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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Arkansas Extended Care Hospital-fort Smith

Fort Smith, AR · CCN 042008 · Rates published

1,388 distinct procedures filed
20 distinct payers
39,472 rate rows
2026-07-18 last MRF observed
Data quality

9,241 of 39,472 rate rows are consumer-grade (23.4%)

30,231 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 14,642
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 10,670
exceeds 10× this hospital's gross charge — excluded from medians 3,083
placeholder amount (≤ $0.02) — excluded from medians 1,836
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://lhcgroup.com/wp-content/uploads/82-1999959_LHCG CXVIII, LLC dba Arkansas Extended Care Hospital- Fort Smith_standardcharges.xlsx
Found on page https://lhcgroup.com/locations/arkansas-extended-care-hospital-fort-smith/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-31
Content fingerprint 463b7264ec4646cf… · 1,267,258 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
CB000349
CDM 		Or Level 4 Proc Initial 30 Min 8 $16,098.25 $16,098.25 $16,098.25 nat. median
$16,098
1.0× median
ACS10063
CDM 		Or Level 3 Initial 30 Minutes 8 $12,260.00 $12,260.00 $12,260.00 nat. median
$12,260
1.0× median
35200013
CDM 		CTA Pelvis W/wo Contrast 8 $9,768.50 $9,768.50 $9,768.50 nat. median
$1,159
outlier · 8.4×
61000025
CDM 		MRI Spine Cervical W/Wo Contr 8 $7,000.00 $7,000.00 $7,000.00 nat. median
$2,539
outlier · 2.8×
27050045
CDM 		Cath, Possis Spiroflex Mi 8 $5,720.75 $5,720.75 $5,720.75 nat. median
$5,721
1.0× median
RAD07051
CDM 		MRI Brain Without Contrast 8 $5,058.00 $5,058.00 $5,058.00 nat. median
$5,058
1.0× median
CB001245
CDM 		Or Level4 Ea Addl 30mins 8 $4,500.00 $4,500.00 $4,500.00 nat. median
$4,500
1.0× median
35170450
CDM 		CT Head Without Contrast 8 $4,074.00 $4,074.00 $4,074.00 nat. median
$1,378
outlier · 3.0×
ACS10064
CDM 		Or Level 3 Addl 30 Minutes 8 $4,000.00 $4,000.00 $4,000.00 nat. median
$4,000
1.0× median
48300104
CDM 		Echo Transesophageal 8 $3,454.72 $3,454.72 $3,454.72 nat. median
$3,455
1.0× median
12400051
CDM 		Colonoscopy With Ablation 8 $3,417.00 $3,417.00 $3,417.00 nat. median
$3,417
1.0× median
75000014
CDM 		Egd 8 $3,181.95 $3,181.95 $3,181.95 nat. median
$1,685
1.9× median
RAX07113
CDM 		CT Spine Thoracic W/W.o. Contr 8 $3,064.00 $3,064.00 $3,064.00 nat. median
$3,064
1.0× median
32000242
CDM 		Image Guidance For Drainage With 8 $2,877.68 $2,877.68 $2,877.68 nat. median
$591
outlier · 4.9×
RAX07270
CDM 		CT Spine Thoracic W Contrast 8 $2,870.00 $2,870.00 $2,870.00 nat. median
$2,870
1.0× median
61000027
CDM 		MRI Spine Lumbar W/Wo Contra 8 $2,801.00 $2,801.00 $2,801.00 nat. median
$2,532
1.1× median
39009035
CDM 		Plateletphoresis Leuko Reduced 8 $2,800.00 $2,800.00 $2,800.00 nat. median
$1,288
outlier · 2.2×
36100803
CDM 		Thoracentesis W/Imaging 8 $2,798.00 $2,798.00 $2,798.00 nat. median
$2,798
1.0× median
RAX07250
CDM 		CT Spine/Cervical W.o. Contras 8 $2,793.00 $2,793.00 $2,793.00 nat. median
$2,793
1.0× median
ACS10038
CDM 		Or Level 2 Initial 30 Minutes 8 $2,478.00 $2,478.00 $2,478.00 nat. median
$2,478
1.0× median
48300105
CDM 		Echo W Doppler Complete 8 $2,367.00 $2,367.00 $2,367.00 nat. median
$2,367
1.0× median
ACS10039
CDM 		Or Level 2 Ea Addtl 30 Minutes 8 $2,346.00 $2,346.00 $2,346.00 nat. median
$2,346
1.0× median
40200050
CDM 		US Guidance Needle Placement 8 $2,159.00 $2,159.00 $2,159.00 nat. median
$2,159
1.0× median
27200016
CDM 		Cath Blln Dil Nonvasc+ 8 $2,075.60 $2,075.60 $2,075.60 nat. median
$248
outlier · 8.4×
701747
CDM 		Gamimune N 10 G 8 $2,025.00 $2,025.00 $2,025.00 nat. median
$1,156
1.8× median
701977
CDM 		Zometa 4mg 8 $1,951.00 $1,951.00 $1,951.00 nat. median
$256
outlier · 7.6×
23194457
CDM 		US Duplex Extrm Upp Lmtd Lt 8 $1,929.70 $1,929.70 $1,929.70 nat. median
$1,930
1.0× median
37000005
CDM 		Mod Sed Same Phys/Qhp 5/>yrs 8 $1,909.00 $1,909.00 $1,909.00 nat. median
$315
outlier · 6.1×
CB000473
CDM 		Mod Sed Same Phys/Qhp 5/>yrs 8 $1,909.00 $1,909.00 $1,909.00 nat. median
$1,909
1.0× median
705432
CDM 		Daptomycin 500mg 8 $1,871.10 $1,871.10 $1,871.10 nat. median
$75
outlier · 25.0×
75000135
CDM 		Gi Tract Capsule Endoscopy 8 $1,836.00 $1,836.00 $1,836.00 nat. median
$1,836
1.0× median
6691103
CDM 		Gi Tx/Procedure 8 $1,833.10 $1,833.10 $1,833.10 nat. median
$1,833
1.0× median
20600001
CDM 		High Acuity Private R&b 8 $1,800.00 $1,800.00 $1,800.00 nat. median
$2,336
0.8× median
ACS10066
CDM 		Gi Pre-op Moderate 2 8 $1,800.00 $1,800.00 $1,800.00 nat. median
$1,800
1.0× median
35100013
CDM 		CTA Neck Contrast 8 $1,777.00 $1,777.00 $1,777.00 nat. median
$1,777
1.0× median
35100012
CDM 		CTA Head Contrast 8 $1,777.00 $1,777.00 $1,777.00 nat. median
$1,356
1.3× median
32000267
CDM 		CT Guidance For Needle Placeme 8 $1,710.41 $1,710.41 $1,710.41 nat. median
$16
outlier · 108.4×
40200002
CDM 		US Female Pelvic Organs, Compl 8 $1,676.70 $1,676.70 $1,676.70 nat. median
$64
outlier · 26.4×
36100226
CDM 		Picc Line Placement >5 Years 8 $1,666.00 $1,666.00 $1,666.00 nat. median
$317
outlier · 5.3×
45000448
CDM 		Emer Room Visit Level V 8 $1,648.00 $1,648.00 $1,648.00 nat. median
$1,648
1.0× median
11114056
CDM 		Insertion Picc Line W Imaging 8 $1,638.00 $1,638.00 $1,638.00 nat. median
$1,638
1.0× median
36005003
CDM 		Picc Insertion W/supp & Imag 8 $1,632.00 $1,632.00 $1,632.00 nat. median
$1,330
1.2× median
35000029
CDM 		CT Pelvis W Contrast 8 $1,574.00 $1,574.00 $1,574.00 nat. median
$1,767
0.9× median
35100010
CDM 		CT Soft Tissue Neck W/Contras 8 $1,574.00 $1,574.00 $1,574.00 nat. median
$1,574
1.0× median
35200001
CDM 		CT Chest/thorax W/contrast 8 $1,574.00 $1,574.00 $1,574.00 nat. median
$366
outlier · 4.3×
ACS10065
CDM 		Gi Pre-op Minimal 1 8 $1,500.00 $1,500.00 $1,500.00 nat. median
$1,500
1.0× median
ACS10031
CDM 		Cath Dlys Hemosplit Xk Chi 8 $1,495.00 $1,495.00 $1,495.00 nat. median
$1,495
1.0× median
110
OTHER 		Room And Board (med Surg/intermediate) 7 $1,100.00 $1,608.00 $1,400.00 nat. median
$1,500
0.9× median
11000001
CDM 		Room And Board 8 $1,400.00 $1,400.00 $1,400.00 nat. median
$1,400
1.0× median
200
OTHER 		Room And Board (icu/vent) 7 $1,100.00 $1,794.00 $1,400.00 nat. median
$9,155
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 1,388 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
CB000349 CDM Or Level 4 Proc Initial 30 Min 9 8 $16,098.25 $16,098.25 $16,098.25 $16,098.25 $16,098.25 2026-06-01
ACS10063 CDM Or Level 3 Initial 30 Minutes 9 8 $12,260.00 $12,260.00 $12,260.00 $12,260.00 $12,260.00 2026-06-01
35200013 CDM CTA Pelvis W/wo Contrast 9 8 $9,768.50 $9,768.50 $9,768.50 $9,768.50 $9,768.50 2026-06-01
61000025 CDM MRI Spine Cervical W/Wo Contr 9 8 $7,000.00 $7,000.00 $7,000.00 $7,000.00 $7,000.00 2026-06-01
27050045 CDM Cath, Possis Spiroflex Mi 9 8 $5,720.75 $5,720.75 $5,720.75 $5,720.75 $5,720.75 2026-06-01
RAD07051 CDM MRI Brain Without Contrast 9 8 $5,058.00 $5,058.00 $5,058.00 $5,058.00 $5,058.00 2026-06-01
CB001245 CDM Or Level4 Ea Addl 30mins 9 8 $4,500.00 $4,500.00 $4,500.00 $4,500.00 $4,500.00 2026-06-01
35170450 CDM CT Head Without Contrast 9 8 $4,074.00 $4,074.00 $4,074.00 $4,074.00 $4,074.00 2026-06-01
ACS10064 CDM Or Level 3 Addl 30 Minutes 9 8 $4,000.00 $4,000.00 $4,000.00 $4,000.00 $4,000.00 2026-06-01
48300104 CDM Echo Transesophageal 9 8 $3,454.72 $3,454.72 $3,454.72 $3,454.72 $3,454.72 2026-06-01
12400051 CDM Colonoscopy With Ablation 9 8 $3,417.00 $3,417.00 $3,417.00 $3,417.00 $3,417.00 2026-06-01
75000014 CDM Egd 9 8 $3,181.95 $3,181.95 $3,181.95 $3,181.95 $3,181.95 2026-06-01
RAX07113 CDM CT Spine Thoracic W/W.o. Contr 9 8 $3,064.00 $3,064.00 $3,064.00 $3,064.00 $3,064.00 2026-06-01
32000242 CDM Image Guidance For Drainage With 9 8 $2,877.68 $2,877.68 $2,877.68 $2,877.68 $2,877.68 2026-06-01
RAX07270 CDM CT Spine Thoracic W Contrast 9 8 $2,870.00 $2,870.00 $2,870.00 $2,870.00 $2,870.00 2026-06-01
61000027 CDM MRI Spine Lumbar W/Wo Contra 9 8 $2,801.00 $2,801.00 $2,801.00 $2,801.00 $2,801.00 2026-06-01
39009035 CDM Plateletphoresis Leuko Reduced 9 8 $2,800.00 $2,800.00 $2,800.00 $2,800.00 $2,800.00 2026-06-01
36100803 CDM Thoracentesis W/Imaging 9 8 $2,798.00 $2,798.00 $2,798.00 $2,798.00 $2,798.00 2026-06-01
RAX07250 CDM CT Spine/Cervical W.o. Contras 9 8 $2,793.00 $2,793.00 $2,793.00 $2,793.00 $2,793.00 2026-06-01
ACS10038 CDM Or Level 2 Initial 30 Minutes 9 8 $2,478.00 $2,478.00 $2,478.00 $2,478.00 $2,478.00 2026-06-01
48300105 CDM Echo W Doppler Complete 9 8 $2,367.00 $2,367.00 $2,367.00 $2,367.00 $2,367.00 2026-06-01
ACS10039 CDM Or Level 2 Ea Addtl 30 Minutes 9 8 $2,346.00 $2,346.00 $2,346.00 $2,346.00 $2,346.00 2026-06-01
40200050 CDM US Guidance Needle Placement 9 8 $2,159.00 $2,159.00 $2,159.00 $2,159.00 $2,159.00 2026-06-01
27200016 CDM Cath Blln Dil Nonvasc+ 9 8 $2,075.60 $2,075.60 $2,075.60 $2,075.60 $2,075.60 2026-06-01
701747 CDM Gamimune N 10 G 9 8 $2,025.00 $2,025.00 $2,025.00 $2,025.00 $2,025.00 2026-06-01
701977 CDM Zometa 4mg 9 8 $1,951.00 $1,951.00 $1,951.00 $1,951.00 $1,951.00 2026-06-01
23194457 CDM US Duplex Extrm Upp Lmtd Lt 9 8 $1,929.70 $1,929.70 $1,929.70 $1,929.70 $1,929.70 2026-06-01
37000005 CDM Mod Sed Same Phys/Qhp 5/>yrs 9 8 $1,909.00 $1,909.00 $1,909.00 $1,909.00 $1,909.00 2026-06-01
CB000473 CDM Mod Sed Same Phys/Qhp 5/>yrs 9 8 $1,909.00 $1,909.00 $1,909.00 $1,909.00 $1,909.00 2026-06-01
705432 CDM Daptomycin 500mg 9 8 $1,871.10 $1,871.10 $1,871.10 $1,871.10 $1,871.10 2026-06-01
75000135 CDM Gi Tract Capsule Endoscopy 9 8 $1,836.00 $1,836.00 $1,836.00 $1,836.00 $1,836.00 2026-06-01
6691103 CDM Gi Tx/Procedure 9 8 $1,833.10 $1,833.10 $1,833.10 $1,833.10 $1,833.10 2026-06-01
20600001 CDM High Acuity Private R&b 9 8 $1,800.00 $1,800.00 $1,800.00 $1,800.00 $1,800.00 2026-06-01
ACS10066 CDM Gi Pre-op Moderate 2 9 8 $1,800.00 $1,800.00 $1,800.00 $1,800.00 $1,800.00 2026-06-01
35100013 CDM CTA Neck Contrast 9 8 $1,777.00 $1,777.00 $1,777.00 $1,777.00 $1,777.00 2026-06-01
35100012 CDM CTA Head Contrast 9 8 $1,777.00 $1,777.00 $1,777.00 $1,777.00 $1,777.00 2026-06-01
32000267 CDM CT Guidance For Needle Placeme 9 8 $1,710.41 $1,710.41 $1,710.41 $1,710.41 $1,710.41 2026-06-01
40200002 CDM US Female Pelvic Organs, Compl 9 8 $1,676.70 $1,676.70 $1,676.70 $1,676.70 $1,676.70 2026-06-01
36100226 CDM Picc Line Placement >5 Years 9 8 $1,666.00 $1,666.00 $1,666.00 $1,666.00 $1,666.00 2026-06-01
45000448 CDM Emer Room Visit Level V 9 8 $1,648.00 $1,648.00 $1,648.00 $1,648.00 $1,648.00 2026-06-01
11114056 CDM Insertion Picc Line W Imaging 9 8 $1,638.00 $1,638.00 $1,638.00 $1,638.00 $1,638.00 2026-06-01
36005003 CDM Picc Insertion W/supp & Imag 9 8 $1,632.00 $1,632.00 $1,632.00 $1,632.00 $1,632.00 2026-06-01
35000029 CDM CT Pelvis W Contrast 9 8 $1,574.00 $1,574.00 $1,574.00 $1,574.00 $1,574.00 2026-06-01
35100010 CDM CT Soft Tissue Neck W/Contras 9 8 $1,574.00 $1,574.00 $1,574.00 $1,574.00 $1,574.00 2026-06-01
35200001 CDM CT Chest/thorax W/contrast 9 8 $1,574.00 $1,574.00 $1,574.00 $1,574.00 $1,574.00 2026-06-01
ACS10065 CDM Gi Pre-op Minimal 1 9 8 $1,500.00 $1,500.00 $1,500.00 $1,500.00 $1,500.00 2026-06-01
ACS10031 CDM Cath Dlys Hemosplit Xk Chi 9 8 $1,495.00 $1,495.00 $1,495.00 $1,495.00 $1,495.00 2026-06-01
110 OTHER Room And Board (med Surg/intermediate) 13 7 $1,700.00 $1,150.00 32% off $1,100.00 $1,608.00 $1,400.00 2026-07-18
11000001 CDM Room And Board 9 8 $1,400.00 $1,400.00 $1,400.00 $1,400.00 $1,400.00 2026-06-01
200 OTHER Room And Board (icu/vent) 13 7 $2,100.00 $1,400.00 33% off $1,100.00 $1,794.00 $1,400.00 2026-07-18
206 OTHER Room And Board (icu) 13 7 $2,100.00 $1,400.00 33% off $1,100.00 $1,794.00 $1,400.00 2026-07-18
39000001 CDM Lab Platelet Pheresis Ea Unit 9 8 $1,380.00 $1,380.00 $1,380.00 $1,380.00 $1,380.00 2026-06-01
CB000402 CDM US Guide Vasc Access W/rec/rep 9 8 $1,340.90 $1,340.90 $1,340.90 $1,340.90 $1,340.90 2026-06-01
RAD07665 CDM US Chest 9 8 $1,324.80 $1,324.80 $1,324.80 $1,324.80 $1,324.80 2026-06-01
41200100 CDM Cont Inhal Trtmnt 1st Hr 9 8 $1,287.82 $1,287.82 $1,287.82 $1,287.82 $1,287.82 2026-06-01
190 OTHER Room And Board (sub Acute) 13 7 $1,700.00 $728.00 57% off $968.00 $1,560.00 $1,286.00 2026-07-18
705322 CDM Avytaz 2.5g 9 8 $1,256.85 $1,256.85 $1,256.85 $1,256.85 $1,256.85 2026-06-01
ACS10081 CDM Pacu Phase 1 Extensive First30 9 8 $1,245.40 $1,245.40 $1,245.40 $1,245.40 $1,245.40 2026-06-01
ACS10032 CDM Pre Op Care Moderate 2 9 8 $1,222.00 $1,222.00 $1,222.00 $1,222.00 $1,222.00 2026-06-01
LAX21016 CDM Covid Influenza Inclded 4 Orgs 9 8 $1,196.00 $1,196.00 $1,196.00 $1,196.00 $1,196.00 2026-06-01
74000024 CDM Hc Eeg,w/vid,cont Recrd,8chnl 9 8 $1,177.80 $1,177.80 $1,177.80 $1,177.80 $1,177.80 2026-06-01
35000001 CDM CT Abd/Pelvis Without Contrast 9 8 $1,172.00 $1,172.00 $1,172.00 $1,172.00 $1,172.00 2026-06-01
HS801000 CDM Dialysis Per Treatment 9 8 $1,159.08 $1,159.08 $1,159.08 $1,159.08 $1,159.08 2026-06-01
ACS10036 CDM Pacu Phase 1 Mod 1st 30min 9 8 $1,112.80 $1,112.80 $1,112.80 $1,112.80 $1,112.80 2026-06-01
36100595 CDM Central Line Insertion >5 Yrs 9 8 $1,092.00 $1,092.00 $1,092.00 $1,092.00 $1,092.00 2026-06-01
48000009 CDM Echo Limited 2d Mode 9 8 $1,071.72 $1,071.72 $1,071.72 $1,071.72 $1,071.72 2026-06-01
705315 CDM Umeclidnium 62.5 Mcg 9 8 $1,060.75 $1,060.75 $1,060.75 $1,060.75 $1,060.75 2026-06-01
701760 CDM Cancidas 50 Mg 9 8 $1,050.00 $1,050.00 $1,050.00 $1,050.00 $1,050.00 2026-06-01
705789 CDM Trelegy 100-62.5mcg 9 8 $1,037.40 $1,037.40 $1,037.40 $1,037.40 $1,037.40 2026-06-01
36000314 CDM Removal Of Tunled Cent Ven Cat 9 8 $1,026.00 $1,026.00 $1,026.00 $1,026.00 $1,026.00 2026-06-01
RAX07999 CDM Diagnost Imag-guidnce For Proc 9 8 $1,024.40 $1,024.40 $1,024.40 $1,024.40 $1,024.40 2026-06-01
35000028 CDM CT Pelvis Wo Contrast 9 8 $1,018.00 $1,018.00 $1,018.00 $1,018.00 $1,018.00 2026-06-01
ACS10061 CDM Pacu Phase Ii Mod First 30 Min 9 8 $1,000.00 $1,000.00 $1,000.00 $1,000.00 $1,000.00 2026-06-01
705916 CDM Daptomycin 350mg 9 8 $997.65 $997.65 $997.65 $997.65 $997.65 2026-06-01
32471045 CDM Xray Chest 1 View 9 8 $977.60 $977.60 $977.60 $977.60 $977.60 2026-06-01
703461 CDM Nicardipine/Saline 0.2mg/ML 9 8 $958.30 $958.30 $958.30 $958.30 $958.30 2026-06-01
40202000 CDM US Abdomen,single Organ, Limtd 9 8 $955.20 $955.20 $955.20 $955.20 $955.20 2026-06-01
705493 CDM Lovenox Mdv 300mg/3ml 9 8 $936.75 $936.75 $936.75 $936.75 $936.75 2026-06-01
41000105 CDM Ventilator Mgmt Initial Day 9 8 $900.00 $900.00 $900.00 $900.00 $900.00 2026-06-01
ACS10082 CDM Pacu Phase 1 Extens Addl 30min 9 8 $889.20 $889.20 $889.20 $889.20 $889.20 2026-06-01
30000389 CDM Culture, Anaerobic 9 8 $312.71 $312.71 $884.00 $884.00 $884.00 2026-06-01
705266 CDM Vimpat 10mg/ML 9 8 $862.95 $862.95 $862.95 $862.95 $862.95 2026-06-01
48300102 CDM Doppler Echo Color Flow 9 8 $850.00 $850.00 $850.00 $850.00 $850.00 2026-06-01
29900029 CDM Bronchoscopy 9 8 $846.00 $846.00 $846.00 $846.00 $846.00 2026-06-01
RAD07200 CDM Xr Spine Lumbosacral 2/3views 9 8 $829.40 $829.40 $829.40 $829.40 $829.40 2026-06-01
30000179 CDM Blood Culture Aero &/or Ana 9 8 $821.80 $821.80 $821.80 $821.80 $821.80 2026-06-01
RAD07469 CDM Thoracic Spine 2 View 9 8 $813.80 $813.80 $813.80 $813.80 $813.80 2026-06-01
ACS10037 CDM Pacu Phase I Mod Addl 30 Min 9 8 $798.20 $798.20 $798.20 $798.20 $798.20 2026-06-01
LAB00009 CDM Lab Packed Rbc Ea Unit 9 8 $795.60 $795.60 $795.60 $795.60 $795.60 2026-06-01
703038 CDM Mycamine 100mg 9 8 $785.40 $785.40 $785.40 $785.40 $785.40 2026-06-01
ACS10062 CDM Pacu Phase Ii Mod Addl 30min 9 8 $750.00 $750.00 $750.00 $750.00 $750.00 2026-06-01
39100000 CDM Bld Product Transfusion/Admin 9 8 $733.00 $733.00 $733.00 $733.00 $733.00 2026-06-01
30000810 CDM Legionella Ag, Urine 9 8 $708.00 $708.00 $708.00 $708.00 $708.00 2026-06-01
ACS10040 CDM Anesthesia 9 8 $699.00 $699.00 $699.00 $699.00 $699.00 2026-06-01
37000006 CDM Anesthesia Initial 30 Min 9 8 $699.00 $699.00 $699.00 $699.00 $699.00 2026-06-01
23240322 CDM CT Drainage Peritoneum/Retrop 9 8 $696.80 $696.80 $696.80 $696.80 $696.80 2026-06-01
92100003 CDM Cv Vascular Venous Imaging Bil 9 8 $688.00 $688.00 $688.00 $688.00 $688.00 2026-06-01
ACS10067 CDM Des Ea Addl 30 Min 9 8 $650.00 $650.00 $650.00 $650.00 $650.00 2026-06-01
700026 CDM Albumin 100ml 25 % 9 8 $630.00 $630.00 $630.00 $630.00 $630.00 2026-06-01
30000821 CDM Levetiracetam (Keppra) 9 8 $613.44 $613.44 $613.44 $613.44 $613.44 2026-06-01
41000106 CDM Ventilator Mgmt Subsq Day 9 8 $600.00 $600.00 $600.00 $600.00 $600.00 2026-06-01
702660 CDM Cardene IV 2.5mg/ML 9 8 $599.10 $599.10 $599.10 $599.10 $599.10 2026-06-01
43752 CDM Naso-gastric Tube Placement 9 8 $595.40 $595.40 $595.40 $595.40 $595.40 2026-06-01
30200021 CDM Aspergillus Ab By Cf 9 8 $564.20 $564.20 $564.20 $564.20 $564.20 2026-06-01
RAD07637 CDM CT Limited Or Follow Up 9 8 $561.00 $561.00 $561.00 $561.00 $561.00 2026-06-01
48300101 CDM Echo Doppler Heart Complete 9 8 $541.25 $541.25 $541.25 $541.25 $541.25 2026-06-01
30600037 CDM Histoplasma Antigen, Serum 9 8 $540.80 $540.80 $540.80 $540.80 $540.80 2026-06-01
7903 CDM Rbc Leukoreduced 9 8 $533.00 $533.00 $533.00 $533.00 $533.00 2026-06-01
705052 CDM Breo 100/25 9 8 $525.00 $525.00 $525.00 $525.00 $525.00 2026-06-01
30001081 CDM Pth, Intact 9 8 $524.96 $524.96 $524.96 $524.96 $524.96 2026-06-01
42000128 CDM Select Debride Up To 20 Cm 9 8 $523.86 $523.86 $523.86 $523.86 $523.86 2026-06-01
30000586 CDM Glomerular Ba Mem Ab 9 8 $505.92 $505.92 $505.92 $505.92 $505.92 2026-06-01
44000105 CDM St Modified Barium Swallow 9 8 $502.90 $502.90 $502.90 $502.90 $502.90 2026-06-01
30000333 CDM Comprehensive Metabolic Pan 9 8 $491.52 $491.52 $491.52 $491.52 $491.52 2026-06-01
37200000 CDM Mod Sed Same Phys Addl 15min 9 8 $488.80 $488.80 $488.80 $488.80 $488.80 2026-06-01
30000664 CDM Hepatitis Panel, Acute 9 8 $486.16 $486.16 $486.16 $486.16 $486.16 2026-06-01
7160950 CDM Doppler Color Flow 9 8 $483.00 $483.00 $483.00 $483.00 $483.00 2026-06-01
705305 CDM Breo Ellipta 200-25 Mcg 9 8 $482.00 $482.00 $482.00 $482.00 $482.00 2026-06-01
G92714 CDM Procalcitonin 9 8 $471.90 $471.90 $471.90 $471.90 $471.90 2026-06-01
701117 CDM Procrit/Epogen 10,000 Uni 9 8 $467.00 $467.00 $467.00 $467.00 $467.00 2026-06-01
30585652 CDM Hc Sed Rate Automated 9 8 $454.50 $454.50 $454.50 $454.50 $454.50 2026-06-01
30000022 CDM Compatibility Electronic 9 8 $440.58 $440.58 $440.58 $440.58 $440.58 2026-06-01
ACS10042 CDM Sevo First 30 Min 9 8 $439.40 $439.40 $439.40 $439.40 $439.40 2026-06-01
37000003 CDM Sevo First 30 Min. 9 8 $439.40 $439.40 $439.40 $439.40 $439.40 2026-06-01
703350 CDM Levemir 100u/ML 9 8 $430.10 $430.10 $430.10 $430.10 $430.10 2026-06-01
12500183 CDM Insert Catheter Bladder Com 9 8 $421.00 $421.00 $421.00 $421.00 $421.00 2026-06-01
ACS10043 CDM Sevo Ea Addl 30 Min 9 8 $414.00 $414.00 $414.00 $414.00 $414.00 2026-06-01
37000004 CDM Sevo Ea Addl 30 Min 9 8 $414.00 $414.00 $414.00 $414.00 $414.00 2026-06-01
30100424 CDM Phenytoin, Total 9 8 $413.00 $413.00 $413.40 $413.40 $413.40 2026-06-01
42000129 CDM Select Debride Ea Add 20 Cm 9 8 $409.67 $409.67 $409.67 $409.67 $409.67 2026-06-01
30001101 CDM Renal Function Panel 9 8 $405.61 $405.61 $405.61 $405.61 $405.61 2026-06-01
30200001 CDM Antinuclear Antibodies Ana 9 8 $392.60 $392.60 $392.60 $392.60 $392.60 2026-06-01
CB000573 CDM Antinuclear Antibodies Ana 9 8 $392.60 $392.60 $392.60 $392.60 $392.60 2026-06-01
30087449 CDM Iaad Immunoassay Ea Org 9 8 $390.00 $390.00 $390.00 $390.00 $390.00 2026-06-01
700233 CDM Calcium Chloride 10% 10ml Syr 9 8 $383.40 $383.40 $383.40 $383.40 $383.40 2026-06-01
LAX21009 CDM Lab-platelet Ab Analysis 9 8 $378.00 $378.00 $378.00 $378.00 $378.00 2026-06-01
LAX04522 CDM Culture Wound 9 8 $373.00 $373.00 $373.00 $373.00 $373.00 2026-06-01
705628 CDM Zerbaxa 1gm-0.5gm 9 8 $365.70 $365.70 $365.70 $365.70 $365.70 2026-06-01
41000107 CDM Emergency Intubation 9 8 $365.57 $365.57 $365.57 $365.57 $365.57 2026-06-01
701194 CDM Rocephin Vial 2 Gram 9 8 $355.00 $355.00 $355.00 $355.00 $355.00 2026-06-01
RAD07605 CDM US Abdomen Limited 9 8 $355.00 $355.00 $355.00 $355.00 $355.00 2026-06-01
700443 CDM Diflucan Pre-mix 200 Mg 9 8 $353.00 $353.00 $353.00 $353.00 $353.00 2026-06-01
30002178 CDM Procalcitonin 9 8 $345.00 $345.00 $345.00 $345.00 $345.00 2026-06-01
30000084 CDM Ana Titer 9 8 $341.88 $341.88 $341.88 $341.88 $341.88 2026-06-01
71411 CDM Fluoro Guid For Cv Acc 9 8 $340.00 $340.00 $340.00 $340.00 $340.00 2026-06-01
703333 CDM Santyl 250 U/Gm 9 8 $329.10 $329.10 $329.10 $329.10 $329.10 2026-06-01
702043 CDM Robaxin Inj 100mg/ML 9 8 $328.39 $328.39 $328.39 $328.39 $328.39 2026-06-01
39000075 CDM Red Blood Cells 9 8 $324.00 $324.00 $324.00 $324.00 $324.00 2026-06-01
30000796 CDM Lactic Acid 9 8 $320.72 $320.72 $320.72 $320.72 $320.72 2026-06-01
700346 CDM Cordarone (3 Ml Amp) 50mg/ML 9 8 $315.00 $315.00 $315.00 $315.00 $315.00 2026-06-01
LAX01540 CDM Lipid Profile 9 8 $314.00 $314.00 $314.00 $314.00 $314.00 2026-06-01
30001320 CDM Vitamin B 12 9 8 $313.08 $313.08 $313.08 $313.08 $313.08 2026-06-01
705650 CDM Fluticasone Furoate 100mcg 9 8 $311.60 $311.60 $311.60 $311.60 $311.60 2026-06-01
30000324 CDM Complement (c-3) 9 8 $310.74 $310.74 $310.74 $310.74 $310.74 2026-06-01
30000106 CDM Blood Gases Any Combination 9 8 $303.20 $303.20 $303.20 $303.20 $303.20 2026-06-01
4026002 CDM Vitamin D3 Level 9 8 $300.00 $300.00 $300.00 $300.00 $300.00 2026-06-01
45000336 CDM Gastric Lavage 9 8 $287.00 $287.00 $287.00 $287.00 $287.00 2026-06-01
30100001 CDM Basic Metalbol Pnl Calcium Tot 9 8 $285.00 $285.00 $285.00 $285.00 $285.00 2026-06-01
RT100014 CDM Overnight Pulse Oximetry 9 8 $285.00 $285.00 $285.00 $285.00 $285.00 2026-06-01
30000325 CDM Complement (c-4) 9 8 $284.22 $284.22 $284.22 $284.22 $284.22 2026-06-01
30001058 CDM Protein Electrophoresis, Urine 9 8 $282.71 $282.71 $282.71 $282.71 $282.71 2026-06-01
30000391 CDM Culture, Fungus - Other Source 9 8 $280.41 $280.41 $280.41 $280.41 $280.41 2026-06-01
ACS10041 CDM Des First 30 Min 9 8 $276.00 $276.00 $276.00 $276.00 $276.00 2026-06-01
701651 CDM Cathflo Activate 2 Mg 9 8 $270.00 $270.00 $270.00 $270.00 $270.00 2026-06-01
43400102 CDM Ot Eval High Complex 60 Min 9 8 $267.88 $267.88 $267.88 $267.88 $267.88 2026-06-01
42400103 CDM Pt Eval High Complex 45 Min 9 8 $267.88 $267.88 $267.88 $267.88 $267.88 2026-06-01
701620 CDM Zyvox Premixed 600mg/300 9 8 $266.70 $266.70 $266.70 $266.70 $266.70 2026-06-01
42000130 CDM Nonselect Debride 1 Session 9 8 $265.50 $265.50 $265.50 $265.50 $265.50 2026-06-01
30600031 CDM Culture Eye 9 8 $252.75 $252.75 $252.75 $252.75 $252.75 2026-06-01
31000153 CDM Immunohist Each Ab -rl 9 8 $250.50 $250.50 $250.50 $250.50 $250.50 2026-06-01
700600 CDM Glucagon 1 Mg/Cc 9 8 $250.00 $250.00 $250.00 $250.00 $250.00 2026-06-01
41000055 CDM Respiratory Panel 9 8 $250.00 $250.00 $250.00 $250.00 $250.00 2026-06-01
702068 CDM Precedex Inj 200mcg 9 8 $250.00 $250.00 $250.00 $250.00 $250.00 2026-06-01
LAX01878 CDM Comprehensive Metabolic Panel* 9 8 $249.00 $249.00 $249.00 $249.00 $249.00 2026-06-01
32000003 CDM Fl Barium Swallow/Air Contrast 9 8 $248.00 $248.00 $248.00 $248.00 $248.00 2026-06-01
703338 CDM Lantus 100 Units/ML 9 8 $244.75 $244.75 $244.75 $244.75 $244.75 2026-06-01
31200020 CDM Tissue, G & M, Level Ii 9 8 $244.32 $244.32 $244.32 $244.32 $244.32 2026-06-01
701895 CDM Venofer 100mg Intravenous 9 8 $241.00 $241.00 $241.00 $241.00 $241.00 2026-06-01
30010042 CDM Compatibility Antiglobulin 9 8 $239.38 $239.38 $239.38 $239.38 $239.38 2026-06-01
43400101 CDM Ot Eval Mod Complex 45 Min 9 8 $238.88 $238.88 $238.88 $238.88 $238.88 2026-06-01
42400102 CDM Pt Eval Mod Complex 30 Min 9 8 $238.88 $238.88 $238.88 $238.88 $238.88 2026-06-01
32000063 CDM Pelvis 1 Or 2 Views 9 8 $236.00 $236.00 $236.00 $236.00 $236.00 2026-06-01
702701 CDM Pulmozyme 2.5mg/2.5ml 9 8 $236.00 $236.00 $236.00 $236.00 $236.00 2026-06-01
32000099 CDM Knee 1-2 Views 9 8 $236.00 $236.00 $236.00 $236.00 $236.00 2026-06-01
30000417 CDM D-dimer, Quant 9 8 $234.40 $234.40 $234.40 $234.40 $234.40 2026-06-01
30687389 CDM Hc HIV-1 Ag W/Hiv 1 & HIV 2 Ab 9 8 $234.00 $234.00 $234.00 $234.00 $234.00 2026-06-01
30600021 CDM Susceptibility AntiMicrob Disk 9 8 $234.00 $234.00 $234.00 $234.00 $234.00 2026-06-01
30000612 CDM Haptoglobin 9 8 $233.88 $233.88 $233.88 $233.88 $233.88 2026-06-01
30000080 CDM Amylase Fluid 9 8 $233.72 $233.72 $233.72 $233.72 $233.72 2026-06-01
701947 CDM Diprivan 10mg/ML 100ml 9 8 $233.00 $233.00 $233.00 $233.00 $233.00 2026-06-01
703353 CDM Insulin Blk/Humulin R 100u/ML 9 8 $231.45 $231.45 $231.45 $231.45 $231.45 2026-06-01
30000577 CDM Gentamicin Random 9 8 $229.65 $229.65 $229.65 $229.65 $229.65 2026-06-01
3840042 CDM Non Invas Stdy-mlt Lvl Hyp 9 8 $228.00 $228.00 $228.00 $228.00 $228.00 2026-06-01
700573 CDM Flonase 0.05% 9 8 $227.50 $227.50 $227.50 $227.50 $227.50 2026-06-01
30000264 CDM Cell Count+diff-csf 9 8 $226.31 $226.31 $226.31 $226.31 $226.31 2026-06-01
30600015 CDM Lab-culture Typng Ampl Probe T 9 8 $222.00 $222.00 $222.00 $222.00 $222.00 2026-06-01
30100002 CDM Gentamicin Level 9 8 $221.00 $221.00 $221.00 $221.00 $221.00 2026-06-01
LAX01060 CDM Gentamicin Level 9 8 $221.00 $221.00 $221.00 $221.00 $221.00 2026-06-01
41000103 CDM Cpt/flutter Initial 9 8 $219.50 $219.50 $219.50 $219.50 $219.50 2026-06-01
30000555 CDM Folic Acid 9 8 $216.42 $216.42 $216.42 $216.42 $216.42 2026-06-01
702735 CDM Ventolin Hfa 0.09mg/Actuation 9 8 $216.35 $216.35 $216.35 $216.35 $216.35 2026-06-01
44000109 CDM St Speech Hearing Thrpy Interm 9 8 $214.95 $214.95 $214.95 $214.95 $214.95 2026-06-01
44000110 CDM St Speech Hearing Thrpy Cmplx 9 8 $214.95 $214.95 $214.95 $214.95 $214.95 2026-06-01
44000108 CDM St Speech Hearing Thrpy Basic 9 8 $214.95 $214.95 $214.95 $214.95 $214.95 2026-06-01
701941 CDM Levaquin Injection Premix 750m 9 8 $212.00 $212.00 $212.00 $212.00 $212.00 2026-06-01
43400100 CDM Ot Eval Low Complex 30 Min 9 8 $209.88 $209.88 $209.88 $209.88 $209.88 2026-06-01
42400101 CDM Pt Eval Low Complex 20 Min 9 8 $209.88 $209.88 $209.88 $209.88 $209.88 2026-06-01
701749 CDM Zyvox 600 Mg 9 8 $208.70 $208.70 $208.70 $208.70 $208.70 2026-06-01
30001271 CDM Troponin I 9 8 $200.81 $200.81 $200.81 $200.81 $200.81 2026-06-01
41000104 CDM Cpt/flutter Subs Daily 9 8 $198.50 $198.50 $198.50 $198.50 $198.50 2026-06-01
30184443 CDM Tsh 9 8 $195.00 $195.00 $195.00 $195.00 $195.00 2026-06-01
701329 CDM Thrombin 5,000 Unit 9 8 $194.90 $194.90 $194.90 $194.90 $194.90 2026-06-01
701445 CDM Xalatan 0.005% 9 8 $194.60 $194.60 $194.60 $194.60 $194.60 2026-06-01
30001057 CDM Protein Electrophoresis, Bld 9 8 $194.56 $194.56 $194.56 $194.56 $194.56 2026-06-01
705507 CDM Nexterone 360mg/200ml-4.14% 9 8 $193.80 $193.80 $193.80 $193.80 $193.80 2026-06-01
44000100 CDM St Swallow Treatment 9 8 $193.05 $193.05 $193.05 $193.05 $193.05 2026-06-01
41000101 CDM Bipap/cpap Daily 9 8 $192.00 $192.00 $192.00 $192.00 $192.00 2026-06-01
23221719 CDM Xr Shoulder Right Minimum 2 Vi 9 8 $189.00 $189.00 $189.00 $189.00 $189.00 2026-06-01
23221717 CDM Xr Shoulder Left Minimum 2 Vie 9 8 $189.00 $189.00 $189.00 $189.00 $189.00 2026-06-01
23204204 CDM Xr Femur Left 2 Views 9 8 $189.00 $189.00 $189.00 $189.00 $189.00 2026-06-01
42400104 CDM Pt Re-eval: Estab Plan Of Care 9 8 $188.89 $188.89 $188.89 $188.89 $188.89 2026-06-01
701119 CDM Procrit/Epogen 4,000 Unit 9 8 $187.00 $187.00 $187.00 $187.00 $187.00 2026-06-01
23200230 CDM Xr Swallowing Function W Sp 9 8 $186.00 $186.00 $186.00 $186.00 $186.00 2026-06-01
30000982 CDM Partial Thromboplastin Time 9 8 $184.54 $184.54 $184.54 $184.54 $184.54 2026-06-01
30000392 CDM Culture, Routine Aerobic 9 8 $181.94 $181.94 $181.94 $181.94 $181.94 2026-06-01
30001106 CDM Culture; Sputum 9 8 $181.94 $181.94 $181.94 $181.94 $181.94 2026-06-01
701656 CDM Merrem 1 Gm 9 8 $181.00 $181.00 $181.00 $181.00 $181.00 2026-06-01
700821 CDM Lovenox 80 Mg 9 8 $180.00 $180.00 $180.00 $180.00 $180.00 2026-06-01
30000843 CDM Magnesium 9 8 $179.88 $179.88 $179.88 $179.88 $179.88 2026-06-01
701195 CDM Rocephin Vial 1 Gram 9 8 $179.00 $179.00 $179.00 $179.00 $179.00 2026-06-01
4028034 CDM Hep C Core Antibody 9 8 $177.00 $177.00 $177.00 $177.00 $177.00 2026-06-01
701851 CDM Invanz 1gm 9 8 $176.00 $176.00 $176.00 $176.00 $176.00 2026-06-01
30000357 CDM C-reactive Protein 9 8 $175.88 $175.88 $175.88 $175.88 $175.88 2026-06-01
703641 CDM Heparin 1000 Units 9 8 $175.10 $175.10 $175.10 $175.10 $175.10 2026-06-01
703607 CDM Ceftaroline Fosamil 600mg 9 8 $175.10 $175.10 $175.10 $175.10 $175.10 2026-06-01
702742 CDM Relistor 12mg 9 8 $175.00 $175.00 $175.00 $175.00 $175.00 2026-06-01
30000046 CDM Aldolase 9 8 $174.00 $174.00 $174.00 $174.00 $174.00 2026-06-01
703676 CDM Latuda 80mg 9 8 $171.30 $171.30 $171.30 $171.30 $171.30 2026-06-01
701579 CDM Cosopt 9 8 $168.70 $168.70 $168.70 $168.70 $168.70 2026-06-01
30085046 CDM Blood Concentration Measuremt 9 8 $168.00 $168.00 $168.00 $168.00 $168.00 2026-06-01
30000824 CDM Lipase 9 8 $167.60 $167.60 $167.60 $167.60 $167.60 2026-06-01
30000127 CDM Anti-streptolysin O Titer 9 8 $166.67 $166.67 $166.67 $166.67 $166.67 2026-06-01
30001283 CDM Urea Nitrogen, Urine 9 8 $163.16 $163.16 $163.16 $163.16 $163.16 2026-06-01
K3300985 CDM K-insulin Isophane (Nph) 9 8 $163.00 $163.00 $163.00 $163.00 $163.00 2026-06-01
44000011 CDM St Bedside Swallow Eval 9 8 $161.88 $161.88 $161.88 $161.88 $161.88 2026-06-01
LAX02538 CDM Cell Count Body Fluid/Dif 9 8 $160.00 $160.00 $160.00 $160.00 $160.00 2026-06-01
700780 CDM Levaquin Injection Pre 500 Mg 9 8 $160.00 $160.00 $160.00 $160.00 $160.00 2026-06-01
703251 CDM Clinimix E 4.25/5 1000ml 9 8 $157.95 $157.95 $157.95 $157.95 $157.95 2026-06-01
30000529 CDM Ferritin 9 8 $157.71 $157.71 $157.71 $157.71 $157.71 2026-06-01
30001070 CDM Prothrombin Time 9 8 $157.34 $157.34 $157.34 $157.34 $157.34 2026-06-01
7019170 CDM Ab Screen 9 8 $156.00 $156.00 $156.00 $156.00 $156.00 2026-06-01
7015320 CDM Amm Rpr Qual 9 8 $156.00 $156.00 $156.00 $156.00 $156.00 2026-06-01
703809 CDM Ipratropium Bromide .06% 9 8 $155.50 $155.50 $155.50 $155.50 $155.50 2026-06-01
701814 CDM Geodon 20 Mg Cap 9 8 $153.10 $153.10 $153.10 $153.10 $153.10 2026-06-01
30010033 CDM Rbc Ab Id Ea Panel Ea Techniq 9 8 $151.12 $151.12 $151.12 $151.12 $151.12 2026-06-01
701670 CDM Ferrlecit 62.5mg/5ml 9 8 $151.00 $151.00 $151.00 $151.00 $151.00 2026-06-01
30000323 CDM Compl Cbc W/Plt W/Autom Diff 9 8 $150.20 $150.20 $150.20 $150.20 $150.20 2026-06-01
G3722761 CDM Esophogeal Dilation 9 8 $150.00 $150.00 $150.00 $150.00 $150.00 2026-06-01
700166 CDM Bactroban 2 % 22 Gm 9 8 $149.50 $149.50 $149.50 $149.50 $149.50 2026-06-01
703321 CDM Vimpat 200mg 9 8 $149.45 $149.45 $149.45 $149.45 $149.45 2026-06-01
43000106 CDM Ot Therapeutic Exer Ea 15 Min 9 8 $149.38 $149.38 $149.38 $149.38 $149.38 2026-06-01
42000117 CDM Pt Therapeutic Exer Ea 15 Min 9 8 $149.38 $149.38 $149.38 $149.38 $149.38 2026-06-01
702035 CDM Penicillin G Potassium 9 8 $148.00 $148.00 $148.00 $148.00 $148.00 2026-06-01
30600018 CDM Lab-agar Dilut Meth, Per Drug 9 8 $146.25 $146.25 $146.25 $146.25 $146.25 2026-06-01
LAX02633 CDM Lab-agar Dilut Meth, Per Drug 9 8 $146.25 $146.25 $146.25 $146.25 $146.25 2026-06-01
30082010 CDM Ketone Bodies Analysis For Lev 9 8 $146.25 $146.25 $146.25 $146.25 $146.25 2026-06-01
43000109 CDM Ot Self Home Care Ea 15 Min 9 8 $146.20 $146.20 $146.20 $146.20 $146.20 2026-06-01
42000125 CDM Pt Self Home Care Ea 15 Min 9 8 $146.20 $146.20 $146.20 $146.20 $146.20 2026-06-01
30000384 CDM Culture Typing-each Antiserum 9 8 $143.00 $143.00 $143.00 $143.00 $143.00 2026-06-01
30600022 CDM Lab-smear W Wet Mnt Infect Agt 9 8 $143.00 $143.00 $143.00 $143.00 $143.00 2026-06-01
LAX21003 CDM Lab-smear W Wet Mnt Infect Agt 9 8 $143.00 $143.00 $143.00 $143.00 $143.00 2026-06-01
701116 CDM Procrit/Epogen 3,000 Unit 9 8 $142.00 $142.00 $142.00 $142.00 $142.00 2026-06-01
30000895 CDM Modified Acid Fast S 9 8 $141.65 $141.65 $141.65 $141.65 $141.65 2026-06-01
702533 CDM Maxipime Inj 2gm 9 8 $141.30 $141.30 $141.30 $141.30 $141.30 2026-06-01
44000112 CDM St Neuromusc Re Ed Ea 15 Min 9 8 $141.00 $141.00 $141.00 $141.00 $141.00 2026-06-01
43000110 CDM Ot Neuromusc Re Ed Ea 15 Min 9 8 $141.00 $141.00 $141.00 $141.00 $141.00 2026-06-01
42000118 CDM Pt Neuromusc Re Ed Ea 15 Min 9 8 $141.00 $141.00 $141.00 $141.00 $141.00 2026-06-01
703620 CDM Lorazepam 2mg/ML 9 8 $139.30 $139.30 $139.30 $139.30 $139.30 2026-06-01
700021 CDM Adenocard 6 Mg/2 Ml 9 8 $139.00 $139.00 $139.00 $139.00 $139.00 2026-06-01
99252 CDM Initial Consult Level 2 9 8 $139.00 $139.00 $139.00 $139.00 $139.00 2026-06-01
30000104 CDM Withdrawal Of Arterial Blood 9 8 $136.99 $136.99 $136.99 $136.99 $136.99 2026-06-01
30000393 CDM Culture, Urine Colony Count 9 8 $136.86 $136.86 $136.86 $136.86 $136.86 2026-06-01
30001037 CDM Pre-albumin 9 8 $135.14 $135.14 $135.14 $135.14 $135.14 2026-06-01
LAX02582 CDM Potassium Urine 9 8 $135.00 $135.00 $135.00 $135.00 $135.00 2026-06-01
LAX02578 CDM Osmolality Urine 9 8 $135.00 $135.00 $135.00 $135.00 $135.00 2026-06-01
701601 CDM Floxin Otic 0.3 % 9 8 $134.40 $134.40 $134.40 $134.40 $134.40 2026-06-01
RAD10001 CDM Rad Abdomen 1 View 9 8 $133.80 $133.80 $133.80 $133.80 $133.80 2026-06-01
30001035 CDM Potassium Urine 9 8 $133.34 $133.34 $133.34 $133.34 $133.34 2026-06-01
43000111 CDM Ot Ortho Mgm Train Ea 15 Min 9 8 $132.88 $132.88 $132.88 $132.88 $132.88 2026-06-01
700486 CDM Duragesic Patch 75 Mcg/Hou 9 8 $130.70 $130.70 $130.70 $130.70 $130.70 2026-06-01
30000936 CDM Natriuretic Peptide Assay 9 8 $129.78 $129.78 $129.78 $129.78 $129.78 2026-06-01
702802 CDM Merrem IV 500mg 9 8 $129.20 $129.20 $129.20 $129.20 $129.20 2026-06-01
705230 CDM Levetiracetam Ivpb1500mg/100ml 9 8 $129.00 $129.00 $129.00 $129.00 $129.00 2026-06-01
702396 CDM Keppra 500mg/5ml 9 8 $128.00 $128.00 $128.00 $128.00 $128.00 2026-06-01
94000014 CDM IV Push Each Add'l Seq Same Dr 9 8 $126.00 $126.00 $126.00 $126.00 $126.00 2026-06-01
50702470 CDM Dianeal Dex 2.5%;low Calc,2000 9 8 $125.26 $125.26 $125.26 $125.26 $125.26 2026-06-01
702303 CDM Intralipid 20% 9 8 $125.00 $125.00 $125.00 $125.00 $125.00 2026-06-01
42000119 CDM Pt Gait Training Ea 15 Min 9 8 $124.50 $124.50 $124.50 $124.50 $124.50 2026-06-01
30001295 CDM Urine Without Micro, Auto 9 8 $124.22 $124.22 $124.22 $124.22 $124.22 2026-06-01
30000602 CDM Gram Stain 9 8 $124.22 $124.22 $124.22 $124.22 $124.22 2026-06-01
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