Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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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 · ⚠ 15 mo old
Data quality

174,015 of 180,152 rate rows are consumer-grade (96.6%)

6,137 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 510
placeholder amount (≤ $0.02) — excluded from medians 306
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 128
exceeds 10× this hospital's gross charge — excluded from medians 61
exceeds 3× this hospital's gross charge for a DRG stay — excluded 21

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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://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 · 2026-09-20
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
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
$355
outlier · 114.6×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 11 $32,791.86 $59,243.47 $33,461.08 nat. median
$37,725
0.9× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 11 $32,549.25 $73,724.70 $33,213.52 nat. median
$36,541
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis W 11 $30,396.71 $75,389.44 $31,017.05 nat. median
$33,546
0.9× median
J9298
HCPCS 		Opdualag 240MG/80MG,Drug Or Biological Acquired With 340b 34 $6,106.15 $47,929.00 $30,431.27 nat. median
$446
outlier · 68.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 11 $29,373.19 $77,928.86 $29,972.64 nat. median
$33,435
0.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 11 $27,312.24 $60,798.48 $27,869.63 nat. median
$30,674
0.9× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 11 $25,530.56 $67,734.13 $26,051.59 nat. median
$27,194
1.0× median
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 11 $24,930.35 $46,821.00 $25,439.13 nat. median
$27,223
0.9× median
332
MS_DRG 		Rectal Resection With Mcc 11 $22,276.78 $45,013.40 $22,731.41 nat. median
$24,723
0.9× median
252
MS_DRG 		Other Vascular Procedures With Mcc 11 $22,034.79 $58,068.78 $22,484.48 nat. median
$25,156
0.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 11 $22,001.95 $58,372.52 $22,450.97 nat. median
$25,622
0.9× median
37
MS_DRG 		Extracranial Procedures With Mcc 11 $21,342.98 $56,624.23 $21,778.55 nat. median
$23,883
0.9× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lowe 11 $21,013.17 $51,937.14 $21,442.01 nat. median
$22,918
0.9× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With M 11 $20,701.06 $49,167.29 $21,123.53 nat. median
$23,038
0.9× median
279
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral 11 $20,606.92 $54,671.42 $20,817.19 nat. median
$23,863
0.9× median
625
MS_DRG 		Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 $18,475.86 $49,017.59 $18,852.92 nat. median
$20,504
0.9× median
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extrem 11 $18,455.00 $48,962.24 $18,831.63 nat. median
$19,539
1.0× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Dev 11 $18,347.59 $48,677.28 $18,534.81 nat. median
$20,638
0.9× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 11 $16,935.52 $44,930.96 $17,281.14 nat. median
$19,904
0.9× 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
$133
outlier · 127.8×
905
MS_DRG 		Skin Grafts For Injuries Without Cc/mcc 11 $16,520.07 $89,311.25 $16,857.21 nat. median
$10,718
1.6× median
253
MS_DRG 		Other Vascular Procedures With Cc 11 $16,491.35 $27,067.75 $16,827.91 nat. median
$19,118
0.9× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremi 11 $16,461.03 $43,672.12 $16,796.97 nat. median
$19,495
0.9× median
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of H 12 $9,355.11 $17,536.50 $16,480.30 nat. median
$18,616
0.9× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis W 11 $15,829.86 $41,997.59 $16,152.92 nat. median
$17,763
0.9× median
C9740
HCPCS 		Cystourethroscopy With Insertion Of Transprostatic Implant (4 Or More) 34 $8,373.85 $23,415.90 $15,894.88 nat. median
$10,088
1.6× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And 12 $11,300.83 $21,427.95 $15,689.50 nat. median
$18,426
0.9× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 11 $15,295.36 $40,579.53 $15,607.51 nat. median
$17,741
0.9× 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
$399
outlier · 38.3×
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 11 $14,945.98 $39,154.92 $15,251.00 nat. median
$16,612
0.9× median
35
MS_DRG 		Carotid Artery Stent Procedures With Cc 11 $14,733.69 $39,089.39 $15,034.38 nat. median
$17,062
0.9× 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
$1,229
outlier · 12.0×
286
MS_DRG 		Circulatory Disorders Except Ami, With Cardiac Catheterizati 11 $14,345.13 $38,058.51 $14,637.89 nat. median
$16,072
0.9× 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
$34
outlier · 427.5×
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedu 11 $14,127.80 $37,481.91 $14,416.12 nat. median
$15,311
0.9× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue 11 $13,991.31 $33,806.00 $14,276.85 nat. median
$16,005
0.9× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 12 $11,852.96 $22,532.20 $14,109.83 nat. median
$15,450
0.9× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With C 11 $13,761.33 $36,509.64 $14,042.17 nat. median
$15,126
0.9× median
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health 11 $13,701.32 $36,350.44 $13,980.94 nat. median
$16,012
0.9× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Wit 11 $13,680.47 $36,295.12 $13,959.66 nat. median
$15,839
0.9× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 11 $13,470.72 $35,738.64 $13,745.63 nat. median
$15,706
0.9× median
C2624
HCPCS 		Catheter Delivery/implantable Sensor 24 $5,589.68 $43,875.00 $13,544.22 nat. median
$26,491
0.5× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 11 $13,105.53 $27,205.76 $13,372.99 nat. median
$14,655
0.9× median
488
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection Wit 11 $12,778.89 $25,743.70 $13,039.68 nat. median
$13,475
1.0× median
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Pr 11 $12,752.35 $33,832.76 $13,012.60 nat. median
$14,865
0.9× median
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health 11 $12,708.76 $25,960.42 $12,968.12 nat. median
$14,261
0.9× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Meta 11 $12,565.34 $33,336.63 $12,821.78 nat. median
$13,927
0.9× median
J9043
HCPCS 		Jevtana (cabazitaxel) 60mg VIAL,Drug Or Biological Acquired With 340b 34 $2,044.52 $37,246.44 $12,752.40 nat. median
$509
outlier · 25.1×
247
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Ste 11 $12,425.70 $32,966.15 $12,679.29 nat. median
$2,024
outlier · 6.3×

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
             
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 11 $59,243.47 $35,546.08 40% off $32,791.86 $59,243.47 $33,461.08 2025-07-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 11 $73,724.70 $44,234.82 40% off $32,549.25 $73,724.70 $33,213.52 2025-07-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis W 13 11 $75,389.44 $45,233.66 40% off $30,396.71 $75,389.44 $31,017.05 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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 11 $93,771.09 $56,262.65 40% off $29,373.19 $77,928.86 $29,972.64 2025-07-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 11 $60,798.48 $36,479.09 40% off $27,312.24 $60,798.48 $27,869.63 2025-07-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 11 $93,507.27 $56,104.36 40% off $25,530.56 $67,734.13 $26,051.59 2025-07-16
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 11 $46,821.00 $28,092.60 40% off $24,930.35 $46,821.00 $25,439.13 2025-07-16
332 MS_DRG Rectal Resection With Mcc 13 11 $45,013.40 $27,008.04 40% off $22,276.78 $45,013.40 $22,731.41 2025-07-16
252 MS_DRG Other Vascular Procedures With Mcc 13 11 $58,068.78 $34,841.27 40% off $22,034.79 $58,068.78 $22,484.48 2025-07-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 11 $69,721.49 $41,832.89 40% off $22,001.95 $58,372.52 $22,450.97 2025-07-16
37 MS_DRG Extracranial Procedures With Mcc 13 11 $66,654.24 $39,992.54 40% off $21,342.98 $56,624.23 $21,778.55 2025-07-16
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lowe 13 11 $51,937.14 $31,162.28 40% off $21,013.17 $51,937.14 $21,442.01 2025-07-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With M 13 11 $49,167.29 $29,500.37 40% off $20,701.06 $49,167.29 $21,123.53 2025-07-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral 12 11 $80,498.68 $48,299.21 40% off $20,606.92 $54,671.42 $20,817.19 2025-07-16
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 11 $51,832.80 $31,099.68 40% off $18,475.86 $49,017.59 $18,852.92 2025-07-16
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extrem 13 11 $91,139.50 $54,683.70 40% off $18,455.00 $48,962.24 $18,831.63 2025-07-16
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Dev 12 11 $80,149.98 $48,089.99 40% off $18,347.59 $48,677.28 $18,534.81 2025-07-16
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 11 $59,550.47 $35,730.28 40% off $16,935.52 $44,930.96 $17,281.14 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
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 13 11 $198,469.45 $119,081.67 40% off $16,520.07 $89,311.25 $16,857.21 2025-07-16
253 MS_DRG Other Vascular Procedures With Cc 13 11 $27,067.75 $16,240.65 40% off $16,491.35 $27,067.75 $16,827.91 2025-07-16
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremi 13 11 $49,706.07 $29,823.64 40% off $16,461.03 $43,672.12 $16,796.97 2025-07-16
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of H 14 12 $17,536.50 $10,521.90 40% off $9,355.11 $17,536.50 $16,480.30 2025-07-16
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis W 13 11 $50,359.66 $30,215.80 40% off $15,829.86 $41,997.59 $16,152.92 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
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And 14 12 $21,427.95 $12,856.77 40% off $11,300.83 $21,427.95 $15,689.50 2025-07-16
330 MS_DRG Major Small And Large Bowel Procedures With Cc 13 11 $46,175.50 $27,705.30 40% off $15,295.36 $40,579.53 $15,607.51 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
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 13 11 $39,154.92 $23,492.95 40% off $14,945.98 $39,154.92 $15,251.00 2025-07-16
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 11 $60,878.65 $36,527.19 40% off $14,733.69 $39,089.39 $15,034.38 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
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterizati 13 11 $39,361.10 $23,616.66 40% off $14,345.13 $38,058.51 $14,637.89 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
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedu 13 11 $50,712.40 $30,427.44 40% off $14,127.80 $37,481.91 $14,416.12 2025-07-16
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue 13 11 $33,806.00 $20,283.60 40% off $13,991.31 $33,806.00 $14,276.85 2025-07-16
314 MS_DRG Other Circulatory System Diagnoses With Mcc 14 12 $22,532.20 $13,519.32 40% off $11,852.96 $22,532.20 $14,109.83 2025-07-16
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With C 13 11 $69,602.09 $41,761.25 40% off $13,761.33 $36,509.64 $14,042.17 2025-07-16
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health 13 11 $41,075.11 $24,645.07 40% off $13,701.32 $36,350.44 $13,980.94 2025-07-16
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Wit 13 11 $46,072.44 $27,643.46 40% off $13,680.47 $36,295.12 $13,959.66 2025-07-16
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 13 11 $36,945.45 $22,167.27 40% off $13,470.72 $35,738.64 $13,745.63 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
908 MS_DRG Other O.r. Procedures For Injuries With Cc 13 11 $27,205.76 $16,323.46 40% off $13,105.53 $27,205.76 $13,372.99 2025-07-16
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Wit 13 11 $25,743.70 $15,446.22 40% off $12,778.89 $25,743.70 $13,039.68 2025-07-16
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Pr 13 11 $39,365.46 $23,619.28 40% off $12,752.35 $33,832.76 $13,012.60 2025-07-16
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health 13 11 $25,960.42 $15,576.25 40% off $12,708.76 $25,960.42 $12,968.12 2025-07-16
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Meta 13 11 $56,782.41 $34,069.45 40% off $12,565.34 $33,336.63 $12,821.78 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
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Ste 13 11 $80,232.22 $48,139.33 40% off $12,425.70 $32,966.15 $12,679.29 2025-07-16
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lowe 13 11 $48,189.99 $28,913.99 40% off $12,274.09 $32,563.91 $12,524.58 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
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 13 11 $42,692.11 $25,615.27 40% off $11,943.02 $31,685.55 $12,186.75 2025-07-16
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 13 11 $44,063.44 $26,438.06 40% off $11,902.57 $31,578.25 $12,145.48 2025-07-16
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 13 11 $26,165.50 $15,699.30 40% off $11,848.88 $26,165.50 $12,090.69 2025-07-16
783 MS_DRG Cesarean Section With Sterilization With Mcc 18 17 $21,730.12 $13,038.07 40% off $5,150.00 $18,642.05 $11,999.88 2025-07-16
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With C 13 11 $45,489.23 $27,293.54 40% off $11,563.30 $30,678.15 $11,799.29 2025-07-16
254 MS_DRG Other Vascular Procedures Without Cc/mcc 13 11 $31,176.81 $18,706.09 40% off $11,414.20 $30,282.56 $11,647.14 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
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 13 11 $41,930.73 $25,158.44 40% off $11,109.04 $29,472.95 $11,335.75 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
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis W 13 11 $38,269.66 $22,961.80 40% off $10,901.19 $28,921.52 $11,123.66 2025-07-16
334 MS_DRG Rectal Resection Without Cc/mcc 13 11 $41,481.20 $24,888.72 40% off $10,840.52 $28,760.55 $11,061.75 2025-07-16
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 13 11 $40,099.24 $24,059.54 40% off $10,792.50 $28,633.15 $11,012.75 2025-07-16
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 13 11 $27,040.35 $16,224.21 40% off $10,740.06 $27,040.35 $10,959.24 2025-07-16
884 MS_DRG Organic Disturbances And Intellectual Disability 12 11 $25,469.50 $15,281.70 40% off $2,129.14 $16,902.42 $10,913.81 2025-07-16
38 MS_DRG Extracranial Procedures With Cc 13 11 $30,898.64 $18,539.18 40% off $10,541.67 $27,967.71 $10,756.81 2025-07-16
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 13 11 $33,257.20 $19,954.32 40% off $10,429.22 $27,669.36 $10,642.06 2025-07-16
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 13 11 $42,946.05 $25,767.63 40% off $10,384.36 $27,550.35 $10,596.29 2025-07-16
786 MS_DRG Cesarean Section Without Sterilization With Mcc 18 17 $22,754.42 $13,652.65 40% off $5,150.00 $16,352.91 $10,570.74 2025-07-16
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or 13 11 $55,936.64 $33,561.98 40% off $10,161.33 $26,958.62 $10,368.70 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
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
637 MS_DRG Diabetes With Mcc 14 12 $21,617.70 $12,970.62 40% off $9,562.38 $21,617.70 $9,757.53 2025-07-16
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Withou 13 11 $99,965.95 $59,979.57 40% off $9,454.33 $25,082.93 $9,647.28 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
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 14 12 $20,935.58 $12,561.35 40% off $9,188.98 $20,935.58 $9,376.51 2025-07-16
885 MS_DRG Psychoses 12 11 $27,441.03 $16,464.62 40% off $2,129.14 $14,265.15 $9,267.34 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
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 14 12 $10,032.50 $6,019.50 40% off $5,603.11 $10,032.50 $9,233.62 2025-07-16
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 14 12 $4,374.98 $2,624.99 40% off $4,287.48 $11,990.11 $9,166.11 2025-07-16
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 13 11 $41,288.45 $24,773.07 40% off $8,784.63 $23,306.17 $8,963.91 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
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
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
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
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
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
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
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
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
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
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
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 13 11 $27,678.32 $16,606.99 40% off $8,499.06 $22,548.53 $8,672.51 2025-07-16
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 14 12 $22,350.90 $13,410.54 40% off $8,374.61 $22,218.35 $8,545.52 2025-07-16
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 14 12 $16,708.87 $10,025.32 40% off $8,229.28 $16,708.87 $8,397.22 2025-07-16
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Wit 13 11 $24,533.10 $14,719.86 40% off $8,185.68 $21,717.10 $8,352.73 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
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/ 13 11 $30,790.23 $18,474.14 40% off $7,934.85 $21,051.65 $8,096.79 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
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of H 13 11 $33,727.30 $20,236.38 40% off $7,695.40 $20,416.37 $7,852.45 2025-07-16
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 14 12 $9,864.37 $5,918.62 40% off $5,519.05 $9,864.37 $7,711.38 2025-07-16
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With 13 11 $43,842.39 $26,305.43 40% off $7,555.78 $20,045.95 $7,709.98 2025-07-16
39 MS_DRG Extracranial Procedures Without Cc/mcc 13 11 $28,242.04 $16,945.22 40% off $7,552.62 $20,037.55 $7,706.75 2025-07-16
794 MS_DRG Neonate With Other Significant Problems 14 12 $3,428.06 $2,056.84 40% off $1,216.64 $9,885.82 $7,608.94 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
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization A 18 17 $19,351.95 $11,611.17 40% off $3,348.00 $19,335.24 $7,287.90 2025-07-16
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 13 11 $24,714.30 $14,828.58 40% off $7,159.64 $18,994.95 $7,207.38 2025-07-16
784 MS_DRG Cesarean Section With Sterilization With Cc 18 17 $20,164.69 $12,098.81 40% off $5,150.00 $12,166.53 $7,203.85 2025-07-16
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 14 12 $15,859.96 $9,515.98 40% off $6,996.00 $15,859.96 $7,138.78 2025-07-16
787 MS_DRG Cesarean Section Without Sterilization With Cc 18 17 $22,755.16 $13,653.10 40% off $5,150.00 $12,166.53 $7,069.93 2025-07-16
791 MS_DRG Prematurity With Major Problems 6 5 $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 18 17 $15,257.31 $9,154.39 40% off $3,348.00 $10,099.76 $6,666.83 2025-07-16
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 17 16 $24,703.76 $14,822.26 40% off $3,348.00 $9,798.18 $6,478.55 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
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
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
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 18 17 $19,719.75 $11,831.85 40% off $5,150.00 $12,166.53 $6,077.37 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
603 MS_DRG Cellulitis Without Mcc 14 12 $14,335.53 $8,601.32 40% off $5,926.35 $14,335.53 $6,047.30 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
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 18 17 $19,698.18 $11,818.91 40% off $5,150.00 $12,166.53 $5,880.24 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
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/m 13 11 $24,280.35 $14,568.21 40% off $5,520.10 $14,645.18 $5,632.76 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
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 14 12 $22,749.17 $13,649.50 40% off $5,083.53 $13,486.93 $5,187.28 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
779 MS_DRG Abortion Without D&c 14 12 $3,888.50 $2,333.10 40% off $3,784.59 $6,395.45 $5,078.02 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
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedur 14 12 $14,138.05 $8,482.83 40% off $4,869.35 $12,918.67 $4,968.72 2025-07-16
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 18 17 $15,246.68 $9,148.01 40% off $3,348.00 $8,516.57 $4,933.17 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
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
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
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
0237T OTHER Atherectomy Subclavian 37 34 $14,538.50 $8,723.10 40% off $1,852.20 $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
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
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
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
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
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
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
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
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
0238T OTHER 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
792 MS_DRG Prematurity Without Major Problems 7 6 $4,399.96 $2,639.98 40% off $2,676.64 $8,667.83 $4,399.96 2025-07-16
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 18 17 $14,672.04 $8,803.22 40% off $3,348.00 $8,516.57 $4,387.93 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 6 5 $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 Lar Depot 20mg 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
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
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without C 14 12 $8,930.91 $5,358.55 40% off $3,645.56 $8,930.91 $3,719.96 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
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
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
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
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
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
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
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
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
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
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): 10mg 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 Depot (leuprolide) 3.75mg SYRINGE,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
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
795 MS_DRG Normal Newborn 14 12 $2,431.23 $1,458.74 40% off $1,544.67 $2,431.23 $1,640.36 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 Superselective Unilat 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
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
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
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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