|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$200.00 |
$200.00 |
$200.00 |
$279.10
|
|
Ipratropium bromide non-comp
|
$11.45 |
$11.45 |
$11.45 |
$4.06
|
|
Iron dextran 50 mg/ml injection solution
|
$83.18 |
$83.18 |
$83.18 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$56.25 |
$56.25 |
$56.25 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$170.40 |
$170.40 |
$170.40 |
$146.11
|
|
IV Fluids (each additional hour)
|
$160.00 |
$160.00 |
$160.00 |
$133.90
|
|
IV Fluids (first hour)
|
$541.60 |
$541.60 |
$541.60 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$182.40 |
$182.40 |
$182.40 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$248.00 |
$248.00 |
$248.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$175.20 |
$175.20 |
$175.20 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$620.00 |
$620.00 |
$620.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$216.80 |
$216.80 |
$216.80 |
$167.50
|
|
IV Push Injection (first drug)
|
$340.00 |
$340.00 |
$340.00 |
$252.76
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$415.20 |
$415.20 |
$415.20 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$496.80 |
$496.80 |
$496.80 |
$362.05
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$50.62 |
$50.62 |
$50.62 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$420.80 |
$420.80 |
$420.80 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$399.20 |
$399.20 |
$399.20 |
$490.75
|
|
Knee MRI (with and without contrast)
|
$3,810.40 |
$3,810.40 |
$3,810.40 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,164.00 |
$3,164.00 |
$3,164.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$2,130.88
|
|
Knee X-ray
|
$640.80 |
$640.80 |
$640.80 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$446.40 |
$446.40 |
$446.40 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$532.80 |
$532.80 |
$532.80 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$356.80 |
$356.80 |
$356.80 |
$251.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$53.99 |
$53.99 |
$53.99 |
$33.60
|
|
Lactated ringers intravenous solution
|
$14.00 |
$14.00 |
$14.00 |
$43.74
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$856.00 |
$856.00 |
$856.00 |
$740.40
|
|
Leg CT Scan (with contrast, both legs)
|
$2,099.20 |
$2,099.20 |
$2,099.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$1,092.58
|
|
Levalbuterol non-comp unit
|
$12.48 |
$12.48 |
$12.48 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$57.60 |
$57.60 |
$57.60 |
$97.62
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$48.65 |
$48.65 |
$48.65 |
$55.69
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$51.44 |
$51.44 |
$51.44 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$48.76 |
$48.76 |
$48.76 |
$39.75
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$165.51 |
$165.51 |
$165.51 |
$121.00
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$51.04 |
$51.04 |
$51.04 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$542.40 |
$542.40 |
$542.40 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,434.40 |
$2,434.40 |
$2,434.40 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,996.80 |
$1,996.80 |
$1,996.80 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,034.40 |
$4,034.40 |
$4,034.40 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,376.80 |
$3,376.80 |
$3,376.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,872.80 |
$2,872.80 |
$2,872.80 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$444.00 |
$444.00 |
$444.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$627.20 |
$627.20 |
$627.20 |
$505.83
|
|
Lower Leg (Shin) X-ray (both sides)
|
$532.80 |
$532.80 |
$532.80 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$630.40 |
$630.40 |
$630.40 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$312.00 |
$312.00 |
$312.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,069.25
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$54.36 |
$54.36 |
$54.36 |
$58.70
|
|
Mayo hla typing a/b/c single antigen
|
$140.00 |
$140.00 |
$140.00 |
$122.80
|
|
Measurement post void urine by ultrasound
|
$178.40 |
$178.40 |
$178.40 |
$168.74
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$147.07 |
$147.07 |
$147.07 |
$190.81
|
|
Meropenem 1 gram intravenous solution
|
$54.08 |
$54.08 |
$54.08 |
$55.76
|
|
Methacholine chloride 0.0625 mg/ml nebulization soln
|
$70.13 |
$70.13 |
$70.13 |
$264.60
|
|
Methotrexate sodium 2.5 mg tablet
|
$5.24 |
$5.24 |
$5.24 |
$8.85
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$219.17 |
$219.17 |
$219.17 |
$1,069.32
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$58.29 |
$58.29 |
$58.29 |
$76.53
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$58.47 |
$58.47 |
$58.47 |
$407.16
|
|
Methylprednisolone 4 mg tablet
|
$4.85 |
$4.85 |
$4.85 |
$4.62
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$61.27 |
$61.27 |
$61.27 |
$62.85
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$100.32 |
$100.32 |
$100.32 |
$188.51
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$50.50 |
$50.50 |
$50.50 |
$15.75
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$48.62 |
$48.62 |
$48.62 |
$8.84
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$46.11 |
$46.11 |
$46.11 |
$23.55
|
|
Micafungin 100 mg intravenous solution
|
$78.60 |
$78.60 |
$78.60 |
$327.37
|
|
Mid and Lower Back (Thoracolumbar Spine) X-ray
|
$385.60 |
$385.60 |
$385.60 |
$288.00
|
|
Midazolam 1 mg/ml injection solution
|
$48.88 |
$48.88 |
$48.88 |
$63.30
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$60.96 |
$60.96 |
$60.96 |
$108.00
|
|
Morphine 4 mg/ml injection (wrapper)
|
$49.76 |
$49.76 |
$49.76 |
$72.00
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$49.54 |
$49.54 |
$49.54 |
$24.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$286.40 |
$286.40 |
$286.40 |
$318.43
|
|
MRI chest without contrast
|
$2,727.20 |
$2,727.20 |
$2,727.20 |
$1,818.00
|
|
MRI loex nonjt w IV cont
|
$3,207.20 |
$3,207.20 |
$3,207.20 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,701.60 |
$3,701.60 |
$3,701.60 |
$2,753.50
|
|
MRI tmj
|
$2,739.20 |
$2,739.20 |
$2,739.20 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$3,222.40 |
$3,222.40 |
$3,222.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,688.80 |
$3,688.80 |
$3,688.80 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$3,265.60 |
$3,265.60 |
$3,265.60 |
$2,061.15
|
|
Mycophenolate mofetil 250 mg capsule
|
$4.97 |
$4.97 |
$4.97 |
$10.79
|
|
Nafcillin 2 gram solution for injection
|
$55.54 |
$55.54 |
$55.54 |
$84.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$51.49 |
$51.49 |
$51.49 |
$70.87
|
|
Ndl insj without njx 1 or 2 musc
|
$38.40 |
$38.40 |
$38.40 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$67.20 |
$67.20 |
$67.20 |
$45.00
|
|
Nebulizer Breathing Treatment
|
$168.00 |
$168.00 |
$168.00 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$328.80 |
$328.80 |
$328.80 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,451.20 |
$2,451.20 |
$2,451.20 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,996.80 |
$1,996.80 |
$1,996.80 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,034.40 |
$4,034.40 |
$4,034.40 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,477.60 |
$3,477.60 |
$3,477.60 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,959.20 |
$2,959.20 |
$2,959.20 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$451.20 |
$451.20 |
$451.20 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$604.00 |
$604.00 |
$604.00 |
$463.80
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,708.00 |
$3,708.00 |
$3,708.00 |
$2,659.98
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,211.20 |
$2,211.20 |
$2,211.20 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$1,799.20 |
$1,799.20 |
$1,799.20 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$52.16 |
$52.16 |
$52.16 |
$60.16
|