373.13 2025-10-06
99282 CPT ER Service Level 2 12 12 $431.21 $431.21 $242.60 $424.79 $355.88 2025-10-06
96365 CPT IV Therapy, Init. Hr 13 13 $409.32 $409.32 $230.28 $401.13 $354.88 2025-10-06
76000 CPT Fluoro Up To One Hour 3 3 $497.92 $497.92 $289.89 $834.50 $348.54 2025-10-06
12011 CPT Repair Of Wound (2.5 Centimeters Or Less) Of The Face, Ears, Eyelids, Nose, Lips… 1 1 $388.80 $388.80 $347.93 $347.93 $347.93 2025-10-06
59412 CPT External Cephalic Version, With Or Without Tocolysis 1 1 $378.00 $378.00 $327.73 $327.73 $327.73 2025-10-06
77066 CPT Diag Mammo Bilateral 6 6 $459.11 $459.11 $294.29 $413.20 $321.38 2025-10-06
76700 CPT US Abdomen, Complete 1 1 $914.01 $914.01 $319.90 $319.90 $319.90 2025-10-06
87153 CPT Dna/rna Sequencing 1 1 $324.00 $324.00 $317.52 $317.52 $317.52 2025-10-06
87637 CPT 4-plex Rapid Covid, Flu A&b, Rsv, Pcr 8 8 $400.00 $400.00 $224.00 $360.00 $310.00 2025-10-06
12002 CPT Sim Repair 2.6 To 7.5 Cm 6 6 $407.93 $407.93 $48.75 $347.93 $302.89 2025-10-06
72040 CPT Spine Cervical Min 2 Views 1 1 $411.23 $411.23 $302.29 $302.29 $302.29 2025-10-06
72100 CPT Spine Lumbosacral Min 2 View 5 5 $414.39 $414.39 $35.00 $413.48 $289.44 2025-10-06
77073 CPT Xr, Bone Length, Hip To Ankle 3 3 $411.11 $411.11 $243.20 $373.38 $287.78 2025-10-06
96360 CPT Hydration, Init Hr M/s 7 7 $338.07 $338.07 $190.20 $331.31 $287.36 2025-10-06
29105 CPT Splinting Long Arm 1 1 $331.20 $331.20 $287.15 $287.15 $287.15 2025-10-06
29125 CPT Splinting Short Arm 4 4 $351.04 $351.04 $212.38 $315.94 $272.06 2025-10-06
12001 CPT Laceration Repair Simple 3 3 $386.59 $386.59 $233.05 $347.93 $270.61 2025-10-06
77002 CPT Fluoroscopic Guidance For Needle Placement (eg, Biopsy, Aspiration, Injection, L… 1 1 $498.76 $498.76 $267.23 $267.23 $267.23 2025-10-06
76642 CPT US Breast Unilateral W Real Time Image Documentation; Limited: 8 8 $378.00 $378.00 $147.03 $368.28 $264.60 2025-10-06
99156 CPT Mod Sedation 5 Yrs > First 15 Min 2 2 $360.33 $360.33 $202.72 $324.30 $263.51 2025-10-06
29515 CPT Splint Short Leg 1 1 $291.32 $291.32 $262.19 $262.19 $262.19 2025-10-06
73080 CPT Elbow 3 Or More Views 6 6 $447.82 $447.82 $222.77 $311.88 $259.56 2025-10-06
10060 CPT I&d Simple 2 2 $410.23 $410.23 $229.73 $287.16 $258.44 2025-10-06
77065 CPT Mammogram Rt Unilat 5 5 $340.71 $340.71 $193.15 $295.29 $256.12 2025-10-06
71045 CPT Chest Single View 9 9 $358.86 $358.86 $230.03 $351.68 $248.44 2025-10-06
71046 CPT Chest 2 Views Pa&lat 10 10 $375.49 $375.49 $210.27 $367.98 $246.25 2025-10-06
73000 CPT Clavicle 2 2 $287.02 $287.02 $243.20 $248.85 $246.02 2025-10-06
51702 CPT Foley Catheter Insertion 1 1 $250.12 $250.12 $245.12 $245.12 $245.12 2025-10-06
73620 CPT Foot 2 Views 1 1 $275.88 $275.88 $243.20 $243.20 $243.20 2025-10-06
73562 CPT Knee 3 Views 9 9 $362.67 $362.67 $211.15 $356.92 $243.20 2025-10-06
73610 CPT Ankle 3 Views 8 8 $335.86 $335.86 $188.95 $291.19 $243.20 2025-10-06
82024 CPT Adrenocorticotropic Hormone (acth) 1 1 $243.00 $243.00 $243.00 $243.00 $243.00 2025-10-06
G0482 HCPCS Drug Test 15-21 Drugs 2 2 $324.00 $324.00 $210.60 $275.40 $243.00 2025-10-06
73502 CPT Hip 2 Or More Views 6 6 $317.88 $317.88 $203.76 $317.88 $232.86 2025-10-06
73630 CPT Foot 3 Or More Views 5 5 $321.30 $321.30 $180.76 $278.57 $229.59 2025-10-06
74019 CPT Abdomen 2 Views 1 1 $431.98 $431.98 $226.49 $226.49 $226.49 2025-10-06
96523 CPT Irrigation Of Implanted Venous Access Device For Drug Delivery Systems 1 1 $323.03 $323.03 $226.12 $226.12 $226.12 2025-10-06
77067 CPT Mammo Screen Oct Cash Price 11 11 $99.00 $99.00 $84.31 $290.68 $226.09 2025-10-06
87801 CPT Infectious Agent Antigen Detection By Immunoassay With Direct Optical (ie, Visua… 1 1 $702.00 $702.00 $225.72 $225.72 $225.72 2025-10-06
73130 CPT Hand 3 Or More Views 9 9 $326.36 $326.36 $205.07 $319.93 $223.95 2025-10-06
73110 CPT Wrist 3 Or More Views 7 7 $319.78 $319.78 $178.63 $314.66 $223.85 2025-10-06
72220 CPT Spine Sacrum & Coccyx Min 1 1 $462.71 $462.71 $222.27 $222.27 $222.27 2025-10-06
71100 CPT Ribs Unilat 2 Views 3 3 $317.48 $317.48 $209.54 $243.20 $222.24 2025-10-06
73030 CPT Shoulder 2 Or More Views 7 7 $325.59 $325.59 $178.09 $311.49 $221.59 2025-10-06
83970 CPT Parathormone 1 1 $261.91 $261.91 $218.08 $218.08 $218.08 2025-10-06
72170 CPT Pelvis 1 Or 2 Views 2 2 $363.37 $363.37 $155.48 $276.37 $215.93 2025-10-06
73090 CPT Forearm 2 Views 3 3 $378.00 $378.00 $172.22 $243.20 $214.29 2025-10-06
83993 CPT Calprotectin, Fecal 2 2 $406.85 $406.85 $80.22 $345.82 $213.02 2025-10-06
82627 CPT Dehydroepiandrosterone Dhea -s 2 2 $335.09 $335.09 $187.18 $234.56 $210.87 2025-10-06
97161 CPT Low Complexity Pt Evaluations 2 2 $280.48 $280.48 $182.31 $238.41 $210.36 2025-10-06
73590 CPT Tibia & Fibula 2 Views 2 2 $359.73 $359.73 $176.70 $243.20 $209.95 2025-10-06
73060 CPT Humerus Min 2 Views 2 2 $363.48 $363.48 $179.17 $222.93 $201.05 2025-10-06
86812 CPT Hla-b27 1 1 $198.39 $198.39 $198.39 $198.39 $198.39 2025-10-06
88305 CPT Pathology Lvl IV 9 9 $232.20 $232.20 $147.91 $227.56 $197.37 2025-10-06
77063 CPT Mammo 3d Screening 1 1 $347.76 $347.76 $194.26 $194.26 $194.26 2025-10-06
80305 CPT Drug Screening 5 5 $297.00 $297.00 $44.88 $257.50 $193.05 2025-10-06
73552 CPT Femur 2 Views 2 2 $355.99 $355.99 $174.55 $209.87 $192.21 2025-10-06
84145 CPT Procalcitonin 1 1 $293.98 $293.98 $187.27 $187.27 $187.27 2025-10-06
51701 CPT Insertion Of Non Indwelling 2 2 $193.88 $193.88 $179.01 $192.50 $185.75 2025-10-06
96367 CPT Sequential IV Therapy 4 4 $211.66 $211.66 $132.21 $202.13 $185.20 2025-10-06
73140 CPT Finger(s) 2 Or More Views 5 5 $297.46 $297.46 $83.92 $243.20 $181.95 2025-10-06
72070 CPT Spine Thoracic 2 Views 1 1 $447.21 $447.21 $181.29 $181.29 $181.29 2025-10-06
71120 CPT Sternum 2 Or More Views 1 1 $318.76 $318.76 $178.51 $178.51 $178.51 2025-10-06
29130 CPT Finger Splinting Static 2 2 $211.62 $211.62 $148.13 $207.39 $177.76 2025-10-06
86480 CPT Quantiferon TB Gold 2 2 $263.52 $263.52 $170.44 $184.46 $177.45 2025-10-06
99281 CPT ER Service Level 1 2 2 $360.50 $360.50 $154.01 $192.73 $173.37 2025-10-06
93005 CPT EKG 13 13 $243.72 $243.72 $12.27 $219.35 $170.60 2025-10-06
96374 CPT Initial IV Push 13 13 $210.69 $210.69 $125.76 $192.28 $170.11 2025-10-06
G0481 HCPCS Drug Screen, Urine 2 2 $208.44 $208.44 $132.78 $204.27 $168.53 2025-10-06
73560 CPT Knee 1 Or 2 View 1 1 $293.93 $293.93 $166.62 $166.62 $166.62 2025-10-06
96366 CPT IV Therapy Addtnl Hr 9 9 $177.29 $177.29 $113.64 $753.48 $159.56 2025-10-06
83880 CPT Natriuretic Peptide 6 6 $272.35 $272.35 $136.14 $238.85 $154.66 2025-10-06
84146 CPT Prolactin (milk Producing Hormone) Level 2 2 $180.36 $180.36 $126.25 $180.36 $153.31 2025-10-06
84305 CPT Somatomedin, Igf-i 1 1 $150.23 $150.23 $150.23 $150.23 $150.23 2025-10-06
84702 CPT Pregnancy Test Quant Hcg 6 6 $191.89 $191.89 $22.02 $166.37 $148.72 2025-10-06
80053 CPT Chem 12 Profile 16 16 $212.04 $212.04 $43.17 $207.80 $148.43 2025-10-06
80202 CPT Vancomycin Level 1 1 $208.62 $208.62 $146.03 $146.03 $146.03 2025-10-06
96361 CPT Hydration, Adtnl Hr, M/s 11 11 $167.78 $167.78 $94.39 $165.10 $142.61 2025-10-06
G0480 HCPCS Nicotine And Metabolites, Urine 2 2 $145.80 $145.80 $123.07 $161.73 $142.40 2025-10-06
88173 CPT Evaluation Of Fine Needle Aspirate With Interpretation And Report 1 1 $226.61 $226.61 $140.40 $140.40 $140.40 2025-10-06
82803 CPT Arterial Blood Gas 7 7 $210.48 $210.48 $79.08 $206.27 $136.81 2025-10-06
96375 CPT Secondary IV Push New Drug 9 9 $156.60 $156.60 $100.38 $543.09 $135.77 2025-10-06
86200 CPT Cyclic Citrullinated Peptid 1 1 $132.94 $132.94 $132.94 $132.94 $132.94 2025-10-06
82533 CPT Cortisol, Saliva 1 1 $237.83 $237.83 $132.85 $132.85 $132.85 2025-10-06
87040 CPT Culture, Blood 7 7 $207.10 $207.10 $42.21 $202.96 $131.93 2025-10-06
87493 CPT C Diff Amplified Probe 4 4 $222.57 $222.57 $112.89 $180.85 $130.91 2025-10-06
82670 CPT Estradiol 4 4 $183.73 $183.73 $114.18 $156.17 $128.61 2025-10-06
11730 CPT Avulsion Nail Plate Partial/complete Simple 1 1 1 $198.70 $198.70 $127.76 $127.76 $127.76 2025-10-06
87338 CPT Infect Agent-h.pyler/stool 1 1 $174.64 $174.64 $122.25 $122.25 $122.25 2025-10-06
84402 CPT Testosterone, Free 2 2 $196.74 $196.74 $104.07 $137.72 $120.89 2025-10-06
86904 CPT Type And Screen 5 5 $144.18 $144.18 $93.45 $144.18 $120.15 2025-10-06
82728 CPT Ferritin 9 9 $168.04 $168.04 $55.71 $165.35 $117.63 2025-10-06
96376 CPT Second IV Push Same Drug 7 7 $140.94 $140.94 $17.24 $610.97 $117.45 2025-10-06
94640 CPT Svn Treatment 4 4 $203.39 $203.39 $83.46 $134.47 $117.06 2025-10-06
87640 CPT Staph A DNA Amp Probe 1 1 $216.00 $216.00 $112.89 $112.89 $112.89 2025-10-06
87491 CPT Chlamydia Trach Probe Te 3 3 $142.99 $142.99 $112.89 $123.97 $112.89 2025-10-06
87591 CPT Neisseria Gonorrhoeae 1 1 $138.12 $138.12 $112.89 $112.89 $112.89 2025-10-06
82306 CPT Calcifediol (25-oh Vit D-3) 8 8 $208.18 $208.18 $82.59 $144.88 $112.24 2025-10-06
86225 CPT Deoxyribonucleic Acid (dna) Ab 1 1 $110.30 $110.30 $110.30 $110.30 $110.30 2025-10-06
86800 CPT Thyroglobulin (thyroid Protein) Antibody Measurement 2 2 $162.00 $162.00 $103.19 $113.40 $108.30 2025-10-06
84484 CPT Troponin, Quantitative 10 10 $159.99 $159.99 $26.82 $156.79 $107.99 2025-10-06
85379 CPT D Dimer 8 8 $165.81 $165.81 $41.61 $162.49 $106.70 2025-10-06
84144 CPT Progesterone Level 2 2 $182.53 $182.53 $85.26 $127.77 $106.52 2025-10-06
86705 CPT Hep B Core Antibody Igm 1 1 $151.63 $151.63 $106.14 $106.14 $106.14 2025-10-06
84403 CPT Testosterone; Total 5 5 $167.95 $167.95 $95.63 $150.12 $105.51 2025-10-06
86850 CPT Rbc Antibody Screen 6 6 $136.44 $136.44 $80.50 $124.20 $104.53 2025-10-06
86376 CPT Microsomal Antibodies (autoantibody) Measurement 3 3 $162.00 $162.00 $59.46 $113.40 $103.19 2025-10-06
82140 CPT Ammonia, Blood 2 2 $152.27 $152.27 $59.55 $146.18 $102.87 2025-10-06
84512 CPT Troponin 1 1 $154.59 $154.59 $100.20 $100.20 $100.20 2025-10-06
84443 CPT Thyroid Stimul, Hormone 10 10 $148.86 $148.86 $68.67 $145.88 $99.51 2025-10-06
86038 CPT Anti-nuclear Antibody 1 1 $104.53 $104.53 $99.39 $99.39 $99.39 2025-10-06
80069 CPT Renal Functional Panel 1 1 $139.50 $139.50 $97.65 $97.65 $97.65 2025-10-06
86920 CPT Cross Match Immediate 3 3 $385.93 $385.93 $69.99 $105.82 $97.18 2025-10-06
84153 CPT Psa; Total 3 3 $160.32 $160.32 $75.18 $105.46 $95.97 2025-10-06
97530 CPT Therapeutic Activities 3 3 $113.89 $113.89 $74.03 $96.81 $94.90 2025-10-06
84481 CPT Triidothyronene T3 Free 7 7 $134.74 $134.74 $69.21 $114.53 $94.32 2025-10-06
81025 CPT Pregnancy Test, Qualitative 8 8 $133.40 $133.40 $25.83 $115.66 $93.38 2025-10-06
82746 CPT Folate, Serum 4 4 $120.96 $120.96 $60.09 $120.96 $93.06 2025-10-06
87804 CPT Influenza A B C 1 1 $107.22 $107.22 $92.96 $92.96 $92.96 2025-10-06
82607 CPT Vitamin B-12 8 8 $144.18 $144.18 $61.62 $100.93 $91.85 2025-10-06
84270 CPT Sex Hormone Binding Globulin (shbg) 3 3 $182.87 $182.87 $68.80 $108.00 $91.80 2025-10-06
86318 CPT Rapid Covid 1 1 $162.00 $162.00 $90.72 $90.72 $90.72 2025-10-06
97110 CPT Therapeutic Exercises 1 1 $105.81 $105.81 $89.94 $89.94 $89.94 2025-10-06
86706 CPT Hepatitis B Sur Ab Hbcab 1 1 $127.89 $127.89 $89.52 $89.52 $89.52 2025-10-06
84140 CPT Pregnenolone 1 1 $125.00 $125.00 $87.50 $87.50 $87.50 2025-10-06
80061 CPT Lipid Profile 10 10 $137.16 $137.16 $54.72 $134.42 $87.37 2025-10-06
83002 CPT Lutenizing Hormone 2 2 $143.21 $143.21 $71.31 $100.25 $85.78 2025-10-06
87340 CPT Hepatitis Bs Ab Hbsag 1 1 $122.16 $122.16 $85.51 $85.51 $85.51 2025-10-06
99157 CPT Mod Sedation Ea Addl 15 Min 2 2 $116.80 $116.80 $65.72 $105.12 $85.42 2025-10-06
84482 CPT Triiodothyronine T3; Reverse 2 2 $124.20 $124.20 $79.12 $86.94 $83.03 2025-10-06
83001 CPT Follicle Stim, Hormone 2 2 $125.66 $125.66 $75.93 $87.96 $81.94 2025-10-06
80156 CPT Tegretal 1 1 $146.32 $146.32 $81.74 $81.74 $81.74 2025-10-06
87389 CPT Infectious Agent Antigen Detection By Immunoassay Technique 1 1 $81.00 $81.00 $81.00 $81.00 $81.00 2025-10-06
87070 CPT Culture Bacterial Any Source 7 7 $133.97 $133.97 $35.22 $116.15 $77.46 2025-10-06
84450 CPT Aspartate Aminotransferase 1 1 $76.68 $76.68 $76.68 $76.68 $76.68 2025-10-06
83498 CPT Hydroxyprogesterone, 17-d 1 1 $108.00 $108.00 $75.60 $75.60 $75.60 2025-10-06
81000 CPT Urine Dip Stick Test 16 16 $108.00 $108.00 $12.96 $105.84 $75.60 2025-10-06
84207 CPT Vitamin B6 1 1 $133.19 $133.19 $74.40 $74.40 $74.40 2025-10-06
80048 CPT Chem 7 9 9 $106.20 $106.20 $34.56 $104.50 $74.34 2025-10-06
84439 CPT Free T-4 7 7 $105.76 $105.76 $35.73 $103.64 $74.03 2025-10-06
84460 CPT Alanine Aminotransferase 2 2 $79.41 $79.41 $67.50 $79.41 $73.45 2025-10-06
86235 CPT Measurement Of Antibody For Assessment Of Autoimmune Disorder 1 1 $108.00 $108.00 $73.29 $73.29 $73.29 2025-10-06
83735 CPT Magnesium 5 5 $86.14 $86.14 $55.99 $84.42 $73.22 2025-10-06
86431 CPT Rheumatoid (ra) Factor;qualita 1 1 $73.06 $73.06 $73.06 $73.06 $73.06 2025-10-06
85060 CPT Blood Smear Interpretation By Physician With Written Report 5 5 $112.15 $112.15 $51.60 $81.00 $72.90 2025-10-06
96372 CPT Im/sq Injection 6 6 $82.03 $82.03 $52.58 $80.39 $72.47 2025-10-06
90471 CPT Immunization Admin Im/sub 5 5 $82.90 $82.90 $58.03 $74.61 $71.87 2025-10-06
83605 CPT Lactic Acid 8 8 $101.68 $101.68 $43.65 $99.65 $71.18 2025-10-06
83036 CPT Glycohemoglobin 9 9 $108.73 $108.73 $39.66 $106.56 $70.67 2025-10-06
83090 CPT Homocysteine 1 1 $133.52 $133.52 $68.94 $68.94 $68.94 2025-10-06
86140 CPT C-reactive Protein 14 14 $98.28 $98.28 $21.15 $96.31 $68.80 2025-10-06
87086 CPT Culture, Urine 8 8 $107.76 $107.76 $33.00 $105.60 $68.64 2025-10-06
82785 CPT Gammaglobulin (immunoglobulin); Ige 1 1 $113.40 $113.40 $65.57 $65.57 $65.57 2025-10-06
87186 CPT Sensitivity 5 5 $123.92 $123.92 $35.34 $100.72 $65.47 2025-10-06
85027 CPT Cbc 1 1 $74.07 $74.07 $64.21 $64.21 $64.21 2025-10-06
83690 CPT Lipase 7 7 $90.68 $90.68 $28.14 $88.87 $63.48 2025-10-06
83695 CPT Lipoprotein 1 1 $108.00 $108.00 $62.45 $62.45 $62.45 2025-10-06
87077 CPT Culture, Bact/bld;isolat 5 5 $96.15 $96.15 $33.00 $94.23 $61.25 2025-10-06
87880 CPT Strep Test, Directogen 5 5 $87.09 $87.09 $48.99 $85.35 $60.96 2025-10-06
Q3014 HCPCS Telehealth Facility Fee 5 5 $69.61 $69.61 $30.51 $69.61 $60.35 2025-10-06
87205 CPT Gram Stain 2 2 $84.95 $84.95 $50.06 $70.09 $60.08 2025-10-06
82550 CPT Cpk 1 1 $84.52 $84.52 $59.16 $59.16 $59.16 2025-10-06
80076 CPT Hepatic Function Panel 2 2 $130.55 $130.55 $33.39 $84.86 $59.12 2025-10-06
84480 CPT Triiodothyronine T3; Total (tt-3) 2 2 $95.00 $95.00 $54.93 $61.75 $58.34 2025-10-06
94010 CPT Pft (pulmonary Function Test) 1 1 $156.46 $156.46 $57.61 $57.61 $57.61 2025-10-06
82570 CPT Creatinine, Urine 2 2 $135.00 $135.00 $16.83 $94.50 $55.66 2025-10-06
85730 CPT Ptt-partial Thrombo 9 9 $84.08 $84.08 $23.76 $82.40 $54.65 2025-10-06
86803 CPT Hepatitis C Antibody 1 1 $149.55 $149.55 $54.45 $54.45 $54.45 2025-10-06
80175 CPT Lamotrigine Level 1 1 $81.00 $81.00 $54.18 $54.18 $54.18 2025-10-06
84100 CPT Phosphorus 3 3 $61.56 $61.56 $52.33 $60.33 $53.37 2025-10-06
86141 CPT C-reactive Protein, H.s. 3 3 $130.84 $130.84 $52.89 $111.21 $52.89 2025-10-06
86901 CPT Blood Typing;rn (d) 6 6 $62.46 $62.46 $40.48 $62.46 $52.57 2025-10-06
86900 CPT Blood Typing;abo 6 6 $75.54 $75.54 $39.87 $61.51 $51.77 2025-10-06
82525 CPT Assay Of Copper 1 1 $75.60 $75.60 $50.70 $50.70 $50.70 2025-10-06
J0696 HCPCS Ceftriaxone Na 1gm/dextrose 3. 2 2 $65.70 $65.70 $42.71 $56.96 $49.84 2025-10-06
86160 CPT Complement;antigen, Ea 2 2 $102.65 $102.65 $49.05 $49.05 $49.05 2025-10-06
85025 CPT Cbc W/diff 17 17 $76.96 $76.96 $21.63 $68.66 $49.04 2025-10-06
87427 CPT Infect Agent-shinga Like 1 1 $88.93 $88.93 $48.99 $48.99 $48.99 2025-10-06
G0378 HCPCS Op Observation Per Hour 8 8 $80.28 $80.28 $35.22 $72.25 $48.41 2025-10-06
84520 CPT Bun 2 2 $64.30 $64.30 $40.96 $54.66 $47.81 2025-10-06
83516 CPT Analysis Of Substance Using Immunoassay Technique 1 1 $110.65 $110.65 $47.13 $47.13 $47.13 2025-10-06
86592 CPT Rpr 2 2 $76.76 $76.76 $16.83 $76.76 $46.80 2025-10-06
83525 CPT Assay Of Insulin 3 3 $89.57 $89.57 $46.71 $59.67 $46.71 2025-10-06
82565 CPT Creatinine 2 2 $61.47 $61.47 $39.16 $52.25 $45.70 2025-10-06
82784 CPT Gammaglobulin (immunoglobulin); Iga, Igd, Igg, Igm, Each 1 1 $117.55 $117.55 $45.25 $45.25 $45.25 2025-10-06
84436 CPT Thyroxine; Total T4 6 6 $89.14 $89.14 $26.22 $70.20 $45.17 2025-10-06
J0780 HCPCS Prochlorperazine 10 Mg/2 Ml Vl 10 Mcg, 2 Ml 1 1 $52.05 $52.05 $45.13 $45.13 $45.13 2025-10-06
82270 CPT Bld. Occlt Stool 1 1 $44.44 $44.44 $44.44 $44.44 $44.44 2025-10-06
86703 CPT HIV 1 And HIV 2 1 1 $135.37 $135.37 $43.14 $43.14 $43.14 2025-10-06
84156 CPT Protein, Urine 1 1 $64.82 $64.82 $41.50 $41.50 $41.50 2025-10-06
84550 CPT Uric Acid, Blood 4 4 $62.64 $62.64 $18.48 $43.85 $40.31 2025-10-06
J3105 HCPCS Terbutaline So4 1mg/ml Inj 1ml 1 1 $46.42 $46.42 $40.25 $40.25 $40.25 2025-10-06
89050 CPT Cell Count Misc Body Fld 2 2 $84.30 $84.30 $19.32 $59.01 $39.16 2025-10-06
85651 CPT Sed Rate 12 12 $54.99 $54.99 $14.49 $53.89 $38.49 2025-10-06
J3301 HCPCS Triamcinolone Acetonide 40mg/m 1 1 $43.95 $43.95 $38.11 $38.11 $38.11 2025-10-06
84478 CPT Triglycerides 1 1 $44.50 $44.50 $37.83 $37.83 $37.83 2025-10-06
85018 CPT Hemoglobin 3 3 $38.26 $38.26 $26.78 $38.26 $37.49 2025-10-06
84132 CPT Potassium, Serum 2 2 $54.02 $54.02 $34.94 $37.81 $36.38 2025-10-06
87045 CPT Culture, Stool 1 1 $142.37 $142.37 $35.73 $35.73 $35.73 2025-10-06
87046 CPT Culture; Campylobacter 1 1 $87.37 $87.37 $35.73 $35.73 $35.73 2025-10-06
82951 CPT Glucose; Tolerance Test (gtt), 3 Specimens (includes Glucose) 1 1 $110.00 $110.00 $35.73 $35.73 $35.73 2025-10-06
85384 CPT Fibrinogen 1 1 $130.25 $130.25 $34.71 $34.71 $34.71 2025-10-06
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