Hospital

JACKSON HOSPITAL

Marianna, FL · CCN 100142 · Rates published

1,779 distinct procedures filed

30 distinct payers

127,380 rate rows

2026-08-12 last MRF observed

Data quality

121,157 of 127,380 rate rows are consumer-grade (95.1%)

6,223 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	5,267
placeholder amount (≤ $0.02) — excluded from medians	705
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	145
percent-of-charges filed in the dollar field — excluded from medians	50
exceeds 10× this hospital's gross charge — excluded from medians	47
exceeds 3× this hospital's gross charge for a DRG stay — excluded	5
per-diem day rate — not a per-procedure price	4

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.jackson-hospital.com/wp-content/uploads/2025/03/596001321_Jackson-Hospital_standardcharges.csv
Found on page	https://www.jackson-hospital.com/patients-visitors/price-transparency/charge-master/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-31
Content fingerprint	a1ca4c2de63f6f60… · 40,460,765 bytes · first seen 2026-05-08

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
871 MS_DRG	Septicemia Without Mv 96+ Hours With Major Complications	16	$14,119.48	$22,145.60	$16,943.46	nat. median $18,625 0.9× median
470 MS_DRG	Major Joint Replace Or Reattachment Of Lower Joint	16	$16,325.12	$23,146.80	$16,607.28	nat. median $18,811 0.9× median
J9298 HCPCS	Nivolumab Relatilima 240mg 80mg 20ml	29	$193.86	$26,048.70	$14,471.50	nat. median $560 outlier · 25.9×
J9228 HCPCS	Yervoy Inj 5mg Ml 10ml	29	$180.05	$22,941.00	$12,745.00	nat. median $9,011 1.4× median
J9316 HCPCS	Phesgo 600mg 600mg 20000un 10ml Inj	29	$59.90	$23,866.20	$12,197.94	nat. median $388 outlier · 31.4×
J9289 HCPCS	Opdivo Qvantig Sc 600mg 5ml Inj	17	$28.14	$21,352.50	$11,862.50	nat. median $2,776 outlier · 4.3×
193 MS_DRG	Simple Pneumonia And Pleurisy W Mcc	16	$9,195.66	$15,772.80	$11,741.64	nat. median $12,858 0.9× median
189 MS_DRG	Pulmonary Edema And Respiratory Failure	16	$6,773.36	$14,824.80	$11,093.41	nat. median $12,270 0.9× median
743 MS_DRG	Uterine & Adnexa Procedure For Non-maligancy	16	$10,110.93	$13,352.15	$10,781.01	nat. median $12,360 0.9× median
190 MS_DRG	Chronic Obstructive Pulmonary Disease W Mcc	16	$7,877.63	$13,292.40	$10,169.91	nat. median $11,057 0.9× median
0323 RC		12	$1,735.00	$29,767.50	$9,979.35	nat. median $2,563 outlier · 3.9×
178 MS_DRG	Respiratory Infections And Inflammations With Cc	16	$7,283.25	$22,585.07	$9,861.74	nat. median $10,189 1.0× median
J9022 HCPCS	Tecentriq Inj 840mg 14ml	29	$88.22	$19,961.10	$9,822.08	nat. median $6,910 1.4× median
872 MS_DRG	Septicemia Without Mv 96+ Hours Without Major Complication	16	$6,715.59	$12,279.60	$9,427.26	nat. median $10,397 0.9× median
378 MS_DRG	G.i. Hemorrhage With Cc	16	$7,265.25	$11,768.40	$9,063.20	nat. median $10,016 0.9× median
C1764 HCPCS	Loop Recorder Linq Ii	10	$5,665.32	$14,163.30	$8,922.88	nat. median $7,740 1.2× median
812 MS_DRG	Red Blood Cell Disorders Without Mcc	16	$5,985.18	$11,018.40	$8,554.65	nat. median $9,304 0.9× median
638 MS_DRG	Diabetes With Complications	16	$5,062.48	$10,754.40	$8,508.64	nat. median $9,217 0.9× median
788 MS_DRG	Cesarean Section Without Sterilization Without Mcc	15	$6,957.40	$9,496.21	$8,407.73	nat. median $9,598 0.9× median
683 MS_DRG	Renal Failure With Complications	16	$6,030.57	$10,509.60	$8,280.19	nat. median $9,102 0.9× median
603 MS_DRG	Cellulitis Without Mcc	16	$5,268.81	$10,450.80	$8,214.79	nat. median $8,977 0.9× median
J9037 HCPCS	Belantamab Mafodotin Inj 100mg Vial	28	$41.73	$23,190.30	$8,041.98	nat. median $93 outlier · 86.5×
191 MS_DRG	Chronic Obstructive Pulmonary Disease W Cc	16	$5,972.80	$10,116.00	$8,039.63	nat. median $8,839 0.9× median
194 MS_DRG	Simple Pneumonia And Pleurisy W Cc	16	$6,343.37	$9,670.80	$7,724.00	nat. median $8,511 0.9× median
27650 HCPCS	Repair Ruptured Achilles Tendon	30	$509.00	$9,215.83	$7,679.86	nat. median $6,674 1.2× median
J9042 HCPCS	Adcetris Brentuximab Inj 50mg Vial	29	$248.93	$20,343.60	$7,676.43	nat. median $971 outlier · 7.9×
J3245 HCPCS	Ilumya Inj 100mg Ml	26	$124.27	$23,105.18	$7,676.43	nat. median $256 outlier · 30.0×
J9271 HCPCS	Pembrolizumab Inj 100mg 4ml Chem	29	$57.60	$15,232.05	$7,676.43	nat. median $280 outlier · 27.4×
690 MS_DRG	Kidney And Urinary Tract Infections Without Mcc	16	$4,965.92	$9,714.00	$7,583.55	nat. median $8,373 0.9× median
389 MS_DRG	G.i. Obstruction With Cc	16	$4,926.30	$9,418.92	$7,575.47	nat. median $8,337 0.9× median
J0896 HCPCS	Reblozyl Inj 25mg Vial	29	$41.28	$20,858.18	$7,566.77	nat. median $4,628 1.6× median
641 MS_DRG	Nutritional And Misc Metabolic Disorders Without Mcc	16	$5,587.38	$9,338.40	$7,412.41	nat. median $8,103 0.9× median
392 MS_DRG	Esophagitis Gastroenteritis And Misc Dig Disorders	16	$5,475.96	$9,355.20	$7,403.54	nat. median $8,173 0.9× median
309 MS_DRG	Cardiac Arrhythmia And Conduction Disorders W Cc	16	$4,904.85	$8,828.40	$7,072.55	nat. median $7,899 0.9× median
0320 RC		12	$98.00	$12,294.90	$6,350.00	nat. median $395 outlier · 16.1×
192 MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/mcc	16	$4,186.00	$7,704.00	$6,329.08	nat. median $7,109 0.9× median
0481 RC		12	$1,170.00	$9,338.00	$6,180.09	nat. median $3,526 1.8× median
639 MS_DRG	Diabetes Without Complications	16	$3,736.20	$6,598.73	$6,162.81	nat. median $6,786 0.9× median
195 MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	16	$4,454.22	$7,542.00	$6,131.33	nat. median $6,812 0.9× median
310 MS_DRG	Cardiac Arrhythmia And Conduction Disorders Wo Mcc	16	$3,884.76	$6,793.20	$5,621.13	nat. median $6,284 0.9× median
J9354 HCPCS	Adotrastuzumab Emtansine 100mg Inj	29	$40.97	$16,899.08	$5,457.01	nat. median $4,242 1.3× median
J1162 HCPCS	Digoxin Immune Fab Inj 40mg	29	$4,677.84	$11,067.98	$5,383.32	nat. median $7,155 0.8× median
J2506 HCPCS	Pegfilgrastim-apgf Syr 6mg/0.6ml	29	$19.98	$16,895.48	$5,243.93	nat. median $1,651 outlier · 3.2×
J9299 HCPCS	Nivolumab Inj 120mg 12mlchemo	29	$32.30	$20,514.60	$4,927.47	nat. median $2,889 1.7× median
J0596 HCPCS	Ruconest Inj 2100 Units	29	$34.67	$21,706.65	$4,815.43	nat. median $52 outlier · 92.6×
J9177 HCPCS	Padcev Inj 20mg Vial	29	$36.65	$11,376.45	$4,815.43	nat. median $2,933 1.6× median
J9043 HCPCS	Cabazitaxel Inj. 60mg 1.5ml	26	$224.09	$24,859.80	$4,815.43	nat. median $738 outlier · 6.5×
J9301 HCPCS	Obinutuzumab 1000mg 40ml Chem	29	$74.83	$22,158.90	$4,815.43	nat. median $285 outlier · 16.9×
J3101 HCPCS	Tenecteplasetnkase Inj 50mg	29	$162.43	$20,767.28	$4,815.43	nat. median $3,824 1.3× median
J9119 HCPCS	Cemiplimab-rwlc 350mg 7ml Chem	29	$28.21	$18,447.30	$4,815.43	nat. median $91 outlier · 52.9×

Other procedures at this hospital

Browse this hospital's 1,779 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

C1764	HCPCS	Loop Recorder Linq Ii	10	10	$15,737.00	$7,868.50 50% off	$5,665.32	$14,163.30	$8,922.88	2026-08-12
C1789	HCPCS	Implant Breast Silicone 700cc Natrelle	10	10	$6,610.00	$3,305.00 50% off	$2,379.60	$5,949.00	$3,747.87	2026-08-12
794	MS_DRG	Neonate With Other Significant Problems	10	10	$2,338.56	$1,169.28 50% off	$2,338.56	$2,338.56	$2,338.56	2026-08-12
0361	RC	—	11	11	$2,343.00	$11,609.50	$1,077.78	$2,343.00	$1,218.36	2025-01-21
788	MS_DRG	Cesarean Section Without Sterilization Without Mcc	15	15	$9,496.21	$4,748.11 50% off	$6,957.40	$9,496.21	$8,407.73	2026-08-12
806	MS_DRG	Vaginal Delivery Without Sterilization/d&c	15	15	$4,281.75	$2,140.88 50% off	$4,048.17	$6,955.65	$4,281.75	2026-08-12
795	MS_DRG	Care Of Normal Newborn After Birth	15	15	$2,661.75	$1,330.88 50% off	$1,041.55	$2,717.52	$2,661.75	2026-08-12
871	MS_DRG	Septicemia Without Mv 96+ Hours With Major Complications	16	16	$22,145.60	$11,072.80 50% off	$14,119.48	$22,145.60	$16,943.46	2026-08-12
470	MS_DRG	Major Joint Replace Or Reattachment Of Lower Joint	16	16	$36,888.46	$18,444.23 50% off	$16,325.12	$23,146.80	$16,607.28	2026-08-12
193	MS_DRG	Simple Pneumonia And Pleurisy W Mcc	16	16	$18,527.19	$9,263.60 50% off	$9,195.66	$15,772.80	$11,741.64	2026-08-12
189	MS_DRG	Pulmonary Edema And Respiratory Failure	16	16	$19,786.42	$9,893.21 50% off	$6,773.36	$14,824.80	$11,093.41	2026-08-12
743	MS_DRG	Uterine & Adnexa Procedure For Non-maligancy	16	16	$13,352.15	$6,676.08 50% off	$10,110.93	$13,352.15	$10,781.01	2026-08-12
190	MS_DRG	Chronic Obstructive Pulmonary Disease W Mcc	16	16	$17,238.75	$8,619.38 50% off	$7,877.63	$13,292.40	$10,169.91	2026-08-12
178	MS_DRG	Respiratory Infections And Inflammations With Cc	16	16	$22,585.07	$11,292.54 50% off	$7,283.25	$22,585.07	$9,861.74	2026-08-12
872	MS_DRG	Septicemia Without Mv 96+ Hours Without Major Complication	16	16	$16,614.38	$8,307.19 50% off	$6,715.59	$12,279.60	$9,427.26	2026-08-12
378	MS_DRG	G.i. Hemorrhage With Cc	16	16	$20,166.11	$10,083.06 50% off	$7,265.25	$11,768.40	$9,063.20	2026-08-12
812	MS_DRG	Red Blood Cell Disorders Without Mcc	16	16	$18,723.45	$9,361.73 50% off	$5,985.18	$11,018.40	$8,554.65	2026-08-12
638	MS_DRG	Diabetes With Complications	16	16	$13,607.03	$6,803.52 50% off	$5,062.48	$10,754.40	$8,508.64	2026-08-12
683	MS_DRG	Renal Failure With Complications	16	16	$12,105.16	$6,052.58 50% off	$6,030.57	$10,509.60	$8,280.19	2026-08-12
603	MS_DRG	Cellulitis Without Mcc	16	16	$10,995.90	$5,497.95 50% off	$5,268.81	$10,450.80	$8,214.79	2026-08-12
191	MS_DRG	Chronic Obstructive Pulmonary Disease W Cc	16	16	$11,644.05	$5,822.03 50% off	$5,972.80	$10,116.00	$8,039.63	2026-08-12
194	MS_DRG	Simple Pneumonia And Pleurisy W Cc	16	16	$15,795.56	$7,897.78 50% off	$6,343.37	$9,670.80	$7,724.00	2026-08-12
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	16	16	$12,075.72	$6,037.86 50% off	$4,965.92	$9,714.00	$7,583.55	2026-08-12
389	MS_DRG	G.i. Obstruction With Cc	16	16	$9,418.92	$4,709.46 50% off	$4,926.30	$9,418.92	$7,575.47	2026-08-12
641	MS_DRG	Nutritional And Misc Metabolic Disorders Without Mcc	16	16	$9,926.31	$4,963.16 50% off	$5,587.38	$9,338.40	$7,412.41	2026-08-12
392	MS_DRG	Esophagitis Gastroenteritis And Misc Dig Disorders	16	16	$11,616.27	$5,808.14 50% off	$5,475.96	$9,355.20	$7,403.54	2026-08-12
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders W Cc	16	16	$9,420.17	$4,710.09 50% off	$4,904.85	$8,828.40	$7,072.55	2026-08-12
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/mcc	16	16	$9,781.35	$4,890.68 50% off	$4,186.00	$7,704.00	$6,329.08	2026-08-12
639	MS_DRG	Diabetes Without Complications	16	16	$6,598.73	$3,299.37 50% off	$3,736.20	$6,598.73	$6,162.81	2026-08-12
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	16	16	$10,666.94	$5,333.47 50% off	$4,454.22	$7,542.00	$6,131.33	2026-08-12
310	MS_DRG	Cardiac Arrhythmia And Conduction Disorders Wo Mcc	16	16	$7,426.59	$3,713.30 50% off	$3,884.76	$6,793.20	$5,621.13	2026-08-12
807	MS_DRG	Vaginal Delivery Without Sterilization/d&c Without Cc/mcc	16	16	$4,312.17	$2,156.09 50% off	$3,463.02	$6,249.17	$4,312.17	2026-08-12
0790	RC	—	19	12	$2,873.00	$3.00 100% off	$1,170.00	$2,715.30	$1,611.08	2026-08-12
C1771	HCPCS	Sling Anterior Bard	20	10	$3,321.50	$1,660.75 50% off	$958.68	$3,582.00	$1,806.84	2026-08-12
V2632	HCPCS	Cataract Procedure	20	11	$1,990.00	$2.50 100% off	$915.40	$1,881.00	$1,128.60	2026-08-12
44799	HCPCS	Tube - Change Jejunostomy	21	21	$2,461.00	$1,230.50 50% off	$942.50	$2,461.00	$1,230.50	2026-08-12
99291	HCPCS	Emer Room - Critical Care 1 Hr	21	21	$2,203.00	$1,101.50 50% off	$858.38	$2,203.00	$1,101.50	2026-08-12
32160	HCPCS	Thoracotomy With Cardiac Massage	21	21	$768.00	$384.00 50% off	$384.00	$768.00	$768.00	2026-08-12
0481	RC	—	22	12	$8,893.00	$850.50 90% off	$1,170.00	$9,338.00	$6,180.09	2026-08-12
0480	RC	—	22	12	$1,701.00	$48,766.00	$850.50	$1,787.00	$1,220.80	2026-08-12
0483	RC	—	22	12	$1,701.00	$850.50 50% off	$850.50	$1,787.00	$1,220.80	2026-08-12
0983	RC	—	22	12	$1,964.00	$3.50 100% off	$903.44	$1,856.70	$1,146.21	2026-08-12
0170	RC	—	22	17	$800.00	$234.50 71% off	$215.74	$840.00	$798.00	2026-08-12
0120	RC	—	22	17	$800.00	$234.50 71% off	$215.74	$840.00	$798.00	2026-08-12
0110	RC	—	22	17	$800.00	$234.50 71% off	$215.74	$840.00	$798.00	2026-08-12
19120	HCPCS	Exc Of Cyst Fibroadenoma Breast Tissue	27	27	$4,945.00	$2,472.50 50% off	$509.00	$4,945.00	$4,191.96	2026-08-12
26350	HCPCS	Repair Flexor Tendon Not Zone	27	27	$5,553.00	$2,776.50 50% off	$509.00	$5,553.00	$3,641.55	2026-08-12
28208	HCPCS	Repair Tendon Extensor Foot	27	27	$4,244.00	$2,122.00 50% off	$509.00	$4,244.00	$3,551.91	2026-08-12
56440	HCPCS	Marsupialization Bartholin Cyst	27	27	$3,977.00	$1,988.50 50% off	$509.00	$3,977.00	$3,480.67	2026-08-12
26607	HCPCS	Closed Trmt Metacarpal Frac W Man	27	27	$3,578.00	$1,789.00 50% off	$485.36	$3,659.48	$3,220.20	2026-08-12
26433	HCPCS	Repair Extensor Tendon	27	27	$3,332.00	$1,666.00 50% off	$509.00	$3,659.48	$2,998.80	2026-08-12
13160	HCPCS	Closure Surgical Wnd Dehiscence	27	27	$4,173.00	$2,086.50 50% off	$509.00	$4,173.00	$2,741.66	2026-08-12
65235	HCPCS	Removal Fb Intraocular	27	27	$3,230.00	$1,615.00 50% off	$509.00	$3,230.00	$2,568.48	2026-08-12
55100	HCPCS	Drainage Of Scrotal Wall Abscess	27	27	$4,379.00	$2,189.50 50% off	$509.00	$4,379.00	$2,496.86	2026-08-12
20101	HCPCS	Wound Exploration Chest	27	27	$4,173.00	$2,086.50 50% off	$509.00	$4,173.00	$2,144.08	2026-08-12
31238	HCPCS	Nasal Sinus Cntrl Nasal Hemorrhag	27	27	$4,090.00	$2,045.00 50% off	$509.00	$4,090.00	$2,045.00	2026-08-12
38221	HCPCS	Bone Marrow Biopsy Needle	27	27	$4,551.00	$2,275.50 50% off	$509.00	$4,551.00	$1,885.22	2026-08-12
20103	HCPCS	Exploration Wound - Extremity	27	27	$2,579.00	$1,289.50 50% off	$402.84	$2,579.00	$1,838.14	2026-08-12
10140	HCPCS	Incision Drainage Hematoma Seroma	27	27	$4,379.00	$2,189.50 50% off	$509.00	$4,379.00	$1,838.14	2026-08-12
26011	HCPCS	Drainage Of Finger Abscess Compli	27	27	$2,579.00	$1,289.50 50% off	$509.00	$2,579.00	$1,838.14	2026-08-12
10121	HCPCS	Remove Foreign Body	27	27	$4,679.00	$2,339.50 50% off	$509.00	$4,679.00	$1,838.14	2026-08-12
11620	HCPCS	Exc H-f-nk-sp Mlg	27	27	$3,290.00	$1,645.00 50% off	$509.00	$3,290.00	$1,838.14	2026-08-12
27825	HCPCS	Clsd Trmt Skeletal Trac W Manip	27	27	$3,578.00	$1,789.00 50% off	$485.36	$3,578.00	$1,789.60	2026-08-12
27818	HCPCS	Clsd Trmt Frac Ankle W Manip	27	27	$4,334.00	$2,167.00 50% off	$485.36	$4,334.00	$1,789.60	2026-08-12
27810	HCPCS	Clsd Trmt Bimalleolar Ankle W Man	27	27	$4,334.00	$2,167.00 50% off	$485.36	$4,334.00	$1,789.60	2026-08-12
27762	HCPCS	Clsd Trmt Medial Malleolus W Manip	27	27	$3,578.00	$1,789.00 50% off	$485.36	$3,578.00	$1,789.60	2026-08-12
27752	HCPCS	Clsd Trmt W Manip Skeletal Trac	27	27	$3,578.00	$1,789.00 50% off	$485.36	$3,578.00	$1,789.60	2026-08-12
27266	HCPCS	Clsd Trmt Disloc Hip W Anes	27	27	$3,769.00	$1,884.50 50% off	$509.00	$3,769.00	$1,789.60	2026-08-12
26418	HCPCS	Repair Extensor Tendon Finger	27	27	$3,332.00	$1,666.00 50% off	$509.00	$3,332.00	$1,789.60	2026-08-12
26410	HCPCS	Repair Hand Tendon	27	27	$3,332.00	$1,666.00 50% off	$509.00	$3,332.00	$1,789.60	2026-08-12
25690	HCPCS	Closed Trmt Lunate Dislocation	27	27	$3,578.00	$1,789.00 50% off	$485.36	$3,578.00	$1,789.60	2026-08-12
25505	HCPCS	Closed Trmt Radial Frac W Manipul	27	27	$4,334.00	$2,167.00 50% off	$485.36	$4,334.00	$1,789.60	2026-08-12
24620	HCPCS	Closed Trmt Monteggia Frac Elbow	27	27	$3,578.00	$1,789.00 50% off	$485.36	$3,578.00	$1,789.60	2026-08-12
24605	HCPCS	Clsd Trmt Of Elbow W Anesthesia	27	27	$2,970.00	$1,485.00 50% off	$509.00	$2,970.00	$1,789.60	2026-08-12
20670	HCPCS	Removal Of Implant Superficial	27	27	$1,691.00	$845.50 50% off	$509.00	$2,754.15	$1,691.00	2026-08-12
23330	HCPCS	Rem Fb Shoulder Subcutaneous	27	27	$1,649.00	$824.50 50% off	$509.00	$2,128.98	$1,649.00	2026-08-12
35226	HCPCS	Repair Blood Vessel Lower Extrem	27	27	$2,636.00	$1,318.00 50% off	$509.00	$2,636.00	$1,581.60	2026-08-12
45915	HCPCS	Removal Fecal Impact Foreign Body	27	27	$4,679.00	$2,339.50 50% off	$509.00	$4,679.00	$1,562.21	2026-08-12
46320	HCPCS	Enucleation Exc Ext Thrombotic Hemmor	27	27	$4,679.00	$2,339.50 50% off	$509.00	$4,679.00	$1,562.21	2026-08-12
0200	RC	—	27	22	$1,320.00	$234.50 82% off	$215.74	$10,261.68	$1,392.00	2026-08-12
11604	HCPCS	Exc Malig Lesion Over 4.0 Cm	27	27	$3,290.00	$1,645.00 50% off	$509.00	$3,290.00	$1,313.68	2026-08-12
21450	HCPCS	Clsd Trmt Mandibular Maxillary	27	27	$2,483.00	$1,241.50 50% off	$509.00	$2,483.00	$1,299.64	2026-08-12
46050	HCPCS	Incision And Drain Perianal Abscess	27	27	$1,691.00	$845.50 50% off	$509.00	$1,710.99	$1,113.56	2026-08-12
0206	RC	—	27	22	$1,020.00	$234.50 77% off	$215.74	$10,261.68	$1,080.00	2026-08-12
23665	HCPCS	Clsd Trmt Shoulder Disloc W Frac	27	27	$956.00	$478.00 50% off	$478.00	$1,798.41	$860.40	2026-08-12
26645	HCPCS	Closed Trmt Carpometacarpal Frac	27	27	$956.00	$478.00 50% off	$478.00	$1,798.41	$860.40	2026-08-12
25565	HCPCS	Clsd Trmt Radial And Ulnar W Manip	27	27	$956.00	$478.00 50% off	$478.00	$1,798.41	$860.40	2026-08-12
24655	HCPCS	Clsd Trmt Radial Head W Manipul	27	27	$956.00	$478.00 50% off	$478.00	$1,798.41	$860.40	2026-08-12
62273	HCPCS	Inj Epidural Blood Or Clot Patch	27	27	$1,445.00	$722.50 50% off	$509.00	$1,445.00	$829.83	2026-08-12
12036	HCPCS	Layer Clos Scalp Trnk 20.1cm-30.0	27	27	$1,632.00	$816.00 50% off	$402.84	$1,632.00	$768.01	2026-08-12
12044	HCPCS	Layer Clos Neck Feet 7.6cm-12.5cm	27	27	$1,632.00	$816.00 50% off	$402.84	$1,632.00	$768.01	2026-08-12
27268	HCPCS	Clsd Trmt Femoral Fracture W Mnpj	27	27	$1,143.00	$571.50 50% off	$485.36	$1,798.41	$750.95	2026-08-12
38220	HCPCS	Bone Marrow Aspiration Only	27	27	$748.00	$374.00 50% off	$374.00	$1,970.92	$748.00	2026-08-12
12020	HCPCS	Trtmt Superficial Wound Simple	27	27	$996.00	$498.00 50% off	$402.84	$996.00	$747.66	2026-08-12
13152	HCPCS	Repair Complex Eye Lips 2.6cm-7.5	27	27	$996.00	$498.00 50% off	$443.69	$996.00	$747.66	2026-08-12
13151	HCPCS	Repair Complex Eye Lips 1.1cm-2.5	27	27	$996.00	$498.00 50% off	$443.69	$996.00	$747.66	2026-08-12
13101	HCPCS	Repair Complex Trnk 2.6cm-7.5cm	27	27	$996.00	$498.00 50% off	$443.69	$996.00	$747.66	2026-08-12
13100	HCPCS	Repair Complex Trunk 1.0cm-2.5cm	27	27	$996.00	$498.00 50% off	$443.69	$996.00	$747.66	2026-08-12
11603	HCPCS	Excision Malign Les 2.1 - 3.0 Cm	27	27	$1,649.00	$824.50 50% off	$443.69	$1,649.00	$735.86	2026-08-12
28190	HCPCS	Removal Foreign Body Foot Subcu	27	27	$1,649.00	$824.50 50% off	$443.69	$1,649.00	$735.86	2026-08-12
11600	HCPCS	Exc Tr-ext Mlg+marg 0.5 < Cm	27	27	$1,649.00	$824.50 50% off	$443.69	$1,649.00	$735.86	2026-08-12
11010	HCPCS	Debride Op Fx Dis Skin And Subcu	27	27	$1,990.00	$995.00 50% off	$402.84	$1,990.00	$735.86	2026-08-12
11440	HCPCS	Exc Benign Lesion < .5 Cm	27	27	$1,649.00	$824.50 50% off	$443.69	$1,649.00	$735.86	2026-08-12
69000	HCPCS	Drainage Ext Ear Abscess Or Hematoma	27	27	$1,937.00	$968.50 50% off	$178.74	$1,937.00	$735.86	2026-08-12
10080	HCPCS	Incision And Drain Pilonidal Cyst	27	27	$1,937.00	$968.50 50% off	$174.24	$1,937.00	$735.86	2026-08-12
11400	HCPCS	Exc Benign Lesion 0.5 Cm <	27	27	$934.00	$467.00 50% off	$443.69	$934.00	$735.86	2026-08-12
11642	HCPCS	Exc Malignant Lesion Face 1.1 - 2.0 Cm	27	27	$934.00	$467.00 50% off	$443.69	$934.00	$735.86	2026-08-12
J7502	HCPCS	Cyclosporine Oral Sol 100mg/ml	30	11	$2,233.50	$486.88 78% off	$3.70	$2,010.15	$1,206.09	2026-08-12
C1880	HCPCS	Greenfield Femoral System 12fr	30	11	$1,508.00	$217.50 86% off	$570.24	$2,456.10	$1,091.60	2026-08-12
J9289	HCPCS	Opdivo Qvantig Sc 600mg 5ml Inj	34	17	$23,725.00	$11,862.50 50% off	$28.14	$21,352.50	$11,862.50	2026-08-12
J1326	HCPCS	Zolbetuximab Inj 100mg Chem	34	17	$4,780.00	$2,390.00 50% off	$33.92	$4,302.00	$2,390.00	2026-08-12
A9521	HCPCS	C-isotope 99mTc Ceretec Per Dose (25mCi)	34	22	$2,648.00	$827.00 69% off	$802.34	$6,466.79	$1,800.64	2026-08-12
23350	HCPCS	Sp Injection Arthro Shoulder (23350)	34	18	$2,269.00	$2,264.50	$345.66	$2,383.00	$1,276.45	2026-08-12
27369	HCPCS	Sp Injection Arthro Knee (27369)	34	18	$2,269.00	$813.00 64% off	$345.66	$2,383.00	$1,276.45	2026-08-12
19001	HCPCS	US Asp Breast Cyst Add Lesion (19001)	34	18	$2,269.00	$1,134.50 50% off	$351.00	$2,383.00	$1,276.45	2026-08-12
25246	HCPCS	Sp Injection Arthro Wrist (25246)	34	18	$2,269.00	$514.00 77% off	$345.66	$2,383.00	$1,276.45	2026-08-12
10006	HCPCS	US Fna Add Lesion (10006)	34	18	$2,267.00	$1,133.50 50% off	$351.00	$2,381.00	$1,275.35	2026-08-12
77012	HCPCS	CT Guidance Needle (77012)	34	18	$1,458.00	$142.00 90% off	$86.90	$1,531.00	$824.90	2026-08-12
A9572	HCPCS	C-isotope In-111 Octreotide(up To 6 mCi)	41	23	$6,064.00	$63.50 99% off	$1,500.00	$5,731.20	$2,000.94	2026-08-12
A9547	HCPCS	C-isotope In-111 Oxyquinolin(per .5 mCi)	41	23	$1,247.00	$85.00 93% off	$623.50	$1,310.00	$831.46	2026-08-12
99285	HCPCS	Emer Room - V	42	21	$1,720.00	$860.00 50% off	$618.85	$1,720.00	$860.00	2026-08-12
99284	HCPCS	Emer Room - IV	42	21	$1,503.00	$751.50 50% off	$433.61	$1,503.00	$751.50	2026-08-12
19281	HCPCS	Mm Mammo Guidance Needle Loc (19281)	43	24	$1,844.00	$194.00 89% off	$922.00	$2,090.20	$1,741.84	2026-08-12
0722	RC	—	44	12	$1,323.00	$630.00 52% off	$579.60	$1,756.80	$929.50	2026-08-12
C9488	HCPCS	Conivaptan D5wvaprisol 20mg 100ml	48	17	$1,760.00	$880.00 50% off	$94.12	$1,584.00	$853.60	2026-08-12
J1830	HCPCS	Interferon Beta 1b Inj 0.3mg	48	17	$1,503.75	$751.88 50% off	$102.29	$1,353.38	$751.88	2026-08-12
J3245	HCPCS	Ilumya Inj 100mg Ml	52	26	$25,672.42	$12,836.21 50% off	$124.27	$23,105.18	$7,676.43	2026-08-12
J9043	HCPCS	Cabazitaxel Inj. 60mg 1.5ml	52	26	$27,622.00	$13,811.00 50% off	$224.09	$24,859.80	$4,815.43	2026-08-12
J3380	HCPCS	Entyvio Inj 300mg	52	26	$20,120.50	$10,060.25 50% off	$21.62	$18,108.45	$3,867.75	2026-08-12
J9034	HCPCS	Bendamustine Inj 100mg 25mg Ml	52	26	$5,065.25	$2,532.63 50% off	$12.53	$4,558.73	$2,633.93	2026-08-12
J9264	HCPCS	Abraxane Inj 100mg Vial	52	26	$4,621.75	$2,310.88 50% off	$6.59	$4,159.58	$1,369.70	2026-08-12
J0490	HCPCS	Benlysta Belimumabinj 120mg Vial	52	26	$1,971.75	$985.88 50% off	$54.91	$2,130.26	$1,025.32	2026-08-12
Q5123	HCPCS	Riabni Inj 10mg Ml 10ml	52	26	$1,387.00	$693.50 50% off	$18.53	$2,130.26	$744.82	2026-08-12
J0517	HCPCS	Benralizumab 30mg Inj Syr.	53	29	$16,458.25	$72.38 100% off	$165.56	$14,812.43	$3,867.75	2026-08-12
15271	HCPCS	Apply Skin Sub. First 25 Sqcm	53	29	$4,498.00	$1,566.50 65% off	$768.01	$4,723.00	$2,209.55	2026-08-12
36597	HCPCS	Sp Picc Line Adjustment (36597)	53	29	$4,595.00	$455.00 90% off	$777.77	$4,825.00	$1,751.94	2026-08-12
36584	HCPCS	Sp Picc Line Replacement (36584)	53	29	$4,593.00	$2,297.50 50% off	$1,157.78	$4,823.00	$1,751.94	2026-08-12
27301	HCPCS	I Andd Thigh/knee Deep Abscess Bursa Hema	53	29	$1,626.00	$1,701.50	$813.00	$3,692.21	$1,626.00	2026-08-12
0323	RC	—	54	12	$11,709.00	$5,854.50 50% off	$1,735.00	$29,767.50	$9,979.35	2026-08-12
Q5136	HCPCS	Denosumab-bbdzwyostinj 120mg 1.7ml	54	17	$3,344.09	$1,672.05 50% off	$27.67	$4,012.82	$1,464.78	2026-08-12
27650	HCPCS	Repair Ruptured Achilles Tendon	55	30	$8,599.00	$130.50 98% off	$509.00	$9,215.83	$7,679.86	2026-08-12
47534	HCPCS	US Cholecystostomy/drain Place (47534)	55	30	$11,160.00	$1,659.00 85% off	$2,046.00	$10,546.20	$3,984.78	2026-08-12
25260	HCPCS	Repair Tendon Or Muscle Forearm/wrist	55	30	$5,907.00	$1,134.50 81% off	$509.00	$6,203.00	$3,544.20	2026-08-12
36556	HCPCS	Insertion Cent Venous >5 Yrs	55	30	$8,480.00	$589.00 93% off	$509.00	$8,013.60	$3,514.09	2026-08-12
31613	HCPCS	Repair Windpipe Opening	55	30	$4,582.00	$732.50 84% off	$509.00	$4,812.00	$3,486.46	2026-08-12
57415	HCPCS	Foreign Body Removal Vagina	55	30	$3,787.00	$417.50 89% off	$509.00	$4,101.78	$3,408.30	2026-08-12
10180	HCPCS	I Andd Complex Postop Wound Inf	55	30	$7,024.00	$283.00 96% off	$509.00	$6,874.00	$3,232.78	2026-08-12
38222	HCPCS	Bone Marrow Biopsy W Asp	55	30	$5,250.00	$26.00 100% off	$1,552.00	$5,513.00	$3,133.12	2026-08-12
46045	HCPCS	Incision Of Anal Abscess	55	30	$7,241.00	$2,228.00 69% off	$509.00	$6,874.00	$3,089.14	2026-08-12
27372	HCPCS	Remov Fb Deep Thigh/knee Region	55	30	$4,268.00	$1,134.50 73% off	$509.00	$4,482.00	$3,076.84	2026-08-12
42720	HCPCS	Drainage Of Throat Abscess	55	30	$3,083.00	$325.00 89% off	$509.00	$4,183.75	$2,914.20	2026-08-12
53060	HCPCS	Drain Urethra Abscess	55	30	$3,791.00	$362.00 90% off	$509.00	$3,981.00	$2,539.97	2026-08-12
20225	HCPCS	CT Biopsy Bone Deep (20225)	55	30	$4,435.00	$2,217.50 50% off	$1,552.00	$4,657.00	$1,978.96	2026-08-12
23065	HCPCS	US Bx Shoulder Soft Tissue (23065)	55	30	$4,529.00	$1,133.50 75% off	$925.00	$4,756.00	$1,943.85	2026-08-12
11606	HCPCS	Excision Malignant Lesion > 4.0cm	55	30	$4,268.00	$785.00 82% off	$509.00	$4,482.00	$1,941.86	2026-08-12
49405	HCPCS	CT Drain (livr/spln/renl)abscess (49405)	55	30	$4,724.00	$1,659.00 65% off	$761.32	$4,961.00	$1,847.18	2026-08-12
48102	HCPCS	CT Biopsy Pancreas (48102)	55	30	$3,318.00	$5,580.00	$761.32	$3,484.00	$1,838.14	2026-08-12
20220	HCPCS	CT Biopsy Bone Superficial (20220)	55	30	$4,435.00	$1,659.00 63% off	$720.59	$4,657.00	$1,838.14	2026-08-12
50200	HCPCS	CT Biopsy Renal (50200)	55	30	$3,318.00	$2,362.00 29% off	$1,545.03	$3,484.00	$1,838.14	2026-08-12
49180	HCPCS	CT Biopsy Abd/retroperitoneum (49180)	55	30	$3,318.00	$1,275.50 62% off	$761.32	$3,484.00	$1,838.14	2026-08-12
32408	HCPCS	CT Biopsy Lung/mediastinum (32408)	55	30	$3,316.00	$2,291.00 31% off	$1,051.23	$3,482.00	$1,838.14	2026-08-12
23605	HCPCS	Treat Humerus Fracture	55	30	$3,407.00	$1,703.50 50% off	$485.36	$3,578.00	$1,789.60	2026-08-12
23505	HCPCS	Clsd Trmt Clav Frac W/manip	55	30	$3,407.00	$271.50 92% off	$485.36	$3,578.00	$1,789.60	2026-08-12
27502	HCPCS	Closed Trmt Femoral Shaft W/manip	55	30	$3,407.00	$146.50 96% off	$485.36	$3,578.00	$1,789.60	2026-08-12
25605	HCPCS	Clsd Trmt Sidtal Radial W/manipul	55	30	$4,127.00	$2,953.50 28% off	$485.36	$4,334.00	$1,789.60	2026-08-12
24535	HCPCS	Trt Humerus Fracture	55	30	$3,836.00	$544.50 86% off	$485.36	$4,028.00	$1,789.60	2026-08-12
11644	HCPCS	Exc Malignant Lesion 3.1 - 4.0cm	55	30	$3,133.00	$922.00 71% off	$509.00	$3,290.00	$1,773.70	2026-08-12
32557	HCPCS	US Plueral Drainage Cath (32557)	55	30	$3,360.00	$506.50 85% off	$925.00	$3,528.00	$1,751.94	2026-08-12
11404	HCPCS	Exc Tr-ext 3.1 - 4 Cm	55	30	$2,601.00	$155.00 94% off	$509.00	$2,732.00	$1,741.84	2026-08-12
23655	HCPCS	Closed Trmt Shoulder W/anes	55	30	$2,828.00	$306.00 89% off	$509.00	$2,970.00	$1,720.52	2026-08-12
27842	HCPCS	Treat Ankle Dislocation	55	30	$2,828.00	$146.50 95% off	$509.00	$2,970.00	$1,720.52	2026-08-12
27552	HCPCS	Treat Knee Dislocation	55	30	$2,828.00	$146.50 95% off	$509.00	$2,970.00	$1,720.52	2026-08-12
45005	HCPCS	Inc And Drain Submucosal Abscess Rectum	55	30	$4,456.00	$365.00 92% off	$509.00	$4,679.00	$1,562.21	2026-08-12
46040	HCPCS	I Andd Ischiorectal/perirectal Absce	55	30	$4,456.00	$2,228.00 50% off	$509.00	$4,679.00	$1,562.21	2026-08-12
11443	HCPCS	Excision Benign Lesion 2.1 3.0cm	55	30	$1,570.00	$785.00 50% off	$509.00	$2,090.20	$1,484.10	2026-08-12
78451	HCPCS	Nm Cardiac Resting Only (78451)	55	30	$3,594.00	$781.50 78% off	$780.64	$3,396.60	$1,345.35	2026-08-12
78802	HCPCS	Nm Inflammatory Process Whole (78802)	55	30	$2,226.00	$1,113.00 50% off	$564.24	$2,220.12	$1,310.41	2026-08-12
42400	HCPCS	US Bx Parotid Gland (42400)	55	30	$1,921.00	$732.50 62% off	$706.25	$2,018.00	$1,210.80	2026-08-12
11012	HCPCS	Debride Skin/muscle/bone Fx	55	30	$1,157.00	$3,512.00	$509.00	$3,692.21	$1,157.00	2026-08-12
46608	HCPCS	Anoscopy With Removal Of Foreign Body	55	30	$2,554.00	$3,620.50	$509.00	$2,682.00	$1,098.19	2026-08-12
24577	HCPCS	Treat Humerus Fracture	55	30	$1,090.00	$1,918.00	$485.36	$2,064.62	$1,090.00	2026-08-12
24505	HCPCS	Closed Trmt Humerus Shaft W/manip	55	30	$1,089.00	$172.50 84% off	$485.36	$2,064.62	$1,089.00	2026-08-12
32555	HCPCS	US Thoracentesis (non Rad) (32555)	55	30	$2,267.00	$803.00 65% off	$620.60	$2,381.00	$1,082.15	2026-08-12
60100	HCPCS	US Thyroid Core Bx (60100)	55	30	$1,538.00	$167.00 89% off	$706.25	$1,664.15	$1,030.46	2026-08-12
24675	HCPCS	Closed Trmt Ulnar Frac W Manipulation	55	30	$1,028.00	$545.00 47% off	$485.36	$2,064.62	$1,028.00	2026-08-12
32556	HCPCS	Thoracentesis W/insert Tube	55	30	$1,013.00	$1,133.50	$506.50	$2,447.23	$1,013.00	2026-08-12
33016	HCPCS	Pericardiocentesis	55	30	$1,013.00	$423.00 58% off	$506.50	$2,004.03	$1,013.00	2026-08-12
78801	HCPCS	Nm Inflammatory Process Lmtd (78801)	55	30	$2,226.00	$1,213.00 46% off	$403.35	$2,104.20	$956.06	2026-08-12
49082	HCPCS	Paracentesis	55	30	$2,551.00	$1,659.00 35% off	$761.32	$2,551.00	$947.15	2026-08-12
78278	HCPCS	Nm Gi Bleed Study (78278)	55	30	$1,458.00	$729.00 50% off	$403.35	$1,531.00	$928.74	2026-08-12
78579	HCPCS	Nm Lung Scan Ventilation (78579)	55	30	$1,458.00	$729.00 50% off	$403.35	$1,531.00	$918.60	2026-08-12
78580	HCPCS	Nm Lung Scan Perfusion (78580)	55	30	$1,458.00	$729.00 50% off	$403.35	$1,531.00	$918.60	2026-08-12
78582	HCPCS	Nm Lung Scan Vent And Perf Combo (78582)	55	30	$1,458.00	$729.00 50% off	$540.30	$1,531.00	$918.60	2026-08-12
27510	HCPCS	Closed Trmt Femoral Fr Distal End	55	30	$910.00	$146.50 84% off	$455.00	$2,064.62	$910.00	2026-08-12
31605	HCPCS	Incision Of Windpipe	55	30	$1,465.00	$342.00 77% off	$233.10	$2,445.83	$879.00	2026-08-12
40650	HCPCS	Repair Lip	55	30	$1,465.00	$729.00 50% off	$509.00	$1,664.15	$879.00	2026-08-12
62302	HCPCS	Sp Myelogram Cervical (62302)	55	30	$1,938.00	$1,133.50 42% off	$590.03	$2,035.00	$818.63	2026-08-12
10005	HCPCS	US Fna (10005)	55	30	$2,267.00	$225.00 90% off	$706.25	$2,381.00	$812.43	2026-08-12
19000	HCPCS	US Aspiration Breast Cyst (19000)	55	30	$2,269.00	$355.50 84% off	$706.25	$2,383.00	$812.43	2026-08-12
94002	HCPCS	Ventilator Per Protocol	55	30	$1,441.00	$299.00 79% off	$641.99	$1,362.60	$808.48	2026-08-12
53620	HCPCS	Dilate Urethra Stricture	55	30	$3,681.00	$245.00 93% off	$425.80	$3,866.00	$776.05	2026-08-12
28435	HCPCS	Treatment Of Ankle Fracture	55	30	$754.00	$146.50 81% off	$377.00	$2,064.62	$754.00	2026-08-12
55000	HCPCS	US Asp Abscess/cyst/hematoma (55000)	55	30	$2,269.00	$325.50 86% off	$90.90	$2,383.00	$739.49	2026-08-12
11421	HCPCS	Exc Benign 0.6 - 1.0cm	55	30	$1,570.00	$849.00 46% off	$443.69	$1,649.00	$735.86	2026-08-12
11640	HCPCS	Excision Malignant Lesion O.5cm	55	30	$1,844.00	$2,134.00	$443.69	$1,937.00	$735.86	2026-08-12
32551	HCPCS	Thoracostomy	58	30	$4,377.00	$2,188.50 50% off	$509.00	$4,377.00	$1,751.94	2026-08-12
32554	HCPCS	Thoracentesis	58	30	$1,687.00	$843.50 50% off	$509.00	$1,687.00	$987.90	2026-08-12
62270	HCPCS	Fl Spinal Puncture Lumbar (62270)	58	30	$2,381.00	$1,190.50 50% off	$509.00	$2,381.00	$859.38	2026-08-12
0320	RC	—	60	12	$12,390.00	$5,575.50 55% off	$98.00	$12,294.90	$6,350.00	2026-08-12
J3490	HCPCS	Esmolol Hcl 2500mg/250ml Pm	60	11	$281.25	$80.75 71% off	$75.91	$13,117.28	$3,478.76	2026-08-12
J1930	HCPCS	Lanreotide Depot Syr 60mg 0.2ml	61	26	$18,183.75	$9,091.88 50% off	$37.43	$16,365.38	$3,867.75	2026-08-12
J7200	HCPCS	Coagulation Factor 9	62	24	$3,954.25	$1,977.13 50% off	$1.72	$5,274.04	$2,372.55	2026-08-12
49083	HCPCS	US Paracentesis (49083)	62	30	$2,679.00	$1,339.50 50% off	$509.00	$2,679.00	$944.83	2026-08-12
36573	HCPCS	Sp Picc Line Procedure (36573)	63	29	$4,823.00	$2,412.50 50% off	$1,157.78	$4,825.00	$2,040.68	2026-08-12
62304	HCPCS	Sp Myelogram Lumbar (62304)	63	30	$2,381.00	$1,190.50 50% off	$590.03	$2,381.00	$818.63	2026-08-12
38505	HCPCS	US Bx Lymph Node (38505)	64	30	$4,433.00	$2,327.50 47% off	$1,276.14	$4,655.00	$1,856.90	2026-08-12
J9037	HCPCS	Belantamab Mafodotin Inj 100mg Vial	65	28	$25,767.00	$12,883.50 50% off	$41.73	$23,190.30	$8,041.98	2026-08-12
J0841	HCPCS	Anavip Vial	65	28	$2,926.50	$1,463.25 50% off	$1,027.17	$8,407.52	$1,755.90	2026-08-12
J0630	HCPCS	Calciton Miacalcininj 400iu 2ml	65	28	$1,782.00	$891.00 50% off	$837.54	$2,504.25	$1,330.57	2026-08-12
J9202	HCPCS	Goserelin Zoladex Syrg 3.6mg	65	28	$2,839.50	$1,419.75 50% off	$703.06	$2,555.55	$1,100.56	2026-08-12
19020	HCPCS	US Breast Drainage Cath Placement(19020)	66	30	$4,326.00	$1,966.00 55% off	$509.00	$4,543.00	$2,068.10	2026-08-12
27093	HCPCS	Sp Injection Arthro Hip (27093)	68	18	$2,893.00	$1,134.50 61% off	$345.66	$3,216.60	$1,542.93	2026-08-12
78452	HCPCS	Nm Cardiac Exercise Drug/isotope (78452)	69	30	$3,596.00	$1,797.00 50% off	$928.74	$3,398.40	$1,594.51	2026-08-12
J9303	HCPCS	Panitumumab 100mg 5ml Injchm	70	26	$13,246.50	$6,623.25 50% off	$165.71	$19,074.83	$3,709.13	2026-08-12
11420	HCPCS	Exc Benign Lesion .5cm Or Less	71	30	$1,698.00	$891.50 47% off	$509.00	$2,090.20	$1,495.00	2026-08-12
70553	HCPCS	MRI Iac's Wwo (70553)	72	30	$1,824.00	$890.00 51% off	$358.48	$1,925.00	$912.00	2026-08-12
74178	HCPCS	CT Abd/pelv Combo Wwo (74178)	72	30	$1,563.00	$773.50 51% off	$320.76	$1,642.00	$747.25	2026-08-12
20206	HCPCS	CT Biopsy Deep Muscle (20206)	73	30	$4,435.00	$1,742.00 61% off	$720.59	$4,657.00	$1,978.96	2026-08-12
J9298	HCPCS	Nivolumab Relatilima 240mg 80mg 20ml	79	29	$28,943.00	$14,471.50 50% off	$193.86	$26,048.70	$14,471.50	2026-08-12
J9228	HCPCS	Yervoy Inj 5mg Ml 10ml	79	29	$25,490.00	$12,745.00 50% off	$180.05	$22,941.00	$12,745.00	2026-08-12
J9042	HCPCS	Adcetris Brentuximab Inj 50mg Vial	79	29	$22,604.00	$11,302.00 50% off	$248.93	$20,343.60	$7,676.43	2026-08-12
J9271	HCPCS	Pembrolizumab Inj 100mg 4ml Chem	79	29	$16,924.50	$8,462.25 50% off	$57.60	$15,232.05	$7,676.43	2026-08-12
J1162	HCPCS	Digoxin Immune Fab Inj 40mg	79	29	$12,297.75	$6,148.88 50% off	$4,677.84	$11,067.98	$5,383.32	2026-08-12
J0596	HCPCS	Ruconest Inj 2100 Units	79	29	$24,118.50	$12,059.25 50% off	$34.67	$21,706.65	$4,815.43	2026-08-12
J9301	HCPCS	Obinutuzumab 1000mg 40ml Chem	79	29	$24,621.00	$12,310.50 50% off	$74.83	$22,158.90	$4,815.43	2026-08-12
J3101	HCPCS	Tenecteplasetnkase Inj 50mg	79	29	$23,074.75	$11,537.38 50% off	$162.43	$20,767.28	$4,815.43	2026-08-12
J9119	HCPCS	Cemiplimab-rwlc 350mg 7ml Chem	79	29	$20,497.00	$10,248.50 50% off	$28.21	$18,447.30	$4,815.43	2026-08-12
Q5120	HCPCS	Pegfilgrastim-bmez Syr 6mg 0.6ml	79	29	$9,343.00	$4,671.50 50% off	$24.71	$8,408.70	$3,867.75	2026-08-12
J9144	HCPCS	Darzalex Faspro 1800mg 30000units	79	29	$28,957.25	$14,478.63 50% off	$51.39	$26,061.53	$3,867.75	2026-08-12
J9306	HCPCS	Perjeta Pertuzumab Inj 420mg 14ml	79	29	$19,498.25	$9,749.13 50% off	$16.19	$17,548.43	$3,867.75	2026-08-12
J9358	HCPCS	Fam-trastuzumab Deruxtecan 100mg Inj	79	29	$8,384.75	$4,192.38 50% off	$28.81	$7,546.28	$3,867.75	2026-08-12
J9205	HCPCS	Irinotecan Liposome 43mg Ml 10ml	79	29	$8,676.25	$4,338.13 50% off	$64.22	$7,808.63	$3,867.75	2026-08-12
J9352	HCPCS	Trabectedin Inj 1mg Vial	79	29	$9,434.00	$4,717.00 50% off	$362.75	$8,490.60	$3,867.75	2026-08-12
J9223	HCPCS	Lurbinectedin 4mg Inj	79	29	$22,814.75	$11,407.38 50% off	$204.90	$20,533.28	$3,867.75	2026-08-12
J7169	HCPCS	Andexxa 200mg Vial	79	29	$7,468.50	$3,734.25 50% off	$131.16	$18,760.21	$3,734.25	2026-08-12
J9355	HCPCS	Trastuzumab Herceptin Vial 150mg	79	29	$4,655.75	$2,327.88 50% off	$70.24	$4,236.11	$2,327.88	2026-08-12
J9349	HCPCS	Monjuvi Pr Inj Spd 200mg	79	29	$3,968.25	$1,984.13 50% off	$13.97	$4,236.11	$1,984.13	2026-08-12
J0565	HCPCS	Bezlotoxumab Inj 1000mg 40ml	79	29	$11,347.75	$5,673.88 50% off	$39.83	$10,212.98	$1,945.02	2026-08-12
J1572	HCPCS	Immune Globulin Human 10% 20gm 200ml	79	29	$5,585.25	$2,792.63 50% off	$44.54	$5,026.73	$1,945.02	2026-08-12
J1602	HCPCS	Simponi Aria 50mg 4mlvial	79	29	$5,823.63	$2,911.82 50% off	$10.54	$5,241.27	$1,945.02	2026-08-12
J0717	HCPCS	Certolizumab Pegol 200mg Ml Prefil	79	29	$8,063.75	$4,031.88 50% off	$3.44	$7,257.38	$1,945.02	2026-08-12
J1306	HCPCS	Inclisiran 284mg 1.5ml Inj	79	29	$9,574.00	$4,787.00 50% off	$12.28	$8,616.60	$1,945.02	2026-08-12
J1745	HCPCS	Infliximabremicadeinj 100mg	79	29	$3,414.25	$1,707.13 50% off	$30.53	$3,072.83	$1,707.13	2026-08-12
J0875	HCPCS	Dalbavancindalvance Inj 500mg	79	29	$2,781.00	$1,390.50 50% off	$11.29	$4,236.11	$1,390.50	2026-08-12
Q5108	HCPCS	Pegfilgrastim-jmdb 6mg 0.6ml Syringe	79	29	$2,769.25	$1,384.63 50% off	$67.02	$4,236.11	$1,384.63	2026-08-12
J3111	HCPCS	Romosozumab 210mg 2.34ml Inj 2 Syr	79	29	$7,852.25	$3,926.13 50% off	$11.49	$7,067.03	$1,050.54	2026-08-12
J0791	HCPCS	Adakveo Vial 10mg Ml 10ml	79	29	$7,328.00	$3,664.00 50% off	$128.68	$6,595.20	$1,050.54	2026-08-12
J9317	HCPCS	Trodelvy 180mg Vial	79	29	$7,181.50	$3,590.75 50% off	$35.44	$6,463.35	$1,003.19	2026-08-12
J9312	HCPCS	Rituxan 100mg 10mg Mlchm	80	26	$2,243.50	$1,121.75 50% off	$73.28	$12,622.73	$2,131.32	2026-08-12
47000	HCPCS	CT Biopsy Liver (47000)	81	30	$3,318.00	$1,277.00 62% off	$509.00	$3,484.00	$1,741.84	2026-08-12
J0897	HCPCS	Denosumab Xgeva 120mg 1.7ml Ch	88	26	$9,875.25	$4,937.63 50% off	$27.66	$8,887.73	$1,401.18	2026-08-12
J9055	HCPCS	Erbitux Cetuximab 100mg 50ml Chm	97	29	$2,306.00	$1,153.00 50% off	$77.10	$4,470.30	$1,383.60	2026-08-12
0710	RC	—	100	11	$1,390.00	$608.50 56% off	$426.42	$1,751.40	$834.15	2026-08-12
J9316	HCPCS	Phesgo 600mg 600mg 20000un 10ml Inj	106	29	$26,516.50	$13,258.25 50% off	$59.90	$23,866.20	$12,197.94	2026-08-12
J9022	HCPCS	Tecentriq Inj 840mg 14ml	106	29	$22,179.00	$10,561.38 52% off	$88.22	$19,961.10	$9,822.08	2026-08-12
J0896	HCPCS	Reblozyl Inj 25mg Vial	106	29	$12,280.25	$6,140.13 50% off	$41.28	$20,858.18	$7,566.77	2026-08-12
J9354	HCPCS	Adotrastuzumab Emtansine 100mg Inj	106	29	$11,735.50	$5,867.75 50% off	$40.97	$16,899.08	$5,457.01	2026-08-12
J2506	HCPCS	Pegfilgrastim-apgf Syr 6mg/0.6ml	106	29	$18,772.75	$5,696.25 70% off	$19.98	$16,895.48	$5,243.93	2026-08-12
J9177	HCPCS	Padcev Inj 20mg Vial	106	29	$8,427.00	$6,015.50 29% off	$36.65	$11,376.45	$4,815.43	2026-08-12
J9308	HCPCS	Cyramza Inj 500mg 50ml	106	29	$20,298.00	$2,241.38 89% off	$72.91	$18,268.20	$2,965.95	2026-08-12
J7168	HCPCS	Prothrombin Complex Conc. 1000 Iu	106	29	$3,534.50	$4,036.50	$2.01	$7,265.70	$1,945.02	2026-08-12
Q5107	HCPCS	Bevacizumab-awwb 100mg 4ml Chem	106	29	$2,025.25	$1,012.63 50% off	$24.53	$7,290.68	$941.75	2026-08-12
Q5118	HCPCS	Bevacizumab-bvzr 100mg 4ml Chm	106	29	$6,580.35	$1,973.88 70% off	$23.00	$5,922.32	$765.05	2026-08-12
Q5111	HCPCS	Pegfilgrastim-cbqv 6mg 0.6ml Onbody	107	29	$3,700.75	$1,850.38 50% off	$135.55	$10,906.20	$2,590.53	2026-08-12
J9035	HCPCS	Bevacizumab 100mg25mg Ml 4ml Chm	107	29	$9,523.25	$4,761.63 50% off	$73.19	$8,570.93	$2,381.00	2026-08-12
Q2050	HCPCS	Doxil 20mg 10ml Inj Chem	107	29	$5,087.50	$921.38 82% off	$116.61	$4,578.75	$1,842.75	2026-08-12
90377	HCPCS	Rabies Immune Globulin 1500iu 10ml	109	29	$2,237.00	$2,117.00	$243.20	$9,188.78	$1,369.70	2026-08-12
Q5117	HCPCS	Kanjinti 150mg Vial	110	29	$11,053.25	$4,616.38 58% off	$34.69	$9,947.93	$2,763.43	2026-08-12
78195	HCPCS	Nm Lymphoscintigraphy (78195)	110	30	$2,223.00	$729.00 67% off	$540.30	$2,754.90	$956.06	2026-08-12
73222	HCPCS	MRI Ext Upper Joint W Lt (73222)	110	30	$1,780.00	$890.00 50% off	$429.55	$1,869.00	$818.63	2026-08-12
90375	HCPCS	Rabies Immune Globulin 900iu 3ml	119	29	$4,234.00	$1,020.75 76% off	$280.37	$9,186.75	$1,434.93	2026-08-12
J9173	HCPCS	Imfinzi Inj 120mg 2.4ml	122	29	$2,887.50	$1,443.75 50% off	$83.88	$10,827.90	$2,743.12	2026-08-12
J9227	HCPCS	Sarclisa Sf 20mg Ml 25ml	122	29	$2,363.25	$5,907.75	$79.35	$10,633.95	$2,245.09	2026-08-12
J9145	HCPCS	Daratumumab 20mg Ml 20ml	122	29	$7,992.75	$3,996.38 50% off	$65.32	$7,193.48	$1,898.34	2026-08-12
Q5115	HCPCS	Truxima Inj 100mg 10ml	122	29	$2,454.25	$1,227.13 50% off	$31.83	$11,044.13	$1,846.75	2026-08-12
J1569	HCPCS	Gammagard Lq Sf 10% 300ml	124	29	$6,737.75	$3,368.88 50% off	$46.46	$9,095.85	$1,963.67	2026-08-12
Q5119	HCPCS	Ruxience Pvvr 100mg 10ml Chm	125	29	$9,237.50	$923.75 90% off	$16.16	$8,313.75	$1,847.50	2026-08-12
J2353	HCPCS	Octreotide Acetate Depot 30mg Injim	133	29	$18,897.75	$6,415.50 66% off	$208.10	$17,007.98	$4,531.35	2026-08-12
J1459	HCPCS	Immune Globulin Human 10% 10gm 100ml	133	29	$5,729.07	$2,864.54 50% off	$49.28	$8,899.20	$1,945.02	2026-08-12
J9047	HCPCS	Carfilzomib 30mg Inj Chm	133	29	$5,650.00	$2,825.00 50% off	$51.97	$10,170.00	$1,369.70	2026-08-12
J3262	HCPCS	Tocilizumab 200mg 10ml	133	29	$3,884.25	$1,942.13 50% off	$5.41	$7,137.90	$1,100.56	2026-08-12
J9217	HCPCS	Eligard Leuprolide Acetate 22.5mg	142	29	$3,845.25	$1,922.63 50% off	$160.34	$7,098.08	$881.94	2026-08-12
J9299	HCPCS	Nivolumab Inj 120mg 12mlchemo	152	29	$11,180.25	$5,590.13 50% off	$32.30	$20,514.60	$4,927.47	2026-08-12
J0881	HCPCS	Darbepoetin Alfa 200mcg N-esrd	160	29	$4,523.50	$2,261.75 50% off	$2.92	$10,187.78	$1,698.00	2026-08-12
J7192	HCPCS	Factor-8 Antihemophilic 1000 Iu	165	29	$3,636.25	$1,818.13 50% off	$1.54	$6,725.48	$1,818.13	2026-08-12
73722	HCPCS	MRI Ext Lower Joint W Bilat (73722)	165	30	$1,869.00	$890.00 52% off	$429.55	$3,464.10	$818.63	2026-08-12
Q4158	HCPCS	Marigen 7x 7 Cm	170	21	$3,330.00	$1,885.00 43% off	$126.52	$6,108.30	$1,659.60	2026-08-12
19083	HCPCS	US Breast Bx Bilat (19083)	187	30	$3,318.00	$1,741.00 48% off	$1,403.78	$3,484.00	$1,838.14	2026-08-12
J1561	HCPCS	Gamunex-c 10% 10gmg 100ml	204	29	$4,596.00	$2,298.00 50% off	$49.01	$15,083.33	$1,887.47	2026-08-12
0360	RC	—	473	12	$5,582.50	$2,197.25 61% off	$282.90	$92,168.10	$3,533.26	2026-08-12

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