|
Sling suprapubic suburetheral
|
$17,872.19 |
$17,872.19 |
$17,872.19 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$456.47 |
$456.47 |
$456.47 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$40.72 |
$40.72 |
$40.72 |
$64.35
|
|
Smear gram stain
|
$9.13 |
$9.13 |
$9.13 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$201.47 |
$201.47 |
$201.47 |
$73.50
|
|
Smear wet mount
|
$37.21 |
$37.21 |
$37.21 |
$67.55
|
|
Snrpn/ube3a gene
|
$176.08 |
$176.08 |
$176.08 |
$230.63
|
|
Sodium 24 hour urine
|
$47.88 |
$47.88 |
$47.88 |
$48.98
|
|
Sodium serum/plasma/whole blood
|
$20.62 |
$20.62 |
$20.62 |
$46.26
|
|
Specific gravity body fluid
|
$6.65 |
$6.65 |
$6.65 |
$22.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$759.93 |
$759.93 |
$759.93 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$249.81 |
$249.81 |
$249.81 |
$251.00
|
|
Sputum specimen collection
|
$224.63 |
$224.63 |
$224.63 |
$180.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$43,584.98 |
$43,584.98 |
$43,584.98 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$9,218.67 |
$9,218.67 |
$9,218.67 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$34,868.78 |
$34,868.78 |
$34,868.78 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$9,218.67 |
$9,218.67 |
$9,218.67 |
$4,631.82
|
|
Stimulants synthetic
|
$106.40 |
$106.40 |
$106.40 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,555.15 |
$1,555.15 |
$1,555.15 |
$1,345.40
|
|
Strep a ag ia
|
$35.80 |
$35.80 |
$35.80 |
$75.40
|
|
Strep b dna amp probe
|
$74.41 |
$74.41 |
$74.41 |
$124.15
|
|
Stress test pulmonary
|
$382.64 |
$382.64 |
$382.64 |
$324.00
|
|
Stress tte complete
|
$1,090.30 |
$1,090.30 |
$1,090.30 |
$1,900.96
|
|
Str markers specimen anal
|
$860.48 |
$860.48 |
$860.48 |
$756.60
|
|
Sulfonylurea screen qn-sendout
|
$118.37 |
$118.37 |
$118.37 |
$158.75
|
|
Surgical pathology level 1 gross examination only
|
$39.95 |
$39.95 |
$39.95 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$63.12 |
$63.12 |
$63.12 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$86.29 |
$86.29 |
$86.29 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$86.29 |
$86.29 |
$86.29 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$573.68 |
$573.68 |
$573.68 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,289.59 |
$1,289.59 |
$1,289.59 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$179.01 |
$179.01 |
$179.01 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$39.31 |
$39.31 |
$39.31 |
$35.89
|
|
Susceptibility mic per plate
|
$130.60 |
$130.60 |
$130.60 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$40.72 |
$40.72 |
$40.72 |
$59.28
|
|
Swallowing Evaluation (Bedside)
|
$139.57 |
$139.57 |
$139.57 |
$316.80
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$39.31 |
$39.31 |
$39.31 |
$42.24
|
|
T3 (triiodothyronine) free
|
$47.22 |
$47.22 |
$47.22 |
$100.32
|
|
T3 (triiodothyronine) total
|
$28.60 |
$28.60 |
$28.60 |
$93.52
|
|
T4 (thyroxine) free
|
$43.89 |
$43.89 |
$43.89 |
$89.60
|
|
T4 (thyroxine) total
|
$37.24 |
$37.24 |
$37.24 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$42.56 |
$42.56 |
$42.56 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$240.73 |
$240.73 |
$240.73 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$1,444.18 |
$1,444.18 |
$1,444.18 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,281.68 |
$5,281.68 |
$5,281.68 |
$3,746.70
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$226.80 |
$226.80 |
$226.80 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$140.62 |
$140.62 |
$140.62 |
$179.95
|
|
Tc-99m labeled rbc
|
$562.19 |
$562.19 |
$562.19 |
$306.00
|
|
Tc-99m maa
|
$178.06 |
$178.06 |
$178.06 |
$312.06
|
|
Tc-99m mebrofenin
|
$196.01 |
$196.01 |
$196.01 |
$157.65
|
|
Tc-99m mertiatide
|
$271.40 |
$271.40 |
$271.40 |
$756.00
|
|
Tc-99m oxidronate
|
$330.42 |
$330.42 |
$330.42 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$239.09 |
$239.09 |
$239.09 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$18.67 |
$18.67 |
$18.67 |
$18.67
|
|
Tc-99m sestamibi p study dose
|
$199.53 |
$199.53 |
$199.53 |
$287.20
|
|
Tc-99m sulfur colloid
|
$236.22 |
$236.22 |
$236.22 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$106.60 |
$106.60 |
$106.60 |
$184.00
|
|
T cells total count
|
$86.18 |
$86.18 |
$86.18 |
$130.20
|
|
Team conf without pat by hc pro
|
$93.60 |
$93.60 |
$93.60 |
$112.86
|
|
Team conf without pat by phys
|
$156.81 |
$156.81 |
$156.81 |
$140.25
|
|
Team conf w/pat by hc prof
|
$124.56 |
$124.56 |
$124.56 |
$107.10
|
|
Test stress cardiovascular tracing only
|
$1,163.82 |
$1,163.82 |
$1,163.82 |
$953.40
|
|
Theophylline therapeutic drug level
|
$28.60 |
$28.60 |
$28.60 |
$108.00
|
|
Therapeutic procd strg endur
|
$74.93 |
$74.93 |
$74.93 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$68.40 |
$68.40 |
$68.40 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$91.44 |
$91.44 |
$91.44 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$42.14 |
$42.14 |
$42.14 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$39.56 |
$39.56 |
$39.56 |
$50.40
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$208.93 |
$208.93 |
$208.93 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,209.64 |
$1,209.64 |
$1,209.64 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,007.65 |
$2,007.65 |
$2,007.65 |
$1,703.45
|
|
Thrombin time
|
$38.47 |
$38.47 |
$38.47 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$70.76 |
$70.76 |
$70.76 |
$62.01
|
|
Thyroglobulin antibody
|
$72.58 |
$72.58 |
$72.58 |
$82.50
|
|
Thyroid imaging
|
$703.73 |
$703.73 |
$703.73 |
$695.60
|
|
Thyroid (TSH) Test
|
$73.82 |
$73.82 |
$73.82 |
$112.70
|
|
Thyroid Ultrasound
|
$802.52 |
$802.52 |
$802.52 |
$588.50
|
|
Tissue culture placenta
|
$330.13 |
$330.13 |
$330.13 |
$453.00
|
|
Tissue exam koh skin/hair/nails
|
$150.93 |
$150.93 |
$150.93 |
$47.40
|
|
Tissue transglutaminase iga
|
$44.60 |
$44.60 |
$44.60 |
$44.80
|
|
Tobramycin peak therapeutic drug level
|
$32.58 |
$32.58 |
$32.58 |
$120.60
|
|
Toe X-ray (both feet)
|
$194.55 |
$194.55 |
$194.55 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$49.17 |
$49.17 |
$49.17 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$39.15 |
$39.15 |
$39.15 |
$74.10
|
|
Total tau
|
$299.92 |
$299.92 |
$299.92 |
$312.50
|
|
Toxoplasma antibody igg
|
$47.63 |
$47.63 |
$47.63 |
$91.65
|
|
Toxoplasma antibody igm
|
$45.36 |
$45.36 |
$45.36 |
$87.75
|
|
Tpmt gene com vrnts
|
$316.58 |
$316.58 |
$316.58 |
$371.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$116.96 |
$116.96 |
$116.96 |
$102.27
|
|
Transferrin
|
$25.94 |
$25.94 |
$25.94 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$704.25 |
$704.25 |
$704.25 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$593.92 |
$593.92 |
$593.92 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$4,523.04
|
|
Treat ankle dislocation
|
$942.79 |
$942.79 |
$942.79 |
$2,360.00
|
|
Treat elbow dislocation
|
$905.40 |
$905.40 |
$905.40 |
$2,272.50
|
|
Treat finger fracture each
|
$426.65 |
$426.65 |
$426.65 |
$1,592.00
|
|
Treat fracture of radius
|
$877.20 |
$877.20 |
$877.20 |
$1,790.00
|
|
Treat fracture of ulna
|
$865.56 |
$865.56 |
$865.56 |
$731.04
|
|
Treat hip dislocation
|
$1,448.52 |
$1,448.52 |
$1,448.52 |
$2,211.05
|
|
Treat hip socket fracture
|
$1,867.20 |
$1,867.20 |
$1,867.20 |
$1,392.00
|
