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Monday-Friday
7:00 a.m. – 5:00 p.m.
Fax: 915.519.0261
First Health Network Contracted Rates
Actual EOB & Savings
Provider
Billed Charges
Provider
Contract Rate
Savings on Discount Plan
Savings
Percentage
Actual EOB
X-Ray Shoulder
$88.80
$33.78
$55.02
62%
CT Thorax
$822.00
$283.36
$538.64
66%
Ultrasound -
Pelvic
$565.00
$309.29
$255.71
45%
Ultrasound - Vascular
$338.00
$133.68
$239.16
71%
Ultrasound
$164.00
$31.81
$132.19
81%
Surgery
$24,500.00
$4,593.75
$19,906.25
81%
Pulmonary
$467.00
$174.26
$292.74
63%
Eye Surgery
$3,382.00
$1,007.33
$2,374.67
70%
OB GYN Visit
$104.00
$33.31
$70.69
68%
Pediatrics
$255.00
$92.80
$162.20
64%
Dermatology
$130.00
$50.18
$79.82
61%
MRI Full
$1,382.00
$556.81
$825.19
60%
Clinic
$305.48
$145.00
$160.48
53%
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