|
3
|
MS_DRG
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r.
|
3
|
3
|
$941,565.79
|
$941,565.79
|
$156,217.35
|
$171,839.08
|
$156,217.35
|
2026-07-15
|
|
3
|
OTHER
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r.
|
1
|
1
|
$397,988.28
|
$397,988.28
|
$150,894.79
|
$150,894.79
|
$150,894.79
|
2026-07-31
|
|
4
|
MS_DRG
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
3
|
3
|
$442,494.47
|
$442,494.47
|
$123,371.65
|
$135,708.81
|
$123,371.65
|
2026-07-15
|
|
4
|
OTHER
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
1
|
1
|
$531,330.04
|
$531,330.04
|
$114,648.73
|
$114,648.73
|
$114,648.73
|
2026-07-31
|
|
166
|
MS_DRG
|
Other Resp System O.r. Procedures W Mcc
|
3
|
3
|
$533,911.26
|
$533,911.26
|
$103,622.07
|
$113,984.27
|
$103,622.07
|
2026-07-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
3
|
3
|
$312,108.57
|
$312,108.57
|
$100,813.95
|
$110,895.34
|
$100,813.95
|
2026-07-15
|
|
166
|
OTHER
|
Other Resp System O.r. Procedures W Mcc
|
1
|
1
|
$240,165.59
|
$240,165.59
|
$96,244.92
|
$96,244.92
|
$96,244.92
|
2026-07-31
|
|
870
|
MS_DRG
|
Septicemia W Mv 96+ Hours
|
3
|
3
|
$258,855.79
|
$258,855.79
|
$84,918.15
|
$93,409.96
|
$84,918.15
|
2026-07-15
|
|
870
|
OTHER
|
Septicemia W Mv 96+ Hours
|
1
|
1
|
$164,995.29
|
$164,995.29
|
$79,808.57
|
$79,808.57
|
$79,808.57
|
2026-07-31
|
|
252
|
OTHER
|
Other Vascular Procedures W Mcc
|
1
|
1
|
$17,898.42
|
$17,898.42
|
$79,488.86
|
$79,488.86
|
$79,488.86
|
2026-07-31
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
3
|
3
|
$315,228.33
|
$315,228.33
|
$79,360.94
|
$87,297.04
|
$79,360.94
|
2026-07-15
|
|
207
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
1
|
1
|
$273,248.29
|
$273,248.29
|
$77,058.24
|
$77,058.24
|
$77,058.24
|
2026-07-31
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System & Connective Tissue W Mcc
|
1
|
1
|
$68,566.56
|
$68,566.56
|
$71,655.97
|
$71,655.97
|
$71,655.97
|
2026-07-31
|
|
488
|
OTHER
|
Knee Procedures Without Pdx Of Infection W Cc/Mcc
|
1
|
1
|
$69,426.76
|
$69,426.76
|
$71,655.97
|
$71,655.97
|
$71,655.97
|
2026-07-31
|
|
204
|
OTHER
|
Respiratory Signs & Symptoms
|
1
|
1
|
$115,978.85
|
$115,978.85
|
$71,655.97
|
$71,655.97
|
$71,655.97
|
2026-07-31
|
|
853
|
OTHER
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
1
|
1
|
$394,130.16
|
$394,130.16
|
$70,397.62
|
$70,397.62
|
$70,397.62
|
2026-07-31
|
|
616
|
OTHER
|
Amputat Of Lower Limb For Endocrine,nutrit,& Metabol Dis W Mcc
|
1
|
1
|
$109,403.37
|
$109,403.37
|
$68,631.02
|
$68,631.02
|
$68,631.02
|
2026-07-31
|
|
475
|
OTHER
|
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc
|
1
|
1
|
$113,081.09
|
$113,081.09
|
$68,094.07
|
$68,094.07
|
$68,094.07
|
2026-07-31
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures W Mcc
|
1
|
1
|
$168,226.21
|
$168,226.21
|
$65,933.98
|
$65,933.98
|
$65,933.98
|
2026-07-31
|
|
463
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
1
|
1
|
$40,255.48
|
$40,255.48
|
$63,753.40
|
$63,753.40
|
$63,753.40
|
2026-07-31
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc
|
3
|
3
|
$214,828.63
|
$214,828.63
|
$62,520.67
|
$68,772.74
|
$62,520.67
|
2026-07-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures W Mcc
|
3
|
3
|
$77,731.84
|
$77,731.84
|
$60,964.82
|
$67,061.30
|
$60,964.82
|
2026-07-15
|
|
974
|
MS_DRG
|
HIV W Major Related Condition W Mcc
|
3
|
3
|
$68,735.05
|
$68,735.05
|
$59,737.85
|
$65,711.64
|
$59,737.85
|
2026-07-15
|
|
463
|
MS_DRG
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
3
|
3
|
$124,103.05
|
$124,103.05
|
$58,949.39
|
$64,844.32
|
$58,949.39
|
2026-07-15
|
|
570
|
OTHER
|
Skin Debridement W Mcc
|
1
|
1
|
$200,887.23
|
$200,887.23
|
$58,031.41
|
$58,031.41
|
$58,031.41
|
2026-07-31
|
|
252
|
MS_DRG
|
Other Vascular Procedures W Mcc
|
3
|
3
|
$129,757.61
|
$129,757.61
|
$56,845.41
|
$62,529.95
|
$56,845.41
|
2026-07-15
|
|
854
|
MS_DRG
|
Infectious & Parasitic Diseases W O.r. Procedure W Cc
|
3
|
3
|
$34,547.33
|
$34,547.33
|
$56,845.41
|
$62,529.95
|
$56,845.41
|
2026-07-15
|
|
673
|
MS_DRG
|
Other Kidney & Urinary Tract Procedures W Mcc
|
3
|
3
|
$67,980.05
|
$67,980.05
|
$56,592.42
|
$62,251.66
|
$56,592.42
|
2026-07-15
|
|
628
|
OTHER
|
Other Endocrine, Nutrit & Metab O.r. Proc W Mcc
|
1
|
1
|
$76,631.70
|
$76,631.70
|
$56,059.87
|
$56,059.87
|
$56,059.87
|
2026-07-31
|
|
622
|
OTHER
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
1
|
1
|
$125,212.29
|
$125,212.29
|
$55,793.45
|
$55,793.45
|
$55,793.45
|
2026-07-31
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
1
|
1
|
$126,603.10
|
$126,603.10
|
$55,358.97
|
$55,358.97
|
$55,358.97
|
2026-07-31
|
|
570
|
MS_DRG
|
Skin Debridement W Mcc
|
3
|
3
|
$256,716.95
|
$256,716.95
|
$55,104.04
|
$60,614.44
|
$55,104.04
|
2026-07-15
|
|
622
|
MS_DRG
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
3
|
3
|
$126,289.59
|
$126,289.59
|
$54,530.61
|
$59,983.67
|
$54,530.61
|
2026-07-15
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
3
|
3
|
$93,333.13
|
$93,333.13
|
$53,952.96
|
$59,348.26
|
$53,952.96
|
2026-07-15
|
|
579
|
MS_DRG
|
Other Skin, Subcut Tiss & Breast Proc W Mcc
|
3
|
3
|
$110,125.20
|
$110,125.20
|
$52,709.12
|
$57,980.04
|
$52,709.12
|
2026-07-15
|
|
501
|
MS_DRG
|
Soft Tissue Procedures W Cc
|
3
|
3
|
$124,329.79
|
$124,329.79
|
$51,191.22
|
$56,310.35
|
$51,191.22
|
2026-07-15
|
|
500
|
MS_DRG
|
Soft Tissue Procedures W Mcc
|
3
|
3
|
$148,030.03
|
$148,030.03
|
$51,191.22
|
$56,310.35
|
$51,191.22
|
2026-07-15
|
|
974
|
OTHER
|
HIV W Major Related Condition W Mcc
|
1
|
1
|
$56,156.49
|
$56,156.49
|
$49,050.85
|
$49,050.85
|
$49,050.85
|
2026-07-31
|
|
919
|
OTHER
|
Complications Of Treatment W Mcc
|
1
|
1
|
$75,541.04
|
$75,541.04
|
$47,677.74
|
$47,677.74
|
$47,677.74
|
2026-07-31
|
|
919
|
MS_DRG
|
Complications Of Treatment W Mcc
|
3
|
3
|
$111,230.94
|
$111,230.94
|
$47,282.63
|
$52,010.89
|
$47,282.63
|
2026-07-15
|
|
288
|
OTHER
|
Acute & Subacute Endocarditis W Mcc
|
1
|
1
|
$38,786.13
|
$38,786.13
|
$46,862.07
|
$46,862.07
|
$46,862.07
|
2026-07-31
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
3
|
3
|
$145,336.60
|
$145,336.60
|
$46,789.31
|
$51,468.24
|
$46,789.31
|
2026-07-15
|
|
208
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
1
|
1
|
$123,082.19
|
$123,082.19
|
$46,735.00
|
$46,735.00
|
$46,735.00
|
2026-07-31
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy W Mcc
|
3
|
3
|
$103,787.48
|
$103,787.48
|
$46,304.42
|
$50,934.87
|
$46,304.42
|
2026-07-15
|
|
393
|
OTHER
|
Other Digestive System Diagnoses W Mcc
|
1
|
1
|
$55,811.75
|
$55,811.75
|
$45,939.83
|
$45,939.83
|
$45,939.83
|
2026-07-31
|
|
388
|
MS_DRG
|
G.i. Obstruction W Mcc
|
3
|
3
|
$234,842.46
|
$234,842.46
|
$45,009.99
|
$49,510.99
|
$45,009.99
|
2026-07-15
|
|
539
|
MS_DRG
|
Osteomyelitis W Mcc
|
3
|
3
|
$135,502.43
|
$135,502.43
|
$44,879.28
|
$49,367.21
|
$44,879.28
|
2026-07-15
|
|
862
|
OTHER
|
Postoperative & Post-traumatic Infections W Mcc
|
1
|
1
|
$105,015.89
|
$105,015.89
|
$44,579.01
|
$44,579.01
|
$44,579.01
|
2026-07-31
|
|
464
|
MS_DRG
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc
|
3
|
3
|
$111,900.72
|
$111,900.72
|
$44,571.49
|
$49,028.64
|
$44,571.49
|
2026-07-15
|
|
551
|
MS_DRG
|
Medical Back Problems W Mcc
|
3
|
3
|
$123,171.62
|
$123,171.62
|
$43,728.21
|
$48,101.03
|
$43,728.21
|
2026-07-15
|
|
314
|
OTHER
|
Other Circulatory System Diagnoses W Mcc
|
1
|
1
|
$30,089.67
|
$30,089.67
|
$43,714.16
|
$43,714.16
|
$43,714.16
|
2026-07-31
|
|
94
|
OTHER
|
Bacterial & Tuberculous Infections Of Nervous System W Mcc
|
1
|
1
|
$384,851.85
|
$384,851.85
|
$43,710.06
|
$43,710.06
|
$43,710.06
|
2026-07-31
|
|
288
|
MS_DRG
|
Acute & Subacute Endocarditis W Mcc
|
3
|
3
|
$63,375.49
|
$63,375.49
|
$43,690.26
|
$48,059.29
|
$43,690.26
|
2026-07-15
|
|
637
|
MS_DRG
|
Diabetes W Mcc
|
3
|
3
|
$165,644.53
|
$165,644.53
|
$42,851.20
|
$47,136.32
|
$42,851.20
|
2026-07-15
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses W Mcc
|
3
|
3
|
$90,534.57
|
$90,534.57
|
$42,475.94
|
$46,723.53
|
$42,475.94
|
2026-07-15
|
|
727
|
MS_DRG
|
Inflammation Of The Male Reproductive System W Mcc
|
3
|
3
|
$120,857.76
|
$120,857.76
|
$42,332.58
|
$46,565.84
|
$42,332.58
|
2026-07-15
|
|
629
|
OTHER
|
Other Endocrine, Nutrit & Metab O.r. Proc W Cc
|
1
|
1
|
$115,732.66
|
$115,732.66
|
$41,611.45
|
$41,611.45
|
$41,611.45
|
2026-07-31
|
|
564
|
OTHER
|
Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc
|
1
|
1
|
$113,614.26
|
$113,614.26
|
$41,545.87
|
$41,545.87
|
$41,545.87
|
2026-07-31
|
|
557
|
OTHER
|
Tendonitis, Myositis & Bursitis W Mcc
|
1
|
1
|
$73,034.23
|
$73,034.23
|
$41,529.47
|
$41,529.47
|
$41,529.47
|
2026-07-31
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc
|
3
|
3
|
$98,615.28
|
$98,615.28
|
$41,333.30
|
$45,466.63
|
$41,333.30
|
2026-07-15
|
|
637
|
OTHER
|
Diabetes W Mcc
|
1
|
1
|
$117,239.33
|
$117,239.33
|
$40,713.80
|
$40,713.80
|
$40,713.80
|
2026-07-31
|
|
189
|
MS_DRG
|
Pulmonary Edema & Respiratory Failure
|
3
|
3
|
$113,993.14
|
$113,993.14
|
$40,502.67
|
$44,552.93
|
$40,502.67
|
2026-07-15
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System W Mcc
|
3
|
3
|
$66,693.61
|
$66,693.61
|
$39,123.91
|
$43,036.30
|
$39,123.91
|
2026-07-15
|
|
549
|
MS_DRG
|
Septic Arthritis W Cc
|
3
|
3
|
$136,404.20
|
$136,404.20
|
$39,069.09
|
$42,976.00
|
$39,069.09
|
2026-07-15
|
|
548
|
MS_DRG
|
Septic Arthritis W Mcc
|
3
|
3
|
$146,026.30
|
$146,026.30
|
$39,069.09
|
$42,976.00
|
$39,069.09
|
2026-07-15
|
|
371
|
OTHER
|
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc
|
1
|
1
|
$69,023.24
|
$69,023.24
|
$38,852.93
|
$38,852.93
|
$38,852.93
|
2026-07-31
|
|
189
|
OTHER
|
Pulmonary Edema & Respiratory Failure
|
1
|
1
|
$108,519.45
|
$108,519.45
|
$38,725.87
|
$38,725.87
|
$38,725.87
|
2026-07-31
|
|
388
|
OTHER
|
G.i. Obstruction W Mcc
|
1
|
1
|
$69,458.96
|
$69,458.96
|
$38,676.68
|
$38,676.68
|
$38,676.68
|
2026-07-31
|
|
871
|
MS_DRG
|
Septicemia Without Mv 96+ Hours W Mcc
|
3
|
3
|
$87,128.62
|
$87,128.62
|
$38,575.78
|
$42,433.35
|
$38,575.78
|
2026-07-15
|
|
557
|
MS_DRG
|
Tendonitis, Myositis & Bursitis W Mcc
|
3
|
3
|
$41,293.17
|
$41,293.17
|
$38,398.69
|
$42,238.56
|
$38,398.69
|
2026-07-15
|
|
152
|
MS_DRG
|
Otitis Media & Uri W Mcc
|
3
|
3
|
$29,868.30
|
$29,868.30
|
$38,234.25
|
$42,057.67
|
$38,234.25
|
2026-07-15
|
|
871
|
OTHER
|
Septicemia Without Mv 96+ Hours W Mcc
|
1
|
1
|
$89,107.66
|
$89,107.66
|
$38,201.21
|
$38,201.21
|
$38,201.21
|
2026-07-31
|
|
640
|
MS_DRG
|
Nutritional & Misc Metabolic Disorders W Mcc
|
3
|
3
|
$40,408.13
|
$40,408.13
|
$37,403.62
|
$41,143.98
|
$37,403.62
|
2026-07-15
|
|
682
|
OTHER
|
Renal Failure W Mcc
|
1
|
1
|
$258,444.46
|
$258,444.46
|
$37,217.49
|
$37,217.49
|
$37,217.49
|
2026-07-31
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders W Mcc
|
3
|
3
|
$33,057.69
|
$33,057.69
|
$36,509.74
|
$40,160.72
|
$36,509.74
|
2026-07-15
|
|
193
|
MS_DRG
|
Simple Pneumonia & Pleurisy W Mcc
|
3
|
3
|
$42,122.42
|
$42,122.42
|
$36,438.07
|
$40,081.87
|
$36,438.07
|
2026-07-15
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
3
|
3
|
$90,548.68
|
$90,548.68
|
$36,126.05
|
$39,738.66
|
$36,126.05
|
2026-07-15
|
|
299
|
OTHER
|
Peripheral Vascular Disorders W Mcc
|
1
|
1
|
$156,566.87
|
$156,566.87
|
$34,680.31
|
$34,680.31
|
$34,680.31
|
2026-07-31
|
|
56
|
OTHER
|
Degenerative Nervous System Disorders W Mcc
|
1
|
1
|
$31,439.22
|
$31,439.22
|
$34,549.14
|
$34,549.14
|
$34,549.14
|
2026-07-31
|
|
394
|
OTHER
|
Other Digestive System Diagnoses W Cc
|
1
|
1
|
$93,947.07
|
$93,947.07
|
$34,376.99
|
$34,376.99
|
$34,376.99
|
2026-07-31
|
|
177
|
OTHER
|
Respiratory Infections & Inflammations W Mcc
|
1
|
1
|
$78,358.54
|
$78,358.54
|
$34,135.16
|
$34,135.16
|
$34,135.16
|
2026-07-31
|
|
377
|
OTHER
|
G.i. Hemorrhage W Mcc
|
1
|
1
|
$161,262.71
|
$161,262.71
|
$33,799.06
|
$33,799.06
|
$33,799.06
|
2026-07-31
|
|
391
|
MS_DRG
|
Esophagitis, Gastroent & Misc Digest Disorders W Mcc
|
3
|
3
|
$50,276.39
|
$50,276.39
|
$33,756.44
|
$37,132.08
|
$33,756.44
|
2026-07-15
|
|
291
|
MS_DRG
|
Heart Failure & Shock W Mcc
|
3
|
3
|
$52,124.25
|
$52,124.25
|
$33,629.95
|
$36,992.94
|
$33,629.95
|
2026-07-15
|
|
638
|
OTHER
|
Diabetes W Cc
|
1
|
1
|
$123,911.76
|
$123,911.76
|
$33,610.51
|
$33,610.51
|
$33,610.51
|
2026-07-31
|
|
177
|
MS_DRG
|
Respiratory Infections & Inflammations W Mcc
|
3
|
3
|
$83,693.34
|
$83,693.34
|
$33,452.86
|
$36,798.15
|
$33,452.86
|
2026-07-15
|
|
289
|
MS_DRG
|
Acute & Subacute Endocarditis W Cc
|
3
|
3
|
$28,404.67
|
$28,404.67
|
$33,393.83
|
$36,733.21
|
$33,393.83
|
2026-07-15
|
|
594
|
MS_DRG
|
Skin Ulcers Without Cc/Mcc
|
3
|
3
|
$64,083.87
|
$64,083.87
|
$32,942.68
|
$36,236.94
|
$32,942.68
|
2026-07-15
|
|
180
|
MS_DRG
|
Respiratory Neoplasms W Mcc
|
3
|
3
|
$119,580.22
|
$119,580.22
|
$32,942.68
|
$36,236.94
|
$32,942.68
|
2026-07-15
|
|
204
|
MS_DRG
|
Respiratory Signs & Symptoms
|
3
|
3
|
$315,644.11
|
$315,644.11
|
$32,942.68
|
$36,236.94
|
$32,942.68
|
2026-07-15
|
|
289
|
OTHER
|
Acute & Subacute Endocarditis W Cc
|
1
|
1
|
$91,783.87
|
$91,783.87
|
$31,975.07
|
$31,975.07
|
$31,975.07
|
2026-07-31
|
|
920
|
MS_DRG
|
Complications Of Treatment W Cc
|
3
|
3
|
$56,269.14
|
$56,269.14
|
$31,888.58
|
$35,077.44
|
$31,888.58
|
2026-07-15
|
|
602
|
MS_DRG
|
Cellulitis W Mcc
|
3
|
3
|
$22,923.37
|
$22,923.37
|
$31,306.72
|
$34,437.39
|
$31,306.72
|
2026-07-15
|
|
638
|
MS_DRG
|
Diabetes W Cc
|
3
|
3
|
$65,193.41
|
$65,193.41
|
$31,251.90
|
$34,377.09
|
$31,251.90
|
2026-07-15
|
|
186
|
MS_DRG
|
Pleural Effusion W Mcc
|
3
|
3
|
$98,642.11
|
$98,642.11
|
$31,095.90
|
$34,205.49
|
$31,095.90
|
2026-07-15
|
|
560
|
OTHER
|
Aftercare, Musculoskeletal System & Connective Tissue W Cc
|
1
|
1
|
$95,665.83
|
$95,665.83
|
$30,946.26
|
$30,946.26
|
$30,946.26
|
2026-07-31
|
|
949
|
MS_DRG
|
Aftercare W Cc/Mcc
|
3
|
3
|
$59,429.20
|
$59,429.20
|
$30,218.89
|
$33,240.78
|
$30,218.89
|
2026-07-15
|
|
689
|
OTHER
|
Kidney & Urinary Tract Infections W Mcc
|
1
|
1
|
$73,873.29
|
$73,873.29
|
$29,757.60
|
$29,757.60
|
$29,757.60
|
2026-07-31
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease W Mcc
|
3
|
3
|
$79,963.11
|
$79,963.11
|
$29,561.13
|
$32,517.24
|
$29,561.13
|
2026-07-15
|
|
193
|
OTHER
|
Simple Pneumonia & Pleurisy W Mcc
|
1
|
1
|
$70,761.17
|
$70,761.17
|
$28,966.52
|
$28,966.52
|
$28,966.52
|
2026-07-31
|
|
689
|
MS_DRG
|
Kidney & Urinary Tract Infections W Mcc
|
3
|
3
|
$72,162.02
|
$72,162.02
|
$27,891.44
|
$30,680.58
|
$27,891.44
|
2026-07-15
|
|
392
|
OTHER
|
Esophagitis, Gastroent & Misc Digest Disorders Without Mcc
|
1
|
1
|
$112,758.58
|
$112,758.58
|
$27,142.54
|
$27,142.54
|
$27,142.54
|
2026-07-31
|
|
74
|
MS_DRG
|
Cranial & Peripheral Nerve Disorders Without Mcc
|
3
|
3
|
$54,837.88
|
$54,837.88
|
$26,841.56
|
$29,525.71
|
$26,841.56
|
2026-07-15
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses W Cc
|
3
|
3
|
$67,792.12
|
$67,792.12
|
$26,765.66
|
$29,442.23
|
$26,765.66
|
2026-07-15
|
|
178
|
MS_DRG
|
Respiratory Infections & Inflammations W Cc
|
3
|
3
|
$31,294.84
|
$31,294.84
|
$26,672.90
|
$29,340.19
|
$26,672.90
|
2026-07-15
|
|
872
|
MS_DRG
|
Septicemia Without Mv 96+ Hours Without Mcc
|
3
|
3
|
$55,415.06
|
$55,415.06
|
$26,027.79
|
$28,630.57
|
$26,027.79
|
2026-07-15
|
|
392
|
MS_DRG
|
Esophagitis, Gastroent & Misc Digest Disorders Without Mcc
|
3
|
3
|
$62,175.33
|
$62,175.33
|
$26,002.49
|
$28,602.74
|
$26,002.49
|
2026-07-15
|
|
372
|
OTHER
|
Major Gastrointestinal Disorders & Peritoneal Infections W Cc
|
1
|
1
|
$145,599.36
|
$145,599.36
|
$25,175.09
|
$25,175.09
|
$25,175.09
|
2026-07-31
|
|
728
|
OTHER
|
Inflammation Of The Male Reproductive System Without Mcc
|
1
|
1
|
$46,414.13
|
$46,414.13
|
$24,863.58
|
$24,863.58
|
$24,863.58
|
2026-07-31
|
|
178
|
OTHER
|
Respiratory Infections & Inflammations W Cc
|
1
|
1
|
$127,108.04
|
$127,108.04
|
$24,502.88
|
$24,502.88
|
$24,502.88
|
2026-07-31
|
|
872
|
OTHER
|
Septicemia Without Mv 96+ Hours Without Mcc
|
1
|
1
|
$51,540.33
|
$51,540.33
|
$23,982.33
|
$23,982.33
|
$23,982.33
|
2026-07-31
|
|
27511
|
CPT
|
Humalog Mix 75-25
|
3
|
2
|
$2.00
|
$2.00
|
$2.00
|
$22,843.00
|
$22,843.00
|
2025-11-25
|
|
690
|
OTHER
|
Kidney & Urinary Tract Infections Without Mcc
|
1
|
1
|
$34,870.49
|
$34,870.49
|
$22,096.86
|
$22,096.86
|
$22,096.86
|
2026-07-31
|
|
CP17660141066511359
|
CDM
|
Pre Mdc
|
1
|
1
|
$18,769.00
|
$18,769.00
|
$20,646.00
|
$20,646.00
|
$20,646.00
|
2025-11-25
|
|
690
|
MS_DRG
|
Kidney & Urinary Tract Infections Without Mcc
|
3
|
3
|
$37,586.73
|
$37,586.73
|
$20,432.64
|
$22,475.90
|
$20,432.64
|
2026-07-15
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malig,cirr,alc Hepa W Cc
|
3
|
3
|
$121,278.54
|
$121,278.54
|
$19,610.44
|
$21,571.49
|
$19,610.44
|
2026-07-15
|
|
951
|
OTHER
|
Other Factors Influencing Health Status
|
1
|
1
|
$4,784.33
|
$4,784.33
|
$17,215.14
|
$17,215.14
|
$17,215.14
|
2026-07-31
|
|
28305
|
CPT
|
Hurricaine 20%
|
3
|
2
|
$4.00
|
$4.00
|
$4.00
|
$12,910.00
|
$12,910.00
|
2025-11-25
|
|
23405
|
CPT
|
Chlorostat
|
3
|
2
|
$4.00
|
$4.00
|
$4.00
|
$12,910.00
|
$12,910.00
|
2025-11-25
|
|
PH002475
|
CDM
|
Immun Globg(igg)/malt/iga Ov50
|
1
|
1
|
$8,741.00
|
$8,741.00
|
$9,615.00
|
$9,615.00
|
$9,615.00
|
2025-11-25
|
|
PH001622
|
CDM
|
Digoxin Immune Fab
|
1
|
1
|
$7,461.00
|
$7,461.00
|
$8,207.00
|
$8,207.00
|
$8,207.00
|
2025-11-25
|
|
PH000803
|
CDM
|
Activase
|
1
|
1
|
$6,600.00
|
$6,600.00
|
$7,260.00
|
$7,260.00
|
$7,260.00
|
2025-11-25
|
|
PH001499
|
CDM
|
Privigen
|
1
|
1
|
$5,756.00
|
$5,756.00
|
$6,332.00
|
$6,332.00
|
$6,332.00
|
2025-11-25
|
|
55500
|
CPT
|
Chlordiazepoxide Hcl 10mg- Ud
|
3
|
2
|
$2.00
|
$2.00
|
$2.00
|
$6,272.00
|
$6,272.00
|
2025-11-25
|
|
69024
|
CPT
|
Rituximab-pvvr 500mg/50ml
|
1
|
1
|
$5,376.00
|
$5,376.00
|
$5,914.00
|
$5,914.00
|
$5,914.00
|
2025-11-25
|
|
31600
|
CPT
|
Tracheostomy Planned
|
3
|
2
|
$4,087.00
|
$4,087.00
|
$4,496.00
|
$5,899.00
|
$5,899.00
|
2025-11-25
|
|
PH002284
|
CDM
|
Paliperidone Palmitate 234mg S
|
1
|
1
|
$5,354.00
|
$5,354.00
|
$5,889.00
|
$5,889.00
|
$5,889.00
|
2025-11-25
|
|
23040
|
CPT
|
Carboxymethylcellulose Sodium
|
3
|
2
|
$4.00
|
$4.00
|
$4.00
|
$5,822.00
|
$5,822.00
|
2025-11-25
|
|
26442
|
CPT
|
Magnesium Sulfate
|
3
|
2
|
$7.00
|
$7.00
|
$8.00
|
$5,822.00
|
$5,822.00
|
2025-11-25
|
|
28315
|
CPT
|
Humulin N
|
3
|
2
|
$1.00
|
$1.00
|
$1.00
|
$5,822.00
|
$5,822.00
|
2025-11-25
|
|
36558
|
CPT
|
Insert Central Line Without Port
|
3
|
2
|
$2,492.00
|
$2,492.00
|
$2,741.00
|
$5,618.00
|
$5,618.00
|
2025-11-25
|
|
36571
|
CPT
|
Picc Line Insert W Pump
|
3
|
2
|
$4,696.00
|
$4,696.00
|
$5,166.00
|
$5,618.00
|
$5,618.00
|
2025-11-25
|
|
36556
|
CPT
|
Ins Non-tun Ctr Cvc Age 5 Yr/>
|
3
|
2
|
$2,373.00
|
$2,373.00
|
$2,610.00
|
$5,618.00
|
$5,618.00
|
2025-11-25
|
|
PH002517
|
CDM
|
Immune Globul G/gly/iga Avg 46
|
1
|
1
|
$4,462.00
|
$4,462.00
|
$4,908.00
|
$4,908.00
|
$4,908.00
|
2025-11-25
|
|
PH002745
|
CDM
|
Nplate
|
1
|
1
|
$4,130.00
|
$4,130.00
|
$4,543.00
|
$4,543.00
|
$4,543.00
|
2025-11-25
|
|
PH002254
|
CDM
|
Paliperidone Palmitate 156mg
|
1
|
1
|
$3,569.00
|
$3,569.00
|
$3,926.00
|
$3,926.00
|
$3,926.00
|
2025-11-25
|
|
1000001
|
CDM
|
Intensive Care/high Acuity
|
1
|
1
|
$3,537.00
|
$3,537.00
|
$3,891.00
|
$3,891.00
|
$3,891.00
|
2025-11-25
|
|
53665
|
CPT
|
Artificial Tears
|
3
|
2
|
$4.00
|
$4.00
|
$4.00
|
$3,719.00
|
$3,719.00
|
2025-11-25
|
|
54001
|
CPT
|
Prednisone 10mg
|
3
|
2
|
$1.00
|
$1.00
|
$1.00
|
$3,719.00
|
$3,719.00
|
2025-11-25
|
|
23921
|
CPT
|
Brimonidine Tartrate/timolol 5
|
3
|
2
|
$408.00
|
$408.00
|
$449.00
|
$3,671.00
|
$3,671.00
|
2025-11-25
|
|
43246
|
CPT
|
Peg Placement
|
3
|
2
|
$2,236.00
|
$2,236.00
|
$2,460.00
|
$3,414.00
|
$3,414.00
|
2025-11-25
|
|
1000002
|
CDM
|
Intermediate Care
|
1
|
1
|
$3,051.00
|
$3,051.00
|
$3,356.00
|
$3,356.00
|
$3,356.00
|
2025-11-25
|
|
31645
|
CPT
|
Bronchoscopy W Aspiration Init
|
3
|
2
|
$2,216.00
|
$2,216.00
|
$2,438.00
|
$3,167.00
|
$3,167.00
|
2025-11-25
|
|
31624
|
CPT
|
Bronchoscopy W Lavage
|
3
|
2
|
$2,216.00
|
$2,216.00
|
$2,438.00
|
$3,167.00
|
$3,167.00
|
2025-11-25
|
|
31622
|
CPT
|
Bronchoscopy Dx W/wo Cell Wash
|
3
|
2
|
$721.00
|
$721.00
|
$793.00
|
$3,167.00
|
$3,167.00
|
2025-11-25
|
|
PH001500
|
CDM
|
Privigen 10gm
|
1
|
1
|
$2,878.00
|
$2,878.00
|
$3,166.00
|
$3,166.00
|
$3,166.00
|
2025-11-25
|
|
11044
|
CPT
|
Debr Bone 1st <= 20 Sq Cm
|
3
|
2
|
$1,734.00
|
$1,734.00
|
$1,907.00
|
$2,939.00
|
$2,939.00
|
2025-11-25
|
|
27510
|
CPT
|
Humalog
|
3
|
2
|
$2.00
|
$2.00
|
$2.00
|
$2,861.00
|
$2,861.00
|
2025-11-25
|
|
PH002793
|
CDM
|
Epidiolex
|
1
|
1
|
$2,565.00
|
$2,565.00
|
$2,822.00
|
$2,822.00
|
$2,822.00
|
2025-11-25
|
|
36584
|
CPT
|
Picc Line Replacement Without Pump
|
3
|
2
|
$1,771.00
|
$1,771.00
|
$1,948.00
|
$2,801.00
|
$2,801.00
|
2025-11-25
|
|
36569
|
CPT
|
Picc Line Insert Without Pump
|
3
|
2
|
$1,771.00
|
$1,771.00
|
$1,948.00
|
$2,801.00
|
$2,801.00
|
2025-11-25
|
|
32551
|
CPT
|
Chest Tube Insertion
|
3
|
2
|
$1,028.00
|
$1,028.00
|
$1,131.00
|
$2,801.00
|
$2,801.00
|
2025-11-25
|
|
31603
|
CPT
|
Tracheostomy Emergent
|
3
|
2
|
$1,358.00
|
$1,358.00
|
$1,494.00
|
$2,761.00
|
$2,761.00
|
2025-11-25
|
|
1
|
CDM
|
Private Room
|
1
|
1
|
$2,444.00
|
$2,444.00
|
$2,688.00
|
$2,688.00
|
$2,688.00
|
2025-11-25
|
|
2
|
CDM
|
Semi Private Room
|
1
|
1
|
$2,444.00
|
$2,444.00
|
$2,688.00
|
$2,688.00
|
$2,688.00
|
2025-11-25
|
|
PH002826
|
CDM
|
Immune Globul G/gly/iga Avg 46
|
1
|
1
|
$2,231.00
|
$2,231.00
|
$2,454.00
|
$2,454.00
|
$2,454.00
|
2025-11-25
|
|
85132
|
CPT
|
Noxafil 200mg/5ml Os
|
1
|
1
|
$2,159.00
|
$2,159.00
|
$2,375.00
|
$2,375.00
|
$2,375.00
|
2025-11-25
|
|
78110
|
CPT
|
Perphenazine 2mg Tab
|
3
|
2
|
$7.00
|
$7.00
|
$8.00
|
$2,303.00
|
$2,303.00
|
2025-11-25
|
|
40261
|
CPT
|
Mycophenolate Mof. 200mg/ml-16
|
1
|
1
|
$2,071.00
|
$2,071.00
|
$2,278.00
|
$2,278.00
|
$2,278.00
|
2025-11-25
|
|
PH002744
|
CDM
|
Nplate
|
1
|
1
|
$2,065.00
|
$2,065.00
|
$2,272.00
|
$2,272.00
|
$2,272.00
|
2025-11-25
|
|
PH001694
|
CDM
|
Becaplermin 0.01% Gel
|
1
|
1
|
$2,040.00
|
$2,040.00
|
$2,244.00
|
$2,244.00
|
$2,244.00
|
2025-11-25
|
|
PH002398
|
CDM
|
Eligard
|
1
|
1
|
$2,033.00
|
$2,033.00
|
$2,236.00
|
$2,236.00
|
$2,236.00
|
2025-11-25
|
|
0200
|
RC
|
—
|
1
|
1
|
$3,209.00
|
$3,209.00
|
$2,200.00
|
$2,200.00
|
$2,200.00
|
2026-07-15
|
|
11047
|
CPT
|
Debr Bone Ea Addl <=20 Sq
|
1
|
1
|
$1,998.00
|
$1,998.00
|
$2,198.00
|
$2,198.00
|
$2,198.00
|
2025-11-25
|
|
46930
|
CPT
|
Ambisome
|
3
|
2
|
$477.00
|
$477.00
|
$525.00
|
$2,129.00
|
$2,129.00
|
2025-11-25
|
|
PH002179
|
CDM
|
Kengreal 50mg Vial
|
1
|
1
|
$1,802.00
|
$1,802.00
|
$1,982.00
|
$1,982.00
|
$1,982.00
|
2025-11-25
|
|
PH002457
|
CDM
|
Infliximab 100mg
|
1
|
1
|
$1,752.00
|
$1,752.00
|
$1,927.00
|
$1,927.00
|
$1,927.00
|
2025-11-25
|
|
PH002315
|
CDM
|
Dronabinol 5mg/ml Os
|
1
|
1
|
$1,750.00
|
$1,750.00
|
$1,925.00
|
$1,925.00
|
$1,925.00
|
2025-11-25
|
|
PH002821
|
CDM
|
Baclofen
|
1
|
1
|
$1,701.00
|
$1,701.00
|
$1,871.00
|
$1,871.00
|
$1,871.00
|
2025-11-25
|
|
40039
|
CPT
|
Valganciclovir Hcl 50mg/ml Pwd
|
1
|
1
|
$1,605.00
|
$1,605.00
|
$1,766.00
|
$1,766.00
|
$1,766.00
|
2025-11-25
|
|
PH001127
|
CDM
|
Procrit
|
1
|
1
|
$1,604.00
|
$1,604.00
|
$1,764.00
|
$1,764.00
|
$1,764.00
|
2025-11-25
|
|
J2997
|
HCPCS
|
Ph000802 - Cathflo Activase
|
2
|
1
|
$3,468.09
|
$3,468.09
|
$167.95
|
$3,300.14
|
$1,734.05
|
2026-07-15
|
|
PH002273
|
CDM
|
Zoledronic Acid/man-water 5mg/
|
1
|
1
|
$1,507.00
|
$1,507.00
|
$1,658.00
|
$1,658.00
|
$1,658.00
|
2025-11-25
|
|
PH001262
|
CDM
|
Miacalcin Inj
|
1
|
1
|
$1,500.00
|
$1,500.00
|
$1,650.00
|
$1,650.00
|
$1,650.00
|
2025-11-25
|
|
PH002785
|
CDM
|
Valganciclovir Hcl
|
1
|
1
|
$1,491.00
|
$1,491.00
|
$1,640.00
|
$1,640.00
|
$1,640.00
|
2025-11-25
|
|
PH000969
|
CDM
|
Angiomax
|
1
|
1
|
$1,463.00
|
$1,463.00
|
$1,609.00
|
$1,609.00
|
$1,609.00
|
2025-11-25
|
|
PH002476
|
CDM
|
Immun Globg(igg)/malt/iga Ov50
|
1
|
1
|
$1,457.00
|
$1,457.00
|
$1,603.00
|
$1,603.00
|
$1,603.00
|
2025-11-25
|
|
0206
|
RC
|
—
|
1
|
1
|
$2,768.00
|
$2,768.00
|
$1,575.00
|
$1,575.00
|
$1,575.00
|
2026-07-15
|
|
PH001753
|
CDM
|
Fmt Upper Delivery
|
1
|
1
|
$1,300.00
|
$1,300.00
|
$1,430.00
|
$1,430.00
|
$1,430.00
|
2025-11-25
|
|
PH001461
|
CDM
|
Zoledronic Acid
|
1
|
1
|
$1,257.00
|
$1,257.00
|
$1,383.00
|
$1,383.00
|
$1,383.00
|
2025-11-25
|
|
PH002068
|
CDM
|
Ddavp 4mcg/ml 10ml Mdv
|
1
|
1
|
$1,232.00
|
$1,232.00
|
$1,355.00
|
$1,355.00
|
$1,355.00
|
2025-11-25
|
|
PH001974
|
CDM
|
Linezolid 100mg/5ml 150ml
|
1
|
1
|
$1,230.00
|
$1,230.00
|
$1,353.00
|
$1,353.00
|
$1,353.00
|
2025-11-25
|
|
0120
|
RC
|
—
|
1
|
1
|
$2,217.00
|
$2,217.00
|
$1,325.00
|
$1,325.00
|
$1,325.00
|
2026-07-15
|
|
0110
|
RC
|
—
|
1
|
1
|
$2,217.00
|
$2,217.00
|
$1,325.00
|
$1,325.00
|
$1,325.00
|
2026-07-15
|
|
11043
|
CPT
|
Debr Musl/fas 1st <= 20 Sqcm
|
3
|
2
|
$680.00
|
$680.00
|
$748.00
|
$1,315.00
|
$1,315.00
|
2025-11-25
|
|
PH001855
|
CDM
|
Darbepoetin Alfa In Poly 100mc
|
1
|
1
|
$1,161.00
|
$1,161.00
|
$1,277.00
|
$1,277.00
|
$1,277.00
|
2025-11-25
|
|
28190
|
CPT
|
Removal Fb Foot Subq
|
3
|
2
|
$1,427.00
|
$1,427.00
|
$1,260.00
|
$1,570.00
|
$1,260.00
|
2025-11-25
|
|
PH002366
|
CDM
|
Bicillin L-a
|
1
|
1
|
$1,134.00
|
$1,134.00
|
$1,247.00
|
$1,247.00
|
$1,247.00
|
2025-11-25
|
|
51729
|
CPT
|
Sodium Chloride 23.4%
|
3
|
2
|
$9.00
|
$9.00
|
$10.00
|
$1,241.00
|
$1,241.00
|
2025-11-25
|
|
52000
|
CPT
|
Pneumoc 20-val Conj-dip Crm/pf
|
3
|
2
|
$424.00
|
$424.00
|
$466.00
|
$1,241.00
|
$1,241.00
|
2025-11-25
|
|
PH002291
|
CDM
|
Immune Glob G/gly/igaavg46 5gm
|
1
|
1
|
$1,116.00
|
$1,116.00
|
$1,228.00
|
$1,228.00
|
$1,228.00
|
2025-11-25
|
|
90935
|
CPT
|
Hemodialysis
|
3
|
2
|
$901.00
|
$901.00
|
$991.00
|
$1,221.00
|
$1,221.00
|
2025-11-25
|
|
PH001692
|
CDM
|
Nitrofurantoin 25mg/5ml Os
|
1
|
1
|
$1,096.00
|
$1,096.00
|
$1,206.00
|
$1,206.00
|
$1,206.00
|
2025-11-25
|
|
PH002114
|
CDM
|
Dimethyl Sulfoxide
|
1
|
1
|
$1,095.00
|
$1,095.00
|
$1,205.00
|
$1,205.00
|
$1,205.00
|
2025-11-25
|
|
11046
|
CPT
|
Debr Musl/fas Ea Addl <=20 Sq
|
1
|
1
|
$1,085.00
|
$1,085.00
|
$1,194.00
|
$1,194.00
|
$1,194.00
|
2025-11-25
|
|
69023
|
CPT
|
Rituximab-pvvr 100mg/10ml
|
1
|
1
|
$1,075.00
|
$1,075.00
|
$1,183.00
|
$1,183.00
|
$1,183.00
|
2025-11-25
|
|
PH002206
|
CDM
|
Naproxen 125mg/5ml Os
|
1
|
1
|
$1,056.00
|
$1,056.00
|
$1,162.00
|
$1,162.00
|
$1,162.00
|
2025-11-25
|
|
36620
|
CPT
|
Arterial Cath Insert Perc
|
1
|
1
|
$1,028.00
|
$1,028.00
|
$1,131.00
|
$1,131.00
|
$1,131.00
|
2025-11-25
|
|
36589
|
CPT
|
Removal Tunneled Cv Cath
|
3
|
2
|
$1,985.00
|
$1,985.00
|
$1,116.00
|
$2,184.00
|
$1,116.00
|
2025-11-25
|
|
32555
|
CPT
|
Thoracentesis With Imaging
|
3
|
2
|
$1,233.00
|
$1,233.00
|
$1,116.00
|
$1,356.00
|
$1,116.00
|
2025-11-25
|
|
32554
|
CPT
|
Thoracentesis W/out Imaging
|
3
|
2
|
$1,028.00
|
$1,028.00
|
$1,116.00
|
$1,131.00
|
$1,116.00
|
2025-11-25
|
|
94003
|
CPT
|
Ventilation Mgmt Ea Subsq Day
|
3
|
2
|
$2,303.00
|
$2,303.00
|
$1,099.00
|
$2,533.00
|
$1,099.00
|
2025-11-25
|
|
94002
|
CPT
|
Ventilation Mgmt 1st Day
|
3
|
2
|
$3,254.00
|
$3,254.00
|
$1,099.00
|
$3,579.00
|
$1,099.00
|
2025-11-25
|
|
93304
|
CPT
|
Verapamil Hcl 120mg ER
|
3
|
2
|
$4.00
|
$4.00
|
$4.00
|
$972.00
|
$972.00
|
2025-11-25
|
|
78018
|
CPT
|
Sandostatin
|
3
|
2
|
$415.00
|
$415.00
|
$457.00
|
$966.00
|
$966.00
|
2025-11-25
|
|
78121
|
CPT
|
Ampicillin Trihydrate 500mg
|
3
|
2
|
$3.00
|
$3.00
|
$3.00
|
$966.00
|
$966.00
|
2025-11-25
|
|
31615
|
CPT
|
Tracheobronchoscopy Thru Incis
|
3
|
2
|
$1,358.00
|
$1,358.00
|
$960.00
|
$1,494.00
|
$960.00
|
2025-11-25
|
|
PH001868
|
CDM
|
Tbo-filgrastim 480mcg
|
1
|
1
|
$859.00
|
$859.00
|
$945.00
|
$945.00
|
$945.00
|
2025-11-25
|
|
PH002341
|
CDM
|
Samsca
|
1
|
1
|
$809.00
|
$809.00
|
$890.00
|
$890.00
|
$890.00
|
2025-11-25
|
|
PH000917
|
CDM
|
Procrit
|
1
|
1
|
$802.00
|
$802.00
|
$882.00
|
$882.00
|
$882.00
|
2025-11-25
|
|
PH002538
|
CDM
|
Daptomycin 500mg
|
1
|
1
|
$802.00
|
$802.00
|
$882.00
|
$882.00
|
$882.00
|
2025-11-25
|
|
PH002921
|
CDM
|
Filgrastim
|
1
|
1
|
$797.00
|
$797.00
|
$877.00
|
$877.00
|
$877.00
|
2025-11-25
|
|
43000046
|
CDM
|
Daily Heated High Flow O2
|
1
|
1
|
$793.00
|
$793.00
|
$872.00
|
$872.00
|
$872.00
|
2025-11-25
|
|
23320
|
CPT
|
Lumigan
|
1
|
1
|
$792.00
|
$792.00
|
$871.00
|
$871.00
|
$871.00
|
2025-11-25
|
|
PH000913
|
CDM
|
Samsca
|
1
|
1
|
$780.00
|
$780.00
|
$858.00
|
$858.00
|
$858.00
|
2025-11-25
|
|
PH002571
|
CDM
|
Remdesivir (Eua) 100mg Vial
|
1
|
1
|
$780.00
|
$780.00
|
$858.00
|
$858.00
|
$858.00
|
2025-11-25
|
|
PH000229
|
CDM
|
Argatroban
|
1
|
1
|
$765.00
|
$765.00
|
$842.00
|
$842.00
|
$842.00
|
2025-11-25
|
|
PH000900
|
CDM
|
Neupogen
|
1
|
1
|
$752.00
|
$752.00
|
$827.00
|
$827.00
|
$827.00
|
2025-11-25
|
|
36430
|
CPT
|
Adm Bld Transfusion Per Visit
|
3
|
2
|
$869.00
|
$869.00
|
$785.00
|
$956.00
|
$785.00
|
2025-11-25
|
|
51971
|
CPT
|
Prevnar 13
|
1
|
1
|
$698.00
|
$698.00
|
$768.00
|
$768.00
|
$768.00
|
2025-11-25
|
|
46087
|
CPT
|
Estrogens, Conjugated Crm
|
1
|
1
|
$691.00
|
$691.00
|
$760.00
|
$760.00
|
$760.00
|
2025-11-25
|
|
PH002402
|
CDM
|
Letairis
|
1
|
1
|
$687.00
|
$687.00
|
$756.00
|
$756.00
|
$756.00
|
2025-11-25
|
|
11045
|
CPT
|
Debr Sq Tis Ea Add <=20 Sq
|
1
|
1
|
$680.00
|
$680.00
|
$748.00
|
$748.00
|
$748.00
|
2025-11-25
|
|
90945
|
CPT
|
Peritoneal Dialysis
|
3
|
2
|
$451.00
|
$451.00
|
$496.00
|
$742.00
|
$742.00
|
2025-11-25
|
|
PH001914
|
CDM
|
Acyclovir 200mg/5ml Os
|
1
|
1
|
$668.00
|
$668.00
|
$735.00
|
$735.00
|
$735.00
|
2025-11-25
|
|
17273
|
CPT
|
Cyclosporine, Modified 25mg
|
3
|
2
|
$6.00
|
$6.00
|
$7.00
|
$723.00
|
$723.00
|
2025-11-25
|
|
11042
|
CPT
|
Debr Sq Tis 1st <= 20 Sqcm
|
3
|
2
|
$680.00
|
$680.00
|
$723.00
|
$748.00
|
$723.00
|
2025-11-25
|
|
10061
|
CPT
|
I&d Of Abscess Comp/mult
|
3
|
2
|
$432.00
|
$432.00
|
$475.00
|
$723.00
|
$723.00
|
2025-11-25
|
|
97606
|
CPT
|
Vaccuum Therapy >50cm
|
3
|
2
|
$358.00
|
$358.00
|
$394.00
|
$723.00
|
$723.00
|
2025-11-25
|
|
78120
|
CPT
|
Amoxicillin
|
3
|
2
|
$1.00
|
$1.00
|
$1.00
|
$711.00
|
$711.00
|
2025-11-25
|
|
31646
|
CPT
|
Bronchoscopy W Aspiration Subs
|
3
|
2
|
$1,899.00
|
$1,899.00
|
$696.00
|
$2,089.00
|
$696.00
|
2025-11-25
|
|
36410
|
CPT
|
Midline Insertion Venipuncture
|
1
|
1
|
$630.00
|
$630.00
|
$693.00
|
$693.00
|
$693.00
|
2025-11-25
|
|
45627
|
CPT
|
Ceftazidime/avibactam 2.5gm
|
1
|
1
|
$623.00
|
$623.00
|
$685.00
|
$685.00
|
$685.00
|
2025-11-25
|
|
PH002733
|
CDM
|
Ciprofloxacin Hcl/fluocinolone
|
1
|
1
|
$613.00
|
$613.00
|
$674.00
|
$674.00
|
$674.00
|
2025-11-25
|
|
PH000404
|
CDM
|
Acyclovir 15gm Oint
|
1
|
1
|
$598.00
|
$598.00
|
$658.00
|
$658.00
|
$658.00
|
2025-11-25
|
|
PH002381
|
CDM
|
Uptravi
|
1
|
1
|
$597.00
|
$597.00
|
$657.00
|
$657.00
|
$657.00
|
2025-11-25
|
|
46074
|
CPT
|
Estrogens, Conjugated 25mg Inj
|
1
|
1
|
$565.00
|
$565.00
|
$622.00
|
$622.00
|
$622.00
|
2025-11-25
|
|
54858
|
CPT
|
Glucagen
|
1
|
1
|
$560.00
|
$560.00
|
$616.00
|
$616.00
|
$616.00
|
2025-11-25
|
|
13154
|
CPT
|
Lacosamide 10mg/ml Os
|
1
|
1
|
$552.00
|
$552.00
|
$607.00
|
$607.00
|
$607.00
|
2025-11-25
|
|
46904
|
CPT
|
Cresemba 372mg
|
1
|
1
|
$547.00
|
$547.00
|
$602.00
|
$602.00
|
$602.00
|
2025-11-25
|
|
PH002299
|
CDM
|
Bromfenac Sodium 0.07% 3ml
|
1
|
1
|
$543.00
|
$543.00
|
$597.00
|
$597.00
|
$597.00
|
2025-11-25
|
|
43000039
|
CDM
|
Daily O2 Charge
|
1
|
1
|
$528.00
|
$528.00
|
$581.00
|
$581.00
|
$581.00
|
2025-11-25
|
|
PH001560
|
CDM
|
Sporanox Oral Sol
|
1
|
1
|
$524.00
|
$524.00
|
$576.00
|
$576.00
|
$576.00
|
2025-11-25
|
|
65064
|
CPT
|
Natamycin
|
2
|
1
|
$521.50
|
$521.50
|
$366.00
|
$781.00
|
$573.50
|
2025-11-25
|
|
PH001903
|
CDM
|
Paregoric 2mg/5ml 473ml
|
1
|
1
|
$517.00
|
$517.00
|
$569.00
|
$569.00
|
$569.00
|
2025-11-25
|
|
67810
|
CPT
|
Lamisil At
|
3
|
2
|
$4.00
|
$4.00
|
$4.00
|
$565.00
|
$565.00
|
2025-11-25
|
|
PH002330
|
CDM
|
Netarsudil Mesylate Opth. Soln
|
1
|
1
|
$501.00
|
$501.00
|
$551.00
|
$551.00
|
$551.00
|
2025-11-25
|
|
93000001
|
CDM
|
Respite Care
|
1
|
1
|
$500.00
|
$500.00
|
$550.00
|
$550.00
|
$550.00
|
2025-11-25
|
|
PH001118
|
CDM
|
Epogen20k/ml
|
1
|
1
|
$497.00
|
$497.00
|
$547.00
|
$547.00
|
$547.00
|
2025-11-25
|
|
31500
|
CPT
|
Intubation Emergent
|
4
|
2
|
$643.00
|
$643.00
|
$421.00
|
$707.00
|
$547.00
|
2025-11-25
|
|
57420
|
CPT
|
Nystop 60gm Pwd
|
3
|
2
|
$288.00
|
$288.00
|
$317.00
|
$542.00
|
$542.00
|
2025-11-25
|
|
PH001437
|
CDM
|
Desmopressin (Nonrefrigerated)
|
1
|
1
|
$493.00
|
$493.00
|
$542.00
|
$542.00
|
$542.00
|
2025-11-25
|
|
45606
|
CPT
|
Teflaro 600mg
|
1
|
1
|
$490.00
|
$490.00
|
$539.00
|
$539.00
|
$539.00
|
2025-11-25
|
|
65024
|
CPT
|
Betoptic S
|
1
|
1
|
$489.00
|
$489.00
|
$538.00
|
$538.00
|
$538.00
|
2025-11-25
|
|
PH001938
|
CDM
|
Cardene I.v. 40mg/200ml
|
1
|
1
|
$488.00
|
$488.00
|
$537.00
|
$537.00
|
$537.00
|
2025-11-25
|
|
PH002300
|
CDM
|
Loteprednol Etabonate 0.5% 5ml
|
1
|
1
|
$484.00
|
$484.00
|
$532.00
|
$532.00
|
$532.00
|
2025-11-25
|
|
PH000093
|
CDM
|
Santyl30gm
|
1
|
1
|
$476.00
|
$476.00
|
$524.00
|
$524.00
|
$524.00
|
2025-11-25
|
|
63856
|
CPT
|
Imipenem/cilastatin/relebactam
|
1
|
1
|
$474.00
|
$474.00
|
$521.00
|
$521.00
|
$521.00
|
2025-11-25
|
|
PH000899
|
CDM
|
Neupogen
|
1
|
1
|
$472.00
|
$472.00
|
$519.00
|
$519.00
|
$519.00
|
2025-11-25
|
|
PH002732
|
CDM
|
Cefiderocol Sulfate Tosylate
|
1
|
1
|
$466.00
|
$466.00
|
$513.00
|
$513.00
|
$513.00
|
2025-11-25
|
|
PH002292
|
CDM
|
Darbepoetin Alfainpolysorbat 4
|
1
|
1
|
$464.00
|
$464.00
|
$510.00
|
$510.00
|
$510.00
|
2025-11-25
|
|
PH002481
|
CDM
|
Alirocumab Pen Injctr 75mg/ml
|
1
|
1
|
$450.00
|
$450.00
|
$495.00
|
$495.00
|
$495.00
|
2025-11-25
|
|
PH002350
|
CDM
|
Granix
|
1
|
1
|
$450.00
|
$450.00
|
$495.00
|
$495.00
|
$495.00
|
2025-11-25
|
|
PH002211
|
CDM
|
Delafloxacin Meglumine 300mg
|
1
|
1
|
$447.00
|
$447.00
|
$492.00
|
$492.00
|
$492.00
|
2025-11-25
|
|
69131
|
CPT
|
Retacrit
|
1
|
1
|
$441.00
|
$441.00
|
$485.00
|
$485.00
|
$485.00
|
2025-11-25
|
|
PH002532
|
CDM
|
Valbenazine Tosylate 80mg Cap
|
1
|
1
|
$440.00
|
$440.00
|
$484.00
|
$484.00
|
$484.00
|
2025-11-25
|
|
PH001588
|
CDM
|
Hydrocortisone1%pramoxine1%
|
1
|
1
|
$438.00
|
$438.00
|
$482.00
|
$482.00
|
$482.00
|
2025-11-25
|
|
65924
|
CPT
|
Difluprednate 0.05%
|
1
|
1
|
$436.00
|
$436.00
|
$480.00
|
$480.00
|
$480.00
|
2025-11-25
|
|
66494
|
CPT
|
Pneumovax 23
|
1
|
1
|
$434.00
|
$434.00
|
$477.00
|
$477.00
|
$477.00
|
2025-11-25
|
|
17308
|
CPT
|
Anoro Ellipta 62.5/25
|
8
|
1
|
$432.50
|
$432.50
|
$321.00
|
$807.00
|
$475.50
|
2025-11-25
|
|
PH002378
|
CDM
|
Vabomere
|
1
|
1
|
$432.00
|
$432.00
|
$475.00
|
$475.00
|
$475.00
|
2025-11-25
|
|
PH002524
|
CDM
|
Esmolol Hcl In Sterile Water
|
1
|
1
|
$430.00
|
$430.00
|
$473.00
|
$473.00
|
$473.00
|
2025-11-25
|
|
PH001762
|
CDM
|
Bromfenac Sodium 0.09%
|
1
|
1
|
$427.00
|
$427.00
|
$470.00
|
$470.00
|
$470.00
|
2025-11-25
|
|
PH002113
|
CDM
|
Copaxone 20mg Syr
|
1
|
1
|
$427.00
|
$427.00
|
$470.00
|
$470.00
|
$470.00
|
2025-11-25
|
|
PH002281
|
CDM
|
Teriflunomide 14mg Tab
|
1
|
1
|
$426.00
|
$426.00
|
$469.00
|
$469.00
|
$469.00
|
2025-11-25
|
|
PH001659
|
CDM
|
Firvanq 50-300 Kit
|
1
|
1
|
$425.00
|
$425.00
|
$468.00
|
$468.00
|
$468.00
|
2025-11-25
|
|
PH000804
|
CDM
|
Tarceva
|
1
|
1
|
$423.00
|
$423.00
|
$465.00
|
$465.00
|
$465.00
|
2025-11-25
|
|
PH002618
|
CDM
|
Bictegrav/emtricit/tenofov Ala
|
1
|
1
|
$422.00
|
$422.00
|
$464.00
|
$464.00
|
$464.00
|
2025-11-25
|
|
PH002297
|
CDM
|
Elviteg/cob/emtri/tenof Alafen
|
1
|
1
|
$422.00
|
$422.00
|
$464.00
|
$464.00
|
$464.00
|
2025-11-25
|
|
PH002337
|
CDM
|
Levothyroxine Sodium 200mcg In
|
1
|
1
|
$422.00
|
$422.00
|
$464.00
|
$464.00
|
$464.00
|
2025-11-25
|
|
PH000021
|
CDM
|
Ertapenem Sodium
|
1
|
1
|
$421.00
|
$421.00
|
$463.00
|
$463.00
|
$463.00
|
2025-11-25
|
|
PH002142
|
CDM
|
Acyclovir 5% 5gm Oint
|
1
|
1
|
$421.00
|
$421.00
|
$463.00
|
$463.00
|
$463.00
|
2025-11-25
|
|
28031
|
CPT
|
Glucagon Emergency Kit
|
1
|
1
|
$421.00
|
$421.00
|
$463.00
|
$463.00
|
$463.00
|
2025-11-25
|
|
PH002543
|
CDM
|
Albumin Human 5% Vial
|
1
|
1
|
$416.00
|
$416.00
|
$458.00
|
$458.00
|
$458.00
|
2025-11-25
|
|
78090
|
CPT
|
Brinzolamide/brimonidine Tart
|
1
|
1
|
$414.00
|
$414.00
|
$455.00
|
$455.00
|
$455.00
|
2025-11-25
|
|
PH001977
|
CDM
|
Fondaparinux Sodium 7.5mg/0.6m
|
1
|
1
|
$407.00
|
$407.00
|
$448.00
|
$448.00
|
$448.00
|
2025-11-25
|
|
53600
|
CPT
|
Aluminum Hydroxide
|
3
|
2
|
$1.00
|
$1.00
|
$1.00
|
$445.00
|
$445.00
|
2025-11-25
|
|
51726
|
CPT
|
Magnesium Sulf 4meq(500mg)/ml-
|
3
|
2
|
$7.00
|
$7.00
|
$8.00
|
$445.00
|
$445.00
|
2025-11-25
|
|
PH002835
|
CDM
|
Bimatoprost
|
1
|
1
|
$404.00
|
$404.00
|
$444.00
|
$444.00
|
$444.00
|
2025-11-25
|
|
PH001891
|
CDM
|
Sucralfate 1gm/10ml 420ml
|
1
|
1
|
$401.00
|
$401.00
|
$441.00
|
$441.00
|
$441.00
|
2025-11-25
|
|
PH001160
|
CDM
|
Procrit
|
1
|
1
|
$401.00
|
$401.00
|
$441.00
|
$441.00
|
$441.00
|
2025-11-25
|
|
PH001744
|
CDM
|
Bethkis Inh 300mg/4ml
|
1
|
1
|
$398.00
|
$398.00
|
$438.00
|
$438.00
|
$438.00
|
2025-11-25
|
|
PH001871
|
CDM
|
Desoximetasone 0.25% Crm 60gm
|
1
|
1
|
$398.00
|
$398.00
|
$438.00
|
$438.00
|
$438.00
|
2025-11-25
|
|
18609
|
CPT
|
Pulmicort Flexhaler
|
1
|
1
|
$397.00
|
$397.00
|
$437.00
|
$437.00
|
$437.00
|
2025-11-25
|
|
PH002308
|
CDM
|
Cholestyramine (With Sugar) 37
|
1
|
1
|
$393.00
|
$393.00
|
$432.00
|
$432.00
|
$432.00
|
2025-11-25
|
|
PH002553
|
CDM
|
Diclofenac Sodium 1.5% Oral So
|
1
|
1
|
$391.00
|
$391.00
|
$430.00
|
$430.00
|
$430.00
|
2025-11-25
|
|
PH002103
|
CDM
|
Abacavir/dolutegravir/lamivudi
|
1
|
1
|
$390.00
|
$390.00
|
$429.00
|
$429.00
|
$429.00
|
2025-11-25
|
|
PH001700
|
CDM
|
Fidaxomicin 200mg Tab
|
1
|
1
|
$390.00
|
$390.00
|
$429.00
|
$429.00
|
$429.00
|
2025-11-25
|
|
23932
|
CPT
|
Alphagan P
|
1
|
1
|
$389.00
|
$389.00
|
$428.00
|
$428.00
|
$428.00
|
2025-11-25
|
|
PH000739
|
CDM
|
Brevibloc
|
1
|
1
|
$389.00
|
$389.00
|
$428.00
|
$428.00
|
$428.00
|
2025-11-25
|