|
CPKDEFAA653E8
|
CDM
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
2
|
2
|
$682,734.00
|
$682,734.00
|
$580,324.00
|
$1,194,785.00
|
$887,554.50
|
2026-11-06
|
|
DRG-003
|
CDM
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r.
|
2
|
2
|
$643,292.00
|
$643,292.00
|
$546,798.00
|
$1,125,761.00
|
$836,279.50
|
2026-11-06
|
|
DRG-004
|
CDM
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
2
|
2
|
$626,918.00
|
$626,918.00
|
$532,880.00
|
$1,097,107.00
|
$814,993.50
|
2026-11-06
|
|
CPK13BA270B7C
|
CDM
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r.
|
2
|
2
|
$516,404.00
|
$516,404.00
|
$438,943.00
|
$903,707.00
|
$671,325.00
|
2026-11-06
|
|
CPK1B6E01DD5A
|
CDM
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
2
|
2
|
$402,542.00
|
$402,542.00
|
$342,161.00
|
$704,449.00
|
$523,305.00
|
2026-11-06
|
|
CPKA0BE6EA03A
|
CDM
|
Nonspecific Cerebrovascular Disorders W Mcc
|
2
|
2
|
$380,537.00
|
$380,537.00
|
$323,456.00
|
$665,940.00
|
$494,698.00
|
2026-11-06
|
|
DRG-356
|
CDM
|
Other Digestive System O.r. Procedures W Mcc
|
2
|
2
|
$372,784.00
|
$372,784.00
|
$316,866.00
|
$652,372.00
|
$484,619.00
|
2026-11-06
|
|
DRG-862
|
CDM
|
Postoperative & Post-traumatic Infections W Mcc
|
2
|
2
|
$371,923.00
|
$371,923.00
|
$316,135.00
|
$650,865.00
|
$483,500.00
|
2026-11-06
|
|
CPKDF5B5CD9B2
|
CDM
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
2
|
2
|
$359,950.00
|
$359,950.00
|
$305,958.00
|
$629,913.00
|
$467,935.50
|
2026-11-06
|
|
CPKF0A43B08DC
|
CDM
|
Other Resp System O.r. Procedures W Mcc
|
2
|
2
|
$354,272.00
|
$354,272.00
|
$301,131.00
|
$619,976.00
|
$460,553.50
|
2026-11-06
|
|
CPK7060453637
|
CDM
|
Other Skin, Subcut Tiss & Breast Proc W Mcc
|
2
|
2
|
$310,668.00
|
$310,668.00
|
$264,068.00
|
$543,669.00
|
$403,868.50
|
2026-11-06
|
|
CPK69BD646687
|
CDM
|
Skin Debridement W Mcc
|
2
|
2
|
$305,910.00
|
$305,910.00
|
$260,024.00
|
$535,343.00
|
$397,683.50
|
2026-11-06
|
|
DRG-592
|
CDM
|
Skin Ulcers W Mcc
|
2
|
2
|
$287,977.00
|
$287,977.00
|
$244,780.00
|
$503,960.00
|
$374,370.00
|
2026-11-06
|
|
CPKBA2B2BA4E1
|
CDM
|
Acute & Subacute Endocarditis W Mcc
|
2
|
2
|
$272,294.00
|
$272,294.00
|
$231,450.00
|
$476,515.00
|
$353,982.50
|
2026-11-06
|
|
CPK66EAD14E34
|
CDM
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
2
|
2
|
$268,422.00
|
$268,422.00
|
$228,159.00
|
$469,739.00
|
$348,949.00
|
2026-11-06
|
|
DRG-095
|
CDM
|
Bacterial & Tuberculous Infections Of Nervous System W Cc
|
2
|
2
|
$260,280.00
|
$260,280.00
|
$221,238.00
|
$455,490.00
|
$338,364.00
|
2026-11-06
|
|
CPKD42D70C306
|
CDM
|
Foot Procedures W Mcc
|
2
|
2
|
$256,806.00
|
$256,806.00
|
$218,285.00
|
$449,411.00
|
$333,848.00
|
2026-11-06
|
|
CPK5D142C7946
|
CDM
|
Other Digestive System Diagnoses W Mcc
|
2
|
2
|
$250,629.00
|
$250,629.00
|
$213,035.00
|
$438,601.00
|
$325,818.00
|
2026-11-06
|
|
DRG-551
|
CDM
|
Medical Back Problems W Mcc
|
2
|
2
|
$246,997.00
|
$246,997.00
|
$209,947.00
|
$432,245.00
|
$321,096.00
|
2026-11-06
|
|
DRG-689
|
CDM
|
Kidney & Urinary Tract Infections W Mcc
|
2
|
2
|
$246,825.00
|
$246,825.00
|
$209,801.00
|
$431,944.00
|
$320,872.50
|
2026-11-06
|
|
CPKA35EF194B7
|
CDM
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
2
|
2
|
$243,458.00
|
$243,458.00
|
$206,939.00
|
$426,052.00
|
$316,495.50
|
2026-11-06
|
|
DRG-094
|
CDM
|
Bacterial & Tuberculous Infections Of Nervous System W Mcc
|
2
|
2
|
$234,113.00
|
$234,113.00
|
$198,996.00
|
$409,698.00
|
$304,347.00
|
2026-11-06
|
|
CPK86319DD2B2
|
CDM
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
2
|
2
|
$224,067.00
|
$224,067.00
|
$190,457.00
|
$392,117.00
|
$291,287.00
|
2026-11-06
|
|
CPKBE443EA4FA
|
CDM
|
O.r. Proc W Diagnoses Of Other Contact W Health Services W Cc
|
2
|
2
|
$215,540.00
|
$215,540.00
|
$183,209.00
|
$377,195.00
|
$280,202.00
|
2026-11-06
|
|
CPK99499CD964
|
CDM
|
Aftercare W Cc/mcc
|
2
|
2
|
$212,815.00
|
$212,815.00
|
$180,893.00
|
$372,426.00
|
$276,659.50
|
2026-11-06
|
|
CPK07B4ECEC12
|
CDM
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
2
|
2
|
$210,423.00
|
$210,423.00
|
$178,860.00
|
$368,240.00
|
$273,550.00
|
2026-11-06
|
|
CPK7A58857187
|
CDM
|
Postoperative & Post-traumatic Infections Without Mcc
|
2
|
2
|
$204,427.00
|
$204,427.00
|
$173,763.00
|
$357,747.00
|
$265,755.00
|
2026-11-06
|
|
CPK0E905F9B48
|
CDM
|
Diabetes W Mcc
|
2
|
2
|
$202,318.00
|
$202,318.00
|
$171,970.00
|
$354,057.00
|
$263,013.50
|
2026-11-06
|
|
CPK5A7D6F4E6F
|
CDM
|
Osteomyelitis W Mcc
|
2
|
2
|
$197,753.00
|
$197,753.00
|
$168,090.00
|
$346,068.00
|
$257,079.00
|
2026-11-06
|
|
CPK4F8D4BB9D2
|
CDM
|
Pulmonary Edema & Respiratory Failure
|
2
|
2
|
$196,793.00
|
$196,793.00
|
$167,274.00
|
$344,388.00
|
$255,831.00
|
2026-11-06
|
|
CPKC65548E062
|
CDM
|
Diabetes W Cc
|
2
|
2
|
$196,010.00
|
$196,010.00
|
$166,609.00
|
$343,018.00
|
$254,813.50
|
2026-11-06
|
|
CPK5D9542A803
|
CDM
|
Red Blood Cell Disorders W Mcc
|
2
|
2
|
$195,812.00
|
$195,812.00
|
$166,440.00
|
$342,671.00
|
$254,555.50
|
2026-11-06
|
|
CPK84830EC9AB
|
CDM
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc
|
2
|
2
|
$195,470.00
|
$195,470.00
|
$166,150.00
|
$342,073.00
|
$254,111.50
|
2026-11-06
|
|
CPK5E8B999444
|
CDM
|
Nutritional & Misc Metabolic Disorders W Mcc
|
2
|
2
|
$195,218.00
|
$195,218.00
|
$165,935.00
|
$341,632.00
|
$253,783.50
|
2026-11-06
|
|
DRG-299
|
CDM
|
Peripheral Vascular Disorders W Mcc
|
2
|
2
|
$193,823.00
|
$193,823.00
|
$164,750.00
|
$339,190.00
|
$251,970.00
|
2026-11-06
|
|
CPKC2A458B8AD
|
CDM
|
Septic Arthritis W Cc
|
2
|
2
|
$192,025.00
|
$192,025.00
|
$163,221.00
|
$336,044.00
|
$249,632.50
|
2026-11-06
|
|
DRG-056
|
CDM
|
Degenerative Nervous System Disorders W Mcc
|
2
|
2
|
$181,032.00
|
$181,032.00
|
$153,877.00
|
$316,806.00
|
$235,341.50
|
2026-11-06
|
|
CPK93EBA3288B
|
CDM
|
Acute Myocardial Infarction, Discharged Alive W Mcc
|
2
|
2
|
$178,560.00
|
$178,560.00
|
$151,776.00
|
$312,480.00
|
$232,128.00
|
2026-11-06
|
|
CPK3BD3FC3589
|
CDM
|
Complications Of Treatment W Cc
|
2
|
2
|
$178,274.00
|
$178,274.00
|
$151,533.00
|
$311,980.00
|
$231,756.50
|
2026-11-06
|
|
DRG-091
|
CDM
|
Other Disorders Of Nervous System W Mcc
|
2
|
2
|
$177,433.00
|
$177,433.00
|
$150,818.00
|
$310,508.00
|
$230,663.00
|
2026-11-06
|
|
DRG-604
|
CDM
|
Trauma To The Skin, Subcut Tiss & Breast W Mcc
|
2
|
2
|
$175,060.00
|
$175,060.00
|
$148,801.00
|
$306,355.00
|
$227,578.00
|
2026-11-06
|
|
CPK27DD8B174C
|
CDM
|
Inflammation Of The Male Reproductive System Without Mcc
|
2
|
2
|
$170,737.00
|
$170,737.00
|
$145,126.00
|
$298,790.00
|
$221,958.00
|
2026-11-06
|
|
CPK4EFB012E2C
|
CDM
|
Soft Tissue Procedures W Mcc
|
2
|
2
|
$168,494.00
|
$168,494.00
|
$143,220.00
|
$294,865.00
|
$219,042.50
|
2026-11-06
|
|
CPK67BEDA751B
|
CDM
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc
|
2
|
2
|
$167,445.00
|
$167,445.00
|
$142,328.00
|
$293,029.00
|
$217,678.50
|
2026-11-06
|
|
DRG-757
|
CDM
|
Infections, Female Reproductive System W Mcc
|
2
|
2
|
$164,351.00
|
$164,351.00
|
$139,698.00
|
$287,614.00
|
$213,656.00
|
2026-11-06
|
|
CPK270D11BCDF
|
CDM
|
Septicemia Without Mv 96+ Hours W Mcc
|
2
|
2
|
$162,820.00
|
$162,820.00
|
$138,397.00
|
$284,935.00
|
$211,666.00
|
2026-11-06
|
|
CPK46F4040B58
|
CDM
|
Osteomyelitis W Cc
|
2
|
2
|
$161,335.00
|
$161,335.00
|
$137,135.00
|
$282,336.00
|
$209,735.50
|
2026-11-06
|
|
CPK92B0330706
|
CDM
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc
|
2
|
2
|
$159,692.00
|
$159,692.00
|
$135,738.00
|
$279,461.00
|
$207,599.50
|
2026-11-06
|
|
CPK89B4E20267
|
CDM
|
Other Circulatory System Diagnoses W Mcc
|
2
|
2
|
$155,331.00
|
$155,331.00
|
$132,031.00
|
$271,829.00
|
$201,930.00
|
2026-11-06
|
|
CPK3E08C905E1
|
CDM
|
Esophagitis, Gastroent & Misc Digest Disorders W Mcc
|
2
|
2
|
$155,042.00
|
$155,042.00
|
$131,786.00
|
$271,324.00
|
$201,555.00
|
2026-11-06
|
|
CPK821C1E9EC3
|
CDM
|
Other Circulatory System O.r. Procedures
|
2
|
2
|
$151,785.00
|
$151,785.00
|
$129,017.00
|
$265,624.00
|
$197,320.50
|
2026-11-06
|
|
DRG-550
|
CDM
|
Septic Arthritis Without Cc/mcc
|
2
|
2
|
$148,219.00
|
$148,219.00
|
$125,986.00
|
$259,383.00
|
$192,684.50
|
2026-11-06
|
|
DRG-177
|
CDM
|
Respiratory Infections & Inflammations W Mcc
|
2
|
2
|
$146,552.00
|
$146,552.00
|
$124,569.00
|
$256,466.00
|
$190,517.50
|
2026-11-06
|
|
DRG-548
|
CDM
|
Septic Arthritis W Mcc
|
2
|
2
|
$141,611.00
|
$141,611.00
|
$120,369.00
|
$247,819.00
|
$184,094.00
|
2026-11-06
|
|
CPK44EA601D5C
|
CDM
|
Pleural Effusion W Mcc
|
2
|
2
|
$139,327.00
|
$139,327.00
|
$118,428.00
|
$243,822.00
|
$181,125.00
|
2026-11-06
|
|
CPK67CC56D83E
|
CDM
|
Bacterial & Tuberculous Infections Of Nervous System W Mcc
|
2
|
2
|
$138,033.00
|
$138,033.00
|
$117,328.00
|
$241,558.00
|
$179,443.00
|
2026-11-06
|
|
CPK5AD60F2EB3
|
CDM
|
Heart Failure & Shock W Mcc
|
2
|
2
|
$134,729.00
|
$134,729.00
|
$114,520.00
|
$235,776.00
|
$175,148.00
|
2026-11-06
|
|
DRG-289
|
CDM
|
Acute & Subacute Endocarditis W Cc
|
2
|
2
|
$130,949.00
|
$130,949.00
|
$111,307.00
|
$229,161.00
|
$170,234.00
|
2026-11-06
|
|
CPKFACCB22A7B
|
CDM
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
2
|
2
|
$130,559.00
|
$130,559.00
|
$110,975.00
|
$228,478.00
|
$169,726.50
|
2026-11-06
|
|
DRG-196
|
CDM
|
Interstitial Lung Disease W Mcc
|
2
|
2
|
$128,898.00
|
$128,898.00
|
$109,563.00
|
$225,572.00
|
$167,567.50
|
2026-11-06
|
|
CPKBE3288A70E
|
CDM
|
Aftercare, Musculoskeletal System & Connective Tissue W Cc
|
2
|
2
|
$128,017.00
|
$128,017.00
|
$108,814.00
|
$224,030.00
|
$166,422.00
|
2026-11-06
|
|
CPKE060ED74E5
|
CDM
|
Otitis Media & Uri Without Mcc
|
2
|
2
|
$126,768.00
|
$126,768.00
|
$107,753.00
|
$221,844.00
|
$164,798.50
|
2026-11-06
|
|
CPK5655A30219
|
CDM
|
Complications Of Treatment W Mcc
|
2
|
2
|
$125,818.00
|
$125,818.00
|
$106,945.00
|
$220,182.00
|
$163,563.50
|
2026-11-06
|
|
CPK75CD494F39
|
CDM
|
Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc
|
2
|
2
|
$123,330.00
|
$123,330.00
|
$104,831.00
|
$215,828.00
|
$160,329.50
|
2026-11-06
|
|
DRG-564
|
CDM
|
Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc
|
2
|
2
|
$121,785.00
|
$121,785.00
|
$103,517.00
|
$213,124.00
|
$158,320.50
|
2026-11-06
|
|
CPKE8EC94F550
|
CDM
|
Disorders Of Liver Except Malig,cirr,alc Hepa W Cc
|
2
|
2
|
$118,590.00
|
$118,590.00
|
$100,802.00
|
$207,533.00
|
$154,167.50
|
2026-11-06
|
|
DRG-092
|
CDM
|
Other Disorders Of Nervous System W Cc
|
2
|
2
|
$115,934.00
|
$115,934.00
|
$98,544.00
|
$202,885.00
|
$150,714.50
|
2026-11-06
|
|
CPKC4BC00A12A
|
CDM
|
Septicemia Without Mv 96+ Hours Without Mcc
|
2
|
2
|
$115,307.00
|
$115,307.00
|
$98,011.00
|
$201,787.00
|
$149,899.00
|
2026-11-06
|
|
CPKA10AF1223E
|
CDM
|
Tendonitis, Myositis & Bursitis W Mcc
|
2
|
2
|
$105,014.00
|
$105,014.00
|
$89,262.00
|
$183,775.00
|
$136,518.50
|
2026-11-06
|
|
CPK954610985B
|
CDM
|
Renal Failure W Mcc
|
2
|
2
|
$103,272.00
|
$103,272.00
|
$87,781.00
|
$180,726.00
|
$134,253.50
|
2026-11-06
|
|
DRG-699
|
CDM
|
Other Kidney & Urinary Tract Diagnoses W Cc
|
2
|
2
|
$101,422.00
|
$101,422.00
|
$86,209.00
|
$177,489.00
|
$131,849.00
|
2026-11-06
|
|
DRG-641
|
CDM
|
Nutritional & Misc Metabolic Disorders Without Mcc
|
2
|
2
|
$101,390.00
|
$101,390.00
|
$86,182.00
|
$177,433.00
|
$131,807.50
|
2026-11-06
|
|
DRG-727
|
CDM
|
Inflammation Of The Male Reproductive System W Mcc
|
2
|
2
|
$100,878.00
|
$100,878.00
|
$85,746.00
|
$176,537.00
|
$131,141.50
|
2026-11-06
|
|
DRG-371
|
CDM
|
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc
|
2
|
2
|
$96,880.00
|
$96,880.00
|
$82,348.00
|
$169,540.00
|
$125,944.00
|
2026-11-06
|
|
CPK484FF6C456
|
CDM
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Cc
|
2
|
2
|
$96,250.00
|
$96,250.00
|
$81,813.00
|
$168,438.00
|
$125,125.50
|
2026-11-06
|
|
CPK7FB174D782
|
CDM
|
Other Infectious & Parasitic Diseases Diagnoses W Mcc
|
2
|
2
|
$96,156.00
|
$96,156.00
|
$81,733.00
|
$168,273.00
|
$125,003.00
|
2026-11-06
|
|
CPKAD63994D35
|
CDM
|
Otitis Media & Uri W Mcc
|
2
|
2
|
$95,627.00
|
$95,627.00
|
$81,283.00
|
$167,347.00
|
$124,315.00
|
2026-11-06
|
|
CPKBCC107FBB2
|
CDM
|
Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc
|
2
|
2
|
$95,595.00
|
$95,595.00
|
$81,256.00
|
$167,291.00
|
$124,273.50
|
2026-11-06
|
|
4
|
MS_DRG
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
3
|
3
|
$509,743.24
|
$509,743.24
|
$122,253.78
|
$134,479.15
|
$122,253.78
|
2026-07-15
|
|
DRG-654
|
CDM
|
Major Bladder Procedures W Cc
|
2
|
2
|
$92,091.00
|
$92,091.00
|
$78,277.00
|
$161,159.00
|
$119,718.00
|
2026-11-06
|
|
CPK1038EA2BC1
|
CDM
|
Degenerative Nervous System Disorders Without Mcc
|
2
|
2
|
$87,115.00
|
$87,115.00
|
$74,048.00
|
$152,451.00
|
$113,249.50
|
2026-11-06
|
|
CPKB23F27168B
|
CDM
|
Other Kidney & Urinary Tract Diagnoses W Mcc
|
2
|
2
|
$85,674.00
|
$85,674.00
|
$72,823.00
|
$149,930.00
|
$111,376.50
|
2026-11-06
|
|
166
|
MS_DRG
|
Other Resp System O.r. Procedures W Mcc
|
3
|
3
|
$851,198.13
|
$851,198.13
|
$102,683.14
|
$112,951.46
|
$102,683.14
|
2026-07-15
|
|
DRG-602
|
CDM
|
Cellulitis W Mcc
|
2
|
2
|
$73,128.00
|
$73,128.00
|
$62,159.00
|
$127,974.00
|
$95,066.50
|
2026-11-06
|
|
870
|
MS_DRG
|
Septicemia W Mv 96+ Hours
|
3
|
3
|
$297,867.72
|
$297,867.72
|
$84,148.70
|
$92,563.57
|
$84,148.70
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
3
|
3
|
$280,350.27
|
$280,350.27
|
$78,641.85
|
$86,506.04
|
$78,641.85
|
2026-07-15
|
|
DRG-558
|
CDM
|
Tendonitis, Myositis & Bursitis Without Mcc
|
2
|
2
|
$55,998.00
|
$55,998.00
|
$47,598.00
|
$97,997.00
|
$72,797.50
|
2026-11-06
|
|
853
|
MS_DRG
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
3
|
3
|
$364,884.83
|
$364,884.83
|
$70,126.70
|
$77,139.37
|
$70,126.70
|
2026-07-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc
|
3
|
3
|
$71,425.22
|
$71,425.22
|
$61,954.17
|
$68,149.59
|
$61,954.17
|
2026-07-15
|
|
252
|
MS_DRG
|
Other Vascular Procedures W Mcc
|
3
|
3
|
$411,664.01
|
$411,664.01
|
$56,330.33
|
$61,963.36
|
$56,330.33
|
2026-07-15
|
|
629
|
MS_DRG
|
Other Endocrine, Nutrit & Metab O.r. Proc W Cc
|
3
|
3
|
$169,239.01
|
$169,239.01
|
$49,369.47
|
$54,306.41
|
$49,369.47
|
2026-07-15
|
|
867
|
MS_DRG
|
Other Infectious & Parasitic Diseases Diagnoses W Mcc
|
3
|
3
|
$122,781.96
|
$122,781.96
|
$47,602.09
|
$52,362.30
|
$47,602.09
|
2026-07-15
|
|
919
|
MS_DRG
|
Complications Of Treatment W Mcc
|
3
|
3
|
$110,665.97
|
$110,665.97
|
$46,854.20
|
$51,539.62
|
$46,854.20
|
2026-07-15
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
3
|
3
|
$140,875.81
|
$140,875.81
|
$46,365.35
|
$51,001.89
|
$46,365.35
|
2026-07-15
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy W Mcc
|
3
|
3
|
$82,111.36
|
$82,111.36
|
$45,884.86
|
$50,473.34
|
$45,884.86
|
2026-07-15
|
|
539
|
MS_DRG
|
Osteomyelitis W Mcc
|
3
|
3
|
$163,432.54
|
$163,432.54
|
$44,472.63
|
$48,919.89
|
$44,472.63
|
2026-07-15
|
|
147
|
MS_DRG
|
Ear, Nose, Mouth & Throat Malignancy W Cc
|
3
|
3
|
$142,060.41
|
$142,060.41
|
$43,553.43
|
$47,908.77
|
$43,553.43
|
2026-07-15
|
|
551
|
MS_DRG
|
Medical Back Problems W Mcc
|
3
|
3
|
$143,248.06
|
$143,248.06
|
$43,331.99
|
$47,665.18
|
$43,331.99
|
2026-07-15
|
|
288
|
MS_DRG
|
Acute & Subacute Endocarditis W Mcc
|
3
|
3
|
$108,727.03
|
$108,727.03
|
$43,294.38
|
$47,623.82
|
$43,294.38
|
2026-07-15
|
|
637
|
MS_DRG
|
Diabetes W Mcc
|
3
|
3
|
$168,398.34
|
$168,398.34
|
$42,462.92
|
$46,709.21
|
$42,462.92
|
2026-07-15
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
3
|
3
|
$83,909.64
|
$83,909.64
|
$42,383.54
|
$46,621.89
|
$42,383.54
|
2026-07-15
|
|
862
|
MS_DRG
|
Postoperative & Post-traumatic Infections W Mcc
|
3
|
3
|
$82,498.60
|
$82,498.60
|
$42,208.05
|
$46,428.86
|
$42,208.05
|
2026-07-15
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses W Mcc
|
3
|
3
|
$409,334.54
|
$409,334.54
|
$42,091.06
|
$46,300.17
|
$42,091.06
|
2026-07-15
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses W Mcc
|
3
|
3
|
$211,513.42
|
$211,513.42
|
$41,322.28
|
$45,454.51
|
$41,322.28
|
2026-07-15
|
|
189
|
MS_DRG
|
Pulmonary Edema & Respiratory Failure
|
3
|
3
|
$162,496.92
|
$162,496.92
|
$40,135.67
|
$44,149.24
|
$40,135.67
|
2026-07-15
|
|
571
|
MS_DRG
|
Skin Debridement W Cc
|
3
|
3
|
$74,816.51
|
$74,816.51
|
$39,730.39
|
$43,703.43
|
$39,730.39
|
2026-07-15
|
|
549
|
MS_DRG
|
Septic Arthritis W Cc
|
3
|
3
|
$93,486.72
|
$93,486.72
|
$38,715.09
|
$42,586.60
|
$38,715.09
|
2026-07-15
|
|
548
|
MS_DRG
|
Septic Arthritis W Mcc
|
3
|
3
|
$122,880.15
|
$122,880.15
|
$38,715.09
|
$42,586.60
|
$38,715.09
|
2026-07-15
|
|
871
|
MS_DRG
|
Septicemia Without Mv 96+ Hours W Mcc
|
3
|
3
|
$121,567.69
|
$121,567.69
|
$38,226.24
|
$42,048.86
|
$38,226.24
|
2026-07-15
|
|
682
|
MS_DRG
|
Renal Failure W Mcc
|
3
|
3
|
$161,035.17
|
$161,035.17
|
$38,084.18
|
$41,892.60
|
$38,084.18
|
2026-07-15
|
|
592
|
MS_DRG
|
Skin Ulcers W Mcc
|
3
|
3
|
$146,208.95
|
$146,208.95
|
$36,897.58
|
$40,587.33
|
$36,897.58
|
2026-07-15
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders W Mcc
|
3
|
3
|
$118,440.49
|
$118,440.49
|
$36,178.93
|
$39,796.82
|
$36,178.93
|
2026-07-15
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses W Cc
|
3
|
3
|
$102,820.15
|
$102,820.15
|
$35,815.43
|
$39,396.97
|
$35,815.43
|
2026-07-15
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
3
|
3
|
$138,335.24
|
$138,335.24
|
$35,798.71
|
$39,378.58
|
$35,798.71
|
2026-07-15
|
|
540
|
MS_DRG
|
Osteomyelitis W Cc
|
3
|
3
|
$91,575.81
|
$91,575.81
|
$35,009.04
|
$38,509.94
|
$35,009.04
|
2026-07-15
|
|
CPK815652E417
|
CDM
|
Other Circulatory System Diagnoses W Cc
|
2
|
2
|
$26,874.00
|
$26,874.00
|
$22,843.00
|
$47,030.00
|
$34,936.50
|
2026-11-06
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders W Mcc
|
3
|
3
|
$93,513.54
|
$93,513.54
|
$34,800.13
|
$38,280.14
|
$34,800.13
|
2026-07-15
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction W Mcc
|
3
|
3
|
$340,556.53
|
$340,556.53
|
$34,708.21
|
$38,179.03
|
$34,708.21
|
2026-07-15
|
|
CPKEBAE9477A9
|
CDM
|
Other Infectious & Parasitic Diseases Diagnoses W Cc
|
2
|
2
|
$25,933.00
|
$25,933.00
|
$22,043.00
|
$45,383.00
|
$33,713.00
|
2026-11-06
|
|
698
|
MS_DRG
|
Other Kidney & Urinary Tract Diagnoses W Mcc
|
3
|
3
|
$55,023.89
|
$55,023.89
|
$33,392.08
|
$36,731.28
|
$33,392.08
|
2026-07-15
|
|
291
|
MS_DRG
|
Heart Failure & Shock W Mcc
|
3
|
3
|
$150,116.17
|
$150,116.17
|
$33,325.23
|
$36,657.75
|
$33,325.23
|
2026-07-15
|
|
177
|
MS_DRG
|
Respiratory Infections & Inflammations W Mcc
|
3
|
3
|
$125,702.63
|
$125,702.63
|
$33,149.74
|
$36,464.72
|
$33,149.74
|
2026-07-15
|
|
289
|
MS_DRG
|
Acute & Subacute Endocarditis W Cc
|
3
|
3
|
$59,064.07
|
$59,064.07
|
$33,091.25
|
$36,400.37
|
$33,091.25
|
2026-07-15
|
|
306
|
MS_DRG
|
Cardiac Congenital & Valvular Disorders W Mcc
|
3
|
3
|
$244,429.63
|
$244,429.63
|
$32,644.18
|
$35,908.60
|
$32,644.18
|
2026-07-15
|
|
758
|
MS_DRG
|
Infections, Female Reproductive System W Cc
|
3
|
3
|
$104,275.24
|
$104,275.24
|
$32,644.18
|
$35,908.60
|
$32,644.18
|
2026-07-15
|
|
204
|
MS_DRG
|
Respiratory Signs & Symptoms
|
3
|
3
|
$197,821.92
|
$197,821.92
|
$32,644.18
|
$35,908.60
|
$32,644.18
|
2026-07-15
|
|
593
|
MS_DRG
|
Skin Ulcers W Cc
|
3
|
3
|
$60,007.20
|
$60,007.20
|
$31,917.18
|
$35,108.89
|
$31,917.18
|
2026-07-15
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders & Peritoneal Infections W Cc
|
3
|
3
|
$110,661.53
|
$110,661.53
|
$31,913.00
|
$35,104.30
|
$31,913.00
|
2026-07-15
|
|
920
|
MS_DRG
|
Complications Of Treatment W Cc
|
3
|
3
|
$98,439.54
|
$98,439.54
|
$31,599.63
|
$34,759.60
|
$31,599.63
|
2026-07-15
|
|
602
|
MS_DRG
|
Cellulitis W Mcc
|
3
|
3
|
$118,757.60
|
$118,757.60
|
$31,023.04
|
$34,125.35
|
$31,023.04
|
2026-07-15
|
|
638
|
MS_DRG
|
Diabetes W Cc
|
3
|
3
|
$120,586.53
|
$120,586.53
|
$30,968.73
|
$34,065.60
|
$30,968.73
|
2026-07-15
|
|
558
|
MS_DRG
|
Tendonitis, Myositis & Bursitis Without Mcc
|
3
|
3
|
$85,996.08
|
$85,996.08
|
$30,926.95
|
$34,019.64
|
$30,926.95
|
2026-07-15
|
|
949
|
MS_DRG
|
Aftercare W Cc/Mcc
|
3
|
3
|
$188,892.14
|
$188,892.14
|
$29,945.07
|
$32,939.58
|
$29,945.07
|
2026-07-15
|
|
808
|
MS_DRG
|
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc
|
3
|
3
|
$239,426.87
|
$239,426.87
|
$29,773.77
|
$32,751.14
|
$29,773.77
|
2026-07-15
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System & Connective Tissue W Cc
|
3
|
3
|
$126,423.98
|
$126,423.98
|
$29,498.01
|
$32,447.81
|
$29,498.01
|
2026-07-15
|
|
947
|
MS_DRG
|
Signs & Symptoms W Mcc
|
3
|
3
|
$142,061.70
|
$142,061.70
|
$29,309.99
|
$32,240.99
|
$29,309.99
|
2026-07-15
|
|
CPK33093027E5
|
CDM
|
Acute Myocardial Infarction, Discharged Alive W Cc
|
2
|
2
|
$22,343.00
|
$22,343.00
|
$18,992.00
|
$39,100.00
|
$29,046.00
|
2026-11-06
|
|
863
|
MS_DRG
|
Postoperative & Post-traumatic Infections Without Mcc
|
2
|
2
|
$10,107.36
|
$10,107.36
|
$28,737.58
|
$28,737.58
|
$28,737.58
|
2026-07-15
|
|
689
|
MS_DRG
|
Kidney & Urinary Tract Infections W Mcc
|
3
|
3
|
$124,287.13
|
$124,287.13
|
$27,638.71
|
$30,402.58
|
$27,638.71
|
2026-07-15
|
|
948
|
MS_DRG
|
Signs & Symptoms Without Mcc
|
3
|
3
|
$137,971.12
|
$137,971.12
|
$26,598.34
|
$29,258.18
|
$26,598.34
|
2026-07-15
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy W Cc
|
3
|
3
|
$45,444.77
|
$45,444.77
|
$26,598.34
|
$29,258.18
|
$26,598.34
|
2026-07-15
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses W Cc
|
3
|
3
|
$303,693.56
|
$303,693.56
|
$26,523.14
|
$29,175.45
|
$26,523.14
|
2026-07-15
|
|
178
|
MS_DRG
|
Respiratory Infections & Inflammations W Cc
|
3
|
3
|
$119,666.50
|
$119,666.50
|
$26,431.22
|
$29,074.34
|
$26,431.22
|
2026-07-15
|
|
872
|
MS_DRG
|
Septicemia Without Mv 96+ Hours Without Mcc
|
3
|
3
|
$85,989.40
|
$85,989.40
|
$25,791.95
|
$28,371.15
|
$25,791.95
|
2026-07-15
|
|
392
|
MS_DRG
|
Esophagitis, Gastroent & Misc Digest Disorders Without Mcc
|
3
|
3
|
$118,974.66
|
$118,974.66
|
$25,766.88
|
$28,343.57
|
$25,766.88
|
2026-07-15
|
|
641
|
MS_DRG
|
Nutritional & Misc Metabolic Disorders Without Mcc
|
3
|
3
|
$81,014.85
|
$81,014.85
|
$24,480.00
|
$26,928.00
|
$24,480.00
|
2026-07-15
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
3
|
3
|
$102,735.97
|
$102,735.97
|
$22,913.18
|
$25,204.50
|
$22,913.18
|
2026-07-15
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malig,cirr,alc Hepa Without Cc/Mcc
|
3
|
3
|
$54,558.34
|
$54,558.34
|
$19,432.75
|
$21,376.03
|
$19,432.75
|
2026-07-15
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malig,cirr,alc Hepa W Cc
|
3
|
3
|
$64,203.68
|
$64,203.68
|
$19,432.75
|
$21,376.03
|
$19,432.75
|
2026-07-15
|
|
PH002475
|
CDM
|
Immun Globg(igg)/malt/iga Ov50
|
2
|
2
|
$9,355.00
|
$9,355.00
|
$7,952.00
|
$16,371.00
|
$12,161.50
|
2026-11-06
|
|
PH001622
|
CDM
|
Digoxin Immune Fab
|
2
|
2
|
$8,190.00
|
$8,190.00
|
$6,962.00
|
$14,333.00
|
$10,647.50
|
2026-11-06
|
|
PH000803
|
CDM
|
Activase
|
2
|
2
|
$6,600.00
|
$6,600.00
|
$5,610.00
|
$11,550.00
|
$8,580.00
|
2026-11-06
|
|
PH001499
|
CDM
|
Privigen
|
2
|
2
|
$5,929.00
|
$5,929.00
|
$5,040.00
|
$10,376.00
|
$7,708.00
|
2026-11-06
|
|
PH002284
|
CDM
|
Paliperidone Palmitate 234mg S
|
2
|
2
|
$5,482.00
|
$5,482.00
|
$4,660.00
|
$9,594.00
|
$7,127.00
|
2026-11-06
|
|
PH002889
|
CDM
|
Rituximab-pvvr 500mg/50ml
|
2
|
2
|
$5,376.00
|
$5,376.00
|
$4,570.00
|
$9,408.00
|
$6,989.00
|
2026-11-06
|
|
PH002517
|
CDM
|
Immune Globul G/gly/iga Avg 46
|
2
|
2
|
$4,596.00
|
$4,596.00
|
$3,907.00
|
$8,043.00
|
$5,975.00
|
2026-11-06
|
|
PH002745
|
CDM
|
Nplate
|
2
|
2
|
$4,336.00
|
$4,336.00
|
$3,686.00
|
$7,588.00
|
$5,637.00
|
2026-11-06
|
|
PH002254
|
CDM
|
Paliperidone Palmitate 156mg
|
2
|
2
|
$3,655.00
|
$3,655.00
|
$3,107.00
|
$6,396.00
|
$4,751.50
|
2026-11-06
|
|
PH001500
|
CDM
|
Privigen 10gm
|
2
|
2
|
$2,964.00
|
$2,964.00
|
$2,519.00
|
$5,187.00
|
$3,853.00
|
2026-11-06
|
|
PH002793
|
CDM
|
Epidiolex
|
2
|
2
|
$2,670.00
|
$2,670.00
|
$2,270.00
|
$4,673.00
|
$3,471.50
|
2026-11-06
|
|
PH002826
|
CDM
|
Immune Globul G/gly/iga Avg 46
|
2
|
2
|
$2,298.00
|
$2,298.00
|
$1,953.00
|
$4,022.00
|
$2,987.50
|
2026-11-06
|
|
PH002744
|
CDM
|
Nplate
|
2
|
2
|
$2,168.00
|
$2,168.00
|
$1,843.00
|
$3,794.00
|
$2,818.50
|
2026-11-06
|
|
PH001845
|
CDM
|
Noxafil 200mg/5ml Os
|
2
|
2
|
$2,159.00
|
$2,159.00
|
$1,835.00
|
$3,778.00
|
$2,806.50
|
2026-11-06
|
|
PH001835
|
CDM
|
Mycophenolate Mof. 200mg/ml-16
|
2
|
2
|
$2,071.00
|
$2,071.00
|
$1,760.00
|
$3,624.00
|
$2,692.00
|
2026-11-06
|
|
PH001694
|
CDM
|
Becaplermin 0.01% Gel
|
2
|
2
|
$2,040.00
|
$2,040.00
|
$1,734.00
|
$3,570.00
|
$2,652.00
|
2026-11-06
|
|
PH002398
|
CDM
|
Eligard
|
2
|
2
|
$2,033.00
|
$2,033.00
|
$1,728.00
|
$3,558.00
|
$2,643.00
|
2026-11-06
|
|
PH002179
|
CDM
|
Kengreal 50mg Vial
|
2
|
2
|
$1,890.00
|
$1,890.00
|
$1,607.00
|
$3,308.00
|
$2,457.50
|
2026-11-06
|
|
PH002457
|
CDM
|
Infliximab 100mg
|
2
|
2
|
$1,752.00
|
$1,752.00
|
$1,489.00
|
$3,066.00
|
$2,277.50
|
2026-11-06
|
|
PH002315
|
CDM
|
Dronabinol 5mg/ml Os
|
2
|
2
|
$1,750.00
|
$1,750.00
|
$1,488.00
|
$3,063.00
|
$2,275.50
|
2026-11-06
|
|
PH002821
|
CDM
|
Baclofen
|
2
|
2
|
$1,701.00
|
$1,701.00
|
$1,446.00
|
$2,977.00
|
$2,211.50
|
2026-11-06
|
|
PH001127
|
CDM
|
Procrit
|
2
|
2
|
$1,604.00
|
$1,604.00
|
$1,363.00
|
$2,807.00
|
$2,085.00
|
2026-11-06
|
|
PH002476
|
CDM
|
Immun Globg(igg)/malt/iga Ov50
|
2
|
2
|
$1,559.00
|
$1,559.00
|
$1,325.00
|
$2,728.00
|
$2,026.50
|
2026-11-06
|
|
PH002273
|
CDM
|
Zoledronic Acid/man-water 5mg/
|
2
|
2
|
$1,507.00
|
$1,507.00
|
$1,281.00
|
$2,637.00
|
$1,959.00
|
2026-11-06
|
|
PH001262
|
CDM
|
Miacalcin Inj
|
2
|
2
|
$1,500.00
|
$1,500.00
|
$1,275.00
|
$2,625.00
|
$1,950.00
|
2026-11-06
|
|
PH002785
|
CDM
|
Valganciclovir Hcl
|
2
|
2
|
$1,491.00
|
$1,491.00
|
$1,267.00
|
$2,609.00
|
$1,938.00
|
2026-11-06
|
|
PH000969
|
CDM
|
Angiomax
|
2
|
2
|
$1,463.00
|
$1,463.00
|
$1,244.00
|
$2,560.00
|
$1,902.00
|
2026-11-06
|
|
0200
|
RC
|
—
|
1
|
1
|
$3,269.00
|
$3,269.00
|
$1,850.00
|
$1,850.00
|
$1,850.00
|
2026-07-15
|
|
PH002366
|
CDM
|
Bicillin L-a
|
2
|
2
|
$1,373.00
|
$1,373.00
|
$1,167.00
|
$2,403.00
|
$1,785.00
|
2026-11-06
|
|
0206
|
RC
|
—
|
1
|
1
|
$2,828.00
|
$2,828.00
|
$1,725.00
|
$1,725.00
|
$1,725.00
|
2026-07-15
|
|
PH001753
|
CDM
|
Fmt Upper Delivery
|
2
|
2
|
$1,300.00
|
$1,300.00
|
$1,105.00
|
$2,275.00
|
$1,690.00
|
2026-11-06
|
|
PH001461
|
CDM
|
Zoledronic Acid
|
2
|
2
|
$1,257.00
|
$1,257.00
|
$1,068.00
|
$2,200.00
|
$1,634.00
|
2026-11-06
|
|
PH002068
|
CDM
|
Ddavp 4mcg/ml 10ml Mdv
|
2
|
2
|
$1,232.00
|
$1,232.00
|
$1,047.00
|
$2,156.00
|
$1,601.50
|
2026-11-06
|
|
0120
|
RC
|
—
|
1
|
1
|
$2,276.00
|
$2,276.00
|
$1,600.00
|
$1,600.00
|
$1,600.00
|
2026-07-15
|
|
0110
|
RC
|
—
|
1
|
1
|
$2,276.00
|
$2,276.00
|
$1,600.00
|
$1,600.00
|
$1,600.00
|
2026-07-15
|
|
PH001974
|
CDM
|
Linezolid 100mg/5ml 150ml
|
2
|
2
|
$1,230.00
|
$1,230.00
|
$1,046.00
|
$2,153.00
|
$1,599.50
|
2026-11-06
|
|
PH001855
|
CDM
|
Darbepoetin Alfa In Poly 100mc
|
2
|
2
|
$1,161.00
|
$1,161.00
|
$987.00
|
$2,032.00
|
$1,509.50
|
2026-11-06
|
|
PH002291
|
CDM
|
Immune Glob G/gly/igaavg46 5gm
|
2
|
2
|
$1,149.00
|
$1,149.00
|
$977.00
|
$2,011.00
|
$1,494.00
|
2026-11-06
|
|
PH001692
|
CDM
|
Nitrofurantoin 25mg/5ml Os
|
2
|
2
|
$1,096.00
|
$1,096.00
|
$932.00
|
$1,918.00
|
$1,425.00
|
2026-11-06
|
|
PH002114
|
CDM
|
Dimethyl Sulfoxide
|
2
|
2
|
$1,095.00
|
$1,095.00
|
$931.00
|
$1,916.00
|
$1,423.50
|
2026-11-06
|
|
PH002890
|
CDM
|
Rituximab-pvvr 100mg/10ml
|
2
|
2
|
$1,075.00
|
$1,075.00
|
$914.00
|
$1,881.00
|
$1,397.50
|
2026-11-06
|
|
PH002206
|
CDM
|
Naproxen 125mg/5ml Os
|
2
|
2
|
$1,056.00
|
$1,056.00
|
$898.00
|
$1,848.00
|
$1,373.00
|
2026-11-06
|
|
PH001868
|
CDM
|
Tbo-filgrastim 480mcg
|
2
|
2
|
$859.00
|
$859.00
|
$730.00
|
$1,503.00
|
$1,116.50
|
2026-11-06
|
|
PH002341
|
CDM
|
Samsca
|
2
|
2
|
$809.00
|
$809.00
|
$688.00
|
$1,416.00
|
$1,052.00
|
2026-11-06
|
|
PH000038
|
CDM
|
Lumigan
|
2
|
2
|
$808.00
|
$808.00
|
$687.00
|
$1,414.00
|
$1,050.50
|
2026-11-06
|
|
PH000917
|
CDM
|
Procrit
|
2
|
2
|
$802.00
|
$802.00
|
$682.00
|
$1,404.00
|
$1,043.00
|
2026-11-06
|
|
PH002538
|
CDM
|
Daptomycin 500mg
|
2
|
2
|
$802.00
|
$802.00
|
$682.00
|
$1,404.00
|
$1,043.00
|
2026-11-06
|
|
PH002921
|
CDM
|
Filgrastim
|
2
|
2
|
$797.00
|
$797.00
|
$677.00
|
$1,395.00
|
$1,036.00
|
2026-11-06
|
|
PH002191
|
CDM
|
Spiriva Respimat 2.5mcg
|
2
|
2
|
$791.00
|
$791.00
|
$672.00
|
$1,384.00
|
$1,028.00
|
2026-11-06
|
|
PH002192
|
CDM
|
Tiotropium Bromide 1.25mcg Res
|
2
|
2
|
$791.00
|
$791.00
|
$672.00
|
$1,384.00
|
$1,028.00
|
2026-11-06
|
|
PH002571
|
CDM
|
Remdesivir (Eua) 100mg Vial
|
2
|
2
|
$780.00
|
$780.00
|
$663.00
|
$1,365.00
|
$1,014.00
|
2026-11-06
|
|
PH000913
|
CDM
|
Samsca
|
2
|
2
|
$780.00
|
$780.00
|
$663.00
|
$1,365.00
|
$1,014.00
|
2026-11-06
|
|
PH000229
|
CDM
|
Argatroban
|
2
|
2
|
$765.00
|
$765.00
|
$650.00
|
$1,339.00
|
$994.50
|
2026-11-06
|
|
PH000900
|
CDM
|
Neupogen
|
2
|
2
|
$752.00
|
$752.00
|
$639.00
|
$1,316.00
|
$977.50
|
2026-11-06
|
|
PH002609
|
CDM
|
Phentolamine Mesylate 5mg Vial
|
2
|
2
|
$735.00
|
$735.00
|
$625.00
|
$1,286.00
|
$955.50
|
2026-11-06
|
|
PH001806
|
CDM
|
Anoro Ellipta 62.5/25
|
2
|
2
|
$734.00
|
$734.00
|
$624.00
|
$1,285.00
|
$954.50
|
2026-11-06
|
|
PH002402
|
CDM
|
Letairis
|
2
|
2
|
$728.00
|
$728.00
|
$619.00
|
$1,274.00
|
$946.50
|
2026-11-06
|
|
PH002498
|
CDM
|
Tiotropium Br/olodaterol Hcl
|
2
|
2
|
$726.00
|
$726.00
|
$617.00
|
$1,271.00
|
$944.00
|
2026-11-06
|
|
PH001812
|
CDM
|
Estrogens, Conjugated Crm
|
2
|
2
|
$710.00
|
$710.00
|
$604.00
|
$1,243.00
|
$923.50
|
2026-11-06
|
|
PH002463
|
CDM
|
Epoetin Alfa-epbx 40k Unit/1ml
|
2
|
2
|
$695.00
|
$695.00
|
$591.00
|
$1,216.00
|
$903.50
|
2026-11-06
|
|
PH002940
|
CDM
|
Leuprolide Acetate 7.5mg Syrin
|
2
|
2
|
$678.00
|
$678.00
|
$576.00
|
$1,187.00
|
$881.50
|
2026-11-06
|
|
PH001914
|
CDM
|
Acyclovir 200mg/5ml Os
|
2
|
2
|
$668.00
|
$668.00
|
$568.00
|
$1,169.00
|
$868.50
|
2026-11-06
|
|
PH001609
|
CDM
|
Ceftazidime/avibactam 2.5gm
|
2
|
2
|
$667.00
|
$667.00
|
$567.00
|
$1,167.00
|
$867.00
|
2026-11-06
|
|
PH002733
|
CDM
|
Ciprofloxacin Hcl/fluocinolone
|
2
|
2
|
$613.00
|
$613.00
|
$521.00
|
$1,073.00
|
$797.00
|
2026-11-06
|
|
PH001735
|
CDM
|
Breo Ellipta 100-25 60ct
|
2
|
2
|
$611.00
|
$611.00
|
$519.00
|
$1,069.00
|
$794.00
|
2026-11-06
|
|
PH001802
|
CDM
|
Breo Ellipta200-25
|
2
|
2
|
$611.00
|
$611.00
|
$519.00
|
$1,069.00
|
$794.00
|
2026-11-06
|
|
PH002381
|
CDM
|
Uptravi
|
2
|
2
|
$606.00
|
$606.00
|
$515.00
|
$1,061.00
|
$788.00
|
2026-11-06
|
|
PH000404
|
CDM
|
Acyclovir 15gm Oint
|
2
|
2
|
$598.00
|
$598.00
|
$508.00
|
$1,047.00
|
$777.50
|
2026-11-06
|
|
PH002261
|
CDM
|
Estrogens, Conjugated 25mg Inj
|
2
|
2
|
$581.00
|
$581.00
|
$494.00
|
$1,017.00
|
$755.50
|
2026-11-06
|
|
PH001949
|
CDM
|
Fluphenazine Hcl 5mg/ml Os
|
2
|
2
|
$565.00
|
$565.00
|
$480.00
|
$989.00
|
$734.50
|
2026-11-06
|
|
PH002299
|
CDM
|
Bromfenac Sodium 0.07% 3ml
|
2
|
2
|
$543.00
|
$543.00
|
$462.00
|
$950.00
|
$706.00
|
2026-11-06
|
|
PH001810
|
CDM
|
Incruse Ellipta 62.5mg
|
2
|
2
|
$531.00
|
$531.00
|
$451.00
|
$929.00
|
$690.00
|
2026-11-06
|
|
PH001560
|
CDM
|
Sporanox Oral Sol
|
2
|
2
|
$524.00
|
$524.00
|
$445.00
|
$917.00
|
$681.00
|
2026-11-06
|
|
PH001903
|
CDM
|
Paregoric 2mg/5ml 473ml
|
2
|
2
|
$517.00
|
$517.00
|
$439.00
|
$905.00
|
$672.00
|
2026-11-06
|
|
PH002330
|
CDM
|
Netarsudil Mesylate Opth. Soln
|
2
|
2
|
$516.00
|
$516.00
|
$439.00
|
$903.00
|
$671.00
|
2026-11-06
|
|
PH000093
|
CDM
|
Santyl30gm
|
2
|
2
|
$500.00
|
$500.00
|
$425.00
|
$875.00
|
$650.00
|
2026-11-06
|
|
PH001118
|
CDM
|
Epogen20k/ml
|
2
|
2
|
$497.00
|
$497.00
|
$422.00
|
$870.00
|
$646.00
|
2026-11-06
|
|
PH002732
|
CDM
|
Cefiderocol Sulfate Tosylate
|
2
|
2
|
$494.00
|
$494.00
|
$420.00
|
$865.00
|
$642.50
|
2026-11-06
|
|
PH001437
|
CDM
|
Desmopressin (Nonrefrigerated)
|
2
|
2
|
$493.00
|
$493.00
|
$419.00
|
$863.00
|
$641.00
|
2026-11-06
|
|
PH001496
|
CDM
|
Teflaro 600mg
|
2
|
2
|
$490.00
|
$490.00
|
$417.00
|
$858.00
|
$637.50
|
2026-11-06
|
|
PH001938
|
CDM
|
Cardene I.v. 40mg/200ml
|
2
|
2
|
$488.00
|
$488.00
|
$415.00
|
$854.00
|
$634.50
|
2026-11-06
|
|
PH002937
|
CDM
|
Fluticasone/umeclidin/vilanter
|
2
|
2
|
$488.00
|
$488.00
|
$415.00
|
$854.00
|
$634.50
|
2026-11-06
|
|
PH002761
|
CDM
|
Trelegy Ellipta
|
2
|
2
|
$488.00
|
$488.00
|
$415.00
|
$854.00
|
$634.50
|
2026-11-06
|
|
PH002526
|
CDM
|
Imipenem/cilastatin/relebactam
|
2
|
2
|
$488.00
|
$488.00
|
$415.00
|
$854.00
|
$634.50
|
2026-11-06
|
|
PH002300
|
CDM
|
Loteprednol Etabonate 0.5% 5ml
|
2
|
2
|
$484.00
|
$484.00
|
$411.00
|
$847.00
|
$629.00
|
2026-11-06
|
|
PH000899
|
CDM
|
Neupogen
|
2
|
2
|
$472.00
|
$472.00
|
$401.00
|
$826.00
|
$613.50
|
2026-11-06
|
|
PH002292
|
CDM
|
Darbepoetin Alfainpolysorbat 4
|
2
|
2
|
$464.00
|
$464.00
|
$394.00
|
$812.00
|
$603.00
|
2026-11-06
|
|
PH002938
|
CDM
|
Epoetin Alfa-epbx 20,000 Units
|
2
|
2
|
$463.00
|
$463.00
|
$394.00
|
$810.00
|
$602.00
|
2026-11-06
|
|
PH002758
|
CDM
|
Retacrit
|
2
|
2
|
$463.00
|
$463.00
|
$394.00
|
$810.00
|
$602.00
|
2026-11-06
|
|
PH002564
|
CDM
|
Nortriptyline Hcl 10mg/5ml Sol
|
2
|
2
|
$456.00
|
$456.00
|
$388.00
|
$798.00
|
$593.00
|
2026-11-06
|
|
PH002795
|
CDM
|
Relistor
|
2
|
2
|
$451.00
|
$451.00
|
$383.00
|
$789.00
|
$586.00
|
2026-11-06
|
|
PH000972
|
CDM
|
Relistor
|
2
|
2
|
$451.00
|
$451.00
|
$383.00
|
$789.00
|
$586.00
|
2026-11-06
|
|
PH002481
|
CDM
|
Alirocumab Pen Injctr 75mg/ml
|
2
|
2
|
$450.00
|
$450.00
|
$383.00
|
$788.00
|
$585.50
|
2026-11-06
|
|
PH002350
|
CDM
|
Granix
|
2
|
2
|
$450.00
|
$450.00
|
$383.00
|
$788.00
|
$585.50
|
2026-11-06
|
|
PH002297
|
CDM
|
Elviteg/cob/emtri/tenof Alafen
|
2
|
2
|
$442.00
|
$442.00
|
$376.00
|
$774.00
|
$575.00
|
2026-11-06
|
|
PH002532
|
CDM
|
Valbenazine Tosylate 80mg Cap
|
2
|
2
|
$440.00
|
$440.00
|
$374.00
|
$770.00
|
$572.00
|
2026-11-06
|
|
PH001588
|
CDM
|
Hydrocortisone1%pramoxine1%
|
2
|
2
|
$438.00
|
$438.00
|
$372.00
|
$767.00
|
$569.50
|
2026-11-06
|
|
PH001659
|
CDM
|
Firvanq 50-300 Kit
|
2
|
2
|
$438.00
|
$438.00
|
$372.00
|
$767.00
|
$569.50
|
2026-11-06
|
|
PH002378
|
CDM
|
Vabomere
|
2
|
2
|
$432.00
|
$432.00
|
$367.00
|
$756.00
|
$561.50
|
2026-11-06
|
|
PH002524
|
CDM
|
Esmolol Hcl In Sterile Water
|
2
|
2
|
$430.00
|
$430.00
|
$366.00
|
$753.00
|
$559.50
|
2026-11-06
|
|
PH001762
|
CDM
|
Bromfenac Sodium 0.09%
|
2
|
2
|
$427.00
|
$427.00
|
$363.00
|
$747.00
|
$555.00
|
2026-11-06
|
|
PH002113
|
CDM
|
Copaxone 20mg Syr
|
2
|
2
|
$427.00
|
$427.00
|
$363.00
|
$747.00
|
$555.00
|
2026-11-06
|
|
PH002281
|
CDM
|
Teriflunomide 14mg Tab
|
2
|
2
|
$426.00
|
$426.00
|
$362.00
|
$746.00
|
$554.00
|
2026-11-06
|
|
PH000804
|
CDM
|
Tarceva
|
2
|
2
|
$423.00
|
$423.00
|
$360.00
|
$740.00
|
$550.00
|
2026-11-06
|
|
PH002618
|
CDM
|
Bictegrav/emtricit/tenofov Ala
|
2
|
2
|
$422.00
|
$422.00
|
$359.00
|
$739.00
|
$549.00
|
2026-11-06
|
|
PH000021
|
CDM
|
Ertapenem Sodium
|
2
|
2
|
$421.00
|
$421.00
|
$358.00
|
$737.00
|
$547.50
|
2026-11-06
|
|
PH002142
|
CDM
|
Acyclovir 5% 5gm Oint
|
2
|
2
|
$421.00
|
$421.00
|
$358.00
|
$737.00
|
$547.50
|
2026-11-06
|
|
PH002543
|
CDM
|
Albumin Human 5% Vial
|
2
|
2
|
$416.00
|
$416.00
|
$354.00
|
$728.00
|
$541.00
|
2026-11-06
|
|
PH002936
|
CDM
|
Filgrastim-sndz 300 Mcg/0.5ml
|
2
|
2
|
$412.00
|
$412.00
|
$350.00
|
$721.00
|
$535.50
|
2026-11-06
|
|
PH002020
|
CDM
|
Brimonidine Tartrate/timolol 5
|
2
|
2
|
$408.00
|
$408.00
|
$347.00
|
$714.00
|
$530.50
|
2026-11-06
|
|
PH001977
|
CDM
|
Fondaparinux Sodium 7.5mg/0.6m
|
2
|
2
|
$407.00
|
$407.00
|
$346.00
|
$712.00
|
$529.00
|
2026-11-06
|
|
PH002231
|
CDM
|
Nafcillin Sodium 10gm
|
2
|
2
|
$406.00
|
$406.00
|
$345.00
|
$711.00
|
$528.00
|
2026-11-06
|
|
PH002865
|
CDM
|
Buprenorphine 20mcg/hr Patch
|
2
|
2
|
$406.00
|
$406.00
|
$345.00
|
$711.00
|
$528.00
|
2026-11-06
|
|
PH001433
|
CDM
|
Teflaro 400mg
|
2
|
2
|
$406.00
|
$406.00
|
$345.00
|
$711.00
|
$528.00
|
2026-11-06
|
|
PH002835
|
CDM
|
Bimatoprost
|
2
|
2
|
$404.00
|
$404.00
|
$343.00
|
$707.00
|
$525.00
|
2026-11-06
|
|
PH001891
|
CDM
|
Sucralfate 1gm/10ml 420ml
|
2
|
2
|
$401.00
|
$401.00
|
$341.00
|
$702.00
|
$521.50
|
2026-11-06
|
|
PH001160
|
CDM
|
Procrit
|
2
|
2
|
$401.00
|
$401.00
|
$341.00
|
$702.00
|
$521.50
|
2026-11-06
|
|
PH002103
|
CDM
|
Abacavir/dolutegravir/lamivudi
|
2
|
2
|
$401.00
|
$401.00
|
$341.00
|
$702.00
|
$521.50
|
2026-11-06
|
|
PH002678
|
CDM
|
Latanoprostene Bunod
|
2
|
2
|
$400.00
|
$400.00
|
$340.00
|
$700.00
|
$520.00
|
2026-11-06
|
|
PH001871
|
CDM
|
Desoximetasone 0.25% Crm 60gm
|
2
|
2
|
$398.00
|
$398.00
|
$338.00
|
$697.00
|
$517.50
|
2026-11-06
|
|
PH002337
|
CDM
|
Levothyroxine Sodium 200mcg In
|
2
|
2
|
$398.00
|
$398.00
|
$338.00
|
$697.00
|
$517.50
|
2026-11-06
|
|
PH001744
|
CDM
|
Bethkis Inh 300mg/4ml
|
2
|
2
|
$398.00
|
$398.00
|
$338.00
|
$697.00
|
$517.50
|
2026-11-06
|
|
PH001811
|
CDM
|
Argatroban In Nacl 50/50
|
2
|
2
|
$396.00
|
$396.00
|
$337.00
|
$693.00
|
$515.00
|
2026-11-06
|
|
PH002308
|
CDM
|
Cholestyramine (With Sugar) 37
|
2
|
2
|
$393.00
|
$393.00
|
$334.00
|
$688.00
|
$511.00
|
2026-11-06
|
|
PH001445
|
CDM
|
Advair Diskus 250/50-60
|
2
|
2
|
$392.00
|
$392.00
|
$333.00
|
$686.00
|
$509.50
|
2026-11-06
|
|
PH002553
|
CDM
|
Diclofenac Sodium 1.5% Oral So
|
2
|
2
|
$391.00
|
$391.00
|
$332.00
|
$684.00
|
$508.00
|
2026-11-06
|
|
PH001969
|
CDM
|
Fluticasone Furoate 200mcg 14c
|
2
|
2
|
$391.00
|
$391.00
|
$332.00
|
$684.00
|
$508.00
|
2026-11-06
|
|
PH001700
|
CDM
|
Fidaxomicin 200mg Tab
|
2
|
2
|
$390.00
|
$390.00
|
$332.00
|
$683.00
|
$507.50
|
2026-11-06
|
|
PH002239
|
CDM
|
Venofer 200mg/10ml
|
2
|
2
|
$390.00
|
$390.00
|
$332.00
|
$683.00
|
$507.50
|
2026-11-06
|
|
PH002382
|
CDM
|
Uptravi
|
2
|
2
|
$389.00
|
$389.00
|
$331.00
|
$681.00
|
$506.00
|
2026-11-06
|
|
PH000739
|
CDM
|
Brevibloc
|
2
|
2
|
$389.00
|
$389.00
|
$331.00
|
$681.00
|
$506.00
|
2026-11-06
|
|
PH000040
|
CDM
|
Alphagan P
|
2
|
2
|
$389.00
|
$389.00
|
$331.00
|
$681.00
|
$506.00
|
2026-11-06
|
|
PH000802
|
CDM
|
Cathflo Activase
|
2
|
2
|
$389.00
|
$389.00
|
$331.00
|
$681.00
|
$506.00
|
2026-11-06
|
|
PH000595
|
CDM
|
Combivent Respimat
|
2
|
2
|
$389.00
|
$389.00
|
$331.00
|
$681.00
|
$506.00
|
2026-11-06
|
|
PH002458
|
CDM
|
Tobramycin/nebulizer 300mg/5ml
|
2
|
2
|
$386.00
|
$386.00
|
$328.00
|
$676.00
|
$502.00
|
2026-11-06
|
|
PH002709
|
CDM
|
Tobramycin/nebulizer
|
2
|
2
|
$386.00
|
$386.00
|
$328.00
|
$676.00
|
$502.00
|
2026-11-06
|
|
PH001664
|
CDM
|
Fondaparinux Sodium 10mg
|
2
|
2
|
$386.00
|
$386.00
|
$328.00
|
$676.00
|
$502.00
|
2026-11-06
|
|
PH001557
|
CDM
|
Zerbaxa 1.5gm
|
2
|
2
|
$383.00
|
$383.00
|
$326.00
|
$670.00
|
$498.00
|
2026-11-06
|
|
PH002262
|
CDM
|
Anidulafungin 100mg
|
2
|
2
|
$382.00
|
$382.00
|
$325.00
|
$669.00
|
$497.00
|
2026-11-06
|
|
PH002304
|
CDM
|
Escitalopram Oxalate 1mg/ml Os
|
2
|
2
|
$380.00
|
$380.00
|
$323.00
|
$665.00
|
$494.00
|
2026-11-06
|
|
PH000780
|
CDM
|
Aplisol
|
2
|
2
|
$378.00
|
$378.00
|
$321.00
|
$662.00
|
$491.50
|
2026-11-06
|
|
PH001854
|
CDM
|
Fluconazole 40mg/ml Os
|
2
|
2
|
$377.00
|
$377.00
|
$320.00
|
$660.00
|
$490.00
|
2026-11-06
|
|
PH001775
|
CDM
|
Buprenorphine 10mcg/hr
|
2
|
2
|
$375.00
|
$375.00
|
$319.00
|
$656.00
|
$487.50
|
2026-11-06
|
|
PH002931
|
CDM
|
Perflutren Lipid Microspheres
|
2
|
2
|
$375.00
|
$375.00
|
$319.00
|
$656.00
|
$487.50
|
2026-11-06
|
|
PH002782
|
CDM
|
Neomycin/polymyxin B/hydrocort
|
2
|
2
|
$374.00
|
$374.00
|
$318.00
|
$655.00
|
$486.50
|
2026-11-06
|
|
PH001406
|
CDM
|
Chlorothiazide Sodium 500mg In
|
2
|
2
|
$374.00
|
$374.00
|
$318.00
|
$655.00
|
$486.50
|
2026-11-06
|
|
PH002012
|
CDM
|
Nicardipine In Dex 20mg/200ml
|
2
|
2
|
$366.00
|
$366.00
|
$311.00
|
$641.00
|
$476.00
|
2026-11-06
|
|
PH002676
|
CDM
|
Zoledronic Acid 4mg/100ml Ns 0
|
2
|
2
|
$360.00
|
$360.00
|
$306.00
|
$630.00
|
$468.00
|
2026-11-06
|
|
PH001061
|
CDM
|
Albumin 25% 100ml Mid
|
2
|
2
|
$360.00
|
$360.00
|
$306.00
|
$630.00
|
$468.00
|
2026-11-06
|
|
PH001462
|
CDM
|
Sodium Thiosulfate 12.5gm/50ml
|
2
|
2
|
$360.00
|
$360.00
|
$306.00
|
$630.00
|
$468.00
|
2026-11-06
|
|
PH001876
|
CDM
|
Calcitriol 1mcg/ml 15ml
|
2
|
2
|
$358.00
|
$358.00
|
$304.00
|
$627.00
|
$465.50
|
2026-11-06
|