|
166
|
OTHER
|
Other Resp System O.r. Procedures W Mcc
|
14
|
7
|
$405,563.86
|
$405,563.86
|
$110,248.85
|
$115,761.29
|
$110,248.85
|
2026-05-22
|
|
981
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
14
|
7
|
$237,512.11
|
$237,512.11
|
$107,261.15
|
$112,624.20
|
$107,261.15
|
2026-05-22
|
|
987
|
OTHER
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc
|
14
|
7
|
$127,725.81
|
$127,725.81
|
$97,984.02
|
$102,883.22
|
$97,984.02
|
2026-05-22
|
|
207
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
14
|
7
|
$274,057.57
|
$274,057.57
|
$84,436.19
|
$88,658.00
|
$84,436.19
|
2026-05-22
|
|
167
|
OTHER
|
Other Resp System O.r. Procedures W Cc
|
14
|
7
|
$239,415.10
|
$239,415.10
|
$72,956.42
|
$76,604.24
|
$72,956.42
|
2026-05-22
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc
|
14
|
7
|
$180,472.81
|
$180,472.81
|
$66,518.96
|
$69,844.91
|
$66,518.96
|
2026-05-22
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures W Mcc
|
14
|
7
|
$118,553.75
|
$118,553.75
|
$64,863.61
|
$68,106.79
|
$64,863.61
|
2026-05-22
|
|
463
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
14
|
7
|
$119,627.90
|
$119,627.90
|
$62,719.28
|
$65,855.25
|
$62,719.28
|
2026-05-22
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries W Mcc
|
14
|
7
|
$303,278.00
|
$303,278.00
|
$60,929.36
|
$63,975.82
|
$60,929.36
|
2026-05-22
|
|
901
|
OTHER
|
Wound Debridements For Injuries W Mcc
|
14
|
7
|
$481,643.25
|
$481,643.25
|
$60,148.79
|
$63,156.22
|
$60,148.79
|
2026-05-22
|
|
570
|
OTHER
|
Skin Debridement W Mcc
|
14
|
7
|
$189,407.95
|
$189,407.95
|
$58,628.02
|
$61,559.42
|
$58,628.02
|
2026-05-22
|
|
622
|
OTHER
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
14
|
7
|
$80,690.39
|
$80,690.39
|
$58,017.92
|
$60,918.81
|
$58,017.92
|
2026-05-22
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
14
|
7
|
$119,867.60
|
$119,867.60
|
$57,403.33
|
$60,273.50
|
$57,403.33
|
2026-05-22
|
|
515
|
OTHER
|
Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc
|
14
|
7
|
$403,352.30
|
$403,352.30
|
$57,362.96
|
$60,231.10
|
$57,362.96
|
2026-05-22
|
|
579
|
OTHER
|
Other Skin, Subcut Tiss & Breast Proc W Mcc
|
14
|
7
|
$114,460.78
|
$114,460.78
|
$56,079.95
|
$58,883.95
|
$56,079.95
|
2026-05-22
|
|
982
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc
|
14
|
7
|
$269,981.75
|
$269,981.75
|
$54,895.64
|
$57,640.42
|
$54,895.64
|
2026-05-22
|
|
500
|
OTHER
|
Soft Tissue Procedures W Mcc
|
14
|
7
|
$166,431.90
|
$166,431.90
|
$54,464.98
|
$57,188.22
|
$54,464.98
|
2026-05-22
|
|
867
|
OTHER
|
Other Infectious & Parasitic Diseases Diagnoses W Mcc
|
14
|
7
|
$76,128.55
|
$76,128.55
|
$51,109.42
|
$53,664.89
|
$51,109.42
|
2026-05-22
|
|
919
|
OTHER
|
Complications Of Treatment W Mcc
|
14
|
7
|
$132,873.13
|
$132,873.13
|
$50,306.42
|
$52,821.74
|
$50,306.42
|
2026-05-22
|
|
208
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
14
|
7
|
$136,962.45
|
$136,962.45
|
$49,781.55
|
$52,270.63
|
$49,781.55
|
2026-05-22
|
|
438
|
OTHER
|
Disorders Of Pancreas Except Malignancy W Mcc
|
14
|
7
|
$94,555.20
|
$94,555.20
|
$49,265.66
|
$51,728.94
|
$49,265.66
|
2026-05-22
|
|
94
|
OTHER
|
Bacterial & Tuberculous Infections Of Nervous System W Mcc
|
14
|
7
|
$30,978.90
|
$30,978.90
|
$49,113.13
|
$51,568.79
|
$49,113.13
|
2026-05-22
|
|
205
|
OTHER
|
Other Respiratory System Diagnoses W Mcc
|
14
|
7
|
$250,929.65
|
$250,929.65
|
$48,377.42
|
$50,796.29
|
$48,377.42
|
2026-05-22
|
|
539
|
OTHER
|
Osteomyelitis W Mcc
|
14
|
7
|
$113,249.69
|
$113,249.69
|
$47,749.38
|
$50,136.85
|
$47,749.38
|
2026-05-22
|
|
464
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc
|
14
|
7
|
$101,521.80
|
$101,521.80
|
$47,421.90
|
$49,792.99
|
$47,421.90
|
2026-05-22
|
|
857
|
OTHER
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Cc
|
14
|
7
|
$106,848.25
|
$106,848.25
|
$46,762.45
|
$49,100.57
|
$46,762.45
|
2026-05-22
|
|
940
|
OTHER
|
O.r. Proc W Diagnoses Of Other Contact W Health Services W Cc
|
14
|
7
|
$248,290.00
|
$248,290.00
|
$46,762.45
|
$49,100.57
|
$46,762.45
|
2026-05-22
|
|
288
|
OTHER
|
Acute & Subacute Endocarditis W Mcc
|
14
|
7
|
$216,046.35
|
$216,046.35
|
$46,484.32
|
$48,808.53
|
$46,484.32
|
2026-05-22
|
|
637
|
OTHER
|
Diabetes W Mcc
|
14
|
7
|
$144,946.30
|
$144,946.30
|
$45,591.59
|
$47,871.17
|
$45,591.59
|
2026-05-22
|
|
862
|
OTHER
|
Postoperative & Post-traumatic Infections W Mcc
|
14
|
7
|
$107,928.02
|
$107,928.02
|
$45,317.95
|
$47,583.84
|
$45,317.95
|
2026-05-22
|
|
393
|
OTHER
|
Other Digestive System Diagnoses W Mcc
|
14
|
7
|
$113,204.32
|
$113,204.32
|
$45,192.34
|
$47,451.95
|
$45,192.34
|
2026-05-22
|
|
727
|
OTHER
|
Inflammation Of The Male Reproductive System W Mcc
|
14
|
7
|
$55,295.40
|
$55,295.40
|
$45,039.81
|
$47,291.80
|
$45,039.81
|
2026-05-22
|
|
314
|
OTHER
|
Other Circulatory System Diagnoses W Mcc
|
14
|
7
|
$98,524.85
|
$98,524.85
|
$44,366.91
|
$46,585.25
|
$44,366.91
|
2026-05-22
|
|
371
|
OTHER
|
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc
|
14
|
7
|
$89,867.50
|
$89,867.50
|
$43,976.62
|
$46,175.45
|
$43,976.62
|
2026-05-22
|
|
189
|
OTHER
|
Pulmonary Edema & Respiratory Failure
|
14
|
7
|
$147,148.81
|
$147,148.81
|
$43,092.87
|
$45,247.52
|
$43,092.87
|
2026-05-22
|
|
571
|
OTHER
|
Skin Debridement W Cc
|
14
|
7
|
$160,347.65
|
$160,347.65
|
$42,657.73
|
$44,790.61
|
$42,657.73
|
2026-05-22
|
|
444
|
OTHER
|
Disorders Of The Biliary Tract W Mcc
|
14
|
7
|
$169,347.95
|
$169,347.95
|
$42,415.48
|
$44,536.25
|
$42,415.48
|
2026-05-22
|
|
91
|
OTHER
|
Other Disorders Of Nervous System W Mcc
|
14
|
7
|
$5,821.75
|
$5,821.75
|
$41,625.94
|
$43,707.23
|
$41,625.94
|
2026-05-22
|
|
549
|
OTHER
|
Septic Arthritis W Cc
|
14
|
7
|
$99,187.30
|
$99,187.30
|
$41,567.62
|
$43,646.00
|
$41,567.62
|
2026-05-22
|
|
606
|
OTHER
|
Minor Skin Disorders W Mcc
|
14
|
7
|
$16,731.65
|
$16,731.65
|
$41,141.45
|
$43,198.52
|
$41,141.45
|
2026-05-22
|
|
871
|
OTHER
|
Septicemia Without Mv 96+ Hours W Mcc
|
14
|
7
|
$41,895.60
|
$41,895.60
|
$41,042.75
|
$43,094.89
|
$41,042.75
|
2026-05-22
|
|
557
|
OTHER
|
Tendonitis, Myositis & Bursitis W Mcc
|
14
|
7
|
$100,889.20
|
$100,889.20
|
$40,854.34
|
$42,897.06
|
$40,854.34
|
2026-05-22
|
|
640
|
OTHER
|
Nutritional & Misc Metabolic Disorders W Mcc
|
14
|
7
|
$123,155.05
|
$123,155.05
|
$39,795.63
|
$41,785.42
|
$39,795.63
|
2026-05-22
|
|
559
|
OTHER
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
14
|
7
|
$113,967.82
|
$113,967.82
|
$38,436.37
|
$40,358.18
|
$38,436.37
|
2026-05-22
|
|
70
|
OTHER
|
Nonspecific Cerebrovascular Disorders W Mcc
|
14
|
7
|
$151,228.35
|
$151,228.35
|
$37,364.20
|
$39,232.41
|
$37,364.20
|
2026-05-22
|
|
391
|
OTHER
|
Esophagitis, Gastroent & Misc Digest Disorders W Mcc
|
14
|
7
|
$163,165.17
|
$163,165.17
|
$35,915.21
|
$37,710.97
|
$35,915.21
|
2026-05-22
|
|
291
|
OTHER
|
Heart Failure & Shock W Mcc
|
14
|
7
|
$200,205.65
|
$200,205.65
|
$35,780.63
|
$37,569.66
|
$35,780.63
|
2026-05-22
|
|
177
|
OTHER
|
Respiratory Infections & Inflammations W Mcc
|
14
|
7
|
$71,865.67
|
$71,865.67
|
$35,592.22
|
$37,371.83
|
$35,592.22
|
2026-05-22
|
|
289
|
OTHER
|
Acute & Subacute Endocarditis W Cc
|
14
|
7
|
$136,211.60
|
$136,211.60
|
$35,529.41
|
$37,305.88
|
$35,529.41
|
2026-05-22
|
|
699
|
OTHER
|
Other Kidney & Urinary Tract Diagnoses W Cc
|
14
|
7
|
$58,100.55
|
$58,100.55
|
$35,049.41
|
$36,801.88
|
$35,049.41
|
2026-05-22
|
|
728
|
OTHER
|
Inflammation Of The Male Reproductive System Without Mcc
|
14
|
7
|
$172,650.57
|
$172,650.57
|
$35,049.41
|
$36,801.88
|
$35,049.41
|
2026-05-22
|
|
908
|
OTHER
|
Other O.r. Procedures For Injuries W Cc
|
14
|
7
|
$89,559.58
|
$89,559.58
|
$35,049.41
|
$36,801.88
|
$35,049.41
|
2026-05-22
|
|
372
|
OTHER
|
Major Gastrointestinal Disorders & Peritoneal Infections W Cc
|
14
|
7
|
$65,560.75
|
$65,560.75
|
$34,264.35
|
$35,977.57
|
$34,264.35
|
2026-05-22
|
|
920
|
OTHER
|
Complications Of Treatment W Cc
|
14
|
7
|
$176,138.02
|
$176,138.02
|
$33,927.90
|
$35,624.29
|
$33,927.90
|
2026-05-22
|
|
602
|
OTHER
|
Cellulitis W Mcc
|
14
|
7
|
$63,488.25
|
$63,488.25
|
$33,308.83
|
$34,974.27
|
$33,308.83
|
2026-05-22
|
|
638
|
OTHER
|
Diabetes W Cc
|
14
|
7
|
$101,109.98
|
$101,109.98
|
$33,250.51
|
$34,913.03
|
$33,250.51
|
2026-05-22
|
|
558
|
OTHER
|
Tendonitis, Myositis & Bursitis Without Mcc
|
14
|
7
|
$95,453.27
|
$95,453.27
|
$33,205.65
|
$34,865.93
|
$33,205.65
|
2026-05-22
|
|
186
|
OTHER
|
Pleural Effusion W Mcc
|
14
|
7
|
$115,849.60
|
$115,849.60
|
$33,084.52
|
$34,738.75
|
$33,084.52
|
2026-05-22
|
|
949
|
OTHER
|
Aftercare W Cc/Mcc
|
14
|
7
|
$103,606.72
|
$103,606.72
|
$32,151.43
|
$33,759.00
|
$32,151.43
|
2026-05-22
|
|
560
|
OTHER
|
Aftercare, Musculoskeletal System & Connective Tissue W Cc
|
14
|
7
|
$110,760.68
|
$110,760.68
|
$31,671.42
|
$33,254.99
|
$31,671.42
|
2026-05-22
|
|
863
|
OTHER
|
Postoperative & Post-traumatic Infections Without Mcc
|
14
|
7
|
$163,238.53
|
$163,238.53
|
$30,854.96
|
$32,397.71
|
$30,854.96
|
2026-05-22
|
|
689
|
OTHER
|
Kidney & Urinary Tract Infections W Mcc
|
14
|
7
|
$100,565.90
|
$100,565.90
|
$29,675.14
|
$31,158.89
|
$29,675.14
|
2026-05-22
|
|
57
|
OTHER
|
Degenerative Nervous System Disorders Without Mcc
|
14
|
7
|
$41,801.70
|
$41,801.70
|
$28,970.83
|
$30,419.37
|
$28,970.83
|
2026-05-22
|
|
156
|
OTHER
|
Nasal Trauma & Deformity Without Cc/Mcc
|
14
|
7
|
$127,275.25
|
$127,275.25
|
$28,558.11
|
$29,986.02
|
$28,558.11
|
2026-05-22
|
|
868
|
OTHER
|
Other Infectious & Parasitic Diseases Diagnoses W Cc
|
14
|
7
|
$63,579.90
|
$63,579.90
|
$28,558.11
|
$29,986.02
|
$28,558.11
|
2026-05-22
|
|
315
|
OTHER
|
Other Circulatory System Diagnoses W Cc
|
14
|
7
|
$92,802.88
|
$92,802.88
|
$28,477.36
|
$29,901.23
|
$28,477.36
|
2026-05-22
|
|
641
|
OTHER
|
Nutritional & Misc Metabolic Disorders Without Mcc
|
14
|
7
|
$94,063.31
|
$94,063.31
|
$26,283.69
|
$27,597.88
|
$26,283.69
|
2026-05-22
|
|
200
|
OTHER
|
Intensive Care/high Acuity
|
22
|
9
|
$39,394.10
|
$39,394.10
|
$1,857.20
|
$21,907.79
|
$20,864.56
|
2026-05-22
|
|
0237T
|
OTHER
|
Atherectomy Brachioceph Trnk
|
8
|
2
|
$11,980.50
|
$11,980.50
|
$8,985.38
|
$9,584.40
|
$9,284.89
|
2026-05-22
|
|
0236T
|
OTHER
|
Atherectomy Abdominal Aorta
|
8
|
2
|
$11,980.50
|
$11,980.50
|
$8,985.38
|
$9,584.40
|
$9,284.89
|
2026-05-22
|
|
74178
|
OTHER
|
CT Abd & Pelvis W/Wo Contrast
|
8
|
2
|
$8,583.75
|
$8,583.75
|
$6,437.81
|
$6,867.00
|
$6,652.40
|
2026-05-22
|
|
74177
|
OTHER
|
CT Abd & Pelvis W Contrast
|
8
|
2
|
$6,522.00
|
$6,522.00
|
$4,891.50
|
$5,217.60
|
$5,054.55
|
2026-05-22
|
|
74176
|
OTHER
|
CT Abd & Pelvis Wo Contrast
|
8
|
2
|
$5,646.00
|
$5,646.00
|
$4,234.50
|
$4,516.80
|
$4,375.65
|
2026-05-22
|
|
71260
|
OTHER
|
CT Chest (Pe) W Contrast
|
12
|
2
|
$4,630.50
|
$4,630.50
|
$2,471.25
|
$3,704.40
|
$3,530.76
|
2026-05-22
|
|
22526
|
OTHER
|
Perq Annuloplasty 1 Lvl
|
8
|
2
|
$4,537.00
|
$4,537.00
|
$3,402.75
|
$3,629.60
|
$3,516.18
|
2026-05-22
|
|
36571
|
OTHER
|
Picc Line Insert W Pump
|
8
|
2
|
$4,472.50
|
$4,472.50
|
$3,354.38
|
$3,578.00
|
$3,466.19
|
2026-05-22
|
|
31600
|
OTHER
|
Tracheostomy Planned
|
8
|
2
|
$3,892.50
|
$3,892.50
|
$2,919.38
|
$3,114.00
|
$3,016.69
|
2026-05-22
|
|
71270
|
OTHER
|
CT Thorax W/Wo Contrast
|
8
|
2
|
$3,794.75
|
$3,794.75
|
$2,846.06
|
$3,035.80
|
$2,940.93
|
2026-05-22
|
|
74170
|
OTHER
|
CT Abdomen W/Wo Contrast
|
8
|
2
|
$3,624.50
|
$3,624.50
|
$2,718.38
|
$2,899.60
|
$2,808.99
|
2026-05-22
|
|
72193
|
OTHER
|
CT Pelvis W Contrast
|
8
|
2
|
$3,283.00
|
$3,283.00
|
$2,462.25
|
$2,626.40
|
$2,544.32
|
2026-05-22
|
|
74160
|
OTHER
|
CT Abdomen W Contrast
|
8
|
2
|
$3,148.00
|
$3,148.00
|
$2,361.00
|
$2,518.40
|
$2,439.70
|
2026-05-22
|
|
94002
|
OTHER
|
Ventilation Mgmt 1st Day
|
8
|
2
|
$3,099.00
|
$3,099.00
|
$2,324.25
|
$2,479.20
|
$2,401.72
|
2026-05-22
|
|
70470
|
OTHER
|
CT Head/Brain W/Wo Contrast
|
8
|
2
|
$3,085.00
|
$3,085.00
|
$2,313.75
|
$2,468.00
|
$2,390.88
|
2026-05-22
|
|
43261
|
OTHER
|
Ercp W Bx Sngl/Mult
|
8
|
2
|
$2,822.50
|
$2,822.50
|
$2,116.88
|
$2,258.00
|
$2,187.44
|
2026-05-22
|
|
72125
|
OTHER
|
CT C Spine Wo Contrast
|
8
|
2
|
$2,700.50
|
$2,700.50
|
$2,025.38
|
$2,160.40
|
$2,092.89
|
2026-05-22
|
|
73701
|
OTHER
|
CT Lower Extr W Contrast
|
8
|
2
|
$2,674.25
|
$2,674.25
|
$2,005.69
|
$2,139.40
|
$2,072.55
|
2026-05-22
|
|
71250
|
OTHER
|
CT Chest (High Resolution)
|
8
|
2
|
$2,547.25
|
$2,547.25
|
$1,910.44
|
$2,037.80
|
$1,974.12
|
2026-05-22
|
|
70450
|
OTHER
|
CT Head/Brain Wo Contrast
|
8
|
2
|
$2,543.00
|
$2,543.00
|
$1,907.25
|
$2,034.40
|
$1,970.83
|
2026-05-22
|
|
45378
|
OTHER
|
Colonoscopy Dx
|
8
|
2
|
$2,444.50
|
$2,444.50
|
$1,833.38
|
$1,955.60
|
$1,894.49
|
2026-05-22
|
|
206
|
OTHER
|
Intermediate Care
|
8
|
2
|
$2,702.00
|
$2,702.00
|
$1,680.80
|
$2,161.60
|
$1,853.65
|
2026-05-22
|
|
36558
|
OTHER
|
Ins Tun Cv Cath Without Port 5y/>
|
8
|
2
|
$2,373.00
|
$2,373.00
|
$1,779.75
|
$1,898.40
|
$1,839.08
|
2026-05-22
|
|
64420
|
OTHER
|
Inj Anes Intercostal Nrv Sng
|
8
|
2
|
$2,267.00
|
$2,267.00
|
$1,700.25
|
$1,813.60
|
$1,756.92
|
2026-05-22
|
|
36556
|
OTHER
|
Ins Non-tun Ctr Cvc Age 5 Yr/>
|
8
|
2
|
$2,259.50
|
$2,259.50
|
$1,694.63
|
$1,807.60
|
$1,751.12
|
2026-05-22
|
|
11047
|
OTHER
|
Debr Bone Ea Addl <=20 Sq
|
8
|
2
|
$2,219.75
|
$2,219.75
|
$1,664.81
|
$1,775.80
|
$1,720.31
|
2026-05-22
|
|
94003
|
OTHER
|
Ventilation Mgmt Ea Subsq Day
|
8
|
2
|
$2,193.50
|
$2,193.50
|
$1,645.13
|
$1,754.80
|
$1,699.96
|
2026-05-22
|
|
110
|
OTHER
|
Private Room
|
8
|
2
|
$2,150.00
|
$2,150.00
|
$1,612.50
|
$1,720.00
|
$1,675.00
|
2026-05-22
|
|
120
|
OTHER
|
Semi Private Room
|
8
|
2
|
$2,150.00
|
$2,150.00
|
$1,612.50
|
$1,720.00
|
$1,675.00
|
2026-05-22
|
|
43246
|
OTHER
|
Peg Placement
|
8
|
2
|
$2,129.75
|
$2,129.75
|
$1,597.31
|
$1,703.80
|
$1,650.56
|
2026-05-22
|
|
31646
|
OTHER
|
Bronchoscopy W Aspiration Subs
|
8
|
2
|
$2,110.25
|
$2,110.25
|
$1,582.69
|
$1,688.20
|
$1,635.44
|
2026-05-22
|
|
31645
|
OTHER
|
Bronchoscopy W Aspiration Init
|
8
|
2
|
$2,110.25
|
$2,110.25
|
$1,582.69
|
$1,688.20
|
$1,635.44
|
2026-05-22
|
|
31624
|
OTHER
|
Bronchoscopy W Lavage
|
8
|
2
|
$2,110.25
|
$2,110.25
|
$1,582.69
|
$1,688.20
|
$1,635.44
|
2026-05-22
|
|
73200
|
OTHER
|
CT Upper Extrem Wo Contrast
|
8
|
2
|
$2,103.25
|
$2,103.25
|
$1,577.44
|
$1,682.60
|
$1,630.02
|
2026-05-22
|
|
94660
|
OTHER
|
CPAP/Bipap Initiation & Mgmt
|
8
|
2
|
$2,089.00
|
$2,089.00
|
$1,566.75
|
$1,671.20
|
$1,618.97
|
2026-05-22
|
|
70460
|
OTHER
|
CT Head/Brain W Contrast
|
8
|
2
|
$2,003.50
|
$2,003.50
|
$1,502.63
|
$1,602.80
|
$1,552.71
|
2026-05-22
|
|
94762
|
OTHER
|
Pulse Ox Continuous/Overnight
|
8
|
2
|
$2,000.25
|
$2,000.25
|
$1,500.19
|
$1,600.20
|
$1,550.19
|
2026-05-22
|
|
43235
|
OTHER
|
Upper Gi Endo Dx
|
8
|
2
|
$1,809.25
|
$1,809.25
|
$1,356.94
|
$1,447.40
|
$1,402.17
|
2026-05-22
|
|
36584
|
OTHER
|
Picc Line Replacement Without Pump
|
8
|
2
|
$1,687.00
|
$1,687.00
|
$1,265.25
|
$1,349.60
|
$1,307.42
|
2026-05-22
|
|
36569
|
OTHER
|
Ins Picc Without Pump 5y/>
|
8
|
2
|
$1,687.00
|
$1,687.00
|
$1,265.25
|
$1,349.60
|
$1,307.42
|
2026-05-22
|
|
11044
|
OTHER
|
Debr Bone 1st <= 20 Sq Cm
|
8
|
2
|
$1,651.75
|
$1,651.75
|
$1,238.81
|
$1,321.40
|
$1,280.11
|
2026-05-22
|
|
93971
|
OTHER
|
Duplex Extr Veins; Uni/Ltd
|
8
|
2
|
$1,413.25
|
$1,413.25
|
$1,059.94
|
$1,130.60
|
$1,095.27
|
2026-05-22
|
|
49083
|
OTHER
|
Abd Paracentesis W/Imaging
|
8
|
2
|
$1,392.25
|
$1,392.25
|
$1,044.19
|
$1,113.80
|
$1,078.99
|
2026-05-22
|
|
28190
|
OTHER
|
Removal Fb Foot Subq
|
8
|
2
|
$1,358.75
|
$1,358.75
|
$1,019.06
|
$1,087.00
|
$1,053.03
|
2026-05-22
|
|
PH001753
|
OTHER
|
Ph001753 - Fmt Upper Delivery
|
8
|
2
|
$1,300.00
|
$1,300.00
|
$975.00
|
$1,040.00
|
$1,007.50
|
2026-05-22
|
|
31615
|
OTHER
|
Tracheobronchoscopy Thru Incis
|
8
|
2
|
$1,293.25
|
$1,293.25
|
$969.94
|
$1,034.60
|
$1,002.27
|
2026-05-22
|
|
31603
|
OTHER
|
Tracheostomy Emergent
|
8
|
2
|
$1,293.25
|
$1,293.25
|
$969.94
|
$1,034.60
|
$1,002.27
|
2026-05-22
|
|
36568
|
OTHER
|
Ins Picc Without Pump <5y
|
8
|
2
|
$1,226.50
|
$1,226.50
|
$919.88
|
$981.20
|
$950.54
|
2026-05-22
|
|
11046
|
OTHER
|
Debr Musl/Fas Ea Addl <=20 Sq
|
8
|
2
|
$1,205.50
|
$1,205.50
|
$904.13
|
$964.40
|
$934.26
|
2026-05-22
|
|
36430
|
OTHER
|
Adm Bld Transfusion Per Visit
|
8
|
2
|
$1,125.00
|
$1,125.00
|
$843.75
|
$900.00
|
$871.88
|
2026-05-22
|
|
49082
|
OTHER
|
Abd Paracentesis Without Imag
|
8
|
2
|
$1,099.25
|
$1,099.25
|
$824.44
|
$879.40
|
$851.92
|
2026-05-22
|
|
90935
|
OTHER
|
Hemodialysis
|
8
|
2
|
$1,048.00
|
$1,048.00
|
$786.00
|
$838.40
|
$812.20
|
2026-05-22
|
|
32551
|
OTHER
|
Chest Tube Insertion
|
8
|
2
|
$978.75
|
$978.75
|
$734.06
|
$783.00
|
$758.53
|
2026-05-22
|
|
76882
|
OTHER
|
US Extremity Nonvasc Ltd
|
8
|
2
|
$904.00
|
$904.00
|
$678.00
|
$723.20
|
$700.60
|
2026-05-22
|
|
76881
|
OTHER
|
US Extremity Nonvasc Cmpl
|
8
|
2
|
$904.00
|
$904.00
|
$678.00
|
$723.20
|
$700.60
|
2026-05-22
|
|
76770
|
OTHER
|
US Retroperit W Image Compl
|
8
|
2
|
$842.00
|
$842.00
|
$631.50
|
$673.60
|
$652.55
|
2026-05-22
|
|
76946
|
OTHER
|
Amniocentesis W/Us Guidance
|
8
|
2
|
$776.00
|
$776.00
|
$582.00
|
$620.80
|
$601.40
|
2026-05-22
|
|
43000046
|
OTHER
|
Daily Heated High Flow O2
|
8
|
2
|
$755.00
|
$755.00
|
$566.25
|
$604.00
|
$585.12
|
2026-05-22
|
|
76705
|
OTHER
|
US Abdominal W Image Limited
|
8
|
2
|
$725.50
|
$725.50
|
$544.13
|
$580.40
|
$562.26
|
2026-05-22
|
|
76700
|
OTHER
|
US Abdominal W Image Complete
|
8
|
2
|
$723.00
|
$723.00
|
$542.25
|
$578.40
|
$560.33
|
2026-05-22
|
|
36410
|
OTHER
|
Midline Insertion Venipuncture
|
8
|
2
|
$700.00
|
$700.00
|
$525.00
|
$560.00
|
$542.50
|
2026-05-22
|
|
76830
|
OTHER
|
US Transvaginal
|
8
|
2
|
$665.75
|
$665.75
|
$499.31
|
$532.60
|
$515.96
|
2026-05-22
|
|
P9021
|
OTHER
|
Rbc Each Unit
|
8
|
2
|
$660.00
|
$660.00
|
$495.00
|
$528.00
|
$511.50
|
2026-05-22
|
|
11042
|
OTHER
|
Debr Sq Tis 1st <= 20 Sqcm
|
8
|
2
|
$647.75
|
$647.75
|
$485.81
|
$518.20
|
$502.00
|
2026-05-22
|
|
11045
|
OTHER
|
Debr Sq Tis Ea Add <=20 Sq
|
8
|
2
|
$647.75
|
$647.75
|
$485.81
|
$518.20
|
$502.00
|
2026-05-22
|
|
11043
|
OTHER
|
Debr Musl/Fas 1st <= 20 Sqcm
|
8
|
2
|
$647.75
|
$647.75
|
$485.81
|
$518.20
|
$502.00
|
2026-05-22
|
|
31500
|
OTHER
|
Endotrachael Intubation
|
8
|
2
|
$612.00
|
$612.00
|
$459.00
|
$489.60
|
$474.30
|
2026-05-22
|
|
10000009
|
OTHER
|
Thoracentesis Ndl/Cath Without Img
|
8
|
2
|
$610.00
|
$610.00
|
$457.50
|
$488.00
|
$472.75
|
2026-05-22
|
|
92612
|
OTHER
|
St - Fees Procedure
|
8
|
2
|
$600.00
|
$600.00
|
$450.00
|
$480.00
|
$465.00
|
2026-05-22
|
|
92950
|
OTHER
|
Cpr (Code Blue)
|
8
|
2
|
$590.00
|
$590.00
|
$442.50
|
$472.00
|
$457.25
|
2026-05-22
|
|
43000039
|
OTHER
|
Daily O2 Charge
|
8
|
2
|
$503.00
|
$503.00
|
$377.25
|
$402.40
|
$389.82
|
2026-05-22
|
|
93000001
|
OTHER
|
Respite Care
|
8
|
2
|
$500.00
|
$500.00
|
$375.00
|
$400.00
|
$387.50
|
2026-05-22
|
|
96365
|
OTHER
|
IV Infusion 16 Min - 1hr
|
8
|
2
|
$487.25
|
$487.25
|
$365.44
|
$389.80
|
$377.62
|
2026-05-22
|
|
82803
|
OTHER
|
Blood Gases - Analysis
|
12
|
2
|
$486.25
|
$486.25
|
$5.44
|
$389.00
|
$370.77
|
2026-05-22
|
|
92611
|
OTHER
|
Swallowing Eval By Cine/Video
|
8
|
2
|
$466.00
|
$466.00
|
$349.50
|
$372.80
|
$361.15
|
2026-05-22
|
|
PH001085
|
OTHER
|
Ph001085 - Pneumovax 23
|
8
|
2
|
$434.28
|
$434.28
|
$325.71
|
$347.42
|
$336.56
|
2026-05-22
|
|
90945
|
OTHER
|
Peritoneal Dialysis
|
8
|
2
|
$429.00
|
$429.00
|
$321.75
|
$343.20
|
$332.48
|
2026-05-22
|
|
PH002780
|
OTHER
|
Ph002780 - Vasostrict
|
8
|
2
|
$424.76
|
$424.76
|
$318.57
|
$339.81
|
$329.19
|
2026-05-22
|
|
74018
|
OTHER
|
Xray Abdomen 1 View
|
8
|
2
|
$417.00
|
$417.00
|
$312.75
|
$333.60
|
$323.18
|
2026-05-22
|
|
10061
|
OTHER
|
I&d Of Abscess Comp/Mult
|
8
|
2
|
$411.50
|
$411.50
|
$308.63
|
$329.20
|
$318.92
|
2026-05-22
|
|
71046
|
OTHER
|
Dx Chest 2vw
|
8
|
2
|
$411.00
|
$411.00
|
$308.25
|
$328.80
|
$318.52
|
2026-05-22
|
|
71045
|
OTHER
|
Dx Chest 1vw
|
8
|
2
|
$407.00
|
$407.00
|
$305.25
|
$325.60
|
$315.43
|
2026-05-22
|
|
PH002709
|
OTHER
|
Ph002709 - Tobramycin/Nebulizer
|
8
|
2
|
$386.31
|
$386.31
|
$289.73
|
$309.05
|
$299.39
|
2026-05-22
|
|
94669
|
OTHER
|
Mech Chest Wall Oscill
|
8
|
2
|
$386.10
|
$386.10
|
$289.58
|
$308.88
|
$299.23
|
2026-05-22
|
|
10060
|
OTHER
|
I&d Abscesssimple/Single
|
8
|
2
|
$367.50
|
$367.50
|
$275.63
|
$294.00
|
$284.81
|
2026-05-22
|
|
97602
|
OTHER
|
Non Excisional Debridement
|
8
|
2
|
$351.75
|
$351.75
|
$263.81
|
$281.40
|
$272.61
|
2026-05-22
|
|
97167
|
OTHER
|
Ot Eval High Complexity
|
8
|
2
|
$347.75
|
$347.75
|
$260.81
|
$278.20
|
$269.50
|
2026-05-22
|
|
97163
|
OTHER
|
Pt Eval High Complexity
|
8
|
2
|
$347.75
|
$347.75
|
$260.81
|
$278.20
|
$269.50
|
2026-05-22
|
|
94761
|
OTHER
|
Pulse Ox Multiple Det
|
8
|
2
|
$347.50
|
$347.50
|
$260.63
|
$278.00
|
$269.31
|
2026-05-22
|
|
J1610
|
OTHER
|
Ph000890 - Glucagen
|
8
|
2
|
$343.20
|
$343.20
|
$257.40
|
$274.56
|
$265.98
|
2026-05-22
|
|
97598
|
OTHER
|
Rmvl Devital Tis Addl 20 Cm<
|
8
|
2
|
$343.00
|
$343.00
|
$257.25
|
$274.40
|
$265.82
|
2026-05-22
|
|
97597
|
OTHER
|
Rmvl Devital Tis 20 Cm/<
|
8
|
2
|
$343.00
|
$343.00
|
$257.25
|
$274.40
|
$265.82
|
2026-05-22
|
|
97606
|
OTHER
|
Vaccuum Therapy >50cm
|
8
|
2
|
$341.25
|
$341.25
|
$255.94
|
$273.00
|
$264.47
|
2026-05-22
|
|
29581
|
OTHER
|
Appl Multlayer Ven Compress
|
8
|
2
|
$338.00
|
$338.00
|
$253.50
|
$270.40
|
$261.95
|
2026-05-22
|
|
PH002378
|
OTHER
|
Ph002378 - Vabomere
|
8
|
2
|
$330.00
|
$330.00
|
$247.50
|
$264.00
|
$255.75
|
2026-05-22
|
|
97168
|
OTHER
|
Occupational Therapy Re-eval
|
8
|
2
|
$319.75
|
$319.75
|
$239.81
|
$255.80
|
$247.81
|
2026-05-22
|
|
17250
|
OTHER
|
Chemical Cautery Tissue
|
8
|
2
|
$314.00
|
$314.00
|
$235.50
|
$251.20
|
$243.35
|
2026-05-22
|
|
92610
|
OTHER
|
Swallowing/Oral Function Eval
|
8
|
2
|
$312.50
|
$312.50
|
$234.38
|
$250.00
|
$242.19
|
2026-05-22
|
|
92523
|
OTHER
|
Eval Speech Sound Prod W Lang
|
8
|
2
|
$312.50
|
$312.50
|
$234.38
|
$250.00
|
$242.19
|
2026-05-22
|
|
96105
|
OTHER
|
Assessment Of Aphasia
|
8
|
2
|
$308.00
|
$308.00
|
$231.00
|
$246.40
|
$238.70
|
2026-05-22
|
|
29580
|
OTHER
|
Appl Unna Boot Unilat
|
8
|
2
|
$303.50
|
$303.50
|
$227.63
|
$242.80
|
$235.22
|
2026-05-22
|
|
92597
|
OTHER
|
Eval Fitting Pros Device
|
8
|
2
|
$300.00
|
$300.00
|
$225.00
|
$240.00
|
$232.50
|
2026-05-22
|
|
97166
|
OTHER
|
Ot Eval Mod Complexity
|
8
|
2
|
$289.75
|
$289.75
|
$217.31
|
$231.80
|
$224.56
|
2026-05-22
|
|
97162
|
OTHER
|
Pt Eval Mod Complexity
|
8
|
2
|
$289.75
|
$289.75
|
$217.31
|
$231.80
|
$224.56
|
2026-05-22
|
|
31502
|
OTHER
|
Tracheotomy Tube Change
|
8
|
2
|
$259.50
|
$259.50
|
$194.63
|
$207.60
|
$201.12
|
2026-05-22
|
|
97605
|
OTHER
|
Vaccuum Therapy <50cm
|
8
|
2
|
$255.25
|
$255.25
|
$191.44
|
$204.20
|
$197.82
|
2026-05-22
|
|
97164
|
OTHER
|
Physical Therapy Re-eval
|
8
|
2
|
$238.00
|
$238.00
|
$178.50
|
$190.40
|
$184.45
|
2026-05-22
|
|
97165
|
OTHER
|
Ot Eval Low Complexity
|
8
|
2
|
$231.75
|
$231.75
|
$173.81
|
$185.40
|
$179.60
|
2026-05-22
|
|
97161
|
OTHER
|
Pt Eval Low Complexity
|
8
|
2
|
$231.75
|
$231.75
|
$173.81
|
$185.40
|
$179.60
|
2026-05-22
|
|
92522
|
OTHER
|
Eval Speech Sound Production
|
8
|
2
|
$225.00
|
$225.00
|
$168.75
|
$180.00
|
$174.38
|
2026-05-22
|
|
92521
|
OTHER
|
Eval Of Speech Fluency
|
8
|
2
|
$225.00
|
$225.00
|
$168.75
|
$180.00
|
$174.38
|
2026-05-22
|
|
PH002844
|
OTHER
|
Ph002844 - Levothyroxine Sodium
|
8
|
2
|
$224.79
|
$224.79
|
$168.59
|
$179.83
|
$174.21
|
2026-05-22
|
|
94667
|
OTHER
|
Manip Chest Wall (cpt) Initial
|
8
|
2
|
$219.50
|
$219.50
|
$164.63
|
$175.60
|
$170.12
|
2026-05-22
|
|
94760
|
OTHER
|
Pulse Ox Single Det
|
8
|
2
|
$212.50
|
$212.50
|
$159.38
|
$170.00
|
$164.69
|
2026-05-22
|
|
94664
|
OTHER
|
Demo/Eval Pt Inhal/Neb/Ippb
|
8
|
2
|
$206.75
|
$206.75
|
$155.06
|
$165.40
|
$160.23
|
2026-05-22
|
|
94668
|
OTHER
|
Manip Chest Wall (cpt) Subseq
|
8
|
2
|
$198.50
|
$198.50
|
$148.88
|
$158.80
|
$153.84
|
2026-05-22
|
|
PH000352
|
OTHER
|
Ph000352 - Clinimix
|
8
|
2
|
$192.48
|
$192.48
|
$144.36
|
$153.98
|
$149.17
|
2026-05-22
|
|
PH002663
|
OTHER
|
Ph002663 - Vancomycin/Water For Inj (Peg)
|
8
|
2
|
$180.00
|
$180.00
|
$135.00
|
$144.00
|
$139.50
|
2026-05-22
|
|
PH002775
|
OTHER
|
Ph002775 - Pirfenidone
|
8
|
2
|
$176.48
|
$176.48
|
$132.36
|
$141.18
|
$136.77
|
2026-05-22
|
|
82575
|
OTHER
|
Creatinine Clearance Test
|
8
|
2
|
$175.25
|
$175.25
|
$131.44
|
$140.20
|
$135.82
|
2026-05-22
|
|
92526
|
OTHER
|
Tx Swallow Function
|
8
|
2
|
$175.00
|
$175.00
|
$131.25
|
$140.00
|
$135.62
|
2026-05-22
|
|
92524
|
OTHER
|
Behav/Qual Analysis Voice/Res
|
8
|
2
|
$175.00
|
$175.00
|
$131.25
|
$140.00
|
$135.62
|
2026-05-22
|
|
92507
|
OTHER
|
Tx Speech/Lang/Voice
|
8
|
2
|
$175.00
|
$175.00
|
$131.25
|
$140.00
|
$135.62
|
2026-05-22
|
|
97763
|
OTHER
|
Orth/Pros Mgmt Sub Enc Ea 15m
|
8
|
2
|
$172.25
|
$172.25
|
$129.19
|
$137.80
|
$133.50
|
2026-05-22
|
|
96374
|
OTHER
|
IV Push Initial
|
8
|
2
|
$162.75
|
$162.75
|
$122.06
|
$130.20
|
$126.13
|
2026-05-22
|
|
PH000426
|
OTHER
|
Ph000426 - Dexmedetomidine 400mcg/100ml
|
8
|
2
|
$160.00
|
$160.00
|
$120.00
|
$128.00
|
$124.00
|
2026-05-22
|
|
PH002234
|
OTHER
|
Ph002234 - Acch Magic Butt Cream
|
8
|
2
|
$160.00
|
$160.00
|
$120.00
|
$128.00
|
$124.00
|
2026-05-22
|
|
93005
|
OTHER
|
ECG 12 Lead Tracing Only
|
8
|
2
|
$157.00
|
$157.00
|
$117.75
|
$125.60
|
$121.67
|
2026-05-22
|
|
PH001447
|
OTHER
|
Ph001447 - First Vanc 25-300
|
8
|
2
|
$156.90
|
$156.90
|
$117.68
|
$125.52
|
$121.60
|
2026-05-22
|
|
PH001044
|
OTHER
|
Ph001044 - First Vanc 50-150 Kit
|
8
|
2
|
$153.33
|
$153.33
|
$115.00
|
$122.66
|
$118.83
|
2026-05-22
|
|
P9060
|
OTHER
|
Ffp Donor Retest Ea Unit
|
8
|
2
|
$150.00
|
$150.00
|
$112.50
|
$120.00
|
$116.25
|
2026-05-22
|
|
PH002654
|
OTHER
|
Ph002654 - Vancomycin 1.25g In Water 250m
|
8
|
2
|
$150.00
|
$150.00
|
$112.50
|
$120.00
|
$116.25
|
2026-05-22
|
|
94640
|
OTHER
|
Inhalation Treatment
|
8
|
2
|
$144.50
|
$144.50
|
$108.38
|
$115.60
|
$111.99
|
2026-05-22
|
|
97110
|
OTHER
|
Therapeutic Proc/Ex Ea 15m
|
8
|
2
|
$140.75
|
$140.75
|
$105.56
|
$112.60
|
$109.08
|
2026-05-22
|
|
97760
|
OTHER
|
Orthotic Mgmt 1st Enc Ea 15m
|
8
|
2
|
$130.75
|
$130.75
|
$98.06
|
$104.60
|
$101.33
|
2026-05-22
|
|
97542
|
OTHER
|
Wheelchair Management Ea 15m
|
8
|
2
|
$130.75
|
$130.75
|
$98.06
|
$104.60
|
$101.33
|
2026-05-22
|
|
97140
|
OTHER
|
Manual Therapy Ea 15m
|
8
|
2
|
$126.00
|
$126.00
|
$94.50
|
$100.80
|
$97.65
|
2026-05-22
|
|
97127
|
OTHER
|
Tx Interven Cognitive Fxn
|
8
|
2
|
$121.25
|
$121.25
|
$90.94
|
$97.00
|
$93.97
|
2026-05-22
|
|
31720
|
OTHER
|
Catheter Aspiration Nasotrache
|
8
|
2
|
$121.00
|
$121.00
|
$90.75
|
$96.80
|
$93.78
|
2026-05-22
|
|
97530
|
OTHER
|
Ther Act For Func Perf Ea 15m
|
8
|
2
|
$117.75
|
$117.75
|
$88.31
|
$94.20
|
$91.25
|
2026-05-22
|
|
97535
|
OTHER
|
Adl Training Ea 15 Min
|
8
|
2
|
$117.75
|
$117.75
|
$88.31
|
$94.20
|
$91.25
|
2026-05-22
|
|
97116
|
OTHER
|
Gait Training Ea 15m
|
8
|
2
|
$115.50
|
$115.50
|
$86.63
|
$92.40
|
$89.52
|
2026-05-22
|
|
97112
|
OTHER
|
Neuromusc Reed Ea 15m
|
8
|
2
|
$114.50
|
$114.50
|
$85.88
|
$91.60
|
$88.74
|
2026-05-22
|
|
97032
|
OTHER
|
E Stim (Manual) Ea 15m
|
8
|
2
|
$114.50
|
$114.50
|
$85.88
|
$91.60
|
$88.74
|
2026-05-22
|
|
97035
|
OTHER
|
Ultrasound Ea 15m
|
8
|
2
|
$110.75
|
$110.75
|
$83.06
|
$88.60
|
$85.83
|
2026-05-22
|
|
96368
|
OTHER
|
IV Infusion Concurrent
|
8
|
2
|
$107.00
|
$107.00
|
$80.25
|
$85.60
|
$82.92
|
2026-05-22
|
|
51798
|
OTHER
|
Bladder Scan
|
8
|
2
|
$104.75
|
$104.75
|
$78.56
|
$83.80
|
$81.18
|
2026-05-22
|
|
PH002675
|
OTHER
|
Ph002675 - FentaNYL/NS 100mL Premix
|
8
|
2
|
$96.72
|
$96.72
|
$72.54
|
$77.38
|
$74.96
|
2026-05-22
|
|
96372
|
OTHER
|
Tx Injection Subq/Im
|
8
|
2
|
$96.50
|
$96.50
|
$72.38
|
$77.20
|
$74.79
|
2026-05-22
|
|
PH002696
|
OTHER
|
Ph002696 - Sodium Zirconium Cyclosilicate
|
8
|
2
|
$94.44
|
$94.44
|
$70.83
|
$75.55
|
$73.19
|
2026-05-22
|
|
36592
|
OTHER
|
Blood Draw Estab Picc/Pvc
|
8
|
2
|
$92.50
|
$92.50
|
$69.38
|
$74.00
|
$71.69
|
2026-05-22
|
|
97761
|
OTHER
|
Prosthetic Trn 1st Enc Ea 15m
|
8
|
2
|
$90.00
|
$90.00
|
$67.50
|
$72.00
|
$69.75
|
2026-05-22
|
|
89220
|
OTHER
|
Sputum Collection - Aerosol
|
8
|
2
|
$84.50
|
$84.50
|
$63.38
|
$67.60
|
$65.49
|
2026-05-22
|
|
J0878
|
OTHER
|
Ph000984 - Cubicin
|
8
|
2
|
$70.52
|
$70.52
|
$52.89
|
$56.42
|
$54.66
|
2026-05-22
|
|
36600
|
OTHER
|
Arterial Puncture
|
8
|
2
|
$70.25
|
$70.25
|
$52.69
|
$56.20
|
$54.45
|
2026-05-22
|
|
PH001070
|
OTHER
|
Ph001070 - Diprivan
|
8
|
2
|
$60.00
|
$60.00
|
$45.00
|
$48.00
|
$46.50
|
2026-05-22
|
|
PH001361
|
OTHER
|
Ph001361 - humuLIN 70-30
|
8
|
2
|
$59.48
|
$59.48
|
$44.61
|
$47.58
|
$46.09
|
2026-05-22
|
|
PH002433
|
OTHER
|
Ph002433 - DAPTOmycin 350mg
|
8
|
2
|
$48.68
|
$48.68
|
$36.51
|
$38.94
|
$37.73
|
2026-05-22
|
|
82962
|
OTHER
|
Blood Glucose By Monitor
|
8
|
2
|
$47.00
|
$47.00
|
$35.25
|
$37.60
|
$36.42
|
2026-05-22
|
|
PH002814
|
OTHER
|
Ph002814 - Dopamine Hcl In Dextrose 5 %
|
8
|
2
|
$41.18
|
$41.18
|
$30.89
|
$32.94
|
$31.91
|
2026-05-22
|
|
82948
|
OTHER
|
Reagent Strip/Blood Glucose
|
8
|
2
|
$28.25
|
$28.25
|
$21.19
|
$22.60
|
$21.89
|
2026-05-22
|
|
36415
|
OTHER
|
Venipuncture Venous Blood
|
8
|
2
|
$27.00
|
$27.00
|
$20.25
|
$21.60
|
$20.93
|
2026-05-22
|
|
PH001030
|
OTHER
|
Ph001030 - Cefazolin Sodium/Dextrose2000M
|
8
|
2
|
$25.54
|
$25.54
|
$19.16
|
$20.43
|
$19.80
|
2026-05-22
|
|
PH002530
|
OTHER
|
Ph002530 - Dobutamine Hcl/d5w 500mg/250ml
|
8
|
2
|
$25.16
|
$25.16
|
$18.87
|
$20.13
|
$19.50
|
2026-05-22
|
|
90099955
|
OTHER
|
Tpn Electrolytes
|
8
|
2
|
$18.25
|
$18.25
|
$13.69
|
$14.60
|
$14.14
|
2026-05-22
|
|
PH000981
|
OTHER
|
Ph000981 - Etomidate 20mg/10ml
|
8
|
2
|
$18.00
|
$18.00
|
$13.50
|
$14.40
|
$13.95
|
2026-05-22
|
|
90099989
|
OTHER
|
Xopenex 1.25mg/0.5ml
|
8
|
2
|
$16.00
|
$16.00
|
$12.00
|
$12.80
|
$12.40
|
2026-05-22
|
|
PH000320
|
OTHER
|
Ph000320 - Seroquel
|
8
|
2
|
$15.56
|
$15.56
|
$11.67
|
$12.45
|
$12.06
|
2026-05-22
|
|
PH000624
|
OTHER
|
Ph000624 - Vecuronium Bromide 10mg
|
8
|
2
|
$15.12
|
$15.12
|
$11.34
|
$12.10
|
$11.72
|
2026-05-22
|
|
90099388
|
OTHER
|
Sterile Water Irrig
|
8
|
2
|
$13.44
|
$13.44
|
$10.08
|
$10.75
|
$10.41
|
2026-05-22
|
|
PH000241
|
OTHER
|
Ph000241 - Gentamicin Sulfate
|
8
|
2
|
$12.00
|
$12.00
|
$9.00
|
$9.60
|
$9.30
|
2026-05-22
|
|
J1720
|
OTHER
|
Ph000032 - Solu-cortef*100/2
|
8
|
2
|
$11.58
|
$11.58
|
$8.69
|
$9.26
|
$8.97
|
2026-05-22
|
|
PH001224
|
OTHER
|
Ph001224 - Solu-medrol 40mg*
|
8
|
2
|
$11.14
|
$11.14
|
$8.36
|
$8.91
|
$8.63
|
2026-05-22
|
|
S0164
|
OTHER
|
Ph000026 - Protonix IV
|
8
|
2
|
$10.00
|
$10.00
|
$7.50
|
$8.00
|
$7.75
|
2026-05-22
|
|
PH002460
|
OTHER
|
Ph002460 - Triple Ingredient Magic Cream
|
8
|
2
|
$9.76
|
$9.76
|
$7.32
|
$7.81
|
$7.57
|
2026-05-22
|
|
PH002592
|
OTHER
|
Ph002592 - Arginine/Glutamine/Calcium Bmb
|
8
|
2
|
$7.60
|
$7.60
|
$5.70
|
$6.08
|
$5.89
|
2026-05-22
|
|
J2930
|
OTHER
|
Ph000030 - Solu-medrol 1gm
|
12
|
2
|
$7.00
|
$7.00
|
$5.25
|
$14.34
|
$5.51
|
2026-05-22
|
|
J1940
|
OTHER
|
Ph000418 - Furosemide
|
12
|
2
|
$7.00
|
$7.00
|
$5.25
|
$37.38
|
$5.51
|
2026-05-22
|
|
PH001020
|
OTHER
|
Ph001020 - Furosemide 10mg/ml 4ml Vial
|
8
|
2
|
$7.06
|
$7.06
|
$5.30
|
$5.65
|
$5.47
|
2026-05-22
|
|
J1652
|
OTHER
|
Ph000022 - Arixtra 2.5mg
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1650
|
OTHER
|
Ph000650 - Enoxaparin Sodium 40mg Syr
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1644
|
OTHER
|
Ph000106 - Heparin Na 5000UNIT/ml,porcine
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1630
|
OTHER
|
Ph000625 - Haloperidol Lactate
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1580
|
OTHER
|
Ph000415 - Gentamicin Sulfate
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1450
|
OTHER
|
Ph000054 - Fluconazole/NS 400mg Ivpb
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1442
|
OTHER
|
Ph000899 - Neupogen
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1364
|
OTHER
|
Ph000461 - Erythrocin Lactobionate
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1335
|
OTHER
|
Ph000021 - Ertapenem Sodium
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1265
|
OTHER
|
Ph000292 - Dopamine Hcl 40000mcg/ml-5ml
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1250
|
OTHER
|
Ph000432 - Dobutamine Hcl 12500mcg/ml-20m
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1200
|
OTHER
|
Ph000611 - Diphenhydramine Hcl
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1165
|
OTHER
|
Ph000427 - Phenytoin Sodium 100mg/2ml
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0131
|
OTHER
|
Ph000783 - Ofirmev
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1100
|
OTHER
|
Ph000526 - Dexamethasone Sod Phosphate
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1030
|
OTHER
|
Ph000619 - Methylpred Acetate 40mg
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J1040
|
OTHER
|
Ph000033 - Depo-medrol 80mg
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0744
|
OTHER
|
Ph000814 - Cipro I.v.
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0885
|
OTHER
|
Ph000895 - Epogen
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0770
|
OTHER
|
Ph000587 - Colistin (Colistimethate Na)
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0610
|
OTHER
|
Ph000522 - Calcium Gluconate
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0743
|
OTHER
|
Ph000020 - Primaxin
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0713
|
OTHER
|
Ph000458 - Tazicef 1000mg
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0697
|
OTHER
|
Ph000953 - Cefuroxime Sodium
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0696
|
OTHER
|
Ph000530 - Ceftriaxone Sodium 1000mg
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0692
|
OTHER
|
Ph000657 - Cefepime Hcl 1000mg
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0690
|
OTHER
|
Ph000668 - Cefazolin Sodium 1000mg
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0461
|
OTHER
|
Ph000510 - Atropine Sulfate
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
PH000315
|
OTHER
|
Ph000315 - Amino Acids
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0456
|
OTHER
|
Ph000746 - Azithromycin
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0360
|
OTHER
|
Ph000515 - Hydralazine Hcl 20mg/ml
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0330
|
OTHER
|
Ph000648 - Anectine
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0295
|
OTHER
|
Ph000745 - Ampicillin/Sulbactam 1.5gm
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0290
|
OTHER
|
Ph000037 - Ampicillin Sodium 1000mg
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0289
|
OTHER
|
Ph000495 - Ambisome
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0282
|
OTHER
|
Ph000740 - Amiodarone Hcl
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0278
|
OTHER
|
Ph000035 - Amikin
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0171
|
OTHER
|
Ph000457 - Epinephrine 1mg/10ml
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J0133
|
OTHER
|
Ph000952 - Acyclovir Sodium
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
PH000323
|
OTHER
|
Ph000323 - Dextrose 5 % In Water
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
PH000008
|
OTHER
|
Ph000008 - Glucagon Emergency Kit
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
P9045
|
OTHER
|
Ph000734 - Buminate
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
P9047
|
OTHER
|
Ph000733 - Buminate
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
PH000013
|
OTHER
|
Ph000013 - Azactam 1000mg
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
PH000015
|
OTHER
|
Ph000015 - Prevnar 13
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J3480
|
OTHER
|
Ph000441 - Potassium Chloride
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
PH000036
|
OTHER
|
Ph000036 - Nafcillin Sodium 1gm
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J7131
|
OTHER
|
Ph000464 - Sodium Chloride
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
PH000230
|
OTHER
|
Ph000230 - Levofloxacin/D5w 750mg IV
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
PH000233
|
OTHER
|
Ph000233 - Flumazenil 0.5mg/5ml
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
PH000234
|
OTHER
|
Ph000234 - Enalaprilat Dih 1.25/1*
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J3475
|
OTHER
|
Ph000465 - Magnesium Sulfate
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|
|
J3430
|
OTHER
|
Ph000482 - Phytonadione 10mg/ml
|
8
|
2
|
$7.00
|
$7.00
|
$5.25
|
$5.60
|
$5.42
|
2026-05-22
|