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Hospital

Continuecare Hospital At Baptist Hlth Madisonville

Madisonville, KY · CCN 182009 · Rates published

359 distinct procedures filed
5 distinct payers
2,186 rate rows
2026-07-31 last MRF observed
Data quality

791 of 2,186 rate rows are consumer-grade (36.2%)

1,395 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 1,184
exceeds 10× this hospital's gross charge — excluded from medians 158
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 53
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/YEVG-1730316751634/machine-readable/465033192_continuecare-hospital-at-baptist-health-deaconess-madisonville_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/continuecare-baptist-madisonville-ky
Discovered viaCMS hospital list
Last fetch success · 2026-09-25
Content fingerprint ce3c790b7e6279de… · 463,790 bytes · first seen 2026-09-25

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
CP17660067616947629
CDM 		Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 2 $295,561.00 $316,673.00 $306,117.00 nat. median
$306,117
1.0× median
CP17660067616941551
CDM 		Other Resp System O.r. Procedures W Mcc 2 $276,797.00 $296,568.00 $286,682.50 nat. median
$286,682
1.0× median
CP17660067616941263
CDM 		Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 2 $211,992.00 $227,135.00 $219,563.50 nat. median
$219,564
1.0× median
CP17660067616941047
CDM 		Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 $205,562.00 $220,245.00 $212,903.50 nat. median
$212,904
1.0× median
CP17660067616966050
CDM 		Complications Of Treatment W Cc 2 $197,979.00 $212,120.00 $205,049.50 nat. median
$205,050
1.0× median
CP17660067616949890
CDM 		Other Digestive System O.r. Procedures W Mcc 2 $180,711.00 $193,619.00 $187,165.00 nat. median
$187,165
1.0× median
CP17660067616948308
CDM 		Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc 2 $171,224.00 $183,455.00 $177,339.50 nat. median
$177,340
1.0× median
CP17660067616964330
CDM 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 2 $164,882.00 $176,660.00 $170,771.00 nat. median
$170,771
1.0× median
CP17660067616966081
CDM 		Inflammation Of The Male Reproductive System W Mcc 2 $152,644.00 $163,547.00 $158,095.50 nat. median
$158,096
1.0× median
CP17660067616956102
CDM 		Skin Debridement W Mcc 2 $147,650.00 $158,196.00 $152,923.00 nat. median
$152,923
1.0× median
CP17660067616949209
CDM 		G.i. Obstruction W Mcc 2 $140,407.00 $150,436.00 $145,421.50 nat. median
$145,422
1.0× median
CP17660067616964681
CDM 		Septicemia W Mv 96+ Hours 2 $137,648.00 $147,480.00 $142,564.00 nat. median
$142,564
1.0× median
CP17660067616966136
CDM 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 2 $132,705.00 $142,184.00 $137,444.50 nat. median
$137,444
1.0× median
CP17660067616950101
CDM 		Aftercare, Musculoskeletal System & Connective Tissue W Cc 2 $130,467.00 $139,786.00 $135,126.50 nat. median
$135,126
1.0× median
CP17660067616962821
CDM 		O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 2 $111,143.00 $119,081.00 $115,112.00 nat. median
$115,112
1.0× median
CP17660067616954764
CDM 		Other Skin, Subcut Tiss & Breast Proc W Mcc 2 $110,652.00 $118,556.00 $114,604.00 nat. median
$114,604
1.0× median
CP17660067616949070
CDM 		Other Disorders Of Nervous System W Mcc 2 $103,237.00 $110,611.00 $106,924.00 nat. median
$106,924
1.0× median
CP17660067616946723
CDM 		Degenerative Nervous System Disorders W Mcc 2 $102,925.00 $110,277.00 $106,601.00 nat. median
$106,601
1.0× median
CP17660067616941895
CDM 		Pulmonary Edema & Respiratory Failure 2 $100,712.00 $107,906.00 $104,309.00 nat. median
$104,309
1.0× median
3
OTHER 		Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 5 $1,803.53 $135,960.47 $96,871.84 nat. median
$10,971
outlier · 8.8×
CP17660067616964914
CDM 		Infectious & Parasitic Diseases W O.r. Procedure W Cc 2 $89,993.00 $96,421.00 $93,207.00 nat. median
$93,207
1.0× median
CP17660067616953034
CDM 		Aftercare, Musculoskeletal System & Connective Tissue W Mcc 2 $88,459.00 $94,778.00 $91,618.50 nat. median
$91,618
1.0× median
CP17660067616957533
CDM 		Minor Skin Disorders W Mcc 2 $87,263.00 $93,497.00 $90,380.00 nat. median
$90,380
1.0× median
CP17660067616965897
CDM 		Renal Failure W Mcc 2 $86,685.00 $92,876.00 $89,780.50 nat. median
$89,780
1.0× median
166
OTHER 		Other Resp System O.r. Procedures W Mcc 3 $62,884.44 $88,258.86 $88,258.86 nat. median
$27,663
outlier · 3.2×
CP17660067616963246
CDM 		Other Endocrine, Nutrit & Metab O.r. Proc W Cc 2 $83,789.00 $89,774.00 $86,781.50 nat. median
$86,782
1.0× median
981
OTHER 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 $60,650.89 $85,124.06 $85,124.06 nat. median
$25,568
outlier · 3.3×
CP17660067616962391
CDM 		Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc 2 $79,071.00 $84,719.00 $81,895.00 nat. median
$81,895
1.0× median
CP17660067616960725
CDM 		Septicemia Without Mv 96+ Hours W Mcc 2 $78,831.00 $84,461.00 $81,646.00 nat. median
$81,646
1.0× median
CP17660067616940708
CDM 		Osteomyelitis Without Cc/mcc 2 $78,540.00 $84,150.00 $81,345.00 nat. median
$81,345
1.0× median
CP17660067616945810
CDM 		Other Digestive System Diagnoses W Mcc 2 $77,629.00 $83,174.00 $80,401.50 nat. median
$80,402
1.0× median
CP17660067616941606
CDM 		Disorders Of Pancreas Except Malignancy W Mcc 2 $71,869.00 $77,003.00 $74,436.00 nat. median
$74,436
1.0× median
4
OTHER 		Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 5 $1,803.53 $104,263.27 $74,287.58 nat. median
$7,428
outlier · 10.0×
987
OTHER 		Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 3 $52,858.88 $74,187.90 $74,187.90 nat. median
$19,611
outlier · 3.8×
CP17660067616948970
CDM 		Soft Tissue Procedures W Cc 2 $70,751.00 $75,805.00 $73,278.00 nat. median
$73,278
1.0× median
CP17660067616946482
CDM 		Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc 2 $67,288.00 $72,094.00 $69,691.00 nat. median
$69,691
1.0× median
CP17660067616969868
CDM 		Wound Debridements For Injuries W Mcc 2 $66,848.00 $71,623.00 $69,235.50 nat. median
$69,236
1.0× median
240
OTHER 		Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 3 $47,094.45 $66,097.47 $66,097.47 nat. median
$17,769
outlier · 3.7×
CP17660067616943178
CDM 		Respiratory Infections & Inflammations W Mcc 2 $62,807.00 $67,294.00 $65,050.50 nat. median
$65,050
1.0× median
CP17660067616962248
CDM 		HIV W Major Related Condition W Cc 2 $62,521.00 $66,987.00 $64,754.00 nat. median
$64,754
1.0× median
853
OTHER 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 3 $46,080.66 $64,674.61 $64,674.61 nat. median
$20,955
outlier · 3.1×
CP17660067616951754
CDM 		Cellulitis W Mcc 2 $62,310.00 $66,761.00 $64,535.50 nat. median
$64,536
1.0× median
CP17660067616950543
CDM 		Cellulitis Without Mcc 2 $62,302.00 $66,752.00 $64,527.00 nat. median
$64,527
1.0× median
CP17660067616944678
CDM 		Acute & Subacute Endocarditis W Mcc 2 $61,993.00 $66,421.00 $64,207.00 nat. median
$64,207
1.0× median
CP17660067616968972
CDM 		Diabetes W Cc 2 $61,748.00 $66,158.00 $63,953.00 nat. median
$63,953
1.0× median
356
OTHER 		Other Digestive System O.r. Procedures W Mcc 3 $43,082.09 $60,466.09 $60,466.09 nat. median
$18,528
outlier · 3.3×
CP17660067616968832
CDM 		Nutritional & Misc Metabolic Disorders Without Mcc 2 $55,981.00 $59,980.00 $57,980.50 nat. median
$57,980
1.0× median
CP17660067616941557
CDM 		Bacterial & Tuberculous Infections Of Nervous System W Mcc 2 $55,472.00 $59,434.00 $57,453.00 nat. median
$57,453
1.0× median
CP17660067616961727
CDM 		Aftercare W Cc/mcc 2 $52,856.00 $56,631.00 $54,743.50 nat. median
$54,744
1.0× median
901
OTHER 		Wound Debridements For Injuries W Mcc 3 $38,168.28 $53,569.51 $53,569.51 nat. median
$1,591
outlier · 33.7×

Other procedures at this hospital

Browse this hospital's 359 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
CP17660067616947629 CDM Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 2 2 $422,230.00 $422,230.00 $295,561.00 $316,673.00 $306,117.00 2025-11-25
CP17660067616941551 CDM Other Resp System O.r. Procedures W Mcc 2 2 $395,424.00 $395,424.00 $276,797.00 $296,568.00 $286,682.50 2025-11-25
CP17660067616941263 CDM Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 2 2 $302,846.00 $302,846.00 $211,992.00 $227,135.00 $219,563.50 2025-11-25
CP17660067616941047 CDM Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 2 $293,660.00 $293,660.00 $205,562.00 $220,245.00 $212,903.50 2025-11-25
CP17660067616966050 CDM Complications Of Treatment W Cc 2 2 $282,827.00 $282,827.00 $197,979.00 $212,120.00 $205,049.50 2025-11-25
CP17660067616949890 CDM Other Digestive System O.r. Procedures W Mcc 2 2 $258,158.00 $258,158.00 $180,711.00 $193,619.00 $187,165.00 2025-11-25
CP17660067616948308 CDM Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc 2 2 $244,606.00 $244,606.00 $171,224.00 $183,455.00 $177,339.50 2025-11-25
CP17660067616964330 CDM Infectious & Parasitic Diseases W O.r. Procedure W Mcc 2 2 $235,546.00 $235,546.00 $164,882.00 $176,660.00 $170,771.00 2025-11-25
CP17660067616966081 CDM Inflammation Of The Male Reproductive System W Mcc 2 2 $218,063.00 $218,063.00 $152,644.00 $163,547.00 $158,095.50 2025-11-25
CP17660067616956102 CDM Skin Debridement W Mcc 2 2 $210,928.00 $210,928.00 $147,650.00 $158,196.00 $152,923.00 2025-11-25
CP17660067616949209 CDM G.i. Obstruction W Mcc 2 2 $200,581.00 $200,581.00 $140,407.00 $150,436.00 $145,421.50 2025-11-25
CP17660067616964681 CDM Septicemia W Mv 96+ Hours 2 2 $196,640.00 $196,640.00 $137,648.00 $147,480.00 $142,564.00 2025-11-25
CP17660067616966136 CDM Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 2 2 $189,579.00 $189,579.00 $132,705.00 $142,184.00 $137,444.50 2025-11-25
CP17660067616950101 CDM Aftercare, Musculoskeletal System & Connective Tissue W Cc 2 2 $186,381.00 $186,381.00 $130,467.00 $139,786.00 $135,126.50 2025-11-25
CP17660067616962821 CDM O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 2 2 $158,775.00 $158,775.00 $111,143.00 $119,081.00 $115,112.00 2025-11-25
CP17660067616954764 CDM Other Skin, Subcut Tiss & Breast Proc W Mcc 2 2 $158,074.00 $158,074.00 $110,652.00 $118,556.00 $114,604.00 2025-11-25
CP17660067616949070 CDM Other Disorders Of Nervous System W Mcc 2 2 $147,481.00 $147,481.00 $103,237.00 $110,611.00 $106,924.00 2025-11-25
CP17660067616946723 CDM Degenerative Nervous System Disorders W Mcc 2 2 $147,036.00 $147,036.00 $102,925.00 $110,277.00 $106,601.00 2025-11-25
CP17660067616941895 CDM Pulmonary Edema & Respiratory Failure 2 2 $143,874.00 $143,874.00 $100,712.00 $107,906.00 $104,309.00 2025-11-25
3 OTHER Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 5 5 $499,971.41 $499,971.41 $1,803.53 $135,960.47 $96,871.84 2026-07-31
CP17660067616964914 CDM Infectious & Parasitic Diseases W O.r. Procedure W Cc 2 2 $128,561.00 $128,561.00 $89,993.00 $96,421.00 $93,207.00 2025-11-25
CP17660067616953034 CDM Aftercare, Musculoskeletal System & Connective Tissue W Mcc 2 2 $126,370.00 $126,370.00 $88,459.00 $94,778.00 $91,618.50 2025-11-25
CP17660067616957533 CDM Minor Skin Disorders W Mcc 2 2 $124,662.00 $124,662.00 $87,263.00 $93,497.00 $90,380.00 2025-11-25
CP17660067616965897 CDM Renal Failure W Mcc 2 2 $123,835.00 $123,835.00 $86,685.00 $92,876.00 $89,780.50 2025-11-25
166 OTHER Other Resp System O.r. Procedures W Mcc 3 3 $308,890.63 $308,890.63 $62,884.44 $88,258.86 $88,258.86 2026-07-31
CP17660067616963246 CDM Other Endocrine, Nutrit & Metab O.r. Proc W Cc 2 2 $119,698.00 $119,698.00 $83,789.00 $89,774.00 $86,781.50 2025-11-25
981 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 3 $225,163.29 $225,163.29 $60,650.89 $85,124.06 $85,124.06 2026-07-31
CP17660067616962391 CDM Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc 2 2 $112,959.00 $112,959.00 $79,071.00 $84,719.00 $81,895.00 2025-11-25
CP17660067616960725 CDM Septicemia Without Mv 96+ Hours W Mcc 2 2 $112,615.00 $112,615.00 $78,831.00 $84,461.00 $81,646.00 2025-11-25
CP17660067616940708 CDM Osteomyelitis Without Cc/mcc 2 2 $112,200.00 $112,200.00 $78,540.00 $84,150.00 $81,345.00 2025-11-25
CP17660067616945810 CDM Other Digestive System Diagnoses W Mcc 2 2 $110,899.00 $110,899.00 $77,629.00 $83,174.00 $80,401.50 2025-11-25
CP17660067616941606 CDM Disorders Of Pancreas Except Malignancy W Mcc 2 2 $102,670.00 $102,670.00 $71,869.00 $77,003.00 $74,436.00 2025-11-25
4 OTHER Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 5 5 $417,857.20 $417,857.20 $1,803.53 $104,263.27 $74,287.58 2026-07-31
987 OTHER Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 3 3 $212,982.11 $212,982.11 $52,858.88 $74,187.90 $74,187.90 2026-07-31
CP17660067616948970 CDM Soft Tissue Procedures W Cc 2 2 $101,073.00 $101,073.00 $70,751.00 $75,805.00 $73,278.00 2025-11-25
CP17660067616946482 CDM Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc 2 2 $96,125.00 $96,125.00 $67,288.00 $72,094.00 $69,691.00 2025-11-25
CP17660067616969868 CDM Wound Debridements For Injuries W Mcc 2 2 $95,497.00 $95,497.00 $66,848.00 $71,623.00 $69,235.50 2025-11-25
240 OTHER Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 3 3 $173,269.56 $173,269.56 $47,094.45 $66,097.47 $66,097.47 2026-07-31
CP17660067616943178 CDM Respiratory Infections & Inflammations W Mcc 2 2 $89,725.00 $89,725.00 $62,807.00 $67,294.00 $65,050.50 2025-11-25
CP17660067616962248 CDM HIV W Major Related Condition W Cc 2 2 $89,316.00 $89,316.00 $62,521.00 $66,987.00 $64,754.00 2025-11-25
853 OTHER Infectious & Parasitic Diseases W O.r. Procedure W Mcc 3 3 $122,131.86 $122,131.86 $46,080.66 $64,674.61 $64,674.61 2026-07-31
CP17660067616951754 CDM Cellulitis W Mcc 2 2 $89,015.00 $89,015.00 $62,310.00 $66,761.00 $64,535.50 2025-11-25
CP17660067616950543 CDM Cellulitis Without Mcc 2 2 $89,003.00 $89,003.00 $62,302.00 $66,752.00 $64,527.00 2025-11-25
CP17660067616944678 CDM Acute & Subacute Endocarditis W Mcc 2 2 $88,561.00 $88,561.00 $61,993.00 $66,421.00 $64,207.00 2025-11-25
CP17660067616968972 CDM Diabetes W Cc 2 2 $88,211.00 $88,211.00 $61,748.00 $66,158.00 $63,953.00 2025-11-25
356 OTHER Other Digestive System O.r. Procedures W Mcc 3 3 $249,191.42 $249,191.42 $43,082.09 $60,466.09 $60,466.09 2026-07-31
CP17660067616968832 CDM Nutritional & Misc Metabolic Disorders Without Mcc 2 2 $79,973.00 $79,973.00 $55,981.00 $59,980.00 $57,980.50 2025-11-25
CP17660067616941557 CDM Bacterial & Tuberculous Infections Of Nervous System W Mcc 2 2 $79,245.00 $79,245.00 $55,472.00 $59,434.00 $57,453.00 2025-11-25
CP17660067616961727 CDM Aftercare W Cc/mcc 2 2 $75,508.00 $75,508.00 $52,856.00 $56,631.00 $54,743.50 2025-11-25
901 OTHER Wound Debridements For Injuries W Mcc 3 3 $129,259.83 $129,259.83 $38,168.28 $53,569.51 $53,569.51 2026-07-31
167 OTHER Other Resp System O.r. Procedures W Cc 3 3 $151,001.50 $151,001.50 $38,162.93 $53,562.01 $53,562.01 2026-07-31
673 OTHER Other Kidney & Urinary Tract Procedures W Mcc 3 3 $253,728.92 $253,728.92 $38,141.53 $53,531.97 $53,531.97 2026-07-31
856 OTHER Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 3 3 $123,753.85 $123,753.85 $38,138.86 $53,528.22 $53,528.22 2026-07-31
CP17660067616946009 CDM Nonspecific Cerebrovascular Disorders W Mcc 2 2 $73,542.00 $73,542.00 $51,479.00 $55,157.00 $53,318.00 2025-11-25
570 OTHER Skin Debridement W Mcc 3 3 $110,108.56 $110,108.56 $37,903.46 $53,197.84 $53,197.84 2026-07-31
870 OTHER Septicemia W Mv 96+ Hours 5 5 $263,505.65 $263,505.65 $1,803.53 $73,027.84 $52,032.33 2026-07-31
264 OTHER Other Circulatory System O.r. Procedures 3 3 $259,755.44 $259,755.44 $36,159.42 $50,750.07 $50,750.07 2026-07-31
207 OTHER Respiratory System Diagnosis W Ventilator Support 96+ Hours 5 5 $235,684.86 $235,684.86 $1,803.53 $70,478.69 $50,216.07 2026-07-31
CP17660067616944055 CDM Peripheral Vascular Disorders Without Cc/mcc 2 2 $68,926.00 $68,926.00 $48,248.00 $51,695.00 $49,971.50 2025-11-25
500 OTHER Soft Tissue Procedures W Mcc 3 3 $130,652.67 $130,652.67 $33,982.05 $47,694.10 $47,694.10 2026-07-31
919 OTHER Complications Of Treatment W Mcc 3 3 $233,583.55 $233,583.55 $31,103.84 $43,654.52 $43,654.52 2026-07-31
862 OTHER Postoperative & Post-traumatic Infections W Mcc 3 3 $210,880.14 $210,880.14 $29,089.64 $40,827.56 $40,827.56 2026-07-31
539 OTHER Osteomyelitis W Mcc 3 3 $87,873.36 $87,873.36 $29,052.19 $40,775.00 $40,775.00 2026-07-31
542 OTHER Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc 3 3 $55,921.85 $55,921.85 $28,597.45 $40,136.78 $40,136.78 2026-07-31
917 OTHER Poisoning & Toxic Effects Of Drugs W Mcc 3 3 $175,717.16 $175,717.16 $28,597.45 $40,136.78 $40,136.78 2026-07-31
94 OTHER Bacterial & Tuberculous Infections Of Nervous System W Mcc 3 3 $296,127.91 $296,127.91 $28,527.91 $40,039.17 $40,039.17 2026-07-31
314 OTHER Other Circulatory System Diagnoses W Mcc 3 3 $116,597.59 $116,597.59 $28,463.71 $39,949.06 $39,949.06 2026-07-31
606 OTHER Minor Skin Disorders W Mcc 3 3 $121,472.58 $121,472.58 $27,300.12 $38,315.96 $38,315.96 2026-07-31
548 OTHER Septic Arthritis W Mcc 3 3 $136,042.23 $136,042.23 $26,802.59 $37,617.67 $37,617.67 2026-07-31
637 OTHER Diabetes W Mcc 3 3 $205,654.29 $205,654.29 $26,607.32 $37,343.61 $37,343.61 2026-07-31
592 OTHER Skin Ulcers W Mcc 3 3 $80,929.95 $80,929.95 $25,828.92 $36,251.12 $36,251.12 2026-07-31
371 OTHER Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 3 3 $92,594.05 $92,594.05 $25,358.14 $35,590.37 $35,590.37 2026-07-31
189 OTHER Pulmonary Edema & Respiratory Failure 3 3 $146,602.82 $146,602.82 $25,267.19 $35,462.73 $35,462.73 2026-07-31
CP17660067616949661 CDM Degenerative Nervous System Disorders Without Mcc 2 2 $48,682.00 $48,682.00 $34,077.00 $36,512.00 $35,294.50 2025-11-25
871 OTHER Septicemia Without Mv 96+ Hours W Mcc 3 3 $91,959.57 $91,959.57 $24,849.91 $34,877.06 $34,877.06 2026-07-31
CP17660067616944509 CDM Respiratory System Diagnosis W Ventilator Support <96 Hours 2 2 $47,832.00 $47,832.00 $33,482.00 $35,874.00 $34,678.00 2025-11-25
640 OTHER Nutritional & Misc Metabolic Disorders W Mcc 3 3 $47,983.53 $47,983.53 $24,531.59 $34,430.30 $34,430.30 2026-07-31
559 OTHER Aftercare, Musculoskeletal System & Connective Tissue W Mcc 3 3 $42,930.19 $42,930.19 $24,344.35 $34,167.51 $34,167.51 2026-07-31
682 OTHER Renal Failure W Mcc 3 3 $116,241.85 $116,241.85 $24,280.15 $34,077.40 $34,077.40 2026-07-31
698 OTHER Other Kidney & Urinary Tract Diagnoses W Mcc 3 3 $71,268.74 $71,268.74 $23,635.50 $33,172.63 $33,172.63 2026-07-31
CP17660067616943643 CDM Heart Failure & Shock W Mcc 2 2 $44,972.00 $44,972.00 $31,480.00 $33,729.00 $32,604.50 2025-11-25
291 OTHER Heart Failure & Shock W Mcc 3 3 $138,246.69 $138,246.69 $23,036.32 $32,331.67 $32,331.67 2026-07-31
391 OTHER Esophagitis, Gastroent & Misc Digest Disorders W Mcc 3 3 $36,773.67 $36,773.67 $23,004.22 $32,286.62 $32,286.62 2026-07-31
98 OTHER Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Cc 3 3 $39,417.20 $39,417.20 $22,570.88 $31,678.43 $31,678.43 2026-07-31
299 OTHER Peripheral Vascular Disorders W Mcc 3 3 $86,202.77 $86,202.77 $22,541.46 $31,637.14 $31,637.14 2026-07-31
56 OTHER Degenerative Nervous System Disorders W Mcc 3 3 $106,258.36 $106,258.36 $22,501.34 $31,580.82 $31,580.82 2026-07-31
920 OTHER Complications Of Treatment W Cc 3 3 $148,995.17 $148,995.17 $22,495.99 $31,573.31 $31,573.31 2026-07-31
432 OTHER Cirrhosis & Alcoholic Hepatitis W Mcc 3 3 $38,749.41 $38,749.41 $22,247.22 $31,224.17 $31,224.17 2026-07-31
177 OTHER Respiratory Infections & Inflammations W Mcc 3 3 $102,108.83 $102,108.83 $22,092.07 $31,006.42 $31,006.42 2026-07-31
CP17660067616945239 CDM Other Circulatory System Diagnoses W Mcc 2 2 $42,532.00 $42,532.00 $29,772.00 $31,899.00 $30,835.50 2025-11-25
638 OTHER Diabetes W Cc 3 3 $97,339.20 $97,339.20 $21,845.98 $30,661.03 $30,661.03 2026-07-31
208 OTHER Respiratory System Diagnosis W Ventilator Support <96 Hours 5 5 $41,760.64 $41,760.64 $1,803.53 $42,798.55 $30,493.96 2026-07-31
CP17660067616948683 CDM Otitis Media & Uri W Mcc 2 2 $41,334.00 $41,334.00 $28,934.00 $31,001.00 $29,967.50 2025-11-25
289 OTHER Acute & Subacute Endocarditis W Cc 3 3 $29,246.06 $29,246.06 $20,858.94 $29,275.71 $29,275.71 2026-07-31
727 OTHER Inflammation Of The Male Reproductive System W Mcc 3 3 $161,571.20 $161,571.20 $20,503.18 $28,776.39 $28,776.39 2026-07-31
602 OTHER Cellulitis W Mcc 3 3 $77,497.10 $77,497.10 $20,492.48 $28,761.37 $28,761.37 2026-07-31
560 OTHER Aftercare, Musculoskeletal System & Connective Tissue W Cc 3 3 $93,082.36 $93,082.36 $20,195.56 $28,344.65 $28,344.65 2026-07-31
949 OTHER Aftercare W Cc/Mcc 3 3 $74,163.71 $74,163.71 $20,195.56 $28,344.65 $28,344.65 2026-07-31
CP17660067616951769 CDM Aftercare, Musculoskeletal System & Connective Tissue Without Cc/mcc 2 2 $37,837.00 $37,837.00 $26,486.00 $28,378.00 $27,432.00 2025-11-25
190 OTHER Chronic Obstructive Pulmonary Disease W Mcc 3 3 $71,533.80 $71,533.80 $19,534.86 $27,417.35 $27,417.35 2026-07-31
683 OTHER Renal Failure W Cc 3 3 $82,022.96 $82,022.96 $19,478.69 $27,338.51 $27,338.51 2026-07-31
863 OTHER Postoperative & Post-traumatic Infections Without Mcc 3 3 $54,771.08 $54,771.08 $19,478.69 $27,338.51 $27,338.51 2026-07-31
193 OTHER Simple Pneumonia & Pleurisy W Mcc 3 3 $49,499.73 $49,499.73 $18,919.63 $26,553.87 $26,553.87 2026-07-31
57 OTHER Degenerative Nervous System Disorders Without Mcc 3 3 $36,757.34 $36,757.34 $17,863.04 $25,070.94 $25,070.94 2026-07-31
641 OTHER Nutritional & Misc Metabolic Disorders Without Mcc 3 3 $27,205.25 $27,205.25 $17,432.38 $24,466.50 $24,466.50 2026-07-31
CP17660067616961286 CDM Kidney & Urinary Tract Infections W Mcc 2 2 $33,470.00 $33,470.00 $23,429.00 $25,103.00 $24,266.00 2025-11-25
541 OTHER Osteomyelitis Without Cc/Mcc 3 3 $95,830.77 $95,830.77 $17,202.34 $24,143.64 $24,143.64 2026-07-31
561 OTHER Aftercare, Musculoskeletal System & Connective Tissue Without Cc/Mcc 3 3 $43,422.62 $43,422.62 $17,202.34 $24,143.64 $24,143.64 2026-07-31
372 OTHER Major Gastrointestinal Disorders & Peritoneal Infections W Cc 3 3 $81,535.99 $81,535.99 $16,434.64 $23,066.16 $23,066.16 2026-07-31
728 OTHER Inflammation Of The Male Reproductive System Without Mcc 3 3 $85,886.98 $85,886.98 $16,228.67 $22,777.09 $22,777.09 2026-07-31
872 OTHER Septicemia Without Mv 96+ Hours Without Mcc 3 3 $62,746.05 $62,746.05 $15,650.89 $21,966.17 $21,966.17 2026-07-31
699 OTHER Other Kidney & Urinary Tract Diagnoses W Cc 3 3 $101,916.11 $101,916.11 $15,222.91 $21,365.49 $21,365.49 2026-07-31
603 OTHER Cellulitis Without Mcc 3 3 $61,916.51 $61,916.51 $14,832.37 $20,817.36 $20,817.36 2026-07-31
866 OTHER Viral Illness Without Mcc 3 3 $49,283.17 $49,283.17 $13,885.45 $19,488.36 $19,488.36 2026-07-31
812 OTHER Red Blood Cell Disorders Without Mcc 3 3 $87,505.00 $87,505.00 $13,885.45 $19,488.36 $19,488.36 2026-07-31
CP17660067616950079 CDM Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc 2 2 $26,177.00 $26,177.00 $18,324.00 $19,633.00 $18,978.50 2025-11-25
CP17660067616967526 CDM Nutritional & Misc Metabolic Disorders W Mcc 2 2 $19,726.00 $19,726.00 $13,808.00 $14,795.00 $14,301.50 2025-11-25
CP17660067616940690 CDM Peripheral Vascular Disorders W Mcc 2 2 $17,846.00 $17,846.00 $12,492.00 $13,385.00 $12,938.50 2025-11-25
CP17660067616962942 CDM Kidney & Urinary Tract Infections Without Mcc 2 2 $10,454.00 $10,454.00 $7,318.00 $7,841.00 $7,579.50 2025-11-25
31600 CPT Tracheostomy Planned 1 1 $4,087.00 $4,087.00 $4,382.00 $4,382.00 $4,382.00 2025-11-25
36571 CPT Picc Line Insert W Pump 1 1 $4,696.00 $4,696.00 $4,173.00 $4,173.00 $4,173.00 2025-11-25
36558 CPT Insert Central Line Without Port 1 1 $2,492.00 $2,492.00 $4,173.00 $4,173.00 $4,173.00 2025-11-25
43246 CPT Peg Placement 1 1 $2,236.00 $2,236.00 $2,536.00 $2,536.00 $2,536.00 2025-11-25
31624 CPT Bronchoscopy W Lavage 1 1 $2,216.00 $2,216.00 $2,352.00 $2,352.00 $2,352.00 2025-11-25
31645 CPT Bronchoscopy W Aspiration Init 1 1 $2,216.00 $2,216.00 $2,352.00 $2,352.00 $2,352.00 2025-11-25
94002 CPT Ventilation Mgmt 1st Day 3 3 $3,099.00 $3,099.00 $817.00 $2,324.25 $2,169.30 2026-07-31
36584 CPT Picc Line Replacement Without Pump 1 1 $1,771.00 $1,771.00 $2,081.00 $2,081.00 $2,081.00 2025-11-25
32551 CPT Chest Tube Insertion 1 1 $1,028.00 $1,028.00 $2,081.00 $2,081.00 $2,081.00 2025-11-25
31603 CPT Tracheostomy Emergent 1 1 $1,358.00 $1,358.00 $2,051.00 $2,051.00 $2,051.00 2025-11-25
11047 CPT Debr Bone Ea Addl <=20 Sq 2 2 $2,219.75 $2,219.75 $1,553.82 $1,664.81 $1,609.32 2026-07-31
94003 CPT Ventilation Mgmt Ea Subsq Day 3 3 $2,193.50 $2,193.50 $817.00 $1,645.13 $1,535.45 2026-07-31
94660 CPT CPAP/Bipap Initiation & Mgmt 3 3 $2,089.00 $2,089.00 $289.00 $1,566.75 $1,462.30 2026-07-31
94762 CPT Pulse Ox Continuous/Overnight 3 3 $2,000.25 $2,000.25 $170.00 $1,500.19 $1,400.17 2026-07-31
36569 CPT Picc Line Insert Without Pump 3 3 $1,687.00 $1,687.00 $1,180.90 $2,081.00 $1,265.25 2026-07-31
31622 CPT Bronchoscopy Dx W/Wo Cell Wash 3 3 $1,679.00 $1,679.00 $1,175.30 $2,352.00 $1,259.25 2026-07-31
11044 CPT Debr Bone 1st <= 20 Sq Cm 3 3 $1,651.75 $1,651.75 $1,156.22 $2,183.00 $1,238.81 2026-07-31
11046 CPT Debr Musl/Fas Ea Addl <=20 Sq 2 2 $1,205.50 $1,205.50 $843.85 $904.13 $873.99 2026-07-31
32554 CPT Thoracentesis W/out Imaging 1 1 $1,028.00 $1,028.00 $829.00 $829.00 $829.00 2025-11-25
32555 CPT Thoracentesis With Imaging 1 1 $1,233.00 $1,233.00 $829.00 $829.00 $829.00 2025-11-25
90935 CPT Hemodialysis 3 3 $1,048.00 $1,048.00 $733.60 $907.00 $786.00 2026-07-31
31615 CPT Tracheobronchoscopy Thru Incis 1 1 $1,358.00 $1,358.00 $713.00 $713.00 $713.00 2025-11-25
PH002921 CDM Filgrastim 2 2 $797.00 $797.00 $558.00 $598.00 $578.00 2025-11-25
31646 CPT Bronchoscopy W Aspiration Subs 1 1 $1,899.00 $1,899.00 $517.00 $517.00 $517.00 2025-11-25
11043 CPT Debr Musl/Fas 1st <= 20 Sqcm 3 3 $647.75 $647.75 $453.42 $977.00 $485.81 2026-07-31
11042 CPT Debr Sq Tis 1st <= 20 Sqcm 3 3 $647.75 $647.75 $453.42 $537.00 $485.81 2026-07-31
11045 CPT Debr Sq Tis Ea Add <=20 Sq 2 2 $647.75 $647.75 $453.42 $485.81 $469.62 2026-07-31
31500 CPT Endotrachael Intubation 3 3 $612.00 $612.00 $313.00 $459.00 $428.40 2026-07-31
92950 CPT Cpr (Code Blue) 3 3 $590.00 $590.00 $285.00 $442.50 $413.00 2026-07-31
90945 CPT Peritoneal Dialysis 3 3 $429.00 $429.00 $300.30 $551.00 $321.75 2026-07-31
94669 CPT Mech Chest Wall Oscill 3 3 $386.10 $386.10 $270.27 $289.58 $289.00 2026-07-31
92523 CPT Eval Speech Sound Prod W Lang 1 1 $328.00 $328.00 $280.00 $280.00 $280.00 2025-11-25
10060 CPT I&d Abscesssimple/Single 3 3 $367.50 $367.50 $257.25 $275.63 $265.00 2026-07-31
PH002931 CDM Perflutren Lipid Microspheres 2 2 $357.00 $357.00 $250.00 $268.00 $259.00 2025-11-25
97597 CPT Rmvl Devital Tis 20 Cm/< 3 3 $343.00 $343.00 $240.10 $265.00 $257.25 2026-07-31
97606 CPT Vaccuum Therapy >50cm 3 3 $341.25 $341.25 $238.87 $537.00 $255.94 2026-07-31
94761 CPT Pulse Ox Multiple Det 2 2 $347.50 $347.50 $243.25 $260.63 $251.94 2026-07-31
J1610 HCPCS Glucagen 2 2 $343.20 $343.20 $240.24 $257.40 $248.82 2026-07-31
97598 CPT Rmvl Devital Tis Addl 20 Cm< 2 2 $343.00 $343.00 $240.10 $257.25 $248.68 2026-07-31
97167 CPT Ot Eval High Complexity 3 3 $347.75 $347.75 $124.00 $260.81 $243.42 2026-07-31
97163 CPT Pt Eval High Complexity 3 3 $347.75 $347.75 $121.00 $260.81 $243.42 2026-07-31
92612 CPT Stfees Procedure 1 1 $630.00 $630.00 $237.00 $237.00 $237.00 2025-11-25
29580 CPT Appl Unna Boot Unilat 3 3 $303.50 $303.50 $212.45 $227.63 $215.00 2026-07-31
94770 CPT End Tidal Co2 Detection By Ir 2 2 $283.00 $283.00 $198.10 $212.25 $205.18 2026-07-31
97162 CPT Pt Eval Mod Complexity 3 3 $289.75 $289.75 $121.00 $217.31 $202.82 2026-07-31
97166 CPT Ot Eval Mod Complexity 3 3 $289.75 $289.75 $124.00 $217.31 $202.82 2026-07-31
31502 CPT Tracheotomy Tube Change 3 3 $259.50 $259.50 $181.65 $313.00 $194.63 2026-07-31
97605 CPT Vaccuum Therapy <50cm 3 3 $255.25 $255.25 $178.67 $265.00 $191.44 2026-07-31
51701 CPT Straight Cath Insert 1 1 $366.00 $366.00 $176.00 $176.00 $176.00 2025-11-25
PH001775 CDM Buprenorphine 10mcg/hr 2 2 $238.00 $238.00 $167.00 $179.00 $173.00 2025-11-25
PH002825 CDM Norepinephrine Bit/0.9 % Nacl 2 2 $237.00 $237.00 $166.00 $178.00 $172.00 2025-11-25
92521 CPT Eval Of Speech Fluency 1 1 $236.00 $236.00 $165.00 $165.00 $165.00 2025-11-25
94667 CPT Manip Chest Wall (cpt) Initial 3 3 $219.50 $219.50 $153.65 $176.00 $164.63 2026-07-31
97165 CPT Ot Eval Low Complexity 3 3 $231.75 $231.75 $124.00 $173.81 $162.22 2026-07-31
97161 CPT Pt Eval Low Complexity 3 3 $231.75 $231.75 $121.00 $173.81 $162.22 2026-07-31
94664 CPT Demo/Eval Pt Inhal/Neb/Ippb 3 3 $206.75 $206.75 $144.72 $289.00 $155.06 2026-07-31
94760 CPT Pulse Ox Single Det 2 2 $212.50 $212.50 $148.75 $159.38 $154.06 2026-07-31
92607 CPT Eval Rx Speech Device 1st Hr 1 1 $315.00 $315.00 $150.00 $150.00 $150.00 2025-11-25
94668 CPT Manip Chest Wall (cpt) Subseq 3 3 $198.50 $198.50 $138.95 $176.00 $148.88 2026-07-31
92522 CPT Eval Speech Sound Production 1 1 $236.00 $236.00 $139.00 $139.00 $139.00 2025-11-25
92524 CPT Behav/qual Analysis Voice/res 1 1 $184.00 $184.00 $136.00 $136.00 $136.00 2025-11-25
PH001999 CDM Epinephrine 1mg/ml 30ml 2 2 $177.00 $177.00 $124.00 $133.00 $128.50 2025-11-25
92609 CPT Speech Generating Device Svc 1 1 $289.00 $289.00 $126.00 $126.00 $126.00 2025-11-25
96105 CPT Assessment Of Aphasia 1 1 $324.00 $324.00 $121.00 $121.00 $121.00 2025-11-25
PH002932 CDM Revefenacinud 175mcg/3ml 2 2 $158.00 $158.00 $111.00 $119.00 $115.00 2025-11-25
92611 CPT Swallowing Eval By Cine/video 1 1 $489.00 $489.00 $112.00 $112.00 $112.00 2025-11-25
94640 CPT Inhalation Treatment 3 3 $144.50 $144.50 $101.15 $289.00 $108.38 2026-07-31
P9060 HCPCS Ffp Donor Retest Ea Unit 3 3 $150.00 $150.00 $69.00 $112.50 $105.00 2026-07-31
92610 CPT Swallowing/oral Function Eval 1 1 $328.00 $328.00 $104.00 $104.00 $104.00 2025-11-25
92526 CPT Tx Swallow Function 60m 1 1 $284.00 $284.00 $104.00 $104.00 $104.00 2025-11-25
92507 CPT Tx Speech/lang/voice 1 1 $184.00 $184.00 $94.00 $94.00 $94.00 2025-11-25
31720 CPT Catheter Aspiration Nasotrache 3 3 $121.00 $121.00 $84.70 $289.00 $90.75 2026-07-31
92597 CPT Eval Fitting Pros Device 1 1 $315.00 $315.00 $88.00 $88.00 $88.00 2025-11-25
97168 CPT Occupational Therapy Re-eval 1 1 $336.00 $336.00 $84.00 $84.00 $84.00 2025-11-25
97164 CPT Physical Therapy Re-eval 1 1 $250.00 $250.00 $83.00 $83.00 $83.00 2025-11-25
97535 CPT Adl Training Ea 15 Min 3 3 $117.75 $117.75 $40.00 $88.31 $82.42 2026-07-31
93005 CPT ECG 12 Lead Tracing Only 1 1 $165.00 $165.00 $78.00 $78.00 $78.00 2025-11-25
51798 CPT Bladder Scan 1 1 $110.00 $110.00 $78.00 $78.00 $78.00 2025-11-25
97533 CPT Sensory Integration 1 1 $147.00 $147.00 $73.00 $73.00 $73.00 2025-11-25
PH002675 CDM Fentanyl/ns 100ml Premix 2 2 $97.00 $97.00 $68.00 $73.00 $70.50 2025-11-25
89220 CPT Sputum Collection - Aerosol 3 3 $84.50 $84.50 $59.15 $225.00 $63.38 2026-07-31
PH002925 CDM Hydrocortisone 100mg/60ml Rect 2 2 $86.00 $86.00 $60.00 $65.00 $62.50 2025-11-25
97763 CPT Orthotic Mgmt 1st Enc Ea 15m 1 1 $181.00 $181.00 $60.00 $60.00 $60.00 2025-11-25
PH002922 CDM Flu Vacc Ts2025-26(6mos Up)/pf 2 2 $81.00 $81.00 $57.00 $61.00 $59.00 2025-11-25
97760 CPT Orthotic Mgmt 1st Enc Ea 15m 1 1 $137.00 $137.00 $56.00 $56.00 $56.00 2025-11-25
36600 CPT Arterial Puncture 3 3 $70.25 $70.25 $49.17 $176.00 $52.69 2026-07-31
97761 CPT Prosthetic Trn 1st Enc Ea 15m 1 1 $95.00 $95.00 $49.00 $49.00 $49.00 2025-11-25
PH000815 CDM Duragesic 12mcg Patch 2 2 $65.00 $65.00 $46.00 $49.00 $47.50 2025-11-25
PH002929 CDM Ephedrine Sulfate 50mg/ml 2 2 $62.00 $62.00 $43.00 $47.00 $45.00 2025-11-25
97530 CPT Ther Act For Func Perf Ea 15m 1 1 $124.00 $124.00 $43.00 $43.00 $43.00 2025-11-25
97112 CPT Neuromusc Reed Ea 15m 1 1 $120.00 $120.00 $40.00 $40.00 $40.00 2025-11-25
97542 CPT Wheelchair Management Ea 15m 1 1 $137.00 $137.00 $38.00 $38.00 $38.00 2025-11-25
97110 CPT Physical Therapy, Therapeutic Exercise 1 1 $148.00 $148.00 $36.00 $36.00 $36.00 2025-11-25
97116 CPT Gait Training Ea 15m 1 1 $121.00 $121.00 $36.00 $36.00 $36.00 2025-11-25
97124 CPT Massage Therapy Ea 15m 1 1 $121.00 $121.00 $36.00 $36.00 $36.00 2025-11-25
PH000675 CDM Fentanyl 75mcg Patch 2 2 $49.00 $49.00 $34.00 $37.00 $35.50 2025-11-25
97140 CPT Manual Therapy Ea 15m 1 1 $132.00 $132.00 $34.00 $34.00 $34.00 2025-11-25
J1940 HCPCS Furosemide 2 2 $46.72 $46.72 $32.70 $35.04 $33.87 2026-07-31
PH002223 CDM Voriconazole 40mg/ml 75ml 2 2 $45.00 $45.00 $31.00 $34.00 $32.50 2025-11-25
PH000470 CDM Epinephrine 1mg/1ml Sdv 2 2 $44.00 $44.00 $31.00 $33.00 $32.00 2025-11-25
PH000585 CDM Fentanyl 50mcg Patch 2 2 $39.00 $39.00 $27.00 $29.00 $28.00 2025-11-25
97150 CPT Therapeutic Procedures (Group) 1 1 $169.00 $169.00 $22.00 $22.00 $22.00 2025-11-25
PH002204 CDM Vasopressin 20unit/ml 10ml 2 2 $26.00 $26.00 $18.00 $20.00 $19.00 2025-11-25
97035 CPT Ultrasound Ea 15m 1 1 $116.00 $116.00 $18.00 $18.00 $18.00 2025-11-25
97032 CPT E Stim (Manual) Ea 15m 1 1 $120.00 $120.00 $18.00 $18.00 $18.00 2025-11-25
PH000183 CDM Fentanyl 25mcg Patch 2 2 $18.00 $18.00 $13.00 $14.00 $13.50 2025-11-25
PH002714 CDM Methotrexate Sodium/pf 2 2 $17.00 $17.00 $12.00 $13.00 $12.50 2025-11-25
PH002137 CDM Buprenorphine/naloxone 2-0.5mg 2 2 $16.00 $16.00 $11.00 $12.00 $11.50 2025-11-25
PH001052 CDM Heparin ,porcine1000unit/ml-10 2 2 $14.00 $14.00 $10.00 $11.00 $10.50 2025-11-25
J2930 HCPCS Methylprednisolone Sod Succ 12 4 2 $12.46 $12.46 $4.90 $13.44 $8.89 2026-07-31
J1720 HCPCS Solu-cortef*100/2 2 2 $11.58 $11.58 $8.11 $8.69 $8.40 2026-07-31
PH002917 CDM Fluphenazine 1mg Tab 2 2 $11.00 $11.00 $8.00 $8.00 $8.00 2025-11-25
PH002361 CDM Morphine Sulfate 2mg/ml Vial 2 2 $11.00 $11.00 $8.00 $8.00 $8.00 2025-11-25
PH002132 CDM Buprenorphine/naloxone 8-2 2 2 $11.00 $11.00 $8.00 $8.00 $8.00 2025-11-25
S0164 HCPCS Protonix IV 2 2 $10.00 $10.00 $7.00 $7.50 $7.25 2026-07-31
PH002565 CDM Fentanyl Citrate/pf 50mcg/ml V 2 2 $9.00 $9.00 $6.00 $7.00 $6.50 2025-11-25
J0885 HCPCS Epogen 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3230 HCPCS Chlorpromazine Hcl 25mg/ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3243 HCPCS Tygacil 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3260 HCPCS Tobramycin Sulfate 80/2 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3360 HCPCS Diazepam 10mg Inj 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3411 HCPCS Thiamine Hcl 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3420 HCPCS Cyanocobalamin (Vitamin B-12) 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3430 HCPCS Phytonadione 10mg/ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3475 HCPCS Magnesium Sulfate 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3480 HCPCS Potassium Chloride 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J7131 HCPCS Sodium Chloride 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
P9045 HCPCS Buminate 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
P9047 HCPCS Buminate 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
Q2009 HCPCS Fosphenytoin Sodium 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3010 HCPCS Fentanyl Citrate/Pf 100mcg/2ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2997 HCPCS Cathflo Activase 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2916 HCPCS Ferrlecit 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2597 HCPCS Desmopressin Acetate 4mcg/ml 1 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2550 HCPCS Promethazine Hcl Oc 25mg/ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2543 HCPCS Piperacillin/Tazobactam 3.375 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2370 HCPCS Phenylephrine Hcl 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2310 HCPCS Naloxone Hcl 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2250 HCPCS Midazolam Hcl 2mg/2ml Vial 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2248 HCPCS Mycamine 100mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2185 HCPCS Meropenem 500mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J2001 HCPCS Lidocaine Hcl 2%-50ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1956 HCPCS Levofloxacin/D5w 500mg IV 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1953 HCPCS Keppra 500mg/5ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1815 HCPCS Humulin R Oc 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1756 HCPCS Venofer 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1652 HCPCS Arixtra 2.5mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1650 HCPCS Enoxaparin Sodium 40mg Syr 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1644 HCPCS Heparin Na 5000UNIT/ml,porcine 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1580 HCPCS Gentamicin Sulfate 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1450 HCPCS Diflucan In Saline 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1442 HCPCS Neupogen 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1364 HCPCS Erythrocin Lactobionate 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1335 HCPCS Invanz 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1265 HCPCS Dopamine Hcl 40000mcg/ml-5ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1250 HCPCS Dobutamine Hcl 12500mcg/ml-20m 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1200 HCPCS Diphenhydramine Hcl 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1165 HCPCS Phenytoin Sodium 100mg/2ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1100 HCPCS Dexamethasone Sod Phosphate 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1080 HCPCS Depo-testosterone 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1040 HCPCS Depo-medrol 80mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J1030 HCPCS Methylpred Acetate 40mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J3105 HCPCS Terbutaline Sulfate 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0878 HCPCS Cubicin 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0770 HCPCS Colistin (Colistimethate Na) 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0744 HCPCS Cipro I.v. 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0743 HCPCS Primaxin 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0713 HCPCS Tazicef 1000mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0697 HCPCS Cefuroxime Sodium 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0696 HCPCS Ceftriaxone Sodium 1000mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0692 HCPCS Cefepime Hcl 1000mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0690 HCPCS Cefazolin Sodium 1000mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0610 HCPCS Calcium Gluconate 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0461 HCPCS Atropine Sulfate 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0456 HCPCS Azithromycin 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0360 HCPCS Hydralazine Hcl 20mg/ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0330 HCPCS Anectine 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0295 HCPCS Ampicillin/Sulbactam 1.5gm 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0290 HCPCS Ampicillin Sodium 1000mg 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0289 HCPCS Ambisome 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0282 HCPCS Amiodarone Hcl 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
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