Price Transparency 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

WASHINGTON COUNTY HOSPITAL AND CLINICS

Washington, IA · CCN 161344 · Rates published

3,836 distinct procedures filed
38 distinct payers
394,208 rate rows
2026-02-10 last MRF observed
Data quality

167,347 of 394,208 rate rows are consumer-grade (42.5%)

226,861 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 218,711
placeholder amount (≤ $0.02) — excluded from medians 7,175
per-diem day rate — not a per-procedure price 631
percent-of-charges filed in the dollar field — excluded from medians 172
exceeds 10× this hospital's gross charge — excluded from medians 74
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 62
exceeds 3× this hospital's gross charge for a DRG stay — excluded 36
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/100282/376020408-1659321560_washington-county-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/WashingtonCountyHospital/100282
Discovered viaCMS hospital list
Last fetch success · 2026-06-22
Content fingerprint 3df50c8891e61c51… · 102,847,834 bytes · first seen 2026-06-22

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
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 10 $13,126.08 $45,310.01 $31,542.93 nat. median
$13,648
outlier · 2.3×
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 10 $19,344.20 $40,431.53 $28,146.72 nat. median
$17,286
1.6× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 17 $20,238.46 $55,393.21 $22,973.39 nat. median
$712
outlier · 32.3×
602
MS_DRG 		Cellulitis With Mcc 10 $14,768.64 $29,229.60 $20,566.68 nat. median
$14,838
1.4× median
J3245
HCPCS 		Injection, Tildrakizumab, 1 Mg 17 $17,611.19 $48,202.31 $19,991.08 nat. median
$256
outlier · 78.1×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 $13,480.27 $26,679.71 $18,636.92 nat. median
$13,246
1.4× median
571
MS_DRG 		Skin Debridement With Cc 10 $10,061.64 $19,913.66 $17,454.01 nat. median
$17,262
1.0× median
947
MS_DRG 		Signs And Symptoms With Mcc 10 $10,704.46 $22,087.50 $15,376.39 nat. median
$12,688
1.2× median
638
MS_DRG 		Diabetes With Cc 10 $8,869.68 $22,027.65 $15,334.72 nat. median
$9,826
1.6× median
682
MS_DRG 		Renal Failure With Mcc 10 $7,956.24 $15,795.61 $14,752.19 nat. median
$15,223
1.0× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 3 $14,633.90 $14,633.90 $14,633.90 nat. median
$18,229
0.8× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 3 $14,412.34 $14,412.34 $14,412.34 nat. median
$14,625
1.0× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 10 $9,261.60 $18,330.25 $14,106.74 nat. median
$11,174
1.3× median
949
MS_DRG 		Aftercare With Cc/mcc 11 $7,402.20 $36,751.25 $13,272.19 nat. median
$12,475
1.1× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 3 $12,981.17 $12,981.17 $12,981.17 nat. median
$12,751
1.0× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 10 $6,815.99 $18,532.20 $12,637.98 nat. median
$19,635
0.6× median
J0896
HCPCS 		Injection, Luspatercept-aamt, 0.25 Mg 17 $4,032.93 $33,114.61 $11,568.50 nat. median
$4,612
outlier · 2.5×
204
MS_DRG 		Respiratory Signs And Symptoms 10 $6,729.51 $16,581.06 $11,543.04 nat. median
$8,989
1.3× median
913
MS_DRG 		Traumatic Injury With Mcc 10 $6,039.96 $19,382.52 $11,199.10 nat. median
$16,480
0.7× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 10 $6,830.40 $13,518.50 $11,147.44 nat. median
$11,105
1.0× median
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 17 $9,177.39 $25,118.77 $10,417.58 nat. median
$288
outlier · 36.2×
603
MS_DRG 		Cellulitis Without Mcc 10 $5,653.60 $11,189.41 $9,821.60 nat. median
$9,571
1.0× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 11 $5,211.36 $22,707.00 $9,771.30 nat. median
$18,249
0.5× median
535
MS_DRG 		Fractures Of Hip And Pelvis With Mcc 3 $9,281.67 $9,281.67 $9,281.67 nat. median
$13,519
0.7× median
440
MS_DRG 		Disorders Of Pancreas Except Malignancy Without Cc/mcc 10 $5,389.20 $10,666.12 $9,211.65 nat. median
$7,345
1.3× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 10 $4,871.10 $16,524.97 $9,031.83 nat. median
$16,529
0.5× median
382
MS_DRG 		Complicated Peptic Ulcer Without Cc/mcc 3 $8,765.49 $8,765.49 $8,765.49 nat. median
$8,800
1.0× median
SUP-101082
CDM 		Oxinium Fem Hd 12/14 32mm +8 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101083
CDM 		Oxinium Fem Hd 12/14 32 Mm +12 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8
outlier · 1013.6×
SUP-095890
CDM 		40mm Oxinium Modular Femoral Head (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101079
CDM 		Oxinium Fem Hd 12/14 32mm +0 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101080
CDM 		Oxinium Fem Hd 12/14 32mm -3 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101081
CDM 		Oxinium Fem Hd 12/14 32mm +4 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101084
CDM 		Oxinium Fem Hd 12/14 32 Mm +16 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101075
CDM 		Oxinium Fem Hd 12/14 28mm +4 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101076
CDM 		Oxinium Fem Hd 12/14 28mm +8 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101073
CDM 		Oxinium Fem Hd 12/14 28mm +0 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$474
outlier · 17.8×
SUP-101087
CDM 		Oxinium Fem Hd 12/14 36 Mm M/+4 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101088
CDM 		Oxinium Fem Hd 12/14 36 Mm L/+8 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101111
CDM 		Jrny Ii Bcs Femoral Oxin Rt Sz 2 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$2,086
outlier · 4.0×
SUP-101071
CDM 		Oxinium Fem Hd 12/14 22 Mm +8 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101072
CDM 		Oxinium Fem Hd 12/14 22 Mm +12 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$411
outlier · 20.5×
SUP-101077
CDM 		Oxnm Fem Hd 28mm +12 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101069
CDM 		Oxinium Fem Hd 12/14 22 Mm +0 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$86
outlier · 97.9×
SUP-101070
CDM 		Oxinium Fem Hd 12/14 22 Mm +4 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101074
CDM 		Oxinium Fem Hd 12/14 28mm -3 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$351
outlier · 24.0×
SUP-101078
CDM 		Oxnm Fem Hd 28mm +16 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101089
CDM 		Oxinium Fem Hd 12/14 36 Mm Xl/+12 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101112
CDM 		Jrny Ii Bcs Femoral Oxin Rt Sz 3 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median
SUP-101113
CDM 		Jrny Ii Bcs Femoral Oxin Rt Sz 4 (wchc) 18 $7,400.00 $20,254.00 $8,423.00 nat. median
$8,423
1.0× median

Other procedures at this hospital

Browse this hospital's 3,836 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
             
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 68 17 $5,912.41 $4,434.32 25% off $729.20 $15,966.67 $3,296.76 2026-02-10
J2426 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg 68 17 $5,517.35 $4,138.02 25% off $1,166.48 $9,578.37 $2,662.88 2026-02-10
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 51 17 $11,660.48 $8,745.36 25% off $181.56 $23,617.13 $4,897.40 2026-02-10
J1944 HCPCS Injection, Aripiprazole Lauroxil, (aristada), 1 Mg 51 17 $6,329.02 $4,746.77 25% off $1,559.98 $8,539.36 $3,457.23 2026-02-10
69620 HCPCS Repair Of Defect Or Tear Of Eardrum 40 21 $3,497.50 $2,623.12 25% off $427.59 $5,312.40 $1,403.00 2026-02-10
31653 HCPCS Exam Of Lung Airways And Sampling Of Lymph Nodes Using An Endoscope And Ultrasou… 39 21 $3,816.00 $2,862.00 25% off $212.27 $3,625.20 $1,564.56 2026-02-10
31652 HCPCS Exam Of Lung Airways And Sampling Of Lymph Nodes Using An Endoscope And Ultrasou… 39 21 $3,710.00 $2,782.50 25% off $191.72 $3,524.50 $1,521.10 2026-02-10
52224 HCPCS Destruction Of Growth Of Bladder And Urethra Using An Endoscope, Less Than 0.5 C… 38 21 $1,425.00 $1,068.75 25% off $168.39 $4,481.15 $1,425.00 2026-02-10
32550 HCPCS Insertion Of Indwelling Tube For Drainage Of Lung Fluid 37 21 $1,950.00 $1,462.50 25% off $173.01 $3,222.40 $1,390.72 2026-02-10
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 34 17 $21,799.58 $16,349.69 25% off $4,032.93 $33,114.61 $11,568.50 2026-02-10
J0897 HCPCS Denosumab 60 Mg/ml Sc Sosy [164547] 34 17 $7,055.85 $5,291.89 25% off $1,838.86 $9,257.91 $3,823.10 2026-02-10
J3262 HCPCS Injection, Tocilizumab, 1 Mg 34 17 $5,278.44 $3,958.83 25% off $1,302.02 $7,127.30 $2,943.26 2026-02-10
J0490 HCPCS Injection, Belimumab, 10 Mg 34 17 $3,717.23 $2,787.93 25% off $634.82 $5,791.36 $1,926.73 2026-02-10
J0587 HCPCS Injection, Rimabotulinumtoxinb, 100 Units 34 17 $2,524.44 $1,893.33 25% off $622.70 $3,408.67 $1,407.63 2026-02-10
43840 HCPCS Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel 21 21 $3,376.00 $2,532.00 25% off $1,162.31 $3,376.00 $2,221.01 2026-02-10
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 21 21 $3,174.00 $2,380.50 25% off $1,078.85 $3,174.00 $2,007.71 2026-02-10
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 21 21 $3,170.00 $2,377.50 25% off $1,076.87 $3,170.00 $2,005.88 2026-02-10
47564 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope 21 21 $2,759.00 $2,069.25 25% off $965.85 $2,759.00 $1,827.69 2026-02-10
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 21 21 $2,950.00 $2,212.50 25% off $1,019.49 $2,950.00 $1,740.79 2026-02-10
45541 HCPCS Suture Of Rectum To Sacrum Through Perineum 21 21 $3,710.00 $2,782.50 25% off $820.80 $3,710.00 $1,556.77 2026-02-10
19303 HCPCS Simple Complete Removal Of Breast 21 21 $2,491.00 $1,868.25 25% off $829.68 $2,491.00 $1,412.37 2026-02-10
23412 HCPCS Repair Of Chronic Torn Shoulder Rotator Cuff 21 21 $1,898.00 $1,423.50 25% off $737.11 $1,966.80 $1,342.23 2026-02-10
19302 HCPCS Partial Removal Of Breast And Underarm Lymph Nodes 21 21 $2,219.00 $1,664.25 25% off $784.61 $2,219.00 $1,337.87 2026-02-10
23410 HCPCS Repair Of Acute Torn Shoulder Rotator Cuff 21 21 $1,829.00 $1,371.75 25% off $712.36 $1,892.80 $1,292.60 2026-02-10
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 20 20 $6,694.00 $5,020.50 25% off $221.00 $6,359.30 $2,811.48 2026-02-10
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 20 20 $6,593.00 $4,944.75 25% off $219.00 $6,263.35 $2,769.06 2026-02-10
66986 HCPCS Exchange Of Prosthetic Lens 20 20 $5,247.00 $3,935.25 25% off $1,941.39 $6,098.00 $2,215.81 2026-02-10
Q5136 HCPCS Denosumab-bbdz 60 Mg/ml Sc Sosy [304408] 20 20 $4,250.94 $3,188.21 25% off $1,572.85 $4,304.93 $1,795.17 2026-02-10
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 20 20 $3,978.00 $2,983.50 25% off $188.00 $3,779.10 $1,663.60 2026-02-10
70553 HCPCS MRI Scan Of Brain Before And After Contrast 20 20 $3,923.00 $2,942.25 25% off $289.00 $3,726.85 $1,640.60 2026-02-10
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 20 20 $3,923.00 $2,942.25 25% off $271.00 $3,726.85 $1,640.60 2026-02-10
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 20 20 $3,923.00 $2,942.25 25% off $272.00 $3,726.85 $1,640.60 2026-02-10
71552 HCPCS MRI Scan Of Chest Before And After Contrast 20 20 $3,922.00 $2,941.50 25% off $285.00 $3,725.90 $1,640.18 2026-02-10
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 20 20 $3,349.00 $2,511.75 25% off $171.00 $3,181.55 $1,400.55 2026-02-10
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 20 20 $3,068.00 $2,301.00 25% off $164.00 $2,914.60 $1,283.04 2026-02-10
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 19 19 $17,007.67 $12,755.75 25% off $6,292.84 $17,223.67 $7,182.34 2026-02-10
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 19 19 $16,404.51 $12,303.38 25% off $6,069.67 $16,612.85 $6,927.62 2026-02-10
J0491 HCPCS Injection, Anifrolumab-fnia, 1 Mg 19 19 $14,417.70 $10,813.28 25% off $5,334.55 $14,600.80 $6,088.59 2026-02-10
J1306 HCPCS Injection, Inclisiran, 1 Mg 19 19 $9,507.48 $7,130.61 25% off $3,517.77 $9,628.23 $4,015.01 2026-02-10
J3247 HCPCS Injection, Secukinumab, Intravenous, 1 Mg 19 19 $5,831.75 $4,373.81 25% off $2,157.75 $5,905.81 $2,462.75 2026-02-10
SUP-101118 CDM Jrny Ii Bcs Femoral Oxin Rt Sz 9 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101119 CDM Jrny Ii Bcs Femoral Oxin Lt Sz 2 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101114 CDM Jrny Ii Bcs Femoral Oxin Rt Sz 5 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101074 CDM Oxinium Fem Hd 12/14 28mm -3 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101122 CDM Jrny Ii Bcs Femoral Oxin Lt Sz 5 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101069 CDM Oxinium Fem Hd 12/14 22 Mm +0 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101117 CDM Jrny Ii Bcs Femoral Oxin Rt Sz 8 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101112 CDM Jrny Ii Bcs Femoral Oxin Rt Sz 3 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101072 CDM Oxinium Fem Hd 12/14 22 Mm +12 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101073 CDM Oxinium Fem Hd 12/14 28mm +0 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101089 CDM Oxinium Fem Hd 12/14 36 Mm Xl/+12 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101113 CDM Jrny Ii Bcs Femoral Oxin Rt Sz 4 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101116 CDM Jrny Ii Bcs Femoral Oxin Rt Sz 7 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101084 CDM Oxinium Fem Hd 12/14 32 Mm +16 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101083 CDM Oxinium Fem Hd 12/14 32 Mm +12 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101088 CDM Oxinium Fem Hd 12/14 36 Mm L/+8 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101076 CDM Oxinium Fem Hd 12/14 28mm +8 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101077 CDM Oxnm Fem Hd 28mm +12 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101121 CDM Jrny Ii Bcs Femoral Oxin Lt Sz 4 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101123 CDM Jrny Ii Bcs Femoral Oxin Lt Sz 6 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101079 CDM Oxinium Fem Hd 12/14 32mm +0 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101071 CDM Oxinium Fem Hd 12/14 22 Mm +8 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101115 CDM Jrny Ii Bcs Femoral Oxin Rt Sz 6 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101125 CDM Jrny Ii Bcs Femoral Oxin Lt Sz 8 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101124 CDM Jrny Ii Bcs Femoral Oxin Lt Sz 7 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101082 CDM Oxinium Fem Hd 12/14 32mm +8 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101120 CDM Jrny Ii Bcs Femoral Oxin Lt Sz 3 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101111 CDM Jrny Ii Bcs Femoral Oxin Rt Sz 2 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101081 CDM Oxinium Fem Hd 12/14 32mm +4 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101080 CDM Oxinium Fem Hd 12/14 32mm -3 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-095890 CDM 40mm Oxinium Modular Femoral Head (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101075 CDM Oxinium Fem Hd 12/14 28mm +4 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101126 CDM Jrny Ii Bcs Femoral Oxin Lt Sz 9 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101070 CDM Oxinium Fem Hd 12/14 22 Mm +4 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101078 CDM Oxnm Fem Hd 28mm +16 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-101087 CDM Oxinium Fem Hd 12/14 36 Mm M/+4 (wchc) 18 18 $20,000.00 $15,000.00 25% off $7,400.00 $20,254.00 $8,423.00 2026-02-10
SUP-100967 CDM Cocr 12/14 Fem Head 32 + 12 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100962 CDM Cocr 12/14 Fem Head 28 + 16 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100964 CDM Cocr 12/14 Fem Head 32 - 3 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101152 CDM Jrny Ii Bcs Fem Cocr Lt Sz 6 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100955 CDM Cocr 12/14 Fem Head 22 + 8 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100961 CDM Cocr 12/14 Fem Head 28 + 12 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100966 CDM Cocr 12/14 Fem Head 32 + 8 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100973 CDM Cocr 12/14 Fem Head 36mm +12 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100969 CDM Cocr 12/14 Fem Head 36mm +0 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100971 CDM Cocr 12/14 Fem Head 36mm +4 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100959 CDM Cocr 12/14 Fem Head 28 + 4 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100953 CDM Cocr 12/14 Fem Head 22 + 0 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100957 CDM Cocr 12/14 Fem Head 28 +0 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101154 CDM Jrny Ii Bcs Fem Cocr Lt Sz 8 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100956 CDM Cocr 12/14 Fem Head 22 + 12 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101151 CDM Jrny Ii Bcs Fem Cocr Lt Sz 5 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100965 CDM Cocr 12/14 Fem Head 32 + 4 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101148 CDM Jrny Ii Bcs Fem Cocr Rt Sz 8 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101149 CDM Jrny Ii Bcs Fem Cocr Lt Sz 3 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101146 CDM Jrny Ii Bcs Fem Cocr Rt Sz 6 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101150 CDM Jrny Ii Bcs Fem Cocr Lt Sz 4 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101143 CDM Jrny Ii Bcs Fem Cocr Rt Sz 3 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101144 CDM Jrny Ii Bcs Fem Cocr Rt Sz 4 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101147 CDM Jrny Ii Bcs Fem Cocr Rt Sz 7 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101153 CDM Jrny Ii Bcs Fem Cocr Lt Sz 7 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-101145 CDM Jrny Ii Bcs Fem Cocr Rt Sz 5 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100960 CDM Cocr 12/14 Fem Head 28 + 8 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100954 CDM Cocr 12/14 Fem Head 22 + 4 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100972 CDM Cocr 12/14 Fem Head 36mm +8 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100970 CDM Cocr 12/14 Fem Head 36mm -3 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100963 CDM Cocr 12/14 Fem Head 32 + 0 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100958 CDM Cocr 12/14 Fem Head 28 -3 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-100968 CDM Cocr 12/14 Fem Head 32 + 16 (wchc) 18 18 $16,250.00 $12,187.50 25% off $6,012.50 $16,456.38 $6,843.69 2026-02-10
SUP-095790 CDM Patellar Component 32mm X 7.5mm (wchc) 18 18 $9,362.50 $7,021.88 25% off $3,464.13 $9,481.40 $3,943.02 2026-02-10
SUP-095550 CDM Dual Mobility Liner, Oxinium 44mm Id, 58mm Od (wchc) 18 18 $8,750.00 $6,562.50 25% off $3,237.50 $8,861.13 $3,685.07 2026-02-10
SUP-095510 CDM Dual Mobility Insert Xlpe 28mm Id, 38mm Od (wchc) 18 18 $8,750.00 $6,562.50 25% off $3,237.50 $8,861.13 $3,685.07 2026-02-10
SUP-095620 CDM Dual Mobility Liner, Oxinium 36mm Id, 48mm Od (wchc) 18 18 $8,750.00 $6,562.50 25% off $3,237.50 $8,861.13 $3,685.07 2026-02-10
SUP-095870 CDM Dual Mobility Liner Or3o 28mm 42mm Od (wchc) 18 18 $8,750.00 $6,562.50 25% off $3,237.50 $8,861.13 $3,685.07 2026-02-10
SUP-100899 CDM Hernia Mesh, 6x8 Oval Ventralight (wchc) 18 18 $8,017.23 $6,012.92 25% off $2,966.38 $8,119.05 $3,376.46 2026-02-10
C1776 HCPCS Joint Device (implantable) 18 18 $7,994.25 $5,995.69 25% off $2,957.87 $8,095.78 $3,366.78 2026-02-10
SUP-101086 CDM Oxinium Fem Hd 12/14 36 Mm -3 (wchc) 18 18 $7,994.25 $5,995.69 25% off $2,957.87 $8,095.78 $3,366.78 2026-02-10
SUP-095310 CDM Olympus Laser Fiber 1000 Micron (wchc) 18 18 $7,144.00 $5,358.00 25% off $2,643.28 $7,234.73 $3,008.69 2026-02-10
SUP-090360 CDM Latera Nasal Implant 24mm 1 System (wchc) 18 18 $5,987.50 $4,490.63 25% off $2,215.38 $6,063.54 $2,521.64 2026-02-10
SUP-095290 CDM Bipolar Button - 12-30 Deg (wchc) 18 18 $5,187.00 $3,890.25 25% off $1,919.19 $5,252.87 $2,184.51 2026-02-10
SUP-095280 CDM Bipolar Loop - Large (wchc) 18 18 $5,187.00 $3,890.25 25% off $1,919.19 $5,252.87 $2,184.51 2026-02-10
SUP-100684 CDM Hernia Mesh, 6cm (wchc) 18 18 $4,155.00 $3,116.25 25% off $1,537.35 $4,207.77 $1,749.88 2026-02-10
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $186.00 $3,726.85 $1,644.13 2026-02-10
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $289.00 $3,726.85 $1,644.13 2026-02-10
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $270.00 $3,726.85 $1,644.13 2026-02-10
73220 HCPCS MRI Scan Of Arm Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $271.00 $3,726.85 $1,644.13 2026-02-10
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $227.00 $3,726.85 $1,644.13 2026-02-10
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $277.00 $3,726.85 $1,644.13 2026-02-10
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $289.00 $3,726.85 $1,644.13 2026-02-10
73720 HCPCS MRI Scan Of Leg Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $271.00 $3,726.85 $1,644.13 2026-02-10
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $277.00 $3,726.85 $1,644.13 2026-02-10
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 18 18 $3,923.00 $2,942.25 25% off $289.00 $3,726.85 $1,644.13 2026-02-10
SUP-090530 CDM K-less T-rope W/drv Syn Repr (wchc) 18 18 $3,737.50 $2,803.13 25% off $1,382.88 $3,784.97 $1,574.05 2026-02-10
SUP-090520 CDM Dynanite Niti Staple With Instrs 9x10 (wchc) 18 18 $3,737.50 $2,803.13 25% off $1,382.88 $3,784.97 $1,574.05 2026-02-10
SUP-095710 CDM Bulkamid Urethral Bulking System (2ml) (wchc) 18 18 $3,250.00 $2,437.50 25% off $1,202.50 $3,291.28 $1,368.74 2026-02-10
HB-027010721 CDM Hb Wchc Speed Bridge 18 18 $3,173.00 $2,379.75 25% off $1,174.01 $3,213.30 $1,336.31 2026-02-10
HB-036002973 CDM Operating Room Services - General Classification 18 18 $3,144.00 $2,358.00 25% off $1,163.28 $3,183.93 $1,324.10 2026-02-10
SUP-100685 CDM Hernia Mesh, Echo 11cm (wchc) 18 18 $3,090.00 $2,317.50 25% off $1,143.30 $3,129.24 $1,301.36 2026-02-10
HB-027010747 CDM Hb Wchc Dynanite Pip Str 16mm 18 18 $3,014.00 $2,260.50 25% off $1,115.18 $3,052.28 $1,269.35 2026-02-10
SUP-101439 CDM 11.5 Clrn Po Pro Toric Atme Blf (wchc) 18 18 $3,000.00 $2,250.00 25% off $1,110.00 $3,038.10 $1,263.45 2026-02-10
SUP-101379 CDM 06.0 Cl Panoptix Pro Atme Blf (wchc) 18 18 $3,000.00 $2,250.00 25% off $1,110.00 $3,038.10 $1,263.45 2026-02-10
SUP-095101 CDM Locking Distal Fibula Plate, Ti, Right, 4h (wchc) 18 18 $3,000.00 $2,250.00 25% off $1,110.00 $3,038.10 $1,263.45 2026-02-10
SUP-100546 CDM 17.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100550 CDM 19.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100476 CDM 6.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100547 CDM 17.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100564 CDM 26.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100462 CDM 24.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100494 CDM 15.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100549 CDM 18.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100548 CDM 18.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100557 CDM 22.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100561 CDM 24.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100565 CDM 26.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100443 CDM 14.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100447 CDM 16.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100435 CDM 10.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100456 CDM 21.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100543 CDM 15.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100485 CDM 11.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100460 CDM 23.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100544 CDM 16.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100464 CDM 25.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100445 CDM 15.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100475 CDM 6.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100486 CDM 11.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100430 CDM 8.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100452 CDM 19.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100495 CDM 16.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100450 CDM 18.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100545 CDM 16.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100570 CDM 29.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100539 CDM 13.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100540 CDM 14.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100541 CDM 14.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100542 CDM 15.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100535 CDM 11.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100536 CDM 12.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100537 CDM 12.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100538 CDM 13.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100457 CDM 21.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100474 CDM 30.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100554 CDM 21.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100560 CDM 24.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100453 CDM 19.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100531 CDM 9.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100532 CDM 10.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100533 CDM 10.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100459 CDM 22.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100470 CDM 28.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100534 CDM 11.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100558 CDM 23.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100482 CDM 9.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100496 CDM 16.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100426 CDM 6.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100458 CDM 22.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100467 CDM 26.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100480 CDM 8.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100530 CDM 9.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100563 CDM 25.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100573 CDM 6.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100574 CDM 6.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100472 CDM 29.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100478 CDM 7.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100524 CDM 6.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100490 CDM 13.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100525 CDM 6.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100526 CDM 7.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100527 CDM 7.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100466 CDM 26.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100471 CDM 28.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100444 CDM 15.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100491 CDM 14.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100433 CDM 9.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100523 CDM 30.0 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
SUP-100529 CDM 8.5 Panoptix Toric Iol (wchc) 18 18 $2,985.00 $2,238.75 25% off $1,104.45 $3,022.91 $1,257.13 2026-02-10
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 17 17 $54,698.54 $41,023.91 25% off $20,238.46 $55,393.21 $22,973.39 2026-02-10
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 17 17 $47,597.82 $35,698.37 25% off $17,611.19 $48,202.31 $19,991.08 2026-02-10
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 17 17 $24,803.76 $18,602.82 25% off $9,177.39 $25,118.77 $10,417.58 2026-02-10
J0717 HCPCS Certolizumab Pegol 200 Mg/ml Sc Pskt [188194] 17 17 $15,898.49 $11,923.87 25% off $5,882.44 $16,100.40 $6,677.37 2026-02-10
J0517 HCPCS Injection, Benralizumab, 1 Mg 17 17 $15,494.68 $11,621.01 25% off $5,733.03 $15,691.46 $6,507.77 2026-02-10
J9312 HCPCS Injection, Rituximab, 10 Mg 17 17 $12,448.64 $9,336.48 25% off $4,606.00 $12,606.74 $5,228.43 2026-02-10
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 17 17 $11,203.54 $8,402.66 25% off $4,145.31 $11,345.83 $4,705.49 2026-02-10
J2182 HCPCS Injection, Mepolizumab, 1 Mg 17 17 $10,169.32 $7,626.99 25% off $3,762.65 $10,298.47 $4,271.11 2026-02-10
J0401 HCPCS Injection, Aripiprazole (abilify Maintena), 1 Mg 17 17 $7,696.77 $5,772.58 25% off $2,847.80 $7,794.52 $3,232.64 2026-02-10
J3358 HCPCS Ustekinumab, For Intravenous Injection, 1 Mg 17 17 $5,617.07 $4,212.80 25% off $2,078.32 $5,688.41 $2,359.17 2026-02-10
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 17 17 $5,531.88 $4,148.91 25% off $2,046.80 $5,602.13 $2,323.39 2026-02-10
J1602 HCPCS Golimumab 50 Mg/4ml IV Soln [139619] 17 17 $5,297.86 $3,973.40 25% off $1,960.21 $5,365.14 $2,225.10 2026-02-10
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 17 17 $5,141.19 $3,855.89 25% off $1,902.24 $5,206.48 $2,159.30 2026-02-10
J0875 HCPCS Dalbavancin Hcl 500 Mg IV Solr [143072] 17 17 $4,714.69 $3,536.02 25% off $1,744.44 $4,774.57 $1,980.17 2026-02-10
J2315 HCPCS Injection, Naltrexone, Depot Form, 1 Mg 17 17 $4,479.40 $3,359.55 25% off $1,657.38 $4,536.29 $1,881.35 2026-02-10
J0129 HCPCS Abatacept 250 Mg IV Solr [70287] 17 17 $4,107.50 $3,080.63 25% off $1,519.78 $4,159.67 $1,725.15 2026-02-10
J2357 HCPCS Injection, Omalizumab, 5 Mg 17 17 $3,902.81 $2,927.11 25% off $1,444.04 $3,952.38 $1,639.18 2026-02-10
J1439 HCPCS Ferric Carboxymaltose 50 Mg/ml IV Soln - Ssm So [903952] 17 17 $3,902.38 $2,926.79 25% off $1,443.88 $3,951.94 $1,639.00 2026-02-10
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 17 17 $3,629.49 $2,722.12 25% off $1,342.91 $3,675.58 $1,524.39 2026-02-10
J3111 HCPCS Romosozumab-aqqg 105 Mg/1.17ml Sc Sosy [165123] 17 17 $3,483.32 $2,612.49 25% off $1,288.83 $3,527.56 $1,462.99 2026-02-10
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 17 17 $3,036.58 $2,277.44 25% off $1,123.53 $3,075.14 $1,275.36 2026-02-10
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 17 17 $3,036.58 $2,277.44 25% off $1,123.53 $3,075.14 $1,275.36 2026-02-10
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 17 17 $3,036.58 $2,277.44 25% off $1,123.53 $3,075.14 $1,275.36 2026-02-10
49561 HCPCS Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated 12 12 $2,310.00 $1,732.50 25% off $57.93 $2,310.00 $1,801.43 2026-02-10
49560 HCPCS Repair Initial Incisional Or Ventral Hernia; Reducible 12 12 $1,830.00 $1,372.50 25% off $57.93 $1,830.00 $1,431.38 2026-02-10
949 MS_DRG Aftercare With Cc/mcc 11 11 $15,421.25 $11,565.94 25% off $7,402.20 $36,751.25 $13,272.19 2026-02-10
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 11 11 $10,857.00 $8,142.75 25% off $5,211.36 $22,707.00 $9,771.30 2026-02-10
185 MS_DRG Major Chest Trauma Without Cc/mcc 11 11 $7,671.75 $5,753.81 25% off $3,682.44 $19,521.75 $6,904.58 2026-02-10
552 MS_DRG Medical Back Problems Without Mcc 11 11 $7,152.25 $5,364.19 25% off $3,433.08 $16,632.25 $6,437.03 2026-02-10
292 MS_DRG Heart Failure And Shock With Cc 11 11 $6,512.13 $4,884.09 25% off $3,125.82 $13,368.63 $5,860.91 2026-02-10
683 MS_DRG Renal Failure With Cc 11 11 $6,490.67 $4,868.00 25% off $3,115.52 $13,600.67 $5,841.60 2026-02-10
948 MS_DRG Signs And Symptoms Without Mcc 11 11 $5,331.40 $3,998.55 25% off $2,559.07 $12,355.20 $4,798.26 2026-02-10
313 MS_DRG Chest Pain 11 11 $3,827.13 $2,870.34 25% off $1,837.02 $6,300.76 $3,367.87 2026-02-10
49654 HCPCS Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When … 11 11 $2,098.00 $1,573.50 25% off $57.93 $2,098.00 $1,668.96 2026-02-10
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 10 10 $47,694.75 $35,771.06 25% off $13,126.08 $45,310.01 $31,542.93 2026-02-10
70 MS_DRG Other Cerebrovascular Disorders With Mcc 10 10 $42,559.50 $31,919.63 25% off $19,344.20 $40,431.53 $28,146.72 2026-02-10
602 MS_DRG Cellulitis With Mcc 10 10 $30,768.00 $23,076.00 25% off $14,768.64 $29,229.60 $20,566.68 2026-02-10
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 10 $28,083.90 $21,062.93 25% off $13,480.27 $26,679.71 $18,636.92 2026-02-10
571 MS_DRG Skin Debridement With Cc 10 10 $20,961.75 $15,721.31 25% off $10,061.64 $19,913.66 $17,454.01 2026-02-10
947 MS_DRG Signs And Symptoms With Mcc 10 10 $23,250.00 $17,437.50 25% off $10,704.46 $22,087.50 $15,376.39 2026-02-10
638 MS_DRG Diabetes With Cc 10 10 $23,187.00 $17,390.25 25% off $8,869.68 $22,027.65 $15,334.72 2026-02-10
682 MS_DRG Renal Failure With Mcc 10 10 $16,575.50 $12,431.63 25% off $7,956.24 $15,795.61 $14,752.19 2026-02-10
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 10 10 $19,295.00 $14,471.25 25% off $9,261.60 $18,330.25 $14,106.74 2026-02-10
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 10 10 $14,199.98 $10,649.98 25% off $6,815.99 $18,532.20 $12,637.98 2026-02-10
204 MS_DRG Respiratory Signs And Symptoms 10 10 $17,453.75 $13,090.31 25% off $6,729.51 $16,581.06 $11,543.04 2026-02-10
913 MS_DRG Traumatic Injury With Mcc 10 10 $12,583.25 $9,437.44 25% off $6,039.96 $19,382.52 $11,199.10 2026-02-10
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 10 10 $14,230.00 $10,672.50 25% off $6,830.40 $13,518.50 $11,147.44 2026-02-10
603 MS_DRG Cellulitis Without Mcc 10 10 $11,778.33 $8,833.74 25% off $5,653.60 $11,189.41 $9,821.60 2026-02-10
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 10 10 $11,227.50 $8,420.63 25% off $5,389.20 $10,666.12 $9,211.65 2026-02-10
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 10 10 $10,148.13 $7,611.09 25% off $4,871.10 $16,524.97 $9,031.83 2026-02-10
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 10 10 $10,136.75 $7,602.56 25% off $4,865.64 $9,629.91 $8,190.38 2026-02-10
639 MS_DRG Diabetes Without Cc/mcc 10 10 $10,513.63 $7,885.22 25% off $5,046.54 $9,987.94 $8,075.51 2026-02-10
103 MS_DRG Headaches Without Mcc 10 10 $8,773.25 $6,579.94 25% off $4,211.16 $8,334.59 $7,808.19 2026-02-10
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 10 10 $7,244.38 $5,433.28 25% off $3,477.30 $9,281.67 $6,447.49 2026-02-10
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 10 10 $6,494.53 $4,870.90 25% off $3,117.38 $9,051.73 $5,780.14 2026-02-10
189 MS_DRG Pulmonary Edema And Respiratory Failure 10 10 $6,277.70 $4,708.28 25% off $3,013.30 $10,734.40 $5,587.16 2026-02-10
149 MS_DRG Dysequilibrium 10 10 $5,919.75 $4,439.81 25% off $2,841.48 $10,031.39 $5,268.58 2026-02-10
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 10 10 $5,784.88 $4,338.66 25% off $2,776.74 $7,958.28 $5,148.54 2026-02-10
201 MS_DRG Pneumothorax Without Cc/mcc 10 10 $5,667.50 $4,250.63 25% off $2,720.40 $7,182.22 $5,044.07 2026-02-10
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 10 10 $4,674.17 $3,505.62 25% off $2,243.60 $12,620.68 $4,160.01 2026-02-10
389 MS_DRG Gastrointestinal Obstruction With Cc 10 10 $4,597.75 $3,448.31 25% off $2,206.92 $9,585.87 $4,092.00 2026-02-10
534 MS_DRG Fractures Of Femur Without Mcc 10 10 $3,708.13 $2,781.09 25% off $1,779.90 $6,681.61 $3,300.23 2026-02-10
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 10 10 $3,360.25 $2,520.19 25% off $1,612.92 $9,539.16 $2,990.62 2026-02-10
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 10 10 $2,558.88 $1,919.16 25% off $1,228.26 $6,064.82 $2,277.40 2026-02-10
HB-020000007 CDM Intensive Care Unit - General Classification 10 10 $2,932.00 $2,199.00 25% off $1,407.36 $2,785.40 $2,117.78 2026-02-10
293 MS_DRG Heart Failure And Shock Without Cc/mcc 10 10 $1,945.75 $1,459.31 25% off $933.96 $3,634.82 $1,731.72 2026-02-10
HB-012000053 CDM Room & Board - Semi-private (two Beds) - General Classification 10 10 $2,020.00 $1,515.00 25% off $969.60 $1,919.00 $1,459.05 2026-02-10
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 8 8 $3,123.00 $2,342.25 25% off $1,499.04 $2,966.85 $2,643.15 2026-02-10
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 8 8 $2,395.38 $1,796.53 25% off $1,149.78 $4,535.38 $2,072.00 2026-02-10
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 8 8 $2,158.50 $1,618.88 25% off $1,036.08 $4,528.50 $1,867.11 2026-02-10
445 MS_DRG Disorders Of The Biliary Tract With Cc 8 8 $1,919.50 $1,439.63 25% off $921.36 $4,289.50 $1,660.37 2026-02-10
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 8 8 $1,832.00 $1,374.00 25% off $879.36 $4,202.00 $1,584.68 2026-02-10
177 MS_DRG Respiratory Infections And Inflammations With Mcc 7 7 $5,384.37 $4,038.28 25% off $2,584.50 $5,115.16 $4,576.72 2026-02-10
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 7 7 $2,882.75 $2,162.06 25% off $1,383.72 $2,738.61 $2,450.34 2026-02-10
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 7 7 $2,788.17 $2,091.12 25% off $1,338.32 $2,648.76 $2,369.94 2026-02-10
49186 HCPCS Removal Or Destruction Of Growth(s) In The Abdomen, 5.0 Cm Or Less 7 7 $2,990.00 $2,242.50 25% off $1,127.64 $2,990.00 $2,093.00 2026-02-10
291 MS_DRG Heart Failure And Shock With Mcc 7 7 $2,298.30 $1,723.73 25% off $1,103.18 $2,183.39 $1,953.56 2026-02-10
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 7 7 $1,923.00 $1,442.25 25% off $923.04 $1,826.85 $1,634.55 2026-02-10
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 3 3 — — $14,633.90 $14,633.90 $14,633.90 2026-02-10
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 3 3 — — $14,412.34 $14,412.34 $14,412.34 2026-02-10
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 — — $12,981.17 $12,981.17 $12,981.17 2026-02-10
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 3 3 — — $9,281.67 $9,281.67 $9,281.67 2026-02-10
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 3 3 — — $8,765.49 $8,765.49 $8,765.49 2026-02-10
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 3 3 — — $6,152.25 $6,152.25 $6,152.25 2026-02-10
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