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

ADVENTHEALTH OTTAWA

Ottawa, KS · CCN 170014 · Rates published

14,362 distinct procedures filed
14 distinct payers
624,739 rate rows
2024-12-15 last MRF observed · ⚠ 18 mo old
Data quality

619,980 of 624,739 rate rows are consumer-grade (99.2%)

4,759 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,591
template filing: same amount across many unrelated codes — excluded 1,307
exceeds 10× this hospital's gross charge — excluded from medians 589
per-diem day rate — not a per-procedure price 272

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://hospitalpricedisclosure.com/download.aspx?pi=kKeNKqg*__*JaoVT6NgHgOmSw*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch — · 2026-05-17

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
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 14 $460,227.00 $4,467,708.00 $2,463,967.50 nat. median
$625,184
outlier · 3.9×
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 14 $454,489.00 $4,369,759.00 $2,412,124.00 nat. median
$674,188
outlier · 3.6×
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 14 $466,070.00 $3,828,070.00 $2,147,070.00 nat. median
$754,974
outlier · 2.8×
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 13 $10.00 $693,347.00 $564,693.00 nat. median
$1,033
outlier · 546.4×
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 13 $580.00 $427,589.00 $348,247.50 nat. median
$897
outlier · 388.2×
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 13 $80.00 $414,100.00 $337,261.00 nat. median
$737
outlier · 457.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $129,318.00 $624,449.00 $298,435.00 nat. median
$370,174
0.8× median
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 13 $57.00 $348,013.00 $283,437.50 nat. median
$4,934
outlier · 57.4×
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 13 $55.00 $285,633.00 $232,632.00 nat. median
$2,081
outlier · 111.8×
13925-522-01
NDC 		Pentamidine Isethionate 300 Mg In Solr 14 $103,127.00 $356,977.00 $230,052.00 nat. median
$83,907
outlier · 2.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $106,702.00 $466,411.00 $223,087.00 nat. median
$265,286
0.8× median
58914-501-56
NDC 		Mesalamine 1000 Mg Re Supp 14 $96,911.00 $335,462.00 $216,186.50 nat. median
$57,068
outlier · 3.8×
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 14 $9,900.00 $437,000.00 $213,116.00 nat. median
$11,688
outlier · 18.2×
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 14 $88,203.00 $305,319.00 $196,761.00 nat. median
$111,860
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $115,671.00 $392,802.00 $187,992.00 nat. median
$206,368
0.9× median
J2326
HCPCS 		Nusinersen 12 Mg/5ml It Soln 13 $1,170.00 $230,319.00 $187,581.50 nat. median
$2,677
outlier · 70.1×
C9089
HCPCS 		Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 14 $64,187.00 $228,405.00 $186,636.50 nat. median
$2
outlier · 118124.4×
63323-877-15
NDC 		Pentamidine Isethionate 300 Mg In Solr 14 $80,884.00 $279,982.00 $180,433.00 nat. median
$65,809
outlier · 2.7×
A9591
HCPCS 		Fluoroestradiol F 18 4-100 Mci/ml IV Soln 13 $66.00 $219,373.00 $178,667.50 nat. median
$1,095
outlier · 163.1×
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 14 $76,496.00 $264,794.00 $170,645.00 nat. median
$92,408
1.8× median
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 14 $76,496.00 $264,794.00 $170,645.00 nat. median
$94,327
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $83,931.00 $354,864.00 $169,904.00 nat. median
$202,986
0.8× median
68382-395-04
NDC 		Ribavirin 6 G In Solr 14 $71,424.00 $247,239.00 $159,331.50 nat. median
$88,073
1.8× median
68382-395-01
NDC 		Ribavirin 6 G In Solr 14 $71,424.00 $247,239.00 $159,331.50 nat. median
$88,073
1.8× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 14 $68,701.00 $237,813.00 $153,257.00 nat. median
$87,698
1.7× median
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 14 $68,701.00 $237,813.00 $153,257.00 nat. median
$87,698
1.7× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 14 $9,900.00 $244,720.00 $151,059.00 nat. median
$52,021
outlier · 2.9×
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 14 $63,420.00 $219,530.00 $141,475.00 nat. median
$49,264
outlier · 2.9×
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 14 $9,900.00 $227,240.00 $140,269.00 nat. median
$37,950
outlier · 3.7×
C1822
HCPCS 		Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 14 $9,900.00 $227,240.00 $139,080.00 nat. median
$31,540
outlier · 4.4×
A9592
HCPCS 		Copper Cu 64 Dotatate 1 Mci/ml IV Soln 13 $258.00 $153,091.00 $124,684.00 nat. median
$1,740
outlier · 71.7×
0187-0007-14
NDC 		Ribavirin 6 G In Solr 14 $54,779.00 $189,621.00 $122,200.00 nat. median
$69,528
1.8× median
0781-5893-31
NDC 		Nevirapine ER 400 Mg Po Tb24 14 $53,707.00 $185,908.00 $119,807.50 nat. median
$68,166
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $57,874.00 $233,965.00 $112,262.00 nat. median
$133,176
0.8× median
C1882
HCPCS 		Defibrillator Consulta 2chb Is1 Df1 Av 35jl 38ml 6 14 $13.00 $301,141.00 $109,621.00 nat. median
$27,112
outlier · 4.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $83,411.00 $173,452.00 $107,162.00 nat. median
$98,905
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $40,206.00 $216,940.00 $104,145.00 nat. median
$117,303
0.9× median
7
MS_DRG 		Lung Transplant 7 $48,286.00 $216,393.00 $103,885.00 nat. median
$122,708
0.8× median
C1767
HCPCS 		Stimulator Proclaim Elite 5 W/pat Cntrlr 14 $9,900.00 $342,127.00 $103,735.00 nat. median
$22,478
outlier · 4.6×
C1816
HCPCS 		System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 14 $3,758.00 $179,170.00 $99,887.50 nat. median
$13,332
outlier · 7.5×
47781-153-01
NDC 		Naproxen Sodium ER 375 Mg Po Tb24 14 $44,545.00 $154,193.00 $99,369.00 nat. median
$56,537
1.8× median
C2616
HCPCS 		Sphere Embol Sir Msphre 90 14 $9,900.00 $129,883.00 $97,082.00 nat. median
$28,125
outlier · 3.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $73,437.00 $152,531.00 $94,322.50 nat. median
$83,442
1.1× median
C1721
HCPCS 		Defibrillator Lumax 540 Dr-t 2chb Home Mon 14 $24.00 $190,501.00 $88,011.00 nat. median
$22,210
outlier · 4.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $48,209.00 $182,464.00 $87,708.00 nat. median
$108,660
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $52,114.00 $180,381.00 $86,715.00 nat. median
$102,358
0.8× median
Q3001
HCPCS 		Hc I-125 Iotrex - 2 Ml 13 $735.00 $118,209.00 $86,647.50 nat. median
$400
outlier · 216.8×
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 14 $11,694.00 $160,882.00 $86,288.00 nat. median
$15,912
outlier · 5.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $66,558.00 $138,104.00 $85,468.50 nat. median
$82,712
1.0× median
C1827
HCPCS 		Generator Imp Vivistim Vns Ipg 1001 14 $9,900.00 $257,830.00 $85,084.00 nat. median
$28,413
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 14,362 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 7 $0.01 — $129,318.00 $624,449.00 $298,435.00 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 7 $0.01 — $106,702.00 $466,411.00 $223,087.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 7 $0.01 — $115,671.00 $392,802.00 $187,992.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 7 $0.01 — $83,931.00 $354,864.00 $169,904.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 7 $0.01 — $57,874.00 $233,965.00 $112,262.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 $0.01 — $83,411.00 $173,452.00 $107,162.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 10 7 $0.01 — $40,206.00 $216,940.00 $104,145.00 2024-12-15
7 MS_DRG Lung Transplant 10 7 $0.01 — $48,286.00 $216,393.00 $103,885.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 10 7 $0.01 — $73,437.00 $152,531.00 $94,322.50 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 7 $0.01 — $48,209.00 $182,464.00 $87,708.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 7 $0.01 — $52,114.00 $180,381.00 $86,715.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 7 $0.01 — $66,558.00 $138,104.00 $85,468.50 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 7 $0.01 — $40,748.00 $176,333.00 $84,785.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 10 7 $0.01 — $49,446.00 $175,429.00 $84,354.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 $0.01 — $46,972.00 $159,803.00 $76,904.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 $0.01 — $56,786.00 $117,607.00 $72,889.50 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 7 $0.01 — $53,644.00 $111,016.00 $68,845.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 7 $0.01 — $39,279.00 $140,311.00 $67,611.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 $0.01 — $38,815.00 $140,233.00 $67,573.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 7 $0.01 — $39,047.00 $133,476.00 $64,352.00 2024-12-15
10 MS_DRG Pancreas Transplant 10 7 $0.01 — $18,943.00 $132,017.00 $63,656.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 7 $0.01 — $49,552.00 $102,434.00 $63,578.50 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 7 $0.01 — $31,469.00 $131,260.00 $63,295.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 7 $0.01 — $37,732.00 $129,424.00 $62,420.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 $0.01 — $37,307.00 $128,118.00 $61,797.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 7 $0.01 — $47,645.00 $98,434.00 $61,123.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 7 $0.01 — $28,802.00 $123,592.00 $59,640.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 $0.01 — $44,166.00 $91,137.00 $56,645.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 7 $0.01 — $34,059.00 $117,015.00 $56,504.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 7 $0.01 — $43,900.00 $90,581.00 $56,303.50 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 7 $0.01 — $31,895.00 $115,186.00 $55,632.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 7 $0.01 — $24,278.00 $113,063.00 $54,620.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 7 $0.01 — $30,387.00 $110,589.00 $53,440.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 7 $0.01 — $33,170.00 $110,402.00 $53,351.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 7 $0.01 — $41,371.00 $85,275.00 $53,048.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 7 $0.01 — $33,480.00 $107,084.00 $51,769.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 $0.01 — $30,812.00 $106,930.00 $51,695.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 7 $0.01 — $30,155.00 $104,718.00 $50,641.00 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 7 $0.01 — $30,039.00 $102,567.00 $49,615.00 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 7 $0.01 — $27,294.00 $101,967.00 $49,329.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 7 $0.01 — $31,392.00 $101,611.00 $49,160.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 7 $0.01 — $28,802.00 $101,148.00 $48,939.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 10 7 $0.01 — $27,835.00 $100,664.00 $48,708.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 7 $0.01 — $20,644.00 $99,942.00 $48,364.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 7 $0.01 — $21,688.00 $99,942.00 $48,364.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 7 $0.01 — $35,722.00 $99,196.00 $48,008.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 $0.01 — $27,565.00 $98,509.00 $47,680.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 7 $0.01 — $28,454.00 $97,431.00 $47,166.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 7 $0.01 — $26,521.00 $96,406.00 $46,678.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 $0.01 — $27,951.00 $95,033.00 $46,023.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 $0.01 — $25,168.00 $94,465.00 $45,752.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 10 7 $0.01 — $25,361.00 $92,304.00 $44,722.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 7 $0.01 — $28,376.00 $91,521.00 $44,349.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 10 7 $0.01 — $19,021.00 $91,521.00 $44,349.00 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 7 $0.01 — $20,722.00 $90,094.00 $43,668.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 7 $0.01 — $21,186.00 $89,888.00 $43,570.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 7 $0.01 — $26,057.00 $89,430.00 $43,352.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 7 $0.01 — $20,297.00 $89,345.00 $43,312.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 7 $0.01 — $24,936.00 $89,335.00 $43,307.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 7 $0.01 — $25,168.00 $88,092.00 $42,714.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 $0.01 — $25,361.00 $87,703.00 $42,528.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 7 $0.01 — $32,951.00 $67,615.00 $42,209.50 2024-12-15
791 MS_DRG Prematurity With Major Problems 10 7 $0.01 — $32,765.00 $67,224.00 $41,969.50 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 7 $0.01 — $24,472.00 $84,992.00 $41,236.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 7 $0.01 — $23,853.00 $84,356.00 $40,933.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 7 $0.01 — $22,964.00 $84,098.00 $40,810.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 7 $0.01 — $23,273.00 $83,401.00 $40,477.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 7 $0.01 — $31,599.00 $64,778.00 $40,468.50 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 7 $0.01 — $16,469.00 $82,909.00 $40,243.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 7 $0.01 — $21,572.00 $82,845.00 $40,212.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 7 $0.01 — $21,998.00 $82,812.00 $40,196.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 7 $0.01 — $24,394.00 $82,513.00 $40,054.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 10 7 $0.01 — $21,920.00 $80,916.00 $39,292.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 10 7 $0.01 — $22,655.00 $80,427.00 $39,060.00 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 10 7 $0.01 — $19,059.00 $80,293.00 $38,996.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 7 $0.01 — $20,297.00 $79,073.00 $38,414.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 10 7 $0.01 — $21,727.00 $78,730.00 $38,250.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 7 $0.01 — $22,461.00 $78,715.00 $38,243.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 7 $0.01 — $23,621.00 $77,900.00 $37,855.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 7 $0.01 — $19,755.00 $77,483.00 $37,656.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 7 $0.01 — $23,157.00 $77,026.00 $37,438.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 10 7 $0.01 — $17,281.00 $76,319.00 $37,101.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 7 $0.01 — $21,070.00 $76,288.00 $37,086.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 $0.01 — $22,500.00 $76,044.00 $36,970.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 7 $0.01 — $22,655.00 $76,033.00 $36,964.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 7 $0.01 — $20,451.00 $74,703.00 $36,330.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 7 $0.01 — $19,794.00 $74,258.00 $36,118.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 7 $0.01 — $21,263.00 $74,052.00 $36,020.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 10 7 $0.01 — $18,982.00 $73,360.00 $35,690.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 7 $0.01 — $21,108.00 $72,736.00 $35,393.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 7 $0.01 — $11,791.00 $71,645.00 $34,872.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 $0.01 — $20,838.00 $71,497.00 $34,802.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 7 $0.01 — $19,330.00 $70,631.00 $34,389.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 7 $0.01 — $20,026.00 $70,527.00 $34,340.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 10 7 $0.01 — $16,585.00 $70,027.00 $34,101.00 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 7 $0.01 — $19,021.00 $69,388.00 $33,796.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 7 $0.01 — $17,320.00 $69,371.00 $33,788.00 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 10 7 $0.01 — $4,021.00 $69,055.00 $33,638.00 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 7 $0.01 — $20,142.00 $68,893.00 $33,560.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 7 $0.01 — $19,562.00 $68,088.00 $33,177.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 7 $0.01 — $16,121.00 $68,050.00 $33,158.00 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 7 $0.01 — $15,773.00 $67,949.00 $33,110.00 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 7 $0.01 — $15,039.00 $67,348.00 $32,824.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 7 $0.01 — $16,315.00 $65,962.00 $32,163.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 7 $0.01 — $15,889.00 $65,916.00 $32,141.00 2024-12-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 7 $0.01 — $25,076.00 $51,098.00 $32,073.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 7 $0.01 — $13,028.00 $65,333.00 $31,863.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 7 $0.01 — $17,049.00 $65,199.00 $31,799.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 7 $0.01 — $16,392.00 $65,066.00 $31,736.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 7 $0.01 — $18,866.00 $64,747.00 $31,584.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 7 $0.01 — $18,016.00 $64,389.00 $31,413.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 7 $0.01 — $12,835.00 $63,997.00 $31,226.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 7 $0.01 — $14,304.00 $63,932.00 $31,195.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 7 $0.01 — $14,884.00 $63,753.00 $31,110.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 7 $0.01 — $15,464.00 $63,291.00 $30,890.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 $0.01 — $17,513.00 $62,949.00 $30,726.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 7 $0.01 — $17,784.00 $62,458.00 $30,493.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 7 $0.01 — $12,410.00 $61,960.00 $30,255.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 7 $0.01 — $22,848.00 $60,415.00 $29,518.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 7 $0.01 — $16,160.00 $59,996.00 $29,319.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 7 $0.01 — $15,039.00 $59,357.00 $29,014.00 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 7 $0.01 — $22,964.00 $59,354.00 $29,012.00 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 7 $0.01 — $16,817.00 $59,344.00 $29,008.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 10 7 $0.01 — $17,088.00 $59,066.00 $28,875.00 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 7 $0.01 — $15,928.00 $58,801.00 $28,749.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 7 $0.01 — $18,132.00 $58,456.00 $28,584.00 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 7 $0.01 — $12,333.00 $58,441.00 $28,577.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 7 $0.01 — $16,469.00 $58,294.00 $28,507.00 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 7 $0.01 — $13,570.00 $58,016.00 $28,374.00 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 7 $0.01 — $16,005.00 $57,998.00 $28,366.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 7 $0.01 — $14,343.00 $57,975.00 $28,355.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 10 7 $0.01 — $15,812.00 $57,872.00 $28,306.00 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 7 $0.01 — $16,199.00 $57,498.00 $28,127.00 2024-12-15
332 MS_DRG Rectal Resection With Mcc 10 7 $0.01 — $16,508.00 $57,435.00 $28,097.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 7 $0.01 — $14,961.00 $57,372.00 $28,067.00 2024-12-15
50593 CPT Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 39 14 $37,540.11 $18,770.06 50% off $185.00 $67,572.00 $28,606.00 2024-12-15
27652 CPT Hc Repair/graft Achilles Tendon 38 14 $38,286.43 $19,143.22 50% off $1,368.00 $68,916.00 $29,174.00 2024-12-15
93461 CPT Hc Cath Place/cor Ang,img Supr/intrp,bypass Ang, R&l Cath, L Hrt Ventric 22 13 $38,692.49 $19,346.24 50% off $1,623.00 $34,823.00 $28,361.50 2024-12-15
29827 CPT Hc Shldr Arthroscop,surg,w/rotat Cuff Repr 38 14 $38,734.13 $19,367.06 50% off $1,758.00 $69,721.00 $29,515.00 2024-12-15
25608 CPT Hc Open Rx Distal Radius Fx, Intra-articular, 2 Frag 38 14 $38,918.61 $19,459.30 50% off $1,435.00 $70,053.00 $29,656.00 2024-12-15
0345T CPT Hc Cath Transcath Mitral Valve Repair Via Coronary Sinus 22 13 $39,192.77 $19,596.38 50% off $25.00 $35,273.00 $28,728.50 2024-12-15
0484T CPT Hc Cath Tmvi W/prosthetic Valve Transthoracic Exposure 22 13 $39,192.77 $19,596.38 50% off $252.00 $35,273.00 $28,728.50 2024-12-15
Q5120 HCPCS Pegfilgrastim-bmez 6 Mg/0.6ml Sc Sosy 22 13 $39,314.92 $19,657.46 50% off $30.00 $35,383.00 $28,817.50 2024-12-15
29828 CPT Hc Arthroscopy Shoulder Surgical Biceps Tenodesis 35 13 $39,479.28 $19,739.64 50% off $1,758.00 $71,063.00 $30,083.00 2024-12-15
28415 CPT Hc Open Treatment Calcaneal Fracture 38 14 $40,164.60 $20,082.30 50% off $68.00 $72,296.00 $30,605.00 2024-12-15
37215 CPT Hc Tcat IV Stent Crv Crtd Art Embolic Protecj 33 11 $40,299.75 $20,149.88 50% off $208.00 $72,540.00 $33,449.00 2024-12-15
63664 CPT Hc Revision Spinal Neurostim Electrode Plate/paddle Inc Fluoro 22 13 $41,673.08 $20,836.54 50% off $1,058.00 $37,506.00 $30,546.50 2024-12-15
28725 CPT Hc Fusion Foot Bones,subtalar 38 14 $42,009.16 $21,004.58 50% off $68.00 $75,616.00 $32,011.00 2024-12-15
27827 CPT Hc Open Treatment Fracture Distal Tibia Only 39 14 $42,009.16 $21,004.58 50% off $1,435.00 $75,616.00 $32,011.00 2024-12-15
37227 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 38 14 $43,206.82 $21,603.41 50% off $1,623.00 $77,772.00 $32,924.00 2024-12-15
25607 CPT Hc Open Rx Distal Radius Fx, Extra-articular 38 14 $44,392.55 $22,196.28 50% off $68.00 $79,907.00 $33,827.00 2024-12-15
A9560 HCPCS Technetium-99 (tc-99) Labeled Red Blood Cells (ultratag) Radio-isotope Injection 22 13 $44,934.70 $22,467.35 50% off $186.00 $40,441.00 $32,937.00 2024-12-15
29888 CPT Hc Knee Scope,aid Ant Cruciate Repair 39 14 $44,941.54 $22,470.77 50% off $68.00 $80,895.00 $34,245.00 2024-12-15
33995 CPT Hc Insert Perq Vad R Hrt Venous 17 10 $45,405.18 $22,702.59 50% off $1,623.00 $40,865.00 $34,599.00 2024-12-15
37230 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial 38 14 $45,503.02 $22,751.51 50% off $1,623.00 $81,905.00 $34,673.00 2024-12-15
27870 CPT Hc Asc Ankle Arthrodesis Open 27870 38 14 $46,090.31 $23,045.16 50% off $1,368.00 $82,963.00 $35,121.00 2024-12-15
25609 CPT Hc Open Rx Distal Radius Fx, Intra-articular, 3+ Frag 39 14 $46,177.30 $23,088.65 50% off $2,378.00 $83,119.00 $35,187.00 2024-12-15
Q5130 HCPCS Pegfilgrastim-pbbk 6 Mg/0.6ml Sc Sosy 22 13 $46,390.99 $23,195.50 50% off $194.00 $41,752.00 $34,004.50 2024-12-15
0408T CPT Hc Ins/repl Ccm System, Pulse Gen With Tv Electrodes 22 13 $46,579.28 $23,289.64 50% off $1,758.00 $46,169.00 $35,213.50 2024-12-15
33477 CPT Hc Cath Tcat Pulmonary Valve Implantation Prq Approach 17 10 $47,291.51 $23,645.76 50% off $1,623.00 $42,562.00 $36,036.00 2024-12-15
33880 CPT Hc Endovasc Taa Repr Incl Subcl 20 11 $48,174.49 $24,087.24 50% off $1,533.00 $43,357.00 $36,420.00 2024-12-15
8120000001 CDM Hc Cadaver Donor - Heart 25 14 $48,443.14 $24,221.57 50% off $12,595.00 $43,599.00 $28,097.00 2024-12-15
8120000004 CDM Hc Cadaver Donor - Lung 25 14 $48,659.61 $24,329.80 50% off $12,651.00 $43,794.00 $28,222.50 2024-12-15
27428 CPT Hc Ligament Reconst Knee, Intra-artic (open) 38 14 $48,659.87 $24,329.94 50% off $1,058.00 $87,588.00 $37,079.00 2024-12-15
17772-123-01 NDC Oxcarbazepine ER 600 Mg Po Tb24 25 14 $48,834.35 $24,417.18 50% off $12,697.00 $43,951.00 $28,324.00 2024-12-15
0483T CPT Hc Cath Tmvi W/prosthetic Valve Percutaneous Approach 22 13 $49,127.40 $24,563.70 50% off $140.00 $44,215.00 $36,010.50 2024-12-15
Q5122 HCPCS Pegfilgrastim-apgf 6 Mg/0.6ml Sc Sosy 22 13 $49,353.74 $24,676.87 50% off $102.00 $44,418.00 $36,176.00 2024-12-15
47335-624-60 NDC Ranolazine ER 500 Mg Po Pack 25 14 $50,223.00 $25,111.50 50% off $13,058.00 $45,201.00 $29,129.50 2024-12-15
82705-002-01 NDC Epcoritamab-bysp 4 Mg/0.8ml Sc Soln 25 14 $50,276.75 $25,138.38 50% off $13,072.00 $45,249.00 $29,160.50 2024-12-15
0037-0442-67 NDC Felbamate 600 Mg/5ml Po Susp Bulk 25 14 $50,847.67 $25,423.83 50% off $13,220.00 $45,763.00 $29,491.50 2024-12-15
C1875 HCPCS Stent G-armor Cov 5.2cm Lgth 10 Zig 225 14 $51,302.03 $25,651.02 50% off $9,665.00 $63,616.00 $38,407.00 2024-12-15
70710-1852-7 NDC Indomethacin 50 Mg Re Supp 25 14 $52,089.06 $26,044.53 50% off $13,543.00 $46,880.00 $30,211.50 2024-12-15
55111-284-48 NDC Fluoxetine Hcl 90 Mg Po Cpdr 25 14 $52,355.85 $26,177.93 50% off $13,613.00 $47,120.00 $30,366.50 2024-12-15
68180-354-07 NDC Ranolazine ER 500 Mg Po Tb12 25 14 $52,829.52 $26,414.76 50% off $13,736.00 $47,547.00 $30,641.50 2024-12-15
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 38 14 $52,870.37 $26,435.18 50% off $1,058.00 $95,167.00 $40,287.00 2024-12-15
64980-282-03 NDC Mesalamine 1000 Mg Re Supp 25 14 $54,125.21 $27,062.60 50% off $14,073.00 $48,713.00 $31,393.00 2024-12-15
59762-0118-3 NDC Mesalamine 1000 Mg Re Supp 25 14 $54,125.21 $27,062.60 50% off $14,073.00 $48,713.00 $31,393.00 2024-12-15
C2621 HCPCS Pacemaker Consulta Bip Is1 Av 15ml 26gm 406 14 $54,516.00 $27,258.00 50% off $7,733.00 $102,090.00 $39,851.00 2024-12-15
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 38 14 $54,603.61 $27,301.80 50% off $1,623.00 $98,286.00 $41,608.00 2024-12-15
24341 CPT Hc Repair Tend/musc Upr Arm/elb Each 38 14 $54,655.25 $27,327.62 50% off $1,058.00 $98,379.00 $41,647.00 2024-12-15
13811-715-30 NDC Venlafaxine Hcl ER 225 Mg Po Tb24 25 14 $55,014.17 $27,507.08 50% off $14,304.00 $49,513.00 $31,908.50 2024-12-15
34707 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft 31 10 $55,641.55 $27,820.78 50% off $1,623.00 $100,155.00 $46,182.00 2024-12-15
34710 CPT Hc Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl 17 10 $55,641.55 $27,820.78 50% off $1,623.00 $50,077.00 $42,399.00 2024-12-15
34701 CPT Hc Ccl Evasc Rpr A-ao Non-ruptre 17 10 $55,641.55 $27,820.78 50% off $1,623.00 $50,077.00 $42,399.00 2024-12-15
33881 CPT Hc Endovasc Taa Rew/o Subcl 20 11 $55,641.55 $27,820.78 50% off $1,316.00 $50,077.00 $42,065.00 2024-12-15
63304-089-13 NDC Mesalamine ER 500 Mg Po Cpcr 25 14 $56,076.44 $28,038.22 50% off $14,580.00 $50,469.00 $32,524.50 2024-12-15
J0571 HCPCS Buprenorphine Hcl 300 Mcg Bu Film 25 14 $56,121.38 $28,060.69 50% off $14,592.00 $50,509.00 $32,550.50 2024-12-15
0085-1328-01 NDC Posaconazole 40 Mg/ml Po Susp Bulk 25 14 $56,226.98 $28,113.49 50% off $14,619.00 $50,604.00 $32,611.50 2024-12-15
A9584 HCPCS Ioflupane I 123 185 Mbq/2.5ml IV Soln 22 13 $56,701.00 $28,350.50 50% off $114.00 $51,031.00 $41,562.00 2024-12-15
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 25 14 $57,753.41 $28,876.70 50% off $15,016.00 $51,978.00 $41,351.00 2024-12-15
C1817 HCPCS Occluder Sept Amplatzer Cvd Dbl Disc 45deg 4mm 6fr 153 14 $58,070.16 $29,035.08 50% off $8,116.00 $73,597.00 $39,443.00 2024-12-15
C2622 HCPCS Prosthesis Penile Genisis Kt Semi Rgd Malle 9.5x23 64 14 $58,155.12 $29,077.56 50% off $2,548.00 $68,792.00 $32,421.50 2024-12-15
31253 CPT Hc Nasal/sinus Endo Total With Tiss Rem 38 14 $58,344.44 $29,172.22 50% off $3,288.00 $105,020.00 $44,458.00 2024-12-15
Q0495 HCPCS Charger Batt Heartmate Univ 45 14 $58,786.56 $29,393.28 50% off $4,900.00 $58,787.00 $35,140.00 2024-12-15
0009-7667-01 NDC Clindamycin Phosphate 100 Mg Va Supp 25 14 $58,996.14 $29,498.07 50% off $15,339.00 $53,097.00 $34,218.00 2024-12-15
54092-254-90 NDC Lanthanum Carbonate 1000 Mg Po Chew 25 14 $59,222.24 $29,611.12 50% off $15,398.00 $53,300.00 $34,349.00 2024-12-15
54092-253-90 NDC Lanthanum Carbonate 750 Mg Po Chew 25 14 $59,222.24 $29,611.12 50% off $15,398.00 $53,300.00 $34,349.00 2024-12-15
J0841 HCPCS Crotalidae Immune Fab (equine) IV Solr 22 13 $59,782.19 $29,891.10 50% off $1,019.00 $53,804.00 $43,820.50 2024-12-15
50474-598-66 NDC Levetiracetam ER 500 Mg Po Tb24 25 14 $61,109.72 $30,554.86 50% off $15,889.00 $54,999.00 $35,444.00 2024-12-15
54092-191-12 NDC Mesalamine ER 500 Mg Po Cpcr 25 14 $62,289.39 $31,144.70 50% off $16,195.00 $56,060.00 $36,127.50 2024-12-15
34705 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft 17 10 $62,489.49 $31,244.74 50% off $1,623.00 $56,241.00 $47,617.00 2024-12-15
33361 CPT Hc Replace Aortic Valve Perq Femoral Artry Approach 31 10 $62,489.49 $31,244.74 50% off $1,623.00 $56,241.00 $31,151.00 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 41 14 $62,630.09 $31,315.04 50% off $1,623.00 $70,932.00 $47,724.00 2024-12-15
54092-252-45 NDC Lanthanum Carbonate 500 Mg Po Chew 25 14 $62,957.87 $31,478.94 50% off $16,369.00 $56,662.00 $36,515.50 2024-12-15
54092-252-90 NDC Lanthanum Carbonate 500 Mg Po Chew 25 14 $62,957.87 $31,478.94 50% off $16,369.00 $56,662.00 $36,515.50 2024-12-15
J1324 HCPCS Enfuvirtide 90 Mg Sc Solr 25 14 $63,146.42 $31,573.21 50% off $16,418.00 $56,832.00 $36,625.00 2024-12-15
Q0479 HCPCS Module Pwr Heartmate Ii Cntrlr Tethered Operation 27 14 $65,318.40 $32,659.20 50% off $9,900.00 $65,318.00 $36,429.00 2024-12-15
59676-565-01 NDC Darunavir 100 Mg/ml Po Susp Bulk 25 14 $66,064.35 $33,032.18 50% off $17,177.00 $59,458.00 $38,317.50 2024-12-15
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6ml Sc Soaj 38 13 $66,398.25 $33,199.12 50% off $125.00 $59,758.00 $35,022.00 2024-12-15
33362 CPT Hc Replace Aortic Valve Openfemoral Artery Approach 17 10 $67,313.25 $33,656.62 50% off $1,623.00 $60,582.00 $51,293.00 2024-12-15
33229 CPT Hc Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 40 14 $68,033.29 $34,016.64 50% off $1,623.00 $61,230.00 $45,580.00 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 31 10 $69,725.12 $34,862.56 50% off $1,623.00 $62,753.00 $52,294.00 2024-12-15
61958-1003-1 NDC Ranolazine ER 500 Mg Po Tb12 25 14 $70,311.18 $35,155.59 50% off $18,281.00 $63,280.00 $40,780.50 2024-12-15
0398T CPT Hc MRI Guided Focused US Stereo Lesion Ablate 22 13 $71,584.70 $35,792.35 50% off $1,623.00 $64,426.00 $52,472.00 2024-12-15
69344-102-33 NDC Indomethacin 50 Mg Re Supp 25 14 $72,208.70 $36,104.35 50% off $18,774.00 $64,988.00 $41,881.00 2024-12-15
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 27 14 $72,570.00 $36,285.00 50% off $9,900.00 $72,570.00 $40,458.00 2024-12-15
0591-2720-60 NDC Metformin Hcl ER (osm) 1000 Mg Po Tb24 25 14 $72,962.64 $36,481.32 50% off $18,970.00 $65,666.00 $42,318.00 2024-12-15
33230 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Dual Leads 25 14 $73,431.05 $36,715.52 50% off $1,623.00 $66,088.00 $33,079.00 2024-12-15
0078-0494-71 NDC Tobramycin 300 Mg/5ml In Nebu 25 14 $75,495.29 $37,747.64 50% off $19,629.00 $67,946.00 $43,787.50 2024-12-15
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 41 14 $76,768.82 $38,384.41 50% off $1,623.00 $69,092.00 $37,536.00 2024-12-15
73702-140-71 NDC Indomethacin 100 Mg Re Supp 25 14 $79,128.71 $39,564.36 50% off $20,573.00 $71,216.00 $45,894.50 2024-12-15
33240 CPT Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 40 14 $79,329.69 $39,664.84 50% off $1,623.00 $71,397.00 $55,954.00 2024-12-15
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Sc Pskt 22 13 $80,228.39 $40,114.19 50% off $55.00 $72,206.00 $58,807.50 2024-12-15
33365 CPT Hc Cath Replace Aortic Valve Open Transaortic Approach 17 10 $80,395.84 $40,197.92 50% off $1,623.00 $72,356.00 $61,262.00 2024-12-15
L8619 HCPCS Hc Supply Cochlear Implnt, Ext Speech Processor_cont Rplcmt - L8619 279 14 $81,420.00 $40,710.00 50% off $903.00 $148,680.00 $51,990.00 2024-12-15
J7674 HCPCS Methacholine Chloride 100 Mg In Solr 22 13 $81,687.09 $40,843.54 50% off $125.00 $73,518.00 $59,876.50 2024-12-15
47335-625-60 NDC Ranolazine ER 1000 Mg Po Pack 25 14 $82,310.16 $41,155.08 50% off $21,401.00 $74,079.00 $47,740.00 2024-12-15
A9555 HCPCS Rubidium-82 (rb-82) Radio-isotope Injection 22 13 $84,001.00 $42,000.50 50% off $78.00 $75,601.00 $61,573.00 2024-12-15
Q5127 HCPCS Pegfilgrastim-fpgk 6 Mg/0.6ml Sc Sosy 22 13 $84,270.27 $42,135.14 50% off $335.00 $75,843.00 $61,770.50 2024-12-15
33262 CPT Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 40 14 $84,270.87 $42,135.44 50% off $1,623.00 $75,844.00 $32,174.00 2024-12-15
0008-0423-03 NDC Antivenin Micrurus Fulvius IV Solr 25 14 $84,789.87 $42,394.94 50% off $22,045.00 $76,311.00 $49,178.00 2024-12-15
0008-0423-01 NDC Antivenin Micrurus Fulvius IV Solr 25 14 $84,789.87 $42,394.94 50% off $22,045.00 $76,311.00 $49,178.00 2024-12-15
Q0138 HCPCS Ferumoxytol 510 Mg/17ml IV Soln 21 13 $84,832.31 $42,416.15 50% off $117.00 $76,349.00 $63,624.00 2024-12-15
33289 CPT Hc Rhc W/plc Pressure Sensor 25 14 $86,635.40 $43,317.70 50% off $1,623.00 $77,972.00 $40,788.00 2024-12-15
0310-0283-60 NDC Quetiapine Fumarate ER 300 Mg Po Tb24 25 14 $87,338.95 $43,669.47 50% off $22,708.00 $78,605.00 $50,656.50 2024-12-15
67546-212-21 NDC Nitazoxanide 100 Mg/5ml Po Susr Bulk 25 14 $89,264.62 $44,632.31 50% off $23,209.00 $80,338.00 $51,773.50 2024-12-15
C9774 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/ather 22 13 $91,588.35 $45,794.18 50% off $3,376.00 $82,430.00 $67,134.00 2024-12-15
C9773 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/stent 22 13 $91,588.35 $45,794.18 50% off $3,376.00 $82,430.00 $67,134.00 2024-12-15
C9775 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/ather/stent 22 13 $91,588.35 $45,794.18 50% off $3,376.00 $82,430.00 $67,134.00 2024-12-15
81416 CPT Hc Exome Sequence Analysis Each Comparator Exome 25 14 $92,610.00 $46,305.00 50% off $12,000.00 $83,349.00 $47,674.50 2024-12-15
77371 CPT Hc Tr Srs 1 Session Multi Cobalt 60 24 14 $93,660.20 $46,830.10 50% off $6,537.00 $84,294.00 $50,670.50 2024-12-15
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 25 14 $94,691.13 $47,345.56 50% off $24,620.00 $85,222.00 $54,921.00 2024-12-15
L8614 HCPCS Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear 222 14 $94,916.25 $47,458.12 50% off $552.00 $148,680.00 $64,491.00 2024-12-15
55566-9800-2 NDC Fecal Microbiota, Live-jslm 150 Ml Re Susp 25 14 $94,953.71 $47,476.86 50% off $24,688.00 $85,458.00 $55,073.00 2024-12-15
55566-9800-0 NDC Fecal Microbiota, Live-jslm 150 Ml Re Susp 25 14 $94,953.71 $47,476.86 50% off $24,688.00 $85,458.00 $55,073.00 2024-12-15
C9047 HCPCS Caplacizumab-yhdp 11 Mg Ij Kit 22 13 $98,637.57 $49,318.78 50% off $745.00 $88,774.00 $72,301.50 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 45 14 $100,510.00 $50,255.00 50% off $9,900.00 $100,510.00 $65,933.00 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 25 14 $102,106.23 $51,053.12 50% off $26,548.00 $91,896.00 $59,222.00 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 25 14 $112,748.02 $56,374.01 50% off $29,314.00 $101,473.00 $65,393.50 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 25 14 $112,748.02 $56,374.01 50% off $29,314.00 $101,473.00 $65,393.50 2024-12-15
C1820 HCPCS System Chrgr Prc Fam Neurostim Ptnt Kt 333 14 $114,319.20 $57,159.60 50% off $1,776.00 $223,351.00 $77,983.00 2024-12-15
35371 CPT Hc Thromboendartectmy Femoral Common 31 10 $116,847.32 $58,423.66 50% off $68.00 $105,163.00 $48,492.00 2024-12-15
35355 CPT Hc Thromboendarterectomy With Without Patch Graft Iliofemoral 31 10 $116,847.32 $58,423.66 50% off $1,058.00 $105,163.00 $48,492.00 2024-12-15
C1722 HCPCS Defibrillator Maximo Ii Vr 1chb Is1 Df1 Av 35jl 37 873 14 $117,348.00 $58,674.00 50% off $9,900.00 $206,052.00 $80,266.00 2024-12-15
Q3001 HCPCS Hc I-125 Iotrex - 2 Ml 24 13 $118,208.95 $59,104.48 50% off $735.00 $118,209.00 $86,647.50 2024-12-15
C1721 HCPCS Defibrillator Lumax 540 Dr-t 2chb Home Mon 907 14 $123,723.60 $61,861.80 50% off $24.00 $190,501.00 $88,011.00 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 25 14 $124,394.78 $62,197.39 50% off $32,343.00 $111,955.00 $72,149.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 25 14 $124,394.78 $62,197.39 50% off $32,343.00 $111,955.00 $72,149.00 2024-12-15
34708 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt 31 10 $124,978.98 $62,489.49 50% off $1,058.00 $112,481.00 $51,866.00 2024-12-15
C2616 HCPCS Sphere Embol Sir Msphre 90 45 14 $129,882.60 $64,941.30 50% off $9,900.00 $129,883.00 $97,082.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 25 14 $140,799.12 $70,399.56 50% off $36,608.00 $126,719.00 $81,663.50 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 27 14 $141,246.00 $70,623.00 50% off $9,900.00 $141,246.00 $78,744.50 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 25 14 $141,474.57 $70,737.28 50% off $36,783.00 $127,327.00 $82,055.00 2024-12-15
C1767 HCPCS Stimulator Proclaim Elite 5 W/pat Cntrlr 477 14 $144,210.00 $72,105.00 50% off $9,900.00 $342,127.00 $103,735.00 2024-12-15
C1882 HCPCS Defibrillator Consulta 2chb Is1 Df1 Av 35jl 38ml 6 1,089 14 $148,486.80 $74,243.40 50% off $13.00 $301,141.00 $109,621.00 2024-12-15
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 64 14 $157,320.00 $78,660.00 50% off $3,758.00 $179,170.00 $99,887.50 2024-12-15
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 22 13 $170,101.00 $85,050.50 50% off $258.00 $153,091.00 $124,684.00 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 25 14 $171,325.06 $85,662.53 50% off $44,545.00 $154,193.00 $99,369.00 2024-12-15
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 25 14 $178,757.65 $89,378.82 50% off $11,694.00 $160,882.00 $86,288.00 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 63 14 $194,246.50 $97,123.25 50% off $9,900.00 $227,240.00 $139,080.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 45 14 $198,240.00 $99,120.00 50% off $9,900.00 $244,720.00 $151,059.00 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 25 14 $206,564.77 $103,282.38 50% off $53,707.00 $185,908.00 $119,807.50 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 25 14 $210,690.03 $105,345.02 50% off $54,779.00 $189,621.00 $122,200.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 45 14 $227,240.00 $113,620.00 50% off $9,900.00 $227,240.00 $140,269.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 45 14 $235,620.00 $117,810.00 50% off $9,900.00 $235,620.00 $77,755.00 2024-12-15
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 22 13 $243,748.00 $121,874.00 50% off $66.00 $219,373.00 $178,667.50 2024-12-15
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 69 13 $243,787.15 $121,893.58 50% off $67.00 $618,699.00 $43,566.00 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 25 14 $243,921.81 $121,960.90 50% off $63,420.00 $219,530.00 $141,475.00 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 42 14 $246,873.71 $123,436.86 50% off $64,187.00 $228,405.00 $186,636.50 2024-12-15
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 22 13 $255,909.86 $127,954.93 50% off $1,170.00 $230,319.00 $187,581.50 2024-12-15
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 45 14 $257,830.00 $128,915.00 50% off $9,900.00 $257,830.00 $85,084.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 25 14 $264,236.27 $132,118.13 50% off $68,701.00 $237,813.00 $153,257.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 25 14 $264,236.27 $132,118.13 50% off $68,701.00 $237,813.00 $153,257.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 25 14 $274,709.53 $137,354.77 50% off $71,424.00 $247,239.00 $159,331.50 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 25 14 $274,709.53 $137,354.77 50% off $71,424.00 $247,239.00 $159,331.50 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 25 14 $294,215.74 $147,107.87 50% off $76,496.00 $264,794.00 $170,645.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 25 14 $294,215.74 $147,107.87 50% off $76,496.00 $264,794.00 $170,645.00 2024-12-15
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 25 14 $311,091.56 $155,545.78 50% off $80,884.00 $279,982.00 $180,433.00 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 22 13 $317,369.80 $158,684.90 50% off $55.00 $285,633.00 $232,632.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 99 14 $332,120.00 $166,060.00 50% off $9,900.00 $437,000.00 $213,116.00 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 25 14 $339,243.38 $169,621.69 50% off $88,203.00 $305,319.00 $196,761.00 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 25 14 $372,735.21 $186,367.60 50% off $96,911.00 $335,462.00 $216,186.50 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 22 13 $386,681.14 $193,340.57 50% off $57.00 $348,013.00 $283,437.50 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 25 14 $396,641.51 $198,320.76 50% off $103,127.00 $356,977.00 $230,052.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 22 13 $460,111.00 $230,055.50 50% off $80.00 $414,100.00 $337,261.00 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 22 13 $475,098.80 $237,549.40 50% off $580.00 $427,589.00 $348,247.50 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 22 13 $770,386.00 $385,193.00 50% off $10.00 $693,347.00 $564,693.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 25 14 $4,253,411.58 $2,126,705.79 50% off $466,070.00 $3,828,070.00 $2,147,070.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 25 14 $4,855,287.41 $2,427,643.70 50% off $454,489.00 $4,369,759.00 $2,412,124.00 2024-12-15
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 25 14 $4,964,120.33 $2,482,060.16 50% off $460,227.00 $4,467,708.00 $2,463,967.50 2024-12-15
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