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

THREE RIVERS HOSPITAL

Brewster, WA · CCN 501324 · Rates published

19,405 distinct procedures filed
14 distinct payers
292,987 rate rows
2026-03-29 last MRF observed
Data quality

5,879 of 292,987 rate rows are consumer-grade (2.0%)

287,108 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 276,370
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,738
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://threerivershospital.net/wp-content/uploads/2024/12/916001009_three-rivers-hospital_standardcharges.csv
Found on page https://threerivershospital.net/resources/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 546cd14be40810aa… · 11,091,970 bytes · first seen 2026-05-05

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
J1950
HCPCS 		Cl-lupron Depot 11.25mg For 3 Month Adm 14 $11,937.40 $14,044.00 $14,044.00 nat. median
$3,902
outlier · 3.6×
C1776
HCPCS 		7.3mm Cannulated Screw 16mm Thread 90 Mm 14 $7.19 $29,238.00 $6,720.84 nat. median
$3,394
2.0× median
47563
CPT 		Laparo Cholecystectomy/graph 1 $5,924.10 $5,924.10 $5,924.10 nat. median
$6,020
1.0× median
70543
CPT 		MRI Orbt/fac/nck Without &with Contrast 1 $4,191.13 $4,191.13 $4,191.13 nat. median
$1,083
outlier · 3.9×
70551
CPT 		MRI Brain Stem Without Contrast 1 $2,443.84 $2,443.84 $2,443.84 nat. median
$784
outlier · 3.1×
47562
CPT 		Laparoscopic Cholecystectomy 1 $2,371.40 $2,371.40 $2,371.40 nat. median
$5,993
outlier · 0.4×
73721
CPT 		MRI Jnt Of Lwr Extre Without Contrast 1 $2,029.31 $2,029.31 $2,029.31 nat. median
$856
outlier · 2.4×
J7307
HCPCS 		Etonogestrel Implant System 1 $1,873.18 $1,873.18 $1,873.18 nat. median
$1,628
1.2× median
73718
CPT 		MRI Lower Extremity Without Contrast 1 $1,809.99 $1,809.99 $1,809.99 nat. median
$870
outlier · 2.1×
25605
CPT 		Treat Fracture Radius/ulna 1 $1,804.55 $1,804.55 $1,804.55 nat. median
$1,668
1.1× median
73221
CPT 		MRI Joint Upr Extrem Without Contrast 1 $1,719.13 $1,719.13 $1,719.13 nat. median
$844
outlier · 2.0×
71275
CPT 		CT Angiography Chest 2 $1,257.50 $2,062.30 $1,659.90 nat. median
$754
outlier · 2.2×
74178
CPT 		CT Abd & Pelv 1/> Regns 2 $1,416.86 $1,742.50 $1,579.68 nat. median
$1,024
1.5× median
70498
CPT 		CT Angiography Neck 2 $536.40 $2,274.84 $1,405.62 nat. median
$739
1.9× median
G0105
HCPCS 		Colonoscopy Flexible With Without Biopsy 14 $1,147.41 $1,349.90 $1,349.90 nat. median
$1,305
1.0× median
G0390
HCPCS 		Trauma Team Activation;moderate Severity 14 $1,142.40 $1,344.00 $1,344.00 nat. median
$3,197
outlier · 0.4×
70496
CPT 		CT Angiography Head 2 $538.20 $2,132.13 $1,335.16 nat. median
$747
1.8× median
71270
CPT 		CT Thorax Dx C-/c+ 1 $1,331.96 $1,331.96 $1,331.96 nat. median
$672
2.0× median
72125
CPT 		CT Neck Spine Without Contrast 2 $1,130.50 $1,528.63 $1,329.57 nat. median
$472
outlier · 2.8×
71260
CPT 		CT Thorax Dx C+ 3 $906.00 $1,286.16 $1,225.46 nat. median
$648
1.9× median
20680
CPT 		Removal Of Implant Deep 1 $1,126.80 $1,126.80 $1,126.80 nat. median
$3,263
outlier · 0.3×
74177
CPT 		CT Abd & Pelv W/contrast 5 $571.50 $1,111.55 $1,058.61 nat. median
$974
1.1× median
73201
CPT 		CT Upper Extremity With Contrast 1 $1,038.73 $1,038.73 $1,038.73 nat. median
$804
1.3× median
87154
CPT 		Cul Typ Id Bld Pthgn 6+ Trgt 1 $1,007.49 $1,007.49 $1,007.49 nat. median
$289
outlier · 3.5×
45380
CPT 		Colonoscopy And Biopsy 2 $739.80 $1,245.70 $992.75 nat. median
$1,565
0.6× median
72192
CPT 		CT Pelvis Without Contrast 3 $234.77 $1,305.69 $965.50 nat. median
$459
outlier · 2.1×
72131
CPT 		CT Lumbar Spine Without Contrast 2 $789.00 $1,067.13 $928.07 nat. median
$457
outlier · 2.0×
70450
CPT 		CT Head/brain Without Contrast 2 $750.00 $1,014.59 $882.30 nat. median
$450
2.0× median
99291
CPT 		Critical Care First Hour 2 $702.50 $949.98 $826.24 nat. median
$1,530
0.5× median
99285
CPT 		Emergency Dept Visit Hi Mdm 6 $578.50 $948.74 $796.34 nat. median
$1,186
0.7× median
36430
CPT 		Blood Transfusion 4-6 Hrs 14 $674.90 $794.00 $794.00 nat. median
$708
1.1× median
P9016
HCPCS 		Rbc Leukocytes Reduced 2 $471.44 $942.62 $707.03 nat. median
$331
outlier · 2.1×
72156
CPT 		MRI Neck Spine Without & With Contrast 1 $697.50 $697.50 $697.50 nat. median
$1,103
0.6× median
70487
CPT 		CT Maxillofacial With Contrast 2 $189.92 $1,181.82 $685.87 nat. median
$605
1.1× median
93970
CPT 		Extremity Study 1 $640.24 $640.24 $640.24 nat. median
$564
1.1× median
G0121
HCPCS 		Colonoscopy Flexible With Without Biopsy 14 $544.00 $640.00 $640.00 nat. median
$1,292
outlier · 0.5×
73700
CPT 		CT Lower Extremity Without Contrast 2 $330.30 $949.27 $639.79 nat. median
$500
1.3× median
93306
CPT 		Tte W/doppler Complete 3 $579.10 $628.01 $613.70 nat. median
$991
0.6× median
635
OTHER 		Anes Proc Lumbar Diag/trp 14 $500.65 $589.00 $589.00 nat. median
$200
outlier · 2.9×
99284
CPT 		Emergency Dept Visit Mod Mdm 5 $434.00 $616.11 $586.78 nat. median
$754
0.8× median
76830
CPT 		Transvaginal US Non-OB 4 $225.90 $639.20 $560.44 nat. median
$250
outlier · 2.2×
87633
CPT 		Resp Virus 12-25 Targets 2 $447.50 $667.40 $557.45 nat. median
$530
1.1× median
93971
CPT 		Extremity Study 1 $555.90 $555.90 $555.90 nat. median
$345
1.6× median
76856
CPT 		US Exam Pelvic Complete 3 $478.40 $572.90 $526.44 nat. median
$271
1.9× median
76700
CPT 		US Exam Abdom Complete 1 $525.97 $525.97 $525.97 nat. median
$311
1.7× median
76817
CPT 		Transvaginal US Obstetric 1 $468.47 $468.47 $468.47 nat. median
$220
outlier · 2.1×
80074
CPT 		Acute Hepatitis Panel 1 $461.66 $461.66 $461.66 nat. median
$114
outlier · 4.1×
83090
CPT 		Assay Of Homocysteine 1 $457.17 $457.17 $457.17 nat. median
$49
outlier · 9.4×
99283
CPT 		Emergency Dept Visit Low Mdm 6 $383.97 $511.20 $431.56 nat. median
$460
0.9× median
12002
CPT 		Rpr S/n/ax/gen/trnk2.6-7.5cm 1 $427.50 $427.50 $427.50 nat. median
$299
1.4× median

Other procedures at this hospital

Browse this hospital's 19,405 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
             
J1950 HCPCS Cl-lupron Depot 11.25mg For 3 Month Adm 14 14 $14,044.00 $10,533.00 25% off $11,937.40 $14,044.00 $14,044.00 2026-03-29
C1776 HCPCS 7.3mm Cannulated Screw 16mm Thread 90 Mm 392 14 $6,880.30 $5,160.23 25% off $7.19 $29,238.00 $6,720.84 2026-03-29
47563 CPT Laparo Cholecystectomy/graph 1 1 — — $5,924.10 $5,924.10 $5,924.10 2026-03-29
70543 CPT MRI Orbt/fac/nck Without &with Contrast 1 1 — — $4,191.13 $4,191.13 $4,191.13 2026-03-29
70551 CPT MRI Brain Stem Without Contrast 1 1 — — $2,443.84 $2,443.84 $2,443.84 2026-03-29
47562 CPT Laparoscopic Cholecystectomy 1 1 — — $2,371.40 $2,371.40 $2,371.40 2026-03-29
73721 CPT MRI Jnt Of Lwr Extre Without Contrast 1 1 — — $2,029.31 $2,029.31 $2,029.31 2026-03-29
J7307 HCPCS Etonogestrel Implant System 1 1 — — $1,873.18 $1,873.18 $1,873.18 2026-03-29
73718 CPT MRI Lower Extremity Without Contrast 1 1 — — $1,809.99 $1,809.99 $1,809.99 2026-03-29
25605 CPT Treat Fracture Radius/ulna 1 1 — — $1,804.55 $1,804.55 $1,804.55 2026-03-29
73221 CPT MRI Joint Upr Extrem Without Contrast 1 1 — — $1,719.13 $1,719.13 $1,719.13 2026-03-29
71275 CPT CT Angiography Chest 2 2 — — $1,257.50 $2,062.30 $1,659.90 2026-03-29
74178 CPT CT Abd & Pelv 1/> Regns 2 2 — — $1,416.86 $1,742.50 $1,579.68 2026-03-29
70498 CPT CT Angiography Neck 2 2 — — $536.40 $2,274.84 $1,405.62 2026-03-29
G0105 HCPCS Colonoscopy Flexible With Without Biopsy 14 14 $1,349.90 $1,012.43 25% off $1,147.41 $1,349.90 $1,349.90 2026-03-29
G0390 HCPCS Trauma Team Activation;moderate Severity 14 14 $1,344.00 $1,008.00 25% off $1,142.40 $1,344.00 $1,344.00 2026-03-29
70496 CPT CT Angiography Head 2 2 — — $538.20 $2,132.13 $1,335.16 2026-03-29
71270 CPT CT Thorax Dx C-/c+ 1 1 — — $1,331.96 $1,331.96 $1,331.96 2026-03-29
72125 CPT CT Neck Spine Without Contrast 2 2 — — $1,130.50 $1,528.63 $1,329.57 2026-03-29
71260 CPT CT Thorax Dx C+ 3 3 — — $906.00 $1,286.16 $1,225.46 2026-03-29
20680 CPT Removal Of Implant Deep 1 1 — — $1,126.80 $1,126.80 $1,126.80 2026-03-29
74177 CPT CT Abd & Pelv W/contrast 5 5 — — $571.50 $1,111.55 $1,058.61 2026-03-29
73201 CPT CT Upper Extremity With Contrast 1 1 — — $1,038.73 $1,038.73 $1,038.73 2026-03-29
87154 CPT Cul Typ Id Bld Pthgn 6+ Trgt 1 1 — — $1,007.49 $1,007.49 $1,007.49 2026-03-29
45380 CPT Colonoscopy And Biopsy 2 2 — — $739.80 $1,245.70 $992.75 2026-03-29
72192 CPT CT Pelvis Without Contrast 3 3 — — $234.77 $1,305.69 $965.50 2026-03-29
72131 CPT CT Lumbar Spine Without Contrast 2 2 — — $789.00 $1,067.13 $928.07 2026-03-29
70450 CPT CT Head/brain Without Contrast 2 2 — — $750.00 $1,014.59 $882.30 2026-03-29
99291 CPT Critical Care First Hour 2 2 — — $702.50 $949.98 $826.24 2026-03-29
99285 CPT Emergency Dept Visit Hi Mdm 6 6 — — $578.50 $948.74 $796.34 2026-03-29
36430 CPT Blood Transfusion 4-6 Hrs 14 14 $794.00 $595.50 25% off $674.90 $794.00 $794.00 2026-03-29
P9016 HCPCS Rbc Leukocytes Reduced 2 2 — — $471.44 $942.62 $707.03 2026-03-29
72156 CPT MRI Neck Spine Without & With Contrast 1 1 — — $697.50 $697.50 $697.50 2026-03-29
70487 CPT CT Maxillofacial With Contrast 2 2 — — $189.92 $1,181.82 $685.87 2026-03-29
93970 CPT Extremity Study 1 1 — — $640.24 $640.24 $640.24 2026-03-29
G0121 HCPCS Colonoscopy Flexible With Without Biopsy 14 14 $640.00 $480.00 25% off $544.00 $640.00 $640.00 2026-03-29
73700 CPT CT Lower Extremity Without Contrast 2 2 — — $330.30 $949.27 $639.79 2026-03-29
93306 CPT Tte W/doppler Complete 3 3 — — $579.10 $628.01 $613.70 2026-03-29
635 OTHER Anes Proc Lumbar Diag/trp 14 14 $589.00 $441.75 25% off $500.65 $589.00 $589.00 2026-03-29
99284 CPT Emergency Dept Visit Mod Mdm 5 5 — — $434.00 $616.11 $586.78 2026-03-29
76830 CPT Transvaginal US Non-OB 4 4 — — $225.90 $639.20 $560.44 2026-03-29
87633 CPT Resp Virus 12-25 Targets 2 2 — — $447.50 $667.40 $557.45 2026-03-29
93971 CPT Extremity Study 1 1 — — $555.90 $555.90 $555.90 2026-03-29
76856 CPT US Exam Pelvic Complete 3 3 — — $478.40 $572.90 $526.44 2026-03-29
76700 CPT US Exam Abdom Complete 1 1 — — $525.97 $525.97 $525.97 2026-03-29
76817 CPT Transvaginal US Obstetric 1 1 — — $468.47 $468.47 $468.47 2026-03-29
80074 CPT Acute Hepatitis Panel 1 1 — — $461.66 $461.66 $461.66 2026-03-29
83090 CPT Assay Of Homocysteine 1 1 — — $457.17 $457.17 $457.17 2026-03-29
99283 CPT Emergency Dept Visit Low Mdm 6 6 — — $383.97 $511.20 $431.56 2026-03-29
12002 CPT Rpr S/n/ax/gen/trnk2.6-7.5cm 1 1 — — $427.50 $427.50 $427.50 2026-03-29
76705 CPT Echo Exam Of Abdomen 2 2 — — $396.07 $457.56 $426.81 2026-03-29
G0438 HCPCS Preventive Med E&m New Pt 65 Yr > 14 14 $420.00 $315.00 25% off $357.00 $420.00 $420.00 2026-03-29
1916 OTHER Anes For Dx Arterio/veno 14 14 $401.00 $300.75 25% off $340.85 $401.00 $401.00 2026-03-29
96365 CPT Ther/proph/diag IV Inf Init 4 4 — — $266.00 $436.24 $377.67 2026-03-29
1996 OTHER Daily Manage Of Epidural 14 14 $362.50 $271.88 25% off $308.12 $362.50 $362.50 2026-03-29
76801 CPT OB US < 14 Wks Single Fetus 2 2 — — $332.19 $383.76 $357.98 2026-03-29
12001 CPT Rpr S/n/ax/gen/trnk 2.5cm/< 2 2 — — $319.41 $393.00 $356.21 2026-03-29
96360 CPT Hydration IV Infusion Init 1 1 — — $352.80 $352.80 $352.80 2026-03-29
76805 CPT OB US >= 14 Wks Sngl Fetus 2 2 — — $327.22 $378.02 $352.62 2026-03-29
G0481 HCPCS Drugs Of Abuse Screen Urine Inhouse 14 14 $334.00 $250.50 25% off $283.90 $334.00 $334.00 2026-03-29
90670 CPT Pneumococcal 13-valent 0.5ml Syringe 14 14 $333.98 $250.49 25% off $283.88 $333.98 $333.98 2026-03-29
74400 CPT Urography IV +-kub Tomog 1 1 — — $330.86 $330.86 $330.86 2026-03-29
12011 CPT Rpr F/e/e/n/l/m 2.5 Cm/< 1 1 — — $319.50 $319.50 $319.50 2026-03-29
80055 CPT Obstetric Panel 1 1 — — $310.78 $310.78 $310.78 2026-03-29
76000 CPT Fluoroscopy <1 Hr Phys/qhp 1 1 — — $308.70 $308.70 $308.70 2026-03-29
86812 CPT Hla Typing A B Or C 1 1 — — $303.08 $303.08 $303.08 2026-03-29
99360 CPT Anes Standby 14 14 $293.00 $219.75 25% off $249.05 $293.00 $293.00 2026-03-29
76604 CPT US Exam Chest 1 1 — — $291.02 $291.02 $291.02 2026-03-29
12032 CPT Intmd Rpr S/a/t/ext 2.6-7.5 1 1 — — $288.00 $288.00 $288.00 2026-03-29
99204 CPT Office O/p New Mod 45 Min 1 1 — — $283.50 $283.50 $283.50 2026-03-29
99215 CPT Office O/p Est Hi 40 Min 1 1 — — $274.50 $274.50 $274.50 2026-03-29
G0439 HCPCS Preventive Med E&m Estab Pt 40-64 Yr 28 14 $300.00 $225.00 25% off $216.75 $345.00 $274.12 2026-03-29
Q9957 HCPCS Definity 2ml Injection 14 14 $273.68 $205.26 25% off $232.62 $273.68 $273.68 2026-03-29
90750 CPT Cl-shingrix IM Susp 50mcg/0.5ml 14 14 $271.50 $203.63 25% off $230.77 $271.50 $271.50 2026-03-29
99282 CPT Emergency Dept Visit Sf Mdm 4 4 — — $177.30 $324.70 $271.18 2026-03-29
11981 CPT Insertion Drug Dlvr Implant 1 1 — — $262.80 $262.80 $262.80 2026-03-29
G0104 HCPCS Proctsigmoidscpy Rigid Diagnostic 28 14 $286.25 $214.69 25% off $185.72 $354.00 $259.70 2026-03-29
86803 CPT Hepatitis C Ab Test 2 2 — — $244.36 $268.20 $256.28 2026-03-29
87481 CPT Candida DNA Amp Probe 1 1 — — $247.01 $247.01 $247.01 2026-03-29
80306 CPT Drug Test Prsmv Instrmnt 2 2 — — $237.07 $252.05 $244.56 2026-03-29
46083 CPT Incise External Hemorrhoid 1 1 — — $238.56 $238.56 $238.56 2026-03-29
10060 CPT I&d Abscess Simple/single 1 1 — — $238.50 $238.50 $238.50 2026-03-29
74176 CPT CT Abd & Pelvis Without Contrast 3 3 — — $94.13 $691.26 $235.01 2026-03-29
86304 CPT Immunoassay Tumor Ca 125 1 1 — — $230.35 $230.35 $230.35 2026-03-29
G0103 HCPCS Psa Total Reflex To Free Send Out 14 14 $230.00 $172.50 25% off $195.50 $230.00 $230.00 2026-03-29
86921 CPT Compatibility Test Incubate 2 2 — — $225.72 $225.78 $225.75 2026-03-29
82533 CPT Total Cortisol 1 1 — — $225.00 $225.00 $225.00 2026-03-29
G0378 HCPCS ER Observation 1st Hour 56 14 $249.50 $187.12 25% off $103.70 $412.00 $222.43 2026-03-29
96374 CPT Ther/proph/diag Inj IV Push 5 5 — — $197.50 $280.37 $220.27 2026-03-29
72070 CPT X-ray Exam Thorac Spine 2vws 1 1 — — $216.49 $216.49 $216.49 2026-03-29
84432 CPT Assay Of Thyroglobulin 1 1 — — $216.00 $216.00 $216.00 2026-03-29
76536 CPT US Exam Of Head And Neck 1 1 — — $215.10 $215.10 $215.10 2026-03-29
83921 CPT Organic Acid Single Quant 1 1 — — $213.89 $213.89 $213.89 2026-03-29
74019 CPT X-ray Exam Abdomen 2 Views 1 1 — — $209.48 $209.48 $209.48 2026-03-29
99203 CPT Office O/p New Low 30 Min 1 1 — — $205.70 $205.70 $205.70 2026-03-29
99214 CPT Office O/p Est Mod 30 Min 2 2 — — $193.50 $215.00 $204.25 2026-03-29
87491 CPT Chlmyd Trach DNA Amp Probe 2 2 — — $185.22 $217.30 $201.26 2026-03-29
99100 CPT Anes For Pt Of Extreme Age <1 And >70 14 14 $201.00 $150.75 25% off $170.85 $201.00 $201.00 2026-03-29
73080 CPT X-ray Exam Of Elbow 2 2 — — $195.98 $203.15 $199.56 2026-03-29
84145 CPT Procalcitonin (pct) 3 3 — — $134.00 $199.51 $199.46 2026-03-29
86800 CPT Thyroglobulin Antibody 1 1 — — $198.90 $198.90 $198.90 2026-03-29
72110 CPT X-ray Exam L-2 Spine 4/>vws 1 1 — — $196.98 $196.98 $196.98 2026-03-29
Q9967 HCPCS Locm 300-399mg/ml Iodine,1ml 2 2 — — $195.91 $195.96 $195.94 2026-03-29
82175 CPT Assay Of Arsenic 1 1 — — $189.51 $189.51 $189.51 2026-03-29
86235 CPT Nuclear Antigen Antibody 1 1 — — $188.81 $188.81 $188.81 2026-03-29
86922 CPT Compatibility Test Antiglob 2 2 — — $184.55 $184.60 $184.57 2026-03-29
73000 CPT X-ray Exam Of Collar Bone 1 1 — — $183.83 $183.83 $183.83 2026-03-29
86682 CPT Helminth Antibody 1 1 — — $183.13 $183.13 $183.13 2026-03-29
84702 CPT Chorionic Gonadotropin Test 2 2 — — $164.67 $197.20 $180.94 2026-03-29
87389 CPT HIV-1 Ag W/hiv-1&-2 Ab Ag Ia 2 2 — — $172.20 $189.00 $180.60 2026-03-29
51702 CPT Insert Temp Bladder Cath 1 1 — — $177.50 $177.50 $177.50 2026-03-29
J3490 HCPCS Drugs Unclassified Injection 1 1 — — $177.45 $177.45 $177.45 2026-03-29
G0480 HCPCS Tapentadol Medmatch Drug Monitoring 42 14 $177.00 $132.75 25% off $37.40 $252.00 $177.00 2026-03-29
83013 CPT H Pylori (c-13) Breath 1 1 — — $176.74 $176.74 $176.74 2026-03-29
99202 CPT Office O/p New Sf 15 Min 1 1 — — $175.50 $175.50 $175.50 2026-03-29
82164 CPT Angiotensin I Enzyme Test 1 1 — — $172.48 $172.48 $172.48 2026-03-29
51701 CPT Insert Bladder Catheter 1 1 — — $172.48 $172.48 $172.48 2026-03-29
77067 CPT Scr Mammo Bi Incl Cad 2 2 — — $88.20 $256.70 $172.45 2026-03-29
73090 CPT X-ray Exam Of Forearm 2 2 — — $166.60 $175.10 $170.85 2026-03-29
86778 CPT Toxoplasma Antibody Igm 1 1 — — $170.35 $170.35 $170.35 2026-03-29
86618 CPT Lyme Disease Antibody 1 1 — — $164.67 $164.67 $164.67 2026-03-29
73030 CPT X-ray Exam Of Shoulder 3 3 — — $119.07 $172.48 $164.01 2026-03-29
73110 CPT X-ray Exam Of Wrist 2 2 — — $152.61 $174.25 $163.43 2026-03-29
84146 CPT Assay Of Prolactin 1 1 — — $163.30 $163.30 $163.30 2026-03-29
84153 CPT Assay Of Psa Total 1 1 — — $163.30 $163.30 $163.30 2026-03-29
82728 CPT Assay Of Ferritin 1 1 — — $162.00 $162.00 $162.00 2026-03-29
73630 CPT X-ray Exam Of Foot 2 2 — — $156.83 $164.67 $160.75 2026-03-29
80202 CPT Assay Of Vancomycin 1 1 — — $159.04 $159.04 $159.04 2026-03-29
71100 CPT X-ray Exam Ribs Uni 2 Views 1 1 — — $153.36 $153.36 $153.36 2026-03-29
96375 CPT Tx/pro/dx Inj New Drug Addon 6 6 — — $129.90 $329.40 $152.81 2026-03-29
73600 CPT X-ray Exam Of Ankle 1 1 — — $150.48 $150.48 $150.48 2026-03-29
J3430 HCPCS Vitamin K Phytonadione Inj 1 1 — — $150.24 $150.24 $150.24 2026-03-29
73130 CPT X-ray Exam Of Hand 3 3 — — $142.71 $179.35 $149.77 2026-03-29
J0131 HCPCS Inj, Acetaminophen (nos) 1 1 — — $148.11 $148.11 $148.11 2026-03-29
73120 CPT X-ray Exam Of Hand 1 1 — — $146.93 $146.93 $146.93 2026-03-29
73564 CPT X-ray Exam Knee 4 Or More 1 1 — — $146.22 $146.22 $146.22 2026-03-29
96367 CPT Tx/proph/dg Addl Seq IV Inf 2 2 — — $145.51 $145.55 $145.53 2026-03-29
80061 CPT Lipid Panel 5 5 — — $13.39 $156.60 $142.68 2026-03-29
82746 CPT Assay Of Folic Acid Serum 1 1 — — $141.96 $141.96 $141.96 2026-03-29
82805 CPT Blood Gases W/o2 Saturation 1 1 — — $139.87 $139.87 $139.87 2026-03-29
99212 CPT Office O/p Est Sf 10 Min 1 1 — — $137.70 $137.70 $137.70 2026-03-29
86777 CPT Toxoplasma Antibody 1 1 — — $137.70 $137.70 $137.70 2026-03-29
96366 CPT Ther/proph/diag IV Inf Addon 4 4 — — $118.57 $350.00 $133.86 2026-03-29
72100 CPT X-ray Exam L-s Spine 2/3 Vws 2 2 — — $63.90 $202.13 $133.01 2026-03-29
96372 CPT Ther/proph/diag Inj Sc/im 2 2 — — $84.50 $177.45 $130.97 2026-03-29
84443 CPT Assay Thyroid Stim Hormone 5 5 — — $91.50 $164.70 $129.93 2026-03-29
87075 CPT Cultr Bacteria Except Blood 1 1 — — $128.70 $128.70 $128.70 2026-03-29
83880 CPT Assay Of Natriuretic Peptide 2 2 — — $109.00 $147.68 $128.34 2026-03-29
83605 CPT Assay Of Lactic Acid 3 3 — — $127.05 $161.10 $127.09 2026-03-29
94799 CPT Oxygen Set Up 14 14 $127.00 $95.25 25% off $107.95 $127.00 $127.00 2026-03-29
90715 CPT Tdap Vaccine 7 Yrs/> IM 3 3 — — $91.67 $132.79 $126.47 2026-03-29
73522 CPT X-ray Exam Hips Bi 3-4 Views 1 1 — — $123.00 $123.00 $123.00 2026-03-29
99213 CPT Office O/p Est Low 20 Min 2 2 — — $88.91 $156.60 $122.75 2026-03-29
73140 CPT X-ray Exam Of Finger(s) 1 1 — — $122.01 $122.01 $122.01 2026-03-29
82607 CPT Vitamin B-12 2 2 — — $96.00 $143.38 $119.69 2026-03-29
73562 CPT X-ray Exam Of Knee 3 2 2 — — $65.70 $173.19 $119.44 2026-03-29
83516 CPT Immunoassay Nonantibody 2 2 — — $62.46 $175.48 $118.97 2026-03-29
87077 CPT Culture Aerobic Identify 2 2 — — $106.50 $128.70 $117.60 2026-03-29
69209 CPT Remove Impacted Ear Wax Uni 1 1 — — $117.12 $117.12 $117.12 2026-03-29
85379 CPT Fibrin Degradation Quant 3 3 — — $82.00 $134.48 $116.44 2026-03-29
82306 CPT Vitamin D 25 Hydroxy 3 3 — — $82.00 $147.60 $116.40 2026-03-29
73560 CPT X-ray Exam Of Knee 1 Or 2 1 1 — — $114.50 $114.50 $114.50 2026-03-29
72082 CPT X-ray Exam Entire Spi 2/3 Vw 1 1 — — $114.30 $114.30 $114.30 2026-03-29
87661 CPT Trichomonas Vaginalis Amplif 1 1 — — $114.28 $114.28 $114.28 2026-03-29
71110 CPT X-ray Exam Ribs Bil 3 Views 1 1 — — $113.19 $113.19 $113.19 2026-03-29
96376 CPT Tx/pro/dx Inj Same Drug Adon 2 2 — — $91.50 $129.90 $110.70 2026-03-29
73610 CPT X-ray Exam Of Ankle 2 2 — — $57.60 $162.54 $110.07 2026-03-29
20610 CPT Drain/inj Joint/bursa Without US 1 1 — — $109.80 $109.80 $109.80 2026-03-29
73502 CPT X-ray Exam Hip Uni 2-3 Views 2 2 — — $89.50 $127.05 $108.28 2026-03-29
73100 CPT X-ray Exam Of Wrist 2 2 — — $53.10 $158.95 $106.03 2026-03-29
74018 CPT X-ray Exam Abdomen 1 View 1 1 — — $105.76 $105.76 $105.76 2026-03-29
73070 CPT X-ray Exam Of Elbow 1 1 — — $105.35 $105.35 $105.35 2026-03-29
86225 CPT DNA Antibody Native 1 1 — — $104.34 $104.34 $104.34 2026-03-29
71048 CPT Pf-chest Complete With Minimum Of 4 Views 14 14 $104.00 $78.00 25% off $88.40 $104.00 $104.00 2026-03-29
84703 CPT Chorionic Gonadotropin Assay 2 2 — — $94.41 $113.05 $103.73 2026-03-29
86140 CPT C-reactive Protein 5 5 — — $72.00 $129.60 $102.24 2026-03-29
83036 CPT Hemoglobin Glycosylated A1c 3 3 — — $102.21 $129.60 $102.24 2026-03-29
86920 CPT Compatibility Test Spin 2 2 — — $102.21 $102.24 $102.22 2026-03-29
87591 CPT N.gonorrhoeae DNA Amp Prob 2 2 — — $92.61 $108.24 $100.42 2026-03-29
C1726 HCPCS Cervical Ripen Balloon 14 14 $99.55 $74.66 25% off $84.61 $99.55 $99.55 2026-03-29
93005 CPT Electrocardiogram Tracing 5 5 — — $68.50 $190.65 $97.27 2026-03-29
87040 CPT Blood Culture For Bacteria 4 4 — — $67.50 $110.70 $95.83 2026-03-29
87186 CPT Microbe Susceptible Mic 2 2 — — $86.62 $104.40 $95.51 2026-03-29
87428 CPT Sarscov & Inf Vir A&b Ag Ia 6 6 — — $66.00 $113.40 $93.70 2026-03-29
86480 CPT TB Test Cell Immun Measure 1 1 — — $91.56 $91.56 $91.56 2026-03-29
84439 CPT Assay Of Free Thyroxine 2 2 — — $65.00 $117.00 $91.00 2026-03-29
99423 CPT Ol Dig E/m Svc 21+ Min 1 1 — — $90.90 $90.90 $90.90 2026-03-29
83655 CPT Assay Of Lead 1 1 — — $90.86 $90.86 $90.86 2026-03-29
87070 CPT Culture Othr Specimn Aerobic 2 2 — — $66.50 $114.30 $90.40 2026-03-29
89051 CPT Body Fluid Cell Count 1 1 — — $90.00 $90.00 $90.00 2026-03-29
A4216 HCPCS Dme Pos 2 2 — — $43.26 $135.82 $89.54 2026-03-29
J0696 HCPCS Ceftriaxone Sodium Injection 4 4 — — $22.82 $104.41 $88.95 2026-03-29
99422 CPT Ol Dig E/m Svc 11-20 Min 1 1 — — $88.20 $88.20 $88.20 2026-03-29
85007 CPT Bl Smear W/diff Wbc Count 2 2 — — $82.82 $90.90 $86.86 2026-03-29
99080 CPT (roa) Forms Fee 14 14 $85.50 $64.13 25% off $72.67 $85.50 $85.50 2026-03-29
86850 CPT Rbc Antibody Screen 2 2 — — $85.18 $85.20 $85.19 2026-03-29
87798 CPT Detect Agent Nos DNA Amp 3 3 — — $56.00 $106.20 $83.76 2026-03-29
J0295 HCPCS Ampicillin Sulbactam 1.5 Gm 1 1 — — $83.00 $83.00 $83.00 2026-03-29
87086 CPT Urine Culture/colony Count 5 5 — — $61.00 $100.04 $82.36 2026-03-29
36000 CPT Place Needle In Vein 4 4 — — $59.00 $100.80 $81.64 2026-03-29
G2025 HCPCS Telephone E/m 11-20 Minutes 14 14 $81.00 $60.75 25% off $68.85 $81.00 $81.00 2026-03-29
98005 CPT Synchronous Audio-video Visit For The Evaluation And Management Of An Establishe… 1 1 — — $81.00 $81.00 $81.00 2026-03-29
87088 CPT Urine Bacteria Culture 1 1 — — $80.94 $80.94 $80.94 2026-03-29
82043 CPT Ur Albumin Quantitative 2 2 — — $50.40 $108.78 $79.59 2026-03-29
94640 CPT Airway Inhalation Treatment 3 3 — — $78.79 $91.02 $78.81 2026-03-29
85549 CPT Muramidase 1 1 — — $76.66 $76.66 $76.66 2026-03-29
83550 CPT Iron Binding Test 2 2 — — $72.98 $80.10 $76.54 2026-03-29
J1956 HCPCS Levofloxacin Injection 1 1 — — $75.77 $75.77 $75.77 2026-03-29
86431 CPT Rheumatoid Factor Quant 1 1 — — $75.24 $75.24 $75.24 2026-03-29
87651 CPT Strep A DNA Amp Probe 5 5 — — $60.16 $76.50 $72.98 2026-03-29
73521 CPT X-ray Exam Hips Bi 2 Views 1 1 — — $72.90 $72.90 $72.90 2026-03-29
86039 CPT Antinuclear Antibodies (ana) 1 1 — — $72.40 $72.40 $72.40 2026-03-29
Q2038 HCPCS Fluzone High-dose 65+ 0.5ml Syringe 14 14 $70.00 $52.50 25% off $59.50 $70.00 $70.00 2026-03-29
86592 CPT Syphilis Test Non-trep Qual 2 2 — — $60.33 $76.50 $68.41 2026-03-29
87624 CPT Hpv High-risk Types 2 2 — — $66.30 $70.20 $68.25 2026-03-29
83930 CPT Assay Of Blood Osmolality 1 1 — — $67.45 $67.45 $67.45 2026-03-29
85730 CPT Thromboplastin Time Partial 3 3 — — $47.50 $67.45 $67.43 2026-03-29
88175 CPT Cytopath C/v Auto Fluid Redo 4 4 — — $55.37 $70.20 $65.13 2026-03-29
86038 CPT Antinuclear Antibodies 1 1 — — $64.60 $64.60 $64.60 2026-03-29
77063 CPT Breast Tomosynthesis Bi 1 1 — — $63.75 $63.75 $63.75 2026-03-29
82150 CPT Assay Of Amylase 4 4 — — $46.00 $82.80 $63.46 2026-03-29
86900 CPT Blood Typing Serologic Abo 3 3 — — $63.17 $75.65 $63.19 2026-03-29
87807 CPT Rsv Assay W/optic 1 1 — — $63.17 $63.17 $63.17 2026-03-29
87426 CPT Sarscov Coronavirus Ag Ia 4 4 — — $44.00 $62.48 $60.98 2026-03-29
83735 CPT Assay Of Magnesium 3 3 — — $40.50 $60.35 $60.33 2026-03-29
71250 CPT CT Thorax Dx C- 1 1 — — $58.60 $58.60 $58.60 2026-03-29
87185 CPT Microbe Susceptible Enzyme 1 1 — — $58.22 $58.22 $58.22 2026-03-29
86901 CPT Blood Typing Serologic Rh(d) 3 3 — — $58.20 $69.70 $58.22 2026-03-29
84484 CPT Assay Of Troponin Quant 4 4 — — $41.00 $114.57 $58.21 2026-03-29
83540 CPT Assay Of Iron 2 2 — — $54.94 $60.30 $57.62 2026-03-29
71046 CPT Pf-chest Two Views 14 14 $57.00 $42.75 25% off $48.45 $57.00 $57.00 2026-03-29
87581 CPT M.pneumon DNA Amp Probe 4 4 — — $38.00 $72.00 $56.79 2026-03-29
87486 CPT Chlmyd Pneum DNA Amp Probe 4 4 — — $38.00 $72.00 $56.79 2026-03-29
72083 CPT X-ray Exam Entire Spi 4/5 Vw 1 1 — — $55.80 $55.80 $55.80 2026-03-29
84550 CPT Assay Of Blood/uric Acid 1 1 — — $55.37 $55.37 $55.37 2026-03-29
L3050 HCPCS Hapad Metatarsal Pad 14 14 $55.28 $41.46 25% off $46.98 $55.28 $55.28 2026-03-29
J2919 HCPCS Inj, Methylpred Sod Succ 5mg 3 3 — — $36.62 $52.00 $51.99 2026-03-29
80053 CPT Comprehen Metabolic Panel 6 6 — — $35.50 $63.90 $50.41 2026-03-29
87205 CPT Smear Gram Stain 3 3 — — $33.50 $54.90 $47.57 2026-03-29
82565 CPT Assay Of Creatinine 1 1 — — $47.57 $47.57 $47.57 2026-03-29
82550 CPT Assay Of Ck (cpk) 1 1 — — $47.57 $47.57 $47.57 2026-03-29
71045 CPT Pf-chest Single View 14 14 $46.00 $34.50 25% off $39.10 $46.00 $46.00 2026-03-29
81025 CPT Urine Pregnancy Test 4 4 — — $39.04 $49.50 $45.92 2026-03-29
36416 CPT Collj Capillary Blood Spec 1 1 — — $45.42 $45.42 $45.42 2026-03-29
84100 CPT Assay Of Phosphorus 1 1 — — $41.89 $41.89 $41.89 2026-03-29
80048 CPT Metabolic Panel Total Ca 5 5 — — $28.50 $46.74 $40.46 2026-03-29
82570 CPT Assay Of Urine Creatinine 1 1 — — $39.60 $39.60 $39.60 2026-03-29
J3480 HCPCS Inj Potassium Chloride 1 1 — — $39.51 $39.51 $39.51 2026-03-29
85652 CPT Rbc Sed Rate Automated 4 4 — — $27.50 $46.80 $39.05 2026-03-29
G0009 HCPCS Pneumococcal Vaccine 42 14 $39.30 $29.48 25% off $26.39 $42.72 $38.44 2026-03-29
85025 CPT Complete Cbc W/auto Diff Wbc 6 6 — — $25.50 $45.90 $36.20 2026-03-29
J2543 HCPCS Piperacillin/tazobactam 1 1 — — $33.99 $33.99 $33.99 2026-03-29
G0008 HCPCS Influenza Vaccine 42 14 $36.00 $27.00 25% off $28.47 $36.20 $33.50 2026-03-29
J2360 HCPCS Orphenadrine Injection 1 1 — — $33.31 $33.31 $33.31 2026-03-29
83690 CPT Assay Of Lipase 5 5 — — $23.00 $41.40 $32.34 2026-03-29
90658 CPT Influenza Vaccine 14 14 $32.15 $24.11 25% off $27.32 $32.15 $32.15 2026-03-29
J3010 HCPCS Fentanyl Citrate Injection 1 1 — — $31.93 $31.93 $31.93 2026-03-29
J2060 HCPCS Lorazepam Injection 1 1 — — $31.93 $31.93 $31.93 2026-03-29
J2270 HCPCS Morphine Sulfate Injection 1 1 — — $30.81 $30.81 $30.81 2026-03-29
85027 CPT Complete Cbc Automated 5 5 — — $21.50 $38.70 $30.53 2026-03-29
J7040 HCPCS Normal Saline Solution Infus 2 2 — — $19.75 $39.52 $29.64 2026-03-29
90471 CPT Immunization Admin 2 2 — — $21.65 $36.75 $29.20 2026-03-29
1230 OTHER Anes Adm/open/femur 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1220 OTHER Anes Closed Tx Femur 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1232 OTHER Anes Open Femur; Amputation 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1214 OTHER Anes Tot Hip Replacement 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1210 OTHER Anes Open Proc Hip Joint 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1215 OTHER Anes Revision Tot Hip Replacement 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1250 OTHER Anes All Proc Upper Leg 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1130 OTHER Anes Body Cast Apply 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1170 OTHER Anes Opn Proc Symph Pubic 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1200 OTHER Anes Closed/hip Joint 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1320 OTHER Anes; Repair Tendons Knee 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1638 OTHER Anes Tot Shoulder Replace 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1340 OTHER Anes Closed Procedure Femur 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1360 OTHER Anes Open Tx Low Femur 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1380 OTHER Anes Closed Procedure Knee 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1464 OTHER Anes Adm/arthro/ankle/foot 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1382 OTHER Anes Adm/arthro/knee 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1390 OTHER Anes Closed Proc Tibia 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1610 OTHER Anes Adm/nerves Muscle 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1650 OTHER Anes Arteries Shoulder 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1490 OTHER Anes Admin Cast/splint 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1620 OTHER Anes Adm/closed/head 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1480 OTHER Anes Adm/open/bones 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1482 OTHER Anes Radical Resection 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
140 OTHER Anes Procedure Eye 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1472 OTHER Anes Repr Achilles Tendon 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1484 OTHER Anes Open Bones Lower Leg 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1622 OTHER Anes Adm/arthro/shoulder 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1630 OTHER Anes Op Proc Head Nf 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
170 OTHER Anes Inter Pro/biopsy 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
92950 CPT Anes Cardiopulmonary Resuscitation 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1400 OTHER Anes Open Proc Knee Joint 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1470 OTHER Anes Adm/nerves Muscle 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1710 OTHER Anes Upper/arm Elbow 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1462 OTHER Anes Adm/clsd/leg Foot 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1520 OTHER Anes Veins Of Lower Leg 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1392 OTHER Anes Adm/open/tibia 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
1402 OTHER Anes Adm/knee Replace 14 14 $27.00 $20.25 25% off $22.95 $27.00 $27.00 2026-03-29
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