Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Infirmary Ltac Hospital

Mobile, AL · CCN 012006 · Rates published

8,813 distinct procedures filed
50 distinct payers
176,108 rate rows
2026-08-28 last MRF observed
Data quality

169,335 of 176,108 rate rows are consumer-grade (96.2%)

6,773 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 5,281
per-diem day rate — not a per-procedure price 813
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 483
percent-of-charges filed in the dollar field — excluded from medians 188
exceeds 3× this hospital's gross charge for a DRG stay — excluded 5
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.infirmaryhealth.org/documents/price%20transparency%20files/203713023_Infirmary-Long-Term-Acute-Care-Hospital_standardcharges(1).csv
Found on page https://www.infirmaryhealth.org/patients-visitors/community/cms-price-transparency-patient-estimates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 1700777ca238d2c1… · 47,079,389 bytes · first seen 2026-09-01

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
RX-194403
CDM 		Revakinagene Taroretcel-lwey 200 000-440 000 Cell Intravitreal Implant 10 $612,500.00 $900,375.00 $875,000.00 nat. median
$656,250
1.3× median
RX-187463
CDM 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 10 $292,409.95 $429,842.63 $417,728.50 nat. median
$292,410
1.4× median
PX-314237
CDM 		Hc Tube Trach 5.0mm Xlt Proximal 50xltup 19 $241,962.70 $355,685.17 $276,528.80 nat. median
$248,876
1.1× median
RX-153425
CDM 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 10 $115,278.72 $169,459.72 $164,683.89 nat. median
$115,279
1.4× median
RX-183408
CDM 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 10 $114,536.28 $168,368.32 $163,623.25 nat. median
$130,899
1.2× median
RX-166350
CDM 		Factor Xiii A-subunit Recombinant 2 500 Unit Intravenous Solution 10 $104,186.25 $153,153.79 $148,837.50 nat. median
$104,186
1.4× median
RX-178214
CDM 		Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 10 $101,796.03 $149,640.16 $145,422.90 nat. median
$101,796
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 5 $124,155.69 $127,756.21 $124,155.69 nat. median
$126,722
1.0× median
RX-159008
CDM 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 10 $78,795.33 $115,829.14 $112,564.76 nat. median
$78,795
1.4× median
RX-178979
CDM 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 10 $77,720.12 $114,248.57 $111,028.74 nat. median
$77,720
1.4× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 21 $99,233.30 $99,233.30 $99,233.30 nat. median
$35,721
outlier · 2.8×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 $99,220.59 $104,075.42 $99,220.59 nat. median
$43,741
outlier · 2.3×
RX-186947
CDM 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1 000 Mbq/ml) IV Soln 10 $63,289.52 $93,035.59 $90,413.60 nat. median
$63,290
1.4× median
RX-155340
CDM 		Pegloticase 8 Mg/ml Intravenous Solution 10 $60,876.52 $89,488.49 $86,966.46 nat. median
$60,877
1.4× median
RX-185301
CDM 		Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 10 $59,406.21 $87,327.13 $84,866.02 nat. median
$59,406
1.4× median
RX-195778
CDM 		Pembrolizumab 790 Mg-berahyaluronid-pmph 9 600 Unit/4.8 Ml Subcut Soln 10 $58,953.67 $86,661.90 $84,219.53 nat. median
$67,376
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 26 $82,444.28 $86,478.25 $82,444.28 nat. median
$59,384
1.4× median
RX-183063
CDM 		Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 10 $52,371.20 $76,985.66 $74,816.00 nat. median
$52,371
1.4× median
RX-186936
CDM 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 10 $52,263.40 $76,827.20 $74,662.00 nat. median
$52,263
1.4× median
RX-92869
CDM 		Pegaspargase 750 Unit/ml Injection Solution 10 $49,834.50 $73,256.71 $71,192.14 nat. median
$56,954
1.3× median
RX-187473
CDM 		Risankizumab-rzaa 360 Mg/2.4 Ml (150 Mg/ml) Subcut Wearable Injector 10 $46,691.32 $68,636.23 $66,701.88 nat. median
$50,026
1.3× median
RX-188577
CDM 		Risankizumab-rzaa 180 Mg/1.2 Ml (150 Mg/ml) Subcut Wearable Injector 10 $46,690.88 $68,635.59 $66,701.25 nat. median
$50,026
1.3× median
PX-552398
CDM 		Hc Insert/Repos Single Icd+Leads 19 $55,472.20 $81,544.13 $63,396.80 nat. median
$59,434
1.1× median
PX-552927
CDM 		Hc Insert/Repos Dual Icd+Leads 19 $55,472.20 $81,544.13 $63,396.80 nat. median
$59,434
1.1× median
PX-543520
CDM 		Hc Insert Icd Gen:W/Exist Multi Leads 19 $54,797.40 $80,552.18 $62,625.60 nat. median
$58,712
1.1× median
PX-543538
CDM 		Hc Remove & Repl Icd Gen Sgl Lead Sys 19 $54,797.40 $80,552.18 $62,625.60 nat. median
$58,712
1.1× median
PX-543546
CDM 		Hc Remove & Rep Icd Gen: Dual Lead Sys 19 $54,797.40 $80,552.18 $62,625.60 nat. median
$58,712
1.1× median
PX-543553
CDM 		Hc Remove & Rep Icd Gen: Multi Lead Sys 19 $54,797.40 $80,552.18 $62,625.60 nat. median
$58,712
1.1× median
40
MS_DRG 		Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 26 $4.55 $65,327.86 $62,280.49 nat. median
$35,905
1.7× median
RX-196201
CDM 		Amivantamab 2 240 Mg-hyaluronidase-lpuj 28 000 Unit/14 Ml Subcut Soln 10 $42,473.20 $62,435.60 $60,676.00 nat. median
$48,541
1.2× median
RX-183480
CDM 		Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 10 $41,506.92 $61,015.17 $59,295.60 nat. median
$41,507
1.4× median
PX-563486
CDM 		Hc Byp Graft Revasc Des Single Lc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563254
CDM 		Hc Coronary Des Sngl Vessel Lc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563585
CDM 		Hc Revasc During Acute Mi Des Lc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563270
CDM 		Hc Coronary Des Single Vessel Lm 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-562702
CDM 		Hc Coronary Stent Sngl Vess Ld 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563494
CDM 		Hc Byp Graft Revasc Des Single Ld 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563262
CDM 		Hc Coronary Des Single Vessel Ld 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563593
CDM 		Hc Revasc During Acute Mi Des Ld 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563619
CDM 		Hc Revasc During Acute Mi Des Rc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-562991
CDM 		Hc Byp Graft Revasc Sngl Vess Ld 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563288
CDM 		Hc Coronary Des Single Vessel Rc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$53,143
1.1× median
PX-563296
CDM 		Hc Coronary Des Single Vessel Ri 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563304
CDM 		Hc Coronary Des Add Vessel Lc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-562777
CDM 		Hc Coronary Stent Add Vess Rc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-562736
CDM 		Hc Coronary Stent Sngl Vess Ri 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-562728
CDM 		Hc Coronary Stent Sngl Vess Rc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-562983
CDM 		Hc Byp Graft Revasc Sngl Vess Lc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563080
CDM 		Hc Revasc During Acute Mi Lc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median
PX-563130
CDM 		Hc Revasc During Acute Mi Rc 19 $51,667.00 $75,950.49 $59,048.00 nat. median
$55,358
1.1× median

Other procedures at this hospital

Browse this hospital's 8,813 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
RX-194403 CDM Revakinagene Taroretcel-lwey 200 000-440 000 Cell Intravitreal Implant 10 10 $875,000.00 $323,731.40 63% off $612,500.00 $900,375.00 $875,000.00 2026-08-28
RX-187463 CDM Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 14 10 $417,728.50 $157,265.54 62% off $292,409.95 $429,842.63 $417,728.50 2026-08-28
PX-314237 CDM Hc Tube Trach 5.0mm Xlt Proximal 50xltup 23 19 $345,661.00 $345,661.00 $241,962.70 $355,685.17 $276,528.80 2026-08-28
RX-153425 CDM Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 14 10 $164,683.89 $164,683.89 $115,278.72 $169,459.72 $164,683.89 2026-08-28
RX-183408 CDM Inebilizumab-cdon 10 Mg/ml Intravenous Solution 10 10 $163,623.25 $163,623.25 $114,536.28 $168,368.32 $163,623.25 2026-08-28
RX-166350 CDM Factor Xiii A-subunit Recombinant 2 500 Unit Intravenous Solution 14 10 $148,837.50 $148,837.50 $104,186.25 $153,153.79 $148,837.50 2026-08-28
RX-178214 CDM Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 14 10 $145,422.90 $145,422.90 $101,796.03 $149,640.16 $145,422.90 2026-08-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 5 5 $464,369.82 $464,369.82 $124,155.69 $127,756.21 $124,155.69 2026-08-28
RX-159008 CDM Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 14 10 $112,564.76 $46,134.30 59% off $78,795.33 $115,829.14 $112,564.76 2026-08-28
RX-178979 CDM Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 14 10 $111,028.74 $111,028.74 $77,720.12 $114,248.57 $111,028.74 2026-08-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 21 $232,924.69 $44,394.56 81% off $99,233.30 $99,233.30 $99,233.30 2026-08-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 26 $356,672.98 $356,672.98 $99,220.59 $104,075.42 $99,220.59 2026-08-28
RX-186947 CDM Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1 000 Mbq/ml) IV Soln 14 10 $90,413.60 $64,328.63 29% off $63,289.52 $93,035.59 $90,413.60 2026-08-28
RX-155340 CDM Pegloticase 8 Mg/ml Intravenous Solution 14 10 $86,966.46 $36,819.48 58% off $60,876.52 $89,488.49 $86,966.46 2026-08-28
RX-185301 CDM Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 14 10 $84,866.02 $36,540.79 57% off $59,406.21 $87,327.13 $84,866.02 2026-08-28
RX-195778 CDM Pembrolizumab 790 Mg-berahyaluronid-pmph 9 600 Unit/4.8 Ml Subcut Soln 10 10 $84,219.53 $84,219.53 $58,953.67 $86,661.90 $84,219.53 2026-08-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 26 $214,361.07 $59,571.40 72% off $82,444.28 $86,478.25 $82,444.28 2026-08-28
RX-183063 CDM Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 14 10 $74,816.00 $16,018.41 79% off $52,371.20 $76,985.66 $74,816.00 2026-08-28
RX-186936 CDM Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 14 10 $74,662.00 $39,794.59 47% off $52,263.40 $76,827.20 $74,662.00 2026-08-28
RX-92869 CDM Pegaspargase 750 Unit/ml Injection Solution 13 10 $71,192.14 $71,192.14 $49,834.50 $73,256.71 $71,192.14 2026-08-28
RX-187473 CDM Risankizumab-rzaa 360 Mg/2.4 Ml (150 Mg/ml) Subcut Wearable Injector 14 10 $66,701.88 $66,701.88 $46,691.32 $68,636.23 $66,701.88 2026-08-28
RX-188577 CDM Risankizumab-rzaa 180 Mg/1.2 Ml (150 Mg/ml) Subcut Wearable Injector 14 10 $66,701.25 $66,701.25 $46,690.88 $68,635.59 $66,701.25 2026-08-28
PX-552398 CDM Hc Insert/Repos Single Icd+Leads 23 19 $79,246.00 $79,246.00 $55,472.20 $81,544.13 $63,396.80 2026-08-28
PX-552927 CDM Hc Insert/Repos Dual Icd+Leads 23 19 $79,246.00 $79,246.00 $55,472.20 $81,544.13 $63,396.80 2026-08-28
PX-543538 CDM Hc Remove & Repl Icd Gen Sgl Lead Sys 23 19 $78,282.00 $78,282.00 $54,797.40 $80,552.18 $62,625.60 2026-08-28
PX-543546 CDM Hc Remove & Rep Icd Gen: Dual Lead Sys 23 19 $78,282.00 $78,282.00 $54,797.40 $80,552.18 $62,625.60 2026-08-28
PX-543520 CDM Hc Insert Icd Gen:W/Exist Multi Leads 23 19 $78,282.00 $78,282.00 $54,797.40 $80,552.18 $62,625.60 2026-08-28
PX-543553 CDM Hc Remove & Rep Icd Gen: Multi Lead Sys 23 19 $78,282.00 $78,282.00 $54,797.40 $80,552.18 $62,625.60 2026-08-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 26 26 $242,380.31 $242,380.31 $4.55 $65,327.86 $62,280.49 2026-08-28
RX-196201 CDM Amivantamab 2 240 Mg-hyaluronidase-lpuj 28 000 Unit/14 Ml Subcut Soln 10 10 $60,676.00 $60,676.00 $42,473.20 $62,435.60 $60,676.00 2026-08-28
RX-183480 CDM Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 14 10 $59,295.60 $9,368.42 84% off $41,506.92 $61,015.17 $59,295.60 2026-08-28
PX-563619 CDM Hc Revasc During Acute Mi Des Rc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562728 CDM Hc Coronary Stent Sngl Vess Rc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562983 CDM Hc Byp Graft Revasc Sngl Vess Lc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563510 CDM Hc Byp Graft Revasc Des Single Rc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563023 CDM Hc Byp Graft Revasc Sngl Vess Ri 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562694 CDM Hc Coronary Stent Sngl Vess Lc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562736 CDM Hc Coronary Stent Sngl Vess Ri 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563304 CDM Hc Coronary Des Add Vessel Lc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563114 CDM Hc Revasc During Acute Mi Ld 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563494 CDM Hc Byp Graft Revasc Des Single Ld 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563593 CDM Hc Revasc During Acute Mi Des Ld 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563122 CDM Hc Revasc During Acute Mi Lm 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563130 CDM Hc Revasc During Acute Mi Rc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563585 CDM Hc Revasc During Acute Mi Des Lc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562702 CDM Hc Coronary Stent Sngl Vess Ld 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563080 CDM Hc Revasc During Acute Mi Lc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562710 CDM Hc Coronary Stent Sngl Vess Lm 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563296 CDM Hc Coronary Des Single Vessel Ri 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563312 CDM Hc Coronary Des Add Vessel Ld 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563601 CDM Hc Revasc During Acute Mi Des Lm 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563015 CDM Hc Byp Graft Revasc Sngl Vess Rc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562991 CDM Hc Byp Graft Revasc Sngl Vess Ld 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563338 CDM Hc Coronary Des Add Vessel Rc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563288 CDM Hc Coronary Des Single Vessel Rc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563486 CDM Hc Byp Graft Revasc Des Single Lc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-555847 CDM Hc Bypass Graft Revasculrzatn Des Single 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562777 CDM Hc Coronary Stent Add Vess Rc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562751 CDM Hc Coronary Stent Add Vess Ld 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563262 CDM Hc Coronary Des Single Vessel Ld 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563270 CDM Hc Coronary Des Single Vessel Lm 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-563254 CDM Hc Coronary Des Sngl Vessel Lc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
PX-562744 CDM Hc Coronary Stent Add Vess Lc 23 19 $73,810.00 $73,810.00 $51,667.00 $75,950.49 $59,048.00 2026-08-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 5 5 $273,734.82 $55,795.80 80% off $58,624.76 $60,324.88 $58,624.76 2026-08-28
PX-563635 CDM Hc Revasc Chro Tot Occlus Des Lc 23 19 $72,627.00 $72,627.00 $50,838.90 $74,733.18 $58,101.60 2026-08-28
PX-563668 CDM Hc Revasc Chro Tot Occlu Des Rc 23 19 $72,627.00 $72,627.00 $50,838.90 $74,733.18 $58,101.60 2026-08-28
PX-563163 CDM Hc Revasc Chronic Total Occlu Ld 23 19 $72,627.00 $72,627.00 $50,838.90 $74,733.18 $58,101.60 2026-08-28
PX-563643 CDM Hc Revasc Chro Tot Occlu Des Ld 23 19 $72,627.00 $72,627.00 $50,838.90 $74,733.18 $58,101.60 2026-08-28
PX-563155 CDM Hc Revasc Of Chronic Total Occlu Lc 23 19 $72,627.00 $72,627.00 $50,838.90 $74,733.18 $58,101.60 2026-08-28
PX-563189 CDM Hc Revasc Chronic Total Occlu Rc 23 19 $72,627.00 $72,627.00 $50,838.90 $74,733.18 $58,101.60 2026-08-28
PX-555284 CDM Hc Perc Card Revasc Chronic Occlu 1 Vessel 23 19 $72,627.00 $72,627.00 $50,838.90 $74,733.18 $58,101.60 2026-08-28
RX-190001 CDM Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11 200 Unit/5.6 Ml Subcut Soln 14 10 $57,435.81 $21,472.57 63% off $40,205.07 $59,101.45 $57,435.81 2026-08-28
PX-534099 CDM Hc Perc Transcath Placement Drug_El Cor Stent Sing 23 19 $71,049.00 $71,049.00 $49,734.30 $73,109.42 $56,839.20 2026-08-28
RX-189643 CDM Epcoritamab-bysp 48 Mg/0.8 Ml Subcutaneous Solution 14 10 $56,550.06 $56,550.06 $39,585.04 $58,190.01 $56,550.06 2026-08-28
205 MS_DRG Other Respiratory System Diagnoses With Mcc 26 26 $156,731.54 $17,846.72 89% off $55,598.80 $58,319.23 $55,598.80 2026-08-28
901 MS_DRG Wound Debridements For Injuries With Mcc 5 5 $326,409.89 $74,158.48 77% off $55,452.58 $57,060.70 $55,452.58 2026-08-28
RX-181387 CDM Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 14 10 $54,600.21 $24,054.49 56% off $38,220.15 $56,183.62 $54,600.21 2026-08-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 5 $200,101.17 $31,943.39 84% off $54,553.65 $56,135.71 $54,553.65 2026-08-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 5 $44,937.39 $42,911.28 $54,553.65 $56,135.71 $54,553.65 2026-08-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 $333,527.14 $79,765.20 76% off $54,501.79 $56,082.34 $54,501.79 2026-08-28
908 MS_DRG Other O.r. Procedures For Injuries With Cc 21 21 $47,654.52 $19,334.93 59% off $53,309.39 $53,309.39 $53,309.39 2026-08-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 21 $294,931.46 $294,931.46 $53,309.39 $53,309.39 $53,309.39 2026-08-28
RX-192146 CDM Tarlatamab-dlle 10 Mg Intravenous Solution 14 10 $52,500.00 $19,670.75 63% off $36,750.00 $54,022.50 $52,500.00 2026-08-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 5 $155,865.38 $26,164.11 83% off $51,031.41 $52,511.32 $51,031.41 2026-08-28
RX-192788 CDM Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 14 10 $50,957.20 $19,102.54 63% off $35,670.04 $52,434.96 $50,957.20 2026-08-28
RX-189252 CDM Retifanlimab-dlwr 500 Mg/20 Ml Intravenous Solution 14 10 $50,592.50 $19,207.64 62% off $35,414.75 $52,059.68 $50,592.50 2026-08-28
RX-194856 CDM Telisotuzumab Vedotin-tllv 100 Mg Intravenous Solution 10 10 $48,930.00 $48,930.00 $34,251.00 $50,348.97 $48,930.00 2026-08-28
RX-180015 CDM Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 14 10 $46,233.57 $46,233.57 $32,363.50 $47,574.34 $46,233.57 2026-08-28
919 MS_DRG Complications Of Treatment With Mcc 26 26 $122,785.65 $17,844.90 85% off $45,466.03 $47,690.67 $45,466.03 2026-08-28
RX-150469 CDM Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 14 10 $44,619.96 $8,452.22 81% off $31,233.97 $45,913.94 $44,619.96 2026-08-28
RX-183479 CDM Pertuzumab 1 200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 14 10 $44,474.48 $9,368.42 79% off $31,132.14 $45,764.24 $44,474.48 2026-08-28
393 MS_DRG Other Digestive System Diagnoses With Mcc 26 26 $153,752.49 $15,746.76 90% off $43,909.14 $45,182.51 $43,909.14 2026-08-28
RX-196200 CDM Amivantamab 1 600 Mg-hyaluronidase-lpuj 20 000 Unit/10 Ml Subcut Soln 10 10 $43,340.50 $43,340.50 $30,338.35 $44,597.37 $43,340.50 2026-08-28
RX-151770 CDM Ustekinumab 90 Mg/ml Subcutaneous Syringe 14 10 $43,214.43 $8,452.22 80% off $30,250.10 $44,467.65 $43,214.43 2026-08-28
388 MS_DRG Gastrointestinal Obstruction With Mcc 5 5 $257,913.02 $47,564.58 82% off $42,703.37 $43,941.77 $42,703.37 2026-08-28
640 MS_DRG Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With Mcc 5 5 $229,562.88 $38,326.49 83% off $42,284.16 $43,510.40 $42,284.16 2026-08-28
RX-195777 CDM Pembrolizumab 395 Mg-berahyaluronid-pmph 4 800 Unit/2.4 Ml Subcut Soln 10 10 $42,109.76 $42,109.76 $29,476.83 $43,330.94 $42,109.76 2026-08-28
189 MS_DRG Pulmonary Edema And Respiratory Failure 26 26 $123,523.44 $12,448.64 90% off $41,493.47 $43,523.74 $41,493.47 2026-08-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 5 $120,482.82 $34,542.21 71% off $40,819.08 $42,002.83 $40,819.08 2026-08-28
RX-184024 CDM Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 28 10 $52,299.32 $19,812.08 62% off $15,689.80 $84,567.99 $40,296.63 2026-08-28
441 MS_DRG Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Mcc 5 5 $126,943.38 $17,517.74 86% off $40,239.96 $41,406.92 $40,239.96 2026-08-28
757 MS_DRG Infections Female Reproductive System With Mcc 5 5 $80,441.82 $14,229.57 82% off $40,205.39 $41,371.35 $40,205.39 2026-08-28
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 21 21 $61,768.64 $13,230.80 79% off $40,043.52 $40,043.52 $40,043.52 2026-08-28
RX-192803 CDM Atezolizumab 1 875 Mg-hyaluronidase-tqjs 30 000 Unit/15 Ml Subcut Soln 14 10 $39,381.35 $14,890.39 62% off $27,566.95 $40,523.41 $39,381.35 2026-08-28
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 26 26 $33,773.93 $17,780.57 47% off $39,064.16 $40,975.55 $39,064.16 2026-08-28
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 26 $132,118.75 $22,306.77 83% off $38,500.29 $40,384.09 $38,500.29 2026-08-28
RX-182239 CDM Luspatercept-aamt 75 Mg Subcutaneous Solution 14 10 $38,349.68 $15,834.04 59% off $26,844.78 $39,461.82 $38,349.68 2026-08-28
PX-080739 CDM Hc Implantation Neurological Dev 23 19 $47,721.00 $47,721.00 $33,404.70 $49,104.91 $38,176.80 2026-08-28
PX-529826 CDM Hc Dermabond Skin Closure System Prineosterile 2/Bx Clr602us 23 19 $47,520.00 $47,520.00 $33,264.00 $48,898.08 $38,016.00 2026-08-28
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 26 26 $98,018.23 $17,321.98 82% off $37,881.30 $39,734.81 $37,881.30 2026-08-28
RX-190613 CDM Talquetamab-tgvs 40 Mg/ml Subcutaneous Solution 14 10 $37,582.83 $37,582.83 $26,307.98 $38,672.73 $37,582.83 2026-08-28
592 MS_DRG Skin Ulcers With Mcc 26 26 $93,330.01 $18,792.02 80% off $37,308.94 $39,134.45 $37,308.94 2026-08-28
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 26 26 $147,825.09 $18,857.30 87% off $35,990.41 $37,751.41 $35,990.41 2026-08-28
RX-192365 CDM Imetelstat 188 Mg Intravenous Solution 14 10 $35,631.82 $13,478.64 62% off $24,942.27 $36,665.14 $35,631.82 2026-08-28
RX-161072 CDM Brentuximab Vedotin 50 Mg Intravenous Solution 14 10 $35,273.00 $16,258.24 54% off $24,691.10 $36,295.92 $35,273.00 2026-08-28
PX-4813327001 CDM Hc Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 23 19 $49,878.00 $49,878.00 $463.74 $51,324.46 $34,914.60 2026-08-28
PX-4813326401 CDM Hc Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 23 19 $49,878.00 $37,970.65 24% off $333.89 $51,324.46 $34,914.60 2026-08-28
559 MS_DRG Aftercare Musculoskeletal System And Connective Tissue With Mcc 5 5 $74,132.36 $18,153.99 76% off $34,833.43 $35,843.60 $34,833.43 2026-08-28
RX-175732 CDM Atezolizumab 1 200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 14 10 $34,470.24 $13,780.02 60% off $24,129.17 $35,469.88 $34,470.24 2026-08-28
391 MS_DRG Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 2 $222,030.07 $35,811.35 84% off $34,438.33 $34,438.33 $34,438.33 2026-08-28
RX-188283 CDM Tremelimumab-actl 20 Mg/ml Intravenous Solution 14 10 $34,125.00 $13,285.28 61% off $23,887.50 $35,114.63 $34,125.00 2026-08-28
RX-180229 CDM Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 14 10 $33,633.77 $12,889.60 62% off $23,543.64 $34,609.15 $33,633.77 2026-08-28
RX-191177 CDM Mirikizumab-mrkz 300 Mg/15 Ml (20 Mg/ml) Intravenous Solution 14 10 $33,576.27 $33,576.27 $23,503.39 $34,549.98 $33,576.27 2026-08-28
PX-524157 CDM Hc Fem/Popl Revasc Stnt & Ather Bilateral 23 19 $40,819.00 $40,819.00 $28,573.30 $42,002.75 $32,655.20 2026-08-28
PX-554329 CDM Hc Stent/Atherectomy Tibial-peroneal 23 19 $40,819.00 $40,819.00 $28,573.30 $42,002.75 $32,655.20 2026-08-28
PX-554279 CDM Hc Stent And Atherectomy Femoral 23 19 $40,819.00 $40,819.00 $28,573.30 $42,002.75 $32,655.20 2026-08-28
291 MS_DRG Heart Failure And Shock With Mcc 26 26 $116,737.59 $12,887.31 89% off $32,624.13 $34,220.41 $32,624.13 2026-08-28
RX-178120 CDM Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution 14 10 $32,375.00 $32,375.00 $22,662.50 $33,313.88 $32,375.00 2026-08-28
RX-187471 CDM Risankizumab-rzaa 60 Mg/ml Intravenous Solution 14 10 $32,115.30 $11,270.38 65% off $22,480.71 $33,046.64 $32,115.30 2026-08-28
RX-188474 CDM Fecal Microbiota Live-jslm 150 Ml Rectal Suspension Enema 14 10 $31,972.50 $12,038.85 62% off $22,380.75 $32,899.70 $31,972.50 2026-08-28
540 MS_DRG Osteomyelitis With Cc 5 5 $23,538.72 $13,000.61 45% off $30,740.72 $31,632.20 $30,740.72 2026-08-28
602 MS_DRG Cellulitis With Mcc 26 26 $133,137.43 $14,133.52 89% off $30,512.78 $32,005.76 $30,512.78 2026-08-28
289 MS_DRG Acute And Subacute Endocarditis With Cc 26 26 $60,976.20 $16,721.98 73% off $30,355.91 $31,841.21 $30,355.91 2026-08-28
PX-569137 CDM Hc Defibrillator Riv Acor Hf-t Qp Df4 System 23 19 $37,818.00 $37,818.00 $26,472.60 $38,914.72 $30,254.40 2026-08-28
949 MS_DRG Aftercare With Cc/mcc 5 5 $68,997.42 $12,034.42 83% off $30,062.20 $30,934.00 $30,062.20 2026-08-28
638 MS_DRG Diabetes With Cc 26 26 $92,401.80 $9,374.36 90% off $29,834.44 $31,294.23 $29,834.44 2026-08-28
RX-9002 CDM Alteplase 100 Mg Intravenous Solution 13 10 $29,831.03 $11,873.96 60% off $20,881.72 $30,696.13 $29,831.03 2026-08-28
558 MS_DRG Tendonitis Myositis And Bursitis Without Mcc 21 21 $58,289.05 $9,347.18 84% off $29,724.20 $29,724.20 $29,724.20 2026-08-28
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 26 26 $86,446.61 $13,164.67 85% off $29,469.83 $30,911.78 $29,469.83 2026-08-28
921 MS_DRG Complications Of Treatment Without Cc/mcc 5 5 $37,876.54 $7,491.02 80% off $29,452.84 $30,306.97 $29,452.84 2026-08-28
549 MS_DRG Septic Arthritis With Cc 5 5 $99,105.86 $12,193.05 88% off $29,452.84 $30,306.97 $29,452.84 2026-08-28
445 MS_DRG Disorders Of The Biliary Tract With Cc 21 21 $97,780.73 $11,170.73 89% off $29,448.63 $29,448.63 $29,448.63 2026-08-28
RX-183136 CDM Daratumumab 1 800 Mg-hyaluronidase-fihj 30 000 Unit/15 Ml Subcut Soln 14 10 $29,135.24 $12,574.68 57% off $20,394.67 $29,980.16 $29,135.24 2026-08-28
920 MS_DRG Complications Of Treatment With Cc 26 26 $127,650.31 $10,335.98 92% off $29,134.90 $30,560.46 $29,134.90 2026-08-28
PX-543660 CDM Hc Ep & Ablate Supravent Arrhyt (Svt) 23 19 $36,319.00 $36,319.00 $25,423.30 $37,372.25 $29,055.20 2026-08-28
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 26 26 $321,659.11 $321,659.11 $28,893.24 $30,306.97 $28,893.24 2026-08-28
199 MS_DRG Pneumothorax With Mcc 21 21 $149,912.85 $17,240.40 88% off $28,893.24 $28,893.24 $28,893.24 2026-08-28
PX-563379 CDM Coronary Des W/Ather Sngl Vess Lm 23 19 $35,525.00 $35,525.00 $24,867.50 $36,555.23 $28,420.00 2026-08-28
PX-563353 CDM Coronary Des W/Ather Sngl Vess Lc 23 19 $35,525.00 $35,525.00 $24,867.50 $36,555.23 $28,420.00 2026-08-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 26 $232,177.49 $46,010.52 80% off $28,349.89 $59,929.08 $28,349.89 2026-08-28
PX-117812 CDM Implantation Neurological Devi 23 19 $35,349.00 $35,349.00 $24,744.30 $36,374.12 $28,279.20 2026-08-28
PX-565218 CDM Hc Insert New/Replace Pacer System Dual Cha 23 19 $35,228.00 $35,228.00 $24,659.60 $36,249.61 $28,182.40 2026-08-28
PX-530246 CDM Hc Insert/Replacement Ppm/Atrial & Ventricu 23 19 $35,228.00 $35,228.00 $24,659.60 $36,249.61 $28,182.40 2026-08-28
RX-159007 CDM Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 14 10 $28,141.26 $11,533.58 59% off $19,698.88 $28,957.36 $28,141.26 2026-08-28
RX-179098 CDM Tenecteplase 50 Mg Intravenous Solution 14 10 $28,044.07 $28,044.07 $19,630.85 $28,857.35 $28,044.07 2026-08-28
163 MS_DRG Major Chest Procedures With Mcc 21 21 $118,292.63 $41,871.69 65% off $27,932.94 $27,932.94 $27,932.94 2026-08-28
PX-565606 CDM Hc Revasc.Endovascular Open/Percut. Iliac A 23 19 $34,894.00 $34,894.00 $24,425.80 $35,905.93 $27,915.20 2026-08-28
153 MS_DRG Otitis Media And Uri Without Mcc 5 5 $56,776.57 $7,942.35 86% off $27,603.12 $28,403.61 $27,603.12 2026-08-28
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 5 5 $85,953.81 $12,994.23 85% off $27,533.97 $28,332.46 $27,533.97 2026-08-28
RX-40120 CDM Natalizumab 300 Mg/15 Ml Intravenous Solution 13 10 $27,495.46 $9,050.40 67% off $19,246.82 $28,292.83 $27,495.46 2026-08-28
RX-193551 CDM Nivolumab 600 Mg-hyaluronidase-nvhy 10 000 Unit/5 Ml Subcut Solution 14 10 $27,255.66 $10,319.93 62% off $19,078.96 $28,046.07 $27,255.66 2026-08-28
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 21 21 $112,500.27 $13,058.58 88% off $27,078.66 $27,078.66 $27,078.66 2026-08-28
596 MS_DRG Major Skin Disorders Without Mcc 21 21 $59,948.36 $11,062.86 82% off $27,078.66 $27,078.66 $27,078.66 2026-08-28
RX-170465 CDM Vedolizumab 300 Mg Intravenous Solution 14 10 $26,996.55 $8,037.72 70% off $18,897.59 $27,779.45 $26,996.55 2026-08-28
PX-4819365301 CDM Hc Compre Ep Eval Abltj 3d Mapg Tx Svt 19 19 $38,055.62 $38,055.62 $687.04 $39,159.23 $26,638.93 2026-08-28
PX-4819365601 CDM Hc Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 19 19 $38,055.62 $31,618.59 $778.80 $39,159.23 $26,638.93 2026-08-28
561 MS_DRG Aftercare Musculoskeletal System And Connective Tissue Without Cc/mcc 5 5 $10,605.20 $8,537.84 $26,539.97 $27,309.63 $26,539.97 2026-08-28
RX-177834 CDM Rituximab 1 600 Mg/13.4 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln 14 10 $26,308.80 $7,380.92 72% off $18,416.16 $27,071.76 $26,308.80 2026-08-28
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 21 21 $115,676.77 $10,451.08 91% off $26,243.45 $26,243.45 $26,243.45 2026-08-28
683 MS_DRG Renal Failure With Cc 5 5 $85,541.75 $9,189.47 89% off $26,159.65 $26,918.28 $26,159.65 2026-08-28
PX-577312 CDM Hc Coronary Pta Single Vessel Rc 23 19 $32,136.00 $32,136.00 $22,495.20 $33,067.94 $25,708.80 2026-08-28
PX-577320 CDM Hc Coronary Pta Single Vessel Ri 23 19 $32,136.00 $32,136.00 $22,495.20 $33,067.94 $25,708.80 2026-08-28
PX-577288 CDM Hc Coronary Pta Single Vessel Lc 23 19 $32,136.00 $32,136.00 $22,495.20 $33,067.94 $25,708.80 2026-08-28
PX-565069 CDM Hc Coronary Pta Single Vessel Ld 23 19 $32,136.00 $32,136.00 $22,495.20 $33,067.94 $25,708.80 2026-08-28
RX-164800 CDM Obinutuzumab 1 000 Mg/40 Ml Intravenous Solution 14 10 $25,552.66 $9,931.45 61% off $17,886.86 $26,293.69 $25,552.66 2026-08-28
PX-535070 CDM Hc Insert Lv Pacing Lead For Aicd/Ppm 23 19 $31,644.00 $31,644.00 $22,150.80 $32,561.68 $25,315.20 2026-08-28
RX-183413 CDM Lurbinectedin 4 Mg Intravenous Solution 14 10 $25,235.00 $10,416.08 59% off $17,664.50 $25,966.82 $25,235.00 2026-08-28
PX-4813326301 CDM Hc Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld 23 19 $35,736.00 $26,907.73 25% off $320.53 $36,772.34 $25,015.20 2026-08-28
RX-178866 CDM Nivolumab 240 Mg/24 Ml Intravenous Solution 14 10 $24,686.34 $9,946.23 60% off $17,280.44 $25,402.24 $24,686.34 2026-08-28
PX-218842 CDM Rad Ir Pta Iliac With Stent 23 19 $34,894.00 $521.60 99% off $404.77 $35,905.93 $24,425.80 2026-08-28
RX-181019 CDM Atezolizumab 840 Mg/14 Ml (60 Mg/ml) Intravenous Solution 14 10 $24,129.17 $9,646.02 60% off $16,890.42 $24,828.92 $24,129.17 2026-08-28
RX-188288 CDM Teclistamab-cqyv 90 Mg/ml Subcutaneous Solution 14 10 $24,037.52 $12,916.50 46% off $16,826.26 $24,734.61 $24,037.52 2026-08-28
PX-554253 CDM Hc Atherectomy Femoral 22 18 $29,959.00 $29,959.00 $20,971.30 $30,827.81 $23,967.20 2026-08-28
PX-554303 CDM Hc Atherectomy Tibial-peroneal 22 18 $29,959.00 $29,959.00 $20,971.30 $30,827.81 $23,967.20 2026-08-28
PX-554345 CDM Hc Atherectomy Add Tibial-peroneal 22 18 $29,959.00 $29,959.00 $20,971.30 $30,827.81 $23,967.20 2026-08-28
PX-543181 CDM Hc Remove & Replace Ppm Gen:Dual Lead Sys 22 18 $29,942.00 $29,942.00 $20,959.40 $30,810.32 $23,953.60 2026-08-28
RX-21108 CDM Leuprolide 30 Mg (4 Month) Intramuscular Syringe Kit 14 10 $23,823.14 $887.33 96% off $16,676.20 $24,514.01 $23,823.14 2026-08-28
PX-544049 CDM Hc Ep & Ablate W/Tx Atrial Fib Pvi 22 18 $29,722.00 $29,722.00 $20,805.40 $30,583.94 $23,777.60 2026-08-28
RX-177755 CDM Rituximab 1 400 Mg/11.7 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln 14 10 $23,020.20 $6,458.32 72% off $16,114.14 $23,687.79 $23,020.20 2026-08-28
RX-108644 CDM Eculizumab 300 Mg/30 Ml Intravenous Solution 14 10 $22,830.47 $22,830.47 $15,981.33 $23,492.55 $22,830.47 2026-08-28
PX-4813728801 CDM Hc Revsc Evsc Tpvt Athrc Sf 1st 18 18 $28,444.42 $28,444.42 $19,911.09 $29,269.31 $22,755.54 2026-08-28
PX-4813728401 CDM Hc Revsc Evasc Tpvt St Sf 1st 18 18 $28,444.42 $28,444.42 $19,911.09 $29,269.31 $22,755.54 2026-08-28
PX-4813729401 CDM Hc Rvsc Evsc Tpvt St Athr Cpx 1 18 18 $28,444.42 $28,444.42 $19,911.09 $29,269.31 $22,755.54 2026-08-28
PX-4813729201 CDM Hc Rvsc Evsc Tpvt St Athrc Sf 1 18 18 $28,444.42 $28,444.42 $19,911.09 $29,269.31 $22,755.54 2026-08-28
PX-4813729001 CDM Hc Revsc Evsc Tpvt Athrc Cplx 1 18 18 $28,444.42 $28,444.42 $19,911.09 $29,269.31 $22,755.54 2026-08-28
PX-4813728601 CDM Hc Revsc Evasc Tpvt St Cplx 1st 18 18 $28,444.42 $28,444.42 $19,911.09 $29,269.31 $22,755.54 2026-08-28
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 5 $153,468.37 $13,699.86 91% off $22,520.72 $23,173.82 $22,520.72 2026-08-28
PX-543033 CDM Insert Ppm Gen Multi Lead 22 18 $28,014.00 $28,014.00 $19,609.80 $28,826.41 $22,411.20 2026-08-28
PX-562595 CDM Coronary Atherectomy Sngl Vess Lc 22 18 $27,975.00 $27,975.00 $19,582.50 $28,786.28 $22,380.00 2026-08-28
PX-544023 CDM Hc Ep & Ablate Ventric Tachy (Vt) 23 19 $31,581.00 $31,581.00 $827.97 $32,496.85 $22,106.70 2026-08-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 21 $97,043.70 $33,149.22 66% off $21,934.76 $21,934.76 $21,934.76 2026-08-28
RX-188393 CDM Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 14 10 $21,770.00 $21,770.00 $15,239.00 $22,401.33 $21,770.00 2026-08-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 26 $173,614.53 $32,324.45 81% off $21,367.59 $94,856.58 $21,367.59 2026-08-28
PX-553099 CDM Hc Intravasc US Cor Vess Int Rc 22 18 $26,225.00 $26,225.00 $18,357.50 $26,985.53 $20,980.00 2026-08-28
PX-553081 CDM Hc Intravasc US Cor Vess Int Ld 22 18 $26,225.00 $26,225.00 $18,357.50 $26,985.53 $20,980.00 2026-08-28
PX-557728 CDM Hc Intravascular US Cor Vess Initial Lm 22 18 $26,225.00 $26,225.00 $18,357.50 $26,985.53 $20,980.00 2026-08-28
PX-553073 CDM Hc Intravasc US Cor Vess Int Lc 22 18 $26,225.00 $26,225.00 $18,357.50 $26,985.53 $20,980.00 2026-08-28
PX-567271 CDM Hc Atherectomy 22 18 $29,959.00 $633.32 98% off $491.46 $30,827.81 $20,971.30 2026-08-28
PX-565242 CDM Hc Remove Ppm & Replace W/Pm Dual Lead Syst 22 18 $29,942.00 $29,942.00 $294.09 $30,810.32 $20,959.40 2026-08-28
PX-4813322901 CDM Hc Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead 22 18 $29,541.00 $23,300.59 21% off $308.55 $30,397.69 $20,678.70 2026-08-28
RX-156883 CDM Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 14 10 $20,631.45 $8,985.45 56% off $14,442.02 $21,229.76 $20,631.45 2026-08-28
PX-536508 CDM Hc Ppm Upgrade Convert Sngle Cham.to Dual C 22 18 $25,532.00 $25,532.00 $17,872.40 $26,272.43 $20,425.60 2026-08-28
RX-172654 CDM Octreotide Microspheres ER 30 Mg Intramuscular Susp Extended Release 14 10 $20,309.10 $7,678.40 62% off $14,216.37 $20,898.06 $20,309.10 2026-08-28
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 21 21 $50,238.11 $7,504.62 85% off $20,265.54 $20,265.54 $20,265.54 2026-08-28
RX-145824 CDM Panitumumab 400 Mg/20 Ml (20 Mg/ml) Intravenous Solution 14 10 $20,092.66 $8,701.40 57% off $14,064.86 $20,675.35 $20,092.66 2026-08-28
RX-110535 CDM Certolizumab Pegol 400 Mg (200 Mg X 2 Vials) Subcutaneous Kit 14 10 $20,017.17 $983.90 95% off $14,012.02 $20,597.67 $20,017.17 2026-08-28
500 MS_DRG Soft Tissue Procedures With Mcc 21 21 $126,655.96 $29,935.35 76% off $19,724.70 $19,724.70 $19,724.70 2026-08-28
PX-562942 CDM Hc Coronary Stent W/Ather Add Vsl Ld 22 18 $24,604.00 $24,604.00 $17,222.80 $25,317.52 $19,683.20 2026-08-28
PX-554907 CDM Hc Coronary Stent W/Atherect Sgl Vessel 22 18 $24,604.00 $24,604.00 $17,222.80 $25,317.52 $19,683.20 2026-08-28
PX-563064 CDM Hc Bpy Graft Revasc Add Vess Rc 22 18 $24,604.00 $24,604.00 $17,222.80 $25,317.52 $19,683.20 2026-08-28
RX-168945 CDM Ado-trastuzumab Emtansine 160 Mg Intravenous Solution 14 10 $19,676.72 $8,480.63 57% off $13,773.70 $20,247.34 $19,676.72 2026-08-28
PX-4813727101 CDM Hc Revsc Evsc Fpvt Athrc Sf 1st 18 18 $24,444.42 $24,444.42 $17,111.09 $25,153.31 $19,555.54 2026-08-28
PX-4813727701 CDM Hc Rvsc Evsc Fpvt St Athr Cpx 1 18 18 $24,444.42 $24,444.42 $17,111.09 $25,153.31 $19,555.54 2026-08-28
PX-4813727301 CDM Hc Revsc Evsc Fpvt Athrc Cplx 1 18 18 $24,444.42 $24,444.42 $17,111.09 $25,153.31 $19,555.54 2026-08-28
PX-4813727501 CDM Hc Rvsc Evsc Fpvt St Athrc Sf 1 18 18 $24,444.42 $24,444.42 $17,111.09 $25,153.31 $19,555.54 2026-08-28
PX-4819358001 CDM Hc Prq Tcat Clsr Cgen Intratrl Comunicaj W/Implt 18 18 $27,661.44 $27,661.44 $803.09 $28,463.62 $19,363.01 2026-08-28
PX-577338 CDM Hc Coronary Pta Each Add'l Vessel Lc 22 18 $24,102.00 $24,102.00 $16,871.40 $24,800.96 $19,281.60 2026-08-28
PX-562579 CDM Hc Coronary Pta Additional Vessel 22 18 $24,102.00 $24,102.00 $16,871.40 $24,800.96 $19,281.60 2026-08-28
PX-577346 CDM Hc Coronary Pta Single Vessel Ld 22 18 $24,102.00 $24,102.00 $16,871.40 $24,800.96 $19,281.60 2026-08-28
PX-563387 CDM Hc Coronary Des W/Ather Sngl Vess Rc 22 18 $24,012.00 $24,012.00 $16,808.40 $24,708.35 $19,209.60 2026-08-28
PX-562819 CDM Hc Coronary Stent W/Ather Sngl Vess La 22 18 $24,012.00 $24,012.00 $16,808.40 $24,708.35 $19,209.60 2026-08-28
PX-562835 CDM Hc Coronary Stent W/Ather Sgle Ve Rc 22 18 $24,012.00 $24,012.00 $16,808.40 $24,708.35 $19,209.60 2026-08-28
PX-562801 CDM Hc Coronary Stent W/Ather Sngl Vess 22 18 $24,012.00 $24,012.00 $16,808.40 $24,708.35 $19,209.60 2026-08-28
RX-109857 CDM Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 14 10 $19,036.08 $4,502.41 76% off $13,325.26 $19,588.13 $19,036.08 2026-08-28
PX-554311 CDM Hc Stent Tibial-peroneal 22 18 $23,406.00 $23,406.00 $16,384.20 $24,084.77 $18,724.80 2026-08-28
PX-566372 CDM Hc Revascularization-iliac W/Stent Ea Add' 22 18 $23,406.00 $23,406.00 $16,384.20 $24,084.77 $18,724.80 2026-08-28
PX-554238 CDM Hc Stent Additional Iliac 22 18 $23,406.00 $23,406.00 $16,384.20 $24,084.77 $18,724.80 2026-08-28
PX-554261 CDM Hc Stent Femoral 22 18 $23,406.00 $23,406.00 $16,384.20 $24,084.77 $18,724.80 2026-08-28
PX-554212 CDM Hc Revascularization Iliac Stent 22 18 $23,406.00 $23,406.00 $16,384.20 $24,084.77 $18,724.80 2026-08-28
PX-526053 CDM Hc Fem/Popl Revasc W/Stent - Bilateral 22 18 $23,406.00 $23,406.00 $16,384.20 $24,084.77 $18,724.80 2026-08-28
RX-172188 CDM Pembrolizumab 25 Mg/ml Intravenous Solution 14 10 $18,329.64 $7,579.84 59% off $12,830.75 $18,861.20 $18,329.64 2026-08-28
RX-110630 CDM Coagulation Factor Viia Recomb 5 Mg (5 000 Mcg) Intravenous Solution 14 10 $18,287.50 $18,287.50 $12,801.25 $18,817.84 $18,287.50 2026-08-28
RX-191176 CDM Mirikizumab-mrkz 100 Mg/ml Subcutaneous Pen Injector 14 10 $18,131.17 $18,131.17 $12,691.82 $18,656.97 $18,131.17 2026-08-28
PX-084145 CDM Rbc Mimc - Or Cryo-urology Surgery 22 18 $21,738.00 $21,738.00 $15,216.60 $22,368.40 $17,390.40 2026-08-28
RX-147507 CDM Certolizumab Pegol 400 Mg/2 Ml (200 Mg/ml X2) Subcutaneous Syringe Kit 14 10 $17,027.33 $1,967.79 88% off $11,919.13 $17,521.12 $17,027.33 2026-08-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 26 $102,516.82 $25,778.93 75% off $16,866.46 $45,315.93 $16,866.46 2026-08-28
RX-194521 CDM Zolbetuximab-clzb 300 Mg Intravenous Solution 14 10 $16,800.00 $16,800.00 $11,760.00 $17,287.20 $16,800.00 2026-08-28
RX-193627 CDM Datopotamab Deruxtecan-dlnk 100 Mg Intravenous Solution 14 10 $16,776.38 $16,776.38 $11,743.47 $17,262.90 $16,776.38 2026-08-28
RX-178606 CDM Benralizumab 30 Mg/ml Subcutaneous Syringe 14 10 $16,574.36 $6,207.64 63% off $11,602.05 $17,055.02 $16,574.36 2026-08-28
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 26 $95,108.61 $24,627.89 74% off $16,386.27 $30,306.97 $16,386.27 2026-08-28
PX-218784 CDM Rad Ir Pta Femoral-popiteal With Stent 22 18 $23,406.00 $549.05 98% off $426.06 $24,084.77 $16,384.20 2026-08-28
RX-185852 CDM Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution 14 10 $16,343.25 $6,818.72 58% off $11,440.28 $16,817.20 $16,343.25 2026-08-28
PX-543504 CDM Hc Remove & Replace Ppm Gen:Multi Lead Sys 22 18 $20,284.00 $20,284.00 $14,198.80 $20,872.24 $16,227.20 2026-08-28
RX-171922 CDM Blinatumomab 35 Mcg Intravenous Kit 14 10 $16,193.40 $16,193.40 $11,335.38 $16,663.01 $16,193.40 2026-08-28
RX-111153 CDM Romiplostim 500 Mcg Subcutaneous Solution 14 10 $15,763.06 $6,922.83 56% off $11,034.14 $16,220.19 $15,763.06 2026-08-28
RX-4080507 CDM Sodium Hypochlorite 0.125 % (compounded) Solution 13 10 $15,741.60 $15,741.60 $11,019.12 $16,198.11 $15,741.60 2026-08-28
RX-172155 CDM Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector 14 10 $15,711.50 $1,347.88 91% off $10,998.05 $16,167.13 $15,711.50 2026-08-28
RX-32267 CDM Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 13 10 $15,711.50 $1,347.88 91% off $10,998.05 $16,167.13 $15,711.50 2026-08-28
RX-184319 CDM Fidaxomicin 40 Mg/ml Oral Suspension 14 10 $15,663.26 $15,663.26 $10,964.28 $16,117.49 $15,663.26 2026-08-28
PX-3609293001 CDM Hc Perq Tcat Plmt Ntrac St 2+Les 2+St 2+c Segments 18 18 $19,418.87 $19,418.87 $13,593.21 $19,982.02 $15,535.10 2026-08-28
RX-174098 CDM Idarucizumab 2.5 Gram/50 Ml Intravenous Solution 14 10 $15,498.70 $15,498.70 $10,849.09 $15,948.16 $15,498.70 2026-08-28
PX-529248 CDM Hc Revasc Intra Lithotrip-ather 22 18 $19,243.00 $19,243.00 $13,470.10 $19,801.05 $15,394.40 2026-08-28
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 21 21 $127,381.34 $23,540.31 82% off $15,327.03 $15,327.03 $15,327.03 2026-08-28
PX-535708 CDM Hc Intracardiac Cath Ablation For Ventr. Ta 22 18 $19,095.00 $19,095.00 $13,366.50 $19,648.76 $15,276.00 2026-08-28
PX-530055 CDM Hc Intracardiac Cath Ablation For Supraven 22 18 $19,095.00 $19,095.00 $13,366.50 $19,648.76 $15,276.00 2026-08-28
RX-188187 CDM Eflapegrastim-xnst 13.2 Mg/0.6 Ml Subcutaneous Syringe 14 10 $15,209.50 $15,209.50 $10,646.65 $15,650.58 $15,209.50 2026-08-28
PX-230649 CDM Rad Ir Embolization Non Neuro 22 18 $18,959.00 $18,959.00 $13,271.30 $19,508.81 $15,167.20 2026-08-28
PX-540666 CDM Hc Lt Hrt Cath W/v-gram & Coron Angio +Inj 22 18 $18,860.00 $18,860.00 $13,202.00 $19,406.94 $15,088.00 2026-08-28
PX-544205 CDM Hc Lt Hrt Cath W/v-gramcoron Angio Inj + 22 18 $18,860.00 $18,860.00 $13,202.00 $19,406.94 $15,088.00 2026-08-28
RX-110629 CDM Coagulation Factor Viia Recomb 2 Mg (2 000 Mcg) Intravenous Solution 14 10 $15,078.00 $15,078.00 $10,554.60 $15,515.26 $15,078.00 2026-08-28
PX-3606459001 CDM Hc Ns/Rplc Perph Sac/Gstrc Npg/Rcvr Pckt Crtj&Conn 18 18 $21,467.60 $21,467.60 $252.74 $22,090.16 $15,027.32 2026-08-28
RX-31432 CDM Digoxin Immune Fab 40 Mg Intravenous Solution 13 10 $14,989.49 $14,989.49 $10,492.64 $15,424.19 $14,989.49 2026-08-28
PX-281873 CDM Hc Shockwave Balloon 22 18 $18,700.00 $18,700.00 $13,090.00 $19,242.30 $14,960.00 2026-08-28
RX-9003 CDM Alteplase 50 Mg Intravenous Solution 13 10 $14,915.50 $5,936.98 60% off $10,440.85 $15,348.05 $14,915.50 2026-08-28
RX-21672 CDM Carmustine In Polifeprosan 7.7 Mg Wafer For Implant 14 10 $14,866.33 $14,866.33 $10,406.43 $15,297.45 $14,866.33 2026-08-28
PX-543132 CDM Hc Remove & Replace Ppm Gen:Sgl Lead Sys 22 18 $18,510.00 $18,510.00 $12,957.00 $19,046.79 $14,808.00 2026-08-28
PX-542423 CDM Hc Transcath Closure Of Asd Or Vsd 22 18 $18,140.00 $18,140.00 $12,698.00 $18,666.06 $14,512.00 2026-08-28
PX-543611 CDM Hc Atherectomy Iliac Artery 22 18 $17,954.00 $17,954.00 $12,567.80 $18,474.67 $14,363.20 2026-08-28
PX-558502 CDM Hc Place Cath Carotid W/Extracran 22 18 $17,948.00 $17,948.00 $12,563.60 $18,468.49 $14,358.40 2026-08-28
PX-4813728201 CDM Hc Rvsc Evsc Tpvt Angio Cplx 1 18 18 $17,912.62 $17,912.62 $12,538.83 $18,432.09 $14,330.10 2026-08-28
PX-4813726701 CDM Hc Revsc Evsc Fpvt Stent Sf 1st 18 18 $17,912.62 $17,912.62 $12,538.83 $18,432.09 $14,330.10 2026-08-28
PX-4813725801 CDM Hc Revsc Evasc Ivt Stent Sf 1st 18 18 $17,912.62 $17,912.62 $12,538.83 $18,432.09 $14,330.10 2026-08-28
PX-4813726901 CDM Hc Revsc Evasc Fpvt St Cplx 1st 18 18 $17,912.62 $17,912.62 $12,538.83 $18,432.09 $14,330.10 2026-08-28
PX-4813728001 CDM Hc Revsc Evsc Tpvt Angio Sf 1st 18 18 $17,912.62 $17,912.62 $12,538.83 $18,432.09 $14,330.10 2026-08-28
PX-4813729601 CDM Hc Revsc Evasc Imvt Angiop Uni Sf Les 1st Vsl 18 18 $17,912.62 $17,912.62 $12,538.83 $18,432.09 $14,330.10 2026-08-28
PX-4813729801 CDM Hc Revsc Evasc Imvt Angiop Uni Cplx Les 1st Vsl 18 18 $17,912.62 $17,912.62 $12,538.83 $18,432.09 $14,330.10 2026-08-28
PX-554733 CDM Hc Athrct Brchiocph Trunk Ea Vessel 22 18 $17,765.00 $17,765.00 $12,435.50 $18,280.19 $14,212.00 2026-08-28
PX-563536 CDM Hc Byp Graft Revasc Des Add Lc 22 18 $17,763.00 $17,763.00 $12,434.10 $18,278.13 $14,210.40 2026-08-28
PX-563361 CDM Coronary Des W/Atherectomy Single Vessel 22 18 $17,763.00 $17,763.00 $12,434.10 $18,278.13 $14,210.40 2026-08-28
PX-4813726001 CDM Hc Revsc Evasc Ivt St Cplx 1st 18 18 $17,612.62 $17,612.62 $12,328.83 $18,123.39 $14,090.10 2026-08-28
RX-172653 CDM Octreotide Microspheres ER 20 Mg Intramuscular Susp Extended Release 14 10 $13,830.85 $5,118.93 63% off $9,681.60 $14,231.94 $13,830.85 2026-08-28
PX-209171 CDM Hc Sm 153 Lexidronam=<150 Mci Quadramet 22 18 $17,255.00 $17,255.00 $12,078.50 $17,755.40 $13,804.00 2026-08-28
PX-4819293701 CDM Hc Prq Trluml Coronary Byp Grft Revasc One Vessel 22 18 $19,217.00 $19,217.00 $483.82 $19,774.29 $13,451.90 2026-08-28
PX-481C960001 CDM Hc Perc Drug-el Cor Stent Sing 22 18 $16,728.00 $16,728.00 $11,709.60 $17,213.11 $13,382.40 2026-08-28
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 21 21 $82,736.79 $20,660.89 75% off $13,346.96 $13,346.96 $13,346.96 2026-08-28
RX-176891 CDM Bezlotoxumab 25 Mg/ml Intravenous Solution 14 10 $13,299.86 $5,006.83 62% off $9,309.90 $13,685.56 $13,299.86 2026-08-28
PX-240556 CDM Rad Ir Pta Femoral-popiteal With Atherctomy 22 18 $18,959.00 $633.32 97% off $491.46 $19,508.81 $13,271.30 2026-08-28
PX-210526 CDM Rad Ir Thrombectomy Dialysis Circuit Inj And Stent 22 18 $18,959.00 $18,959.00 $428.33 $19,508.81 $13,271.30 2026-08-28
PX-218776 CDM Rad Ir Pta Tibial Peroneal With Stent With Atherectomy 22 18 $18,959.00 $790.90 96% off $613.74 $19,508.81 $13,271.30 2026-08-28
PX-237131 CDM Rad Ir Pta Femoral-popiteal With Stent With Atherctomy 22 18 $18,959.00 $759.61 96% off $589.46 $19,508.81 $13,271.30 2026-08-28
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