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Refugio County Memorial Hospital Chargemaster

Disclaimer and explanation for standard hospital charge

Please note that due to the amount of information contained in the table below, this page may take longer to load than usual.

Refugio County Memorial Hospital determines the standard charges for patient services with the use of a chargemaster. The chargemaster is a comprehensive list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for services provided by RCMH.

The concept of a chargemaster is similar to the manufacturer’s suggested retail price (MSRP) on a vehicle. It is the base price of each service performed and supplies used that are associated with the individual patient’s treatment. Updates are periodically made to the chargemaster to accurately reflect the hospital’s expenses to operate.

The standard charges shown below do not necessarily reflect what a patient may pay. Government insurance plans such as Medicare and Medicaid do not pay the chargemaster rates; they have their own set rates which hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with managed care payors and may or may not reflect the standard charges. Patients without commercial insurance or who are not covered by a government health care plan should contact the hospital prior to a procedure to discuss charges, alternative pricing, and payment terms.

DescriptionChargemaster ItemRMHO Base PriceClinic Base PricePro Fee
Minimum Inhibitory Concentration4200067$155.00
Creatinine4200077$68.00
Urine Dipstick POC4920539
Stool for Occult Blood Screening POC4920541
Blood Glucose Monitoring POC4920527$92.50
Urine Dipstick POC4920539
Urine Pregnancy Test POC4920547
Amylase Level4200029$103.50
Office/Other Outpatient Consultation Level 1 - 992414920137
Office/Other Outpatient Consultation Level 2 - 992424920167
Office/Other Outpatient Consultation Level 3 - 992434920169
Office Consultation Level 4 - 992444920171
Office Consultation Level 5 - 992454920173
Office/Outpatient Visit Level 1 Established - 992114920091
Office/Outpatient Visit Level 2 Established - 9921299212
Office/Outpatient Visit Level 3 Established - 992134920065
Office Visit Level 4 New - 992044920873
Preventive Medicine 1-4 years Established - 993924920895
Preventive Medicine 1-4 years New - 993824920887
Preventive Medicine 12-17 years Established - 993944920899
Preventive Medicine 12-17 years New - 993844920891
Preventive Medicine 18-39 years Established - 993954920901
Preventive Medicine 18-39 years New - 993854920951
Preventive Medicine 40-64 years Established - 993964920303
Preventive Medicine 40-64 years New - 993864920291
Preventive Medicine 5-11 years Established - 993934920897
Preventive Medicine 5-11 years New - 993834920889
Preventive Medicine 65+ years Established - 993974920305
Preventive Medicine 65+ years New - 993874920293
Preventive Medicine < 1 year Established - 993914920893
Preventive Medicine < 1 year New - 993814920885
Glucose Level4200083$58.75
Blood Urea Nitrogen4200121$73.25
Creatinine4200077$68.00
Creatinine Level Urine4200065$80.75
Electrolyte Panel4200061$103.50
Sodium Level4200103$45.75
Potassium Level4200249$65.00
Chloride Level4200219$45.75
Carbon Dioxide Level4200221$65.00
Alanine Aminotransferase4200117$80.75
Aspartate Aminotransferase4200115$79.00
Albumin Level4200019$63.50
Alkaline Phosphatase4200023$58.75
Ammonia Level4200025$108.50
Bilirubin Direct4200191$68.00
Bilirubin Total4200189$68.00
Bleeding Time4200283$73.25
Calcium Level Total4200211$58.75
Carbamazepine Level4200233$217.25
Cholesterol High Density Lipid4200135$126.00
Cholesterol Low Density Lipids4200070$105.50
Cholesterol Total4200187$58.75
Creatine Kinase4200075$90.50
Digoxin Level4200059$179.25
Ferritin4200129$187.25
Folate Level4200031$232.50
Hemoglobin4200087$49.25
Hematocrit4200088$49.25
Lactate Dehydrogenase4200091$103.50
Lipase Level4200093$114.50
Magnesium Level4200181$103.50
Mononucleosis Screen4200227$139.00
Prothrombin Time4200155$70.00
Partial Thromboplastin Time4200159$88.75
Phenobarbital Level4200171$203.25
Phosphorus Level4200245$58.75
Protein Total4200213$68.00
Salicylate Level4200207$116.75
Sedimentation Rate4200099$80.75
T3 Uptake4200113$116.75
Triglycerides4200013$68.00
Uric Acid4200123$76.50
Valproic Acid Level4200241$266.25
Vitamin B12 Level4200201$169.25
Vitamin D 25 Hydroxy Level4210527$102.00
Ear Culture4200199$152.25
Eye Culture4200199$152.25
Genital Culture4200199$152.25
Nasal Culture4200173$141.00
Direct Antiglobulin Test4220033$113.50
Hepatitis A Adult Vaccine4920665
58160-0825-52 Hepatitis A Peds/Adol Vaccine 2 Dose Sched Charge90633
Hemophilus influenza b vaccine (Hib), HbOC conjugate (4 dose), IM POC4920931$141.25
2016 Code Deleted90669$151.25
DT Diphtheria-Tetanus toxoids < 7 yrs POC VFC4920615$151.25
Tetanus Toxoid POC4920733
MMR Measles/Mumps/Rubella Virus Vaccine POC4920639
IPV Inactivated Poliovirus Vaccine POC4920625
Varicella Virus Vaccine POC4920659
Diphth/HepB/Pertussis,Acel/Polio/Tetanus Vaccine POC90723
Pneumococcal 23-Valent Adult Vaccine POC [CHAS]4920589
Hepatitis B Vaccine, Pediatric 3 Dose Sched POC4920927
Hepatitis B Vaccine, Adult4920619
Furosemide Injection 20 mg Charge4920629
Fluphenazine Injection 25 mg Charge4920617
Injection, RhoGam 300 mcg charge4920792
Oximetry, Single Charge4920081
Wet Mount POC4920535
KOH POC4920551
Urine Dipstick and Microscopy POC4920539
Rapid Strep POC86403
Cognitive Skills Development Charges4620007$123.75
Therapeutic Activities Charges4620011$161.75
Therapeutic Exercise Charges4620013$153.00
Neuromuscular Reeducation Charges4620009$156.25
Therapeutic Exercise Charges4600039$144.50
Ultrasound Charges4600043$104.00
Neuromuscular Reeducation Charges4600075$153.00
Prosthetic Training Charges4600105$156.25
Orthotic Mgmt and Training Charges4600029$233.00
Therapeutic Activities Charge4600037$143.50
Gait Training Charges4600015$134.75
Manual Therapy Charge Units4600069$134.75
Iontophoresis Charges4600067$181.25
Diptheria,Tetanus Toxoidacellular Pretusses Imvaccine Dtap Charge4920657
Osteopathic Manipulative Trtmt (OMT); Three to Four Body Regions Involved Charge4921926
Osteopathic Manipulative Trtmt (OMT); Seven to Eight Body Regions Involved Charge4921928
Osteopathic Manipulative Trtmt (OMT); Nine to Ten Body Regions Involved Charge4921929
Injection, Dexamethosone Sodium Phosphate, Up to 4mg/mL Charge4920557
Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4 dose schedule), for IM Use POC90648
Rotavirus vaccine, pentavalent, 3 dose schedule, live, for oral use POC90680
Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, for use in individuals 7 yrs POC4920653
Meningococcal conjugate vaccine, serogroups A, C, Y and W-135 (tetravalent), for IM Use POC90734
Tetanus, diphtheria toxoids & acellular pertussis vaccine (TdaP), 7 years or older, IM use POC90715
Zoster (shingles) vaccine, live, subcutaneous injection POC4920721$355.50
ANOSCOPY DIAGNOSTIC ER3610001
Blood Urea Nitrogen4200121$73.25
Thyroid Stimulating Hormone Req/Charge$262.25
PPD Adminstration POC86580
Human Papilloma virus (HPV) Vaccine POC4920967
Hematocrit4200088$49.25
Hemoglobin4200087$49.25
Urine THC Screen4200049$65.00
Brain Natriuretic Peptide (BNP)4200255$126.00
Injection, ketorolac tromethamine charge per 15 mg4920655$31.25
Creatine Kinase-MB4200063$90.50
Injection, Promethazine HCL, up to 50 mg Charge4920643
Influenza A & B Antibodies4200265$73.25
Injection, Kenalog, triamcinolone acetonide, 40mg/1ml #14920627
Injection, Vitamin B-12 Cyanocobalamin, 1ml/1000 mcg4920577
Injection, Ceftriaxone Sodium, Per 250 MG ChargeJ0696
TSH4200257$262.25
TSH4200257$262.25
99080 Special Reports/ INS LTR Charge4920133
XR Abdomen 1 View4300009$447.75
COLLECTION: Venous Draw4200149$25.25
Hematocrit4200088$49.25
Hemoglobin4200087$49.25
Thyroxine Total4200175$114.50
BD Bone Density DEXA Axial Skeleton4480001$695.75
CT Abdomen w/ + w/o Contrast4420005$3,606.25
CT Abdomen w/ Contrast4420001$3,202.50
CT Abdomen w/o Contrast4420003$1,710.75
CT Head or Brain w/ + w/o Contrast4420017$3,210.00
CT Head or Brain w/ Contrast4420013$2,867.25
CT Head or Brain w/o Contrast4420015$2,618.75
CT Lower Extremity w/ Contrast Left4420039$2,328.50
CT Lower Extremity w/ Contrast Right4420039$2,328.50
CT Lower Extremity w/o Contrast Left4420041$1,937.25
CT Lower Extremity w/o Contrast Right4420041$1,937.25
CT Orbit Sella etc. w/ Contrast4460054$3,506.50
CT Orbit Sella etc. w/o Contrast4420052$3,506.50
CT Pelvis w/ + w/o Contrast4420029$3,606.25
CT Pelvis w/ Contrast4420027$2,867.25
CT Pelvis w/o Contrast4420053$2,618.75
CT Soft Tissue Neck w/ + w/o Contrast4420049$3,317.00
CT Soft Tissue Neck w/ Contrast4420055$3,296.50
CT Soft Tissue Neck w/o Contrast4420025$3,177.00
CT Spine Cervical w/o Contrast4420009$3,177.00
CT Spine Lumbar w/o Contrast4420021$3,177.00
CT Spine Thoracic w/o Contrast4420035$3,177.00
CT Thorax w/ + w/o Contrast4420061$3,606.25
CT Upper Extremity w/ Contrast Left4420063$2,328.50
CT Upper Extremity w/ Contrast Right4420063$2,328.50
CT Upper Extremity w/o Contrast Left4420065$1,937.25
CT Upper Extremity w/o Contrast Right4420065$1,937.25
MRA Head w/ Contrast4460077$2,975.25
MRA Neck w/o Contrast4460045$3,623.00
MRI Brain w/ + w/o Contrast4460015$4,956.75
MRI Brain w/ Contrast4460011$5,515.00
MRI Brain w/o Contrast4460013$3,916.25
MRI Chest w/ + w/o Contrast4460061$5,659.50
MRI Face Neck Orbit w/ + w/o Contrast4460049$5,077.50
MRI Face Neck Orbit w/ Contrast4460043$5,515.00
MRI LE Joint w/ + w/o Contrast Left4460025$5,515.00
MRI LE Joint w/ + w/o Contrast Right4460025$5,515.00
MRI LE Joint w/o Contrast Bilateral4460099$5,468.75
MRI LE Joint w/o Contrast Left4460027$3,916.25
MRI LE Joint w/o Contrast Right4460027$3,916.25
MRI LE Non Joint w/ + w/o Contrast Bilat4460097$7,886.00
MRI LE Non Joint w/ Contrast Bilateral4460100$6,829.25
MRI LE Non Joint w/o Contrast Bilat4460033$7,246.00
MRI Pelvis w/ Contrast4460051$3,623.00
MRI Pelvis w/o Contrast4460053$3,288.00
MRI Spine Cervical w/ Contrast4460071$5,659.50
MRI Spine Cervical w/o Contrast4460069$3,916.25
MRI Spine Lumbar w/ Contrast4460035$4,562.75
MRI Spine Lumbar w/o Contrast4460037$4,207.75
MRI Spine Thoracic w/ Contrast4460019$4,923.00
MRI Spine Thoracic w/o Contrast4460021$3,916.25
MRI UE Joint w/ + w/o Contrast Bilateral4460101$9,623.75
MRI UE Joint w/o Contrast Bilateral4460103$5,712.75
MRI UE Joint w/o Contrast Left4460031$3,916.25
MRI UE Joint w/o Contrast Right4460031$3,916.25
MRI UE Non Joint w/ Contrast Bilateral4460104$6,829.25
NM Bone Three Phase Study4300005$7,171.50
NM Pulmonary Perfusion Imaging4300183$1,975.00
US Abdomen Complete4440003$902.25
US Abdomen Limited4440035$704.25
US Carotid Duplex Bilateral4440017$840.50
US Extremity Non-Vascular Bilateral4440100$1,549.25
US Extremity Non-Vascular Left4440025$775.75
US Extremity Non-Vascular Right4440028$775.75
US Head/Neck Soft Tissue4440041$958.25
US LE Arterial Duplex Bilateral4440009$933.00
US LE Arterial Duplex Left4440005$452.25
US LE Arterial Duplex Right4440006$452.25
US LE Venous Duplex Bilateral4440045$2,017.00
US LE Venous Duplex Left4440053$1,806.75
US LE Venous Duplex Right4440053$1,806.75
US Pelvis Non-OB Complete4440037$958.25
US Pelvis Non-OB Limited4440033$677.75
US Pregnancy < 14 weeks4440061$969.75
US Pregnancy Transvaginal4440069$653.75
US Unlisted Procedure4440099$210.50
US Retroperitoneal Complete4440007$1,067.75
US Scrotum (Contents)4440039$958.25
US UE Venous Duplex Bilateral4443970$1,806.75
US UE Venous Duplex Left4443970
US UE Venous Duplex Right4443970$1,806.75
XR Abdomen 1 View4300009$360.50
XR Abdomen 2 View4300011$447.75
XR Ankle Complete Left4300015$373.50
XR Ankle Complete Right4300015$373.50
XR Calcaneous Left4300186$345.25
XR Calcaneous Right4300187$345.25
XR Chest 1 View4300021$266.75
XR Chest 2 Views4300023$334.00
XR Clavicle Left4300027$341.00
XR Clavicle Right4300027$341.00
XR Elbow 2 Views Left4300031$345.00
XR Elbow 2 Views Right4300031$345.00
XR Facial Bones < 3 Views4300037$345.00
XR Facial Bones Minimum 3 Views4300039$549.00
XR Foot 2 Views Left4300045$168.50
XR Foot 2 Views Right4300045$168.50
XR Foot Complete Left4300047$428.25
XR Foot Complete Right4300047$428.25
XR Forearm 2 Views Left4300049$345.00
XR Forearm 2 Views Right4300049$345.00
XR Hand 2 Views Left4300051$345.00
XR Hand 2 Views Right4300051$345.00
XR Hand Complete Left4300053$428.25
XR Hand Complete Right4300053$428.25
XR Hip 1 View Left4300057$345.00
XR Hip 1 View Right4300057$345.00
XR Hip Complete Left4300163$432.50
XR Hip Complete Right4300163$432.50
XR Humerus Left4300059$345.00
XR Humerus Right4300059$345.00
XR Knee 3 Views Left4300063$428.25
XR Knee 3 Views Right4300063$428.25
XR Knee One or Two Views Left4300061$428.25
XR Knee One or Two Views Right4300061$428.25
XR Mandible Complete Minimum 4 Views4300077$436.75
XR Nasal Bones Minimum 3 Views4300081$360.50
XR Neck Soft Tissue4300069$189.75
XR Orbits Complete Bilateral4300236$781.25
XR Pelvis 1 or 2 Views4300087$345.00
XR Ribs 2 Views Left4300097$516.50
XR Ribs 2 Views Right4300097$516.50
XR Ribs 3 Views Bilateral4300095$457.50
XR Sacrum/Coccyx Minimum 2 Views4300029$428.25
XR Scapula Left4300105$345.00
XR Scapula Right4300105$345.00
XR Shoulder 1 View Left4300109$266.75
XR Shoulder 1 View Right4300109$266.75
XR Shoulder Complete Left4300107$345.00
XR Shoulder Complete Right4300107$345.00
XR Sinuses Paranasal Complete4300113$569.75
XR Skull < 4 Views4300119$414.00
XR Spine Cervical 2 or 3 Views4300123$428.25
XR Spine Lumbosacral 2 or 3 Views4300135$481.50
XR Spine Lumbosacral Minimum 4 Views4300131$642.75
XR Spine Scoliosis Study Standing4300153$432.50
XR Spine Thoracic 2 Views4300127$395.75
XR Spine Thoracic 3 Views4300129$481.50
XR Sternoclavicular Joint(s)4300139$345.00
XR Sternum Minimum 2 Views4300169$345.00
XR Wrist Complete Right4300149$428.25
XR Wrist Complete Left4300149$428.25
XR Wrist 2 Views Right4300147$345.00
XR Wrist 2 Views Left4300147$345.00
MRI Abdomen w/ + w/o Contrast4460007$5,077.50
H1N1 Immunization Admin, Including Counseling When Performed (Charge)4920221
Blood Culture4200079$188.75
Gram Stain4200251$80.75
Throat Culture4200199$152.25
Urine Culture4200177$155.00
Amphetamine Screen4200027$65.00
Barbiturate Screen4200033$65.00
Benzodiazepine Screen4200035$65.00
Cocaine Screen4200037$65.00
Opiate Screen4200043$65.00
PCP Screen4200045$65.00
Pulmonary Function Testing4070003$380.50
Dilantin Level4200057$194.75
RBC CP2D AS3 500 LR4220003$423.25$12.00
RBC CP2D AS3 500 LR Irr4220009$266.25$12.00
RBC CPD AS1 500 LR4220003$423.25$36.50
Aph Plt ACDA LR4220036$780.00$30.50
Aph Plt ACDA LR 14220037$780.00$95.75
Aph Plt ACDA LR 34220038$780.00
Acetaminophen Level4200015$182.00$32.75
Acetone Ql4200017$60.75
Immediate Spin4220021$303.00$101.75
37 degrees Celsius4220021$285.00$1,868.75
Anti-Human Globulin4220013$231.00$90.50
Free T44200261$169.25$37.50
CSF Culture4200199$152.25
Sputum Culture4200199$152.25
Alum Crutches All SZ Charge4920853
Vancomycin Lvl Peak4200243$231.75
Vancomycin Lvl Trough4200243$231.75
ROOM/BED: Swing3200022$963.75
Pulmonary Function Testing Pre and Post4070005$211.25
Fecal Leukocytes4210245$38.25
Troponin I4200095$214.00
T3 Uptake4200113$116.75
Adaptic 3x34100317$7.50
Gastric Occult Blood4200109$58.75
CT Abdomen/Pelvis w + w/o Contrast4420072$2,727.00
CT Abdomen/Pelvis w/ Contrast4420070$2,161.75
CT Abdomen/Pelvis w/o Contrast4420074$1,841.75
CT Chest W/O Contrast4420059$2,618.75
CT Chest W/WO Contrast4420061$3,606.25
CT Lower Extremity w/ Contrast Bilateral4420078$4,656.00
CT Lower Extremity w/+w/o Contrast Bilat4420076$5,429.50
CT Lower Extremity w/o Contrast Bilat4420079$3,872.25
CT Orbit Sella etc. w/ + w/o Contrast4420051$3,606.25
CT Spine Cervical w/ + w/o Contrast4420011$3,606.25
CT Spine Cervical w/ Contrast4420007$3,296.50
CT Spine Lumbar w/ + w/o Contrast4420023$3,606.25
CT Spine Lumbar w/ Contrast4420019$3,296.50
CT Spine Thoracic w/ + w/o Contrast4420033$3,606.25
CT Spine Thoracic w/ Contrast4420031$3,296.50
CT Upper Extremity w/ Contrast Bilateral4420082$3,628.75
CT Upper Extremity w/+w/o Contrast Bilat4420081$5,429.50
CT Upper Extremity w/+w/o Contrast Left4420067$2,716.00
CT Upper Extremity w/+w/o Contrast Right4420067$2,716.00
CT Upper Extremity w/o Contrast Bilat4420083$3,086.00
MRA Head w/ + w/o Contrast4460079$5,891.00
MRA Head w/o Contrast4460075$3,042.25
MRA Lower Ext w/ + w/o Contrast4460003$5,515.00
MRA Neck w/ + w/o Contrast4460065$5,370.75
MRA Neck w/ Contrast4460063$3,475.75
MRI Abdomen w/ + w/o Contrast4460007$3,895.75
MRI Abdomen w/ Contrast4460057$4,168.75
MRI Abdomen w/o Contrast4460005$4,462.00
MRI Chest w/ Contrast4460059$4,539.25
MRI Chest w/o Contrast4460017$4,168.75
MRI Face Neck Orbit w/o Contrast4460047$4,500.00
MRI LE Joint w/ + w/o Contrast Bilateral4460098$9,086.50
MRI LE Joint w/ Contrast Left4460073$3,767.75
MRI LE Joint w/ Contrast Right4460073$3,767.75
MRI LE Non Joint w/ + w/o Contrast Left4460097$3,943.25
MRI LE Non Joint w/ + w/o Contrast Right4460097$3,943.25
MRI LE Non Joint w/ Contrast Left4460095$4,168.75
MRI LE Non Joint w/ Contrast Right4460095$4,168.75
MRI LE Non Joint w/o Contrast Left4460033$3,623.00
MRI LE Non Joint w/o Contrast Right4460033$3,623.00
MRI Pelvis w/ + w/o Contrast4460067$5,515.00
MRI Spine Cervical w/ + w/o Contrast4460091$5,076.25
MRI Spine Lumbar w/ + w/o Contrast4460039$5,515.00
MRI Spine Thoracic w/ + w/o Contrast4460023$5,515.00
MRI TMJ4460001$3,623.00
MRI UE Joint w/ + w/o Contrast Left4460029$5,515.00
MRI UE Joint w/ + w/o Contrast Right4460029$5,515.00 $101.00
MRI UE Joint w/ Contrast Bilateral4460102$7,068.00
MRI UE Joint w/ Contrast Left4460055$4,207.75
MRI UE Joint w/ Contrast Right4460055$4,207.75
MRI UE Non Joint w/ + w/o Contrast Bilat4460088$8,561.50
MRI UE Non Joint w/ + w/o Contrast Left4460083$4,280.75
MRI UE Non Joint w/ + w/o Contrast Right4460083$4,280.75
MRI UE Non Joint w/ Contrast Left4460085$4,221.75
MRI UE Non Joint w/ Contrast Right4460085$4,221.75
MRI UE Non Joint w/o Contrast Bilateral4460105$5,592.00
MRI UE Non Joint w/o Contrast Left4460081$3,532.00
MRI UE Non Joint w/o Contrast Right4460081$3,532.00
NM Pulmonary Perfusion w/ Ventilation4300181$1,410.00
US Guided Needle Placement S&I4440047$845.75
US Pelvic/Transvag4440043$1,151.50
US Pregnancy > 14 weeks4440029$1,067.75
US Pregnancy Follow Up4440031$297.75
US Pregnancy Limited4440027$775.75
US Retroperitoneal Limited4440055$700.00
XR Abdomen Series4300177$524.25
XR Ankle 2 Views Bilateral4300202$612.25
XR Ankle 2 Views Left4300013$306.25
XR Ankle 2 Views Right4300013$306.25
XR Ankle Complete Bilateral4300204$744.75
XR Bone Age Studies4300179$118.25
XR Calcaneous Bilateral, min 2 views4300184$691.00
XR Chest 3 Views4300025$436.75
XR Clavicle Bilateral4300028$682.50
XR Elbow 2 Views Bilateral4300206$689.50
XR Elbow Complete Bilateral4300208$854.75
XR Elbow Complete Right4300033$428.25
XR Elbow Complete Right4300033$428.25
XR Femur Bilateral4300210$335.75$269.00
XR Finger Left4300043$282.50$314.75
XR Finger Right4300043$282.50$201.75
XR Foot 2 Views Bilateral4300214$335.75$824.25
XR Foot Complete Bilateral4300216$854.75$219.25
XR Forearm 2 Views Bilateral4300218$689.50$84.25
XR Hand 2 Views Bilateral4300220$689.50$117.75
XR Hand Complete Bilateral4300222$854.75$248.25
XR Hip Complete Bilateral4300055$864.50$117.75
XR Humerus Bilateral4300224$689.50$990.75
XR IVP4300093$851.50$709.00
XR Knee Complete Left4300226$854.75$168.25
XR Knee Complete Left4300065$511.00$201.75
XR Knee Complete Right4300065$511.00$150.25
XR Knee One or Two Views Bilateral4300230$854.75$217.00
XR Knee Standing AP Bilateral4300001$282.50$456.75
XR Mastoids Complete Bilateral4300234$835.25$217.00
XR Sacroiliac Joints 1 or 2 Views4300111$345.00$248.25
XR Scapula Bilateral4300238$689.50$990.75
XR Shoulder 1 View Bilateral4300240$532.25$65.00
XR Sinuses Paranasal < 3 Views4300115$266.75$188.00
XR Skull Complete4300117$680.50$413.00
XR Spine Any Level Single View4300137$266.75$905.25
XR Spine Cervical Comp w/ Flex/Ext4300125$765.75$264.50
XR Spine Lumbosacral Complete w/ Bending4300161$544.75$710.25
XR TMJ Open and Closed Bilateral4300159$428.25$317.50
XR Upper Extremity Infant Left4300145$345.00$947.75
XR Upper Extremity Infant Right4300145$345.00$246.50
XR Wrist 2 Views Bilateral4300248$689.50$120.50
XR Wrist Complete Bilateral4300250$854.75$375.50
Misc Send OutLABMISC$0.00$330.50
Aph RBC ACDA AS3 LR4220003$423.25
Aph RBC ACDA AS3 LR 14220003$423.25
Aph RBC ACDA AS3 LR 24220003$423.25
hCG Qualitative, Serum4200193$105.50
Occult Blood4200273$58.75
hCG Quantitative4200165$203.00
PSA Screen4200157$270.50$188.00
PSA Diagnostic4200203$270.50$206.25
CBC w/ Auto Diff4200071$111.50$318.75
XR Mastoids Complete Left4300079$436.75$423.50
XR Mastoids Complete4300079$436.75
XR Pelvis Complete Minimum 3 Views4300089$428.25
XR Sacroiliac Joints Minimum 3 Views4300099$457.50
XR TMJ Open and Closed Left4300141$283.50
XR TMJ Open and Closed Right4300141$283.50
CT Angiography Lower Extremity Bilat4420094$4,718.75
CT Angiography Lower Extremity Bilat4420094$4,718.75 $326.25
Ear Culture4200199$152.25$333.75
Basic Metabolic Panel24200167$135.50$248.25
Group B Strep Culture4200199$152.25
Add'l 30 Min Increments CC > 743600055$920.75
CT Angiography Head w/ + w/o Contrast4420174$3,606.25
ROOM/BED: Observation3100001$0.00
Osteopathic manipulative treatment (OMT); 5-6 body regions involved4921927
CT Angiography Lower Extremity Left4420092$2,359.25
CT Angiography Lower Extremity Left4420092$2,359.25
CT Angiography Lower Extremity Right4420090$2,359.25
CT Angiography Lower Extremity Right4420090$2,359.25
CT Chest w/ Contrast4420057$3,202.50
XR Toes Left4300143$283.50
XR Toes Right4300143$283.50$168.25
US Bladder w/ Residual44451798$160.25$65.00
Iron4200281$103.50
Antibody Screen Tube4220035$133.75$176.25
Creatinine Clearance 14200137$150.25
Ur Creatinine4200065$80.75$201.75
Blood Urea Nitrogen4200121$73.25
Creatinine4200077$68.00$242.25
Renal Panel 14200153$169.26
Stool Culture4200199$152.25
Environmental Culture4200199$152.25
.GTT-1 Hr4200280$75.25
.GTT-2 Hr4200279$150.00$12.00
.GTT-3 Hr4200005$169.00
US Echocardiogram Complete4440051$3,777.25 $168.25
CT Angiography Pelvis w/ + w/o Contrast4420178$4,526.00
CT Angiography Upper Extremity Left4420084$2,359.25
CT Angiography Upper Extremity Left4420084$2,359.25
CT Angiography Upper Extremity Right4420182$2,359.25
CT Angiography Upper Extremity Right4420182$2,372.25
CT Lower Ext w/ + w/o Contrast Left4420037$2,716.00
CT Lower Ext w/ + w/o Contrast Right4420037$2,716.00
XR Chest Minimum 4 Views4300157$404.25
XR Foreign Body Loc Nose/Rectum Child4300019$341.00
XR Orbits Complete Left4300083$391.50
XR Orbits Complete Right4300083$391.50$101.00
XR Swallowing Function w/ Video4300035$736.50$297.75
XR Upper Extremity Infant4300145$344.75
Trapeze4100940$103.50
CT Angiography Abdomen w/ Contrast4420075$4,843.00
CT Angiography Chest w/ Contrast4420073$2,760.50 $168.25
Methadone Screen4200039$60.75
Pneumococcal conjugate vaccine, 13 valent, for intramuscular use4920737
Pneumococcal conjugate vaccine, 13 valent, for intramuscular use4920737
Body Fluid Culture.4200199$152.25
Wound Culture.4200199$152.25
Eligard/ Leuprolide acetate suspnsion PER 7.5 MG4920587
Drugs unclassified injection4920725
Orphenadrine injection4920679$417.50
Inj enoxaparin sodium per 10mg4920561
Methylprednisolone 80 MG inj4920613$131.00
Injection, Betamethasone acet&sod phosp 6mg/ml 5ml Vial4920605$101.00
Synvisc per 1 mg4920553
Hemoccult Diagnostic POC4920549
96372 Therapeutic; prophylactic, or diagnostic injection, subcutaneous or intramuscular4920017$168.25
90471 Immunization administration; 1 vaccine4920905$38.00$443.00$131.00
90472 Each additional vaccine4920907
CALCIMAR4920603
Diphenhydramine, up to 50mg4920597
DEMEROL 100 MG INJ4920637
Imitrex, sumatriptan succinate, per 6 mg4920621
IPRATROPIUM 0.002J7644$450.50
99291 - Critical Care3600053$2,340.00
99285 - Level 53600071$963.75$65.00
99284 - Level 43600069$869.50
99283 - Level 33600067$583.50
99282 - Level 23600065$357.50
99281 - Level 13600063$305.75
ACE BANDAGE 6"4100481$13.75$231.75
COBAN 4"4100260$12.25
ACE BANDAGE 2"4100479$7.50
ACE BANDAGE 3"4100733$21.25$197.25
ACE BANDAGE 4"4100735$23.75
Typhoid vaccine, Vi capsular polysaccharide (ViCPs) IM use4920713$442.00
UNATTENDED ELECTRICAL THERAPY4600101$105.50$297.75
MECHANICAL TRACTION4600035$84.25$150.25
Paraffin Bath Charge4600033$84.25
PT RE-EVALUATION4600083$111.25$201.75
PT Evaluation Charge4600061$303.00
OT EVALUATION MODERATE COMPLEXITY4620001$252.75
OT REEVALUATION4620003$136.75
Treatment of Swallowing Dysfunction4640007$767.50
Tx of Speech/Lang/Voice/Comm/Auditory4640003$641.00
Capillary Glucose Test Charge4920545$962.50
Aquatic Therapy Charges4600117$122.50$458.00
Selective Debridement Charge4600091$241.50
CT Angiography Neck W/WO Contrast4420176$3,296.50
Insulin injection4920623$417.50
Injection, Methylprednisolone 125mg/2ml #254920651$417.50
CPR4920029
Office/OP New Visit Level 1 992014920071
Office/OP New Visit Level 2 992024920073
Office/OP New Visit Level 3 992034920075
Office/OP New Visit Level 4 9920499204
Office/OP New Visit Level 5 992054920079
Office/OP Established Visit Level 2 992124920093
Office/OP Established Visit Level 4 992144920883
Transfer Charge4600037$143.50
Unna Boot Strapping Charge4600056$349.00$246.50
TENS Use Charge4600027$373.50$231.75
Sensory Stimulation Charge4620015$111.25
Alcohol Level4200021$169.25$168.25
T4, Total4200175$114.50
CT Angiography Aorta w/ Runoff4420096$4,815.00 $321.75
CT Angiography Aorta w/ Runoff4420096$4,815.00
XR Shoulder Complete Bilateral4300108$690.50$12.00
XR Tibia/Fibula Bilateral4300242$637.50
MRI LE Joint w/ Contrast Bilateral4460073$7,535.25
Cefotaxime sodium injection, per gm4920607
Lincomycin injection, up to 300 mg4920711
Injection nalbuphine hydrochloride, per 10 mg4920641
Osteopathic Manipulative Treatment (Omt); One To Two Body Regions Involved4921925
XR AC Joints w/ or w/o weights Bilateral4300007$283.50
XR Bone Survey Complete4300167$847.75
XR Cystogram Non Voiding4307443$909.25$196.75
XR Cystogram Voiding4307443$909.25
XR IVP4300093$851.50
Nail Excision Technical Charge4920279
CHANGE GASTROSTOMY TUBE CHARGE3610307
XR Mandible Complete Minimum 4 Views4300077$408.25
H. Pylori4200133$259.50
XR Esophagus4300155$4,776.25
INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS4920701
Hepatic Panel 14200179$142.25
REF Antibody Screen4210628$25.75
Rapid Strep A4200197$81.75
Renal Panel 34200153$169.26
BITE STICK4100467$7.50
Total Iron Binding Capacity
Total Iron Binding Capacity
Total Iron Binding Capacity
Total Iron
4200089$114.50
CT Angiography Abdomen w/ + w/o Contrast4420075$4,843.00
CT Angiography Upper Extremity Bilat4420086$4,718.75 $101.00
CT Angiography Upper Extremity Bilat4420086$4,744.50 $150.25
XR Knee Complete Bilateral4300228$1,020.00 $233.00
ARTERIAL PUNCTURE Charge3600011$256.00$393.75
BURN 1ST DEGREE INITIAL Charge3610015$657.75
CARDIOVERSION ELECTIVE E Charge3610023
DEBRIDE SKIN PART THICK Charge3610053
FINE NEEDLE ASPIRATION Charge3610275$180.25
INTRAOSSEOUS INFUSION Charge3610301
IPECAC ADMINISTRATION Charge3610095
.GTT-4 Hr4200282$242.50$188.00
Pinworm Prep4200271$73.25
US LE Venous Doppler Bilateral4440057$4,857.25 $233.00
Office/OP New Visit Level 5 99205 Tech Chg4920069$233.00
Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-I4920715
CV Electrocardiogram (EKG)4470009$150.25
Colonoscopy Patient at High Risk3500113$2,661.00
Occult Blood Diagnostic4200185$58.75
US Echo 2D Limited4440001$1,024.25
RT Airway Suction Charge4070083$86.75$189.50
RT Cardiopulmonary Resuscitation Charge4070039$568.25$34.50
RT Oximetry - Continuous Charge4070075$416.50
RT Pre & Post Spiro Charge4070007$518.50
RT FRC Charge4070003$380.50
ABG Kit RT Charge4070019$126.75
AMBU Bag4070015$113.00
BiPAP/CPAP Circuit4070031$97.50
BiPAP/CPAP Mask (LG)4070113$137.50
BiPAP/CPAP Mask (SM)4070045$89.00$248.25
ET Tube #84070103$20.00
Face Tent4070057$39.75
Heat/Moisture Exchanger (HME)4070105$36.75
MDI Spacer4070109$40.75$229.00
Mini-Nebulizer4070111$57.25$367.00
Nasal Cannula4070025$49.50$474.50
Neb-U-Mask4070081$40.75$179.00
Non-Rebreather Mask4070101$40.75$311.50
Oxygen Humidifer4070041$41.25$401.25
Ventilator Circuit4070059$84.75
BiPAP/CPAP Initial4070065$644.25$494.25
BiPAP/CPAP Subsequent4070035$644.25
CPT Initial RT Charge4070027$114.50
CPT Subsequent4070029$101.00$178.75
Incentive Spirometry Initial4070021$95.25$180.25
Meter Dose Inhaler (MDI) Initial4070097$83.25$205.00
Ventilator Services Initial4070061$1,375.25 $206.25
RT Ventilator Services - Subs Charge4070063$1,246.75 $315.00
E Prescribing4920974$317.50
CASTILE SOAP4100619$5.25$200.25
IRRIGATION TRAY4100607$27.50$297.75
COBAN 6"4100258$18.50$149.50
DUODERM 4X44100333$25.75$221.00
MORGAN LENS4100823$82.75
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE CHARGE3610093$168.25
Meter Dose Inhaler (MDI) Instruction4070095$104.25$248.25
XR Finger Bilateral4300212$564.00$267.50
XR Toes Bilateral4300244$566.25
Yes4640005$366.50$333.75
ADAPTIC 3X84100585$7.50$200.50$168.25
CT Sinus w/o Contrast4420043$2,618.75
XR Femur 2 Views Left4300041$386.00
XR Femur 2 Views Right4300041$386.00
XR LE Infant Min 2 Views Left4300073$345.00$217.00
XR LE Infant Min 2 Views Right4300073$345.00$203.25
XR Mandible Partial < 4 Views Left4300075$341.00
XR Ribs Min 3 Views Left w/ PA Chest4300091$569.75
XR Ribs Min 3 Views Right w/ PA Chest4300091$569.75$168.25
XR Tibia/Fibula 2 Views4300071$318.75
XR Tibia/Fibula 2 Views4300071$318.75
SPLINT LEG LONG APPLY Charge3610153
STRAPPING SHOULDER Prof Fee Charge3610159$150.25
CAST LEG LONG APPLY Prof Fee Charge3610029$168.25
POX, Single Determination Charge4070071$110.75
POX, Multiple Determination Charge4070073$169.25
Breath Alcohol4210258$26.75$168.25
RT ABG W/Direct Meas O2 Sat Charge4070017$435.75$333.75
XR Mandible Partial < 4 Views Right4300075$341.00
Allergy Injection Single POC95115$341.25
Allergy Injection Multi POC4920161$289.00$280.50
Insertion, Non-Biodegradable Drug Delivery Implant3350599$486.50
PHYSICAL DOT99499
RPR 14200267$63.50$197.25
EX MALG LES FCE EARS E >4.0 cm 1164635011646$2,003.50 $413.00
RMVE DRUG IMPLANT 119823101198$435.00
#VASECTOMY 552503505525$2,082.50 $101.00
TREATMENT ROOM NP L-1 992013350033$266.75
TREATMENT ROOM NP L-2 992023350037$266.75
TREATMENT ROOM NP L-3 992033350041$274.00
TREATMENT ROOM NP L-4 992043350045$453.25
TREATMENT ROOM NP L-5 992053350047$453.25
TREATMENT ROOM EST PT L-1 992113350031$234.50
TREATMENT ROOM EST PT L-2 992123350035$266.75
TREATMENT ROOM EST PT L-3 992133350039$274.00
TREATMENT ROOM EST PT L-4 992143350043$453.25
TREATMENT ROOM EST PT L-5 992153350049$453.25
REMOVAL IMPACTED CERUMEN CHARGE3610125
Selective Debridement Addition Charge4600057$314.50
TRACHEOSTOMY CRICOTHYROID MEMBRANE CHARGE3610299
ARTERIAL PUNCTURE (PRO FEE)3610005
TUBE THORACOSTOMY (PRO FEE)3610037$417.50
TB Skin Test POC86580
Yes4600077$150.25
Selective Debridement, total wound surface area, first 20 sq cm or less4600091$241.50
ENEMA BAG4100567$27.50
Methylprednisolone Acetate 20 mg Injection4920611
Ertapenem Sodium 500 mg Injection4920555
OPTICELL AG 2X2 (SILVER)4600049$0.00
DERMABOND4100235$95.25
Retic Count CPL4210363$9.83
PTH, Intact CPL4210429$95.95
A. Fumigatus IgE CPL4211106$32.00
Cockroach, German IgE CPL4211151$32.00
Marshelder, Rough IgE CPL4211239$32.00
Ragweed, Common IgE CPL4211269$32.00
Bermuda Grass IgE, CPL4211126$32.00
Johnson Grass IgE CPL4211228$32.00
Oak Tree IgE CPL4211252$32.00
Egg White IgE CPL4211178$32.00
Soybean IgE CPL
Wheat IgE CPL4211309$32.00
June Grass IgE CPL4211229$32.00$262.25
Lipid Panel CPL4200069$255.50
CBC w/ Diff CPL4200071$104.25
Urinalysis CPL4200123$63.50
Ferritin CPL4200129$175.00
TIBC CPL4211293$30.00
Lithium CPL4210455$16.54
Ur Protein, Random CPL4200296$75.50
GGT CPL4200081$60.19
LDH CPL4200091$96.75
Aldolase CPL4210057$150.38
AFP, Tumor Marker CPL4210033$33.98
CEA CPL4210047$60.63
Cortisol, Random CPL4211154$57.89
Estradiol CPL4210239$72.76
Folate, RBC CPL4211189$50.00
Folic Acid CPL4200031$15.00
FSH CPL4210163$37.73
Hgb A1c CPL4200169$109.00$186.75
Hep B Core Ab CPL4210089$41.34$380.00
Hep B Surface Ab CPL4210353$25.00$106.00$126.75
Hep Bs Ab Quant CPL4218986$28.89$157.00$188.00
Hep B Surface Ag CPL4210077$96.50$227.00$270.50
Immunoglobulin G CPL4219006$40.07$319.75
Leutinizing Hormone CPL4210165$37.60$401.25$474.50
Insulin CPL4210625$34.30$343.50
Prolactin CPL4210517$39.35$447.25
T3 Total CPL4210133$36.75$572.50
T4 CPL4200175$107.00$319.75
Free T4 CPL4210543$15.00$439.00
Testosterone CPL4211094$52.29$532.25
TSH CPL4200258$245.00$106.00
Vit B12 CPL4200201$158.25$121.50
RPR CPL4200267$59.25$148.50
Rheumatoid Factor CPL4211102$41.77$188.00
HIV CPL4218996$29.78$96.00
C Reactive Protein CPL4210541$101.37$121.50
ANA w/ Reflex CPL4210073$50.38$136.75
ASO Titer CPL4210599$109.30$157.00
Complement C4 CPL4210475$37.45$200.50
Aldosterone CPL4210059$62.48
DHEA Sulfate CPL4210109$38.00
Lead, Venous CPL4210173$106.89
Renin CPL4210513$82.08
Zinc CPL4219059$116.05
Cortisol, AM CPL4211153$37.45
Tacrolimus CPL4210597$101.68
Free T3 CPL4210255$100.00
SSA & SSB Ab CPL4211101$53.64
Smith & RNP Abs CPL4211091$31.83
Homocysteine CPL4210265$41.73$198.75
Chromogranin A CPL4211147$178.35
H. Pylori Ag, Stool CPL4210337$65.00$197.25
Neutrophil Cytoplasmic Ab CPL4219022$52.00
Thyroid Peroxidase Ab CPL4210557$33.69$683.25
Thryoglobulin Ab CPL4210423$107.00
HCV RNA CPL4211201$95.00
Hep C Ab CPL4210179$44.11$148.75
ACTH CPL4210049$246.54$318.50
CA 125 CPL4210035$82.08
CA 27.29 CPL4210039$29.09
C-Peptide CPL4210559$34.24
Celiac Disease Panel CPL42190601$136.72
Immunoglobulin E CPL4219008$20.61
Microalbumin CPL4210055$68.30
Microalb/Crea Ratio CPL4200287$51.50
Prealbumin CPL4210349$37.45
Testosterone, Free CPL4210417$53.91
Vitamin B1 CPL4210419$475.32$131.00
Vitamin D, 25 OH CPL4210527$95.25
Vit D,1,25-Dihydroxy CPL4219056$95.24$131.00
CRP HS CPL4211163$40.00
CCP IgG CPL4211089$111.63$136.75
Elm IgE CPL4211180$32.00$172.25
Mountain Cedar CPL4211242$32.00$172.25
Keppra CPL4219014$74.90$300.50
Stool Culture CPL4200199$142.50
Culture, Fungus Skin, Hair CPL4210215$68.30
Ova & Parasites CPL4210343$68.48
Fecal Leukocytes CPL4210245$35.52
Hepatic Function Panel CPL4200179$133.00
CMP CPL4200105$140.50$576.00$233.00
Immunofixation, Serum CPL4211218$55.00$456.75
Immunofixation, Urine CPL4211219$55.00$456.75
Immunofix&SPEP CPL4219037$75.00
RT Peak Flow Procedure Charge4070055$87.50$699.75
RT Continuous Neb Subsequent Charge4070079$302.00$422.50
RT Continuous Neb Initial Charge4070077$606.00$233.00
Anti-Mullerian Hormone CPL4218951$262.15
Coxsackie B Ab CPL4211161$64.00
.GTT Glucose Fasting4200083$58.50
Acute Hepatits Panel, CPL4210593$96.73$866.00
CH50 CPL4210205$37.45
C3 CPL4210473$37.45$246.50
INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG4920609$366.25
Cardiac Holter4920217$280.50
Rapid Strep A86403$50.75
PT Whirlpool Full Body4600045$292.00
XR Chest 1 View Special4300171$100.00$343.50
Direct Antiglobulin Test 24220034$113.50$369.25
Urine Propoxyphene Screen4200047$65.00
CT Sinus w/ + w/o Contrast4420045$3,606.25 $517.00
CT Sinus w/ Contrast4420047$2,867.25 $246.50
Aerosol Initial4070067$147.00$321.75
Aerosol Subsequent4070069$105.50
I&D of Vulva/Perineum ProFee3610315$369.25
Aph RBC CP2D AS3 LR 24220003$423.25
Aph RBC CP2D AS3 LR 14220003$423.25$294.25
Influenza virus vaccine, live, for intranasal use4920723$356.50
Protein, 24HR Urine4200001$68.00
ANES VASECTOMY 009214550921$161.75
CT Angiography Abdomen/Pelvis4420056$3,408.00
20600 A-CENTESIS ASPRTE INJ20600$282.75
99213 OV/OP VISIT EST PT L-34920057$742.25
SPECIPAN4100329$7.50$217.00
TELFA 3X84100198$0.00$180.25
STOPCOCK 3-WAY4100207$10.00$180.25
90723 THS Dtap-Hepb-Ipv4920689$248.25
90715 THS Tdap 7Yrs & Older4920269
90669 THS Prevnar 7 Valent4920645$168.25
90658 THS Flu Vaccine 3Yrs & >4920957$168.25
90648 THS Hib PRP-T Conjugate4920717
90633 THS Hep A Pedi/Adolescent4920727
Medication Charge4920905
RT Sputum Collection Charge4070085$86.75
90680 THS Rotavirus POC4920691
90710 THS MMRV (ProQuad) POC4920963
XR Spine Cervical 4 or 5 Views4300121$595.25
90734 THS MENGOCCAL CONJ VACC4920667
90714 THS TETANUS-DIPHTHERIA T4920271
US Extremity Nonvascular Ltd Lt4440026$186.75
US Extremity Nonvascular Ltd Rt4440026$186.75
XR LE Infant Min 2 Views Bilateral4300073$344.75
PREP TRAY4100647$10.00
J1050 Medroxyprogesterone acetate 150mg/mL4920871
hCG Qualitative, Urine4200193$105.50$161.25
G0378 OBSERVATION CHARGE3100001$42.50
CN 100% impaired4600124$0.00$168.25
CM At least 80% but less than 100% impaired4600124$0.00$168.25
CL At least 60% but less than 80% impaired4600124$0.00
CK At least 40% but less than 60% impaired4600124$0.00
CJ At least 20% but less than 40% impaired4600124$0.00$84.25
CI At least 1% but less than 20% impaired4600124$0.00$168.25
CH 0% impaired4600124$0.00$168.25
CN 100% impaired4600125$0.00$168.25
CM At least 80% but less than 100% impaired4600125$0.00$168.25
CL At least 60% but less than 80% impaired4600125$0.00
CK At least 40% but less than 60% impaired4600125$0.00
CJ At least 20% but less than 40% impaired4600125$0.00
CI At least 1% but less than 20% impaired4600125$0.00
CH 0% impaired4600125$0.00
Inhalation Treatment94640
MISC LAB CHARGE4920731$0.00$84.25
IV Initial UP to 1 Hour4920225
CN 100% impaired4620022$0.00
CM At least 80% but less than 100% impaired4620022$0.00
CL At least 60% but less than 80% impaired4620022$0.00
CK At least 40% but less than 60% impaired4620022$0.00
CJ At least 20% but less than 40% impaired4620022$0.00
CI At least 1% but less than 20% impaired4620022$0.00
CH 0% impaired4620022$0.00$333.75
CN 100% impaired4620024$0.00
CM At least 80% but less than 100% impaired4620024$0.00
CL At least 60% but less than 80% impaired4620024$0.00
CK At least 40% but less than 60% impaired4620024$0.00
CJ At least 20% but less than 40% impaired4620024$0.00
CI At least 1% but less than 20% impaired4620024$0.00$422.50
CH 0% impaired4620024$0.00
CN 100% impaired4620023$0.00
CM At least 80% but less than 100% impaired4620023$0.00
CL At least 60% but less than 80% impaired4620023$0.00
CK At least 40% but less than 60% impaired4620023$0.00
CJ At least 20% but less than 40% impaired4620023$0.00
CI At least 1% but less than 20% impaired4620023$0.00$990.75
CH 0% impaired4620023$0.00
CN 100% impaired4600121$0.00$75.25
CM At least 80% but less than 100% impaired4600121$0.00$212.25
CL At least 60% but less than 80% impaired4600121$0.00
CK At least 40% but less than 60% impaired4600121$0.00$168.25
CJ At least 20% but less than 40% impaired4600121$0.00
CI At least 1% but less than 20% impaired4600121$0.00$333.75
CH 0% impaired4600121$0.00
CN 100% impaired4600123$0.00$278.25
CM At least 80% but less than 100% impaired4600123$0.00$417.50
CL At least 60% but less than 80% impaired4600123$0.00$248.25
CK At least 40% but less than 60% impaired4600123$0.00
CJ At least 20% but less than 40% impaired4600123$0.00$417.50
CI At least 1% but less than 20% impaired4600123$0.00$150.25
CH 0% impaired4600123$0.00
CN 100% impaired4600122$0.00
CM At least 80% but less than 100% impaired4600122$0.00$150.25
CL At least 60% but less than 80% impaired4600122$0.00
CK At least 40% but less than 60% impaired4600122$0.00$248.25
CJ At least 20% but less than 40% impaired4600122$0.00$168.25
CI At least 1% but less than 20% impaired4600122$0.00
CH 0% impaired4600122$0.00$168.25
CN 100% impaired4600126$0.00
CM At least 80% but less than 100% impaired4600126$0.00$494.25
CL At least 60% but less than 80% impaired4600126$0.00
CK At least 40% but less than 60% impaired4600126$0.00
CJ At least 20% but less than 40% impaired4600126$0.00$217.00
CI At least 1% but less than 20% impaired4600126$0.00$248.25
CH 0% impaired4600126$0.00$248.25
CN 100% impaired4600118$0.00
CM At least 80% but less than 100% impaired4600118$0.00
CL At least 60% but less than 80% impaired4600118$0.00
CK At least 40% but less than 60% impaired4600118$0.00$365.00
CJ At least 20% but less than 40% impaired4600118$0.00
CI At least 1% but less than 20% impaired4600118$0.00
CH 0% impaired4600118$0.00
CN 100% impaired4600120$0.00$281.25
CM At least 80% but less than 100% impaired4600120$0.00
CL At least 60% but less than 80% impaired4600120$0.00$217.00
CK At least 40% but less than 60% impaired4600120$0.00
CJ At least 20% but less than 40% impaired4600120$0.00$480.50
CI At least 1% but less than 20% impaired4600120$0.00
CH 0% impaired4600120$0.00
CN 100% impaired4600119$0.00
CM At least 80% but less than 100% impaired4600119$0.00
CL At least 60% but less than 80% impaired4600119$0.00$657.75
CK At least 40% but less than 60% impaired4600119$0.00
CJ At least 20% but less than 40% impaired4600119$0.00
CI At least 1% but less than 20% impaired4600119$0.00
CH 0% impaired4600119$0.00
CN 100% impaired4600130$0.00$1,648.25
CM At least 80% but less than 100% impaired4600130$0.00
CL At least 60% but less than 80% impaired4600130$0.00
CK At least 40% but less than 60% impaired4600130$0.00
CJ At least 20% but less than 40% impaired4600130$0.00
CI At least 1% but less than 20% impaired4600130$0.00
CH 0% impaired4600130$0.00
CN 100% impaired4600132$0.00
CM At least 80% but less than 100% impaired4600132$0.00$33.50
CL At least 60% but less than 80% impaired4600132$0.00$33.75
CK At least 40% but less than 60% impaired4600132$0.00
CJ At least 20% but less than 40% impaired4600132$0.00$33.00
CI At least 1% but less than 20% impaired4600132$0.00
CH 0% impaired4600132$0.00$50.00
CN 100% impaired4600131$0.00$225.00
CM At least 80% but less than 100% impaired4600131$0.00
CL At least 60% but less than 80% impaired4600131$0.00
CK At least 40% but less than 60% impaired4600131$0.00
CJ At least 20% but less than 40% impaired4600131$0.00
CI At least 1% but less than 20% impaired4600131$0.00
CH 0% impaired4600131$0.00
CN 100% impaired4600127$0.00
CM At least 80% but less than 100% impaired4600127$0.00
CL At least 60% but less than 80% impaired4600127$0.00
CK At least 40% but less than 60% impaired4600127$0.00
CJ At least 20% but less than 40% impaired4600127$0.00
CI At least 1% but less than 20% impaired4600127$0.00
CH 0% impaired4600127$0.00
CN 100% impaired4600129$0.00
CM At least 80% but less than 100% impaired4600129$0.00
CL At least 60% but less than 80% impaired4600129$0.00
CK At least 40% but less than 60% impaired4600129$0.00
CJ At least 20% but less than 40% impaired4600129$0.00
CI At least 1% but less than 20% impaired4600129$0.00
CH 0% impaired4600129$0.00
CN 100% impaired4600128$0.00
CM At least 80% but less than 100% impaired4600128$0.00
CL At least 60% but less than 80% impaired4600128$0.00
CK At least 40% but less than 60% impaired4600128$0.00
CJ At least 20% but less than 40% impaired4600128$0.00
CI At least 1% but less than 20% impaired4600128$0.00
CH 0% impaired4600128$0.00
CN 100% impaired4600133$0.00
CM At least 80% but less than 100% impaired4600133$0.00
CL At least 60% but less than 80% impaired4600133$0.00
CK At least 40% but less than 60% impaired4600133$0.00
CJ At least 20% but less than 40% impaired4600133$0.00
CI At least 1% but less than 20% impaired4600133$0.00
CH 0% impaired4600133$0.00
CN 100% impaired4600134$0.00
CM At least 80% but less than 100% impaired4600134$0.00
CL At least 60% but less than 80% impaired4600134$0.00
CK At least 40% but less than 60% impaired4600134$0.00
CJ At least 20% but less than 40% impaired4600134$0.00
CI At least 1% but less than 20% impaired4600134$0.00
CH 0% impaired4600134$0.00
CN 100% impaired4600135$0.00
CM At least 80% but less than 100% impaired4600135$0.00
CL At least 60% but less than 80% impaired4600135$0.00
CK At least 40% but less than 60% impaired4600135$0.00
CJ At least 20% but less than 40% impaired4600135$0.00
CI At least 1% but less than 20% impaired4600135$0.00
CH 0% impaired4600135$0.00
CN 100% impaired4620025$0.00
CM At least 80% but less than 100% impaired4620025$0.00
CL At least 60% but less than 80% impaired4620025$0.00
CK At least 40% but less than 60% impaired4620025$0.00
CJ At least 20% but less than 40% impaired4620025$0.00
CI At least 1% but less than 20% impaired4620025$0.00
CH 0% impaired4620025$0.00
CN 100% impaired4620026$0.00
CM At least 80% but less than 100% impaired4620026$0.00
CL At least 60% but less than 80% impaired4620026$0.00
CK At least 40% but less than 60% impaired4620026$0.00
CJ At least 20% but less than 40% impaired4620026$0.00
CI At least 1% but less than 20% impaired4620026$0.00
CH 0% impaired4620026$0.00
CN 100% impaired4620027$0.00
CM At least 80% but less than 100% impaired4620027$0.00
CL At least 60% but less than 80% impaired4620027$0.00
CK At least 40% but less than 60% impaired4620027$0.00
CJ At least 20% but less than 40% impaired4620027$0.00
CI At least 1% but less than 20% impaired4620027$0.00
CH 0% impaired4620027$0.00
CN 100% impaired4620018$0.00
CM At least 80% but less than 100% impaired4620018$0.00
CL At least 60% but less than 80% impaired4620018$0.00
CK At least 40% but less than 60% impaired4620018$0.00
CJ At least 20% but less than 40% impaired4620018$0.00
CI At least 1% but less than 20% impaired4620018$0.00
CH 0% impaired4620018$0.00$58.50
CN 100% impaired4620021$0.00
CM At least 80% but less than 100% impaired4620021$0.00
CL At least 60% but less than 80% impaired4620021$0.00
CK At least 40% but less than 60% impaired4620021$0.00
CJ At least 20% but less than 40% impaired4620021$0.00
CI At least 1% but less than 20% impaired4620021$0.00
CH 0% impaired4620021$0.00
CN 100% impaired4620020$0.00
CM At least 80% but less than 100% impaired4620020$0.00
CL At least 60% but less than 80% impaired4620020$0.00
CK At least 40% but less than 60% impaired4620020$0.00
CJ At least 20% but less than 40% impaired4620020$0.00
CI At least 1% but less than 20% impaired4620020$0.00
CH 0% impaired4620020$0.00
RT Oxygen Therapy Initial Charge4070053$137.50
RT Oxygen Therapy Subsequent Charge4070051$25.25
CATH FOLEY 6F PED - 1025014109600$7.25
PT Manual Therapy Units4600069$134.75
PT Therapeutic Activity Units4600037$143.50
PT Orthotic Management, Train Units4600029$233.00
OT Biofeedback Units4620005$336.75
OT Swallow Dysfunction Oral Feed Units4640005$366.50
OT Self Care, Home Management Charges4620017$123.75
PT Contrast Bath Charges4600005$84.25
CMP 104200105$150.25
Injection, medroxyprogesterone acetate, 1 mg4920871
96372 INJECTION FEE IM,SQ ED Charge3600101$97.00
99281 EMERGENCY RM-LEVEL I ED Charge3600063$305.75
99282 EMERGENCY RM-LEVEL 2 ED Charge3600065$357.50
99283 EMERGENCY RM-LEVEL 3 ED Charge3600067$583.50
99291 CRITICAL CARE ED Charge3600053$2,340.00
97597 SEL DEBRIDEMENT CHARGE4600138$241.50
97012 TRACTION MECHANICAL CHARGE4600041$84.25
97018 PARAFFIN CHARGE4600033$84.25
97140 MANUAL THERAPY CHARGE4600069$134.75
97113 AQUATIC THERAPY CHARGE4600117$122.50
97001 PT EVALUATION CHARGE46097164$220.50$301.25
Rheumatoid Factor 24211090$44.75
96375 IV INJ EA ADD NEW DRUG3100023$264.00
96376 IV INJ EA ADD SAME DRUG3100035$264.00
96413 CHEMO IV INFUSION 1 HR3350011$600.50
90471 IMMUNIZATION ADMINISTRATION3350015$42.50
IMMUNIZATION ADM; STATE3350013$42.50
20610 ACENTESIS ASP/INJ JNT M3000029$369.25
92950 CPR4920383
ANESTHESIA CVPLINE INSERT4550532
96360 HYDRATION IV <=1 HR CHARGE3100019$450.50
96365 INF THERAPY 1ST HR CHARGE3100005$450.50$0.00
96361 HYDRATE IV, ADD-ON CHARGE3100021$336.75
96372 INJ SUBQ OR IM CHARGE3100009$97.00
96374 IV PUSH SINGLE/INT CHARGE3100011$264.00
96523 IRRIGATE PORT FLUSH CHARGE3359652$182.50
I&D ABSCESS SMPL/SNGL3620421$546.75
CAST ARM SHORT APPLY4920025
SPLINT FINGER APPLY STA3610155
CAST LEG SHORT APPLY4920027$583.25
SPLINT LEG SHORT APPLY4920051$753.50
ANESTHESIA CVPLINE INSERT4550532$218.75
29505 SPLINT LONG LEG Clinic Charge29505
29515 SPLINT SHORT LEG Clinic Charge29515
40812 EXCISION LESION MOUTH W/SIMPLE Clinic Charge36040812$887.25$101.75
55250 VASECTOMY Clinic Charge4925525$155.25
G0101 Screening Pelvic/Breast Exam Clinic Charge4920261
G0402 Welcome To Medicare Pe Clinic ChargeG0402
L4350 Splint Aircast Clinic Charge4920825
Q0091 Medicare Pap Collection Clinic Charge4920259
US ECHO Complete4440051$3,777.25
EYE PAD4100313$5.25
TELFA 3X44100199$5.25$101.75
51701 INSERT NON-INDWELLING BLADDER CATH- PROF CHG3000035$261.25
FOLEY PLACEMENT SIMPLE TR3350086$207.00$126.75
I&D HEMATOMA ED Charge3610087
Bx bone, open superficial3620379
96367 IV INF ADDL SEQUNT 1ST HR Charge3100041$336.75$136.75
96368 IV INFUSION CONCURRENT Charge3100043$91.50
Bill DOT Drug Screen Fee4210259$42.75$167.75
Bill Non-DOT Drug Screen Fee4210261$37.50
90460 Immunization administration4920905$218.75
THS Hep A Adult90632$200.50
Hemoglobin POC.4920529
00713-0164-12 - acetaminophen 325. mg Supp [RCMH]$245.50
00472-1417-99 - acetaminophen 1500. Liq [RCMH]$337.75
00713-0118-50 - acetaminophen 120. mg Supp [RCMH]$441.00
00904-1982-61 - acetaminophen 325. mg Tab [RCMH]
68094-0593-61 - acetaminophen 160. Susp [RCMH]
45802-0730-30 - acetaminophen 650. mg Supp [RCMH]
00904-1988-61 - acetaminophen 500. mg Tab [RCMH]
00121-0504-05 - acetaminophen-codeine 120 mg-12 mg/5 mL Liq [RCMH]
00406-0484-62 - acetaminophen-codeine 300 mg-30 mg Tab [RCMH]$92.25
37205-0060-71 - acetaminophen-diphenhydrAMINE 500 mg-25 mg Tab [RCMH]
00406-0367-62 - acetaminophen-HYDROcodone 325 mg-10 mg Tab [RCMH]$101.75
00406-0365-62 - acetaminophen-HYDROcodone 325 mg-5 mg Tab [RCMH]
00406-0366-62 - acetaminophen-HYDROcodone 325 mg-7.5 mg Tab [RCMH]$121.50
00406-0363-62 - acetaminophen-HYDROcodone 500 mg-10 mg Tab [RCMH]
00406-0357-62 - acetaminophen-HYDROcodone 500 mg-5 mg Tab [RCMH]
63739-0141-10 - acetaminophen-HYDROcodone 500 mg-7.5 mg Tab [RCMH]
00121-4655-15 - acetaminophen-HYDROcodone 500 mg-7.5 mg/15 mL Elixir [RCMH]
00172-6359-10 - acetaminophen-traMADol 325 mg-37.5 mg Tab [RCMH]
00527-1050-01 - acetaZOLAMIDE 250. mg Tab [RCMH]
00409-3308-03 - acetylcysteine 20% Soln [RCMH]
61442-0112-01 - acyclovir 400. mg Tab [RCMH]
00093-8940-01 - acyclovir 200. mg Cap [RCMH]
00378-8700-06 - acyclovir topical 5% Ointment [RCMH]
64679-0630-07 - adenosine 6. Soln [RCMH]
00121-1761-30 - Al hydroxide/Mg hydroxide/simethicone Susp [RCMH]$162.25
00121-1762-30 - Al hydroxide/Mg hydroxide/simethicone Susp [RCMH]
13533-0684-20 - albumin human 25% Soln [RCMH]
00173-0682-24 - albuterol 90. mcg Aerosol [RCMH]
00591-3797-30 - albuterol 0.083% Soln [RCMH]
00487-0201-01 - albuterol-ipratropium Soln [RCMH]
00597-0013-14 - albuterol-ipratropium Aerosol [RCMH]
41616-0637-68 - alendronate 35. mg Tab [RCMH]$220.00
51079-0205-20 - allopurinol 100. mg Tab [RCMH]
68084-0018-01 - ALPRAZolam 0.25 mg Tab [RCMH]$209.50
51079-0789-20 - ALPRAZolam 0.5 mg Tab [RCMH]$290.25
00781-2048-01 - amantadine 100. mg Cap [RCMH]$255.75
00703-9032-03 - amikacin 500. Soln [RCMH]$316.75
67457-0153-03 - amiodarone 150. Soln [RCMH]$243.50
51079-0906-20 - amiodarone 200. mg Tab [RCMH]$316.75
00904-0201-61 - amitriptyline 25. mg Tab [RCMH]$390.00
00904-0202-61 - amitriptyline 50. mg Tab [RCMH]
51079-0131-20 - amitriptyline 10. mg Tab [RCMH]$301.75
00904-5992-61 - amLODIPine 5. mg Tab [RCMH]$346.75
51079-0450-20 - amLODIPine 2.5 mg Tab [RCMH]$422.50
00781-2613-01 - amoxicillin 500. mg Cap [RCMH]$330.25
00781-6041-46 - amoxicillin 5000. REC Powder [RCMH]$234.00
00093-3107-01 - amoxicillin 250. mg Cap [RCMH]
00781-1943-39 - amoxicillin-clavulanate 1000 mg-62.5 mg ER Tablet [RCMH]$222.75
00781-1874-31 - amoxicillin-clavulanate 250 mg-125 mg Tab [RCMH]$218.75
00093-2274-34 - amoxicillin-clavulanate 500 mg-125 mg Tab [RCMH]$400.25
66685-1001-01 - amoxicillin-clavulanate 875 mg-125 mg Tab [RCMH]$381.25
63323-0389-10 - ampicillin 1. gm REC Injection [RCMH]$450.25
63323-0399-23 - ampicillin 2. gm REC Injection [RCMH]$221.00
25021-0142-20 - ampicillin-sulbactam 1 g-0.5 g REC Injection [RCMH]$210.50
00409-2987-03 - ampicillin-sulbactam 2 g-1 g REC Injection [RCMH]$267.50
24208-0561-62 - antipyrine-benzocaine otic 54 mg-14 mg/mL Soln [RCMH]
50633-0110-12 - antivenin (Crotalidae) polyvalent Soln [RCMH]
68084-0396-01 - APAP/butalbital/caffeine 325 mg-50 mg-40 mg Tab [RCMH]
59148-0640-23 - ARIPiprazole 10. mg DIS Tablet [RCMH]
59148-0009-13 - ARIPiprazole 15. mg Tab [RCMH]
00904-0523-61 - ascorbic acid 500. mg Tab [RCMH]
00904-2013-60 - aspirin 325. mg EC Tablet [RCMH]
66553-0001-01 - aspirin 325. mg Tab [RCMH]
00904-4040-73 - aspirin 81. mg Chew tab [RCMH]
63739-0272-10 - aspirin 81. mg EC Tablet [RCMH]
00597-0001-60 - aspirin-dipyridamole 25 mg-200 mg ER Capsule [RCMH]
00904-5392-61 - atenolol 25. mg Tab [RCMH]
51079-0684-20 - atenolol 50. mg Tab [RCMH]
51079-0412-03 - atorvastatin 80. mg Tab [RCMH]
51079-0409-20 - atorvastatin 10. mg Tab [RCMH]
68084-0565-01 - atorvastatin 20. mg Tab [RCMH]
00409-9630-05 - atropine 0.25 Soln [RCMH]
00517-1010-25 - atropine 1. Soln [RCMH]
00409-4911-34 - atropine 1. Soln [RCMH]
10019-0250-20 - atropine 8. Soln [RCMH]
61314-0303-01 - atropine ophthalmic 1% Soln [RCMH]
24208-0825-55 - atropine ophthalmic 1% Ointment [RCMH]
66213-0423-04 - atropine/hyoscyamine/PB/scopolamine Elixir [RCMH]
51079-0067-20 - atropine-diphenoxylate 0.025 mg-2.5 mg Tab [RCMH]
00054-3194-46 - atropine-diphenoxylate 0.025 mg-2.5 mg/5 mL Liq [RCMH]
00037-0241-30 - azelastine nasal 137. mcg Spray [RCMH]
68084-0278-01 - azithromycin 250. mg Tab [RCMH]
00069-3150-83 - azithromycin 500. mg REC Injection [RCMH]
00409-0144-11 - azithromycin 500. mg REC Injection [RCMH]$0.25
00003-2560-16 - aztreonam 1. gm REC Injection [RCMH]
51479-0042-15 - aztreonam 2. gm REC Injection [RCMH]
24208-0785-55 - bacitracin/HC/neomycin/polymyxin B ophthalmic 400 units-10 mg-3.5 mg-10000 units/g Ointment [RCMH]
24208-0780-55 - bacitracin/neomycin/polymyxin B ophthalmic 400 units-3.5 mg-10000 units/g Ointment [RCMH]
00168-0012-09 - bacitracin/neomycin/polymyxin B topical 400 units-3.5 mg-5000 units/g Ointment [RCMH]
00168-0012-35 - bacitracin/neomycin/polymyxin B topical 400 units-3.5 mg-5000 units/g Ointment [RCMH]
00173-0388-79 - beclomethasone nasal 0.042 mg Spray [RCMH]
51079-0146-20 - benazepril 20. mg Tab [RCMH]
51079-0145-20 - benazepril 10. mg Tab [RCMH]
60793-0600-10 - benzathine penicillin-procaine penicillin Susp [RCMH]
11509-0000-11 - benzocaine topical 10. mg Lozenge [RCMH]
10223-0201-01 - benzocaine/butamben/tetracaine topical 14%-2%-2% Aerosol [RCMH]
54162-0100-10 - benzoin topical Swab [RCMH]
68084-0214-01 - benzonatate 100. mg Cap [RCMH]
00904-1056-61 - benztropine 1. mg Tab [RCMH]
00517-0720-01 - betamethasone Susp [RCMH]
00168-0033-46 - betamethasone topical valerate 0.1% Ointment [RCMH]
00472-0370-45 - betamethasone topical valerate 0.1% Cream [RCMH]
00168-0033-15 - betamethasone topical valerate 0.1% Ointment [RCMH]
00168-0258-15 - betamethasone-clotrimazole topical 0.05% Cream [RCMH]
00065-0246-10 - betaxolol ophthalmic 0.25% Susp [RCMH]
00832-0511-01 - bethanechol 10. mg Tab [RCMH]
00832-0512-01 - bethanechol 25. mg Tab [RCMH]
00904-7927-61 - bisacodyl 5. mg EC Tablet [RCMH]
00904-5058-12 - bisacodyl 10. mg Supp [RCMH]
37000-0018-06 - bismuth subsalicylate 262. mg Chew tab [RCMH]
37000-0032-01 - bismuth subsalicylate 2096. Susp [RCMH]
00093-5270-56 - bisoprolol 5. mg Tab [RCMH]
61314-0144-05 - brimonidine ophthalmic 0.15% Soln [RCMH]
00093-6816-73 - budesonide 0.5 Susp [RCMH]
55390-0500-02 - bumetanide 0.5 Soln [RCMH]
51079-0892-20 - bumetanide 1. mg Tab [RCMH]
00409-1560-29 - bupivacaine Soln [RCMH]
00186-1031-01 - bupivacaine 0.25% Soln [RCMH]
63323-0462-31 - bupivacaine-EPINEPHrine Soln [RCMH]
00591-3541-60 - buPROPion 150. mg ER Tablet [RCMH]
00591-0858-60 - buPROPion 100. mg ER Tablet [RCMH]
10370-0101-03 - buPROPion 150. mg ER Tablet [RCMH]
00093-0290-01 - buPROPion 100. mg Tab [RCMH]
51079-0985-20 - busPIRone 5. mg Tab [RCMH]
00409-1626-01 - butorphanol 2. Soln [RCMH]
00904-2533-00 - calamine topical 8% Lotion [RCMH]
50222-0260-06 - calcipotriene topical 0.005% Cream [RCMH]
00093-0657-01 - calcitriol 0.25 mcg Cap [RCMH]
00054-0088-26 - calcium acetate Cap [RCMH]
00904-3232-52 - calcium carbonate 600. mg Tab [RCMH]
00904-1883-61 - calcium carbonate 1250. mg Tab [RCMH]
00517-2710-25 - calcium chloride 1000. Soln [RCMH]
63323-0311-10 - calcium gluconate 1000. Soln [RCMH]
51645-0828-99 - calcium-vitamin D 500 mg-200 intl units Tab [RCMH]
00904-3233-52 - calcium-vitamin D 600 mg-400 intl units Tab [RCMH]
00186-0008-31 - candesartan 8. mg Tab [RCMH]
00904-5046-61 - captopril 25. mg Tab [RCMH]
51079-0870-20 - carBAMazepine 100. mg Chew tab [RCMH]
51079-0385-20 - carBAMazepine 200. mg Tab [RCMH]
29033-0004-12 - carBAMazepine 300. mg ER Capsule [RCMH]
00904-3220-35 - carbamide peroxide otic 6.5% Soln [RCMH]
00228-2538-10 - carbidopa-levodopa 10 mg-100 mg Tab [RCMH]
63739-0047-10 - carbidopa-levodopa 25 mg-100 mg Tab [RCMH]
63739-0048-10 - carbidopa-levodopa 25 mg-250 mg Tab [RCMH]
68084-0261-01 - carvedilol 3.125 mg Tab [RCMH]
00007-3372-13 - carvedilol 40. mg ER Capsule [RCMH]
00409-2585-01 - ceFAZolin 1. gm REC Injection [RCMH]
00409-0805-01 - ceFAZolin 1. gm REC Injection [RCMH]
60505-0834-04 - cefepime 1. gm REC Injection [RCMH]
25021-0122-50 - cefepime 2. gm REC Injection [RCMH]
00039-0018-11 - cefotaxime 1. gm REC Injection [RCMH]
00781-5043-01 - cefprozil 250. mg Tab [RCMH]
00173-0377-10 - cefTAZidime 500. mg REC Injection [RCMH]
00409-5082-16 - cefTAZidime 1. gm REC Injection [RCMH]
00409-7336-04 - cefTRIAXone 2. gm REC Injection [RCMH]
44567-0701-25 - cefTRIAXone 1. gm REC Injection [RCMH]
00409-7333-04 - cefTRIAXone 1. gm REC Injection [RCMH]
55390-0310-10 - cefTRIAXone 500. mg REC Injection [RCMH]
55390-0309-10 - cefTRIAXone 250. mg REC Injection [RCMH]
00069-4483-10 - cefTRIAXone 2. gm REC Injection [RCMH]
64679-0921-01 - cefuroxime 250. mg Tab [RCMH]
65862-0035-20 - cefuroxime 500. mg Tab [RCMH]
00025-1525-34 - celecoxib 200. mg Cap [RCMH]
00025-1520-34 - celecoxib 100. mg Cap [RCMH]
00093-3145-01 - cephalexin 250. mg Cap [RCMH]
00093-3147-01 - cephalexin 500. mg Cap [RCMH]
00093-4175-73 - cephalexin 2500. REC Powder [RCMH]
00093-6300-12 - cetirizine 120. Syrup [RCMH]
51079-0597-20 - cetirizine 10. mg Tab [RCMH]
66689-0202-04 - charcoal Susp [RCMH]
66689-0203-04 - charcoal-sorbitol 25 g Susp [RCMH]
51079-0141-20 - chlordiazePOXIDE 25. mg Cap [RCMH]
51079-0374-20 - chlordiazePOXIDE 5. mg Cap [RCMH]
00234-0575-17 - chlorhexidine topical 4% Soap [RCMH]
00234-0575-04 - chlorhexidine topical 4% Soap [RCMH]
60258-0415-04 - chlorpheniramine/DM/phenylephrine 4 mg-15 mg-12.5 mg/5 mL Syrup [RCMH]
00832-0303-00 - chlorproMAZINE 100. mg Tab [RCMH]
00641-1397-35 - chlorproMAZINE 25. mg Soln [RCMH]
62584-0330-01 - chlorproMAZINE 25. mg Tab [RCMH]
00378-0213-01 - chlorthalidone 50. mg Tab [RCMH]
00093-7231-06 - cilostazol 100. mg Tab [RCMH]
00378-0317-01 - cimetidine 300. mg Tab [RCMH]
00409-4777-02 - ciprofloxacin 400. Soln [RCMH]4500872
00409-4777-23 - ciprofloxacin 200. Soln [RCMH]
68084-0069-01 - ciprofloxacin 250. mg Tab [RCMH]
68084-0070-01 - ciprofloxacin 500. mg Tab [RCMH]
00904-6085-61 - citalopram 20. mg Tab [RCMH]
00093-7244-06 - clarithromycin 500. mg ER Tablet [RCMH]
63739-0059-10 - clindamycin 150. mg Cap [RCMH]
00409-4054-03 - clindamycin 600. Soln [RCMH]
50383-0268-30 - clobetasol topical 0.05% Ointment [RCMH]
51079-0881-20 - clonazePAM 0.5 mg Tab [RCMH]
51079-0300-20 - cloNIDine 0.2 mg Tab [RCMH]
00555-1009-16 - cloNIDine ER Film [RCMH]
51079-0299-20 - cloNIDine 0.1 mg Tab [RCMH]
00904-6294-61 - clopidogrel 75. mg Tab [RCMH]
00054-4146-22 - clotrimazole 10. mg Lozenge [RCMH]
45802-0434-01 - clotrimazole topical 1% Cream [RCMH]
00121-1775-10 - codeine-guaiFENesin 10 mg-100 mg/5 mL Syrup [RCMH]
64764-0119-07 - colchicine 0.6 mg Tab [RCMH]
00064-5010-30 - collagenase topical Ointment [RCMH]
10139-0905-10 - cosyntropin 0.25 mg REC Injection [RCMH]
00536-3556-01 - cyanocobalamin 1000. mcg Tab [RCMH]
00536-3542-01 - cyanocobalamin 100. mcg Tab [RCMH]
00182-0037-01 - cyanocobalamin 500. mcg Tab [RCMH]
63323-0044-01 - cyanocobalamin 1000. Soln [RCMH]
51079-0644-20 - cyclobenzaprine 10. mg Tab [RCMH]
00904-1145-61 - cyproheptadine 4. mg Tab [RCMH]
00149-0734-02 - dantrolene 20. mg REC Injection [RCMH]
67919-0011-01 - DAPTOmycin 500. mg REC Injection [RCMH]
55513-0004-04 - darbepoetin alfa 60. Soln [RCMH]
55513-0023-04 - darbepoetin alfa 60. Soln [RCMH]
63323-0165-05 - dexamethasone 20. Soln [RCMH]
00054-8179-25 - dexamethasone 0.5 mg Tab [RCMH]
61314-0631-36 - dexamethasone/neomycin/polymyxin B ophthalmic 1 mg-3.5 mg-10000 units/g Ointment [RCMH]
61314-0630-06 - dexamethasone/neomycin/polymyxin B ophthalmic 1 mg-3.5 mg-10000 units/mL Susp [RCMH]
00121-0638-05 - dextromethorphan-guaiFENesin 10 mg-100 mg/5 mL Liq [RCMH]
63824-0056-32 - dextromethorphan-guaiFENesin 30 mg-600 mg ER Tablet [RCMH]
00338-0085-04 - Dextrose 5% with 0.45% NaCl Soln [RCMH]
00338-0671-04 - Dextrose 5% with 0.45% NaCl and KCl 20 mEq/l Soln [RCMH]
51079-0284-20 - diazepam 2. mg Tab [RCMH]
00409-1273-32 - diazepam 10. Soln [RCMH]
51079-0285-20 - diazepam 5. mg Tab [RCMH]
00409-3213-12 - diazepam 50. Soln [RCMH]
00093-3123-01 - dicloxacillin 250. mg Cap [RCMH]
58914-0080-52 - dicyclomine 20. Soln [RCMH]
51079-0118-20 - dicyclomine 10. mg Cap [RCMH]
24987-0242-56 - digoxin 125. mcg Tab [RCMH]
00173-0249-56 - digoxin 250. mcg Tab [RCMH]
00054-0057-46 - digoxin 3000. Elixir [RCMH]
00641-1410-35 - digoxin 500. Soln [RCMH]
00228-2577-03 - diltiazem 180. mg ER Capsule [RCMH]
63739-0079-10 - diltiazem 30. mg Tab [RCMH]
62584-0977-01 - diltiazem 300. mg ER Capsule [RCMH]
00228-2588-03 - diltiazem 120. mg ER Capsule [RCMH]
00228-2578-03 - diltiazem 240. mg ER Capsule [RCMH]
10019-0510-01 - diltiazem 5. mg Soln [RCMH]
00904-2051-59 - dimenhyDRINATE 50. mg Tab [RCMH]
00904-2056-61 - diphenhydrAMINE 50. mg Cap [RCMH]
00121-0489-05 - diphenhydrAMINE 12.5 Liq [RCMH]
00641-0376-25 - diphenhydrAMINE 50. Soln [RCMH]
00904-5306-61 - diphenhydrAMINE 25. mg Cap [RCMH]
00904-1086-61 - dipyridamole 25. mg Tab [RCMH]
68084-0313-01 - divalproex sodium 125. mg EC Capsule [RCMH]
00245-0180-01 - divalproex sodium 125. mg EC Tablet [RCMH]
68084-0316-01 - divalproex sodium 250. mg ER Tablet [RCMH]
63739-0553-10 - divalproex sodium 250. mg EC Tablet [RCMH]
00409-2344-02 - DOBUTamine 250. Soln [RCMH]
00121-0544-16 - docusate sodium 150 mg/15 mL Oral Liq [RCMH]
00904-2244-61 - docusate 100. mg Cap [RCMH]
57896-0424-01 - docusate 240. mg Cap [RCMH]
00121-0544-10 - docusate 100. Liq [RCMH]
00904-6242-61 - donepezil 5. mg Tab [RCMH]
00338-1007-02 - DOPamine 160 mg/100 mL-D5% 400. Soln [RCMH]
51079-0957-20 - doxazosin 1. mg Tab [RCMH]
51079-0437-20 - doxepin 25. mg Cap [RCMH]
63323-0130-11 - doxycycline 100. mg REC Injection [RCMH]
00172-3626-10 - doxycycline 100. mg Tab [RCMH]
00409-1187-01 - droperidol 5. Soln [RCMH]
00002-3240-30 - DULoxetine 30. mg EC Capsule [RCMH]
00173-0712-15 - dutasteride 0.5 mg Cap [RCMH]
52800-0488-26 - emollients, topical Lotion [RCMH]
00143-9787-10 - enalapril 1.25 Soln [RCMH]
00904-5502-61 - enalapril 5. mg Tab [RCMH]
00548-5604-00 - enoxaparin 80. Soln [RCMH]
00075-0626-03 - enoxaparin Soln [RCMH]
00548-5602-00 - enoxaparin 40. Soln [RCMH]
00548-5601-00 - enoxaparin 30. Soln [RCMH]
66758-0008-02 - ePHEDrine 50. Soln [RCMH]
00548-9061-00 - EPINEPHrine 1 mg/mL Inj Sol 30mL [RCMH]
42023-0122-25 - EPINEPHrine 1. mg Soln [RCMH]
00409-4921-34 - EPINEPHrine 1. Soln [RCMH]
63323-0482-27 - EPINEPHrine-lidocaine 1:100,000-1% Soln [RCMH]
63323-0483-20 - EPINEPHrine-lidocaine 1:100,000-2% Soln [RCMH]
59676-0320-04 - epoetin alfa 20000. Soln [RCMH]
59676-0310-01 - epoetin alfa 10000. Soln [RCMH]
51991-0604-01 - ergocalciferol 50000. unit(s) Cap [RCMH]
00006-3843-71 - ertapenem 1. gm REC Injection [RCMH]
00006-3845-71 - ertapenem 1. gm REC Injection [RCMH]
24338-0134-02 - erythromycin 4000. REC Gran [RCMH]
24338-0102-13 - erythromycin 250. mg Tab [RCMH]
17478-0070-35 - erythromycin ophthalmic 0.5% Ointment [RCMH]
51285-0445-22 - erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL REC Gran [RCMH]
00456-2010-63 - escitalopram 10. mg Tab [RCMH]
00186-5042-28 - esomeprazole 40. mg EC Capsule [RCMH]
00186-5020-31 - esomeprazole 20. mg EC Capsule [RCMH]
00386-0001-04 - ethyl chloride topical 100% Spray [RCMH]
67457-0183-20 - etomidate 40. Soln [RCMH]
66582-0414-31 - ezetimibe 10. mg Tab [RCMH]
10019-0045-02 - famotidine 20. Soln [RCMH]
00172-5728-10 - famotidine 20. mg Tab [RCMH]
00677-1769-01 - felodipine 5. mg ER Tablet [RCMH]
00074-6123-90 - fenofibrate 145. mg Tab [RCMH]
00074-6122-90 - fenofibrate 48. mg Tab [RCMH]
00378-9122-98 - fentaNYL ER Film [RCMH]
00378-9121-98 - fentaNYL ER Film [RCMH]
17478-0030-02 - fentaNYL 0.1 Soln [RCMH]
00781-7240-55 - fentaNYL ER Film [RCMH]
52747-0307-30 - ferrous fumarate 324. mg Tab [RCMH]
52747-0900-90 - ferrous fumarate-iron polysaccharide 162 mg-115.2 mg Cap [RCMH]
00603-0179-29 - ferrous sulfate 325. mg Tab [RCMH]
00067-4347-30 - ferrous sulfate ER Tablet [RCMH]
51079-0529-20 - fexofenadine 60. mg Tab [RCMH]
68084-0286-01 - fexofenadine 60. mg Tab [RCMH]
55513-0530-10 - filgrastim 300. Soln [RCMH]
55513-0546-10 - filgrastim 480. Soln [RCMH]
52152-0500-30 - finasteride 5. mg Tab [RCMH]
00172-5412-11 - fluconazole 150. mg Tab [RCMH]
00172-5411-10 - fluconazole 100. mg Tab [RCMH]
00409-4688-23 - fluconazole 200 mg/100 mL-NaCl 0.9% 200. Soln [RCMH]
00115-7033-01 - fludrocortisone 0.1 mg Tab [RCMH]
00069-0105-03 - flumazenil 0.5 Soln [RCMH]
00456-0672-99 - flunisolide 250. mcg Aerosol [RCMH]
51079-0997-20 - FLUoxetine 10. mg Cap [RCMH]
00781-1438-01 - fluPHENAZine 5. mg Tab [RCMH]
00172-4960-58 - flutamide 125. mg Cap [RCMH]
00173-0718-20 - fluticasone 44. mcg Aerosol [RCMH]
50383-0700-16 - fluticasone nasal 0.05 mg Spray [RCMH]
00173-0696-04 - fluticasone-salmeterol 250 mcg-50 mcg Powder [RCMH]
00173-0697-04 - fluticasone-salmeterol 500 mcg-50 mcg Powder [RCMH]
00078-0176-15 - fluvastatin 20. mg Cap [RCMH]
62584-0897-01 - folic acid 1. mg Tab [RCMH]
31722-0200-90 - fosinopril 10. mg Tab [RCMH]
00143-9788-25 - fosphenytoin 100. Soln [RCMH]
68084-0016-01 - furosemide 40. mg Tab [RCMH]
63739-0541-10 - furosemide 20. mg Tab [RCMH]
00409-6102-02 - furosemide 20. Soln [RCMH]
63323-0280-04 - furosemide 40. Soln [RCMH]
00054-3294-46 - furosemide 600. Liq [RCMH]
68084-0595-01 - gabapentin 400. mg Cap [RCMH]
68084-0080-01 - gabapentin 300. mg Cap [RCMH]
00904-6078-61 - gabapentin 100. mg Cap [RCMH]
50458-0397-60 - galantamine 8. mg Tab [RCMH]
00904-5379-61 - gemfibrozil 600. mg Tab [RCMH]
00409-1207-03 - gentamicin 80. Soln [RCMH]
60758-0188-05 - gentamicin ophthalmic 0.3% Soln [RCMH]
17478-0284-35 - gentamicin ophthalmic 0.3% Ointment [RCMH]
55111-0320-01 - glimepiride 1. mg Tab [RCMH]
68084-0327-01 - glimepiride 4. mg Tab [RCMH]
00182-1995-89 - glipiZIDE 10. mg Tab [RCMH]
68084-0111-01 - glipiZIDE 5. mg ER Tablet [RCMH]
51079-0810-20 - glipiZIDE 5. mg Tab [RCMH]
00591-0900-30 - glipiZIDE 2.5 mg ER Tablet [RCMH]
55390-0004-01 - glucagon REC Injection [RCMH]
00187-0746-33 - glucose 40% Gel [RCMH]
76329-3301-01 - glucose 50% Soln [RCMH]
00093-8035-01 - glyBURIDE 3. mg Tab [RCMH]
00093-8344-93 - glyBURIDE 5. mg Tab [RCMH]
00093-9477-53 - glyBURIDE 1.25 mg Tab [RCMH]
37205-0320-63 - glycerin Supp [RCMH]
00904-2666-12 - glycerin pediatric Supp [RCMH]
10019-0016-81 - glycopyrrolate 0.2 Soln [RCMH]
00574-4009-10 - gramicidin/neomycin/polymyxin B ophthalmic 0.025 mg-1.75 mg-10000 units/mL Soln [RCMH]
17856-0008-20 - guaiFENesin 600. mg ER Tablet [RCMH]
00121-1744-10 - guaiFENesin 200. Liq [RCMH]
51079-0733-20 - haloperidol 0.5 mg Tab [RCMH]
10147-0911-01 - haloperidol 5. Soln [RCMH]
51079-0734-20 - haloperidol 1. mg Tab [RCMH]
63323-0542-01 - heparin 10000. Soln [RCMH]
63323-0540-01 - heparin 1000. Soln [RCMH]
00641-0400-02 - heparin 5000. Soln [RCMH]
00409-7793-62 - heparin 10,000 units/100 mL-D5% 25000. Soln [RCMH]
63807-0600-55 - heparin flush Soln [RCMH]
63323-0545-01 - heparin flush Soln [RCMH]
08290-3065-14 - heparin flush Soln [RCMH]
58160-0821-46 - hepatitis B adult vaccine Susp [RCMH]
00998-0311-05 - homatropine ophthalmic 2% Soln [RCMH]
00006-4045-00 - human papillomavirus vaccine Susp [RCMH]
63323-0614-01 - hydrALAZINE 20. Soln [RCMH]
31722-0519-01 - hydrALAZINE 10. mg Tab [RCMH]
62584-0733-01 - hydrALAZINE 25. mg Tab [RCMH]
63739-0128-10 - hydrochlorothiazide 25. mg Tab [RCMH]
68180-0519-02 - hydrochlorothiazide-lisinopril 12.5 mg-20 mg Tab [RCMH]
00093-7367-56 - hydrochlorothiazide-losartan 12.5 mg-50 mg Tab [RCMH]
00591-0424-01 - hydrochlorothiazide-triamterene 25 mg-37.5 mg Tab [RCMH]
00009-0909-08 - hydrocortisone 250. mg REC Injection [RCMH]
00009-0031-01 - hydrocortisone 10. mg Tab [RCMH]
00574-7090-12 - hydrocortisone topical 25. mg Supp [RCMH]
00168-0154-31 - hydrocortisone topical 1% Cream [RCMH]
61314-0641-75 - hydrocortisone/neomycin/polymyxin B ophth 1%-0.35%-10000 units/mL Susp [RCMH]
37205-0871-34 - hydrogen peroxide topical 3% Soln [RCMH]
00093-9774-01 - hydroxychloroquine 200. mg Tab [RCMH]
00517-5601-25 - hydrOXYzine 50. Soln [RCMH]
50111-0307-01 - hydrOXYzine 10. mg Tab [RCMH]
00517-4201-25 - hydrOXYzine 25. Soln [RCMH]
68084-0254-01 - hydrOXYzine 25. mg Tab [RCMH]
62584-0739-01 - hydrOXYzine 25. mg Cap [RCMH]
00225-0295-15 - hyoscyamine 0.125 mg DIS Tablet [RCMH]
00378-5215-53 - ibandronate 150. mg Tab [RCMH]
63739-0442-10 - ibuprofen 400. mg Tab [RCMH]
00904-7914-61 - ibuprofen 200. mg Tab [RCMH]
00904-5855-61 - ibuprofen 800. mg Tab [RCMH]
00904-5186-61 - ibuprofen 600. mg Tab [RCMH]
68094-0494-58 - ibuprofen 100. Susp [RCMH]
00006-3514-58 - imipenem-cilastatin 250 mg-250 mg REC Injection [RCMH]
00006-3516-59 - imipenem-cilastatin 500 mg-500 mg REC Injection [RCMH]
51079-0868-20 - indapamide 2.5 mg Tab [RCMH]
00006-0573-54 - indinavir 400. mg Cap [RCMH]
51079-0190-20 - indomethacin 25. mg Cap [RCMH]
49281-0388-15 - influenza virus vaccine, inactivated Susp [RCMH]
00169-7501-11 - insulin aspart 1000. Soln [RCMH]
00169-3685-12 - insulin aspart-insulin aspart protamine 30 units-70 units/mL Susp [RCMH]
00169-3687-12 - insulin detemir 1000. Soln [RCMH]
00088-2220-33 - insulin glargine 1000. Soln [RCMH]
00002-8315-17 - insulin isophane 300. Susp [RCMH]
00002-8715-17 - insulin isophane-insulin regular human recombinant 70 units-30 units/mL Susp [RCMH]
00169-1837-11 - insulin isophane-insulin regular human recombinant 70 units-30 units/mL Susp [RCMH]
00002-7510-01 - insulin lispro 1000. Soln [RCMH]
00002-7511-01 - insulin lispro-insulin lispro protamine 25 units-75 units/mL Susp [RCMH]
00002-7512-01 - insulin lispro-insulin lispro protamine 50 units-50 units/mL Susp [RCMH]
00002-8215-17 - insulin regular 300. Soln [RCMH]
00597-0087-17 - ipratropium 17. mcg Aerosol [RCMH]
00487-9801-01 - ipratropium 0.02% Soln [RCMH]
00087-2772-35 - irbesartan 150. mg Tab [RCMH]
51991-0203-11 - iron polysaccharide 150. mg Cap [RCMH]
00517-2340-10 - iron sucrose 100. Soln [RCMH]
64720-0183-10 - isosorbide dinitrate 40. mg ER Tablet [RCMH]
00904-2154-61 - isosorbide dinitrate 20. mg Tab [RCMH]
00143-2260-01 - isosorbide mononitrate 60. mg ER Tablet [RCMH]
00228-2620-11 - isosorbide mononitrate 20. mg Tab [RCMH]
00409-2053-10 - ketamine 500. Soln [RCMH]
51672-1298-02 - ketoconazole topical 2% Cream [RCMH]
00378-1134-01 - ketorolac 10. mg Tab [RCMH]
00409-3796-01 - ketorolac 60. Soln [RCMH]
00409-3795-01 - ketorolac 30. Soln [RCMH]
00172-4364-10 - labetalol 100. mg Tab [RCMH]
00761-0515-20 - lactobacillus acidophilus Cap [RCMH]
66689-0039-50 - lactulose 10. Syrup [RCMH]
00121-0577-16 - lactulose 320. Syrup [RCMH]
68084-0318-01 - lamoTRIgine 25. mg Tab [RCMH]
51079-0121-08 - lansoprazole 30. mg EC Capsule [RCMH]
64764-0543-11 - lansoprazole 15. mg DIS Tablet [RCMH]
17478-0625-12 - latanoprost ophthalmic 0.005% Soln [RCMH]
00378-6993-93 - levalbuterol 1.25 mg/0.5 mL Inh Sol [RCMH]
63402-0512-24 - levalbuterol 0.63 Soln [RCMH]
63402-0513-24 - levalbuterol 1.25 Soln [RCMH]
68180-0114-16 - levETIRAcetam 750. mg Tab [RCMH]
24208-0505-05 - levobunolol ophthalmic 0.5% Soln [RCMH]
00904-6249-61 - levofloxacin 250. mg Tab [RCMH]
00781-3342-09 - levofloxacin 500. Soln [RCMH]
00904-6250-61 - levofloxacin 500. mg Tab [RCMH]
25021-0132-83 - levofloxacin 750. Soln [RCMH]
00781-3341-09 - levofloxacin 250. Soln [RCMH]
00378-1807-01 - levothyroxine 88. mcg Tab [RCMH]
00456-1330-01 - levothyroxine 112. mcg Tab [RCMH]
00074-4552-11 - levothyroxine 50. mcg Tab [RCMH]
00074-6624-11 - levothyroxine 100. mcg Tab [RCMH]
00409-7931-32 - lidocaine 0.4%-D5% Soln [RCMH]
00409-4276-01 - lidocaine 1% Soln [RCMH]
00409-1323-05 - lidocaine 2% Soln [RCMH]
00409-4277-01 - lidocaine 2% Soln [RCMH]
63323-0490-89 - lidocaine 4% Soln [RCMH]
50383-0775-17 - lidocaine topical 2% Soln [RCMH]
00009-0555-01 - lincomycin 600. Soln [RCMH]
68084-0062-01 - lisinopril 20. mg Tab [RCMH]
00904-5811-61 - lisinopril 5. mg Tab [RCMH]
00054-2527-25 - lithium 300. mg Cap [RCMH]
50580-0134-44 - loperamide 15.96 Liq [RCMH]
37205-0370-53 - loperamide 2. mg Tab [RCMH]
00904-6074-61 - loratadine 10. mg Tab [RCMH]
00409-1985-30 - LORazepam 2. Soln [RCMH]
51079-0386-20 - LORazepam 1. mg Tab [RCMH]
68084-0347-01 - losartan 50. mg Tab [RCMH]
00093-0576-06 - lovastatin 20. mg Tab [RCMH]
00185-0074-10 - lovastatin 40. mg Tab [RCMH]
37205-0110-38 - magnesium citrate 8.85% Liq [RCMH]
00121-0431-30 - magnesium hydroxide 8% Susp [RCMH]
63739-0354-10 - magnesium oxide 400. mg Tab [RCMH]
63323-0064-10 - magnesium sulfate 50% Soln [RCMH]
00338-0357-03 - mannitol 20% Soln [RCMH]
00409-4031-01 - mannitol 25% Soln [RCMH]
00536-3990-01 - meclizine 25. mg Chew tab [RCMH]
59762-3742-02 - medroxyPROGESTERone 10. mg Tab [RCMH]
49884-0907-38 - megestrol 9600. Susp [RCMH]
51079-0457-20 - meloxicam 7.5 mg Tab [RCMH]
00456-3210-63 - memantine 10. mg Tab [RCMH]
00409-1176-30 - meperidine 25. Soln [RCMH]
00409-1203-01 - meperidine 25. Soln [RCMH]
60793-0136-01 - metaxalone 800. mg Tab [RCMH]
51079-0973-20 - metFORMIN 850. mg Tab [RCMH]
00093-1048-01 - metFORMIN 500. mg Tab [RCMH]
00517-0301-10 - methylene blue 10. Soln [RCMH]
00009-3475-01 - methylPREDNISolone 80. mg Susp [RCMH]
00009-3073-01 - methylPREDNISolone 40. mg Susp [RCMH]
00555-0301-02 - methylPREDNISolone 4. mg Tab [RCMH]
00009-0039-28 - methylPREDNISolone REC Injection [RCMH]
00009-0047-22 - methylPREDNISolone REC Injection [RCMH]
63739-0481-10 - metoclopramide 5. mg Tab [RCMH]
00121-0576-16 - metoclopramide 473. Syrup [RCMH]
00409-3414-01 - metoclopramide 10. Soln [RCMH]
51079-0283-20 - metoclopramide 10. mg Tab [RCMH]
65580-0643-71 - metolazone 2.5 mg Tab [RCMH]
51079-0255-20 - metoprolol 25. mg Tab [RCMH]
68084-0303-01 - metoprolol 25. mg ER Tablet [RCMH]
00409-2285-05 - metoprolol 5. Soln [RCMH]
68084-0301-01 - metoprolol 100. mg ER Tablet [RCMH]
51079-0801-20 - metoprolol 50. mg Tab [RCMH]
00904-1453-61 - metroNIDAZOLE 250. mg Tab [RCMH]
00338-1055-48 - metroNIDAZOLE 500. Soln [RCMH]
00245-0860-70 - metroNIDAZOLE 0.75% Gel [RCMH]
10019-0027-09 - midazolam 5. Soln [RCMH]
63323-0411-12 - midazolam 2. Soln [RCMH]
00409-2596-05 - midazolam 50. Soln [RCMH]
00132-0301-40 - mineral oil 100% Enema [RCMH]
00121-0462-30 - mineral oil 100% Liq [RCMH]
00591-5642-01 - minoxidil 2.5 mg Tab [RCMH]
51079-0086-20 - mirtazapine 15. mg Tab [RCMH]
51079-0087-20 - mirtazapine 30. mg Tab [RCMH]
68084-0620-01 - montelukast 10. mg Tab [RCMH]
68462-0349-37 - morphine 600. Conc [RCMH]
10019-0178-44 - morphine 10. Soln [RCMH]
00406-8315-01 - morphine 15. mg ER Tablet [RCMH]
00409-1258-30 - morphine 4. Soln [RCMH]
38485-0120-41 - multivitamin Cap [RCMH]
54643-5649-01 - multivitamin Soln [RCMH]
00536-3442-38 - multivitamin with minerals Tab [RCMH]
00904-5023-09 - multivitamin with minerals Liq [RCMH]
00904-5557-52 - multivitamin with minerals Tab [RCMH]
00904-7735-18 - multivitamin with minerals Tab [RCMH]
52747-0800-60 - multivitamin with minerals Cap [RCMH]
45802-0112-22 - mupirocin topical 2% Ointment [RCMH]
00409-1465-01 - nalbuphine 20. Soln [RCMH]
00409-1463-01 - nalbuphine 10. Soln [RCMH]
00409-1215-01 - naloxone 0.4 Soln [RCMH]
00904-5591-61 - naproxen 500. mg Tab [RCMH]
00456-1405-30 - nebivolol Tab [RCMH]
50383-0565-10 - neomycin 500. mg Tab [RCMH]
10019-0270-10 - neostigmine 10. Soln [RCMH]
00536-4074-01 - niacin 250. mg ER Capsule [RCMH]
00067-5126-14 - nicotine ER Film [RCMH]
00067-5125-14 - nicotine ER Film [RCMH]
00067-5124-07 - nicotine ER Film [RCMH]
59762-6690-08 - NIFEdipine 30. mg ER Tablet [RCMH]
51079-0348-20 - nitrofurantoin 100. mg Cap [RCMH]
00093-2130-01 - nitrofurantoin 50. mg Cap [RCMH]
00904-5496-46 - nitroglycerin ER Film [RCMH]
00378-9102-93 - nitroglycerin ER Film [RCMH]
00071-0418-13 - nitroglycerin 0.4 mg Tab [RCMH]
00904-5495-46 - nitroglycerin ER Film [RCMH]
00338-1047-02 - nitroglycerin 10 mg/100 mL-D5% intravenous 25. Soln [RCMH]
00281-0326-08 - nitroglycerin 2% Ointment [RCMH]
00409-3024-01 - nitroprusside 50. Soln [RCMH]
68084-0031-01 - nortriptyline 10. mg Cap [RCMH]
00093-0983-01 - nystatin 500000. unit(s) Tab [RCMH]
00603-1481-49 - nystatin 6000000. Susp [RCMH]
00574-2008-15 - nystatin topical Powder [RCMH]
45802-0059-11 - nystatin topical Cream [RCMH]
00078-0180-01 - octreotide 50. Soln [RCMH]
00998-0408-15 - ocular lubricant Soln [RCMH]
00023-0312-04 - ocular lubricant Ointment [RCMH]
00065-0416-36 - ocular lubricant Soln [RCMH]
61314-0015-05 - ofloxacin otic 0.3% Soln [RCMH]
00093-5768-56 - OLANZapine 5. mg Tab [RCMH]
00904-6283-61 - OLANZapine 2.5 mg Tab [RCMH]
65597-0104-30 - olmesartan 40. mg Tab [RCMH]
50242-0040-62 - omalizumab 150. mg REC Injection [RCMH]
30768-0037-20 - omega-3 polyunsaturated fatty acids Cap [RCMH]
00904-5684-61 - omeprazole 20. mg EC Capsule [RCMH]
51672-4091-03 - ondansetron 40. Soln [RCMH]
62756-0240-64 - ondansetron 4. mg DIS Tablet [RCMH]
00409-4755-03 - ondansetron 4. Soln [RCMH]
17478-0538-02 - orphenadrine 60. Soln [RCMH]
00004-0800-85 - oseltamivir 75. mg Cap [RCMH]
00078-0456-05 - oxcarbazepine 150. mg Tab [RCMH]
51079-0722-20 - oxybutynin 5. mg ER Tablet [RCMH]
00904-2821-61 - oxybutynin 5. mg Tab [RCMH]
59011-0100-10 - oxyCODONE 10. mg ER Tablet [RCMH]
59011-0103-10 - oxyCODONE 20. mg ER Tablet [RCMH]
00904-5711-35 - oxymetazoline nasal 0.05% Spray [RCMH]
68084-0283-01 - pantoprazole 40. mg EC Tablet [RCMH]
00008-0923-55 - pantoprazole 40. mg REC Injection [RCMH]
00064-1000-07 - papain-urea topical 10%-10% Ointment [RCMH]
68084-0045-01 - PARoxetine 20. mg Tab [RCMH]
60793-0700-10 - penicillin G benzathine Susp [RCMH]
60793-0701-10 - penicillin G benzathine Susp [RCMH]
00049-0520-83 - Penicillin G Potassium REC Injection [RCMH]
00049-0530-28 - Penicillin G Potassium REC Injection [RCMH]
00781-1205-01 - Penicillin V Potassium Tab [RCMH]
51079-0889-20 - pentoxifylline 400. mg ER Tablet [RCMH]
63736-0120-02 - permethrin topical 1% Soln [RCMH]
45802-0269-37 - permethrin topical 5% Cream [RCMH]
00168-0053-21 - petrolatum topical 100% Ointment [RCMH]
68084-0292-01 - phenazopyridine 100. mg Tab [RCMH]
51079-0095-20 - PHENobarbital 30. mg Tab [RCMH]
63739-0201-10 - PHENobarbital 32.4 mg Tab [RCMH]
00641-0476-25 - PHENobarbital 65. Soln [RCMH]
00121-0531-05 - PHENobarbital 20. Elixir [RCMH]
00536-2425-58 - phenol topical 1.4% Spray [RCMH]
10019-0163-12 - phenylephrine 10. Soln [RCMH]
00024-1353-01 - phenylephrine nasal 0.5% Spray [RCMH]
37205-0483-10 - phenylephrine nasal 1% Soln [RCMH]
00024-1352-02 - phenylephrine nasal 1% Spray [RCMH]
00071-0007-40 - phenytoin 50. mg Chew tab [RCMH]
60432-0131-08 - phenytoin 6000. Susp [RCMH]
00641-0493-25 - phenytoin 100. Soln [RCMH]
68084-0376-01 - phenytoin 100. mg ER Capsule [RCMH]
11098-0510-02 - physostigmine 2. Soln [RCMH]
00409-9158-01 - phytonadione 10. Soln [RCMH]
25010-0405-15 - phytonadione 5. mg Tab [RCMH]
64764-0151-04 - pioglitazone 15. mg Tab [RCMH]
00409-3374-02 - piperacillin-tazobactam 2 g-0.25 g REC Injection [RCMH]
00206-8852-16 - piperacillin-tazobactam 2 g-0.25 g REC Injection [RCMH]
00206-8854-16 - piperacillin-tazobactam 3 g-0.375 g REC Injection [RCMH]
00006-4943-00 - pneumococcal 23-valent vaccine Soln [RCMH]
00005-2500-02 - polycarbophil 625. mg Tab [RCMH]
45802-0868-02 - polyethylene glycol 3350 REC Powder [RCMH]
52268-0100-01 - polyethylene glycol 3350 with electrolytes REC Powder [RCMH]
00245-0041-01 - potassium chloride 10. mEq ER Tablet [RCMH]
00338-0709-48 - potassium chloride 10. Soln [RCMH]
63323-0965-05 - potassium chloride 10. Soln [RCMH]
00245-0058-01 - potassium chloride 20. mEq ER Tablet [RCMH]
00245-0035-30 - potassium chloride 20. mEq REC Powder [RCMH]
00409-6653-05 - potassium chloride 40. Soln [RCMH]
30768-0006-18 - potassium gluconate 595. mg Tab [RCMH]
00904-1102-31 - povidone iodine topical 10% Ointment [RCMH]
67618-0150-04 - povidone iodine topical 10% Soln [RCMH]
52380-1855-04 - povidone iodine topical 7.5% Soap [RCMH]
51079-0458-20 - pravastatin 20. mg Tab [RCMH]
68180-0487-09 - pravastatin 40. mg Tab [RCMH]
51079-0630-20 - prazosin 1. mg Cap [RCMH]
50383-0040-04 - prednisoLONE 120. Liq [RCMH]
60758-0119-05 - prednisoLONE ophthalmic acetate 1% Susp [RCMH]
00054-8724-25 - predniSONE 5. mg Tab [RCMH]
00054-0017-20 - predniSONE 10. mg Tab [RCMH]
00054-8739-25 - predniSONE 1. mg Tab [RCMH]
00054-0018-20 - predniSONE 20. mg Tab [RCMH]
00071-1014-41 - pregabalin 75. mg Cap [RCMH]
00071-1012-68 - pregabalin 25. mg Cap [RCMH]
68084-0202-01 - primidone 50. mg Tab [RCMH]
00527-1231-01 - primidone 250. mg Tab [RCMH]
60793-0131-10 - procaine penicillin Susp [RCMH]
55390-0077-10 - prochlorperazine 10. Soln [RCMH]
00574-7226-12 - prochlorperazine 25. mg Supp [RCMH]
51079-0541-20 - prochlorperazine 5. mg Tab [RCMH]
00781-1830-01 - promethazine 25. mg Tab [RCMH]
50383-0801-16 - promethazine 600. Syrup [RCMH]
00713-0536-12 - promethazine 12.5 mg Supp [RCMH]
00574-7234-12 - promethazine 25. mg Supp [RCMH]
00641-0928-21 - promethazine 25. Soln [RCMH]
00641-1496-31 - promethazine 50. Soln [RCMH]
61314-0016-01 - proparacaine ophthalmic 0.5% Soln [RCMH]
63323-0269-50 - propofol 500. Emulsion [RCMH]
63323-0297-30 - propofol Emulsion [RCMH]
63323-0270-25 - propofol 200. Emulsion [RCMH]
00143-9872-01 - propranolol 1. Soln [RCMH]
00904-0411-61 - propranolol 10. mg Tab [RCMH]
51079-0279-20 - propranolol 40. mg Tab [RCMH]
63323-0229-30 - protamine 250. Soln [RCMH]
00904-5125-59 - pseudoephedrine 60. mg Tab [RCMH]
37000-0458-10 - psyllium Cap [RCMH]
37000-0024-04 - psyllium REC Powder [RCMH]
00904-0520-60 - pyridoxine 50. mg Tab [RCMH]
00310-0271-39 - QUEtiapine 100. mg Tab [RCMH]
00310-0275-39 - QUEtiapine 25. mg Tab [RCMH]
59762-5020-01 - quinapril 10. mg Tab [RCMH]
00071-0527-40 - quinapril 5. mg Tab [RCMH]
00591-5438-01 - quiNIDine 200. mg Tab [RCMH]
00487-5901-99 - racepinephrine Soln [RCMH]
00054-0108-20 - ramipril 5. mg Cap [RCMH]
68084-0266-01 - ramipril 2.5 mg Cap [RCMH]
51079-0879-20 - ranitidine 150. mg Tab [RCMH]
00169-0081-81 - repaglinide 0.5 mg Tab [RCMH]
00904-5282-06 - rifampin 300. mg Cap [RCMH]
68084-0272-01 - risperiDONE 1. mg Tab [RCMH]
00378-3502-91 - risperiDONE 0.25 mg Tab [RCMH]
51079-0460-20 - risperiDONE 0.25 mg Tab [RCMH]
00078-0501-15 - rivastigmine 4.6 mg ER Film [RCMH]
62756-0145-86 - rivastigmine 1.5 mg Cap [RCMH]
00781-2615-13 - rivastigmine 3. mg Cap [RCMH]
00054-0119-25 - rOPINIRole 2. mg Tab [RCMH]
00904-5994-61 - ropinirole 0.25 mg Tab [RCMH]
00029-3159-13 - rosiglitazone 4. mg Tab [RCMH]
00310-0751-39 - rosuvastatin 10. mg Tab [RCMH]
00173-0520-00 - salmeterol 50. mcg Powder [RCMH]
00067-4345-04 - scopolamine ER Film [RCMH]
00904-5165-61 - senna 8.6 mg Tab [RCMH]
68084-0181-01 - sertraline 50. mg Tab [RCMH]
12870-0001-01 - silver nitrate topical Stick [RCMH]
43598-0210-55 - silver sulfADIAZINE topical 1% Cream [RCMH]
37205-0112-78 - simethicone 80. mg Chew tab [RCMH]
00904-5894-30 - simethicone 2000. Liq [RCMH]
68084-0513-01 - simvastatin 40. mg Tab [RCMH]
51079-0454-20 - simvastatin 10. mg Tab [RCMH]
00006-0277-31 - sitaGLIPtin 100. mg Tab [RCMH]
00409-5534-34 - sodium bicarbonate 4.2% Soln [RCMH]
00132-0201-40 - sodium biphosphate-sodium phosphate 19 g-7 g Enema [RCMH]
00223-1760-01 - sodium chloride 1. gm Tab [RCMH]
00487-9301-03 - sodium chloride 0.9% Soln [RCMH]
63807-0100-75 - sodium chloride 0.9% Soln [RCMH]
00338-0048-04 - sodium chloride 0.9% Soln [RCMH]
PSYCHIATRIC EVALUATION3620497
00338-0691-04 - Sodium Chloride 0.9% with KCl 20 mEq/l Soln [RCMH]
00338-0695-04 - Sodium Chloride 0.9% with KCl 40 mEq/l Soln [RCMH]
00338-0054-03 - Sodium Chloride 3% Soln [RCMH]
00904-3865-75 - sodium chloride nasal 0.65% Spray [RCMH]
46287-0006-60 - sodium polystyrene sulfonate 15. Susp [RCMH]
61314-0701-01 - sodium sulfacetamide ophthalmic 10% Soln [RCMH]
00121-0659-16 - sorbitol 70% Liq [RCMH]
00185-0171-01 - sotalol 80. mg Tab [RCMH]
51079-0103-20 - spironolactone 25. mg Tab [RCMH]
00409-4887-20 - sterile water Soln [RCMH]
00338-0004-04 - sterile water Soln [RCMH]
00409-6629-02 - succinylcholine 200. Soln [RCMH]
58914-0170-14 - sucralfate 42. Susp [RCMH]
63739-0261-10 - sucralfate 1. gm Tab [RCMH]
50383-0824-16 - sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL Susp [RCMH]
00121-4793-20 - sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL Susp [RCMH]
00904-2725-61 - sulfamethoxazole-trimethoprim 800 mg-160 mg Tab [RCMH]
59762-5000-01 - sulfaSALAzine 500. mg Tab [RCMH]
64679-0728-01 - SUMAtriptan 6. Soln [RCMH]
63304-0097-19 - SUMAtriptan 25. mg Tab [RCMH]
68084-0407-01 - tamsulosin 0.4 mg Cap [RCMH]
00597-0058-01 - tamsulosin 0.4 mg Cap [RCMH]
00597-0040-37 - telmisartan 40. mg Tab [RCMH]
63739-0231-10 - temazepam 15. mg Cap [RCMH]
50242-0038-61 - tenecteplase 50. mg REC Injection [RCMH]
51079-0936-20 - terazosin 1. mg Cap [RCMH]
00067-3998-30 - terbinafine topical 1% Cream [RCMH]
00143-9746-10 - terbutaline 1. Soln [RCMH]
55390-0101-10 - terbutaline 1. Soln [RCMH]
00591-3197-52 - terconazole 0.8% Cream [RCMH]
13533-0634-02 - tetanus immune globulin Soln [RCMH]
49281-0820-10 - tetanus toxoid 5. Susp [RCMH]
49281-0400-10 - tetanus/diphtheria/pertussis, acel (Tdap) Susp [RCMH]
49281-0215-15 - tetanus-diphtheria toxoids 5 units-2units/0.5 mL Susp [RCMH]
24208-0920-64 - tetracaine ophthalmic 0.5% Soln [RCMH]
00172-2407-60 - tetracycline 500. mg Cap [RCMH]
00904-5888-61 - theophylline 200. mg ER Tablet [RCMH]
00536-4680-01 - thiamine 100. mg Tab [RCMH]
63323-0013-02 - thiamine 200. Soln [RCMH]
51079-0566-20 - thioridazine 25. mg Tab [RCMH]
00029-6571-26 - ticarcillin-clavulanate 3 g-100 mg REC Injection [RCMH]
00597-0075-75 - tiotropium 18. mcg Cap [RCMH]
63323-0306-02 - tobramycin 80. Soln [RCMH]
17478-0290-10 - tobramycin ophthalmic 0.3% Soln [RCMH]
00009-5191-01 - tolterodine 4. mg ER Capsule [RCMH]
50111-0917-01 - torsemide 20. mg Tab [RCMH]
10147-0901-03 - traMADol 100. mg ER Tablet [RCMH]
00904-6119-61 - traMADol 50. mg Tab [RCMH]
00904-3990-61 - traZODone 50. mg Tab [RCMH]
00003-0293-05 - triamcinolone 40. Susp [RCMH]
00168-0003-15 - triamcinolone topical 0.025% Cream [RCMH]
51672-1282-02 - triamcinolone topical 0.1% Cream [RCMH]
00143-1764-01 - trihexyphenidyl 2. mg Tab [RCMH]
61314-0355-02 - tropicamide ophthalmic 1% Soln [RCMH]
15456-0980-04 - trospium 20. mg Tab [RCMH]
49281-0752-21 - tuberculin purified protein derivative 50. Soln [RCMH]
51079-0298-20 - valproic acid 250. mg Cap [RCMH]
50383-0792-16 - valproic acid 23650. Syrup [RCMH]
00078-0358-34 - valsartan 80. mg Tab [RCMH]
00409-6533-01 - vancomycin 1. gm REC Injection [RCMH]
00409-6534-01 - vancomycin 500. mg REC Injection [RCMH]
00409-6535-01 - vancomycin 1. gm REC Injection [RCMH]
63323-0302-01 - vasopressin 20. Soln [RCMH]
00069-0094-02 - vecuronium 10. mg REC Injection [RCMH]
00008-0837-21 - venlafaxine 37.5 mg ER Capsule [RCMH]
68084-0485-01 - venlafaxine 75. mg ER Capsule [RCMH]
00025-2011-31 - verapamil 180. mg ER Tablet [RCMH]
00409-1144-01 - verapamil 5. Soln [RCMH]
00172-4280-10 - verapamil 240. mg ER Tablet [RCMH]
00904-2920-61 - verapamil 80. mg Tab [RCMH]
00172-4286-10 - verapamil 180. mg ER Tablet [RCMH]
24385-0070-10 - vitamin A & D topical Ointment [RCMH]
00056-0172-75 - warfarin 5. mg Tab [RCMH]
00056-0170-75 - warfarin 2. mg Tab [RCMH]
00056-0169-70 - warfarin 1. mg Tab [RCMH]
00168-0062-02 - zinc oxide topical 20% Ointment [RCMH]
00904-5332-60 - zinc sulfate 220. mg Cap [RCMH]
00049-3960-41 - ziprasidone 20. mg Cap [RCMH]
00078-0435-61 - zoledronic acid 5. Soln [RCMH]
51079-0724-20 - zolpidem 5. mg Tab [RCMH]
60505-0823-06 - calcitonin 200 intl units/inh Spr[RCMH]
00904-5824-61 - cholecalciferol 1000 intl units Tab UD[RCMH]
00338-0023-03 - Dextrose 10% in Water intravenous solution Dextrose 10% in Water Sol[RCMH]
00338-0125-04 - Dextrose 5% in Lactated Ringers intravenous solution Dextrose 5% in Lactated Ringers Injection Sol[RCMH]
00338-0017-11 - Dextrose 5% in Water intravenous solution Dextrose 5% in Water Sol[RCMH]
00338-0017-02 - Dextrose 5% in Water intravenous solution Dextrose 5% in Water Sol[RCMH]
00338-0017-48 - Dextrose 5% in Water intravenous solution Dextrose 5% in Water Sol[RCMH]
00338-0017-04 - Dextrose 5% in Water intravenous solution Dextrose 5% in Water Sol[RCMH]
00338-0089-04 - Dextrose 5% with 0.9% NaCl intravenous solution Dextrose 5% with 0.9% NaCl Sol[RCMH]
00338-0117-04 - Lactated Ringers Injection intravenous solution Lactated Ringers Injection Sol[RCMH]
42023-0116-25 - oxytocin 10 units/mL Sol[RCMH]
00338-0043-04 - Sodium Chloride 0.45% intravenous solution Sodium Chloride 0.45% Sol[RCMH]
00338-0553-11 - LVP solution Sodium Chloride 0.9% Sol
00338-0049-03 - Sodium Chloride 0.9% intravenous solution Sodium Chloride 0.9% Sol[RCMH]
00338-0049-04 - Sodium Chloride 0.9% intravenous solution Sodium Chloride 0.9% Sol[RCMH]
00338-0049-48 - Sodium Chloride 0.9% intravenous solution Sodium Chloride 0.9% Sol[RCMH]
00338-0049-02 - Sodium Chloride 0.9% intravenous solution Sodium Chloride 0.9% Sol[RCMH]
54629-0200-01 - vitamin E with mixed tocopherols 200 intl units Cap[RCMH]
00182-0083-01 - vitamin E with mixed tocopherols 1000 intl units Cap[RCMH]
00206-8852-18 - piperacillin-tazobactam 2 g-0.25 g REC Injection [RCMH]
93922 ARM PRESSURE INDEX CHARGE4440005$452.25
93925 LOWER EXTREMITY IMAGING CHARGE4440009$933.00
93926 ARTERIAL DUPLEX LTD LOWER CHARGE4440013$715.50
93225 ECG UP TO 48 HRS CHARGE4920219
ROOM/BED: Swing Monitor3200020$1,390.00
ROOM/BED: Observation Monitor3100003$0.00
ROOM/BED: MS Isolation3000009$1,279.25
ROOM/BED: Med Surg3000001$1,119.50
ROOM/BED: MS Isolation Monitor3000011$1,704.75
ROOM/BED: Swing Isolation3200024$1,168.75
ROOM/BED: Med Surg Monitor3000003$1,552.75
CV Holter Monitor4470005$600.50
US AAA Screening4440067$614.75
63739-0577-10 - rivastigmine 3. mg Cap [RCMH]
63739-0489-10 - ranitidine 150. mg Tab [RCMH]
00054-0107-20 - ramipril 2.5 mg Cap [RCMH]
00904-6277-61 - QUEtiapine 25. mg Tab [RCMH]
31722-0267-90 - quinapril 5. mg Tab [RCMH]
59762-4900-01 - sertraline 50. mg Tab [RCMH]
24385-0118-78 - simethicone 80. mg Chew tab [RCMH]
00904-5800-61 - simvastatin 10. mg Tab [RCMH]
63739-0544-10 - spironolactone 25. mg Tab [RCMH]
68084-0407-01 - tamsulosin 0.4 mg Cap [RCMH]
00904-6126-61 - terazosin 1. mg Cap [RCMH]
51079-0869-19 - verapamil 240. mg ER Tablet [RCMH]
00056-0169-75 - warfarin 1. mg Tab [RCMH]
00006-0573-62 - indinavir 400. mg Cap [RCMH]
00603-6240-21 - trihexyphenidyl 2. mg Tab [RCMH]
51079-0216-01 - metroNIDAZOLE 250. mg Tab [RCMH]
51079-0023-20 - metolazone 2.5 mg Tab [RCMH]
62584-0332-01 - metFORMIN 850. mg Tab [RCMH]
00904-6326-61 - metFORMIN 500. mg Tab [RCMH]
64720-0321-10 - metaxalone 800. mg Tab [RCMH]
00456-3210-60 - memantine 10. mg Tab [RCMH]
68180-0501-01 - meloxicam 7.5 mg Tab [RCMH]
68084-0127-11 - naproxen 500. mg Tab [RCMH]
51079-0584-20 - nitrofurantoin 50. mg Cap [RCMH]
68084-0657-01 - pantoprazole 40. mg EC Tablet [RCMH]
00008-0607-04 - pantoprazole 40. mg EC Tablet [RCMH]
68084-0400-01 - oxybutynin 5. mg Tab [RCMH]
00904-6284-61 - OLANZapine 5. mg Tab [RCMH]
00245-0035-89 - potassium chloride 20. mEq REC Powder [RCMH]
00245-0058-89 - potassium chloride 20. mEq ER Tablet [RCMH]
68084-0502-01 - pravastatin 40. mg Tab [RCMH]
60505-0080-00 - sotalol 80. mg Tab [RCMH]
57664-0600-88 - isosorbide dinitrate 40. mg ER Tablet [RCMH]
63739-0478-10 - docusate 100. mg Cap [RCMH]
68084-0559-01 - lovastatin 20. mg Tab [RCMH]
00904-6351-61 - levofloxacin 250. mg Tab [RCMH]
63739-0483-10 - hydrOXYzine 10. mg Tab [RCMH]
00904-5854-61 - ibuprofen 600. mg Tab [RCMH]
63739-0444-10 - ibuprofen 800. mg Tab [RCMH]
00093-7465-56 - irbesartan 150. mg Tab [RCMH]
00143-1333-01 - isosorbide mononitrate 20. mg Tab [RCMH]
51079-0928-20 - labetalol 100. mg Tab [RCMH]
68084-0269-01 - hydroxychloroquine 200. mg Tab [RCMH]
49884-0029-01 - hydrALAZINE 10. mg Tab [RCMH]
67253-0461-10 - glyBURIDE 3. mg Tab [RCMH]
00093-9364-01 - glyBURIDE 5. mg Tab [RCMH]
59762-0541-01 - glipiZIDE 5. mg ER Tablet [RCMH]
63739-0484-10 - famotidine 20. mg Tab [RCMH]
51079-0547-20 - fexofenadine 60. mg Tab [RCMH]
59762-5016-01 - fluconazole 100. mg Tab [RCMH]
00904-5784-61 - FLUoxetine 10. mg Cap [RCMH]
00054-8297-25 - furosemide 20. mg Tab [RCMH]
68084-0594-01 - gabapentin 100. mg Cap [RCMH]
68084-0563-01 - gabapentin 300. mg Cap [RCMH]
68084-0390-01 - enalapril 5 mg Tab
53489-0120-02 - doxycycline 100. mg Tab [RCMH]
59762-0245-03 - donepezil 5. mg Tab [RCMH]
51079-0766-08 - divalproex sodium 250. mg ER Tablet [RCMH]
68084-0314-01 - divalproex sodium 250. mg EC Tablet [RCMH]
00574-0107-70 - clotrimazole 10. mg Lozenge [RCMH]
00054-0007-13 - calcitriol 0.25 mcg Cap [RCMH]
00054-0044-21 - cilostazol 100. mg Tab [RCMH]
68084-0053-01 - diltiazem 180. mg ER Capsule [RCMH]
68084-0052-01 - diltiazem 120. mg ER Capsule [RCMH]
00904-5959-61 - clindamycin 150. mg Cap [RCMH]
00904-5656-61 - cloNIDine 0.1 mg Tab [RCMH]
00904-5657-61 - cloNIDine 0.2 mg Tab [RCMH]
51079-0557-20 - clopidogrel 75. mg Tab [RCMH]
00093-2929-01 - cyproheptadine 4. mg Tab [RCMH]
51079-0182-20 - ciprofloxacin 500. mg Tab [RCMH]
51079-0519-20 - chlorproMAZINE 25. mg Tab [RCMH]
00904-5852-61 - cetirizine 10. mg Tab [RCMH]
00143-9897-01 - cephalexin 500. mg Cap [RCMH]
68180-0302-20 - cefuroxime 250. mg Tab [RCMH]
68084-0388-01 - benztropine 1. mg Tab [RCMH]
68084-0097-01 - atorvastatin 10. mg Tab [RCMH]
63739-0522-10 - aspirin 81. mg EC Tablet [RCMH]
00093-2275-34 - amoxicillin-clavulanate 875 mg-125 mg Tab [RCMH]
23155-0146-01 - acyclovir 200. mg Cap [RCMH]
63739-0387-10 - amiodarone 200. mg Tab [RCMH]
00409-1144-02 - verapamil 5. Soln [RCMH]
42023-0117-25 - vasopressin 20. Soln [RCMH]
25021-0651-02 - orphenadrine 60. Soln [RCMH]
00409-1778-05 - metoprolol 5. Soln [RCMH]
55150-0173-01 - SUMAtriptan 6. Soln [RCMH]
00641-0493-21 - phenytoin 100. Soln [RCMH]
00409-4888-10 - sodium chloride 0.9% Soln [RCMH]
63323-0483-27 - EPINEPHrine-lidocaine 1:100,000-2% Soln [RCMH]
00386-0001-02 - ethyl chloride topical 100% Spray [RCMH]
68382-0762-14 - clarithromycin 500 mg Tab [RCMH]
00904-3365-61 - baclofen 10 mg Tab UD [RCMH]
00904-5991-61 - amLODIPine 2.5 mg Tab [RCMH]
00781-3159-72 - OLANZapine 10 mg REC [RCMH]
36000-0012-25 - ondansetron 2 mg/mL Sol [RCMH]
00487-9501-01 - albuterol 2.5 mg/3 mL (0.083%) Sol [RCMH]
25021-0400-01 - heparin 1000. Soln [RCMH]
00641-1410-31 - digoxin 500. Soln [RCMH]
00641-0376-21 - diphenhydrAMINE 50. Soln [RCMH]
00548-5631-00 - enoxaparin 30. Soln [RCMH]
00143-9875-10 - amiodarone 150. Soln [RCMH]
00469-8234-12 - adenosine 6. Soln [RCMH]
17478-0542-02 - adenosine 6. Soln [RCMH]
51079-0209-20 - atorvastatin 20 mg Tab [RCMH]
63323-0462-37 - bupivacaine-EPINEPHrine Soln [RCMH]
51672-4048-01 - betamethasone-clotrimazole topical 0.05%-1% Cre
00409-1587-50 - bupivacaine 0.25% Soln [RCMH]
76329-3304-01 - calcium chloride 1000. Soln [RCMH]
00781-3440-95 - cosyntropin 0.25 mg REC Injection [RCMH]
42023-0101-01 - EPINEPHrine 1 mg/mL Inj Sol 30mL [RCMH]
00409-7241-01 - EPINEPHrine 1. mg Soln [RCMH]
66758-0008-01 - ePHEDrine 50. Soln [RCMH]
00548-5632-00 - enoxaparin 40. Soln [RCMH]
17478-0214-10 - atropine ophthalmic 1% Soln [RCMH]
24208-0830-60 - dexamethasone/neomycin/polymyxin B ophthalmic 1 mg-3.5 mg-10000 units/mL Susp [RCMH]
24208-0790-62 - gramicidin/neomycin/polymyxin B ophthalmic 0.025 mg-1.75 mg-10000 units/mL Soln [RCMH]
17478-0719-35 - bacitracin/HC/neomycin/polymyxin B ophthalmic 400 units-10 mg-3.5 mg-10000 units/g Ointment [RCMH]
24208-0290-05 - tobramycin ophthalmic 0.3% Soln [RCMH]
63402-0515-30 - levalbuterol 1.25 mg/0.5 mL Inh Sol [RCMH]
76204-0003-24 - levalbuterol 1.25 Soln [RCMH]
76329-3390-01 - lidocaine 2% Soln [RCMH]
76329-3339-01 - atropine 1. Soln [RCMH]
00132-0081-12 - glycerin pediatric Supp [RCMH]
00078-0501-61 - rivastigmine 4.6 mg ER Film [RCMH]
52380-1272-04 - chlorhexidine topical 4% Soap [RCMH]
67877-0124-05 - silver sulfADIAZINE topical 1% Cream [RCMH]
00472-0343-56 - hydrocortisone topical 1% Cream [RCMH]
00168-0099-30 - ketoconazole topical 2% Cream [RCMH]
00904-1771-21 - phenol topical 1.4% Spray [RCMH]
00143-9889-01 - amoxicillin 5000. REC Powder [RCMH]
00603-0838-73 - acetaminophen 1500. Liq [RCMH]
57896-0403-16 - docusate sodium 150 mg/15 mL Oral Liq [RCMH]
51672-4117-04 - nystatin 6000000. Susp [RCMH]
68094-0494-62 - ibuprofen 100. Susp [RCMH]
46287-0500-01 - sorbitol 70% Liq [RCMH]
63323-0269-29 - propofol 200. Emulsion [RCMH]
63323-0186-10 - sodium chloride 0.9% Soln [RCMH]
25021-0136-10 - ampicillin 1. gm REC Injection [RCMH]
25021-0143-30 - ampicillin-sulbactam 2 g-1 g REC Injection [RCMH]
55150-0116-20 - ampicillin-sulbactam 1 g-0.5 g REC Injection [RCMH]
00781-3206-95 - cefTRIAXone 250. mg REC Injection [RCMH]
00143-9858-25 - cefTRIAXone 500. mg REC Injection [RCMH]
25021-0106-10 - cefTRIAXone 1. gm REC Injection [RCMH]
93005 EKG 12 LEAD TRACING CHARGE4470009$150.25
93017 CARDIAC STRESS TEST CHARGE4470001$902.25
93041 EKG 3 LEAD TRACING CHARGE4470011$59.00
93225 HOLTER MONITOR 24HR REC CHARGE4470003$339.75
93226 HOLTER MONITOR 24HR SCAN CHARGE4470005$600.50
G0404 MCRE PREVENTIVE EKG CHARGE4470015$139.00
90785 INTERACTIVE COMPLEX CHARGE4689078$210.50
90791 IOP PSYCHOSOCIAL ASSESS CHARGE4680015$1,600.50
90832 IOP IND PSYCTHERAPY 1/2HR CHARGE4680001$353.75
90837 IOP IND PSYCTHERAPY 1 HR CHARGE4680003$704.25
90846 FAM PSYCHO W/O PT PRESENT CHARGE4689084$279.25
90847 IOP FAMILY PSYCHOTHERAPY CHARGE4680013$0.00
86580 TB INTRDRML SKIN TEST CHARGE4920633$25.00
92950 CPR CHARGE3000041$1,295.00
99252 INPATIENT CONSULTATION CHARGE3000040$314.50
36000 SALINE LOCK CHARGE3100015$49.25
00409-1903-01 - procainamide 500 mg/mL Sol [RCMH]
00002-7510-17 - insulin lispro 100 units/mL Sol
68084-0195-01 - rOPINIRole 0.25 mg Tab [RCMH]
10021 FINE NEEDLE ASPIRATION W/10021
10040 RMVL SEBACEOUS CYST4920163
10060 I&D ABSCESS SIMPLE/SINGLE4920353
10061 I&D ABSCESS CMPL/MLTPL10061
10120 I&D REMOVAL FB SUBQ SMPL3351012$568.50
10160 PUNCT/ASPIRATE CYST/ABSC4920179$397.00
11055 PARING/CUTTING LES SNGL4920099
11056 PARING/CUTTING LES 2-44920101
11057 PARING/CUTTING LES >44920103
11100 BIOPSY OF LESION4920131
11200 SKIN TAG RMV UP TO 154920049
11201 SKIN TAG RMV EA ADD'L4920251
11201 SKIN TAG RMVL EA 10 LES11201
11300 SHVNG EPDRML LES SNGL TAL4920363
11301 SHAVE EPIDERMAL LES SNGL4920213
11302 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion 1.1 to 2.0cm4920253
11305 SHAVE EPDRML LES SNHFG4920197
11306 SHAVE LES SCLP NCK HND FT4920255
11308 SHAVE EPDMRM LES SNGL4920185
11311 SHAVE EPDRML LES SNGL4920249
11400 EX BEN LES TRNK ARM LEG4920087$581.75
11402 EX BEN LES TRNK/ARM/LEG4920203
11403 EX BEN LES TRNK ARM LEG4920085
11404 EX BEN LES TRK/ARM/LEG4920193
11406 EX BEN LES TNK/ARM/LEG4920211
11421 EX BEN LES SCALP/NK/HND4920195
11422 EX BEN LES SCALP/NK/HEAD4920243$591.50
11423 EX BEN LES SCL/NCK/HD/FT4920245
11440 EX BEN LES FCE/ER/NS/LIP4920187
11441 EX BEN LES FACE EAR LIPS11441
11443 EX BEN LES FACE/EAR/NOSE4920227
11601 EX MALG LES TRK/ARM/LEG4920191
11719 TRIMMING OF NAILS4920061
11720 DEBRIDE NAIL ANY METHOD4920201
11730 AVULSION NAIL PLATE SNGL11730
11730 AVULSION NAIL PLT SMPL11730
11765 WEDGE EX OF NAIL4920105
11900 INJ INTRALES UP TO 7 LES4920365
11900 INJ INTRALESION 1-7 LES11900
12001 RPR SMPL SCLP/NCK/TRNK/EX12001
12002 RPR SMPL SCP NCK TRNK EXT4920119$619.00
12011 RPR SMPL FACE 2.5 OR <12011
12011 RPR SMPL SCLP NK TRNK EXT12011
12013 RPR SMPL FACE 2.6-5.0CM12013
12031 RPR INTER TRUNK/EXTR12031$549.75
12032 RPR INTRM SCLP TRNK EXT4920361
13100 RPR CMPLX TRNK4920115
13120 RPR CMPLX SCLP ARM LEG4920041
13120 RPR SMPL SCLP ARM LEG13120
13121 RPR CMPLX SCLP ARM LEG13121
16020 BURN TREATMNT SM W/O ANES16020
17000 DESTRUCT LESION 1ST4920111
17003 DESTRUCT LES 2-14 EA ADL4920031
17110 WART DESTRUCT TO 14 LES4920009
17111 WART DESTRUCT 15OR>LES4920007
20550 TENDON SHEATH LIGAMNT INJ4920063
20552 INJ SGLE/MULTI TRIGGER PN20552
20553 TRIGGER POINT INJ 1 OR >20553
20605 INJ INTERMED JNT/BURSA4920011
20610 INJ TO KNEE/JOINT20610
20610 INJ KNEE/JOINT BILATERAL20610
28190 RMVL FB FOOT SUBQ4920359
29105 SPLINT LONG ARM APPLY29105
36415 VENIPUNCTURE4920537
36556 CV CUTDOWN >5 YEARS AGE36556
36589 RMV CENTRL VENOUS CATH4920147
36589 RMVL OF TUNNELED CVAD36589
46320 EX THROMBOTIC HEMORHOID4920315
46600 ANOSCOPY DX46600
51102 ASP BLADDER W/TUBE INSERT4920021
64450 DIGITAL BLOCK64450
65205 RMVL FB EXT EYE CONJ SUP65205
65220 RMVL FB CORNEAL W/O LAMP4920355
69000 DRAIN ABSCESS EAR SMPLE4920399
69200 RMVL FB EAR4920357
69210 RMVL OF IMPACTED CERUMEN4920307
Rabies Vaccine Intramuscular4920241
00409-4903-34 - lidocaine 2% preservative-free Sol [RCMH]
25021-0107-20 - cefTRIAXone 2 g REC
63323-0010-02 - gentamicin 80. Soln [RCMH]
00006-3552-59 - imipenem-cilastatin 500 mg-500 mg REC Injection [RCMH]
00781-3343-55 - levofloxacin 750. Soln [RCMH]
00409-7101-02 - Sodium Chloride 0.9% intravenous solution Sodium Chloride 0.
00409-7101-66 - Sodium Chloride 0.9% intravenous solution Sol [RMCH]
00338-0049-41 - Sodium Chloride 0.9% intravenous solution Sol [RMCH]
00409-9093-32 - fentaNYL 0.1 Soln [RCMH]
68084-0647-01 - ALPRAZolam 0.25 mg Tab [RCMH]
51079-0418-01 - temazepam 15. mg Cap [RCMH]
60505-7007-02 - fentaNYL ER Film [RCMH]
00245-0420-05 - fentaNYL ER Film [RCMH]
00406-8315-62 - morphine 15. mg ER Tablet [RCMH]
00641-6061-01 - midazolam 5. Soln [RCMH]
62584-0559-01 - traMADol 50. mg Tab [RCMH]
00406-0367-23 - acetaminophen-HYDROcodone 325 mg-10 mg Tab [RCMH]
00406-0366-23 - acetaminophen-HYDROcodone 325 mg-7.5 mg Tab [RCMH]
00641-6070-25 - morphine 10. Soln [RCMH]
55513-0530-01 - filgrastim 300. Soln [RCMH]
55513-0546-01 - filgrastim 480. Soln [RCMH]
00641-6022-25 - famotidine 20. Soln [RCMH]
00591-2160-39 - promethazine 12.5 mg Supp [RCMH]
63323-0403-02 - fosphenytoin 100. Soln [RCMH]
00781-3009-95 - succinylcholine 200. Soln [RCMH]
33332-0113-10 - influenza virus vaccine, inactivated Susp [RCMH]
17478-0937-05 - diltiazem 5. mg Soln [RCMH]
00409-1171-01 - diltiazem 5. mg Soln [RCMH]
00006-4045-01 - human papillomavirus vaccine IM Susp 0.5 mL [RCMH]
24208-0730-06 - proparacaine ophthalmic 0.5% Soln [RCMH]
42023-0104-01 - tuberculin purified protein derivative 50. Soln [RCMH]
58160-0821-11 - hepatitis B adult vaccine Susp [RCMH]
62756-0348-44 - octreotide 50. Soln [RCMH]
00641-6044-25 - LORazepam 2. Soln [RCMH]
51079-0753-01 - sucralfate 1. gm Tab [RCMH]
00054-0097-20 - oxcarbazepine 150. mg Tab [RCMH]
00781-5238-06 - ondansetron 4. mg DIS Tablet [RCMH]
63739-0548-33 - oxybutynin 5. mg ER Tablet [RCMH]
23155-0112-01 - propranolol 40. mg Tab [RCMH]
68084-0155-01 - promethazine 25. mg Tab [RCMH]
41220-8598-07 - acetaminophen-diphenhydrAMINE 500 mg-25 mg Tab [RCMH]
83786-4082-89 - calcium-vitamin D 500 mg-200 intl units Tab [RCMH]
51079-0211-01 - atorvastatin 80. mg Tab [RCMH]
23155-0294-31 - prochlorperazine 10. Soln [RCMH]
00641-6142-01 - phenylephrine 10. Soln [RCMH]
00069-0059-04 - heparin 5000. Soln [RCMH]
00641-6006-01 - atropine 8. Soln [RCMH]
00409-6102-04 - furosemide 40. Soln [RCMH]
00069-0105-01 - flumazenil 0.5 Soln [RCMH]
76204-0002-12 - levalbuterol 0.63 Soln [RCMH]
25201-0674-20 - etomidate 40. Soln [RCMH]
63323-0185-20 - sterile water Inj Sol 20mL[RCMH]
44567-0707-25 - ceFAZolin 1. gm REC Injection [RCMH]
25021-0137-20 - ampicillin 2. gm REC Injection [RCMH]
00002-8031-01 - glucagon recombinant 1 mg REC [RCMH]
00409-6695-02 - etomidate 2 mg/mL Sol [RCMH]
00409-4283-01 - lidocaine 4% preservative-free Sol [RCMH]
00121-1576-10 - metoclopramide 5 mg/5 mL Syr [RCMH]
00456-0600-10 - ceftaroline 600 mg REC
Manual Differential 54200298$53.50
CSF Cell Count 64200205$60.75
Body Fluid Cell Count 44200217$60.75
Glycohemoglobin4200169$116.75
Urine Drug Screen 104200407$649.25
U Protein Level4200296$80.75
Urinalysis 44200053$68.00
Urine MicroAlbumin 44200287$55.00
H. Pylori Tissue4200134$259.50
Wet Prep 74200125$95.00
37205-0110-38 - magnesium citrate 1.745 g/30 mL Liq [RCMH]
63323-0545-05 - heparin flush 100 units/mL Sol[RCMH]
63323-0282-04 - clindamycin 600. Soln [RCMH]
00009-0775-20 - clindamycin 600. Soln [RCMH]
00409-4054-03 - clindamycin 150 mg/mL Sol
00409-7101-67 - LVP solution Sodium Chloride 0.9% Sol
00409-3378-13 - piperacillin-tazobactam 3 g-0.375 g REC Injection [RCMH]
00409-3374-02 - piperacillin-tazobactam 2 g-0.25 g REC Injection [RCMH]
25021-0106-10 - cefTRIAXone 1. gm REC Injection [RCMH]
00409-2308-01 - midazolam 5 mg/mL preservative-free Sol [RCMH]
59746-0001-03 - methylPREDNISolone 4. mg Tab [RCMH]
50242-0085-27 - alteplase 100 mg REC [RCMH]
00536-2790-59 - multivitamin with minerals Liq [RCMH]
00536-3445-08 - multivitamin with minerals Tab [RCMH]
55390-0113-01 - phentolamine 5 mg REC
51798 Measurement of Post-Voiding Residual Urine/ Bladder Capacity By Ultrasound, Non-Im Chg RKDL44451798$160.25
00338-0409-03 - lidocaine 5%-0.4% Sol [RCMH]
00003-0293-28 - triamcinolone acetonide 40 mg/mL Sus[RCMH]
00003-0293-05 - triamcinolone acetonide 40 mg/mL Sus [RCMH]
00904-6370-61 - amLODIPine 5 mg Tab
76329-9061-00 - EPINEPHrine 1 mg/mL Sol[RCMH]
Thyroxine Total4200175$114.50
TSH4200257$262.25
Methaqualone Scr4200041$65.00
Urine Propoxyphene Screen4200047$65.00
Urine THC Screen4200049$65.00
00597-0024-02 - albuterol-ipratropium CFC free 100 mcg-20 mcg/inh Aer
63323-0237-10 - ceFAZolin 1. gm REC Injection [RCMH]
00206-8854-16 - piperacillin-tazobactam 3 g-0.375 g REC [RCMH]
IV PUSH EA ADD SAME MED3600235$207.75
CATH OBTAIN SPECIMAN ONLY3600257$169.25
CHANGE CYSTOSTOMY TUBE SM3605170$1,445.50
I&D COPLX,PSTOP WOUND INF3601018$1,164.75
MYRINGOTOMY ICLUDING ASPI3606942$883.75
SHV EOUD/DERML LESION/SGL3601130$642.75
BLOOD TRANSFUSION > 8HR3600251$2,578.00
TRANSFUSION TO 4HR3600243$2,215.50
TRANSFUSION TO 5HR3600245$1,585.50
TRANSFUSION TO 6HR3600247$1,585.50
TRANSFUSION TO 7HR3600249$2,215.50
HHN INHALATION TRMT4920821$163.00
ARTHROCENTISIS LG4920013$578.50
I&D ABSCESS PERIRECTAL3600083$636.00
RPR CMPLX SCLP ARM LEGS4920043$1,023.50
RPR INTER SCLP TRK/EXTREM4920205$765.00
RPR SMPLE SCLP/NECK/TRUNK4920199$416.50
TRT CLSD ANKLE W/O ANESTH3600305$1,456.75
TRT COLLES FX W/O MNP3600181$594.50
TRT ELBOW CLSD DISLOCATE3600185$594.50
TRT IP JNT DISLOCATE3600191$450.25
TRT KNEE CLSD DISLOCATE3600193$594.50
TRT METACARP FX CLSD3600195$594.50
TRT RAD HEAD FX CLSD3600205$594.50
TRT RIB FX EACH3600207$420.75
ADM IMMUN SINGLE VAC3600229$60.00
ANOSCOPY DIAGNOSTIC4920019$1,733.75
ARTHROCENTISIS SM4920015$578.50
ASPIRATE P-TONSILLAR ABSC3600261$540.25
ASPIRATION BLADDER3600017$1,062.50
AVULSION NAIL PLATE PART4920023$249.50
BURN 1ST DEGREE INITIAL3600021$281.75
BURN DRESS/DEBRIDE LG3600019$480.50
BURN DRESS/DEBRIDE MED3600023$411.75
BURN DRESS/DEBRIDE SM4920035$482.00
CARDIOPULMONARY ARREST3600029$1,220.75
CAST ARM LONG APPLY ER Charge3600033$478.00
CAST ARM SHORT APPLY ER Charge3600035$478.00
CAST LEG LONG APPLY3600037$478.00
CAST LEG SHORT APPLY ER Charge3600039$478.00
CAST LEG SHORT WALK APPLY3600041$478.00
CATH ASPIRATE NASOTRACH3600283$105.25
CATH NON-TUNNELED CATH3600253$1,073.75
CATH URETHA SIMPLE3600043$237.00
CONTROL BLEED NOSE ANTER3600051$601.00
CONTROL BLEED NOSE POST3600049$601.00
CONTROL BLEED NOSE SIMPLE3600047$601.00
CULPOCENTESIS3600057$2,436.75
CV CATH NONTUNNEL > 5YR3600125$1,206.75
DEBRIDE SKIN PART THICK3600059$480.50
DEBRIDE SKIN/SUBCUTANEOUS3600279$560.75
DELIVERY PLACENTA3600334$1,031.50
DIGITIAL BLOCK SINGLE4920033$903.00
DRAINAGE ABSCESS/CYST HEM3604180$797.25
EX BEN LES FACE4920089$642.75
EX NAIL PART OR COMPLTE3600077$332.00
EX THROMB HEMORRHOID EXT3600073$636.00
FINE NEEDLE ASPIRATION CHARGE4921002$540.25
GASTRIC INTUBATION3600079$381.75
HEMATOMA EVACUATE3600075$636.00
HEMORRHOIDECTOMY 2+ COL3600317$2,412.75
I&D ABSCESS COMPLICATED3600085$546.75
I&D BARTHOLINS ABSCESS3600089$710.25
I&D FINGER ABCESS/SMPL3602601$803.25
I&D FURUNCLE SIMPLE3600091$546.75
I&D HEMATOMA3600093$1,001.00
I&D OF VULVA3600323$966.00
I&D PARONYCHIA3600095$546.75
I&D PILONIDAL CYST SIMPLE3600097$554.50
I&D UPR ARM/ELBO DEEP ABS3602393$1,766.75
I&R FB SUBQ COMPLICATED3600081$1,771.75
I&R FB SUBQ SIMPLE4920107$554.50
INSERT FOLEY CATH ER Charge3600285$339.75
INTRAOSSEOUS INFUSION3600309$264.00
IPECAC ADMINISTRATION3600109$308.75
LUMBAR PUNCTURE DX3610097
IV PUSH SAME DRUG ER Charge3600329$207.75
LUMBAR PUNCTURE DX ER CHARGE3600115$1,317.25
NERVE BLOCK INTERCOSTAL3600117$903.00
PERICARDIOCENTESIS 1ST3600119$994.75
PERICARDIOCENTESIS SUB3600121$994.75
PERITONEOCENTESIS SUB3600321$599.75
PERITONEOCENTESIS3600319$700.75
PROCTO CONTROL BLEED3600123$771.25
REMOVAL FB CONJUNCTIVAL4920039$725.00
REMOVAL FB CORNEAL3600129$725.00
REMOVAL FB EXTERNAL EAR3600131$285.00
REMOVAL FB INTRANASAL3600133$455.00
REMOVAL FB MUSCLE TENDON3600135$1,092.75
REMOVAL IMPACTED CERUMEN3600137$285.00
RMV FOREIGN BODY PHARYNX3600313$739.00
RPR CMPLX EYELID;NOSE/EAR3601315$1,911.50
RPR CMPLX FACE 1.0 & <3600139$473.00
RPR CMPLX FACE 1.1-2.53600141$1,023.50
RPR CMPLX FACE 2.6-7.53600025$2,197.50
RPR CMPLX HANDS/FEET3600297$1,624.00
RPR CMPLX TONGUE3600145$453.25
RPR DISLOCATE SHLDR W/ANE3600301$1,580.75
RPR EA ADD'L 5 CM OR LESS3600259$676.75
RPR EXTENSOR TENDON HAND3600303$3,594.50
RPR INTER NK,HND, FT/EXT3600291$779.50
RPR INTER SCLP,TRK/EXTREM3600221$1,299.75
RPR INTER WOUND EXT3601205$1,316.75
RPR INTERMEDIATE FACE3600295$822.75
RPR INTRMD FOREARM 10CM3600293$1,804.25
RPR INTRMD WUND NCK/HND/F3600010$980.00
RPR LIP FULL/THK/VERMILN3600311$1,821.75
RPR SMP LACERATION3600287$1,143.00
RPR SMPL EXTREMITIES3600289$1,287.00
RPR SMPL FC/EAR/EYE3600237$910.75
RPR SMPLE FACE 2.5 & <4920045$662.25
RPR SMPLE FACE 2.6-5.04920117$662.25
RPR SMPLE FACE 7.6-12.53600151$662.25
SPINAL PUNC THRP DRAN3600012$774.50
SPLINT ARM LONG APPLY ER Charge4920209$367.00
SPLINT ARM SHORT APPLY3600161$270.50
SPLINT FINGER APPLY3600165$55.00
SPLINT LEG LONG APPLY ER Charge4920053$323.75
SPLINT LEG SHORT APPLY ER Charge3600167$533.50
STRAPPING ANKLE3600269$188.50
STRAPPING ELBOW OR WRIST3600275$336.25
STRAPPING HAND OR FINGER3600273$336.25
STRAPPING KNEE ER Charge3600271$233.25
STRAPPING SHOULDER ER Charge3600169$599.75
STRAPPING TOES3600267$177.00
STRAPPING UNNA BOOT3600265$349.00
THORACENTESIS INITIAL/SUB3600171$1,267.50
THORACENTESIS INSERT TUBE3600173$994.75
THROMBOLYSIS3600175$452.00
TRACHEOSTOMY CRICOTHYROID3600307$1,263.25
TRIGGER POINT INJ 1 OR >4920010$161.00
TRT AC CLOSED DISLOCATE3600177$450.25
TRT CLAVICLE FX W/O MNP3600179$450.25
TRT DIST PHALANGEAL CLSD3600183$450.25
TRT FIB SHF PROX FX CLSD3600187$594.50
TRT MCP JNT DISLOCATE3600199$450.25
TRT MT CLSD FX W/O MNP3600197$594.50
TRT NSL BNE FX W/O MANIP3600299$519.25
TRT PATELLAR DISLOCATE3600201$594.50
TRT PHAL SHAFT FRAC W/MAN3600204$1,927.25
TRT PHALANGEA SHAFT FX3600203$450.25
TRT SHOULDER CLSD DIS W/M3600209$450.25
TRT T-MANDIULAR DISLOCATE3600211$455.00
TUBE THORACOSTOMY ER Charge3600045$993.50
VAGINAL DELIVERY3600213$3,047.00
VENIPUNCTURE 3YR OR OLDER3600215$32.75
CARDIOVERSION ELECTIVE3600031$1,220.75
TRANSVENOUS PACING TEMP3600009$1,132.75
TRAUMA ACTIVATE < 30 MIN3600331$1,126.50
TRAUMA ACTIVATION3600333$1,126.50
PNEUMONIA ADMINISTRATION4920237$96.75
I&D ABSCESS PERIRECTAL ProFee3610083
PHY TRANSPORT 24MO OR > ProFee3610219
RPR INTRMD SCLP,TRK/EXTRE ProFee3610207
RPR SMPLE SCLP NECK TRUNK ProFee3610143
TRT CLSD ANKLE W/O ANESTH ProFee3610297
TRT COLLES FX W/O MNP ProFee3610171
TRT ELBOW CLSD DISLOCATE ProFee3610175
TRT IP JNT DISLOCATE ProFee3610181
TRT KNEE CLSD DISLOCATE ProFee3610183
TRT METACARP FX CLSD ProFee3610185
TRT RAD HEAD FX CLSD ProFee3610193
TRT RIB FX EACH ProFee3610195
ACENTESIS JNT INTM ProFee3610227
ACENTESIS JNT MAJOR ProFee3610007
ACENTESIS JNT SMALL ProFee3610009
ASPIRATE BLADDER BY NEEDL ProFee3610011
ASPIRATE PERITONSILL ABSC ProFee3610225
AVULSION NAIL PLATE ProFee3610003
BURN DRESS/DEBRIDE LARGE ProFee3610013
BURN DRESS/DEBRIDE SMALL ProFee3610019
CAST ARM LONG SUPPLY ProFee3610025
CATH TUNNELED CV ProFee3610273
CATH URETHRA SMPLE ProFee3610035
CLSD DISLC SHLDR W ANETH ProFee3610293
CNTRL BLEED ANT CMPLX ProFee3610043
CNTRL BLEED NASAL INITIAL ProFee3610041
CNTRL BLEED NOSE SMPLE ProFee3610039
COLPOCENTESIS ProFee3610049
CRITICAL CARE 1ST HR ProFee3610045
CRITICAL CARE ADD 30 MIN ProFee3610047
CV CUTDOWN > AGE 2 ProFee3610205
CVP PLACE > AGE 2 ProFee3610113
DAILY HOSP CARE LEVEL 1 ProFee3610051
DEBRID SKIN/SUBCUTANEOUS ProFee3610277
DELIVERY OF PLACENTA ProFee3610334
DRAINAGE ABSCESS/CYST/HEM ProFee3614180
ER VISIT L-1 PROF3610057
ER VISIT L-2 PROF3610059
ER VISIT L-3 PROF3610061
ER VISIT L-4 PROF3610063
ER VISIT L-5 PROF3610065
EX NAIL PART OR CMPLTE ProFee3610069
EX THROMBOSED HEMORRID EX ProFee3614632
EXAM PELVIC ProFee3610223
EXAM SEXUAL ASSULT ProFee3610071
GASTRIC INTUBATE ProFee3610073
H & P L-1 ProFee3610237
H & P L-2 ProFee3610239
H & P L-3 ProFee3610241
HEMORRHOIDECTOM EXT CMPL ProFee3610309
HOSP CARE DAILY L-1 ProFee3610243
HOSP CARE DAILY L-2 ProFee3610245
HOSP CARE DAILY L-3 ProFee3610247
HOSP DISCHG 30MIN OR < ProFee3610249
HOSP DISCHG 30MIN OR > ProFee3610251
I&D ABCESS SIMPLE ProFee3610081
I&D ABSCESS BARTHOLINS ProFee3610085
I&D FINGER ABSCESS/SMPL ProFee3612601
I&D PILONIDAN CYST ProFee3610089
I&D RMVE FB SUBQ SMPLE ProFee3610091
I&RMVE FB SUBQ COMPLICATE ProFee3610077
INCISION & RMV OF FB ProFee3610233
MYRINGOTOMY INCLUDING ASP ProFee3616942
99217 OBS DISCHARGE DAY -CCCPF3610253
OBS F/U LN L-4 ProFee3610261
OBS F/U NP L-1 ProFee4920441
OBS F/U NP L-2 ProFee4920443
OBS F/U NP L-3 ProFee4920445
OBS F/U NP L-5 ProFee4920449
OBS IN & OUT LEVEL 1 ProFee3610101
OBS IN & OUT LEVEL 2 ProFee3610103$0.00
OBS IN & OUT LEVEL 3 ProFee3610105
99218 OBS INITIAL L-1 -CCCPF3610265
99219 OBS INITIAL L-2 -CCCPF3610267
99220 OBS INITIAL L-3 -CCCPF3610269
PROCTO RIGID CNTRL BLEED ProFee3610111
RPR CMPLX EYELID/NOSE/EAR ProFee3611315
RPR COMPLEX FACE 2.6-7.5 ProFee3610229
RPR CPMLX SCLP ARM LEGS ProFee3610135
RPR INTER WOUND EXT ProFee3611205
RPR INTRMD FACE 2.5 OR < ProFee3610287
RPR INTRMD NK,HND,FT/EXT ProFee3610283
RPR INTRMD WND NCK/HND/FT ProFee3610010
RPR LIP FULL THK/VERMILI ProFee3610303
RPR SMPL FC/EARS/EYE ProFee3610271
RPR SMPL LACERTAION ProFee3610279
RPR SMPLE FACE 2.5 OR < ProFee3610137
SPINAL PUNC THRP DRAIN ProFee3610014
SPLINT ARM LONG SUPPLY ProFee3610149
THORACENTESIS INITIAL SUB ProFee3610161
TRANSVENOUS PACING TEM ProFee3610165
TRMT NSL BNE FX W/O MANIP ProFee3610291
TRT AC CLSD DISLOCATE ProFee3610167
TRT CLAVICULAR FX W/O MAN ProFee3610169
TRT CLSD HUMERAL HD FX ProFee3610075
TRT CLSD TMJ DISLOCATE ProFee3610199
TRT DIST PHALANGE CLSD EA ProFee3610173
TRT FIB/SHF PROX FX CLSD ProFee3610177
TRT IP DISLOCATE ProFee3610179
TRT METACARPO JNT DISLOCA ProFee3610187
TRT MT CLSD FX ProFee3610189
TRT PATELLAR CLSD DISLOCA ProFee3610191
TRT SHOULDER CLSD DISLOCA ProFee3610197
VAGINAL DELIVERY ONLY ProFee3610201
WEDGE EXCESION OF NAIL ProFee3610231
63323-0690-30 - acetylcysteine 20% Soln [RCMH]
Lipid Panel 104200069$273.50
00338-0704-34 - LVP solution with potassium Sodium Chloride 0.45% with KCl 20 mEq/L Sol
25021-0132-82 - levofloxacin 500 mg/100 mL Sol [RCMH]
63323-0186-20 - sodium chloride 0.9% Sol
00409-4888-20 - sodium chloride 0.9% Sol [RCMH]
00409-4888-12 - sodium chloride 0.9% Sol [RCMH]
ABO4220015$73.25
ABORh.4220015$73.25
90473 Immunization administration, oral4920909
11643 EXCISION MALIGNANT LES F/E/E/N/L 2.1-3.0 CM/<35011643$1,127.75
10021 FINE NEEDLE ASPIRATION W/O IMAGE3351002$553.25
10021 FINE NDL ASPIRATE W/O GUI CHARGE3500139$554.25
10060 I&D OF ABSXESS SMPL/SNGL CHARGE3100017$391.50
10120 RMV FRGN BODY SUBQ SMPL CHARGE3351012$568.50
10140 I&D HEMATOMA/SEROMA CHARGE3350069$1,001.50
10180 I&D CMPLX POSTOP WOUND IN CHARGE3501018$1,165.50
11004 DEBRIDE SKIN/SUB/MUSCL/FA CHARGE3501100$3,752.00
11042 DEBRIDE SKIN & SUBC TISS -SC3500149$958.25
11043 DEBRIDE SKIN SUBC TIS&MUS CHARGE3500151$2,068.75
11044 DEBRIDE SKN,SUBC TSS & BN CHARGE3500153$2,684.75
11100 BIOPSY SKIN LESION SC PF3500155$328.50
11310 SHVNG EPIDERM LES EYELID CHARGE3500157$452.00
11401 EX BEN LESION TRK/ARM/LG CHARGE3500159$554.25
11402 EX BEN LESION TK,ARM,LEG CHARGE3500161$677.75
11403 EX BEN LES TRK ARM LEGS CHARGE3500163$791.00
11404 EX BEN LES TRNK ARM LEGS CHARGE3500051$1,173.00
11406 EX BEN LES TRNK ARM LEGS CHARGE3500049$1,690.50
11420 EX BEN LES SCP NCK HND FT CHARGE3500047$462.00
11421 EX BEN LES SC/NK/HD/FT - SC3500165$480.00
11422 EX BEN LES SCP/NCK/HND/FT-SC3500105$791.00
11423 EX BEN LES SCALP/NECK CHARGE3500167$1,289.25
11424 EX BEN LES SCLP/NCK/HD/FT CHARGE3500169$1,178.50
11426 EX BEN LES H-F-NK-SP CHARGE3500171$1,588.00
11441 EX BEN LESION FACE CHARGE3500173$770.25
11442 EXC FACE-MM B9+MARG 1.1-2CM- CLINIC3500121$893.75
11443 EX BEN LES FACE CHARGE3500175$1,354.00
11446 EX LESION FC/ER/EYE OVR 4 CHARGE3500319$1,599.50
11446 EXE BENIGN LESION OVER 4. CHARGE3501144$1,599.50
11450 EX SKN/SUBQ TISS HIDRADEN CHARGE3500177$1,979.25
11602 EX MALIGNANT LESION/TRK/A CHARGE3501161$891.00
11603 EX MALIGNANT LES 2.1 TO 3 CHARGE3500316$948.50
11606 EX MALIGNANT LESION TRNK/ CHARGE3501160$1,606.25
11626 EX MALIGNANT LESIN SCL/N CHARGE3501162$1,725.50
116423500137$1,578.25
11644 EX MALGNANT LESION FACE/E CHARGE3500196$1,832.00
11750 EX OF NAIL & NAIL MATRIX CHARGE3500179$1,160.25
11770 EX PILONIDAL CYST SMPLE CHARGE3500045$2,028.50
11771 PILONIDAL CYST, EXTENSIVE CHARGE3500181$4,095.75
12032 RPR INTRM TRNK 2.6-7.5CM CHARGE3500183$791.00
12034 RPR INTRM SCP/TRNK/EXT CHARGE3500185$1,104.00
12035 RPR INTRM SCLP/AXL/TRNK CHARGE3500187$1,592.25
12036 RPR INTER WOUND SCALP/AXI CHARGE3501203$1,893.75
12037 RPR INT WOUND SCLP/AXIL/T CHARGE3502037$2,129.50
12042 RPR INTRM NCK/HND/FT CHARGE3500189$1,024.25
12044 RPR INTRM TRUNK 7.6-12.5 CHARGE3500191$1,147.75
12051 RPR INTRM FACE 2.5 OR < CHARGE3500193$1,520.50
12052 RPR INTRM FACE 2.6-5.0 - ED PF3500195$1,231.75
12053 RPR INTRM WOUND FC/EAR/EY CHARGE3501205$1,349.75
13132 RPR COMPLEX FRHD,CHK,CHN CHARGE3500197$2,148.75
19100 BX BREAST NEEDLE CORE CHARGE3500031$870.00
19110 NIPPLE EXPL W/W0 DUCT EX CHARGE3500199$2,407.25
19120 EX BREAST MASS CHARGE3500201$2,501.00
19307 MASTECTOMY MODIFIED RAD CHARGE3500203$7,511.25
20005 INC SOFT TISSUE ABSCESS CHARGE3500205$1,565.75
20520 RMV FORGN BDY MUSCLE/TEND CHARGE3500207$80.25
20605 ACENTESIS INJ INTERM JNT CHARGE3500209$358.00
21012 EX TUMOR SFT TISSUE FACE CHARGE3500211$2,234.75
21501 I&D DP ABSC/HEMATOMA NECK CHARGE3500213$1,763.00
21552 EX TUMOR SFT TISSUE NECK CHARGE3502155$3,156.00
21555 EX LESION NECK/CHEST <3CM CHARGE3500215$1,779.00
21556 EX TUM SFT TSSU NK/THRX CHARGE3500217$2,597.75
21930 EX TUM SFT TSSU BCK/FLNK CHARGE3500219$3,844.75
21931 EX TUMOR SFT TISSUE BCK/F CHARGE3502194$3,226.00
21933 EX TUMOR SFT TISS BCK/FLN CHARGE3502193$4,384.75
22900 EX ABD WALL TUMOR <5CM CHARGE3500221$3,306.00
22999 UNLISTED PROC ABD MUSCL CHARGE3500012$2,068.75
23071 EXC TUMOR,SFT TSSU SHLDR CHARGE3502307$3,002.00
24071 EX TUMR SFT TSSU UPR ARM/ CHARGE3502407$2,248.50
24071 EXC TUM SFT TISSUE UP ARM CHARGE3500223$1,634.50
24075 EX TUMOR SFT TISS ARM/ELB CHARGE3500135$1,920.75
24076 EX TUMOR SFT TISSUE ARM CHARGE3500225$4,175.75
24105 EX OLECRANON BURSA CHARGE3500227$2,166.00
25071 BIOPSY SOFT TISSUE FORAR CHARGE3502507$2,477.25
25111 EX CYST GANGLION WRIST CHARGE3500043$3,268.25
25248 RMV FOREARM FOREIGN BODY CHARGE3500229$2,596.25
26010 I&D FNGR ABSCESS SMPL CHARGE3352601$860.00
26011 DRAIN FNGR ABSCESS CMPLEX CHARGE3500233$1,720.00
26115 EX SFT TISS HND/FNG SUBC CHARGE3500235$2,175.50
26160 EXC LES TENDON SHTH/JNT CHARGE3500237$2,767.50
26180 EX TENDON FNGR FLEXOR/EXT CHARGE3500239$2,391.75
26951 AMPUTATE FINGER OR THUMB CHARGE3500241$3,008.50
27043 EX TUMOR HIP/PELVIS 3CM > CHARGE3500318$2,387.25
27048 EX TUMOR HIP/PELVIS <5CM CHARGE3500243$3,072.00
27301 I&D DEEP ABSCESS/HEMOTOMA CHARGE3500123$2,896.50
27327 EX TUMOR THIGH/KNEE SUBQ CHARGE3500245$3,056.50
27347 EX CYST GANGLION KNEE CHARGE3500041$3,052.25
27590 AMPUTATE THIGH THRU FEMUR CHARGE3500029$6,959.75
27618 EX TUM SFT TISS LEG/ANKLE CHARGE3500247$2,407.25
28002 I&D BELOW FASCIA W/WO TEN CHARGE3502800$2,307.50
28022 ARTHROTOMY METAT/PHAL JT CHARGE3500249$3,543.00
28190 RMV FRGN BODY SUBQ FOOT CHARGE3500251$860.00
28296 BUNION CORRECT W/OSTOMY CHARGE3500053$7,701.75
28810 AMPUTATE METATARSAL SNGL CHARGE3500027$5,206.50
28820 AMPUTATE TOE METATAR JNT CHARGE3500253$2,278.00
36430 TRANSFUSION BLOOD OR BLOO CHARGE3503643$1,586.50
36556 CENTRAL VENOUS LINE/EMS CHARGE3500107$1,300.25
36556 INSERT NON-TUNNEL CV CATH CHARGE3350067$1,074.50
36561 INSERT TUNNLED (MEDIPORT) CHARGE3500004$3,422.75
36571 IMPLANT VEN ACCESS PORT CHARGE3500127$6,341.00
36589 RMV TUNNEL CV W/OUT SUB P CHARGE3503658$1,066.00
36590 RMV CV TUNNLED CHARGE3500255$1,804.25
37609 LIGATION OR BIOPSY, TEMP CHARGE3503760$1,571.00
38500 EXC OR BIOPSY LYMPH NODE CHARGE3503850$1,801.00
38525 EX OPN DEEP AXILLARY NODE CHARGE3500257$2,843.25
39400 MEDIASTINOSCOPY W/WO BX CHARGE3500131$27,519.50
43200 ESOPHAGOSCOPY DIAG CHARGE3500259$1,376.00
43202 ESOPHAGOSCOPY W/BIOPSY CHARGE3500261$1,547.25
43235 EGD DIAGNOSTIC CHARGE3500019$2,070.75
43239 EGD W/BX CHARGE3500001$2,311.75
43245 EGD WITH DILATI CHARGE3503245$2,178.50
43246 G-TUBE PLACEMENT CHARGE3500263$2,705.75
43251 EGD W RMVL TMR/PLP SNARE CHARGE3500265$2,265.50
43450 DILATION OF ESOPHAGUS CHARGE3500267$1,397.25
43456 DILATIN OF ESOPHAGUS CHARGE3500269$1,875.50
43760 GASTROSTOMY TUBE CHANGE CHARGE3354376$475.50
43830 GASTROSTOMY OPEN W/O TUBE CHARGE3500273$4,414.00
43870 GASTROSTOMY CLOSURE CHARGE3500275$4,296.25
44388 COLONOSCOPY THRU STOMA CHARGE3504438$2,088.75
44950 APPENDECTOMY CHARGE3504495$3,506.50
45330 SIGMOIDOSCOPY SCREEN CHARGE3500117$735.00
45330 SIGMOIDOSCOPY DIAGNOSTIC CHARGE3500021$735.00
45331 SIGMOIDOSCOPY FLEX W/BX CHARGE3500017$1,035.50
45338 SIGMOID FLXE RMV TUMOR/LE CHARGE3500198$1,359.50
45378 COLONSCOPY DIAGNOSTIC CHARGE3500013$2,661.00
45378 COLONSCOPY SCRN HGH RISK CHARGE3500113$2,661.00
45378 COLONSCOPY SCRN NO HGH RK CHARGE3500115$2,661.00
45380 COLONOSCOPY FLEX W/BX CHARGE3500011$3,122.25
45383 COLONSCOPY W/ABLATION CHARGE3500277$3,053.75
45384 COLONSCOPY HOT BX FORCEPS CHARGE3500279$2,559.75
45385 COLONSCOPY W/RMVE POLYP CHARGE3500015$3,813.75
45990 ANORECTAL EXAM W/ANESTH CHARGE3500281$865.75
46040 I&D PERORECTAL ABSCESS CHARGE3500283$1,794.50
46080 SPHINCTEROTOMY CHARGE3500285$1,720.00
46221 HEMORRHOIDECTOMY RUB BND CHARGE3500287$647.00
46230 EX EXTN PAPIL/TAG ANUS CHARGE3500289$1,003.50
46250 HEMORROIDECTOMY 2+ COLUMN CHARGE3500291$2,257.25
46255 HEMORRHOIDECTOMY 1 COLUMN CHARGE3500293$3,031.25
46260 HEMORRHOIDECTOMY INT/EXT CHARGE3500295$3,832.00
46270 ANAL FISTULA CHARGE3500297$2,001.75
46280 ANAL FIST;TRANS/SUPRA/EXT CHARGE3500006$4,125.50
46600 ANOSCOPY W OR W/O COLLECT CHARGE3500111$285.00
47562 LAP CHOLECYSTECTOMY CHARGE3500069$7,794.25
47563 LAP CHOLE W/CHOLANGIO CHARGE3500065$8,750.75
47564 LAP CHOLE W/EXPLORE CD CHARGE3500067$9,856.00
49000 LAP CELIOTOMY W/WO BIOPSY CHARGE3500063$6,700.25
49082 PERITONEOCENTESIS ABDOMIN CHARGE3000033$701.50
49505 RPR HERNIA INGUIN 5 OR > CHARGE3500097$4,025.50
49520 RPR RECUR INGUINAL HERNIA CHARGE3500301$4,351.25
49550 RPR HERNIA FEM ANY AGE CHARGE3500093$4,062.00
49560 RPR HERNIA INCIS REDUCE CHARGE3500095$5,039.75
49565 RPR RECUR INC/VENT HERNIA CHARGE3500303$5,170.25
49568 MESH IMPLANTATION CHARGE3500059$2,248.50
49585 RPR HERNIA UMBIL 5 OR> CHARGE3500099$3,519.25
54150 CIRCUMCISION USING CLAMP CHARGE3500305$1,770.50
54161 CIRCUMCISION EXCEPT NB CHARGE3500133$1,770.50
54700 I&D TESTIS/SCROTAL CHARGE3500129$1,446.00
55040 EX HYDROCELL UNILATERAL CHARGE3505504$2,838.00
55100 I&D SCROTAL WALL ABSCESS CHARGE3505510$1,374.75
58600 TUBAL LIGATION CHARGE3500309$4,495.50
64721 CARPAL TUNNEL RELEASE CHARGE3500033$5,028.50
96365 IV INFUSE THERAPY 1ST HR CHARGE3500311$452.00
96366 IV THERAPY EA + HR CHARGE3100007$336.75
96374 IV PUSH SNGLE/INITIAL CHARGE3500315$264.00
IP AMP LEG THRU TIB/FIB CHARGE3500025$6,696.00
IP CHOLE W/EXP DRAINAGE CHARGE3500037$5,343.25
IP CHOLE W/EXPLOR CD CHARGE3500039$7,790.50
IP HYSTERCTOMY VAGINAL CHARGE3500055$8,388.00
IP HYSTERECTOMY ABD TOTAL CHARGE3500057$7,981.75
IP ONLY APPENDECTOMY CHARGE3500003$4,673.50
OPER RM 0-30 MIN CHARGE3500071$1,623.00
OPER RM 121-150 MIN CHARGE3500085$2,705.75
OPER RM 151-180 MIN CHARGE3500087$3,123.75
OPER RM 181-210 MIN CHARGE3500073$3,652.25
OPER RM 210-241 MIN CHARGE3500075$4,114.75
OPER RM 241-270 MIN CHARGE3500081$4,628.50
OPER RM 271-300 MIN CHARGE3500083$5,139.75
OPER RM 31-60 MIN CHARGE3500077$1,677.00
OPER RM 61-90 MIN CHARGE3500023$1,713.25
OPER RM 91-120 MIN CHARGE3500079$1,895.75
OPER RM EACH ADD 30 MIN CHARGE3500089$485.25
OPER RM MISCELLANEOUS CHARGE3500091$0.00
SURGICAL HOLDING ROOM CHARGE3500101$273.00
RECOVERY RM 0-30 MIN CHARGE3520001$395.00
RECOVERY RM 31-60 MIN CHARGE3520003$561.25
RECOVERY RM 61-90 MIN CHARGE3520005$727.75
RECOVERY RM 91-120 MIN CHARGE3520007$894.25
ANESTH 0-30 MINUTES CHARGE3550001$620.50
3550009 ANESTH 121-150 MINUTES CHARGE3550009$1,315.00
ANESTH 151-180 MINUTES CHARGE3550011$1,475.50
ANESTH 181-210 MINUTES CHARGE3550013$1,636.00
ANESTH 211-240 MINUTES CHARGE3550015$1,796.50
ANESTH 241-270 MINUTES CHARGE3550017$1,957.00
ANESTH 271-300 MINUTES CHARGE3550019$2,117.50
ANESTH 31-60 MINUTES CHARGE3550003$799.25
ANESTH 61-90 MINUTES CHARGE3550005$977.00
ANESTH 91-120 MINUTES CHARGE3550007$1,154.50
63323-0492-27 - lidocaine 1% preservative-free Sol
00409-2305-17 - midazolam 1 mg/mL preservative-free Sol
51079-0806-20 - hydrOXYzine hydrochloride 25 mg Tab [RCMH]
68084-0254-01 - hydrOXYzine hydrochloride 25 mg Tab
00904-6247-61 - venlafaxine 75 mg ER UD [RCMH]
00206-3100-02 - piperacillin-tazobactam 3 g-0.375 g REC [RCMH]
00574-0120-76 - charcoal-sorbitol 50 g Sus [RCMH]
64253-0202-30 - sodium chloride 0.9% Sol [RCMH]
00591-3198-72 - fentaNYL 25 mcg/hr ER [RCMH]
00409-1253-01 - meperidine 50 mg/mL Sol [RCMH]
76045-0005-10 - morphine 4 mg/mL Sol [RCMH]
76045-0004-10 - morphine 2 mg/mL Sol
68084-0358-01 - rifampin 300 mg Cap [RCMH]
68084-0270-01 - risperiDONE 0.25 mg Tab [RCMH]
COBAN 4"4100260$12.25
CANISTER, SUCT.1100ML4100206$50.50
CATHETER, COUDE 18FR.4100272$55.25
CRUTCHES, PEDI4100276$37.00
CVC KIT 7FR/3-16CM4100268$92.00
CVC KIT 7FR/3-20CM4100270$116.50
EYE SHIELD, ALUM.4100254$6.25
NUGAUZE 1" PLAIN4100250$27.75
SKIN STAPLER PPW35W4100248$171.75
SPLINT,FINGER/FD/OV 2PR-X4100234$7.50
STANDARD ANKLE BRACE, R4100123$119.00
STRETCH NET 10"4100246$67.50
STRETCH NET 4"4100244$12.25
STRETCH NET 5"4100242$18.50
STRETCH NET 6"4100240$37.00
STRETCH NET 7"4100238$61.25
STRETCH NET 8"4100236$61.25
SUCTION CATHETER 12FR.4100256$5.25
TRAY, LUMBAR PUNC-PEDI4100232$226.75
MESH BRIEF4100230$12.25
OXISENSOR,XLG ADULT DISP4100228$30.50
OXISENSOR, PEDI DISP4100226$104.25
OXISENSOR,INFANT DISP4100224$30.50
COLLAGEN DRESSING 2X24100222$12.25
PICC CENTRAL LINE TRAY4100220$49.25
MALE EXTERNAL CATHETER4100218$10.00
MORGAN LENS DELIVERY SET4100216$12.25
TUBE HOLDER, PEDIATRIC4100214$12.25
ARMBOARD, PEDI4100212$30.50
ARMBOARD, ADULT4100210$37.00
CHLORA PREP SWAB4100208$5.00
NASAL PACK- RR 4504100204$73.50
NASAL PACK- RR 7504100202$73.50
NASAL PACK-RR 7514100200$73.50
DRESSING CHANGE TRAY4100290$56.00
ABD4100671$5.25
ACE BANDAGE 2"4100479$7.50
ACE BANDAGE 3"4100733$21.25
ACE BANDAGE 4"4100735$23.75
ACE BANDAGE 6"4100481$13.75
ADAPTIC 3X34100317$7.50
ADAPTIC 3X84100585$7.50
ANESTHESIA CIRCUIT, ADULT4100247$49.25
ANTI-EMB.STOCKING L/L4100011$44.25
ANTI-EMB.STOCKING, M/R4100009$25.75
ANTI-EMB.STOCKING, M/S4100015$39.75
ANTI-EMB.STOCKING, XL/L4100057$40.75
ANTI-EMB.STOCKING L/R4100007$39.75
ANTI-EMB.STOCKING,M/L4100087$39.75
ANTI-EMB.STOCKING,S/R4100037$72.25
ANTI-EMB/STOCKING, S/L4100013$72.25
AQUACEL AG 2X24600049$6.25
AQUACEL DRESSING4600139$43.75
ASEPTO SYRINGE 2 OZ.4100501$10.75
BAG,FEEDING4100659$15.00
BRACE,CLAVICLE SPLINT-L4100425$93.50
BRACE,CLAVICLE SPLINT-M4100529$118.50
BRACE,CLAVICLE SPLINT-S4100423$64.00
CANE, ADJ4100475$0.00
CANISTER, SUCT.1200CC4100295$36.25
CANISTER, SUCTION 2100CC4100807$50.75
CATHETER ,URETHRAL 14FR4100287$8.00
CATHETER HOLDER, LEG BAND4100715$21.25
CATHETER TRAY 5CC16FR.4100865$60.75
CATHETER TRAY 5CC18FR.4100393$64.00
CATHETER TRAY W/O CATH4100833$29.50
CATHETER, COUDE 14FR.4100587$82.00
CATHETER, COUDE 16FR.4100517$82.00
CATHETER, COUDE 20FR.4100521$59.00
CATH-N-SLEEVE4100799$10.75
CATHOLON, I.V. 14GA.4100747$15.00
CATHOLON, I.V. 16GA.4100229$15.00
CATHOLON,I.V. 18GA..4100231$15.00
CATHOLON,I.V. 20GA..4100223$15.00
CATHOLON,I.V.22GA..4100225$15.00
CATHOLON,I.V.24GA..4100209$21.25
CERVICAL COLLAR -SMALL4100519$77.25
CERVICAL COLLAR-LARGE4100179$77.25
CERVICAL COLLAR-MEDIUM4100181$60.75
COMPRILLAN 10CM #10284100003$16.00
COMPRILLAN 6CM #10264100005$10.75
COVERLET,N/G EA4100757$5.25
CRUTCHES, ADULT MEDIUM4100265$91.75
CRUTCHES, ADULT TALL4100701$91.75
CRUTCHES, CHILD4100431$91.75
CRUTCHES, YOUTH4100435$82.75
C-SPLINT FIBREGLASS 3X124100447$72.25
C-SPLINT FIBREGLASS 4X154100411$87.50
C-SPLINT FIBREGLASS 4X304100449$127.75
DERMABOND4100235$85.75
DERMAGRAM SALINE WET DSG.4100827$25.75
DISP-A-BAG4100499$23.75
DRAINAGE BAG4100249$34.75
DUODERM X-THIN 4X4`4100339$25.75
DUODERM X-THIN 4X64100337$25.75
E.T.EA HOLDER, ADULT4100455$19.50
EAR IRRIGATION SYSTEM4100789$44.25
EAR/ULCER SYRINGE4100549$7.50
ENDOTRACHEAL EA 4.0MM4100397$22.75
ENDOTRACHEAL EA 4.5MM4100775$22.75
ENDOTRACHEAL EA 5.0MM4100779$104.50
ENDOTRACHEAL EA 5.5MM4100327$22.75
ENDOTRACHEAL EA 6.0MM4100401$22.75
ENDOTRACHEAL EA 6.5MM4100445$22.75
ENDOTRACHEAL EA 7.0MM4100403$22.75
ENDOTRACHEAL EA 7.5MM4100453$22.75
ENDOTRACHEAL EA 8.0MM4100407$22.75
ENDOTRACHEAL EA 8.5MM4100347$16.00
ENDOTRACHEAL EA 9.0MM4100409$22.75
ENEMA TRAY4100567$27.50
EYE PAD4100313$5.25
FOLEY CATHETER 10 FR.4100509$76.75
FOLEY CATHETER 12FR.4100511$82.00
FOLEY CATHETER 30CC 28FR.4100531$25.50
FOLEY CATHETER 5CC 14FR.4100513$82.00
FOLEY CATHETER 5CC 16FR.4100681$82.75
FOLEY CATHETER 5CC 18FR.4100523$40.75
FOLEY CATHETER 5CC 20FR.4100459$25.50
FOLEY CATHETER 5CC 22FR.4100589$22.75
FOLEY CATHETER 8 FR.4100457$0.00
FOOT PILLOWS4100809$138.75
FOREARM SPLINT-ADULT LEFT4100419$53.50
FOREARM SPLINT-ADULT RT.4100369$53.50
FOREARM SPLINT-CHILD LEFT4100591$44.25
FOREARM SPLINT-CHILD RT.4100367$44.25
FOREARM SPLINT-YOUTH LEFT4100595$53.50
FOREARM SPLINT-YOUTH RT.4100365$53.50
GASTRIC LAVAGE4100611$25.75
GRADUATE (CARAFE)4100725$5.25
HONEYCOMB BANDAGE 4"4100783$8.50
HONEYCOMB BANDAGE 6"4100785$18.25
I.V.PREP KIT4100291$18.25
ICE PACK4100743$21.25
INCISION & DRAINAGE TRAY4100599$64.50
IRRIGATION TRAY4100607$27.50
IRRIGATION TRAY, SMALL4100608$25.00
KERLIX RLS4100053$2.50
KERLIX SPONGES4100049$5.25
KLING 1" STERILE4100039$7.50
KLING 2"STERILE4100043$7.50
KLING 3"STERILE4100041$7.50
KNEE IMMOBILIZER-LARGE4100357$146.25
KNEE IMMOBILIZER-MEDIUM4100191$131.50
KNEE IMMOBILIZER-SMALL.4100755$131.50
KNEE IMMOBILIZER-X-LARGE4100193$148.50
LEMON GLYCERINE SWABS4100641$5.25
LEVIN EA 10FR.4100767$21.25
LEVIN EA 12 FR.4100623$7.50
LEVIN EA 16FR.4100351$7.50
LEVIN EA 18FR.4100547$7.50
MALE ADAPTER4100289$43.00
MOUTHCARE KIT4100187$30.00
MUCOS TRAP4100439$12.00
MULTIDEX POWDER4100147$47.25
NUGAUZE 1/2" PLAIN4100035$27.50
NUGAUZE 1/2" W/IDOFORM4100071$7.50
NUGAUZE1/4" PLAIN4100051$7.50
NUGAUZE1/4" W/IDOFORM4100069$7.50
O.B.PACKS4100723$185.00
PLEUR-EVAC4100645$217.25
PLUG, EXTRA LARGE4100845$1,041.25
PLUG, LARGE #01127704100839$905.25
PLUG, MEDIUM #01127604100843$891.50
PLUG, SMALL #01127504100847$879.00
PREP TRAY4100647$10.00
PULSAVAC FAN SPRAY KIT4100805$262.00
RAPE KITS4100605$168.00
RAZOR, PERSONAL, DISP.4100437$5.25
SAFGEL DRESSING 3 OZ.EA4100149$67.25
SANITARY PAD (PKG)4100609$7.50
SHAVE KIT4100161$13.75
SHOULDER IMMOBILIZER-L4100355$82.00
SHOULDER IMMOBILIZER-M4100421$77.25
SHOULDER IMMOBILIZER-S4100651$77.25
SHOULDER IMMOBILIZER-X-L4100353$93.50
SKIN STAPLER 35 REGULAR4100829$172.25
SKIN STAPLER REMOVAL4100731$36.25
SLING, ARM -MEDIUM4100427$29.50
SLING, ARM X-LARGE4100949$29.50
SLING, ARM-LARGE4100429$29.50
SLING, ARM-SMALL4100495$29.50
SLIPPERS, ADULT LARGE4100769$7.50
SORBSAN 4X44100321$30.00
SPECIPAN4100329$7.50
SPLINT,FINGER/FD/OV 2PR-L4100165$7.50
SPLINT,FINGER/FD/OV 2PR-M4100441$7.50
SPLINT,TIB/FIB POST-LG4100569$272.00
SPLINT,TIB/FIB POST-SM4100593$123.00
SPLINT,TIB/FIB POST-MED4100573$263.25
SPONGES, 2X2 STERILE4100047$5.25
SPONGES, BOX 104100045$2.00
STANDARD ANKLE BRACE, L4100765$127.25
STERI STRIPS 1/2"4100203$10.00
STERI STRIPS 1/8"4100503$10.00
STERI STRIPS1/4"4100201$8.50
STOPCOCK 3-WAY4100207$9.25
STYLET, ADULT4100729$23.75
SUCTION CATHETER 10 FR.4100217$7.50
SUCTION CATHETER 14FR.4100561$5.50
SUCTION CATHETER 18FR.4100563$5.50
SUCTION EA POOL-TYPE4100863$16.25
SUTURE KIT REMOVAL,DISP.4100657$38.00
SWABSTICK4100385$5.25
TAPE,CASTING 2"4100273$53.50
TAPE,CASTING 3"4100269$72.25
TAPE,CASTING 4"4100271$72.25
TEGADERM LARGE SIZE4100315$7.50
TEGADERM SMALL4100309$7.50
TELEMETRY KITS4100947$13.75
TELFA 3X44100199$5.25
TELFA 3X64100319$5.25
THORACENTESIS/PARA KIT4100963$68.50
TOPPER SPONGES 4X44100077$5.25
TRAY, LACERATION4100263$21.25
TRAY, THORACENTESIS4100663$104.50
TRAY,LUMBAR PUNCTURE4100629$115.25
TUBING, CLEAR END COND.4100405$25.75
TUBING, SUCTION GOMCO4100719$56.75
UNABOOT W/CALAMINE4100095$7.50
UNDERPAD 30X304100061$5.25
UNDERWEAR PREVAIL, LARGE4100612$4.25
UNDERWEAR PREVAIL, MEDIUM4100610$3.75
UNDERWEAR PREVAIL, X-L4100614$4.25
URETHRAL TRAY 15FR.4100515$32.00
YANKAUER SUCTION4100797$7.50
K-Y TUBE 2OZ4100713$7.50
OXISENSOR,ADULT DISP4100961$25.75
HUBER NEEDLE SET 22G4100292$46.00
HUBER NEEDLE SET 20G4100294$46.00
BLOOD/FLUID SYSTEM-HIGH4100825$99.50
CASTILE SOAP4100619$5.25
ANTI-EMB.STOCKING, L/S4100055$39.75
WALKER, ADJ.4100677$215.75
ABD. BINDER 46-624100835$96.75
ABD.BINDER 30-454100837$85.75
BLOOD/FLUID SYS.-STANDARD4100817$85.75
90853 IOP FOCUS GRP THERAPY CHARGE4680007$704.25
90853 IOP PRCESS GRP THRPY +OTH CHARGE4680011$704.25
90853 IOP PROCESS GRP THERAPY CHARGE4680009$704.25
90853 IOP FOCUS GRP THRPY +HR CHARGE4680017$704.25
90853 IOP PRCESS GRP THERPY +HR CHARGE4680005$704.25
36430 BLOOD TRANSFUSION > 8 HR CHARGE3000025$2,578.25
36430 BLOOD TRANSFUSION 4 HR CHARGE3000017$1,586.50
36430 BLOOD TRANSFUSION 5 HR CHARGE3000019$1,586.50
36430 BLOOD TRANSFUSION 6 HR CHARGE3000021$1,586.50
36430 BLOOD TRANSFUSION 7 HR CHARGE3000023$2,215.25
51702 FOLEY CATH TEMP INSERT CHARGE3000037$339.75
24385-0478-47 - calcium carbonate 500 mg Che [RCMH]
00003-0893-21 - apixaban 2.5 mg Tab[RCMH]
00025-1520-31 - celecoxib 100 mg Cap[RCMH]
00904-1257-92 - calcium carbonate 500 mg Che[RCMH]
00378-7155-01 - budesonide 3 mg ER[RCMH]
51991-0604-01 - ergocalciferol 50,000 intl units Cap[RCMH]
55150-0125-02 - ondansetron 2 mg/mL Sol[RCMH]
63739-0479-10 - baclofen 10 mg Tab[RCMH]
61314-0547-01 - latanoprost ophthalmic 0.005% Sol[RCMH]
00536-3481-07 - ferrous sulfate (as elemental iron) 45 mg ER
64720-0125-11 - glyBURIDE 5 mg Tab[RCMH]
00378-1811-10 - levothyroxine 112 mcg (0.112 mg) Tab[RCMH]
31722-0520-10 - hydrALAZINE 25 mg Tab[RCMH]
63304-0296-01 - hydroxychloroquine 200 mg Tab[RCMH]
00378-1807-10 - levothyroxine 88 mcg (0.088 mg) Tab[RCMH]
ABORh.4220023$84.25
Body Fluid Cell Count 44200107$60.75
CSF Cell Count 64200299$60.75
60258-0161-01 - multivitamin Vitamin B Complex with C and Folic Acid Tab
42998-0302-02 - nitroprusside 25 mg/mL Sol[RCMH]
89411-0501-17 - multivitamin 1 EA Caplet[RCMH]
46122-0107-74 - lansoprazole 15 mg Cap[RCMH]
00536-3445-08 - multivitamin with minerals Therapeutic Multiple Vitamins with Minerals Tab
99999-9999-99 - Template Non-Formulary 1 EA Tab RCMH4500444
00338-0049-02 - LVP solution Sodium Chloride 0.9% Sol
31500 INTUBATION ENDOTRACHEAL3000031$1,804.25
36556 CV PLACE AGE 5 OR > CHARGE3000015$1,471.50
36410 VENIPUNCTURE FEM/JUGULAR CHARGE3100037$84.25
20610 ARTHOCENTISIS MJR JNT CHARGE310044$418.25
00002-8031-01 - glucagon recombinant 1 mg REC[RCMH]
43825-0102-01 - acetaminophen 10 mg/mL Sol[RCMH]
96372 INJ ANTIBIOTIC CHARGE3100013$97.00
42858-0301-25 - HYDROmorphone 2 mg Tab[RCMH]
19101 BX BREAST PERCUTANEOUS CHARGE3351910$1,634.50
29105 APPLY LONG ARM SPLINT CHARGE3350081$358.00
29125 APPLY SHORT ARM SPLINT CHARGE3350083$59.00
36000 PLACE NEEDLE IN VEIN CHARGE3350053$49.25
00555-0301-02 - methylPREDNISolone 4 mg Tab[RCMH]
51702 CATH URETHRA SMPLE CHARGE3354376$338.50
56405 I&D VULVA/PERINEAL ABSCES CHARGE3355640$701.50
90471 ADMN INFLUENZA VACCINE CHARGE3350003$25.75
90471 ADMN PNEUMOCOCCAL VAC CHARGE3350001$63.50
96401 CHEMO ADM IM NON HORMONAL CHARGE3350005$63.50
96415 CHEMO ADM IV EA ADD HR CHARGE3350009$474.25
00641-6061-25 - midazolam 5 mg/mL Sol
00003-0293-05 - triamcinolone acetonide 40 mg/mL Sus[RCMH]
RING CUSHION4100266$18.50
POLY TRAP (OR)4100196$8.75
FOLEY CATH.ADHESIVE PATCH4100262$12.25
CMP 164200105$150.25
51702 OBS FOLEY CATH TEMP INSERT CHARGE3100039$339.75
G0378 OBSERVATION W/MONITOR CHARGE3100003$57.75
10060 TR I&D OF ABSXESS SMPL/SNGL CHARGE3350075$453.25
I&D TR ABSCESS COMPLICATED4920109$547.25
20610 TR ACENTESIS/INJ JT BILAT CHARGE3350080$745.25
51702 TR FOLEY CATH TEMP INSERT CHARGE3350085$339.75
86580 TR TB INTRDRML SKIN TEST CHARGE3358658$29.50
10060 OBS I&D OF ABSXESS SMPL/SNGL CHARGE3100017$391.50
10060 I&D ABSCESS COMPLICATED3001006$574.00
10060 I&D OF ABSXESS SMPL/SNGL CHARGE3000027$364.75
68084-0674-01 - verapamil 180 mg/12 hours ER [RCMH]
00904-6279-61 - QUEtiapine 100 mg Tab [RCMH]
00409-3178-01 - EPINEPHrine-lidocaine 1:100000-1% Sol [RCMH]
00591-2466-18 - flutamide 125 mg Cap [RCMH]
00378-0048-93 - pioglitazone 15 mg Tab [RCMH]
00591-2640-01 - acetaminophen/butalbital/caffeine 300 mg-50 mg-40 mg Cap[RCMH]
00378-0080-01 - indapamide 2.5 mg Tab [RCMH]
00143-9857-25 - cefTRIAXone 1 g REC [RCMH]
Education and training for patient self-management by a qualified health care professional4920254
Service(s) provided in the office during regularly scheduled evening, weekend, or holiday hours4921999
Small Wound Dressing4920777
A4550 IV PREP KIT4920813
A4550 STPAPLE RMR TRAY DISPENSOA4550
A4550 TRAY INCISION & DRAINA4550
A4550 TRAY SUTURE DISP EACHA4550
A4564 SLING ARM SMALL EACH4920789
A4565 SLING ARM LG EACH4920785
A4565 SLING ARM MED EACHA4565
A4570 SPLINT C-FIB GLS 3X124920793
A4570 SPLINT FINGER DISP EAA4570
A4570 SPLINT FOREARM ADULT EACHA4570
A4570 SPLINT FOREARM ADULT RTA4570
A4570 SPLINT FOREARM PAD YTH LTA4570
A4570 SPLINT TIB/FIB ADULT EACHA4570
A4570 SPLINT WRISTA4570
A4570 SPLINT-C FIB 4X15A4570
A4570 SPLINT-C FIB GLS 4X30A4570
A4590 SPLINT FIBERGLAS LEG SHRT4920791
A4649 SPONGE TOPPER STERILE 4X44920801
A4649 STAPLER SKIN 35 REG DISPA4649
A4649 STRIP STERI 1/8X3" EA PKGA4649
A6448 BANDAGE ACE 2" DISP EA4920751
A6449 BANDAGE ACE 3" DISP EA4920753
A6449 BANDAGE ACE 4" DISP EAA6449
A6450 BANDAGE ACE 6" DISP EA4920757
50458-0580-10 - rivaroxaban 10 mg Tab [RCMH]
G0168 DERMABOND ADHESIVEG0168
G0372 POWER MOBILITY DEVICE EVALG0372
Q0144 ZITHROMAX 1GRAM PAK EACH4920661
S0028 MARCAINE 30ML IM/IV4920563
00641-6061-25 - midazolam 5 mg/mL Inj Sol 1mL vial[RCMH]
76439-0343-10 - potassium chloride 20 mEq REC [RCMH]
25021-0777-02 - ondansetron 2 mg/mL Sol [RCMH]
00591-2161-39 - promethazine 25 mg Sup [RCMH]
RMHO CV HM Recording4470003$339.75
MILEAGE EMERGENCY DOA4000245$4.00
MILEAGE EMERGENCY4000021$23.00
MILEAGE NON EMERGENCY4000031$23.00
ALS-1 NONEMERGENT TRANSPR4000029$1,014.75
ALS-1 EMERGENCY TRANSPORT4000019$1,619.50
BLS NONEMERGENT TRANSPORT4000025$965.25
BLS EMERGENCY TRANSPORT4000027$1,260.50
ALS-2 EMERGENCY TRANSPORT4000023$2,164.00
SPECIALITY CARE TRANSPORT4000169$2,585.50
NON-CVRD MLS BEYOND FACIL4000241$19.75
EXAM NO TRANSPORT4000103$78.00
SP02 FINGER PROBES4000213$83.25
CPAP OS BRTHNG CIR/W MASK4000217$60.00
COMBITUBE ESOPH TRAC AIRW4000227$123.00
EPI PEN AUTO INJ 0.34000043$365.75
CEFTRIAXONE 1GM4920649$15.50
CAMBION SHOCK ABSB "GEL"4000247$74.25
TRANSFER CONTRACT RATE4000219$212.75
ADENOSINE 6MG IM/IV4000105$264.25
AIRWAY ORAL BLS4000057$12.00
ALBUTEROL 2.5MG INH4000109$5.50
AMIODARONE 3ML IV4000107$106.75
AMMONIA INHALANT4000111$5.50
ASPIRIN (BABY) 81MG TAB4000113$2.50
ATIVAN4000239$121.00
ATROPINE SULFATE 1MG IM4000115$36.25
BANDAGE TRIANGULAR4000073$7.50
BONE INJ GUN ADULT ALS4000231$663.75
BONE INJ GUN PEDI ALS4000233$663.75
BURN SHEET BLS4000061$68.00
CANNULA NASAL ADULT4000085$31.50
CANNULA NASAL CHILD4000087$28.00
CATHETER IV4000097$20.00
CEFAZOLIN 1GM VIALS4000191$10.25
CLONIDINE 0.1MG TAB4000193$5.50
COLLAR CERVICAL DISP BLS4000099$114.75
D5W 100ML IV4000117$116.50
D5W 250ML IV BAG4000205$110.25
D5W 500ML IV4000119$110.25
DEXTROSE 50% PREF 25GM IV4000121$47.50
DEXTROSE 50% VIAL 25GM IV4000123$57.25
DIAZEPAM 5MG IM/IV4000001$21.50
DIPHENHYDRAMINE 50MG IM/I4000125$21.50
DOPAMINE 400MG/250ML IV4000127$246.50
DOS4000215$0.00
DRESSING GAUZE 2X2 BLS4000045$2.50
DRESSING GAUZE 4X4 BLS4000079$2.50
DRESSING KLING 3" BLS4000047$8.50
DRESSING MULTI TRAUMA BLS4000049$47.50
DRESSING OCCLUSIVE 3X3 BL4000055$12.00
DRESSING TRAUMA LG BLS4000037$225.50
DRESSING TRAUMA MED ALS4000039$94.25
DRESSING TRAUMA SM ALS4000041$47.50
DUONEB 2.5MG INH4000129$17.00
EASY CAP II CO2 DEFECTOR4000211$36.25
EPI 1:1000 1MG AMP IM/SC4000131$23.25
EPI 1:1000 30MG IV4000133$114.75
EPI 1:10000 1MG IM/IV4000135$114.75
ET TUBE HOLDER4000207$20.00
ET TUBE STYLETT4000209$17.00
ETOMIDATE 40MG IM/IV4000137$183.75
FENTANYL 100MCG IM/IV4000139$23.25
FUROSEMIDE 20MG IM/IV4000003$8.50
GLUCAGON 1MG IM/IV4000225$367.00
GLUCOSE PASTE INST 30GM4000141$23.25
IMMOBILIZER HEAD DISP BLS4000065$53.75
KIT IV PREP DISP EA4000095$20.00
KIT OB ALS4000053$68.00
KIT RETRO INTUBATION4000083$0.00
LIDOCAINE 10MG/D5W 500ML4000145$252.75
LIDOCAINE 2% 100MG/5ML IV4000143$123.00
LIPOTPR 10MG TAB4000181$23.25
LORAZEPAM 2MG/ML 1ML VIAL4000187$121.00
LOVENOX 10MG SYRINGE4000015$67.00
LR 1000ML4000179$134.00
MAGNESIUM SU 500MG/1ML IV4000005$5.50
MAGNESIUM SULF 500MG IV4000223$5.50
MASK BAG VALVE BLS4000059$130.75
MASK NRB ADULT4000089$31.50
MASK NRB CHILD4000091$31.50
METOPROLOL 1MG/ML ING 5ML4000185$69.50
MIDAZOLAM 5MG/ML 1ML VIAL4000189$45.75
MORPHINE SULF 10MG IM/IV4000147$23.25
NACL 0.9% 500ML IRRIG4000013$10.25
NALOXONE 0.4MG IM/IV4000155$39.25
NITRODRIP PREMIX 25MG4000203$73.00
NITROGLYCERIN 0.4MG TAB4000157$47.50
NITROLINGUAL SPARY4000201$7.50
NITROPRUSSIDE INJ 5MG/2ML4000195$23.25
NS 1000ML IV4000153$124.50
NS SYRINGE 10ML INJCT4000151$21.50
OXYGEN & SUPPLIES ALS BLS4000081$33.75
PACK COLD BLS4000033$10.25
PACK HOT BLS4000063$10.25
PAD EYE BLS4000101$2.50
PADS DEFIB ALS4000035$26.25
PHENERGAN 25MG IM/IV4000159$23.25
PLAVIX 75MG TAB4000183$94.86
QUICKTRACH DEVICE4000235$0.00
SALINE LOCK4000243$45.75
SET BLOOD DRIP 10GTT/ML4000167$67.00
SET BURETROL SOL 114" DIS4000177$102.00
SET BURETROL SOL 84" DIS4000175$102.00
SET C-FLO SOL W/TBNG 83"4000173$41.00
SET C-FOL SOL 110" DISP4000171$47.50
SET CHEST DECOMPRESSION4000229$123.00
SET DRIP 60 GTTS4000237$77.75
SODIUM BICARB 4.2% 5MEQ4000161$63.25
SODIUM BICARB 8.4% 50MEQ4000163$29.75
SOLU MEDROS 125 MG INJ4000197$39.25
STERIL WATER 20ML INJ4000082$17.25
SUCCINYLCHOLINE 20MG IM4000017$2.50
SUCTION TIP YANKAUER BLS4000071$7.50
SYRINGE 1CC-5CC ALS4000077$7.50
SYRINGE 20CC-50CC ALS4000075$7.50
TORADOL 15MG IM/IV4000011$36.25
TUBE ENDOTRACHEAL ALS4000067$23.25
TUBE NASO GASTRIC ALS4000051$23.25
VASOTEC 1.25MG IM/IV4000165$36.25
VECURONIUM 10MG IM/IV4000149$225.50
WAITING TIME 30 MIN4000069$44.25
WATER STERILE IRRIG 500ML4000009$41.00
XOPONEX 1.25MG CONCENTRAT4000199$28.00
3520001 RECOVERY RM 0-30 MIN CHARGE3520001$395.00
3520003 RECOVERY RM 31-60 MIN CHARGE3520003$561.25
3520005 RECOVERY RM 61-90 MIN CHARGE3520005$727.75
3520007 RECOVERY RM 91-120 MIN CHARGE3520007$894.25
3550001 ANESTH 0-30 MINUTES CHARGE3550001$620.50
3550011 ANESTH 151-180 MINUTES CHARGE3550011$1,475.50
3550013 ANESTH 181-210 MINUTES CHARGE3550013$1,636.00
3550015 ANESTH 211-240 MINUTES CHARGE3550015$1,796.50
3550017 ANESTH 241-270 MINUTES CHARGE3550017$1,957.00
3550019 ANESTH 271-300 MINUTES CHARGE3550019$2,117.50
3550003 ANESTH 31-60 MINUTES CHARGE3550003$799.25
3550005 ANESTH 61-90 MINUTES CHARGE3550005$977.00
3550007 ANESTH 91-120 MINUTES CHARGE3550007$1,154.50
62310 INJECTION SPINAL CHARGE4550093
99100 ANETH EXTM AGE <1 & >70 CHARGE4550095
99100 EXTR AGE UNDER 1 OVER 70 CHARGE4550049
99116 HYPOTHERMIA TOTAL BODY CHARGE4550061
99135 HYPOTENSION CONTROLLED CHARGE4550059
99140 EMERGENCY CONDITIONS CHARGE4550017
99149 MOD SEDATE 1ST 30 MIN >5Y CHARGE4550089
00300 EX BEN TRK,ARM,OR LEGS CHARGE4550087
00400 ANES EXT TRNK & PERINEUM CHARGE4550083
00400 Anestheisa ext/ant/peromieum
00400 Anest integ system
4550073
00404 RADICAL/MODIFY PROC BRST CHARGE4550003
00700 G-TUBE PLACE PERCUTANEOUS CHARGE4550091
00740 EGD ANES CHARGE4550019
00740 EGD W/BX ANES CHARGE4550021
00750 HERINA FERM ORAL ANES CHARGE4550051
00750 HERNIA INGUINAL ANES CHARGE4550055
00750 HERNIA UMBILICAL ANES CHARGE4550057
00752 HERNIA INCISIONAL ANES CHARGE4550053
00790 CHOLECYSTECTOMY W/EXP DUC CHARGE4550035
00790 CHOLECYSTOTOM W/CHOL ANES CHARGE4550037
00790 CHOLECYSTOTOMY OEN ANES CHARGE4550039
00800 LOWR ANTERIROR ABD WALL CHARGE4550005
00810 COLON SCOPY W/POLPECTOMYA CHARGE4550043
00810 COLONOSCOPY ANES CHARGE4550041
00810 SIGMOIDOSCOPY FLEX ANES CHARGE4550075
00830 RPR HERNIA LOWER ABDOMEN CHARGE4550007
00832 VENTRAL & INCISION HERNIA CHARGE4550009
00840 APPENDECTOMY ANES CHARGE4550029
00840 HYSTERECTOMY ABD W/OPHORE CHARGE4550065
00840 HYSTERECTOMY ADB ANES CHARGE4550063
00840 LAP CHOLE W EXPLORE CD CHARGE4550079
00840 LAP CHOLE W/ CHOLANGIO CHARGE4550077
00840 LAP CHOLECYSTECTOMY CHARGE4550081
00840 LAPAROTOMY ANES CHARGE4550071
00851 TUBLIGATION/TRANSECTION CHARGE4550011
00902 ANORECTAL PROC ANEST CHARGE4550013
00902 ANESTH MALE GENITALIA CHARGE4550085
00944 HYSTERCTOMY VAGINAL ANES CHARGE4550069
00944 HYSTERECTOMY VAG W/OOPHOR CHARGE4550067
01232 AMPUTATION ABOVE KNEE ANE CHARGE4550023
01400 CYST GANGLION KNEE ANES CHARGE4550045
01480 AMPUTATE BELOW KNEE ANES CHARGE4550027
01480 AMPUTATION TOE ANES CHARGE4550025
01480 BUNIONECTOMY ANES CHARGE4550031
01810 CARPAL TUNNEL ANES CHARGE4550033
01810 CYST GANGLION WRIST ANES CHARGE4550047
01810 PRCE NRVS MSCL TND FORARM CHARGE4550015
00025-1520-31 - celecoxib 100. mg Cap [RCMH]
66689-0203-08 - charcoal-sorbitol 50 g Sus [RCMH]
68084-0055-01 - diltiazem 300. mg ER Capsule [RCMH]
00409-6695-02 - etomidate 40. Soln [RCMH]
68084-0446-01 - nitrofurantoin 100. mg Cap [RCMH]
00409-4888-12 - sodium chloride 0.9% Soln [RCMH]
64253-0202-30 - sodium chloride 0.9% Soln [RCMH]
00054-0543-18 - telmisartan 40. mg Tab [RCMH]
00904-6247-61 - venlafaxine 75. mg ER Capsule [RCMH]
00904-6156-61 - tamsulosin 0.4 mg Cap [RCMH]
90471 THS Flu Vaccine Administration fee4920257
PFT Pre & Post4070007$518.50
Pulmonary Function Test (PFT)4070003$380.50
29580 Application of UNNA Boot4602958$698.25
63807-0100-10 - sodium chloride 0.9% Sol
TUBE ENDOTRACHEAL ALS 24000093$20.00
00409-7517-16 - glucose 50% Sol [RCMH]
68084-0592-01 - isosorbide mononitrate 60 mg ER [RCMH]
51079-0864-20 - captopril 25 mg Tab [RCMH]
12032 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and3600219$634.50
00409-7101-66 - LVP solution Sodium Chloride 0.9% Sol [RCMH]
63323-0165-01 - dexamethasone 4 mg/mL Sol [RCMH]
29580 UNNABOOT APPLICATION CHARGE4600056$349.00
97014 ELECTRICAL STIMULATION CHARGE4600011$105.50
97022 WHIRLPOOL CHARGE4600045$292.00
97002 PT RE-EVALUATION CHARGE4600085$220.50
97116 GAIT/CRUTCH TRAINING CHARGE4600015$134.75
97033 IONTOPHORESIS CHARGE4600067$181.25
97112 NEURO RE-EDUCATION (ea. 15 mins) CHARGE4600075$153.00
64550 NMES/TENS APPLICATION CHARGE4600027$373.50
97597 SELECTIVE DEBRIDEMENT <20CM CHARGE4600089$241.50
97598 SELECTIVE DEBRIDEMENT >20CM CHARGE4600099$314.50
97530 THERAPEUTIC ACTIVITY (ea. 15 mins) CHARGE4600037$143.50
97110 THERAPEUTIC EXERCISES (ea. 15 mins) CHARGE4600039$144.50
97761 PROSTHETIC TRAINING (ea. 15 mins) CHARGE4600105$156.25
97760 ORTHOTIC FITTING/TRAINING CHARGE4600003$233.00
G8978 MOBILITY-CURRENT STATUS CHARGE4600118$0.01
G8979 MOBILITY-GOAL STATUS CHARGE4600119$0.01
G8980 MOBILITY-D/C STATUS CHARGE4600120$0.01
G8981 BODY POS-CURRENT STATUS CHARGE4600121$0.01
G8982 BODY POS-GOAL STATUS CHARGE4600122$0.01
G8983 BODY POS-D/C STATUS CHARGE4600123$0.01
G8984 CARRY-CURRENT STATUS CHARGE4600124$0.01
G8985 CARRY-GOAL STATUS CHARGE4600125$0.01
G8986 CARRY-D/C STATUS CHARGE4600126$0.01
G8987 SELF CARE-CURRENT STATUS CHARGE4600127$0.01
G8988 SELF CARE-GOAL STATUS CHARGE4600128$0.01
G8989 SELF CARE-D/C STATUS CHARGE4600129$0.01
G8990 OTHER PT/OT CURRENT STATUS CHARGE4600130$0.01
G8991 OTHER PT/OT GOAL STATUS CHARGE4600131$0.01
G8992 OTHER PT/OT D/C STATUS CHARGE4600132$0.01
G8993 SUBSEQUENT PT/OT CURRENT STATUS CHARGE4600133$0.00
G8994 SUBSEQUENT PT/OT GOAL STATUS CHARGE4600134$0.00
G8995 SUBSEQUENT PT/OT D/C STATUS CHARGE4600135$0.01
92506 EVAL SPEECH CHARGE4640001$414.00
92507 SPEECH THERAPY INDIVIDUAL CHARGE4640003$641.00
92526 TREAT SWALLOW DYSFUNCTION CHARGE4640005$366.50
92610 SWALLOW EVAL CHARGE4640007$767.50
G8996 SWALLOW FUNCTION CURRENT CHARGE4640009$0.00
G8997 SWALLOW FUNCTION PROJECTED CHARGE4640011$0.00
G8998 SWALLOW FUNCTION DISCHARGE CHARGE4640013$0.00
97035 ULTRASOUND CHARGE4600043$104.00
Reduced Service Nurse Visit4920095
DIAPER, ADULT (PKG)4100543$5.25
OXYGEN PER HOUR4920847
HHN CIRCUIT W/ MASK4070081$41.25
STRAP, PATELLA4600182$23.00
SUPPORT LATERAL J KNEE4600025$170.75
BRACE KNEE OPEN4600051$101.25
HIGH WALKER4100913$89.00
BRACE HINGED KNEE SM4600065$313.25
PLAYMAKER4600081$454.50
TENNIS ELBOW AIRCAST4600095$42.50
PLAYMAKER XLG4100917$274.75
ALGIDEX AG PASTE4600136$32.00
ALGIDEX GAUZE 2X24600098$7.50
ALGIDEX GAUZE 4X44600137$27.50
TELFA 3X84100197$5.25
5 Panel Drug Screen4210247$32.00
63323-0328-20 - nafcillin 2 g REC[RCMH]
6 Panel Drug Screen4210251$37.50
Bill DOT Drug Screen No Kit4210253$75.00
Bill FESCO Drug Screen4210255$26.75
Bill Non-DOT Drug Screen No Kit4210257$75.00
00168-0204-37 - lidocaine topical 5% Oin[RCMH]
Biopsy of anorectal wall, anal approach3504510$1,602.75
SPLINT O/G 4X15 SHRT LEG4100613$367.50
SPLINT O/G 4X15 LNG LEG4100615$428.75
SPLINT O/G 4X15 SHRT ARM4100620$245.00
SPLINT O/G 4X15 LNG ARM4100622$306.25
SPLINT O/G 3X15 LNG ARM4100625$307.50
SPLINT O/G 3X15 SHRT ARM4100627$229.50
SPLINT O/G 5X15 LNG LEG4100631$502.25
SPLINT O/G 5X15 SHRT ARM4100634$282.00
SPLINT O/G 5X15 SHRT LEG4100635$404.50
SPLINT O/G 5X15 LNG ARM4100636$343.25
24208-0635-62 - hydrocortisone/neomycin/polymyxin B otic 1%-0.35%-10000 units/mL Sus[RCMH]
Strl H2O Irrig.1000ml4100121$75.50
NS 1000ml Irrigation4100257$85.75
00409-7332-01 - cefTRIAXone 1 g REC
00093-1010-42 - mupirocin topical 2% Oin[RCMH]
99499 MISC CHILD PHYSICAL - RMHO99499
4070019 ARTERIAL PUNCTURE4070019$126.75
4070103 ET TUBE HOLDER4070103$20.00
4070105 HME4070105$36.75
4070001 OXYGEN EXT TUBING EACH4070001$28.00
4070013 AIRWAY ANY SIZE DISP EA4070013$18.50
4070015 BAG AMBULATION DISP EACH4070015$113.00
4070023 INCENTIVE SPIROMETR DISP4070023$57.25
4070025 CANNULA NASAL ADULT DISP4070025$49.50
4070031 CIRCUIT CPAP/BIPAP DISP4070031$41.25
4070041 BUBBLE HUMIDIFER DISP4070041$41.25
4070045 CPAP/BIPAP NASAL MASK4070045$89.00
4070049 HHN CIRCUIT DISP W/MTH PC4070049$33.00
4070055 PEAK FLOW METER DEVICE4070055$87.50
4070059 VENT CIRCUIT DISP EACH4070059$104.25
4070081 HHN CIRCUIT W MASK4070081 HHN CIRCUIT$41.25
4070091 CANNULA NASAL PEDI4070091$41.25
4070093 SENSOR OXYGEN PROBE DISP4070093$57.25
4070101 NRB AND MASK ANY SIZE4070101$41.25
4070109 AERO CHAMBER FOR MDI4070109$41.25
4070111 HHN PEDI CIRCUIT W/MASK4070111$57.25
4070113 CPAP/BIPAP FULL FACE MASK4070113$137.50
XTRASORB FOAM DRESSING4100672$15.50
Electrode Polyhesive4100137$47.25
00409-6637-34 - sodium bicarbonate 8.4% Sol
00132-0202-20 - sodium biphosphate-sodium phosphate 3.5 g-9.5 g Ene[RCMH]
T3 Uptake.4200113$116.75
17856-0423-05 - atropine/hyoscyamine/PB/scopolamine 5 mL Liq RCMH
RBC IRRADIATION4220043$128.25
10 Panel Drug Screen4210249$61.25
No Charge Visit - RMHO4920367
U Methadone Scr4200033$65.00
Urine Amphetamine Screen4200027$65.00
Urine Barbiturate Screen4200033$65.00
Urine Benzodiazepine Screen4200035$65.00
Urine Cocaine Screen4200037$65.00
Urine Opiate Screen4200043$65.00
Urine PCP Screen4200045$65.00
U Methaqualone Scrn4200041$65.00
Venipuncture ChargeVENI$25.25
59148-0007-13 - ARIPiprazole 5 mg Tab[RCMH]
SB NEW/EST INITL LVL 13620511
SB NEW/EST INTL LVL 23620513
SB NEW/EST INTL LVL 33620515
SB SUBSEQUNT VISIT L-13620517
SB SUBSEQUNT VISTI L-23620519
SB SBSQNT VISIT L-33620521
SB DISCHG 30MIN OR <3620523
SB DISCHG 30MIN >4920319
WC REPORT TWCC 694920139
EAR PIERCING4920141
JUVENILE PHYSICAL4920127
EMPLOYMENT PHYSICAL4920123
TXDOT PHYSICAL4920121
GARDASIL HPV VACCINE4920731
BP CHECK4920731
NO CHARGE VISIT4920367
DRESSING KERLIX PER YD4920741
UNNA BOOT W/CALAMI 10YD4920743
SPONGES GAUZE 2X24920747
SWAB PREP ACU-DYNE4920809
DRESSING TELFA 3/X EA4920831
PAD EYE OVAL SM STERILE4920855
DRESSING 3X4 NON ADHERENT4920857
DRESSING NUGAUZE 1/4"X54920749
PROPARACAINE HYDROCHLORID4920800
TAPE DISP4920811
ROCEPHIN 250MG IM/IV4920559
CATH CEATHL IV 22G 1 1/44920849
CTH CATHLN IV 20G 1 1/44920865
LIDOCAINE TO 50CC4920631
CHLORPROMAZINE 25MG/ML IM4920669
EPINEPHRINE 1MG AMP IM/IV4920673
SET EXT 7.5" DISP EACH4920867
LIDOCAIN EPI 2% 20ML4920719
SUPPORT SUSPENSORY LG4920805
MASK SIMPLE CHILD4920829
ESTRADIOL VALERAT 20MG IM4920579
BELT RIB SMALL EA4920767
SUTURE REMOVAL DISP EA4920807
BELT RIB FEMALE XLG EA4920765
SHOE MESH TOP DISP EA4920823
SET SLOU CONT FLO 110"4920841
ESTRADIOL VALERAT 40MG IM4920581
BICILLIN CR TO 600000 U4920599
TENNIS ELBOW AIRCAST4920861
INFUSION THERAPY ADL HR4920003
INFUSION 1ST HR4920001
OV WC / MED-DIS4920972
ANTEPARTUM CARE >7VISITS4920972
CRUTHCES ADULT LG4920773
CATH FOLEY 5CC 16FR 2 WAY4920769
DRESSING COMBINE 8X7A6253
SPONGES GAUZES 4X4 EA4920150$47.25
BRACE KNEE/PATELLA4920869
TUBING PER FT4920745
CANNULA NASAL COM W/C4920845
BANDAIDS EXTRA LG4920763
COVERLET4920771
BANDAGE KLING 1 IN4920759
DRESSING XEROFORM4920779
BELT RIB FEMAIL MEDIUM4920837
LIDO 1% W/O EPI4921895
ACETAMINOPHIN 325 MG TAB4920692
ONDANSETRON INJ 2 MG/ML4920892
PROCHLORPERAZINE 10MG4920739
NH FACILITY ANNUAL ASSESS4920309
NH VISIT NP L-14920321
NH VISIT NP L-24920323
NH VISIT EST PT L-14920327
NH VISIT EST PT L-24920329
NH VISIT NP L-44920351
HOME VISIT NP L-14920333
HOME VISIT NP L-24920335
HOME VISIT NP L-34920337
HOME VISIT NP L-44920339
HOME VISIT NP L-54920341
HOME VISIT EST PT L-14920343
HOME VISIT EST PT L-24920345
HOME VISIT EST PT L-34920347
HOME VISIT EST PT L-44920349
NH/SB DSCHRGE 30MIN >4920319
NH/SB DSCHRGE 30MIN OR <4920317
NH/SB SBSQ V L-34920157
NH/SB SBSQ V L-24920155
NH/SB SBSQ V L-14920153
NH/SB CMP H&P L-34920313
NH DTLD H&P L-24920311
NH VISIT EST PT L-34920331
NH VISIT NP L-34920325
ASPIRIN 325MG TAB EAJ8499
TYLENOL LIQUIDJ8499
MI-ACIS MS SUSP 15ML4920567
IBUPROFEN 100MG ORAL LIQJ8499
DIPHENHYDRAMINE 25MG ORALJ8499
ALBUTEROL 2.5MG SOL INHJ8499
ALBUTEROL .83% 3MLJ8499
ACETAMINOPHEN 120 MG SUPP4920635
LIDOCAINE VISCOUS 2%4920573
DONNATAL ELIXIR4920571
MAXALT 10MG TAB EAJ8499
PROMETHAZINE 12.5MG TABJ8499
NITROSTAT 0.4MG #1 TAB EAJ8499
NS 500ML IRRIGATION4920565
INJ KNEE/JOINT BILATERAL4920183
PCV13 VACCINE4920735
FLU VAC 3 YRS & OLDER4920583
FLU VAC 6-35 MONTHS90685
51079-0128-20 - sulfamethoxazole-trimethoprim 800 mg-160 mg Tab
00395-0413-96 - calamine topical 8% Lot[RCMH]
OBS F/U LEVEL 13610433
OBS F/U LEVEL 23610435
OBS F/U LEVEL 33610437
00009-5135-02 - linezolid 600 mg Tab [RCMH]
PERITONEOCENTESIS PROFEE3610311
00185-4346-01 - quiNIDine 200 mg Tab[RCMH]
51079-0899-20 - verapamil 180 mg/12 hours ER[RCMH]
APPLY SHORT ARM SPLINT PROFEE3610151
00245-0057-01 - potassium chloride 10 mEq ER[RCMH]
57896-0635-06 - Magnesium Chloride 64 mg tab [RCMH]
76329-3369-01 - naloxone 1 mg/mL Sol[RCMH]
63739-0542-10 - furosemide 40 mg Tab[RCMH]
45802-0061-70 - bacitracin/neomycin/polymyxin B topical 400 units-3.5 mg-5000 units/g Oin[RCMH]
68084-0299-01 - tamsulosin 0.4 mg Cap
52747-0307-70 - ferrous fumarate 324 mg Tab[RCMH]
RPR CMPLX SCLP ARM LEGS PROFEE3610131
3610209 RPR INTRMD SCLP,TRK/EXTRE PROFEE3610209
3610141 RPR SMPLE FACE 7.6-12.5 PROFEE3610141
3610139 RPR SMPLE FACE 2.6-5.0 PROFEE3610139
3610145 RPR SMPLE SCLP NECK TRUNK PROFEE3610145
3610123 REMOVAL FB MUSCLE TENDON PROFEE3610123
3610129 RPR CMPLX FACE 1.1-2.5 PROFEE3610129
3610127 RPR CMPLX FACE 1.0 & < PROFEE3610127
3610217 RPR INTRMD SCLP,TRK/EXTRE PROFEE3610217
3610017 BURN DRESS/DEBRIDE MED PROFEE3610017
3610021 CARDIOPULMONARY ARREST PROFEE3610021$882.25
3610033 CAST LEG SHORT WALK APPLY PROFEE3610033
3610055 DIGITIAL BLOCK SINGLE PROFEE3610055
3610067 HEMATOMA EVACUATE PROFEE3610067
3610079 I&D ABSCESS COMPLICATED PROFEE3610079
3610099 NERVE BLOCK INTERCOSTAL PROFEE3610099
3610107 PERICARDIOCENTESIS 1ST PROFEE3610107
3610109 PERICARDIOCENTESIS SUB PROFEE3610109
3610115 REMOVAL FB CONJUNCTIVAL PROFEE3610115
3610117 REMOVAL FB CORNEAL PROFEE3610117
3610119 REMOVAL FB EXTERNAL EAR PROFEE3610119
3610121 REMOVAL FB INTRANASAL PROFEE3610121
3610131 RPR CMPLX SCLP ARM LEGS PROFEE3610131
3610133 RPR CMPLX TONGUE PROFEE3610133
3610147 RPR SMPLE SCLP NECK TRUNK PROFEE3610147$662.25
3610163 THORACENTESIS INSERT TUBE PROFEE3610163
3610203 VENIPUNCTURE 3YR OR OLDER PROFEE3610203
3610204 TRT PHAL SHAFT FRAC W/MAN PROFEE3610204
3610235 RPR SMPLE SCLP/NECK/TRUNK PROFEE3610235
3610281 RPR SMPL EXTREMITIES PROFEE3610281
3610285 RPR INTRMD FOREARM 10CM PROFEE3610285
3610289 RPR CMPLX HANDS/FEET PROFEE3610289
3610295 RPR EXTENSOR TENDON HAND PROFEE3610295
3610305 RMV FOREIGN BODY PHARYNX PROFEE3610305
3612055 TRIGGER POINT INJ 1 OR > PROFEE3612055
3612393 I&D UPR ARM/ELBO DEEP ABS PROFEE3612393
3615170 CHANGE CYSTOSTOMY TUBE SM PROFEE3615170
00143-9938-01 - amoxicillin 250 mg Cap[RCMH]
3610221 PHY TRANSPORT 24MO OR > PROFEE3610221
99284 EMERGENCY RM-LEVEL 4 ED Charge3600069$869.50
99285 EMERGENCY RM-LEVEL 5 ED Charge3600071$963.75
00781-3206-85 - cefTRIAXone 250 mg REC
00143-9786-10 - enalapril 1.25 mg/mL Sol[RCMH]
63323-0383-10 - neostigmine 1 mg/mL Sol[RCMH]
54879-0007-16 - sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL Sus[RCMH]
51079-0966-20 - famotidine 20 mg Tab[RCMH]
00172-5411-46 - fluconazole 100 mg Tab[RCMH]
00904-6347-61 - isosorbide dinitrate 20 mg Tab[RCMH]
17478-0420-20 - labetalol 5 mg/mL Sol[RCMH]
Urine Drug Screen 10 BCE4200027$65.00
00904-7591-61 - ferrous sulfate 325 mg Tab[RCMH]
Influenza virus vaccine, quadrivalent, split virus, preservative free, >3 yrs, for IM use4920707$26.50
55150-0161-02 - lidocaine 1% preservative-free Sol[RCMH]
IMMOBILIZER KNEE SM EA4920781
IMMOBILIZER SHLDR XLG EA4920783
DIAPER CHILD DISP EA4920851
FP EDUCATION INITIAL4920877
FP EDU METHOD SPECIFIC4920879
FP PROBLEM COUNSELING4920881
ADM IMMUN INTL UP TO 18 Y4920906
ADM IMMUN EA ADDL VACCINE4920908
ADM IMMUN EA ADD INTR/ORL4920911
TD4920917
DTP/HIB4920919
DTP4920921
HIBCV (BOOSTERS ONLY)4920933
HIBCV (3 DOSE)4920935
OPV (ORAL)4920941
SKIN TEST;TB;INTRADERMAL4920949
PENTACEL4920973
EKG 12 LEAD INTERP & RPT4920369
EKG 3 LEAD INTERP & RPT4920371
ACENTESIS JNT MAJOR4920373
ACENTESIS JNT SMALL4920375
ASP BLADDER W/TUBE INSERT4920377
CRITICAL CARE 1ST HOUR4920385
CRITICAL CARE EA AD 30MIN4920387
RMVL FB FOOT SUBQ4920401
H&P L-14920403
H&P L-24920405
H&P L-34920407
HOSP CARE DAILY L-14920409
HOSP CARE DAILY L-24920411
HOSP CARE DAILY L-34920413
HOSP DISCHG DAY 30MIN <4920415
HOSP DISCHG DAY 30MIN >4920417
I&D ABSCESS CMPLCTD/MULTI4920419
OBS/IP ADMIT/DISCHG L-14920423
OBS/IP ADMIT/DISCHG L-24920425
OBS/IP ADMIT/DISCHG L-34920427
OBS DISCHARGE DAY4920429
OBS F/U EP L-24920431
OBS F/U EP L-34920433
OBS F/U EP L-44920435
OBS F/U EP L-54920437
RPR CMPLX TRNK4920439
OP VISIT EP L-24920457
OP VISIT EP L-34920459
OP VISIT EP L-44920461
OP VISIT EP L-54920463
OP VISIT NP L-14920465
OP VISIT NP L-24920467
OP VISIT NP L-34920469
OP VISIT NP L-44920471
OP VISIT NP L-54920473
RMVL FB CORNEAL W/O LAMP4920475
RMVL FB EAR4920477
RPR CMPLX SCLP ARM LEG4920479$1,023.50
RPR HERNIA FEMORAL INTL4920483
RPR SIMPLE FACE 2.5-7.5 cm4920485$305.75
RPR SIMPLE FACE 7.6-12.5 cm4920487
RPR SMPL SCLP NK TRNK EXT4920489$662.25
WEDGE EXCESION OF NAIL4920493
INCISION & RMVL FB4920495$300.25
PSYCH INTERVIEW EXAM4920497
TRIMMING OF NAILS4920499
ACENTESIS JNT INTM4920501
CV CUTDOWN >5 YEARS AGE4920505
I&D FNGR ABSCESS; SMPL4920507
PERITONEOCENTIESIS4920509
HANDLING FEE SEND OUT LAB4209999$33.50
FP INJ ADM THRPTIC/PROP4920574
DIAPER ADULT LG DISP EA4920775
DRESSING SM WOUND4920777
OBS F/U NP L-4 ProFee4920447
Aquacel Ag 4x54600140$25.50
SPLINT, WRIST 8"4100153$76.75
SPLINT, WRIST ELASTIC4100151$56.75
68084-0482-01 - levofloxacin 500 mg Tab
00009-0013-05 - hydrocortisone 250 mg preservative-free REC[RCMH]
68084-0100-01 - acetaminophen-HYDROcodone 325 mg-10 mg Tab[RCMH]
68516-5216-01 - albumin human 25% Sol[RCMH]
00143-9919-01 - glyBURIDE micronized 3 mg Tab[RCMH]
00093-4148-64 - levalbuterol 1.25 mg/3 mL Sol[RCMH]
00093-4146-64 - levalbuterol 0.63 mg/3 mL So[RCMH]l
00641-6061-10 - midazolam 5 mg/mL Sol[RCMH]
63739-0694-57 - lidocaine topical 2% Sol[RCMH]
68084-0098-01 - atorvastatin 20 mg Tab[RCMH]
23155-0186-31 - zoledronic acid 5 mg/100 mL Sol[RCMH]4500650
Client Bill Breath Alcohol4210258$26.75
00069-6001-25 - fosphenytoin 100 mg PE/2 mL Sol[RCMH]
00904-6082-61 - zolpidem 5 mg Tab[RCMH
63739-0575-10 - azithromycin 250 mg Tab[RCMH]
51079-0294-20 - tamsulosin 0.4 mg Cap[RCMH]
66689-0008-02 - nystatin 100000 units/mL Sus[RCMH]
00409-2267-20 - labetalol 5 mg/mL Sol[RCMH]
00703-2856-04 - propofol 10 mg/mL Emu[RCMH]
00603-5769-21 - sotalol 80 mg Tab[RCMH]
52380-1905-04 - povidone iodine topical 10% Sol[RCMH]
PENROSE DRAIN 1/4"4100395$7.50
LMA SIZE 44100277$73.50
LMA SIZE 5 DISP4100275$73.50
00591-0861-01 - hydrochlorothiazide-lisinopril 12.5 mg-20 mg Tab
17478-0501-01 - methylergonovine 0.2 mg/mL Sol[RCMH]
68084-0762-01 - gabapentin 300 mg Cap[RCMH]
00904-6341-61 - metoprolol 50 mg Tab[RCMH]
00904-1883-61 - calcium carbonate 1250 mg Tab[RCMH]
90471 Flu Adminstration for Medicaid4920955
Total Iron Binding Capacity.4200089$114.50
68084-0444-01 - carBAMazepine 200 mg Tab[RCMH]
68084-0611-01 - amantadine 100 mg Cap[RCMH]
24208-0750-06 - atropine ophthalmic 1% Sol[RCMH]
68084-0110-01 - bethanechol 25 mg Tab[RCMH]
24208-0585-59 - tropicamide ophthalmic 1% Sol[RCMH]
57896-0629-12 - Al hydroxide/Mg hydroxide/simethicone 200 mg-200 mg-20 mg/5 mL Sus
63824-0056-34 - dextromethorphan-guaiFENesin 30 mg-600 mg ER[RCMH]
49281-0394-15 - influenza virus vaccine, inactivated trivalent Sus
19515-0893-07 - influenza virus vaccine, inactivated trivalent Sus[RCMH]
49281-0394-15 - influenza virus vaccine, inactivated trivalent Sus[RCMH]
19515-0893-07 - influenza virus vaccine, inactivated trivalent Sus[RCMH]
00008-0923-55 - pantoprazole 40 mg REC
68180-0303-60 - cefuroxime 500 mg Tab[RCMH]
00641-0929-25 - promethazine 50 mg/mL Sol[RCMH]
00998-0016-15 - proparacaine ophthalmic 0.5% Sol[RCMH]
00039-0018-10 - cefotaxime 1 g REC[RCMH]
63323-0309-20 - piperacillin-tazobactam 2 g-0.25 g REC[RCMH]
63739-0671-10 - traMADol 50 mg Tab[RCMH]
63739-0350-10 - lisinopril 20 mg Tab[RCMH]
63739-0126-10 - hydrALAZINE 25 mg Tab[RCMH]
16729-0090-10 - finasteride 5 mg Tab[RCMH]
00904-5809-61 - lisinopril 20 mg Tab[RCMH]
00143-9784-10 - flumazenil 0.1 mg/mL Sol[RCMH]
67618-0200-04 - chlorhexidine topical 4% Soa[RCMH]
59762-4537-02 - medroxyPROGESTERone 150 mg/mL Sus[RCMH]
43547-0278-03 - irbesartan 150 mg Tab[RCMH]
Enoxaprin (Lovenox) 30mg4000015$66.00
Enoxaprin (Lovenox) 100mg4000020$115.00
4000086 Ceftriaxone (Ancef) 1gm4000086$15.50
Capnography ET4000211$30.50
Capnography Nasal4000210$30.50
EZ-IO4000212$282.00
Mask, Nebulizer4000214$6.25
Acetaminophen 1gm/100ml4000102$122.75
Adenosine 12mg IV4000104$264.25
Betamethasone 30mg/5ml4000106$239.75
Calcium Chloride 10% 5004000108$23.50
Captopril 25mg4000112$2.75
D5LR 1000ml4000114$152.75
Diltiazem (Cardizem) 25mg4000116$52.50
Famatodine (Pepcid) 20mg4000118$2.75
Fosphenoytoin (cerebyx) 500mg4000120$276.50
Haloperidol 5mg/1ml4000122$49.75
Insulin Regular 300 IU/3M4000124$12.50
Labetalol 100mg/20ml4000126$72.25
Levafloxacin (Levaquin) 500mg/100ml4000128$111.00
Lorazepam (Ativan) 2mg4000130$19.75
Metronidazole 500mg/100ml4000132$14.00
Nifedipine (Procardia) 20mg4000134$12.50
Oxytocin 10IU/1ml4000136$13.50
Procainamide 1gm/2ml4000138$286.00
Propofol 200mg/20ml4000140$62.75
Tetracaine .5% 15ml4000142$51.75
Nitro Tubing IV4000144$6.25
Vented IV Tubing4000146$12.25
Ketamine 500mg/10ml4000148$30.00
Ondansetron (Zofran) 4mg4000150$12.50
NS 50ml IV4000152$93.00
NS 0.45% 1000ml4000154$124.50
00406-0124-62 - acetaminophen-HYDROcodone 325 mg-7.5 mg Tab
76204-0100-30 - ipratropium 500 mcg/2.5 mL Sol[RCMH]
00781-5238-64 - ondansetron 4 mg DIS[RCMH]
00008-2001-10 - pantoprazole 40 mg REC[RCMH]
00574-2002-02 - sodium polystyrene sulfonate 15 g/60 mL Sus[RCMH]
Ins Phy - Age 18-394920301
42192-0708-10 - antipyrine-benzocaine otic 54 mg-14 mg/mL Sol[RCMH]
63323-0369-20 - ampicillin-sulbactam 2 g-1 g REC[RCMH]
00049-0014-83 - ampicillin-sulbactam 2 g-1 g REC
00093-4233-01 - bumetanide 1 mg Tab[RCMH]
68084-0473-01 - gemfibrozil 600 mg Tab[RCMH]
62175-0107-01 - isosorbide mononitrate 20 mg Tab[RCMH]
55111-0353-60 - rivastigmine 3 mg cap [RCMH]
00409-3506-01 - meropenem 1000 mg REC[RCMH]
00603-0839-94 - acetaminophen 160 mg/5 mL Liq[RCMH]
00536-7300-01 - multivitamin Vitamin B Complex with C and Folic Acid Tab[RCMH]
17856-0112-01 - Mupirocin 2 % Syringe[RCMH]
00054-3270-99 - fluticasone nasal 50 mcg/inh Spr[RCMH]
WALKER LOW TIDE4100911$185.75
CAST SHOE4100915$38.00
51079-0223-20 - montelukast 10 mg Tab[RCMH]
50268-0100-15 - azithromycin 250 mg Tab[RCMH]
23155-0294-42 - prochlorperazine 5 mg/mL Sol
00409-4055-03 - clindamycin 150 mg/mL Sol[RCMH]
Enoxaprin (Lovenox) 40mg4000018$61.75
50268-0756-15 - torsemide 20 mg Tab[RCMH]
00591-4012-01 - valproic acid 250 mg Cap[RCMH]
68084-0530-01 - QUEtiapine 25 mg Tab[RCMH]
50268-0513-15 - hydrochlorothiazide-losartan 12.5 mg-50 mg Tab[RCMH]
68084-0243-01 - clindamycin 150 mg Cap[RCMH]
68308-0152-15 - nystatin topical 100000 units/g Pow[RCMH]
00904-6340-61 - metoprolol 25 mg Tab[RCMH]
45802-0626-26 - cetirizine 1 mg/mL Syr[RCMH]
Urine Drug Screen Panel 1080301$91.75
00713-0135-12 - prochlorperazine 25 mg Sup[RCMH]
00781-3222-95 - cefepime 1 g REC[RCMH]
63739-0675-10 - gabapentin 100 mg Cap[RCMH]
00338-0553-11 - LVP solution Sodium Chloride 0.9% Sol[RCMH]
00338-0553-18 - LVP solution Sodium Chloride 0.9% Sol[RCMH]
63323-0345-10 - cefTRIAXone 500 mg REC[RCMH]
55520 EX LESION SPERMATIC CORD CHARGE3505520$2,515.00
Urine Drug Screen 134202398$91.75
17478-0711-30 - lidocaine topical 2% Gel[RCMH]
64253-0111-30 - sodium chloride 0.9% Sol[RCMH]
CATH.EXTENSION SET 8.2"4100194$5.25
39822-4050-03 - phenytoin 50 mg/mL Sol[RCMH]
00206-2100-02 - piperacillin-tazobactam 2 g-0.25 g REC[RCMH]
25021-0402-01 - heparin 5000 units/mL Sol[RCMH]
68084-0054-01 - diltiazem 240 mg/24 hours ER[RCMH]
60505-0065-07 - omeprazole 20 mg ER[RCMH]
60505-0114-00 - gabapentin 400 mg Cap[RCMH]
68084-0673-01 - metoprolol 100 mg ER[RCMH]
51079-0208-20 - atorvastatin 10 mg Tab[RCMH]
00781-3239-09 - ciprofloxacin 200 mg/100 mL-5% Sol[RCMH]
00054-0037-21 - clarithromycin 500 mg Tab[RCMH]
00955-1016-01 - enoxaparin 300 mg/3 mL Sol[RCMH]
00409-3385-13 - piperacillin-tazobactam 3 g-0.375 g REC[RCMH]
00143-9856-25 - cefTRIAXone 2 g REC[RCMH]
50268-0512-15 - lovastatin 40 mg Tab
25021-0608-20 - propofol 10 mg/mL Emu[RCMH]
00069-0400-10 - azithromycin 500 mg REC[RCMH]
11523-7268-03 - polyethylene glycol 3350 - REC[RCMH]
37205-0457-05 - carbamide peroxide otic 6.5% So[RCMH]l
63739-0523-01 - aspirin 325 mg EC[RCMH]
63739-0672-10 - ibuprofen 400 mg Tab[RCMH]
76329-3352-01 - sodium bicarbonate 8.4% Sol[RCMH]
42023-0159-25 - EPINEPHrine 1 mg/mL Sol[RCMH]
66758-0190-13 - potassium chloride 20 mEq ER
51672-1289-02 - nystatin topical 100000 units/g Cre[RCMH]
59762-1520-02 - amLODIPine 2.5 mg Tab[RCMH]
00904-6369-61 - amLODIPine 2.5 mg Tab[RCMH]
VASELINE GAUZE 1 X 364100301$6.75
50268-0525-15 - meloxicam 7.5 mg Tab[RCMH]
63323-0311-19 - calcium gluconate 100 mg/mL Sol[RCMH]
SURGIMESH 10 X 154100192$536.75
SURGIMESH 10CM/6 X 134100404$608.25
63739-0434-01 - aspirin 81 mg Che[RCMH]
00320 ANESTHESIA ALL PROCEDURES ON ESOPHAGUS4550320
64679-0921-02 - cefuroxime 250 mg Tab[RCMH]
00186-1088-39 - metoprolol 25 mg ER[RCMH]
00121-1781-05 - acetaminophen 160 mg/5 mL Sus[RCMH]
51079-0690-20 - loperamide 2 mg Cap[RCMH]
63323-0664-01 - diphenhydrAMINE 50 mg/mL Sol[RCMH]
17478-0934-15 - hydrALAZINE 20 mg/mL Sol[RCMH]
11980-0180-01 - prednisoLONE ophthalimic acetate 1% sus[RCMH]
17478-0283-10 - gentamicin ophthalmic 0.3% Sol[RCMH]
00641-0928-25 - promethazine 25 mg/mL Sol[RCMH]
00143-9786-10 - enalapril 1.25 mg/mL Sol[RCMH]
24987-0249-56 - digoxin 250 mcg (0.25 mg) Tab[RCMH]
51079-0888-20 - metoclopramide 10 mg Tab[RCMH]
00409-2168-02 - magnesium sulfate 50% Sol[RCMH]
55253-0801-30 - modafinil 100 mg Tab[RCMH]
TWIN-CATH 18/204100178$23.25
TWIN-CATH 20/224100180$23.25
00597-0135-54 - dabigatran 150 mg Cap[RCMH]
00008-4001-25 - pantoprazole 40 mg REC[RCMH]
55150-0120-30 - piperacillin-tazobactam 3 g-0.375 g REC[RCMH]
00904-7822-36 - clotrimazole topical 1% Cre
68084-0884-01 - acetaminophen-HYDROcodone 325 mg-10 mg Tab[RCMH]
60505-0752-04 - cefTRIAXone 1 g REC[RCMH]
00574-0107-77 - clotrimazole 10 mg Loz[RCMH]
00574-7034-12 - aspirin 300 mg Sup[RCMH]
49502-0605-30 - formoterol 20 mcg/2 mL Sol[RCMH]
17478-0263-12 - proparacaine ophthalmic 0.5% Sol[RCMH]
00904-6291-61 - atorvastatin 20 mg Tab[RCMH]
50268-0523-15 - meclizine 25 mg Tab[RCMH]
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each4606021$20.99
66993-0068-80 - pantoprazole 40 mg EC[RCMH]
65162-0536-10 - benzonatate 100 mg Cap[RCMH]
68084-0855-01 - baclofen 10 mg Tab[RCMH]
00409-1144-05 - verapamil 2.5 mg/mL Sol[RCMH]
00338-0803-04 - LVP solution with potassium Dextrose 5% with 0.9% NaCl and KCl 20 mEq/L Sol[RCMH]
68084-0248-01 - loratadine 10 mg Tab[RCMH]
63323-0466-31 - bupivacaine 0.5% preservative-free Sol[RCMH]
50383-0241-16 - levETIRAcetam 100 mg/mL Sol[RCMH]
60505-0687-04 - piperacillin-tazobactam 3 g-375 g REC[RCMH]
00409-1754-10 - magnesium sulfate 50% Sol[RCMH]
00069-6001-21 - fosphenytoin 500 mg PE/10 mL Sol[RCMH]
Thyroid II Profile (T3U, T4, T7, TSH) CPL4211292$40.00
FSH + LH Profile CPL4210163$75.33
Pathologist Smear Review CPL4219030$85.87
Sedimentation Rate CPL4200099$75.50
Lupus Anticoagulant Screen, Reflex Confirmation CPL4219074$238.00
Almond IgE CPL4211110$32.00
Beef IgE CPL4211125$32.00
CKMB CPL4200063$84.50
Magnesium CPL4200181$96.75
Osmolality, Serum CPL4210125$53.50
Osmolality, Urine CPL4210345$53.50
Sodium, Random Urine CPL4210409$25.72
Protein/Creatinine Ratio, Urine CPL4211265$26.00
Phosphorus CPL4200245$55.00
Calcium, Ionized CPL4210489$37.45
Rickettsia IgG & IgM CPL4210501$350.05
PSA, Total CPL4200203$252.75
Alkaline Phosphatase Isoenzymes CPL4211104$125.94
Hemoglobin A1C With EAG CPL4200169$109.00
Hemoglobin Electrophoresis CPL4210267$80.25
Hepatitis A Total Ab CPL4210091$18.37
Immunoglobulins, IgA, IgG, IgM CPL4219003$57.78
Immunoglobulin A (IgA) CPL4219005$32.10
Vitamin B 12 & Folic Acid CPL4211307$52.00
Gentamicin CPL4210555$84.84
Phenytoin (Dilantin) CPL4200057$181.90
Complement C3 & C4 CPL4211152$74.90
GC & Chlamydia By TMA CPL4211195$60.00
GC & Chlamydia Amplified, Thinprep CPL4211194$60.00
VDRL, Serum With Reflex Titer CPL
Beta-2 Microglobulin CPL4210601$64.20
Ultrasensitive TSH CPL4211300$155.00
DNA DS Antibody CPL4211093$60.00
Methylmalonic Acid, Serum CPL4210609$65.55
RFLX Thyroglob CPL4211272$52.00
Thyroglob RFLX CPL4211272$107.00
DNA DS Antibody Reflex CPL4211172$75.00
ANA Autoimmune Profile CPL4211111$100.00
H. Pylori IgM Antibody CPL4211199$35.00
Hepatitis B Core IgM CPL4210227$109.03
Herpes Simplex Virus IgG & IgM CPL4210009$57.89
H. Pylori IgG Antibody CPL4211198$35.00
TTG IgA CPL4210605$85.00
Cardiolipin Abs CPL4211137$95.00
Alpha-1-Antitrypsin CPL4210061$150.07
Erythropoietin CPL4210231$51.15
Haptoglobin, Quant CPL4210339$43.00
GC & Chlamydia Amplified, Swab CPL4211193$60.00
Beta-2 Glycoprotein 1 IgG/IgM CPL4211127$80.00
Free Light Chains, Serum CPL4211191$140.35
Iodine, Serum CPL4211225$80.00
Culture, Urine CPL4200177$144.75
Culture, Routine CPL4211166$142.25
Culture, Viral, Non-Respiratory CPL
Quantiferon TB Gold CPL4211095$100.00
Immunofixation + Protein Electrophoresis, Urine CPL4219038$75.00
00904-6419-61 - acetaminophen-HYDROcodone 325 mg-5 mg Tab[RCMH]
00904-6421-61 - acetaminophen-HYDROcodone 325 mg-10 mg Tab[RCMH]
67457-0339-50 - vancomycin 500 mg REC[RCMH]
00603-7862-78 - triamcinolone topical 0.1% Cre[RCMH]
00409-6648-02 - glucose 50% Sol[RCMH]
51672-1312-00 - mupirocin topical 2% Oin[RCMH]
68462-0564-35 - mupirocin topical 2% Cre[RCMH]
00641-6013-10 - diltiazem 5 mg/mL Sol[RCMH]
61703-0350-38 - methotrexate 25 mg/mL Sol
00904-6293-04 - atorvastatin 80 mg Tab[RCMH]
17478-0504-10 - methylene blue 10 mg/mL Sol[RCMH]
68084-0216-01 - metroNIDAZOLE 250 mg Tab[RCMH]
66758-0160-13 - potassium chloride 10 mEq ER[RCMH]
CHEMO PREP/ADM.KIT4100$24.25
CATH.MALECOT 24 fr.4100679$71.00
68084-0083-01 - isosorbide dinitrate 20 mg Tab[RCMH]
51079-0975-20 - lovastatin 20 mg Tab[RCMH]
68084-0776-01 - divalproex sodium 250 mg EC
50268-0596-15 - naproxen 500 mg Tab
76439-0343-30 - potassium chloride 20 mEq REC[RCMH]
BRACE HINGED KNEE4100899$110.50
CARPEL TUNNEL4100905$46.75
50268-0452-15 - isosorbide mononitrate 60 mg ER[RCMH]
00904-5448-61 - pentoxifylline 400 mg ER[RCMH]
59762-5017-01 - fluconazole 150 mg Tab[RCMH]
00409-6635-01 - potassium chloride 2 mEq/mL Sol[RCMH]
00591-3012-30 - lidocaine topical 2% Gel[RCMH]
11760 REPAIR OF NAIL BED - ED PF3601176$820.75
00472-0242-60 - permethrin topical 5% Cre[RCMH]
51079-0873-20 - glyBURIDE 5 mg Tab[RCMH]
68084-0725-01 - donepezil 5 mg Tab[RCMH]
17478-0171-30 - levalbuterol 1.25 Soln
00781-1496-69 - azithromycin 250 mg Tab[RCMH]
00093-6451-56 - esomeprazole 40 mg DR[RCMH]
00517-0401-25 - atropine 0.4 mg/mL Sol[RCMH]
50268-0152-15 - cephalexin 500 mg Cap[RCMH]
68084-0253-01 - hydrOXYzine hydrochloride 10 mg Tab[RCMH]
62584-0339-01 - cloNIDine 0.2 mg Tab[RCMH]
00093-2049-56 - tolterodine 4 mg ER[RCMH]
67457-0440-22 - ondansetron 2 mg/mL Sol[RCMH]
60505-0042-06 - acyclovir 200 mg Cap[RCMH]
00013-8303-04 - latanoprost ophthalmic 0.005% Sol[RCMH]
00054-4741-25 - predniSONE 1 mg Tab[RCMH]
68084-0135-21 - metaxalone 800 mg Tab[RCMH]
00703-0051-01 - methylPREDNISolone 80 mg/mL Sus[RCMH]
00009-3073-03 - methylPREDNISolone 40 mg/mL [RCMH]
00781-5183-92 - levothyroxine 88 mcg (0.088 mg) Tab[RCMH]
SPLINT WRST/THUMB SPICA4100871$54.25
PORT-A-CATH II4100010$629.75
61314-0645-11 - hydrocortisone/neomycin/polymyxin B otic 1%-0.35%-10000 units/mL Sus[RCMH]
00409-0219-01 - cefepime 1 g REC[RCMH]
47335-0931-44 - vecuronium 10 mg REC[RCMH]
RPR INTRM WOUND FC/EAR/EY ED Charge3601205$1,348.75
GEL IODOSORD4600989$11.25
54838-0145-15 - acetaminophen 80 mg/0.8 mL Liq[RCMH]
00143-9682-25 - glycopyrrolate 0.2 mg/mL Sol[RCMH]
00054-0434-25 - dipyridamole 25 mg Tab[RCMH]
62756-0796-88 - divalproex sodium 125 mg EC[RCMH]
00548-5900-00 - cosyntropin 0.25 mg REC[RCMH]
DEVELOPMENTAL SCREENING4920961
AUTISM SCREENING4920962
00781-3110-95 - piperacillin-tazobactam 2 g-0.25 g REC[RCMH]
44567-0802-10 - piperacillin-tazobactam 3 g-0.375 g REC[RCMH]
62584-0693-21 - doxycycline hyclate 100 mg Tab[RCMH]
63481-0687-06 - lidocaine topical 5% Fil[RCMH]
25021-0105-10 - cefTRIAXone 500 mg REC[RCMH]
00781-3128-92 - nafcillin 1 g REC[RCMH]
68084-0617-01 - escitalopram 10 mg Tab[RCMH]
57664-0146-34 - promethazine 6.25 mg/5 mL Syr[RCMH]
00904-6305-21 - phenol topical 1.4% Spr[RCMH]
67457-0001-10 - ketamine 50 mg/mL Sol[RCMH]
00781-3133-63 - enoxaparin 30 mg/0.3 mL Sol[RCMH]
00054-3505-47 - lidocaine topical 4% Sol[RCMH]
67457-0438-10 - vecuronium 10 mg REC[RCMH]
52747-0307-30 - ferrous fumarate 324 mg Tab[RCMH]
47335-0382-83 - DULoxetine 30 mg ER[RCMH]
60687-0152-01 - cephalexin 250 mg Cap
45802-0758-30 - promethazine 12.5 mg Sup[RCMH]
65862-0528-30 - venlafaxine 75 mg ER[RCMH]
59310-0579-22 - albuterol CFC free 90 mcg/inh Aer
00904-6300-61 - carvedilol 3.125 mg Tab[RCMH]
00168-0357-55 - lidocaine-prilocaine topical 2.5%-2.5% Cre[RCMH]
69097-0223-16 - alendronate 35 mg Tab
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid4640003$641.00
37205-0637-26 - zinc oxide topical 40 % Ointment
00409-4332-01 - vancomycin 500 mg REC[RCMH]
00904-5859-61 - ALPRAZolam 0.5 mg Tab[RCMH]
00409-3507-01 - imipenem-cilastatin 500 mg-500 mg REC[RCMH]
00781-3059-95 - digoxin 250 mcg/mL (0.25 mg/mL) Sol[RCMH]
60687-0115-01 - benzonatate 100 mg Cap
00597-0260-10 - glucagon recombinant 1 mg REC[RCMH]
17478-0215-02 - atropine ophthalmic 1% Sol[RCMH]$181.75
51991-0814-03 - azelastine nasal 137 mcg/inh Spr[RCMH]$131.50
00002-7597-01 - OLANZapine 10 mg REC[RCMH]$25.75
00904-6407-61 - bisacodyl 5 mg EC[RCMH]$63.50
00409-9045-01 - bupivacaine-EPINEPHrine 0.5%-1:200,000 preservative-free Sol[RCMH]
00409-4699-33 - propofol 10 mg/mL Emu[RCMH]$131.50
00409-6778-02 - LORazepam 2 mg/mL Sol[RCMH]$103.50
00052-4330-01 - etonogestrel 68 mg Imp[RCMH]$21.75
00049-3920-83 - ziprasidone 20 mg REC[RCMH]$9.25
60505-7006-02 - fentaNYL 25 mcg/hr ER[RCMH]$0.00
65862-0202-30 - losartan 50 mg Tab[RCMH]$10.25
46287-0006-01 - sodium polystyrene sulfonate 15 g/60 mL Sus[RCMH]$10.25
2hr Postprandial4200277$63.50$10.25
46060 I&D ischiorectal or intramural abscess with fistulectomy or fistulotomy3504606$1,746.00 $0.00
00517-0031-25 - cyanocobalamin 1000 mcg/mL Sol$10.25
47781-0304-03 - rivastigmine 4.6 mg/24 hr ER
00409-6625-02 - sodium bicarbonate 8.4% Sol[RCMH]
67457-0522-37 - piperacillin-tazobactam 3 g-0.375 g REC[RCMH]
31722-0268-90 - quinapril 10 mg Tab[RCMH]
00409-4699-30 - propofol 10 mg/mL Emu[RCMH]$37.00
51079-0498-20 - lamoTRIgine 25 mg Tab[RCMH]$176.25
00046-0749-05 - conjugated estrogens 25 mg REC[RCMH]$126.75
HONEYCOMB BANDAGE 3"4100969$2.75$37.00
50268-0855-15 - cyanocobalamin 1000 mcg Tab[RCMH]$17.25
51293-0810-01 - phenazopyridine 100 mg Tab[RCMH]$69.25
51079-0077-20 - hydrOXYzine pamoate 25 mg Cap[RCMH]$103.50
68462-0406-01 - indomethacin 25 mg Cap[RCMH]$135.75
00409-8060-29 - etomidate 2 mg/mL Sol[RCMH]$169.00
00049-0013-83 - ampicillin-sulbactam 1 g-0.5 g REC[RCMH]$83.50
55150-0123-15 - nafcillin 2 g REC[RCMH]$291.75
63323-0341-25 - cefOXitin 1 g REC[RCMH]
00536-5896-88 - nicotine 21 mg/24 hr ER[RCMH]$93.25
96360 - HYDRATION, FIRST HOUR3100019$421.00
IV THERAPY HYDRATION, EACH ADDITIONAL HOUR3100021$314.75$25.50
ZZZ96365 - IV TX, FIRST HOUR3100005$421.00$135.75
ZZZ96366 - IV TX, EACH ADDITIONAL HOUR/CRITICAL CARE3100007$314.75$36.50
96367 - IV tx, sequential infusion3100041$314.75$183.00
ZZZ96368 - IV tx, concurrent infusion3100043$80.00$84.75
zzz96372 - Subq/IM Injection3100009$90.75$201.25
IVP INJECTION therapeutic or diagnostic ER3500315$246.75$159.25
IV Injection, add new drug THERAPEUTIC OR DIAGNOSTIC3100023$246.75$135.75
96376 - IV Push, add same drug3600329$194.50$82.00
99281 - ED Level 13600063$285.75$37.00
99282 - ED Level 23600065$334.00$112.50
99283 - ED Level 33600067$545.25$141.00
99284 - ED Level 43600069$812.75$169.00
99285 - ED Level 53600071$900.75$342.25
H: 99291 - ED Critical Care3600053$2,187.00
Critical Care, each 30 min3600056$900.00
HONEYCOMB BANDAGE 2"4100968$2.75
00641-6006-10 - atropine 0.4 mg/mL Sol[RCMH]
43386-0090-19 - polyethylene glycol 3350 with electrolytes - REC[RCMH]
00641-6078-25 - ondansetron 2 mg/mL Sol[RCMH]
Occult Blood Screen4200185$58.75
00731-0401-06 - zinc sulfate 220 mg Cap[RCMH]
60505-0113-08 - gabapentin 300 mg Cap[RCMH]
00093-1077-01 - cefprozil 250 mg Tab[RCMH]
68462-0291-12 - linezolid 600 mg Tab
00781-5185-92 - levothyroxine 112 mcg (0.112 mg) Tab[RCMH]
50268-0471-12 - linezolid 600 mg Tab
00641-6127-25 - morphine 10 mg/mL preservative-free So[RCMH]
CPM MACHINE CHARGE4100697$795.75
68084-0704-01 - bethanechol 25 mg Tab[RCMH]
00187-4302-02 - nitroprusside 25 mg/mL Sol[RCMH]
93922 VS ARTERIAL LOWER/UPPER EXTREMITY PHYSIOLOGIC CHARGE4440006$452.25
00904-5797-61 - furosemide 40 mg Tab[RCMH]
51079-0426-20 - glimepiride 4 mg Tab[RCMH]
00409-2122-02 - enalapril 1.25 mg/mL Sol[RCMH]$41.25
00641-6142-25 - phenylephrine 10 mg/mL Sol[RCMH]
68084-0680-01 - digoxin 250 mcg (0.25 mg) Tab[RCMH]
50268-0098-15 - azithromycin 250 mg Tab[RCMH]$41.25
69536-0050-15 - phenylephrine nasal 0.5% Spr[RCMH]
00603-5484-21 - propranolol 40 mg Tab[RCMH]
00904-6522-61 - senna 8.6 mg Tab$20.25
11523-7204-01 - vitamin A & D topical - Oin[RCMH]
65162-0835-94 - acyclovir topical 5% Oin[RCMH]
REMOVAL IMPACT CERUM 692093606920$248.75
IODOFLEX PAD 3X104600102$28.50
IODOFLEX PAD 5X54600104$17.50$31.50
00170 ANESTHESIA PROCEDURE ON MOUTH FMC CHARGE65500170
00132-0079-12 - glycerin adult Sup[RCMH]$126.75
60687-0128-01 - valsartan 80 mg Tab[RCMH]
52565-0053-10 - cefoTEtan 2 g REC[RCMH]
00781-9350-95 - piperacillin-tazobactam 3.375 gm REC Injection
76045-0007-10 - morphine 8 mg/mL preservative-free Sol[RCMH]
63739-0103-10 - metoclopramide 5 mg Tab[RCMH]$129.00
60258-0182-01 - ferrous fumarate 324 mg Tab[RCMH]$31.50
POST OP VISIT-TECH40099024$4,364.50
76045-0007-10 - morphine 8 mg/mL preservative-free Sol
51079-0418-20 - temazepam 15 mg Cap
12870-0001-02 - silver nitrate topical - Sti[RCMH]
00009-3124-03 - clindamycin 150 mg/mL Sol[RCMH]
00781-5420-31 - pioglitazone 15 mg Tab[RCMH]
00904-6554-61 - traZODone 50 mg Tab[RCMH]
68084-0230-01 - sulfamethoxazole-trimethoprim 800 mg-160 mg Tab[RCMH]
ALTRAZEAL 0.75 GRAM4600106$24.50
65862-0699-20 - cefuroxime 250 mg Tab[RCMH]
00904-6327-61 - metFORMIN 850 mg Tab[RCMH]$5.00
68084-0597-01 - NIFEdipine 30 mg ER[RCMH]$144.00
24208-0670-04 - sulfacetamide sodium ophthalmic 10% Sol[RCMH]$11.50
50268-0150-15 - calcium-vitamin D 600 mg-400 intl units Tab[RCMH]$197.25
00603-1393-64 - lidocaine topical 2% Sol[RCMH]$131.50
00641-2555-45 - phenytoin 50 mg/mL Sol[RCMH]$56.50
00009-3475-03 - methylPREDNISolone 80 mg/mL Sus
42292-0010-16 - esomeprazole 40 mg DR Capsule
55150-0154-10 - acyclovir 50 mg/mL Sol
65649-0411-12 - hydrocortisone topical 25 mg Sup[RCMH]$14.25
51079-0983-20 - lisinopril 20 mg Tab[RCMH]
60505-0112-00 - gabapentin 100 mg Cap[RCMH]$27.00
00378-0614-01 - thioridazine 25 mg Tab[RCMH]$11.50
00536-1108-88 - nicotine 21 mg/24 hr ER[RCMH]$20.25
00536-1106-88 - nicotine 7 mg/24 hr ER[RCMH]$52.50
00536-1107-88 - nicotine 14 mg/24 hr ER[RCMH]$20.25
17856-0775-04 - lidocaine topical 2% 2 % Soln$226.00
68094-0587-61 - acetaminophen 160 mg/5 mL Sus[RCMH]$31.50
67877-0216-20 - cefuroxime 500 mg Tab[RCMH]
00487-9003-60 - sodium chloride 3% Sol[RCMH]$30.25
48433-0202-30 - mineral oil 100% Liq[RCMH]$114.00
00487-9003-60 - sodium chloride 3% Sol
51079-0782-20 - pravastatin 40 mg Tab[RCMH]$21.75
63739-0213-10 - promethazine 25 mg Tab[RCMH]
37000-0016-12 - bismuth subsalicylate 262 mg Che[RCMH]$0.75
11981 Insertion, non bio drug delivery implant49211981
11982 Removal non bio drug delivery implant49211982
11983 Removal with reinsertion non bio drug implant49211983
00009-3124-01 - clindamycin 150 mg/mL Sol[RCMH]
00009-5140-04 - linezolid 2 mg/mL-D5% Sol[RCMH]$31.50
50383-0779-17 - lactulose 10 g/15 mL Syr[RCMH]
00054-0116-25 - rOPINIRole 0.25 mg Tab
99394 Preventive Medicine Established Patient - 12 to 17 years4920299
00781-3350-95 - piperacillin-tazobactam 3 g-0.375 g REC$94.75
00054-4179-25 - dexamethasone 0.5 mg Tab[RCMH]$51.50
00338-0357-02 - mannitol 20% Sol
46122-0108-46 - permethrin topical 1% Lot[RCMH]
97161 Physical therapy evaluation: low complexity, requiring these components: A history with no per46097161$278.25
97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of pre46097162$294.25
97163 Physical therapy evaluation: high complexity, requiring these components: A history of present46097163$310.25
63739-0225-10 - simethicone 80 mg Che[RCMH]
59212-0423-04 - atropine/hyoscyamine/PB/scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5 mL Eli[R
51754-0203-02 - verapamil 2.5 mg/mL Sol[RCMH]
62756-0520-69 - SUMAtriptan 25 mg Tab[RCMH]$257.00
00904-6187-61 - phenytoin 100 mg ER[RCMH]
36000-0009-24 - ciprofloxacin 400 mg/200 mL-5% Sol[RCMH]
00703-0125-01 - DAPTOmycin 500 mg IV Inj [RCMH]
PT Low Complex Units46097161$278.25
PT Moderate Complex Units46097162$294.25
PT High Complex Units46097163$310.25
00409-4902-34 - glucose 50% Sol[RCMH]
60687-0171-01 - donepezil 5 mg Tab[RCMH]
00003-0893-31 - apixaban 2.5 mg Tab[RCMH]
00603-1554-04 - potassium chloride 20 mEq REC[RCMH]
55150-0119-30 - piperacillin-tazobactam 2 g-0.25 g REC[RCMH]
00904-5802-61 - simvastatin 40 mg Tab[RCMH]
60687-0184-57 - memantine 10 mg Tab[RCMH]
00005-1971-02 - pneumococcal 13-valent conjugate vaccine - Sus
00024-2792-10 - sodium ferric gluconate complex 12.5 mg/mL Sol[RCMH]
00904-5632-61 - gabapentin 300 mg Cap[RCMH]
63323-0346-10 - cefTRIAXone 1 g REC[RCMH]
General Health Panel 104200285$524.00
TSH Gen 34200258$262.25
44567-0240-10 - cefepime 1 g REC[RCMH]
55150-0245-52 - levoFLOXacin 750 mg/150 mL Sol[RCMH]
00409-4928-34 - calcium chloride 100 mg/mL Sol[RCMH]
50383-0778-16 - ferrous sulfate 220 mg/5 mL Eli[RCMH]
00904-6556-61 - amiodarone 200 mg Tab[RCMH]
00904-6363-45 - divalproex sodium 250 mg ER[RCMH]
68180-0469-07 - lovastatin 40 mg Tab[RCMH]
65862-0700-20 - cefuroxime 500 mg Tab[RCMH]
00168-0154-08 - hydrocortisone topical 1% Cre[RCMH]
43547-0271-10 - rOPINIRole 2 mg Tab[RCMH]
00904-6405-61 - azithromycin 250 mg Tab
63824-0008-15 - guaiFENesin 600 mg ER[RCMH]
00904-6052-61 - levETIRAcetam 500 mg Tab[RCMH]
43598-0436-11 - nitroglycerin 0.4 mg Tab[RCMH]
Thyroxine Total4200175$114.50
T3 Uptake.4200113$116.75
TSH Gen 34200257$262.25
68462-0157-13 - ondansetron 4 mg DIS[RCMH]
00517-0955-01 - OLANZapine 10 mg REC[RCMH]
00904-6550-61 - propranolol 10 mg Tab[RCMH]
58790-0000-32 - ocular lubricant - Sol[RCMH]
00904-6352-61 - levoFLOXacin 500 mg Tab[RCMH]
00904-6401-61 - tamsulosin 0.4 mg Cap[RCMH]$142.00
00904-6324-61 - metoprolol 100 mg ER[RCMH]
51079-0133-20 - amitriptyline 50 mg Tab[RCMH]
50742-0190-01 - cyproheptadine 4 mg Tab[RCMH]
00338-6046-48 - fluconazole 200 mg/100 mL-0.9% Sol[RCMH]
00487-9701-01 - budesonide 0.5 mg/2 mL Sus[RCMH]
00904-6101-61 - clonazePAM 0.5 mg Tab[RCMH]
63739-0446-10 - potassium chloride 10 mEq ER[RCMH]
68084-0217-21 - irbesartan 150 mg Tab[RCMH]
66685-1001-00 - amoxicillin-clavulanate 875 mg-125 mg Tab[RCMH]
51991-0144-17 - methylergonovine 0.2 mg/mL Sol
63739-0447-10 - potassium chloride 20 mEq ER[RCMH]
43598-0536-60 - buPROPion 100 mg/12 hours ER[RCMH]
60687-0195-01 - dilTIAZem 120 mg/24 hours ER[RCMH]
50268-0179-13 - clarithromycin 500 mg Tab[RCMH]
00904-6008-61 - LORazepam 1 mg Tab[RCMH]
00904-5858-61 - ALPRAZolam 0.25 mg Tab[RCMH]
00409-1631-10 - calcium chloride 100 mg/mL Sol[RCMH]
60687-0145-01 - predniSONE 20 mg Tab[RCMH]$146.75
00078-0181-01 - octreotide 100 mcg/mL Sol
70121-1381-05 - fosphenytoin 100 mgPE/2 mL Sol[RCMH]
51672-2114-02 - acetaminophen 80 mg Sup[RCMH]
37205-0646-05 - ibuprofen 50 mg/1.25 mL Sus
96110 ASQ49296110
96110 MCHAT49296110U6$417.50
00904-6450-61 - isosorbide mononitrate 60 mg ER[RCMH]$297.75
29581 WOUND APPLY MULTILAYER COMPRESS BELOW CHARGE46029581$214.00$512.25
97605 WOUND VAC NEG <=50 CM CHARGE$128.50$248.25
50268-0687-15 - primidone 250 mg Tab[RCMH]$417.50
00904-5282-61 - rifAMPin 300 mg Cap[RCMH]$217.00
00603-1841-58 - valproic acid 250 mg/5 mL Syr[RCMH]$321.75
00904-6290-61 - atorvastatin 10 mg Tab[RCMH]$449.13
00115-1661-01 - propranolol 40 mg Tab[RCMH]$593.58
64980-0133-01 - dipyridamole 25 mg Tab[RCMH]$731.34
55150-0244-47 - levoFLOXacin 500 mg/100 mL Sol[RCMH]$932.50
63739-0645-10 - famotidine 20 mg Tab[RCMH]
25021-0109-10 - cefOXitin 1 g REC[RCMH]
68084-0659-01 - metoprolol 25 mg ER[RCMH]
00904- 6594-61 - valsartan 80 mg Tab
00904-6322-61 - metoprolol 25 mg ER[RCMH]
60432-0537-60 - nystatin 100000 units/mL Sus[RCMH]
00904-6441-61 - hydrALAZINE 25 mg Tab[RCMH]
00904-6237-61 - carbidopa-levodopa 25 mg-100 mg Tab[RCMH]
68180-0403-01 - cefprozil 250 mg Tab[RCMH]
69097-0839-05 - quinapril 5 mg Tab[RCMH]
49884-0867-02 - dronabinol 2.5 mg Cap[RCMH]
55150-0114-20 - ampicillin 2 g REC[RCMH]
00904-6408-61 - donepezil 5 mg Tab[RCMH]
63323-0284-20 - vancomycin 1 g REC[RCMH]
68084-0727-25 - hydroCHLOROthiazide-lisinopril 12.5 mg-20 mg Tab[RCMH]
60687-0242-01 - sertraline 50 mg Tab
63323-0385-10 - cefoTEtan 1 g REC[RCMH]
00904-5880-61 - diazePAM 5 mg Tab[RCMH]
13533-0131-01 - tetanus-diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL Sus
50268-0350-15 - gemfibrozil 600 mg Tab[RCMH]
62584-0467-01 - atenolol 50 mg Tab[RCMH]
51079-0107-20 - amitriptyline 25 mg Tab[RCMH]
00904-6508-61 - hydroxychloroquine 200 mg Tab[RCMH]
57970-0100-01 - dalbavancin 500 mg REC[RCMH]
00904-6519-61 - mirtazapine 15 mg Tab[RCMH]
55513-0924-91 - filgrastim 300 mcg/0.5 mL Sol[RCMH]
70121-1390-07 - fosphenytoin 500 mgPE/10 mL So[RCMH]l
51672-1302-00 - terconazole topical 0.8% Cre[RCMH]$685.75
00121-1550-00 - codeine-guaiFENesin 10 mg-100 mg/5 mL 10 mg-100 mg/5 mL Syrup
00904-6365-61 - traMADol 50 mg Tab[RCMH]
63739-0691-10 - ibuprofen 800 mg Tab[RCMH]
00904-5928-61 - labetalol 100 mg Tab[RCMH]
00185-0415-60 - buPROPion 150 mg/12 hours ER[RCMH]$387.50
16729-0001-01 - glimepiride 1 mg Tab[RCMH]
00378-0871-99 - cloNIDine 0.1 mg/24 hr ER[RCMH]
00904-6486-61 - lisinopril 20 mg Tab[RCMH]
00904-6474-61 - pantoprazole 40 mg DR[RCMH]
51991-0793-06 - rivastigmine 1.5 mg Cap[RCMH]
54838-0555-50 - ondansetron 4 mg/5 mL Sol[RCMH]$323.75
00904-0430-04 - doxycycline hyclate 100 mg Tab[RCMH]$6.00
65162-0691-79 - ondansetron 4 mg/5 mL Sol[RCMH]$6.00
A. Alternata IgE CPL4211105$32.00$5.00
A. NIger IgE CPL4211107$32.00$3.50
Adiponectin CPL4218945$299.60
Albumin CPL4200019$59.25
Allermetx Amer. Cockroach IgE CPL4211109$32.00$367.50
Anti-C1Q Antibocy, IgG CPL4211114$167.00$50.00
Antithrombin III Activity CPL4218953$122.96
B. Cinerea IgE CPL4211117$32.00$5.00
Bahia Grass IgE CPL4211118$32.00$11.50
Banana IgE CPL4211119$32.00$0.00
Basic Lymphocyte Subset Analysis By Flow Cytometry CPL4211120$85.00$25.50
BCR-ABL1, Quant, CML Monitoring (P210) CPL4211123$385.00$21.75
BCR-ABL1, Quant, Minor (P190) CPL4211124$385.00
Bipolaris Spicifera IgE CPL4211129$32.00
C Difficile Cytotoxin Ab CPL4211130$220.00$115.75
C. Diff Cult, Rflx Cytotoxin Cell Assay CPL4211131$725.00$74.25
C. Diff Toxin B By PCR CPL4218969$135.00$39.25
C. Difficile Gdh Reflex Toxin/PCR CPL4211133$90.00
C. Herbarum IgE CPL4211135$32.00
C. Lunata IgE CPL4211136$32.00$151.75
Cancer AntIgen 19-9 CPL4210037$237.97
Cat Epithelium IgE CPL4211138$32.00$31.00
CD20 CPL4211139$61.00$126.75
CD57 For Lyme Disease CPL4211140$120.00$163.50
Celiac Disease Genotype CPL4211143$320.00$252.00
Ceruloplasmin CPL4210479$121.45$271.00
Chloride, Random Urine CPL4210485$16.05$161.00
CK Isoenzymes CPL4211148$116.63$208.50
CK, Total CPL4200075$84.50$277.50
Clobazam, Serum CPL4211149$75.00$432.25
Cocklebur IgE CPL4211150$32.00$544.00
Cortisol, Urine Free CPL4211155$57.89
Cotinine, Urine CPL4211156$37.00
Cotton Seed IgE CPL4211157$75.00
Cottonwood IgE CPL4211158$32.00$5.00
Coxsackie A Ab Panel CPL4211159$32.00$341.25
Cryoglobulin, Qualitative Reflex To IgG, IgA, IgM CPL4211164$139.14$352.00
CT/NG, TMA Urine CPL4211165$109.46$107.25
Culture, Body Fluid CPL4200199$142.25$10.25
Culture, Nasal CPL4200173$131.75$14.25
D-Dimer CPL4211170$32.00
D. Farinae IgE CPL4210139$49.92$5.00
D. Pteronyssinus IgE CPL4211169$32.00$278.75
Dihydrotestosterone CPL4211171$95.00$197.25
DNase B Ab CPL4211173$39.00$107.25
Dog Dander IgE CPL4211174$32.00$145.75
Drug Screen Austin/20 CPL4211175$38.00$189.00
E. Purpurascens IgE CPL4211176$32.00$134.00
Echinococcus IgG CPL4211177$70.00$176.25
Ehrlichia Chaffeensis IgG/IgM CPL4211179$32.00$231.50
English Plantain IgE CPL4211182$32.00$291.50
Estradiol, Ultrasens CPL4211183$75.00$418.25
Estrone (E1) CPL4211184$55.00$231.50
Factor V Activity CPL4211185$70.00$189.00
Factor V Leiden CPL4210301$328.25$134.00
Factor Viii Activity CPL4211186$70.00$176.25
Farr DNA Ds Ab CPL4211187$75.00$231.50
Fibrinogen CPL4210097$87.50$41.25
Firebush, Kochia IgE CPL4211188$32.00$38.25
Fragile X Screen With Reflex CPL4211190$190.00
Glomerular Basement IgG CPL4211196$65.00$96.00
Goose Feathers IgE CPL4211197$32.00$121.50
Hematocrit CPL4200088$46.00$188.00
Hemochromatosis (HFE) PCR CPL4211202$90.00$272.00
Hemoglobin And Hematocrit CPL4200087$92.00$122.50
Hemoglobin CPL4200087$46.00$189.25
Hep B Core Ab Rflx IgM CPL4210227$109.03$274.25
Hepatitis C Genotype CPL4218985$405.29
Herpes Simplex 1 IgG CPL4218987$101.33
Herpes Simplex 2 IgG CPL4218988$101.33
HLA B-27 CPL4210589$53.50
HPV High If Abnormal Thinprep CPL$201.50
HPV High Risk With Genotype, Tp CPL4211211$60.00$30.25
IGF-1 CPL4211212$80.00
Intrinsic Factor Antibodies CPL4210209$143.64$33.00
Isoforms 25-Hydroxy Vit D CPL4211226$105.00$299.87
Jak2 Gene V617F Mutation With Reflex To Calr, Mpl Codon 515 CPL4211227$285.00
Lamb's Quarter IgE CPL4211231$32.00
Lamotrigine CPL4210221$196.35$60.75
Leptin CPL4219013$104.96$102.25
Lipase CPL4200093$107.00$25.50
LKM Ab CPL4210461$180.39$40.25
Lyme Ab Reflex IB CPL4219015$85.00$231.50$237.00
Lyme Disease IgG/IgM, Immunoblot CPL4219016$50.00$193.50
M. Racemosus IgE CPL4211237$32.00$172.25
Maple/Box Elder IgE CPL4211238$32.00$202.00
Mesquite Tree IgE CPL4211240$32.00$425.75$429.00
Metanephrines, Plasma CPL4210459$107.48$235.25$237.00
Mitochondrial M2 Ab CPL4210381$65.54$138.00
Mulberry Tree IgE CPL4211243$32.00$180.50
Mycoplasma Pneumoniae IgG And IgM CPL4210443$70.41
Myomarker Panel 3 CPL4211246$525.00
Nicotine Serum/Plasma, Quant CPL4211251$100.00$3.50
Oxcarbazepine Metabolite CPL4219024$120.89
P. Chrysogenum IgE CPL4211254$32.00
Paecilomyces Variotti IgE CPL4211255$32.00
Pap Test, Mc 1 Yr Thinprep, Imaged CPL4211256$50.00
Pap Test, Thinprep, Imaged CPL4211257$50.00
Parvovirus B19 IgG CPL4211258$38.00
Parvovirus B19 IgM CPL4211259$38.00
Penicilloyl G IgE CPL4211261$35.00
Penicilloyl V IgE CPL4211262$35.00
Pigweed/Careless IgE CPL
Potassium CPL
Potassium, Random Urine CPL4210403$16.05
Pregnancy Test, Urine CPL4200193$38.50
Protein C And S Activity Profile CPL4211264$120.00$78.00
Prothrombin Gene Mutation CPL4211266$165.00
Protime And PTT CPL4211267$27.00
Queen Palm IgE CPL4211268$32.00
Ragweed, Giant IgE CPL4211270$32.00
Ragweed, Western IgE CPL4211271$32.00
Rhodotorula IgE CPL4211273$32.00
RPR Reflex To MHA-TP CPL4211275$59.25
RSV By DFA CPL4210313$50.00
S. Herbarum IgE CPL4211276$32.00
S. Rostrata IgE CPL4211277$32.00
Salivary Cortisol CPL4211278$125.00
Scleroderma Autoantibodies Panel CPL4211279$520.00
Sheep Sorrel IgE CPL4211280$32.00
Sjogren's SS-A Ab CPL4211281$70.00
Sjogren's SS-B Ab CPL4211282$70.00
Smooth Muscle Ab (F-Actin), Reflex IFA Titer CPL4219041$135.00
Sycamore/Maple Leaf IgE CPL4211289$32.00
T. Pallidum Total Ab CPL4219047$58.60
Thyroid Stimulating Imm CPL4210577$133.75
Thyrotropin Receptor AutoAb CPL4210579$135.00
Topiramate CPL4219045$24.16
Transforming Growth Factor, Beta CPL4211295$270.00
Troponin T CPL
Trypanosoma Cruzi IgG CPL4219048$125.00
TSH + Free T4 Profile CPL4211298$35.00
Tularemia Ab CPL4211299$130.00
Uric Acid CPL4200123$71.50
Urinalysis (Culture If Indicated) CPL4200123$63.50
Urinalysis With Microscopic CPL4200123$63.50
Valproic Acid, Free And Total CPL4219050$255.90
Varicella Zoster IgG/IgM CPL4219052$32.00
Waterhemp, Western IgE CPL4211308$32.00
White Ash IgE CPL4211310$32.00
Willow IgE CPL4211311$32.00
Wormwood/Sagebrush IgE CPL4211312$32.00
Yellow Dock Weed IgE CPL4211313$32.00
Zonisamide CPL4211315$75.00
00904-6390-61 - losartan 50 mg Tab[RCMH]
CT Angiography Upper Extremity Request4420080$1,712.00
CT Angiography Lower Extremity Request4420088$1,712.00
60687-0217-01 - diltiazem 240 mg/24 hours ER Capsule
49281-0215-15 - tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 mL preservative-free Sus[
00185-0129-01 - bumetanide 1 mg Tab[RCMH]
60687-0206-01 - dilTIAZem 180 mg/24 hours ER[RCMH]
00185-0223-60 - cilostazol 100 mg Tab[RCMH]
50458-0590-10 - risperiDONE 0.25 mg Tab[RCMH]
00904-6359-61 - risperiDONE 1 mg Tab[RCMH]
43598-0447-74 - nicotine 14 mg/24 hr ER[RCMH]
42023-0115-10 - ketamine 100 mg/mL Sol
00135-0576-02 - fluticasone nasal 50 mcg/inh Spr
51645-0905-99 - thiamine 100 mg Tab[RCMH]
70860-0100-10 - azithromycin 500 mg REC[RCMH]
23155-0473-41 - furosemide 10 mg/mL Sol[RCMH]
47682-0223-35 - bacitracin/neomycin/polymyxin B topical 400 units-3.5 mg-5000 units/g Oin[RCMH]
51991-0935-98 - labetalol 5 mg/mL Sol[RCMH]
69097-0856-05 - fosinopril 10 mg Tab[RCMH]
68084-0848-25 - aspirin 325 mg DR[RCMH]
00641-6008-10 - bumetanide 0.25 mg/mL Sol[RCMH]
50383-0063-12 - guaiFENesin 100 mg/5 mL Liq[RCMH]
68382-0310-30 - nitroglycerin 0.4 mg/hr ER[RCMH]
55150-0238-05 - dexamethasone 4 mg/mL Sol[RCMH]
00781-7304-31 - rivastigmine 4.6 mg/24 hr ER[RCMH]
00904-5921-61 - digoxin 125 mcg (0.125 mg) Tab[RCMH]
00904-6529-61 - montelukast 10 mg Tab[RCMH]
08881-5701-21 - sodium chloride 0.9% Sol[RCMH]
00904-6304-77 - magnesium citrate 1.745 g/30 mL Liq[RCMH]
68084-0960-32 - polycarbophil 625 mg Tab[RCMH]
00093-8192-01 - cimetidine 300 mg Tab[RCMH]
68084-0267-01 - ramipril 5 mg Cap[RCMH]
00904-5892-61 - pravastatin 20 mg Tab[RCMH]
00904-6475-61 - baclofen 10 mg Tab[RCMH]
00904-6567-61 - acetaminophen-hydrocodone 325 mg-5 mg Tab[RCMH]
00121-0144-10 - guaiFENesin 200 mg / 10 mL Liq
00008-2001-10 - pantoprazole 40 mg REC
00074-6594-90 - levothyroxine 88 mcg (0.088 mg) Tab[RCMH]
63323-0162-02 - ketorolac 30 mg/mL Sol[RCMH]
48433-0110-01 - omega-3 polyunsaturated fatty acids 1000 mg Cap[RCMH]
43598-0510-30 - esomeprazole 40 mg DR
00093-7164-56 - tolterodine 4 mg ER[RCMH]
00713-0526-12 - promethazine 25 mg Sup[RCMH]
60687-0229-01 - loperamide 2 mg Cap[RCMH]
00904-6172-61 - carBAMazepine 200 mg Tab[RCMH]
00904-6461-61 - promethazine 25 mg Tab[RCMH]
59762-4538-02 - medroxyPROGESTERone 150 mg/mL Sus[RCMH]
00378-3404-93 - tolterodine 4 mg ER[RCMH]
75834-0124-01 - acyclovir 200 mg Cap[RCMH]
00409-7338-01 - cefTRIAXone 500 mg REC[RCMH]
00832-0465-15 - nystatin topical 100000 units/g Pow[RCMH]
42023-0168-01 - EPINEPHrine 1 mg/mL Sol[RCMH]
63739-0588-10 - predniSONE 20 mg Tab[RCMH]
59212-0422-04 - atropine/hyoscyamine/PB/scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5 mL El[RC
00832-1211-01 - warfarin 1 mg Tab[RCMH]
63739-0236-10 - gabapentin 300 mg Cap[RCMH]
51991-0181-42 - ferrous fumarate 324 mg Tab[RCMH]
00121-0489-00 - diphenhydrAMINE 12.5 mg/5 mL Liq[RCMH]
63323-0965-10 - potassium chloride 2 mEq/mL Sol[RCMH]
16729-0020-10 - pioglitazone 15 mg Tab[RCMH]
60687-0284-21 - ezetimibe 10 mg Tab[RCMH]
65162-0253-06 - raNITIdine 150 mg Tab[RCMH]
66758-0208-54 - scopolamine 1.5 mg ER[RCMH]
31722-0542-01 - indomethacin 25 mg Cap[RCMH]
00603-7818-78 - nystatin topical 100000 units/g Cre[RCMH]
63323-0201-10 - lidocaine 1% Sol[RCMH]
47781-0470-13 - oseltamivir 75 mg Cap[RCMH]
67457-0517-01 - fosphenytoin 500 mgPE/10 mL Sol
68084-0128-01 - omeprazole 20 mg DR[RCMH]
00378-1807-77 - levothyroxine 88 mcg (0.088 mg) Tab[RCMH]
51079-0072-20 - furosemide 20 mg Tab[RCMH]
00703-9514-03 - sulfamethoxazole-trimethoprim 80 mg-16 mg/mL Sol[RCMH]
50580-0600-02 - acetaminophen 325 mg Tab[RCMH]
44567-0437-24 - levoFLOXacin 750 mg/150 mL Sol[RCMH]
63739-0486-10 - hydrOXYzine hydrochloride 25 mg Tab[RCMH]
00409-1630-10 - atropine 0.1 mg/mL Sol[RCMH]
65862-0175-01 - penicillin V potassium 250 mg Tab
75826-0114-10 - phenazopyridine 100 mg Tab[RCMH]
68462-0260-01 - verapamil 240 mg/12 hours ER[RCMH]
52565-0009-50 - lidocaine topical 4% Sol[RCMH]
61314-0633-05 - gentamicin ophthalmic 0.3% Sol[RCMH]
D10 W 250 ml/500 ml4000251$97.32
KETAMINE 500mg/ 10 ml (CONTROL DRUG)4000253$22.08
NS 10 cc PREFILL SYRINGE4000252$10.00
TRANEXAMIC ACID (TXA) 1G4000250$254.30
70860-0104-10 - vancomycin 500 mg REC[RCMH]
68001-0256-04 - DULoxetine 30 mg DR[RCMH]
57237-0018-30 - DULoxetine 30 mg DR[RCMH]
55111-0145-71 - fluconazole 150 mg Tab[RCMH]
4000254 NS 0.9% 100 ml4000254$20.00
4000255 NS 0.9% 100 ml4000255$20.00
4000257 I-Gel Alternative Airway4000257$40.00
MUCOSAL ATOMIZATION DEVICE (MAD)4000256$25.00
00641-6125-25 - morphine 4 mg/mL preservative-free Sol[RCMH]
TACTICAL TOURNIQUET4000258$40.00
51079-0788-20 - ALPRAZolam 0.25 mg Tab[RCMH]
68084-0572-01 - guaiFENesin 600 mg ER[RCMH]
55150-0113-10 - ampicillin 1 g REC[RCMH]
68084-0836-25 - doxazosin 1 mg Tab[RCMH]
68084-0783-01 - gabapentin 100 mg Cap[RCMH]
00904-6426-61 - escitalopram 10 mg Tab[RCMH]
00904-6363-61 - divalproex sodium 250 mg ER[RCMH]
00904-6640-61 - QUEtiapine 100 mg Tab[RCMH]
00904-5631-61 - gabapentin 100 mg Cap[RCMH]
17478-0711-10 - lidocaine topical 2% Gel[RCMH]
60505-6130-05 - ondansetron 2 mg/mL Sol[RCMH]
00904-6575-61 - PHENobarbital 32.4 mg Tab[RCMH]
13668-0155-30 - esomeprazole 40 mg DR[RCMH]
CAPNOLINE PLUS4100868$27.20
FILTERLINE SET4100869$24.73
50580-0412-02 - acetaminophen 500 mg Tab[RCMH]
23155-0118-03 - calcitriol 0.25 mcg Cap
64380-0723-06 - calcitriol 0.25 mcg Cap[RCMH]
24208-0910-55 - erythromycin ophthalmic 0.5% Oin[RCMH]
00781-2020-01 - amoxicillin 250 mg Cap[RCMH]
86359 CPL42186359$0.01
86355 CPL42186355$0.01
00703-2914-03 - vecuronium 10 mg REC[RCMH]
62037-0699-30 - dilTIAZem 300 mg/24 hours ER[RCMH]
76385-0104-01 - benztropine 1 mg Tab[RCMH]
86235 CPL42186235$0.01
83516 CPL42183516$0.01
86225 CPL42186225$0.01
86357 CPL42186357$0.01
86146 CPL42186146$0.01
87075 CPL42187075$0.01
87076 CPL42187076$0.01
87186 CPL42187186$0.01
81376 CPL42181376$0.01
86658 CPL42186658$0.01
83883 CPL42183883$140.35
83002 CPL42183002$0.01$331.00
85014 CPL42185014$0.01$246.00
86334 CPL42186334$234.60$12.75
84165 CPL42184165$54.07$12.75
85610 CPL42185610$0.01$12.75
85730 CPL42185730$0.01$468.00
85613 CPL42185613$0.01$33.00
86738 CPL42186738$0.01$12.00
86325 CPL42186325$0.01$89.25
83520 CPL42183520$0.01$532.25
86256 CPL42186256$0.01$267.50
85306 CPL42185306$0.01$0.00
84156 CPL42184156$0.01$0.00
86038 CPL42186038$0.01$82.00
86039 CPL42186039$0.01$67.75
86255 CPL42186255$0.01
84479 CPL42184479$0.01$28.25
84436 CPL42184436$0.01$92.25
84439 CPL42184439$0.01$73.75
86668 CPL42186668$0.01$0.00
80165 CPL42180165$0.01$0.00
86787 CPL42186787$0.01$47.25
82746 CPL42182746$0.01
86376 CPL42186376$0.01$66.75
86160 CPL42186160$0.01$0.00
86431 CPL42186431$0.01$0.00
82784 CPL42182784$57.78
87591 CPL42187591$285.00
87253 CPL42187253$0.01
00781-1392-13 - haloperidol 1 mg Tab[RCMH]$45.00
63739-0293-10 - metoclopramide 10 mg Tab[RCMH]$47.25
23155-0547-42 - ondansetron 2 mg/mL Sol[RCMH]$11.50
00409-4888-20 - sodium chloride 0.9% Sol$33.00
63323-0322-25 - imipenem-cilastatin 500 mg-500 mg REC[RCMH]$27.00
00143-9621-25 - cyanocobalamin 1000 mcg/mL Sol[RCMH]$0.00
25021-0156-30 - meropenem 1000 mg REC[RCMH]
17478-0937-26 - dilTIAZem 5 mg/mL Sol[RCMH]$41.25
00143-9577-10 - lidocaine 1% Sol[RCMH]$41.25
00517-0650-01 - ferric carboxymaltose (as elemental iron) 50 mg/mL Sol[RCMH]$47.25
00186-0382-30 - esomeprazole 20 mg DR[RCMH]$67.75
62332-0141-31 - celecoxib 100 mg Cap[RCMH]
47781-0307-01 - nitrofurantoin macrocrystals 50 mg Cap[RCMH]
69097-0422-07 - celecoxib 100 mg Cap[RCMH]
23155-0288-01 - acetaZOLAMIDE 250 mg Tab[RCMH]
51079-0759-20 - atenolol 25 mg Tab[RCMH]
66685-1002-00 - amoxicillin-clavulanate 500 mg-125 mg Tab[RCMH]
00904-6477-61 - donepezil 5 mg Tab
60687-0129-01 - docusate sodium 100 mg Cap[RCMH]
63323-0492-37 - lidocaine 1% preservative-free Sol[RCMH]
00143-9595-25 - lidocaine 1% preservative-free Sol[RCMH]
97605 WOUND VAC NEG <=50 CM PT CHARGE46097605$128.50
29581 WOUND APPLY MULTILAYER COMPRESS BELOW PT CHARGE46029581$214.00
00536-0122-97 - acetaminophen 160 mg/5 mL Liq[RCMH]
00904-3854-61 - carBAMazepine 100 mg Che
00904-6440-61 - hydrALAZINE 10 mg Tab[RCMH]
77333-0938-10 - cyanocobalamin 1000 mcg Tab [RCMH] 1,000 mcg Tab
00904-6420-61 - acetaminophen-hydrocodone 325 mg-7.5 mg Tab[RCMH]
00641-6084-25 - promethazine 25 mg/mL Sol[RCMH]
51079-0073-20 - furosemide 40 mg Tab[RCMH]
68084-0658-01 - ibuprofen 400 mg Tab[RCMH]
COLLAR,ADULT AMBU4100870$10.95
COLLAR,INF/PEDI AMBU4100871$10.95
55150-0208-30 - meropenem 1000 mg REC[RCMH]
50111-0433-01 - traZODone 50 mg Tab[RCMH]
00409-4887-50 - sterile water - Sol[RCMH]
44567-0436-24 - levoFLOXacin 500 mg/100 mL Sol[RCMH]
63323-0485-27 - lidocaine 1% Sol[RCMH]
63739-0559-10 - ciprofloxacin 500 mg Tab[RCMH]
64679-0730-01 - fosphenytoin 500 mgPE/10 mL Sol[RCMH]
68084-0651-25 - clarithromycin 500 mg Tab[RCMH]
00904-6378-61 - ciprofloxacin 500 mg Tab[RCMH]
00904-6630-61 - amantadine 100 mg Cap[RCMH]
00409-1162-02 - bupivacaine 0.5% preservative-free Sol[ RCMH]
51079-0981-20 - lisinopril 5 mg Tab[RCMH]
00536-1048-15 - calcium carbonate 500 mg Che[RCMH]
64380-0737-06 - ergocalciferol 50,000 intl units Cap[RCMH]
00904-6502-61 - celecoxib 100 mg Cap[RCMH]
00781-3209-95 - cefTRIAXone 2 g REC[RCMH]
00143-9875-25 - amiodarone 50 mg/mL Sol[RCMH]
00713-0503-12 - hydrocortisone topical 25 mg Sup[RCMH]
47781-0598-91 - vancomycin 500 mg REC[RCMH]
00781-1391-01 - haloperidol 0.5 mg Tab[RCMH]
68180-0981-01 - lisinopril 20 mg Tab[RCMH]
61314-0355-01 - tropicamide ophthalmic 1% Sol[RCMH]
00904-6582-61 - folic acid 1 mg Tab[RCMH]
60687-0245-01 - rosuvastatin 10 mg Tab[RCMH]
00904-6377-61 - OLANZapine 5 mg Tab[RCMH]
47781-0584-68 - ketorolac 30 mg/mL Sol[RCMH]
60687-0272-94 - cefuroxime 250 mg Tab
76204-0800-01 - levalbuterol 0.63 mg/3 mL Sol[RCMH]
53746-0218-01 - metFORMIN 500 mg Tab[RCMH]
60687-0282-01 - azithromycin 250 mg Tab[RCMH]
23155-0102-01 - metFORMIN 500 mg Tab[RCMH]
64679-0729-01 - fosphenytoin 100 mgPE/2 mL Sol[RCMH]
51991-0747-90 - DULoxetine 30 mg DR[RCMH]
00548-5701-00 - medroxyPROGESTERone 150 mg/mL Sus
00904-6666-61 - gabapentin 300 mg Cap
60687-0343-01 - ramipril 5 mg Cap[RCMH]
00904-6178-61 - bethanechol 25 mg Tab[RCMH]
53746-0545-01 - primidone 250 mg Tab[RCMH]
00904-6637-61 - glipiZIDE 5 mg Tab[RCMH]$103.50
50268-0702-15 - propranolol 40 mg Tab[RCMH]
70860-0776-02 - ondansetron 2 mg/mL Sol[RCMH]
63323-0486-17 - lidocaine 2% Sol[RCMH]
77333-0118-10 - polycarbophil 625 mg Tab
64679-0056-01 - piperacillin-tazobactam 3 g-0.375 g REC[RCMH]
SENSURA KIT4100872$15.00
49884-0308-02 - clonazePAM 0.5 mg DIS[RCMH]
63739-0573-10 - simvastatin 40 mg Tab[RCMH]
63323-0064-11 - magnesium sulfate 50% Sol[RCMH]
60687-0190-01 - pravastatin 40 mg Tab[RCMH]
53489-0386-01 - minoxidil 2.5 mg Tab[RCMH]
51079-0440-20 - levothyroxine 50 mcg (0.05 mg) Tab[RCMH]
60687-0305-32 - aspirin-dipyridamole 25 mg-200 mg ER[RCMH]
51224-0012-20 - phentolamine 5 mg REC[RCMH]
60687-0178-01 - pravastatin 20 mg Tab[RCMH]
60687-0333-01 - lisinopril 20 mg Tab[RCMH]
COMPRILAN BANDAGE 12X54600969$18.30
63323-0360-19 - calcium gluconate 100 mg/mL Sol[RCMH]
60687-0346-01 - benzonatate 100 mg Cap[RCMH]
60505-0080-01 - sotalol 80 mg Tab[RCMH]
68084-0772-01 - ibuprofen 800 mg Tab[RCMH]
EPISTAXIS PACKING4100970$28.66
63323-0454-01 - morphine 4 mg/mL preservative-free Sol[RCMH]
68084-0875-01 - montelukast 10 mg Tab[RCMH]
00093-4067-01 - prazosin 1 mg Cap[RCMH]
PURACOL PLUS 2X2.24606021$21.00
A6196 Non-Adhesive super Absorbent wound dressing46006196$10.00
A6262 Altrazeal Transforming powder dressing46006262$151.20
60687-0285-01 - amLODIPine 2.5 mg Tab[RCMH]
00378-1101-01 - prazosin 1 mg Cap[RCMH]
68382-0798-01 - labetalol 100 mg Tab[RCMH]
59762-3304-03 - nitroglycerin 0.4 mg Tab[RCMH]
00904-5677-61 - PARoxetine 20 mg Tab[RCMH]
DARCO PEG INSOLE4606921$27.46
PRECISE SKIN STAPLER4100971$10.00
EAR PROBE4000246$52.00
QuickClot Combat gauze4000974$65.00
Tt-pod combat, Trauma Pelvic Orthotic Device4000972$175.00
68084-0196-01 - lisinopril 5 mg Tab[RCMH]
65862-0496-47 - sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL Sus[RCMH]
17856-0162-02 - atropine/hyoscyamine/PB/scopolamine 5 mL Elixir
51672-1360-01 - acyclovir topical 5% Oin
65862-0648-60 - rivastigmine 1.5 mg Cap[RCMH]
60687-0143-01 - metFORMIN 850 mg Tab[RCMH]
00904-6667-61 - gabapentin 400 mg Cap[RCMH]
50268-0603-15 - nortriptyline 10 mg Cap[RCMH]
63739-0403-10 - naproxen 500 mg Tab[RCMH]
50268-0466-15 - lansoprazole 30 mg DR[RCMH]
23155-0500-01 - hydrOXYzine hydrochloride 10 mg Tab[RCMH]
68084-0750-25 - hydrochlorothiazide-triamterene 25 mg-37.5 mg Tab[RCMH]
47781-0586-29 - labetalol 5 mg/mL Sol[RCMH]
57664-0683-57 - linezolid 2 mg/mL-D5% Sol[RCMH]
23155-0473-42 - furosemide 10 mg/mL Sol[RCMH]
60432-0621-16 - valproic acid 250 mg/5 mL Syr[RCMH]
52565-0052-10 - cefoTEtan 1 g REC[RCMH]
00904-6690-61 - metFORMIN 850 mg Tab
58232-0400-29 - bacitracin/neomycin/polymyxin B topical 400 units-3.5 mg-5000 units/g Oin[RCMH]
00603-1584-58 - promethazine 6.25 mg/5 mL Syr[RCMH]
00574-4160-35 - dexamethasone/neomycin/polymyxin B ophthalmic 1 mg-3.5 mg-10000 units/g Oin[RCMH]
17478-0041-01 - naloxone 0.4 mg/mL Sol[RCMH]
63323-0508-30 - meropenem 1000 mg REC[RCMH]
52817-0210-10 - cyproheptadine 4 mg Tab[RCMH]
00548-5400-00 - medroxyPROGESTERone 150 mg/mL Sus[RCMH]
13107-0003-34 - mirtazapine 30 mg Tab[RCMH]
68462-0102-30 - fluconazole 100 mg Tab[RCMH]
VASELINE GAUZE 3X94103000382$2.55
EZ-IO NEEDLE SET 45MM4103000379$184.41
EZ-IO NEEDLE SET 25MM4103000380$184.41
EZ-IO NEEDLE SET 15MM4103000381$184.41
63739-0281-10 - lovastatin 20 mg Tab[RCMH]
42037-0103-79 - aspirin 325 mg ER Tablet
70121-1453-07 - meropenem 1000 mg REC[RCMH]
QuickClot Combat Gauze LE4000628$65.00
T-POD Combat Trauma Pelvic Orthotic Device4000630$175.00
63459-0912-11 - tbo-filgrastim 480 mcg/0.8 mL Sol[RCMH]
49884-0161-11 - calcitonin 200 intl units/inh Spr[RCMH]
69292-0317-15 - tetracaine ophthalmic 0.5% 0.5 % Soln
50268-0640-15 - PARoxetine 10 mg Tab
47781-0597-91 - vancomycin 1 g REC[RCMH]
00054-8146-22 - clotrimazole 10 mg Loz
67877-0419-20 - linezolid 600 mg Tab[RCMH]
00591-3540-60 - buPROPion 100 mg/12 hours ER[RCMH]
25021-0184-82 - fluconazole 200 mg/100 mL-0.9% Sol[RCMH]
00904-6571-61 - allopurinol 100 mg Tab[RCMH]
00143-9508-10 - ketamine 50 mg/mL Sol[RCMH]

For any questions regarding pharmacy pricing or any questions in general, please contact us at 361.526.2321.

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