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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

IBERIA MEDICAL CENTER

New Iberia, LA · CCN 190054 · Rates published

2,281 distinct procedures filed
34 distinct payers
180,152 rate rows
2025-07-16 last MRF observed
Data quality

174,653 of 180,152 rate rows are consumer-grade (96.9%)

5,499 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 3,267
per-diem day rate — not a per-procedure price 1,844
placeholder amount (≤ $0.02) — excluded from medians 306
exceeds 10× this hospital's gross charge — excluded from medians 61
exceeds 3× this hospital's gross charge for a DRG stay — excluded 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.iberiamedicalcenter.com/_files/ugd/3d8695_524d32b922f14012bd1a57d8ee5f3750.csv?dn=726014963_iberia-general-hospital-and-medical-center_standardcharges.csv
Found on page https://www.iberiamedicalcenter.com/cms-hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 2c28953998d0519e… · 206,268,358 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
905
MS_DRG 		Skin Grafts For Injuries Without Cc/mcc 21 $16,520.07 $198,469.45 $63,945.12 nat. median
$16,177
outlier · 4.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 21 $29,373.19 $93,771.09 $46,470.03 nat. median
$44,810
1.0× median
J9347
HCPCS 		Imjudo (tremelimumab-actl): 300mg VIAL,Drug Or Biological Acquired With 340b 34 $7,644.00 $60,000.00 $40,643.74 nat. median
$3,461
outlier · 11.7×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 21 $25,530.56 $93,507.27 $40,315.04 nat. median
$38,112
1.1× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 16 $32,549.25 $73,724.70 $38,738.44 nat. median
$49,191
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 16 $32,791.86 $59,243.47 $38,223.07 nat. median
$51,307
0.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis W 16 $30,396.71 $75,389.44 $34,646.99 nat. median
$46,084
0.8× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 16 $27,312.24 $60,798.48 $31,785.51 nat. median
$42,444
0.7× median
J9298
HCPCS 		Opdualag 240MG/80MG,Drug Or Biological Acquired With 340b 34 $6,106.15 $47,929.00 $30,431.27 nat. median
$561
outlier · 54.2×
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 16 $24,930.35 $46,821.00 $29,199.74 nat. median
$38,285
0.8× median
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extrem 21 $18,455.00 $91,139.50 $28,981.66 nat. median
$28,254
1.0× median
332
MS_DRG 		Rectal Resection With Mcc 16 $22,276.78 $45,013.40 $28,549.39 nat. median
$35,238
0.8× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 16 $22,001.95 $69,721.49 $26,039.90 nat. median
$34,720
0.8× median
252
MS_DRG 		Other Vascular Procedures With Mcc 16 $22,034.79 $58,068.78 $25,037.35 nat. median
$34,043
0.7× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With M 16 $20,701.06 $49,167.29 $24,676.94 nat. median
$32,024
0.8× median
37
MS_DRG 		Extracranial Procedures With Mcc 16 $21,342.98 $66,654.24 $24,479.35 nat. median
$32,921
0.7× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lowe 16 $21,013.17 $51,937.14 $23,529.81 nat. median
$31,075
0.8× median
279
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral 16 $20,606.92 $80,498.68 $21,637.26 nat. median
$33,732
0.6× median
625
MS_DRG 		Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 $18,475.86 $51,832.80 $21,202.64 nat. median
$29,132
0.7× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 16 $16,935.52 $59,550.47 $20,240.87 nat. median
$27,218
0.7× median
253
MS_DRG 		Other Vascular Procedures With Cc 16 $16,491.35 $27,067.75 $19,405.04 nat. median
$26,079
0.7× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Dev 16 $18,347.59 $80,149.98 $19,264.97 nat. median
$28,170
0.7× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis W 16 $15,829.86 $50,359.66 $18,583.91 nat. median
$24,493
0.8× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 16 $15,295.36 $46,175.50 $18,354.73 nat. median
$24,346
0.8× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremi 16 $16,461.03 $49,706.07 $18,304.12 nat. median
$26,699
0.7× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 16 $14,945.98 $39,154.92 $17,498.60 nat. median
$23,466
0.7× median
35
MS_DRG 		Carotid Artery Stent Procedures With Cc 16 $14,733.69 $60,878.65 $17,210.97 nat. median
$23,823
0.7× median
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of H 17 $9,355.11 $17,536.50 $17,129.53 nat. median
$27,782
0.6× median
J2350
HCPCS 		Ocrevus (ocrelizumab) 30mg/ml 10ml VIAL,Drug Or Biological Acquired With 340b 34 $7,935.75 $62,290.00 $16,995.26 nat. median
$683
outlier · 24.9×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And 17 $11,300.83 $21,427.95 $16,307.57 nat. median
$24,757
0.7× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue 16 $13,991.31 $33,806.00 $16,240.45 nat. median
$22,403
0.7× median
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health 16 $13,701.32 $41,075.11 $16,187.84 nat. median
$22,721
0.7× median
286
MS_DRG 		Circulatory Disorders Except Ami, With Cardiac Catheterizati 16 $14,345.13 $39,361.10 $16,183.20 nat. median
$22,019
0.7× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Wit 16 $13,680.47 $46,072.44 $16,049.31 nat. median
$21,760
0.7× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedu 16 $14,127.80 $50,712.40 $15,931.81 nat. median
$21,522
0.7× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With C 16 $13,761.33 $69,602.09 $15,929.76 nat. median
$21,377
0.7× median
C9740
HCPCS 		Cystourethroscopy With Insertion Of Transprostatic Implant (4 Or More) 34 $8,373.85 $23,415.90 $15,894.88 nat. median
$9,495
1.7× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 16 $13,470.72 $36,945.45 $15,561.33 nat. median
$21,529
0.7× median
J9309
HCPCS 		Polivy (polatuzumab) 140mg VIAL,Drug Or Biological Acquired With 340b 34 $3,478.50 $120,000.00 $15,288.00 nat. median
$4,472
outlier · 3.4×
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 16 $13,105.53 $27,205.76 $15,184.53 nat. median
$20,396
0.7× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Meta 16 $12,565.34 $56,782.41 $14,817.50 nat. median
$19,472
0.8× median
J9022
HCPCS 		Tecentriq (atezolizumab) 1200mg/20ml VL,Drug Or Biological Acquired With 340b 34 $3,949.40 $42,050.93 $14,717.83 nat. median
$6,911
outlier · 2.1×
488
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection Wit 16 $12,778.89 $25,743.70 $14,710.50 nat. median
$19,293
0.8× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 17 $11,852.96 $22,532.20 $14,665.68 nat. median
$20,752
0.7× median
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Pr 16 $12,752.35 $39,365.46 $14,662.95 nat. median
$20,538
0.7× median
J9345
HCPCS 		Zynyz (retifanilimab-dlwr) 500mg VIAL,Drug Or Biological Acquired With 340b 34 $3,949.40 $31,000.00 $14,570.64 nat. median
$49
outlier · 299.6×
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Withou 21 $9,454.33 $99,965.95 $14,564.70 nat. median
$14,835
1.0× median
247
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Ste 16 $12,425.70 $80,232.22 $14,514.95 nat. median
$16,343
0.9× median
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health 16 $12,708.76 $25,960.42 $14,460.66 nat. median
$19,877
0.7× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lowe 16 $12,274.09 $48,189.99 $14,140.11 nat. median
$20,055
0.7× median

Other procedures at this hospital

Browse this hospital's 2,281 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 23 21 $198,469.45 $119,081.67 40% off $16,520.07 $198,469.45 $63,945.12 2025-07-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 21 $93,771.09 $56,262.65 40% off $29,373.19 $93,771.09 $46,470.03 2025-07-16
J9347 HCPCS Imjudo (tremelimumab-actl): 300mg VIAL,Drug Or Biological Acquired With 340b 37 34 $60,000.00 $36,000.00 40% off $7,644.00 $60,000.00 $40,643.74 2025-07-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 21 $93,507.27 $56,104.36 40% off $25,530.56 $93,507.27 $40,315.04 2025-07-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 16 $73,724.70 $44,234.82 40% off $32,549.25 $73,724.70 $38,738.44 2025-07-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 16 $59,243.47 $35,546.08 40% off $32,791.86 $59,243.47 $38,223.07 2025-07-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis W 18 16 $75,389.44 $45,233.66 40% off $30,396.71 $75,389.44 $34,646.99 2025-07-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 16 $60,798.48 $36,479.09 40% off $27,312.24 $60,798.48 $31,785.51 2025-07-16
J9298 HCPCS Opdualag 240MG/80MG,Drug Or Biological Acquired With 340b 37 34 $47,929.00 $28,757.40 40% off $6,106.15 $47,929.00 $30,431.27 2025-07-16
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 16 $46,821.00 $28,092.60 40% off $24,930.35 $46,821.00 $29,199.74 2025-07-16
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extrem 23 21 $91,139.50 $54,683.70 40% off $18,455.00 $91,139.50 $28,981.66 2025-07-16
332 MS_DRG Rectal Resection With Mcc 18 16 $45,013.40 $27,008.04 40% off $22,276.78 $45,013.40 $28,549.39 2025-07-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 16 $69,721.49 $41,832.89 40% off $22,001.95 $69,721.49 $26,039.90 2025-07-16
252 MS_DRG Other Vascular Procedures With Mcc 18 16 $58,068.78 $34,841.27 40% off $22,034.79 $58,068.78 $25,037.35 2025-07-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With M 18 16 $49,167.29 $29,500.37 40% off $20,701.06 $49,167.29 $24,676.94 2025-07-16
37 MS_DRG Extracranial Procedures With Mcc 18 16 $66,654.24 $39,992.54 40% off $21,342.98 $66,654.24 $24,479.35 2025-07-16
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lowe 18 16 $51,937.14 $31,162.28 40% off $21,013.17 $51,937.14 $23,529.81 2025-07-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral 17 16 $80,498.68 $48,299.21 40% off $20,606.92 $80,498.68 $21,637.26 2025-07-16
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 16 $51,832.80 $31,099.68 40% off $18,475.86 $51,832.80 $21,202.64 2025-07-16
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 18 16 $59,550.47 $35,730.28 40% off $16,935.52 $59,550.47 $20,240.87 2025-07-16
253 MS_DRG Other Vascular Procedures With Cc 18 16 $27,067.75 $16,240.65 40% off $16,491.35 $27,067.75 $19,405.04 2025-07-16
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Dev 17 16 $80,149.98 $48,089.99 40% off $18,347.59 $80,149.98 $19,264.97 2025-07-16
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis W 18 16 $50,359.66 $30,215.80 40% off $15,829.86 $50,359.66 $18,583.91 2025-07-16
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 16 $46,175.50 $27,705.30 40% off $15,295.36 $46,175.50 $18,354.73 2025-07-16
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremi 18 16 $49,706.07 $29,823.64 40% off $16,461.03 $49,706.07 $18,304.12 2025-07-16
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 16 $39,154.92 $23,492.95 40% off $14,945.98 $39,154.92 $17,498.60 2025-07-16
35 MS_DRG Carotid Artery Stent Procedures With Cc 18 16 $60,878.65 $36,527.19 40% off $14,733.69 $60,878.65 $17,210.97 2025-07-16
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of H 19 17 $17,536.50 $10,521.90 40% off $9,355.11 $17,536.50 $17,129.53 2025-07-16
J2350 HCPCS Ocrevus (ocrelizumab) 30mg/ml 10ml VIAL,Drug Or Biological Acquired With 340b 37 34 $62,290.00 $37,374.00 40% off $7,935.75 $62,290.00 $16,995.26 2025-07-16
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And 19 17 $21,427.95 $12,856.77 40% off $11,300.83 $21,427.95 $16,307.57 2025-07-16
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue 18 16 $33,806.00 $20,283.60 40% off $13,991.31 $33,806.00 $16,240.45 2025-07-16
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health 18 16 $41,075.11 $24,645.07 40% off $13,701.32 $41,075.11 $16,187.84 2025-07-16
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterizati 18 16 $39,361.10 $23,616.66 40% off $14,345.13 $39,361.10 $16,183.20 2025-07-16
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Wit 18 16 $46,072.44 $27,643.46 40% off $13,680.47 $46,072.44 $16,049.31 2025-07-16
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedu 18 16 $50,712.40 $30,427.44 40% off $14,127.80 $50,712.40 $15,931.81 2025-07-16
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With C 18 16 $69,602.09 $41,761.25 40% off $13,761.33 $69,602.09 $15,929.76 2025-07-16
C9740 HCPCS Cystourethroscopy With Insertion Of Transprostatic Implant (4 Or More) 37 34 $23,415.90 $14,049.54 40% off $8,373.85 $23,415.90 $15,894.88 2025-07-16
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 16 $36,945.45 $22,167.27 40% off $13,470.72 $36,945.45 $15,561.33 2025-07-16
J9309 HCPCS Polivy (polatuzumab) 140mg VIAL,Drug Or Biological Acquired With 340b 74 34 $86,250.00 $51,750.00 40% off $3,478.50 $120,000.00 $15,288.00 2025-07-16
908 MS_DRG Other O.r. Procedures For Injuries With Cc 18 16 $27,205.76 $16,323.46 40% off $13,105.53 $27,205.76 $15,184.53 2025-07-16
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Meta 18 16 $56,782.41 $34,069.45 40% off $12,565.34 $56,782.41 $14,817.50 2025-07-16
J9022 HCPCS Tecentriq (atezolizumab) 1200mg/20ml VL,Drug Or Biological Acquired With 340b 74 34 $31,000.00 $18,600.00 40% off $3,949.40 $42,050.93 $14,717.83 2025-07-16
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Wit 18 16 $25,743.70 $15,446.22 40% off $12,778.89 $25,743.70 $14,710.50 2025-07-16
314 MS_DRG Other Circulatory System Diagnoses With Mcc 19 17 $22,532.20 $13,519.32 40% off $11,852.96 $22,532.20 $14,665.68 2025-07-16
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Pr 18 16 $39,365.46 $23,619.28 40% off $12,752.35 $39,365.46 $14,662.95 2025-07-16
J9345 HCPCS Zynyz (retifanilimab-dlwr) 500mg VIAL,Drug Or Biological Acquired With 340b 37 34 $31,000.00 $18,600.00 40% off $3,949.40 $31,000.00 $14,570.64 2025-07-16
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Withou 23 21 $99,965.95 $59,979.57 40% off $9,454.33 $99,965.95 $14,564.70 2025-07-16
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Ste 18 16 $80,232.22 $48,139.33 40% off $12,425.70 $80,232.22 $14,514.95 2025-07-16
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health 18 16 $25,960.42 $15,576.25 40% off $12,708.76 $25,960.42 $14,460.66 2025-07-16
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lowe 18 16 $48,189.99 $28,913.99 40% off $12,274.09 $48,189.99 $14,140.11 2025-07-16
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 18 16 $42,692.11 $25,615.27 40% off $11,943.02 $42,692.11 $13,771.90 2025-07-16
C2624 HCPCS Catheter Delivery/implantable Sensor 26 24 $43,875.00 $26,325.00 40% off $5,589.68 $43,875.00 $13,544.22 2025-07-16
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 18 16 $26,165.50 $15,699.30 40% off $11,848.88 $26,165.50 $13,515.52 2025-07-16
254 MS_DRG Other Vascular Procedures Without Cc/mcc 18 16 $31,176.81 $18,706.09 40% off $11,414.20 $31,176.81 $13,346.85 2025-07-16
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 18 16 $44,063.44 $26,438.06 40% off $11,902.57 $44,063.44 $13,207.16 2025-07-16
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With C 18 16 $45,489.23 $27,293.54 40% off $11,563.30 $45,489.23 $13,072.37 2025-07-16
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 18 16 $41,930.73 $25,158.44 40% off $11,109.04 $41,930.73 $13,060.68 2025-07-16
J9043 HCPCS Jevtana (cabazitaxel) 60mg VIAL,Drug Or Biological Acquired With 340b 37 34 $16,048.00 $9,628.80 40% off $2,044.52 $37,246.44 $12,752.40 2025-07-16
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 18 16 $40,099.24 $24,059.54 40% off $10,792.50 $40,099.24 $12,593.58 2025-07-16
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis W 18 16 $38,269.66 $22,961.80 40% off $10,901.19 $38,269.66 $12,414.93 2025-07-16
38 MS_DRG Extracranial Procedures With Cc 18 16 $30,898.64 $18,539.18 40% off $10,541.67 $30,898.64 $12,252.52 2025-07-16
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 18 16 $33,257.20 $19,954.32 40% off $10,429.22 $33,257.20 $12,226.28 2025-07-16
334 MS_DRG Rectal Resection Without Cc/mcc 18 16 $41,481.20 $24,888.72 40% off $10,840.52 $41,481.20 $12,206.10 2025-07-16
J9302 HCPCS Arzerra (ofatumumab) 1000 Mg VIAL,Drug Or Biological Acquired With 340b 73 34 $19,757.00 $11,854.20 40% off $1,106.84 $34,851.04 $12,197.86 2025-07-16
J9042 HCPCS Adcetris (brentuximab) 50mg VIAL,Drug Or Biological Acquired With 340b 37 34 $25,472.00 $15,283.20 40% off $3,245.13 $34,850.20 $12,197.57 2025-07-16
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 18 16 $42,946.05 $25,767.63 40% off $10,384.36 $42,946.05 $12,117.28 2025-07-16
783 MS_DRG Cesarean Section With Sterilization With Mcc 23 22 $21,730.12 $13,038.07 40% off $5,150.00 $21,730.12 $11,999.88 2025-07-16
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 18 16 $27,040.35 $16,224.21 40% off $10,740.06 $27,040.35 $11,881.60 2025-07-16
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or 18 16 $55,936.64 $33,561.98 40% off $10,161.33 $55,936.64 $11,686.31 2025-07-16
J9316 HCPCS Phesgo 1200mg/600mg/30000unit 15ml VIAL,Drug Or Biological Acquired With 340b 66 34 $44,474.00 $26,684.40 40% off $3,777.16 $44,474.00 $11,503.15 2025-07-16
J9999 HCPCS Daezalex Fastpro 120mg/ml 15ml VL,Drug Or Biological Acquired With 340b 37 34 $19,992.00 $11,995.20 40% off $2,546.98 $19,992.00 $11,269.49 2025-07-16
637 MS_DRG Diabetes With Mcc 19 17 $21,617.70 $12,970.62 40% off $9,562.38 $21,617.70 $11,150.46 2025-07-16
884 MS_DRG Organic Disturbances And Intellectual Disability 17 16 $25,469.50 $15,281.70 40% off $2,129.14 $25,469.50 $11,136.54 2025-07-16
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 19 17 $22,350.90 $13,410.54 40% off $8,374.61 $22,350.90 $11,105.10 2025-07-16
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 19 17 $20,935.58 $12,561.35 40% off $9,188.98 $20,935.58 $10,795.68 2025-07-16
786 MS_DRG Cesarean Section Without Sterilization With Mcc 23 22 $22,754.42 $13,652.65 40% off $5,150.00 $22,754.42 $10,786.47 2025-07-16
37184 HCPCS Noncoronary Thrombectomy With Stent +59,Distinct Procedural Service 74 34 $32,642.44 $19,585.46 40% off $1,398.05 $46,459.64 $10,300.00 2025-07-16
37187 HCPCS Thrombectomy Mechanical Vein 37 34 $20,615.34 $12,369.20 40% off $1,370.85 $29,341.59 $10,269.56 2025-07-16
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 18 16 $41,288.45 $24,773.07 40% off $8,784.63 $41,288.45 $10,120.75 2025-07-16
J2329 HCPCS Briumvi (ublituximab-xiiy) 150mg/6ml VL,Drug Or Biological Acquired With 340b 37 34 $26,664.00 $15,998.40 40% off $3,396.99 $26,664.00 $10,092.28 2025-07-16
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 18 16 $27,678.32 $16,606.99 40% off $8,499.06 $27,678.32 $9,969.20 2025-07-16
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 19 17 $10,032.50 $6,019.50 40% off $5,603.11 $10,032.50 $9,597.37 2025-07-16
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Wit 18 16 $24,533.10 $14,719.86 40% off $8,185.68 $24,533.10 $9,555.19 2025-07-16
J9144 HCPCS Darzalex Faspro (daratumumab) 1800MG,Drug Or Biological Acquired With 340b 37 34 $20,093.00 $12,055.80 40% off $2,559.85 $20,093.00 $9,538.56 2025-07-16
885 MS_DRG Psychoses 17 16 $27,441.03 $16,464.62 40% off $2,129.14 $27,441.03 $9,456.47 2025-07-16
J3263 HCPCS Loqtorzi (toripalimab) 240mg/6ml VIAL,Drug Or Biological Acquired With 340b 37 34 $21,766.00 $13,059.60 40% off $2,772.99 $21,766.00 $9,247.59 2025-07-16
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 19 17 $16,708.87 $10,025.32 40% off $8,229.28 $16,708.87 $8,941.30 2025-07-16
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of H 18 16 $33,727.30 $20,236.38 40% off $7,695.40 $33,727.30 $8,896.03 2025-07-16
41899 HCPCS Dental Surgery Procedure 12 12 $12,850.49 $7,710.29 40% off $210.29 $12,850.49 $8,866.84 2025-07-16
J9228 HCPCS Yervoy (ipilimumab) 50mg/10ml VIAL,Drug Or Biological Acquired With 340b 37 34 $24,734.00 $14,840.40 40% off $3,151.11 $25,230.10 $8,830.54 2025-07-16
J2327 HCPCS Skyrizi (risankizumab) 600mg/10ml SDV,Drug Or Biological Acquired With 340b 37 34 $18,000.00 $10,800.00 40% off $2,293.20 $18,000.00 $8,820.00 2025-07-16
92933 HCPCS Atherectomy Coronary With STENT,Left Anterior Descending Coronary Artery 111 34 $25,789.48 $15,473.69 40% off $594.78 $46,459.64 $8,755.00 2025-07-16
C9602 HCPCS Atherectomy With Drug Eluting Stent LAD,Left Anterior Descending Coronary Artery 144 33 $9,983.00 $5,989.80 40% off $1,271.83 $46,459.64 $8,755.00 2025-07-16
C9765 HCPCS Revasc Intravas Lithotripsy With Stent 37 34 $30,308.84 $18,185.30 40% off $3,861.35 $30,308.84 $8,755.00 2025-07-16
92924 HCPCS Atherectomy Coronary Single With Pta 37 34 $20,775.00 $12,465.00 40% off $568.00 $29,341.59 $8,755.00 2025-07-16
C9600 HCPCS Stent Plmt Drug-eluting 1st Vessel-lc,left Circumflex Coronary Artery 180 33 $9,983.00 $5,989.80 40% off $1,271.83 $29,341.59 $8,755.00 2025-07-16
C9767 HCPCS Revasc Litho Stent Ather Lower Extremity 37 34 $30,308.84 $18,185.30 40% off $3,861.35 $30,308.84 $8,755.00 2025-07-16
C9772 HCPCS Revasc Lithotripsy Tibial/peroneal 37 34 $18,730.08 $11,238.05 40% off $2,386.21 $18,730.08 $8,755.00 2025-07-16
C9764 HCPCS Revasc Intravas Lithotripsy 37 34 $18,730.08 $11,238.05 40% off $2,386.21 $18,730.08 $8,755.00 2025-07-16
C9604 HCPCS Percutaneous Revasular. Cabg 73 34 $15,444.23 $9,266.53 40% off $1,271.83 $29,341.59 $8,755.00 2025-07-16
C9766 HCPCS Revasc Litho Ather Lower Extremity 37 34 $29,631.42 $17,778.85 40% off $3,775.04 $29,631.42 $8,755.00 2025-07-16
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/ 18 16 $30,790.23 $18,474.14 40% off $7,934.85 $30,790.23 $8,753.64 2025-07-16
39 MS_DRG Extracranial Procedures Without Cc/mcc 18 16 $28,242.04 $16,945.22 40% off $7,552.62 $28,242.04 $8,578.48 2025-07-16
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 19 17 $15,859.96 $9,515.98 40% off $6,996.00 $15,859.96 $8,516.84 2025-07-16
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With 18 16 $43,842.39 $26,305.43 40% off $7,555.78 $43,842.39 $8,324.58 2025-07-16
J0791 HCPCS Adakveo (crizanlizumab) 100mg/10ml VIAL,Drug Or Biological Acquired With 340b 37 34 $8,309.00 $4,985.40 40% off $1,058.57 $8,549.96 $8,142.82 2025-07-16
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 19 17 $9,864.37 $5,918.62 40% off $5,519.05 $9,864.37 $8,015.16 2025-07-16
J3101 HCPCS Tnkase (tenecteplase) Kit 50mg VIAL,Drug Or Biological Acquired With 340b 37 34 $20,204.00 $12,122.40 40% off $2,573.99 $22,743.84 $7,960.34 2025-07-16
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization A 23 22 $19,351.95 $11,611.17 40% off $3,348.00 $19,351.95 $7,436.63 2025-07-16
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 18 16 $24,714.30 $14,828.58 40% off $7,159.64 $24,714.30 $7,411.68 2025-07-16
J9301 HCPCS Gazyva (obinutuzmab) 1000mg/40ml VIAL,Drug Or Biological Acquired With 340b 37 34 $14,651.00 $8,790.60 40% off $1,866.54 $21,059.36 $7,370.78 2025-07-16
784 MS_DRG Cesarean Section With Sterilization With Cc 23 22 $20,164.69 $12,098.81 40% off $5,150.00 $20,164.69 $7,350.87 2025-07-16
787 MS_DRG Cesarean Section Without Sterilization With Cc 23 22 $22,755.16 $13,653.10 40% off $5,150.00 $22,755.16 $7,214.21 2025-07-16
603 MS_DRG Cellulitis Without Mcc 19 17 $14,335.53 $8,601.32 40% off $5,926.35 $14,335.53 $6,914.16 2025-07-16
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/m 18 16 $24,280.35 $14,568.21 40% off $5,520.10 $24,280.35 $6,896.22 2025-07-16
791 MS_DRG Prematurity With Major Problems 11 10 $6,832.83 $4,099.70 40% off $4,014.95 $6,832.83 $6,832.83 2025-07-16
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 23 22 $15,257.31 $9,154.39 40% off $3,348.00 $15,257.31 $6,802.89 2025-07-16
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 22 21 $24,703.76 $14,822.26 40% off $3,348.00 $24,703.76 $6,544.66 2025-07-16
C1748 HCPCS Exalt Duodenoscope 37 34 $11,441.73 $6,865.04 40% off $1,457.68 $11,441.73 $6,449.70 2025-07-16
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 19 17 $22,749.17 $13,649.50 40% off $5,083.53 $22,749.17 $6,304.23 2025-07-16
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedur 19 17 $14,138.05 $8,482.83 40% off $4,869.35 $14,138.05 $6,273.45 2025-07-16
J3380 HCPCS Entyvio (vedolizumab): 300mg VIAL,Drug Or Biological Acquired With 340b 37 34 $11,600.00 $6,960.00 40% off $1,477.84 $17,776.08 $6,221.63 2025-07-16
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 23 22 $19,719.75 $11,831.85 40% off $5,150.00 $19,719.75 $6,201.40 2025-07-16
J9306 HCPCS Perjeta (pertuzumab) 420mg VIAL,Drug Or Biological Acquired With 340b 37 34 $8,647.74 $5,188.64 40% off $1,101.72 $19,085.30 $6,199.20 2025-07-16
33285 HCPCS Cardiac Event Recorder Plcmt 42 34 $15,000.00 $9,000.00 40% off $1,444.88 $21,412.55 $6,064.69 2025-07-16
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 23 22 $19,698.18 $11,818.91 40% off $5,150.00 $19,698.18 $6,000.25 2025-07-16
J9311 HCPCS Rituxan Hycela 1400mg VIAL,Drug Or Biological Acquired With 340b 37 34 $23,016.00 $13,809.60 40% off $2,932.24 $23,016.00 $5,884.08 2025-07-16
J0565 HCPCS Zinplava (bezlotoxumab): 1000mg/40ml VL,Drug Or Biological Acquired With 340b 37 34 $6,000.00 $3,600.00 40% off $764.40 $22,326.64 $5,880.00 2025-07-16
J9271 HCPCS Keytruda (pembrolizumab) 100mg VIAL,Drug Or Biological Acquired With 340b 37 34 $17,784.00 $10,670.40 40% off $2,265.68 $17,784.00 $5,816.20 2025-07-16
J9303 HCPCS Vectibix (panitumumab) 100mg/5ml VIAL,Drug Or Biological Acquired With 340b 64 34 $5,633.50 $3,380.10 40% off $717.71 $41,560.60 $5,577.16 2025-07-16
92937 HCPCS Ptca Bypass Graft One Vessel 74 34 $5,445.50 $3,267.30 40% off $529.50 $29,341.59 $5,445.50 2025-07-16
92928 HCPCS Stent Plmt Coronary 1st Vessel-lc,left Circumflex Coronary Artery 185 34 $5,445.50 $3,267.30 40% off $529.82 $29,341.59 $5,445.50 2025-07-16
33289 HCPCS Transcatheter Implant Of Cardiomems 48 34 $48,178.34 $28,907.00 40% off $301.52 $73,552.95 $5,445.50 2025-07-16
J9308 HCPCS Cyramza (ramucirumab) 100mg/10ml VIAL,Drug Or Biological Acquired With 340b 74 34 $13,529.50 $8,117.70 40% off $661.84 $57,520.51 $5,195.00 2025-07-16
0722 RC — 37 34 $9,163.50 $5,498.10 40% off $1,167.43 $9,163.50 $5,165.47 2025-07-16
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 23 22 $15,246.68 $9,148.01 40% off $3,348.00 $15,246.68 $5,033.85 2025-07-16
J9354 HCPCS Kadcyla (ado-trastuzumab) 100mg VIAL,Drug Or Biological Acquired With 340b 74 34 $12,618.90 $7,571.34 40% off $1,236.65 $18,415.04 $5,006.05 2025-07-16
J9317 HCPCS Trodelvy: 180mg VIAL,Drug Or Biological Acquired With 340b 37 34 $5,000.00 $3,000.00 40% off $637.00 $5,145.00 $4,900.00 2025-07-16
37191 HCPCS Insrt Filter Inf Vena Cava 37 34 $5,445.50 $3,267.30 40% off $693.76 $13,986.22 $4,895.18 2025-07-16
36831 HCPCS Thrombectomy Open Av Fistula 37 34 $9,000.00 $5,400.00 40% off $558.80 $13,986.22 $4,895.18 2025-07-16
Q5123 HCPCS Riabni (rituximab-arrx) 500mg/50ml VIAL,Drug Or Biological Acquired With 340b 37 34 $7,224.00 $4,334.40 40% off $920.34 $7,224.00 $4,863.79 2025-07-16
Q4113 HCPCS Graft Jacket Injectable, Per 1cc 37 34 $8,833.00 $5,299.80 40% off $879.55 $8,833.00 $4,856.27 2025-07-16
J0517 HCPCS Fasenra (benralizumab) 30mg SYRINGE,Drug Or Biological Acquired With 340b 37 34 $7,128.00 $4,276.80 40% off $908.11 $13,717.20 $4,801.02 2025-07-16
J1930 HCPCS Somatuline Depot 120mg/0.5ml SYRINGE,Drug Or Biological Acquired With 340b 37 34 $8,241.00 $4,944.60 40% off $1,049.90 $13,289.14 $4,651.20 2025-07-16
37246 HCPCS Angioplasty Ballon Initial Artery 37 34 $9,202.26 $5,521.36 40% off $359.35 $14,751.60 $4,635.00 2025-07-16
37238 HCPCS Angioplasty/stent Initial Vein 74 34 $16,521.04 $9,912.62 40% off $809.44 $29,341.59 $4,635.00 2025-07-16
37236 HCPCS Pta Initial Artery Other 74 34 $16,313.75 $9,788.25 40% off $2,070.19 $29,341.59 $4,635.00 2025-07-16
37231 HCPCS Atherectomy With Stent Without Pta Tib/perone 37 34 $16,249.50 $9,749.70 40% off $2,070.19 $46,459.64 $4,635.00 2025-07-16
37230 HCPCS Pta With Stent Placement Tibial/peroneal 37 34 $6,353.50 $3,812.10 40% off $809.44 $46,459.64 $4,635.00 2025-07-16
37229 HCPCS Atherectomy Tib/peroneal 37 34 $16,378.00 $9,826.80 40% off $2,086.56 $46,459.64 $4,635.00 2025-07-16
37227 HCPCS Atherectomy With Or Without Angiopl Fem/pop 37 34 $16,249.50 $9,749.70 40% off $2,070.19 $46,459.64 $4,635.00 2025-07-16
37226 HCPCS Pta With Stent Sfa 37 34 $14,038.50 $8,423.10 40% off $1,788.50 $29,341.59 $4,635.00 2025-07-16
37225 HCPCS Atherectomy Fem/pop 37 34 $16,378.00 $9,826.80 40% off $2,086.56 $46,459.64 $4,635.00 2025-07-16
37224 HCPCS Pta Femoral Or Popliteal Artery 37 34 $12,218.50 $7,331.10 40% off $1,556.64 $14,751.60 $4,635.00 2025-07-16
37221 HCPCS Pta With Stent Placement Iliac Art BIL,Bilateral Procedure 111 34 $6,353.50 $3,812.10 40% off $359.35 $29,341.59 $4,635.00 2025-07-16
37220 HCPCS Pta Iliac Stent Plcment Noncoronary +59,Distinct Procedural Service 80 34 $5,938.50 $3,563.10 40% off $359.35 $14,751.60 $4,635.00 2025-07-16
37228 HCPCS Pta Tibial/peroneal Artery Unilateral 74 34 $17,417.44 $10,450.47 40% off $1,556.64 $29,341.59 $4,635.00 2025-07-16
36905 HCPCS Thrombectomy Dialysis Circ With Pta Perip 37 34 $22,650.00 $13,590.00 40% off $773.72 $29,341.59 $4,635.00 2025-07-16
36904 HCPCS Pta Dialysis Circuit, Any Method 37 34 $11,159.70 $6,695.82 40% off $773.72 $14,751.60 $4,635.00 2025-07-16
36903 HCPCS Pta Hemodialysis Fistula/graft, Arterial 37 34 $25,000.00 $15,000.00 40% off $679.83 $29,341.59 $4,635.00 2025-07-16
0237T HCPCS Atherectomy Subclavian 37 34 $14,538.50 $8,723.10 40% off $1,852.20 $29,341.59 $4,635.00 2025-07-16
33211 HCPCS Insrt/replac Temp 2 Chmbr Elctrds 37 34 $5,915.50 $3,549.30 40% off $151.33 $21,412.55 $4,635.00 2025-07-16
37248 HCPCS Angioplasty Initial Vein 37 34 $10,500.48 $6,300.29 40% off $359.35 $14,751.60 $4,635.00 2025-07-16
0238T HCPCS Atherectomy Iliac Ea Vessel 34 32 $14,538.50 $8,723.10 40% off $1,852.20 $46,459.64 $4,635.00 2025-07-16
92920 HCPCS Angioplsty Balln Coronary 1st Vessel-lc,left Circumflex Coronary Artery 185 34 $4,538.00 $2,722.80 40% off $476.86 $14,751.60 $4,538.00 2025-07-16
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 23 22 $14,672.04 $8,803.22 40% off $3,348.00 $14,672.04 $4,477.48 2025-07-16
792 MS_DRG Prematurity Without Major Problems 12 11 $4,399.96 $2,639.98 40% off $2,676.64 $8,667.83 $4,399.96 2025-07-16
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 19 17 $4,374.98 $2,624.99 40% off $4,287.48 $11,990.11 $4,374.98 2025-07-16
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without C 19 17 $8,930.91 $5,358.55 40% off $3,645.56 $8,930.91 $4,349.70 2025-07-16
J0129 HCPCS Orencia (abatacept) 250mg VIAL,Drug Or Biological Acquired With 340b 37 34 $4,375.00 $2,625.00 40% off $557.38 $12,145.56 $4,250.95 2025-07-16
793 MS_DRG Full Term Neonate With Major Problems 11 10 $4,159.03 $2,495.42 40% off $2,676.64 $4,159.03 $4,159.03 2025-07-16
J9061 HCPCS Rybrevant (amivantamab-vmjw) 350MG/7ML,Drug Or Biological Acquired With 340b 37 34 $6,000.00 $3,600.00 40% off $764.40 $6,174.00 $4,140.00 2025-07-16
J2353 HCPCS Sandostatin (octre) Lar 30mg Syr *BKC*,Drug Or Biological Acquired With 340b 74 34 $5,384.75 $3,230.85 40% off $512.15 $17,185.73 $4,010.00 2025-07-16
779 MS_DRG Abortion Without D&c 19 17 $3,888.50 $2,333.10 40% off $3,784.59 $6,395.45 $3,888.50 2025-07-16
C9605 HCPCS Percutaneous Revasular. Cabg Ea Add'l Br 26 24 $20,905.45 $12,543.27 40% off $2,663.35 $20,905.45 $3,861.68 2025-07-16
J2356 HCPCS Tezspire (tezepelumab-ekko) 210mg Syr 37 34 $13,720.00 $8,232.00 40% off $1,747.93 $13,720.00 $3,731.07 2025-07-16
81519 HCPCS Oncotype Breast Dx 37 34 $3,600.00 $2,160.00 40% off $458.64 $3,704.40 $3,528.00 2025-07-16
J3490 HCPCS Kevzara (sarilumab): 200mg/1.14ml 37 34 $6,142.00 $3,685.20 40% off $782.49 $6,142.00 $3,462.24 2025-07-16
36516 HCPCS Plateletpheresis Therapeutic 37 34 $5,006.50 $3,003.90 40% off $637.83 $12,121.98 $3,454.48 2025-07-16
794 MS_DRG Neonate With Other Significant Problems 19 17 $3,428.06 $2,056.84 40% off $1,216.64 $9,885.82 $3,428.06 2025-07-16
C9603 HCPCS Ptca With Atherectomy With Des Ea Add BRANC,Left Circumflex Coronary Artery 26 24 $13,055.00 $7,833.00 40% off $1,663.21 $13,055.00 $3,361.61 2025-07-16
J1306 HCPCS Leqvio (inclisiran) 284mg/1.5ml Syringe 37 34 $4,825.00 $2,895.00 40% off $614.70 $4,825.00 $3,329.25 2025-07-16
J1302 HCPCS Enjaymo (sutimlimab) 1100mg/22ml Vial 37 34 $4,795.00 $2,877.00 40% off $610.88 $4,934.06 $3,308.55 2025-07-16
J1326 HCPCS Vyloy (zolbuximab-clzb) 100mg VIAL,Drug Or Biological Acquired With 340b 64 34 $5,760.00 $3,456.00 40% off $733.82 $9,227.00 $3,246.91 2025-07-16
33975 HCPCS Insertion Impella 37 34 $5,717.50 $3,430.50 40% off $728.41 $5,717.50 $3,222.95 2025-07-16
32550 HCPCS Insertion Pleurx Cath 37 34 $6,894.18 $4,136.51 40% off $637.00 $9,130.77 $3,195.77 2025-07-16
J0896 HCPCS Reblozyl (luspatercept-aamt) 25mg VIAL,Drug Or Biological Acquired With 340b 74 34 $16,909.00 $10,145.40 40% off $1,010.46 $25,318.00 $3,178.09 2025-07-16
50590 HCPCS Eswl-lithotripsy 37 34 $20,329.50 $12,197.70 40% off $550.32 $20,329.50 $3,123.25 2025-07-16
33210 HCPCS Insrt/replac Temp 1 Chmbr Elctrd/cath 37 34 $3,104.00 $1,862.40 40% off $145.90 $21,412.55 $3,104.00 2025-07-16
J1932 HCPCS Lanreotide 120mg/0.5ml Syr (Cipla),Drug Or Biological Acquired With 340b 37 34 $8,241.00 $4,944.60 40% off $1,049.90 $8,241.00 $3,050.64 2025-07-16
92941 HCPCS Revascularization Total Occ Cor Arter LC,Left Circumflex Coronary Artery 74 34 $5,445.50 $3,267.30 40% off $595.39 $5,445.50 $3,020.45 2025-07-16
J2182 HCPCS Nucala (mepolizumab) 100mg VIAL,Drug Or Biological Acquired With 340b 60 34 $10,444.20 $6,266.52 40% off $1,330.59 $10,823.96 $2,992.92 2025-07-16
J9299 HCPCS Opdivo (nivolumab) 100mg/10ml VIAL,Drug Or Biological Acquired With 340b 148 34 $10,784.75 $6,470.85 40% off $375.58 $21,740.54 $2,948.00 2025-07-16
93457 HCPCS Coronary Angiography Only Bypass Graft 37 34 $6,100.00 $3,660.00 40% off $777.14 $8,321.85 $2,912.65 2025-07-16
93461 HCPCS Post Op Left And Right Heart Cath 74 34 $21,576.50 $12,945.90 40% off $1,130.10 $21,576.50 $2,912.65 2025-07-16
93460 HCPCS Rt & Lt Heart Cath 74 34 $20,329.50 $12,197.70 40% off $1,024.33 $20,329.50 $2,912.65 2025-07-16
93451 HCPCS Rt Heart Cath (diagnostic) 37 34 $5,445.50 $3,267.30 40% off $693.76 $8,321.85 $2,912.65 2025-07-16
93456 HCPCS Right Heart Cath With Angiography 37 34 $6,500.00 $3,900.00 40% off $828.10 $8,321.85 $2,912.65 2025-07-16
93455 HCPCS Cath And Inj Coronary Art Graft +59,Distinct Procedural Service 74 34 $5,615.50 $3,369.30 40% off $715.41 $8,321.85 $2,912.65 2025-07-16
93454 HCPCS Coronary Angiography Only 111 34 $5,615.50 $3,369.30 40% off $715.41 $8,321.85 $2,912.65 2025-07-16
93459 HCPCS Post Op Left Heart Cath 74 34 $17,625.50 $10,575.30 40% off $922.96 $17,625.50 $2,912.65 2025-07-16
93452 HCPCS Lt Heart Cath Pressures Only 37 34 $5,615.50 $3,369.30 40% off $715.41 $8,321.85 $2,912.65 2025-07-16
93458 HCPCS Cathlab: Left Heart Cath 111 34 $16,378.00 $9,826.80 40% off $856.01 $16,378.00 $2,912.65 2025-07-16
37197 HCPCS Remove Intravsc Catheter 37 34 $5,256.22 $3,153.73 40% off $669.64 $8,143.58 $2,850.25 2025-07-16
36222 HCPCS Angio Selective Carotid With Ipsilat +50,Bilateral Procedure 74 34 $5,445.50 $3,267.30 40% off $693.76 $16,287.15 $2,850.25 2025-07-16
J9207 HCPCS Ixempra (ixabepilone) 15mg INJECTION,Drug Or Biological Acquired With 340b 74 34 $11,122.25 $6,673.35 40% off $751.98 $17,162.10 $2,838.88 2025-07-16
J9358 HCPCS Enhertu: 100mg VIAL,Drug Or Biological Acquired With 340b 37 34 $5,000.00 $3,000.00 40% off $637.00 $5,000.00 $2,832.30 2025-07-16
J9205 HCPCS Onivyde (irinotecan Lipo) 4.3mg/ml 10ML,Drug Or Biological Acquired With 340b 37 34 $6,600.00 $3,960.00 40% off $840.84 $7,859.46 $2,750.81 2025-07-16
J9349 HCPCS Monjuvi (tafasitamab) 200mg VIAL,Drug Or Biological Acquired With 340b 37 34 $4,000.00 $2,400.00 40% off $509.60 $4,000.00 $2,729.30 2025-07-16
J2997 HCPCS Activase (alteplase, Tpa) 50mg VIAL,Drug Or Biological Acquired With 340b 111 34 $10,531.50 $6,318.90 40% off $51.02 $25,609.36 $2,702.79 2025-07-16
33225 HCPCS Implant Lv Lead 27 25 $21,115.50 $12,669.30 40% off $416.17 $21,115.50 $2,690.11 2025-07-16
J9312 HCPCS Rituxan (rituximab) 100mg/10ml VIAL,Drug Or Biological Acquired With 340b 74 34 $7,112.17 $4,267.30 40% off $337.15 $32,101.86 $2,646.40 2025-07-16
15931 HCPCS Excision Sacral Pressure Ulcer With Suture 37 34 $3,695.00 $2,217.00 40% off $550.32 $7,405.02 $2,591.76 2025-07-16
Q5115 HCPCS Truxima (rituximab-abbs) 100mg/10ml VIAL,Drug Or Biological Acquired With 340b 74 34 $7,608.00 $4,564.80 40% off $323.09 $14,598.78 $2,536.00 2025-07-16
J0490 HCPCS Benlysta (belimumab) 120 Mg VIAL,Drug Or Biological Acquired With 340b 74 34 $4,801.00 $2,880.60 40% off $312.38 $24,625.66 $2,452.00 2025-07-16
J9145 HCPCS Darzalex (daratumumab): 100 Mg VIAL,Drug Or Biological Acquired With 340b 74 34 $4,790.50 $2,874.30 40% off $311.37 $45,444.00 $2,444.00 2025-07-16
J9355 HCPCS Herceptin (trastuzumab) 440mg VIAL,Drug Or Biological Acquired With 340b 101 34 $5,878.84 $3,527.30 40% off $53.44 $25,432.51 $2,353.78 2025-07-16
C1764 HCPCS Loop Recorder 26 24 $10,901.25 $6,540.75 40% off $1,388.82 $10,901.25 $2,336.64 2025-07-16
81443 HCPCS Hereditary Hemolytic Anemia Sequence 69 34 $2,383.50 $1,430.10 40% off $303.66 $2,453.14 $2,335.83 2025-07-16
J1950 HCPCS Lupron (leuprolide) Depot 11.25mg INJ,Drug Or Biological Acquired With 340b 100 34 $3,014.00 $1,808.40 40% off $298.12 $18,906.08 $2,316.60 2025-07-16
J3262 HCPCS Actemra (tocilizumab): 400mg/20ml Vial 37 34 $8,188.00 $4,912.80 40% off $1,043.15 $8,188.00 $2,305.35 2025-07-16
J9055 HCPCS Erbitux (cetuximab): 100mg VIAL,Drug Or Biological Acquired With 340b 74 34 $3,101.12 $1,860.67 40% off $284.46 $32,560.08 $2,232.81 2025-07-16
Q5118 HCPCS Zirabev (bevacizumab) 100mg/4ml Vial 74 34 $4,704.50 $2,822.70 40% off $279.26 $17,351.29 $2,192.00 2025-07-16
52284 HCPCS Cysto W/dilation Rx Balloon Catheter Ureteral Stricture/stenosis Male 37 34 $28,946.40 $17,367.84 40% off $2,096.05 $28,946.40 $2,186.41 2025-07-16
37193 HCPCS Removal Vena Cava Filter Endovasc +52,Reduced Services 74 34 $5,000.00 $3,000.00 40% off $445.90 $8,143.58 $2,173.32 2025-07-16
J9223 HCPCS Zepzelca (lurbinectedin): 4mg VIAL,Drug Or Biological Acquired With 340b 37 34 $16,900.00 $10,140.00 40% off $803.21 $16,900.00 $2,153.06 2025-07-16
C1761 HCPCS Cath Shockwave S4 2.5x40 78 24 $7,590.00 $4,554.00 40% off $770.77 $10,340.00 $2,140.91 2025-07-16
0200 RC — 19 17 $3,080.00 $1,848.00 40% off $2,126.86 $3,080.00 $2,126.86 2025-07-16
J0875 HCPCS Dalvance (dalbavancin) 500mg VIAL,Drug Or Biological Acquired With 340b 37 34 $2,153.49 $1,292.09 40% off $274.35 $13,076.28 $2,110.42 2025-07-16
37233 HCPCS Atherectomy Tib/per Ea Addl Vessel 22 20 $16,378.00 $9,826.80 40% off $448.61 $16,378.00 $2,086.56 2025-07-16
J9202 HCPCS Zoladex (goserelin) 3.6mg SYRINGE,Drug Or Biological Acquired With 340b 37 34 $3,315.00 $1,989.00 40% off $422.33 $5,923.18 $2,073.11 2025-07-16
38222 HCPCS Diagnostic Bone Marrow; Biopsy And Aspir 42 34 $5,141.55 $3,084.93 40% off $151.91 $7,405.02 $2,047.38 2025-07-16
J3240 HCPCS Thyrogen (thyrotropin Alpha) 0.9mg/ml VL,Drug Or Biological Acquired With 340b 37 34 $5,855.00 $3,513.00 40% off $745.93 $5,855.00 $2,037.14 2025-07-16
Q5119 HCPCS Ruxience (rituximab-pvvr): 100mg VL,Drug Or Biological Acquired With 340b 74 34 $5,588.06 $3,352.84 40% off $257.86 $9,152.12 $1,983.52 2025-07-16
J9035 HCPCS Avastin (bevacizumab): 100mg VIAL,Drug Or Biological Acquired With 340b 73 34 $15,493.50 $9,296.10 40% off $216.96 $46,836.83 $1,973.87 2025-07-16
C9399 HCPCS Praxbind (idarucizumab) 2.5 Gm/50ml Vial 37 34 $3,500.00 $2,100.00 40% off $445.90 $3,500.00 $1,972.95 2025-07-16
J1745 HCPCS Remicade (infliximab) Brand: 100mg VL,Drug Or Biological Acquired With 340b 64 34 $3,920.00 $2,352.00 40% off $252.76 $8,546.44 $1,964.16 2025-07-16
81408 HCPCS Fibrillin-1 Gene Mutation 37 34 $1,994.50 $1,196.70 40% off $254.10 $2,052.34 $1,954.61 2025-07-16
J9173 HCPCS Imfinzi (durvalumab) 120mg VIAL,Drug Or Biological Acquired With 340b 73 34 $8,096.00 $4,857.60 40% off $247.41 $35,224.56 $1,942.00 2025-07-16
J3032 HCPCS Vyepti (eptinezumab- Jjmr) 100 Mg VIAL,Drug Or Biological Acquired With 340b 37 34 $5,121.00 $3,072.60 40% off $652.42 $5,121.00 $1,893.46 2025-07-16
50020 HCPCS CT Absc Drain Renal Pe 37 34 $3,450.50 $2,070.30 40% off $439.59 $5,300.15 $1,855.05 2025-07-16
81162 HCPCS Brcassure Comp. Panel 37 34 $3,500.00 $2,100.00 40% off $670.00 $3,500.00 $1,824.88 2025-07-16
36221 HCPCS Thoracic Aortography Nonselective With Car 37 34 $1,815.50 $1,089.30 40% off $231.29 $8,143.58 $1,815.50 2025-07-16
J2783 HCPCS Elitek (rasburicase) 1.5mg VIAL,Drug Or Biological Acquired With 340b 74 34 $8,705.00 $5,223.00 40% off $405.90 $14,224.00 $1,812.14 2025-07-16
Q5107 HCPCS Mvasi (bevacizumab-awwb) 100MG/4ML,Drug Or Biological Acquired With 340b 74 34 $4,249.00 $2,549.40 40% off $229.32 $19,206.66 $1,800.00 2025-07-16
Q5121 HCPCS Avsola (infliximab-axxq): 100mg VIAL,Drug Or Biological Acquired With 340b 37 34 $1,822.00 $1,093.20 40% off $232.12 $1,874.84 $1,785.56 2025-07-16
Q2050 HCPCS Doxil (DOXOrubicin Lipo) 20mg/10ml VIAL,Drug Or Biological Acquired With 340b 90 34 $4,189.00 $2,513.40 40% off $234.52 $11,254.00 $1,760.69 2025-07-16
Q4195 HCPCS Puraply 5*5 (25 Sq Cm) 73 26 $6,300.00 $3,780.00 40% off $100.73 $13,608.00 $1,733.66 2025-07-16
J0840 HCPCS Crofab (antivenim Crotalide) Vial *BKC*,Drug Or Biological Acquired With 340b 37 34 $2,997.00 $1,798.20 40% off $381.82 $4,916.27 $1,720.69 2025-07-16
36224 HCPCS Selective Angiography Internal Carotid 37 34 $4,538.00 $2,722.80 40% off $578.14 $13,986.22 $1,714.33 2025-07-16
0206 RC — 19 17 $2,245.00 $1,347.00 40% off $1,709.36 $2,245.00 $1,709.36 2025-07-16
795 MS_DRG Normal Newborn 19 17 $2,431.23 $1,458.74 40% off $1,544.67 $2,431.23 $1,704.98 2025-07-16
J9293 HCPCS Novantrone (mitoxantrone) 20mg/10ml VIAL,Drug Or Biological Acquired With 340b 64 34 $10,424.00 $6,254.40 40% off $217.11 $13,029.50 $1,659.96 2025-07-16
49060 HCPCS CT Absc Drain Retroper 61 34 $2,940.00 $1,764.00 40% off $359.78 $2,940.00 $1,657.28 2025-07-16
J0897 HCPCS Prolia (denosumab) 60mg INJ,Drug Or Biological Acquired With 340b 74 34 $3,204.75 $1,922.85 40% off $291.87 $9,343.82 $1,635.17 2025-07-16
36253 HCPCS Rad Angio Renal Superselect Unilat +59,Distinct Procedural Service 74 34 $5,445.50 $3,267.30 40% off $670.00 $13,986.22 $1,634.68 2025-07-16
J3358 HCPCS Stelara (ustekinumab) 5mg/ml 26 Ml VIAL,Drug Or Biological Acquired With 340b 37 34 $6,748.00 $4,048.80 40% off $859.70 $6,748.00 $1,631.74 2025-07-16
J9400 HCPCS Zaltrap (ziv-aflibercept) 200mg/8ml VIAL,Drug Or Biological Acquired With 340b 37 34 $6,400.00 $3,840.00 40% off $815.36 $6,400.00 $1,626.41 2025-07-16
L8603 HCPCS Needle Contigen 2.5cc Periurethral 37 34 $2,972.50 $1,783.50 40% off $278.38 $2,972.50 $1,625.44 2025-07-16
J3315 HCPCS Trelstar Depot (triptorelin) 3.75MG,Drug Or Biological Acquired With 340b 37 34 $2,348.00 $1,408.80 40% off $299.14 $5,282.20 $1,620.12 2025-07-16
S0145 HCPCS Pegasys (peginterferon Alfa-2a) 180mcg 37 34 $2,850.00 $1,710.00 40% off $363.09 $2,850.00 $1,606.55 2025-07-16
47010 HCPCS CT Absc Drain Liver 37 34 $2,833.00 $1,699.80 40% off $360.92 $2,833.00 $1,596.96 2025-07-16
36254 HCPCS Rad Angio Renal Superselective Bilat 74 34 $6,353.50 $3,812.10 40% off $670.00 $8,143.58 $1,592.81 2025-07-16
0361 RC — 237 34 $9,983.00 $5,989.80 40% off $92.56 $72,812.00 $1,560.90 2025-07-16
Q5103 HCPCS Inflectra (infliximab Dyyb): 100mg VIAL,Drug Or Biological Acquired With 340b 37 34 $2,384.00 $1,430.40 40% off $303.72 $4,455.36 $1,559.38 2025-07-16
Q5111 HCPCS Udenyca (pegfilgrastim-cbqv) 6mg SYRINGE,Drug Or Biological Acquired With 340b 37 34 $12,190.00 $7,314.00 40% off $88.07 $12,190.00 $1,553.01 2025-07-16
J0717 HCPCS Cimzia (certolizuma) 400mg/2ml Syr *BKC*,Drug Or Biological Acquired With 340b 37 34 $1,604.00 $962.40 40% off $204.35 $4,462.08 $1,528.02 2025-07-16
10180 HCPCS Incision & Drainage Complex Postop Wnd 37 34 $4,229.50 $2,537.70 40% off $231.25 $7,405.02 $1,496.00 2025-07-16
J7192 HCPCS Kogenate Fs 1000 Unit VIAL,Drug Or Biological Acquired With 340b 37 34 $1,880.00 $1,128.00 40% off $239.51 $4,362.40 $1,490.00 2025-07-16
0360 RC — 305 34 $8,550.50 $5,130.30 40% off $24.84 $22,618.00 $1,489.50 2025-07-16
C1052 HCPCS Endoclot Phs 3g 37 34 $2,640.00 $1,584.00 40% off $336.34 $2,640.00 $1,488.17 2025-07-16
11044 HCPCS Debridement Bone <= 20 Sq Cm 37 34 $1,717.50 $1,030.50 40% off $277.52 $4,192.08 $1,467.23 2025-07-16
19083 HCPCS U/s Guided Needle Biopsy Breast 1 Lesion 37 34 $2,750.00 $1,650.00 40% off $414.80 $4,192.08 $1,467.23 2025-07-16
49406 HCPCS CT Drainage Peritoneal 37 34 $2,540.50 $1,524.30 40% off $323.66 $4,192.08 $1,467.23 2025-07-16
36223 HCPCS Angio Selective Carotid With Ipsilat Ve 37 34 $5,445.50 $3,267.30 40% off $670.00 $13,986.22 $1,409.65 2025-07-16
93503 HCPCS Rhc For Swan-ganz Plmt Only 37 34 $1,815.50 $1,089.30 40% off $80.14 $4,019.23 $1,406.73 2025-07-16
J9036 HCPCS Belrapzo (bendamustine): 100mg VIAL,Drug Or Biological Acquired With 340b 37 34 $7,416.00 $4,449.60 40% off $944.80 $7,416.00 $1,391.21 2025-07-16
0124 RC — 19 17 $1,600.00 $960.00 40% off $1,386.86 $1,600.00 $1,386.86 2025-07-16
0118 RC — 16 16 $1,600.00 $960.00 40% off $1,370.00 $1,600.00 $1,370.00 2025-07-16
15277 HCPCS Apply Skin Subst 100cm+ 1st 100cm Hi Cos 37 34 $5,583.00 $3,349.80 40% off $302.22 $5,583.00 $1,360.00 2025-07-16
38220 HCPCS Hop Surgical Diag Bone Marrow Asp 37 34 $2,945.34 $1,767.20 40% off $136.66 $4,192.08 $1,360.00 2025-07-16
15275 HCPCS Apply Skin Subst <100cm 1st 25cm Hi Cost 37 34 $3,686.00 $2,211.60 40% off $140.41 $4,732.78 $1,360.00 2025-07-16
15273 HCPCS Apply Skin Subst 100cm+ 1st 100cm Hi Cos 37 34 $7,763.00 $4,657.80 40% off $269.92 $9,472.06 $1,360.00 2025-07-16
15271 HCPCS Apply Skin Subst <100cm 1st 25cm Hi Cost 37 34 $3,686.00 $2,211.60 40% off $134.51 $4,732.78 $1,360.00 2025-07-16
36568 HCPCS Picc Insertion Age Under 5 Yrs 37 34 $1,430.00 $858.00 40% off $85.28 $4,019.23 $1,360.00 2025-07-16
50200 HCPCS U/s Bx Site-renal 37 34 $1,549.50 $929.70 40% off $359.35 $4,192.08 $1,360.00 2025-07-16
11420 HCPCS Excision Benign Lesion Scalp, Neck, Hand 37 34 $1,656.00 $993.60 40% off $110.40 $4,192.08 $1,360.00 2025-07-16
23472 HCPCS Total Shoulder Replacement 37 34 $48,199.89 $28,919.93 40% off $1,157.57 $48,199.89 $1,345.83 2025-07-16
36225 HCPCS Angio Selective Subclavian With Ipsilat Ve 37 34 $5,445.50 $3,267.30 40% off $670.00 $8,143.58 $1,339.62 2025-07-16
J9034 HCPCS Bendeka (bendamustine) 100mg/4ml VIAL,Drug Or Biological Acquired With 340b 37 34 $8,790.28 $5,274.17 40% off $1,119.88 $8,790.28 $1,330.94 2025-07-16
90378 HCPCS Jrhc Synagis (palivizumab) 50 Mg Vial 73 34 $2,668.75 $1,601.25 40% off $166.89 $8,062.54 $1,310.00 2025-07-16
J9217 HCPCS Lupron Depot 22.5mg INJ,Drug Or Biological Acquired With 340b 118 34 $6,748.00 $4,048.80 40% off $261.42 $10,124.10 $1,289.81 2025-07-16
J9264 HCPCS Abraxane: (paclitaxel Pb) 100MG/20ML,Drug Or Biological Acquired With 340b 37 34 $4,390.50 $2,634.30 40% off $559.35 $4,390.50 $1,280.27 2025-07-16
C9601 HCPCS Stent Plmt Drug-eluting Branch 78 24 $9,983.00 $5,989.80 40% off $615.42 $9,983.00 $1,271.83 2025-07-16
J9305 HCPCS Alimta (pemetrexed): 100 Mg VIAL,Drug Or Biological Acquired With 340b 74 34 $6,310.27 $3,786.16 40% off $339.52 $9,955.54 $1,268.34 2025-07-16
A9596 HCPCS PET Gallium Illuccix 5 MILLICURIES,Drug Or Biological Acquired With 340b 37 34 $9,953.06 $5,971.84 40% off $1,010.38 $9,953.06 $1,268.02 2025-07-16
J9177 HCPCS Padcev (enfortumab Vedotin-ejfv) 20mg VL,Drug Or Biological Acquired With 340b 74 34 $7,531.00 $4,518.60 40% off $652.54 $9,940.00 $1,266.36 2025-07-16
J9047 HCPCS Kyprolis (carfilzomib) 10mg VIAL,Drug Or Biological Acquired With 340b 111 34 $5,476.00 $3,285.60 40% off $232.19 $8,710.30 $1,257.52 2025-07-16
19081 HCPCS Stereotactic Breast Bx First 37 34 $1,252.50 $751.50 40% off $420.09 $4,192.08 $1,252.50 2025-07-16
C9359 HCPCS Dbx Putty 5cc 37 34 $2,351.25 $1,410.75 40% off $130.50 $2,351.25 $1,240.88 2025-07-16
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