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 →

Export CSV
Hospital

CLEVELAND CLINIC MARTIN NORTH HOSPITAL

Stuart, FL · CCN 100044 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

5,028 distinct procedures filed
31 distinct payers
613,971 rate rows
2025-06-28 last MRF observed · ⚠ 14 mo old
Data quality

79,298 of 613,971 rate rows are consumer-grade (12.9%)

534,673 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
professional (physician) fee — not the facility price 282,257
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 205,096
per-diem day rate — not a per-procedure price 44,832
placeholder amount (≤ $0.02) — excluded from medians 2,335
exceeds 10× this hospital's gross charge — excluded from medians 129
percent-of-charges filed in the dollar field — excluded from medians 24

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/martin-north-south-tradition
Found on page https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 614bc36507ab1fda… · 19,269,976 bytes · first seen 2026-05-09

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
J3394
HCPCS 		Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 11 $3,286,000.00 $4,865,760.00 $3,351,720.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 11 $2,968,000.00 $4,674,600.00 $3,086,720.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 13 $2,388,614.23 $4,972,500.00 $2,508,044.94 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 11 $2,332,000.00 $4,897,200.00 $2,436,940.00 nat. median
$2,405,851
1.0× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 14 $460,530.40 $1,995,840.00 $615,878.02 nat. median
$577,541
1.1× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 14 $527,123.43 $2,255,279.76 $579,835.77 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 14 $516,726.08 $2,105,902.51 $568,398.69 nat. median
$624,417
0.9× median
Q2041
HCPCS 		Yescarta Intravenous Suspension 14 $489,455.96 $2,175,465.60 $538,401.56 nat. median
$588,565
0.9× median
J9226
HCPCS 		Supprelin La 50 Mg (65 Mcg/day) Implant Kit 14 $45,350.22 $175,562.52 $71,287.34 nat. median
$55,200
1.3× median
J9029
HCPCS 		Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 14 $25,200.00 $244,495.79 $65,888.96 nat. median
$69,291
1.0× median
C9293
HCPCS 		Voraxaze 1000 Unit Intravenous Solution 6 $618.80 $148,226.40 $54,102.63 nat. median
$24,377
outlier · 2.2×
A9543
HCPCS 		Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 14 $14,774.74 $219,601.49 $34,720.64 nat. median
$63,643
0.5× median
J9600
HCPCS 		Photofrin 75 Mg Intravenous Solution 14 $23,870.14 $111,950.40 $33,526.02 nat. median
$29,477
1.1× median
J9266
HCPCS 		Oncaspar 750 Unit/ml Injection Solution 14 $9,009.90 $104,615.50 $27,070.53 nat. median
$32,688
0.8× median
J1930
HCPCS 		Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe 14 $49.97 $109,584.00 $24,096.24 nat. median
$4,399
outlier · 5.5×
6840311006
NDC 		Babybig 100 Mg Intravenous Solution 6 $10,726.56 $51,570.00 $19,854.45 nat. median
$30,942
0.6× median
J9216
HCPCS 		Actimmune 100 Mcg (2 Million Unit)/0.5 Ml Subcutaneous Solution 6 $8,446.12 $40,606.35 $18,248.90 nat. median
$9,498
1.9× median
J9999
HCPCS 		Ziihera 300 Mg Intravenous Solution 6 $3,549.31 $2,268,000.00 $15,357.60 nat. median
$2,547
outlier · 6.0×
C9047
HCPCS 		Cablivi 11 Mg Injection Kit 6 $6,418.48 $30,858.06 $13,731.83 nat. median
$3,044
outlier · 4.5×
J0801
HCPCS 		Acthar H.p. 80 Unit/ml Injection Gel 6 $4,475.02 $32,618.88 $12,721.36 nat. median
$5,203
outlier · 2.4×
2433805008
NDC 		Gliadel Wafer 7.7 Mg Implant 6 $4,876.18 $23,443.16 $9,025.61 nat. median
$14,066
0.6× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 14 $4,926.00 $859,327.20 $8,620.50 nat. median
$8,133
1.1× median
Q2055
HCPCS 		Abecma 300x10exp6 To 460x10exp6 Cell Intravenous Suspension 5 $2,631.60 $47,847.16 $8,612.50 nat. median
$610,161
outlier · 0.0×
J1246
HCPCS 		Unituxin 3.5 Mg/ml Intravenous Solution 6 $3,803.36 $18,285.40 $8,137.01 nat. median
$3,697
outlier · 2.2×
J1162
HCPCS 		Digifab 40 Mg Intravenous Solution 14 $4,888.10 $19,201.34 $7,985.22 nat. median
$7,100
1.1× median
7223710401
NDC 		Xpovio 60 Mg/week (60 Mg X 1) Tablet 6 $4,091.82 $19,672.20 $7,573.80 nat. median
$11,803
0.6× median
7223710207
NDC 		Xpovio 40 Mg/week (40 Mg X 1) Tablet 6 $4,091.82 $19,672.20 $7,573.80 nat. median
$11,803
0.6× median
3877917563
NDC 		Fentanyl Citrate (bulk) 100 % Powder 6 $3,597.58 $17,296.08 $6,658.99 nat. median
$9,948
0.7× median
J0578
HCPCS 		Brixadi Monthly 128 Mg/0.36 Ml Solutionextend.rel. Subcut.syringe 14 $1,716.62 $34,160.01 $6,576.00 nat. median
$1,941
outlier · 3.4×
J9200
HCPCS 		Floxuridine 0.5 Gram Solution For Injection 14 $3,858.03 $17,474.92 $6,283.68 nat. median
$4,293
1.5× median
J2507
HCPCS 		Krystexxa 8 Mg/ml Intravenous Solution 14 $3,482.15 $108,080.82 $6,093.76 nat. median
$8,784
0.7× median
J9118
HCPCS 		Asparlas 750 Unit/ml Intravenous Solution 6 $112.76 $20,906.01 $5,832.77 nat. median
$190
outlier · 30.7×
4202315701
NDC 		Ethacrynate Sodium 50 Mg Intravenous Solution 6 $2,845.44 $13,680.00 $5,266.80 nat. median
$5,315
1.0× median
J2427
HCPCS 		Invega Trinza 546 Mg/1.75 Ml Intramuscular Syringe 14 $12.66 $15,418.74 $5,129.81 nat. median
$2,512
outlier · 2.0×
5000472500
NDC 		Deflux 50 Mg-15 Mg/ml (1) Syringe 7 $2,379.28 $10,294.97 $4,815.76 nat. median
$6,863
0.7× median
4236754032
NDC 		Ryanodex 250 Mg Intravenous Suspension 6 $2,481.79 $11,931.69 $4,593.70 nat. median
$6,383
0.7× median
J7170
HCPCS 		Hemlibra 30 Mg/ml Subcutaneous Solution 14 $52.82 $65,288.37 $4,570.19 nat. median
$108
outlier · 42.3×
J2426
HCPCS 		Invega Sustenna 39 Mg/0.25 Ml Intramuscular Syringe 14 $14.76 $8,566.17 $4,282.92 nat. median
$2,444
1.8× median
A9603
HCPCS 		Cytalux 3.2 Mg/1.6 Ml Intravenous Solution 6 $1,989.00 $9,562.50 $4,255.32 nat. median
$421
outlier · 10.1×
6302040002
NDC 		Ninlaro 4 Mg Capsule 6 $2,223.77 $10,691.20 $4,116.11 nat. median
$6,277
0.7× median
6302039002
NDC 		Ninlaro 3 Mg Capsule 6 $2,223.77 $10,691.20 $4,116.11 nat. median
$6,277
0.7× median
6302023002
NDC 		Ninlaro 2.3 Mg Capsule 6 $2,223.77 $10,691.20 $4,116.11 nat. median
$6,277
0.7× median
J0202
HCPCS 		Lemtrada 12 Mg/1.2 Ml Intravenous Solution 14 $2,337.69 $117,798.96 $4,090.96 nat. median
$3,876
1.1× median
J7352
HCPCS 		Scenesse 16 Mg Subcutaneous Implant 14 $2,873.33 $120,982.00 $3,975.96 nat. median
$3,403
1.2× median
7223710202
NDC 		Xpovio 80 Mg/week (40 Mg X 2) Tablet 6 $2,045.91 $9,836.10 $3,786.90 nat. median
$5,902
0.6× median
7223710206
NDC 		Xpovio 40 Mg Twice Week (40 Mg X 2) Tablet 6 $2,045.91 $9,836.10 $3,786.90 nat. median
$5,902
0.6× median
7223710305
NDC 		Xpovio 100 Mg/week (50 Mg X 2) Tablet 6 $2,045.91 $9,836.10 $3,786.90 nat. median
$5,902
0.6× median
5913723101
NDC 		Gleolan 30 Mg/ml Oral Solution 6 $1,994.30 $9,588.00 $3,691.38 nat. median
$4,660
0.8× median
Q9991
HCPCS 		Sublocade 100 Mg/0.5 Ml Solutionextended Release Subcutaneous Syringe 14 $1,778.56 $15,244.86 $3,303.05 nat. median
$2,409
1.4× median
J9286
HCPCS 		Columvi 1 Mg/ml Intravenous Solution 14 $1,768.28 $10,715.63 $3,283.96 nat. median
$5,597
0.6× median

Other procedures at this hospital

Browse this hospital's 5,028 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
             
J3394 HCPCS Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 14 11 — — $3,286,000.00 $4,865,760.00 $3,351,720.00 2025-06-28
J3393 HCPCS Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 15 11 — — $2,968,000.00 $4,674,600.00 $3,086,720.00 2025-06-28
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 19 13 — $4,972,500.00 $2,388,614.23 $4,972,500.00 $2,508,044.94 2025-06-28
J3392 HCPCS Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 16 11 — — $2,332,000.00 $4,897,200.00 $2,436,940.00 2025-06-28
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 24 14 $2,217,600.00 $1,441,440.00 35% off $460,530.40 $1,995,840.00 $615,878.02 2025-06-28
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 21 14 $2,505,866.40 $1,628,813.16 35% off $527,123.43 $2,255,279.76 $579,835.77 2025-06-28
Q2054 HCPCS Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 21 14 $2,339,891.68 $1,520,929.59 35% off $516,726.08 $2,105,902.51 $568,398.69 2025-06-28
Q2041 HCPCS Yescarta Intravenous Suspension 21 14 $2,417,184.00 $1,571,169.60 35% off $489,455.96 $2,175,465.60 $538,401.56 2025-06-28
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 27 14 $175,562.52 $114,115.64 35% off $45,350.22 $175,562.52 $71,287.34 2025-06-28
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 27 14 $72,000.00 $46,800.00 35% off $25,200.00 $244,495.79 $65,888.96 2025-06-28
C9293 HCPCS Voraxaze 1000 Unit Intravenous Solution 14 6 $148,226.40 $96,347.16 35% off $618.80 $148,226.40 $54,102.63 2025-06-28
A9543 HCPCS Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 24 14 $148,248.86 $96,361.76 35% off $14,774.74 $219,601.49 $34,720.64 2025-06-28
J9600 HCPCS Photofrin 75 Mg Intravenous Solution 24 14 $111,950.40 $72,767.76 35% off $23,870.14 $111,950.40 $33,526.02 2025-06-28
J9266 HCPCS Oncaspar 750 Unit/ml Injection Solution 26 14 $25,742.56 $16,732.66 35% off $9,009.90 $104,615.50 $27,070.53 2025-06-28
J1930 HCPCS Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe 41 14 $109,584.00 $71,229.60 35% off $49.97 $109,584.00 $24,096.24 2025-06-28
6840311006 NDC Babybig 100 Mg Intravenous Solution 14 6 $51,570.00 $33,520.50 35% off $10,726.56 $51,570.00 $19,854.45 2025-06-28
J9216 HCPCS Actimmune 100 Mcg (2 Million Unit)/0.5 Ml Subcutaneous Solution 14 6 $40,606.35 $26,394.13 35% off $8,446.12 $40,606.35 $18,248.90 2025-06-28
J9999 HCPCS Ziihera 300 Mg Intravenous Solution 25 6 $17,064.00 $11,091.60 35% off $3,549.31 $2,268,000.00 $15,357.60 2025-06-28
C9047 HCPCS Cablivi 11 Mg Injection Kit 14 6 $30,858.06 $20,057.74 35% off $6,418.48 $30,858.06 $13,731.83 2025-06-28
J0801 HCPCS Acthar H.p. 80 Unit/ml Injection Gel 25 6 $21,514.50 $13,984.43 35% off $4,475.02 $32,618.88 $12,721.36 2025-06-28
2433805008 NDC Gliadel Wafer 7.7 Mg Implant 14 6 $23,443.16 $15,238.05 35% off $4,876.18 $23,443.16 $9,025.61 2025-06-28
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 27 14 $859,327.20 $558,562.68 35% off $4,926.00 $859,327.20 $8,620.50 2025-06-28
Q2055 HCPCS Abecma 300x10exp6 To 460x10exp6 Cell Intravenous Suspension 21 5 $47,847.16 $31,100.65 35% off $2,631.60 $47,847.16 $8,612.50 2025-06-28
J1246 HCPCS Unituxin 3.5 Mg/ml Intravenous Solution 14 6 $18,285.40 $11,885.51 35% off $3,803.36 $18,285.40 $8,137.01 2025-06-28
J1162 HCPCS Digifab 40 Mg Intravenous Solution 27 14 $17,218.80 $11,192.22 35% off $4,888.10 $19,201.34 $7,985.22 2025-06-28
7223710207 NDC Xpovio 40 Mg/week (40 Mg X 1) Tablet 14 6 $19,672.20 $12,786.93 35% off $4,091.82 $19,672.20 $7,573.80 2025-06-28
7223710401 NDC Xpovio 60 Mg/week (60 Mg X 1) Tablet 14 6 $19,672.20 $12,786.93 35% off $4,091.82 $19,672.20 $7,573.80 2025-06-28
3877917563 NDC Fentanyl Citrate (bulk) 100 % Powder 14 6 $17,296.08 $11,242.45 35% off $3,597.58 $17,296.08 $6,658.99 2025-06-28
J0578 HCPCS Brixadi Monthly 128 Mg/0.36 Ml Solutionextend.rel. Subcut.syringe 41 14 $17,079.99 $11,101.99 35% off $1,716.62 $34,160.01 $6,576.00 2025-06-28
J9200 HCPCS Floxuridine 0.5 Gram Solution For Injection 27 14 $17,474.92 $11,358.70 35% off $3,858.03 $17,474.92 $6,283.68 2025-06-28
J2507 HCPCS Krystexxa 8 Mg/ml Intravenous Solution 27 14 $108,080.82 $70,252.53 35% off $3,482.15 $108,080.82 $6,093.76 2025-06-28
J9118 HCPCS Asparlas 750 Unit/ml Intravenous Solution 14 6 $20,906.01 $13,588.91 35% off $112.76 $20,906.01 $5,832.77 2025-06-28
4202315701 NDC Ethacrynate Sodium 50 Mg Intravenous Solution 14 6 $13,680.00 $8,892.00 35% off $2,845.44 $13,680.00 $5,266.80 2025-06-28
J2427 HCPCS Invega Trinza 546 Mg/1.75 Ml Intramuscular Syringe 41 14 $14,684.85 $9,545.15 35% off $12.66 $15,418.74 $5,129.81 2025-06-28
5000472500 NDC Deflux 50 Mg-15 Mg/ml (1) Syringe 21 7 $11,438.85 $7,435.25 35% off $2,379.28 $10,294.97 $4,815.76 2025-06-28
4236754032 NDC Ryanodex 250 Mg Intravenous Suspension 14 6 $11,931.69 $7,755.60 35% off $2,481.79 $11,931.69 $4,593.70 2025-06-28
J7170 HCPCS Hemlibra 30 Mg/ml Subcutaneous Solution 41 14 $13,057.68 $8,487.49 35% off $52.82 $65,288.37 $4,570.19 2025-06-28
J2426 HCPCS Invega Sustenna 39 Mg/0.25 Ml Intramuscular Syringe 55 14 $8,565.27 $5,567.43 35% off $14.76 $8,566.17 $4,282.92 2025-06-28
A9603 HCPCS Cytalux 3.2 Mg/1.6 Ml Intravenous Solution 14 6 $9,562.50 $6,215.63 35% off $1,989.00 $9,562.50 $4,255.32 2025-06-28
6302039002 NDC Ninlaro 3 Mg Capsule 14 6 $10,691.20 $6,949.28 35% off $2,223.77 $10,691.20 $4,116.11 2025-06-28
6302023002 NDC Ninlaro 2.3 Mg Capsule 14 6 $10,691.20 $6,949.28 35% off $2,223.77 $10,691.20 $4,116.11 2025-06-28
6302040002 NDC Ninlaro 4 Mg Capsule 14 6 $10,691.20 $6,949.28 35% off $2,223.77 $10,691.20 $4,116.11 2025-06-28
J0202 HCPCS Lemtrada 12 Mg/1.2 Ml Intravenous Solution 27 14 $117,798.96 $76,569.32 35% off $2,337.69 $117,798.96 $4,090.96 2025-06-28
J7352 HCPCS Scenesse 16 Mg Subcutaneous Implant 24 14 $120,982.00 $78,638.30 35% off $2,873.33 $120,982.00 $3,975.96 2025-06-28
7223710206 NDC Xpovio 40 Mg Twice Week (40 Mg X 2) Tablet 14 6 $9,836.10 $6,393.47 35% off $2,045.91 $9,836.10 $3,786.90 2025-06-28
7223710202 NDC Xpovio 80 Mg/week (40 Mg X 2) Tablet 14 6 $9,836.10 $6,393.47 35% off $2,045.91 $9,836.10 $3,786.90 2025-06-28
7223710305 NDC Xpovio 100 Mg/week (50 Mg X 2) Tablet 14 6 $9,836.10 $6,393.47 35% off $2,045.91 $9,836.10 $3,786.90 2025-06-28
5913723101 NDC Gleolan 30 Mg/ml Oral Solution 14 6 $9,588.00 $6,232.20 35% off $1,994.30 $9,588.00 $3,691.38 2025-06-28
Q9991 HCPCS Sublocade 100 Mg/0.5 Ml Solutionextended Release Subcutaneous Syringe 34 14 $15,244.86 $9,909.16 35% off $1,778.56 $15,244.86 $3,303.05 2025-06-28
J9286 HCPCS Columvi 1 Mg/ml Intravenous Solution 35 14 $5,052.24 $3,283.96 35% off $1,768.28 $10,715.63 $3,283.96 2025-06-28
5846803573 NDC Campath 30 Mg/ml Intravenous Solution 14 6 $8,472.00 $5,506.80 35% off $1,762.18 $8,472.00 $3,261.72 2025-06-28
J3240 HCPCS Thyrogen 0.9 Mg Intramuscular Solution 27 14 $6,613.77 $4,298.95 35% off $2,073.34 $8,033.28 $3,256.96 2025-06-28
J0840 HCPCS Crofab Solution For Injection 27 14 $11,512.80 $7,483.32 35% off $1,762.35 $11,512.80 $3,072.67 2025-06-28
J9026 HCPCS Imdelltra 1 Mg Intravenous Solution 32 14 $7,200.00 $4,680.00 35% off $1,545.00 $72,000.00 $3,028.61 2025-06-28
7053900101 NDC Tymlos 80 Mcg/dose (3120 Mcg/1.56 Ml) Subcutaneous Pen Injector 14 6 $6,523.89 $4,240.53 35% off $1,356.97 $6,523.89 $2,511.70 2025-06-28
6887501031 NDC Gattex One-vial 5 Mg Subcutaneous Kit 14 6 $6,472.56 $4,207.16 35% off $1,346.29 $6,472.56 $2,491.94 2025-06-28
Q3028 HCPCS Rebif (with Albumin) 44 Mcg/0.5 Ml Subcutaneous Syringe 14 6 $6,592.98 $4,285.44 35% off $60.16 $6,592.98 $2,406.43 2025-06-28
C9399 HCPCS Adbry 150 Mg/ml Subcutaneous Syringe 182 6 $3,662.43 $2,380.58 35% off $9.45 $3,140,640.00 $2,380.58 2025-06-28
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Injection Solution 26 14 $5,635.80 $3,663.27 35% off $1,173.06 $5,635.80 $1,885.91 2025-06-28
J9202 HCPCS Zoladex 3.6 Mg Subcutaneous Implant 34 14 $5,046.72 $3,280.37 35% off $674.77 $14,016.08 $1,767.20 2025-06-28
5957274007 NDC Onureg 300 Mg Tablet 14 6 $4,496.24 $2,922.56 35% off $935.22 $4,496.24 $1,731.05 2025-06-28
5957273007 NDC Onureg 200 Mg Tablet 14 6 $4,496.24 $2,922.56 35% off $935.22 $4,496.24 $1,731.05 2025-06-28
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 24 14 $99,288.57 $64,537.57 35% off $1,231.90 $99,288.57 $1,725.52 2025-06-28
J0207 HCPCS Ethyol 500 Mg Intravenous Solution 14 6 $3,857.07 $2,507.10 35% off $802.27 $3,857.07 $1,701.86 2025-06-28
J2802 HCPCS Nplate 250 Mcg Subcutaneous Solution 39 14 $9,910.86 $6,442.06 35% off $10.11 $19,821.66 $1,620.46 2025-06-28
6484207279 NDC Inqovi 35 Mg-100 Mg Tablet 14 6 $4,163.94 $2,706.56 35% off $866.10 $4,163.94 $1,603.12 2025-06-28
J7298 HCPCS Mirena 21 Mcg/24 Hr (up To 8 Years) 52 Mg Intrauterine Device 14 6 $2,915.12 $1,894.83 35% off $606.34 $2,915.12 $1,590.48 2025-06-28
J7296 HCPCS Kyleena 17.5 Mcg/24 Hr (up To 5 Years) 19.5 Mg Intrauterine Device 14 6 $2,915.12 $1,894.83 35% off $606.34 $2,915.12 $1,590.48 2025-06-28
J7307 HCPCS Nexplanon 68 Mg Subdermal Implant 14 6 $2,915.12 $1,894.83 35% off $606.34 $2,915.12 $1,590.48 2025-06-28
J9357 HCPCS Valstar 40 Mg/ml Intravesical Solution 24 14 $2,192.88 $1,425.37 35% off $1,425.37 $5,582.54 $1,544.86 2025-06-28
J7300 HCPCS Paragard T 380a 380 Square Mm Intrauterine Device 14 6 $2,732.00 $1,775.80 35% off $568.26 $2,732.00 $1,490.57 2025-06-28
J0577 HCPCS Brixadi Weekly 8 Mg/0.16 Ml Solutionextend.rel. Subcut.syringe 48 14 $9,607.50 $6,244.88 35% off $429.16 $9,607.50 $1,448.33 2025-06-28
J9217 HCPCS Eligard 22.5 Mg (3 Month) Subcutaneous Syringe 42 14 $4,878.24 $3,170.86 35% off $176.51 $9,756.48 $1,409.28 2025-06-28
A9505 HCPCS Thallous Chloride Tl-201 37 Mbq/ml (1 Mci/ml) Intravenous Solution 18 7 $4,603.30 $2,992.15 35% off $940.00 $4,142.97 $1,399.49 2025-06-28
4562908901 NDC Fotivda 0.89 Mg Capsule 14 6 $3,633.82 $2,361.98 35% off $755.83 $3,633.82 $1,399.02 2025-06-28
4562913401 NDC Fotivda 1.34 Mg Capsule 14 6 $3,633.82 $2,361.98 35% off $755.83 $3,633.82 $1,399.02 2025-06-28
J0178 HCPCS Eylea 2 Mg/0.05 Ml Intravitreal Syringe 27 14 $136,530.00 $88,744.50 35% off $821.98 $136,530.00 $1,392.76 2025-06-28
4382520001 NDC Terlivaz 0.85 Mg Intravenous Solution 14 6 $3,556.80 $2,311.92 35% off $739.81 $3,556.80 $1,369.37 2025-06-28
Q9983 HCPCS Neuraceq 8.1 Mci (300 Mbq) Intravenous Solution 28 14 $6,200.00 $4,030.00 35% off $940.00 $5,580.00 $1,337.45 2025-06-28
J7301 HCPCS Skyla 14 Mcg/24 Hr (up To 3 Years) 13.5 Mg Intrauterine Device 14 6 $2,427.32 $1,577.76 35% off $504.88 $2,427.32 $1,324.34 2025-06-28
90380 HCPCS Beyfortus 50 Mg/0.5 Ml Intramuscular Syringe 14 6 $3,742.20 $2,432.43 35% off $778.38 $3,742.20 $1,322.87 2025-06-28
J7511 HCPCS Thymoglobulin 25 Mg Intravenous Solution 27 14 $4,030.08 $2,619.55 35% off $956.74 $4,030.08 $1,317.84 2025-06-28
J3104 HCPCS Qalsody 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 14 6 $3,415.20 $2,219.88 35% off $710.36 $3,415.20 $1,314.86 2025-06-28
J3315 HCPCS Trelstar 11.25 Mg IM Suspension 34 14 $9,868.56 $6,414.56 35% off $466.73 $19,737.15 $1,303.05 2025-06-28
5088102801 NDC Pemazyre 13.5 Mg Tablet 14 6 $3,312.00 $2,152.80 35% off $688.90 $3,312.00 $1,275.12 2025-06-28
5088102601 NDC Pemazyre 4.5 Mg Tablet 14 6 $3,312.00 $2,152.80 35% off $688.90 $3,312.00 $1,275.12 2025-06-28
5088102701 NDC Pemazyre 9 Mg Tablet 14 6 $3,312.00 $2,152.80 35% off $688.90 $3,312.00 $1,275.12 2025-06-28
7223710103 NDC Xpovio 60 Mg Twice Weekly (120 Mg/week) (20 Mg X 6) Tablet 14 6 $3,278.70 $2,131.16 35% off $681.97 $3,278.70 $1,262.30 2025-06-28
7206412030 NDC Ayvakit 200 Mg Tablet 14 6 $3,266.96 $2,123.52 35% off $679.53 $3,266.96 $1,257.78 2025-06-28
7206415030 NDC Ayvakit 50 Mg Tablet 14 6 $3,266.96 $2,123.52 35% off $679.53 $3,266.96 $1,257.78 2025-06-28
7206412530 NDC Ayvakit 25 Mg Tablet 14 6 $3,266.96 $2,123.52 35% off $679.53 $3,266.96 $1,257.78 2025-06-28
7206411030 NDC Ayvakit 100 Mg Tablet 14 6 $3,266.96 $2,123.52 35% off $679.53 $3,266.96 $1,257.78 2025-06-28
7206413030 NDC Ayvakit 300 Mg Tablet 14 6 $3,266.96 $2,123.52 35% off $679.53 $3,266.96 $1,257.78 2025-06-28
5818130425 NDC Gleostine 100 Mg Capsule 14 6 $3,219.50 $2,092.68 35% off $669.66 $3,219.50 $1,239.51 2025-06-28
7269472840 NDC Voranigo 40 Mg Tablet 14 6 $3,190.48 $2,073.81 35% off $663.62 $3,190.48 $1,228.34 2025-06-28
J0583 HCPCS Bivalirudin 250 Mg Intravenous Powder For Solution 14 6 $3,411.81 $2,217.68 35% off $0.27 $3,411.81 $1,223.13 2025-06-28
A9547 HCPCS Indium In-111 Oxyquinoline 1 Mci/ml (37 Mbq/ml)(1 Ml) Intravenous Soln 31 14 $5,030.00 $3,269.50 35% off $772.64 $4,527.00 $1,216.91 2025-06-28
A9557 HCPCS Neurolite 0.9 Mg Intravenous Solution 31 14 $3,766.00 $2,447.90 35% off $683.80 $3,389.40 $1,182.00 2025-06-28
A9548 HCPCS Indium In-111 Dtpa 1.5 Mci/1.5 Ml Intrathecal Solution 31 14 $4,518.00 $2,936.70 35% off $715.29 $4,066.20 $1,182.00 2025-06-28
1004259001 NDC Susvimo Implant And Insertion Tool Intravitreal 14 6 $3,000.00 $1,950.00 35% off $624.00 $2,700.00 $1,155.00 2025-06-28
A9608 HCPCS Posluma 296 Mbq/ml To 5846 Mbq/ml Intravenous Solution 31 14 $9,836.00 $6,393.40 35% off $651.67 $8,852.40 $1,140.42 2025-06-28
6302022521 NDC Fruzaqla 5 Mg Capsule 14 6 $2,952.00 $1,918.80 35% off $614.02 $2,952.00 $1,136.52 2025-06-28
J1830 HCPCS Betaseron 0.3 Mg Subcutaneous Kit 14 6 $2,558.01 $1,662.71 35% off $532.07 $2,558.01 $1,128.67 2025-06-28
J9348 HCPCS Danyelza 4 Mg/ml Intravenous Solution 27 14 $12,511.64 $8,132.57 35% off $642.15 $12,511.64 $1,123.20 2025-06-28
J9350 HCPCS Lunsumio 1 Mg/ml Intravenous Solution 28 14 $2,996.44 $1,947.69 35% off $635.47 $2,996.44 $1,116.87 2025-06-28
5957270530 NDC Idhifa 50 Mg Tablet 14 6 $2,882.74 $1,873.78 35% off $599.61 $2,882.74 $1,109.86 2025-06-28
5957271030 NDC Idhifa 100 Mg Tablet 14 6 $2,882.74 $1,873.78 35% off $599.61 $2,882.74 $1,109.86 2025-06-28
J9210 HCPCS Gamifant 5 Mg/ml Intravenous Solution 34 14 $6,536.88 $4,248.97 35% off $378.03 $6,536.88 $1,095.79 2025-06-28
J1438 HCPCS Enbrel 25 Mg/0.5 Ml (0.5 Ml) Subcutaneous Syringe 24 14 $7,341.84 $4,772.20 35% off $790.78 $7,341.84 $1,094.24 2025-06-28
J0894 HCPCS Decitabine 50 Mg Intravenous Solution 22 6 $480.00 $312.00 35% off $3.09 $8,212.80 $1,094.13 2025-06-28
7144909190 NDC Bevacizumab 2.75 Mg/0.11 Ml Intravitreal Syringe 14 6 $2,814.54 $1,829.45 35% off $585.42 $2,814.54 $1,083.60 2025-06-28
J9248 HCPCS Hepzato (62 Mm Catheter) 50 Mg Intra-arterial Solution 24 14 $180,000.00 $117,000.00 35% off $773.80 $180,000.00 $1,070.74 2025-06-28
A9521 HCPCS Ceretec 0.5 Mg Intravenous Solution 28 14 $3,128.00 $2,033.20 35% off $802.34 $3,100.69 $1,069.39 2025-06-28
5957250421 NDC Pomalyst 4 Mg Capsule 14 6 $2,739.54 $1,780.70 35% off $569.82 $2,739.54 $1,054.72 2025-06-28
5957250221 NDC Pomalyst 2 Mg Capsule 14 6 $2,739.54 $1,780.70 35% off $569.82 $2,739.54 $1,054.72 2025-06-28
5957250121 NDC Pomalyst 1 Mg Capsule 14 6 $2,739.54 $1,780.70 35% off $569.82 $2,739.54 $1,054.72 2025-06-28
5957250321 NDC Pomalyst 3 Mg Capsule 14 6 $2,739.54 $1,780.70 35% off $569.82 $2,739.54 $1,054.72 2025-06-28
J2787 HCPCS Photrexa Cross-linking Kit 0.146 %-0.146 % Eye Drops And Viscous Drops 14 6 $2,736.00 $1,778.40 35% off $569.09 $2,736.00 $1,053.36 2025-06-28
J9218 HCPCS Leuprolide 1 Mg/0.2 Ml Subcutaneous Kit 11 6 $2,673.00 $1,737.45 35% off $32.52 $2,673.00 $1,042.47 2025-06-28
J0881 HCPCS Aranesp 25 Mcg/ml (in Polysorbate) Injection 54 14 $696.60 $452.79 35% off $3.04 $13,932.00 $1,040.59 2025-06-28
6195818011 NDC Harvoni 90 Mg-400 Mg Tablet 14 6 $2,700.00 $1,755.00 35% off $561.60 $2,700.00 $1,039.50 2025-06-28
J1944 HCPCS Aristada 441 Mg/1.6 Ml Suspension Extend.rel. IM Syringe 41 14 $3,579.75 $2,326.84 35% off $3.23 $3,582.48 $1,038.20 2025-06-28
6838239601 NDC Sodium Benzoate 10 %-sodium Phenylacetate 10 % Intravenous Solution 14 6 $2,628.00 $1,708.20 35% off $546.62 $2,628.00 $1,011.78 2025-06-28
7144909143 NDC Bevacizumab 2.5 Mg/0.1 Ml Intravitreal Syringe 14 6 $2,592.00 $1,684.80 35% off $539.14 $2,592.00 $997.92 2025-06-28
90378 HCPCS Synagis 50 Mg/0.5 Ml Intramuscular Solution 24 14 $13,108.74 $8,520.68 35% off $719.87 $13,108.74 $996.12 2025-06-28
J1290 HCPCS Kalbitor 10 Mg/ml (1 Ml) Subcutaneous Solution 27 14 $20,543.67 $13,353.39 35% off $565.83 $20,543.67 $988.12 2025-06-28
4947100105 NDC Pre-pen 0.25 Ml Intradermal Injection Solution 14 6 $2,557.44 $1,662.34 35% off $531.95 $2,557.44 $984.62 2025-06-28
A9592 HCPCS Detectnet 148 Mbq/4 Ml (4 Mci/4 Ml) Intravenous Solution 28 14 $7,700.00 $5,005.00 35% off $595.10 $6,930.00 $942.50 2025-06-28
J1743 HCPCS Elaprase 6 Mg/3 Ml Intravenous Solution 27 14 $3,875.88 $2,519.32 35% off $537.93 $3,875.88 $941.38 2025-06-28
6195815011 NDC Sovaldi 400 Mg Tablet 14 6 $2,400.00 $1,560.00 35% off $499.20 $2,400.00 $924.00 2025-06-28
J7314 HCPCS Yutiq 0.18 Mg Intravitreal Implant 27 14 $21,914.00 $14,244.10 35% off $527.97 $21,914.00 $917.99 2025-06-28
3877907236 NDC Cocaine (bulk) 100 % Crystals 14 6 $2,380.83 $1,547.54 35% off $495.21 $2,380.83 $916.62 2025-06-28
J1428 HCPCS Exondys-51 50 Mg/ml Intravenous Solution 14 6 $2,880.00 $1,872.00 35% off $240.46 $2,880.00 $902.88 2025-06-28
5009067060 NDC Hadlima Pushtouch 40 Mg/0.8 Ml Subcutaneous Auto-injector 14 6 $2,335.53 $1,518.09 35% off $485.79 $2,335.53 $899.18 2025-06-28
5009067050 NDC Hadlima 40 Mg/0.8 Ml Subcutaneous Syringe 14 6 $2,335.50 $1,518.08 35% off $485.78 $2,335.50 $899.17 2025-06-28
J0490 HCPCS Benlysta 200 Mg/ml Subcutaneous Auto-injector 41 14 $5,985.32 $3,890.46 35% off $54.15 $10,155.36 $892.71 2025-06-28
8186410230 NDC Ojjaara 150 Mg Tablet 14 6 $2,309.32 $1,501.06 35% off $480.34 $2,309.32 $889.09 2025-06-28
8186410130 NDC Ojjaara 200 Mg Tablet 14 6 $2,309.32 $1,501.06 35% off $480.34 $2,309.32 $889.09 2025-06-28
8186410330 NDC Ojjaara 100 Mg Tablet 14 6 $2,309.32 $1,501.06 35% off $480.34 $2,309.32 $889.09 2025-06-28
J1458 HCPCS Naglazyme 5 Mg/5 Ml Intravenous Solution 14 6 $1,764.72 $1,147.07 35% off $367.06 $1,797.62 $868.09 2025-06-28
90381 HCPCS Beyfortus 100 Mg/ml Intramuscular Syringe 14 6 $1,871.10 $1,216.22 35% off $389.19 $1,871.10 $863.88 2025-06-28
J7313 HCPCS Iluvien 0.19 Mg Intravitreal Implant 27 14 $21,766.00 $14,147.90 35% off $495.38 $21,766.00 $858.84 2025-06-28
J1823 HCPCS Uplizna 10 Mg/ml Intravenous Solution 27 14 $16,829.82 $10,939.38 35% off $484.40 $16,829.82 $847.70 2025-06-28
J2502 HCPCS Signifor Lar 60 Mg IM Suspension 25 14 $72,075.84 $46,849.30 35% off $479.84 $72,075.84 $839.72 2025-06-28
5957240228 NDC Revlimid 2.5 Mg Capsule 14 6 $2,139.72 $1,390.82 35% off $445.06 $2,139.72 $823.79 2025-06-28
5957242521 NDC Revlimid 25 Mg Capsule 14 6 $2,139.72 $1,390.82 35% off $445.06 $2,139.72 $823.79 2025-06-28
5957240528 NDC Revlimid 5 Mg Capsule 14 6 $2,139.72 $1,390.82 35% off $445.06 $2,139.72 $823.79 2025-06-28
5957241521 NDC Revlimid 15 Mg Capsule 14 6 $2,139.72 $1,390.82 35% off $445.06 $2,139.72 $823.79 2025-06-28
5957241028 NDC Revlimid 10 Mg Capsule 14 6 $2,139.72 $1,390.82 35% off $445.06 $2,139.72 $823.79 2025-06-28
5957242021 NDC Revlimid 20 Mg Capsule 14 6 $2,139.72 $1,390.82 35% off $445.06 $2,139.72 $823.79 2025-06-28
4238802526 NDC Cabometyx 40 Mg Tablet 14 6 $2,104.10 $1,367.67 35% off $437.65 $2,104.10 $810.08 2025-06-28
4238802326 NDC Cabometyx 60 Mg Tablet 14 6 $2,104.10 $1,367.67 35% off $437.65 $2,104.10 $810.08 2025-06-28
4238802426 NDC Cabometyx 20 Mg Tablet 14 6 $2,104.10 $1,367.67 35% off $437.65 $2,104.10 $810.08 2025-06-28
90738 HCPCS Ixiaro (pf) 6 Mcg/0.5 Ml Intramuscular Syringe 14 6 $2,070.72 $1,345.97 35% off $430.71 $2,070.72 $797.23 2025-06-28
3877907311 NDC Hydromorphone (bulk) 100 % Powder 14 6 $2,009.25 $1,306.01 35% off $417.92 $2,009.25 $773.57 2025-06-28
3877907313 NDC Hydromorphone (bulk) 100 % Powder 14 6 $2,009.25 $1,306.01 35% off $417.92 $2,009.25 $773.57 2025-06-28
3877907316 NDC Hydromorphone (bulk) 100 % Powder 14 6 $2,009.25 $1,306.01 35% off $417.92 $2,009.25 $773.57 2025-06-28
3877907314 NDC Hydromorphone (bulk) 100 % Powder 14 6 $2,009.25 $1,306.01 35% off $417.92 $2,009.25 $773.57 2025-06-28
6285671030 NDC Lenvima 10 Mg/day (10 Mg X 1) Capsule 14 6 $1,998.64 $1,299.12 35% off $415.72 $1,998.64 $769.48 2025-06-28
6285670405 NDC Lenvima 4 Mg Capsule 14 6 $1,998.64 $1,299.12 35% off $415.72 $1,998.64 $769.48 2025-06-28
J0893 HCPCS Decitabine 50 Mg Intravenous Solution 21 6 $2,880.00 $1,872.00 35% off $1.36 $2,880.00 $768.96 2025-06-28
J1670 HCPCS Hypertet (pf) 250 Unit/ml Intramuscular Syringe 27 14 $2,337.00 $1,519.05 35% off $581.78 $2,337.00 $764.20 2025-06-28
7218701023 NDC Orserdu 345 Mg Tablet 14 6 $1,982.74 $1,288.78 35% off $412.41 $1,982.74 $763.36 2025-06-28
5024207908 NDC Itovebi 9 Mg Tablet 14 6 $1,960.02 $1,274.01 35% off $407.68 $1,960.02 $754.61 2025-06-28
5224401006 NDC Edex 10 Mcg Intracavernosal Kit 14 6 $1,952.34 $1,269.02 35% off $406.09 $1,952.34 $751.65 2025-06-28
6195830011 NDC Sunlenca 300 Mg Tablet 14 6 $1,950.00 $1,267.50 35% off $405.60 $1,950.00 $750.75 2025-06-28
J0600 HCPCS Edetate Calcium Disodium 50 Mg/ml Intravenous Solution 20 5 $126.00 $81.90 35% off $36.92 $4,676.13 $748.05 2025-06-28
J1442 HCPCS Neupogen 480 Mcg/0.8 Ml Injection Syringe 61 14 $2,391.45 $1,554.44 35% off $1.00 $2,402.67 $733.20 2025-06-28
6332365903 NDC Indomethacin 1 Mg Intravenous Solution 14 6 $1,904.19 $1,237.72 35% off $396.07 $1,904.19 $733.11 2025-06-28
J2794 HCPCS Risperdal Consta 25 Mg/2 Ml Intramuscular Suspextended Release 48 14 $2,323.05 $1,509.98 35% off $11.30 $4,646.40 $717.87 2025-06-28
90375 HCPCS Hyperrab (pf) 300 Unit/ml Intramuscular Solution 34 14 $2,449.80 $1,592.37 35% off $287.71 $2,449.80 $717.78 2025-06-28
J7327 HCPCS Monovisc 88 Mg/4 Ml Intra-articular Syringe 27 14 $1,350.00 $877.50 35% off $395.55 $2,739.44 $717.33 2025-06-28
A9594 HCPCS Gallium Ga-68 Gozetotide 18.5 Mbq To 185 Mbq/ml (0.5-5 Mci/ml) IV Soln 28 14 $16,335.00 $10,617.75 35% off $372.17 $14,701.50 $716.43 2025-06-28
J0270 HCPCS Edex 20 Mcg Intracavernosal Kit 28 6 $840.63 $546.41 35% off $174.85 $2,521.77 $706.10 2025-06-28
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 10 5 $901.47 $585.96 35% off $264.13 $901.47 $698.64 2025-06-28
6302053630 NDC Iclusig 10 Mg Tablet 14 6 $1,811.20 $1,177.28 35% off $376.73 $1,811.20 $697.32 2025-06-28
6302053430 NDC Iclusig 45 Mg Tablet 14 6 $1,811.20 $1,177.28 35% off $376.73 $1,811.20 $697.32 2025-06-28
6302053330 NDC Iclusig 30 Mg Tablet 14 6 $1,811.20 $1,177.28 35% off $376.73 $1,811.20 $697.32 2025-06-28
J0217 HCPCS Lamzede 10 Mg Intravenous Solution 25 14 $15,800.40 $10,270.26 35% off $442.00 $15,800.40 $694.28 2025-06-28
J3031 HCPCS Ajovy Syringe 225 Mg/1.5 Ml Subcutaneous 14 6 $1,759.59 $1,143.73 35% off $365.99 $1,759.59 $677.44 2025-06-28
J0591 HCPCS Kybella 10 Mg/ml Subcutaneous Solution 14 6 $2,160.00 $1,404.00 35% off $22.54 $2,160.00 $677.16 2025-06-28
J9076 HCPCS Cyclophosphamide 1 Gram Intravenous Powder For Solution 36 6 $1,776.00 $1,154.40 35% off $7.28 $2,253.52 $676.06 2025-06-28
J0218 HCPCS Xenpozyme 20 Mg Intravenous Solution 27 14 $27,274.44 $17,728.39 35% off $382.56 $27,274.44 $667.16 2025-06-28
A9520 HCPCS Kit For The Prep Of Tc-99m-tilmanocept 250 Mcg Solution For Injection 21 7 $1,190.00 $773.50 35% off $247.52 $1,437.00 $654.50 2025-06-28
J9307 HCPCS Pralatrexate 20 Mg/ml (1 Ml) Intravenous Solution 27 14 $23,913.44 $15,543.74 35% off $373.77 $23,913.44 $654.09 2025-06-28
J9320 HCPCS Zanosar 1 Gram Intravenous Solution 11 6 $1,676.28 $1,089.58 35% off $348.67 $1,676.28 $653.75 2025-06-28
6872780002 NDC Defitelio 80 Mg/ml Intravenous Solution 14 6 $1,696.32 $1,102.61 35% off $352.83 $1,696.32 $653.08 2025-06-28
J0180 HCPCS Fabrazyme 35 Mg Intravenous Solution 34 14 $37,571.84 $24,421.70 35% off $223.52 $37,571.84 $651.64 2025-06-28
J3385 HCPCS Vpriv 400 Unit Intravenous Solution 27 14 $5,337.96 $3,469.67 35% off $370.20 $5,337.96 $647.85 2025-06-28
6302009030 NDC Alunbrig 90 Mg Tablet 14 6 $1,663.44 $1,081.24 35% off $346.00 $1,663.44 $640.42 2025-06-28
6302018030 NDC Alunbrig 180 Mg Tablet 14 6 $1,663.44 $1,081.24 35% off $346.00 $1,663.44 $640.42 2025-06-28
J9352 HCPCS Yondelis 1 Mg Intravenous Solution 27 14 $17,708.84 $11,510.75 35% off $362.82 $17,708.84 $634.94 2025-06-28
C9164 HCPCS Ycanth 0.7 % Topical Solution With Applicator 14 6 $1,644.00 $1,068.60 35% off $341.95 $1,644.00 $632.94 2025-06-28
J7336 HCPCS Qutenza 8 % Topical Kit 41 14 $2,154.40 $1,400.36 35% off $3.33 $8,617.58 $631.24 2025-06-28
J7326 HCPCS Gel-one 30 Mg/3 Ml Intra-articular Syringe 27 14 $1,380.00 $897.00 35% off $404.34 $2,080.98 $627.71 2025-06-28
5041939101 NDC Vitrakvi 100 Mg Capsule 14 6 $1,621.78 $1,054.16 35% off $337.33 $1,621.78 $624.38 2025-06-28
7269487910 NDC Voranigo 10 Mg Tablet 14 6 $1,595.24 $1,036.91 35% off $331.81 $1,595.24 $614.16 2025-06-28
90675 HCPCS Imovax Rabies Vaccine (pf) 2.5 Unit Intramuscular Solution 41 14 $1,561.71 $1,015.11 35% off $350.14 $1,624.17 $612.75 2025-06-28
J3241 HCPCS Tepezza 500 Mg Intravenous Solution 27 14 $63,040.08 $40,976.05 35% off $343.89 $63,040.08 $601.81 2025-06-28
90620 HCPCS Bexsero 50 Mcg-50 Mcg-50 Mcg-25 Mcg/0.5 Ml Intramuscular Syringe 14 6 $1,701.90 $1,106.24 35% off $354.00 $1,701.90 $601.62 2025-06-28
A9540 HCPCS Draximage Maa 2.5 Mg Intravenous Solution 21 7 $1,092.00 $709.80 35% off $227.14 $1,437.00 $600.60 2025-06-28
J9269 HCPCS Elzonris 1000 Mcg/ml Intravenous Solution 27 14 $162,031.92 $105,320.75 35% off $339.03 $162,031.92 $592.43 2025-06-28
J9351 HCPCS Topotecan 4 Mg Intravenous Solution 19 6 $1,433.00 $931.45 35% off $2.23 $1,433.00 $567.38 2025-06-28
J9050 HCPCS Bicnu 100 Mg Intravenous Solution 31 14 $18,867.76 $12,264.04 35% off $254.79 $18,867.76 $562.68 2025-06-28
7980220030 NDC Rezurock 200 Mg Tablet 14 6 $1,461.44 $949.94 35% off $303.98 $1,461.44 $562.65 2025-06-28
J0177 HCPCS Eylea Hd 8 Mg/0.07 Ml Intravitreal Solution For Injection 27 14 $137,700.00 $89,505.00 35% off $333.70 $137,700.00 $562.06 2025-06-28
5796201428 NDC Imbruvica 140 Mg Tablet 14 6 $1,451.36 $943.38 35% off $301.88 $1,451.36 $558.77 2025-06-28
5796242028 NDC Imbruvica 420 Mg Tablet 14 6 $1,451.36 $943.38 35% off $301.88 $1,451.36 $558.77 2025-06-28
5796228028 NDC Imbruvica 280 Mg Tablet 14 6 $1,451.36 $943.38 35% off $301.88 $1,451.36 $558.77 2025-06-28
5796207028 NDC Imbruvica 70 Mg Capsule 14 6 $1,451.36 $943.38 35% off $301.88 $1,451.36 $558.77 2025-06-28
1012251001 NDC Curosurf 120 Mg/1.5 Ml Intratracheal Suspension 14 6 $1,437.51 $934.38 35% off $299.00 $1,437.51 $553.44 2025-06-28
6905130001 NDC Impavido 50 Mg Capsule 14 6 $1,427.14 $927.64 35% off $296.85 $1,427.14 $549.44 2025-06-28
5846878403 NDC Caprelsa 300 Mg Tablet 14 6 $1,419.72 $922.82 35% off $295.30 $1,419.72 $546.59 2025-06-28
J2690 HCPCS Procainamide 500 Mg/ml Injection Solution 27 14 $1,080.00 $702.00 35% off $218.26 $1,610.91 $546.07 2025-06-28
1012251003 NDC Curosurf 240 Mg/3 Ml Intratracheal Suspension 14 6 $1,417.29 $921.24 35% off $294.80 $1,417.29 $545.65 2025-06-28
J1430 HCPCS Ethamolin 5 % Intravenous Solution 27 14 $907.02 $589.56 35% off $265.76 $1,923.39 $540.85 2025-06-28
6559751128 NDC Vanflyta 26.5 Mg Tablet 14 6 $1,402.24 $911.46 35% off $291.67 $1,402.24 $539.86 2025-06-28
6559750428 NDC Vanflyta 17.7 Mg Tablet 14 6 $1,402.24 $911.46 35% off $291.67 $1,402.24 $539.86 2025-06-28
J9281 HCPCS Jelmyto 40 Mg X 2 Intra-pyelocalyceal Kit 27 14 $117,504.00 $76,377.60 35% off $307.34 $117,504.00 $537.85 2025-06-28
8065183905 NDC Viscoat 4 %-3 % (40 Mg-30 Mg/ml) Intraocular Syringe 14 6 $1,372.62 $892.20 35% off $285.50 $1,372.62 $528.46 2025-06-28
J0740 HCPCS Cidofovir 75 Mg/ml Intravenous Solution 27 14 $711.87 $462.72 35% off $208.58 $2,237.07 $528.00 2025-06-28
J1602 HCPCS Simponi 50 Mg/0.5 Ml Subcutaneous Syringe 41 14 $45,692.85 $29,700.35 35% off $11.10 $45,692.85 $527.19 2025-06-28
7269461760 NDC Tibsovo 250 Mg Tablet 14 6 $1,365.96 $887.87 35% off $284.12 $1,365.96 $525.89 2025-06-28
J7311 HCPCS Retisert 0.59 Mg Intravitreal Implant 25 14 $45,660.00 $29,679.00 35% off $333.48 $45,660.00 $524.84 2025-06-28
A9588 HCPCS Axumin 10 Mci (370 Mbq) Intravenous Solution 28 14 $9,888.00 $6,427.20 35% off $268.42 $8,899.20 $516.71 2025-06-28
90376 HCPCS Imogam Rabies-ht (pf) 150 Unit/ml Intramuscular Solution 24 14 $1,629.24 $1,059.01 35% off $414.18 $1,629.24 $515.70 2025-06-28
5556628001 NDC Cervidil 10 Mg Vaginal Insertcontrolled Release 14 6 $1,320.44 $858.29 35% off $274.65 $1,320.44 $508.37 2025-06-28
5914802150 NDC Samsca 30 Mg Tablet 14 6 $1,295.14 $841.84 35% off $269.39 $1,295.14 $498.62 2025-06-28
7019902611 NDC Aquasol A 50000 Unit/ml Intramuscular Solution 14 6 $1,293.75 $840.94 35% off $269.10 $1,293.75 $498.10 2025-06-28
5914802050 NDC Samsca 15 Mg Tablet 14 6 $1,248.48 $811.51 35% off $259.68 $1,248.48 $480.67 2025-06-28
J3357 HCPCS Stelara 45 Mg/0.5 Ml Subcutaneous Solution 33 14 $104,945.34 $68,214.47 35% off $159.91 $104,945.34 $471.73 2025-06-28
8065183975 NDC Viscoat 4 %-3 % (40 Mg-30 Mg/ml) Intraocular Syringe 14 6 $1,202.46 $781.60 35% off $250.11 $1,202.46 $462.94 2025-06-28
8065183135 NDC Duovisc Visco Elastic 3 %-4 %(0.35 Ml) 1 %(0.4 Ml) Intraocular Syringe 14 6 $1,202.46 $781.60 35% off $250.11 $1,202.46 $462.94 2025-06-28
J2860 HCPCS Sylvant 100 Mg Intravenous Solution 34 14 $7,206.80 $4,684.42 35% off $157.07 $28,827.32 $454.86 2025-06-28
5024214001 NDC Erivedge 150 Mg Capsule 14 6 $1,180.24 $767.16 35% off $245.49 $1,180.24 $454.39 2025-06-28
A9589 HCPCS Hexaminolevulinate 100 Mg Intravesical Solution 22 5 $64.80 $42.12 35% off $13.48 $4,050.00 $453.60 2025-06-28
8065183055 NDC Provisc 10 Mg/ml Intraocular Syringe 14 6 $1,176.36 $764.63 35% off $244.68 $1,176.36 $452.90 2025-06-28
90739 HCPCS Heplisav-b (pf) 20 Mcg/0.5 Ml Intramuscular Syringe 14 6 $1,121.40 $728.91 35% off $233.25 $1,121.40 $450.88 2025-06-28
5818130415 NDC Gleostine 40 Mg Capsule 14 6 $1,166.28 $758.08 35% off $242.59 $1,166.28 $449.02 2025-06-28
7320710130 NDC Qinlock 50 Mg Tablet 14 6 $1,159.20 $753.48 35% off $241.11 $1,159.20 $446.29 2025-06-28
5958413801 NDC Candin Fda Standard Allergen Prep Intradermal 14 6 $1,155.00 $750.75 35% off $240.24 $1,155.00 $444.67 2025-06-28
J9120 HCPCS Dactinomycin 0.5 Mg Intravenous Solution 24 14 $2,655.00 $1,725.75 35% off $282.13 $2,655.00 $440.52 2025-06-28
8065183710 NDC Discovisc 40 Mg-17 Mg/ml Intraocular Syringe 14 6 $1,143.69 $743.40 35% off $237.89 $1,143.69 $440.32 2025-06-28
J7308 HCPCS Levulan 20 % Topical Solution 27 14 $943.72 $613.42 35% off $276.51 $1,526.66 $438.83 2025-06-28
6880372225 NDC Tissueblue 0.025 % Intraocular Syringe 14 6 $1,133.28 $736.63 35% off $235.72 $1,133.28 $436.31 2025-06-28
6665823407 NDC Kineret 100 Mg/0.67 Ml Subcutaneous Syringe 14 6 $1,132.05 $735.83 35% off $235.47 $1,132.05 $435.84 2025-06-28
90619 HCPCS Menquadfi (pf) 10 Mcg/0.5 Ml Intramuscular Solution 14 6 $1,232.79 $801.31 35% off $256.42 $1,232.79 $435.79 2025-06-28
J0637 HCPCS Caspofungin 50 Mg Intravenous Solution 14 6 $1,213.20 $788.58 35% off $5.84 $1,213.20 $434.94 2025-06-28
4988476854 NDC Tolvaptan 15 Mg Tablet 14 6 $1,123.56 $730.31 35% off $233.70 $1,123.56 $432.57 2025-06-28
3172286803 NDC Tolvaptan 15 Mg Tablet 14 6 $1,123.50 $730.28 35% off $233.69 $1,123.50 $432.55 2025-06-28
J9153 HCPCS Vyxeos 44 Mg-100 Mg Intravenous Solution 27 14 $51,684.00 $33,594.60 35% off $242.50 $51,684.00 $424.38 2025-06-28
6195808011 NDC Letairis 5 Mg Tablet 14 6 $1,099.72 $714.82 35% off $228.74 $1,099.72 $423.39 2025-06-28
6195808021 NDC Letairis 10 Mg Tablet 14 6 $1,099.72 $714.82 35% off $228.74 $1,099.72 $423.39 2025-06-28
6195808015 NDC Letairis 5 Mg Tablet 14 6 $1,099.70 $714.81 35% off $228.74 $1,099.70 $423.38 2025-06-28
J1595 HCPCS Glatopa 20 Mg/ml Subcutaneous Syringe 45 14 $649.23 $422.00 35% off $172.88 $1,749.60 $422.00 2025-06-28
6787763633 NDC Tolvaptan 30 Mg Tablet 14 6 $1,092.10 $709.87 35% off $227.16 $1,092.10 $420.46 2025-06-28
J9042 HCPCS Adcetris 50 Mg Intravenous Solution 27 14 $58,560.00 $38,064.00 35% off $239.86 $58,560.00 $419.76 2025-06-28
6621550115 NDC Opsumit 10 Mg Tablet 14 6 $1,036.40 $673.66 35% off $215.57 $1,036.40 $399.01 2025-06-28
6621550130 NDC Opsumit 10 Mg Tablet 14 6 $1,036.40 $673.66 35% off $215.57 $1,036.40 $399.01 2025-06-28
7251175001 NDC Repatha Syringe 140 Mg/ml Subcutaneous Syringe 14 6 $1,030.86 $670.06 35% off $214.42 $1,030.86 $396.88 2025-06-28
J2212 HCPCS Relistor 12 Mg/0.6 Ml Subcutaneous Solution 14 6 $1,019.58 $662.73 35% off $212.07 $1,019.58 $392.54 2025-06-28
90697 HCPCS Vaxelis (pf) 15 Unit-5 Unit-10 Mcg/0.5 Ml Intramuscular Suspension 14 6 $1,095.87 $712.32 35% off $227.94 $1,095.87 $387.39 2025-06-28
J9207 HCPCS Ixempra 15 Mg Intravenous Solution 34 14 $9,669.88 $6,285.42 35% off $134.06 $29,009.68 $385.80 2025-06-28
J1303 HCPCS Ultomiris 100 Mg/ml Intravenous Solution 27 14 $10,451.32 $6,793.36 35% off $220.75 $10,451.32 $385.55 2025-06-28
5045802800 NDC Spravato 28 Mg Nasal Spray 14 6 $1,001.04 $650.68 35% off $208.22 $1,001.04 $385.40 2025-06-28
6285671405 NDC Lenvima 14 Mg/day(10 Mg X 1-4 Mg X 1) Capsule 14 6 $999.32 $649.56 35% off $207.86 $999.32 $384.74 2025-06-28
8065183085 NDC Provisc 10 Mg/ml Intraocular Syringe 14 6 $999.18 $649.47 35% off $207.83 $999.18 $384.69 2025-06-28
5024208408 NDC Itovebi 3 Mg Tablet 14 6 $980.02 $637.01 35% off $203.84 $980.02 $377.31 2025-06-28
J2778 HCPCS Darvocet-n 50 50 Mg-325 Mg Tab 34 14 $140,400.00 $91,260.00 35% off $137.14 $140,400.00 $376.98 2025-06-28
J9274 HCPCS Kimmtrak 100 Mcg/0.5 Ml Intravenous Solution 27 14 $196,608.00 $127,795.20 35% off $214.76 $196,608.00 $375.82 2025-06-28
J9309 HCPCS Polivy 30 Mg Intravenous Solution 34 14 $19,143.20 $12,443.08 35% off $129.78 $89,334.76 $374.38 2025-06-28
6517488025 NDC Hicon 250 Mci/0.25 Ml Oral Kit 21 7 $675.95 $439.37 35% off $140.60 $1,437.00 $371.77 2025-06-28
6621560806 NDC Uptravi 800 Mcg Tablet 14 6 $954.76 $620.59 35% off $198.59 $954.76 $367.59 2025-06-28
6621561606 NDC Uptravi 1600 Mcg Tablet 14 6 $954.76 $620.59 35% off $198.59 $954.76 $367.59 2025-06-28
J9340 HCPCS Tepadina 100 Mg Solution For Injection 27 14 $16,920.00 $10,998.00 35% off $209.02 $16,920.00 $365.79 2025-06-28
4733530383 NDC Odomzo 200 Mg Capsule 14 6 $949.48 $617.16 35% off $197.49 $949.48 $365.55 2025-06-28
6175502001 NDC Praluent Pen 75 Mg/ml Subcutaneous Pen Injector 14 6 $938.82 $610.23 35% off $195.27 $938.82 $361.44 2025-06-28
6175502101 NDC Praluent Pen 150 Mg/ml Subcutaneous Pen Injector 14 6 $938.82 $610.23 35% off $195.27 $938.82 $361.44 2025-06-28
J9359 HCPCS Zynlonta 10 Mg Intravenous Solution 27 14 $99,959.04 $64,973.38 35% off $206.38 $99,959.04 $361.17 2025-06-28
Q5120 HCPCS Ziextenzo 6 Mg/0.6 Ml Subcutaneous Syringe 25 14 $23,553.18 $15,309.57 35% off $29.47 $23,553.18 $360.63 2025-06-28
J2508 HCPCS Elfabrio 2 Mg/ml Intravenous Solution 25 14 $1,594.32 $1,036.31 35% off $223.55 $1,594.32 $357.19 2025-06-28
J9223 HCPCS Zepzelca 4 Mg Intravenous Solution 27 14 $38,928.00 $25,303.20 35% off $203.60 $38,928.00 $356.30 2025-06-28
5926744382 NDC Pfizer Covid 2024-25(5y-11y)(pf)(eua) 10 Mcg/0.3 Ml IM Suspension 14 6 $924.00 $600.60 35% off $192.19 $924.00 $355.74 2025-06-28
J0221 HCPCS Lumizyme 50 Mg Intravenous Solution 27 14 $3,576.09 $2,324.46 35% off $201.97 $3,576.09 $352.74 2025-06-28
90750 HCPCS Shingrix (pf) 50 Mcg/0.5 Ml Intramuscular Suspension Kit 14 6 $775.83 $504.29 35% off $161.37 $775.83 $343.67 2025-06-28
90691 HCPCS Typhim Vi 25 Mcg/0.5 Ml Intramuscular Solution 28 6 $729.48 $474.16 35% off $151.73 $1,055.31 $342.15 2025-06-28
J9204 HCPCS Poteligeo 4 Mg/ml Intravenous Solution 24 14 $4,501.08 $2,925.70 35% off $238.85 $4,501.08 $336.70 2025-06-28
90698 HCPCS Pentacel (pf) 15 Lf-48 Mcg-62 Du-10 Mcg/0.5 Ml Intramuscular Kit 14 6 $859.95 $558.97 35% off $178.87 $859.95 $331.08 2025-06-28
8544508321 NDC Sodium Hyaluronate 23 Mg/ml Intraocular Syringe 14 6 $856.47 $556.71 35% off $178.15 $856.47 $329.74 2025-06-28
J0725 HCPCS Novarel 5000 Unit Intramuscular Solution 25 6 $607.65 $394.97 35% off $31.94 $1,124.10 $329.36 2025-06-28
A9580 HCPCS Sodium Fluoride F-18 10-200 Mci/ml (370-7400 Mbq/ml) Intravenous Soln 18 7 $500.00 $325.00 35% off $104.00 $1,437.00 $325.00 2025-06-28
J9171 HCPCS Docetaxel 20 Mg/ml (1 Ml) Intravenous Solution 36 6 $523.20 $340.08 35% off $1.07 $1,460.60 $321.55 2025-06-28
4238801214 NDC Cometriq 100 Mg/day (80 Mg X 1-20 Mg X 1) Capsules 14 6 $830.54 $539.85 35% off $172.75 $830.54 $319.76 2025-06-28
J9273 HCPCS Tivdak 40 Mg Intravenous Solution 27 14 $32,908.80 $21,390.72 35% off $181.60 $32,908.80 $317.80 2025-06-28
7071018527 NDC Indomethacin 50 Mg Rectal Suppository 14 6 $825.14 $536.34 35% off $171.63 $825.14 $317.68 2025-06-28
J1741 HCPCS Ibuprofen Lysine (pf) 20 Mg/2 Ml Intravenous Solution 14 6 $821.22 $533.79 35% off $5.21 $821.22 $316.17 2025-06-28
A9562 HCPCS Kit For Prep Tc-99m-mertiatide (betiatide) 1 Mg Intravenous Solution 21 7 $568.00 $369.20 35% off $118.14 $1,437.00 $312.40 2025-06-28
J2997 HCPCS Cathflo Activase 2 Mg Intra-catheter Solution 41 14 $666.60 $433.29 35% off $91.47 $31,681.29 $309.97 2025-06-28
6079321722 NDC Thrombin-jmi 20000 Unit Topical Spray Syringe 14 6 $800.90 $520.59 35% off $166.59 $800.90 $308.35 2025-06-28
6079321721 NDC Thrombin-jmi 20000 Unit Topical Spray 14 6 $800.90 $520.59 35% off $166.59 $800.90 $308.35 2025-06-28
See an error in this hospital's data? Submit a correction