IN FULL TRANSPARENCY

STAR ER has always practiced full transparency in billing. Accordingly, we support HB2041 and are pleased to share our full chargemaster list below.

We know that the cost of healthcare is complicated and often a stressful part of a patient’s experience. We encourage you to understand your insurance policy, including deductibles and co-pays, and ask any questions that arise at the time of your visit or at any point in the billing process by contacting our financial office at (806) 701- 4141.

  • Prices below are based on the most current chargemaster as of 1/1/19 and many times are adjusted to reflect lower allowed amounts by insurance or in relation to self-pay rates.
  • Existing Network contracts determine final charges and often result in substantially lower billing and total prices. STAR ER does not balance bill and never charges more than any insurance plan allows after processing the claims. That does not negate your deductible or out-of-pocket expenses pre-determined by you and your insurance company.
  • Emergency Physician fees are not included in the rates below; however,  STAR ER does not have added consulting fees or fees for other specialty services outside STAR emergency Physicians.
View Rate Comparison With Area Hospitals
CHARGE CODEDESCRIPTIONCURRENT FEE
10040REMOVAL ACNE/COMEDONE$824
10060INCISION/DRAINAGE ABSCESS$905
10061INS/DRAIN ABSCESS COMPL$1682
10080I & D CYST SIMPLE$1720
10081I&D PILONIDAL CST COMP$1618
10120I & RMVL SUB-CUT SIMPLE$974
10121I & RMVL FB, SUB-CUT,COMP$1748
10140I & D HEMATOMA/SEROMA$3500
10160PUNCTURE ASP OF ABSCESS$1000
11000DBRDMT X10SV ECZMT/INFCT$200
11040DBRDMT, SKIN, PARTIAL THICK$179
11041DEBRIDE SKIN, FULL$204
11042DBRD SKN SUBQ TISSUE$1000
11043DEBRIDEMENT SUBQ TISS&MUS$1067
11055CORN/CALLUS RMVL$183
11200RMVL SKIN TAGS$319
11305SHAVING SKIN LESION 1 S/N$263
11400EXC BGN LSN ARM/LEG LESS THAN 0.5$446
11401EXC BGN LSN TRUNK 0.6-1.0$545
11402EXC BGN LSN TRUNK 1.1-2.0$609
11403EXC BNGN LSN,TRUNK 2.1-3.$702
11404EXC BGN LSN TRUNK 3.1-4.0$798
11406EXC BGN LSN ARM/LEG GREATER THAN 4.0$1146
11420EXC BGN LES SCALP LESS THAN 0.5 CM$446
11421EXC BGN LSN,SCALP 0.6-1.0$578
11422EXC BGN LSN,SCALP 1.1-2.0$645
11423EXC BGN LSN,SCALP 2.1-3.0$755
11424EXC BGN LSN,SCALP 3.1-4.0$872
11426EXC BGN LSN,SCALP GREATER THAN 4.0 CM$1255
11440EXC BGN LSN, FACE LESS THAN 0.5 CM$488
11441EXC BGN LSN,FACE 0.6-1.0$624
11442EXC BGN LSN,FACE 1.1-2.0$700
11443EXC BGN LSN,FACE 2.1-3.0$838
11444EXC BGN LSN,FACE 3.1-4.0$1062
11446EXC BGN LSN,FACE GREATER THAN 4.0 CM$1461
11601EXC,MAL LSN,TRUNK .6-1.0$846
11720DEBRIDEMENT NAIL ANY METH$117
11730AVULSION/1-NAIL PLATE$510
11732REMOVAL OF ADDL NAIL PLAT$168
11740EVAC SUBUNGUAL HEMATOMA$309
11750EXC NAIL PART/COMP$1643
11760REPAIR NAIL BED$1465
11765WEDGE EXC SKIN/NAIL BED$930
11770EXCISION OF PILONDIAL CYST, SIMPLE$714
12001LACERATION REPAIR LESS THAN 2.5 CM$510
12002REPAIR LAC SCALP 2.6-7.5$559
12004REPAIR LAC SCALP 7.6-12.5$695
12005REPAIR LAC,SCALP 12.6-20C$941
12006REPAIR LAC SCALP 20.1-30.$1142
12007REPAIR LAC SCALP GREATER THAN 30.0CM$1418
12011REPAIR LAC FACE LESS THAN 2.5 CM$528
12013REPAIR LAC FACE 2.6-5.0CM$591
12014REPAIR LAC FACE 5.1-7.5CM$751
12015REPAIR LAC FACE 7.6-12.5$935
12016REPAIR LAC,FACE 12.6-20CM$1269
12017REPAIR LAC FACE 20-30 CM$1449
12018REPAIR LAC FACE GREATER THAN 30.0 CM$1639
12031LYR CLSR S/A/T/E 2.5CM$1436
12032REPAIR-INT SCALP 2.6-7.5$1825
12034INTERM RPR SCLP/TRNK/EXTR$1940
12035REPAIR INTERM S/A/T/E 12.$2276
12041LAYER CLSR NECK/HAND 2.6$1469
12042REPAIR LAC HAND/FOOT 2.6-$1876
12044LYR CLSR N/H/F/ETRNL GENT$2026
12045LACERATION REPAIR, INTERMEDIATE, 12.6 CM TO 20.0 CM$2542
12051LAYER CLSR OF WND NCK/HND$1612
12052LYR CLSR WOUND 2.6-5.0FAC$1910
12053LYR CLSR F/E/E/N/L/M&/MUC$2047
12055REPAIR INTERMED F/E/E/N/L$2862
13100REPAIR COMPLEX TRUNK 1.1$1200
13101RPR CMPLX TRUNK 2.6-7.5$1518
13102RPR CPLX TRNK EA 5 CM/LESS THAN$414
13120RPR CPLX S/A/L 1.1 CM-2.5$2222
13121RPR CMPX SCALP ARM2.6-7.5$2516
13122CMPLX RPR ADD 5 CM OR LES$809
13131RPR CMPLX FOREHEAD1.1-2.5$1379
13132RPR CMPX FOREHEAD/CHECK/C$2233
13133REPAIR COMPEX F/C/C/M/N/A$655
13150RPR CMPLX EYE NOSE LESS THAN 1.0$1373
13151CMPX RPR EYE NOSE 1.1-2.5$1564
13152RPR CPLX E/N/E/L 2.6-7.5$2160
15850SUTURE RMVL W/ANESTHESIA$339
15851SUTURE RMVL OTHER SURG.$358
16000BURN, INITIAL TREATMENT$267
16020BURN, DRESSING/DBRDMNT-SM$514
16025BURN, DRESSING/DBRMNT-MED$570
16030BURN, DRESSNG/DBRDMNT-LG$682
16036ESCHAROTOMY EACH ADD INC$340
17000DEST LESION 1ST NON-SURG$305
17003DEST LESION 2-14 NON-SURG$31
17004DESTRUCTION LSN 15 OR MOR$670
17110DESTRCT WARTS UP TO 14$414
17250CHEMICAL CAUTERIZATION GR$282
20103EXPLORATION WOUND-EXTREM$2147
20520RMVL FB MUSCLE,SIMPLE$733
20550TRIGGER POINT INJECTION$223
20552TRIGGER POINT INJ 1-2 MUS$735
20553INJ SINGLE/MLT TRIG 3/GREATER THAN$233
20600ARTHROCENTESIS, SML JOINT$210
20605ARTHROCENTESIS, MED JOINT$227
20610ARTHROCENTESIS, LG JOINT$735
21310CLTX NSL B1 FX W/O MNPJ$735
21315CLOSED TX NASAL FRACT W/O$1002
21320CLOSED TX NASAL FRAC W/ST$955
21400CLSD TX FX ORBIT EXCEPT B$1265
21480CLDS TX TEMP DISLOCATION$595
21800CLTX RIB FX UNCOMP EA$460
23500CLTX CLAVICULAR FX WO MNP$798
23505CLSD TX CLAVICULAR FRAC W$1300
23570CLSD TX SCAPULAR FX WO MA$848
23600CLTX PROX HUMRL FX WO MAN$1183
23605CLTX PROX HUMRL FX W/MANI$3062
23650SHOULDER DISLOCATION TRMT$2698
23655CLTX SHO DISLC W/MNPJ REQ$1474
23930I&D UPR ARM/ELB DP ABSC/H$1331
24200REMOVAL FOREIGN BODY ARM$514
24500CLTX HUMRL SHFT FX W/O MN$1294
24530CLTX SPRCNDYLR/TRANSCNDYL$1388
24560CLTX HUMERAL EPICONYLAR$1163
24565TREAT HUMERUS FRACTURE$3500
24576CLTX HUMRL CNDLYR FX MEDI$1222
24600CLSD TX ELBOW DISLOCAT$1363
24605TX, CLOSED ELBOW DISLOC R$2552
24640RADIAL HEAD SUBLUX. CHILD$887
24650CLTX RDL HEAD FX WO MANP$942
24655CLSD TREATMENT OF RADIAL HEAD OR NECKY FRACTURE WITH MANIPULATION$2610
24670CLTX ULNR FX PROX END WO$1055
24800ARTHRODESIS, ELBOW JNT LO$3142
25028I & D FOREARM/WRIST$1965
25500CLTX RDL SHFT FX WO MANP$969
25505CLSD TX RAD SHAFT W/MANIP$4049.52
25530CLSD TX ULNAR SHFT FX NO$937
25560CLTX RDL&UR SHFT FXS W/O$986
25565CLOSED TX RADIAL&ULNAR SH$4050
25600CLSD TX DISTAL RAD FX WO$1064
25605CLSD TX DISTAL RAD FX$4050
25622CLSD TX NAVICULAR FX WO M$1098
25630CLTX CARPL B1 FX W/O MNPJ$1118
25650CLTX UR SYLOID FX$1168
26010I & D FINGER ABSCESS,SIMP$942
26011I & D FINGER ABSCESS/FELO$1423
26415EXC XTNSR TDN W/IMPLTJ SY$2712
26600CLSD TX METACARPAL FX$1037
26605CLSD TX MEDICARPAL FX$1169
26607CLTX MTCRPL FX W/MNP W/XT$1687
26670REDUCTION FINGER DISLOCAT$1231
26700CLS TX MCP DISLOCATION$1178
26720CLSD TX PHALANGEAL SHFTFX$1730
26725CLTX PHLNGL FX PROX/MIDDL$2847
26742CLTX ARTICULAR FX INVG MT$1373
26750CLS TX FX FINGER/THUMB$1734
26755CLTX DSTL PHLNGL FX FNGR/$2565
26770TREAT FINGER DISLOC FINGE$2401
26775CLTX IPHAL JT DISLC 1 W/M$1407
27301I&D DP ABSC BURSA/HMTMA T$2515
27501CLTX SPRCNDYLR/TRNSCNDYLR$1932
27508CLTX FEM FX DSTAL END MED$1984
27520CLTX PATELLAR FX W/O MNPJ$1176
27560CLTX PATELLAR DISLC W/O A$1393
27620ARTH ANKL W/JT EXPL +BX+R$1789
27650RPR PRIM OPN/PRQ RPTD ACH$2614
27750CLSD TX TIBIAL SFT FX$1269
27752CLTX TIBL SFT FX W/MANP$2034
27760CLTX MEDIAL MALLS FX W/O$1222
27780CLTX PROX FIVULA/SHFT FX$1101
27786CLSD TX DISTAL FIBULAR FX$1161
27792OPN TX DISTAL FIB FX LAT$2751
27808CLOSED TX BIMALLEOLAR ANK$1216
27810CLTX BIMAL ANKLE FX W/POT$1781
27816CLTX TRIMAL ANKL FX W/O M$1154
27818CLSD TX TRIMALLEOLAR FX W$1835
27824CLTX FX W8 BRG ARTCLR PRT$1159
27840CLOSED TX ANKLE DISLOCATI$1373
28190RMVL FB BODY FOOT SUBQ$915
28192RMVL FB FOOT DEEP$1745
28400CLSD TX CLAVICLE FX WO MA$914
28430CLTX TALUS FX W/O MNPJ$862
28450TX TARSAL B1 FX XCP TALUS$793
28455TX TARSAL B1 FX XCP TALUS$1103
28470CLTX METAR FX WO MNP$1948
28475CL TX METAR FX W/MNPJ$981
28490CLTX FX GRT TOE W/O MNLJ$595
28495CLSD TX FX GRT TOE W MANI$641
28510CLSD TX FX PLALANX/PHALAN$595
28515FX CARE PHALANX NOT GREAT$595
28570CLOSED TX TALOTARSAL JOIN$492
28630CLSD TX METATARSOPHLANGEA$564
28660CLSD TX PIP JNT DISLOCATI$418
29015BODY/UP EXTRM CAST HEAD$904
29065APPL CST SHO HAND LNG ARM$352
29105LONG ARM SPLINT$562
29125SHORT ARM SPLINT$303
29130APPLICATION FINGER SPLINT$91
29240STRPG SHO$221
29505LONG LEG SPLINT$410
29515SHORT LEG SPLINT$473
29530STRAPPING KNEE$197
29550STRAPPING OF TOES$136
29590DENIS-BROWNE SPLNT STRPG$209
29700RMVL/BIVALV GAUNTLET BOOT$240
29705REMOVAL/BIVALVING FULL AR$253
29715REMOVAL/BIVALVING TURNBUC$329
30300RMVL FOREIGN BODY NASAL$843
30901NASAL PACKING$404
30903CTRL NSL HEMRRG ANT CPLX$739
30905CTRL NSL HEMRRG PST PST N$917
31500INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE$581
31505LARYNGOSCOPY, INDRCT DX$319
31525LARGSC +-TRACHEOSCOPY DX$1532
31575LARYNGOSCOPY, INDRCT DX$319
31720CATHETER ASPIRATION NASOT$213
32422THORACENTESIS W/INS TUBE$788
32551TUBE THORACOSTOMY INCLUDES CONNECTION TO DRAINAGE SYSTEM$2950
36000INTRODUCTION OF NEEDLE/IN$111
36410VENIPUNCTURE, 3 YRS OR OLDER$81
36415VENIPUNCTURE$54
36416COLL CAPILLARY BLG SPEC$61
36556INS NON TUN CTR CVC 5YR GREATER THAN$2950
36569INSJ PRPH CVS W/O SUBQ PO$1037
36575RPR TUN/NON-TUN CTR VAD C$628
36591COLLECT BLOOD FROM IMPLAN$90
36592COLLECT BLOOD FROM CATHET$99
37195THROMBOLYSIS, CEREBRAL, BY INTRAVENOUS INFUSION$550
40650RPR LIP FULL THICKNESS$1583
40652RPR LIP FULL THKNS UP HAL$1855
40654RPR LIP FULL THKNS GREATER THAN 1.2 VE$2185
40830CLSR LAC VESTIBULE MOUTH$928
40831LACERATION REPAIR, VESTIBULE OF MOUTH$1071
41250LACERATION REPAIR OF TONGUE$893
41800DRNG ABSC DENTOALVEOLAR S$883
42330REMOVAL OF SALIVARY GLAND STONE BY INCISION$1071
42700INCISION AND DRAINAGE ABSCESS PERITONSILLAR$1429
42809RMVL FB PHARYNX$659
43752NASO/ORO-GASTRIC TUBE PL$174
43753GASTRIC INTUBATION AND ASPIRATION THERAPUETIC NECESSATING PHYSICIANS SKILL$210
43760CHANGE GASTROSTOMY TUBE$1400
43999UNLIS PX STOMACH$655
45005I&D SBMCSL ABSC RECTUM$957
46040I&D ISCHIOR/PRIRC ABSC SP$2810
46050INC/DRAIN PERIANAL ABS SU$923
46083INCISION THROM HEMORRHOID$690
46230EXC MULTIPLE EXT PAPILLAE$983
46320ENULEATION EXCC OF EXT HE$520
46500INJECTION OF SCLEROSING SOLUTION, HEMORRHOIDS$393
46600ANOSCOPY$311
46608ANOSC RMVL FB$823
49580RPR UMBILICAL HRNA LESS THAN 5 YRS$1284
49585RPR UMBILICAL HRNA 5 YR/GREATER THAN$1707
51700BLDR IRR SMPL LVG&/INSTLJ$311
51701INSR NONDWELLING BLDR CAT$315
51702INSERTION BLADDER CATH$315
51703INSERT BLADDER CATH COMPL$574
51798US URINE CAPACITY MEASURE$83
54700INCISION AND DRAINAGE OF SCROTAL ABSCESS$1139
55100DRAINAGE OF SCROTAL WALL ABSCESS$1139
56405INC/DRAIN VULVA/PERINEAL$438
56420I & D BARTHOLIN ABSCESS$497
57415REMOVAL IMPACTED VAG FB$642
62270SPINAL PUNCTURE,LUMBAR$1635
64400INJ ANESTHETIC, TRIGEMINA$735
64402INJ ANESTHETIC FACIAL NRV$438
64405INJECTION, ANESTHETIC AGENT, GREATER OCCIPITAL NERVE$328
64450INJ ANESTHETIC AGENT$1635
65205REMOVAL FB EYE-SUPERFCL$431
65210REMOVAL FB EYE/CONJ EMBED$519
65220RMVL FB EYE W/O SLIT LAMP$990
65222RMVL FB EYE$288
67700I&D ABSCESS EYELID$956
68040EXPRESSION CONJUNCT FOLLI$250
69000DRAINAGE EXT EAR ABSC$691
69020DRAINAGE EXT AUDITORY CAN$876
69200RMVL FOREIGN BODY EAR$463
69205RMVL FB XTRNL AUD CANAL A$397
69209REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL$311
69210RMVL IMPACTED CERUMEN$234
70030RADEX EYE DETCJ FB$113
70100XRAY MANDIBLE LESS THAN 4 VIEWS$243
70110XRAY MANDIBLE MIN 4 VIEWS$360
70130XRAY MASTOIDS MIN 3 VIEWS$218
70140XRAY FACIAL BONES LESS THAN 3 VIEW$190
70150XRAY FACIAL BONES GREATER THAN 3 VIEW$360
70160NASAL BONE X-RAY$240
70200RAD EXAM ORBIT COMP.$285
70210RADEX SINUSES PARANSL LESS THAN 3$119
70220RAD EXAM SINUS COMPLETE$155
70250SKULL LESS THAN 4 VIEWS$360
70260RAD EXAM SKULL COMPLETE$292
70320RADEX TEETH COMP FL MOUTH$174
70330RADEX TMPRMAND JT OPN&CLS$348
70360RAD EXAM NECK,SOFT TISSUE$197
70450COMPUTED TOMOGRAPHY HD/BR$959
70460TOMOGRAPHY HEAD/BRAIN WIT$1329
70470COMPUTED TOMOGRAPHY HEAD/$1641
70480CT ORBIT SELLA/POST FOSSA$1480
70481CT ORBIT SELLA/POST FOSSA$2635
70482CT ORBIT W&WO CONTRAST$2959
70486CT MAXLFCL AREA C-MATRL$1480
70487CT MAXLFCL AREA C+ MATRL$2185
70488CT MAXLFCL AREA C-/C+$2695
70490CT NECK WO CONTRAST$1480
70491CT SOFT TISS NCK C+MATRL$2079
70492CT SOFT TISS NCK C-/C+$2583
70496CTA HEAD C-/C+$2647
70498CT ANGIOGRAPHY NECK W/CON$3416
71010XRAY CHEST AP$136
71020XRAY CHEST PA & LATERAL$187
71022XRAY CHEST OBLIQUES-BOTH$184
71030RADEX CH COMPL MIN 4 VIEW$184
71035XRAY CHEST-LORDOTIC$140
71045RADIOLOGIC EXAM, CHEST, SINGLE VIEW$190
71046RADIOLOCIAL EXAM, CHEST, TWO VIEWS$206
71047RADIOLOGICAL EXAM, CHEST, 3 VIEWS$217
71048RADIOLOGICAL EXAM, CHEC, FOUR OR MORE VIEWS$253
71060BRONCHOGRAPHY BI RS&I$554
71100RIBS UNILATERAL 2 VIEWS$207
71101RIB UNILATERAL W CHEST$360
71110RIBS BILATERAL 3 VIEWS$360
71111RIBS BILATERAL W/CHEST$207
71120CHEST 2 VIEWS$207
71130STERNO CLAV JOINT 3 VIEW$150
71250CT CHEST W/O CONTRAST$1480
71260CT THORAX W/CONTRAST$2087
71270CT THORAX WO CONTRAST$1838
71275CT ANGIOGRAPHY$3271
72020SPINE SINGLE VIEW$190
72040SPINE, CERVICAL 2/3 VIEWS$343
72050SPINE, CERVICAL MIN 4VIEW$463
72052SPINE CERV. COMP FLEX/EXT$360
72070SPINE THORACIC 2 VIEWS$360
72072SPINE THORACIC 3 VIEWS$360
72074RAD EXAN SPINE THROAC 4 V$360
72080RADEX SPI THORACOLMBR 2 V$143
72100SPINE LUMBO. MIN 4 VIEWS$360
72110X-RAY, SPINE, LUMBOSACRAL, 4 VIEWS$360
72114RAD EXAM SPINE LUMBO COMP$287
72120SPINE LUMBAR AP & LAT W F$360
72125COMPUTED TOMOGRAPHY CERVI$1480
72126CT CRV SPI C+MATRL$2100
72127CT CRV SPI C-/C+$1807
72128CT THRC SPI C-MATRL$1480
72129CT THRC SPI C+ MATRL$2100
72130CT THRC SPI C-/C+$2649
72131CT L SPINE WO CONTRST$1480
72132CT LMBR SPI C+ MATRL$2091
72133CT LMBR SPI C-/C+$2615
72170RAD EXAM PELVIS 1/2 VEIW$187
72190RADEX PELVIS COMPL MIN 3$161
72191CTA PELVIS C-/C+ POST-PXE$3416
72192CT PELVIS WO CONTRAST$1140
72193TOMOGRAPHY PELVIS WCONTRS$2087
72194CT PELVIS W OR WO CONTRST$2532
72202SACROILIAC JOINTS 3+VIEWS$334
72220XRAY COCCYX/SACRUM$277
73000XRAY CLAVICLE 2 VIEWS$197
73010SCAPULA COMPLETE$215
73020RADEX SHO 1 VIEW$190
73030SHOULDR COMPLETE 2 VIEWS$200
73050XRAY AC JOINTS-BILAT$146
73060XRAY HUMERUS MIN 2 VIEWS$194
73070XRAY ELBOW 2 VIEWS$194
73080XRAY ELBOW GREATER THAN 3 VIEWS-COMP$238
73090XRAY FOREARM AP & LAT$187
73092XRAY UPPER EXT,INFANT,2 V$113
73100XRAY WRIST AP & LAT VIEW$360
73110XRAY WRIST/COMP MIN 3 VIE$277
73120XRAY HAND AP & LAT$360
73130XRAY HAND MIN 3 VIEWS$231
73140XRAY FINGER MIN 2 VIEWS$251
73200CT UPPR EXTR WO CNTRS$1480
73201CT UXTR C+MATRL$1429
73202CT UXTR C-/C+$1823
73502X-RAY HIP UNI 2-3 VIEWS$184
73510XRAY HIP MIN 2 VIEWS$377
73520HIPS BILAT MIN 2 VIEW INC$158
73550XRAY FEMUR AP & LAT VIEW$184
73552RADIOLOGIC EXAMINATION, FEMUR, MINIMUM 2 VIEWS$184
73560XRAY KNEE, SUNRISE VIEW$204
73562XRAY KNEE MIN 3 VIEWS$262
73564RAD EXAM KNEE 4 OR MORE$360
73590XRAY TIBIA/FIBULA AP/LAT$180
73592RAD EXAM L/E INFANT$116
73600XRAY ANKLE 2 VIEWS$194
73610XRAY ANKLE 3 VIEWS/COMPLE$238
73620XRAY FOOT MIN 2 VIEWS$187
73630XRAY FOOT MIN 3 VIEWS$221
73650RAD EXAN HEEL MIN 2 VIEWS$194
73660XRAY TOES, MIN 2 VIEWS$228
73700CT LWR EXTR WO CONTRAST$1480
73701CT LWR EXT W CONT$2100
73702CT LXTR C-/C+$1827
73706COMPUTED TOMOGRAPHIC ANGIOGRAPHY, LOWER EXT W/ CONTRAST MATERIAL$2571.46
74000RAD EXAM ABD SINGL ANTER$147
74010RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS$603
74018RADIOLOGICAL EXAM, ABDOMEN, 1 VIEW$162
74019RADIOLOGICAL EXAM, ABDOMENN 2 VIEWS$360
74020RAD EXAM ABDOMEN COMPL$262
74021RADIOLOGICAL EXAM, ABDOMEN, 3 OR MORE VIEWS$230
74022RAD EXAM COMPLETE ABD$360
74150COMPUTED TOMOGRAPHY ABD$1115
74160TOMOGRAPHY ABD W/CONTRAST$2078
74170TOMOGRAPHY ABD W/OCONTRAS$2444
74174COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN AND PELVIS, WITH CONTRAST MATERIAL(S),$3289
74175CT ANGIO ABDOMEN W/CONTRA$3416
74176COMP TOMOG AB/PEL W/O CON$1520
74177COMP TOMO AB/PELV W/OCONT$2747
74178CT ABD & PELVIS 1 PLUS SECTION/REGNS$3260
74190PRITONEOGRAM RS&I$354
74410UROGRPY NFS DRIP TQ&BOLUS$450
75574CT CORONARY$3005
76010NOSE TO RECTUM FB CHILD$113
763763D RNDR I&R CT MRI US/OTH$462
76512OPHTHALMIC ULTRASOUND, DIAGNOSTIC; B-SCAN (W/ OR W/O SUPERIMPOSED NON-Q A-SCAN)$362
76536ULTRASOUND, SOFT TISSUES OF HEAD AND NECK$889
76645US EXAM, BREASTS$674
76700US ABDOMINAL R-T W/IMAGE$952
76705US ABDOMINAL$751
76770US RETROPERITONEAL R-T W/$909
76775ULTRASOUND, RETROPERITONEAL, REAL TIME WITH IMAGE DOCUMENTATION$344
76801ULTRASOUND, PREGNANT UTERUS, REAL TIME, FETAL AND MATERNAL EVALUATION$784
76802ULTRASOUND, PREGNANT UTERUS, REAL TIME, FETAL AND MATERNAL EVALUTION 1ST TRI$704
76805US PG UTER F&MAT AFTER 1S$915
76815ULTRASND PG UTER$551
76817ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, TRANSVAGINAL$727
76830TRANSVAGINAL ULTRASOUND$868
76856US PELVIC NONOB REAL-TIME$853
76857ULTRASOUND OF PELVIS$329
76870US SCROTUM&CNTS$395
76880US EXTREMITY$516
76882US XTR NON-VASC LMTD$708
77777SHORTNESS OF BREATH PANEL$2366
78596PULMONARY FUNCTION STUDY$1432
78630CEREBSP FLU FLO IMG X INT$1266
80047BASIC METABOLIC PANEL IONIZED$240
80048METABOLIC PANEL BASIC$107
80050GENERAL HEALTH PANEL$361
80051ELECTROLYTE PANEL$39
80053METABOLIC COMPRE PANEL$133
80061LIPID PROFILE III$67
80074HEPATITIS PANEL$271
80076HEPATIC FUNCTION PANEL$103
80100DRUG ABUSE PANEL II$89
80101DRUG SCREEN-EMERGENCY$83
80104DRUG SCREEN, QUALITATIVE; MULTIPLE DRUG CLASSES$89
80156CARBAMAZEPINE; TOTAL$184
80158CYCLOSPORINE$69
80160DESIPRAMINE LEVEL$87
80162DIGOXIN$167
80164DEPAKOTE LEVEL (VAL ACID)$172
80166DOXEPIN (SINEQUAN LEVEL)$92
80174IMIPRAMINE (TOFRONIL)$87
80178LITHIUM$83
80182NORTRIPTYLINE LEVEL$81
80184PHENOBARBITAL$69
80185DILANTIN$167
80194QUINIDINE$69
80196SALICYLATE$43
80198THEOPHYLLINE$85
80202VANCOMYCIN PEAK$172
80299CLOMIPRAMINE$81
80300DRUG SCREEN$89
80304DRUG SCREEN$210
80305DRUG SCREEN$199
80306DRUG TEST(S), PRESUMPTIVE, ANY NUMBER DRUG CLASSS, DEVICES, PROCEDURES$89
80320DRUG SCREEN$186
80329DRUG SCREEN$210
81000U/A DIPSTICK$15
81001U/A DIP STICK$15
81002URNLS DIP STICK/TABLET RG$15
81003U/A W/O MICRO DIPSTICK$28
81005U/A QUAL-SEMIQUAL$12
81025PREG.TST URINE VISUAL$79
81050VOLUME MEAS. COLLECTION$11
82003ACETAMINOPHEN$121
82009KETONES-SERUM$24
82010ACETONE/OTH KETONE BODIES$92
82040ALBUMIN; SERUM$25
82043URINE MICROALBUMEN$37
82055ALCOHOL-BLOOD$55
82075ALCOHOL BREATH TEST$66
82085ALDOLASE$61
82103ALPHA-1-ANTITRYPSIN;TOTAL$81
82105ALPHA FETA PROTEIN$69
82108ALUMINUN$153
82128AMINO ACIDS, URINE-QUAL$83
82131AMINO ACIDS, SERUM-SINGLE$103
82150AMYLASE$81
82164ANGIOTENSIN CONVERT (ACE)$89
82232BETA-2 MICROGLOBULIN$99
82247BILIRUBIN TOTAL$31
82248BILIRUBIN DIR$64
82270OCCULT BLOOD$21
82272BLD OCLT PEROXIDASE ACTV$21
82274BLD OCLT FECAL HGB DETER$97
82306VITAMIN D-25OH$343
82310CALCIUM$32
82330CALCIUM IONIZED$81
82360STONE ANALYSIS CHEM$77
82374C02 CARBON DIOXIDE$31
82378CEA$116
82390CERULOPLASMIN$66
82397CHEMILUMINESCENT ASSAY$178
82435CHLORIDE$28
82465CHOLESTEROL$26
82480CHOLINESTERASE; SERUM$47
82482RBC CHOLINESTERASE$47
82491PORPHYRINS, PLASMA$228
82533CORTISOL, SERUM$206
82540CREATINE$28
82550CREATINE CK-TOTAL$81
82553CREATINE CKMB$77
82565CREATININE$32
82570CREATININE OTH SRC$32
82575CREATININE CLEARANCE$57
82607VITAMIN B-12$69
82626DHEA$153
82670ESTRADOIL LEVEL$352
82671STRGNS FXJATED$194
82672ESTROGEN LEVEL TOTAL$130
82677ESTRIOL$146
82690ETHCHLORVYNOL$83
82728FERRITIN$173
82746FOLATES$69
82747RBC FOLATS$105
82784IGC IMMUNOGLOBULIN$55
82800GASES BLD PH ONLY$171
82803GASES BLD PH CALCULATED 0$243
82805BLOOD GASES WITH O2 SATURATION$358
82810GASES BLOOD, O2 SATURATION ONLY, BY DIRECT MEASUREMENT, EXCEPT PULSE OXIMETRY$190
82945GLUC BDY FLU OTH/THN BLD$50
82947GLUCOSE$50
82948GLUCOSE BLOOD REAGET STR$11
82962GLUCOSE FINGER STICK$11
82977GLUTAMYLTRANSFERASE-GTT$91
83001FSH$234
83002GONADOTROPIN-LH$233
83015HEAVY METAL SCREENING$112
83036HEMOGLOBIN A1C$46
83090HOMOCYSTINE$103
83148ANTI PHOSPHATIDYLSERINE ANTIBODY$67
83516IMMUNOASSAY ANALYTE QUAL$70
83540IRON-TOTAL$81
83550IRON BINDING CAPACITY$110
83605ASSAY OF LACTIC ACID$85
83615LDH$76
83630LACTOFERRIN FECAL QUAL$118
83655LEAD BLOOD LEVEL$74
83690LIPASE$43
83718HDL CHOLESTEROL$37
83719LIPOPROTEIN DIR MEAS VLDL$70
83721LIPOPROTEIN DIR MEAS LDL$120
83735MAGNESIUM$41
8383524 HR URINE METANEPHRINES$35
83872MUCIN SYNOVIAL FLUID$25
83874MYOGLOBIN$163
83880B-TYPE NATRIURETIC$427
83890MOLECULAR DIAGNOSITIC$25
83894SEPARATION BY GEL ELETRO$25
83970PARATHORMONE(PARATHYRIOD)$248
84035ASSAY PHENYLKETONES$75
84075ALK PHOS/PROFILE OR PANEL$32
84100PHOSPHORUS INORGANIC$61
84119PORPHYRINS, URINE-QUAL$35
84132POTASSIUM$58
84144PROGESTERONE$264
84146PROLACTIN$117
84152PROSTATIC SPEC ANTIGE/PSA$232
84153PSA SCREEN TOTAL$112
84155PROTEIN,TOTAL,EXCEPT REFR$17
84156PROTEIN TOTAL$64
84157PROTEIN, TOTAL, EXCEPT REFRACTOMETRY$46
84166PROTEIN EPHORESIS/URINE/CFS$124
84295SODIUM; SERUM$61
84402TSTOSTERONE FR$153
84403TESTOSTERONE; TOTAL$327
84425THIAMINE VIT B-1$128
84436THYRIXINE TOTAL$43
84439THYROXINE-FREE$53
84443TSH$99
84450AST$65
84460ALT-TRANSFERASE;ALANINE$34
84466TRANSFERRIN$74
84478TRIGLYCERIDES$35
84479THYROID HORMONE$81
84480T3 TOTAL$85
84481T3 FREE$215
84484TROPONIN I$123
84520BUN$25
84550URIC ACID$28
84681C-PEPTIDE$124
84702HCG QUANTATIVE$90
84703PREGNANCY TEST BLOOD$46
84999UNLIS CHEMISTRY$164
85007WBC COUNT DIFF-MANUAL$12
85009WBC W/DIFF$47
85014HEMATOCRIT$11
85018HEMOGLOBIN$10
85025CBC$99
85027CBC W/O DIFF$40
85032BLD# MNL C-CNT RBC/PLTLT EA$216
85044RETICULOCYTE COUNT$24
85045BLD # RETICULOCYTE AUTO$51
85049BLOOD COUNT PLATELET AUT$22
85240CLOTTING FACTOR VIII$69
85250CLOTTING FACTOR IX$69
85300ANTITHROMBIN III$73
85348COAGJ TM OTH METHS$13
85378FIBRIN DEGRADATION PROD$44
85379D-DIMER$118
85380FIBRIN DGRADJ PRODUXS D-D$44
85384FIBRINOGEN ACTIVITY$51
85610PROTHROMBIN TIME$50
85651SEDIMENTATION RATE NONAUT$22
85652SED RATE ERYTHROCYTE NON$15
85730THROMBOPLASTIN TIME PART$76
86000AGGLUTININ FEBRILE-BRUCEL$22
86003IGE$31
86038ANTINUCLEAR AB$52
86039ANTINUCLEAR AB TITER$67
86060ASO TITER$44
86140C REACTIVE PROTEIN$32
86141C-REACTIVE PROTEIN HI SEN$78
86147CARDIOLIPIN AB$128
86156COLD AGGLUTININ SCREEN$41
86157COLD AGGLUTININ TITER$50
86277GROWTH HORMONE AB$96
86308MONO,HETEROPHILE ANTIBODI$65
86309HETEROPHILE$40
86316CA 125$124
86318IMMUNOASSAY INFECTION AGENT$136
86325IMMUNOELECTROPHORESIS WITH CONCENTRATION$66
86376ANTITHYROID PEROXIDASE AB$184
86403MONO SPOT$128
86430RHEUMATOID FACTOR$72
86431RHEUMATOID FACTOR QUANTIT$24
86480TB TEST, CELL MEDIATED IMMUNITY ANTIGEN RESPONSE MEASUREMENT;GAMMA INTERFERON$85
86490SKN TST COCCIDIOIDOMYCOSI$26
86510SKN TST HISTOPLASMOSIS$26
86580TB INTRADERMAL$73
86592RPR$17
86609EHRLICHIA AB$78
86611BARTONELLA ANTIBODY$31
86617LYME DISEASE-EARLY IGG$195
86618LYME DISEASE IGC AB$216
86631ANTB CHLAMYDIA$153
86635ANTB COCCIDIOIDES$31
86644CMV$87
86658ANITBODY, ENTEROVIRUS$106
86663EPSTEIN-BARR VIRUS EA$78
86664EPSTEIN-BARR VIRUS EBNA$193
86674GIARDIA LAMBLIA$186
86677HELICOBACTOR CULTURE$87
86694HERPES SIMPLEX, SERUM$87
86695ANTB HERPES SMPLX TYP 1$166
86696ANTB HERPES SMPLX TYP 2$243
86701HIV SERUM$112
86703ANTB HIV-1&HIV-2 1 ASSAY$62
86704HEPATITIS B CORE-AB$153
86705HEPATITIS B CORE IGM$150
86706HEPATITIS B SURFACE-AB$66
86708HEPATITIS A-AB$156
86709HEPATITIS A AB-IGM$142
86710INFLUENZA VIRUS ANITBODY$81
86713LEGIONELLA PNEUMONPILA AB$87
86735MUMPS ANTIBODY$108
86747PARVOVIRUS$90
86756ANTB RSV$78
86759ROTAVIRUS$79
86762RUBELLA$87
86765ANTB RUBEOLA$78
86777TOXOPLASMA ANTIBODY$87
86778TOXOPLASMA IGM ANTIBODY$161
86787VARICELLA$103
86788WEST NILE, IGM$103
86789ANTIBODY, WEST NILE VIRUS$59
86800THYROGLOBULIN ANTIBODY$200
86803HEPATITIS C-AB$180
86804HEP C ANTB CONFIRMATORY T$92
86812HLA B27$138
86900BLOOD TYPING$39
86901RH FACTOR-BLOOD$100
86906BLD TYPING RH PHEXYPING COMPL$101
87040BLOOD CULTURE$130
87045CULTURE FECES$119
87046CUL BACT STL AERC ADDL PA$119
87070CULTURE BODY FLUID$24
87073CUL BACT QUAN ANAERC ISOL$24
87075CULTURE ANAEROBIC$57
87076CUL BACT ANAERC ADDL METHODS$102
87077CUL BACT AERC ADDL METHS$57
87081CULTURE, BACTERIAL-SCREEN$24
87086URINE CULTURE$102
87088CULTURE BCT ISOL&PRSMPTV$102
87102CULTURE FUNGUS OTHER$26
87103CULTURE FUNGUS BLOOD$53
87110CHLAMYDIA CULTURE$118
87116CUL TUBERCLE/OTH ACID-FAS$73
87117CULTURE AFB W/CONCENTRATI$287
87177OVA & PARASITES SMEAR$138
87186SUSCEPTIBILTY STUDY MICRO$109
87205SMEAR GRAM STAIN$54
87206CRYPTOSPORIDIUM$26
87207SMR PRIM SRC SPEC STAIN$52
87209SMR PRIM SRC CPLX SPEC ST$227
87210WET SMEAR$26
87220TISS KOH SLIDE SAMPS SKN/$54
87230C-DIFFICLE TOXIN$250
87252CULTURE HERPES$173
87255VIRUS ID NON-IMMUNOLOGIC$427
87265IA ADI BORDETELLA PRTUSSI$152
87274IAADI HERPES SMPLX VIRUS$152
87275IAADI INF B VIRUS$73
87276IAADI INF VIRUS$73
87280IAADI RSV$152
87299INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE$209
87324INFECTIOUS AGENT DETECTIO$73
87328GIARDIA$152
87339IAAD EIA HPYLORI$73
87340HEPATITIS B SURFACE AG$64
87400INFLUENZA A&B$73
87420RESPIRATORY SYNCYIAL VIRU$73
87425INFECTIONS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE ROTAVIRUS$209
87430INF AGT IMMUNO STREP A$152
87450IAAD EIA NOS EA ORGANISM$57
87490IADNA CHLABYDIA TRACHOMAT$121
87491IADNA CHLAMYDIA TRACHOMAT$443
87522HEPATITIS C PCR$256
87529INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA)$443
87530HERPES SIMPLEX VIRUS QUAN$358
87590IADNA NEISSERIA GONORRHOE$253
87591IADNA NEISSERIA GONORRHOE$443
87621HPB LAB$211
87798O&P SMEAR W/AMPLIFIC$443
87799INFECTIOUS AGENT DETECTION BY NUCLEIC ACID$212
87800INF AGNENT DET$506
87804INFLUENZA IMMUNOASSAY OPT$152
87807INF AGT DET IMNAS OPT RSV$152
87808IAADIADOO TRICH VAGINALIS$73
87810CHALAMYDIA TRACHOMATIS DE$73
87850NEISSERIA GONORRHOEAE DET$152
87880RAPID STREP-BETA STREP$152
87999INFECTIOUS AGEN DETECTION BY NUCLEIC ACID, DIRECT PROBE TECHNIQUE$212
88164CYTOPATOLOGY CERVICAL/VAG$65
88165CYTP SLIDES C/V MNL SCR&R$65
88300PATH LEVEL 1$97
88304PATH LEVEL III$250
88305PATH SURG LEVEL IV$419
88313STAIN TRICHOME$296
89050FLUID CELL COUNT$61
89051CELL COUNT MISC BODY FLUI$69
89055WBC ASSMT FECAL QUAL/SEMI$54
89060CRYSTAL INDENTIFICATION$31
90470IMMUNE ADMIN H1N1 IM/NASA$92
90471IMMUN ADM 1 VAC$234
90472IMADM PRQ ID SUBQ/IM NJXS$117
90655INFLUENZA VIRUS VACC SPLI$130
90656INFLUENZA VIRUS VACC SPLI$41
90658INFLUENZA VACCINE$41
90700TETANUS DTAP 1CC$172
90703TETANUS TOXID$79
90714TETANUS DIPHTHERIA TOXOID$99
90715TDAP VACCINE$134
90718TETANUS & DIPTHERIA$99
90732PNEUMONIA VAC ADULT$108
90760IV NFS HYDRATION 1ST HR$323
90761IV INFUS HYDRA EACH ADD H$105
90765IV NFS THER PROPH/DX 1ST$394
90766IV INF EACH ADD HR$131
90767INTRV. INF UP TO 1 HR$323
90768INTRAV. INF CONCURRENT$125
90774IV PUSH 1ST$352
90775IV PUSH EACH SQUL$74
90784ADMIN INJECTION INTRAVEN$36
90788INTRAMUSCULAR INJ$51
91105GASTRIC INTUBATION/ASPER$329
92002OPH MEDICAL XM&EVAL INTRM$293
92081VIS FLD XM UNI/BI I&R LMT$209
92551AUDIO SCREENING$44
92552PURE TONE AUDIOMTRY AIR O$90
92950CPR$1753
93000EKG W/INTREP AND REPORT$99
93005EKG$76
93010RTN ECG 12 LEADS INTRP/RP$46
93040RHYTHM ECG 1-3 LDS W/I&R$67
93041RHYTHEM ECG 1-3 LDS$170
93042RHYTHM ECG 1-3 LDS I&R ON$35
93880DUP-SCAN XTRC ART COMPL B$762
93922N-INVAS PHYSIOLOGIC STD$480
93926DUPLEX SCAN OF LOWER EXTREMITIES: LIMITED STUDY$488
93965QUANT VENOUS FLOW ST$487
93970DUP-SCAN XTR VEINS COMPL$782
93971DPLX SCN EXTRM VEINS$859
93975DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF ABD, PELVIC, SCROTAL$655
93976DUPLEX SCAN OF ARTERIAL INFLW/VENOUS OUTFLOW OF ABDML, PLVC, SCRTL CONTENTS$430
94010SPIROMETRY W/RECORD$135
94060BRNCDILAT RSPSE SPMTRY PR$515
94150VC TOT SPX$96
94240PULMANARY FUNCTION SCREEN$156
94375RESPIR FLO VOL LOOP$354
94640NEBULIZER TREATMENT$560
94644CONTINUOUS INHALATION TREATMENT, FIRST HOUR$560
94645CONTINUOUS INHALATION TREATMENT WITH AEROSOL MEDICATION FOR ACUTE AIRWAY OBSTR$117
94664DEMO&/EVAL OF PT UTILIZ$61
94750PULM COMPLIANCE STD$292
94760EAR OR PULSE OXIMETRY$31
94761N-INVAS EAR/PLS OXIMTRY F$48
95115ALLERGY INJ SRVC; SINGLE$41
95117ALLERGY INJ SRVC; 2 OR MO$50
96360IV INFUS INIT 31 MIN 1 HR$575
96361IV INFUS HYDR EA ADD'T HR$140
96365IV INFUSION THERAPY/PROPH$642
96366IV INFUS THER PROPH/DX EA$174
96367IV NFS THER PROPH/DX ADDL$156
96368IV NFS TX PROPHYLAXIS/DX$164
96370SUB INFUS EA ADD HR$64
96372THERAPEUTIC PROPHYLACTIC/$234
96374THER PROPH/DX NJX IV PUSH$525
96375THER PROPH/DX NJX EA SEQL$207
96376SUB INFU EA ADD IV PUSH$81
97124THER PX 1+ AREAS EA 15 MI$97
97597RMVL DEVITAL TISS SLCTV D$255
97598RMVL DEVITAL TISS SLCTV$315
97802INITIAL DIETICIAN ASSESS$121
98925OSTEOPATHIC MAN TX 1-2 BD$118
99000SPECIMEN HANDLING$34
99001COC COLLECTION ONLY$34
99050BLUE CROSS RQRD LVL3$53
99051SCV PRV OV REG SCHED EVN$34
99053SERVICES PROVIDED BETWEEN 10P AND 8A AT A 24 HOUR FACILITY$211
99058BLUE CROSS RQRD LVL5$99
99070SUPPLIES AND MATERIALS$246
99080MEDICAL RECORDS$50
99143MOD SEDATION <5YRS 30$738
99144MOD SEDATION SERV UNDER 5$738
99145M-SEDAJ BY SM PHY 15 MIN$409
99148MOD SEDATION PHY LESS THAN 5 YRS$738
99149MOD SEDATION$157
99150M-SEDAJ PHY OTH/THIN HC P$61
99155MOD SEDATION$157
99173SCREENING TEST OF VISION$21
99217OBS CARE DSCHRG D MGMT$282
99241OV CONSULT 15 MIN$200
99242CONSULT NEW/EST PT-EXPAND$381
99243CONSULT NEW/EST PT-DETAIL$518
99244OV CONSLTJ 60 MIN$766
99245OV CONSLTJ 80 MIN$937
99281FACILITY CHG LEVEL 1$289
99282FACILITY CHG LEVEL 2$725
99283FACILITY CHG LEVEL 3$1305
99284FACILITY CHG LEVEL 4$2345
99285FACILITY CHG LEVEL 5$3210
99291CRITICAL CARE 30-74 MIN$4765
99292CRITICAL CARE ADD 30 MIN$1156
99354PROLNG PHYS SVC OV O/P DI$387
99355PROLNG PHYS SVC OV O/P DI$387
99381PREV. MED NEW UNDER 1 YR$374
99382PREV MED NEW 1-4 YRS$410
99383PREV. MED NEW 5-11 YRS$409
99384PREV. MED NEW 12-17$444
99385PREV. MED NEW 18-39$444
99386PREV. MED NEW 40-60 YRS$519
99387PREV. MED NEW 65 YRS & UP$571
99391PREV MED EST UNDER 1 YR$315
99392PREV MED EXT AGE 1-4$352
99393PREV. MED EST AGE 5-11$351
99394PREV. MED EST AGE 12-17$387
99395PREV. MED EST AGE 18-39$388
99396PREV. MED EST AGE 40-64$424
99397PREV. MED EST AGE 65 & UP$479
A0396ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES, ESOPHAGEAL INTUBATION$24
A42061 CC STERILE NEEDLE AND SYRINGE$31
A4209SYRINGE WITH NEEDLE, STERILE 5CC OR GREATER, EACH$12
A421220G HUBERNEEDLE$17
A4213SYRINGE, STERILE, 20 CC OR GREATER, EACH$17
A4215NEEDLE, STERILE, ANY SIZE$36
A42161 CC SYRINGE INSULIN W/NEEDLE WITH LIDOCAINE FOR NUMBING$7
A4217STERILE SALINE WATER PER 500 ML$12
A4248CHLORHEXIDINE CONTAINING ANTISEPTIC, 1 ML$31
A4314INSRT TRAY W/DRAINAGE BAG$41
A4316CATH W DRAINAGE 3 WAY$81
A4320IRR TRAY W/BULB/PISTON SY$10
A4322IRRIGATION SYRINGE, BULB$7
A4338INDWELLING CATHETER, FOLEY TYPE, TWO-WAY LATEX WITH COATING$66
A4344INDWELLING CATH FOLEY TYP$77
A4351INTERMIT URIN CATH STRAIG$4
A4353INTERMIT URINARY CATHETER$25
A4358URINARY DRAINAGE BAG$15
A4364DERMABOND- ADHESIVE, LIQUID OR EQUAL PER OZ$44
A4390OST POUCH DRNABLE W/EXT B$2
A4450TAPE, NON-WATERPROOF, PER 18 SQ INCH$11
A4550SURGICAL TRAY$81
A4565SLING$31
A4570SPLINT$81
A4590SPECIAL CASTING MATERIAL$119
A4615CANNULA NASAL$2
A4616OXYGEN TUBING PER FOOT$11
A4617MOUTHPIECE FOR RESPIRATORY OXYGEN EQUIPMENT$12
A4627SPACER, BAG OR RESERVOIR, WITH OR WITHOUT MASK, FOR METERED DOSE INHALER$43
A4649SURGICAL SUPPLY MISC$25
A4927GLOVES NON STERILE$1
A4930GLOVES STERILE PER PAIR$8
A6203COMPOSITE DRESSING, STERILE, 16 SQUARE INCHES OR LESS$13
A6204COMPOSITE DRESSING, STERILE, PAD SIZE MORE THAN 16 SQ INCHES$11
A6212FOAM DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, EACH DRESSING$4
A6216GAUZE NONIMPREG 16 SQ IN$4
A6219STERILE GAUZE LESS THAN OR = 16 INCH WITH SQUARE BORDER$13
A6222GAUZE IMPREGNATED WITH ME$3
A6223GAUZE IMPREG NOT H20 SALI$8
A6250SKIN SEAL PROTECT MOISTURIZER OINTMENT$34
A6260WOUND CLEANSER$124
A6402GAUZE NON-IMPREG STERL 16$3
A6407PACK STRIPS NON-IMPREGNTD$3
A6413ADHESIVE BANDAGE FIRST AI$8
A6448LT COMP BANDAGE LESS THAN 3IN$10
A6449LIGHT COMP BANDAGE$10
A6450LT COMPRS BANDAGE ELAST$30
A6453SELF-ADHER BAND W LESS THAN 3 YD$7
A6454SELF ADHER BANDAGE$15
A6457TUBULAR DRESSING$8
A7000CANNISTER, DISPOSABLE, USED WITH SUCTION PUMP, EACH$17
A7002TUBING, USED WITH SUCTION PUMP, EACH$17
A7003ADMN SET SM VOL NONFILTER$8
A7015NEBULIZER MASK USED W NEBULIZER$71
A7016DOME/MOUTHPEICE NEB$157
A7040ONE WAY CHEST DRAIN VALVE$24
A7041WATER SEAL DRAINAGE CONTAINER AND TUBING FOR USE WITH IMPLANTED CHEST TUBE$17
A9150NON PERSCRIPTION DRUG$25
A9273HOT/COLD H2OBOT/CAP/COL/WRAP$46
A9284NON-ELECTRONIC SPIROMETER$274
A9900URINE STRAINER$13
B0481NASOGASTRIC TUBING WITH STYLET$31
B4081NASOGASTRIC TUBING$31
C1726CATHETER, BALLOON DILATION, NONVASCULAR$61
C1751CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE$61
D9110PALLIATIVE TX OF DENTAL$237
E0114CRUTCHES UNDERARM$116
E0116CRTCH UNDARM NOT WOOD ADJ$50
E0487SPRIOMETER, ELECTRONIC, INCLUDES ALL ACCESSORIES$26
E0585NEBULIZER W/COMPRESSOR HE$34
E1812DYN KNEE EXT/FLEX DEVC W/$103
FFS1063FEE FOR SERVICE BALANCE OF 1063$1392
FFS1688FEE FOR SERVICE BALANCE OF 1688$2211
G0008INFLUENZA INJECTION$50
G0009ADM PNEUMOCOCCAL VACCINE$103
G0010ADMIN HEPATITIS B INJ$40
G0101CERV/VAGINAL CANCER SCR$112
G0102PROS CANCER SCREENING; DI$26
G0105COLOREC CANCR SCR; COLONS$168
G0106COLOREC CANCR SCR; ALT$143
G0117GLAUC SCR HI RISK BY OPT$145
G0120COLOREC CANCR SCR$362
G0121COLOREC CANCR SCR; COLNSC$594
G0124SCR CYTOPATH CERV/VAG THI$74
G0130SEXA BN DNSITY STDY 1/GREATER THAN SI$32
G0148SCR CYTOPATH SMERS CERV/V$196
G0168WND CLS TISSUE ADHESIVE$233
G0180PHYS CERT MCR-COVR HOM HL$167
G0202SCR MAMMO PRODUCING DIR D$374
G0204DX MAMMO PRODUCING DIR DI$424
G0206DX MAMMO PRODUCING DIR DI$340
G0245INITIAL PHYS E&M DIABETIC$196
G0268REMV IMP CERUMEN PHYS SAM$133
G0275RENAL ANGIOGRAPHY NONSELE$40
G0341PERQ ISLET CELL TPLNT INC$1046
G0364BN MARROW ASPIR PRFRM W/B$28
G0365VESSEL MAPPING OF VESSELS$37
G0378HOSPITAL OBSERVATION SERVICES PER HOUR$1734
G0380LEVEL 1 HOSP EMERG DEPT V$81
G0381LEVEL 2 HOSP EMERGENCY DE$164
G0382LEVEL 3 HOSP EMERGENCY VI$287
G0383LEVEL 4 HOSP EMERG DEPT V$367
G0384LEVEL 5 HOSP EMERG DEPT V$531
G0389US B-SCAN &/OR REAL TIME$325
G0434DRUG ABUSE PANEL II$89
G9141INFLUENZA A H1N1 IMM ADM$74
J0131ACETOMINAPHEN INJECTION$9
J0150ADENOSINE INJ 6MG VIAL$205
J0170EPINEPHRINE 3 1/2 NDL 10M$130
J0171INJECTION, ADRENALINE, EPINEPHRINE, 0.1 MG$31
J0282INJ AMIODARONE HYDROCHLOR$99
J0290AMPICILLING SODIUM IM OR IV, 500MG$47
J0295INJ AMPCLLN SODIUM/SULBA$13
J0330SUCCINYLCHOLINE CHLO 20MG$34
J0360HYDRALAZINE HCL INJECTION$46
J0456INJ AZITHROMYCIN 500MG$112
J0460ATROPINE 1.2MG PED SYRUP$23
J0461INJ ATROPINE SULFATE 0.01$23
J0500DICYCLOMINE HCL 20MG$225
J0560BICILLIN 600,000$122
J0561INJECTION PENICILLIN G BENZATHINE 100,000 UNITS$50
J0570BICILLIN 1,200,000$196
J0610INJ CALCIUM GLUCONATE PER$122
J0690KEFZOL 1 GR VIAL$66
J0692INJ CEFEPIME HCI 500MG$80
J0696ROCEPHIN 250 MG$64
J0698CLAFORAN 1 GR VIAL$50
J0702INJ BETAMETHASONE ACETATE$21
J0735CLONIDINE 1MG$149
J0744CIPRO 200MG$74
J0780COMPAZINE 10 MG$35
J1020INJ METHYLPREDNISOLONE AC$25
J1030DEPO MEDROL 40 MG/ML$50
J1040METHYLPREDNISOLONE 80MG$43
J1070INJ TESTOSTERONE TO 100MG$34
J1094DECADRON DEXAMETHASONE ACETATE 1MG$32
J1100DECADRON 4 MG VIAL$11
J1170DILAUDID 4 MG$145
J1200BENADRYL 50MG$34
J1265INJ DOPAMINE HCL 40 MG$50
J1580GARAMYCIN,GENTAMICIN 80MG$25
J1610GLUCOGAN 1 MG VIAL$616.65
J1630HALOPERIDOL 5MG$10
J1631INJECTION, HALOPERIDOL DECANOATE, PER 50 MG$55
J1642HEPARIN SODIUM PER 10 UNI$11
J1644INJ HEPARIN SOD PER 1000$41
J1650ENOXAPARIN SODIUM 10MG$50
J1670TETANUS INJECTION$74
J1720SOLU-CORTEF, A-HYDROCORT$40
J1815INJ INSULIN PER 5 UNITS$41
J1885TORADOL INJ 15 MG$41
J1940LASIX 40 MG IV VIAL$34
J1956LEVOFLOXACIN 250 MG$122
J1980INJ HYOSCYAMINE SULFATE$81
J2001LIDOCAINE HCI 10MG$34
J2060ATIVAN 2ML SYRUP$34
J2175DEMEROL 50 MG SYRINGE$122
J2180MEPERIDINE/PROMETHA UP50M$4
J2250MIDAZOLAM HCI PER 1 MG$15
J2270INJ MORPHINE SULFATE 10 M$122
J2300NUBAIN 10MG AMP$10
J2310INJ NALOXONE HCL 1MG$75
J2360ORPHENADRINE CITRATE 60MG$34
J2405ONDANSETRON HCI, PER MG$47
J2543PIPERACILLIN SODIUM (ZOSYN) 1 GRAM$21
J2545PENTAMIDINE ISETHIONATE INHALATION SOLUTION 300MG$53
J2550PHENERGAN 50 MG$66
J2690PRONESTYL 10 ML$3
J2704INJECTION PROPOFOL 10MG$22
J2765METOCLOPRAMIDE HCL 10MG$41
J2780INJ RANITIDINE 25 MG$34
J2920SOLU-MEDROL 40MG$15
J2930SOLU-MEDROL 125 MG$81
J2997INJECTION, ALTEPLASE RECOMBINANT, 1 MG$12100
J3010INJ FENTANYL CITRATE .1MG$130
J3030IMITREX 6MG VIAL$230
J3105INJECTION, TREBUTALINE SULFATE, UP TO 1 MG$47
J3250TRIMETHOBENZAMIDE 200MG$14
J3301KENOLOG 10 MG$10
J3360VALIUM INJ 5 MG$41
J3370VANCOMYCIN HCI INJ 500MG$40
J3410VISTERIL INJ 50 MG$20
J3411INJ THIAMINE 100 MG$81
J3475MAGNESIUM SULFATE 2CC AMP$34
J3480POTASSIUM CHLORIDE 2 MG$3
J3490UNCLASSIFIED DRUGS$41
J7030INFUS NORM SALINE 1000CC$58
J7040INFUS NORM SALINE 500ML$39
J70425% DEXTROSE$66
J7050INFS NORM SALINE 250CC$37
J7060INFUSION D5W 250ML$66
J7070INFUSION D5W 1000ML$15
J7120RINGER'S LACTATE INFUS$34
J7506PREDNISONE ORAL 5 MG$3
J7510PREDNISOLONE ORAL 5 MG$4
J7512PREDNISONE 5 MG$3
J7603ALBUTEROL I SOL 1 MG ALBU$41
J7609ABUTERAL INHALATION 1MG$21
J7610ALBUTEROL, THRU DME 1MG$41
J7611ALBUTEROL 1MG CONC INHALA$15
J7612LEVALBUTEROL CONCENTRATE$15
J7613ALBUT INHAL NON-CP 1MG$41
J7614ALBUTEROL ALL FOMULATIONS$41
J7616ALBUTEROL UP TO 5 MG$41
J7620ALBUTEROL 2.5 MG ATROVENT$7
J7638DEXMETHASONE, COMPOUNDED, UNIT DOSE 1 MG$10
J7644IPRATROPIUM BROMIDE INHAL$15
J7699NOC DRUGS INHAL SOL ADMIN$36
J8499NONCHEMOTHERAPEUTIC ORAL$8
J8540DEXAMETHASONE, ORAL .25MG$7
L0120CERVICAL FLEX NONADJ COLL$34
L0174CERVICAL COLLAR, SEMI-RIGID, THERMOPLASTIC FOAM, 2 PIECE W/ THORACIC EXT$39
L1830KNEE IMMOBOLIZER$130
L3260SURGICAL BOOT/SHOE$41
L3650SO FIGURE EIGHT ABDUCTION$34
L3660SO FIG 8 ABDUCTION RESTRA$22
L3807COLLES SPLINT$61
L3908WRIST EXTN CONTROL COCKUP$41
L3913HFO W/O JOINTS CUSTOM FAB$34
L3980UP EXTREM FX ORTHOTIC HUM$679
L3982UPPER EXTREMITY FRACTURE ORTHOSIS, RADIUS/ULNAR, PREFABRICATED, INC. FTING/ADJ.$472
L3984UPPER EXTREMITY FRACTURE ORTHOSIS, RADIUS/ULNAR, PREFABRICATED, INC, FTING/ADJ$472
L3999UPPER LIMB ORTHOSIS NOS$34
L4350AIR SPLINT$527
L4360WALK BOOT PNEUMATIC$308
L4361WALKING BOOT, PNEUMATIC AND/OR VACUUM W/ OR W/O JOINTS, INTERFACE MATERIAL PREFA$156
L4386WALKING BOOT NON PNEUMATIC$168
Q0035CARDIOKYMOGRAPHY$62
Q0091SCREEN PAP SMEAR; OBTAIN$116
Q0111WET MOUNTS, INCLUDING PREPARATIONS OF VAGINAL, CERVICAL OR SKIN SPECIMENS$72
Q0144AZITH DIHY ORAL CAP/POWD$176
Q0163DIPHENHYDRAMINE HYDROCLOR$7
Q0179ONDANESTRONG HCL 8MG ORL$34
Q2009FOSPHEYTOIN INJECTION$75
Q4005CAST SUPPLIES LONG ARM CA$164
Q4006LONG ARM CAST ADULT$164
Q4007CAST SUPPLIES LONG ARM CA$164
Q4008CAST SUPPLIES LONG ARM$164
Q4009CAST SUPPLIES SHORT ARM$164
Q4010SHORT ARM CAST ADULT$164
Q4011CAST SUPPLIES SHORT ARM$164
Q4012CAST SUPPLIES SHORT ARM$164
Q4014CAST SUPPLIES GAUNTLET C$81
Q4016CAST SUPPLIES GAUNTLET CA$81
Q4017CAST SUPPLIES LONG ARM SP$164
Q4018LNG ARM SPLNT 11 YRS +$164
Q4019CAST SUPPLIES LONG ARM SP$164
Q4020LNG ARM SPLNT 0-10 YRS$164
Q4022SHRT ARM SPLNT 11 YRS +$110
Q4024SHRT ARM SPLNT 0-10 YRS$57
Q4029CAST SUPPLIES LONG LEG C$164
Q4031CAST SUPPLIES LONG LEG CA$164
Q4032CAST SUPPLIES, LONG LEG PEDIATRIC (0-10 YEARS) FIBERGLASS$238
Q4037CAST SUPPLIES SHORT LEG$164
Q4038SHORT LEG FIBERGLASS CAST$119
Q4039CAST SUPPLIES SHORT LEG C$164
Q4040CAST SUPPLIES SHORT LEG$128
Q4046SHRT LG SPLNT 11 YRS +$107
Q4048CAST SUPPLIES PED (0-10)$164
Q4049FINGER SPLNT STATIC$41
Q9949LW OSMOLAR CNTRT 300-349$164
Q9954ORAL MR CONTRAST, 100ML$570
Q9963HI OSM CONTRST MATL 350-3$7
Q9965LOW OSMOLAR CON MAT PER M$7
Q9967LOW OSMOLAR CNTRS MAT$7
S0020INJ, BUPIVICAINE, 30ML$34
S0028INJECT FAMOTIDINE 20 MG$99
S0030METRONIDAZOLE 500 MG INJ$81
S0039INJ SULFAMETHOXAZOLE&TRIM$34
S0077CLANDAMYCIN PHOSPHATE 300$81
S0119ZOFRAN, 4MG, ORAL$46
S0164PROTONIX PANTROPRAZOLE 40MG$272
S0181ONDANESTRON HCA, ORAL 4MG$46
S0630RMV SUTURES; PHYS NOT PHY$164
S2083ADJ GASTRIC BAND DIAM SUB$655
S5000PRESCRIPTION DRUG GENERIC$3
S5001PRESCRIPTION BRAND NAME$6
S50115% DEXTROSE 1000 ML$4
S8120OXYGEN CONTENTS, GASEOUS, 1 UNIT EQUALS 1 CUBIC FOOT$36
S8450SPLINT$39
S8451SPLINT, WRIST OR ANKLE$74
S9088SERVICES PROV IN URGENT C$409
SPFXSELF PAY FRACTURE CARE$83
V2797VISN SPL ACSS&/SRVC CMPNT$41

“At Star ER, physicians and staff are dedicated to providing the most up-to-date care in a facility that is second-to-none. Everything we do is patient-centric. Lubbock deserves timely and personal emergency medicine care.”