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

SANTA YNEZ VALLEY COTTAGE HOSPITAL

Solvang, CA · CCN 051331 · Rates published

Your selected procedure

You selected 93350 (CPT)

HC STRESS ECHO EXERCISE

This hospital’s price: $699 across 10 payers · range $83-$4,616

Source: https://www.cottagehealth.org/app/files/public/df13ef04-e541-49f0-9c44-c07617438867/952224265_SantaYnezCottageHospital_standardcharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

4,013 distinct procedures filed
10 distinct payers
291,236 rate rows
2026-07-15 last MRF observed
Data quality

288,223 of 291,236 rate rows are consumer-grade (99.0%)

3,013 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
per-diem day rate — not a per-procedure price 2,330
percent-of-charges filed in the dollar field — excluded from medians 532
template filing: same amount across many unrelated codes — excluded 91
placeholder amount (≤ $0.02) — excluded from medians 57
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cottagehealth.org/app/files/public/df13ef04-e541-49f0-9c44-c07617438867/952224265_SantaYnezCottageHospital_standardcharges.csv
Found on page https://www.mrfdatasolutions.com/payers-1
Discovered viaPublic MRF directory
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint dc8986f92b81a8d0… · 454,490,474 bytes · first seen 2026-05-06

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
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 10 $33,052.00 $148,734.00 $128,076.50 nat. median
$65,720
1.9× median
J9226
HCPCS 		Histrelin Acetate (cpp) 50 Mg Sc Kit 10 $23,900.60 $107,552.70 $92,614.82 nat. median
$55,159
1.7× median
A9543
HCPCS 		Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 10 $19,145.20 $86,153.40 $74,187.65 nat. median
$63,528
1.2× median
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 10 $18,859.60 $84,868.20 $73,080.95 nat. median
$30,297
outlier · 2.4×
A9604
HCPCS 		Samarium Sm 153 Lexidronam 1850 Mbq/ml IV Soln 10 $15,963.60 $71,836.20 $61,858.95 nat. median
$12,627
outlier · 4.9×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg IV Solr 10 $12,891.60 $58,012.20 $49,954.95 nat. median
$742
outlier · 67.3×
J9118
HCPCS 		Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln 10 $12,662.80 $56,982.60 $49,068.35 nat. median
$200
outlier · 245.5×
48100147
OTHER 		Hc Peri-device Leak Repair 10 $12,501.00 $56,254.50 $48,441.38 nat. median
$51,317
0.9× median
48100103
OTHER 		Hc Perq Closure Pv Leak Intl Device Aortic Valve 10 $12,501.00 $56,254.50 $48,441.38 nat. median
$51,317
0.9× median
J1951
HCPCS 		Leuprolide Acetate (ped)(6mon) 45 Mg Sc Kit 10 $11,067.80 $57,650.40 $45,627.01 nat. median
$173
outlier · 263.0×
75000134
OTHER 		Hc Histotripsy Malignant Tissue W/img Gdn 10 $11,474.60 $51,635.70 $44,464.08 nat. median
$47,103
0.9× median
J9266
HCPCS 		Pegaspargase 750 Unit/ml Ij Soln 10 $10,903.40 $49,065.30 $42,250.68 nat. median
$33,233
1.3× median
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg IV Solr 10 $10,899.80 $49,049.10 $42,236.72 nat. median
$6,176
outlier · 6.8×
J9281
HCPCS 		Mitomycin 80 (2 X 40) Mg Ul Solr (urogel) 10 $10,478.80 $47,154.60 $40,605.35 nat. median
$532
outlier · 76.3×
J9600
HCPCS 		Porfimer Sodium 75 Mg IV Solr 10 $9,722.60 $43,751.70 $37,675.08 nat. median
$30,131
1.3× median
J3245
HCPCS 		Tildrakizumab-asmn 100 Mg/ml Sc Sosy 10 $8,450.80 $38,028.60 $32,746.85 nat. median
$256
outlier · 127.9×
J9144
HCPCS 		Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 10 $7,722.80 $34,752.60 $29,925.85 nat. median
$211
outlier · 141.5×
J9228
HCPCS 		Ipilimumab 200 Mg/40ml IV Soln 10 $6,608.20 $75,276.90 $29,736.90 nat. median
$9,003
outlier · 3.3×
J9203
HCPCS 		Gemtuzumab Ozogamicin 4.5 Mg IV Solr 10 $7,550.80 $33,978.60 $29,259.35 nat. median
$687
outlier · 42.6×
J3357
HCPCS 		Ustekinumab 45 Mg/0.5ml Sc Sosy 10 $6,361.40 $57,232.80 $28,626.30 nat. median
$14,744
1.9× median
0275
RC 		10 $404.40 $101,770.20 $28,253.70 nat. median
$9,910
outlier · 2.9×
J7180
HCPCS 		Factor Xiii Concentrate Human 1000-1600 Units IV Kit 10 $7,171.40 $32,271.30 $27,789.18 nat. median
$14
outlier · 2056.9×
J9298
HCPCS 		Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 10 $7,125.40 $32,064.30 $27,610.92 nat. median
$561
outlier · 49.2×
J2327
HCPCS 		Risankizumab-rzaa 600 Mg/10ml IV Soln 10 $7,077.00 $31,846.50 $27,423.38 nat. median
$2,076
outlier · 13.2×
J1440
HCPCS 		Fecal Microbiota, Live-jslm 150 Ml Re Susp 10 $7,071.60 $31,822.20 $27,402.45 nat. median
$106
outlier · 257.6×
J9043
HCPCS 		Cabazitaxel 60 Mg/6 Ml IV Soln 10 $6,800.40 $30,601.80 $26,351.55 nat. median
$735
outlier · 35.9×
0D1607B
OTHER 		Bypass Stomach To Ileum With Autologous Tissue Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,508
1.3× median
0D160JL
OTHER 		Bypass Stomach To Transverse Colon With Synthetic Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median
0D160KL
OTHER 		Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute Open App… 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median
0D16074
OTHER 		Bypass Stomach To Cutaneous With Autologous Tissue Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$26,200
1.0× median
0D160K9
OTHER 		Bypass Stomach To Duodenum With Nonautologous Tissue Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median
0D160Z9
OTHER 		Bypass Stomach To Duodenum Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median
0D16474
OTHER 		Bypass Stomach To Cutaneous With Autologous Tissue Substitute Percutaneous Endos… 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$26,200
1.0× median
0D16479
OTHER 		Bypass Stomach To Duodenum With Autologous Tissue Substitute Percutaneous Endosc… 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$19,410
1.3× median
0D160JB
OTHER 		Bypass Stomach To Ileum With Synthetic Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$26,200
1.0× median
0D1647A
OTHER 		Bypass Stomach To Jejunum With Autologous Tissue Substitute Percutaneous Endosco… 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$19,410
1.3× median
0D160ZB
OTHER 		Bypass Stomach To Ileum Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$25,118
1.0× median
0D160ZL
OTHER 		Bypass Stomach To Transverse Colon Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median
0D1647B
OTHER 		Bypass Stomach To Ileum With Autologous Tissue Substitute Percutaneous Endoscopi… 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$18,676
1.4× median
0D160J4
OTHER 		Bypass Stomach To Cutaneous With Synthetic Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$19,410
1.3× median
0D1607A
OTHER 		Bypass Stomach To Jejunum With Autologous Tissue Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median
0D160KA
OTHER 		Bypass Stomach To Jejunum With Nonautologous Tissue Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$19,594
1.3× median
0D160J9
OTHER 		Bypass Stomach To Duodenum With Synthetic Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median
0D1607L
OTHER 		Bypass Stomach To Transverse Colon With Autologous Tissue Substitute Open Approa… 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median
0D160Z4
OTHER 		Bypass Stomach To Cutaneous Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$31,184
0.8× median
0D16079
OTHER 		Bypass Stomach To Duodenum With Autologous Tissue Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,842
1.3× median
0D160JA
OTHER 		Bypass Stomach To Jejunum With Synthetic Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median
0D160K4
OTHER 		Bypass Stomach To Cutaneous With Nonautologous Tissue Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$31,184
0.8× median
0D160KB
OTHER 		Bypass Stomach To Ileum With Nonautologous Tissue Substitute Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$26,200
1.0× median
0D160ZA
OTHER 		Bypass Stomach To Jejunum Open Approach 1 $26,200.00 $26,200.00 $26,200.00 nat. median
$20,749
1.3× median

Other procedures at this hospital

Browse this hospital's 4,013 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
             
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 19 10 $165,260.00 $115,682.00 30% off $33,052.00 $148,734.00 $128,076.50 2026-07-15
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 19 10 $119,503.00 $83,652.10 30% off $23,900.60 $107,552.70 $92,614.82 2026-07-15
A9543 HCPCS Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 19 10 $95,726.00 $67,008.20 30% off $19,145.20 $86,153.40 $74,187.65 2026-07-15
C9293 HCPCS Glucarpidase 1000 Units IV Solr 19 10 $94,298.00 $66,008.60 30% off $18,859.60 $84,868.20 $73,080.95 2026-07-15
A9604 HCPCS Samarium Sm 153 Lexidronam 1850 Mbq/ml IV Soln 19 10 $79,818.00 $55,872.60 30% off $15,963.60 $71,836.20 $61,858.95 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg IV Solr 19 10 $64,458.00 $45,120.60 30% off $12,891.60 $58,012.20 $49,954.95 2026-07-15
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln 19 10 $63,314.00 $44,319.80 30% off $12,662.80 $56,982.60 $49,068.35 2026-07-15
48100103 OTHER Hc Perq Closure Pv Leak Intl Device Aortic Valve 19 10 $62,505.00 $43,753.50 30% off $12,501.00 $56,254.50 $48,441.38 2026-07-15
48100147 OTHER Hc Peri-device Leak Repair 19 10 $62,505.00 $43,753.50 30% off $12,501.00 $56,254.50 $48,441.38 2026-07-15
J1951 HCPCS Leuprolide Acetate (ped)(6mon) 45 Mg Sc Kit 38 10 $59,697.50 $41,788.25 30% off $11,067.80 $57,650.40 $45,627.01 2026-07-15
75000134 OTHER Hc Histotripsy Malignant Tissue W/img Gdn 19 10 $57,373.00 $40,161.10 30% off $11,474.60 $51,635.70 $44,464.08 2026-07-15
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 19 10 $54,517.00 $38,161.90 30% off $10,903.40 $49,065.30 $42,250.68 2026-07-15
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Solr 19 10 $54,499.00 $38,149.30 30% off $10,899.80 $49,049.10 $42,236.72 2026-07-15
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr (urogel) 19 10 $52,394.00 $36,675.80 30% off $10,478.80 $47,154.60 $40,605.35 2026-07-15
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 19 10 $48,613.00 $34,029.10 30% off $9,722.60 $43,751.70 $37,675.08 2026-07-15
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Sc Sosy 19 10 $42,254.00 $29,577.80 30% off $8,450.80 $38,028.60 $32,746.85 2026-07-15
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 19 10 $38,614.00 $27,029.80 30% off $7,722.80 $34,752.60 $29,925.85 2026-07-15
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 38 10 $58,341.00 $40,838.70 30% off $6,608.20 $75,276.90 $29,736.90 2026-07-15
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg IV Solr 19 10 $37,754.00 $26,427.80 30% off $7,550.80 $33,978.60 $29,259.35 2026-07-15
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 38 10 $47,699.50 $33,389.65 30% off $6,361.40 $57,232.80 $28,626.30 2026-07-15
0275 RC — 1,159 10 $48,952.00 $34,266.40 30% off $404.40 $101,770.20 $28,253.70 2026-07-15
J7180 HCPCS Factor Xiii Concentrate Human 1000-1600 Units IV Kit 19 10 $35,857.00 $25,099.90 30% off $7,171.40 $32,271.30 $27,789.18 2026-07-15
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 19 10 $35,627.00 $24,938.90 30% off $7,125.40 $32,064.30 $27,610.92 2026-07-15
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 19 10 $35,385.00 $24,769.50 30% off $7,077.00 $31,846.50 $27,423.38 2026-07-15
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Re Susp 19 10 $35,358.00 $24,750.60 30% off $7,071.60 $31,822.20 $27,402.45 2026-07-15
J9043 HCPCS Cabazitaxel 60 Mg/6 Ml IV Soln 19 10 $34,002.00 $23,801.40 30% off $6,800.40 $30,601.80 $26,351.55 2026-07-15
0D168ZA OTHER Bypass Stomach To Jejunum Via Natural Or Artificial Opening Endoscopic 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160KB OTHER Bypass Stomach To Ileum With Nonautologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164JB OTHER Bypass Stomach To Ileum With Synthetic Substitute Percutaneous Endoscopic Approa… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute Via Natural Or Artificial Op… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164ZB OTHER Bypass Stomach To Ileum Percutaneous Endoscopic Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168ZB OTHER Bypass Stomach To Ileum Via Natural Or Artificial Opening Endoscopic 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute Percutaneous Endosc… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1687L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute Via Natural… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute Via Natural Or Ar… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168KL OTHER Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute Via Natu… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16479 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute Percutaneous Endosc… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160ZB OTHER Bypass Stomach To Ileum Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168J4 OTHER Bypass Stomach To Cutaneous With Synthetic Substitute Via Natural Or Artificial … 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1647B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute Percutaneous Endoscopi… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160K4 OTHER Bypass Stomach To Cutaneous With Nonautologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1687B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute Via Natural Or Artific… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168KB OTHER Bypass Stomach To Ileum With Nonautologous Tissue Substitute Via Natural Or Arti… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute Percutaneous Endoscopic App… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164Z4 OTHER Bypass Stomach To Cutaneous Percutaneous Endoscopic Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1647L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute Percutaneou… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168Z9 OTHER Bypass Stomach To Duodenum Via Natural Or Artificial Opening Endoscopic 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute Percutaneous End… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute Via Natural Or Arti… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164KB OTHER Bypass Stomach To Ileum With Nonautologous Tissue Substitute Percutaneous Endosc… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16874 OTHER Bypass Stomach To Cutaneous With Autologous Tissue Substitute Via Natural Or Art… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164K4 OTHER Bypass Stomach To Cutaneous With Nonautologous Tissue Substitute Percutaneous En… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164KL OTHER Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute Percutan… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168ZL OTHER Bypass Stomach To Transverse Colon Via Natural Or Artificial Opening Endoscopic 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164ZL OTHER Bypass Stomach To Transverse Colon Percutaneous Endoscopic Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute Percutaneous Endo… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164ZA OTHER Bypass Stomach To Jejunum Percutaneous Endoscopic Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168Z4 OTHER Bypass Stomach To Cutaneous Via Natural Or Artificial Opening Endoscopic 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1607A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160KL OTHER Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute Open App… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168K4 OTHER Bypass Stomach To Cutaneous With Nonautologous Tissue Substitute Via Natural Or … 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16074 OTHER Bypass Stomach To Cutaneous With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1687A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute Via Natural Or Artif… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160JB OTHER Bypass Stomach To Ileum With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute Percutaneous Endoscopic Appr… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1607L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute Open Approa… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute Via Natural Or A… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0DB64Z3 OTHER Excision Of Stomach Percutaneous Endoscopic Approach Vertical 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1647A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute Percutaneous Endosco… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160Z4 OTHER Bypass Stomach To Cutaneous Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160Z9 OTHER Bypass Stomach To Duodenum Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168JB OTHER Bypass Stomach To Ileum With Synthetic Substitute Via Natural Or Artificial Open… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16079 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16474 OTHER Bypass Stomach To Cutaneous With Autologous Tissue Substitute Percutaneous Endos… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164Z9 OTHER Bypass Stomach To Duodenum Percutaneous Endoscopic Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D163J4 OTHER Bypass Stomach To Cutaneous With Synthetic Substitute Percutaneous Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160ZL OTHER Bypass Stomach To Transverse Colon Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1607B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16879 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute Via Natural Or Arti… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160J4 OTHER Bypass Stomach To Cutaneous With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D164J4 OTHER Bypass Stomach To Cutaneous With Synthetic Substitute Percutaneous Endoscopic Ap… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160ZA OTHER Bypass Stomach To Jejunum Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D168J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute Via Natural Or Artificial O… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 19 10 $31,916.00 $22,341.20 30% off $6,383.20 $28,724.40 $24,734.90 2026-07-15
J2779 HCPCS Ranibizumab 10 Mg/0.1 Ml Ophthalmic Injection 19 10 $30,980.00 $21,686.00 30% off $6,196.00 $27,882.00 $24,009.50 2026-07-15
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 19 10 $30,787.00 $21,550.90 30% off $6,157.40 $27,708.30 $23,859.92 2026-07-15
J1303 HCPCS Ravulizumab-cwvz 1100 Mg/11ml IV Soln 38 10 $41,178.00 $28,824.60 30% off $4,960.80 $51,796.80 $22,323.60 2026-07-15
J9272 HCPCS Dostarlimab-gxly 500 Mg/10ml IV Soln 19 10 $28,352.00 $19,846.40 30% off $5,670.40 $25,516.80 $21,972.80 2026-07-15
C1764 HCPCS Hc Loop Rec Biomonitor 2af 38 10 $28,474.00 $19,931.80 30% off $5,297.40 $27,414.90 $21,838.54 2026-07-15
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 19 10 $27,712.00 $19,398.40 30% off $5,542.40 $24,940.80 $21,476.80 2026-07-15
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 38 10 $27,379.50 $19,165.65 30% off $5,201.40 $25,876.80 $21,442.78 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg IV Kit For Pe/stemi 19 10 $27,428.00 $19,199.60 30% off $5,485.60 $24,685.20 $21,256.70 2026-07-15
J9311 HCPCS Rituximab-hyaluronidase Human 1400-23400 Mg -ut/11.7ml Sc Soln 38 10 $27,290.00 $19,103.00 30% off $5,094.40 $26,197.20 $21,001.67 2026-07-15
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg IV Solr 19 10 $26,553.00 $18,587.10 30% off $5,310.60 $23,897.70 $20,578.58 2026-07-15
48100129 OTHER Hc Insrt/replc Perm Ccms Generator W/tv Electrodes 19 10 $26,046.00 $18,232.20 30% off $5,209.20 $23,441.40 $20,185.65 2026-07-15
J2329 HCPCS Ublituximab-xiiy 150 Mg/6ml IV Soln 19 10 $25,680.00 $17,976.00 30% off $5,136.00 $23,112.00 $19,902.00 2026-07-15
J1640 HCPCS Hemin 350 Mg IV Solr 19 10 $25,535.00 $17,874.50 30% off $5,107.00 $22,981.50 $19,789.62 2026-07-15
J9307 HCPCS Pralatrexate 20 Mg/ml IV Soln 38 10 $26,763.00 $18,734.10 30% off $4,763.60 $26,737.20 $19,637.94 2026-07-15
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 19 10 $25,279.00 $17,695.30 30% off $5,055.80 $22,751.10 $19,591.23 2026-07-15
J1299 HCPCS Eculizumab 300 Mg/30ml IV Soln 19 10 $25,264.00 $17,684.80 30% off $5,052.80 $22,737.60 $19,579.60 2026-07-15
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7ml IV Soln 19 10 $25,252.00 $17,676.40 30% off $5,050.40 $22,726.80 $19,570.30 2026-07-15
J9153 HCPCS Daunorubicin-cytarabine Lipo 44-100 Mg IV Susr 19 10 $25,012.00 $17,508.40 30% off $5,002.40 $22,510.80 $19,384.30 2026-07-15
J9063 HCPCS Mirvetuximab Soravtansine-gynx 100 Mg/20ml IV Soln 19 10 $24,573.00 $17,201.10 30% off $4,914.60 $22,115.70 $19,044.08 2026-07-15
C2616 HCPCS Yttrium-90 Therasphere 19 10 $24,284.00 $16,998.80 30% off $4,856.80 $21,855.60 $18,820.10 2026-07-15
J9332 HCPCS Efgartigimod Alfa-fcab 400 Mg/20ml IV Soln 19 10 $23,977.00 $16,783.90 30% off $4,795.40 $21,579.30 $18,582.18 2026-07-15
A9591 HCPCS F-18 Fluoroestradiol 4-100 Mci/ml IV Soln 19 10 $23,529.00 $16,470.30 30% off $4,705.80 $21,176.10 $18,234.98 2026-07-15
J0600 HCPCS Edetate Calcium Disodium 1 Gm/5ml Ij Soln 19 10 $22,556.00 $15,789.20 30% off $4,511.20 $20,300.40 $17,480.90 2026-07-15
79000000 OTHER Hc Lithotripsy 19 10 $22,299.00 $15,609.30 30% off $4,459.80 $20,069.10 $17,281.73 2026-07-15
48100086 OTHER Hc Lt Atrial Appendg Closure Ep 19 10 $21,949.00 $15,364.30 30% off $4,389.80 $19,754.10 $17,010.48 2026-07-15
36000240 OTHER Hc Crc Janssen Study 19 10 $21,831.00 $15,281.70 30% off $4,366.20 $19,647.90 $16,919.03 2026-07-15
36000230 OTHER Hc Vitrectomy Ladder Study 19 10 $21,831.00 $15,281.70 30% off $4,366.20 $19,647.90 $16,919.03 2026-07-15
75000109 OTHER Hc Egd Partial/complete Esophagogastric Fundoplasty 19 10 $21,536.00 $15,075.20 30% off $4,307.20 $19,382.40 $16,690.40 2026-07-15
48100109 OTHER Hc Vsd Catheter Closure 19 10 $21,274.00 $14,891.80 30% off $4,254.80 $19,146.60 $16,487.35 2026-07-15
J1290 HCPCS Ecallantide 10 Mg/ml Sc Soln 19 10 $20,926.00 $14,648.20 30% off $4,185.20 $18,833.40 $16,217.65 2026-07-15
J0391 HCPCS Artesunate 110 Mg IV Solr 19 10 $20,835.00 $14,584.50 30% off $4,167.00 $18,751.50 $16,147.12 2026-07-15
20800000 OTHER Hc Trauma ICU R&b 12 8 $17,623.00 $12,336.10 30% off $8,811.50 $15,860.70 $15,860.70 2026-07-15
36000163 OTHER Hc Or Trauma Response Fee 19 10 $20,123.00 $14,086.10 30% off $4,024.60 $18,110.70 $15,595.32 2026-07-15
J9015 HCPCS Aldesleukin 22000000 Units IV Solr 19 10 $20,042.00 $14,029.40 30% off $4,008.40 $18,037.80 $15,532.55 2026-07-15
J9057 HCPCS Copanlisib Hcl 60 Mg IV Solr 19 10 $19,953.00 $13,967.10 30% off $3,990.60 $17,957.70 $15,463.58 2026-07-15
17400000 OTHER Hc Neonatal ICU Level IV R&b 12 8 $17,037.00 $11,925.90 30% off $8,518.50 $15,333.30 $15,333.30 2026-07-15
J0491 HCPCS Anifrolumab-fnia 300 Mg/2ml IV Soln 19 10 $19,669.00 $13,768.30 30% off $3,933.80 $17,702.10 $15,243.48 2026-07-15
48100133 OTHER Hc Ep Comp Without Arrythmia Induct (93619) 19 10 $19,596.00 $13,717.20 30% off $3,919.20 $17,636.40 $15,186.90 2026-07-15
J0517 HCPCS Benralizumab 30 Mg/ml Sc Sosy 19 10 $19,463.00 $13,624.10 30% off $3,892.60 $17,516.70 $15,083.82 2026-07-15
J9021 HCPCS Asparaginase Erwinia Chry-rywn (rylaze) 10 Mg/0.5ml IM Soln 19 10 $19,293.00 $13,505.10 30% off $3,858.60 $17,363.70 $14,952.08 2026-07-15
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 19 10 $19,119.00 $13,383.30 30% off $3,823.80 $17,207.10 $14,817.22 2026-07-15
J0584 HCPCS Burosumab-twza 10 Mg/ml Sc Soln 38 10 $23,805.00 $16,663.50 30% off $3,285.40 $28,064.70 $14,784.30 2026-07-15
J7169 HCPCS Coag Fact Xa Inactivated-zhzo 200 Mg IV Solr 95 10 $22,547.00 $15,782.90 30% off $3,273.60 $33,807.60 $14,731.20 2026-07-15
J2406 HCPCS Oritavancin Diphosphate 1200 Mg IV Solr 19 10 $18,682.00 $13,077.40 30% off $3,736.40 $16,813.80 $14,478.55 2026-07-15
77372 CPT Hc Stereotactic Rad Tx Del Cranial Lesn 19 10 $18,559.00 $12,991.30 30% off $3,711.80 $16,703.10 $14,383.22 2026-07-15
J9352 HCPCS Trabectedin 1 Mg IV Solr 19 10 $18,329.00 $12,830.30 30% off $3,665.80 $16,496.10 $14,204.98 2026-07-15
36900000 OTHER Hc Trauma Response Level I 19 10 $17,733.00 $12,413.10 30% off $3,546.60 $15,959.70 $13,743.08 2026-07-15
J9027 HCPCS Clofarabine 1 Mg/ml IV Soln 19 10 $17,659.00 $12,361.30 30% off $3,531.80 $15,893.10 $13,685.72 2026-07-15
33210 CPT Hc Temporary Transvenous Pacing (single Chamber) 19 10 $17,536.00 $12,275.20 30% off $3,507.20 $15,782.40 $13,590.40 2026-07-15
J9204 HCPCS Mogamulizumab-kpkc 20 Mg/5ml IV Soln 19 10 $17,461.00 $12,222.70 30% off $3,492.20 $15,714.90 $13,532.28 2026-07-15
J0896 HCPCS Luspatercept-aamt 25 Mg Sc Solr 38 10 $21,765.00 $15,235.50 30% off $3,004.00 $25,659.00 $13,518.00 2026-07-15
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 57 10 $16,943.00 $11,860.10 30% off $3,235.80 $21,795.30 $13,319.35 2026-07-15
J0139 HCPCS Adalimumab 40 Mg/0.8ml Sc Ajkt 19 10 $17,148.00 $12,003.60 30% off $3,429.60 $15,433.20 $13,289.70 2026-07-15
J0597 HCPCS C1 Esterase Inhibitor (human) 500 Units IV Kit 19 10 $17,008.00 $11,905.60 30% off $3,401.60 $15,307.20 $13,181.20 2026-07-15
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 38 10 $28,786.00 $20,150.20 30% off $2,913.80 $38,702.70 $13,112.10 2026-07-15
J9295 HCPCS Necitumumab 800 Mg/50 Ml Inj 19 10 $16,777.00 $11,743.90 30% off $3,355.40 $15,099.30 $13,002.18 2026-07-15
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 19 10 $16,607.00 $11,624.90 30% off $3,321.40 $14,946.30 $12,870.42 2026-07-15
J9050 HCPCS Carmustine 100 Mg IV Solr 19 10 $16,586.00 $11,610.20 30% off $3,317.20 $14,927.40 $12,854.15 2026-07-15
78430 CPT Hc Mpi PET Perf With Cncrnt CT Single 19 10 $16,585.00 $11,609.50 30% off $3,317.00 $14,926.50 $12,853.38 2026-07-15
20300000 OTHER Hc Pediatric ICU R&b 12 8 $14,224.00 $9,956.80 30% off $7,112.00 $12,801.60 $12,801.60 2026-07-15
21000000 OTHER Hc General Ccu R&b 12 8 $14,224.00 $9,956.80 30% off $7,112.00 $12,801.60 $12,801.60 2026-07-15
20100000 OTHER Hc Surgical ICU R&b 12 8 $14,224.00 $9,956.80 30% off $7,112.00 $12,801.60 $12,801.60 2026-07-15
20200001 OTHER Hc Intensive Care R&b 12 8 $14,224.00 $9,956.80 30% off $7,112.00 $12,801.60 $12,801.60 2026-07-15
20200000 OTHER Hc Medical ICU R&b 12 8 $14,224.00 $9,956.80 30% off $7,112.00 $12,801.60 $12,801.60 2026-07-15
J9039 HCPCS Blinatumomab 196 Mcg Over 7 Days Simple Erx 38 10 $41,696.00 $29,187.20 30% off $2,527.00 $63,681.30 $12,761.45 2026-07-15
0DV64CZ OTHER Restriction Of Stomach With Extraluminal Device Percutaneous Endoscopic Approach 3 1 — — $12,600.00 $12,600.00 $12,600.00 2026-07-15
0DW643Z OTHER Revision Of Infusion Device In Stomach Percutaneous Endoscopic Approach 3 1 — — $12,600.00 $12,600.00 $12,600.00 2026-07-15
0DP643Z OTHER Removal Of Infusion Device From Stomach Percutaneous Endoscopic Approach 3 1 — — $12,600.00 $12,600.00 $12,600.00 2026-07-15
0DW64CZ OTHER Revision Of Extraluminal Device In Stomach Percutaneous Endoscopic Approach 3 1 — — $12,600.00 $12,600.00 $12,600.00 2026-07-15
0DP64CZ OTHER Removal Of Extraluminal Device From Stomach Percutaneous Endoscopic Approach 3 1 — — $12,600.00 $12,600.00 $12,600.00 2026-07-15
J9317 HCPCS Sacituzumab Govitecan-hziy 180 Mg IV Solr 19 10 $16,223.00 $11,356.10 30% off $3,244.60 $14,600.70 $12,572.82 2026-07-15
36000298 OTHER Hc Creation Av Fistula For Hd 19 10 $16,174.00 $11,321.80 30% off $3,234.80 $14,556.60 $12,534.85 2026-07-15
J9268 HCPCS Pentostatin 10 Mg IV Solr 19 10 $15,990.00 $11,193.00 30% off $3,198.00 $14,391.00 $12,392.25 2026-07-15
17300000 OTHER Hc Neonatal ICU Level Iii R&b 12 8 $13,705.00 $9,593.50 30% off $6,852.50 $12,334.50 $12,334.50 2026-07-15
0636 RC — 19 10 $15,898.00 $11,128.60 30% off $3,179.60 $14,308.20 $12,320.95 2026-07-15
J9286 HCPCS Glofitamab-gxbm 10 Mg/10ml IV Soln 38 10 $19,322.50 $13,525.75 30% off $2,717.20 $22,553.10 $12,227.40 2026-07-15
93621 CPT Hc Ep Comp W/left Atrial Pacng/rec (93621) 19 10 $15,722.00 $11,005.40 30% off $3,144.40 $14,149.80 $12,184.55 2026-07-15
78429 CPT Hc Mpi PET Metab With Cncrnt CT Single 19 10 $15,708.00 $10,995.60 30% off $3,141.60 $14,137.20 $12,173.70 2026-07-15
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.91ml Sc Sosy 19 10 $15,653.00 $10,957.10 30% off $3,130.60 $14,087.70 $12,131.08 2026-07-15
J9020 HCPCS Crisantaspase (erwinase) 10000 Units Ij Solr 19 10 $15,620.00 $10,934.00 30% off $3,124.00 $14,058.00 $12,105.50 2026-07-15
J9019 HCPCS Asparaginase Erwinia Chrysanth 10000 Units Ij Solr 19 10 $15,620.00 $10,934.00 30% off $3,124.00 $14,058.00 $12,105.50 2026-07-15
J9319 HCPCS Romidepsin 10 Mg IV Solr 19 10 $15,608.00 $10,925.60 30% off $3,121.60 $14,047.20 $12,096.20 2026-07-15
36100012 OTHER Hc Ecmo/ecls Insertion 19 10 $15,560.00 $10,892.00 30% off $3,112.00 $14,004.00 $12,059.00 2026-07-15
33954 CPT Hc Ecmo/ecls Insj Of Prph Cannula 6 Yrs&older Open 19 10 $15,560.00 $10,892.00 30% off $3,112.00 $14,004.00 $12,059.00 2026-07-15
33956 CPT Hc Ecmo/ecls Insj Of Central Cannula 6 Yrs & Older 19 10 $15,560.00 $10,892.00 30% off $3,112.00 $14,004.00 $12,059.00 2026-07-15
33953 CPT Hc Ecmo/ecls Insj Of Prph Cannula Birth-5 Yrs Open 19 10 $15,526.00 $10,868.20 30% off $3,105.20 $13,973.40 $12,032.65 2026-07-15
81416 CPT Exome Sequence Analysis 3 3 — — $12,000.00 $12,000.00 $12,000.00 2026-07-15
36000089 OTHER Hc Or Base Charge Level 8 38 10 $17,294.50 $12,106.15 30% off $2,907.80 $18,045.00 $11,987.41 2026-07-15
Q5111 HCPCS Pegfilgrastim-cbqv (inf Dev) 6 Mg/0.6ml Sc Sosy 19 10 $15,409.00 $10,786.30 30% off $3,081.80 $13,868.10 $11,941.98 2026-07-15
Q5127 HCPCS Pegfilgrastim-fpgk 6 Mg/0.6ml Sc Sosy 19 10 $15,374.00 $10,761.80 30% off $3,074.80 $13,836.60 $11,914.85 2026-07-15
J9176 HCPCS Elotuzumab 300 Mg Inj 38 10 $15,134.50 $10,594.15 30% off $2,952.60 $13,955.40 $11,869.85 2026-07-15
36000300 OTHER Hc Rf Ablation W/kyphoplasty Thoracic 19 10 $15,314.00 $10,719.80 30% off $3,062.80 $13,782.60 $11,868.35 2026-07-15
36000301 OTHER Hc Rf Ablation W/kyphoplasty Sacral 19 10 $15,314.00 $10,719.80 30% off $3,062.80 $13,782.60 $11,868.35 2026-07-15
36000299 OTHER Hc Rf Ablation W/kyphoplasty Lumbar 19 10 $15,314.00 $10,719.80 30% off $3,062.80 $13,782.60 $11,868.35 2026-07-15
J9207 HCPCS Ixabepilone 15 Mg IV Solr 38 10 $17,786.00 $12,450.20 30% off $2,614.20 $20,250.90 $11,763.90 2026-07-15
75000132 OTHER Hc Bronchoscopy W/placement Tracheal Stent 19 10 $15,152.00 $10,606.40 30% off $3,030.40 $13,636.80 $11,742.80 2026-07-15
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg IV Solr 19 10 $15,082.00 $10,557.40 30% off $3,016.40 $13,573.80 $11,688.55 2026-07-15
J1950 HCPCS Leuprolide Acetate (1 Month) 11.25 Mg IM Kit Peds 133 10 $18,559.00 $12,991.30 30% off $2,159.00 $50,893.20 $11,683.80 2026-07-15
J9205 HCPCS Irinotecan Hcl Liposome 43 Mg/10ml IV Inj 19 10 $15,074.00 $10,551.80 30% off $3,014.80 $13,566.60 $11,682.35 2026-07-15
J9177 HCPCS Enfortumab Vedotin-ejfv 20 Mg IV Solr 19 10 $14,936.00 $10,455.20 30% off $2,987.20 $13,442.40 $11,575.40 2026-07-15
33951 CPT Hc Ecmo/ecls Insj Of Prph Cannula Birth-5 Yrs Perq 19 10 $14,893.00 $10,425.10 30% off $2,978.60 $13,403.70 $11,542.08 2026-07-15
12200003 OTHER Hc Ante/postpartum Intsv R&b 12 8 $12,758.00 $8,930.60 30% off $6,379.00 $11,482.20 $11,482.20 2026-07-15
J0565 HCPCS Bezlotoxumab 1000 Mg/40ml IV Soln 19 10 $14,726.00 $10,308.20 30% off $2,945.20 $13,253.40 $11,412.65 2026-07-15
J0598 HCPCS C1 Esterase Inhibitor (human) 500 Units IV Solr 38 10 $14,704.50 $10,293.15 30% off $2,739.20 $14,141.70 $11,292.35 2026-07-15
48100087 OTHER Hc Pacemaker Explant Ep 19 10 $14,556.00 $10,189.20 30% off $2,911.20 $13,100.40 $11,280.90 2026-07-15
33952 CPT Hc Ecmo/ecls Insj Of Prph Cannula 6 Yrs&older Perq 19 10 $14,534.00 $10,173.80 30% off $2,906.80 $13,080.60 $11,263.85 2026-07-15
75726 CPT Hc Angio Visceral Ea Vessel 38 10 $14,184.50 $9,929.15 30% off $2,701.80 $13,374.00 $11,138.17 2026-07-15
J9358 HCPCS Fam-trastuzumab Deruxtec-nxki 100 Mg IV Solr 19 10 $14,367.00 $10,056.90 30% off $2,873.40 $12,930.30 $11,134.42 2026-07-15
J2182 HCPCS Mepolizumab 100 Mg/ml Sc Sosy 19 10 $14,296.00 $10,007.20 30% off $2,859.20 $12,866.40 $11,079.40 2026-07-15
36100023 OTHER Hc Ecmo/ecls Reposition 19 10 $14,166.00 $9,916.20 30% off $2,833.20 $12,749.40 $10,978.65 2026-07-15
J9227 HCPCS Isatuximab-irfc 100 Mg/5ml IV Soln 38 10 $13,962.00 $9,773.40 30% off $2,592.40 $13,465.80 $10,687.17 2026-07-15
77771 CPT Hc Remote Afterld 2-12 Chan 19 10 $13,778.00 $9,644.60 30% off $2,755.60 $12,400.20 $10,677.95 2026-07-15
J7504 HCPCS Lymphocyte,anti-thymo Imm Glob 50 Mg/ml IV Soln 19 10 $13,763.00 $9,634.10 30% off $2,752.60 $12,386.70 $10,666.32 2026-07-15
36000229 OTHER Hc Or Base Charge Level 6 38 10 $14,345.00 $10,041.50 30% off $2,586.40 $14,182.20 $10,662.44 2026-07-15
20600001 OTHER Hc Intermediate ICU R&b 12 8 $11,821.00 $8,274.70 30% off $5,910.50 $10,638.90 $10,638.90 2026-07-15
36000087 OTHER Hc Or Base Charge Level 7 38 10 $15,307.50 $10,715.25 30% off $2,573.80 $15,971.40 $10,610.49 2026-07-15
J3358 HCPCS Ustekinumab 130 Mg/26ml IV Soln 19 10 $13,659.00 $9,561.30 30% off $2,731.80 $12,293.10 $10,585.72 2026-07-15
33963 CPT Hc Ecmo/ecls Repos Central Perph Cannula Birth-5yrs 19 10 $13,652.00 $9,556.40 30% off $2,730.40 $12,286.80 $10,580.30 2026-07-15
C9460 HCPCS Cangrelor Tetrasodium 50 Mg IV Solr 19 10 $13,618.00 $9,532.60 30% off $2,723.60 $12,256.20 $10,553.95 2026-07-15
J1569 HCPCS Immune Globulin (gammagard) 20 Gm Soln Ch 38 10 $15,942.50 $11,159.75 30% off $2,550.80 $17,217.90 $10,541.18 2026-07-15
J9400 HCPCS Ziv-aflibercept 100 Mg/4ml IV Soln 19 10 $13,428.00 $9,399.60 30% off $2,685.60 $12,085.20 $10,406.70 2026-07-15
48100101 OTHER Hc Alcohol Ablation Septal W/wo Temp Pm Insertion 19 10 $13,333.00 $9,333.10 30% off $2,666.60 $11,999.70 $10,333.08 2026-07-15
17200000 OTHER Hc Neonatal ICU Level Ii R&b 12 8 $11,481.00 $8,036.70 30% off $5,740.50 $10,332.90 $10,332.90 2026-07-15
48100076 OTHER Hc Stent Insertion Non Coronary 19 10 $13,240.00 $9,268.00 30% off $2,648.00 $11,916.00 $10,261.00 2026-07-15
75000123 OTHER Hc Sigmoidoscopy Flx W/dcmprn W/plmt Dcmprn Tube 19 10 $13,119.00 $9,183.30 30% off $2,623.80 $11,807.10 $10,167.22 2026-07-15
77373 CPT Hc Stereotactic Radiation Tx Delivery 19 10 $13,066.00 $9,146.20 30% off $2,613.20 $11,759.40 $10,126.15 2026-07-15
77301 CPT Hc Intense Modul Radther Pln 19 10 $13,065.00 $9,145.50 30% off $2,613.00 $11,758.50 $10,125.38 2026-07-15
J1439 HCPCS Ferric Carboxymaltose 750 Mg/15ml IV Soln 19 10 $12,996.00 $9,097.20 30% off $2,599.20 $11,696.40 $10,071.90 2026-07-15
J9173 HCPCS Durvalumab 120 Mg/2.4ml IV Soln 38 10 $13,839.50 $9,687.65 30% off $2,414.60 $14,045.40 $9,954.19 2026-07-15
J0485 HCPCS Belatacept 250 Mg IV Solr 19 10 $12,837.00 $8,985.90 30% off $2,567.40 $11,553.30 $9,948.68 2026-07-15
J9023 HCPCS Avelumab 200 Mg/10ml IV Soln 19 10 $12,689.00 $8,882.30 30% off $2,537.80 $11,420.10 $9,833.98 2026-07-15
75894 CPT Hc Embolization 19 10 $12,667.00 $8,866.90 30% off $2,533.40 $11,400.30 $9,816.93 2026-07-15
36000297 OTHER Hc Tmvi (transcatheter Mitral Valve Implantation/replacement) 19 10 $12,663.00 $8,864.10 30% off $2,532.60 $11,396.70 $9,813.83 2026-07-15
36000047 OTHER Hc Declot Of A-v Shunt 19 10 $12,594.00 $8,815.80 30% off $2,518.80 $11,334.60 $9,760.35 2026-07-15
J3424 HCPCS Hydroxocobalamin 5 G IV Solr 19 10 $12,581.00 $8,806.70 30% off $2,516.20 $11,322.90 $9,750.28 2026-07-15
J1602 HCPCS Golimumab 50 Mg/4ml IV Soln 19 10 $12,571.00 $8,799.70 30% off $2,514.20 $11,313.90 $9,742.52 2026-07-15
J0219 HCPCS Avalglucosidase Alfa-ngpt 100 Mg IV Solr 19 10 $12,521.00 $8,764.70 30% off $2,504.20 $11,268.90 $9,703.78 2026-07-15
48100093 OTHER Hc Pacemaker Insertion Dual Chamber Ep 19 10 $12,509.00 $8,756.30 30% off $2,501.80 $11,258.10 $9,694.48 2026-07-15
12200002 OTHER Hc Ante/postpartum Intrmd R&b 12 8 $10,602.00 $7,421.40 30% off $5,301.00 $9,541.80 $9,541.80 2026-07-15
48100146 OTHER Hc Leadless Removal Battery And Transmitter 19 10 $12,266.00 $8,586.20 30% off $2,453.20 $11,039.40 $9,506.15 2026-07-15
J9321 HCPCS Epcoritamab-bysp 48 Mg/0.8ml Sc Soln 38 10 $24,213.50 $16,949.45 30% off $2,108.40 $34,096.50 $9,487.80 2026-07-15
77772 CPT Hc Remote Afterld >12 Chan 19 10 $12,220.00 $8,554.00 30% off $2,444.00 $10,998.00 $9,470.50 2026-07-15
75891 CPT Hc Venogr Hepatc Wdg/fr Without Hemodyn 19 10 $12,156.00 $8,509.20 30% off $2,431.20 $10,940.40 $9,420.90 2026-07-15
J7190 HCPCS Antihemophilic Factor 1000 Units IV Solr 19 10 $12,088.00 $8,461.60 30% off $2,417.60 $10,879.20 $9,368.20 2026-07-15
J0206 HCPCS Allopurinol Sodium 500 Mg IV Solr 38 10 $13,132.00 $9,192.40 30% off $2,265.20 $13,444.20 $9,338.29 2026-07-15
J9303 HCPCS Panitumumab 100 Mg/5ml IV Soln 38 10 $17,080.50 $11,956.35 30% off $2,074.00 $21,411.90 $9,333.00 2026-07-15
Q5116 HCPCS Trastuzumab-qyyp 150 Mg IV Solr 19 10 $11,970.00 $8,379.00 30% off $2,394.00 $10,773.00 $9,276.75 2026-07-15
J0897 HCPCS Denosumab 120 Mg/1.7ml Sc Soln 38 10 $13,531.50 $9,472.05 30% off $2,247.40 $14,243.40 $9,264.91 2026-07-15
J3032 HCPCS Eptinezumab-jjmr 100 Mg/ml IV Soln 19 10 $11,935.00 $8,354.50 30% off $2,387.00 $10,741.50 $9,249.62 2026-07-15
72000000 OTHER Hc Birth Center Base 4 Proc 19 10 $11,889.00 $8,322.30 30% off $2,377.80 $10,700.10 $9,213.98 2026-07-15
43770 CPT Lap Place Gastr Adj Device 3 3 — — $9,000.00 $9,285.00 $9,142.50 2026-07-15
43771 CPT Lap Revise Gastr Adj Device 3 3 — — $9,000.00 $9,285.00 $9,142.50 2026-07-15
43773 CPT Lap Replace Gastr Adj Device 3 3 — — $9,000.00 $9,285.00 $9,142.50 2026-07-15
J2860 HCPCS Siltuximab 100 Mg IV Solr 38 10 $16,701.50 $11,691.05 30% off $2,028.00 $20,936.70 $9,126.00 2026-07-15
J9026 HCPCS Tarlatamab-dlle 10 Mg IV Solr 38 10 $23,451.00 $16,415.70 30% off $2,026.00 $33,094.80 $9,117.00 2026-07-15
J0175 HCPCS Donanemab-azbt 350 Mg/20ml IV Soln 19 10 $11,680.00 $8,176.00 30% off $2,336.00 $10,512.00 $9,052.00 2026-07-15
J7197 HCPCS Antithrombin Iii (human) 500 Units IV Solr 38 10 $11,646.50 $8,152.55 30% off $2,295.60 $10,633.50 $9,044.38 2026-07-15
J7195 HCPCS Coagulation Factor Ix (recomb) 1000 Units IV Kit 38 10 $12,380.00 $8,666.00 30% off $2,192.00 $12,420.00 $9,036.52 2026-07-15
43774 CPT Lap Rmvl Gastr Adj All Parts 2 2 — — $9,000.00 $9,000.00 $9,000.00 2026-07-15
43772 CPT Lap Rmvl Gastr Adj Device 2 2 — — $9,000.00 $9,000.00 $9,000.00 2026-07-15
43775 CPT Lap Sleeve Gastrectomy 2 2 — — $9,000.00 $9,000.00 $9,000.00 2026-07-15
75893 CPT Hc Venous Sampling Thru Cath W/wo Angiography Rs&i 19 10 $11,600.00 $8,120.00 30% off $2,320.00 $10,440.00 $8,990.00 2026-07-15
J1786 HCPCS Imiglucerase 400 Units IV Solr 19 10 $11,593.00 $8,115.10 30% off $2,318.60 $10,433.70 $8,984.58 2026-07-15
J0850 HCPCS Cytomegalovirus Immune Glob 50 Mg/ml IV Soln 19 10 $11,566.00 $8,096.20 30% off $2,313.20 $10,409.40 $8,963.65 2026-07-15
33947 CPT Hc Ecmo/ecls Initiation Veno-arterial 19 10 $11,531.00 $8,071.70 30% off $2,306.20 $10,377.90 $8,936.52 2026-07-15
36100019 OTHER Hc Ecmo/ecls Initiation 19 10 $11,531.00 $8,071.70 30% off $2,306.20 $10,377.90 $8,936.52 2026-07-15
J3055 HCPCS Talquetamab-tgvs 3 Mg/1.5ml Sc Soln 38 10 $20,189.50 $14,132.65 30% off $1,983.80 $27,414.00 $8,927.10 2026-07-15
J2515 HCPCS Pentobarbital Sodium 50 Mg/ml Ij Soln 133 10 $11,268.00 $7,887.60 30% off $2,074.00 $11,738.70 $8,895.54 2026-07-15
J0300 HCPCS Amobarbital Sodium 500 Mg Ij Solr 19 10 $11,472.00 $8,030.40 30% off $2,294.40 $10,324.80 $8,890.80 2026-07-15
48100083 OTHER Hc Gen Change Pacer Single Or Dual Ep W Gen Removal 19 10 $11,420.00 $7,994.00 30% off $2,284.00 $10,278.00 $8,850.50 2026-07-15
48100078 OTHER Hc Bivent Pacemaker Upgrade Ep W Imaging 19 10 $11,366.00 $7,956.20 30% off $2,273.20 $10,229.40 $8,808.65 2026-07-15
48100104 OTHER Hc Perq Closure Pv Leak Ea Addl Device Aortic/mitral Valve 19 10 $11,361.00 $7,952.70 30% off $2,272.20 $10,224.90 $8,804.78 2026-07-15
J2997 HCPCS Alteplase 100 Mg IV Solr 57 10 $15,890.00 $11,123.00 30% off $555.00 $28,583.10 $8,739.50 2026-07-15
36000304 OTHER Hc Cysto, Litho, Vacuum Kidney 19 10 $11,251.00 $7,875.70 30% off $2,250.20 $10,125.90 $8,719.52 2026-07-15
J9308 HCPCS Ramucirumab 100 Mg/10ml IV Soln 38 10 $18,652.00 $13,056.40 30% off $1,929.40 $24,891.30 $8,682.30 2026-07-15
J0875 HCPCS Dalbavancin Hcl 500 Mg IV Solr 19 10 $11,190.00 $7,833.00 30% off $2,238.00 $10,071.00 $8,672.25 2026-07-15
36000172 OTHER Hc Perc Peritoneal Portacath 19 10 $11,117.00 $7,781.90 30% off $2,223.40 $10,005.30 $8,615.68 2026-07-15
75000122 OTHER Hc Sigmoidoscopy Flx Placement Of Endoscopic Stent 19 10 $11,104.00 $7,772.80 30% off $2,220.80 $9,993.60 $8,605.60 2026-07-15
J7192 HCPCS Antihemophil Factor (rahf-pfm) 500 Units IV Solr 19 10 $11,082.00 $7,757.40 30% off $2,216.40 $9,973.80 $8,588.55 2026-07-15
J0207 HCPCS Amifostine 500 Mg IV Solr 19 10 $11,053.00 $7,737.10 30% off $2,210.60 $9,947.70 $8,566.08 2026-07-15
36000161 OTHER Hc Or Base Charge Level 5 38 10 $12,351.50 $8,646.05 30% off $2,076.80 $12,887.10 $8,561.60 2026-07-15
21400000 OTHER Hc Intermediate Ccu R&b 12 8 $9,484.00 $6,638.80 30% off $4,742.00 $8,535.60 $8,535.60 2026-07-15
20600002 OTHER Hc Peds Intermediate R&b 12 8 $9,484.00 $6,638.80 30% off $4,742.00 $8,535.60 $8,535.60 2026-07-15
0315U CPT Onc Cutan Sq Cll Ca Mrna 40 3 3 — — $8,500.00 $8,500.00 $8,500.00 2026-07-15
J0490 HCPCS Belimumab 120 Mg IV Solr 38 10 $12,045.00 $8,431.50 30% off $2,059.20 $12,414.60 $8,489.06 2026-07-15
0211U CPT Onc Pan-tum Dna&rna Gnrj Seq 3 3 — — $8,455.00 $8,455.00 $8,455.00 2026-07-15
J2802 HCPCS Romiplostim 125 Mcg Sc Solr Adult 38 10 $12,696.50 $8,887.55 30% off $2,049.80 $13,629.60 $8,450.30 2026-07-15
J1212 HCPCS Dimethyl Sulfoxide 50 % Is Soln 19 10 $10,875.00 $7,612.50 30% off $2,175.00 $9,787.50 $8,428.12 2026-07-15
J2357 HCPCS Omalizumab 150 Mg Sc Solr 57 10 $11,626.00 $8,138.20 30% off $1,871.00 $13,255.20 $8,419.50 2026-07-15
Q9968 HCPCS Isosulfan Blue 1 % Sc Soln 19 10 $10,836.00 $7,585.20 30% off $2,167.20 $9,752.40 $8,397.90 2026-07-15
Q0224 HCPCS Ind-pemivibart 500 Mg/4ml IV Soln 19 10 $10,775.00 $7,542.50 30% off $2,155.00 $9,697.50 $8,350.62 2026-07-15
78814 CPT Hc Nm Pet/ct Ltd 19 10 $10,756.00 $7,529.20 30% off $2,151.20 $9,680.40 $8,335.90 2026-07-15
J0585 HCPCS Onabotulinumtoxina 100 Units Ij Solr 19 10 $10,646.00 $7,452.20 30% off $2,129.20 $9,581.40 $8,250.65 2026-07-15
J9330 HCPCS Temsirolimus 10 Mg/ml IV Diluted Soln 38 10 $11,281.00 $7,896.70 30% off $1,995.40 $11,326.50 $8,226.04 2026-07-15
75000088 OTHER Hc Colonoscopy Flexible With Decompression 19 10 $10,599.00 $7,419.30 30% off $2,119.80 $9,539.10 $8,214.22 2026-07-15
36000175 OTHER Hc Perc Renal Calculus Remov 19 10 $10,561.00 $7,392.70 30% off $2,112.20 $9,504.90 $8,184.78 2026-07-15
J9055 HCPCS Cetuximab 100 Mg/50ml IV Soln 38 10 $11,128.50 $7,789.95 30% off $1,984.80 $11,099.70 $8,182.34 2026-07-15
J9380 HCPCS Teclistamab-cqyv 153 Mg/1.7ml Sc Soln 38 10 $17,785.50 $12,449.85 30% off $1,817.40 $23,835.60 $8,178.30 2026-07-15
J3285 HCPCS Treprostinil 100 Mg/20ml Ij Soln 152 10 $12,514.50 $8,760.15 30% off $745.20 $32,517.90 $8,145.90 2026-07-15
72000008 OTHER Hc Birth Center Base 3 Proc 19 10 $10,455.00 $7,318.50 30% off $2,091.00 $9,409.50 $8,102.62 2026-07-15
J7198 HCPCS Antiinhibitor Coagulant Cmplx 1000 Units IV Solr 38 10 $11,503.00 $8,052.10 30% off $1,955.00 $11,907.90 $8,059.49 2026-07-15
78608 CPT Hc PET Scan Brain Metabolic Eval 19 10 $10,365.00 $7,255.50 30% off $2,073.00 $9,328.50 $8,032.88 2026-07-15
A9582 HCPCS I-123 Mibg 19 10 $10,323.00 $7,226.10 30% off $2,064.60 $9,290.70 $8,000.32 2026-07-15
75842 CPT Hc Venogr Adrenal Bilat Select 19 10 $10,306.00 $7,214.20 30% off $2,061.20 $9,275.40 $7,987.15 2026-07-15
J3111 HCPCS Romosozumab-aqqg 105 Mg/1.17ml Sc Sosy 19 10 $10,248.00 $7,173.60 30% off $2,049.60 $9,223.20 $7,942.20 2026-07-15
J2783 HCPCS Rasburicase 1.5 Mg IV Solr 38 10 $14,805.50 $10,363.85 30% off $1,759.80 $18,730.80 $7,919.10 2026-07-15
Q4148 HCPCS Hc Supplies 278 HCPCS Q4148 19 10 $10,216.00 $7,151.20 30% off $2,043.20 $9,194.40 $7,917.40 2026-07-15
J9047 HCPCS Carfilzomib 10 Mg IV Solr 57 10 $10,561.00 $7,392.70 30% off $1,751.60 $14,966.10 $7,882.20 2026-07-15
J0248 HCPCS Remdesivir 100 Mg IV Solr 19 10 $10,068.00 $7,047.60 30% off $2,013.60 $9,061.20 $7,802.70 2026-07-15
81552 CPT Onc Uveal Mlnma Mrna 15 Gene 3 3 — — $7,776.00 $7,776.00 $7,776.00 2026-07-15
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Ij Soln 57 10 $10,223.00 $7,156.10 30% off $1,774.20 $9,745.20 $7,728.59 2026-07-15
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