Price Transparencybeta Hospital negotiated rates

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

CHRISTIANA HOSPITAL

Newark, DE · CCN 080001 · Rates published

867 distinct procedures filed
30 distinct payers
26,653 rate rows
2025-01-01 last MRF observed · ⚠ 21 mo old
Data quality

7,497 of 26,653 rate rows are consumer-grade (28.1%)

19,156 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 18,980
professional (physician) fee — not the facility price 176

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://documents.christianacare.org/Finance/510103684_christianacare_standardcharges.json
Found on page https://billing.christianacare.org/transparency/chargemaster
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 8132a5eb796528c0… · 17,567,775 bytes · first seen 2026-05-08

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
0035U
OTHER 		Prion Rtoqulc 0 — — — nat. median
$557
0042T
OTHER 		Ct,cerebral Perfusion Analysis,w Con Glr 0 — — — nat. median
$840
0075T
OTHER 		Placement,transcath,extracr Verteb Carotid Stent,rs&i,init Vess,perc/open Glb 0 — — — nat. median
$9,584
0112U
OTHER 		Pg1q 0 — — — nat. median
$373
0201T
OTHER 		Sacral Augmentation,bil Injections,w Img/bone Bx,perc Glp 0 — — — nat. median
$8,108
0202U
OTHER 		Biofire Nfct Ds Bct/vir Respir Dna/rna 22 Trgt Sarscov2 0 — — — nat. median
$429
0223U
OTHER 		Qia-stat Nfct Ds Bct/vir Respir Dna/rna 22 Trgt Sarscov2 0 — — — nat. median
$425
0234T
OTHER 		Ather,translum Perip,renal Art Glb 0 — — — nat. median
$14,627
0238T
OTHER 		Ather,translum Perip,iliac Art 0 — — — nat. median
$20,987
0241U
OTHER 		Nfct Ds RNA 4 Targets Upper Respiratory Specimen 0 — — — nat. median
$148
0398T
OTHER 		Mrgfus, Stereotactic Abl Lesion, Intracrnl Movemnt Disord, Incl Stereo Nav & Fra… 0 — — — nat. median
$8,573
0484T
OTHER 		Transcatheter Mitral Valve Implantation/replacement (tmvi) With Prosthetic Valve… 0 — — — nat. median
$8,299
0521T
OTHER 		Interrog,pt Enc,wireless Lv Pac 0 — — — nat. median
$34
0522T
OTHER 		Program Device Eval,iterative,adj,lv Pac 0 — — — nat. median
$45
0537T
OTHER 		Car-t Cell Tx,harvest Lymp,per Day 0 — — — nat. median
$6,285
0538T
OTHER 		Car-t Cell Tx,prep Lym Transport 0 — — — nat. median
$6,285
0539T
OTHER 		Car-t Cell Tx,receipt/prep Admin 0 — — — nat. median
$6,285
0620T
OTHER 		Endovascular Venous Arterialization Tibl/prnl Vn Glp 0 — — — nat. median
$32,565
0644T
OTHER 		Tcat Rmvl/debulk Icar Mass Suction Device Perq Glp 0 — — — nat. median
$8,572
0725
OTHER 		Inj Secukinumab Intrav 1mg 1 — — — nat. median
$46
0737
OTHER 		Inj, Cipaglucosidase, 5 Mg 1 — — — nat. median
$235
0738
OTHER 		Rasburicase 1 — — — nat. median
$974
0743
OTHER 		Inj, Cyclophosphamide, Nos 4 — — — nat. median
$1
0752
OTHER 		Dactinomycin Injection 1 — — — nat. median
$847
0800
RC 		Leuprolide Acetate 8 — — — nat. median
$612
0810
RC 		Goserelin Acetate Implant 4 — — — nat. median
$21,254
0843
RC 		Pegaspargase Injection 2 — — — nat. median
$1,085
0858
OTHER 		Inj Cladribine 1 — — — nat. median
$28
0874
RC 		Synvisc Or Synvisc-one 2 — — — nat. median
$21
0901
RC 		Alpha 1 Proteinase Inhibitor 4 — — — nat. median
$819
0902
RC 		Injection,onabotulinumtoxinA 5 — — — nat. median
$1,624
0927
OTHER 		Factor Viii Recombinant 3 — — — nat. median
$4
0932
RC 		Factor Ix Recombinant Nos 2 — — — nat. median
$5
0943
RC 		Octagam Injection 5 — — — nat. median
$110
0944
RC 		Gammagard Liquid Injection 4 — — — nat. median
$408
0948
RC 		Gamunex-c/gammaked 3 — — — nat. median
$218
0963
RC 		Albumin (human), 5%, 250 Ml 2 — — — nat. median
$14
0965
OTHER 		Albumin (human), 25%, 50ml 5 — — — nat. median
$669
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 — — — nat. median
$186,516
100
MS_DRG 		Seizures With Mcc 12 — — — nat. median
$13,848
10002
CDM 		Lenalidomide 25 Mg Cap (NonFormulary) 0 — — — nat. median
$88
100043
CDM 		Drill, Twist 1.5 X 19mm 0 — — — —
10005
HCPCS 		Fna,us Guid,1st Lesion Glp 0 — — — nat. median
$880
10005
CDM 		Cath, Balloon Biliary 5fr 0 — — — nat. median
$49
10006
HCPCS 		Fna,us Guid,ea Adtl Lesion Glp 0 — — — nat. median
$292
10006
CDM 		Cath, Balloon Biliary 6fr 0 — — — nat. median
$46
100060
CDM 		Bur, Conical 13mm X 4.3mm 0 — — — —
100071
CDM 		Bit, Drill Cannulated 3.6mm 0 — — — nat. median
$6
100073
CDM 		Burr, 2.2mm X 12mm Straight 0 — — — —
0003M
OTHER 		Nash Fibrosure Assay 0 — — — nat. median
$522

Other procedures at this hospital

Browse this hospital's 867 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
             
0003M OTHER Nash Fibrosure Assay 1 0 $595.56 — — — — 2025-01-01
0035U OTHER Prion Rtoqulc 1 0 $860.11 — — — — 2025-01-01
0042T OTHER Ct,cerebral Perfusion Analysis,w Con Glr 1 0 $361.04 — — — — 2025-01-01
0075T OTHER Placement,transcath,extracr Verteb Carotid Stent,rs&i,init Vess,perc/open Glb 1 0 $32,354.66 — — — — 2025-01-01
0112U OTHER Pg1q 1 0 $425.40 — — — — 2025-01-01
0201T OTHER Sacral Augmentation,bil Injections,w Img/bone Bx,perc Glp 1 0 $5,128.03 — — — — 2025-01-01
0202U OTHER Biofire Nfct Ds Bct/vir Respir Dna/rna 22 Trgt Sarscov2 1 0 $1,857.38 — — — — 2025-01-01
0223U OTHER Qia-stat Nfct Ds Bct/vir Respir Dna/rna 22 Trgt Sarscov2 1 0 $1,857.38 — — — — 2025-01-01
0234T OTHER Ather,translum Perip,renal Art Glb 1 0 $13,396.71 — — — — 2025-01-01
0238T OTHER Ather,translum Perip,iliac Art 1 0 $32,091.94 — — — — 2025-01-01
0241U OTHER Nfct Ds RNA 4 Targets Upper Respiratory Specimen 1 0 $596.21 — — — — 2025-01-01
0398T OTHER Mrgfus, Stereotactic Abl Lesion, Intracrnl Movemnt Disord, Incl Stereo Nav & Fra… 1 0 $41,423.33 — — — — 2025-01-01
0484T OTHER Transcatheter Mitral Valve Implantation/replacement (tmvi) With Prosthetic Valve… 1 0 $26,352.21 — — — — 2025-01-01
0521T OTHER Interrog,pt Enc,wireless Lv Pac 1 0 $28.64 — — — — 2025-01-01
0522T OTHER Program Device Eval,iterative,adj,lv Pac 1 0 $61.04 — — — — 2025-01-01
0537T OTHER Car-t Cell Tx,harvest Lymp,per Day 1 0 $5,319.46 — — — — 2025-01-01
0538T OTHER Car-t Cell Tx,prep Lym Transport 1 0 $7,416.76 — — — — 2025-01-01
0539T OTHER Car-t Cell Tx,receipt/prep Admin 1 0 $400.79 — — — — 2025-01-01
0620T OTHER Endovascular Venous Arterialization Tibl/prnl Vn Glp 1 0 $32,091.94 — — — — 2025-01-01
0644T OTHER Tcat Rmvl/debulk Icar Mass Suction Device Perq Glp 1 0 $9,590.85 — — — — 2025-01-01
0725 OTHER Inj Secukinumab Intrav 1mg 1 1 — — — — — 2025-01-01
0737 OTHER Inj, Cipaglucosidase, 5 Mg 1 1 — — — — — 2025-01-01
0738 OTHER Rasburicase 1 1 — — — — — 2025-01-01
0743 OTHER Inj, Cyclophosphamide, Nos 5 4 — — — — — 2025-01-01
0752 OTHER Dactinomycin Injection 1 1 — — — — — 2025-01-01
0800 RC Leuprolide Acetate 11 8 — — — — — 2025-01-01
0810 RC Goserelin Acetate Implant 5 4 — — — — — 2025-01-01
0843 RC Pegaspargase Injection 2 2 — — — — — 2025-01-01
0858 OTHER Inj Cladribine 1 1 — — — — — 2025-01-01
0874 RC Synvisc Or Synvisc-one 2 2 — — — — — 2025-01-01
0901 RC Alpha 1 Proteinase Inhibitor 4 4 — — — — — 2025-01-01
0902 RC Injection,onabotulinumtoxinA 9 5 — — — — — 2025-01-01
0927 OTHER Factor Viii Recombinant 3 3 — — — — — 2025-01-01
0932 RC Factor Ix Recombinant Nos 3 2 — — — — — 2025-01-01
0943 RC Octagam Injection 8 5 — — — — — 2025-01-01
0944 RC Gammagard Liquid Injection 5 4 — — — — — 2025-01-01
0948 RC Gamunex-c/gammaked 3 3 — — — — — 2025-01-01
0963 RC Albumin (human), 5%, 250 Ml 2 2 — — — — — 2025-01-01
0965 OTHER Albumin (human), 25%, 50ml 6 5 — — — — — 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — — — — 2025-01-01
100 MS_DRG Seizures With Mcc 20 12 — — — — — 2025-01-01
10002 CDM Lenalidomide 25 Mg Cap (NonFormulary) 1 0 $6,288.50 — — — — 2025-01-01
100043 CDM Drill, Twist 1.5 X 19mm 1 0 $1,115.67 — — — — 2025-01-01
10005 HCPCS Fna,us Guid,1st Lesion Glp 1 0 $894.98 — — — — 2025-01-01
10005 CDM Cath, Balloon Biliary 5fr 1 0 $613.05 — — — — 2025-01-01
10006 HCPCS Fna,us Guid,ea Adtl Lesion Glp 1 0 $672.40 — — — — 2025-01-01
10006 CDM Cath, Balloon Biliary 6fr 1 0 $613.05 — — — — 2025-01-01
100060 CDM Bur, Conical 13mm X 4.3mm 1 0 $2,216.86 — — — — 2025-01-01
100071 CDM Bit, Drill Cannulated 3.6mm 1 0 $1,233.70 — — — — 2025-01-01
100073 CDM Burr, 2.2mm X 12mm Straight 1 0 $2,216.86 — — — — 2025-01-01
100074 CDM Guidewire, 1.6 X 150mm Frag 1 0 $311.27 — — — — 2025-01-01
100088 CDM Tube, G-jet Enteral Gastric-jejunal 18fr X 2.0cm X 45cm 1 0 $3,375.52 — — — — 2025-01-01
10009 HCPCS Fna,ct Guid,1st Lesion Glp 1 0 $894.98 — — — — 2025-01-01
10010 HCPCS Fna,ct Guid,ea Adtl Lesion Glp 1 0 $672.40 — — — — 2025-01-01
100130 CDM Bit, Drill 2.0x1.5mm 1 0 $1,039.52 — — — — 2025-01-01
100133 CDM Driver, Screw Titanium 1 0 $6,657.60 — — — — 2025-01-01
100154 CDM System, Endoclot Phs 5g Pwd With Applicator 1 0 $8,760.00 — — — — 2025-01-01
100158 CDM System, Endoclot Phs 3g Pwd With Applicator 1 0 $7,008.00 — — — — 2025-01-01
10022 CDM Cath, Balloon Dialator 11 Fr 1 0 $49.57 — — — — 2025-01-01
100220 CDM Kit, Scp Foot & Ankle 3cc 15ga X 60mm 1 0 $13,218.84 — — — — 2025-01-01
10024 CDM acetaZOLAMIDE 250 Mg Tab 1 0 $33.90 — — — — 2025-01-01
10025 CDM acetaZOLAMIDE 500 Mg Sr Cap 1 0 $16.45 — — — — 2025-01-01
10027 CDM acetaZOLAMIDE Soln Nicu/ped-oral Syr 1 0 $10.90 — — — — 2025-01-01
100271 CDM FLUoxetine 10 Mg Cap 1 0 $22.65 — — — — 2025-01-01
10029 CDM acetaZOLAMIDE 500 Mg Vial 1 0 $225.80 — — — — 2025-01-01
100290 CDM System, Urolift 2 Atc 1 0 $7,008.00 — — — — 2025-01-01
10030 HCPCS Fluid Coll,img,catheter,soft Tiss,perc Glp 1 0 $2,894.25 — — — — 2025-01-01
100302 CDM Bit, Drill Stop 1.5 X 105mm X 11mm 1 0 $759.20 — — — — 2025-01-01
100304 CDM Bit, Drill/reamer Assembly 1 0 $9,154.20 — — — — 2025-01-01
100308 CDM Cath-gard, Comp: 5-6 Fr X 30 Cm 1 0 $69.61 — — — — 2025-01-01
100309 CDM Drill, Bit Contra Angle 1.5 X 7mm 1 0 $1,185.52 — — — — 2025-01-01
10031 CDM Acetic Acid 0.25% Irrig Soln 1000 Ml 1 0 $65.20 — — — — 2025-01-01
100323 CDM Wire, Guide Threaded Tip 2.8mm X 300mm 1 0 $1,464.67 — — — — 2025-01-01
10035 HCPCS Plc,soft Tis Loc Dev,guid,1st Ls Glp 1 0 $824.10 — — — — 2025-01-01
10036 HCPCS Plc,soft Tis Loc Dev,guid,adtl Ls Glp 1 0 $824.10 — — — — 2025-01-01
100376 CDM Bur, 13mm X 2.9mm Straight 1 0 $2,216.86 — — — — 2025-01-01
100379 CDM Drill, Speed Guide Ao 2.6mm X 30mm 1 0 $1,179.68 — — — — 2025-01-01
100380 CDM Drill, Modular 12mm Sterile 1 0 $1,389.92 — — — — 2025-01-01
100381 CDM Glidewire, .45/350cm Angled Stiff 1 0 $515.09 — — — — 2025-01-01
100382 CDM Drill, Bit Cannulated 10mm X 190mm Sterile 1 0 $3,508.56 — — — — 2025-01-01
10039 CDM Acetylcysteine 6 G/30 Ml Vial (Oral Use) 1 0 $191.65 — — — — 2025-01-01
10040 CDM Acyclovir 200 Mg Cap 1 0 $16.15 — — — — 2025-01-01
10041 CDM Acyclovir Sodium 500 Mg Vial 1 0 $96.75 — — — — 2025-01-01
100412 CDM Tube, G-jet Enternal Gastric-jejunal 8fr X 3.0cm X 45cm 1 0 $3,375.52 — — — — 2025-01-01
10043 CDM Adenosine 6 Mg/2 Ml Vial 1 0 $49.85 — — — — 2025-01-01
10045 CDM Cath, Balloon Impact 18x4x75 1 0 $2,244.20 — — — — 2025-01-01
100452 CDM Syringe, Barrigel Individual 1 0 $6,832.80 — — — — 2025-01-01
10046 CDM Albumin 25% 100 Ml 25 G 1 0 $774.95 — — — — 2025-01-01
10047 CDM Albumin 25% 50 Ml 12.5 G 1 0 $391.70 — — — — 2025-01-01
100471 CDM Etomidate 20 Mg/10 Ml Vial 1 0 $52.25 — — — — 2025-01-01
100473 CDM Tobramycin-dexamethasone 0.3%-0.1% Ophth Susp 2.5 Ml 1 0 $434.35 — — — — 2025-01-01
10049 CDM Albumin 5% 250 Ml 12.5 G 1 0 $328.60 — — — — 2025-01-01
100496 CDM Guidewire, Aristotle Colossus 0.035 X 200cm 1 0 $7,592.00 — — — — 2025-01-01
10050 CDM Albumin 5% 500 Ml 25 G 1 0 $699.75 — — — — 2025-01-01
10060 HCPCS I&d,abscess,simple/single 1 0 $777.06 — — — — 2025-01-01
10060 CDM Dehydrated Alcohol Inj, Usp 5 Ml Amp 1 0 $5,875.50 — — — — 2025-01-01
100693 CDM amLODIPine 5 Mg Tab 1 0 $18.10 — — — — 2025-01-01
100694 CDM amLODIPine 10 Mg Tab 1 0 $21.70 — — — — 2025-01-01
10075 CDM Alprostadil 500 Mcg/1 Ml Amp Inj 1 0 $1,090.40 — — — — 2025-01-01
100768 CDM Fluocinonide 0.05% Top Soln 20 Ml Btl 1 0 $346.40 — — — — 2025-01-01
10077 CDM Alteplase 50 Mg Vial 1 0 $29,155.25 — — — — 2025-01-01
10078 CDM Alum Powder, Usp 1 0 $128.45 — — — — 2025-01-01
100866 CDM Erythromycin 0.5% Ophth Ud 1 G Tube 1 0 $59.50 — — — — 2025-01-01
10089 CDM Amantadine 100 Mg Cap/Tab 1 0 $28.90 — — — — 2025-01-01
10090 CDM Amantadine Syrup Oral Syringe [trn] 1 0 $9.30 — — — — 2025-01-01
10091 CDM Amikacin Nicu/ped Syringe 1 0 $24.70 — — — — 2025-01-01
10092 CDM Amikacin 1 G/4 Ml Vial 1 0 $162.80 — — — — 2025-01-01
10093 CDM Amikacin 500 Mg/2 Ml Vial 1 0 $85.60 — — — — 2025-01-01
100982 CDM Clarithromycin 500 Mg Tab 1 0 $49.50 — — — — 2025-01-01
100983 CDM Clarithromycin 250 Mg Tab 1 0 $42.70 — — — — 2025-01-01
10099 CDM Aminocaproic Acid 5 G/20 Ml Vial 1 0 $59.70 — — — — 2025-01-01
101 MS_DRG Seizures Without Mcc 28 13 — — — — — 2025-01-01
10100 CDM Aminocaproic Acid Oral Syringe 1 0 $91.70 — — — — 2025-01-01
10101 CDM Aminocaproic Acid 500 Mg Tab 1 0 $50.45 — — — — 2025-01-01
10107 CDM Aminophylline 250 Mg/10 Ml Vial 1 0 $117.90 — — — — 2025-01-01
10111 CDM Amiodarone 200 Mg Tab 1 0 $28.30 — — — — 2025-01-01
10113 CDM Amitriptyline 100 Mg Tab 1 0 $16.85 — — — — 2025-01-01
10116 CDM Amitriptyline 50 Mg Tab 1 0 $14.65 — — — — 2025-01-01
10117 CDM Amitriptyline 75 Mg Tab 1 0 $19.10 — — — — 2025-01-01
10122 CDM Amoxicillin 125 Mg/5 Ml Susp 100 Ml Btl [mtn] 1 0 $10.55 — — — — 2025-01-01
1013 CDM miFEPRIStone 200 Mg Tab 1 0 $536.75 — — — — 2025-01-01
10131 CDM Cath, Balloon Rx Retrieval 9-12 Mm Above 1 0 $829.08 — — — — 2025-01-01
10133 CDM Amoxicillin-clavulanate 250 Mg Tab 1 0 $43.20 — — — — 2025-01-01
10135 CDM Amoxicillin-clavulanate 500 Mg Tab 1 0 $30.65 — — — — 2025-01-01
10136 CDM Amphotericin B (in Mcg) For Build Of Ophth Inj 1 0 $339.65 — — — — 2025-01-01
10137 CDM Amphotericin B 0.15% Ophth Soln 10 Ml 1 0 $360.65 — — — — 2025-01-01
10139 CDM Ampicillin Sodium 125 Mg Vial 1 0 $37.25 — — — — 2025-01-01
10140 HCPCS I&d,abscess Or Hematoma 1 0 $2,810.85 — — — — 2025-01-01
10141 CDM Ampicillin Sodium 1 G Vial 1 0 $41.55 — — — — 2025-01-01
10144 CDM Ampicillin Sodium 250 Mg Vial 1 0 $31.55 — — — — 2025-01-01
10146 CDM Ampicillin Sodium 2 G Vial 1 0 $58.10 — — — — 2025-01-01
10148 CDM Ampicillin Sodium 500 Mg Vial 1 0 $31.35 — — — — 2025-01-01
10151 CDM Ampicillin-sulbactam 1.5 G Vial 1 0 $42.40 — — — — 2025-01-01
10152 CDM Ampicillin-sulbactam 3 G Vial 1 0 $104.90 — — — — 2025-01-01
10155 CDM Lipase 10,500 Unit-protease-amylase Cap 1 0 $30.65 — — — — 2025-01-01
10156 CDM Lipase 16,800 Unit-protease-amylase Cap 1 0 $44.10 — — — — 2025-01-01
10157 CDM Lipase 4,200 Unit-protease-amylase Cap 1 0 $17.30 — — — — 2025-01-01
10160 HCPCS Aspirat,punct,abscess/hematoma/cyst 1 0 $253.06 — — — — 2025-01-01
10170 CDM Cath, Balloon Sterling Rx 5.5x30x135 1 0 $986.73 — — — — 2025-01-01
10175 CDM Apraclonidine 1% Ophth Soln 2 X 0.1 Ml 1 0 $399.05 — — — — 2025-01-01
10176 CDM Arginine 10% 30 G/300 Ml IV Btl 1 0 $303.65 — — — — 2025-01-01
10180 HCPCS I&d,cmplx Post-op Wound Infect 1 0 $343.15 — — — — 2025-01-01
10183 CDM Ascorbic Acid Inj 50 Ml Mdv 1 0 $46.55 — — — — 2025-01-01
10192 CDM Butalbital-aspirin-caffeine Capsule 1 0 $18.40 — — — — 2025-01-01
10195 CDM Atenolol 100 Mg Tab 1 0 $17.20 — — — — 2025-01-01
102 MS_DRG Headaches With Mcc 6 5 — — — — — 2025-01-01
10204 CDM Atropine 1% Ophth Soln 5 Ml [trn] 1 0 $351.15 — — — — 2025-01-01
10209 CDM Aztreonam 1 G Vial 1 0 $227.05 — — — — 2025-01-01
10210 CDM Aztreonam 2 G Vial 1 0 $402.25 — — — — 2025-01-01
10212 CDM Bacitracin Oint Tube 1 0 $28.80 — — — — 2025-01-01
10214 CDM Bacitracin Ophth Oint 3.5 G Tube 1 0 $769.70 — — — — 2025-01-01
102167 CDM Miconazole Cream 2% 1 Oz Tube 1 0 $39.35 — — — — 2025-01-01
10218 CDM Neomycin-polymyxin-bacitracin Oint 28.4 G 1 0 $44.55 — — — — 2025-01-01
10220 CDM Bacitracin-polymyxin B Oint Tube 1 0 $28.00 — — — — 2025-01-01
10221 CDM Baclofen 10 Mg Tab 1 0 $21.70 — — — — 2025-01-01
10223 CDM Baclofen Soln Oral Syringe 1 0 $16.15 — — — — 2025-01-01
10245 CDM Benztropine 2 Mg/2 Ml Amp/Vial 1 0 $422.45 — — — — 2025-01-01
10249 CDM Betamethasone 30 Mg/5 Ml Mdv 1 0 $307.95 — — — — 2025-01-01
10252 CDM Betamethasone Diprop 0.05% Crm 15 G 1 0 $286.50 — — — — 2025-01-01
10253 CDM Betamethasone Diprop 0.05% Oint 15 G 1 0 $369.40 — — — — 2025-01-01
102536 CDM Acetaminophen 650 Mg Ud Cup 1 0 $22.75 — — — — 2025-01-01
102549 CDM NIFEdipine ER 30 Mg Tab 1 0 $15.15 — — — — 2025-01-01
102551 CDM NIFEdipine ER 60 Mg Tab 1 0 $25.85 — — — — 2025-01-01
102553 CDM NIFEdipine ER 90 Mg Tab 1 0 $25.60 — — — — 2025-01-01
102557 CDM Isosorbide Mononitrate 60 Mg Sr Tab 1 0 $20.50 — — — — 2025-01-01
10257 CDM Betamethasone Valerate 0.1% Crm 15 G 1 0 $139.75 — — — — 2025-01-01
10258 CDM Betamethasone Valerate 0.1% Oint 15 G 1 0 $131.05 — — — — 2025-01-01
10264 CDM Bethanechol 10 Mg Tab 1 0 $17.85 — — — — 2025-01-01
10265 CDM Bethanechol 25 Mg Tab 1 0 $24.10 — — — — 2025-01-01
10274 CDM Bisacodyl 10 Mg/37 Ml Enema 1 0 $23.10 — — — — 2025-01-01
10276 CDM Bleomycin 15 Unit Vial 1 0 $134.75 — — — — 2025-01-01
10279 CDM Bromocriptine 2.5 Mg Tab 1 0 $57.00 — — — — 2025-01-01
10280 CDM Bromocriptine 5 Mg Cap 1 0 $63.10 — — — — 2025-01-01
10283 CDM Cath, Balloon Viatrac 5.0/30 1 0 $1,015.92 — — — — 2025-01-01
10284 CDM BUPivacaine 0.25% Mpf 30 Ml Vial 1 0 $19.90 — — — — 2025-01-01
10285 CDM BUPivacaine 0.25%-epi 1:200,000 50 Ml Mdv - Rx Cmpd Only 1 0 $128.35 — — — — 2025-01-01
10286 CDM BUPivacaine 0.5%-epi 1:200,000 30 Ml Sdv 1 0 $27.85 — — — — 2025-01-01
10287 CDM BUPivacaine 0.75%-epi 1:200,000 30 Ml Sdv 1 0 $63.10 — — — — 2025-01-01
10288 CDM BUPivacaine Mpf 0.25% Steripak 1 0 $54.20 — — — — 2025-01-01
10289 CDM BUPivacaine 0.5% Mpf 30 Ml Vial 1 0 $28.00 — — — — 2025-01-01
10290 CDM BUPivacaine 0.25%-epi 1:200,000 30 Ml Sdv 1 0 $38.65 — — — — 2025-01-01
10291 CDM BUPivacaine 0.5% 50 Ml Mdv 1 0 $49.50 — — — — 2025-01-01
10292 CDM BUPivacaine 0.125% Built For Use In On-q Pump 1 0 $31.95 — — — — 2025-01-01
10294 CDM busPIRone 10 Mg Tab 1 0 $16.10 — — — — 2025-01-01
10297 CDM Butalbital-acetaminophen-caffeine Tab 1 0 $19.90 — — — — 2025-01-01
103 MS_DRG Headaches Without Mcc 26 13 — — — — — 2025-01-01
10301 CDM Caffeine Oral Soln 20 Mg/ML 3 Ml Btl 1 0 $92.95 — — — — 2025-01-01
10304 CDM Cath, Berenstein 4 Fr 1 0 $82.79 — — — — 2025-01-01
10305 CDM Cath, Berenstein 4 Fr. 65cm 1 0 $82.77 — — — — 2025-01-01
10306 CDM Calcitriol 1 Mcg/1 Ml Amp Inj 1 0 $60.20 — — — — 2025-01-01
10308 CDM Calcitriol 0.5 Mcg Cap 1 0 $19.80 — — — — 2025-01-01
10312 CDM Calcium Chloride 1000 Mg/10 Ml Vial 1 0 $52.15 — — — — 2025-01-01
10316 CDM Edetate Calcium Disodium 1000 Mg/5 Ml Vial 1 0 $43,028.85 — — — — 2025-01-01
103167 CDM Vinorelbine 50 Mg/5 Ml Vial 1 0 $378.90 — — — — 2025-01-01
10318 CDM Calcium Gluconate 1000 Mg/10 Ml Vial 1 0 $74.80 — — — — 2025-01-01
103188 CDM Sodium Hyaluronate 0.85 Ml Ophth Syr (Provisc) 1 0 $1,670.25 — — — — 2025-01-01
103255 CDM Mesalamine 250 Mg Cr Cap 1 0 $29.85 — — — — 2025-01-01
10328 CDM Candida Albicans Skin Test 1 0 $216.95 — — — — 2025-01-01
10330 CDM Captopril 12.5 Mg Tab 1 0 $17.60 — — — — 2025-01-01
10331 CDM Captopril 25 Mg Tab 1 0 $19.00 — — — — 2025-01-01
10332 CDM Captopril 50 Mg Tab 1 0 $25.45 — — — — 2025-01-01
10337 CDM Cath, Cholangiogram 4.5fr 18" 1 0 $291.93 — — — — 2025-01-01
10339 CDM carBAMazepine Susp Nicu/ped-oral Syringe 1 0 $11.50 — — — — 2025-01-01
10340 CDM carBAMazepine 200 Mg Tab 1 0 $15.00 — — — — 2025-01-01
10341 CDM Carbamide Peroxide Otic Soln 15 Ml Btl 1 0 $20.05 — — — — 2025-01-01
10342 CDM Carbamide Peroxide Oral Liquid 1 0 $62.40 — — — — 2025-01-01
10344 CDM CARBOplatin 150 Mg Mdv 1 0 $14.20 — — — — 2025-01-01
10345 CDM CARBOplatin 450 Mg Mdv 1 0 $14.40 — — — — 2025-01-01
103456 CDM DOBUTamine For Premix IV Set 1 0 $202.05 — — — — 2025-01-01
10346 CDM CARBOplatin 50 Mg Mdv 1 0 $42.40 — — — — 2025-01-01
10347 CDM Carboprost Tromethamine 250 Mcg Inj 1 0 $994.60 — — — — 2025-01-01
10350 CDM Cath, Closure Fast 7fr 60cm 1 0 $6,130.55 — — — — 2025-01-01
103515 CDM Oxacillin Sodium 1 G Vial 1 0 $88.50 — — — — 2025-01-01
10353 CDM Carmustine 100 Mg Vial 1 0 $10,863.95 — — — — 2025-01-01
103559 CDM Diclofenac 0.1% Ophth Soln 5 Ml 1 0 $437.15 — — — — 2025-01-01
10356 CDM ceFAZolin 5% Ophth Soln 10 Ml 1 0 $22.55 — — — — 2025-01-01
10357 CDM Cath, Coude Foley 16f 5cc 1 0 $53.60 — — — — 2025-01-01
10358 CDM ceFAZolin 1 G Vial 1 0 $17.50 — — — — 2025-01-01
10359 CDM ceFAZolin 500 Mg Vial 1 0 $21.70 — — — — 2025-01-01
10360 CDM Cath, Coude Foley 22f 5cc 1 0 $53.60 — — — — 2025-01-01
10361 CDM Cath, Coude No Balloon 14fr 1 0 $21.66 — — — — 2025-01-01
10362 CDM Cath, Coude No Balloon 16fr 1 0 $21.66 — — — — 2025-01-01
10363 CDM Cath, Coude No Balloon 18fr 1 0 $21.66 — — — — 2025-01-01
10364 CDM Cath, Council 16 Fr 1 0 $77.31 — — — — 2025-01-01
10366 CDM Cath, Council 18 Fr 1 0 $77.31 — — — — 2025-01-01
10367 CDM Cath, Council 20fr 1 0 $77.31 — — — — 2025-01-01
103674 CDM Hepatitis A Vaccine (Adult) 1440 Unit Syr 1 0 $591.25 — — — — 2025-01-01
10368 CDM Cath, Council 22fr 1 0 $77.31 — — — — 2025-01-01
103707 CDM Orrx Albuterol Oral Inhaler - 6.7 G 1 0 $442.95 — — — — 2025-01-01
10374 CDM cefTAZidime 1 G Vial 1 0 $38.25 — — — — 2025-01-01
103776 CDM Divalproex 125 Mg Delayed Release Sprinkle Cap 1 0 $15.00 — — — — 2025-01-01
10378 CDM cefTRIAXone 1 G Vial 1 0 $18.55 — — — — 2025-01-01
103782 CDM Pravastatin 20 Mg Tab 1 0 $23.10 — — — — 2025-01-01
10379 CDM cefTRIAXone 2 G Vial 1 0 $27.60 — — — — 2025-01-01
103824 CDM Fluconazole Susp Oral Syringe 1 0 $30.15 — — — — 2025-01-01
103825 CDM Fluconazole 150 Mg Tab 1 0 $90.25 — — — — 2025-01-01
103837 CDM Morphine Syr/Vial 4 Mg/1 Ml 1 0 $22.95 — — — — 2025-01-01
10387 CDM Cefuroxime Sodium 1.5 G Vial 1 0 $47.15 — — — — 2025-01-01
10388 CDM Cefuroxime Sodium 750 Mg Vial 1 0 $27.80 — — — — 2025-01-01
103885 CDM Rocuronium 50 Mg/5 Ml Inj 1 0 $41.45 — — — — 2025-01-01
103888 CDM diazePAM 5 Mg/5 Ml Ud Cup 1 0 $35.45 — — — — 2025-01-01
103900 CDM Botulinum Toxin Type A 100 Unit 1 0 $3,989.45 — — — — 2025-01-01
10391 CDM Cephalexin 125 Mg/5 Ml 100 Ml Btl [mtn] 1 0 $15.30 — — — — 2025-01-01
103912 CDM oxyCODONE Liq 5 Mg/5 Ml Ud Cup 1 0 $59.05 — — — — 2025-01-01
10394 CDM Cephalexin Susp (250 Mg/5 Ml) Oral Syr 1 0 $10.15 — — — — 2025-01-01
10396 CDM Cephalexin 500 Mg Cap 1 0 $16.40 — — — — 2025-01-01
103970 CDM cycloSPORINE, Non-modified 25 Mg Cap 1 0 $37.00 — — — — 2025-01-01
103971 CDM cycloSPORINE, Non-modified 100 Mg Cap 1 0 $122.40 — — — — 2025-01-01
10405 CDM Charcoal Activated 50 G/240 Ml 1 0 $147.25 — — — — 2025-01-01
10407 CDM Cath, Csf Connector Straight 1 0 $525.24 — — — — 2025-01-01
10408 CDM Cath, Csf Dis/card/per Std 90c 1 0 $1,176.77 — — — — 2025-01-01
10409 CDM Cath, Csf Ven/std Bar/imp 23cm 1 0 $1,028.12 — — — — 2025-01-01
10410 CDM Cath, Csf-connector Rt. Angle 1 0 $500.25 — — — — 2025-01-01
10415 CDM Chlorambucil 2 Mg Tab 1 0 $195.25 — — — — 2025-01-01
10419 CDM Chloramphenicol 1 G Vial *nonformulary* 1 0 $330.70 — — — — 2025-01-01
10420 CDM Phenol-sodium Phenolate Spray 177 Ml Btl 1 0 $54.75 — — — — 2025-01-01
104206 CDM NaCl 0.9 / KCl 20 Meq 1l Premix 1 0 $56.75 — — — — 2025-01-01
104222 CDM Milrinone For Premix IV Set 1 0 $109.10 — — — — 2025-01-01
104240 CDM Zinc Oxide Oint 20% 454 G Jar 1 0 $290.20 — — — — 2025-01-01
104270 CDM PENTobarbital Sodium 50 Mg/ML 50 Ml Mdv 1 0 $306.50 — — — — 2025-01-01
10433 CDM Chlorhexidine Gluc 0.12% Oral Syringe 1 0 $9.50 — — — — 2025-01-01
104350 CDM Trifluoperazine 2 Mg Tab 1 0 $20.20 — — — — 2025-01-01
10436 CDM Chloroprocaine 3% 20 Ml Vial 1 0 $156.70 — — — — 2025-01-01
10437 CDM Chloroquine Phosphate 250 Mg Tab 1 0 $23.05 — — — — 2025-01-01
104386 CDM Varicella Virus Vaccine Live 0.5 Ml Vial 1 0 $1,236.35 — — — — 2025-01-01
10445 CDM chlorproMAZINE 100 Mg Tab 1 0 $135.15 — — — — 2025-01-01
10446 CDM chlorproMAZINE 10 Mg Tab 1 0 $38.65 — — — — 2025-01-01
10449 CDM chlorproMAZINE 25 Mg Tab 1 0 $45.10 — — — — 2025-01-01
10452 CDM chlorproMAZINE 50 Mg Tab 1 0 $69.35 — — — — 2025-01-01
10453 CDM chlorproMAZINE 50 Mg/2 Ml Amp 1 0 $227.70 — — — — 2025-01-01
10455 CDM Cath, Drainage All Purpose 12frx25cm 1 0 $420.38 — — — — 2025-01-01
10456 CDM Cath, Drainage All Purpose 16fr X 25cm 1 0 $395.28 — — — — 2025-01-01
10457 CDM Chlorthalidone 25 Mg Tab 1 0 $21.90 — — — — 2025-01-01
10458 CDM Chlorthalidone 50 Mg Tab 1 0 $17.20 — — — — 2025-01-01
104586 CDM Atovaquone Susp Oral Syringe 1 0 $46.95 — — — — 2025-01-01
10461 CDM Cholestyramine Powder 9 G Pkt 1 0 $28.10 — — — — 2025-01-01
10462 CDM Cholestyramine 4.89% Oint [trn] 1 0 $24.25 — — — — 2025-01-01
10467 CDM Cath, Echelon 14 Micro 1 0 $4,962.82 — — — — 2025-01-01
104675 CDM Hydrocortisone Oint 2.5% Tube 1 0 $73.00 — — — — 2025-01-01
10468 CDM Cath, Echelon 14-45 Micro 1 0 $5,056.29 — — — — 2025-01-01
10471 CDM Ciprofloxacin 400 Mg / 200 Ml Premix 1 0 $54.75 — — — — 2025-01-01
10472 CDM Ciprofloxacin 250 Mg Tab 1 0 $34.50 — — — — 2025-01-01
104737 CDM Azithromycin 1 G Powder 1 0 $179.40 — — — — 2025-01-01
10478 CDM Citric Acid-sodium Citrate Oral Syringe 1 0 $8.65 — — — — 2025-01-01
10487 CDM Clindamycin Oral Soln Oral Syringe 1 0 $12.10 — — — — 2025-01-01
10488 CDM Clindamycin Phosphate 300 Mg/2 Ml Vial 1 0 $24.90 — — — — 2025-01-01
10490 CDM Clindamycin Phosphate 600 Mg/4 Ml Vial 1 0 $27.95 — — — — 2025-01-01
10497 CDM Clobetasol 0.05% Topical Soln 25 Ml 1 0 $614.00 — — — — 2025-01-01
10498 CDM Clobetasol 0.05% Cream 30 G Tube 1 0 $1,513.80 — — — — 2025-01-01
10512 CDM cloNIDine 0.1 Mg/24 Hr Patch 1 0 $202.85 — — — — 2025-01-01
10514 CDM cloNIDine 0.2 Mg/24 Hr Patch 1 0 $335.80 — — — — 2025-01-01
10515 CDM Cath, Excelsior Sl-10 1.7fr 150cm Micro 1 0 $6,972.18 — — — — 2025-01-01
10516 CDM cloNIDine 0.3 Mg/24 Hr Patch 1 0 $462.55 — — — — 2025-01-01
105180 CDM Dorzolamide 2% Ophth Soln 10 Ml 1 0 $277.80 — — — — 2025-01-01
10519 CDM Clorazepate 3.75 Mg Tab 1 0 $15.45 — — — — 2025-01-01
10522 CDM Clotrimazole Vag Crm 45 G Tube 1 0 $78.90 — — — — 2025-01-01
10523 CDM Clotrimazole 1% Cream Tube 1 0 $58.85 — — — — 2025-01-01
10525 CDM Clotrimazole 10 Mg Oral Lozenge 1 0 $17.90 — — — — 2025-01-01
10526 CDM cloZAPine 100 Mg Tab 1 0 $28.50 — — — — 2025-01-01
10527 CDM cloZAPine 25 Mg Tab 1 0 $16.20 — — — — 2025-01-01
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