|
Sterile water/saline, 500 ml
|
$42.00 |
$42.00 |
$42.00 |
$28.11
|
|
St evaluate speech sound production
|
$225.00 |
$225.00 |
$225.00 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$657.60 |
$657.60 |
$657.60 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$733.80 |
$733.80 |
$733.80 |
$1,342.00
|
|
Strep b dna amp probe
|
$316.80 |
$316.80 |
$316.80 |
$122.43
|
|
Stress test pulmonary
|
$642.00 |
$642.00 |
$642.00 |
$324.00
|
|
Stress tte complete
|
$2,912.40 |
$2,912.40 |
$2,912.40 |
$1,894.20
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$6.60 |
$6.60 |
$6.60 |
$54.80
|
|
Sugars single quant
|
$106.20 |
$106.20 |
$106.20 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$20,583.00 |
$20,583.00 |
$20,583.00 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$1.20 |
$1.20 |
$1.20 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$709.60 |
$709.60 |
$709.60 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$129.60 |
$129.60 |
$129.60 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$66.60 |
$66.60 |
$66.60 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$128.40 |
$128.40 |
$128.40 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$236.40 |
$236.40 |
$236.40 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$341.40 |
$341.40 |
$341.40 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$337.20 |
$337.20 |
$337.20 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$459.00 |
$459.00 |
$459.00 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$50.40 |
$50.40 |
$50.40 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$70.80 |
$70.80 |
$70.80 |
$35.75
|
|
Susceptibility mic per plate
|
$108.60 |
$108.60 |
$108.60 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$76.80 |
$76.80 |
$76.80 |
$59.28
|
|
Svc venogram s&i
|
$2,321.40 |
$2,321.40 |
$2,321.40 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$437.40 |
$437.40 |
$437.40 |
$316.55
|
|
Swallowing Therapy Session
|
$187.20 |
$187.20 |
$187.20 |
$240.31
|
|
Synvisc or synvisc-one
|
$86.40 |
$86.40 |
$86.40 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$49.20 |
$49.20 |
$49.20 |
$41.60
|
|
System pacing micra av
|
$27,028.80 |
$27,028.80 |
$27,028.80 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$13,395.00 |
$13,395.00 |
$13,395.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$146.40 |
$146.40 |
$146.40 |
$100.32
|
|
T3 (triiodothyronine) total
|
$105.00 |
$105.00 |
$105.00 |
$93.52
|
|
T4 (thyroxine) free
|
$265.20 |
$265.20 |
$265.20 |
$88.44
|
|
T4 (thyroxine) total
|
$80.40 |
$80.40 |
$80.40 |
$69.58
|
|
Tacrol envarsus ex rel oral
|
$38.40 |
$38.40 |
$38.40 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$49.20 |
$49.20 |
$49.20 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$125.40 |
$125.40 |
$125.40 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$424.20 |
$424.20 |
$424.20 |
$289.90
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$123.60 |
$123.60 |
$123.60 |
$21,745.13
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$21.60 |
$21.60 |
$21.60 |
$14.62
|
|
Target gsa panel hmtlmph neop
|
$7,146.00 |
$7,146.00 |
$7,146.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,739.00 |
$5,739.00 |
$5,739.00 |
$3,746.70
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,828.40 |
$2,828.40 |
$2,828.40 |
$24,217.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$3.00 |
$3.00 |
$3.00 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$551.40 |
$551.40 |
$551.40 |
$180.80
|
|
Tc-99m exametazime diag
|
$4,600.20 |
$4,600.20 |
$4,600.20 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$945.00 |
$945.00 |
$945.00 |
$306.00
|
|
Tc-99m maa
|
$281.40 |
$281.40 |
$281.40 |
$312.06
|
|
Tc-99m mebrofenin
|
$405.00 |
$405.00 |
$405.00 |
$157.65
|
|
Tc-99m medronate
|
$243.00 |
$243.00 |
$243.00 |
$111.01
|
|
Tc-99m mertiatide
|
$2,428.80 |
$2,428.80 |
$2,428.80 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$15.00 |
$15.00 |
$15.00 |
$6.50
|
|
Tc-99m pentetate dtpa aerosol
|
$231.60 |
$231.60 |
$231.60 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$0.60 |
$0.60 |
$0.60 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$525.60 |
$525.60 |
$525.60 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$1,096.20 |
$1,096.20 |
$1,096.20 |
$287.20
|
|
Tc-99m sulfur colloid
|
$508.20 |
$508.20 |
$508.20 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$627.60 |
$627.60 |
$627.60 |
$185.28
|
|
T cells absolute cd 4 count
|
$322.20 |
$322.20 |
$322.20 |
$111.20
|
|
T cells total count
|
$478.20 |
$478.20 |
$478.20 |
$130.35
|
|
Telavancin injection
|
$7.20 |
$7.20 |
$7.20 |
$1,191.80
|
|
Telethx isodose plan cplx
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$1,526.85
|
|
Temozolomide
|
$37.80 |
$37.80 |
$37.80 |
$540.06
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,869.60 |
$7,869.60 |
$7,869.60 |
$14,951.87
|
|
Test stress cardiovascular tracing only
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$44.60 |
$44.60 |
$44.60 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$146.40 |
$146.40 |
$146.40 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$94.80 |
$94.80 |
$94.80 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$128.40 |
$128.40 |
$128.40 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.00 |
$27.00 |
$27.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$20.40 |
$20.40 |
$20.40 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$20.40 |
$20.40 |
$20.40 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$424.20 |
$424.20 |
$424.20 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,632.80 |
$2,632.80 |
$2,632.80 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,102.20 |
$1,102.20 |
$1,102.20 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$4,132.20 |
$4,132.20 |
$4,132.20 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,719.80 |
$5,719.80 |
$5,719.80 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,645.00 |
$9,645.00 |
$9,645.00 |
$14,465.94
|
|
Thrombin time
|
$89.40 |
$89.40 |
$89.40 |
$54.18
|
|
Thromboplastin inhibition
|
$85.80 |
$85.80 |
$85.80 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$99.00 |
$99.00 |
$99.00 |
$61.52
|
|
Thyroglobulin antibody
|
$131.40 |
$131.40 |
$131.40 |
$82.73
|
|
Thyroid (TSH) Test
|
$256.80 |
$256.80 |
$256.80 |
$112.67
|
|
Thyroid Ultrasound
|
$802.80 |
$802.80 |
$802.80 |
$588.50
|
|
Tigecycline injection
|
$10.80 |
$10.80 |
$10.80 |
$235.29
|
|
Tilt table study
|
$1,551.60 |
$1,551.60 |
$1,551.60 |
$1,561.82
|
|
Tissue culture skin/biopsy
|
$1,407.60 |
$1,407.60 |
$1,407.60 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$37.80 |
$37.80 |
$37.80 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$5,080.80 |
$5,080.80 |
$5,080.80 |
$537.50
|
|
Tissue transglutaminase iga
|
$100.20 |
$100.20 |
$100.20 |
$44.80
|
|
Tobramycin comp unit
|
$662.40 |
$662.40 |
$662.40 |
$810.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$51.00 |
$51.00 |
$51.00 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$147.60 |
$147.60 |
$147.60 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,467.80 |
$5,467.80 |
$5,467.80 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$424.20 |
$424.20 |
$424.20 |
$258.65
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$144.80 |
$144.80 |
$144.80 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$70.80 |
$70.80 |
$70.80 |
$15,383.12
|
