Habersham Medical Center 1 1009

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Service or item charge description Estimated Charge

(HHE)VACCINE ADMINISTRATION $ 70.37


(HHW) VACCINE ADMINISTRATION $ 70.37
0.45% NORMAL SALINE 1000 ML $ 32.64
0.9% SODIUM CHLORIDE 1000ML $ 33.02
0.9% SODIUM CHLORIDE 3ML $ 4.01
0.9% SODIUM CHLORIDE 500ML $ 33.32
1 HR OB GTT $ 63.65
1.6MM CABLE $ 1,744.00
1/2 NORMAL SALINE W/20 MEQ KCL $ 32.06
11-DEOXYCORTISOL (S) $ 124.45
11G NEEDLE GUIDE $ 32.00
11G STERIOTACTIC MAMMO PROBE $ 451.00
11G TISSUE MARKER (CLIP) $ 143.00
11G U/S MAMMOTONE PROBE $ 419.00
14-3-3 PROTEIN (CSF) $ 280.00
17-KETOGENIC STEROIDS $ 61.75
17-KETOSTEROIDS $ 64.60
17-KETOSTEROIDS,FRACTIONATED $ 283.10
17-OH-CORTICOSTEROIDS $ 108.30
17-OH-PREGNEOLONE $ 91.20
18-OH-CORTICOSTERONE $ 108.30
1ST AEROSOL TX $ 245.10
2 HR GTT $ 63.65
2 HR PPBS $ 63.65
2 KARYOTYPES 15-20 CELLS $ 746.70
2 X 3" SURGICEL $ 54.00
20GA (LOC) NEEDLE GUIDE $ 15.00
2D ECHO DOPPLER $ 315.70
2X14 IN SURGICEL $ 94.22
3 HR GTT $ 95.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
3 HR OB GTT $ 93.10
3D RECONSTRUCTION POST PROCESS $ 364.70
3D RENDERING NO IND WORKSTATN $ 175.00
4 HR GTT $ 115.90
400ML PREFILL HUMI $ 30.25
5 & 1 CONNECTOR $ 15.25
5 HR GTT $ 136.80
5 PANEL DRUG SCREEN, SERUM $ 118.00
5-HIAA $ 66.50
5-HIAA (SERO) RANDOM $ 66.50
8G NEEDLE GUIDE $ 32.00
8G STERIOTACTIC MAMMO PROBE $ 477.00
8G TISSUE MARKER (CLIP) $ 143.00
8G U/S MAMMOTONE PROBE $ 446.00
A. AMSTELODAMI/GLAUCUS $ 112.88
A. FLAVUS $ 112.88
A. FUMIGATUS $ 112.88
A. NIDULANS $ 112.88
A. NIGER $ 112.88
A. TERREUS $ 112.88
A. VERSICOLOR $ 112.88
A1A PHENOTYPING $ 140.60
A-2 MACROGLOBULIN $ 53.20
AA 4.25 %/CALCIUM/LYTES/D5W 1, $ 66.65
AA 4.25%/CALCIUM/LYTES/DEX 10% $ 45.64
ABCESS DRAINAGE $ 307.56
ABCESS DRAINAGE SURGICAL $ 932.86
ABDOMEN (1 VIEW) $ 121.84
ABDOMEN FLAT & UPRIGHT $ 191.90
ABDOMINAL PARACENTESIS $ 1,270.82
ABO GROUP $ 31.50
ABO TYPE BY ARC $ 31.50
ABSOLUTE BASOPHIL COUNT $ 36.10
ABSOLUTE CD4 $ 143.51

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ABSOLUTE LYMPHOCYTE COUNT $ 36.10
ABSOLUTE NEUTROPHIL COUNT $ 36.10
AC JOINTS BILAT W/WO WT $ 262.60
ACAPELLA DEVICE ONLY $ 75.00
ACCUCHECK BY ER $ 17.81
ACETADOTE IV 6000MG/30 ML $ 628.74
ACETALDEHYDE $ 313.04
ACETAMINOPHEN $ 196.56
Acetaminophen 1000mg/100ml inj $ 101.91
ACETAMINOPHEN 160 MG/5 ML ORAL $ 12.72
Acetaminophen 325 mg supp $ 4.05
Acetaminophen 650 mg supp $ 4.05
ACETAMINOPHEN W/ CODEINE 5 ML $ 6.75
ACETOACETATE $ 134.90
ACETONE, QUANT $ 134.90
ACETYLCHOLINE REC BLOC AB $ 83.60
ACETYLCHOLINE REC MOD AB $ 83.60
ACETYLCHOLINE RECP AB $ 152.00
ACETYLCHOLINESTERASE,RBC $ 233.70
ACID PHOS/PROSTATIC $ 46.55
ACID PHOSPH (TOT) $ 46.55
ACTH $ 170.05
ACTH STIMULATION PANEL $ 105.45
ACTIN AB IMMUNOPEROXIDASE $ 542.36
ACTINOMYCES ANTIBODY $ 59.67
Activase 1 mg (Alteplase) $ 10,945.67
ACTIVATED CHARCOAL LIQ 120ML $ 54.11
ACTIVATED PROTEIN C RESISTANCE $ 138.70
ACTIVENT TUBE $ 462.93
ACTOS 15 MG TAB (PIOGL) $ 18.02
ACUTE ABD SERIES (3 VIEWS) $ 239.16
ACUTE HEPATITIS PANEL $ 183.66
Acyclovir 5gm Oint $ 303.22
ACYLCARNITINE PROFILE $ 285.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ADACEL INJ 0.5ML (TETANU3) $ 98.82
ADALIMUMAB LEVEL FOR IBD $ 260.00
ADDITIONAL REFLEX TESTING $ 40.31
ADENOSINE 3 MG/1 ML 2 ML SDV $ 24.50
ADENOSINE 6 MG/2 ML 4 ML $ 57.95
ADENOSINE DEAMINASE, BODY FLD $ 28.50
ADENOVIRUS AB $ 146.74
ADENOVIRUS BY DFA $ 60.49
ADENOVIRUS CULTURE $ 181.47
ADMIN OF BLOOD PRODUCTS $ 657.40
ADRENAL ANTIBODY $ 40.31
ADVAIR DISKUS 250/50MCG (FLSA $ 394.54
ADVANTAGE TENSION FREE SLING $ 3,550.05
AEROSOL 1ST HR TX $ 306.25
AEROSOL CANOPY $ 91.25
AEROSOL TX ADD'L $ 245.10
AFB CULTURE $ 271.39
AFB ID $ 127.52
AFB SMEAR $ 86.65
AFB SUSCEPTABILITY $ 214.16
AFLURIA QUAD 19-20 PF 60 MCG/ $ 44.26
AFP-AMNIOTIC FLUID $ 62.70
AFRIN NASAL SPRAY $ 9.58
AGGRENOX 200/25 CAP (DIPYRIASA $ 21.64
ALBUMIN $ 49.40
ALBUMIN (HUMAN) 5% 250 ML $ 194.40
ALBUMIN 25% (ALBUMI) 100ML $ 279.78
ALBUMIN, SERUM $ 49.40
ALBUMIN,BDY FLD OTHER THAN BLD $ 49.40
ALBUMIN,URINE $ 49.40
ALBUTEROL 1.25MG/3ML SOL $ 7.57
Albuterol 2.5 mg/3 ml Inh Sol $ 4.03
Albuterol Inhaler $ 47.62
ALCIAN BLUE 2.5 STAIN $ 542.36

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ALCIAN BLUE STAIN $ 103.74
ALCOHOL-BLOOD $ 313.04
ALDACTONE (SPIRONOLACTONE) BLD $ 200.20
ALDACTONE 25 MG TAB (SPIRON) $ 3.98
ALDOLASE $ 48.45
ALDOSTERONE $ 171.95
ALDOSTERONE $ 171.95
ALDOSTERONE/RENIN ACT RATIO $ 116.85
ALK PHOSPHATASE, BONE SPECIFIC $ 44.65
ALKALINE PHOS,THERMOSTABLE $ 22.80
ALKALINE PHOSPHATASE, TOTAL $ 44.65
ALKALINE PHOSPHATE $ 44.65
ALKALOIDS,QUANT $ 385.84
ALLERGEN GLUTEN (f79) IgE $ 112.88
ALLERGEN IgE, EACH $ 24.19
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGEN IgE, EACH $ 112.88
ALLERGENS, IgE, EACH $ 112.88
ALLERGY CEREAL GRP PANEL #15 $ 112.88

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ALLERGY MILK & WHEAT IgE $ 112.88
ALLERGY NUT MIX PANEL #18 $ 112.88
ALLERGY SOUTHERN PANEL $ 112.88
ALLOGRAFT BONE 1 CC $ 2,215.50
ALLOGRAFT BONE 15 CC $ 6,872.50
Allopurinol 100 mg tab $ 4.00
ALLOSTEM CUBE 1CC (ALLOGRAFT) $ 2,431.65
ALP ISOENZYMES $ 75.05
ALPHA 1 ANTITRIPSIN $ 68.40
ALPHA 1 ANTITRYPSIN STOOL $ 68.40
ALPHA-FETOPROTEIN,SERUM $ 86.45
ALPHA-GALACTOSIDASE LEUKOCYTES $ 295.45
ALPHAGAN 0.15% 5 ML (BRIMON) $ 31.51
ALPRAZOLAM (XANAX) $ 313.04
Alprazolam 0.25 mg tab $ 3.95
Alprazolam 0.5 mg tab $ 3.97
ALTACE 5MG CAP (RAMIPR) $ 6.70
ALTAFLUOR $ 4.02
ALUMINUM $ 65.55
Amantadine 100 mg cap $ 7.23
AMARYL 2 MG TAB (GLIMER) $ 3.86
AMBIEN 5 MG TAB (ZOLPID) $ 4.02
AMIDATE 20 MG/10 ML (ETOMID) $ 25.41
AMIKACIN $ 95.20
AMINO ACIDS,QUANT 6 PLUS $ 206.15
AMINO-ACIDS,QUAL $ 65.55
AMINODARONE $ 107.80
AMINOLEVULENIC ACID $ 66.50
AMINOLEVULINIC ACID, RANDOM UR $ 66.50
AMINOPHYLLINE 500MG/20ML $ 24.98
Amiodarone 150 mg/100ml premix $ 84.05
AMIODARONE 30 MG $ 16.60
AMITRIPTYLINE $ 313.04
Amitriptyline 10 mg tab $ 4.05

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
Amitriptyline 25 mg tab $ 4.03
AMMONIA $ 84.55
AMNIO INFUSION $ 971.95
AMNONIA AROMATIC (AMNONI)UDAMP $ 4.05
AMOEBIC ANTIBODIES $ 246.72
Amoxicillin 250 mg cap $ 3.88
AMOXIL 400 MG/5 ML - 1 ML $ 9.24
AMOXIL 875 MG $ 3.99
AMP FINGER OR THMB W/CLSR $ 3,477.00
AMPHETAMINE, CONFIRMATION $ 313.04
AMPHETAMINE,CONFIRMATION $ 313.04
AMPHETAMINE-MECONINUM $ 313.04
AMPHETAMINES (D/L RATIO) URINE $ 313.04
AMPICILLIN 1000MG (AMPICI2) $ 39.28
AMPICILLIN 2000MG (AMPICI20) $ 39.13
AMPICILLIN 500 MG INJ $ 32.40
AMPICILLIN/SULB 3 GM VIAL $ 40.42
AMYLASE ISOENZYMES $ 64.60
AMYLASE, RANDOM URINE $ 64.60
AMYLASE,24HR URINE $ 64.60
AMYLASE,RANDOM URINE $ 64.60
AMYLASE-SERUM $ 64.60
ANA PATTERN $ 79.42
ANA SCREEN $ 37.08
ANA SCREEN W/ REFLEX TESTING $ 37.08
ANA TITER AND PATTERN $ 79.02
ANAEROBIC CULTURE $ 107.90
ANAEROBIC ID $ 103.00
ANAEROBIC MIC/ID $ 78.47
ANA-MOUSE KIDNEY $ 204.79
ANAPLASMA/EHRLICHIA PAN $ 166.10
ANCA VASCULITIDES ANTIBODIES $ 62.88
ANCEF OR KEFZOL 1GM/10ML $ 20.25
ANCHOR-ORTHO (SPEEDSCREW) $ 2,515.50

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ANDROSTANEDIOL GLUCURONIDE $ 66.50
ANDROSTENEDIONE $ 178.60
ANES SUP 0-60 MIN $ 1,006.66
ANES SUP EACH ADD 30 $ 379.80
ANESTH-BASE CHG $ 83.00
ANESTH-MODIFIER CHG $ 83.00
ANESTH-TIME CHG $ 83.00
ANGIOGRAM BILATERAL $ 7,693.00
ANGIOGRAPHY EXTREM UNI LT $ 7,693.00
ANGIOGRAPHY EXTREM UNI RT $ 7,693.00
ANGIOTENSIN CONVERTING ENZYME $ 67.45
ANKLE (2V) - BILATERAL $ 262.60
ANKLE-BILATERAL (M3V) $ 262.60
ANKLE-LEFT (M3V) $ 262.60
ANKLE-RIGHT (M3V) $ 262.60
ANOSCOPY, DIAGNOSTIC $ 355.30
ANOSCOPY, DIAGNOSTIC $ 355.30
ANTI NEUTROPHILIC AB $ 62.88
ANTIBODY ABS COLD $ 210.00
ANTIBODY ELUTION $ 173.60
ANTIBODY ID $ 417.20
ANTIBODY ID (EA TECHNIQUE) $ 417.20
ANTIBODY ID BY ARC $ 417.20
ANTIBODY IDENTIFICATION $ 417.20
ANTIBODY SCREEN $ 86.45
ANTIBODY SCREEN (LISS METHOD) $ 162.40
ANTIBODY SCREEN BY ARC $ 162.40
ANTIBODY TITER $ 352.80
ANTIBODY TITER,EA $ 75.79
ANTIBODY TITRATION $ 352.80
ANTI-CARDIOLIPIN AB $ 114.50
ANTIDIURETIC HORMONE $ 119.70
ANTIGEN TYPING,EA UNIT $ 488.95
ANTIGEN, COMMON BY ARC (AG1) $ 488.95

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ANTIGEN,HIGH INCIDENT BY ARC $ 488.95
ANTIGLOMERULAR BASEMENT AB $ 50.35
ANTI-HU (NEURONAL NUCLEAR AB) $ 40.31
ANTI-HU TITER $ 75.79
ANTI-HU WESTERN BLOT $ 82.65
ANTI-HUMAN T CELL $ 542.36
ANTI-NUCLEAR ANTIBODY $ 37.08
ANTI-NUCLEAR ANTIBODY,BODY FLD $ 37.08
ANTI-NUCLEAR ANTIBODY,BODY FLD $ 37.08
ANTIPSYCHOTICS 7+ $ 207.48
ANTI-STREP EXOENZYME $ 104.82
ANTITHROMBIN III $ 165.30
ANTITHROMBIN III $ 165.30
ANTITHYROTROPIN RECEPTOR A13 $ 83.60
ANTIVERT 25MG TAB (MECLIZ) $ 4.03
ANTIZOL 1.5GM/1.5 ML (FOMEPI) $ 2,341.44
ANUSON HC 25MG SUP (HYDROC7) $ 39.65
AOL (NOT NEW TECH) $ 939.00
APHASIA EVAL PER HOUR $ 413.40
APIXABAN 5 MG TAB $ 18.76
APOLIPOPROTEIN A1/B100 $ 57.00
APP MULTI-LAYER COMP SYS ARM $ 296.40
APP MULTI-LAYER COMP SYS ARM/H $ 296.40
APP MULTI-LAYER COMP SYS LEG $ 296.40
APPLICATION FINGER SPLINT $ 100.70
APPLICATION LONG ARM SPLINT $ 237.50
APPLICATION LONG LEG SPLINT $ 244.63
APPLICATION OF UNNA BOOT $ 262.20
APPLICATION OF UNNA BOOT (OT) $ 262.20
APPLICATION OF UNNA BOOT BILAT $ 403.86
APPLICATION SHORT ARM SPLINT $ 266.00
APPLICATION SHORT LEG SPLINT $ 177.65
APPLY SHRT ARM SPLINT (F TO H) $ 266.00
APPLY SHRT LEG SPLINT (C TO F) $ 258.40

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
AQUA-MEPHYTON 10MG/ML (PHYTON) $ 106.05
AQUA-MEPHYTON NEO-NATL 1MG/0.5 $ 58.62
AQUATIC THERAPY 15 MIN $ 97.80
ARC CROSSMATCH $ 474.25
ARC DAT/MATCH $ 474.25
ARC GEL RED CELL PREP $ 41.42
AREOCHAMBER 1-STAT PLUS $ 85.48
ARICEPT 5 MG TAB (DONEP) $ 4.05
ARIPiprazole 5 MG TABLET $ 77.15
ARISTA 3GR POWDER $ 1,824.54
ARM IMMOBILIZER $ 63.92
ARM SLING W/PADDED STRP $ 33.57
ARMOUR THYROID 60MG TAB(THYROI $ 4.31
ARROW MENISCAL 10 MM $ 480.00
ARROW MENISCAL 13 MM $ 440.00
ARROW MENISCAL 16 MM $ 440.00
ARSENIC FRACTIONATION, URINE $ 95.00
ARSENIC, BLOOD $ 95.00
ARSENIC, HAIR $ 95.00
ARSENIC, RANDOM URINE $ 95.00
ARSENIC,URINE $ 95.00
ART BLOOD GAS $ 165.54
ARTANE 2 MG TAB (TRIHEX) $ 4.05
ARTERIAL BLOOD GAS, CORD BLOOD $ 151.29
ARTERIAL SPEC COLLECTION $ 213.75
ARTHOCENTESIS MAJ JNT US W/PER $ 554.00
ARTHOCENTESIS MAJ JNT W/O US G $ 554.00
ARTHOGRAM TMJ BILATERAL $ 941.20
ARTHOGRAM-LEFT TMJ $ 936.00
ARTHO-HIP - BILATERAL $ 1,008.00
ARTHRO ANKLE-SURGI $ 543.55
ARTHRO ASP/INJ MAJ JNT W/PERM $ 535.80
ARTHRO ELBOW-SURGI $ 470.05
ARTHRO HIP-SURGI $ 540.40

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ARTHRO INTR JNT W/O GUIDANCE $ 452.20
ARTHRO KNEE-SURGI $ 523.95
ARTHRO MJR JNT W/O GUIDANCE $ 452.20
ARTHRO SM JNT W/O GUIDANCE $ 452.20
ARTHRO WRIST-SURGI $ 491.40
ARTHRO-ANKLE - BILATERAL $ 1,008.00
ARTHROCEN MAJ JNT W/O GUIDE $ 322.05
ARTHRO-ELBOW - BILATERAL $ 1,008.00
ARTHROGRAM TMJ-SURGI $ 480.55
ARTHROGRAM-LEFT ANKLE $ 1,008.00
ARTHROGRAM-LEFT ELBOW $ 1,008.00
ARTHROGRAM-LEFT HIP $ 1,008.00
ARTHROGRAM-LEFT KNEE $ 1,008.00
ARTHROGRAM-LEFT SHOULDER $ 1,008.00
ARTHROGRAM-LEFT WRIST $ 1,008.00
ARTHROGRAM-RIGHT ANKLE $ 1,008.00
ARTHROGRAM-RIGHT ELBOW $ 1,008.00
ARTHROGRAM-RIGHT HIP $ 1,008.00
ARTHROGRAM-RIGHT KNEE $ 1,008.00
ARTHROGRAM-RIGHT SHOULDER $ 1,008.00
ARTHROGRAM-RIGHT TMJ $ 936.00
ARTHROGRAM-RIGHT WRIST $ 1,008.00
ARTHRO-KNEE - BILATERAL $ 1,008.00
ARTHRO-SHOULDER - BILATERAL $ 1,008.00
ARTHRO-SHOULDER-SURGI $ 480.55
ARTHRO-WRIST - BILATERAL $ 1,008.00
ARTIFICIAL TEARS SOLN. 15 ML B $ 7.43
Asacol HD 800 mg tablet $ 25.80
ASCORBIC ACID (VIT. C) $ 85.50
ASO SCREEN $ 90.30
ASO TITER $ 80.63
ASO,QUANTITATIVE $ 80.63
ASP PERITONSILLAR ABSCESS $ 456.00
ASP/INJ GANGLION CYST ANY LOC $ 452.20

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ASPERGILLUS ANTIBODIES $ 104.82
ASPERGILLUS ANTIBODY $ 104.82
ASPERGILLUS ANTIBODY SCREEN $ 104.82
ASPERGILLUS ANTIBODY, EACH $ 104.82
ASPIRIN 300 MG SUP (ASPIRI) $ 4.30
ASPIRIN 600 MG SUP (ASPIRI) $ 7.43
ASSAY OF THYROID $ 26.60
ASSAY OF VOLITILES $ 71.25
AT ASSESS EA 15 MIN $ 133.27
ATACAND 16 MG TAB (CANDES) $ 8.26
ATARAX 10 MG TAB (HYDROX2) $ 4.47
ATARAX 25 MG TAB (HYDROX2) $ 4.04
ATENOLOL 50 MG TAB $ 4.05
ATIVAN 0.5MG TAB (LORAZE) $ 3.97
ATIVAN 2MG/ML SYR (LORAZE) $ 6.65
Atorvastatin 20 mg tab $ 4.01
Atropine 0.01 mg inj $ 24.98
ATROPINE 1 MG/10 ML SYR $ 24.52
ATROPINE 1% OPTH 2 ML $ 118.07
ATROPINE SUL 0.4MG/ML (MG) $ 22.82
ATROVENT 2.5ML (IPRATR2) $ 4.04
AUGMENTIN 500 MG TAB (AMOXIC2) $ 10.21
AUGMENTIN 875 MG TAB (AMOXIC2) $ 12.78
AUGMENTIN SUSP 250MG/5ML (AMOX $ 5.79
AUTO ABR LIMITED (NBHS) $ 279.65
AUTO ABR LIMITED (NBHS) $ 288.05
AUTO-AGGLUTINATION BY ARC $ 125.30
AUTOPSY (NEWBORN)-TECH FEE $ 249.85
AUTOPSY-TECHNICAL FEE $ 249.85
AV ANASTOMOSIS OPN ANY SITE $ 6,783.00
AVAULTA $ 4,882.50
AVULTION NAIL PLT SMPL SNGL $ 237.50
AXILIARY NERVE INJECTION $ 2,294.58
AZACTAM 1GM (AZTERO) $ 77.36

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
AZACTAM 2 GM (AZTREO) $ 172.75
AZULFIDINE 500MG TAB (SULFAS) $ 3.87
B LYMPHOCYTE COUNT $ 103.20
B PERTUSSIS/PARA DNA $ 668.64
B. ROCHALIMAEA DNA BY PCR $ 521.51
B2-GLYCOPROTEIN, EACH $ 114.50
BACITRACIN OINT. PACK $ 4.05
BACITRACIN 30 GM OINT(BACITR) $ 14.47
BACITRACIN 50,000 UNITS POWDER $ 24.84
BACLOFEN 10 MG TAB (BACLOF) $ 4.03
BACTERIAL ID $ 68.67
BACTERIAL MENINGITIS ANTIGEN $ 104.82
BACTERIUM ANTIBODY, NES $ 70.95
BACTROBAN OINT 22GM (MUPIROCIN $ 28.91
BALLOON CATH $ 1,996.40
BALLOON REMOVAL (CLIENT BILL) $ 1,140.00
BARBITUATES (QUANT) $ 313.04
BARIUM $ 52.25
BARIUM ENEMA SNGL CONTR $ 361.71
BARIUM SWALLOW (ONLY) $ 332.50
BASE TIBIAL ATTUNE TRAY $ 8,105.50
BASIC METABOLIC PANEL $ 106.61
BCL IMMUNOPEROXIDASE $ 542.36
BCR-ABL1 GENE ARRANGEMENT $ 509.60
BE W/ AIR CONTR DBL CONTR $ 577.36
BEHAV QUALITATIVE V&R 30M $ 297.09
BEHAV QUALITATIVE V&R 45M $ 297.09
BEHAV QUALITATIVE V&R 60M $ 297.09
BEHAVIORAL QUALITATIVE V&R 15M $ 297.09
BENADRYL 12.5 MG/5 ML LIQ UD $ 8.60
BENADRYL 25 MG TAB (DIPHEN) $ 4.02
BENADRYL 50MG/ML VIAL(DIPHEN) $ 16.76
BENCE JONES PROTEIN $ 114.00
BENEMID 500MG TAB (PROBEN) $ 4.05

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
BENTYL 10 MG CAP (DICYCL) $ 3.99
BENTYL 20MG/2ML SDV (DICYCL) $ 182.73
BENZENE, BLOOD $ 71.25
BENZOCAINE/MENTHOL 1 EACH LOZE $ 4.05
BENZOCAINE/MENTHOL LOZENGE BOX $ 128.16
BENZODIAZEPINE GCMS QNT $ 313.04
BENZODIAZEPINES QNT BY GC/MS $ 313.04
BENZODIAZEPINES,QUANT $ 313.04
BETA 2 TRANSFERRIN $ 98.36
BETA 2-GLYCOPROTEIN ANTIBODIES $ 114.50
BETA HYDROXYBUTERATE $ 134.90
BETA-2 MICROGLOBULIN,URINE $ 81.70
BETA-2-MICROGLOBULIN $ 81.70
BETAHYDROXYBUTRIC ACID $ 134.90
BETAPACE 80 MG TAB (SOTAL) $ 7.62
BETA-THALLASEMIA WORKUP $ 551.95
B-HCG SERUM (QUAL) $ 63.65
B-HCG SERUM (QUANT) $ 84.55
B-HCG URINE (QUAL) $ 63.65
BIAXIN 500 MG TAB (CLARIT) $ 12.90
BICARB RANDOM UR $ 44.65
BICILLIN L-A 2 ML (PENICI3) $ 319.80
BICITRA 30 ML UD (CITRATE) $ 9.26
BIER BLOCK $ 951.90
BIL CAROTID W/DOP $ 835.80
BILAT INTRAFORAMINAL L/S EA AD $ 1,273.24
BILAT INTRAFORMINAL L/S + FLUR $ 1,595.29
BILATERAL SI JT INJ + FLUORO $ 2,282.70
BILE ACIDS, TOTAL $ 60.80
BILE ACIDS-FRAC/TOT,PREGNANCY $ 76.95
BILIRUBIN,AMNIOTIC FLUID $ 40.85
BK VIRUS DNA, PCR $ 668.64
BK VIRUS, QNT PCR $ 634.31
BLADDER IRRIGATION $ 302.10

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
BLADDER IRRIGATION $ 302.10
BLADDER SCAN $ 167.70
BLADDER SLING/ALTIS $ 5,176.34
BLASTOMYCES AB $ 137.07
BLASTOMYCES ANTIBODY $ 137.07
BLASTOMYCES ID $ 137.07
BLEEDING TIME $ 42.75
BLOOD ADMINISTRATION $ 657.40
BLOOD ADMINISTRATION $ 657.40
BLOOD DRAW COMP IMPL DEVICE $ 319.44
BLOOD DRAW COMP IMPL DEVICE $ 319.44
BLOOD DRAW COMP IMPL DEVICE $ 319.44
BLOOD DRAW ESTAB CENT/PERIPHE $ 319.44
BLOOD DRAW ESTAB CENT/PERIPHE $ 319.44
BLOOD DRAW ESTAB CENT/PERIPHER $ 319.44
BLOOD DRAW ESTAB CENT/PERIPHER $ 319.44
BLOOD DRAW FROM IV SITE $ 319.44
BLOOD DRAW PORT CATH $ 319.44
BLOOD DRAW VENIPUNCTURE $ 9.21
BLOOD DRAW VENIPUNCTURE $ 9.21
BLOOD DRAW VENIPUNCTURE $ 9.21
BLOOD DRAW VENIPUNCTURE $ 9.21
BLOOD DRAW VENIPUNCTURE $ 9.21
BLOOD DRAWING FEE $ 25.29
BLOOD PATCH $ 1,357.55
BLOOD PATCH $ 1,414.55
BLOOD TRANSFUSION $ 657.40
BLOOD TRANSFUSION $ 657.40
BLOOD TRANSFUSION $ 787.50
BODY MECHANICS CLASS EA HR $ 203.40
BONE MARROW ASPIRATION $ 150.77
BONE MARROW ASPIRATION $ 150.77
BONE MARROW ASPIRATION $ 1,771.75
BONE MARROW BIOPSY TRAY $ 87.70

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
BONE MARROW SMEAR INTERP $ 710.60
BONE SUBSTITUTE, ALPHA BSM $ 2,415.00
BONE SURVEY (SKELETAL) $ 440.70
BOOT WALKER XL PREMIUM $ 386.00
BORDETELLA AB $ 103.20
BORDETELLA DFA $ 143.87
BORDETELLA PERTUSSIS BY PCR $ 96.46
BORDETELLA PERTUSSIS FA SMEAR $ 86.65
BOTOX INJECTION-CERVICAL $ 250.66
BOTOX INJECTION-EXTRAOCULAR $ 250.66
BOTOX INJECTION-FACIAL $ 250.66
BRACE ANKLE $ 165.36
BRACE CLAVICLE UNIV $ 102.77
BRACHIAL PLEXUS BLOCK $ 883.50
BRCAVANTAGE, COMPREHENSIVE $ 10,250.24
BREAST-DOUBLE PUMP KIT $ 55.25
BRETHINE 1 MG/ML (TERBUT) $ 16.67
BREVIBLOC 10 MG/ML (ESMOLO) $ 24.58
BRONCHOSCOPY $ 1,161.90
BRST BX STER LOC 1ST LEISON BI $ 2,765.17
BRST BX STER LOC 1ST LEISON LT $ 2,765.17
BRST BX STER LOC 1ST LEISON RT $ 2,765.17
BRST BX STER LOC EA ADD LEI BI $ 741.00
BRST BX STER LOC EA ADD LEI LT $ 741.00
BRST BX STER LOC EA ADD LEI RT $ 741.00
BRST BX US LOC 1ST LEISON BI $ 2,765.17
BRST BX US LOC 1ST LEISON LT $ 2,765.17
BRST BX US LOC 1ST LEISON RT $ 2,765.17
BRST BX US LOC ADNL LEISON BI $ 741.00
BRST BX US LOC ADNL LEISON LT $ 741.00
BRST BX US LOC ADNL LEISON RT $ 741.00
BRUCELLA ABORTUS AB, IgG/IgM $ 158.03
B-TYPE NATRIURETIC PEPTIDE $ 184.30
BUMEX 0.25 MG/1 ML 4ML INJ $ 16.88

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
BUMEX 1MG TAB (BUMETA) $ 4.12
BUN $ 33.25
BUPIVACAINE 0.5% HCL/EPI/PF 10 $ 25.98
BUPIVACAINE-NS PF 0.2% 150 ML $ 58.24
Bupivicaine Lipo/PF 266mg/20ml $ 601.49
BUPRENORPHINE HCL 2 MG TAB.SUB $ 10.95
BURN TX DRESS/DEBRIDE PT INT $ 237.50
BUSPAR 5 MG $ 4.06
BUTORPHANOL 2 MG/ML 1ML VIAL $ 17.96
C DIFFICILE CULTURE $ 96.46
C DIFFICILE TOXIN A $ 112.80
C. TRACHOMATIS, AMPLIFIED DNA $ 222.34
C/R III GYM $ 40.20
C02 $ 44.65
C1 ESTERASE INHIBITOR PRO QNT $ 185.45
C1 ESTERASE INHIBITOR,FUNC $ 69.34
C3 $ 185.45
C4 $ 185.45
CA 125 $ 99.98
CA 19-9 IMMUNOPEROXIDASE $ 542.36
CA125 $ 99.98
CA-125 IMMUNOPEROXIDASE $ 542.36
CABLE/SLEEVE SET BONE IMPLANT $ 520.00
CADMIUM $ 114.00
CADMIUM, BLOOD $ 114.00
CADMIUM,BLOOD $ 114.00
CADMIUM,RANDOM URINE $ 114.00
CADMIUM,URINE $ 114.00
CAFFEINE,SERUM $ 96.46
CALAN 120 MG TAB (VERAPINJ) $ 4.05
CALAN 80 MG TAB (VERAPINJ) $ 4.05
CALCITONIN $ 65.55
CALCITONIN 200 IU/SPRAY NASAL $ 256.05
CALCIUM $ 53.20

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CALCIUM $ 53.20
CALCIUM CHLORIDE 10% 10ML $ 24.98
CALCIUM GLUC 1GM/50ML PIGGYBAC $ 56.05
CALCIUM GLUCONATE 10% 10ML $ 22.16
CALCIUM, 24 HR URINE $ 57.75
CALCIUM, 24 HR URINE $ 57.95
CALCIUM, RANDOM URINE $ 57.75
CALCIUM,24H URINE $ 57.95
CALCIUM,IONIZED $ 61.75
CALIFORNIA EQUINE ENCEPHALITIS $ 141.90
CALIFORNIA EQUINE ENCEPHALITIS $ 141.90
CALRETININ $ 542.36
CANALITH REPOSITIONING $ 133.31
C-ANCA $ 62.88
CANCELLED CASE MIN ROOM TIME $ 912.60
CANCER 19-9 $ 124.16
CANCER ANTIGEN 15-3 $ 124.16
CANCER ANTIGEN 27.29 $ 124.16
CANNABINOIDS (QUANT) $ 313.04
CANNABINOIDS, QNT SERUM $ 313.04
CANNBIONOIDS MECONIUM $ 313.04
CARAFATE 1 GM/10 ML (SUCRAL) $ 27.31
CARAFATE 1GM TAB (SUCRAL) $ 4.04
CARBAMAZEPINE 200 MG TAB $ 7.43
CARBAMIDE PEROX 6.5% OTIC SOL $ 10.75
CARBON GRAPHITE LAMINATION $ 2,114.45
CarboxyHGB,QUANT $ 117.80
CARDIAC OUTPUT MEASUREMENTS $ 172.66
CARDIAC REHAB ED $ 312.29
CARDIAC REHAB EXER $ 72.96
CARDIAC REHAB II $ 312.29
CARDIAC REHAB III $ 45.00
CARDIAC RESUSITATION $ 748.84
CARDIO CRP (HIGHLY SENSITIVE) $ 125.78

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CARDIO IQ ST2 $ 50.35
CARDIO IQ ST2 $ 106.40
CARDIOLIPIN ANTIBODIES $ 114.50
CARDIOLIPIN ANTIBODY,EACH $ 114.50
CARDIOLIPIN IGA ANTIBODY $ 114.50
CARDIOLIPIN IGG ANTIBODY $ 114.50
CARDIOLIPIN IgM AB $ 114.50
CARDIOLIPIN, EACH $ 114.50
CARDIO-PULMONARY RESUSCITATION $ 748.84
CARDIO-PULMONARY RESUSCITATION $ 748.84
CARDIOVERSION $ 2,085.49
CARDIOVERSION - ER $ 2,085.49
CARDIZEM 30 MG TAB (DILTIA1) $ 4.01
CARDIZEM 5 MG/1 ML 25 ML INJ $ 39.03
CARDIZEM 60MG TAB (DILTIA1) $ 4.05
CARDIZEM CD 120MG CAP (DILTIA) $ 4.02
CARDIZEM CD 180MG CAP (DILTIA) $ 4.02
CARDURA 2 MG TAB (DOXAZO) $ 10.70
C-ARM < 1 HR $ 474.60
C-ARM > 1 HR $ 850.85
CARNITINES,QNT SERUM,EA $ 118.75
CARNITINES,QNT URINE,EA $ 280.25
CAROTENE $ 46.55
CAROTID SCREENING $ 147.16
CAST SHOE $ 50.28
CAT SCRATCH FEVER AB $ 219.30
CATAPRES 0.1 MG TAB (CLONID) $ 3.98
CATAPRES TTS 0.2 MG 24HR PATCH $ 135.67
CATAPRES-TTS O.1MG 24HR PATCH $ 80.48
CATECHOLAMINES TOTAL, URINE $ 62.70
CATECHOLAMINES,FRACTIONATED $ 226.10
CATECHOLAMINES,FRACTIONATED $ 226.10
CATFISH ALLERGEN, IgE $ 112.88
CATH ASPIRATION NASOTRACHEAL $ 352.45

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CATHETER PASSER IMPLANT $ 467.00
CATHFLO ACTIVATE 1 MG (ALTEPL) $ 310.71
CBC AUTOMATED $ 56.05
CBC/DIFF $ 90.25
CCP ANTIBODY $ 177.38
CD 34 ANTIBODY $ 542.36
CD-117 IMMUNOPEROXIDASE $ 542.36
CD3 - LYMPHOCYTE MARKERS $ 1,031.94
CD43 (MT1) $ 542.36
CD5 (4C7) IMMUNOPEROXIDASE $ 542.36
CD-56 IMMUNOPEROXIDASE $ 542.36
CD68 (KP-1) IMMUNOPEROXIDASE $ 542.36
C-DIFF CYTOTOXIN AB $ 189.64
CDX-2 AB IMMUNOPEROXIDASE $ 542.36
CEA $ 67.45
Cefazolin 2gm/D5W 50 ml $ 39.94
Cefepime 1 gm $ 36.62
CEFEPIME 2GM VIAL INJ $ 40.24
CEFUROXIME 250 MG TAB $ 11.57
CELEBEX 100 MG CAP (CELECOX) $ 3.89
CELESTONE SOLUSPAN 6MG/ML (BET $ 24.88
CELEXA 20 MG TAB (CITALO) $ 5.24
CELL BLOCK,ANY SOURCE $ 112.84
CELL COUNT/DIFF, CSF $ 87.40
CELL CT/DIFF, AMNIOTIC FL $ 87.40
CELL CT/DIFF, PERICARDIAL FLD $ 87.40
CELL CT/DIFF, PERITONEAL FLD $ 87.40
CELL CT/DIFF, PLEURAL FLD $ 87.40
CELL CT/DIFF, SYNOVIAL FLD $ 87.40
CELL SEPARATION BY ARC $ 250.60
CENTRAL LINE INSERT NON/TUN $ 1,292.00
CENTRAL LINE INSERTION $ 1,292.00
CENTRAL LINE INSERTION > 5YRS $ 1,292.00
CENTRAL LINE INSERTION > 5YRS $ 1,292.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CENTRAL LINE PLACEMENT $ 855.48
CENTRAL VENOUS CATHETER $ 222.53
CENTROMERE AB SCREEN $ 37.08
CENTROMERE AB TITER $ 79.42
CENTROMERE B ANTIBODY $ 37.08
CERULOPLASMIN $ 49.40
CERV EPI STERIOD INJ W/WO FLUR $ 951.90
CERV, THOR, LMBR LFF EA ADD $ 4,322.50
CERVICAL COLLER (CONTOUR) $ 38.84
CERVICAL RIPENING $ 383.80
CESAREAN DELIVERY ONLY $ 10,341.89
CESAREAN DELIVERY ONLY W/PPC $ 10,341.89
CH 50 $ 156.42
CHARCOAL/SORBITOL 120ML(CHARCO $ 49.60
CHENODEOXYCHOLIC ACID(RIA,NOS) $ 60.80
CHEST (2 VIEWS) $ 209.30
CHEST TUBE INSERTION $ 861.65
CHEST TUBE INSERTION $ 900.46
CHEST TUBE INSERTION $ 900.46
CHEST W/ APICAL LORDOTIC $ 318.50
CHEST W/ FLOUROSCOPY $ 585.65
CHEST WALL MANI, VIBRATION INT $ 229.90
CHEST WALL MANI, VIBRATION SUB $ 229.90
CHEST-(4 VIEWS) $ 259.03
CHEST-AP ONLY (1 VIEW) $ 163.80
CHEST-DECUBITUS-LEFT $ 203.78
CHEST-DECUBITUS-RIGHT $ 203.78
CHEST-OBLIQUE (1 VIEW) $ 203.78
CHLAMYDIA ANTIBODY IgG/IgM $ 128.25
CHLAMYDIA CULTURE $ 181.47
CHLAMYDIA DNA PROBE $ 88.28
CHLAMYDIA IgG ANTIBODY $ 182.22
CHLAMYDIA PNEUMO IGM $ 27.82
CHLAMYDIA PNEUMONIAE, IgM $ 182.22

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CHLAMYDIA PNUEMO IGA $ 182.22
CHLAMYDIA PNUEMO IGG $ 182.22
CHLAMYDIA PSITTACI IGA $ 182.22
CHLAMYDIA PSITTACI IGG $ 182.22
CHLAMYDIA PSITTACI IGM $ 182.22
CHLAMYDIA RNA PROBE $ 222.34
CHLAMYDIA SCREEN $ 182.22
CHLAMYDIA SPECIES IgG AB $ 182.22
CHLAMYDIA TRACHO IGA $ 182.22
CHLAMYDIA TRACHO IGG $ 182.22
CHLAMYDIA TRACHO IGM $ 182.22
CHLAMYDIA TRACHOMATIS, IgM $ 182.22
CHLAMYDIA/GC DNA PROBE, URINE $ 76.95
CHLAMYDIA/GC RNA PROBE $ 129.20
CHLORASEPTIC 180 ML (CHLORAS) $ 7.43
Chlordiazepoxide 25 mg cap $ 4.00
CHLORHEXIDINE GLUCONATE 0.12% $ 4.05
CHLORIDE URINE $ 36.10
CHLORIDE, 24 HR URINE $ 36.10
CHLORIDE, URINE $ 36.10
CHLORIDE,BLOOD $ 36.10
CHLORIDE-CSF $ 36.10
CHOLESTEROL TOTAL $ 42.75
CHOLIC ACID (RIA, NOS) $ 60.80
CHOLINESTERASE $ 59.85
CHOLINESTERASE,RBC $ 233.70
CHROM ANALYSIS,HIGH RESOLUTION $ 399.95
CHROMATIN ANTIBODY $ 280.58
CHROMATIN NUCLEOSOMAL AB $ 280.58
CHROMIUM, PLASMA $ 156.75
CHROMIUM,URINE QUANT $ 156.75
CHROMOGRANIN A $ 209.63
CHROMOSOME ANAL ADD KAROYOTYPE $ 76.00
CHROMOSOME ANAL FRAGILE X1 $ 322.05

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CHROMOSOME ANAL FRAGILE X2 $ 746.70
CHROMOSOME ANAL,AMN FLD $ 399.95
CHROMOSOME ANALYSIS $ 746.70
CHROMOSOME ANALYSIS 1 $ 507.30
CHROMOSOME ANALYSIS 15-20 $ 746.70
CHROMOSOME ANALYSIS 15-20 $ 746.70
CHROMOSOME ANALYSIS, BLOOD $ 746.70
CHROMOSOME, 2 KARYOTYPES $ 234.65
CHROMOSOME, HIGH RESOLUTION $ 214.70
CIPROFLOXACIN 200MG/100ML BAG $ 40.50
CIPROFLOXACIN 400 MG/200 ML $ 40.10
CIRCUMSION $ 570.00
CITRATE RANDOM UR $ 76.95
CITRATE, 24 HR URINE $ 76.95
CITRATE, 24 HR URINE $ 76.95
CK-MB (MASS) $ 96.90
CLADOSPORIUM HERBARUM $ 112.88
CLARITIN 10 MG TAB (LORATAD) $ 4.01
CLARITIN 5 MG/ 5 ML SYR $ 4.05
CLAVICLE BILATERAL $ 195.00
CLAVICLE-LEFT $ 163.80
CLAVICLE-RIGHT $ 163.80
CLEOCIN 150 MG CAP (CLINDA) $ 4.10
CLEOCIN 600MG/D5W (CLINDA2) $ 40.43
CLEOCIN 75MG/5ML SUSP (CLINDA) $ 6.25
CLEOCIN 900MG/6ML VIAL(CLINDA2 $ 28.18
CLEOCIN 900MG/D5W (CLINDA2) $ 40.36
CLERICAL ERGONOMIC ASSESSMENT $ 555.76
CLINIMIX 4.25-10% $ 43.45
CLINIMIX 5% & D20W 1,000 ML I $ 60.07
CLL LYMPHOMA DIAG PANEL $ 1,031.94
CLO Test $ 76.84
CLOMIPRAMINE (ANAFRANIL) $ 313.04
CLONAZEPAM $ 313.04

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CLONAZEPAM 0.5 MG TAB $ 4.00
CLOSED TX METACARPAL FX W/MAN $ 675.27
CLOSTRIDIUM DIFFICILE TOXIN PC $ 251.76
CLOZAPINE (CLOZANIL) $ 156.52
CLS LAC MOUTH VEST 2.5CM OR < $ 1,395.55
CLSD DISLOC TX KNEE W/ ANES $ 2,957.35
CLSD DISLOC TX ANKLE W/ANES $ 432.25
CLSD DISLOC TX CM THMB W/MAN $ 432.25
CLSD DISLOC TX DIST RADIOULNAR $ 432.25
CLSD DISLOC TX HIP TRAUMATIC W $ 432.25
CLSD DISLOC TX HIP TRAUMATIC W $ 1,774.60
CLSD DISLOC TX KNEE W/O ANES $ 432.25
CLSD DISLOC TX LUNATE W/MAN $ 2,653.35
CLSD FX TX ANKLE W/ MAN $ 2,306.98
CLSD FX TX ANKLE W/O MAN $ 432.25
CLSD FX TX CALCANEAL W/MAN $ 1,442.10
CLSD FX TX DIST RAD $ 2,454.80
CLSD FX TX RAD HD/NCK W/MAN $ 1,774.60
CLSD FX TX RAD HD/NCK W/O MAN $ 432.25
CLSD FX TX RAD/ULNR SHFT FX $ 2,216.35
CLSD FX TX TALUS W/O MAN $ 342.00
CLSD PROX HUM FX W/MANI $ 2,443.40
CLSD TX DISLOC AC W/MAN $ 432.25
CLSD TX DISLOC AC W/O MAN $ 432.25
CLSD TX DISLOC SHLDR W/MAN W/ $ 2,957.35
CLSD TX DISLOC SHLDR W/MAN W/O $ 432.25
CLSD TX DIST FIBULAR FX $ 623.68
CLSD TX ELBOW DISLOC W/ ANES $ 2,957.35
CLSD TX ELBOW DISLOC W/O ANES $ 432.25
CLSD TX HIP DISLO POST PLASTY $ 626.15
CLSD TX INTERPHL JNT DISLO W/M $ 519.65
CLSD TX INTERPHLAN DISLO W/MAN $ 376.20
CLSD TX IP JNT DISLO W/ANES $ 494.00
CLSD TX IP JNT DISLO W/O ANES $ 472.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CLSD TX METATARPHAL JNT DISLO $ 348.65
CLSD TX MP DISLOC W/MANI WO/AN $ 479.75
CLSD TX NASAL BNE FX W/O MAN $ 282.15
CLSD TX PATELLAR DISLO W/ANES $ 452.00
CLSD TX PATELLAR DISLOC $ 348.65
CLSD TX PHLANG FX W/MANI $ 479.75
CLSD TX POST ARTHOPLASTY DISLO $ 3,496.29
CLSD TX RAD HD SUBLUX CHILD W/ $ 479.75
CLSD TX RAD HEAD SUBLUX W/MANI $ 400.90
CLSD TX TARSAL BNE FX W/O MANI $ 479.75
CLSD TX TIBIAL SHAFT FX W/MANI $ 3,844.56
CLSD TX TMJ DISLOC INT OR SUBS $ 282.15
CLSD TX TOE FX W/MAN $ 532.00
CLSD TX TRIMALL FX W/MANI $ 2,881.26
CLSD TX WB DIST TIB FX W/TRAC/ $ 3,580.20
CMPLX REP TRNK 1.1-2.5 CM $ 1,069.70
CMPLX REP TRNK 2.6-7.5 CM $ 1,069.70
CMV ANTIGEN BY DFA $ 225.60
CMV CONVENTIONAL CULTURE $ 112.80
CMV CULTURE $ 181.47
CMV DNA PCR QUANT $ 205.99
CMV IGG $ 49.99
CMV IGM $ 70.95
CMV RAPID CULTURE $ 181.47
CNT NASAL HEMORR ANT CMPLX $ 262.20
CNT NASAL HEMORR ANT SMPL $ 266.00
CNT NASAL HEMORR POST INITIAL $ 262.20
CNT NASAL HEMORR POST SUBSEQ $ 262.20
COAG FACTOR VII $ 131.10
COAG FACTOR VIII ANTIGEN $ 37.05
COAG FACTOR VIII, 1-STAGE $ 34.20
COAG FACTOR VIII, ANTIGEN $ 37.05
COAG FACTOR VIII/VW $ 37.05
COAPTITE INJECTION $ 1,188.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
COBALT $ 80.75
COBALT, BLOOD $ 138.70
COCAINE,QUANTITATIVE $ 313.04
COCAINE-MECONIUM $ 313.04
COCCIDIOIDES $ 61.28
COCCIDIOIDES AB $ 145.13
COCCIDIOIDES ANTIBODY $ 145.13
CODEINE,QUANT $ 313.04
COENZYME Q10 $ 340.10
COGENTIN 0.5 MG TAB (BENZTR) $ 4.52
COGENTIN 1 MG/1ML 2 ML $ 135.13
COLCHICINE 0.6 MG TAB(COLCHI) $ 17.68
COLD HEMAGGLUTININS $ 80.63
COLLAGEN TYPE 1 C-TELOPEPTIDE $ 96.90
COLLAGEN X-LINK RANDOM URINE $ 53.20
COLLES FRACTRUE PLATE $ 1,981.00
COLONIC TTS 12 & 15 MM $ 641.00
COLONIC TTS 6,10 & 18 MM $ 704.00
COLONOSCOPY *FIELDALE SCREEN* $ 1,210.00
COLOR FLOW $ 315.70
COLOR FLOW MAPPING $ 175.00
CO-LYTE (GOLYTELY) $ 91.57
Combivent Respimat Inhaler 4gm $ 641.01
COMBIVIR 150-300 MG TAB $ 37.74
COMP METABOLIC PANEL $ 184.71
COMPATIBILITY SCREEN BY ARC $ 130.90
COMPAZINE 10MG/2ML SDV(PROCHL) $ 49.43
COMPAZINE 25MG SUP (PROCHL3) $ 32.33
COMPAZINE 5MG TAB (PROCHL2) $ 4.05
COMPLEMENT 2 $ 185.45
COMPLEMENT ANTIGEN,EACH $ 185.45
COMPLEMENT C1Q COMPONENT $ 185.45
COMPLEMENT C3, BODY FLUID $ 185.45
COMPLEMENT C4, BODY FLUID $ 185.45

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
COMPLEMENT C4D, FRAGMENT $ 50.35
COMPLEMENT C5 $ 156.42
COMPLEMENT FIXATION AB $ 138.67
COMPLEMENT TOTAL $ 156.42
COMPLETE ATAXIA EVALUATION $ 3,057.10
COMPLICATED CATH UA $ 299.73
COMPOSIX L/P MESH $ 4,399.15
CONDUIT INTERPORE GRANULES 10C $ 2,712.50
CONDUIT INTERPORE GRANULES 30C $ 5,285.00
CONGO RED STAIN $ 103.74
CONT EPIDURAL TRAY $ 58.47
CONTIGEN SYR KIT $ 2,765.45
CONTINUOUS NEBULIZER TX X 1HR $ 335.30
CONTRACTION STRESS TEST $ 259.35
CONTRAST BATH 15 MIN $ 56.15
COPPER $ 55.10
CORD PH $ 135.38
CORDARONE 200 MG TAB (AMIODA) $ 20.49
COREG 25 MG TAB (CARVEDI) $ 3.95
COREG 3.125 MG TAB (CARVEDI) $ 4.00
COREG 6.25 MG TAB (CARVEDI) $ 5.14
CORMAX 0.05% OINTMENT (CLOB) $ 527.29
CORRA-A-TUBING $ 14.00
CORTEF 10MG TAB (HYDRO) $ 4.05
CORTISOL FREE, SALIVA $ 95.00
CORTISOL RESPONSE TO CORTRYSYN $ 156.75
CORTISOL, 30 MINUTE $ 52.25
CORTISOL, 60 MINUTE $ 52.25
CORTISOL, BASELINE $ 52.25
CORTISOL,24 HR URINE $ 95.00
CORTISOL,24 HR URINE $ 95.00
CORTISOL/DEXAMETHASONE SUPPRS $ 52.25
CORTISOL-ADRENAL INSUFFICIENCY $ 105.45
CORTISONE, 24 HR URINE $ 76.95

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CORTISPORIN OPTH SUSP 7.5ML $ 367.74
CORTISPORIN OTIC 10ML (NEOMYC2 $ 191.11
Cortrosyn 0.25 mg Inj $ 202.24
CORYNEBACTERIUM DIPTHERIAE $ 28.70
COSTASIS 4.5 ML $ 1,575.00
COTININE, URINE $ 385.84
COUMADIN 1 MG TAB (WARFAR) $ 7.43
COUMADIN 2 MG TAB (WARFAR) $ 7.43
COUMADIN 2.5 MG TAB (WARFAR) $ 3.93
COUMADIN 5 MG TAB (WARFAR) $ 7.45
COZAAR 50 MG TAB (LOSART) $ 3.92
CPAP INSTALL-INFANT DAY 1 $ 351.50
CPAP RECORDING < 7HR < 6YR $ 2,635.75
CPAP YOUNGER THAN 6 YR $ 3,921.19
CPAP/BIPAP INITIAL INSTAL DAY1 $ 351.26
CPAP/BIPAP SUBSEQUENT DAY $ 297.83
C-PEPTIDE $ 86.45
CPK $ 81.70
CPK ISOENZYMES $ 64.60
CPR EMERGENCY $ 545.30
CR NEW PATIENT ASSESSMENT ONLY $ 170.82
CR SPECIAL ASSES I -15 MIN $ 203.82
C-REACTIVE PROTEIN $ 104.82
C-REACTIVE PROTEIN QUANT $ 104.82
C-REACTIVE PROTEIN,HIGH SENS $ 125.78
CREAT RANDOM UR $ 22.80
CREATE AV FISTULA W/SYN GRFT $ 6,783.00
CREATINE, 24 HOUR URINE $ 53.20
CREATINE,SERUM $ 53.20
CREATININE 24HR URINE $ 22.80
CREATININE BLOOD $ 37.05
CREATININE CLEAR $ 74.10
CREATININE OTHER SOURCE $ 22.80
CREATININE, BODY FLUID $ 22.80

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CREATININE, RANDOM URINE $ 22.80
CREATININE, RANDOM URINE $ 22.80
CREATININE, RANDOM URINE $ 22.80
CREATININE, URINE $ 22.80
CREATININE, URINE $ 22.80
CREATININE, URINE $ 22.80
CREATININE, URINE $ 22.80
CREATININE,24 HR URINE $ 22.80
CREATININE,URINE $ 22.80
CRIXIVAN 400 MG CAP (INDIIN400 $ 7.43
CRNA-BASE CHG $ 83.00
CRNA-MODIFIER CHG $ 83.00
CRNA-TIME CHG $ 83.00
CROSSMATCH,AHG $ 103.08
CROSSMATCH,AHG $ 474.25
CROSSMATCH,AHG ADDL $ 103.08
CROSSMATCH,AHG ADD'L $ 474.25
CROSSMATCH,INCUB $ 250.60
CROSSMATCH,IS $ 250.60
CRP,HIGHLY SENSITIVE (CARDIO) $ 125.78
CRYOGLOBUIN, SEMI-QNT $ 169.10
CRYOGLOBULIN $ 169.10
CRYOGLOBULIN, QUAL $ 169.10
CRYOGLOBULIN, QUANTITATIVE $ 169.10
CRYOPRECIPITATE THAWING $ 42.75
CRYOPRECIPITATE, EA UNIT $ 154.70
CRYPTOCOCCUS ANTIGEN SCREEN $ 104.82
CRYPTOSPORIDIUM AG $ 140.60
CRYPTOSPORIDIUM EXAM $ 103.00
C-SECTION SCHEDULED $ 2,254.32
C-SECTION W/LABOR HIGH RISK $ 2,786.03
C-SECTION W/LABOR LOW RISK $ 1,393.43
C-SECTION W/LABOR MOD RISK $ 1,857.90
CSF LDH $ 41.80

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
C-SP AP,LAT,OD,OBLS,FLEX & EXT $ 317.20
C-SP(M4V) AP,LAT,OD, FLEX&EXT $ 297.38
C-SPINE LTD (AP & LAT) $ 262.60
C-SPINE W/OBL (M4V) $ 297.38
CT ABD & PELVIS W/ CONTRAST $ 2,156.60
CT ABD & PELVIS W/O CONTRAST $ 1,916.80
CT ABD & PELVIS W/WO CONTRAST $ 2,356.94
CT ABDOMEN W/CONTRAST $ 1,207.79
CT ABDOMEN W/O CONTRAST $ 1,083.37
CT ABDOMEN W/WO CONTRAST $ 1,456.92
CT ABSCESS DRAINAGE $ 307.56
CT BIOPSY LIVER $ 486.74
CT BIOPSY LIVER SURGICAL $ 2,127.05
CT BIOPSY LUNG/MEDIASTINUM $ 486.74
CT BIOPSY THYROID $ 486.74
CT CERVICAL SPINE $ 1,546.84
CT CERVICAL SPINE WO/W CON $ 622.44
CT CHEST W/ CONTRAST $ 1,248.63
CT CHEST W/O CONTRAST $ 1,123.93
CT CHEST W/WO CONTRAST $ 1,456.92
CT C-SPINE W/CONTRAST $ 913.90
CT GUIDE ABSCESS DRAINAGE SURG $ 1,039.50
CT GUIDE FOR NEEDLE PLACE $ 1,067.75
CT GUIDE LUNG/MEDIAST BX SURGI $ 1,039.50
CT GUIDE MASS BX $ 486.74
CT GUIDE PARACENTESIS $ 513.05
CT GUIDE PARACENTESIS SURGI $ 1,039.50
CT GUIDE RENAL BX $ 486.74
CT GUIDE THORACENTESIS SURGI $ 1,230.25
CT GUIDE THYROID BX SURGI $ 1,254.95
CT GUIDED BONE BIOPSY $ 486.74
CT GUIDED BONE BIOPSY SURGI $ 1,348.20
CT GUIDED MASS BX SURGI $ 1,039.50
CT GUIDED RENAL BX SURGI $ 1,039.50

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CT HEAD W/ CONTRAST $ 1,266.19
CT HEAD W/O CONTRAST $ 1,173.25
CT HEAD W/WO CONTRAST $ 1,501.15
CT LIMITED STUDY $ 292.98
CT LOWER EXT W/ CONTRAST-LT $ 916.74
CT LOWER EXT W/ CONTRAST-RT $ 916.74
CT LOWER EXT W/CON - BILATERAL $ 1,374.42
CT LOWER EXT W/O - BILATERAL $ 1,249.73
CT LOWER EXT W/O CONTRAST-LT $ 832.87
CT LOWER EXT W/O CONTRAST-RT $ 832.87
CT LOWER EXT W/WO - BILATERAL $ 1,685.76
CT LOWER EXT W/WO CONTRAST-LT $ 1,123.93
CT LOWER EXT W/WO CONTRAST-RT $ 1,123.93
CT L-SPINE W/CONTRAST $ 811.23
CT LUMBAR SPINE $ 1,332.50
CT LUMBAR SPINE WO/W CONTRAST $ 552.51
CT NECK W/ CONTRAST $ 1,394.32
CT NECK W/O CONTRAST $ 1,242.10
CT NECK W/WO CONT $ 1,669.72
CT PELVIS W/ CONTRAST $ 1,165.87
CT PELVIS W/O CONTRAST $ 1,041.44
CT PELVIS W/WO CONTRAST $ 1,414.98
CT THORACIC SPINE $ 1,414.98
CT THORACIC SPINE W0/W CON $ 552.51
CT T-SPINE W/CONTRAST $ 552.51
CT UPPER EXT W/ CONTRAST-LT $ 916.74
CT UPPER EXT W/ CONTRAST-RT $ 916.74
CT UPPER EXT W/CON - BILATERAL $ 1,374.42
CT UPPER EXT W/O - BILATERAL $ 1,249.73
CT UPPER EXT W/O CONTRAST-LT $ 832.87
CT UPPER EXT W/O CONTRAST-RT $ 832.87
CT UPPER EXT W/WO - BILATERAL $ 1,685.76
CT UPPER EXT W/WO CONTRAST-LT $ 1,123.93
CT UPPER EXT W/WO CONTRAST-RT $ 1,123.93

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CT W/ CON MAXILLOFACIAL $ 759.53
CT W/ CON ORB, IAC, FOSSA $ 759.53
CT W/O CON MAXILLOFACIAL $ 374.21
CT W/O CON ORB, EAR, FOSSA $ 374.21
CT W/WO CON MAXILLOFACIAL $ 850.92
CT W/WO CON ORB, IAC, FOSSA $ 850.92
CTA ABD/PELVIS $ 912.08
CTA ABDOMEN $ 1,270.83
CTA CHEST $ 1,313.86
CTA HEAD $ 771.88
CTA HEAD $ 1,331.95
CTA LOWER EXT LT $ 964.16
CTA LOWER EXT RT $ 964.16
CTA NECK $ 771.88
CTA NECK $ 1,466.87
CTA PELVIS $ 1,226.16
CTA UPPER EXT LT $ 964.16
CTA UPPER EXT RT $ 964.16
CULTURE BLOOD $ 125.88
CULTURE GONNOCOCCAL $ 96.46
CULTURE, BORDETELLA $ 96.46
CUST ELBOW ORTH W/O JTS $ 262.34
CUST HAND-FINGER ORTH WO JTS $ 246.07
CUST WRIST-HAND ORTH WO JTS $ 383.26
CUST WRIST-HAND-FINGER IMMOBIL $ 303.45
CUST WRIST-HAND-FINGER ORTH $ 303.45
CV2 AUTOANTIBODY TEST $ 342.00
CYANIDE $ 74.10
CYCLIC AMP, PLASMA $ 174.80
CYCLIC AMP,URINE $ 174.80
CYCLIC CITRULLINE PEPTIDE $ 177.38
CYCLOGYL 1% OPTH 2 ML $ 37.96
CYCLOSPORINE $ 105.00
CYMBALTA 20 MG CAP (DULOX) $ 4.48

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
CYMBALTA 30 MG CAP (DULOX) $ 4.31
CYSTIC FIBROSIS CARRIER SCREEN $ 221.35
CYSTOGRAM (M3V) $ 535.80
CYSTOGRAM-SURGI $ 554.40
CYTOGENETIC, 100 - 300 $ 116.85
CYTOGENETICS 10-30 $ 269.80
CYTOGENICS, 100-300 $ 116.85
CYTOKERATIN 7 ANTIBODY $ 542.36
CYTOKERTIN 20 $ 542.36
CYTOLOGY EXAM INITIAL SITE $ 1,361.36
CYTOLOGY EXAM, ADDTIONAL SITE $ 72.80
CYTOLOGY LIQUID SLIDE PREP $ 112.84
CYTOLOGY/ NON GYN $ 80.08
CYTOPLASMIC ANCA $ 62.88
CYTOTEC 100 MCG TAB (MISOPR) $ 7.61
D-10-W 1000 ML (DEXTRO10) $ 33.75
D-10-W 500 ML (DEXTRO10) $ 33.05
D-5 1/4NS (DEXT50.2) $ 33.75
D-5 LR W/20MEQ KCL (POTDLR) $ 33.75
D-5 NS W/20MED KCL 1000 ML $ 33.75
D-5-1/2 NS 1000ML BAG (DEXTRO $ 32.71
D-5-1/2 NS W/10 MEQ KCL $ 33.75
D-5-1/2 NS W/40 MEQ ECL (DEXTR $ 33.75
D-5-1/2NS W 20MEQ KCL (DEXT5.4 $ 33.01
D-5-1/4 NS 1000ML (DEXT50.2) $ 33.75
D-5-1/4 NS W/20 MEQ KCL (DEXTR $ 33.75
D-5-LR 1000ML (DEXTRO5) $ 33.52
D-5-NS 1000ML (DEXTRO4) $ 33.75
D-5W 1000ML (DEXTRO) $ 33.87
D-5-W 100ML (DEXTRO) $ 36.86
D-5-W 250 ML (DEXTRO) $ 33.87
D-5W 250 NL AVIA BAG (DEXTRO7) $ 39.92
D-5-W 500ML (DEXTRO) $ 37.13
Dabigatran 150 mg $ 18.25

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
DACRIOSE 118 ML (OPHTHA) $ 8.78
DAKINS 0.25% SOLUTION $ 32.77
D-AMINOLEVULENIC ACID $ 66.50
DCP $ 260.30
DDAVP 0.1 MG TAB (DESMOP) $ 8.16
D-DIMER $ 56.05
DEBRIDEMENT LARGE >20CM $ 193.09
DEBRIDEMENT SMALL <20CM $ 222.30
DECADRON 10 MG/ML (DEXAME) $ 24.98
DECADRON 4 MG TAB (DEXAME3) $ 5.28
DECADRON 4 MG/ML (DEXAME) $ 6.68
DECALCIFICATION $ 32.76
DECLOTING CENTRAL LINES $ 391.40
DELIVERY OF PLACENTA (SEP PROC $ 8,500.57
DEMADEX 100 MG TAB (TORSEM) $ 7.80
DEMADEX 20 MG TAB (TORSEM) $ 4.06
DEMEROL 10 MG/1 ML 30 ML PCA $ 35.65
DEMEROL 50 MG/ML (MEPERI) $ 16.75
DEMO/EVAL PT USE RESP TX $ 245.10
DEMOROL 25MG/ML (MEPERI) $ 24.77
DEMROL 50MG TAB (MEPERI) $ 4.35
DEOXYCHOLIC ACID (RIA, NOS) $ 60.80
DEOXYCORTICOSTERONE $ 94.05
DEOXYPYRIDINOLINE $ 114.00
DEOXYPYRIDINOLINE,RANDOM URINE $ 89.30
DEPAKOTE 125 MG TAB (DIVALP) $ 4.10
DEPAKOTE 250 MG CAP (DIVALP) $ 3.40
DEPAKOTE 500 MG TAB (DIVALP) $ 4.32
DEPAKOTE ER 500MG TAB (DIVALP $ 6.32
DEPAKOTE ER 250 MG TAB (DIVALP $ 7.43
DEPO-MEDROL 40 MG/ 1 ML INJ $ 28.39
DEPO-MEDROL 80MG/ML (METHYL2) $ 47.13
DEPO-PROVERA 150MG/ML (MEDROX) $ 366.83
DERMOPLAST 60 ML (AER)(BENZOC2 $ 7.06

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
DESIPRAMINE $ 313.04
DESITIN 30 GM (ZINC O) $ 7.43
DESMIN AB IMMUNOPEROXIDASE $ 542.36
DEST FCT JT L/S SNGL LVL+FLUOR $ 3,987.82
DESTRUCT FCT JT L/S EA ADD LVL $ 2,419.66
DESTRUCT INTERCOSTAL NERVE BLK $ 3,067.55
DESYREL 100 MG TAB (TRAZOD) $ 3.95
DETROL 1 MG TAB (TARTRATE) $ 8.95
Dexamethasone 0.5 mg/5 ml Elix $ 9.72
DEXAMETHASONE SUPPRESSION TEST $ 237.50
DEXTROSE 10 % AND 0.45 % NACL $ 40.50
DEXTROSE 50% 50ML (DEXT50) $ 26.36
DHEA $ 156.75
DHEA-S $ 92.15
DIABETA 2.5 MG TAB (GLYBUR) $ 3.98
DIAGNOSTIC AMNIO $ 1,008.90
DIAMOX 250 MG TAB (ACETAZ) $ 7.78
DIAMOX INJ 500 MG (ACETAZ) $ 95.45
DIAZEPAM (VALIUM) $ 313.04
DIFFERENTIAL $ 40.85
DIFFERENTIAL MANUAL (WBC) $ 16.15
DIFLUCAN 100 MG TAB (FLUCON) $ 4.30
DIFLUCAN PREMIX 200/MG(FLUCON) $ 40.50
DIGITAL BRST TOMOSYS, BILAT $ 74.10
DIGITAL BRST TOMOSYS, UNI LT $ 74.10
DIGITAL BRST TOMOSYS, UNI RT $ 74.10
DIGOXIN $ 75.60
DIHYDROTESTOSTERONE $ 163.40
DILANTIN 100MG CAP (PHENYT) $ 4.01
DILANTIN 100MG/2ML INJ (PHENYT $ 6.75
DILANTIN 100MG/4ML SUSP(PHENYT $ 22.20
DILANTIN 50MG/ML AMP (PHENYT) $ 10.43
DILANTIN LEVEL $ 91.00
DILAUDID 2MG/ML (HYDROM) $ 16.75

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
dilTIAZem HCl 5 MG/ML VIAL 5ML $ 16.77
DIOCTO 100 MG/10 ML UDC $ 5.62
DIPHENHYDRAMINE $ 85.40
DIPHENHYDRAMINE,SERUM $ 134.40
DIPHTHERIA ANTITOXOID AB $ 88.68
DIPRIVAN 10 MG/1 ML 100 ML $ 72.67
DIPRIVAN 10 MG/1 ML 20 ML $ 24.91
DIPTHERIA AB $ 88.68
DIRECT ANTIGLOBULIN TEST BY AR $ 58.10
DIRECT BILIRUBIN $ 56.05
DIRECT COOMBS $ 58.10
DISCOGRAM-LUMBAR $ 9,217.00
DISOPYRAMIDE (NORPACE) $ 99.40
DISP INC SPIRO $ 58.75
DISP PROBE $ 94.50
DISP SA 02 PROBE $ 92.00
DISPOSABLE AMBU BAG $ 143.50
DITROPAN 5MG TAB (OXYBUT) $ 3.78
DNA (DS) ANTIBODY $ 270.90
DNA ANTIBODY NATIVE $ 270.90
DNA ANTIBODY-DOUBLE STRANDED $ 270.90
DNA PROBE, EACH $ 116.85
DNA-ANTIBODY SINGLE STRANDED $ 130.62
DOBUTAMINE HCL 250MG $ 42.17
DOBUTAMINE STRESS ECHO $ 1,024.80
DOCUSATE SOD 100 MG CAP(DOCUSA $ 4.03
DOPAMINE 400 MG/D5W PREMIX $ 33.75
DOPPLER VELOCIMET, MID CERB AR $ 333.20
DOPPLER VELOCIMET, UMB ARTERY $ 333.20
DOT CONTESTING SPECIMEN $ 200.00
DOT DRUG SCRN TRAINING CLASS $ 103.00
DOT PHYSICAL EXAM $ 51.50
DOXEPIN $ 313.04
DOXEPIN HCL 25 MG CAP (DOXEPI) $ 4.28

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
DOXYCYCLINE 100 MG CAP $ 4.03
DRAIN/INJ MAJOR JOINT $ 742.44
DRAWING FEE - LEGAL BLOOD $ 20.47
DRESS/DEBRIDE PART THICK BURN $ 370.50
DRESSING, TRNSPRNT, SURESITE $ 1.00
DRN ABCESS FINGER $ 461.70
DRN ABSCESS CYST, HEMA DENT $ 229.90
DRN CYST/SBS/HEM MOUTH $ 753.35
DRN EXT EAR ABSCESS/HEMATOMA $ 753.35
DRUG NOS DEFINITIVE 7+ $ 163.40
DRUG SCRN 10 - PAIN MANAGEMENT $ 196.56
DRUG TOX BLOOD $ 123.50
DRUG TOX URINE $ 196.56
dRVVT CONFIRMATION $ 43.70
DUAL MESH IMPLANT $ 1,100.00
DUCOLAX 10 MG SUP (BISACO) $ 4.01
DULCOLAX EC 5 MG TAB (BISAC) $ 4.02
DUONEB 3 ML SOL $ 7.29
DUOPRESS SET $ 80.00
DUPLEX LOWER ART BIL $ 1,113.39
DUPLEX LOWER ART UNIL/LIM $ 557.38
DUPLEX UPPER ART UNIL/LIM $ 646.10
DUPLEX UPPER ART, BIL $ 1,250.80
DUPLEX VENOUS BIL $ 1,024.66
DURAGEN 26 SQ CM GRAFT $ 2,558.50
DURAGESIC 12 MCG PATCH $ 49.33
DURAGESIC 25 MCT/HR PATC(FENTA $ 228.90
DURAGESIC 50 MCG/HR (FENTAN2) $ 64.05
DURAGESIC 75 MCG/HR (FANTAN2) $ 97.71
DUST ALLERGY SCREEN,EA $ 112.88
D-XYLOSE, 2HR BLOOD $ 190.95
DYSPHAGIA THERAPY 15 $ 240.24
DYSPHAGIA THERAPY 30 $ 220.94
DYSPHAGIA THERAPY 45 $ 262.77

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
DYSPHAGIA THERAPY 60 $ 350.00
E. COLI 0157 $ 168.39
EA ADD'L STOOL PATHOGEN $ 39.23
EA ADD'L STOOL YERSINIA $ 39.23
EAST AGRICULTURE ALLERGEN,EA $ 112.88
EASTERN EQUINE ENCEPHALITIS $ 141.90
EASTERN EQUINE ENCEPHALITIS $ 141.90
EBV Ab, IgG $ 59.67
EBV Ab, IgM $ 49.99
EBV CULTURE $ 181.47
EBV EARLY ANTIGEN (DIFFUSED) $ 59.67
EBV EARLY ANTIGEN (RESTRICTED) $ 59.67
EBV NUCLEAR ANTIGEN ANTIBODY $ 49.99
EBV VCA IGG ANTIBODY $ 75.79
EBV VCA IgG/IgM $ 75.79
EBV VCA IGM ANTIBODY $ 75.79
EBV-DN BY PCR $ 668.64
E-CADHERIN IMMUNOPEROXIDASE $ 542.36
ECHINOCOCCUS ANTIBODY, IgG $ 138.67
ECHO W/ COLOR FLOW & DOPPLER $ 942.20
ECHO W/O SPECTRAL OR COLOR DOP $ 942.20
EDUCATIONAL CLASS/HI NON-MEM $ 10.50
EFFEXOR XR 37.5 MG CAP(VENLAF) $ 4.05
EFFEXOR XR 75 MG CAP (VENLAF) $ 11.15
EGD $ 1,404.10
EGD FLEX W/BX SINGLE OR MULT $ 1,597.00
EGD FLEX W/INSERT OVER GW/DILA $ 1,564.00
EGD, TRANSORAL W/REM FB $ 1,597.00
EHRLICHIA CHAFFEENSIS DNA $ 668.64
EHRLICHIA IgG $ 166.10
EHRLICHIA IgG/IgM $ 166.10
EHRLICHIA IgM $ 166.10
EKG $ 195.88
EKG $ 195.88

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
EKG (WELL) $ 54.48
EKG ADD'L BY ER PHY $ 195.88
EKG REPEAT $ 149.94
EKG REPEAT DIFF PHY $ 149.94
ELA-MAX 4% 5 GM (LIDOCA4) $ 25.49
ELBOW (2V) - BILATERAL $ 183.63
ELBOW (3V) - BILATERAL $ 216.45
ELBOW-LEFT (3 VIEW) $ 143.98
ELBOW-RIGHT (3 VIEW) $ 143.98
ELECTIVE CARDIOVERSION $ 2,085.49
ELECTIVE CARDIOVERSION $ 2,085.49
ELECTRICAL STIMULATION ATTEN $ 125.56
ELECTRICAL STIMULATION UNATTEN $ 104.58
ELECTRO-HEMOGLOBIN $ 51.30
ELECTROLYTES $ 53.83
ELIMINATOR HOLE APEX PS $ 1,843.63
ELIMITE 5% 60GM TUBE (PERMET) $ 256.61
ELUTION BY ARC $ 250.60
EMB/THROM FEMPOP/AORTO $ 7,673.15
EMER CRITICAL CARE 1ST 75 MIN $ 1,570.02
EMER ROOM (LEVEL I)/TRIAGE $ 189.60
EMER ROOM (LEVEL II) $ 344.40
EMER ROOM (LEVEL III) $ 699.79
EMER ROOM (LEVEL IV) $ 1,136.29
EMER ROOM (LEVEL V) $ 1,664.26
EMERGENCY ROOM PROCEDURE $ 256.50
EMOLLIENT 28 GM TUBE $ 7.15
EMPLOYEE EXPOSURE PROTOCOL $ 68.40
ENA AB $ 280.58
ENA SS-A $ 280.58
ENA SS-B $ 280.58
ENALAPRILAT DIHYDRATE 1.25 MG/ $ 17.38
ENDO TRACH CHARGE $ 87.75
ENDO TRACH TRAY $ 29.50

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ENDOMYSIAL IgA ANTIBODY $ 23.75
ENDOSCOPY ADD'L HR $ 741.16
ENDOSCOPY PROC 1ST H $ 1,954.80
ENDOTRACH INTUBATION $ 508.82
ENDO-TRACH TUBE $ 23.75
ENDOTRACHEAL INTUBATION $ 667.82
ENDOTRACHEAL INTUBATION $ 667.82
ENDOTRACHEAL INTUBATION $ 667.82
Engerix-B 20 mcg/ml $ 133.86
ENOXAPARIN 120MG/0.8ML PFS $ 60.86
ENTAMOEBA HISTOLYTIC AG BY EIA $ 148.77
ENTAMOEBA HISTOLYTIC ANTIBODY $ 246.72
ENTEROVIRUS AB $ 109.66
ENTEROVIRUS CULTURE $ 181.47
ENTEROVIRUS PCR $ 251.76
EOSINOPHIL COUNT $ 36.10
EOSINOPHIL, URINE $ 55.58
EPHEDRINE $ 313.04
EPHEDRINE SU 50 MG/ML (EPHEDR) $ 119.00
ePHEDrine sulfate 25 MG/5 ML S $ 80.66
EPI MEMBRANE IMMUNOPEROXIDASE $ 542.36
EPI STERIOD INJ-L/S W/IMG $ 1,017.45
EPI STERIOD INJ-L/S W/IMG $ 1,330.00
EPI STEROID INJ CS/TS W/IMG $ 1,330.00
EPIDURAL BLOOD PATCH $ 651.00
EPIDURAL BLOOD PATCH W/WO FLUR $ 1,277.04
EPIDURAL STEROID $ 671.75
Epinephrine 0.1 mg/ml 10 ml In $ 16.68
EPINEPHRINE 1 MG/ML (EPINEP) $ 44.22
Epogen 10,000 Units/ml (NOESRD $ 505.10
ER CRITICAL CARE EA ADD 30 MIN $ 782.93
ER EKG $ 195.88
ERCP COMBINED $ 829.59
ERCP PANCREATIC $ 665.71

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ERCP-BILIARY $ 665.71
ERGONOMIC ASSESMENT EA ADD HR $ 345.60
ERP- EMERGENCY ROOM PROCEDURE $ 307.80
ERTAPENEM 500 MG INJ $ 280.85
ERY-TAB 250 MG (ERYTHR2) $ 21.56
ERYTHROCYTE COUNT $ 16.15
ERYTHROMYCIN 0.5% OPTH OIN 1 G $ 27.97
ERYTHROPOIETIN $ 165.30
ESOPHAGEL TTS 6 & 10 MM $ 570.00
ESSURE $ 10,341.50
ESTABLISHED PATIENT LVL I $ 272.62
ESTABLISHED PATIENT LVL II $ 212.58
ESTABLISHED PATIENT LVL III $ 224.91
ESTABLISHED PATIENT LVL IV $ 343.05
E-STIM WOUND CARE $ 50.11
ESTRADIOL $ 94.05
ESTRADIOL 1 MG TAB $ 4.05
ESTRIOL $ 53.20
ESTRIOL $ 126.35
ESTROGEN RECP IMMUNOPEROXIDASE $ 542.36
Estrogen Vag Cr $ 754.32
ESTROGENS,FRACTIONATED $ 135.85
ESTROGENS,TOTAL $ 223.25
ESTRONE $ 112.10
ETCO2 MONITOR TUBE $ 20.00
ETHYLENE GLYCOL $ 158.65
ETOH - LEGAL $ 313.04
ETT $ 995.00
EVAC SUBUNGUAL HEMATOMA $ 137.75
EVAL PROD W/ LANG COMP EXP 60M $ 592.02
EVAL PROD W/LANG COMP EXP 15 $ 592.02
EVAL PROD W/LANG COMP EXP 30M $ 592.02
EVAL PROD W/LANG COMP EXP 45M $ 592.02
EVAL SP SOUND PROD 15M $ 285.29

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
EVAL SP SOUND PROD 30M $ 285.29
EVAL SP SOUND PROD 45M $ 285.29
EVAL SP SOUND PROD 60M $ 285.29
EVAL SPEECH FLUENCY 15M $ 350.71
EVAL SPEECH FLUENCY 30M $ 350.71
EVAL SPEECH FLUENCY 45M $ 350.71
EVAL SPEECH FLUENCY 60M $ 350.71
EVAL SPEECH GEN DEVICE PER HR $ 435.44
EVAL SWALLOWING FUNCT 15 MIN $ 488.35
EVAL SWALLOWING FUNCT 30 MIN $ 488.35
EVAL SWALLOWING FUNCT 45 MIN $ 536.25
EVAL SWALLOWING FUNCT 60 MIN $ 585.59
EVENT MONITOR HOOKUP $ 185.05
EVISTA 60 MG TAB (RALOX) $ 18.32
EXC NAIL MATRIX PERM $ 461.70
EXCISION OF FRENUM,LABIAL/BUCC $ 4,605.24
EXELON 1.5MG CAP (RIVAST) $ 11.45
EXERCISE ECHO $ 1,257.20
EXERCISE/NUTRITION CLASS $ 90.35
EXT DECLOT AVF W BALN CATH $ 5,605.95
EXT DECLOT AVF W/O BALN CATH $ 805.60
EXTENSION & ACCESSORIES IMPLAN $ 1,448.00
EXTERNAL CARDIO ASSIST (PACEMA $ 427.98
EXTERNAL VERSION $ 3,884.08
EXTRACTABLE NUCLEAR ANTIGEN $ 280.58
EZ PAP DEVICE ONLY $ 28.75
FACIAL BONES (M3V) $ 297.38
FACIAL PROST PLUS IMPLAN $ 4,817.45
FACTOR 5 LEIDEN MUT ANAL $ 616.98
FACTOR II $ 136.80
FACTOR IX $ 84.55
FACTOR V $ 100.70
FACTOR VII $ 131.10
FACTOR VIII $ 34.20

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
FACTOR VIII ACTIVITY $ 34.20
FACTOR VIII ACTIVITY $ 55.00
FACTOR X $ 136.80
FACTOR XI $ 136.80
FACTOR XII $ 136.80
FACTOR XIII $ 48.45
FACTOR XIII IMMUNOPEROXIDASE $ 542.36
FAST-FIX,STRAIGHT $ 782.00
FATTY ACID PROFILE,PEROXISOMAL $ 243.20
FCM: EACH CELL SURFACE $ 1,031.94
FCM: LEUKEMIA/LYMPHOMA EVAL $ 437.00
FDP $ 94.05
FDP D-DIMER ,QNT $ 56.05
FDP/FSP QUANITIATIVE $ 55.00
FDP/FSP QUANTITATIVE $ 27.55
FECAL FAT QUAL $ 34.20
FECAL FAT, QUANT $ 53.20
FEM/PIRIFOR/PERIPHE NERVE BLK $ 951.90
FEMORAL CEMENTED CR ATTUNE $ 11,180.00
FEMORAL HEAD HIP IMPLANT $ 9,503.00
FEMORAL NAIL (RAFN) $ 8,671.21
FEMORAL NERVE INJECTION SINGLE $ 1,796.43
FEMORAL POPITAL BYPASS $ 3,401.00
FEMUR (2V) - BILATERAL $ 254.80
FEMUR-LT (2 VIEWS) $ 169.65
FEMUR-RT (2 VIEWS) $ 169.65
FENTANYL 100 MCG/2 ML (FENTAN) $ 6.80
FENTANYL,SCREEN $ 196.56
FERNING SLIDE $ 38.00
FERRITIN $ 63.65
FERROUS GLUCONATE 300 MG TAB $ 4.05
FERROUS SULF 300 MG TAB $ 4.11
FERROUS SULF 300MG/5ML UDC $ 8.45
FETAL BIOPHYS PRFL W/ NON STRS $ 433.16

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
FETAL BIOPHYS PRFL W/O NON STR $ 433.16
FETAL BLEED SCREEN $ 30.40
FETAL CARDIO ECHOGRAPHY $ 1,729.00
FETAL DOPPLER ECHO COMPLETE $ 868.14
FETAL DOPPLER ECHO F/U $ 433.16
FETAL ECHOCARDIO F/U OR REPEAT $ 868.14
FETAL FIBRONECTIN $ 303.05
FETAL HGB SCREEN, FECAL $ 60.80
FETAL LUNG MATURITY $ 81.70
FETAL LUNG MATURITY (PG) ONLY $ 81.70
FIBRIN MONOMER (FDP) $ 88.35
FIBRIN SPLIT PRODUCTS $ 124.45
FIBRINOGEN $ 84.55
FIBRINOGEN $ 84.55
FIBRINOGEN ACTIVITY $ 84.55
FILARIA AB IgG4 (HELMINTH) $ 138.67
FILTER CONCENTRATOR $ 2,712.00
FINE NEEDLE ASP EVALUATION $ 112.84
FINE NEEDLE ASP INTERP/REPORT $ 325.78
FINGER LT HAND 2ND DGT (M2V) $ 156.00
FINGER LT HAND 3RD DGT (M2V) $ 156.00
FINGER LT HAND 4TH DGT (M2V) $ 156.00
FINGER LT HAND 5TH DGT (M2V) $ 156.00
FINGER LT HAND THMB (M2V) $ 156.00
FINGER RT HAND 2ND DGT (M2V) $ 156.00
FINGER RT HAND 3RD DGT (M2V) $ 156.00
FINGER RT HAND 4TH DGT (M2V) $ 156.00
FINGER RT HAND 5TH DGT (M2V) $ 156.00
FINGER RT HAND THMB (M2V) $ 156.00
FINGER(S) RIGHT HAND (M2V) $ 156.00
FINGER(S)-LEFT (M2V) $ 156.00
FIORICET TAB (BUTAPAP) $ 7.52
Fish Bladder Cancer $ 1,024.66
FISH PRADER WILLI $ 116.85

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
FISH, CML/AML TRANSLOCATION $ 342.00
FISH, VYSIS UROVYSION $ 609.70
FISTULAGRAM $ 681.15
FISTULAGRAM SURGICAL $ 347.23
FIXATOR SYS T-CLAMP $ 1,214.00
FLAGYL 250MG TAB (METRON) $ 4.04
FLAGYL 500 MG/100 ML PMIX $ 39.31
FLAT RATE ALLOWANCE $ 16.38
FLD W/DIFF COUNT $ 87.40
FLECAINIDE $ 123.20
FLECAINIDE (TAMBOCOR) $ 141.40
FLEET CHILDA ENEMA (SODIUM7) $ 4.05
FLEETS ADULT ENEMA (SODIUM7) $ 4.02
FLEXERIL 10 MG TAB (CYCLOB) $ 4.01
FLEXIBLE HINGE TOE W/GROMMETS $ 8,245.25
FLOMAX 0.4 MG CAP (TAMSUL) $ 4.01
FLONASE 0.05% (FLUTIC) $ 190.85
FLORINEF 0.1 MG TAB (FLUDRO) $ 4.40
FLOVENT 110 MCG HFA (FLUTIC) $ 592.66
FLOW CYTO (LEUK/LYMPHOMA) EVAL $ 1,031.94
FLOW CYTOMERY, FIRST MARKER $ 1,031.94
FLOW CYTOMETRY 1 ADDL MARKERS $ 764.40
FLOW CYTOMETRY 2 ADDL MARKERS $ 764.40
FLOW CYTOMETRY 3 ADDL MARKERS $ 764.40
FLOW CYTOMETRY INTERPRETATION $ 141.96
FLOW CYTOMETRY, EA ADD'L MARK $ 764.40
FLOXIN 0.3% OTIC (OFLOXA) $ 330.04
FLU VACCINE ADMIN $ 113.64
FLU VACCINE ADMIN $ 113.64
FLU VACCINE ADMINISTRATION $ 113.56
FLU VACCINE ADMINISTRATION $ 147.63
FLU0ROSCOPY > 1 HR $ 850.85
FLUCONAZOLE 200 MG/100 ML IV. $ 40.50
FLUIDOTHERAPY $ 111.67

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
FLUORESCENT AB SCREEN,EACH $ 40.31
FLUORESCENT AFB STAIN $ 112.84
FLUORESCENT ANTIBODY, EACH $ 40.31
FLUORIDE-WATER $ 36.10
FLUOR-I-STRI 9 MG (FLUORE) $ 4.05
FLUORO FOR CENTRAL LINE $ 427.35
FLUORO FOR SPINE INJECTION $ 427.35
FLUORO GUIDE AND LOCALIZATION $ 475.65
FLUORO GUIDE AND LOCALIZATION $ 476.00
FLUORO PHARYNX/LARYNX $ 322.05
FLUORO SWALLOWING EVAL 15 MIN $ 488.35
FLUORO SWALLOWING EVAL 30 MIN $ 488.35
FLUORO SWALLOWING EVAL 45 MIN $ 536.97
FLUORO SWALLOWING EVAL 60 MIN $ 585.59
FLUOROSCOPY < 1 HR $ 474.60
FLUOXETINE (PROZAC) $ 196.56
FLUPHENAZINE $ 313.04
FLURO LOCAL NEEDLE $ 427.35
FOLATE $ 63.65
FOLATE,RBC $ 112.10
FOLIC ACID 1 MG TAB (FOLIC) $ 3.98
FOLIC ACID 5 MG/ML (FOLIC) $ 2.44
Follow-up on site ea person $ 48.00
FOOD ALLERGY PANEL PEDI,EACH $ 112.88
FOOD ALLERGY PANEL,EA $ 112.88
FOOT (2V) - BILATERAL $ 183.63
FOOT (3V) - BILATERAL $ 216.45
FOOT-LEFT (M3V) $ 163.80
FOOT-RIGHT (M3V) $ 163.80
FOREARM - BILAT (M2V) $ 216.45
FOREARM-LEFT (2 VIEWS) $ 143.98
FOREARM-RIGHT (2 VIEWS) $ 143.98
FOREIGN BODY,IV,CHILD $ 114.71
FORMALDEHYDE $ 109.25

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
FORTAZ 1GM VIAL (CEFTAZ) $ 31.05
FORTAZ 2 GM INJ $ 40.50
FOSAMAX 70 MG TAB (ALENDR) $ 49.79
FREE KAPPA LIGHT CHAIN $ 53.20
FREE KAPPA/LAMBDA 24 HR $ 53.20
FREE KAPPA/LAMBDA URINE $ 53.20
FREE LAMBDA LIGHT CHAIN $ 53.20
FREE PSA $ 29.45
FREE PSA $ 29.45
FREE T3 (TRIIODOTHYRONINE) $ 46.55
FREE T4 $ 51.30
FRESH FROZEN PLASMA EA UNIT $ 154.70
FROZEN PLASMA THAW $ 417.20
FROZEN SECTION $ 216.58
FROZEN SECTION,EA ADDL $ 136.50
FRUCTOSAMINE $ 37.05
FRUCTOSE SEMEN $ 54.15
FSH $ 73.15
FTA $ 80.63
FTA-ABS $ 80.63
FUNCTIONAL CAPACITY EVALUATION $ 1,389.44
FUNGAL CULTURE $ 101.36
FUNGAL ID $ 243.59
FUNGAL SENSITIVITY $ 243.59
FUNGAL SMEAR $ 86.65
FUNGUS ANTIBODY, NES $ 149.97
FUNGUS ANTIBODY, NES $ 149.97
FUNGUS CULTURE $ 94.82
FUNGUS,NOS $ 149.97
G I COCKTAIL 15 ML UD $ 16.63
G TUBE REPLACEMENT $ 489.00
G6PD-QUALITATIVE $ 28.50
GAD-65 ANTIBODY $ 83.60
GADAVIST 10 ML $ 250.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
GAIT TRAIN 15 MIN $ 85.46
GALACTOMANNAN AG $ 302.45
GALACTOSEMIA SCREEN $ 85.50
GALLIUM, WHOLE BODY $ 2,329.60
GALLIUM,WHOLE BODY $ 3,106.60
GANGLIOSIDE GM-1 ANTIBODIES $ 50.35
GASTRIC ACID $ 54.15
GASTRIC ACID,COMBINED $ 54.15
GASTRIC ANALYSIS $ 54.15
GASTRIC INTUBATION/LAVAGE $ 460.28
GASTRIC INTUBATION/LAVAGE $ 460.28
GASTRIC INTUBATION/LAVAGE $ 460.28
GASTRIN $ 68.40
GASTRIN $ 68.40
GASTROCCULT $ 28.50
GC DNA PROBE $ 88.28
GC RNA PROBE $ 222.34
GELATINE IgE $ 112.88
GELFOAM 12.7MM $ 441.29
GELFOAM POWDER $ 106.00
GEMFIBROZIL 600MG TAB (GEMFIB) $ 7.43
GENE SCREEN COLLECTION ONLY $ 57.38
GENERAL HEALTH PANEL $ 373.65
GENEX BONE GRAFT 10CC (CONSIGN $ 5,075.00
GENEX BONE GRAFT 5CC (CONSIGN) $ 3,727.50
GENOMIC ALTERATIONS $ 1,436.40
GENTAMICIN $ 138.60
GENTAMICIN 80 MG/2 ML SDV $ 14.33
GENTAMICIN OPTH 5 ML $ 46.61
GENTAMICIN PEDI 20MG/2ML SDV $ 31.91
GEODON 20 MG CAP (ZIPRASIDON) $ 23.81
GEODON IM INJ 20 MG (ZIPRASIDO $ 112.66
GGT $ 45.60
GHB-GAMMA HYDROXYBUTERIC ACID $ 313.04

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
GIARDIA ANTIGEN, EIA $ 194.55
GIARDIA IgG/IgA/IgM ANTIBODIES $ 188.67
GIEMSA STAIN $ 112.84
GLIADIN AB, IGA $ 23.75
GLIADIN AB, IGG $ 23.75
GLIADIN ANTIBODY IgA $ 23.75
GLIADIN ANTIBODY IgG $ 23.75
GLIPIZIDE 5 MG TAB (GLIPIZ) $ 4.00
Glucagon 1 mg $ 397.60
GLUCAGON, PLASMA $ 59.85
GLUCOPHAGE 500MG TAB (METFOR) $ 3.99
GLUCOPHAGE 850 MG TAB (METFOR) $ 4.05
GLUCOPHAGE XR 500MG TAB (METFO $ 4.04
GLUCOSE $ 34.20
GLUCOSE 2-HR $ 93.10
GLUCOSE 2HR W/O COLA $ 34.20
GLUCOSE BODY FLD OTH NOT BLOOD $ 34.20
GLUCOTROL XL 5 MG TAB (GLIPIZ) $ 4.05
GLYCERIN ADULT SUP (GLYCER) $ 4.05
GLYCERIN CHILD SUP (GLYCER) $ 4.05
GONADOTROPIN, FREE BETA CHAIN $ 84.55
GORTEX DUALMESH $ 511.31
GRAFT (Ortho-Human Tissue) $ 13,527.80
GRAFT (Ortho-NON Human Tissue) $ 13,975.00
GRAFT -SKIN SUBSTITUTE CADAVER $ 11,772.54
GRAM STAIN $ 67.03
GROSS CYSTIC DISEASE IMMUNOPER $ 542.36
GROUP B STREP SCREEN $ 26.16
GROUP B STREP, PCR $ 196.18
GROUP SP/LANG TX PER SESSION $ 93.67
GROUP THERAPY I $ 60.16
GROUP THERAPY II $ 60.16
GROUP THERAPY III $ 119.39
GROUP THERAPY IV $ 178.62

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
GROWTH HORMONE,HUMAN $ 86.45
GTT, 3 SPECIMENS $ 93.10
GTT,EA ADDL SPEC >3 $ 21.85
GTT,EA ADDL SPEC >3 $ 21.85
GTT,EA ADDL SPEC >3 $ 21.85
GTT,EA ADDL SPEC >3 $ 21.85
GTT,EA ADDL SPEC >3 $ 21.85
GUIDEWIRE $ 391.04
H PYLORI DRUG ADMINISTRATION $ 21.85
H PYLORI IgG, QUANTITATIVE $ 178.19
H SIMPLEX/V ZOSTER RAPID CULT $ 112.80
H&E STAIN EOS $ 36.10
H. INFLUENZA B, IgG $ 135.46
H. INFLUENZAE AB $ 135.46
H. INFLUENZAE TYPE B AG $ 104.82
H. PYLORI SCREEN $ 178.19
H. PYLORI, IgA $ 178.19
H. PYLORI, IgM $ 178.19
HALDOL $ 252.00
HALOPER LAC 5MG/ML (HALOPE) $ 24.87
HALOPERIDOL 5MG TAB (HALOPE2) $ 4.05
HAND (2V) - BILATERAL $ 262.60
HAND (3V) - BILATERAL $ 216.45
HAND-LEFT (M3V) $ 143.98
HAND-RIGHT (M3V) $ 143.98
HANTAVIRUS IgG/IgM $ 114.50
HAPTOGLOBIN,QNT $ 65.55
HARPOON SUTURE ANCHOR $ 1,293.32
HBV DNA PCR QL $ 457.76
HCMC PROFESSIONAL PANEL $ 56.00
HCV FIBROSURE $ 511.00
HCV RNA PROG $ 133.95
HCV VIRAL RNA, QUAN $ 389.09
HCV,RNA BY PCR, QUAL $ 359.66

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
HDL CHOLESTEROL $ 35.15
HE4 $ 532.14
HEAVY METAL SCREEN $ 532.00
HEAVY METAL,QUANT EACH $ 119.70
HEAVY METALS GROUP, BLOOD $ 78.85
HEEL - BILATERAL $ 216.45
HEEL-LEFT $ 143.98
HEEL-RIGHT $ 143.98
HEINZ BODIES STAIN $ 27.55
HELICAL BLADE $ 4,167.35
HELICOBACTER PYLORI, STOOL $ 170.03
HELISTAT 1X2 $ 81.00
HELISTAT 3X4 $ 200.00
HEMABATE 250 MCG/1 ML (CARBOPR $ 669.87
HEMATOCRIT $ 36.10
HEMATOCRIT $ 36.10
HEMOGLOBIN $ 28.50
HEMOGLOBIN $ 28.50
HEMOGLOBIN A1C $ 75.05
HEMOGLOBIN F $ 54.15
HEMOGLOBIN FRACTIONATION $ 29.45
HEMOGLOBIN, PLASMA OR SERUM $ 51.30
HEMOGLOBIN,URINE $ 56.05
HEMOGLOBINOPATHY EVALUATION $ 61.75
HEMOGRAM-NO DIFF $ 56.05
HEMOLYSIN,ACID (HAM'S) $ 74.10
HEMOSIDERIN STAIN $ 542.36
HEMOSIDERIN-URINE,QUAL $ 24.70
HEP B ANTIGEN, NEUTRALIZATION $ 62.13
HEP B VACC/PF PEDI 10 MCG/0.5 $ 60.17
HEP B VACCINE ADMIN $ 113.64
HEP B VACCINE ADMIN $ 113.64
HEP B VACCINE ADMIN $ 113.64
HEP C GENOTYPING, LIPA $ 848.47

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
HEP C RNA QUAL TMA $ 359.66
HEP C VIRUS AB, IMMUN $ 206.41
HEP VAC-EMPLY PHY $ 55.00
HEPARIN 50 UNITS/ML 500ML $ 33.87
HEPARIN ANTI-Xa ASSAY $ 164.35
HEPARIN LOCK 10 UN/ML 5ML $ 16.88
HEPARIN LOCK 100 UN/ML 5ML PFS $ 13.28
HEPARIN SOD 1000U/ML (HEPARI) $ 16.91
HEPARIN-INDUCED THROMBOCYTOPEN $ 296.71
HEPARIN-NS 2,500 UNITS/250 ML $ 41.76
HEPATITIS A AB,IGM $ 104.82
HEPATITIS A Ab-TOTAL $ 43.54
HEPATITIS A ANTIBODY TOTAL $ 43.54
HEPATITIS B ADM FEE $ 10.60
HEPATITIS B CORE AB TOTAL $ 54.83
HEPATITIS B CORE ANTIBODY,IgM $ 120.94
HEPATITIS B CORE,AB TOTAL $ 54.83
HEPATITIS B DNA, QUANTITATIVE $ 196.18
HEPATITIS B IMMUNE GLOB 1ML $ 372.89
Hepatitis B Immune Glob 5 ml $ 1,415.81
HEPATITIS B SURFACE AB, QNT $ 87.08
HEPATITIS B SURFACE ANTIBODY $ 87.08
HEPATITIS B SURFACE ANTIBODY $ 87.08
HEPATITIS B SURFACE ANTIGEN $ 103.00
HEPATITIS BE ANTIBODY $ 72.56
HEPATITIS BE ANTIGEN $ 73.57
HEPATITIS C ANTIBODY $ 199.95
HEPATITIS C ANTIBODY, RIBA $ 206.41
HEPATITIS C VIRAL GENOTYPING $ 848.47
HEPATITIS D IgM ANTIBODY/EIA $ 403.13
HEPATITIS DELTA VIRUS AB $ 403.13
HEPATITIS E VIRUS PCR $ 668.64
HEPATITIS E, IgG $ 114.50
HEPATITIS E, IgM $ 114.50

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
HEPATITIS IMMUNITY PANEL $ 76.95
HEPTIMAX (TM) HCV RNA $ 389.09
HER-2-NEU $ 542.36
HERCEPTEST $ 542.36
HERPES SIMPLEX VIRUS AB, IgM $ 56.44
HERPES SIMPLEX VIRUS AG BY DFA $ 174.93
HERPES SIMPLEX VIRUS PCR, CSF $ 204.36
HERPES SIMPLEX VIRUS TITER,IgM $ 56.44
HERPES SV AB,TYPE II IGG $ 53.21
HERPES VIRUS 6 AB, IgG/IgM $ 114.50
HERPES,SV AB,TYPE I IGG $ 43.54
HEXAGONAL PHOSPHOLIPID $ 43.70
HHE CABLE FEE $ 10.00
HHE ROOM & BOARD (PRIVATE) $ 235.00
HHE ROOM & BOARD (SEMI-PVT) $ 220.00
HHW CABLE FEE $ 10.00
HHW ROOM & BOARD (PRIVATE) $ 235.00
HHW ROOM & BOARD (SEMI-PVT) $ 220.00
HIP (1V) - BILATERAL $ 242.13
HIP (2V) - BILATERAL $ 455.00
HIP-BI (2V EA) $ 455.00
HIP-LEFT (1 VIEW) $ 169.65
HIP-LEFT (2 VIEWS) $ 317.20
HIP-RIGHT (1 VIEW) $ 169.65
HISTAMINE RELEASE (LHR) $ 69.34
HISTAMINE, 24 HR URINE $ 125.40
HISTAMINE, URINE $ 47.50
HISTO.GALACTOMANNAN AG, UR $ 171.65
HISTONE ANTIBODY $ 23.75
HISTOPLAMA ANTIBODY $ 138.67
HISTOPLASMA AB $ 111.27
HISTOPLASMA AB MYCELIA,CF $ 138.67
HISTOPLASMA AB YEAST,CF $ 138.67
HISTOPLASMA ANTIGEN, URINE $ 171.65

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
HISTOPLASMA CAPSULATUM H&M $ 122.55
HIV 1 RNA AMP PROBE QUAL $ 331.88
HIV 1/2 AG EIA $ 134.06
HIV GENOTYPING PR/RT SEQUENCE $ 823.95
HIV RNA QNT, PROGRESSIVE $ 786.36
HIV RNA QNT, ULTRA $ 786.36
HIV-1 P24 ANTIGEN $ 258.30
HIV-1 PCR 1ST GENERATION $ 786.36
HIV-1 PCR ULTRASENSITIVE 2ND $ 786.36
HIV-1 QL DNA BY PCR $ 331.88
HIV-1 RNA QUANT REAL TIME PCR $ 786.36
HIV-1,RNA QNT BY PCR (bDNA) $ 786.36
HIV1/2 AB SCREEN, EIA $ 45.15
HIV-1AB $ 87.08
HIV-2 AB $ 93.52
HIV-2 ANTIBODY SCREEN $ 93.52
HIV-2 WESTERN BLOT $ 180.61
HIV-I ANTIBODY SCREEN $ 87.08
HIV-I WESTERN BLOT $ 180.61
HLA -B27 $ 317.68
HLA CLASS 1 TYPING (A,B,C) $ 1,694.42
HLA DR DQ SINGLE $ 362.83
HLA DR DQ,MULTIPLE AG $ 628.89
HLA TYPING,MULTIPLE AG $ 446.67
HLA-A,B,C CLASS I DNA $ 446.67
HLA-B 5701 TYPING $ 250.80
HLA-DQ CLASS II DNA $ 628.89
HLA-DR CLASS II DNA $ 628.89
HOLTER MONITOR ANALYSIS $ 630.11
HOLTER MONITOR RECORDING $ 630.11
HOME SLEEP STUDY UNATTENDED $ 896.25
HOME SLEEP STUDY UNATTENDED(G) $ 793.10
HOMOCYSTEINE $ 206.15
HOMOCYSTEINE,SERUM $ 206.15

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
HOMOCYSTINE $ 206.15
HOMOVANILLIC ACID $ 114.00
HPV (TYP 16,18, AND 45 IF PER) $ 194.55
HPV HI RSK (TYP 16,18,31..) $ 194.55
HPV LO RSK (TYP 6,11,42,43,44) $ 281.19
HSV CULTURE $ 94.82
HSV I DNA BY PCR $ 204.36
HSV I&II RAPID CULTURE W/ TYPE $ 112.80
HSV I&II TYPING RFLX FROM CULT $ 112.80
HSV II DNA BY PCR $ 204.36
HTLV I $ 72.56
HTLV I/II ANTIBODIES $ 114.50
HTLV II $ 72.56
HUMALOG 100 UNIT/1 ML 3ML $ 207.86
HUMAN 70/30 INS 100 U/ML 3ML $ 115.30
HUMERUS - BILAT (M2V) $ 216.45
HUMERUS-LEFT (M2V) $ 143.98
HUMERUS-RIGHT (M2V) $ 143.98
HUMIBID LA 600MG TAB (GUAIFESA $ 3.96
HUMULIN N 100 UNIT/1 ML 3ML $ 96.52
HUMULIN R 100 UNIT/1 ML 3ML $ 96.40
HUNTINGTON MUTATION PANEL $ 402.80
HUNTINGTON'S DISEASE PCR (SB) $ 511.10
HURRICAINE ONE 0.5 ML (BENZOC2 $ 32.87
Hyaluronidase recomb 1 usp $ 128.34
HYDRALAZINE 10MG TAB (HYDRAL) $ 4.22
HYDRALAZINE 20 MG/1 ML INJ $ 32.78
HYDRALAZINE 25MG TAB (HYDRAL) $ 4.03
HYDREA 500MG CAP (HYDROX3) $ 4.16
HYDROCHLOROT 25MG TAB (HYDROC3 $ 3.97
HYDROCOD/HOMATR 5 ML UDC $ 13.24
HYDROCOD-ACET 10-325 1 EACH TA $ 4.01
HYDROCOD-ACET 7.5-325MG TAB $ 3.95
HYDROCODONE, QUANTITATIVE $ 313.04

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
HYDROCODONE,URINE GCMS $ 313.04
HYDROCODONE-SERUM $ 313.04
HYDROCORTISONE 1% 30 GM $ 11.11
HYDROGEN PER 3% 240 ML $ 7.43
HYDROMORPH 0.2 MG/1 ML 30 ML $ 48.13
HYDROMORPHON 2MG TAB (HYDROM) $ 4.05
HYDROMORPHONE, SERUM $ 313.04
HYDROXY PROGESTERONE BLOOD $ 126.35
HYDROXYPROLINE, 24 HR URINE $ 86.45
HYDROXYZ PAM 25MG CAP (HYDROX4 $ 4.00
HYGROTON 25 MG TAB (CHLORTHAL) $ 7.43
HYPERSENSITIVITY PNEUMONITIS $ 151.05
HYPOGLYCEMIC PANEL $ 313.04
HYSTEROSALPINGOGRAM $ 681.15
HYSTEROSALPINGOGRAM-SURG $ 427.35
HYTRIN 1 MG CAP(TERAZO) $ 6.90
HYTRIN 5 MG CAP (TERAZO) $ 7.09
I & D PERIANAL ABSCESS $ 2,234.67
I&D ABSCESS CMPLX/MULTI $ 577.60
I&D ABSCESS PERITONSILLAR $ 632.70
I&D ABSCESS SMPL SNGL $ 238.45
I&D BARTHOLIN'S GLAND ABSCESS $ 352.45
I&D ISCHIO /PERI RECTAL ABCESS $ 2,939.37
I&D OF EYELID ABCESS $ 850.50
I&D PILONIDAL CYST CMPLX $ 971.85
I&D PILONIDAL CYST SMPL $ 753.35
I&D POST OP WND INF CMPLX $ 3,307.90
I&D VULVA OR PERINEAL ABSCESS $ 729.60
I&D,HEMATOMA,SEROMA OR FLUID $ 4,126.50
I&D,HEMATOMA,SEROMA, OR FLUID $ 4,126.50
I&D,HEMATOMA,SEROMA, OR FLUID $ 4,126.50
IA-2 ANTIBODY $ 83.60
IBUPROFEN 400 MG TAB (IBUPRO) $ 4.02
ICU EKG $ 195.88

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
IgA $ 48.45
IgA AB BY IgG CLASS $ 50.35
IgE $ 67.45
IGE $ 67.45
IGE $ 67.45
IgE ALLERGEN, EACH $ 112.88
IGE ALLRGN: ALMOND (F20) $ 15.12
IGE ALLRGN: BRAZIL NUT (F18) $ 15.12
IGE ALLRGN: HAZEL NUT (F17) $ 15.12
IGE ALLRGN: MACADAMIA NUT (RF3 $ 15.12
IGE ALLRGN: PEANUT (F13) $ 15.12
IGE ALLRGN: PECAN NUT (F201) $ 15.12
IGE ALLRGN: PISTACHIO (F203) $ 15.12
IGE ALLRGN: WALNUT (F256) $ 15.12
IGE ALLRGN:CASHEW NUT (F202) $ 15.12
IgE ANTIBODY $ 67.45
IGE, ALLERGEN SPECIFIC $ 112.88
IGF BINDING PROTEIN-1 $ 83.60
IGF BINDING PROTEIN-3 $ 83.60
IgG $ 48.45
IgG $ 48.45
IgG 1-4 $ 68.40
IgG SUBCLASS 1,2,3,& 4 $ 85.50
IGM $ 48.45
IHC/ICC PER SPEC MPLX AB STN $ 542.36
ILIOING/ILIOHYPO BLOCK $ 714.40
IM INJ ANTIBIOTIC $ 179.70
IMDUR 30 MG TAB (ISOSOR) $ 3.98
IMIPRAMINE $ 313.04
IMIPRAMINE 25 MG TAB (IMIPRA) $ 4.05
IMITREX 50 MG TAB (SUMATR) $ 7.24
Imitrex 6 mg/0.5 ml Inj $ 180.63
IMMUNIZATION EA ADDED $ 62.09
IMMUNO ELECTRO SER $ 141.90

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
IMMUNO ELECTROPHORESIS, URINE $ 98.36
IMMUNO FIXATION SERUM $ 101.59
IMMUNOASSAY by DIRECT OPTICAL $ 50.35
IMMUNOASSAY, RIA $ 50.35
IMMUNOASSAY, RIA, EACH $ 106.40
IMMUNOASSAY,NOS $ 50.35
IMMUNODIFFUSION, NES $ 116.10
IMMUNOELECTRO PROTEIN $ 98.36
IMMUNOFIX X $ 68.40
IMMUNOFIXATION $ 101.59
IMMUNOFIXATION ELECTROPHORESIS $ 101.59
IMMUNOFIXATION SERUM $ 101.59
IMMUNOFIXATION, 24 HR URINE $ 219.30
IMMUNOFIXATION, URINE $ 98.36
IMMUNOPEROXIDASE $ 542.36
IMMUNOPEROXIDASE,H PYLORI $ 542.36
IMMUNOPEROXIDASE,HERPES SIMPLE $ 542.36
IMODIUM 2MG CAP (LOPERA) $ 4.15
IMURAN 50 MG TAB (AZATH) $ 6.47
IN SITU, AMN FLD $ 399.95
IN-111 PENTETATE DTPA 0.5 MCI $ 3,458.00
IN-111 PENTETREOTIDE UPTO 6MCI $ 7,500.00
INCISION THROM HEMORR $ 418.00
INCUBATED-AGLUTINATION BY ARC $ 125.30
INCUBATION OF XMATCH BY ARC $ 250.60
INDERAL 10MG TAB (PROPRA) $ 4.16
INDERAL 1MG/ML (PROPRA) $ 24.98
INDERAL 20MG TAB (PROPRA) $ 4.07
INDERAL LA 60MG CAP (PROPRALA) $ 7.43
INDERAL LA 80MG CAP (PROPRALA) $ 7.43
INDIA INK PREP $ 106.26
INDIRECT TITER BY ARC $ 352.80
INDOMETHACIN 25MG CAP (INDOME) $ 4.05
INDUSTRIAL ERGO ASSESSMENT $ 833.34

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
INDUSTRY JOB SITE ANALYS EA HR $ 203.40
INFANT DRUG SCREEN, MECONIUM $ 196.56
INFLAMMATORY BOWEL DISEASE $ 380.00
INFLUENZA A & B ANTI SCRN $ 174.93
INFLUENZA A ANTIGEN $ 39.23
INFLUENZA A VIRUS, PCR $ 237.06
INFLUENZA A&B $ 574.80
INFLUENZA A&B SCREEN $ 111.16
INFLUENZA ANTIBODY $ 54.83
INFLUENZA B AB $ 54.83
INFLUENZA B ANTIGEN $ 174.93
INFLUENZA B VIRUS, PCR $ 65.39
INFLUENZAE VAC/ADM FEE $ 25.75
INFLUENZAE VIRUS CULTURE $ 181.47
INFUMORPH 25MG/ML 20ML $ 518.00
INFUS INTRAVEN PYELOGRAM $ 535.80
INFUSE BONE GRAFT - LARGE $ 11,694.90
INFUSE BONE GRAFT - MED SIZE $ 1,869.00
INFUSE BONE GRAFT - SMALL $ 8,972.50
INFUSION IVP W/TOMOGRAMS $ 535.80
INHALER TREATMENT $ 245.10
INHIBIN IMMUNOPEROXIDASE $ 542.36
INITIAL EKG $ 195.88
INJ ANES AGNT OTHR PERIPH NERV $ 1,017.45
INJ ANESTH AGT TRIG NRVE $ 452.20
INJ BLOOD PATCH, EPIDURAL $ 1,182.75
INJ CONTRAST KNEE ARTHRO XRAY/ $ 100.00
INJ FACET L/S 2ND LVL $ 636.74
INJ FACET L/S 3RD + ADDL $ 636.74
INJ FACET L/S 3RD LVL BILAT $ 1,273.00
INJ FACET L/S SNGL LVL + FLURO $ 1,277.04
INJ FACET LS 2ND LVL BILAT $ 1,273.00
INJ FACET LS SNGL LVL+IMG BILA $ 1,593.63
INJ INTERM JOINT $ 446.26

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
INJ IV PUSH INITIAL $ 326.04
INJ IV PUSH INITIAL $ 326.04
INJ IV PUSH INITIAL $ 326.04
INJ IV PUSH SUBSEQ EA ADD $ 163.94
INJ IV PUSH SUBSEQ EA ADD $ 168.88
INJ IV PUSH SUBSEQ SAME DRUG $ 98.49
INJ IVP SUBSEQ EA ADD DIFF $ 168.88
INJ MAJ JOINT (H,S,K) $ 481.65
INJ SACROILIAC + FLUOR $ 1,960.00
INJ SMALL JOINT (FING/TOES) $ 446.26
INJ TRIG PT >3 MUSCLES $ 446.26
INJ TRIG PT 1-2 MUSCLE $ 446.26
INJECTION MAJOR JOINT $ 535.80
INJECTION SINGLE TENDON SHEATH $ 535.80
INJECTION SQ/IM $ 190.81
INJECTION SQ/IM $ 196.68
INJECTION, SQ/IM $ 190.81
INSERT INDWELL URINA CATH-COMP $ 299.73
INSERT INDWELL URINA CATH-SIMP $ 229.90
INSERT INDWELL URINA CATH-SIMP $ 229.90
INSERT INDWELL URINA CATH-SMPL $ 229.90
INSERT IVC ENDOVASC W/WO IMAGI $ 12,146.23
INSERT STRAIGHT CATH $ 229.90
INSERT TEMP INDWELL CATH SIMPL $ 167.44
INSERT TIBIAL $ 5,310.50
INSERTER-MITEK #212415 $ 243.00
INSERTION CATHETER,ARTERY $ 1,069.70
INSJ PICC 5YR+ W/O IMAGING $ 2,153.65
INSULIN $ 77.90
INSULIN AB $ 190.29
INSULIN, 1 HR RESPONSE $ 77.90
INSULIN, 2 HR RESPONSE $ 77.90
INSULIN, 3 HR RESPONSE $ 77.90
INSULIN, FASTING $ 77.90

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
INT WND REP FEENLM <=2.5 CM $ 444.60
INT WND REP FEENLM <30 CM $ 444.60
INT WND REP FEENLM >30 CM $ 2,061.50
INT WND REP FEENLM 12.6-20 CM $ 444.60
INT WND REP FEENLM 2.6-5 CM $ 444.60
INT WND REP FEENLM 5.1-7.5 CM $ 444.60
INT WND REP FEENLM 7.6-12.5 CM $ 444.60
INT WND REP NHFE <=2.5 CM $ 444.60
INT WND REP NHFE 2.6-7.5 CM $ 444.60
INT WND REP NHFE 7.6-12.5 CM $ 641.25
INT WND REP NHFE 12.6-20.0 CM $ 641.25
INT WND REP NHFE 20.1-30 CM $ 444.60
INT WND REP SNAGTE 20.1-30 CM $ 1,069.70
INT WND REP SNAGTE <=2.5 CM $ 444.60
INT WND REP SNAGTE >30 CM $ 2,061.50
INT WND REP SNAGTE 12.6-20.0 C $ 869.25
INT WND REP SNAGTE 2.6-7.5 CM $ 444.60
INT WND REP SNAGTE 7.6-12.5 CM $ 444.60
INT/COMP/VASOPNEUATIC DEVICE $ 64.48
INTENSIVE CARE UNIT $ 1,650.00
INTENSIVE CARE UNIT $ 1,800.00
INTERCOSTAL ANES INJ SINGLE $ 802.28
INTERCOSTAL ANES INJ SINGLE $ 802.28
INTERCOSTAL ANES INJ SINGLE $ 951.90
INTERCOSTAL ANES INJ SINGLE $ 1,277.04
INTERCOSTAL NERVE BLK SING LVL $ 802.28
INTERCOSTAL NRV BLK EA ADDL $ 1,330.00
INTEREL EZ PATIENT PROGRAMMER $ 2,522.00
INTERMIT ST URINARY CATH INSER $ 199.50
INTERNAL AUDITORY MEATI $ 941.20
INTRAFORAMINAL L/S EA ADD SING $ 636.74
INTRAFORAMINAL L/S SGL LVL+FLU $ 959.03
INTRAPIPID 20% 250 ML $ 100.02
INTRAUTERINE PRESS CATH $ 114.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
INTRINSIC FACTOR AB $ 199.95
INTRINSIC FACTOR BLOCKING AB $ 199.95
IODINE,TOTAL $ 76.95
IONTOPHORESIS 15 MIN $ 111.67
IP VC FILTER $ 5,534.10
IPPB 1ST TX $ 245.10
IPPB SUBSEQUENT $ 245.10
IRON $ 33.25
Iron Dextran 50 mg $ 74.78
IRON STAIN (TRICHROME O&P) $ 53.95
Iron Sucrose 20 mg/1 ml 5 ml $ 116.61
IRRG CORPORA CAVERNOSA $ 418.00
IRRIGATION IMPLNT VEN ACCESS $ 124.93
ISLET CELL AUTOANTIBODIES,IGG $ 79.02
ISMO 20MG TAB (ISOSOR) $ 4.05
ISOAGGLUTININ, EACH $ 352.80
ISOHEMAGGLUTININ TITER #1 $ 125.30
ISOHEMAGGLUTININ TITER #2 $ 125.30
ISORDIL 10MG TAB (ISOSOR2) $ 4.08
Isovue 370 100 ml $ 300.00
IV INF PROLONG > 8HRS BY PUMP $ 632.70
IV INF PROLONG >8 HRS BY PUMP $ 607.05
IV INFUS HYDRA 1ST HR INITIAL $ 395.20
IV INFUS HYDRA EA ADD HR $ 77.81
IV INFUS HYDRA EA ADD HR $ 77.81
IV INFUS HYDRA EA ADD HR $ 77.81
IV INFUS HYDRA INITIAL 1STH $ 395.20
IV INFUS HYDRATION 1ST HR INIT $ 395.20
IV INFUS THERAPEU EA ADD HR $ 77.81
IV INFUS THERAPEU EA ADD HR $ 77.81
IV INFUS THERAPEU EA ADD HR $ 77.81
IV INFUS THERAPEU INITIAL $ 395.20
IV INFUS THERAPEU INITIAL $ 395.20
IV INFUS THERAPEU INITIAL $ 395.20

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
IV INFUSION CONCURRENT $ 327.59
IV INFUSION CONCURRENT $ 337.47
IV INFUSION CONCURRENT $ 337.47
IV INFUSION NEW DRUG $ 114.86
IV INFUSION NEW DRUG $ 114.86
IV INFUSION NEW DRUG $ 114.86
IV INFUSION NEW DRUG $ 114.86
IV INFUSION NEW DRUG $ 114.86
IVP $ 535.80
JAK2 MUTATION ANALYSIS $ 547.20
JAK2 MUTUTATIO (V167F)ANALYSIS $ 620.62
JANUVIA 50 MG TAB (SITAGL) $ 35.91
JO-1 ANTIBODY $ 280.58
Jo-1 ANTIBODY $ 280.58
K-67 IMMUNOPEROXIDASE $ 542.36
KAYEXALATE 15GM/60ML (SODIUM6) $ 117.73
K-DUR 20MEQ TAB (POTASS) $ 4.04
KEFLEX 250 MG CAP (CEPHAL) $ 4.02
KEFLEX SUSP 250 MG/5 ML(CEPHAL $ 6.86
KENALOG CREAN 0.1% (TRIAMC1) $ 29.86
KENALOG OINT 0.1% (TRIMAC1) $ 29.86
KEPPRA 500 MG TAB (LEVETIRACT) $ 3.99
KETALAR 100 MG/1 ML $ 29.18
KETAMINE HCL-NS 30MG/3ML SYR $ 16.77
KIDNEY STONE QUAN $ 135.85
KLEIHAUR-BETKE $ 115.90
KLOR-CON 25 MEQ TAB (POTASS) $ 7.43
KNEE (1or2V) - BILATERAL $ 195.00
KNEE (4+V) - BILATERAL $ 365.30
KNEE (4+VIEW)-LT $ 262.60
KNEE (4+VIEW)-RT $ 262.60
KNEE IMMOBILIZER $ 105.85
KNEE-(3 VIEW)-LEFT $ 262.60
KNEE-(3 VIEW)-RIGHT $ 262.60

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
KNEE-(LIMITED)-LEFT (2V) $ 163.80
KNEE-(LIMITED)-RIGHT (2V) $ 163.80
KOH PREP $ 86.65
K-PHOS 500MG TAB (POTASS5) $ 3.81
K-TAB 10 MEQ TAB (POTASS) $ 4.01
KUGEL COMPOSIX OVAL PATCH $ 2,639.00
KUGEL PATCH LG CIRCLE $ 1,108.00
KUGEL PATCH LG OVAL $ 1,236.00
KUGEL PATCH MED OVAL $ 1,004.00
KUGEL PATCH SM CIRCLE $ 1,176.00
KUGEL PATCH SM OVAL $ 1,056.00
KYPHX BONE CEMENT & MIXER $ 1,519.00
L/S RATIO,ANMIOTIC FLUID $ 205.20
LAB TEST REVIEW BY PATHOLOGIST $ 112.84
LABETALOL 5 MG/ML PFS (LABETA) $ 24.62
LABOR CARE PER HR HIGH $ 456.23
LABOR CARE PER HR LOW $ 177.38
LABOR CARE PER HR MODERATE $ 325.47
LABOR REC ADD 1/2 HR $ 137.78
LABOR RM REC 1ST HR $ 596.48
LAC RPR UP TO 2.5CM (FEENLMM) $ 222.30
LAC RPR UP TO 2.6-5.0CM (FEENL $ 222.30
LAC RPR UP TO 2.6-7.5CM (SNAGT $ 222.30
LACERATION < 2PKS - SIMPLE $ 75.00
LACERATION > 4PKS - COMPLEX $ 150.00
LACERATION 2-4 PKS INTERMEDIAT $ 112.50
LACOSAMIDE, SERUM OR PLASMA $ 76.95
LACRI-LUBE 3.5 GM OPTH OINT $ 10.48
LACTATED RINGERS 1000ML (LACTA $ 33.31
LACTATION CONSULT 30 MIN-EST $ 203.82
LACTIC ACID (LACTATE) $ 76.00
LACTIC ACID-ARTERIAL $ 80.00
LACTINEX TAB (LACTOB) $ 3.89
LACTOFERRING,QUANTITIVE STOOL $ 174.80

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
LACTOSE TOLERANCE $ 65.55
LACTULOSE 20 GM/30 ML (LACTUL) $ 4.08
LACTULOSE 480ML (LACTUL) $ 4.05
LAM/FAC/FORM SNGL SEG CERV $ 10,874.18
LAM/FAC/FORM SNGL SEG EA ADDNL $ 2,124.20
LAM/FAC/FORM SNGL SEG THOR $ 10,874.18
LAMINECTOMY 1 ITER SPC THOR $ 10,874.18
LAMOTRIGINE $ 192.92
LAMOTRIGINE $ 192.92
LAMOTRIGINE 100MG TAB (LAMI25T $ 11.95
LAMOTRIGINE 25MG TAB (LAMI25T) $ 11.01
LANOLIN 7 GM TUBE $ 7.43
LANOXIN 0.125 MG TAB (DIGOXI2) $ 4.01
LANOXIN 0.25 MG/1 ML 2 ML INJ $ 24.64
LANTUS SOLOSTAR 3ML $ 184.12
LARYING-O-JET 4 ML KIT(LIDOLTA $ 59.74
LASER I $ 3,621.16
LASER II $ 3,216.60
LASIX 20 MG/2 ML 4 ML INJ $ 16.77
LASIX 20 MG/2 ML INJ $ 8.46
LASIX 20MG TAB (FLUROSE) $ 3.95
LASIX 40 MG TAB (FLUROSE) $ 3.94
LATEX SENSITIVITY $ 112.88
LDH $ 41.80
LDH ISOENZYMES $ 63.65
LDL CHOLESTEROL,DIRECT $ 58.90
LEAD, BLOOD $ 45.60
LEAD, RANDOM URINE $ 45.60
LEAD-BLOOD $ 45.60
LEAD-URINE $ 45.60
LEG PNEUMOPHILIA CULTURE $ 96.46
LEGIONELLA ANTIGEN,URINE $ 103.00
LEGIONELLA BY DFA $ 76.84
LEGIONELLA BY DFA (EACH) $ 76.84

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
LEGIONELLA CULTURE $ 96.46
LEGIONELLA IgG ANTIBODIES $ 138.67
LEGIONELLA IgM ANTIBODIES $ 138.67
LENS,INTRAOCULAR IMPLANT $ 1,293.32
LENS/RESTOR INTRAOCULAR $ 5,584.41
LEPTOSPIRA AB SCREEN $ 201.57
LETS SOL (LIDO/EPI/TETRAC) 1 M $ 7.31
LEUCINE AMINOPEPTIDASE $ 104.50
LEUKOCYTE AB IDENTIFICATION $ 62.88
LEUKOCYTE ALKALINE PHOSPHATASE $ 104.50
LEUKOCYTE ANTIBODY $ 62.88
LEUKOCYTE ASSESSMENT,FECAL $ 30.40
LEUKOCYTE COMMON AB IMMUNOPERO $ 298.00
LEUKOCYTE FILTER $ 33.00
LEVAQUIN 250MG/50 ML $ 38.50
Levaquin 500 mg/100ml $ 38.25
LEVAQUIN 500MG TAB (LEVAFLOX) $ 3.99
Levaquin 750 mg/150 ml $ 39.09
LEVEEN SHUNT $ 1,110.00
LEVEL I ACUITY-MINOR TREATMENT $ 912.60
LEVEL II ACUITY MINOR TREATMEN $ 1,064.70
LEVEL III ACUITY MINOR TREATME $ 1,096.20
LEVETIRACETAM (KEPPRA) $ 114.66
Levetiracetam 500 mg/5 ml $ 28.60
LEVOPHED 1 MG/1 ML 4 ML $ 43.74
Levothyroxine 100 mcg inj $ 199.82
LEVSIN 0.5 MG/ML (HYOSCY) $ 145.02
LEVSIN SL 0.125 MG (HYOSCY) $ 4.05
LG GRIP 2.0MM HOLES $ 1,497.58
LH SERUM $ 81.70
LH-URINE $ 245.10
LIBRAX CAP $ 13.21
LIBRIUM 10 MG CAP (CHLORD) $ 4.05
LIBRIUM 5 MG CAP (CHLORD) $ 4.05

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
LIDOCAINE $ 75.60
LIDOCAINE 1%-MPF 2ml $ 6.69
LIDOCAINE HCL 1% W/EPI PF 10 M $ 26.94
LIDOCAINE HCL 2% 20 ML VIAL $ 20.78
LIDODERM 5% PATCH (LIDO5%) $ 23.67
LINER, POLY ORTHO HIP IMPLANT $ 9,002.14
LIPASE $ 64.60
LIPID PANEL $ 81.27
LIPID PROFILE $ 82.33
LIPOPROTEIN (a) $ 57.00
LIPOPROTEIN ELECTROPHORESIS $ 48.45
LIPOPROTEIN, QNT $ 73.15
LIPOPROTEINS $ 67.45
Lisinopril 20 mg tab $ 4.02
LISTERIA AB BY COMP FIXATION $ 135.46
LITHIUM $ 75.60
LITHIUM CARB TABLET 300 MG $ 3.71
LIVER BIOPSY-SURGI $ 2,128.00
LIVER BX PERCUT NEEDLE $ 2,128.00
LIVER KIDNEY MICROSOME, IgG $ 51.60
LIVER PROFILE $ 92.88
LOCALIZATION OF TUMOR-MULTIPLE $ 1,726.20
LOCALIZATION OF TUMOR-MULTIPLE $ 2,781.10
LOCALIZATION OF TUMOR-SINGLE $ 1,128.40
LOCALIZATION OF TUMOR-SINGLE $ 1,970.15
LOMOTIL 2.5 MG TAB (DIPHEN2) $ 4.03
LOPRESSOR 25 MG TAB (METOPR) $ 3.98
LOPRESSOR 50MG TAB (METOPR) $ 4.02
LOPRESSOR 5MG/5ML (METOPR) $ 8.64
LORAZAPAM (ATIVAN) $ 313.04
LORTAB 7.5 MG-325 MG 15 ML UDC $ 12.59
LOTENSIN 10 MG TAB (BENAZE) $ 3.94
LOTRIMIN 1% 15 GM $ 20.27
LOVENOX 100MG/ML (ENOXAP) $ 47.57

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
LOVENOX 150MG/1ML (ENOXAP) $ 75.63
LOVENOX 30 MG/0.3 ML (ENOXAP) $ 15.49
LOVENOX 40 MG/0.4 ML (ENOXAP) $ 21.16
LOVENOX 60 MG/0.6 ML (ENOXAP) $ 36.45
LOVENOX 80 MG/0.8 ML (ENOXAP) $ 40.52
LOWER ART STUDY UNIL $ 428.75
LOWER ARTERIAL EXT STUDY BILAT $ 962.15
LOWER EXT INFANT - BILAT (M2V) $ 262.60
LOWER EXT LT INFANT (M2V) $ 262.60
LOWER EXT RT INFANT (M2V) $ 262.60
LOWER EXT VENOUS COMPLETE $ 912.45
LSD SCREEN, URINE $ 196.56
L-SPINE BEND VIEW ONLY (M4V) $ 262.60
L-SPINE COMPLETE W/ FLEX & EXT $ 413.73
L-SPINE W/ OBL (M4V) $ 395.53
LT ANKLE (2 VIEWS) $ 262.60
LT ELBOW (2 VIEWS) $ 163.80
LT FOOT (2 VIEWS) $ 163.80
LT HAND (2V) $ 262.60
LT WRIST (2 VIEWS) $ 163.80
LUBIPROSTONE 8 MCG CAPSULE $ 16.26
LUMBAR LFF SNGL VERT SEG $ 10,809.96
LUMBAR MORPHINE TRIAL W/IMG $ 1,277.04
LUMBAR PUNC DX INJECTION $ 1,182.75
LUMBAR PUNC DX INJECTION $ 1,182.75
LUMBAR PUNCTURE $ 714.40
LUMBAR PUNCTURE $ 1,182.75
LUMBAR PUNCTURE $ 1,182.75
LUMBAR PUNCTURE $ 1,182.75
LUMBAR PUNCTURE DX PEDI $ 1,182.75
LUMBAR PUNCTURE TRAY ADULT $ 76.16
LUMBAR PUNCTURE TRAY PEDI 21G $ 76.55
LUMBAR SPINAL PUNCTURE (DIAG) $ 714.40
LUMBAR SPINAL PUNCTURE (THERA) $ 928.72

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
LUMBAR SPINE (AP+LAT) $ 262.60
LUPUS ANTICOAGULANT EVALUATION $ 226.10
LUPUS TYPE ANTICOAGULANT $ 21.85
LUVOX $ 313.04
LYME AB,IgG $ 82.24
LYME AB,IgM $ 82.24
LYME DISE DNA PCR RT SYN CSF $ 521.51
LYME IgG/IgM ANTIBODY SCREEN $ 82.24
LYME WESTERN BLOT, IgG $ 49.99
LYME WESTERN BLOT, IgM $ 49.99
LYMPH IMAGING $ 877.80
LYMPH IMAGING $ 1,054.90
LYRICA 50 MG CAP (PREGAB) $ 21.93
LYRICA 75 MG CAP (PREGAB) $ 24.23
LYSOZYME, BODY FLUID $ 91.20
M PNEUMONIAE, IgG $ 125.78
M PNEUMONIAE, IgM $ 125.78
M. AVIUM ANTIBODY $ 353.12
M.V.I.-12 10ML (MULTIP) $ 40.15
MACROBID 100 MG CAP (NOTROF) $ 12.67
MACRODANTIN 50MG CAP (NITROF) $ 11.93
MAG AB SCREEN $ 82.65
MAG WESTERN BLOT W/ INTERPRET $ 342.00
MAGNESIUM $ 51.30
MAGNESIUM CITRATE (MAGCIT) $ 7.92
MAGNESIUM SO4 50% INJ (2ML) $ 5.82
MAGNESIUM SUL 500MG(1GM/100ML) $ 39.98
MAGNESIUM SULF 500MG(4GM/100ML $ 40.18
MAGNESIUM SULFATE 4% 1000ML $ 33.09
MAGNESIUM, 24 HR URINE $ 51.30
MAGNESIUM, 24 HR URINE $ 51.30
Magnevist 15 ml $ 210.00
Magnevist 20 ml $ 300.00
MAG-OX 400 TAB (MAGNES4) $ 4.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
MAJ JNT INJ W/O GUIDANCE $ 444.60
MALARIA SMEAR $ 103.00
MAM-BREAST CYST PUNC EA ADD $ 152.00
MAM-BREAST CYST PUNCTURE $ 1,254.95
MAM-BREAST-SURG SPECIMEN EX $ 932.10
MAMMO DIAGNOSTIC BILAT-DIGITAL $ 357.50
MAMMO DIAGNOSTIC UNI-L DIGITAL $ 357.50
MAMMO DIAGNOSTIC UNI-R DIGITAL $ 357.50
MAMMO SCREENING BILAT-DIGITAL $ 357.50
MAMMO SCRN CONV/DX BIL $ 357.50
MAMMO SCRN CONV/DX UNIL LT $ 357.50
MAMMO SCRN CONV/DX UNIL RT $ 357.50
MAMMOMARK 11GA #1 $ 143.00
MAMMOMARK 11GA #2 $ 143.00
MAMMOMARK 8GA $ 143.00
MANDIBLE $ 262.60
MANDIBLE-LEFT (<4V) $ 179.73
MANDIBLE-RIGHT (<4V) $ 179.73
MANGANESE $ 159.60
MANUAL THERAPY EA 15 MIN $ 91.63
MARCAINE 0.25% 30ML (BUPIVA) $ 37.81
MARCAINE 0.25% W/EPI (BUPIVA4) $ 24.19
MARCAINE 0.5% 30ML (BUPIVA1) $ 16.02
MARCAINE 0.5% W/EPI 30ML $ 24.90
MARCAINE W/DEXTROSE SPINAL $ 16.30
MARIJUANA, CONF GCMS, MECONIUM $ 313.04
MARIJUANA, URINE - LEGAL $ 313.04
MARIJUANA,CONFIRM BY GCMS $ 313.04
MASK MULTIVENT $ 18.50
MASK-NON REBREATH BA $ 17.00
MASS EA 15 MIN $ 89.16
MAST CELLS $ 103.74
MASTOIDS (<3V PER SIDE) $ 297.38
MAXZIDE-25MG TAB (HYDROC25) $ 4.61

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
MDMA & METABOLITE, SERUM $ 313.04
MDMA METABOLITE (ECSTACY) $ 313.04
MEASLE,MUMPS,RUBELLA PROFILE $ 81.70
MEASLES IGM ANTIBODY $ 60.48
MECH OSCILLATION CHEST WALL $ 245.10
MED GRIP 2.0 MM HOLES $ 1,497.58
MEFOXIN 2GM/20ML VIAL (CEFOXI) $ 40.50
MEGACE 40 MG TAB $ 4.05
MEGACE 400 MG/10 ML UD $ 12.23
MEGALOBLASTIC ANEMIA PROFILE $ 111.15
MELANOMA COCKTAIL $ 542.36
MELATONIN 1MG TAB (MELAT) $ 5.12
MENISCAL SCREW $ 1,851.50
MEPERIDINE (DEMEROL) $ 313.04
MEPROBAMATE $ 313.04
MERCURY $ 35.15
MERCURY, BLOOD $ 35.15
MERCURY, RANDOM URINE $ 35.15
MEROPENEM 1 GM VIAL $ 101.23
MERREM 500MG SDV (MEROP) $ 63.56
MESH, KEY HOLE SM $ 387.21
MESH, SURGIPRO $ 344.12
MESH, VICRYL $ 1,609.33
MESH,COMPOSITE 4X8 $ 1,096.00
MESH,COMPOSITE 6X8 $ 1,767.50
MESH,KEY HOLE LG $ 486.57
MESTINON 60MG TAB (PYRIDO) $ 4.50
METAMUCIL PAK (PHYLLI) $ 4.05
METANEB DEVICE DISPOSABLE $ 45.00
METANEPHRINES, URINE $ 62.70
METANEPHRINES,FRAC PLASMA $ 62.70
METHADONE $ 196.56
METHADONE 10 MG TAB $ 4.05
METHADONE 40 MG TAB (METHAD) $ 3.99

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
METHADONE, QUANTITATIVE $ 313.04
METHADONE, URINE QUALITATIVE $ 313.04
METHADONE,SCREEN $ 196.56
METHAMPHETAMINE $ 313.04
METHAMPHETAMINE & MEBTABOLITE $ 313.04
METHAMPHETAMINES & METABOLITES $ 313.04
METHERGINE 0.2MG TAB (METHYL7) $ 143.18
METHERGINE 0.2MG/ML (METHYL7) $ 60.34
METHOTREXATE $ 72.80
METHOTREXATE 2.5 MG TAB(METHOT $ 15.79
METHOTREXATE 50MG/2ML $ 24.98
METHYLENE BLUE 5 MG/ML 10ML A $ 363.33
METHYLENETETRAHYDROFOLATE $ 169.10
METHYLMALONIC ACID $ 66.50
METHYLMALONIC ACID $ 66.50
METHYLMALONIC ACID,URINE $ 66.50
METHYLPREDNISOLONE 4 MG $ 7.79
METOPROLOL $ 151.20
MEVACOR 20MG TAB (LOVAST) $ 7.47
MIC/ID $ 78.47
MIC/ID ALTERNATE $ 78.47
MICROALBUMIN, URINE $ 49.40
MICROALBUMIN,URINE $ 49.40
MICROSOMAL ANTIBODY $ 51.60
MIDAZOLAM 10MG/5ML ORAL SYR $ 18.84
MIDLINE PICC KIT $ 278.03
MIINI QUICKANCHOR MITEK $ 1,709.96
MILK OF MAGNESIA 30ML (MAGNES3 $ 7.29
MINERAL OIL 30ML (MINOIL) $ 4.05
MINI ER PHY EXAM $ 26.13
MINOR NERVE BLOCK $ 549.00
MIOCHOL-E (ACETYLCHOLINE DROP) $ 227.47
MIRALAX 17 GM (PEG/LYTES) $ 7.45
MIRAPEX 0.25 MG TAB (PRAMIP) $ 7.93

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
MIRAPEX 1 MG TAB (PRAMIPEXOLE) $ 8.31
MITEK ANCHORS $ 1,308.94
MITOCHONDRIA M2 ANTIBODY, IgG $ 50.35
MM LOC CLP/NDL PLCMT 1ST LE BI $ 979.36
MM LOC CLP/NDL PLCMT 1ST LE LT $ 979.36
MM LOC CLP/NDL PLCMT 1ST LE RT $ 979.36
MM LOC CLP/NDL PLCMT AD LE BI $ 103.74
MM LOC CLP/NDL PLCMT AD LE LT $ 103.74
MM LOC CLP/NDL PLCMT AD LE LT $ 103.74
M-M-R II (MEASLE) $ 158.66
MMT BOD AND HNDS $ 184.28
MMT TOTAL BOD W/O HND $ 138.21
MOBIC 7.5 MG TAB (MELOX) $ 8.23
MOD SED SME PHY <5 YO 1ST 30MI $ 819.00
MOD SED SME PHY 5/> YO 1ST 30M $ 500.50
MOD SED SME PHY 5/> YO ADNL 15 $ 200.20
MOLD ALLERGY SCREEN,EACH $ 112.88
MOLECULAR CYTOGENETICS, EACH $ 116.85
MOLECULAR CYTOGENICS, EACH $ 116.85
MONISTAT 7 45GM (MICONACR) $ 25.77
MONO TEST $ 74.18
MORPHINE $ 313.04
MORPHINE 1 MG/1 ML 30 ML PCA $ 48.13
MORPHINE 10 MG/ML (MORPHI) $ 6.88
MORPHINE SO4 2MG/ML PFS $ 6.88
MORPHINE SULFATE 15MG TAB (MOR $ 4.05
MORPHINE, URINE $ 313.04
MOTRIN 100MG/5ML UD CUP (IBUPR $ 4.03
MRA GALLBALDDER W/WO (MRCP) $ 3,051.75
MRA GALLBLADDER W/ (MRCP) $ 2,381.60
MRA GALLBLADDER W/O (MRCP) $ 1,861.28
MRA HEAD W/ CONTRAST $ 2,269.15
MRA HEAD W/O CONTRAST $ 1,776.13
MRA HEAD WO/W CONTRAST $ 2,861.30

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
MRA NECK W/ CONTRAST $ 2,269.15
MRA NECK W/O CONTRAST $ 1,776.13
MRA NECK WO/W CONTRAST $ 2,861.30
MRA RENAL ART W/ CONT $ 1,183.00
MRA RENAL ART W/O CONT $ 817.70
MRA RENAL ART W/O/W CONT $ 1,365.00
MRI ABD W/ CONTRAST $ 2,381.60
MRI ABD W/O CONTRAST $ 1,861.28
MRI ABD W/WO CONTRAST $ 3,051.75
MRI ANKLE BILAT W $ 3,404.38
MRI ANKLE BILAT W/O $ 2,663.70
MRI ANKLE BILAT W/WO $ 4,290.65
MRI ANKLE LT W $ 2,269.15
MRI ANKLE LT W/O $ 1,776.13
MRI ANKLE LT W/WO $ 2,861.30
MRI ANKLE RT W $ 2,269.15
MRI ANKLE RT W/O $ 1,776.13
MRI ANKLE RT W/WO $ 2,861.30
MRI BRACHIAL PLEXUS W/WO $ 3,051.75
MRI BRAIN W/CONTRAST $ 2,269.15
MRI BRAIN W/O CONTRAST $ 1,776.13
MRI BRAIN W/WO CONTRAST $ 2,861.30
MRI C-SPINE W/CONTRAST $ 2,269.15
MRI C-SPINE W/O CONTRAST $ 1,776.13
MRI C-SPINE W/WO CONTRAST $ 2,368.93
MRI C-SPINE W/WO WITH ADD SEQ $ 2,666.95
MRI ELBOW BILAT W $ 3,404.38
MRI ELBOW BILAT W/O $ 2,663.70
MRI ELBOW BILAT W/WO $ 4,290.65
MRI ELBOW LT W $ 2,269.15
MRI ELBOW LT W/O $ 1,776.13
MRI ELBOW LT W/WO $ 2,861.30
MRI ELBOW RT W $ 2,269.15
MRI ELBOW RT W/O $ 1,776.13

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
MRI ELBOW RT W/WO $ 2,861.30
MRI FOOT BILAT W $ 3,404.38
MRI FOOT BILAT W/O $ 2,663.70
MRI FOOT BILAT W/WO $ 4,290.65
MRI FOOT LT W $ 2,269.15
MRI FOOT LT W/O $ 1,776.13
MRI FOOT LT W/WO $ 2,861.30
MRI FOOT RT W $ 2,269.15
MRI FOOT RT W/O $ 1,776.13
MRI FOOT RT W/WO $ 2,861.30
MRI HIP BILAT W $ 3,404.38
MRI HIP BILAT W/O $ 2,663.70
MRI HIP BILAT W/WO $ 4,290.65
MRI HIP LT W $ 2,269.15
MRI HIP LT W/O $ 1,776.13
MRI HIP LT W/WO $ 2,861.30
MRI HIP RT W $ 2,269.15
MRI HIP RT W/O $ 1,776.13
MRI HIP RT W/WO $ 2,861.30
MRI IAC WO/W CONTRAST $ 1,336.40
MRI KIDNEY W/ $ 2,381.60
MRI KIDNEY W/O $ 1,861.28
MRI KIDNEY W/WO $ 3,051.75
MRI KNEE BILAT W $ 3,404.38
MRI KNEE BILAT W/O $ 2,663.70
MRI KNEE BILAT W/WO $ 4,290.65
MRI KNEE LT W $ 2,269.15
MRI KNEE LT W/O $ 1,776.13
MRI KNEE LT W/WO $ 2,861.30
MRI KNEE RT W $ 2,269.15
MRI KNEE RT W/O $ 1,776.13
MRI KNEE RT W/WO $ 2,861.30
MRI LOWER EXT JT-RT W $ 2,269.15
MRI LOWER EXT W/CON- BILATERAL $ 1,767.68

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
MRI LOWER EXT W/O - BILATERAL $ 2,663.70
MRI LOWER EXT W/WO - BILATERAL $ 4,290.65
MRI LOWER EXT-LT W $ 2,269.15
MRI LOWER EXT-LT WO/W $ 2,861.30
MRI LOWER EXT-RT W $ 2,269.15
MRI LOWER EXT-RT W/O $ 1,776.13
MRI LOWER EXT-RT WO/W $ 2,861.30
MRI L-SPINE W/CONTRAST $ 2,269.15
MRI L-SPINE W/O CONTRAST $ 1,776.13
MRI L-SPINE W/WO CONTRAST $ 2,861.30
MRI L-SPINE W/WO WITH ADD SEQ $ 3,158.35
MRI ORBIT,FACE &/OR NECK W/CON $ 2,269.15
MRI ORBIT,FACE &/OR NECK W/WO $ 2,861.30
MRI ORBIT,FACE,&/OR NECK W/O $ 1,776.13
MRI PELVIS W/ $ 2,381.60
MRI PELVIS W/O $ 1,861.28
MRI PELVIS W/WO $ 3,051.75
MRI PITUITARY WO/W CONT $ 1,336.40
MRI SHOULDE LT W $ 1,225.90
MRI SHOULDER BILAT W $ 3,404.38
MRI SHOULDER BILAT W/O $ 2,663.70
MRI SHOULDER BILAT W/WO $ 4,290.65
MRI SHOULDER LT W/O $ 1,776.13
MRI SHOULDER LT W/WO $ 1,366.30
MRI SHOULDER RT W $ 1,225.90
MRI SHOULDER RT W/O $ 1,776.13
MRI SHOULDER RT W/WO $ 1,366.30
MRI TEMPORAL/MANDIBULAR JT(S) $ 2,269.15
MRI T-SPINE W/CONTRAST $ 2,269.15
MRI T-SPINE W/O CONTRAST $ 1,776.13
MRI T-SPINE W/WO CONTRAST $ 2,861.30
MRI T-SPINE W/WO WITH ADD SEQ $ 3,158.35
MRI UPPER EXT W/CON- BILATERAL $ 3,404.38
MRI UPPER EXT W/O - BILATERAL $ 2,662.40

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
MRI UPPER EXT W/WO - BILATERAL $ 4,290.65
MRI UPPER EXTEMITY-LT WO $ 1,776.13
MRI UPPER EXTREMITY-LT W $ 2,269.15
MRI UPPER EXTREMITY-LT WO/W $ 2,861.30
MRI UPPER EXTREMITY-RT W $ 2,185.30
MRI UPPER EXTREMITY-RT WO $ 1,776.13
MRI UPPER EXTREMITY-RT WO/W $ 2,861.30
MRI WRIST BILAT W $ 3,404.38
MRI WRIST BILAT W/O $ 2,663.70
MRI WRIST BILAT W/WO $ 4,290.65
MRI WRIST LT W $ 2,269.15
MRI WRIST LT W/O $ 1,776.13
MRI WRIST LT W/WO $ 2,861.30
MRI WRIST RT W $ 2,269.15
MRI WRIST RT W/O $ 1,776.13
MRI WRIST RT W/WO $ 2,861.30
MS CONTIN 15MG TAB (MORPHI) $ 7.43
MS CONTIN 60 MG TAB (MORPHI) $ 15.66
MS OTHR PHY <5Y/O 1ST 15 MIN $ 182.00
MS OTHR PHY <5Y/O ADNL 15 MIN $ 182.00
MS PANEL CSF $ 69.35
MS PANEL SERUM $ 98.80
MSAFP $ 86.45
MUCICARMINE (PAS) $ 112.84
MUCO-FEN DM 600 MG $ 4.29
MUCOMYST 20% 30ML(ACETYLCYSTE) $ 26.29
MUCOMYST 20% 4ML (ACETYLCYSTE) $ 32.87
MULLERIAN HORMONE ANTIBODY $ 50.35
MULTI-ALLERGEN SCREEN ANIMAL $ 80.63
MULTI-ALLERGEN SCREEN GRASS $ 80.63
MULTI-ALLERGEN SCREEN TREE $ 80.63
MULTISLEEP LATENTCY TEST $ 2,635.75
MULTITRACE-4 CONCENTRATE $ 26.84
MULTIVITAMIN TAB (MULIP) $ 3.99

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
MUMPS AB $ 59.67
MUMPS ANTIBODY, IgG $ 59.67
MUMPS IgG $ 59.67
MURAMIDASE (LYSOZYME),SERUM $ 91.20
MURAMIDASE (LYSOZYME),URINE $ 91.20
MUSCLE TEST HAND $ 92.55
MUSCLE TEST NOT HAND $ 92.55
MYASTHENIA GRAVIS PANEL 2 $ 83.60
MYCLEX 10MG TROCHE (CLOTRIT) $ 3.22
MYCOLOG II CREAM 30 GM $ 344.55
MYCOPLASMA AB $ 125.78
MYCOPLASMA/UREAPLASMA CULTURE $ 443.04
MYCOSTATIN 15GM (NYSTAT) $ 42.53
MYCOSTATIN 15GM POW (NYSTAT) $ 71.50
MYCOSTATIN 500,000 UNIT/5 ML $ 4.22
MYELIN ASSOCIATED GLYCOPROTEIN $ 82.65
MYELIN BASIC PROTEIN CSF $ 69.35
MYELOGRAM-CERVICAL $ 1,829.80
MYELOGRAM-SPINAL $ 1,542.45
MYELOGRAM-THORACIC $ 1,829.80
MYLANTA 360 ML (ALUM &) $ 4.58
MYLANTA DS/OR/MAALOX PLUS ES 3 $ 9.15
MYLANTA GAS 80MG TAB (SIMETH) $ 4.05
MYLEOGRAM-LUMBAR $ 1,829.80
MYLICON DROPS 30ML (SIMETHGTT) $ 7.43
MYOCARDIAL ANTIBODY $ 40.31
MYOGLOBIN-URINE $ 54.15
MYOSIN SMOOTH MUSCLE $ 542.36
MYSOLINE 50 MG TAB (PRIMID) $ 3.96
N T SUCTION $ 163.40
N. GONORRHOEAE DNA PROBE $ 222.34
N. GONORRHOEAE, AMPLIFIED DNA $ 222.34
N. MENINGITIDIS ANTIGEN $ 104.82
N/S FOR IRRIG 3000ML (SODIUM.9 $ 82.92

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
N95 FIT TEST FEE PER HR $ 45.50
NAFCILLIN 2 GM (NAFCIL) $ 90.76
NAIL, FEMORAL/TIBIAL $ 8,722.08
NAMENDA 10 MG TAB (MEMA5T) $ 15.68
NAPHCON A (VISINE-A) OPTH SOL $ 19.33
NARCAN 0.4MG/ML (NALOXO) $ 54.84
NARCAN 2MG/2ML (NALOXO) $ 75.55
NASAL BONES (M3V) $ 163.80
NASAL DECONGESTANT $ 7.43
NASAL PROST. PLUS INPLAN $ 5,702.85
NEBCIN 80 MG/2ML (TOBRAM) $ 35.87
NEBU OF MED. SUBS $ 245.10
NEBU OF MEDICATION 1ST $ 245.10
NECK-SOFT TISSUE $ 119.70
NEOMYCIN 500MG TAB (NEOMYC) $ 4.14
NEOSPORIN GU IRRIGANT 40MG/ML $ 29.51
NEOSPORIN PAK (NEOMYC5) $ 4.03
NEOSTIGMINE METHYLSULFATE 1 MG $ 6.75
NEOSTIGMINE METHYLSULFATE 1 MG $ 61.00
NEO-SYNEPHRIN 0.25% (PHENYL) $ 8.89
NEO-SYNEPHRINE 0.5% NASAL $ 14.51
NEO-SYNEPHRINE 15 ML (PHENYL) $ 8.40
NEPHELOMETRY, EACH NES $ 53.20
Neupogen 1 MCG Inj $ 756.83
NEUROLOGY, PRION DISEASE, CSF $ 575.00
NEURONTIN 100 MG CAP (GABAPEN) $ 4.05
NEURONTIN 300 MG CAP (GABAPEN) $ 4.15
NEURONTIN 400 MG CAP (GABAPEN) $ 4.01
NEURO-REED EA 15 MIN $ 101.50
NEUROSTIMULATOR EPIDURAL $ 5,307.76
NEUTRALIZATION TEST,VIRAL $ 393.47
NEUTRA-PHOS 1.25GM PK (POTASS2 $ 4.05
NEW PATIENT LEVEL III $ 318.38
NEW PATIENT LEVEL IV $ 365.44

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
NEWBORN IV THERAPY $ 74.00
NEWBORN LEVEL I $ 440.00
NEXIUM 40MG CAP (ESOM4OC) $ 21.36
NEXIUM IV 40 MG (ESOMEP) $ 120.53
NG TUBE INSERTION $ 434.15
NG TUBE INSERTION W/ FLUORO $ 434.15
NICARDIPINE 40MG/200 ML (NICAR $ 492.70
NICKEL $ 80.75
NICODERM CQ 14MG PATC (NICOTI) $ 7.44
NICODERM CQ 21 MG PATC (NICOTI $ 7.32
NICODERM CQ 7MG PATC (NICOTI) $ 7.43
NICOTINE $ 385.84
NICOTINE METABOLITES, URINE $ 385.84
NICOTINE/METABOLITES, SERUM $ 385.84
NITRO-BID 2% UD 1GM (NITROGO) $ 7.34
NITROBLUE TETRAZOLIUM DYE TEST $ 395.07
NITRO-DUR 0.1MG/HR PATC (NITRO $ 7.43
NITRO-DUR 0.2MG/HR PATC(NITROG $ 4.05
NITROGEN,URINE $ 23.75
NITROGLYCERIN 200 MCG/1 ML 250 $ 50.11
NITROLINGUAL 0.4 MG/SPRAY $ 9.16
NITROPRESS 50MG/2ML (NITROP) $ 320.25
NITROSTAT 0.4MG (NITROG) $ 3.97
NIZORAL 2% 15GM (KETOCO) $ 75.09
NM BONE SCAN (COMPLETE) $ 1,383.55
NM BONE SCAN (COMPLETE) $ 1,468.95
NM BONE SCAN (LMTD) $ 1,063.65
NM BONE SCAN (LMTD) $ 1,149.05
NM BONE SPECT $ 877.80
NM BONE-THREE PHASE $ 1,488.90
NM BONE-THREE PHASE $ 1,574.30
NM CISTERNOGRAPHY $ 1,559.60
NM GALLIUM PER mCi $ 509.60
NM GASTRIC EMPTYING $ 1,117.20

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
NM GASTRIC EMPTYING $ 1,394.40
NM GATED HEART (MUGA) $ 1,222.55
NM GATED HEART (MUGA) $ 1,373.75
NM GB HEPATABILAIRY WITH EF $ 1,307.95
NM GB HEPATABILARY WITH EF $ 1,222.55
NM GB HEPATOBILIARY SCAN $ 1,222.55
NM GB HEPATOBILIARY SCAN $ 1,307.95
NM I123 ISOTOPE CAP PER STUDY $ 769.86
NM LIVER SCAN $ 2,329.60
NM LIVER SCAN $ 2,329.60
NM LIVER SPECT $ 2,329.60
NM LIVER SPECT $ 2,329.60
NM LUN SCAN-VENT (AREO) ONLY $ 1,256.15
NM LUNG SCAN PERFUSION ONLY $ 1,256.15
NM LUNG SCAN-PERFUSION ONLY $ 1,170.75
NM LUNG SCAN-VENT (AERO) ONLY $ 1,463.00
NM MECKEL'S DIVERTIC STUDY $ 1,276.80
NM MECKEL'S DIVERTIC STUDY $ 1,556.80
NM MYCARDIAL EXERCISE $ 2,329.60
NM MYCARDIAL EXERCISE $ 2,808.05
NM MYOCARDIAL PERFUSION $ 2,717.05
NM MYOCARDIAL PERFUSION $ 3,106.60
NM MYOCARDIAL PERFUSION SINGLE $ 2,329.60
NM MYOCARDIAL PERFUSION SINGLE $ 3,106.60
NM PARATHYROID $ 1,850.10
NM PARATHYROID $ 2,200.10
NM PHARMACY-INDIUM $ 1,392.30
NM RENAL FLOW & FUNCTION $ 1,330.00
NM RENAL FLOW & FUNCTION $ 1,673.00
NM RENAL SCAN W/ LASIX $ 877.80
NM RENAL SCAN W/ LASIX $ 1,463.00
NM RENAL SCAN W/CAPTOPRIL $ 877.80
NM RENAL SCAN W/CAPTOPRIL $ 1,463.00
NM RENAL SCAN WO/W $ 1,556.45

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
NM SESTAMIBIE $ 455.00
NM TAGED RBC STD (GI BLEED) $ 1,636.25
NM TAGGED RBC STD (GI BLEED) $ 2,290.75
NM TESTICULAR IMAGING W/VASCU $ 1,128.40
NM TESTICULAR IMAGING W/VASCU $ 1,184.75
NM THALLIUM PER STUDY $ 742.56
NM THYROID IMAGING & UP $ 1,063.65
NM THYROID IMAGING & UP $ 1,063.65
NM THYROID SCAN $ 799.05
NM THYROID SCAN $ 1,079.05
NM THYROID SCN W/UPTAKE MULTI $ 1,128.40
NM THYROID-UPTAKE $ 676.20
NM THYROID-UPTAKE $ 1,019.55
NM TUMOR WHOLE BODY STUDY $ 2,730.00
NM TUMOR WHOLE BODY STUDY $ 3,106.60
NM URETERAL REFLUX $ 831.60
NM VENT & PERFUSION LUNG SCAN $ 2,338.00
NM VENT & PERFUSION LUNG SCAN $ 2,508.80
NMDA-R AB CBA, SRM $ 40.31
NOCTURNAL POLYSOMNOGRAM $ 3,505.10
NOCTURNAL POLYSOMNOGRAM (PART) $ 2,635.75
NOCTURNAL PSG W/C-PAP $ 3,921.19
NOLVADEX 10MG TAB (TAMOXI) $ 7.43
NON-FORMULARY MEDS (MISC ITEM) $ 4.05
NON-STRESS TEST $ 281.20
NORCO 5 TAB (ACETAM2) $ 4.07
NOREPI (CATECHOLAMINES) $ 108.30
NORFLEX 60MG/2ML (ORPHEN) $ 56.64
NORMAL SALINE 1000ML IRR BOTT $ 25.41
NORMAL SALINE 100ML (NACLO.9) $ 37.74
NORMAL SALINE 100ML/W ADAPTER $ 40.30
NORMAL SALINE 50ML (NACLO.9) $ 39.64
NORMAL SALINE VIAL (NACLO.9) $ 33.25
NORMAL SALINE W/20 MEQ KCL(SOD $ 33.66

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
NORMODYNE 100 MG TAB (LABETA) $ 4.03
NOROVIRUS ANTIGEN, EIA STOOL $ 103.00
NORTRIPTYLINE $ 313.04
NORVASC 5 MG TAB (AMLODI) $ 5.36
NPSG RECORDING < 7 HRS < 6YR $ 2,635.75
NPSG YOUNGER THAN 6 YR $ 3,505.10
NRV BLK ILIOING/ILIOHYPO $ 784.70
NS W/40 MEQ KCL 1000 ML(POTASS $ 33.61
N-TELOPEPTIDE $ 114.00
N-TELOPEPTIDE, SERUM $ 238.45
NUBAIN 10MG/ML (NALBUP) $ 16.88
NURSERY CARE PER DAY LEVEL II $ 422.25
NURSERY CARE PER DAY LEVEL III $ 929.25
NURSERY CARE PER DAY LEVEL IV $ 1,604.25
NURSERY ICU LEVEL IV $ 1,540.00
NURSERY LEVEL II $ 660.00
NURSERY LEVEL III $ 1,100.00
NUTRITION COUNSEL 12 SESSIONS $ 1,581.30
NUTRITION COUNSEL SIX SESSIONS $ 851.86
NUTRITION COUNSEL SNGL SESSION $ 152.56
NYSTATIN CR $ 42.53
OBS NUR ASSESS DIRECT ADMIT $ 912.95
OBSERVATION HRS APC $ 39.00
OBSERVATION X 1 HR $ 25.03
OCCIPITAL NERVE BLOCK $ 703.00
OCCULT BLOOD NEOPLSM SCN $ 28.50
OCCULT BLOOD NEOPLSM SCRN $ 28.50
OCCULT BLOOD NEOPLSM SCRN $ 28.50
OCEAN NASAL 45ML (SODCHL) $ 4.05
OCUFLOX OPTH 5 ML (OFLO0.3) $ 50.88
OFFICE VISIT DRSG CHG $ 203.82
OHIO AEROSOL INST $ 245.10
OIL RED O STAIN $ 103.74
OLANZAPINE (ZYPREXA) $ 85.40

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
OLIGOCLONAL BANDS $ 98.80
OMNICEF 125MG/5ML SUSPENSION $ 9.48
OMNICEF 300 MG CAP $ 12.80
OP INJ IV PUSH INITIAL $ 217.36
OP INJ IV PUSH INITIAL $ 326.04
OP INJ IV PUSH SUBSEQ EA ADD $ 163.94
OP INJ IV PUSH SUBSEQ EA ADD $ 174.14
OP INJECTION, SQ/IM $ 190.81
OP INJECTION, SQ/IM $ 196.68
OP INJECTION, SQ/IM $ 196.68
OP IV INFUS HYDRA EA ADD HR $ 77.81
OP IV INFUS HYDRA INITIAL 1STH $ 395.20
OP IV INFUS THERAPEU EA ADD HR $ 77.81
OP IV INFUS THERAPEU EA ADD HR $ 77.81
OP IV INFUS THERAPEU INITIAL $ 395.20
OP IV INFUS THERAPEU INITIAL $ 395.20
OP IV INFUSION CONCURRENT $ 337.47
OP IV INFUSION CONCURRENT $ 347.66
OP PROC 5-10 MIN $ 203.82
OP VISIT EST PT LI $ 203.82
OP-CHOL ADD SET FILM $ 211.14
OPERATIVE HIP 2V $ 967.85
OPHTHETIC 0.5% 15ML (PROPAR) $ 95.57
OPIATES MECONIUM $ 313.04
OPIATES, CONFIRMATION $ 313.04
OPN NEUROPLASTY EXT PER NRV $ 3,022.90
OPN REV AV FISTULA W/GRFT $ 6,783.00
OPTIC FORAMINA $ 288.93
OPUS LABRAL ANCHOR $ 1,534.25
OR LEVEL I 0-30 MIN $ 900.00
OR LEVEL II 0-30 MIN $ 1,000.00
OR LEVEL II ADD'L 15 MIN $ 400.00
OR LEVEL III 0-30 MIN $ 1,100.00
OR LEVEL III ADD'L 15 MIN $ 440.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
OR LEVEL IV 0-30 MIN $ 1,200.00
OR LEVEL IV ADD'L 15 MIN $ 480.00
OR TIME 1-60 MIN $ 1,843.66
OR TIME EACH ADD 30 MIN $ 868.06
ORAPRED ODT 15MG (PREDNI5) $ 58.38
ORBITS-COMP (M4V) $ 308.75
ORGANIC ACID QNT, SINGLE $ 66.50
ORGANIC ACIDS, SERUM $ 109.25
ORGANIC ACIDS, URINE, QNT $ 109.25
ORGANIC ACIDS,UR QL, EA $ 188.10
ORGANOPHOSPHATE PESTICIDES $ 74.10
ORTH ORTHO/PRO USE EST PT 15 M $ 135.74
ORTHO IMPLANTS/ACL $ 1,953.00
ORTHO MGMT/TRNG LWER EXT 15 MI $ 138.20
ORTHOPEDIC IMPLANT I $ 1,154.44
ORTHOTIC FIT /TRAIN EA 15 MIN $ 105.20
OS-CAL 500 MG TAB (OYSTER D) $ 4.02
OSMITROL 20% 500ML (MANNIT20) $ 51.44
OSMOLALITY,FECES $ 74.10
OSMOLALITY-SERUM $ 42.75
OSMOLALITY-URINE $ 42.75
OSTEOCALCIN, SERUM $ 73.15
OSTOPLASTY W/O SIZE REDU $ 6,262.69
OT AQUATIC THERAPY $ 97.80
OT AT ASSESS EA 15 MIN $ 133.27
OT COG PERFORMANCE TEST 60 MIN $ 411.84
OT COGNITIVE TX EA ADD 15 MIN $ 86.07
OT COM/WK REINT EA 15 MIN $ 103.97
OT DYNAMIC ARM SPLINT 30 $ 137.75
OT DYNAMIC ARM SPLINT 45 $ 184.30
OT DYNAMIC ARM SPLINT 60 $ 155.80
OT ELBOW ORTHOSIS STATIC $ 206.00
OT ELECTRICAL STIM ATTEND $ 125.56
OT ELECTRICAL STIM UNATTEND $ 104.58

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
OT EVAL I (LOW) $ 223.04
OT EVAL II (MED) $ 223.04
OT EVAL III (HIGH) $ 241.86
OT FINGER SPLINT DYNAMIC 30 $ 84.55
OT FINGER SPLINT DYNAMIC 45 $ 92.63
OT FINGER SPLINT DYNAMIC 60 $ 100.70
OT FINGER SPLINT STATIC 30 $ 97.85
OT FINGER SPLINT STATIC 45 $ 82.18
OT FINGER SPLINT STATIC 60 $ 90.49
OT FLUIDOTHERAPY $ 111.67
OT GROUP THERAPY I $ 60.16
OT GROUP THERAPY II $ 60.16
OT GROUP THERAPY III $ 119.39
OT GROUP THERAPY IV $ 178.62
OT HAND FINGER ORTHOSIS $ 185.50
OT INOTOPHORESIS 15 MIN $ 111.67
OT INT/COMP VASOPNUMATIC DEVIC $ 64.48
OT LONG ARM SPLINT 30 $ 177.65
OT LONG ARM SPLINT 45 $ 177.65
OT LONG ARM SPLINT-APP STAT 60 $ 237.50
OT MASSAGE EA 15 MIN $ 89.16
OT MMT BOD AND HNDS $ 184.28
OT MMT TOTAL BOD W/O HND $ 138.21
OT MUSCEL TEST HAND $ 92.55
OT MUSCLE TEST NOT HAND $ 92.55
OT ORTHOTIC FIT/TRAIN EA 15MIN $ 105.20
OT PARAFFIN $ 64.48
OT PHONOPHORESIS 15 MIN $ 111.37
OT PHYSICAL PEFORM TEST 15 MIN $ 77.83
OT PROS/OR CK EA 15 MIN $ 95.02
OT PROSTHETIC TRGN EA 15 MIN $ 120.93
OT RE-EVAL $ 125.56
OT ROM HAND $ 37.50
OT SELF CARE/HOME MGMT 15 MIN $ 102.73

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
OT SENS INT EA 15 MIN $ 99.33
OT SHORT ARM SPLT-APP STAT 30 $ 149.39
OT SHORT ARM SPLT-APP STAT 45 $ 162.93
OT SHORT ARM SPLT-APP STAT 60 $ 176.94
OT THERAPUTIC ACTIVITIES 15MIN $ 81.14
OT THERAPUTIC EX 15 MIN $ 100.88
OT US EA 15 MIN $ 103.35
OT WHFO $ 226.75
OT WORK HARDENING 1 HR EA ADD $ 177.47
OT WORK HARDENING INITL 2 HRS $ 354.15
OT WRIST HAND ORTHOSIS $ 288.50
OTH PERIPHERAL NERVE INJECTION $ 1,796.43
OTHER VACCINE ADMIN $ 147.63
OTHER VACCINE ADMIN $ 147.63
OTHER VACCINE ADMIN $ 179.25
OTROM EXTREMITIES/TRUNK NO HND $ 52.19
OUT-PT OBSTETRICS LEVEL I $ 234.65
OUT-PT OBSTETRICS LEVEL II $ 365.44
OUT-PT OBSTETRICS LEVEL III $ 511.81
OUT-PT OBSTETRICS LEVEL IV $ 877.25
OUT-PT OBSTETRICS LEVEL V $ 950.28
OUTSIDE PATH CONSULT $ 713.44
OVA & PARASITE $ 107.90
OVA 1 $ 784.70
OVA/PARASITES W/ TRICHROME STN $ 94.05
OXALATE, 24 HR URINE $ 54.15
OXALATE-URINE $ 54.15
OXCARBAZEPINE $ 185.64
OXIMETRY MULTIPLE $ 23.80
OXIMETRY OVERNITE $ 383.60
OXIMETRY SINGLE CK $ 23.80
OXY HOOD DAILY $ 55.25
OXY HOOD INST $ 52.50
OXY, ER, DR, RR $ 29.42

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
OXYCODONE IR 15MG TAB (OXYCOD3 $ 7.38
OXYCODONE, URINE $ 313.04
OXYCONTIN CR 10 MG TAB (OXYCOD $ 9.50
OXYCONTIN CR 40 MG TAB (OXYCOD $ 33.87
OXYGEN 1-5 LITERS $ 21.45
OXYGEN 6-15 LITERS $ 25.02
P190 BCR-ABL1 MNR BREAKPT $ 449.54
P1NP $ 83.60
P210 BCR-ABL1 MJR BREAKPT $ 509.60
P63 ANTIBODY $ 542.36
PACEMAKER IMPLNT W/O LEAD $ 1,170.75
PACKED RBC-CMV NEGATIVE $ 445.90
PACKED RBC-DIRECTED DONATION $ 277.20
PACKED RBCS - IRRIDATED $ 491.75
PACKED RBCS - WASHED $ 772.80
PAD REHAB PER SESSION $ 187.54
Pamidronate 30 mg Inj $ 33.56
P-ANCA $ 62.88
P-ANCA FOR IBD $ 62.88
PANCREATIC ELASTASE-1 $ 123.50
PANCREATIC STOOL ELASTASE $ 123.50
PANCYTOKERATIN AB $ 542.36
PAP SMEAR $ 105.56
PARACENTESIS $ 839.26
PARACENTESIS $ 839.26
PARACENTESIS $ 1,270.82
PARAINFLUENZA CULTURE $ 107.90
PARAINFLUENZAE CULTURE $ 181.47
PARANEOPLASTIC SYNDROME AB $ 40.31
PARASITE DIRECT SMEAR $ 107.90
PARASITE PERMANENT SMEAR $ 103.00
PARIETAL CELL ANTIBODY $ 23.75
PARIETEX INGUINAL NON-PLT MESH $ 514.64
PARIETEX INGUINAL PLT MESH RT $ 454.16

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
PARIETEX PCO15X 15CM CIRCLE $ 2,466.28
PART THROMB TIME $ 45.60
PARTIAL THROMBOPLASTIN FRACS $ 21.85
PARTIAL THROMBOPLASTIN TIME $ 45.60
PARVOVIRUS B19, IgG $ 80.63
PARVOVIRUS B19, IgM $ 80.63
PAS STAIN $ 112.84
PAS/MUCICARMINE $ 103.74
PATELLA DOME ATTUNE $ 3,074.50
PATH CONSULT W/REFERRED SLIDES $ 80.08
PATHOLOGY CONSULT DURING SURG $ 80.08
PATIENT ROOM BEDSIDE PROCEDURE $ 1,228.06
PAXIL 20MG TAB (PAROXE) $ 7.43
PEAK FLOW METER $ 89.25
PELVICOL COLLAGEN MATRIX $ 3,493.75
PELVIMETRY $ 191.90
PELVIS (3 VIEWS) $ 347.43
PELVIS (AP) $ 262.60
PEMELOR 25MG CAP (NORTRI) $ 5.77
PENCAN SPINAL NEEDLE TRAY $ 58.94
PENICILLIN G POT 5 MU INJ $ 37.34
PENTOBARBITAL $ 313.04
PEN-VEE K 250MG TAB (PENICI) $ 4.05
PEPCID 20 MG TAB (FAMOTI) $ 4.03
PEPCID IV 10 MG/ML (FAMOTI) $ 6.71
PEPCID PREMIX 20MG/50ML (FAMOT $ 39.47
PEPSINOGEN I $ 239.40
PEPTO BISMOL CHW (BISMCHTB) $ 4.05
PERCOCET 10/325 TAB (OXYCOD) $ 9.37
PERCOCET 5/325 TAB (OXYCOD) $ 4.25
PERCOCET 7.5/325 TAB (OXY/ACET $ 7.38
PERCUGIDE 20GA 7.5CM $ 57.00
PERCUGUIDE 20GA 5CM $ 69.25
PERCUTANEOUS CHOLANGIO $ 6,486.20

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
PERCUTANEOUS NEEDLE W/O IMAGE $ 1,885.75
PERFIX PLUG MED $ 2,202.12
PERFIX PLUG XLG $ 680.00
PERFLIX PLUG-LARGE (2PK) $ 1,298.53
PERIFIX 18 GA EPIDURAL TRAY $ 58.32
PERINUCLEAR ANCA $ 62.88
PERITONEAL DIALYSIS $ 294.26
PERITONEAL DIALYSIS $ 294.26
PERMIC ALLOWANCE $ 30.94
PERSONAL TRAINING 12 SESSIONS $ 1,581.30
PERSONAL TRAINING SIX SESSIONS $ 851.86
PERSONAL TRAINING SNGL SESSION $ 152.56
PFT $ 147.16
PFT DIFFUS CAPACITY $ 189.70
PFT LUNG VOLUMES HE $ 264.60
PFT PRE&POST SPIRO $ 481.60
PFT SIMPLE SPIRO $ 264.60
PH, STOOL (OTHER THAN BLOOD) $ 81.70
PHENCYCLIDINE (PCP) $ 163.40
PHENCYCLIDINE, CONFIRM MECONIU $ 163.40
PHENCYCLIDINE, QUAL URINE $ 163.40
PHENERGAN 12.5MG SUP (PROMET) $ 43.04
PHENERGAN 25MG SUP (PROMET) $ 43.04
PHENERGAN 25MG TAB (PROMET) $ 4.01
PHENERGAN 25MG/ML SDV (PROMET) $ 6.69
PHENERGAN 6.25 MG/5 ML SYR $ 33.75
Phenergan w/Codeine 5 ml $ 6.13
PHENOBARB LEVEL $ 135.80
PHENOBARBITAL 20MG/5ML (PHENOB $ 7.86
PHENOBARBITAL 30 MG TAB (PHENO $ 4.01
PHENOTYPE/ANTIGEN BY ARC $ 488.95
Phenylephrine 10 mg/ml inj $ 16.68
PHENYLEPHRINE HCL 1 MG/10 ML S $ 24.99
PHENYLPROPANOLAMINE, URINE $ 313.04

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
PHENYTOIN (DILANTIN), FREE $ 75.60
PH-FLUID $ 81.70
PHLEBOTOMY $ 164.35
PHOSLO 667 MG $ 4.41
PHOSPHOLIPASE A2 RCPTOR AB, A $ 40.31
PHOSPHOLIPASE A2 RCPTOR AB, B $ 50.35
PHOSPHOLIPID ANTIBODIES $ 114.50
PHOSPHOLIPID ANTIBODY $ 28.50
PHOSPHOLIPID, EACH $ 114.50
PHOSPHOLIPIDS $ 28.50
PHOSPHORUS BLOOD $ 33.25
PHOSPHORUS, 24 HR URINE $ 57.00
PHOSPHORUS, 24 HR URINE $ 57.00
PHOSPHORUS,RANDOM URINE $ 57.00
PHOSPHORUS-URINE $ 57.00
PHOTOTHERAPY $ 257.50
PHYSICAL PERFORMANCE TEST 15M $ 87.31
PICC LINE INS <5Y/O $ 1,705.25
PICC LINE KIT $ 347.20
PICC LINE PLCMT >5YO $ 2,153.65
PILOCAR 2% OPTH 15 ML (PILOCA) $ 217.75
PINNACLE PELVIC REPAIR KIT ANT $ 5,659.50
PINNACLE PELVIC REPAIR KIT POS $ 6,870.50
PINWORM EXAM $ 22.80
PINWORM PREP $ 85.01
PISCES-QUAD COMPACT LEAD KIT $ 4,760.00
PISCES-QUAD LEAD KIT $ 4,760.00
PITOCIN 10U/ML (OXYTOC) $ 6.57
PITRESSIN 20 UNIT/1 ML INJ $ 228.31
PKU $ 59.85
PLAC (Lp-PLA2) $ 150.10
PLAQUENIL 200MG TAB (HYDROX) $ 10.84
PLASMINOGEN $ 27.55
PLASMINOGEN ACTIVATOR $ 57.95

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
PLATE - ORTHOPEDIC IMPLANT $ 263.88
PLATE CALC 2.7X MM VARI ANGL $ 5,517.33
PLATE SUPRA SLIDE R&L $ 2,957.50
PLATE,DALL MILES $ 2,411.50
PLATELET ANTIBODIES $ 296.71
PLATELET COUNT AUTO $ 36.10
PLATELET COUNT MANUAL $ 45.60
PLATELET FILTER $ 7.50
PLATELET FUNC ASA RESISTANCE $ 40.85
PLATELET FUNCTION SCREEN $ 40.85
PLATELET PHORESIS $ 1,037.05
PLATELETS EA UNIT $ 222.60
PLAVIX 75 MG TAB (CLOPID) $ 4.01
PLCMT IVC FILTER W/IMG IF PFRM $ 7,287.74
PLENDIL 5 MG TAB (FELODI) $ 7.43
PLETAL 100 MG TAB (CILOS) $ 7.43
PLEUROCENTESIS W/CATH W/O GUID $ 3,127.40
PLT NEUTRALIZATION $ 43.70
PNEUMOCOCCAL IgG TYPE 1 $ 114.50
PNEUMOCOCCAL IgG TYPE 12 (12F) $ 114.50
PNEUMOCOCCAL IgG TYPE 14 $ 114.50
PNEUMOCOCCAL IgG TYPE 19 (19F) $ 114.50
PNEUMOCOCCAL IgG TYPE 23 (23F) $ 114.50
PNEUMOCOCCAL IgG TYPE 26 (6B) $ 114.50
PNEUMOCOCCAL IgG TYPE 3 $ 114.50
PNEUMOCOCCAL IgG TYPE 4 $ 114.50
PNEUMOCOCCAL IgG TYPE 51 (7F) $ 70.95
PNEUMOCOCCAL IgG TYPE 56 (18C) $ 114.50
PNEUMOCOCCAL IgG TYPE 8 $ 114.50
PNEUMOCOCCAL IgG TYPE 9 (9N) $ 114.50
PNEUMOCYSTIS CARINII EXAM $ 542.36
PNEUMONIA VACCINE ADMIN $ 113.64
PNEUMONIA VACCINE ADMIN $ 128.31
PNEUMONIA VACCINE ADMIN $ 133.84

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
PNEUMOVAX INJ (PNEUMO) $ 217.65
POLIO TITER, EA STEP $ 109.66
POLIO TITER, EA STEP $ 109.66
POLIO TITER, EA STEP $ 109.66
POLYETH GLYCOL 255 GM POW $ 25.75
POLYTRIM 10 ML (TRIMET3) $ 33.37
PORPHOBIL QUAL $ 46.55
PORPHOBILINOGEN,QNT $ 45.60
PORPHOBIL-QUAN $ 45.60
PORPHRU RANDOM URINE $ 45.60
PORPHYRINS, FRACT 24 H URN $ 57.95
PORPHYRINS,FRAC QNT RANDOM UR $ 112.10
PORPHYRINS,FRACTIONATED PLASMA $ 112.10
PORPHYRINS,STOOL $ 51.30
PORPHYRINS,TOTAL $ 28.50
PORPHYRINS-QUAL $ 73.15
PORPHYRINS-QUAN $ 112.10
PORT U/S AGE/FHR/FV $ 512.33
PORTABLE H20 TUB FOR DELIVERY $ 390.75
PORTABLE H20 TUB FOR LABOR $ 178.00
POST OFFER EMPLOYMENT TEST $ 405.90
Posterior Mesh Coloplast $ 4,427.50
POSTURAL DRAIN INITIAL $ 137.75
POSTURAL DRAIN SUBSEQ $ 137.75
POT CHLORIDE 20 MEQ/10 ML SDV $ 4.32
POT PHOSPHATE 3MM/ML (15ML) $ 39.73
POTASSIUM $ 31.35
POTASSIUM CHLORIDE 10MEQ/100M; $ 40.24
POTASSIUM CHLORIDE 20MEQ/100ML $ 39.90
POTASSIUM CL ORAL 20 MEQ/15 ML $ 45.18
POTASSIUM, 24 HR URINE $ 23.75
POTASSIUM, FECAL $ 28.50
POTASSIUM, FECES $ 28.50
POTASSIUM, URINE $ 23.75

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
POTASSIUM,RANDOM URINE $ 23.75
PPD (APLISOL) $ 37.59
PPD PRE-EMP INDUSTRIAL $ 12.80
PPD-EMPLY PHY $ 7.25
PPT $ 45.60
PRADER-WILLI/ANGELMANN DNA $ 717.08
PRE ELBOW ORTH WRAP IMMOBIL $ 97.70
PRE FINGER ORTH SMPL STATIC $ 31.79
PRE FINGER ORTH MP/PIP/DIP D $ 47.99
PRE HAND ORTH MP COMPLEX $ 125.00
PRE HAND ORTH MP SMPL KB/FX $ 95.98
PRE HAND ORTH MP SMPL KB/FX BR $ 95.98
PRE HAND-FINGER ORTH F/T STATI $ 79.02
PRE HAND-FINGER ORTH SMPL DYN $ 76.48
PRE OP VISIT-REQUIRED $ 203.82
PRE WRIST-HAND ORTH COMPLX DYN $ 482.95
PRE WRIST-HAND ORTHOSIS SPLT $ 85.00
PRE WRIST-HAND-FINGER METAGRIP $ 185.02
PRE WRIST-HAND-FINGER SMPL DYN $ 225.61
PREALBUMIN $ 91.20
PREDNISOLONE ACETATE 1% 5 ML B $ 5.29
PREDNISONE 20MG TAB (PREDNI) $ 4.02
PREDNISONE 5MG TAB (PREDNI) $ 4.02
PRE-EMPLOYMENT PHYSICAL $ 50.00
PREGABALIN $ 313.04
Pregabalin 25 mg capsule $ 20.05
PREGNANEDIOL $ 109.25
PREGNANETRIOL, 24 HR URINE $ 109.25
PREGNENOLONE $ 99.75
PRELONE 15 MG/5 ML UD $ 7.40
PREMARIN 0.625 MG TAB (CONJUG) $ 12.55
PRENATAL HEMOGLOBIN $ 28.50
PRENATAL PKG W/ RUBELLA $ 103.44
PRENATAL VIT W/ TAB (PRENAT2) $ 3.92

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
PRESS/NON PRESS INH TX EA ADDL $ 245.10
PRESS/NON PRESS INHALATION TX $ 245.10
PRETREAT RBC/CHEMICAL BY ARC $ 173.60
PRETREAT RBC/ENZYME BY ARC $ 417.20
Prevnar 13 Inj $ 429.05
PRIMARY TREPHINE $ 423.00
PRIMAXIN IV 500MG (IMIPEN) $ 57.89
PRIMIDONE $ 124.60
PRO PREDICT RX METABOLITE $ 76.95
PROAMATINE 5 MG TAB (MIDODR) $ 5.67
PROC W/ NAPA $ 168.00
PROCAINAMIDE $ 116.20
PROCALCITONIN $ 266.00
PROCARDIA $ 464.80
PROCARDIA 10MG CAP (NIFEDI) $ 4.07
PROCARDIA XL 30MG TAB (NIFEDIX $ 4.86
PROCEDURE ROOM $ 113.15
PROCTOFOAM HC 1% (PRAMOXHCT) $ 307.74
PROG REC IMMUNOPEROXIDASE $ 542.36
PROGESTERONE $ 73.15
PROGRAF (TACROLIMUS) $ 337.40
PROINSULIN $ 201.40
PROLACTIN $ 96.90
PROLENE MESH 53 $ 686.96
PROLENE MESH 54 $ 356.00
PROLENE SOFT MESH SMPH $ 4,785.04
PROLIFT TOTAL A&P KIT $ 6,737.50
PROLIXIN (FLUTHENAZINE) $ 313.04
PROLIXIN 5 MG TAB (FLUPH) $ 4.05
PRONESTYLE 100M/ML (PROCAI) $ 279.64
PROPANOLOL (INDERAL) $ 84.00
PROPOXYPHENE, URINE - LEGAL $ 240.80
PROPOXYPHENE, URINE CONFIRM $ 313.04
PROS/OR CK EA 15 MIN $ 95.02

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
PROSCAR 5 MG TAB (FINAST) $ 7.14
PROSTAGLANDIN D-2 $ 320.15
PROSTAGLANDIN, 24 HR URINE $ 320.15
PROSTATE CANCER BIOMARKER $ 334.40
PROSTHETIC TRAINING EA 15 MIN $ 120.93
PROT ELECTRO W/ M SPIKE,URINE $ 42.75
PROTAMINE SULFATE 50MG/5ML $ 33.18
PROTEIN $ 21.85
PROTEIN C - ELISA $ 27.55
PROTEIN C - FUNCTIONAL $ 139.65
PROTEIN C & S PANEL $ 82.65
PROTEIN C, TOTAL $ 27.55
PROTEIN C,ACTIVITY $ 139.65
PROTEIN ELECTROPHORESIS $ 42.75
PROTEIN ELECTROPHORESIS, SERUM $ 114.00
PROTEIN ELECTROPHORESIS, URINE $ 42.75
PROTEIN S - FREE $ 27.55
PROTEIN S - TOTAL $ 27.55
PROTEIN S ACTIVITY $ 27.55
PROTEIN S ACTIVITY $ 27.55
PROTEIN S, FREE $ 27.55
PROTEIN S, TOTAL $ 27.55
PROTEIN, URINE $ 21.85
PROTEIN/CREATININE RATIO $ 43.70
PROTHROMBIN FRAGMENT 1.2 $ 50.35
PROTHROMBIN TIME $ 31.35
PROTHROMBIN TIME $ 31.35
PROTHROMBIN TIME, EA FRACTION $ 21.85
PROTIME $ 31.35
PROTONIX 40 IV (PANTO) $ 24.31
Protonix 40 mg tab $ 8.05
PROTOPORPHYRIN, FREE RBC $ 53.20
PROTOPORPHYRINS $ 112.10
PROTRIPTYLINE $ 313.04

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
PROTRIPTYLINE $ 313.04
PROVERA 10MG TAB (MEDROX) $ 3.96
PROVERA 2.5 MG TAB (MEDROX) $ 4.05
PROZAC 10 MG CAP (FLUOXE) $ 3.91
PROZAC 20 MG CAP (FLUOXE) $ 3.93
PSA, FREE & TOTAL $ 51.30
PSA-MEDICARE (SCREENING) $ 82.65
PSA-PROSTATIC SPECIFIC ANTIGEN $ 82.65
PSG W/ CPAP (PART) $ 2,635.75
PT COM/WK REINT EA 15 MIN $ 103.97
PT EVAL I (LOW) $ 227.05
PT EVAL II (MED) $ 227.05
PT EVAL III (HIGH) $ 245.87
PT GENE ANALYSIS 20210G>A VARI $ 159.32
PT RE-EVAL $ 170.29
PTH - RELATED PROTEIN $ 83.60
PTH, INTACT $ 112.10
PTH-C TERMINAL $ 112.10
PTH-INTACT $ 112.10
PTH-RELATED PROTEIN $ 83.60
PTT $ 45.60
PTT $ 45.60
PTT - LUPUS ANTICOAG SCREEN $ 45.60
PTT BASELINE $ 45.60
PTT MIX/CORRECTION $ 21.85
PTT SUBSTITUTION FRACTIONS,EA $ 21.85
PULM REHAB FUNCTION NON-COPD $ 78.14
PULM REHAB MUSCLES NON-COPD $ 78.14
PULMICORT 0.5 MG/2 ML $ 27.60
PULMONARY REHAB GROUP NON-COPD $ 78.14
PULMONARY REHAB I $ 64.80
PULMONARY REHAB II COPD PER HR $ 282.12
PULMONARY REHAB III $ 45.00
PUMP ANALYSIS W/ REPROGRAM $ 548.15

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
PUMP ANALYSIS W/O REPROGRAM $ 532.00
PYRIDIUM 100MG TAB (PHENAZ) $ 7.36
PYRUVATE,BLOOD $ 82.65
Q FEVER AB $ 156.42
QUANTIFERON TB GOLD $ 319.28
QUESTRAN 4 GM PAK (CHOLES) $ 9.28
QUINIDINE $ 92.40
RA TITER $ 43.54
Rabies 2.5 Units/1 ml Inj $ 703.35
Rabies Immune Globulin 2 ml $ 1,365.95
RABIES VACCINE RESPONSE $ 114.50
RACEPINEPHRINE 2.25% UD SOL $ 4.02
RA-LATEX FIXA $ 95.94
RANDOM URINE ALBUMIN $ 49.40
RANDOM URINE CREATININE $ 22.80
RANOLAZINE 500 MG TAB $ 15.20
RAPID PLASMA REAGIN, QUAL $ 53.21
RARE REAGENT CELL $ 488.95
RAST/ALLERGEN $ 112.88
RBC FRAGILITY $ 120.65
RECEPTOR ASSAYS $ 179.55
RECOVERY 1ST HR VAG DELIVERY $ 760.50
RECOVERY PHASE I 0-30 MIN $ 375.76
RECOVERY PHASE I 0-30 MIN $ 387.46
RECOVERY PHASE I EA ADD 30 MIN $ 250.20
RECOVERY PHASE I EA ADD 30 MIN $ 258.30
RECOVERY PHASE II EA 30 MIN $ 257.40
RECOVERY PHASE II EA 30 MIN $ 257.40
RECOVERY PHASE II EA 30 MIN $ 258.30
RECOVERY VAG DEL EA ADD 3O MIN $ 264.60
RED BLOOD CELLS (LRRBC) $ 414.75
RED BLOOD COUNT $ 16.15
RED DYE ALLERGEN $ 112.88
REDUCING SUBSTANCES-STOOL $ 21.85

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
REDUCTION OF RETAL PROLAPSE $ 2,234.67
REFILL/MAIN IMPLANT PUMP SPINA $ 749.84
Regadenoson 0.4 mg Inj $ 516.45
REGLAN 10MG TAB (METOCL) $ 4.03
REGLAN 10MG/10ML (METOCL) $ 7.15
REGLAN 10MG/2ML (METOCL) $ 6.67
REM B9 HYPERKERATOTIC LESION S $ 237.50
REM FB EXT EYE CORNEA SUPERF $ 1,044.00
REM FB UPPER EXT, DEEP $ 3,056.15
REM FOREIGN BDY EYE $ 229.90
REM IMPCTED CERUMEN INST UNILA $ 113.05
REMERON 15 MG TAB (MIRTAZ) $ 3.97
REMINYL 4 MG TAB (GALA8T) $ 11.39
REMOVAL FOREIGN BODY, FOOT, DE $ 2,884.00
REMOVAL IMPACTED CERUMUM IRRIG $ 161.70
REMOVAL OF PICC LINE $ 1,038.35
REMOVAL OF PICC LINE $ 1,038.35
REMOVAL/REVISION PROGRAM PUMP $ 5,467.06
REMOVE TUNNELED CATH-HICKMAN $ 886.83
RENAGEL 800 MG TAB (SEVE800T) $ 18.14
RENAL FUNCTION PAN $ 131.94
RENIN $ 95.00
RENIN LEVEL $ 95.00
REP ANEURYSM/PSEUDO W/OW PATCH $ 5,700.00
REP CMPLX FCCMNAGHF 1.1-2.5CM $ 890.15
REP CMPLX WND CMNAGHF 2.6-7.5C $ 1,069.70
REP CMPLX WND CMNAGHF ADDL 5CM $ 319.20
REP CMPX SCALP/ARMS/LEG 1.1-2. $ 1,069.70
REP CMPX SCALP/ARMS/LEG 2.6-7. $ 1,069.70
REP CMPX SCALP/ARMS/LEG EA ADN $ 346.75
REP CMPX TRNK EA ADNL 5CM $ 587.10
REP LACERATION 2.5CM OR< AND T $ 529.15
REPOSITION GASTRIC FEED TUBE $ 641.96
REPOSITION GASTRIC FEED TUBE $ 641.96

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
REQUIP 0.5 MG TAB (ROPINI) $ 7.40
REQUIP 1 MG TAB (ROPINI) $ 4.25
RESIDUAL UR VOL NON IMG MSRMT $ 110.20
RESPIRATORY VIRUS PCR PANEL $ 1,062.65
RESTORE ORTHO BIOLOGIC IMPLANT $ 12,689.30
RESTORIL 15MG CAP (TEMAZE) $ 3.98
RETIC COUNT $ 37.05
RETICULAN IgA ANTIBODY/TITER $ 75.79
RETICULIN IgA $ 40.31
RETICULIN STAIN $ 103.74
RETICULOCYTE COUNT, AUTOMATED $ 37.05
RETROGRADE BILAT (M3V) $ 535.80
RETROGRADE-OR $ 599.45
RETURN CHECK CHARGE $ 20.90
REVIS/REMOVE EPIDURAL ELECTROD $ 4,294.36
RH BY ARC $ 107.80
RH PHENOTYPE BY ARC $ 210.00
RH PROFILE $ 210.00
RH TYPE $ 107.80
RHEUMATOID FACTOR $ 43.54
RHEUMATOID FACTOR, QNT $ 43.54
RHEUMATOID FACTOR,QUANT $ 43.54
RHINOPLASTY COMPLETE $ 7,003.64
RHINOPLASTY MAJOR REV $ 6,308.95
RHINOPLASTY MINOR $ 5,702.85
RHINOPLASTY PRIMARY $ 5,702.85
Rhophylac 300 mcg/2 ml Inj $ 325.57
RIBOSOMAL P ANTIBODY $ 23.75
RIBOSOMAL P PROTEIN AB $ 23.75
RIBS-BI + 1V CXR (M4V) $ 362.70
RIBS-LT + 1V CXR (M3V) $ 317.20
RIBS-RT + 1V CXR (M3V) $ 317.20
RIFADIN 300 MG CAP (RIFAMP) $ 7.43
Rifaximin 550 mg tablet $ 94.06

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
RISPERDAL 0.5MG TAB (REISPER) $ 11.53
RISPERDAL 1 MG TAB (RISPER) $ 12.26
RISTOCETIN $ 106.40
RISTOCETIN COFACTOR ACTIVITY $ 55.00
RITALIN $ 313.04
RMSF-RICKETTSIA AB $ 120.94
RMVL FB EXT EAR W/ GEN ANES $ 3,687.90
RMVL FB EXT EAR W/O ANES $ 266.00
RMVL FB INTERNASAL $ 229.90
RMVL FB SHLDR DEEP SUBFASC/IM $ 2,303.28
RMVL FB SHLDR SUBQ $ 1,671.05
RMVL FB SUBQ CMPLX $ 2,712.25
RMVL FB SUBQ SMPL $ 572.85
RMVL FB UPPER ARM/ELBOW DEEP S $ 1,771.75
RMVL FB UPPER ARM/ELBOW SUBQ $ 3,056.15
RMVL IUD $ 456.95
RNP ANTIBODY $ 280.58
ROBAXIN 100MG/ML(10ML)(METHOC) $ 72.51
ROBAXIN-500 (METHOC) $ 4.00
ROBINUL O.2MG/1 ML INJ(GLYCOP) $ 35.16
ROBITUSSIN 100 MG/5 ML UD $ 3.72
ROBITUSSIN DM 10ML UD(GUAIFEDM $ 7.26
ROCALTROL 0.25 MG CAP (CALITRO $ 3.95
ROCEPHIN 1 GM INJ $ 34.42
ROCEPHIN 2 GM INJ $ 45.17
ROCEPHIN 500 MG INJ $ 15.95
ROCKY MOUNTAIN SPOTTED,IgG $ 120.94
ROCKY MOUNTAIN SPOTTED,IgM $ 120.94
ROCKY MT/TYPHUS FEVER ABS $ 120.94
Roflumilast 500 mcg tab $ 28.52
ROHYPNOL - SERUM/PLASMA $ 313.04
ROHYPNOL-URINE $ 313.04
ROM EXTREMITIES/TRUNK NO HANDS $ 52.19
ROM HAND $ 37.50

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ROMAZICON 0.1 MG/ML (FLUMAZ) $ 24.99
ROOM AND BOARD $ 780.00
ROOM AND BOARD $ 780.00
ROOM AND BOARD $ 780.00
ROOM AND BOARD $ 780.00
ROPIVACAINE 0.2%/NS 400 MG/200 $ 212.73
ROPIVACAINE 0.5% 30ML $ 24.98
ROTAVIRUS $ 89.92
ROTAVIRUS STOOL Ag $ 89.92
ROUTINE CULTURE $ 106.26
ROXANOL 20MG/ML (MORPHI) $ 8.20
ROXICODONE 5 MG TAB (OXYCOD3) $ 4.02
RPR TITER, QUANTITATIVE $ 30.64
RR 0-30 MIN $ 399.16
RR EACH ADD 30 MIN $ 266.40
RSV $ 467.94
RSV Ag $ 104.62
RSV BY DFA $ 39.23
RT ANKLE (2 VIEWS) $ 262.60
RT ATTENDANCE AT DELIVERY $ 454.37
RT ELBOW (2 VIEWS) $ 163.80
RT FOOT (2 VIEWS) $ 163.80
RT HAND (2V) $ 262.60
RT WRIST (2 VIEWS) $ 163.80
RT-QUIC(CSF) $ 357.50
RUBELLA AB,IGG $ 46.76
RUBELLA AB,IGM $ 46.76
RUBELLA ANTIBODY, IgG $ 46.76
RUBELLA SCREEN $ 46.76
RUBELLA TITER $ 46.76
RUBELLA VIRUS CULTURE $ 181.47
RUBEOLA ANTIBODY, IgG $ 59.67
RUBEOLA VIRUS AB $ 59.67
RUSSEL VIPER VENOM TIME,DILUTE $ 21.85

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
RUSSELL VIPER VENOM TIME $ 21.85
RYTHMOL 150MG TAB (PROPAF) $ 4.34
S I JOINTS (<3V) $ 205.40
S. CEREVISIAE AB, IgA $ 149.97
S. CEREVISIAE AB, IgG $ 149.97
S. PNEUMO AB, SEROTYPE 14 $ 114.50
S. PNEUMO AB, SEROTYPE 7-F $ 114.50
S. PNEUMO AB, SEROTYPE 9-N $ 114.50
S. PNEUMO AB, SEROTYPE III $ 114.50
S.C. JOINTS (M3V) $ 166.73
S-100 PROTEIN ANTIBODY $ 542.36
SACRUM-COCCYX (M2V) $ 199.23
SALICYLATE $ 313.04
SALICYLATE-QUAN $ 196.56
SALIVARY GLANDS $ 119.70
SANDOSTATIN 25 MCG/ML $ 16.51
Scabies Examination $ 131.31
SCAPULA BILATERAL $ 239.20
SCAPULA-LEFT $ 205.40
SCAPULA-RIGHT $ 205.40
SCIATIC NERVE BLOCK $ 1,330.00
SCL-70 ANTIBODY $ 280.58
SCLERODERMA AB $ 280.58
SCREW 2.0 MM ORTHO IMPLANT $ 484.81
SCREW 2.3 CORTICAL $ 1,119.72
SCREW 2.4MM ORTHO IMPLANT $ 1,099.76
SCREW 2.7MM ORTHO IMPLANT $ 87.96
SCREW 3.5 STAIN STEEL CORTICAL $ 98.96
SCREW 3.5 TITANIUM CORTICAL $ 371.07
SCREW 3.5 VAR.ANGLE LOCKING SS $ 1,555.89
SCREW ACUTRAK BONE $ 2,213.40
SCREW CANN 3.5 CORT ACE $ 2,965.00
SCREW CANNULATED 4.0 IMPLANT $ 1,591.91
SCREW CANNULATED 6.5MM $ 2,102.30

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
SCREW CORTICAL 4.5MM $ 279.27
SCREW CUMP 10MM-25MM $ 128.75
SCREW LOCKING ORTHO $ 1,816.72
SCREW TFNA $ 3,971.70
SCREW,LAG $ 1,304.34
SCRNING DIGITAL BRST TOMO BILA $ 74.10
SEAFOOD ALLERGY PANEL,EA $ 112.88
SECOBARBITAL $ 313.04
SECOBARBITAL, URINE $ 313.04
SECONDARY TREPHINE $ 423.00
SECRETIN $ 83.60
SED RATE $ 39.90
SELENIUM $ 60.80
SELF-CARE HOME MGMT EA 15 MIN $ 102.73
SELLA TURCICA $ 163.80
SENOKOT TAB (SENNA) $ 4.02
SENS INT EA 15 MIN $ 99.33
SEPTRA DS TAB (SULFAMDS) $ 4.02
SEPTRA PEDI SUSP 20 ML UD $ 13.29
SEREVENT 50 MCG DISKUS $ 551.14
SEROQUEL (QUETIAPINE) $ 313.04
SEROQUEL 100 MG TAB (QUETIAP) $ 3.94
SEROQUEL 25 MG TAB (QUETIAP) $ 4.05
SEROQUEL XR 50MG (QUETIAP) $ 4.05
SEROTONIN $ 177.65
SEROTONIN RELEASE ASSAY $ 296.71
SERUM DILUTION BY ARC $ 93.80
SERUM INHIBITION BY ARC $ 250.60
SERUM IRON (FE) $ 33.25
SERUM TREATMENT/CHEM BY ARC $ 498.40
SEX HORMONE BINDING GLOBULIN $ 111.15
SEX HORMONE BINDING GLOBULIN $ 111.15
SGOT $ 41.80
SGPT $ 45.60

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
SHELLFISH ALLERGY PANEL, IgE $ 112.88
SHOULDER BILATERAL $ 277.55
SHOULDER-(COMPLETE)-LEFT (M2V) $ 262.60
SHOULDER-(COMPLETE)-RT (M2V) $ 262.60
SIALOGRAM $ 681.15
SIALOGRAM-SURGI $ 855.40
SICKLE CELL PREP $ 62.70
SILVADENE CREAM 25 GM $ 22.85
SILVER NITRATE STICE (SILVER2) $ 4.05
SIMPLE REP SNAEE 7.6-12.5DM $ 306.85
SINEMET $ 243.60
SINEMET 10/100 TAB (CARBID) $ 4.05
SINEMET 25/100 TAB (CARBID3) $ 4.15
SINEMET 25/250 TAB (CARBID1) $ 4.05
SINEMET CR 25/100 TAB CARBIDOP $ 4.14
SINEQUAN (DOXEPIN HCL) 10 MG $ 4.05
SINGULAIR 10 MG (MONTELU) $ 11.86
SINOGRAM $ 681.15
SINUSES (M3V) $ 288.93
SIROLIMOS (RAPAMYCIN) $ 163.80
SJOGREN'S (SS-A) ANTIBODY $ 280.58
SJOGREN'S (SS-B) ANTIBODY $ 280.58
SJOREN'S AB $ 280.58
SKELETAL MUSCLE ANTIBODY $ 40.31
SKULL (COMPLETE) (M4V) $ 317.20
SKULL (LIMITED) (<4V) $ 262.60
SLO-NIACIN 250 MG XR $ 4.05
SLOW-K 8 MEQ TAB (POTASS) $ 4.05
SLOW-MAG 64 MG TAB (MAGNES2) $ 4.05
Sm ANTIBODY $ 280.58
SM GRIP 1.6MM HOLES $ 1,407.00
Sm/RNP ANTIBODY $ 280.58
SMALL BOWEL STUDY SNGL CONTR $ 261.01
SMOOTH MUSCLE (ACTIN) ANTIBODY $ 23.75

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
SMPL CATHETER INSERT $ 229.90
SMPL REP SUP WND FEENLM >30 CM $ 370.50
SMPL REP SUP WND FEENLM 12.6-2 $ 408.50
SMPL REP SUP WND FEENLM 5.1-7. $ 222.30
SMPL REP SUP WND FEENLM 7.6-12 $ 370.50
SMPL REP SUP WND SNAGTE >30 C $ 370.50
SMPL REP SUP WND SNAGTE <=2.5 $ 222.30
SMPL REP SUP WND SNAGTE 6.6 - $ 222.30
SOB BICARB 8.4% PFS (SODI8.4) $ 27.45
SOD BICARB 4.2% 10ML PFS $ 29.19
SOD BICARB 8.4% 50ML (SODI8.4) $ 24.66
SOD CHLORIDE 0.9% (FOR VENTS) $ 4.05
SOD CHLORIDE 1 GM TAB (SODIUM5 $ 4.05
SOD CHLORIDE CONC 120MEQ/30ML $ 4.67
SODIUM BICARBONATE 650MG TAB $ 4.05
SODIUM CHLORIDE 0.9% W/20U PIT $ 34.07
SODIUM CHLORIDE 250 ML(SODIUM9 $ 39.83
SODIUM CHLORIDE 3% 500ML $ 32.55
SODIUM PETECHMITETE (10mci) $ 364.00
SODIUM, 24 HR URINE $ 31.35
SODIUM, FECAL $ 28.50
SODIUM, FECES $ 28.50
SODIUM, FLUID $ 28.50
SODIUM, URINE $ 31.35
SODIUM, URINE $ 31.35
SODIUM-BLOOD $ 31.35
SODIUM-URINE $ 31.35
SOFT MESH 3X6 DAVOL $ 1,126.66
SOFT MESH 6X6 DAVOL $ 535.56
SOLID TISSUE BIOPSY $ 388.55
SOLU-CORTEF 100MG (HYDROC) $ 36.55
SOLU-MEDROL 1000MG (METHYL4) $ 69.47
SOLU-MEDROL 125MG (METHYL4) $ 25.56
SOLU-MEDROL 40MG (METHYL4) $ 24.38

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
SOLYX SLING $ 5,827.50
SOMATOMEDIN-C $ 86.45
SP/LANG GROUP II $ 69.72
SP/LANG GROUP III $ 138.36
SP/LANG GROUP IV $ 207.00
SPARTAN PEAK ANCHOR $ 2,654.00
SPECIAL COLLECTION FOR OUTSIDE $ 17.51
SPECIAL PROCEDURE BY ARC $ 481.60
SPECIAL STAIN GROUP $ 103.74
SPECIAL STAIN GROUP I $ 112.84
SPECIFIC GRAVITY, BODY FLUID $ 12.35
SPECIFIC GRAVITY, URINE $ 21.00
SPECIFIC GRAVITY,BODY FLD $ 27.55
SPECIFIC GRAVITY-SYNOVIAL FL $ 12.35
SPECIMEN CONCENTRATION $ 40.87
SPECULUM EXAM SUPPLIES $ 25.75
SPEECH THERAPY 15 $ 220.22
SPEECH THERAPY 30 $ 176.25
SPEECH THERAPY 45 $ 262.77
SPEECH THERAPY 60 $ 350.00
SPINAL FLUD CSF $ 38.95
SPINAL NERVE BLOCK $ 913.90
SPINE ENTIRE (SURVEY) AP+LAT $ 511.88
SPINE,SINGLE VIEW SPECIFY LVL $ 163.80
SPIRVA HANDINHALER 18MCG (TIOT $ 221.71
SPL COGNITIVE TX EA ADD 15 MIN $ 76.73
SPL COGNITIVE TX PER 15 MIN $ 86.07
SPLINT WRIST $ 64.36
SPLIT FATS $ 42.75
SPUTUM COLLECTION $ 170.05
SQUAMOUS CELL CARCINOMA AG $ 209.63
ST COG PERFORMANCE TEST 60 MIN $ 411.84
ST EVAL SPEECH GEN DEVICE 30 $ 108.68
ST SENS INT EA 15 MIN $ 99.33

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ST TX SPEECH GEN DEVICE $ 272.78
ST. LOUIS EQUINE ENCEPHALITIS $ 141.90
ST. LOUIS EQUINE ENCEPHALITIS $ 141.90
STACHYBOTRYS CHARTARUM/ATRA $ 112.88
STAGE II RECOVERY 0-30 MIN $ 380.26
STAGE II RECOVERY ADD'L 30 MIN $ 272.26
STANDING AP KNEES $ 163.80
STANDING SCOLIOSIS SERIES 1V $ 327.28
STARTER SNS $ 19.00
STATIC FINGER SPLINT 30 $ 97.85
STATIC FINGER SPLINT 45 $ 82.18
STATIC FINGER SPLINT 60 $ 90.49
STAXX CARTRIDGE KYPHO $ 7,985.00
STEINER STAIN $ 112.84
STELLATE GANGLION BLK $ 1,330.00
STEM - ORTHO HIP IMPLANT $ 3,671.15
STER LOC CLP/NDLE PLCMT 1ST BI $ 979.36
STER LOC CLP/NDLE PLCMT 1ST LT $ 979.36
STER LOC CLP/NDLE PLCMT 1ST RT $ 979.36
STER LOC CLP/NDLE PLCMT ADD BI $ 103.74
STER LOC CLP/NDLE PLCMT ADD LT $ 103.74
STER LOC CLP/NDLE PLCMT ADD RT $ 103.74
STERILE WATER 10 ML (STERIL) $ 21.81
STERILE WATER 1000ML IRR $ 25.49
STERILE WATER 50 ML (STERIL) $ 40.50
STERILE WATER FOR IRR.500ML $ 12.90
STERNUM (M2V) $ 163.80
STIMULAN RAPID CURE 10CC $ 3,937.50
STIMULAN RAPID CURE 20CC $ 2,424.00
STIMULAN RAPID CURE 5CC $ 3,185.00
STING INSECT ALLERGEN,EACH IgE $ 112.88
STINGING INSECT ALLERGY,EACH $ 112.88
STOOL CULTURE INCLD SAM/SHIG $ 39.23
STOOL SALMONELLA/SHIGELLA $ 39.23

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
STRAIGHT CATH URINE $ 137.75
STRAIGHT CATH-URINE $ 199.50
STRAPPING ANKLE $ 177.65
STRAPPING ELBOW TO WRIST $ 117.56
STRAPPING HAND/FINGER $ 97.85
STRAPPING KNEE $ 137.75
STRAPPING SHOULDER $ 137.75
STRAPPING TOES $ 122.55
STREP A $ 233.94
STREP PNEUMO 7 SEROTYPES $ 70.95
STREP PNEUMO AB 6 SEROTYPES $ 126.35
STREP PNEUMO AB IGG 23 SERO $ 114.50
STREP PNEUMO ANTIBODIES $ 114.50
STREP PNEUMO ANTIBODY $ 114.50
STREP PNEUMONIAE ANTIGEN $ 91.55
STREP SCREEN $ 96.46
STREP SLIDE-RAPID STREP $ 91.55
STREPTOCOCCUS A DNA PROBE $ 169.47
STRESS TEST TRACING ONLY $ 995.00
STRESS VIEW (ANY JOINT) $ 163.80
STRIATED MUCCLE AB TITER $ 75.79
STRIATED MUSCLE ANTIBODY $ 40.31
STRYCHNINE SCREEN $ 385.84
SUBLIMAZE 250 MCG/5 ML (FENTAN $ 5.17
SUBMENTAL FAT PAD $ 4,631.25
SUBSEQ IV PUSH >30M SAME DRUG $ 98.49
SUBSEQ IV PUSH >30M SAME DRUG $ 98.80
SUBSEQ IV PUSH>30M SAME DRUG $ 98.49
SUBSEQ IV PUSH>30mSAME DRUG $ 104.00
SUCCINYLCHOLINE CL 100 MG/5ML $ 42.83
SUCTION CATHETER $ 11.75
SUCTION-TUBING 6' $ 13.75
SUDAFED 30MG TAB (PSEUDO) $ 3.70
SUDAN BLACK STAIN $ 103.74

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
SUDAN III FAT STAIN $ 49.40
SUGAMMADEX SODIUM 500 MG/5 ML $ 445.06
SULFATIDE AB IA,EACH $ 50.35
SULFONYLUREA HYPOGLYCEMIC SCN $ 313.04
SUPPLEMENTAL FEEDING SYSTEM $ 56.50
SUPRAX 100 MG/5 ML (CEFIXI) $ 10.24
SURGICAL GROSS ONLY $ 76.44
SURGICAL PATH IV $ 112.84
SURGICAL PATH LEVEL I $ 76.44
SURGICAL PATH LEVEL II $ 80.08
SURGICAL PATH LEVEL III $ 112.84
SURGICAL PATH LEVEL V $ 542.36
SURGICAL PATH LEVEL VI $ 1,361.36
SURGISIS ANAL FISTULA PLUG $ 3,237.50
SURGISIS GOLD $ 8,190.00
SUTURE ANCHOR 5.5 $ 1,184.00
SUTURE SNGL SM INTESTINE PERF $ 26,387.40
SWALLOW FUNC W/VIDEO SNGL CNTR $ 311.84
SWAN-GANZ INSERTION $ 2,388.60
SWEET-EASE 15 ML UDC $ 4.01
SWING BED $ 300.00
SYNAPTOPYSIN AB IMMUNOPEROXIDA $ 542.36
SYNDACTLY REMOVAL $ 527.22
SYNERGY EZ PATIENT PROGRAM HH $ 3,534.00
SYNERGY IMPL NEUROSTIM & EXT $ 16,273.00
SYNERGY IMPLANT NEUROSTIMULAT $ 16,761.25
SYNTHROID 0.025 MG TAB (LEVOTH $ 4.03
SYNTHROID 0.075MG TAB (LEVOTH) $ 4.03
SYNTHROID 0.088 MG $ 4.06
SYNTHROID 0.1 MG TAB (LEVOTH) $ 4.03
SYNTHROID 0.112MG TAB (LEVOTH) $ 3.95
SYNTHROID 0.125MG TAB (LEVOTH) $ 4.04
T CELL HELPER/INDUCER $ 143.51
T LYMPHOCYTE COUNT $ 143.51

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
T LYMPHOCYTE SUBSET II $ 636.96
T3 ANTIBODY $ 83.60
T3 UPTAKE $ 26.60
T3 UPTAKE $ 26.60
T3-REVERSE $ 115.90
T3-TOTAL $ 49.40
T4 $ 46.55
T4, TOTAL $ 46.55
T8CD8 $ 1,031.94
TABLE DRAPE $ 38.00
TAMBOCOR 50 MG TAB (FLECAI) $ 10.94
TAMIFLU 6 MG/1 ML ML $ 13.37
TAMIFLU 75 MG CAP (OSELTAM) $ 36.91
TAP BLOCK $ 2,294.58
TAP BLOCK BILATERAL $ 703.00
TAPAZOLE 5 MG TAB (METHIMAZ) $ 4.05
TAY SACHS,DNA & LEUK $ 28.50
TAY-SACHS CARRIER SCREEN $ 197.60
Tc99M ALBUMIN (MAA) PER STUDY $ 111.02
Tc99M ARCITUMOMAB UP TO 45 MIL $ 111.02
Tc99M DEPREOTIDE PER STUDY $ 111.02
Tc99M DISOFENIN PER STUDY $ 111.02
Tc99M EXAMETAZIME PER STUDY $ 111.02
Tc99M LABELED RBC PER TEST $ 196.56
Tc99M MEBROFENIN PER STUDY $ 111.02
Tc99M MERTIATIDE PER STUDY $ 445.90
Tc99M OXIDRONATE PER STUDY $ 111.02
Tc99M PENTETATE PER STUDY $ 111.02
Tc99M PYROPHOSPHATE PER STUDY $ 111.02
Tc99M SULPHURCOLLOID PER STUDY $ 323.96
TEGRETOL $ 120.40
TEGRETOL XR 100MG TAB (CARBAM) $ 3.99
TEGRETOL XR 200 MG TAB (CARBAM $ 9.72
TEICHOIC ACID AB $ 116.10

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
TEICHOIC ACID AB,IMMUNODIFF $ 116.10
TELEHEALTH ORIGINATING SITE $ 136.50
TEMPORAL MAND JOINT-BIL $ 315.90
TEMPORARY PACEMAKER INSERTION $ 1,246.96
TEMPORARY PACEMAKER INSERTION $ 1,246.96
TENDON ROD,HUNTER $ 660.00
Tenivac $ 75.96
TENS APP $ 97.14
TESSALON 100 MG CAP $ 3.95
TESTOSTERONE TOTAL $ 114.95
TESTOSTERONE, 24 HR URINE $ 114.95
TESTOSTERONE, FREE & TOTAL $ 61.75
TESTOSTERONE, TOTAL $ 114.95
TETANUS AB $ 88.68
TETANUS ANTIBODY $ 88.68
TETRACAINE HCL/PF 0.5% OPTH 4 $ 1.24
TETRACYCLINE $ 159.60
TFNA BLADE (IMPLANT) $ 5,371.71
TH KALTOSTAT $ 15.50
THALLIUM $ 119.70
THC CONF $ 313.04
THEO-DUR 300 MG TAB (THEOPH) $ 11.61
THEOPHYLLINE $ 79.80
THERA LUMBAR/SPINAL PUNCTURE $ 928.72
THERA-M PLUS TAB $ 3.91
THERAPUTIC ACTIVITIES EA 15MIN $ 85.76
THERAPUTIC EX 15 MIN $ 100.88
THIORIDAZINE(MELLARIL) $ 313.04
THORACENTESIS $ 760.50
THORACENTESIS $ 760.50
THORACENTESIS $ 1,025.05
THORACENTESIS W/ IMG GUIDE $ 959.50
THORACENTESIS W/IMG GUIDANCE $ 1,025.05
THORACENTESIS W/O IMG GUIDE $ 959.50

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
THORACIC SP (AP+LAT) $ 262.60
THORA-PARA 8FR TRAY $ 58.85
THORAZINE 25 MG TAB (CHLOPR) $ 24.57
THORAZINE 25MG/ML VIAL (CHLOPR $ 72.05
THROAT OR NOSE CULT $ 106.26
THROMBIN 20000U (THROMB) $ 561.71
THROMBIN 5000 UNITS (THROMB) $ 155.02
THROMBIN TIME $ 21.85
THROMBIN TIME $ 21.85
THROMBIN-ANTITHROMBIN COMPLEX $ 106.40
THROMBOLYSIS CEREBRAL BY INF $ 668.80
THROMBOLYSIS-BY IV INJ $ 430.59
THROMBOTIC MARKER PANEL $ 376.20
THROMOENDART W/GRAFT C/V/S OPN $ 7,125.00
THROMOENDARTEREC PROFUNDA FEMO $ 3,807.60
THYROGLOBULIN $ 25.65
THYROGLOBULIN ANTIBODY $ 51.60
THYROID BINDING GLOBULIN $ 86.45
THYROID MICROSOMAL AB $ 51.60
THYROID PEROXIDASE AB $ 51.60
THYROID STIMULATING IMMUNOGLOB $ 525.35
THYROPLASTY KIT W/ IMPLANT $ 2,187.50
THYROXINE, FREE $ 51.30
THYROXINE, TOTAL $ 46.55
TIAGABINE (GABITRIL) $ 172.90
TIB/FIB LT (2 VIEWS) $ 163.80
TIB/FIB RT (2 VIEWS) $ 143.98
TIBC $ 46.55
TIB-FIB (2V) - BILATERAL $ 216.45
TICAGRELOR 90 MG TABLET $ 15.71
TIMOPTIC 0.25% (TIMOLO) $ 38.55
TIMOPTIC 0.5% 5ML (TIMOL5) $ 37.02
TISSEEL FIBRIN SEALANT, 4ML $ 838.44
TISSUE CULTURE, EXTENDED $ 322.05

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
TISSUE CULTURE, NON-NEOPLASTIC $ 322.05
TISSUE CULTURE, NON-NEOPLASTIC $ 322.05
TISSUE CULTURE,ADDITIONAL $ 400.53
TISSUE TRANSGLUTAMINASE IgA $ 23.75
TISSUE TRANSGLUTAMINASE IgG $ 23.75
TISSUE TRANSGLUTIMASE IgA $ 23.75
TLH $ 1,031.94
TLHS $ 1,031.94
TMJ-LT O+C $ 278.85
TMJ-RT O+C $ 278.85
TOBACCO USE COUNSEL ASYMP >10M $ 114.15
TOBACCO USE COUNSEL ASYMP 3-10 $ 114.15
TOBACCO USE COUNSEL SYMP 3-10M $ 114.15
TOBACCO USE COUNSEL SYMP>10MIN $ 114.15
TOBRAMYCIN $ 126.00
TOBRAMYCIN 0.3% OPHTHALMIC SOL $ 37.42
TOBRAMYCIN RANDOM $ 126.00
TOCAINIDE $ 116.20
TOE-LT FOOT 2ND DGT (M2V) $ 156.00
TOE-LT FOOT 3RD DGT (M2V) $ 156.00
TOE-LT FOOT 4TH DGT (M2V) $ 156.00
TOE-LT FOOT 5TH DGT (M2V) $ 156.00
TOE-LT FOOT GRT TOE (M2V) $ 156.00
TOE-RT FOOT 2ND DGT (M2V) $ 156.00
TOE-RT FOOT 3RD DGT (M2V) $ 156.00
TOE-RT FOOT 4TH DGT (M2V) $ 156.00
TOE-RT FOOT 5TH DGT (M2V) $ 156.00
TOE-RT FOOT GRT TOE (M2V) $ 156.00
TOES-LEFT FOOT (M2V) $ 156.00
TOES-RIGHT FOOT (M2V) $ 156.00
TOLB $ 76.95
TOLUIDINE BLUE STAIN $ 103.74
TOPAMAX 100 MG TAB (TOPIRAMATE $ 16.02
TOPAMAX 25 MG TAB (TOPIR) $ 7.43

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
TOPOMAX (TOPIRAMATE) $ 113.40
TOPROL XL 25 MG TAB (METOPR2) $ 4.04
TOPROL XL 50MG TAB (METOPR2) $ 4.05
TORADOL 30MG/ML SYR (KETORO) $ 6.67
TORBRADEX OPTH SUSP $ 150.10
TOTAL BILIRUBIN $ 56.05
TOTAL LIPIDS $ 42.75
TOTAL LYMPHOCYTES - ABSOLUTE $ 636.96
TOTAL PROTEIN, BODY FLUID CSF $ 56.05
TOTAL PROTEIN, OTH BODY FLUID $ 56.05
TOTAL PROTEIN, SERUM $ 45.60
TOTAL PROTEIN, URINE $ 21.85
TOTAL PSA $ 82.65
TOTAL T LYMPHOCYTES $ 143.51
TOTAL T3 (TRIIODOTHYROININE) $ 49.40
TOTAL T4 (THYROXINE) $ 46.55
TOTAL VOLUME ONLY, 24 HR URINE $ 30.88
TOTAL VOLUME-URINE $ 30.88
TOXICOLOGY SCREEN $ 196.56
TOXICOLOGY SCREEN (GMCS) $ 196.56
TOXOCARA TITER $ 114.50
TOXOPLASMA AB,IGG $ 48.38
TOXOPLASMA AB,IGM $ 59.67
TOXOPLASMA GONDII DNA, PCR $ 668.64
TOXOPLASMA IgG, CSF $ 48.38
TOXOPLASMA IgM, CSF $ 59.67
TPMT ACTIVITY $ 340.10
TPN ELECTROLYTES 20ML (TPNELEC $ 12.20
TRACH AEROSOL INST $ 245.10
TRACH TUBE $ 268.75
TRACTION, MECH $ 83.91
TRAMADOL $ 163.40
TRAMADOL (ULTRAM) $ 196.56
TRANDATE IV 5MG/ML (LABETA) $ 7.03

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
Tranexamic Acid 1000 mg/10 ml $ 78.69
TRANS EPIDURAL W/ OR W/O FLURO $ 959.03
TRANSCUTANEOUS BILIRUBIN $ 34.20
TRANSDERM-SC 1.5MG PATC(SCOPOL $ 49.37
TRANSFERRIN $ 44.65
TRANSFERRIN $ 44.65
TRANSFERRIN-NC $ 44.65
TRANSGLUTAMINASE AB (CELIAC) $ 23.75
TRANSURETHRAL RADIO THERMO $ 4,025.00
T-RAU PROTEIN (CSF) $ 24.19
TREATMENT ROOM $ 109.44
TREPONEMA PALLIDUM AB, IgM $ 80.63
TREPONEMA PALLIDUM ANTIBODY $ 80.63
TRIAMCINOLONE 40 MG/1 ML INJ $ 25.27
TRICHROME STAIN $ 103.74
TRICOR 145 MG TAB $ 11.69
TRICOR 48 MG TAB $ 7.18
TRICYLIC ANTI SCREEN $ 196.56
TRIGEMINAL NERVE BLOCK $ 401.85
TRIGLYCERIDES $ 64.60
TRIGLYCERIDES $ 64.60
TRILEPTAL 150MG TAB (OXCAR150T $ 7.19
TRIMIPRAMINE $ 313.04
TROPONIN-T 1FA $ 171.00
TRUSOPT 2% BOT (DORZOL2) $ 153.64
TRYPAN BLUE 0.5 ML SYRINGE $ 116.27
TRYPANOSOMA CRUZI IgG $ 246.72
TRYPSINOGEN $ 119.70
TRYPSIN-STOOL $ 119.70
TRYPTASE $ 50.35
TRYPTASE $ 50.35
TRYPTOPHAN $ 118.75
TSH $ 81.70
TSH IMMUNOGLOBULINS $ 525.35

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
TSH RECEPTOR BINDING ANTIBODY $ 83.60
T-SPINE W/ SWIMMERS $ 305.83
TTF-1 AB IMMUNOPEROXIDASE $ 542.36
T-TUBE CHOLANGIOGRAM $ 5,639.20
TUCKS (WITCH) $ 3.97
TUMS 500 MG (CALCIU4) $ 3.99
Tussionex 5 ml Susp $ 8.93
TX SMPL WND DEHESCENCE SMPL CL $ 1,069.70
TX SMPL WND DEHESCENCE W/PKING $ 444.60
TYLENOL 325 MG/10.15 ML UD $ 7.37
TYLENOL SUPP 120 MG(ACETAM) $ 4.26
TYLENOL W CODIENE #3 (TAB) $ 4.02
TYPE & RH $ 31.50
TYPHUS FEVER,IgG $ 120.94
TYPHUS FEVER,IgM $ 120.94
TYROSINE $ 57.95
TZANK SMEAR $ 103.00
UGI SERIES SNGL CNTR STUDY $ 491.39
UGI W/ AIR DOUBLE CONTR $ 546.73
UGI W/ AIR W/SB $ 632.70
UGI W/SMALL BOWEL $ 577.36
ULTRAM 50 MG TAB (TRAMAD) $ 3.99
Unasyn 1.5 gm $ 40.09
UPPER ARTERIAL STUDY BILATERAL $ 962.15
UPPER ARTERIAL STUDY UNIL $ 509.60
UPPER EXT INFANT - BILAT (M2V) $ 262.60
UPPER EXT LT INFANT (M2V) $ 262.60
UPPER EXT RT INFANT (M2V) $ 262.60
UREA NITROGEN, 24 HR URINE $ 23.75
UREA,URINE $ 23.75
URECHOLINE 25 MG TAB (BETHAN) $ 7.43
URETEROSCOPY $ 1,073.26
URETEX T.O. SLING $ 3,134.25
URETHROGRAM $ 535.80

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
URETHROGRAM-SURG $ 311.15
URIC ACID $ 40.85
URIC ACID, 24 HR URINE $ 40.85
URIC ACID, 24 HR URINE $ 40.85
URIC ACID, 24 HR URINE $ 40.85
URIC ACID, BODY FLUID $ 40.85
URINALYSIS REFLEX CULTURE $ 44.46
URINALYSIS W/MICROS $ 44.46
URINARY CATH INSERT (COMP) $ 299.73
URINARY CATH INSERT (COMP) $ 299.73
URINE CALCIUM, QNT $ 57.95
URINE CITRATE $ 76.95
URINE CREATININE $ 22.80
URINE CULT-COLONY $ 96.46
URINE DRUG SCREEN, MEDICAL $ 196.56
URINE DRUG SCREEN,MED (EDDA) $ 196.56
URINE OXALATE $ 54.15
URINE pH $ 81.70
URINE POTASSIUM $ 23.75
URINE SODIUM $ 31.35
URINE URIC ACID $ 40.85
URINE W/ REFLEX MICRO $ 44.46
URINE-DIPSTICK ONLY $ 21.00
URINE-METANEPHRINES $ 62.70
UROBILINOG FECAL QN $ 207.10
UROBILINOG URINE QL $ 15.20
UROCIT-K 1080 MG (POT CITRATE) $ 7.45
US AAA SCREENING $ 287.56
US ABDOMINAL MULTIPLE ORGAN $ 832.20
US ABDOMINAL-LIMITED $ 527.35
US ABSCESS DRAINAGE $ 307.56
US ABSCESS DRAINAGE SURGICAL $ 932.86
US AORTA COMPLETE $ 583.77
US APPENDIX $ 527.35

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
US BILAT VENOUS $ 994.63
US BIOPHYSICAL W/ NONSTRESS $ 522.34
US BIOPHYSICAL W/O NONSTRESS $ 522.34
US BREAST UNILATERAL-LEFT $ 480.48
US BREAST-BILATERAL $ 500.05
US BREAST-UNILATERAL-RIGHT $ 480.48
US CHEST $ 748.48
US DUPLEX SCAN PELVIC $ 733.46
US DUPLEX SCROTAL $ 733.46
US EA 15 MIN $ 103.35
US EXTREMITIES (NON VASCULAR) $ 647.01
US F/M EVL 1ST TRI, EA ADL GES $ 342.16
US F/M EVL 1ST TRI, SNGL GEST $ 433.16
US F/M EVL 2ND TRI, EA ADL GES $ 342.16
US F/M EVL 2ND TRI, SNGL GEST $ 433.16
US F/M EVL, ADL W/ FET ANA EX $ 342.16
US F/M EVL, SNGL W/ FET ANA EX $ 433.16
US GALL BLADDER $ 527.35
US GUIDANCE NEEDLE PLACEMENT $ 590.53
US GUIDE /INC VASC ACCESS $ 512.33
US GUIDE ASP/NDLE PLCMT/BX $ 851.76
US GUIDE BST CYST ASPIR SURG $ 1,254.95
US GUIDED BST CYST ASPIRATION $ 851.76
US GUIDED NDL PLMT, BX, ASPRTN $ 851.76
US GUIDED PARACENTESIS SURGI $ 1,599.33
US GUIDED RENAL BX SURGI $ 2,127.05
US GUIDED THORACENTESIS SURGI $ 1,230.25
US GUIDED THYROID BX $ 851.76
US GUIDED THYROID BX SURGI $ 1,254.95
US INFANT HIPS $ 652.93
US LIMITED (NON-OB) $ 354.90
US LIVER $ 527.35
US LOC CLP/NDL PLCMT 1ST LE BI $ 979.36
US LOC CLP/NDL PLCMT 1ST LE RT $ 979.36

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
US LOC CLP/NDL PLCMT AD LES BI $ 103.74
US LOC CLP/NDL PLCMT AD LES LT $ 103.74
US LOC CLP/NDL PLCMT AD LES RT $ 103.74
US NEED BIOPSY-SURGI $ 631.80
US OB < 14 WK GESTATION $ 522.34
US OB EA ADD'L FETUS < 14 WKS $ 294.84
US OB ENDOVAGINAL $ 522.34
US OB-PREG MULITPLE GESTATION $ 624.72
US OB-PREGNANCY $ 624.72
US PANCREAS $ 527.35
US PELVIC (NONOB) COMPLETE $ 681.14
US PELVIC (TRANSVAG) $ 681.14
US PREG UT EVAL FU, PER FETUS $ 433.16
US PREG UT LTD EVL, 1 OR > FET $ 433.16
US PREG UT LTD EVL, AMNIO FLD $ 309.40
US PREG UT NUCHAL EA ADD GES $ 438.10
US PREG UT NUCHAL SINGLE GES $ 438.10
US PREG UTERUS, TRANSVAG $ 433.16
US RENAL COMPLETE $ 832.20
US SCROTUM $ 762.13
US SOFT TISSUE HEAD & NECK $ 692.97
US SPINAL CANAL & CONTENTS $ 354.90
US SPLEEN $ 527.35
US UNILAT VENOUS $ 497.32
VACUUM CANNISTER $ 79.00
VACUUM TUBING $ 69.00
VAGINAL DELIVERY AFTER C-SECT $ 3,884.08
VAGINAL DELIVERY HIGH RISK $ 5,897.10
VAGINAL DELIVERY LOW RISK $ 1,625.67
VAGINAL DELIVERY MODERATE RISK $ 3,250.50
VAGINAL SPECULUM EXAM $ 50.00
VALIUM 10 MG/2 ML INJ $ 70.29
VALIUM 2 MG TAB (DIAZEP) $ 4.05
VALIUM 5 MG TAB (DIAZEP) $ 3.93

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
VALPROATE INJ 100MG/ML 5ML SDV $ 41.03
VALPROATE NA 500 MG/10 ML UD $ 4.53
VALPROIC ACID $ 131.60
VANADIUM $ 110.20
Vancomycin 1 gm Inj $ 37.23
Vancomycin 500 mg Inj $ 38.84
Vancomycin 750 mg Inj $ 38.98
VANCOMYCIN HCL 125 MG $ 76.95
VANCOMYCIN-NC $ 127.40
VAP COMPREHENSIVE CHOLESTEROL $ 84.55
VAP HDL DIRECT $ 35.15
VAP LDL DIRECT $ 58.90
VAP ULTRACENTRIFUGATION $ 67.45
VAP VLDL DIRECT $ 21.85
VARIABLE APPERATURE SLEEVE 11G $ 29.00
VARICELLA ZOSTER AB $ 145.13
VARICELLA ZOSTER TOT/IgM, CSF $ 145.13
VARICELLA-ZOSTER DNA QNT PCR $ 634.31
VASCULAR GRAFT/NON-HUMAN $ 1,476.76
VASOACTIVE INTESTINAL POLYPETI $ 191.90
VASOTEC 2.5 MG/2 ML (ENALAP) $ 24.76
VENIPUNCTURE/MIDLINE INSERTION $ 348.16
VENLAFAXINE AND METABOLITE QUA $ 342.16
VENLAFAXINE HCL 50 MG TABLET $ 4.05
VENOGRAM INFERIOR VEN CAVA $ 7,693.00
VENOGRAM INJECTION EXTRM $ 795.39
VENOGRAM RIGHT EXTREMITY $ 2,464.00
VENOGRAM SUPERIOR VENA CAVA $ 2,469.60
VENOGRAM UNILAT-INJECTION $ 544.11
VENOGRAM-LEFT EXTREMITY $ 2,464.00
VENOUS LIMITED $ 512.33
VENTILATOR 1ST DAY $ 1,008.90
VENTILATOR SUBSEQUENT $ 394.10
VENTRALEX HERNIA PATCH $ 3,768.22

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
Ventralex St Lg Hernia Patch $ 5,122.68
Ventralex St Med Hernia Patch $ 4,508.34
VENTRALIGHT ST 4"X6" $ 1,335.60
VENTRALIGHT ST 6"X8 $ 2,633.75
Ventralight St Ellipse 8 x 10 $ 4,665.50
VENTRIO SM OVAL MESH 3.1 X 4.7 $ 2,012.85
VENTRIO ST LARGE OVAL MESH $ 9,689.71
Ventrio St Oval Hernia Patch $ 1,922.55
VENTRIO ST XL OVAL MESH $ 13,081.72
VENUS BLOOD GAS $ 236.31
VERAPAMIL HCL 120 MG SR. CAP $ 7.43
VERAPAMIL HCL 180 MG SR. CAP $ 7.43
VERSED 2MG/2ML (MIDAZO) $ 6.70
VERSED 50 MG/10 ML (MIDAZO) $ 20.77
VERY LONG CHAIN FATTY ACID $ 243.20
VESED 10MG/2ML (MIDAZO) $ 24.63
VESICA PERC BLADDER KIT $ 1,288.00
VI MENTIN AB IMMUNOPEROXIDASE $ 542.36
VIBRAMYCIN 100 MG (DOXYCY) $ 46.12
VICRYL MESH WOVEN $ 3,235.67
VIRAL CULTURE, COMPREHENSIVE $ 181.47
VIRAL CULTURE, CSF $ 181.47
VIRUS CULTURE $ 181.47
VIRUS CULTURE, BODY FLUID $ 181.47
VIRUS CULTURE, EYE $ 181.47
VIRUS CULTURE, RESPIRATORY $ 181.47
VIRUS CULTURE, STOOL $ 181.47
VIRUS CULTURE, TISSUE $ 181.47
VIRUS CULTURE, UROGENITAL $ 181.47
VIRUS CULTURE,BLOOD $ 181.47
VIRUS CULTURE,CSF $ 181.47
VIRUS CULTURE,URINE $ 181.47
VISCOSITY, SERUM $ 69.35
VISTARIL 50MG/ML (HYDROX2) $ 50.81

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
VIT B-12 UNSATURATED $ 76.95
VITAMIN A $ 82.65
VITAMIN B1 $ 59.85
VITAMIN B-1 100 MG TAB(THIAMI) $ 3.97
VITAMIN B1 200 MG/2 ML(THIAMI) $ 25.84
VITAMIN B12 $ 28.50
VITAMIN B12 1000MCG VIAL(CYANO $ 24.46
VITAMIN B12 500MCG TAB (CYANOC $ 4.08
VITAMIN B2 $ 221.35
VITAMIN B3 $ 95.95
VITAMIN B6 $ 281.20
VITAMIN B-6 100 MG TAB $ 4.05
VITAMIN C 500 MG TAB (ASCORB) $ 4.04
VITAMIN D 1,25 DIHYDROXY $ 85.50
VITAMIN D 400 IU $ 3.76
VITAMIN D 50,000 UNIT $ 7.37
VITAMIN D,25-HYDROXY $ 85.50
Vitamin D3 1000 Unit tab $ 5.77
VITAMIN D3 2000 UNIT CAP $ 4.00
VITAMIN E $ 48.45
VITAMIN E 400 IU CAP (VITAMI) $ 3.98
VITAMIN E PANEL $ 48.45
VITAMIN K1 $ 85.50
VMA $ 66.50
VOID CYSTO URET $ 535.80
VOID CYSTO URET-SURGI $ 554.40
VOLATILES - METH,ETH,ISO,ACET $ 71.25
VOLATILES-ISO,METHYL $ 71.25
VOLTAREN 2.5 ML (DICLOF) $ 108.79
VON WILLEBRAND ANTIGEN $ 37.05
VON WILLEBRAND FACTOR ACTIVITY $ 106.40
VON WILLEBRAND FACTOR AG $ 55.00
VON WILLEBRAND FACTOR ANTIGEN $ 37.05
VON WILLEBRAND FACTOR MULTIMER $ 55.00

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
VON WILLEBRAND MULTIMCRIC $ 261.25
VON WILLEBRAND PANEL $ 119.70
VWF, AG, MULTIMERIC $ 55.00
VZ ANTIBODY IGG $ 145.13
VZ ANTIBODY IGM $ 145.13
WBC $ 36.10
W-CARDIAC PROFILE $ 43.50
WELBUTRIN (BUPROPION) $ 342.16
WELLBUTRIN 100 MG TAB(BURPROP) $ 7.43
WELLBUTRIN 150 MG TAB (BUPROP) $ 7.13
WELLBUTRIN 75 MG TAB (BUPROP) $ 7.02
WELLBUTRIN SR 100MG TAB (BUPRO $ 7.22
WEST NILE ANTIBODY, IgG $ 99.98
WEST NILE ANTIBODY, IgM $ 99.98
WESTERN EQUINE ENCEPHALITIS $ 141.90
WESTERN EQUINE ENCEPHALITIS $ 141.90
WET PREP $ 38.00
WHEAT ALLERGEN, IgE $ 112.88
WHEELCHAIR MANAGE EA 15 MIN $ 135.46
WHEELCHAIR MGMT 15 MIN $ 127.21
WHIRLPOOL $ 111.67
WHOLE BLOOD GLUCOMETER $ 34.20
WHOLE BLOOD GLUCOSE(GLUCOMETER $ 17.81
WHOLE BLOOD KETONE (ACETONE) $ 134.90
WILMS TUMOR PROTEIN $ 542.36
WND CLOSE W/TISS ADHESIVE ONLY $ 157.00
WND REP INTR SNAETE >30.0CM $ 456.95
WND REP SUPR SNAETE 12.6-20.0 $ 408.50
WND REP SUPR SNAETE 20.1-30.0 $ 408.50
WORK HARDENING 1 HR EA ADD $ 177.47
WORK HARDENING INIT 2 HRS $ 354.15
WORK SITE ANALYSIS PER HR $ 304.66
WORKSITE ANALYSIS EA ADD 15MIN $ 76.50
WOUND VAC LARGE $ 408.50

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
WOUND VAC SMALL $ 222.30
WRIST (2V) - BILATERAL $ 183.63
WRIST (3V) - BILATERAL $ 216.45
WRIST-LEFT (M3V) $ 143.98
WRIST-RIGHT (M3V) $ 143.98
X SENSE FRAGILE X GENE (FMR1) $ 797.16
XALATAN 2.5 ML (LATAN) $ 215.39
Xarelto 10 mg (Rivaroxaban) $ 37.32
XENMATRIC 19X28 BIOLOGIC MESH $ 28,083.72
XENMATRIX 10X15 BIOLOGIC MESH $ 9,775.50
XENMATRIX 15X20 BIOLOGIC MESH $ 16,422.84
XENMATRIX 19X35 BIOLOGIC MESH $ 35,104.02
XYLOCAINE 1% (LIDO5) $ 17.14
XYLOCAINE 1%-MPF (LIDOC1MPF) $ 27.18
XYLOCAINE 2 % MPF 5 ML (LIDO5) $ 16.93
XYLOCAINE 2% JELLY (LIDOCA2%) $ 132.96
XYLOCAINE 2% W/EPI-MPF 20ML $ 40.10
XYLOCAINE 2%-MPF 10ML (SDV) $ 16.88
XYLOCAINE VICOUS 2% 15ML/20ML $ 3.98
XYLOSE ABSORPTION,URINE $ 190.95
YERSINIA CULTURE $ 39.23
ZANAFLEX 4 MG TAB (TIZAN) $ 3.98
ZANTAC 150 MG/10 ML LIQUID UD $ 20.89
ZARONTIN $ 134.40
ZAROXOLYN 5 MG TAB (METOLA) $ 9.98
ZEBETA 5 MG TAB (BISOPR) $ 4.26
ZEMURON 10 MG/1 ML 5 ML INJ $ 16.68
ZENPEP DR 3,000 UNITS CAPSULE $ 7.43
ZESTRIL 10MG TAB (LISINO) $ 3.99
ZESTRIL 5 MG TAB (LISNOPRIL) $ 4.03
ZETIA 10 MG TAB (EZETIMTA10) $ 27.59
ZINC $ 48.45
ZINC PROTOPORPHYRINS $ 53.20
ZINC SULFATE 220MG CAP (ZINCSU $ 4.05

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.
ZITHROMAX 200MG/5ML SUSP (AZIT $ 9.88
ZITHROMAX 250 MG TAB $ 18.70
ZITHROMAX IV 500 MG (AZITHR) $ 39.10
Zofran 4 mg/2 ml $ 6.72
ZOFRAN 4MG ODT $ 55.50
ZOLOFOT 100MG TAB (SERTRA) $ 4.04
ZOLOFT 50 MG TAB (SERTRA) $ 4.01
ZOLPIDEM (AMBIEN) $ 416.78
ZONISAMIDE $ 182.00
ZOSYN 2.25 GM (PIPTAZ) $ 38.62
ZOSYN 3.375 GM (PIPTAZ) $ 43.72
ZOSYN 4.5 GM (PIPTAZ) $ 53.29
ZOVIRAX 400 MG TAB $ 4.03
ZOVIRAX 500 MG INJ $ 39.21
ZYMAXID 0.5% OPTH SOL $ 0.75
ZYPREXA 5 MG TAB (OLANZAP) $ 26.98
ZYVOX 600 MG/300 ML (LINEZ) $ 142.15
ZYVOX 600MG TAB (LINEZ) $ 91.78

Disclaimer: These charge amounts are an estimate as of January 01, 2020. The charge amount for the services you receive may vary.

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