Riverside Medical Center - Reports
Detailed Reports    Aggregate Reports

Price Estimator Detailed Reports

   Download (PDF) |  Download (Excel) |  TOP OF PAGE
TimestampCpt CodePayerSearch TypeDeductibleDeductible PaidCopayCoinsuranceResult Price
2026-09-03 16:53:4193306Cashsearch$0.00$0.00$0.000.00%$257.00
2026-09-03 15:15:2793350Cashsearch$0.00$0.00$0.000.00%$0.00
2026-09-03 13:34:0872158Cashdropdown$0.00$0.00$0.000.00%$753.00
2026-09-03 13:32:2972148Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 16:26:1372158Cashdropdown$0.00$0.00$0.000.00%$753.00
2026-08-31 15:01:0190679Aetnadropdown$50.00$50.00$50.0050.00%$112.30
2026-08-31 14:55:5993882Aetnadropdown$50.00$50.00$50.0050.00%$126.10
2026-08-31 14:54:4210005Blue Cross Blue Shieldsearch$50.00$50.00$50.0050.00%$304.93
2026-08-31 14:53:4110021Aetnasearch$50.00$50.00$50.0050.00%$144.57
2026-08-31 14:51:1710081Aetnasearch$50.00$50.00$50.0050.00%$150.80
2026-08-31 14:07:0272147Cashdropdown$0.00$0.00$0.000.00%$651.00
2026-08-31 14:05:1377065Cashdropdown$0.00$0.00$0.000.00%$158.00
2026-08-31 14:04:4877065Cashdropdown$0.00$0.00$0.000.00%$158.00
2026-08-31 13:58:5772147Cashsearch$0.00$0.00$0.000.00%$651.00
2026-08-31 13:56:4272147Cashdropdown$0.00$0.00$0.000.00%$651.00
2026-08-31 13:55:4572148Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 13:55:4572148Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 13:43:2972148Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 13:43:2972148Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:29:19TSHCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:29:19TSHCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:29:10CMPCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:29:10CMPCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:28:3480074Cashdropdown$0.00$0.00$0.000.00%$174.00
2026-08-31 11:26:24CBCCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:26:24CBCCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:08:5084443Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:08:3080050Cashdropdown$0.00$0.00$0.000.00%$136.00
2026-08-31 11:08:0980053Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:04:2784445Cashsearch$0.00$0.00$0.000.00%$68.00
2026-08-31 11:04:20thyroidCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:04:11tshCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:03:4784305Cashdropdown$0.00$0.00$0.000.00%$72.00
2026-08-31 11:03:4186965Cashdropdown$0.00$0.00$0.000.00%$31.00
2026-08-31 11:03:3387801Cashdropdown$0.00$0.00$0.000.00%$84.00
2026-08-31 11:02:09cmpCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:01:3285025Cashsearch$0.00$0.00$0.000.00%$29.00
2026-08-31 11:01:25completeCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-31 11:01:18cbcCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-29 14:36:4477065Cashdropdown$0.00$0.00$0.000.00%$158.00
2026-08-27 15:26:3872082Blue Cross Blue Shielddropdown$6,000.00$0.00$0.000.00%$88.65
2026-08-27 15:26:3872082Blue Cross Blue Shielddropdown$6,000.00$0.00$0.000.00%$88.65
2026-08-27 15:26:2272082Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-08-27 15:25:5972082Cashdropdown$0.00$0.00$0.000.00%$79.00
2026-08-27 10:01:3497110Cashsearch$0.00$0.00$0.000.00%$34.00
2026-08-27 09:37:0270553Cashsearch$0.00$0.00$0.000.00%$753.00
2026-08-27 09:37:0270553Cashsearch$0.00$0.00$0.000.00%$753.00
2026-08-26 16:07:1973721Blue Cross Blue Shielddropdown$500.00$250.00$0.000.00%$250.00
2026-08-26 09:39:3582565Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 09:39:3582565Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 09:39:1984520Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 09:39:1984520Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 09:38:1473223Cashsearch$0.00$0.00$0.000.00%$753.00
2026-08-26 09:38:1473223Cashsearch$0.00$0.00$0.000.00%$753.00
2026-08-26 09:01:1884520Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 09:01:1884520Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 09:01:1484Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 08:59:0080053Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 08:58:5580048Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 08:58:5580048Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 08:58:4982565Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 08:58:4982565Cashsearch$0.00$0.00$0.000.00%$0.00
2026-08-26 08:43:5273223Cashsearch$0.00$0.00$0.000.00%$753.00
2026-08-20 15:16:5897116Cashdropdown$0.00$0.00$0.000.00%$34.00
2026-08-20 15:08:3797163Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-08-20 15:08:1997163UnitedHealthcaredropdown$2,500.00$150.00$0.0080.00%$114.80
2026-08-20 15:08:1997163UnitedHealthcaredropdown$2,500.00$150.00$0.0080.00%$114.80
2026-08-20 15:08:1697163UnitedHealthcaredropdown$2,500.00$150.00$0.000.00%$114.80
2026-08-20 15:08:0697163UnitedHealthcaredropdown$0.00$0.00$0.000.00%$0.00
2026-08-20 15:07:3097163Cashdropdown$0.00$0.00$0.000.00%$66.00
2026-08-20 15:07:1097112Cashdropdown$0.00$0.00$0.000.00%$34.00
2026-08-20 15:06:5697110Cashdropdown$0.00$0.00$0.000.00%$34.00
2026-08-20 15:06:3897110Cashsearch$0.00$0.00$0.000.00%$34.00
2026-08-20 15:02:4897110Cashdropdown$0.00$0.00$0.000.00%$34.00
2026-08-20 15:02:2197110Cashsearch$0.00$0.00$0.000.00%$34.00
2026-08-19 20:06:05CBCBlue Cross Blue Shieldsearch$3,000.00$3,000.00$0.000.00%$0.00
2026-08-19 16:04:2670553Cashdropdown$0.00$0.00$0.000.00%$753.00
2026-08-19 16:04:14X-rayCashsearch$0.00$0.00$0.000.00%$0.00
2026-08-17 12:58:3074178Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-08-03 15:57:1073110Cashdropdown$0.00$0.00$0.000.00%$79.00
2026-07-30 15:18:1396374Blue Cross Blue Shieldsearch$0.00$0.00$0.000.00%$0.00
2026-07-30 15:17:5496374Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-30 15:17:19J2916Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-30 15:17:11JCashsearch$0.00$0.00$0.000.00%$0.00
2026-07-29 09:29:2172130Cashdropdown$0.00$0.00$0.000.00%$903.00
2026-07-29 09:29:2072130Cashdropdown$0.00$0.00$0.000.00%$903.00
2026-07-29 09:25:0272130Aetnadropdown$50,000.00$500.00$50.0025.00%$1,054.81
2026-07-28 10:54:1299284Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-27 16:58:2072130Cashdropdown$0.00$0.00$0.000.00%$903.00
2026-07-27 16:58:1972130Cashdropdown$0.00$0.00$0.000.00%$903.00
2026-07-27 16:58:1172130Aetnadropdown$5,000.00$500.00$50.0025.00%$1,054.81
2026-07-24 17:21:5472127Cashdropdown$0.00$0.00$0.000.00%$869.00
2026-07-24 17:21:0399205Cashdropdown$0.00$0.00$0.000.00%$196.00
2026-07-21 12:49:1673722Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-07-21 12:48:3573722Cashdropdown$0.00$0.00$0.000.00%$1,302.00
2026-07-21 12:38:2270496Cashdropdown$0.00$0.00$0.000.00%$941.00
2026-07-21 12:26:0272147Aetnadropdown$5,000.00$500.00$50.0025.00%$774.46
2026-07-21 12:24:2772133Aetnadropdown$5,000.00$500.00$50.0025.00%$1,054.81
2026-07-21 12:24:2172133Aetnadropdown$5,000.00$500.00$50.000.00%$1,054.81
2026-07-21 12:24:2072133Aetnadropdown$5,000.00$500.00$0.000.00%$1,004.81
2026-07-21 12:24:1472133Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-21 12:20:0872133Cashdropdown$0.00$0.00$0.000.00%$903.00
2026-07-21 12:20:0872133Cashdropdown$0.00$0.00$0.000.00%$903.00
2026-07-21 12:20:0172133Blue Cross Blue Shielddropdown$5,000.00$500.00$50.0025.00%$1,066.10
2026-07-21 12:19:4277066Aetnadropdown$5,000.00$50.00$50.0025.00%$364.37
2026-07-21 12:16:0477066Cashdropdown$0.00$0.00$0.000.00%$200.00
2026-07-21 12:11:1677065Cashdropdown$0.00$0.00$0.000.00%$158.00
2026-07-21 12:11:0577063Cashdropdown$0.00$0.00$0.000.00%$112.00
2026-07-20 17:51:3993925Aetnadropdown$100.00$100.00$0.000.00%$0.00
2026-07-20 17:51:3093925Aetnadropdown$0.00$0.00$50.000.00%$50.00
2026-07-20 17:51:1893925Aetnadropdown$0.00$0.00$0.0010.00%$22.72
2026-07-20 17:49:4993925Cashdropdown$0.00$0.00$0.000.00%$292.00
2026-07-20 17:49:4993925Cashdropdown$0.00$0.00$0.000.00%$292.00
2026-07-20 17:49:4493925UnitedHealthcaredropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 17:49:3393925Cignadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 17:49:1293925Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 17:49:0593925Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 17:48:5693925Aetnadropdown$100.00$0.00$0.000.00%$100.00
2026-07-20 17:47:0993925Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 17:46:5493925Cashdropdown$0.00$0.00$0.000.00%$292.00
2026-07-20 17:46:4173722Cashdropdown$0.00$0.00$0.000.00%$1,302.00
2026-07-20 17:46:3773721Cashdropdown$0.00$0.00$0.000.00%$900.00
2026-07-20 17:46:3370336Cashdropdown$0.00$0.00$0.000.00%$450.00
2026-07-20 17:46:0670553Cashdropdown$0.00$0.00$0.000.00%$753.00
2026-07-20 16:05:2099215Cashsearch$0.00$0.00$0.000.00%$141.00
2026-07-20 16:05:2099215Cashsearch$0.00$0.00$0.000.00%$141.00
2026-07-20 16:05:1099215Aetnasearch$0.00$0.00$25.000.00%$25.00
2026-07-20 16:04:5699215Aetnasearch$0.00$0.00$0.0010.00%$15.38
2026-07-20 16:04:4499215Aetnasearch$100.00$0.00$0.0010.00%$105.38
2026-07-20 16:04:4199215Aetnasearch$100.00$0.00$0.000.00%$100.00
2026-07-20 16:04:2599215Aetnasearch$0.00$0.00$0.000.00%$0.00
2026-07-20 16:01:5599215Blue Cross Blue Shieldsearch$100.00$0.00$100.0010.00%$204.56
2026-07-20 16:01:3599223Blue Cross Blue Shieldsearch$100.00$0.00$100.0010.00%$100.00
2026-07-20 16:01:2399221Blue Cross Blue Shieldsearch$100.00$0.00$100.0010.00%$100.00
2026-07-20 16:01:0599221Blue Cross Blue Shieldsearch$100.00$0.00$0.0010.00%$0.00
2026-07-20 16:00:4971045Blue Cross Blue Shielddropdown$100.00$0.00$0.0010.00%$80.77
2026-07-20 16:00:4271045Blue Cross Blue Shielddropdown$100.00$0.00$0.000.00%$80.77
2026-07-20 15:48:1571045Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 15:47:1071045Cignadropdown$100.00$0.00$50.0010.00%$151.48
2026-07-20 15:47:0271045Cignadropdown$100.00$0.00$50.0025.00%$153.71
2026-07-20 15:46:4271045Cignadropdown$100.00$0.00$50.000.00%$150.00
2026-07-20 15:46:03J0702Cignasearch$100.00$0.00$50.000.00%$50.00
2026-07-20 15:45:56J0702Cignasearch$100.00$0.00$50.0025.00%$50.00
2026-07-20 15:45:56J0702Cignasearch$100.00$0.00$50.0025.00%$50.00
2026-07-20 15:45:352302158Cignasearch$100.00$0.00$50.0025.00%$50.00
2026-07-20 15:45:352302158Cignasearch$100.00$0.00$50.0025.00%$50.00
2026-07-20 15:45:072320502Cignasearch$100.00$0.00$50.0025.00%$50.00
2026-07-20 15:45:032320502Cignasearch$100.00$0.00$50.000.00%$50.00
2026-07-20 15:45:012320502Cignasearch$100.00$0.00$0.000.00%$0.00
2026-07-20 15:44:412320502Cignasearch$0.00$0.00$0.000.00%$0.00
2026-07-20 15:44:232320502Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-20 15:44:232320502Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-20 15:44:092346358Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-20 15:44:092346358Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-20 15:43:511507088Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-20 15:43:511507088Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-20 15:43:20J3480Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-20 15:42:36250Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-20 15:41:3180050Cashdropdown$0.00$0.00$0.000.00%$136.00
2026-07-20 15:39:4492610Cashdropdown$0.00$0.00$0.000.00%$114.00
2026-07-20 15:38:2669200Cashdropdown$0.00$0.00$0.000.00%$95.00
2026-07-20 15:37:20C1874Cashdropdown$0.00$0.00$0.000.00%$4,816.00
2026-07-20 15:36:410002ACashdropdown$0.00$0.00$0.000.00%$28.00
2026-07-20 15:36:3590679Cashdropdown$0.00$0.00$0.000.00%$112.00
2026-07-20 15:33:5899201Cashdropdown$0.00$0.00$0.000.00%$68.00
2026-07-20 15:32:1573700Cashdropdown$0.00$0.00$0.000.00%$407.00
2026-07-20 15:28:3172127Cashdropdown$0.00$0.00$0.000.00%$869.00
2026-07-20 15:03:1099212Aetnadropdown$5,000.00$500.00$50.0050.00%$214.41
2026-07-20 15:03:0577065Aetnadropdown$5,000.00$500.00$50.0050.00%$176.72
2026-07-20 15:03:0177065Aetnadropdown$5,000.00$500.00$50.000.00%$176.72
2026-07-20 15:02:5977065Aetnadropdown$5,000.00$500.00$0.000.00%$126.72
2026-07-20 15:02:5577065Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 15:02:5077065Cashdropdown$0.00$0.00$0.000.00%$158.00
2026-07-20 14:57:5377066Cashdropdown$0.00$0.00$0.000.00%$200.00
2026-07-20 14:57:4170496Aetnadropdown$5,000.00$500.00$50.0050.00%$802.64
2026-07-20 14:57:1870496Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:57:0670496Cashdropdown$0.00$0.00$0.000.00%$941.00
2026-07-20 14:57:0670496Cashdropdown$0.00$0.00$0.000.00%$941.00
2026-07-20 14:56:5970496Aetnadropdown$5,000.00$500.00$25.0025.00%$777.64
2026-07-20 14:55:1777063Cashdropdown$0.00$0.00$0.000.00%$112.00
2026-07-20 14:52:0780074Cashdropdown$0.00$0.00$0.000.00%$174.00
2026-07-20 14:51:5778226UnitedHealthcaredropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 14:51:5590679UnitedHealthcaredropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 14:51:4990679UnitedHealthcaredropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:51:4390679Cashdropdown$0.00$0.00$0.000.00%$112.00
2026-07-20 14:51:08100Cashsearch$0.00$0.00$0.000.00%$0.00
2026-07-20 14:50:5273721Cashdropdown$0.00$0.00$0.000.00%$900.00
2026-07-20 14:50:4392610Aetnadropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 14:48:5311300Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:48:3311300Cashdropdown$0.00$0.00$0.000.00%$94.00
2026-07-20 14:48:18C1874Aetnadropdown$50.00$50.00$0.000.00%$0.00
2026-07-20 14:45:1993306Aetnadropdown$55.00$11.00$0.000.00%$44.00
2026-07-20 14:44:1973706Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:44:1673706Cashdropdown$0.00$0.00$0.000.00%$940.00
2026-07-20 14:44:10C1874Cashdropdown$0.00$0.00$0.000.00%$4,816.00
2026-07-20 14:44:10C1874Cashdropdown$0.00$0.00$0.000.00%$4,816.00
2026-07-20 14:44:07C1874Blue Cross Blue Shielddropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 14:44:0278215Blue Cross Blue Shielddropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 14:44:0078264Blue Cross Blue Shielddropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 14:43:5678264Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:43:5478264Cashdropdown$0.00$0.00$0.000.00%$445.00
2026-07-20 14:43:4893882Cashdropdown$0.00$0.00$0.000.00%$137.00
2026-07-20 14:43:4893882Cashdropdown$0.00$0.00$0.000.00%$137.00
2026-07-20 14:43:4593882Aetnadropdown$500.00$50.00$0.000.00%$152.19
2026-07-20 14:43:4276098Aetnadropdown$500.00$50.00$0.000.00%$394.27
2026-07-20 14:43:4274185Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:42:5574185Cashdropdown$0.00$0.00$0.000.00%$633.00
2026-07-20 14:32:4073720Cignadropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 14:32:300002AAetnadropdown$50.00$5.00$0.000.00%$31.60
2026-07-20 14:32:300003AAetnadropdown$50.00$5.00$0.000.00%$31.60
2026-07-20 14:32:300004AAetnadropdown$50.00$5.00$0.000.00%$31.60
2026-07-20 14:31:510004ACashdropdown$0.00$0.00$0.000.00%$28.00
2026-07-20 14:31:3310021Cashdropdown$0.00$0.00$0.000.00%$170.00
2026-07-20 14:31:3111300Cashdropdown$0.00$0.00$0.000.00%$94.00
2026-07-20 14:31:2677065Cashdropdown$0.00$0.00$0.000.00%$158.00
2026-07-20 14:31:2677065Cashdropdown$0.00$0.00$0.000.00%$158.00
2026-07-20 14:31:1877067Cignadropdown$50.00$5.00$1.0020.00%$96.08
2026-07-20 14:31:1577065Cignadropdown$50.00$5.00$1.0020.00%$92.44
2026-07-20 14:31:1090679Cignadropdown$50.00$5.00$1.0020.00%$74.52
2026-07-20 14:31:0990679Cignadropdown$50.00$5.00$1.000.00%$46.00
2026-07-20 14:31:0790679Cignadropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 14:31:0190679Cignadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:30:5890679Cashdropdown$0.00$0.00$0.000.00%$112.00
2026-07-20 14:30:5377066Cashdropdown$0.00$0.00$0.000.00%$200.00
2026-07-20 14:30:5377066Cashdropdown$0.00$0.00$0.000.00%$200.00
2026-07-20 14:30:5077066Aetnadropdown$500.00$50.00$0.000.00%$314.37
2026-07-20 14:30:4511424Aetnadropdown$500.00$50.00$0.000.00%$311.06
2026-07-20 14:30:4011424Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:30:3711424Cashdropdown$0.00$0.00$0.000.00%$280.00
2026-07-20 14:21:1171555Cashdropdown$0.00$0.00$0.000.00%$575.00
2026-07-20 14:13:1970498Blue Cross Blue Shielddropdown$500.00$500.00$0.000.00%$0.00
2026-07-20 14:13:15C9601Blue Cross Blue Shielddropdown$500.00$500.00$0.000.00%$0.00
2026-07-20 14:13:07C9601Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:13:04C9601Cashdropdown$0.00$0.00$0.000.00%$8,161.00
2026-07-20 14:11:5976856Aetnadropdown$500.00$50.00$0.000.00%$164.80
2026-07-20 14:11:550002AAetnadropdown$500.00$50.00$0.000.00%$31.60
2026-07-20 14:11:500002AAetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 14:11:480002ACashdropdown$0.00$0.00$0.000.00%$28.00
2026-07-20 13:47:3999349Cignadropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 13:47:340004ACignadropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 13:47:330004ACignadropdown$50.00$50.00$0.000.00%$0.00
2026-07-20 13:47:300004ACignadropdown$500.00$50.00$0.000.00%$47.57
2026-07-20 13:47:2697163Cignadropdown$500.00$50.00$0.000.00%$109.88
2026-07-20 13:47:1078014Cignadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:47:0678014Cashdropdown$0.00$0.00$0.000.00%$394.00
2026-07-20 13:46:5997140Cashdropdown$0.00$0.00$0.000.00%$23.00
2026-07-20 13:46:5997140Cashdropdown$0.00$0.00$0.000.00%$23.00
2026-07-20 13:46:5497140Blue Cross Blue Shielddropdown$500.00$50.00$0.000.00%$23.78
2026-07-20 13:46:0290679Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:46:0090679Cashdropdown$0.00$0.00$0.000.00%$112.00
2026-07-20 13:46:0090679Cashdropdown$0.00$0.00$0.000.00%$112.00
2026-07-20 13:45:5790679UnitedHealthcaredropdown$100.00$10.00$0.000.00%$90.00
2026-07-20 13:32:53C1874Cashdropdown$0.00$0.00$0.000.00%$4,816.00
2026-07-20 13:32:4580183Cashdropdown$0.00$0.00$0.000.00%$66.00
2026-07-20 13:32:4280171Cashdropdown$0.00$0.00$0.000.00%$66.00
2026-07-20 13:32:4280171Cashdropdown$0.00$0.00$0.000.00%$66.00
2026-07-20 13:32:3980171Aetnadropdown$50.00$5.00$0.000.00%$45.00
2026-07-20 13:31:4880171Aetnadropdown$400.00$100.00$0.000.00%$73.87
2026-07-20 13:31:4280171Aetnadropdown$400.00$50.00$0.000.00%$73.87
2026-07-20 13:31:3780171Aetnadropdown$0.00$50.00$0.000.00%$0.00
2026-07-20 13:31:3476098Aetnadropdown$0.00$50.00$0.000.00%$0.00
2026-07-20 13:31:0280183Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:30:5997110Blue Cross Blue Shielddropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:30:5797110Blue Cross Blue Shielddropdown$0.00$10.00$0.000.00%$0.00
2026-07-20 13:30:5397110Blue Cross Blue Shielddropdown$100.00$10.00$0.000.00%$69.30
2026-07-20 13:30:1910061Aetnasearch$0.00$0.00$0.000.00%$0.00
2026-07-20 13:30:1610061Cashsearch$0.00$0.00$0.000.00%$224.00
2026-07-20 13:30:0176856Cashdropdown$0.00$0.00$0.000.00%$206.00
2026-07-20 13:20:1397140Cashdropdown$0.00$0.00$0.000.00%$23.00
2026-07-20 13:20:060004ACashdropdown$0.00$0.00$0.000.00%$28.00
2026-07-20 13:20:060004ACashdropdown$0.00$0.00$0.000.00%$28.00
2026-07-20 13:19:560004AUnitedHealthcaredropdown$500.00$50.00$0.000.00%$49.70
2026-07-20 13:19:360004AUnitedHealthcaredropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:19:270004AAetnadropdown$500.00$50.00$5.005.00%$36.60
2026-07-20 13:19:1711406Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:18:4697163Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:18:3997163Cashdropdown$0.00$0.00$0.000.00%$66.00
2026-07-20 13:18:2111406Cignadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:18:1311406Cashdropdown$0.00$0.00$0.000.00%$312.00
2026-07-20 13:18:0010061Cashsearch$0.00$0.00$0.000.00%$224.00
2026-07-20 13:18:0010061Cashsearch$0.00$0.00$0.000.00%$224.00
2026-07-20 13:17:5710061Aetnasearch$500.00$50.00$10.002.00%$189.20
2026-07-20 13:17:5272050Aetnadropdown$500.00$50.00$10.002.00%$110.16
2026-07-20 13:17:4010140Aetnasearch$0.00$0.00$0.000.00%$0.00
2026-07-20 13:17:3510140Cashsearch$0.00$0.00$0.000.00%$1,744.00
2026-07-20 13:17:2410081Cashsearch$0.00$0.00$0.000.00%$181.00
2026-07-20 13:17:2410081Cashsearch$0.00$0.00$0.000.00%$181.00
2026-07-20 13:17:2210081Aetnasearch$500.00$50.00$20.0010.00%$221.59
2026-07-20 13:17:2011402Aetnadropdown$500.00$50.00$20.0010.00%$233.60
2026-07-20 13:17:0593880Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:17:0193880Cashdropdown$0.00$0.00$0.000.00%$292.00
2026-07-20 13:13:1690679Cashdropdown$0.00$0.00$0.000.00%$112.00
2026-07-20 13:12:5970488Aetnadropdown$5,000.00$500.00$50.0025.00%$1,054.81
2026-07-20 13:10:5471275Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:09:43C1874Aetnadropdown$500.00$100.00$50.0050.00%$2,928.90
2026-07-20 13:09:39100Aetnasearch$500.00$100.00$50.0050.00%$50.00
2026-07-20 13:09:3011406Aetnadropdown$0.00$0.00$0.000.00%$0.00
2026-07-20 13:09:2611406Cashdropdown$0.00$0.00$0.000.00%$312.00
2026-07-20 13:09:1510061Cashsearch$0.00$0.00$0.000.00%$224.00
2026-07-20 13:09:1510061Cashsearch$0.00$0.00$0.000.00%$224.00
2026-07-20 13:09:1210061Blue Cross Blue Shieldsearch$400.00$100.00$100.00100.00%$317.64
2026-07-20 13:09:00100Aetnasearch$0.00$0.00$0.000.00%$0.00


Price Estimator Aggregate by CPT Code

   Download (PDF) |  Download (Excel) |  TOP OF PAGE

Report Date Range: 2026-07-20 13:09:00 to 2026-09-03 16:53:41

CPT CodeCount
9067915
9392512
7706512
0004A10
971639
971108
992158
100618
C18747
721337
801716
704966
710456
770666
721306
23205026
0002A5
114065
721485
938824
721474
971404
845204
720824
825654
CBC4
100814
705534
782643
cmp3
737213
J07023
1003
C96013
113003
737223
114243
732233
tsh3
721582
780142
100212
15070882
721272
768562
101402
23463582
800532
741852
801832
23021582
737062
770632
800482
926102
992212
800742
938802
760982
963742
800502
933062
114021
692001
715551
741781
850251
992011
J34801
737001
841
X-ray1
844451
933501
992841
703361
720501
731101
782151
869651
992051
thyroid1
704981
843051
971121
complete1
0003A1
2501
712751
770671
993491
J29161
100051
704881
782261
878011
992121
737201
844431
971161
992231
J1

Aggregate by Payer

PayerCount
Cash162
Aetna69
Blue Cross Blue Shield33
Cigna27
UnitedHealthcare11