Hospital

GARRETT REGIONAL MEDICAL CENTER

Oakland, MD · CCN 210017 · Rates published

116 distinct procedures filed

40 distinct payers

366,051 rate rows

2026-05-13 last MRF observed

Data quality

365,867 of 366,051 rate rows are consumer-grade (99.9%)

184 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 — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	184

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://wvumedicine.org/wp-content/uploads/2026/03/871846814_grmcinc_standardcharges.csv
Found on page	https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-18
Content fingerprint	696541bcc13e53d0… · 98,207,013 bytes · first seen 2026-05-13

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
122 OTHER	Hchg Rm & Bd Obstetric S/p (grmc Only)	40	$4,320.00	$4,800.00	$4,526.40	nat. median $7,004 0.6× median
275 OTHER	Hchg Pacemaker Advisa MRI	40	$3,744.90	$5,314.90	$4,472.20	nat. median $29,655 outlier · 0.2×
200 OTHER	Hchg Intensive Care Room	40	$3,915.00	$4,350.00	$4,102.05	nat. median $10,206 outlier · 0.4×
722 OTHER	Hchg Delivery Charge	40	$3,888.00	$4,320.00	$4,073.76	nat. median $12,816 outlier · 0.3×
404 OTHER	Hchg 78811-0404 Tumor Image Pet/ct, Limited, Chest/head/neck	40	$1,695.60	$5,652.00	$3,220.11	nat. median $3,927 0.8× median
720 OTHER	Hchg Amnioinfusion	40	$324.00	$6,480.00	$3,186.00	nat. median $2,844 1.1× median
123 OTHER	Hchg Rm & Bd Pediatrics (grmc Only)	40	$2,367.00	$2,630.00	$2,480.09	nat. median $6,551 outlier · 0.4×
278 OTHER	Hchg Baseplate 24mm 10 Full Augm	40	$4.08	$9,332.42	$2,130.38	nat. median $1,931 1.1× median
172 OTHER	Hchg R&b Nursery Level Ii	40	$1,860.30	$2,067.00	$1,949.18	nat. median $2,832 0.7× median
214 OTHER	Hchg Telemetry Room	40	$1,858.64	$2,065.16	$1,947.45	nat. median $4,974 outlier · 0.4×
206 OTHER	Hchg Step Down Room	40	$1,790.68	$1,989.65	$1,876.24	nat. median $9,116 outlier · 0.2×
171 OTHER	Hchg R&b Nursery Level I	40	$1,755.00	$1,950.00	$1,838.85	nat. median $3,070 0.6× median
121 OTHER	Hchg Routine Room (grmc Only)	40	$1,580.40	$2,290.42	$1,774.16	nat. median $10,782 outlier · 0.2×
831 OTHER	Hchg Perito Dial >1eval Op	40	$1,305.00	$1,450.00	$1,367.35	nat. median $12,362 outlier · 0.1×
829 OTHER	Hchg 90935-0829 Non Ersd Hemo Dialysis O/p	40	$1,227.42	$1,450.00	$1,338.35	nat. median $26,608 outlier · 0.1×
801 OTHER	Hchg 90947-0801 Crrh Dialysis	40	$1,252.47	$1,450.00	$1,338.35	nat. median $14,730 outlier · 0.1×
802 OTHER	Hchg Perito Dial 1 Eval Inpt	40	$1,227.42	$1,363.80	$1,286.06	nat. median $27,488 outlier · 0.0×
615 OTHER	Hchg Mr Angiograph Head W/O&with Contrast	40	$1,051.56	$1,828.80	$1,181.10	nat. median $12,512 outlier · 0.1×
610 OTHER	Hchg Breast Bilateral	40	$228.60	$1,663.70	$1,104.90	nat. median $2,142 0.5× median
360 OTHER	Hchg Amniocentesis	40	$50.40	$5,200.00	$1,080.00	nat. median $7,392 outlier · 0.1×
616 OTHER	Hchg MRA Chest W & Without Chest	40	$994.41	$1,104.90	$1,041.92	nat. median $32,708 outlier · 0.0×
614 OTHER	Hchg Magnetic Image, Jaw Joint	40	$537.21	$1,409.70	$1,025.53	nat. median $18,621 outlier · 0.1×
391 OTHER	Hchg Transfusion Blood/comp. 0-90 Minutes (grmc Only)	40	$386.10	$1,404.00	$935.92	nat. median $9,924 outlier · 0.1×
612 OTHER	Hchg MRI Chest Spine Without & With Contrast	40	$480.06	$952.50	$879.16	nat. median $2,164 outlier · 0.4×
221 OTHER	Hchg Admission Fee (grmc Only)	40	$832.50	$925.00	$872.27	nat. median $44,853 outlier · 0.0×
611 OTHER	Hchg MRI Brain With Contrast	40	$502.92	$1,104.90	$825.50	nat. median $1,777 outlier · 0.5×
199 OTHER	Hchg Rm & Bd Subacute Lv 5 (grmc Only)	40	$675.00	$750.00	$707.25	nat. median $17,276 outlier · 0.0×
280 OTHER	Hchg Chemo Extend IV Infusion W/pump (grmc Only)	40	$631.80	$702.00	$661.99	nat. median $15,420 outlier · 0.0×
340 OTHER	Hchg Hepatobilary Imaging With Pharm Intervention	40	$148.37	$926.30	$623.12	nat. median $991 0.6× median
194 OTHER	Hchg Rm & Bd Subacute Lv 4 (grmc Only)	40	$585.00	$650.00	$612.95	nat. median $8,630 outlier · 0.1×
921 OTHER	Hchg Ao/iliac/ivc Or Graft Complete	40	$321.30	$1,071.00	$571.18	nat. median $1,000 0.6× median
341 OTHER	Hchg Abscess Imaging, Whole Body >1 Day	40	$240.21	$1,177.50	$536.17	nat. median $1,279 outlier · 0.4×
193 OTHER	Hchg Rm & Bd Subacute Lv 3 (grmc Only)	40	$495.00	$550.00	$518.65	nat. median $12,881 outlier · 0.0×
721 OTHER	Hchg Inpatient Maternal Obs/hr.	40	$162.00	$900.00	$495.00	nat. median $24 outlier · 20.5×
192 OTHER	Hchg Rm & Bd Subacute Lv 2 (grmc Only)	40	$405.00	$450.00	$424.35	nat. median $6,927 outlier · 0.1×
740 OTHER	Hchg Blink Reflex Test	40	$105.30	$675.00	$424.35	nat. median $1,846 outlier · 0.2×
444 OTHER	Hchg Spch/lang Ev	40	$43.31	$1,348.50	$325.50	nat. median $11,816 outlier · 0.0×
510 OTHER	Hchg Neg Pres >50sqcm (grmc Only)	40	$9.00	$1,157.10	$322.45	nat. median $337 1.0× median
401 OTHER	Hchg Diagnostic Breast Tomo, Bilateral	40	$107.10	$578.00	$319.60	nat. median $359 0.9× median
390 OTHER	Hchg Arc Rh Type Charge	40	$5.40	$1,403.00	$301.76	nat. median $1,469 outlier · 0.2×
191 OTHER	Hchg Rm & Bd Subacute (grmc Only)	40	$288.00	$320.00	$301.76	nat. median $8,914 outlier · 0.0×
402 OTHER	Hchg 76815 OB US Quick Look Limited Fetus	40	$45.90	$578.00	$298.13	nat. median $550 0.5× median
276 OTHER	Hchg V2630 Intraocular Lens-anterior	40	$133.03	$466.68	$296.28	nat. median $3,947 outlier · 0.1×
352 OTHER	Hchg 73706-0352 CT Angio Lwr Extr W/O&with Contrast	40	$123.75	$407.00	$294.44	nat. median $6,313 outlier · 0.0×
761 OTHER	Hchg Arterial Bld Gas Collctn	40	$61.85	$580.71	$294.22	nat. median $1,231 outlier · 0.2×
948 OTHER	Hchg 6 Minute Walk Test	40	$135.00	$600.00	$282.90	nat. median $6,020 outlier · 0.0×
350 OTHER	Hchg CT Angio Abdomen Pelvis	40	$74.25	$467.50	$282.15	nat. median $1,785 outlier · 0.2×
310 OTHER	Hchg Protein Tau Csf	40	$4.05	$5,839.20	$276.98	nat. median $452 0.6× median
542 OTHER	Hchg Ambulance Als Base Rate (grmc Only)	40	$14.76	$1,845.00	$263.22	nat. median $16,379 outlier · 0.0×
331 OTHER	Hchg 96401-0331 Chemo Nonhorm Sq/im	40	$140.40	$390.00	$251.98	nat. median $13,263 outlier · 0.0×

Other procedures at this hospital

Browse this hospital's 116 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

990	OTHER	Hchg Employee Urine Collection	92	40	$19.12	—	$16.20	$20.25	$18.12	2026-05-13
971	OTHER	Hchg Immunofluorescent Additional Stain, Microscopy	552	40	$168.75	—	$50.63	$350.80	$158.62	2026-05-13
948	OTHER	Hchg 6 Minute Walk Test	230	40	$300.00	—	$135.00	$600.00	$282.90	2026-05-13
943	OTHER	Hchg Cardiac Rehab W/ekg, Kx	145	40	$117.00	—	$27.00	$195.00	$110.33	2026-05-13
942	OTHER	Hchg Behav Chng Smoking >10 Min-tech	467	40	$117.00	—	$35.10	$624.00	$117.00	2026-05-13
940	OTHER	Hchg 99195-0940 Therapeutic Phlebotomy	138	40	$112.50	—	$70.20	$215.16	$106.09	2026-05-13
922	OTHER	Hchg 95873-0922 Electrical Stim For Guidin Conj With Chemodenervation	506	40	$234.00	—	$89.10	$351.00	$220.66	2026-05-13
921	OTHER	Hchg Ao/iliac/ivc Or Graft Complete	670	40	$612.00	—	$321.30	$1,071.00	$571.18	2026-05-13
920	OTHER	Hchg 59025-0920 Fetal Non-stress Test	414	40	$225.00	—	$4.50	$900.00	$212.18	2026-05-13
831	OTHER	Hchg Perito Dial >1eval Op	46	40	$1,450.00	—	$1,305.00	$1,450.00	$1,367.35	2026-05-13
829	OTHER	Hchg 90935-0829 Non Ersd Hemo Dialysis O/p	92	40	$1,406.90	—	$1,227.42	$1,450.00	$1,338.35	2026-05-13
802	OTHER	Hchg Perito Dial 1 Eval Inpt	46	40	$1,363.80	—	$1,227.42	$1,363.80	$1,286.06	2026-05-13
801	OTHER	Hchg 90947-0801 Crrh Dialysis	92	40	$1,420.82	—	$1,252.47	$1,450.00	$1,338.35	2026-05-13
780	OTHER	Hchg Q3014-0780 Telehealth Originating Site - Pn Modifier	138	40	$42.17	—	$35.10	$80.00	$39.77	2026-05-13
771	OTHER	Hchg Flu Vaccine	284	40	$117.00	—	$45.00	$858.00	$117.00	2026-05-13
762	OTHER	Hchg Obs - Hourly Charge	138	40	$180.00	—	$115.20	$360.00	$169.74	2026-05-13
761	OTHER	Hchg Arterial Bld Gas Collctn	230	40	$312.00	—	$61.85	$580.71	$294.22	2026-05-13
740	OTHER	Hchg Blink Reflex Test	138	40	$450.00	—	$105.30	$675.00	$424.35	2026-05-13
731	OTHER	Hchg Event Monitor Appl W/inst	150	40	$28.50	—	$22.82	$171.00	$26.88	2026-05-13
730	OTHER	Hchg EKG 1-3leads Tracing Only	184	40	$25.90	—	$12.82	$34.20	$24.40	2026-05-13
722	OTHER	Hchg Delivery Charge	46	40	$4,320.00	—	$3,888.00	$4,320.00	$4,073.76	2026-05-13
721	OTHER	Hchg Inpatient Maternal Obs/hr.	92	40	$540.00	—	$162.00	$900.00	$495.00	2026-05-13
720	OTHER	Hchg Amnioinfusion	368	40	$3,420.00	—	$324.00	$6,480.00	$3,186.00	2026-05-13
710	OTHER	Hchg Sds Post Recovery 0-30 Minutes (grmc Only)	1,104	40	$102.88	—	$5.72	$604.45	$97.34	2026-05-13
636	OTHER	Hchg Affinity 1.5 X 1.5 Cm; Per Sq Cm (3 Units)	3,266	40	$224.00	—	$8.32	$12,474.00	$211.23	2026-05-13
623	OTHER	Hchg Dees Hydrofera Blu 4x4 Hbrb4040, 406687	322	40	$34.70	—	$7.92	$373.09	$32.72	2026-05-13
616	OTHER	Hchg MRA Chest W & Without Chest	46	40	$1,104.90	—	$994.41	$1,104.90	$1,041.92	2026-05-13
615	OTHER	Hchg Mr Angiograph Head W/O&with Contrast	276	40	$1,225.55	—	$1,051.56	$1,828.80	$1,181.10	2026-05-13
614	OTHER	Hchg Magnetic Image, Jaw Joint	461	40	$1,079.50	—	$537.21	$1,409.70	$1,025.53	2026-05-13
612	OTHER	Hchg MRI Chest Spine Without & With Contrast	138	40	$939.80	—	$480.06	$952.50	$879.16	2026-05-13
611	OTHER	Hchg MRI Brain With Contrast	230	40	$838.20	—	$502.92	$1,104.90	$825.50	2026-05-13
610	OTHER	Hchg Breast Bilateral	460	40	$1,162.05	—	$228.60	$1,663.70	$1,104.90	2026-05-13
542	OTHER	Hchg Ambulance Als Base Rate (grmc Only)	368	40	$278.80	—	$14.76	$1,845.00	$263.22	2026-05-13
511	OTHER	Hchg Pcl Est. E&m Lv1 0-10 Minutes (grmc Only)	230	40	$156.00	—	$70.20	$234.00	$147.11	2026-05-13
510	OTHER	Hchg Neg Pres >50sqcm (grmc Only)	1,949	40	$339.42	—	$9.00	$1,157.10	$322.45	2026-05-13
483	OTHER	Hchg 2d Doppler Color Flow Complete	276	40	$127.50	—	$12.82	$1,020.00	$119.00	2026-05-13
482	OTHER	Hchg Cardiovascular Stress Test	46	40	$85.50	—	$76.95	$85.50	$80.63	2026-05-13
480	OTHER	Hchg Ambulatory Bp Monitor - Recording	697	40	$132.92	—	$25.65	$1,892.00	$128.25	2026-05-13
471	OTHER	Hchg Aep Thrshld Est Mlt Freq I&r	46	40	$180.00	—	$162.00	$180.00	$169.74	2026-05-13
460	OTHER	Hchg Pulse Oximetry/overnight	598	40	$127.50	—	$46.89	$840.00	$117.70	2026-05-13
451	OTHER	Hchg Triage Only	46	40	$80.00	—	$72.00	$80.00	$75.44	2026-05-13
450	OTHER	Hchg Critical Care, First Hour	373	40	$240.00	—	$9.00	$686.00	$221.52	2026-05-13
444	OTHER	Hchg Spch/lang Ev	668	40	$325.50	—	$43.31	$1,348.50	$325.50	2026-05-13
441	OTHER	Hchg Sw Tx	368	40	$169.02	—	$43.31	$558.00	$159.39	2026-05-13
440	OTHER	Hchg Cognitive Skill Dev Initial 15 Min - St	828	40	$189.24	—	$36.09	$1,069.50	$177.66	2026-05-13
434	OTHER	Hchg Ot Eval-low	212	40	$129.12	—	$87.16	$164.80	$121.76	2026-05-13
433	OTHER	Hchg Ot Procedure Grp 3 Pts; Per 15 Minutes(grmc Only)	138	40	$96.84	—	$37.08	$129.12	$91.32	2026-05-13
431	OTHER	Hchg Ot-treatment	282	40	$82.40	—	$58.10	$144.20	$82.40	2026-05-13
430	OTHER	Hchg Ot Contrast Bath 23=>37 Minutes (grmc Only)	736	40	$107.99	—	$29.05	$236.80	$103.00	2026-05-13
424	OTHER	Hchg Pt Re-evaluation	212	40	$123.43	—	$83.31	$160.00	$116.39	2026-05-13
423	OTHER	Hchg Pt Procedure Grp 5 Pts; Per 15 Minutes (grmc Only)	276	40	$77.14	—	$27.77	$154.28	$72.51	2026-05-13
421	OTHER	Hchg Pt Therap Ex Ea 15min	427	40	$61.71	—	$27.77	$120.00	$60.00	2026-05-13
420	OTHER	Hchg Application Rigid Cast; Per 15 Minutes (grmc Only)	1,040	40	$160.00	—	$13.89	$380.00	$160.00	2026-05-13
410	OTHER	Hchg 94645-0410 Cont Bronchodil Tx Add Hr	547	40	$144.50	—	$57.38	$2,040.00	$133.37	2026-05-13
404	OTHER	Hchg 78811-0404 Tumor Image Pet/ct, Limited, Chest/head/neck	322	40	$3,414.75	—	$1,695.60	$5,652.00	$3,220.11	2026-05-13
402	OTHER	Hchg 76815 OB US Quick Look Limited Fetus	940	40	$306.00	—	$45.90	$578.00	$298.13	2026-05-13
401	OTHER	Hchg Diagnostic Breast Tomo, Bilateral	92	40	$348.50	—	$107.10	$578.00	$319.60	2026-05-13
391	OTHER	Hchg Transfusion Blood/comp. 0-90 Minutes (grmc Only)	276	40	$975.00	—	$386.10	$1,404.00	$935.92	2026-05-13
390	OTHER	Hchg Arc Rh Type Charge	1,427	40	$320.00	—	$5.40	$1,403.00	$301.76	2026-05-13
370	OTHER	Hchg Anesthesia-time (per Min)	46	40	$1.35	—	$1.22	$1.35	$1.27	2026-05-13
361	OTHER	Hchg 31500-0361 Intubation Endotracheal Emerg	322	40	$73.25	—	$3.06	$540.00	$69.07	2026-05-13
360	OTHER	Hchg Amniocentesis	184	40	$1,170.00	—	$50.40	$5,200.00	$1,080.00	2026-05-13
352	OTHER	Hchg 73706-0352 CT Angio Lwr Extr W/O&with Contrast	875	40	$308.00	—	$123.75	$407.00	$294.44	2026-05-13
351	OTHER	Hchg 70471-351 CTA H&n C+ W/noncontrast Img	578	40	$258.50	—	$103.95	$1,598.00	$238.60	2026-05-13
350	OTHER	Hchg CT Angio Abdomen Pelvis	276	40	$302.50	—	$74.25	$467.50	$282.15	2026-05-13
344	OTHER	Hchg Iodine I-131 Capsules, Therapeutic , Per Mci	92	40	$19.92	—	$15.75	$22.34	$18.80	2026-05-13
343	OTHER	Hchg 99 Mtc Ceretec (grmc Only)	2,036	40	$213.67	—	$2.19	$7,385.37	$205.53	2026-05-13
342	OTHER	Hchg Nuclear Rx, Oral Admin	46	40	$109.90	—	$98.91	$109.90	$103.64	2026-05-13
341	OTHER	Hchg Abscess Imaging, Whole Body >1 Day	1,020	40	$580.90	—	$240.21	$1,177.50	$536.17	2026-05-13
340	OTHER	Hchg Hepatobilary Imaging With Pharm Intervention	368	40	$659.40	—	$148.37	$926.30	$623.12	2026-05-13
335	OTHER	Hchg 96415-0335 Chemo IV Infusion Ea Addl Hr	138	40	$156.00	—	$35.10	$702.00	$147.11	2026-05-13
331	OTHER	Hchg 96401-0331 Chemo Nonhorm Sq/im	189	40	$273.00	—	$140.40	$390.00	$251.98	2026-05-13
324	OTHER	Hchg Dx Chest, Pa/lat & Lordotic, 3 Views	184	40	$93.50	—	$61.20	$119.00	$88.40	2026-05-13
320	OTHER	Hchg X-ray Bone Length Studies	1,371	40	$170.00	—	$29.70	$782.00	$168.30	2026-05-13
319	OTHER	Hchg Plt Glycoprotein Flow (mayo)	230	40	$120.00	—	$56.90	$140.64	$113.16	2026-05-13
312	OTHER	Hchg Kappa/lambda Lgt Chain Ish W/out Interp (quest)	1,536	40	$156.00	—	$20.25	$842.64	$144.44	2026-05-13
311	OTHER	Hchg Array Comp Genome Hybrid(acgh)parental Testing,fish	982	40	$127.98	—	$40.52	$517.50	$120.69	2026-05-13
310	OTHER	Hchg Protein Tau Csf	7,677	40	$288.00	—	$4.05	$5,839.20	$276.98	2026-05-13
309	OTHER	Hchg 37 Degree Crossmatch	2,546	40	$67.50	—	$2.02	$3,250.00	$63.65	2026-05-13
307	OTHER	Hchg Microscopic Exam Of Urine	773	40	$8.07	—	$3.64	$22.50	$7.61	2026-05-13
306	OTHER	Hchc Scleroderma Ab (quest)	5,075	40	$34.20	—	$4.19	$1,440.00	$33.19	2026-05-13
305	OTHER	Hchg Erythrocyte Sedimentation Rate, Automated	3,564	40	$21.28	—	$2.72	$270.00	$20.25	2026-05-13
302	OTHER	Hchg Heterophile Abx Screen	8,851	40	$33.50	—	$2.02	$765.00	$31.68	2026-05-13
301	OTHER	Hchg HIV-1 Genotype Inhibitors (quest)	18,040	40	$34.12	—	$2.72	$807.18	$32.86	2026-05-13
300	OTHER	Hchg Neuro Alz Ds Bamyl&tau Prtn,precivityad2	5,128	40	$35.68	—	$4.05	$1,500.00	$33.82	2026-05-13
290	OTHER	Hchg A4566 Brace Ortho 15-16in Armsh 4 Lrg Shldr Quick Release - 315888	184	40	$233.19	—	$71.81	$612.34	$217.81	2026-05-13
280	OTHER	Hchg Chemo Extend IV Infusion W/pump (grmc Only)	46	40	$702.00	—	$631.80	$702.00	$661.99	2026-05-13
278	OTHER	Hchg Baseplate 24mm 10 Full Augm	2,070	40	$2,259.15	—	$4.08	$9,332.42	$2,130.38	2026-05-13
276	OTHER	Hchg V2630 Intraocular Lens-anterior	184	40	$318.71	—	$133.03	$466.68	$296.28	2026-05-13
275	OTHER	Hchg Pacemaker Advisa MRI	92	40	$4,737.95	—	$3,744.90	$5,314.90	$4,472.20	2026-05-13
274	OTHER	Hchg Brace Ortho Prem Xl L8 In Od9-10 In Wrist Right Thumb Spica, 406966	1,702	40	$29.78	—	$7.59	$236.96	$28.37	2026-05-13
272	OTHER	Hchg A4215 Needle Epidrl Clr 3.5in 20ga Perifix Tuohy Bpa, 72439	6,542	40	$29.24	—	$2.73	$4,365.71	$28.24	2026-05-13
271	OTHER	Hchg Cannula Infant Nasal Cpap 3 1693, 406099	1,012	40	$27.73	—	$9.55	$1,566.30	$25.98	2026-05-13
270	OTHER	Hchg Tibial Block Augment Ktag-b	165,280	40	$126.50	—	$0.16	$14,142.85	$120.14	2026-05-13
260	OTHER	Hchg 96360-0260 IV Hydration, Init; 31 - 60 Minutes	493	40	$234.00	—	$35.10	$702.00	$234.00	2026-05-13
250	OTHER	Hchg Duovisc	92	40	$174.79	—	$138.15	$196.08	$164.99	2026-05-13
221	OTHER	Hchg Admission Fee (grmc Only)	46	40	$925.00	—	$832.50	$925.00	$872.27	2026-05-13
214	OTHER	Hchg Telemetry Room	46	40	$2,065.16	—	$1,858.64	$2,065.16	$1,947.45	2026-05-13
206	OTHER	Hchg Step Down Room	46	40	$1,989.65	—	$1,790.68	$1,989.65	$1,876.24	2026-05-13
200	OTHER	Hchg Intensive Care Room	46	40	$4,350.00	—	$3,915.00	$4,350.00	$4,102.05	2026-05-13
199	OTHER	Hchg Rm & Bd Subacute Lv 5 (grmc Only)	46	40	$750.00	—	$675.00	$750.00	$707.25	2026-05-13
194	OTHER	Hchg Rm & Bd Subacute Lv 4 (grmc Only)	46	40	$650.00	—	$585.00	$650.00	$612.95	2026-05-13
193	OTHER	Hchg Rm & Bd Subacute Lv 3 (grmc Only)	46	40	$550.00	—	$495.00	$550.00	$518.65	2026-05-13
192	OTHER	Hchg Rm & Bd Subacute Lv 2 (grmc Only)	46	40	$450.00	—	$405.00	$450.00	$424.35	2026-05-13
191	OTHER	Hchg Rm & Bd Subacute (grmc Only)	46	40	$320.00	—	$288.00	$320.00	$301.76	2026-05-13
172	OTHER	Hchg R&b Nursery Level Ii	46	40	$2,067.00	—	$1,860.30	$2,067.00	$1,949.18	2026-05-13
171	OTHER	Hchg R&b Nursery Level I	46	40	$1,950.00	—	$1,755.00	$1,950.00	$1,838.85	2026-05-13
125	OTHER	Hchg Hospice Room	46	40	$197.71	—	$177.94	$197.71	$186.44	2026-05-13
123	OTHER	Hchg Rm & Bd Pediatrics (grmc Only)	46	40	$2,630.00	—	$2,367.00	$2,630.00	$2,480.09	2026-05-13
122	OTHER	Hchg Rm & Bd Obstetric S/p (grmc Only)	46	40	$4,800.00	—	$4,320.00	$4,800.00	$4,526.40	2026-05-13
121	OTHER	Hchg Routine Room (grmc Only)	184	40	$1,872.78	—	$1,580.40	$2,290.42	$1,774.16	2026-05-13
0637	OTHER	Nystatin 100,000 Unit/gram Topical Powder [39136]	42,228	40	$10.16	—	$0.04	$2,175.17	$9.64	2026-05-13
0636	OTHER	Furosemide 10 Mg/ml Injection Solution [3291]	42,826	40	$42.36	—	$0.04	$89,776.52	$40.28	2026-05-13
0258	OTHER	Sodium Chloride 0.9 % Intravenous Solution [27838]	1,610	40	$8.66	—	$0.03	$120.00	$8.40	2026-05-13
0254	OTHER	Iopamidol 370 Mg Iodine/ml (76 %) Intravenous Solution [81911]	552	40	$82.62	—	$7.55	$323.34	$78.25	2026-05-13
0250	OTHER	Glycopyrrolate 0.2 Mg/ml Injection Solution [3497]	13,018	40	$24.95	—	$0.07	$1,763.30	$24.50	2026-05-13

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