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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

Continuecare Hospital At Baptist Hlth Madisonville

Madisonville, KY · CCN 182009 · Rates published

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

1,089 of 2,186 rate rows are consumer-grade (49.8%)

1,097 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 806
exceeds 10× this hospital's gross charge — excluded from medians 157
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 134
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 · 2026-08-12
Content fingerprint 5589d0430d19fdd6… · 11,784 bytes · first seen 2026-05-17

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
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
$206,020
outlier · 0.5×
166
OTHER 		Other Resp System O.r. Procedures W Mcc 3 $62,884.44 $88,258.86 $88,258.86 nat. median
$38,932
outlier · 2.3×
981
OTHER 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 $60,650.89 $85,124.06 $85,124.06 nat. median
$450
outlier · 189.3×
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
$141,447
0.5× median
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
$552
outlier · 134.3×
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
$28,518
outlier · 2.3×
853
OTHER 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 3 $46,080.66 $64,674.61 $64,674.61 nat. median
$26,497
outlier · 2.4×
356
OTHER 		Other Digestive System O.r. Procedures W Mcc 3 $43,082.09 $60,466.09 $60,466.09 nat. median
$42,823
1.4× median
901
OTHER 		Wound Debridements For Injuries W Mcc 3 $38,168.28 $53,569.51 $53,569.51 nat. median
$8
outlier · 6646.3×
167
OTHER 		Other Resp System O.r. Procedures W Cc 3 $38,162.93 $53,562.01 $53,562.01 nat. median
$17,601
outlier · 3.0×
673
OTHER 		Other Kidney & Urinary Tract Procedures W Mcc 3 $38,141.53 $53,531.97 $53,531.97 nat. median
$37,099
1.4× median
856
OTHER 		Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 3 $38,138.86 $53,528.22 $53,528.22 nat. median
$25,682
outlier · 2.1×
570
OTHER 		Skin Debridement W Mcc 3 $37,903.46 $53,197.84 $53,197.84 nat. median
$30,505
1.7× median
870
OTHER 		Septicemia W Mv 96+ Hours 5 $1,803.53 $73,027.84 $52,032.33 nat. median
$4,272
outlier · 12.2×
264
OTHER 		Other Circulatory System O.r. Procedures 3 $36,159.42 $50,750.07 $50,750.07 nat. median
$31,414
1.6× median
207
OTHER 		Respiratory System Diagnosis W Ventilator Support 96+ Hours 5 $1,803.53 $70,478.69 $50,216.07 nat. median
$64,908
0.8× median
500
OTHER 		Soft Tissue Procedures W Mcc 3 $33,982.05 $47,694.10 $47,694.10 nat. median
$24,508
1.9× median
919
OTHER 		Complications Of Treatment W Mcc 3 $31,103.84 $43,654.52 $43,654.52 nat. median
$10,618
outlier · 4.1×
862
OTHER 		Postoperative & Post-traumatic Infections W Mcc 3 $29,089.64 $40,827.56 $40,827.56 nat. median
$4,247
outlier · 9.6×
539
OTHER 		Osteomyelitis W Mcc 3 $29,052.19 $40,775.00 $40,775.00 nat. median
$16,691
outlier · 2.4×
542
OTHER 		Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc 3 $28,597.45 $40,136.78 $40,136.78 nat. median
$14,381
outlier · 2.8×
917
OTHER 		Poisoning & Toxic Effects Of Drugs W Mcc 3 $28,597.45 $40,136.78 $40,136.78 nat. median
$6,093
outlier · 6.6×
94
OTHER 		Bacterial & Tuberculous Infections Of Nervous System W Mcc 3 $28,527.91 $40,039.17 $40,039.17 nat. median
$37,782
1.1× median
314
OTHER 		Other Circulatory System Diagnoses W Mcc 3 $28,463.71 $39,949.06 $39,949.06 nat. median
$19,084
outlier · 2.1×
606
OTHER 		Minor Skin Disorders W Mcc 3 $27,300.12 $38,315.96 $38,315.96 nat. median
$13,730
outlier · 2.8×
548
OTHER 		Septic Arthritis W Mcc 3 $26,802.59 $37,617.67 $37,617.67 nat. median
$15,993
outlier · 2.4×
637
OTHER 		Diabetes W Mcc 3 $26,607.32 $37,343.61 $37,343.61 nat. median
$25
outlier · 1471.4×
592
OTHER 		Skin Ulcers W Mcc 3 $25,828.92 $36,251.12 $36,251.12 nat. median
$18,013
outlier · 2.0×
371
OTHER 		Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 3 $25,358.14 $35,590.37 $35,590.37 nat. median
$16,293
outlier · 2.2×
189
OTHER 		Pulmonary Edema & Respiratory Failure 3 $25,267.19 $35,462.73 $35,462.73 nat. median
$11,871
outlier · 3.0×
871
OTHER 		Septicemia Without Mv 96+ Hours W Mcc 3 $24,849.91 $34,877.06 $34,877.06 nat. median
$10,044
outlier · 3.5×
640
OTHER 		Nutritional & Misc Metabolic Disorders W Mcc 3 $24,531.59 $34,430.30 $34,430.30 nat. median
$10,744
outlier · 3.2×
559
OTHER 		Aftercare, Musculoskeletal System & Connective Tissue W Mcc 3 $24,344.35 $34,167.51 $34,167.51 nat. median
$18,064
1.9× median
682
OTHER 		Renal Failure W Mcc 3 $24,280.15 $34,077.40 $34,077.40 nat. median
$13,465
outlier · 2.5×
698
OTHER 		Other Kidney & Urinary Tract Diagnoses W Mcc 3 $23,635.50 $33,172.63 $33,172.63 nat. median
$15,541
outlier · 2.1×
291
OTHER 		Heart Failure & Shock W Mcc 3 $23,036.32 $32,331.67 $32,331.67 nat. median
$12,475
outlier · 2.6×
391
OTHER 		Esophagitis, Gastroent & Misc Digest Disorders W Mcc 3 $23,004.22 $32,286.62 $32,286.62 nat. median
$7,967
outlier · 4.1×
98
OTHER 		Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Cc 3 $22,570.88 $31,678.43 $31,678.43 nat. median
$23,500
1.3× median
299
OTHER 		Peripheral Vascular Disorders W Mcc 3 $22,541.46 $31,637.14 $31,637.14 nat. median
$15,171
outlier · 2.1×
56
OTHER 		Degenerative Nervous System Disorders W Mcc 3 $22,501.34 $31,580.82 $31,580.82 nat. median
$24,850
1.3× median
920
OTHER 		Complications Of Treatment W Cc 3 $22,495.99 $31,573.31 $31,573.31 nat. median
$657
outlier · 48.1×
432
OTHER 		Cirrhosis & Alcoholic Hepatitis W Mcc 3 $22,247.22 $31,224.17 $31,224.17 nat. median
$17,270
1.8× median
177
OTHER 		Respiratory Infections & Inflammations W Mcc 3 $22,092.07 $31,006.42 $31,006.42 nat. median
$15,866
2.0× median
638
OTHER 		Diabetes W Cc 3 $21,845.98 $30,661.03 $30,661.03 nat. median
$8,657
outlier · 3.5×
208
OTHER 		Respiratory System Diagnosis W Ventilator Support <96 Hours 5 $1,803.53 $42,798.55 $30,493.96 nat. median
$25,092
1.2× median
289
OTHER 		Acute & Subacute Endocarditis W Cc 3 $20,858.94 $29,275.71 $29,275.71 nat. median
$14,926
2.0× median
727
OTHER 		Inflammation Of The Male Reproductive System W Mcc 3 $20,503.18 $28,776.39 $28,776.39 nat. median
$42
outlier · 693.1×
602
OTHER 		Cellulitis W Mcc 3 $20,492.48 $28,761.37 $28,761.37 nat. median
$13,735
outlier · 2.1×
949
OTHER 		Aftercare W Cc/Mcc 3 $20,195.56 $28,344.65 $28,344.65 nat. median
$11,059
outlier · 2.6×
560
OTHER 		Aftercare, Musculoskeletal System & Connective Tissue W Cc 3 $20,195.56 $28,344.65 $28,344.65 nat. median
$9,899
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 314 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
             
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
CP17660067616947629 CDM Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 9 8 $422,230.00 $422,230.00 $1,809.00 $316,673.00 $1,809.00 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
CP17660067616941551 CDM Other Resp System O.r. Procedures W Mcc 9 8 $395,424.00 $395,424.00 $1,809.00 $296,568.00 $1,809.00 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
CP17660067616941263 CDM Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 9 8 $302,846.00 $302,846.00 $1,809.00 $227,135.00 $1,809.00 2025-11-25
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
CP17660067616941047 CDM Respiratory System Diagnosis W Ventilator Support 96+ Hours 9 8 $293,660.00 $293,660.00 $1,809.00 $220,245.00 $1,809.00 2025-11-25
CP17660067616966050 CDM Complications Of Treatment W Cc 9 8 $282,827.00 $282,827.00 $1,809.00 $212,120.00 $1,809.00 2025-11-25
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
CP17660067616949890 CDM Other Digestive System O.r. Procedures W Mcc 9 8 $258,158.00 $258,158.00 $1,809.00 $193,619.00 $1,809.00 2025-11-25
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
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
CP17660067616948308 CDM Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc 9 8 $244,606.00 $244,606.00 $1,809.00 $183,455.00 $1,809.00 2025-11-25
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
CP17660067616964330 CDM Infectious & Parasitic Diseases W O.r. Procedure W Mcc 9 8 $235,546.00 $235,546.00 $1,809.00 $176,660.00 $1,809.00 2025-11-25
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
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
CP17660067616966081 CDM Inflammation Of The Male Reproductive System W Mcc 9 8 $218,063.00 $218,063.00 $1,809.00 $163,547.00 $1,809.00 2025-11-25
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
CP17660067616956102 CDM Skin Debridement W Mcc 9 8 $210,928.00 $210,928.00 $1,809.00 $158,196.00 $1,809.00 2025-11-25
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
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
CP17660067616949209 CDM G.i. Obstruction W Mcc 9 8 $200,581.00 $200,581.00 $1,809.00 $150,436.00 $1,809.00 2025-11-25
CP17660067616964681 CDM Septicemia W Mv 96+ Hours 9 8 $196,640.00 $196,640.00 $1,809.00 $147,480.00 $1,809.00 2025-11-25
CP17660067616966136 CDM Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 9 8 $189,579.00 $189,579.00 $1,809.00 $142,184.00 $1,809.00 2025-11-25
CP17660067616950101 CDM Aftercare, Musculoskeletal System & Connective Tissue W Cc 9 8 $186,381.00 $186,381.00 $1,809.00 $139,786.00 $1,809.00 2025-11-25
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
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
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
CP17660067616962821 CDM O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 9 8 $158,775.00 $158,775.00 $1,809.00 $119,081.00 $1,809.00 2025-11-25
CP17660067616954764 CDM Other Skin, Subcut Tiss & Breast Proc W Mcc 9 8 $158,074.00 $158,074.00 $1,809.00 $118,556.00 $1,809.00 2025-11-25
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
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
CP17660067616949070 CDM Other Disorders Of Nervous System W Mcc 9 8 $147,481.00 $147,481.00 $1,809.00 $110,611.00 $1,809.00 2025-11-25
CP17660067616946723 CDM Degenerative Nervous System Disorders W Mcc 9 8 $147,036.00 $147,036.00 $1,809.00 $110,277.00 $1,809.00 2025-11-25
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
CP17660067616941895 CDM Pulmonary Edema & Respiratory Failure 9 8 $143,874.00 $143,874.00 $1,809.00 $107,906.00 $1,809.00 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
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
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
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
CP17660067616964914 CDM Infectious & Parasitic Diseases W O.r. Procedure W Cc 9 8 $128,561.00 $128,561.00 $1,809.00 $96,421.00 $1,809.00 2025-11-25
CP17660067616953034 CDM Aftercare, Musculoskeletal System & Connective Tissue W Mcc 9 8 $126,370.00 $126,370.00 $1,809.00 $94,778.00 $1,809.00 2025-11-25
CP17660067616957533 CDM Minor Skin Disorders W Mcc 9 8 $124,662.00 $124,662.00 $1,809.00 $93,497.00 $1,809.00 2025-11-25
CP17660067616965897 CDM Renal Failure W Mcc 9 8 $123,835.00 $123,835.00 $1,809.00 $92,876.00 $1,809.00 2025-11-25
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
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
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
CP17660067616963246 CDM Other Endocrine, Nutrit & Metab O.r. Proc W Cc 9 8 $119,698.00 $119,698.00 $1,809.00 $89,774.00 $1,809.00 2025-11-25
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
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
CP17660067616962391 CDM Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc 9 8 $112,959.00 $112,959.00 $1,809.00 $84,719.00 $1,809.00 2025-11-25
CP17660067616960725 CDM Septicemia Without Mv 96+ Hours W Mcc 9 8 $112,615.00 $112,615.00 $1,809.00 $84,461.00 $1,809.00 2025-11-25
CP17660067616940708 CDM Osteomyelitis Without Cc/mcc 9 8 $112,200.00 $112,200.00 $1,809.00 $84,150.00 $1,809.00 2025-11-25
CP17660067616945810 CDM Other Digestive System Diagnoses W Mcc 9 8 $110,899.00 $110,899.00 $1,809.00 $83,174.00 $1,809.00 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
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
CP17660067616941606 CDM Disorders Of Pancreas Except Malignancy W Mcc 9 8 $102,670.00 $102,670.00 $1,809.00 $77,003.00 $1,809.00 2025-11-25
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
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
CP17660067616948970 CDM Soft Tissue Procedures W Cc 9 8 $101,073.00 $101,073.00 $1,809.00 $75,805.00 $1,809.00 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
CP17660067616946482 CDM Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc 9 8 $96,125.00 $96,125.00 $1,809.00 $72,094.00 $1,809.00 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
CP17660067616969868 CDM Wound Debridements For Injuries W Mcc 9 8 $95,497.00 $95,497.00 $1,809.00 $71,623.00 $1,809.00 2025-11-25
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
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
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
CP17660067616943178 CDM Respiratory Infections & Inflammations W Mcc 9 8 $89,725.00 $89,725.00 $1,809.00 $67,294.00 $1,809.00 2025-11-25
CP17660067616962248 CDM HIV W Major Related Condition W Cc 9 8 $89,316.00 $89,316.00 $1,809.00 $66,987.00 $1,809.00 2025-11-25
CP17660067616951754 CDM Cellulitis W Mcc 9 8 $89,015.00 $89,015.00 $1,809.00 $66,761.00 $1,809.00 2025-11-25
CP17660067616950543 CDM Cellulitis Without Mcc 9 8 $89,003.00 $89,003.00 $1,809.00 $66,752.00 $1,809.00 2025-11-25
CP17660067616944678 CDM Acute & Subacute Endocarditis W Mcc 9 8 $88,561.00 $88,561.00 $1,809.00 $66,421.00 $1,809.00 2025-11-25
CP17660067616968972 CDM Diabetes W Cc 9 8 $88,211.00 $88,211.00 $1,809.00 $66,158.00 $1,809.00 2025-11-25
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
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
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
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
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
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
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
CP17660067616968832 CDM Nutritional & Misc Metabolic Disorders Without Mcc 9 8 $79,973.00 $79,973.00 $1,809.00 $59,980.00 $1,809.00 2025-11-25
CP17660067616941557 CDM Bacterial & Tuberculous Infections Of Nervous System W Mcc 9 8 $79,245.00 $79,245.00 $1,809.00 $59,434.00 $1,809.00 2025-11-25
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
CP17660067616961727 CDM Aftercare W Cc/mcc 9 8 $75,508.00 $75,508.00 $1,809.00 $56,631.00 $1,809.00 2025-11-25
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
CP17660067616946009 CDM Nonspecific Cerebrovascular Disorders W Mcc 9 8 $73,542.00 $73,542.00 $1,809.00 $55,157.00 $1,809.00 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
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
CP17660067616944055 CDM Peripheral Vascular Disorders Without Cc/mcc 9 8 $68,926.00 $68,926.00 $1,809.00 $51,695.00 $1,809.00 2025-11-25
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
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
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
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
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
CP17660067616949661 CDM Degenerative Nervous System Disorders Without Mcc 9 8 $48,682.00 $48,682.00 $1,809.00 $36,512.00 $1,809.00 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
CP17660067616944509 CDM Respiratory System Diagnosis W Ventilator Support <96 Hours 9 8 $47,832.00 $47,832.00 $1,809.00 $35,874.00 $1,809.00 2025-11-25
CP17660067616943643 CDM Heart Failure & Shock W Mcc 9 8 $44,972.00 $44,972.00 $1,809.00 $33,729.00 $1,809.00 2025-11-25
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
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
CP17660067616945239 CDM Other Circulatory System Diagnoses W Mcc 9 8 $42,532.00 $42,532.00 $1,809.00 $31,899.00 $1,809.00 2025-11-25
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 9 8 $41,334.00 $41,334.00 $1,809.00 $31,001.00 $1,809.00 2025-11-25
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
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
CP17660067616951769 CDM Aftercare, Musculoskeletal System & Connective Tissue Without Cc/mcc 9 8 $37,837.00 $37,837.00 $1,809.00 $28,378.00 $1,809.00 2025-11-25
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
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
CP17660067616961286 CDM Kidney & Urinary Tract Infections W Mcc 9 8 $33,470.00 $33,470.00 $1,809.00 $25,103.00 $1,809.00 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
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
CP17660067616950079 CDM Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc 9 8 $26,177.00 $26,177.00 $1,809.00 $19,633.00 $1,809.00 2025-11-25
CP17660067616967526 CDM Nutritional & Misc Metabolic Disorders W Mcc 9 8 $19,726.00 $19,726.00 $1,809.00 $14,795.00 $1,809.00 2025-11-25
CP17660067616940690 CDM Peripheral Vascular Disorders W Mcc 9 8 $17,846.00 $17,846.00 $1,809.00 $13,385.00 $1,809.00 2025-11-25
CP17660067616962942 CDM Kidney & Urinary Tract Infections Without Mcc 9 8 $10,454.00 $10,454.00 $1,809.00 $7,841.00 $1,809.00 2025-11-25
94002 CPT Ventilation Mgmt 1st Day 2 2 $3,099.00 $3,099.00 $2,169.30 $2,324.25 $2,246.78 2026-07-31
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 2 2 $2,193.50 $2,193.50 $1,535.45 $1,645.13 $1,590.29 2026-07-31
94660 CPT CPAP/Bipap Initiation & Mgmt 2 2 $2,089.00 $2,089.00 $1,462.30 $1,566.75 $1,514.53 2026-07-31
94762 CPT Pulse Ox Continuous/Overnight 2 2 $2,000.25 $2,000.25 $1,400.17 $1,500.19 $1,450.18 2026-07-31
36569 CPT Picc Line Insert Without Pump 2 2 $1,687.00 $1,687.00 $1,180.90 $1,265.25 $1,223.08 2026-07-31
31622 CPT Bronchoscopy Dx W/Wo Cell Wash 2 2 $1,679.00 $1,679.00 $1,175.30 $1,259.25 $1,217.28 2026-07-31
11044 CPT Debr Bone 1st <= 20 Sq Cm 2 2 $1,651.75 $1,651.75 $1,156.22 $1,238.81 $1,197.51 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
90935 CPT Hemodialysis 2 2 $1,048.00 $1,048.00 $733.60 $786.00 $759.80 2026-07-31
PH002921 CDM Filgrastim 2 2 $797.00 $797.00 $558.00 $598.00 $578.00 2025-11-25
11045 CPT Debr Sq Tis Ea Add <=20 Sq 2 2 $647.75 $647.75 $453.42 $485.81 $469.62 2026-07-31
11043 CPT Debr Musl/Fas 1st <= 20 Sqcm 2 2 $647.75 $647.75 $453.42 $485.81 $469.62 2026-07-31
11042 CPT Debr Sq Tis 1st <= 20 Sqcm 2 2 $647.75 $647.75 $453.42 $485.81 $469.62 2026-07-31
31500 CPT Endotrachael Intubation 2 2 $612.00 $612.00 $428.40 $459.00 $443.70 2026-07-31
92950 CPT Cpr (Code Blue) 2 2 $590.00 $590.00 $413.00 $442.50 $427.75 2026-07-31
90945 CPT Peritoneal Dialysis 2 2 $429.00 $429.00 $300.30 $321.75 $311.02 2026-07-31
94669 CPT Mech Chest Wall Oscill 2 2 $386.10 $386.10 $270.27 $289.58 $279.92 2026-07-31
10060 CPT I&d Abscesssimple/Single 2 2 $367.50 $367.50 $257.25 $275.63 $266.44 2026-07-31
PH002931 CDM Perflutren Lipid Microspheres 2 2 $357.00 $357.00 $250.00 $268.00 $259.00 2025-11-25
97167 CPT Ot Eval High Complexity 2 2 $347.75 $347.75 $243.42 $260.81 $252.12 2026-07-31
97163 CPT Pt Eval High Complexity 2 2 $347.75 $347.75 $243.42 $260.81 $252.12 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
97597 CPT Rmvl Devital Tis 20 Cm/< 2 2 $343.00 $343.00 $240.10 $257.25 $248.68 2026-07-31
97606 CPT Vaccuum Therapy >50cm 2 2 $341.25 $341.25 $238.87 $255.94 $247.41 2026-07-31
29580 CPT Appl Unna Boot Unilat 2 2 $303.50 $303.50 $212.45 $227.63 $220.04 2026-07-31
97166 CPT Ot Eval Mod Complexity 2 2 $289.75 $289.75 $202.82 $217.31 $210.06 2026-07-31
97162 CPT Pt Eval Mod Complexity 2 2 $289.75 $289.75 $202.82 $217.31 $210.06 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
31502 CPT Tracheotomy Tube Change 2 2 $259.50 $259.50 $181.65 $194.63 $188.14 2026-07-31
97605 CPT Vaccuum Therapy <50cm 2 2 $255.25 $255.25 $178.67 $191.44 $185.06 2026-07-31
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
97161 CPT Pt Eval Low Complexity 2 2 $231.75 $231.75 $162.22 $173.81 $168.01 2026-07-31
97165 CPT Ot Eval Low Complexity 2 2 $231.75 $231.75 $162.22 $173.81 $168.01 2026-07-31
94667 CPT Manip Chest Wall (cpt) Initial 2 2 $219.50 $219.50 $153.65 $164.63 $159.14 2026-07-31
94760 CPT Pulse Ox Single Det 2 2 $212.50 $212.50 $148.75 $159.38 $154.06 2026-07-31
94664 CPT Demo/Eval Pt Inhal/Neb/Ippb 2 2 $206.75 $206.75 $144.72 $155.06 $149.89 2026-07-31
94668 CPT Manip Chest Wall (cpt) Subseq 2 2 $198.50 $198.50 $138.95 $148.88 $143.91 2026-07-31
PH001999 CDM Epinephrine 1mg/ml 30ml 2 2 $177.00 $177.00 $124.00 $133.00 $128.50 2025-11-25
PH002932 CDM Revefenacinud 175mcg/3ml 2 2 $158.00 $158.00 $111.00 $119.00 $115.00 2025-11-25
P9060 HCPCS Ffp Donor Retest Ea Unit 2 2 $150.00 $150.00 $105.00 $112.50 $108.75 2026-07-31
94640 CPT Inhalation Treatment 2 2 $144.50 $144.50 $101.15 $108.38 $104.77 2026-07-31
31720 CPT Catheter Aspiration Nasotrache 2 2 $121.00 $121.00 $84.70 $90.75 $87.72 2026-07-31
97535 CPT Adl Training Ea 15 Min 2 2 $117.75 $117.75 $82.42 $88.31 $85.37 2026-07-31
PH002675 CDM Fentanyl/ns 100ml Premix 2 2 $97.00 $97.00 $68.00 $73.00 $70.50 2025-11-25
PH002925 CDM Hydrocortisone 100mg/60ml Rect 2 2 $86.00 $86.00 $60.00 $65.00 $62.50 2025-11-25
89220 CPT Sputum Collection - Aerosol 2 2 $84.50 $84.50 $59.15 $63.38 $61.27 2026-07-31
PH002922 CDM Flu Vacc Ts2025-26(6mos Up)/pf 2 2 $81.00 $81.00 $57.00 $61.00 $59.00 2025-11-25
36600 CPT Arterial Puncture 2 2 $70.25 $70.25 $49.17 $52.69 $50.93 2026-07-31
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
PH000675 CDM Fentanyl 75mcg Patch 2 2 $49.00 $49.00 $34.00 $37.00 $35.50 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
PH002204 CDM Vasopressin 20unit/ml 10ml 2 2 $26.00 $26.00 $18.00 $20.00 $19.00 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
PH002132 CDM Buprenorphine/naloxone 8-2 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
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
J0360 HCPCS Hydralazine Hcl 20mg/ml 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
P9047 HCPCS Buminate 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
J7131 HCPCS Sodium Chloride 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
J3475 HCPCS Magnesium Sulfate 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
J3420 HCPCS Cyanocobalamin (Vitamin B-12) 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
J3360 HCPCS Diazepam 10mg Inj 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
J3243 HCPCS Tygacil 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
J3105 HCPCS Terbutaline Sulfate 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
J0885 HCPCS Epogen 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
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
J0278 HCPCS Amikin 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0171 HCPCS Epinephrine 1mg/10ml 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0133 HCPCS Acyclovir Sodium 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
J0131 HCPCS Ofirmev 2 2 $7.00 $7.00 $4.90 $5.25 $5.08 2026-07-31
PH002930 CDM Phenylephrine Hcl 100 Mcg/ml 2 2 $7.00 $7.00 $5.00 $5.00 $5.00 2025-11-25
PH002919 CDM Cefuroxime Axetil 500 Mg Tab 2 2 $7.00 $7.00 $5.00 $5.00 $5.00 2025-11-25
PH000106 CDM Heparin Na 5000unit/ml,porcine 2 2 $7.00 $7.00 $5.00 $5.00 $5.00 2025-11-25
PH002446 CDM Heparin Sodium,porcine 5000uni 2 2 $7.00 $7.00 $5.00 $5.00 $5.00 2025-11-25
PH002343 CDM Heparin Sodium,porcine 2 2 $7.00 $7.00 $5.00 $5.00 $5.00 2025-11-25
PH002685 CDM Norepinephrine/ns Premix 2 2 $7.00 $7.00 $5.00 $5.00 $5.00 2025-11-25
PH001428 CDM Phenylephrine Hcl 10mg/ml-5ml 2 2 $7.00 $7.00 $5.00 $5.00 $5.00 2025-11-25
PH001234 CDM Heparin Sodium,porcine 100unit 2 2 $7.00 $7.00 $5.00 $5.00 $5.00 2025-11-25
PH002674 CDM Fentanyl Citrate/pf 2 2 $7.00 $7.00 $5.00 $5.00 $5.00 2025-11-25
J1630 HCPCS Haloperidol Lactate 2 2 $5.90 $5.90 $4.13 $4.43 $4.28 2026-07-31
J1160 HCPCS Digoxin0.5mg/2ml 2 2 $5.24 $5.24 $3.67 $3.93 $3.80 2026-07-31
J2060 HCPCS Lorazepam 2mg/ml 2 2 $5.08 $5.08 $3.56 $3.81 $3.69 2026-07-31
J2405 HCPCS Ondansetron HCL/Pf 4mg/2ml 2 2 $4.80 $4.80 $3.36 $3.60 $3.48 2026-07-31
J1170 HCPCS Hydromorphone Hcl 2mg Syr 4 2 $4.32 $4.32 $2.91 $3.36 $3.13 2026-07-31
PH001222 CDM Heparin Sodium,porcine/pf 3ml 2 2 $4.00 $4.00 $3.00 $3.00 $3.00 2025-11-25
PH001475 CDM Heparin Sodium,500unit/5ml-12 2 2 $4.00 $4.00 $3.00 $3.00 $3.00 2025-11-25
PH001987 CDM Heparin Sodium,porc/pf 50unit/ 2 2 $4.00 $4.00 $3.00 $3.00 $3.00 2025-11-25
PH002157 CDM Heparin Sodium 10unit/ml-1ml 2 2 $4.00 $4.00 $3.00 $3.00 $3.00 2025-11-25
PH002177 CDM Heparin Sod,porc/pf 10unit/ml- 2 2 $4.00 $4.00 $3.00 $3.00 $3.00 2025-11-25
PH002918 CDM Desvenlafaxine Succinate Tab E 2 2 $4.00 $4.00 $3.00 $3.00 $3.00 2025-11-25
J3370 HCPCS Vancomycin Hcl 4 2 $4.00 $4.00 $0.70 $5.25 $2.83 2026-07-31
J1885 HCPCS Ketorolac Tromethamine 4 2 $3.63 $3.63 $2.45 $2.82 $2.63 2026-07-31
PH001505 CDM Oxycodone Hcl Ir 10mg 2 2 $3.00 $3.00 $2.00 $2.00 $2.00 2025-11-25
PH002772 CDM Prazosin Hcl 2 2 $3.00 $3.00 $2.00 $2.00 $2.00 2025-11-25
PH002753 CDM Insulin Glargine-yfgn 2 2 $2.00 $2.00 $1.00 $2.00 $1.50 2025-11-25
PH001122 CDM Morphine 2mg/ml Cpj 2 2 $2.00 $2.00 $1.00 $2.00 $1.50 2025-11-25
PH002933 CDM Dextroamphetamine/amphetamine 2 2 $2.00 $2.00 $1.00 $2.00 $1.50 2025-11-25
PH000901 CDM Oxycodone Hcl 15mg Ir 2 2 $2.00 $2.00 $1.00 $2.00 $1.50 2025-11-25
PH002415 CDM Oxycodone Hcl 20mg Tab 2 2 $2.00 $2.00 $1.00 $2.00 $1.50 2025-11-25
J2765 HCPCS Metoclopramide Hcl Inj 2 2 $1.80 $1.80 $1.26 $1.35 $1.31 2026-07-31
PH000129 CDM Tramadol Hcl 2 2 $1.00 $1.00 $1.00 $1.00 $1.00 2025-11-25
PH001054 CDM Warfarin Sodium 2.5mg Ud 2 2 $1.00 $1.00 $1.00 $1.00 $1.00 2025-11-25
PH000088 CDM Hydromorphone Hcl 2mg Tab 2 2 $1.00 $1.00 $1.00 $1.00 $1.00 2025-11-25
PH002916 CDM Nitroglycerin Patch Removal 2 2 $1.00 $1.00 $1.00 $1.00 $1.00 2025-11-25
PH002924 CDM Amox/clavulanate 400-57mg/5ml 2 2 $1.00 $1.00 $1.00 $1.00 $1.00 2025-11-25
PH002927 CDM Carbamazepine Oral Sus 100mg/5 2 2 $1.00 $1.00 $1.00 $1.00 $1.00 2025-11-25
PH002928 CDM Rivastigmine Patch Removal 2 2 $1.00 $1.00 $1.00 $1.00 $1.00 2025-11-25
J7506 HCPCS Prednisone 20mg 2 2 $1.00 $1.00 $0.70 $0.75 $0.72 2026-07-31
Q0163 HCPCS Diphenhydramine Hcl 25mg Cap 2 2 $1.00 $1.00 $0.70 $0.75 $0.72 2026-07-31
J7608 HCPCS Acetylcyst20%-30ml Oc 2 2 $1.00 $1.00 $0.70 $0.75 $0.72 2026-07-31
J7507 HCPCS Tacrolimus 2 2 $1.00 $1.00 $0.70 $0.75 $0.72 2026-07-31
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