|
Subdural tap fontanelle/sutur infant init 61000
|
$872.76 |
$872.76 |
$872.76 |
$819.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$56.70 |
$56.70 |
$141.22 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$59.13 |
$112.36 |
$112.36 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$56.70 |
$56.70 |
$68.51 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$73.38 |
$73.38 |
$90.09 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$162.12 |
$162.12 |
$162.12 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$364.98 |
$364.98 |
$364.98 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$504.42 |
$504.42 |
$504.42 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$825.30 |
$825.30 |
$825.30 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$974.82 |
$974.82 |
$974.82 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,829.94 |
$1,829.94 |
$1,829.94 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$225.96 |
$225.96 |
$225.96 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$10.50 |
$10.50 |
$10.50 |
$34.48
|
|
Susceptibility mic per plate
|
$413.70 |
$413.70 |
$413.70 |
$94.38
|
|
Svc venogram s&i
|
$4,891.74 |
$4,891.74 |
$4,891.74 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$1,168.44 |
$1,168.44 |
$1,168.44 |
$105.21
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$375.48 |
$375.48 |
$375.48 |
$44.85
|
|
System cardiomems hosp electronics
|
$42,700.77 |
$42,700.77 |
$42,700.77 |
$41,639.82
|
|
System pacing micra av
|
$26,599.86 |
$26,599.86 |
$26,599.86 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$7,795.20 |
$7,795.20 |
$7,795.20 |
$10,980.00
|
|
System sealant biosentry tract
|
$1,197.76 |
$1,197.76 |
$1,197.76 |
$900.00
|
|
T3 (triiodothyronine) free
|
$10.92 |
$10.92 |
$10.92 |
$89.82
|
|
T3 (triiodothyronine) total
|
$109.62 |
$109.62 |
$109.62 |
$94.90
|
|
T4 (thyroxine) free
|
$156.24 |
$156.24 |
$156.24 |
$81.60
|
|
T4 (thyroxine) total
|
$167.16 |
$167.16 |
$167.16 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.99 |
$24.02 |
$24.02 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,870.91 |
$1,870.91 |
$1,870.91 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$294.84 |
$294.84 |
$294.84 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$9,436.30 |
$9,436.30 |
$9,436.30 |
$3,817.00
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$5,330.76 |
$5,330.76 |
$23,793.00 |
$31,080.00
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$10,343.03 |
$10,343.03 |
$10,343.03 |
$27,030.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,631.08 |
$1,631.08 |
$1,631.08 |
$959.55
|
|
T cells absolute cd4/cd8 including ratio
|
$598.92 |
$598.92 |
$598.92 |
$186.00
|
|
T cells absolute cd 4 count
|
$559.44 |
$559.44 |
$559.44 |
$120.25
|
|
T cells total count
|
$535.50 |
$535.50 |
$535.50 |
$124.11
|
|
Tcranial magn stim tx deli
|
$180.60 |
$180.60 |
$180.60 |
$368.50
|
|
Tcranial magn stim tx plan
|
$180.60 |
$180.60 |
$180.60 |
$386.88
|
|
Tcran magn stim redetemine
|
$180.60 |
$180.60 |
$180.60 |
$417.06
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$48,244.46 |
$48,244.46 |
$48,244.46 |
$40,985.00
|
|
Telethx isodose plan cplx
|
$3,929.94 |
$3,929.94 |
$3,929.94 |
$1,617.00
|
|
Telethx isodose plan simple
|
$446.04 |
$446.04 |
$446.04 |
$848.72
|
|
Temozolomide
|
$105.77 |
$105.77 |
$374.66 |
$374.66
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$12,710.24 |
$12,710.24 |
$12,710.24 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$42,656.71 |
$42,656.71 |
$42,656.71 |
$16,531.64
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$3,839.54
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$56.70 |
$56.70 |
$56.70 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$114.66 |
$114.66 |
$114.66 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$880.32 |
$880.32 |
$880.32 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$3,445.63 |
$3,445.63 |
$3,445.63 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$28,662.01 |
$28,662.01 |
$28,662.01 |
$9,460.16
|
|
Thaw preserved stem cells
|
$2,252.04 |
$2,252.04 |
$2,252.04 |
$900.90
|
|
Theophylline therapeutic drug level
|
$671.16 |
$671.16 |
$671.16 |
$108.00
|
|
Therapeutic procd strg endur
|
$70.98 |
$70.98 |
$70.98 |
$85.80
|
|
Therapy activity per session >= 45 minutes
|
$7.98 |
$7.98 |
$7.98 |
$158.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$88.20 |
$88.20 |
$88.20 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$69.30 |
$69.30 |
$69.30 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$3,322.20 |
$3,322.20 |
$3,322.20 |
$534.32
|
|
Ther/proph/diag inj ia
|
$262.50 |
$262.50 |
$262.50 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,648.10 |
$2,648.10 |
$2,648.10 |
$1,804.00
|
|
Thoracotomy w/expl
|
$120.96 |
$120.96 |
$120.96 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$985.32 |
$1,133.16 |
$1,133.16 |
$2,926.56
|
|
Thrombectmy crnry perq mechanical
|
$687.12 |
$687.12 |
$687.12 |
$3,580.00
|
|
Thrombin time
|
$103.74 |
$103.74 |
$103.74 |
$48.75
|
|
Thyroid imaging
|
$1,666.02 |
$1,666.02 |
$1,666.14 |
$670.80
|
|
Thyroid mets imag whole body
|
$2,299.38 |
$2,299.38 |
$2,299.50 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$241.50 |
$241.50 |
$241.50 |
$120.00
|
|
Thyroid Ultrasound
|
$907.20 |
$907.20 |
$907.20 |
$589.96
|
|
Thyroid uptake measurement
|
$1,666.02 |
$1,666.02 |
$1,666.14 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$13,333.89 |
$13,333.89 |
$13,333.89 |
$4,319.71
|
|
Tib/per revasc stent & ather 37231
|
$23,743.02 |
$23,743.02 |
$23,743.02 |
$21,900.00
|
|
Tib/per revasc w/ather add-on 37233
|
$13,952.82 |
$13,952.82 |
$13,952.82 |
$10,406.14
|
|
Tigecycline injection
|
$715.09 |
$715.09 |
$715.09 |
$277.31
|
|
Tilt table study
|
$8,406.30 |
$8,406.30 |
$8,406.30 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$880.43 |
$880.43 |
$880.43 |
$384.17
|
|
Tissue exam koh skin/hair/nails
|
$248.22 |
$248.22 |
$248.22 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$5,334.72 |
$5,334.72 |
$5,334.72 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$1,525.91 |
$1,525.91 |
$1,525.91 |
$2,085.14
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$56.70 |
$99.51 |
$143.06 |
$141.75
|
|
Tobramycin non-comp unit
|
$98.24 |
$189.39 |
$272.21 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$766.92 |
$766.92 |
$766.92 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$16,051.90 |
$16,051.90 |
$16,051.90 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$69.72 |
$69.72 |
$69.72 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$52.92 |
$52.92 |
$52.92 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,021.07 |
$1,021.07 |
$1,021.07 |
$404.20
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$25,866.51 |
$25,866.51 |
$25,866.51 |
$18,599.40
|
|
Trabectedin 1 mg intravenous solution
|
$16,188.62 |
$16,188.62 |
$16,188.62 |
$7,403.70
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,420.44 |
$1,420.44 |
$1,420.44 |
$1,459.48
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$96.44 |
$96.44 |
$122.30 |
$77.65
|
|
Transcath biopsy
|
$1,574.16 |
$1,574.16 |
$1,574.16 |
$4,298.05
|
|
Transcath closure of asd
|
$6,347.46 |
$6,347.46 |
$6,347.46 |
$18,772.00
|
|
Transcatheter bx s&i
|
$1,862.28 |
$1,862.28 |
$1,862.28 |
$1,875.96
|
|
Transcath occlusion cns
|
$14,359.80 |
$14,359.80 |
$14,359.80 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$14,359.80 |
$14,359.80 |
$14,359.80 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,247.04 |
$4,247.04 |
$4,247.04 |
$4,627.00
|
|
Transferrin
|
$143.22 |
$143.22 |
$143.22 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$644.70 |
$644.70 |
$644.70 |
$988.24
|
|
Transplt autol hct/donor
|
$5,839.68 |
$5,839.68 |
$5,839.68 |
$3,665.25
|
|
Trastuzumab 150 mg intravenous solution
|
$10,745.86 |
$10,745.86 |
$10,745.86 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$15,097.11 |
$15,097.11 |
$15,097.11 |
$7,191.23
|