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

Louisiana Extended Care Hospital Of Lafayette

Lafayette, LA · CCN 192032 · Rates published

830 distinct procedures filed
19 distinct payers
25,664 rate rows
2026-07-18 last MRF observed
Data quality

13,228 of 25,664 rate rows are consumer-grade (51.5%)

12,436 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 6,978
template filing: same amount across many unrelated codes — excluded 5,392
placeholder amount (≤ $0.02) — excluded from medians 66
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.laltac.com/siteuploads/specialty-hospital-lafayette/1124_pdf_1_20-3373056_lhcg-xii-llc-dba-louisiana-extended-care-hospital-of-lafayette_standardcharges.csv
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-23
Content fingerprint bc8b6707498175c3… · 5,070,189 bytes · first seen 2026-09-11

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
27000923
CDM 		Trialysis Cath, Any Size 12 $3,666.00 $3,666.00 $3,666.00 nat. median
$3,666
1.0× median
80100000
CDM 		Hemodial Acut Renalfail 12 $3,360.00 $3,360.00 $3,360.00 nat. median
$532
outlier · 6.3×
8967
CDM 		Acyclovir 5 % Top Crea 12 $3,345.30 $3,345.30 $3,345.30 nat. median
$140
outlier · 23.9×
10043
CDM 		Grmc Egd W/Dilation Go Obstruc 12 $3,034.00 $3,034.00 $3,034.00 nat. median
$0
92100013
CDM 		Duplex Ext Veins; Bilat 12 $2,996.00 $2,996.00 $2,996.00 nat. median
$2,996
1.0× median
32000050
CDM 		Spine Cervical, 2-3 Views 12 $2,375.00 $2,375.00 $2,375.00 nat. median
$436
outlier · 5.4×
43246
CDM 		Peg Tube Placement 12 $2,369.00 $2,369.00 $2,369.00 nat. median
$30
outlier · 79.0×
40200035
CDM 		US Exam Pelvic Complete Non-OB 12 $2,010.20 $2,010.20 $2,010.20 nat. median
$1,347
1.5× median
32000107
CDM 		Ankle 3 Views,Complete 12 $2,000.00 $2,000.00 $2,000.00 nat. median
$217
outlier · 9.2×
23194457
CDM 		US Duplex Extrm Upp Lmtd Lt 12 $1,929.70 $1,929.70 $1,929.70 nat. median
$1,930
1.0× median
181433
CDM 		Semaglutide 0.25mg Subq Pnij 12 $1,897.87 $1,897.87 $1,897.87 nat. median
$428
outlier · 4.4×
36989
CDM 		Daptomycin 500 Mg IV Solr 12 $1,871.06 $1,871.06 $1,871.06 nat. median
$33
outlier · 56.1×
80100016
CDM 		Maintenance Hemodialysis 12 $1,810.00 $1,810.00 $1,810.00 nat. median
$729
outlier · 2.5×
97893
CDM 		Tolvaptan 15 Mg Oral Tab 12 $1,803.19 $1,803.19 $1,803.19 nat. median
$214
outlier · 8.4×
20600001
CDM 		High Acuity Private R&b 12 $1,800.00 $1,800.00 $1,800.00 nat. median
$2,336
0.8× median
35200003
CDM 		CTA Chest With Non Coronary 12 $1,777.00 $1,777.00 $1,777.00 nat. median
$1,777
1.0× median
36556
CDM 		Insert Of Non-tunnel Cv Cath 12 $1,738.13 $1,738.13 $1,738.13 nat. median
$1,680
1.0× median
36100226
CDM 		Picc Line Placement >5 Years 12 $1,666.00 $1,666.00 $1,666.00 nat. median
$317
outlier · 5.3×
36100225
CDM 		Picc Line Placement <5 Years 12 $1,661.00 $1,661.00 $1,661.00 nat. median
$1,661
1.0× median
36005003
CDM 		Picc Insertion W/supp & Imag 12 $1,632.00 $1,632.00 $1,632.00 nat. median
$1,330
1.2× median
35074177
CDM 		CT Scan Abd Pelvis W Cont 12 $1,617.00 $1,617.00 $1,617.00 nat. median
$1,804
0.9× median
206
OTHER 		Room And Board (icu) 3 $1,400.00 $1,800.00 $1,608.00 nat. median
$7,942
outlier · 0.2×
200
OTHER 		Room And Board (icu/vent) 3 $1,400.00 $1,800.00 $1,608.00 nat. median
$9,155
outlier · 0.2×
35200001
CDM 		CT Chest/thorax W/contrast 12 $1,574.00 $1,574.00 $1,574.00 nat. median
$366
outlier · 4.3×
ROOMICU
CDM 		Room Board Intensive Care 12 $1,500.00 $1,500.00 $1,500.00 nat. median
$1,500
1.0× median
48001393
CDM 		Remdesivir 100mg IV Solr 12 $1,435.20 $1,435.20 $1,435.20 nat. median
$1,435
1.0× median
11000001
CDM 		Room And Board 12 $1,400.00 $1,400.00 $1,400.00 nat. median
$1,400
1.0× median
14643
CDM 		Epoetin Alfa 20000 Unit/ML Inj 12 $1,392.72 $1,392.72 $1,392.72 nat. median
$787
1.8× median
48000000
CDM 		Code Blue 12 $1,363.00 $1,363.00 $1,363.00 nat. median
$783
1.7× median
36000238
CDM 		Bronchoscopy, With Brnonchial Al 12 $1,356.00 $1,356.00 $1,356.00 nat. median
$1,356
1.0× median
36100103
CDM 		Bronchoscopy W/Washing 12 $1,356.00 $1,356.00 $1,356.00 nat. median
$1,432
0.9× median
34100028
CDM 		Gi Bleeding Study 12 $1,308.00 $1,308.00 $1,308.00 nat. median
$1,308
1.0× median
41000097
CDM 		Ventilator Initial Setup 12 $1,300.00 $1,300.00 $1,300.00 nat. median
$490
outlier · 2.7×
110
OTHER 		Room And Board (med Surg/intermediate) 3 $1,150.00 $1,300.00 $1,286.00 nat. median
$1,500
0.9× median
23110825
CDM 		Gastrointestinal Pcr Panel 12 $1,203.80 $1,203.80 $1,203.80 nat. median
$1,204
1.0× median
36105026
CDM 		Hc Midline Cath Placement >5 Y 12 $1,135.00 $1,135.00 $1,135.00 nat. median
$1,135
1.0× median
100803
CDM 		Liraglutide 0.6 Mg/0.1 Ml (18 12 $1,129.34 $1,129.34 $1,129.34 nat. median
$408
outlier · 2.8×
36590
CDM 		Levetiracetam 100 Mg/ML Oral S 12 $1,123.50 $1,123.50 $1,123.50 nat. median
$14
outlier · 80.5×
156301
CDM 		Lidocaine 5 % Top Oint 12 $1,050.00 $1,050.00 $1,050.00 nat. median
$1,050
1.0× median
11000011
CDM 		Snf Room And Board 12 $980.00 $980.00 $980.00 nat. median
$81
outlier · 12.0×
40202000
CDM 		US Abdomen,single Organ, Limtd 12 $955.20 $955.20 $955.20 nat. median
$716
1.3× median
189665
CDM 		Dulaglutide 4.5 Mg/0.5 Ml Subc 12 $943.54 $943.54 $943.54 nat. median
$944
1.0× median
30001268
CDM 		Triglycerides 12 $936.00 $936.00 $936.00 nat. median
$48
outlier · 19.7×
27800509
CDM 		Cath, Triple Lumen 12 $905.00 $905.00 $905.00 nat. median
$990
0.9× median
41000105
CDM 		Ventilator Mgmt Initial Day 12 $900.00 $900.00 $900.00 nat. median
$900
1.0× median
190
OTHER 		Room And Board (sub Acute) 3 $900.00 $1,286.00 $900.00 nat. median
$8,856
outlier · 0.1×
40200048
CDM 		US Guide For Vascular Access 12 $868.00 $868.00 $868.00 nat. median
$868
1.0× median
9682
CDM 		Collagenase Clostridium Histo. 12 $860.16 $860.16 $860.16 nat. median
$220
outlier · 3.9×
30011365
CDM 		Infcts Ds Path RNA 3 Targts 12 $858.00 $858.00 $858.00 nat. median
$858
1.0× median
94576
CDM 		Nicardipine In Nacl (iso-os) 4 12 $854.00 $854.00 $854.00 nat. median
$816
1.0× median

Other procedures at this hospital

Browse this hospital's 830 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
             
27000923 CDM Trialysis Cath, Any Size 16 12 $3,666.00 $3,666.00 $3,666.00 $3,666.00 $3,666.00 2026-06-04
80100000 CDM Hemodial Acut Renalfail 16 12 $3,360.00 $3,360.00 $3,360.00 $3,360.00 $3,360.00 2026-06-04
8967 CDM Acyclovir 5 % Top Crea 16 12 $3,345.30 $3,345.30 $3,345.30 $3,345.30 $3,345.30 2026-06-04
10043 CDM Grmc Egd W/Dilation Go Obstruc 16 12 $3,034.00 $3,034.00 $3,034.00 $3,034.00 $3,034.00 2026-06-04
92100013 CDM Duplex Ext Veins; Bilat 16 12 $2,996.00 $2,996.00 $2,996.00 $2,996.00 $2,996.00 2026-06-04
32000050 CDM Spine Cervical, 2-3 Views 16 12 $2,375.00 $2,375.00 $2,375.00 $2,375.00 $2,375.00 2026-06-04
43246 CDM Peg Tube Placement 16 12 $2,369.00 $2,369.00 $2,369.00 $2,369.00 $2,369.00 2026-06-04
40200035 CDM US Exam Pelvic Complete Non-OB 16 12 $2,010.20 $2,010.20 $2,010.20 $2,010.20 $2,010.20 2026-06-04
32000107 CDM Ankle 3 Views,Complete 16 12 $2,000.00 $2,000.00 $2,000.00 $2,000.00 $2,000.00 2026-06-04
23194457 CDM US Duplex Extrm Upp Lmtd Lt 16 12 $1,929.70 $1,929.70 $1,929.70 $1,929.70 $1,929.70 2026-06-04
181433 CDM Semaglutide 0.25mg Subq Pnij 16 12 $1,897.87 $1,897.87 $1,897.87 $1,897.87 $1,897.87 2026-06-04
36989 CDM Daptomycin 500 Mg IV Solr 16 12 $1,871.06 $1,871.06 $1,871.06 $1,871.06 $1,871.06 2026-06-04
80100016 CDM Maintenance Hemodialysis 16 12 $1,810.00 $1,810.00 $1,810.00 $1,810.00 $1,810.00 2026-06-04
97893 CDM Tolvaptan 15 Mg Oral Tab 16 12 $1,803.19 $1,803.19 $1,803.19 $1,803.19 $1,803.19 2026-06-04
20600001 CDM High Acuity Private R&b 16 12 $1,800.00 $1,800.00 $1,800.00 $1,800.00 $1,800.00 2026-06-04
35200003 CDM CTA Chest With Non Coronary 16 12 $1,777.00 $1,777.00 $1,777.00 $1,777.00 $1,777.00 2026-06-04
36556 CDM Insert Of Non-tunnel Cv Cath 16 12 $1,738.13 $1,738.13 $1,738.13 $1,738.13 $1,738.13 2026-06-04
36100226 CDM Picc Line Placement >5 Years 16 12 $1,666.00 $1,666.00 $1,666.00 $1,666.00 $1,666.00 2026-06-04
36100225 CDM Picc Line Placement <5 Years 16 12 $1,661.00 $1,661.00 $1,661.00 $1,661.00 $1,661.00 2026-06-04
36005003 CDM Picc Insertion W/supp & Imag 16 12 $1,632.00 $1,632.00 $1,632.00 $1,632.00 $1,632.00 2026-06-04
35074177 CDM CT Scan Abd Pelvis W Cont 16 12 $1,617.00 $1,617.00 $1,617.00 $1,617.00 $1,617.00 2026-06-04
206 OTHER Room And Board (icu) 3 3 $2,100.00 $1,400.00 33% off $1,400.00 $1,800.00 $1,608.00 2026-07-18
200 OTHER Room And Board (icu/vent) 3 3 $2,100.00 $1,400.00 33% off $1,400.00 $1,800.00 $1,608.00 2026-07-18
35200001 CDM CT Chest/thorax W/contrast 16 12 $1,574.00 $1,574.00 $1,574.00 $1,574.00 $1,574.00 2026-06-04
ROOMICU CDM Room Board Intensive Care 16 12 $1,500.00 $1,500.00 $1,500.00 $1,500.00 $1,500.00 2026-06-04
48001393 CDM Remdesivir 100mg IV Solr 16 12 $1,435.20 $1,435.20 $1,435.20 $1,435.20 $1,435.20 2026-06-04
11000001 CDM Room And Board 16 12 $1,400.00 $1,400.00 $1,400.00 $1,400.00 $1,400.00 2026-06-04
14643 CDM Epoetin Alfa 20000 Unit/ML Inj 16 12 $1,392.72 $1,392.72 $1,392.72 $1,392.72 $1,392.72 2026-06-04
48000000 CDM Code Blue 16 12 $1,363.00 $1,363.00 $1,363.00 $1,363.00 $1,363.00 2026-06-04
36000238 CDM Bronchoscopy, With Brnonchial Al 16 12 $1,356.00 $1,356.00 $1,356.00 $1,356.00 $1,356.00 2026-06-04
36100103 CDM Bronchoscopy W/Washing 16 12 $1,356.00 $1,356.00 $1,356.00 $1,356.00 $1,356.00 2026-06-04
34100028 CDM Gi Bleeding Study 16 12 $1,308.00 $1,308.00 $1,308.00 $1,308.00 $1,308.00 2026-06-04
41000097 CDM Ventilator Initial Setup 16 12 $1,300.00 $1,300.00 $1,300.00 $1,300.00 $1,300.00 2026-06-04
110 OTHER Room And Board (med Surg/intermediate) 3 3 $1,700.00 $1,150.00 32% off $1,150.00 $1,300.00 $1,286.00 2026-07-18
23110825 CDM Gastrointestinal Pcr Panel 16 12 $1,203.80 $1,203.80 $1,203.80 $1,203.80 $1,203.80 2026-06-04
36105026 CDM Hc Midline Cath Placement >5 Y 16 12 $1,135.00 $1,135.00 $1,135.00 $1,135.00 $1,135.00 2026-06-04
100803 CDM Liraglutide 0.6 Mg/0.1 Ml (18 16 12 $1,129.34 $1,129.34 $1,129.34 $1,129.34 $1,129.34 2026-06-04
36590 CDM Levetiracetam 100 Mg/ML Oral S 16 12 $1,123.50 $1,123.50 $1,123.50 $1,123.50 $1,123.50 2026-06-04
156301 CDM Lidocaine 5 % Top Oint 16 12 $1,050.00 $1,050.00 $1,050.00 $1,050.00 $1,050.00 2026-06-04
11000011 CDM Snf Room And Board 16 12 $980.00 $980.00 $980.00 $980.00 $980.00 2026-06-04
40202000 CDM US Abdomen,single Organ, Limtd 16 12 $955.20 $955.20 $955.20 $955.20 $955.20 2026-06-04
189665 CDM Dulaglutide 4.5 Mg/0.5 Ml Subc 16 12 $943.54 $943.54 $943.54 $943.54 $943.54 2026-06-04
30001268 CDM Triglycerides 16 12 $936.00 $936.00 $936.00 $936.00 $936.00 2026-06-04
27800509 CDM Cath, Triple Lumen 16 12 $905.00 $905.00 $905.00 $905.00 $905.00 2026-06-04
41000105 CDM Ventilator Mgmt Initial Day 16 12 $900.00 $900.00 $900.00 $900.00 $900.00 2026-06-04
190 OTHER Room And Board (sub Acute) 3 3 $1,700.00 $728.00 57% off $900.00 $1,286.00 $900.00 2026-07-18
40200048 CDM US Guide For Vascular Access 16 12 $868.00 $868.00 $868.00 $868.00 $868.00 2026-06-04
9682 CDM Collagenase Clostridium Histo. 16 12 $860.16 $860.16 $860.16 $860.16 $860.16 2026-06-04
30011365 CDM Infcts Ds Path RNA 3 Targts 16 12 $858.00 $858.00 $858.00 $858.00 $858.00 2026-06-04
94576 CDM Nicardipine In Nacl (iso-os) 4 16 12 $854.00 $854.00 $854.00 $854.00 $854.00 2026-06-04
49000668 CDM Hc Tracheobronchoscopy Thru Es 16 12 $836.00 $836.00 $836.00 $836.00 $836.00 2026-06-04
180727 CDM Fluticasone-umeclidin-vilanter 16 12 $833.43 $833.43 $833.43 $833.43 $833.43 2026-06-04
30000179 CDM Blood Culture Aero &/or Ana 16 12 $821.80 $821.80 $821.80 $821.80 $821.80 2026-06-04
27800502 CDM Cath, Double Lumen 16 12 $813.00 $813.00 $813.00 $813.00 $813.00 2026-06-04
80300001 CDM Hc Continuous Ambulatory Perit 16 12 $805.00 $805.00 $805.00 $805.00 $805.00 2026-06-04
77685 CDM Micafungin 100 Mg IV Solr 16 12 $785.40 $785.40 $785.40 $785.40 $785.40 2026-06-04
27095676 CDM 4fr Midline Insertion Kit 16 12 $782.32 $782.32 $782.32 $782.32 $782.32 2026-06-04
30687632 CDM Covid-19 Influenza A+b Pcr 16 12 $780.00 $780.00 $780.00 $780.00 $780.00 2026-06-04
39000003 CDM Platelet Pheresis 16 12 $779.00 $779.00 $779.00 $779.00 $779.00 2026-06-04
27200674 CDM System Fecal Management 16 12 $730.00 $730.00 $730.00 $730.00 $730.00 2026-06-04
189664 CDM Dulaglutide 3mg/0.5ml Subq Pen 16 12 $726.10 $726.10 $726.10 $726.10 $726.10 2026-06-04
119849 CDM Glucagon (Human Recombinant) 1 16 12 $720.72 $720.72 $720.72 $720.72 $720.72 2026-06-04
27202055 CDM Hc Bronchoscope, Disp 16 12 $715.00 $715.00 $715.00 $715.00 $715.00 2026-06-04
28224 CDM Linezolid 600 Mg Oral Tab 16 12 $714.28 $714.28 $714.28 $714.28 $714.28 2026-06-04
9938 CDM Epoetin Alfa 10000 Unit/ML Inj 16 12 $696.36 $696.36 $696.36 $696.36 $696.36 2026-06-04
112201 CDM Penicillin G Benzathine 120000 16 12 $660.94 $660.94 $660.94 $660.94 $660.94 2026-06-04
41652 CDM Tigecycline 50 Mg IV Solr 16 12 $657.31 $657.31 $657.31 $657.31 $657.31 2026-06-04
31310 CDM Alteplase 2 Mg IV 16 12 $642.86 $642.86 $642.86 $642.86 $642.86 2026-06-04
705395 CDM Trulicity 1.5mg/0.5ml 16 12 $631.05 $631.05 $631.05 $631.05 $631.05 2026-06-04
10289 CDM Insulin Regular Human 100 Unit 16 12 $624.54 $624.54 $624.54 $624.54 $624.54 2026-06-04
10284 CDM Insulin Nph Isoph U-100 Human 16 12 $624.54 $624.54 $624.54 $624.54 $624.54 2026-06-04
30001368 CDM Compatibility Antiglobulin 16 12 $621.40 $621.40 $621.40 $621.40 $621.40 2026-06-04
35274176 CDM Hc CT Abd Pelvis Without Contr 16 12 $620.93 $620.93 $620.93 $620.93 $620.93 2026-06-04
30000821 CDM Levetiracetam (Keppra) 16 12 $613.44 $613.44 $613.44 $613.44 $613.44 2026-06-04
705364 CDM Trulicity 0.75mg/0.5ml 16 12 $603.72 $603.72 $603.72 $603.72 $603.72 2026-06-04
41000106 CDM Ventilator Mgmt Subsq Day 16 12 $600.00 $600.00 $600.00 $600.00 $600.00 2026-06-04
30001327 CDM Vitamin D, 1-25 Dihyrroxy 16 12 $576.34 $576.34 $576.34 $576.34 $576.34 2026-06-04
22240 CDM Tobramycin In 0.225 % Nacl 300 16 12 $550.33 $550.33 $550.33 $550.33 $550.33 2026-06-04
31922 CDM Ertapenem 1 Gram Inj Solr 16 12 $540.38 $540.38 $540.38 $540.38 $540.38 2026-06-04
22257 CDM Ofloxacin 0.3 % Otic Drop 16 12 $539.98 $539.98 $539.98 $539.98 $539.98 2026-06-04
30148 CDM Valganciclovir 450 Mg Oral Tab 16 12 $535.49 $535.49 $535.49 $535.49 $535.49 2026-06-04
92100009 CDM Duplex Le Arti/Bpg; Unil- 16 12 $505.00 $505.00 $505.00 $505.00 $505.00 2026-06-04
44000105 CDM St Modified Barium Swallow 16 12 $502.90 $502.90 $502.90 $502.90 $502.90 2026-06-04
45000284 CDM Intubation 16 12 $497.00 $497.00 $497.00 $497.00 $497.00 2026-06-04
30000333 CDM Comprehensive Metabolic Pan 16 12 $491.52 $491.52 $491.52 $491.52 $491.52 2026-06-04
30001145 CDM Hc Sed Rate, Auto 16 12 $483.00 $483.00 $483.00 $483.00 $483.00 2026-06-04
187852 CDM Cefiderocol 1 G IV Solr 16 12 $480.00 $480.00 $480.00 $480.00 $480.00 2026-06-04
27400006 CDM Trach Talk Device 16 12 $479.00 $479.00 $479.00 $479.00 $479.00 2026-06-04
10368 CDM Ketoconazole 2 % Top Crea 16 12 $459.64 $459.64 $459.64 $459.64 $459.64 2026-06-04
45000285 CDM Change Tracheostomy Tube 16 12 $451.00 $451.00 $451.00 $451.00 $451.00 2026-06-04
9630 CDM Clobetasol 0.05 % Top Crea 16 12 $448.83 $448.83 $448.83 $448.83 $448.83 2026-06-04
32000123 CDM Xr Femur, Right 1 View (la) 16 12 $445.00 $445.00 $445.00 $445.00 $445.00 2026-06-04
154625 CDM Levothyroxine 100 Mcg IV Solr 16 12 $443.44 $443.44 $443.44 $443.44 $443.44 2026-06-04
30000022 CDM Compatibility Electronic 16 12 $440.58 $440.58 $440.58 $440.58 $440.58 2026-06-04
44000118 CDM St Cognitive Treatment 16 12 $440.00 $440.00 $440.00 $440.00 $440.00 2026-06-04
702694 CDM Fluticasone Propionate 0.044mg 16 12 $437.95 $437.95 $437.95 $437.95 $437.95 2026-06-04
181905 CDM Bictegrav-emtricit-tenofov Ala 16 12 $431.28 $431.28 $431.28 $431.28 $431.28 2026-06-04
27205370 CDM Dressing, Peel & Place Medium 16 12 $427.84 $427.84 $427.84 $427.84 $427.84 2026-06-04
105904 CDM Enoxaparin 120 Mg/0.8 Ml Subq 16 12 $417.39 $417.39 $417.39 $417.39 $417.39 2026-06-04
30001101 CDM Renal Function Panel 16 12 $405.61 $405.61 $405.61 $405.61 $405.61 2026-06-04
40850617 CDM Grmc Nm Sincalide Inj 5 Mcg 16 12 $402.45 $402.45 $402.45 $402.45 $402.45 2026-06-04
30001372 CDM Omc C-rbc Ab Scrn,ea Techniq 16 12 $399.00 $399.00 $399.00 $399.00 $399.00 2026-06-04
5754 CDM Nystatin-triamcinolone 100,000 16 12 $391.81 $391.81 $391.81 $391.81 $391.81 2026-06-04
30001215 CDM Tacrolimus 16 12 $390.81 $390.81 $390.81 $390.81 $390.81 2026-06-04
8981 CDM Albumin, Human 25 % 25 % IV So 16 12 $378.00 $378.00 $378.00 $378.00 $378.00 2026-06-04
30000625 CDM Hbsag 16 12 $377.92 $377.92 $377.92 $377.92 $377.92 2026-06-04
7364 CDM Sodium Thiosulfate 12.5 Gram/5 16 12 $374.50 $374.50 $374.50 $374.50 $374.50 2026-06-04
8444 CDM Vancomycin 5 Gram IV Solr 16 12 $373.52 $373.52 $373.52 $373.52 $373.52 2026-06-04
19179 CDM Azelastine 137 Mcg (0.1 %) Nas 16 12 $368.24 $368.24 $368.24 $368.24 $368.24 2026-06-04
23110381 CDM Ammonia Level 16 12 $366.00 $366.00 $366.00 $366.00 $366.00 2026-06-04
166279 CDM Umeclidinium-vilanterol62.5-25 16 12 $365.04 $365.04 $365.04 $365.04 $365.04 2026-06-04
44400101 CDM St Eval Speech Sound Lang Comp 16 12 $349.75 $349.75 $349.75 $349.75 $349.75 2026-06-04
27000173 CDM Acapella Device 16 12 $349.00 $349.00 $349.00 $349.00 $349.00 2026-06-04
3424 CDM Gentamicin 0.1 % Top Oint 16 12 $345.66 $345.66 $345.66 $345.66 $345.66 2026-06-04
27205369 CDM Dressing, Peel & Place Small 16 12 $339.20 $339.20 $339.20 $339.20 $339.20 2026-06-04
112020 CDM Linezolid 600 Mg/300 Ml IV Sol 16 12 $336.00 $336.00 $336.00 $336.00 $336.00 2026-06-04
18621 CDM Latanoprost 0.005 % Opht Drop 16 12 $333.45 $333.45 $333.45 $333.45 $333.45 2026-06-04
14825 CDM Fosfomycin Tromethamine 3 Gram 16 12 $333.40 $333.40 $333.40 $333.40 $333.40 2026-06-04
30000158 CDM Basic Metabolic Panel(8 Tests) 16 12 $326.11 $326.11 $326.11 $326.11 $326.11 2026-06-04
30000796 CDM Lactic Acid 16 12 $320.72 $320.72 $320.72 $320.72 $320.72 2026-06-04
2903 CDM Erythromycin Lactobionate 500 16 12 $312.50 $312.50 $312.50 $312.50 $312.50 2026-06-04
28824 CDM Hydrocortisone 2.5 % Top Crpe 16 12 $305.66 $305.66 $305.66 $305.66 $305.66 2026-06-04
30000106 CDM Blood Gases Any Combination 16 12 $303.20 $303.20 $303.20 $303.20 $303.20 2026-06-04
9623 CDM Clindamycin Phosphate 1 % Top 16 12 $302.30 $302.30 $302.30 $302.30 $302.30 2026-06-04
27933 CDM Amino Acid 5 %-dextrose 20 % 5 16 12 $301.00 $301.00 $301.00 $301.00 $301.00 2026-06-04
151609 CDM Amiodarone In Dextrs,150mg/100 16 12 $300.00 $300.00 $300.00 $300.00 $300.00 2026-06-04
30100766 CDM Thyroid Stimulat Hormone Tsh 16 12 $300.00 $300.00 $300.00 $300.00 $300.00 2026-06-04
30001213 CDM T4, Free (Thyroxine) 16 12 $285.00 $285.00 $285.00 $285.00 $285.00 2026-06-04
30000401 CDM Cyclosporine 16 12 $282.71 $282.71 $282.71 $282.71 $282.71 2026-06-04
175996 CDM Tadalafil (Antihypertensive) 2 16 12 $280.56 $280.56 $280.56 $280.56 $280.56 2026-06-04
27964 CDM Amino Acids 5% Lytes IV Soln 16 12 $276.00 $276.00 $276.00 $276.00 $276.00 2026-06-04
44000104 CDM St Eval Speech Device 16 12 $272.85 $272.85 $272.85 $272.85 $272.85 2026-06-04
27507 CDM Clonidine 0.3 Mg/24 Hr Td Ptwk 16 12 $270.76 $270.76 $270.76 $270.76 $270.76 2026-06-04
43400102 CDM Ot Eval High Complex 60 Min 16 12 $267.88 $267.88 $267.88 $267.88 $267.88 2026-06-04
42400103 CDM Pt Eval High Complex 45 Min 16 12 $267.88 $267.88 $267.88 $267.88 $267.88 2026-06-04
30000198 CDM C Difficile Toxin 16 12 $266.81 $266.81 $266.81 $266.81 $266.81 2026-06-04
164131 CDM Neostigmine Methylsulfate 1 Mg 16 12 $264.60 $264.60 $264.60 $264.60 $264.60 2026-06-04
70536 CDM Fluticasone 50 Mcg/Actuation 16 12 $263.43 $263.43 $263.43 $263.43 $263.43 2026-06-04
44400002 CDM Motion Fluoro Swallow;cine/Vid 16 12 $261.20 $261.20 $261.20 $261.20 $261.20 2026-06-04
30100082 CDM Amylase 16 12 $253.00 $253.00 $253.00 $253.00 $253.00 2026-06-04
158908 CDM Am Acids-prot Hydrol15-60kcal 16 12 $250.00 $250.00 $250.00 $250.00 $250.00 2026-06-04
41000055 CDM Respiratory Panel 16 12 $250.00 $250.00 $250.00 $250.00 $250.00 2026-06-04
4970 CDM Methocarbamol 100 Mg/ML Inj So 16 12 $249.48 $249.48 $249.48 $249.48 $249.48 2026-06-04
30001148 CDM Sensitivity Studies 16 12 $243.00 $243.00 $243.00 $243.00 $243.00 2026-06-04
27000190 CDM Cpap Mask W/Valve 16 12 $243.00 $243.00 $243.00 $243.00 $243.00 2026-06-04
43400101 CDM Ot Eval Mod Complex 45 Min 16 12 $238.88 $238.88 $238.88 $238.88 $238.88 2026-06-04
42400102 CDM Pt Eval Mod Complex 30 Min 16 12 $238.88 $238.88 $238.88 $238.88 $238.88 2026-06-04
27908 CDM Fentanyl 100mcg/hr Td Pt72 16 12 $236.13 $236.13 $236.13 $236.13 $236.13 2026-06-04
705771 CDM Descovy 200mg-25mg 16 12 $234.65 $234.65 $234.65 $234.65 $234.65 2026-06-04
30000417 CDM D-dimer, Quant 16 12 $234.40 $234.40 $234.40 $234.40 $234.40 2026-06-04
27927 CDM Amino Acid4.25% D5s4.25%ivsoln 16 12 $234.00 $234.00 $234.00 $234.00 $234.00 2026-06-04
14471 CDM Dorzolamide 2 % Opht Drop 16 12 $233.80 $233.80 $233.80 $233.80 $233.80 2026-06-04
164571 CDM Dolutegravir 50 Mg Oral Tab 16 12 $232.07 $232.07 $232.07 $232.07 $232.07 2026-06-04
177540 CDM Tenofovir Alafenamide 25 Mg Or 16 12 $226.84 $226.84 $226.84 $226.84 $226.84 2026-06-04
100611 CDM Diclofenac Sodium 1 % Top Gel 16 12 $226.80 $226.80 $226.80 $226.80 $226.80 2026-06-04
2335 CDM Dexamethasone Sodium Phosphate 16 12 $226.38 $226.38 $226.38 $226.38 $226.38 2026-06-04
30000358 CDM C-reactive Protein, High Sens 16 12 $222.26 $222.26 $222.26 $222.26 $222.26 2026-06-04
30600015 CDM Lab-culture Typng Ampl Probe T 16 12 $222.00 $222.00 $222.00 $222.00 $222.00 2026-06-04
27200966 CDM Closed Suction System 16 12 $218.00 $218.00 $218.00 $218.00 $218.00 2026-06-04
9266 CDM Betamethasone Acet,sod Phos 6 16 12 $216.30 $216.30 $216.30 $216.30 $216.30 2026-06-04
44000109 CDM St Speech Hearing Thrpy Interm 16 12 $214.95 $214.95 $214.95 $214.95 $214.95 2026-06-04
44000108 CDM St Speech Hearing Thrpy Basic 16 12 $214.95 $214.95 $214.95 $214.95 $214.95 2026-06-04
30050000 CDM Q Fever IgG/IgM Antibody Scrn 16 12 $214.73 $214.73 $214.73 $214.73 $214.73 2026-06-04
10101 CDM Ganciclovir Sodium500mg(110ml) 16 12 $210.12 $210.12 $210.12 $210.12 $210.12 2026-06-04
705306 CDM Tranexamic Acid 100mg/ML 16 12 $210.00 $210.00 $210.00 $210.00 $210.00 2026-06-04
43400100 CDM Ot Eval Low Complex 30 Min 16 12 $209.88 $209.88 $209.88 $209.88 $209.88 2026-06-04
42400101 CDM Pt Eval Low Complex 20 Min 16 12 $209.88 $209.88 $209.88 $209.88 $209.88 2026-06-04
105901 CDM Enoxaparin 60 Mg/0.6 Ml Subq S 16 12 $208.63 $208.63 $208.63 $208.63 $208.63 2026-06-04
154931 CDM Levetiracetam In Nacl (iso-os) 16 12 $208.25 $208.25 $208.25 $208.25 $208.25 2026-06-04
27000200 CDM High Flow Del Disp Circuit 16 12 $206.00 $206.00 $206.00 $206.00 $206.00 2026-06-04
11023 CDM Phytonadione (Vitamin K1) 10 M 16 12 $202.62 $202.62 $202.62 $202.62 $202.62 2026-06-04
34814 CDM Neomycin-polymyxin-hc 3.5-10,0 16 12 $201.60 $201.60 $201.60 $201.60 $201.60 2026-06-04
30001271 CDM Troponin I 16 12 $200.81 $200.81 $200.81 $200.81 $200.81 2026-06-04
27506 CDM Clonidine 0.2 Mg/24 Hr Td Ptwk 16 12 $195.40 $195.40 $195.40 $195.40 $195.40 2026-06-04
44000100 CDM St Swallow Treatment 16 12 $193.05 $193.05 $193.05 $193.05 $193.05 2026-06-04
27201112 CDM Trach Tube, Shiley 16 12 $193.00 $193.00 $193.00 $193.00 $193.00 2026-06-04
41000101 CDM Bipap/cpap Daily 16 12 $192.00 $192.00 $192.00 $192.00 $192.00 2026-06-04
73000001 CDM EKG 12 Lead Tracing Only 16 12 $190.15 $190.15 $190.15 $190.15 $190.15 2026-06-04
3232 CDM Folic Acid 5 Mg/ML Inj Soln 16 12 $189.49 $189.49 $189.49 $189.49 $189.49 2026-06-04
42400104 CDM Pt Re-eval: Estab Plan Of Care 16 12 $188.89 $188.89 $188.89 $188.89 $188.89 2026-06-04
43400103 CDM Ot Re Eval Estab Plan Of Care 16 12 $188.89 $188.89 $188.89 $188.89 $188.89 2026-06-04
3697 CDM Hydralazine 20 Mg/ML Inj Soln 16 12 $185.75 $185.75 $185.75 $185.75 $185.75 2026-06-04
45000261 CDM Apply Finger Splint 16 12 $185.00 $185.00 $185.00 $185.00 $185.00 2026-06-04
6487 CDM Prednisolone Acetate 1 % Opht 16 12 $184.80 $184.80 $184.80 $184.80 $184.80 2026-06-04
701977 CDM Zometa 4mg 16 12 $184.80 $184.80 $184.80 $184.80 $184.80 2026-06-04
30000982 CDM Partial Thromboplastin Time 16 12 $184.54 $184.54 $184.54 $184.54 $184.54 2026-06-04
1100011 CDM Paliperidone 1.5 Mg Oral Tr24 16 12 $183.38 $183.38 $183.38 $183.38 $183.38 2026-06-04
30001193 CDM Stool Culture 16 12 $183.34 $183.34 $183.34 $183.34 $183.34 2026-06-04
30000298 CDM Creatine Kinase, Mb 16 12 $182.85 $182.85 $182.85 $182.85 $182.85 2026-06-04
30000392 CDM Culture, Routine Aerobic 16 12 $181.94 $181.94 $181.94 $181.94 $181.94 2026-06-04
30001106 CDM Culture; Sputum 16 12 $181.94 $181.94 $181.94 $181.94 $181.94 2026-06-04
38263 CDM Olanzapine 10 Mg IM Solr 16 12 $180.31 $180.31 $180.31 $180.31 $180.31 2026-06-04
30000843 CDM Magnesium 16 12 $179.88 $179.88 $179.88 $179.88 $179.88 2026-06-04
154706 CDM Tranexamic Acid 1,000 Mg/10 Ml 16 12 $176.40 $176.40 $176.40 $176.40 $176.40 2026-06-04
10577 CDM Methylprednisolone Sodium Succ 16 12 $175.94 $175.94 $175.94 $175.94 $175.94 2026-06-04
30000357 CDM C-reactive Protein 16 12 $175.88 $175.88 $175.88 $175.88 $175.88 2026-06-04
114 CDM Acetazolamide Sodium 500 Mg In 16 12 $174.30 $174.30 $174.30 $174.30 $174.30 2026-06-04
44258208 CDM Grmc Mycobacterium Culture 16 12 $173.25 $173.25 $173.25 $173.25 $173.25 2026-06-04
30200295 CDM Lyme Disease Antibody 16 12 $173.25 $173.25 $173.25 $173.25 $173.25 2026-06-04
30687798 CDM Tropheryma Whipplei Pcr 16 12 $172.00 $172.00 $172.00 $172.00 $172.00 2026-06-04
107668 CDM Lurasidone 40 Mg Oral Tab 16 12 $171.28 $171.28 $171.28 $171.28 $171.28 2026-06-04
155116 CDM Lurasidone 20 Mg Oral Tab 16 12 $171.28 $171.28 $171.28 $171.28 $171.28 2026-06-04
32400007 CDM Hc Xray, Chest, 2 Views 16 12 $171.00 $171.00 $171.00 $171.00 $171.00 2026-06-04
32400006 CDM Hc Xray, Chest, 1 View 16 12 $171.00 $171.00 $171.00 $171.00 $171.00 2026-06-04
30001146 CDM Sedimentation Rate 16 12 $168.72 $168.72 $168.72 $168.72 $168.72 2026-06-04
4450 CDM Lidocaine Hcl 4 % (40 Mg/ML) M 16 12 $168.00 $168.00 $168.00 $168.00 $168.00 2026-06-04
30000824 CDM Lipase 16 12 $167.60 $167.60 $167.60 $167.60 $167.60 2026-06-04
186639 CDM Vancomycin Inj 1.5g/300ml 16 12 $167.31 $167.31 $167.31 $167.31 $167.31 2026-06-04
9610 CDM Ciprofloxacin Hcl 0.3 % Opht D 16 12 $165.55 $165.55 $165.55 $165.55 $165.55 2026-06-04
117377 CDM Insulin Glargn 16 12 $164.79 $164.79 $164.79 $164.79 $164.79 2026-06-04
78066 CDM Paliperidone 9 Mg Oral Tr24 16 12 $160.28 $160.28 $160.28 $160.28 $160.28 2026-06-04
30200019 CDM Bartonella Antibody 16 12 $160.00 $160.00 $160.00 $160.00 $160.00 2026-06-04
464 CDM Amphotericin B 50 Mg Inj Solr 16 12 $159.60 $159.60 $159.60 $159.60 $159.60 2026-06-04
30000529 CDM Ferritin 16 12 $157.71 $157.71 $157.71 $157.71 $157.71 2026-06-04
27947 CDM Amino Acids 4.25%-lytes-ca-d5w 16 12 $157.50 $157.50 $157.50 $157.50 $157.50 2026-06-04
173810 CDM Cariprazine 3 Mg Oral Cap 16 12 $157.47 $157.47 $157.47 $157.47 $157.47 2026-06-04
173809 CDM Cariprazine 1.5 Mg Oral Cap 16 12 $157.47 $157.47 $157.47 $157.47 $157.47 2026-06-04
27100108 CDM Resus Bag-disp. 16 12 $155.00 $155.00 $155.00 $155.00 $155.00 2026-06-04
182606 CDM Epoetin Alfa-epbx4000units Inj 16 12 $154.08 $154.08 $154.08 $154.08 $154.08 2026-06-04
104604 CDM Rifaximin 550 Mg Oral Tab 16 12 $153.66 $153.66 $153.66 $153.66 $153.66 2026-06-04
191490 CDM Vancomycin 1.25g/250ml Pgbk 16 12 $153.06 $153.06 $153.06 $153.06 $153.06 2026-06-04
30010033 CDM Rbc Ab Id Ea Panel Ea Techniq 16 12 $151.12 $151.12 $151.12 $151.12 $151.12 2026-06-04
30000323 CDM Compl Cbc W/Plt W/Autom Diff 16 12 $150.20 $150.20 $150.20 $150.20 $150.20 2026-06-04
43000106 CDM Ot Therapeutic Exer Ea 15 Min 16 12 $149.38 $149.38 $149.38 $149.38 $149.38 2026-06-04
42000117 CDM Pt Therapeutic Exer Ea 15 Min 16 12 $149.38 $149.38 $149.38 $149.38 $149.38 2026-06-04
30000429 CDM Digoxin 16 12 $146.92 $146.92 $146.92 $146.92 $146.92 2026-06-04
43000109 CDM Ot Self Home Care Ea 15 Min 16 12 $146.20 $146.20 $146.20 $146.20 $146.20 2026-06-04
44000113 CDM St Self Home Care Ea 15 Min 16 12 $146.20 $146.20 $146.20 $146.20 $146.20 2026-06-04
115531 CDM Mvi,ped #1 W Vit K 80mg 400unt 16 12 $141.83 $141.83 $141.83 $141.83 $141.83 2026-06-04
8115531 CDM Mvi Ped Soln Custom 16 12 $141.83 $141.83 $141.83 $141.83 $141.83 2026-06-04
30200289 CDM Legionella Antibody 16 12 $141.75 $141.75 $141.75 $141.75 $141.75 2026-06-04
30000877 CDM Methylmalonic Acid, Bld 16 12 $141.12 $141.12 $141.12 $141.12 $141.12 2026-06-04
42000118 CDM Pt Neuromusc Re Ed Ea 15 Min 16 12 $141.00 $141.00 $141.00 $141.00 $141.00 2026-06-04
43000110 CDM Ot Neuromusc Re Ed Ea 15 Min 16 12 $141.00 $141.00 $141.00 $141.00 $141.00 2026-06-04
44000112 CDM St Neuromusc Re Ed Ea 15 Min 16 12 $141.00 $141.00 $141.00 $141.00 $141.00 2026-06-04
186638 CDM Vancomycin 1g/200ml Pgbk 16 12 $140.00 $140.00 $140.00 $140.00 $140.00 2026-06-04
9939 CDM Epoetin Alfa 2000 Unit/ML Inj 16 12 $139.28 $139.28 $139.28 $139.28 $139.28 2026-06-04
31158 CDM Brimonidine 0.15 % Opht Drop 16 12 $138.00 $138.00 $138.00 $138.00 $138.00 2026-06-04
77100001 CDM Immunization Administration 1 16 12 $138.00 $138.00 $138.00 $138.00 $138.00 2026-06-04
27801464 CDM Hc Cath, Midline 16 12 $138.00 $138.00 $138.00 $138.00 $138.00 2026-06-04
9969 CDM Estradiol 0.01 % (0.1 Mg/Gram) 16 12 $137.70 $137.70 $137.70 $137.70 $137.70 2026-06-04
30000104 CDM Withdrawal Of Arterial Blood 16 12 $136.99 $136.99 $136.99 $136.99 $136.99 2026-06-04
30000393 CDM Culture, Urine Colony Count 16 12 $136.86 $136.86 $136.86 $136.86 $136.86 2026-06-04
30001037 CDM Pre-albumin 16 12 $135.14 $135.14 $135.14 $135.14 $135.14 2026-06-04
24932 CDM Sodium Ferric Gluconat-sucrose 16 12 $133.56 $133.56 $133.56 $133.56 $133.56 2026-06-04
8402436 CDM Piperacillin-tazobactam 4.5g/1 16 12 $132.71 $132.71 $132.71 $132.71 $132.71 2026-06-04
182956 CDM Mrsa By Naa 16 12 $131.14 $131.14 $131.14 $131.14 $131.14 2026-06-04
119763 CDM Norepinephrine Bitar 8mg/250ml 16 12 $130.81 $130.81 $130.81 $130.81 $130.81 2026-06-04
30200316 CDM Mycoplasma Antibody 16 12 $130.75 $130.75 $130.75 $130.75 $130.75 2026-06-04
27698 CDM Ondansetron 8 Mg Oral Tbdl 16 12 $129.97 $129.97 $129.97 $129.97 $129.97 2026-06-04
30000936 CDM Natriuretic Peptide Assay 16 12 $129.78 $129.78 $129.78 $129.78 $129.78 2026-06-04
44000115 CDM St Estim Attended Ea 15 Min 16 12 $129.08 $129.08 $129.08 $129.08 $129.08 2026-06-04
167941 CDM Sodm Chlor-hypochlr Acid 0.033 16 12 $127.34 $127.34 $127.34 $127.34 $127.34 2026-06-04
30001954 CDM Hc Prothrombin Time/inr-istat 16 12 $126.75 $126.75 $126.75 $126.75 $126.75 2026-06-04
11150 CDM Propofol 10 Mg/ML IV Emul 16 12 $126.00 $126.00 $126.00 $126.00 $126.00 2026-06-04
702303 CDM Intralipid 20% 16 12 $125.00 $125.00 $125.00 $125.00 $125.00 2026-06-04
154930 CDM Levetiracetam In Nacl (iso-os) 16 12 $124.95 $124.95 $124.95 $124.95 $124.95 2026-06-04
36438 CDM Aripiprazole 5 Mg Oral Tab 16 12 $124.87 $124.87 $124.87 $124.87 $124.87 2026-06-04
42000119 CDM Pt Gait Training Ea 15 Min 16 12 $124.50 $124.50 $124.50 $124.50 $124.50 2026-06-04
30001295 CDM Urine Without Micro, Auto 16 12 $124.22 $124.22 $124.22 $124.22 $124.22 2026-06-04
30700001 CDM Urinalysis Auto W Micro 16 12 $123.25 $123.25 $123.25 $123.25 $123.25 2026-06-04
30000647 CDM Hematology Profile 16 12 $123.19 $123.19 $123.19 $123.19 $123.19 2026-06-04
45000363 CDM Ins Non-indwell Bladder Cath 16 12 $123.00 $123.00 $123.00 $123.00 $123.00 2026-06-04
45000364 CDM Insertion Indwelling Cath (Fol 16 12 $123.00 $123.00 $123.00 $123.00 $123.00 2026-06-04
41000108 CDM High Flow Oxygen Daily 16 12 $120.00 $120.00 $120.00 $120.00 $120.00 2026-06-04
42000123 CDM Pt Therap Dynamic Ea 15 Min 16 12 $119.48 $119.48 $119.48 $119.48 $119.48 2026-06-04
43000107 CDM Ot Therap Dynamic Ea 15 Min 16 12 $119.48 $119.48 $119.48 $119.48 $119.48 2026-06-04
6255 CDM Phenytoin 125 Mg/5 Ml Oral Sus 16 12 $119.45 $119.45 $119.45 $119.45 $119.45 2026-06-04
27000646 CDM Hc Aerobika Device 16 12 $118.00 $118.00 $118.00 $118.00 $118.00 2026-06-04
23461 CDM Lidocaine 4 % Top Crea 16 12 $117.60 $117.60 $117.60 $117.60 $117.60 2026-06-04
27505 CDM Clonidine 0.1 Mg/24 Hr Td Ptwk 16 12 $116.06 $116.06 $116.06 $116.06 $116.06 2026-06-04
23110391 CDM Bacterial Id By Maldi 16 12 $115.00 $115.00 $115.00 $115.00 $115.00 2026-06-04
106278 CDM Diazepam 5 Mg/ML Inj Syrg 16 12 $114.87 $114.87 $114.87 $114.87 $114.87 2026-06-04
41000102 CDM Demo/eval Pt Use Inhalation Tx 16 12 $114.75 $114.75 $114.75 $114.75 $114.75 2026-06-04
9185 CDM Aztreonam 1 Gram Inj Solr 16 12 $114.71 $114.71 $114.71 $114.71 $114.71 2026-06-04
30000780 CDM Iron Binding Capacity 16 12 $113.96 $113.96 $113.96 $113.96 $113.96 2026-06-04
38100 CDM Cinacalcet 30 Mg Oral Tab 16 12 $112.94 $112.94 $112.94 $112.94 $112.94 2026-06-04
70306 CDM Aripiprazole 2 Mg Oral Tab 16 12 $112.39 $112.39 $112.39 $112.39 $112.39 2026-06-04
34369 CDM Aripiprazole 10 Mg Oral Tab 16 12 $112.39 $112.39 $112.39 $112.39 $112.39 2026-06-04
41144 CDM Micafungin 50 Mg Solr 1 Each V 16 12 $112.20 $112.20 $112.20 $112.20 $112.20 2026-06-04
27100171 CDM Cannula Oxygen High Flow Up To 16 12 $111.00 $111.00 $111.00 $111.00 $111.00 2026-06-04
46000015 CDM Pulse Oximeter - Multiple 16 12 $110.00 $110.00 $110.00 $110.00 $110.00 2026-06-04
10372 CDM Labetalol 5 Mg/ML IV Soln 16 12 $109.41 $109.41 $109.41 $109.41 $109.41 2026-06-04
27980 CDM Artificial Tears(Hypromellose) 16 12 $108.57 $108.57 $108.57 $108.57 $108.57 2026-06-04
78064 CDM Paliperidone 3 Mg Oral Tr24 16 12 $106.85 $106.85 $106.85 $106.85 $106.85 2026-06-04
105899 CDM Enoxaparin 30 Mg/0.3 Ml Subq S 16 12 $104.20 $104.20 $104.20 $104.20 $104.20 2026-06-04
18386 CDM Gr Suct Resv Kit 10mm 16 12 $104.00 $104.00 $104.00 $104.00 $104.00 2026-06-04
40840048 CDM Fat Emulsion 20%iv Rate Based 16 12 $104.00 $104.00 $104.00 $104.00 $104.00 2026-06-04
32074018 CDM Xr Abdomen 1 View 16 12 $103.00 $103.00 $103.00 $103.00 $103.00 2026-06-04
24702 CDM Modafinil 100 Mg Oral Tab 16 12 $102.90 $102.90 $102.90 $102.90 $102.90 2026-06-04
30000961 CDM Osmolality - Urine 16 12 $101.77 $101.77 $101.77 $101.77 $101.77 2026-06-04
11628 CDM Vancomycin 125mg Oral Cap 16 12 $101.76 $101.76 $101.76 $101.76 $101.76 2026-06-04
30100247 CDM Creatinine Blood 16 12 $101.75 $101.75 $101.75 $101.75 $101.75 2026-06-04
2622 CDM Doxycycline Hyclate 100 Mg IV 16 12 $101.48 $101.48 $101.48 $101.48 $101.48 2026-06-04
3497 CDM Glycopyrrolate 0.2 Mg/ML Inj S 16 12 $100.63 $100.63 $100.63 $100.63 $100.63 2026-06-04
7784 CDM Testosterone Cypionate 200 Mg/ 16 12 $100.22 $100.22 $100.22 $100.22 $100.22 2026-06-04
27100078 CDM Helium & Oxygen Mix Per Tank 16 12 $100.00 $100.00 $100.00 $100.00 $100.00 2026-06-04
30200298 CDM Lyme Disease Antibody Confirm 16 12 $98.00 $98.00 $98.00 $98.00 $98.00 2026-06-04
1031 CDM Betamethasone Valerate 0.1 % T 16 12 $97.92 $97.92 $97.92 $97.92 $97.92 2026-06-04
30183540 CDM Iron 16 12 $97.50 $97.50 $97.50 $97.50 $97.50 2026-06-04
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