Hospital

LAKELAND BEHAVIORAL HEALTH SYSTEM

Springfield, MO · CCN 264024 · Rates published

109 distinct procedures filed

11 distinct payers

88,651 rate rows

2026-05-22 last MRF observed

Data quality

82,418 of 88,651 rate rows are consumer-grade (93.0%)

6,233 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	6,112
placeholder amount (≤ $0.02) — excluded from medians	121

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

Source MRF file	https://www.lakelandbehavioralhealth.com/wp-content/uploads/pricing/2026/195/58-22919156_Lakeland-Hospital-Acquisition-LLC-standard_charges.csv
Found on page	https://www.lakelandbehavioralhealth.com/admissions/insurance-payment/price-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-08-12
Content fingerprint	63c987697c5db670… · 6,671,341 bytes · first seen 2026-05-09

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
404 OTHER	PET CT Brain	11	$136.79	$6,488.99	$5,471.60	nat. median $2,011 outlier · 2.7×
616 OTHER	MRA Le W/con	11	$2,395.37	$4,231.70	$3,540.44	nat. median $29,086 outlier · 0.1×
611 OTHER	MRI Brain W/cont	11	$2,361.32	$4,374.60	$3,309.94	nat. median $1,735 1.9× median
481 OTHER	Insetion Of Monitoring Catheter	11	$2,552.71	$3,170.13	$3,152.73	nat. median $6,748 outlier · 0.5×
612 OTHER	*cb MRI Cerv Spine Without	11	$2,325.50	$4,306.79	$3,136.55	nat. median $1,876 1.7× median
610 OTHER	*cb MRI Low Ext Joint Wo Right	11	$654.62	$4,065.46	$2,827.68	nat. median $2,030 1.4× median
615 OTHER	MRA Head W/con	11	$2,242.72	$3,657.17	$2,815.56	nat. median $10,889 outlier · 0.3×
352 OTHER	*ct Abd W/wo Contrast	11	$699.82	$5,120.47	$2,497.38	nat. median $1,765 1.4× median
618 OTHER	MRA Abd W/con	11	$682.80	$2,801.93	$2,495.07	nat. median $9,630 outlier · 0.3×
351 OTHER	*cta Head W/wo Cont	11	$1,595.74	$2,979.83	$2,258.02	nat. median $3,527 0.6× median
972 OTHER	*njx Dx/ther Sbst Intrlmnr Crv/thrc Without	11	$1,798.29	$2,604.35	$2,233.23	nat. median $2,610 0.9× median
361 OTHER	Ir Njx Sbst Intrlmnr Crv/thrc W/img Gdn	11	$17.03	$10,783.39	$2,196.51	nat. median $1,185 1.9× median
344 OTHER	15 mCi Iodine I-131	11	$1,269.31	$3,152.63	$2,057.47	nat. median $20,126 outlier · 0.1×
342 OTHER	Nm I-131 Thyroid Therapy	11	$1,494.17	$1,855.56	$1,845.38	nat. median $1,082 1.7× median
920 OTHER	93291 Inter Dev Eval Scrms Phy/qh In Per	11	$106.85	$2,086.68	$1,745.82	nat. median $657 outlier · 2.7×
341 OTHER	Nm Liver Spect	11	$521.93	$4,753.73	$1,559.92	nat. median $1,220 1.3× median
278 OTHER	Implt Screw Locking 3.5x14mm	11	$1.76	$44,946.10	$1,415.20	nat. median $2,359 0.6× median
483 OTHER	*cb US Echo 2-d/m W Dop &cf	11	$56.95	$2,511.75	$1,262.40	nat. median $2,748 outlier · 0.5×
340 OTHER	Xr Gastric Emptying Multiple Days	11	$843.66	$1,478.61	$1,119.18	nat. median $901 1.2× median
322 OTHER	Ir Arthrogram Hip Rt	11	$641.70	$1,138.85	$1,075.15	nat. median $13,797 outlier · 0.1×
230 OTHER	Insertion Picc W/rs&i 5 Yr/>	11	$169.08	$2,220.84	$999.14	nat. median $784 1.3× median
921 OTHER	Cb US Art Dopp Bil Ue	11	$322.32	$1,517.99	$990.49	nat. median $482 outlier · 2.1×
975 OTHER	Treat Humerus Fracture	11	$4.70	$16,401.83	$979.61	nat. median $1,178 0.8× median
940 OTHER	Insertion Picc W/rs&i 5 Yr/>	11	$118.01	$2,220.84	$967.43	nat. median $559 1.7× median
391 OTHER	Blood Trans First Hour	11	$665.77	$1,292.69	$929.64	nat. median $7,967 outlier · 0.1×
390 OTHER	Bb Bld Processing And Storage	11	$454.42	$1,575.59	$916.52	nat. median $481 1.9× median
761 OTHER	Dbrdmnt Bone Muscle &/fascia 20 Sq Cm/<	11	$16.44	$10,893.48	$901.04	nat. median $1,068 0.8× median
750 OTHER	Manometry	11	$504.91	$1,036.05	$779.48	nat. median $1,703 outlier · 0.5×
380 OTHER	Bb Cryoprecipitate	11	$191.39	$1,575.59	$753.20	nat. median $17,194 outlier · 0.0×
413 OTHER	Hbot Full Body Chamber 30m	11	$593.56	$742.22	$733.08	nat. median $13,774 outlier · 0.1×
359 OTHER	MRI Post Processing Mip/3d	11	$582.40	$723.27	$719.30	nat. median $1,920 outlier · 0.4×
402 OTHER	US Vasc Access Sits Vsl Patency Ndl Entr	11	$52.25	$1,517.26	$663.70	nat. median $442 1.5× median
422 OTHER	*pt Work Hardening Initial 2 Hours	11	$446.78	$554.85	$551.80	nat. median $12,765 outlier · 0.0×
432 OTHER	Ot Work Hardening Initial 2 Hours	11	$446.78	$554.85	$551.80	nat. median $17,270 outlier · 0.0×
731 OTHER	Holter Monitor-rec-conn&disc Upto 48 Hr	11	$43.45	$869.09	$507.45	nat. median $65 outlier · 7.8×
964 OTHER	Anesth Abdominal Wall Surg	11	$64.58	$2,089.60	$487.39	nat. median $31 outlier · 15.6×
350 OTHER	*ccta Congenital	11	$56.36	$2,284.27	$451.21	nat. median $1,564 outlier · 0.3×
482 OTHER	Cardiac Stress Test	11	$356.96	$443.29	$440.86	nat. median $12,527 outlier · 0.0×
443 OTHER	*low Frequency Non-thermal US	11	$309.99	$530.78	$433.51	nat. median $6,814 outlier · 0.1×
320 OTHER	*ndl Asp Us/flu/ct	11	$22.31	$3,577.69	$422.15	nat. median $396 1.1× median
450 OTHER	*somatosensory In Lower Limb	11	$11.15	$3,882.46	$411.16	nat. median $789 0.5× median
401 OTHER	*mm Diag Digitl Mamo Bil	11	$121.53	$506.00	$393.00	nat. median $177 outlier · 2.2×
343 OTHER	Choletec Dose 15mc	11	$55.19	$4,295.86	$357.99	nat. median $292 1.2× median
480 OTHER	Cardiac Arrest Proc	11	$207.83	$1,275.93	$340.07	nat. median $1,155 outlier · 0.3×
434 OTHER	*ot Developmental Testing	11	$112.72	$476.83	$318.21	nat. median $2,761 outlier · 0.1×
444 OTHER	*health And Behaivor Intervention, Famly	11	$85.13	$621.19	$316.87	nat. median $592 0.5× median
324 OTHER	*profee 71020 Xr Chest Two View	11	$19.96	$524.22	$315.70	nat. median $21,669 outlier · 0.0×
510 OTHER	*simple Repair Scalp/neck/ax/genit/trunk	11	$8.81	$6,156.52	$306.22	nat. median $213 1.4× median
410 OTHER	*catheterization Umbilical Newborn Diag/	11	$48.14	$2,105.64	$293.67	nat. median $204 1.4× median
335 OTHER	*iv Inf Chemo Ea Add Hr	11	$234.25	$352.88	$290.91	nat. median $1,095 outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 109 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

404	OTHER	PET CT Brain	55	11	$7,708.00	$4,624.80 40% off	$136.79	$6,488.99	$5,471.60	2026-05-22
616	OTHER	MRA Le W/con	33	11	$5,289.00	$3,173.40 40% off	$2,395.37	$4,231.70	$3,540.44	2026-05-22
611	OTHER	MRI Brain W/cont	66	11	$4,682.00	$2,809.20 40% off	$2,361.32	$4,374.60	$3,309.94	2026-05-22
481	OTHER	Insetion Of Monitoring Catheter	11	11	$4,348.00	$2,608.80 40% off	$2,552.71	$3,170.13	$3,152.73	2026-05-22
612	OTHER	*cb MRI Cerv Spine Without	110	11	$4,551.00	$2,730.60 40% off	$2,325.50	$4,306.79	$3,136.55	2026-05-22
610	OTHER	*cb MRI Low Ext Joint Wo Right	462	11	$4,030.00	$2,418.00 40% off	$654.62	$4,065.46	$2,827.68	2026-05-22
615	OTHER	MRA Head W/con	55	11	$4,060.00	$2,436.00 40% off	$2,242.72	$3,657.17	$2,815.56	2026-05-22
352	OTHER	*ct Abd W/wo Contrast	418	11	$3,634.50	$2,180.70 40% off	$699.82	$5,120.47	$2,497.38	2026-05-22
618	OTHER	MRA Abd W/con	55	11	$3,712.00	$2,227.20 40% off	$682.80	$2,801.93	$2,495.07	2026-05-22
351	OTHER	*cta Head W/wo Cont	154	11	$3,347.00	$2,008.20 40% off	$1,595.74	$2,979.83	$2,258.02	2026-05-22
972	OTHER	*njx Dx/ther Sbst Intrlmnr Crv/thrc Without	33	11	$3,451.00	$2,070.60 40% off	$1,798.29	$2,604.35	$2,233.23	2026-05-22
361	OTHER	Ir Njx Sbst Intrlmnr Crv/thrc W/img Gdn	1,144	11	$3,280.50	$1,968.30 40% off	$17.03	$10,783.39	$2,196.51	2026-05-22
344	OTHER	15 mCi Iodine I-131	22	11	$3,243.00	$1,945.80 40% off	$1,269.31	$3,152.63	$2,057.47	2026-05-22
342	OTHER	Nm I-131 Thyroid Therapy	11	11	$2,545.00	$1,527.00 40% off	$1,494.17	$1,855.56	$1,845.38	2026-05-22
920	OTHER	93291 Inter Dev Eval Scrms Phy/qh In Per	66	11	$2,648.50	$1,589.10 40% off	$106.85	$2,086.68	$1,745.82	2026-05-22
341	OTHER	Nm Liver Spect	451	11	$2,231.00	$1,338.60 40% off	$521.93	$4,753.73	$1,559.92	2026-05-22
278	OTHER	Implt Screw Locking 3.5x14mm	15,829	11	$2,098.00	$1,258.80 40% off	$1.76	$44,946.10	$1,415.20	2026-05-22
483	OTHER	*cb US Echo 2-d/m W Dop &cf	132	11	$1,759.50	$1,055.70 40% off	$56.95	$2,511.75	$1,262.40	2026-05-22
340	OTHER	Xr Gastric Emptying Multiple Days	22	11	$1,732.50	$1,039.50 40% off	$843.66	$1,478.61	$1,119.18	2026-05-22
322	OTHER	Ir Arthrogram Hip Rt	55	11	$1,509.00	$905.40 40% off	$641.70	$1,138.85	$1,075.15	2026-05-22
230	OTHER	Insertion Picc W/rs&i 5 Yr/>	22	11	$1,667.00	$1,000.20 40% off	$169.08	$2,220.84	$999.14	2026-05-22
921	OTHER	Cb US Art Dopp Bil Ue	209	11	$1,437.00	$862.20 40% off	$322.32	$1,517.99	$990.49	2026-05-22
975	OTHER	Treat Humerus Fracture	23,991	11	$1,438.00	$862.80 40% off	$4.70	$16,401.83	$979.61	2026-05-22
940	OTHER	Insertion Picc W/rs&i 5 Yr/>	22	11	$1,623.50	$974.10 40% off	$118.01	$2,220.84	$967.43	2026-05-22
391	OTHER	Blood Trans First Hour	55	11	$1,309.00	$785.40 40% off	$665.77	$1,292.69	$929.64	2026-05-22
390	OTHER	Bb Bld Processing And Storage	22	11	$1,467.50	$880.50 40% off	$454.42	$1,575.59	$916.52	2026-05-22
761	OTHER	Dbrdmnt Bone Muscle &/fascia 20 Sq Cm/<	2,288	11	$1,330.00	$798.00 40% off	$16.44	$10,893.48	$901.04	2026-05-22
750	OTHER	Manometry	33	11	$1,075.00	$645.00 40% off	$504.91	$1,036.05	$779.48	2026-05-22
380	OTHER	Bb Cryoprecipitate	22	11	$1,243.50	$746.10 40% off	$191.39	$1,575.59	$753.20	2026-05-22
413	OTHER	Hbot Full Body Chamber 30m	22	11	$1,014.50	$608.70 40% off	$593.56	$742.22	$733.08	2026-05-22
359	OTHER	MRI Post Processing Mip/3d	11	11	$992.00	$595.20 40% off	$582.40	$723.27	$719.30	2026-05-22
402	OTHER	US Vasc Access Sits Vsl Patency Ndl Entr	561	11	$1,001.00	$600.60 40% off	$52.25	$1,517.26	$663.70	2026-05-22
432	OTHER	Ot Work Hardening Initial 2 Hours	11	11	$761.00	$456.60 40% off	$446.78	$554.85	$551.80	2026-05-22
422	OTHER	*pt Work Hardening Initial 2 Hours	11	11	$761.00	$456.60 40% off	$446.78	$554.85	$551.80	2026-05-22
731	OTHER	Holter Monitor-rec-conn&disc Upto 48 Hr	77	11	$738.00	$442.80 40% off	$43.45	$869.09	$507.45	2026-05-22
964	OTHER	Anesth Abdominal Wall Surg	242	11	$750.50	$450.30 40% off	$64.58	$2,089.60	$487.39	2026-05-22
350	OTHER	*ccta Congenital	44	11	$744.00	$446.40 40% off	$56.36	$2,284.27	$451.21	2026-05-22
482	OTHER	Cardiac Stress Test	11	11	$608.00	$364.80 40% off	$356.96	$443.29	$440.86	2026-05-22
443	OTHER	*low Frequency Non-thermal US	33	11	$629.00	$377.40 40% off	$309.99	$530.78	$433.51	2026-05-22
320	OTHER	*ndl Asp Us/flu/ct	2,684	11	$606.50	$363.90 40% off	$22.31	$3,577.69	$422.15	2026-05-22
450	OTHER	*somatosensory In Lower Limb	572	11	$601.50	$360.90 40% off	$11.15	$3,882.46	$411.16	2026-05-22
401	OTHER	*mm Diag Digitl Mamo Bil	44	11	$566.50	$339.90 40% off	$121.53	$506.00	$393.00	2026-05-22
343	OTHER	Choletec Dose 15mc	154	11	$543.50	$326.10 40% off	$55.19	$4,295.86	$357.99	2026-05-22
480	OTHER	Cardiac Arrest Proc	33	11	$469.00	$281.40 40% off	$207.83	$1,275.93	$340.07	2026-05-22
434	OTHER	*ot Developmental Testing	99	11	$453.00	$271.80 40% off	$112.72	$476.83	$318.21	2026-05-22
444	OTHER	*health And Behaivor Intervention, Famly	264	11	$459.50	$275.70 40% off	$85.13	$621.19	$316.87	2026-05-22
324	OTHER	*profee 71020 Xr Chest Two View	121	11	$466.00	$279.60 40% off	$19.96	$524.22	$315.70	2026-05-22
510	OTHER	*simple Repair Scalp/neck/ax/genit/trunk	4,521	11	$455.00	$273.00 40% off	$8.81	$6,156.52	$306.22	2026-05-22
410	OTHER	*catheterization Umbilical Newborn Diag/	198	11	$409.00	$245.40 40% off	$48.14	$2,105.64	$293.67	2026-05-22
335	OTHER	*iv Inf Chemo Ea Add Hr	22	11	$441.50	$264.90 40% off	$234.25	$352.88	$290.91	2026-05-22
403	OTHER	*mam 2d Screen Bilateral	33	11	$396.00	$237.60 40% off	$86.89	$402.46	$287.14	2026-05-22
310	OTHER	Bcr-abl1, Cml/all, Pcr,qn Ref480481	99	11	$396.00	$237.60 40% off	$116.25	$2,742.87	$285.33	2026-05-22
983	OTHER	Arthrocent Aspir&/inj Maj Jt/bursa W/us	396	11	$405.00	$243.00 40% off	$90.41	$1,157.81	$279.29	2026-05-22
981	OTHER	Profee Ed Level 1	165	11	$366.00	$219.60 40% off	$38.75	$1,218.33	$265.39	2026-05-22
371	OTHER	Ir Mod Sed 15 Mins	22	11	$412.00	$247.20 40% off	$179.07	$378.40	$263.54	2026-05-22
517	OTHER	Inj 1 Tendon Sheath/ligament Aponeurosis	2,871	11	$386.00	$231.60 40% off	$8.81	$4,583.85	$262.49	2026-05-22
519	OTHER	*93224 Record, Scan Anl	2,431	11	$370.00	$222.00 40% off	$8.81	$10,783.39	$254.51	2026-05-22
762	OTHER	Direct Admit To Observation	55	11	$335.00	$201.00 40% off	$24.07	$414.86	$242.91	2026-05-22
522	OTHER	99347 Rhc Home Visit Est Patient 15 Min	99	11	$391.00	$234.60 40% off	$96.87	$492.87	$239.12	2026-05-22
636	OTHER	Dermagraft	4,070	11	$343.50	$206.10 40% off	$0.59	$97,877.30	$237.32	2026-05-22
460	OTHER	*delivery/birthing	121	11	$321.00	$192.60 40% off	$8.81	$642.34	$232.76	2026-05-22
988	OTHER	*99251 Inpatient Consultation	55	11	$315.00	$189.00 40% off	$103.33	$360.18	$228.41	2026-05-22
960	OTHER	*hospital Consultation	451	11	$315.00	$189.00 40% off	$1.76	$2,621.84	$226.62	2026-05-22
521	OTHER	*electrophysiology Evaluatio	3,080	11	$322.50	$193.50 40% off	$8.81	$10,783.39	$218.98	2026-05-22
312	OTHER	Surg Pat Lev Ii	66	11	$323.00	$193.80 40% off	$72.80	$543.91	$209.44	2026-05-22
272	OTHER	*wire,guide,core,fixed	726	11	$314.50	$188.70 40% off	$8.81	$2,830.37	$206.93	2026-05-22
524	OTHER	99310 Sbsq Nurs Fac Care Unstabl 35 Min	99	11	$278.00	$166.80 40% off	$78.67	$371.11	$199.40	2026-05-22
987	OTHER	Initial Hospital Care/day 30 Minutes	231	11	$278.00	$166.80 40% off	$52.84	$814.40	$191.43	2026-05-22
260	OTHER	Port Flush Only	374	11	$276.00	$165.60 40% off	$23.48	$592.03	$190.93	2026-05-22
360	OTHER	*imaging, Cardiac Cat	792	11	$265.50	$159.30 40% off	$8.81	$10,540.60	$179.03	2026-05-22
910	OTHER	Psytx Pt&/fam W/e&m 30 Mi	55	11	$244.00	$146.40 40% off	$110.37	$269.77	$176.92	2026-05-22
424	OTHER	*pt Evaluation	187	11	$255.00	$153.00 40% off	$22.31	$403.92	$168.36	2026-05-22
331	OTHER	*im/sq Chemo Hn/an	33	11	$230.00	$138.00 40% off	$99.81	$228.21	$166.77	2026-05-22
982	OTHER	Biopsy Bone Open Superficial	132	11	$254.00	$152.40 40% off	$51.08	$5,211.61	$162.90	2026-05-22
513	OTHER	*90838 Psytx Pt&/fam W/e&m 60 M	407	11	$221.00	$132.60 40% off	$8.81	$384.24	$156.03	2026-05-22
311	OTHER	Cytology Fld/wash/brush	99	11	$230.00	$138.00 40% off	$82.19	$756.81	$155.30	2026-05-22
900	OTHER	Psychophysiological Thera	253	11	$221.00	$132.60 40% off	$7.05	$362.36	$145.82	2026-05-22
730	OTHER	*ek	55	11	$218.00	$130.80 40% off	$74.56	$239.14	$144.36	2026-05-22
270	OTHER	*balloon Cre 15-16.5 18mm Fg	671	11	$204.00	$122.40 40% off	$3.52	$5,950.91	$142.84	2026-05-22
280	OTHER	Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbs	176	11	$213.50	$128.10 40% off	$15.85	$375.49	$142.84	2026-05-22
306	OTHER	Add Presumptive Id Urine	451	11	$193.00	$115.80 40% off	$22.31	$702.12	$136.32	2026-05-22
440	OTHER	*aphasia Eval	330	11	$192.50	$115.50 40% off	$41.10	$4,672.80	$134.27	2026-05-22
301	OTHER	*cpr Service-blood Ga	1,716	11	$196.00	$117.60 40% off	$11.74	$640.15	$130.73	2026-05-22
300	OTHER	Collection Venous Blood Venipuncture	1,496	11	$187.50	$112.50 40% off	$2.94	$2,590.49	$129.22	2026-05-22
370	OTHER	Anesth Nerve Block/inj	11	11	$173.00	$103.80 40% off	$101.57	$126.13	$125.44	2026-05-22
420	OTHER	*.elec Stim Unattended	946	11	$178.50	$107.10 40% off	$35.23	$1,280.30	$123.99	2026-05-22
580	OTHER	Home Visit New Patient Low Severity 20 M	11	11	$165.00	$99.00 40% off	$96.87	$120.30	$119.64	2026-05-22
529	OTHER	*brf Ov Mon/chang Rx -tx Mentl D/	165	11	$162.00	$97.20 40% off	$18.79	$929.60	$117.47	2026-05-22
430	OTHER	Ot Adl Trng	528	11	$169.00	$101.40 40% off	$41.10	$454.96	$116.34	2026-05-22
271	OTHER	Slings	33	11	$174.00	$104.40 40% off	$9.39	$137.80	$115.29	2026-05-22
780	OTHER	Nonphysician Telephone Assessment 5-10 M	462	11	$159.50	$95.70 40% off	$19.96	$455.69	$113.28	2026-05-22
302	OTHER	*rubeola Ab Igg Origm	704	11	$158.50	$95.10 40% off	$10.57	$275.60	$108.12	2026-05-22
516	OTHER	99201 Office Outpatient New 10 Minutes	33	11	$136.00	$81.60 40% off	$57.54	$178.63	$98.61	2026-05-22
305	OTHER	*****cbc W/auto Diff	286	11	$135.50	$81.30 40% off	$22.31	$298.20	$94.16	2026-05-22
511	OTHER	99201 Office Visit Level 1 Low Comp	165	11	$134.00	$80.40 40% off	$8.81	$455.69	$90.41	2026-05-22
309	OTHER	*ZZZDOnotUSE Leuko St	44	11	$139.00	$83.40 40% off	$47.56	$158.94	$89.70	2026-05-22
292	OTHER	Tubing With Heating Element	11	11	$118.00	$70.80 40% off	$69.28	$86.03	$85.56	2026-05-22
274	OTHER	Ankle Neoprene Sleeve	286	11	$129.50	$77.70 40% off	$8.81	$428.71	$85.30	2026-05-22
433	OTHER	Ot Health/behavior Interven Family With	33	11	$102.00	$61.20 40% off	$35.81	$85.30	$70.30	2026-05-22
942	OTHER	*trach Care And Education	66	11	$99.00	$59.40 40% off	$26.42	$118.11	$65.98	2026-05-22
985	OTHER	Brief Check In By Md/qhp	88	11	$89.50	$53.70 40% off	$22.31	$685.35	$57.23	2026-05-22
771	OTHER	*inj Immuniz Ea Add	176	11	$75.50	$45.30 40% off	$11.74	$1,000.33	$50.03	2026-05-22
916	OTHER	*psytx Office 75-80 Mi	11	11	$34.00	$20.40 40% off	$19.96	$24.79	$24.65	2026-05-22
307	OTHER	Cbfp Urine Pregnancy Test	66	11	$35.00	$21.00 40% off	$2.94	$92.60	$23.20	2026-05-22
637	OTHER	Cl- Ibuprofen Tab 200 Mg	44	11	$33.50	$20.10 40% off	$2.35	$18,334.68	$20.73	2026-05-22
250	OTHER	*Discontinued - Albuterol Hhn 0.083% U.d	286	11	$22.50	$13.50 40% off	$1.76	$508.91	$15.23	2026-05-22
255	OTHER	*multihance 15ml Vial	22	11	$18.50	$11.10 40% off	$9.98	$14.58	$12.33	2026-05-22
520	OTHER	Reagent Strip/blood Glucose	11	11	$15.00	$9.00 40% off	$8.81	$10.94	$10.88	2026-05-22
258	OTHER	Sodium Chloride 0.9% - 100ml Mini Bag +	33	11	$13.00	$7.80 40% off	$6.46	$10.94	$8.96	2026-05-22

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