Outpatient Services - Riverside Medical Center
Services - Outpatient
Outpatient services
This section shows the number of patients visiting this facility for certain conditions or procedures. IDPH used data provided by the hospitals to calculate the charges . Your billable amount may vary greatly; always consult your physician or patient advocate.
All measures below are calculated for all patients unless otherwise specified.
Export| Major Diagnosis | Patients | Median Charge | ||||
|---|---|---|---|---|---|---|
|
Arthroscopy
-
|
26 | $42,964.32 | ||||
DescriptionThe number of patients who received an Arthroscopy (CCS 149). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
20 | $43,254.97 | ||||
|
-
|
13 | $46,471.34 | ||||
|
-
|
18 | $34,100.11 | ||||
|
-
|
18 | $37,006.91 | ||||
|
-
|
20 | $30,407.09 | ||||
|
-
|
22 | $29,686.77 | ||||
|
-
|
19 | $26,167.54 | ||||
|
-
|
23 | $26,609.00 | ||||
|
-
|
30 | $25,554.00 | ||||
|
-
|
22 | $24,965.50 | ||||
|
-
|
28 | $25,622.34 | ||||
|
-
|
35 | $22,174.00 | ||||
|
-
|
26 | $19,171.50 | ||||
|
-
|
20 | $18,810.50 | ||||
|
-
|
48 | $18,497.00 | ||||
|
-
|
93 | $14,307.00 | ||||
|
-
|
85 | $11,070.00 | ||||
|
-
|
102 | $10,870.50 | ||||
|
-
|
87 | $11,488.00 | ||||
|
-
|
102 | $25,068.14 | ||||
|
-
|
109 | $19,433.50 | ||||
|
Bunionectomy
-
|
27 | $19,665.91 | ||||
DescriptionThe number of patients who received a Bunionectomy (CCS 143). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
13 | $14,593.38 | ||||
|
-
|
14 | $18,211.99 | ||||
|
-
|
11 | $15,185.80 | ||||
|
-
|
14 | $18,637.02 | ||||
|
-
|
24 | $18,336.18 | ||||
|
-
|
28 | $18,336.18 | ||||
|
-
|
34 | $13,058.55 | ||||
|
-
|
35 | $13,005.62 | ||||
|
-
|
34 | $12,669.00 | ||||
|
-
|
29 | $13,096.00 | ||||
|
-
|
28 | $13,806.00 | ||||
|
-
|
33 | $14,398.00 | ||||
|
-
|
44 | $16,239.72 | ||||
|
-
|
44 | $16,431.25 | ||||
|
-
|
64 | $12,384.75 | ||||
|
-
|
67 | $11,545.50 | ||||
|
-
|
36 | $11,210.50 | ||||
|
-
|
71 | $11,208.00 | ||||
|
-
|
85 | $10,600.50 | ||||
|
-
|
75 | $10,094.00 | ||||
|
-
|
53 | $11,818.50 | ||||
|
Cardiac Catheterization
-
|
744 | $17,541.63 | ||||
DescriptionThe number of patients who received Diagnostic Cardiac Catheterization (CCS 47) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
751 | $19,304.22 | ||||
|
-
|
725 | $18,004.95 | ||||
|
-
|
1,000 | $20,175.86 | ||||
|
-
|
973 | $19,605.41 | ||||
|
-
|
868 | $20,729.75 | ||||
|
-
|
878 | $19,933.95 | ||||
|
-
|
721 | $16,755.44 | ||||
|
-
|
659 | $15,502.63 | ||||
|
-
|
667 | $14,320.00 | ||||
|
-
|
661 | $14,759.00 | ||||
|
-
|
713 | $12,810.00 | ||||
|
-
|
711 | $12,523.00 | ||||
|
-
|
666 | $11,790.00 | ||||
|
-
|
445 | $11,172.00 | ||||
|
-
|
565 | $11,453.00 | ||||
|
-
|
539 | $11,343.00 | ||||
|
-
|
455 | $13,687.00 | ||||
|
-
|
644 | $15,297.50 | ||||
|
-
|
664 | $15,641.50 | ||||
|
-
|
692 | $17,134.50 | ||||
|
-
|
651 | $15,781.50 | ||||
|
Colonoscopy
-
|
794 | $9,917.93 | ||||
DescriptionThe number of patients who received a Colonoscopy with Biopsy (CCS 76). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
692 | $9,782.49 | ||||
|
-
|
578 | $9,657.39 | ||||
|
-
|
808 | $9,181.45 | ||||
|
-
|
749 | $8,669.63 | ||||
|
-
|
581 | $8,199.00 | ||||
|
-
|
560 | $8,164.09 | ||||
|
-
|
542 | $7,080.76 | ||||
|
-
|
516 | $6,709.53 | ||||
|
-
|
451 | $6,318.00 | ||||
|
-
|
479 | $6,318.00 | ||||
|
-
|
490 | $5,731.00 | ||||
|
-
|
477 | $5,518.00 | ||||
|
-
|
547 | $5,133.00 | ||||
|
-
|
397 | $5,160.00 | ||||
|
-
|
495 | $4,880.00 | ||||
|
-
|
552 | $4,896.00 | ||||
|
-
|
566 | $4,792.00 | ||||
|
-
|
651 | $4,442.00 | ||||
|
-
|
655 | $4,270.00 | ||||
|
-
|
667 | $3,951.00 | ||||
|
-
|
599 | $3,919.00 | ||||
|
Diagnostic procedures, male genital
-
|
17 | $16,916.34 | ||||
DescriptionThe number of Patients who received diagnostic procedures, male genital (CCS 116) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
50 | $11,054.25 | ||||
|
-
|
49 | $14,297.65 | ||||
|
-
|
26 | $14,462.25 | ||||
|
-
|
20 | $15,927.14 | ||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
11 | $13,129.00 | ||||
|
-
|
11 | $14,254.00 | ||||
|
-
|
7 | $11,740.00 | ||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
8 | $11,392.50 | ||||
|
-
|
9 | $5,757.00 | ||||
|
-
|
10 | $5,293.50 | ||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
11 | $8,304.00 | ||||
|
-
|
18 | $7,792.00 | ||||
|
Knee Cartilage Excision
-
|
40 | $19,179.56 | ||||
DescriptionThe number of patients who received an Excision of Semilunar Knee Cartilage (CCS 151). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
34 | $22,532.10 | ||||
|
-
|
34 | $22,223.39 | ||||
|
-
|
63 | $19,224.19 | ||||
|
-
|
60 | $18,347.64 | ||||
|
-
|
75 | $17,147.70 | ||||
|
-
|
79 | $16,828.70 | ||||
|
-
|
68 | $14,425.54 | ||||
|
-
|
68 | $13,547.95 | ||||
|
-
|
96 | $14,441.00 | ||||
|
-
|
101 | $13,863.00 | ||||
|
-
|
102 | $13,372.50 | ||||
|
-
|
105 | $13,210.00 | ||||
|
-
|
120 | $12,404.00 | ||||
|
-
|
84 | $11,666.50 | ||||
|
-
|
122 | $11,104.00 | ||||
|
-
|
126 | $10,803.00 | ||||
|
-
|
79 | $10,876.00 | ||||
|
-
|
136 | $10,597.50 | ||||
|
-
|
140 | $10,709.00 | ||||
|
-
|
119 | $10,637.50 | ||||
|
-
|
102 | $10,515.50 | ||||
|
Lesion Excision
-
|
155 | $14,036.50 | ||||
DescriptionThe number of patients who received an Excision of Skin Lesion (CCS 170). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
132 | $15,734.41 | ||||
|
-
|
159 | $14,133.26 | ||||
|
-
|
179 | $12,607.01 | ||||
|
-
|
201 | $12,845.12 | ||||
|
-
|
186 | $9,968.09 | ||||
|
-
|
212 | $9,142.77 | ||||
|
-
|
187 | $3,244.00 | ||||
|
-
|
181 | $3,244.00 | ||||
|
-
|
184 | $5,601.50 | ||||
|
-
|
177 | $3,781.00 | ||||
|
-
|
180 | $2,927.50 | ||||
|
-
|
183 | $3,020.00 | ||||
|
-
|
219 | $3,023.00 | ||||
|
-
|
192 | $2,807.50 | ||||
|
-
|
300 | $2,727.00 | ||||
|
-
|
273 | $2,727.00 | ||||
|
-
|
256 | $3,131.50 | ||||
|
-
|
306 | $2,912.00 | ||||
|
-
|
303 | $2,687.00 | ||||
|
-
|
322 | $2,705.00 | ||||
|
-
|
319 | $2,482.00 | ||||
|
Insertion of catheter or spinal stimulator and injection into spinal canal
-
|
1,540 | $4,684.46 | ||||
DescriptionThe number of patients who received an insertion of catheter or spinal stimulator and injection (CCS 5) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
999 | $4,442.60 | ||||
|
-
|
760 | $4,263.18 | ||||
|
-
|
1,003 | $4,227.38 | ||||
|
-
|
1,071 | $4,238.56 | ||||
|
-
|
942 | $4,074.97 | ||||
|
-
|
954 | $4,074.97 | ||||
|
-
|
1,242 | $3,751.18 | ||||
|
-
|
1,632 | $3,765.00 | ||||
|
-
|
2,589 | $4,112.00 | ||||
|
-
|
2,602 | $4,072.00 | ||||
|
-
|
2,395 | $4,027.00 | ||||
|
-
|
2,307 | $3,938.00 | ||||
|
-
|
2,004 | $3,743.00 | ||||
|
-
|
1,456 | $3,603.00 | ||||
|
-
|
1,881 | $3,383.00 | ||||
|
-
|
1,864 | $3,361.00 | ||||
|
-
|
1,459 | $3,237.00 | ||||
|
-
|
1,754 | $3,106.50 | ||||
|
-
|
2,002 | $2,963.00 | ||||
|
-
|
2,555 | $2,820.00 | ||||
|
-
|
2,206 | $2,352.50 | ||||
|
Inguinal Hernia Repair
-
|
112 | $30,524.36 | ||||
DescriptionThe number of patients who received an Inguinal and Femoral Hernia Repair (CCS 85). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
99 | $28,080.79 | ||||
|
-
|
99 | $27,924.73 | ||||
|
-
|
102 | $25,533.07 | ||||
|
-
|
108 | $22,183.54 | ||||
|
-
|
135 | $22,664.92 | ||||
|
-
|
149 | $22,611.63 | ||||
|
-
|
131 | $20,289.30 | ||||
|
-
|
128 | $18,424.00 | ||||
|
-
|
111 | $16,749.00 | ||||
|
-
|
112 | $15,930.50 | ||||
|
-
|
127 | $15,549.00 | ||||
|
-
|
127 | $15,369.00 | ||||
|
-
|
134 | $13,008.50 | ||||
|
-
|
112 | $13,078.50 | ||||
|
-
|
106 | $12,436.00 | ||||
|
-
|
108 | $12,305.50 | ||||
|
-
|
87 | $11,897.00 | ||||
|
-
|
116 | $11,035.00 | ||||
|
-
|
140 | $10,866.00 | ||||
|
-
|
143 | $11,072.00 | ||||
|
-
|
158 | $11,202.47 | ||||
|
Laparoscopic Cholecystectomy
-
|
161 | $24,756.37 | ||||
DescriptionThe Number of Patients for Laparoscopic Cholecystectomy (CCS 84) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
172 | $23,523.25 | ||||
|
-
|
161 | $23,943.68 | ||||
|
-
|
156 | $20,847.42 | ||||
|
-
|
149 | $20,930.65 | ||||
|
-
|
183 | $18,686.49 | ||||
|
-
|
198 | $18,239.91 | ||||
|
-
|
195 | $17,221.73 | ||||
|
-
|
184 | $16,909.50 | ||||
|
-
|
197 | $17,014.00 | ||||
|
-
|
195 | $16,967.00 | ||||
|
-
|
153 | $15,603.00 | ||||
|
-
|
158 | $15,265.00 | ||||
|
-
|
211 | $14,322.00 | ||||
|
-
|
159 | $13,999.00 | ||||
|
-
|
175 | $12,465.00 | ||||
|
-
|
165 | $12,465.00 | ||||
|
-
|
152 | $12,484.50 | ||||
|
-
|
162 | $12,377.00 | ||||
|
-
|
180 | $12,173.50 | ||||
|
-
|
199 | $11,853.50 | ||||
|
-
|
185 | $11,915.00 | ||||
|
Lumpectomy
-
|
99 | $23,203.09 | ||||
DescriptionThe number of patients who received a Lumpectomy, Breast Quadrantectomy (CCS 166) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
115 | $21,033.75 | ||||
|
-
|
79 | $24,573.27 | ||||
|
-
|
112 | $23,513.23 | ||||
|
-
|
101 | $22,043.70 | ||||
|
-
|
105 | $24,490.26 | ||||
|
-
|
100 | $23,195.33 | ||||
|
-
|
66 | $17,099.19 | ||||
|
-
|
65 | $18,496.00 | ||||
|
-
|
66 | $17,374.50 | ||||
|
-
|
64 | $17,172.50 | ||||
|
-
|
61 | $15,923.00 | ||||
|
-
|
60 | $15,893.00 | ||||
|
-
|
68 | $16,854.00 | ||||
|
-
|
54 | $14,992.50 | ||||
|
-
|
73 | $13,740.00 | ||||
|
-
|
86 | $12,737.50 | ||||
|
-
|
43 | $12,100.00 | ||||
|
-
|
74 | $12,965.00 | ||||
|
-
|
70 | $11,765.00 | ||||
|
-
|
87 | $10,777.00 | ||||
|
-
|
77 | $10,756.00 | ||||
|
Other non-OR therapeutic procedures, male genital
-
|
9 | $17,353.70 | ||||
DescriptionThe number of patients other non-OR therapeutic procedures, male genital (CCS 117) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
10 | $11,278.47 | ||||
|
-
|
21 | $15,285.32 | ||||
|
-
|
14 | $19,375.93 | ||||
|
-
|
10 | $14,281.63 | ||||
|
-
|
6 | $8,692.53 | ||||
|
-
|
6 | $8,692.53 | ||||
|
-
|
11 | $30,195.98 | ||||
|
-
|
15 | $17,804.00 | ||||
|
-
|
15 | $9,488.00 | ||||
|
-
|
16 | $13,209.50 | ||||
|
-
|
21 | $15,111.00 | ||||
|
-
|
23 | $9,904.00 | ||||
|
-
|
20 | $9,526.50 | ||||
|
-
|
20 | $8,797.50 | ||||
|
-
|
34 | $15,813.50 | ||||
|
-
|
34 | $9,212.50 | ||||
|
-
|
41 | $10,091.00 | ||||
|
-
|
43 | $36,359.00 | ||||
|
-
|
40 | $30,698.50 | ||||
|
-
|
37 | $40,896.50 | ||||
|
-
|
32 | $35,647.00 | ||||
|
PTCA
-
|
201 | $61,067.03 | ||||
DescriptionThe number of patients who received percutaneous transluminal coronary angioplasty (CCS 45) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
204 | $55,914.01 | ||||
|
-
|
196 | $52,912.44 | ||||
|
-
|
341 | $52,620.85 | ||||
|
-
|
358 | $51,440.99 | ||||
|
-
|
295 | $49,993.60 | ||||
|
-
|
305 | $48,830.85 | ||||
|
-
|
239 | $47,469.15 | ||||
|
-
|
213 | $47,747.51 | ||||
|
-
|
168 | $48,370.50 | ||||
|
-
|
161 | $48,171.00 | ||||
|
-
|
208 | $45,565.00 | ||||
|
-
|
211 | $44,426.00 | ||||
|
-
|
172 | $43,767.00 | ||||
|
-
|
15 | $43,779.00 | ||||
|
-
|
122 | $41,331.00 | ||||
|
-
|
128 | $42,691.50 | ||||
|
-
|
69 | $49,915.00 | ||||
|
-
|
139 | $48,337.00 | ||||
|
-
|
153 | $48,434.00 | ||||
|
-
|
171 | $33,358.00 | ||||
|
-
|
153 | $39,094.00 | ||||
|
Tonsillectomy
-
|
83 | $14,585.03 | ||||
DescriptionThe number of patients who received a Tonsillectomy and/or Adenoidectomy (CCS 30). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
44 | $16,479.37 | ||||
|
-
|
70 | $16,628.52 | ||||
|
-
|
56 | $15,230.01 | ||||
|
-
|
78 | $14,437.90 | ||||
|
-
|
86 | $13,861.73 | ||||
|
-
|
76 | $12,651.60 | ||||
|
-
|
152 | $10,998.55 | ||||
|
-
|
169 | $11,199.60 | ||||
|
-
|
91 | $12,798.00 | ||||
|
-
|
75 | $13,359.00 | ||||
|
-
|
60 | $12,737.00 | ||||
|
-
|
61 | $12,517.00 | ||||
|
-
|
87 | $11,709.00 | ||||
|
-
|
69 | $11,676.00 | ||||
|
-
|
160 | $10,412.50 | ||||
|
-
|
167 | $9,776.00 | ||||
|
-
|
42 | $10,585.00 | ||||
|
-
|
44 | $10,327.00 | ||||
|
-
|
137 | $9,454.00 | ||||
|
-
|
147 | $9,486.00 | ||||
|
-
|
153 | $9,569.00 | ||||
|
Upper GI Endoscopy
-
|
632 | $11,938.48 | ||||
DescriptionThe number of patients who received an Upper Gastrointestinal Endoscopy with Biopsy (CCS 70). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
736 | $11,346.75 | ||||
|
-
|
530 | $11,149.20 | ||||
|
-
|
670 | $10,317.74 | ||||
|
-
|
632 | $9,935.62 | ||||
|
-
|
490 | $10,014.52 | ||||
|
-
|
489 | $10,015.63 | ||||
|
-
|
496 | $9,061.42 | ||||
|
-
|
483 | $8,628.12 | ||||
|
-
|
477 | $9,175.00 | ||||
|
-
|
476 | $8,690.00 | ||||
|
-
|
348 | $6,723.50 | ||||
|
-
|
340 | $6,668.00 | ||||
|
-
|
373 | $6,014.00 | ||||
|
-
|
276 | $5,719.00 | ||||
|
-
|
403 | $5,323.00 | ||||
|
-
|
383 | $5,330.00 | ||||
|
-
|
374 | $5,294.00 | ||||
|
-
|
399 | $5,138.00 | ||||
|
-
|
402 | $4,996.00 | ||||
|
-
|
389 | $4,630.00 | ||||
|
-
|
336 | $4,469.00 | ||||
|
Decompression Peripheral Nerve
-
|
288 | $20,505.15 | ||||
DescriptionThe number of patients who received treatment for a Decompression Peripheral Nerve (CCS 6). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
173 | $21,541.88 | ||||
|
-
|
118 | $20,800.32 | ||||
|
-
|
131 | $17,439.74 | ||||
|
-
|
97 | $16,725.52 | ||||
|
-
|
68 | $14,666.55 | ||||
|
-
|
66 | $13,827.29 | ||||
|
-
|
63 | $9,119.74 | ||||
|
-
|
74 | $9,025.95 | ||||
|
-
|
101 | $9,549.00 | ||||
|
-
|
98 | $9,123.00 | ||||
|
-
|
89 | $8,169.00 | ||||
|
-
|
86 | $8,250.50 | ||||
|
-
|
93 | $7,503.00 | ||||
|
-
|
81 | $7,262.00 | ||||
|
-
|
103 | $6,722.00 | ||||
|
-
|
100 | $6,301.00 | ||||
|
-
|
51 | $6,274.00 | ||||
|
-
|
91 | $6,514.00 | ||||
|
-
|
94 | $6,575.50 | ||||
|
-
|
89 | $6,568.00 | ||||
|
Other Therapeutic Procedures on Muscles and Tendons
-
|
287 | $25,662.57 | ||||
DescriptionThe number of patients who received treatment for Other Therapeutic Procedures on Muscles and Tendons (CCS 160). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
225 | $22,084.90 | ||||
|
-
|
148 | $22,725.36 | ||||
|
-
|
190 | $23,106.69 | ||||
|
-
|
139 | $23,241.06 | ||||
|
-
|
141 | $19,193.98 | ||||
|
-
|
142 | $20,385.98 | ||||
|
-
|
115 | $19,196.31 | ||||
|
-
|
124 | $20,093.61 | ||||
|
-
|
182 | $20,942.00 | ||||
|
-
|
190 | $20,971.50 | ||||
|
-
|
183 | $21,207.85 | ||||
|
-
|
180 | $19,775.88 | ||||
|
-
|
191 | $17,196.50 | ||||
|
-
|
157 | $15,756.00 | ||||
|
-
|
199 | $16,957.00 | ||||
|
-
|
198 | $16,377.50 | ||||
|
-
|
106 | $15,884.00 | ||||
|
-
|
194 | $14,971.00 | ||||
|
-
|
218 | $14,442.50 | ||||
|
-
|
220 | $12,855.50 | ||||
| Major Diagnosis | Patients | Median Charge | ||||
|---|---|---|---|---|---|---|
|
Myringotomy (Pediatric)
-
|
N/A | $N/A | ||||
DescriptionThis measure counts the number of patients classified into this APR DRG Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
20 | $7,136.09 | ||||
|
-
|
32 | $5,738.32 | ||||
|
-
|
38 | $7,074.22 | ||||
|
-
|
47 | $6,192.42 | ||||
|
-
|
35 | $8,405.37 | ||||
|
-
|
32 | $9,550.70 | ||||
|
-
|
94 | $7,328.71 | ||||
|
-
|
98 | $7,247.23 | ||||
|
-
|
36 | $6,402.00 | ||||
|
-
|
30 | $5,583.00 | ||||
|
-
|
22 | $4,851.00 | ||||
|
-
|
23 | $5,099.00 | ||||
|
-
|
39 | $4,137.00 | ||||
|
-
|
37 | $3,951.00 | ||||
|
-
|
60 | $4,145.00 | ||||
|
-
|
70 | $5,310.00 | ||||
|
-
|
39 | $5,615.00 | ||||
|
-
|
68 | $5,378.00 | ||||
|
Tonsillectomy (Pediatric)
-
|
59 | $14,585.03 | ||||
DescriptionThe number of patients who received a Tonsillectomy and/or Adenoidectomy (Pediatric) (CCS 30). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
28 | $16,829.98 | ||||
|
-
|
54 | $16,582.45 | ||||
|
-
|
42 | $14,692.90 | ||||
|
-
|
58 | $14,437.90 | ||||
|
-
|
64 | $12,858.24 | ||||
|
-
|
63 | $12,515.80 | ||||
|
-
|
125 | $10,549.83 | ||||
|
-
|
137 | $10,615.77 | ||||
|
-
|
64 | $12,259.00 | ||||
|
-
|
47 | $12,985.00 | ||||
|
-
|
40 | $12,800.50 | ||||
|
-
|
43 | $12,307.00 | ||||
|
-
|
71 | $11,329.00 | ||||
|
-
|
57 | $11,432.00 | ||||
|
-
|
124 | $10,199.00 | ||||
|
-
|
129 | $9,589.00 | ||||
|
-
|
129 | $9,712.00 | ||||
|
-
|
116 | $9,363.00 | ||||