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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

OLIVIA HOSPITAL & CLINIC

Olivia, MN · CCN 241306 · Rates published

2,173 distinct procedures filed
15 distinct payers
39,674 rate rows
2026-03-31 last MRF observed
Data quality

39,215 of 39,674 rate rows are consumer-grade (98.8%)

459 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
per-diem day rate — not a per-procedure price 401
percent-of-charges filed in the dollar field — excluded from medians 33
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 10
exceeds 3× this hospital's gross charge for a DRG stay — excluded 8
exceeds 10× this hospital's gross charge — excluded from medians 4
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.healthpartners.com/content/dam/brand-identity/pdfs/care/416005580_oliviahospital_standardcharges.csv
Found on page https://www.healthpartners.com/care/hospitals/olivia/patient-guest/patient-information/financial-support/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 4eb0d68cbe31d12b… · 15,248,775 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
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 $67,269.29 $67,269.29 $67,269.29 nat. median
$26,748
outlier · 2.5×
J9266
HCPCS 		Pegaspargase 750 Unit/ml Ij Soln 13 $23,550.69 $133,922.58 $54,753.33 nat. median
$34,109
1.6× median
J2351
HCPCS 		Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln 12 $35,785.90 $104,802.71 $42,211.34 nat. median
$78
outlier · 541.5×
314
MS_DRG 		Other Circulatory System Diagnoses With McC 6 $28,403.74 $28,403.74 $28,403.74 nat. median
$20,752
1.4× median
374
MS_DRG 		Digestive Malignancy With McC 7 $27,878.69 $52,918.71 $27,878.69 nat. median
$21,276
1.3× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 7 $27,837.34 $52,836.00 $27,837.34 nat. median
$21,760
1.3× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 7 $26,009.06 $49,179.44 $26,009.06 nat. median
$19,634
1.3× median
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 6 $25,907.56 $25,907.56 $25,907.56 nat. median
$19,877
1.3× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 7 $25,106.82 $47,374.96 $25,106.82 nat. median
$18,509
1.4× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 7 $25,046.67 $47,254.66 $25,046.67 nat. median
$20,055
1.2× median
196
MS_DRG 		Interstitial Lung Disease With McC 6 $25,030.38 $25,030.38 $25,030.38 nat. median
$18,723
1.3× median
377
MS_DRG 		Gastrointestinal Hemorrhage With McC 6 $24,202.08 $24,202.08 $24,202.08 nat. median
$18,249
1.3× median
70
MS_DRG 		Other Cerebrovascular Disorders With McC 7 $23,207.11 $43,575.54 $23,207.11 nat. median
$17,281
1.3× median
551
MS_DRG 		Medical Back Problems With McC 7 $22,801.10 $42,763.53 $22,801.10 nat. median
$16,881
1.4× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 6 $22,347.48 $22,347.48 $22,347.48 nat. median
$14,858
1.5× median
J9347
HCPCS 		Tremelimumab-actl 300 Mg/15ml IV Soln 12 $17,444.60 $51,088.31 $22,124.86 nat. median
$3,461
outlier · 6.4×
J9269
HCPCS 		Tagraxofusp-erzs 1000 Mcg/ml IV Soln 13 $9,498.19 $54,012.12 $22,082.48 nat. median
$509
outlier · 43.4×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With McC 7 $21,797.37 $40,756.05 $21,797.37 nat. median
$16,089
1.4× median
177
MS_DRG 		Respiratory Infections And Inflammations With McC 7 $21,675.81 $40,512.95 $21,675.81 nat. median
$16,234
1.3× median
606
MS_DRG 		Minor Skin Disorders With McC 6 $21,595.62 $21,595.62 $21,595.62 nat. median
$15,783
1.4× median
682
MS_DRG 		Renal Failure With McC 7 $20,241.01 $37,643.33 $20,241.01 nat. median
$15,223
1.3× median
865
MS_DRG 		Viral Illness With McC 7 $19,913.94 $36,989.21 $19,913.94 nat. median
$15,232
1.3× median
602
MS_DRG 		Cellulitis With McC 7 $19,832.49 $36,826.31 $19,832.49 nat. median
$14,837
1.3× median
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 7 $19,761.06 $36,683.45 $19,761.06 nat. median
$14,855
1.3× median
637
MS_DRG 		Diabetes With McC 6 $19,668.33 $19,668.33 $19,668.33 nat. median
$14,787
1.3× median
83
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Cc 7 $18,841.28 $34,843.89 $18,841.28 nat. median
$14,608
1.3× median
J9228
HCPCS 		Ipilimumab 200 Mg/40ml IV Soln 12 $5,633.06 $61,248.90 $18,705.52 nat. median
$9,890
1.9× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 6 $18,061.85 $18,061.85 $18,061.85 nat. median
$13,400
1.3× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With McC 7 $17,932.78 $33,026.89 $17,932.78 nat. median
$13,648
1.3× median
291
MS_DRG 		Heart Failure And Shock With McC 7 $17,771.13 $32,703.59 $17,771.13 nat. median
$13,521
1.3× median
725
MS_DRG 		Benign Prostatic Hypertrophy With McC 7 $17,247.33 $31,655.99 $17,247.33 nat. median
$12,786
1.3× median
809
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 $16,939.07 $16,939.07 $16,939.07 nat. median
$13,226
1.3× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 7 $16,926.54 $31,014.40 $16,926.54 nat. median
$13,017
1.3× median
689
MS_DRG 		Kidney And Urinary Tract Infections With McC 7 $16,085.70 $29,332.73 $16,085.70 nat. median
$12,152
1.3× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With McC 7 $15,495.49 $28,152.30 $15,495.49 nat. median
$11,699
1.3× median
J9345
HCPCS 		Retifanlimab-dlwr 500 Mg/20ml IV Soln 12 $12,392.72 $36,293.36 $15,251.65 nat. median
$49
outlier · 313.6×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 6 $2,773.86 $14,687.24 $14,687.24 nat. median
$11,294
1.3× median
71
MS_DRG 		Other Cerebrovascular Disorders With Cc 7 $14,624.58 $26,410.48 $14,624.58 nat. median
$11,209
1.3× median
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without McC 7 $14,481.73 $26,124.77 $14,481.73 nat. median
$11,117
1.3× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC 7 $404.10 $25,839.07 $14,338.88 nat. median
$11,103
1.3× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 7 $14,317.57 $25,796.46 $14,317.57 nat. median
$11,087
1.3× median
565
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 7 $14,196.02 $25,553.36 $14,196.02 nat. median
$10,731
1.3× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 7 $14,163.44 $25,488.20 $14,163.44 nat. median
$11,174
1.3× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 7 $13,851.42 $24,864.15 $13,851.42 nat. median
$10,873
1.3× median
552
MS_DRG 		Medical Back Problems Without McC 7 $13,496.78 $24,154.89 $13,496.78 nat. median
$10,422
1.3× median
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 7 $13,477.99 $24,117.30 $13,477.99 nat. median
$10,513
1.3× median
J9307
HCPCS 		Pralatrexate 20 Mg/ml IV Soln 12 $6,072.00 $37,573.11 $13,330.38 nat. median
$825
outlier · 16.2×
605
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast Without McC 7 $12,994.29 $23,149.90 $12,994.29 nat. median
$9,920
1.3× median
812
MS_DRG 		Red Blood Cell Disorders Without McC 7 $12,984.26 $23,129.85 $12,984.26 nat. median
$9,870
1.3× median
101
MS_DRG 		Seizures Without McC 7 $12,967.98 $23,097.27 $12,967.98 nat. median
$9,814
1.3× median

Other procedures at this hospital

Browse this hospital's 2,173 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
             
101 MS_DRG Seizures Without McC 7 7 $20,681.60 $13,174.18 36% off $12,967.98 $23,097.27 $12,967.98 2026-03-31
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With McC 7 7 $26,593.40 $16,940.00 36% off $21,797.37 $40,756.05 $21,797.37 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With McC 7 7 $17,099.80 $10,892.57 36% off $21,675.81 $40,512.95 $21,675.81 2026-03-31
178 MS_DRG Respiratory Infections And Inflammations With Cc 7 7 $23,773.25 $15,143.56 36% off $13,851.42 $24,864.15 $13,851.42 2026-03-31
182 MS_DRG Respiratory Neoplasms Without Cc/McC 7 7 $8,683.60 $5,531.45 36% off $11,914.11 $20,989.54 $11,914.11 2026-03-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 7 7 $11,106.70 $7,074.97 36% off $16,926.54 $31,014.40 $16,926.54 2026-03-31
190 MS_DRG Chronic Obstructive Pulmonary Disease With McC 7 7 $12,869.15 $8,197.65 36% off $15,495.49 $28,152.30 $15,495.49 2026-03-31
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 7 7 $8,780.30 $5,593.05 36% off $12,184.78 $21,530.88 $12,184.78 2026-03-31
19120 CPT Removal Of Breast Lesion 23 13 $4,095.00 $2,497.95 39% off $428.49 $4,056.51 $1,026.26 2026-03-31
193 MS_DRG Simple Pneumonia And Pleurisy With McC 7 7 $19,677.50 $12,534.57 36% off $17,932.78 $33,026.89 $17,932.78 2026-03-31
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 7 7 $13,424.50 $8,551.41 36% off $11,694.82 $20,550.95 $11,694.82 2026-03-31
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/McC 7 7 $10,440.25 $6,650.44 36% off $9,223.69 $15,608.70 $9,223.69 2026-03-31
196 MS_DRG Interstitial Lung Disease With McC 6 6 $4,964.95 $3,162.67 36% off $25,030.38 $25,030.38 $25,030.38 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 $38,124.10 $24,285.05 36% off $67,269.29 $67,269.29 $67,269.29 2026-03-31
21556 CPT Exc Neck Tum Deep < 5 Cm 12 12 $2,308.00 $1,407.88 39% off $582.46 $2,238.76 $990.13 2026-03-31
23076 CPT Excision Shoulder Tumor Less Than 5 Cm 23 13 $6,438.00 $3,927.18 39% off $601.88 $6,377.48 $2,209.52 2026-03-31
27130 CPT Total Hip Replacement 12 12 $6,068.00 $3,701.48 39% off $1,057.05 $5,890.21 $1,956.40 2026-03-31
27372 CPT Rem Deep Fb Thigh Or Knee 23 13 $4,264.00 $2,601.04 39% off $447.72 $4,223.92 $1,491.55 2026-03-31
27447 CPT Total Knee Replacement 12 12 $6,148.00 $3,750.28 39% off $1,070.98 $5,967.86 $1,971.72 2026-03-31
27654 CPT Repr Sec Achilles Tendon W/wo Graft 12 12 $3,005.00 $1,833.05 39% off $523.47 $2,916.95 $1,028.59 2026-03-31
27870 CPT Fusion Of Ankle Joint, O 12 12 $4,194.00 $2,558.34 39% off $1,108.73 $4,068.18 $1,799.22 2026-03-31
28291 CPT Corrj Halux Rigdus W/Implt 12 12 $2,447.00 $1,492.67 39% off $539.81 $2,373.59 $997.76 2026-03-31
28615 CPT Repair Foot Dislocation 12 12 $2,763.00 $1,685.43 39% off $928.08 $2,680.11 $1,185.33 2026-03-31
291 MS_DRG Heart Failure And Shock With McC 7 7 $14,203.50 $9,047.63 36% off $17,771.13 $32,703.59 $17,771.13 2026-03-31
292 MS_DRG Heart Failure And Shock With Cc 7 7 $18,994.40 $12,099.43 36% off $12,212.35 $21,586.02 $12,212.35 2026-03-31
299 MS_DRG Peripheral Vascular Disorders With McC 12 12 $56,711.15 $36,125.00 36% off $2,871.82 $2,871.82 $2,871.82 2026-03-31
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 7 7 $8,661.30 $5,517.25 36% off $10,683.56 $18,528.44 $10,683.56 2026-03-31
312 MS_DRG Syncope And Collapse 12 12 $10,373.20 $6,607.73 36% off $652.76 $15,295.42 $2,871.82 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With McC 6 6 $11,546.10 $7,354.87 36% off $28,403.74 $28,403.74 $28,403.74 2026-03-31
315 MS_DRG Other Circulatory System Diagnoses With Cc 7 7 $13,560.45 $8,638.01 36% off $13,477.99 $24,117.30 $13,477.99 2026-03-31
36475 CPT Endovenous Rf 1st Vein 25 13 $4,784.00 $2,918.24 39% off $282.06 $4,739.03 $1,800.23 2026-03-31
36561 CPT Insert Tunneled Central Venous Catheter 25 13 $4,784.00 $2,918.24 39% off $353.61 $4,739.03 $1,673.44 2026-03-31
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 7 7 $12,923.90 $8,232.52 36% off $14,317.57 $25,796.46 $14,317.57 2026-03-31
374 MS_DRG Digestive Malignancy With McC 7 7 $23,794.80 $15,157.29 36% off $27,878.69 $52,918.71 $27,878.69 2026-03-31
377 MS_DRG Gastrointestinal Hemorrhage With McC 6 6 $6,080.35 $3,873.18 36% off $24,202.08 $24,202.08 $24,202.08 2026-03-31
37765 CPT Phleb Veins - Extrem - T 25 13 $4,784.00 $2,918.24 39% off $276.94 $4,739.03 $1,641.87 2026-03-31
37766 CPT Phleb Veins - Extrem 20+ 25 13 $4,784.00 $2,918.24 39% off $340.19 $4,739.03 $1,689.23 2026-03-31
38222 CPT Diagnostic Bone Marrow Biopsy & Aspiration 13 13 $4,264.00 $2,601.04 39% off $724.00 $4,223.92 $1,507.32 2026-03-31
390 MS_DRG Gastrointestinal Obstruction Without Cc/McC 7 7 $14,975.35 $9,539.30 36% off $8,275.09 $13,711.50 $8,275.09 2026-03-31
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC 7 7 $12,703.65 $8,092.23 36% off $11,197.33 $19,555.99 $11,197.33 2026-03-31
43236 CPT Upper Gi Scope 13 13 $3,102.00 $1,892.22 39% off $540.37 $3,072.84 $1,096.56 2026-03-31
43249 CPT Egd Ballon Dilation Less Than 30 Mm Diameter 23 13 $2,964.00 $1,808.04 39% off $165.87 $2,974.02 $1,047.77 2026-03-31
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 7 7 $13,287.30 $8,464.01 36% off $12,198.57 $21,558.45 $12,198.57 2026-03-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 7 7 $48,234.50 $30,725.38 36% off $25,106.82 $47,374.96 $25,106.82 2026-03-31
44180 CPT Freeing Of Intestinal Lesions 12 12 $3,275.00 $1,997.75 39% off $570.51 $3,179.04 $1,169.73 2026-03-31
44388 CPT Colonoscopy Through Stoma 13 13 $3,287.00 $2,005.07 39% off $572.60 $3,256.10 $1,161.95 2026-03-31
44970 CPT Laparoscopy Surgical Appendectomy 25 13 $8,658.00 $5,281.38 39% off $371.57 $8,576.61 $2,070.50 2026-03-31
45380 CPT Colonoscopy With Biopsy 23 13 $2,844.00 $1,734.84 39% off $216.54 $3,573.90 $1,004.22 2026-03-31
45382 CPT Colonoscopy; Control Bleeding 23 13 $3,056.00 $1,864.16 39% off $279.06 $3,027.27 $1,048.82 2026-03-31
45384 CPT Colonoscopy With Lesion Removal 23 13 $3,246.00 $1,980.06 39% off $243.28 $3,573.90 $1,146.16 2026-03-31
45385 CPT Colonoscopy With Lesion Removal 23 13 $2,949.00 $1,798.89 39% off $273.67 $3,573.90 $1,041.29 2026-03-31
45388 CPT Colonoscopy With Ablation 25 13 $2,907.00 $1,773.27 39% off $290.20 $2,879.67 $1,016.87 2026-03-31
45390 CPT Colonoscopy With With Resection 13 13 $2,907.00 $1,773.27 39% off $677.27 $2,879.67 $1,026.46 2026-03-31
46255 CPT Hemorrhoidect Intrl&External Smpl; 25 13 $4,214.00 $2,570.54 39% off $203.12 $4,174.39 $1,131.84 2026-03-31
46260 CPT Hemorrhoidect Intrl&Ext Cmplx/Ext; 25 13 $4,214.00 $2,570.54 39% off $229.94 $4,174.39 $1,281.32 2026-03-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 7 7 $50,016.20 $31,860.32 36% off $25,046.67 $47,254.66 $25,046.67 2026-03-31
47562 CPT Laparoscopy Surgical; Cholect 25 13 $8,658.00 $5,281.38 39% off $510.06 $8,576.61 $2,842.21 2026-03-31
47563 CPT Cholecystectomy With Cholangiography 12 12 $3,207.00 $1,956.27 39% off $558.66 $3,113.03 $1,047.36 2026-03-31
49505 CPT Prp I/Hern Init Reduc >5 Yr 25 13 $5,192.00 $3,167.12 39% off $322.10 $5,143.20 $1,769.49 2026-03-31
49507 CPT Repr Init Ing Hernia > 5yr; Incarc 23 13 $5,192.00 $3,167.12 39% off $628.31 $5,143.20 $1,781.89 2026-03-31
49520 CPT Rerepair Ing Hernia Reduce 23 13 $5,192.00 $3,167.12 39% off $468.92 $5,143.20 $1,608.72 2026-03-31
49596 CPT Hernia Repair 12 12 $2,009.00 $1,225.49 39% off $813.65 $2,116.91 $1,108.84 2026-03-31
49616 CPT Hernia Repair 12 12 $4,207.00 $2,566.27 39% off $732.86 $4,083.73 $1,315.71 2026-03-31
49650 CPT Laparscpy Surg; Repr Init Ing Hern 23 13 $8,658.00 $5,281.38 39% off $466.64 $8,576.61 $1,474.40 2026-03-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 7 7 $45,589.80 $29,040.70 36% off $27,837.34 $52,836.00 $27,837.34 2026-03-31
52287 CPT Cystoscopy Chemodenervation 13 13 $3,057.00 $1,864.77 39% off $532.53 $3,028.26 $1,238.09 2026-03-31
52310 CPT Cystoscopy 13 13 $3,057.00 $1,864.77 39% off $532.53 $3,028.26 $1,238.09 2026-03-31
536 MS_DRG Fractures Of Hip And Pelvis Without McC 7 7 $11,055.30 $7,042.23 36% off $11,580.78 $20,322.89 $11,580.78 2026-03-31
551 MS_DRG Medical Back Problems With McC 7 7 $19,397.75 $12,356.37 36% off $22,801.10 $42,763.53 $22,801.10 2026-03-31
552 MS_DRG Medical Back Problems Without McC 7 7 $17,101.10 $10,893.40 36% off $13,496.78 $24,154.89 $13,496.78 2026-03-31
55250 CPT Vasect Uni/bil-sep Proc-postop Sem 25 13 $3,057.00 $1,864.77 39% off $177.51 $3,028.26 $989.14 2026-03-31
553 MS_DRG Bone Diseases And Arthropathies With McC 12 12 $12,085.45 $7,698.43 36% off $2,871.82 $11,768.00 $2,871.82 2026-03-31
554 MS_DRG Bone Diseases And Arthropathies Without McC 7 7 $10,278.90 $6,547.66 36% off $11,877.77 $20,916.86 $11,877.77 2026-03-31
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC 12 12 $59,136.85 $37,670.17 36% off $2,871.82 $2,871.82 $2,871.82 2026-03-31
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC 12 12 $13,352.45 $8,505.51 36% off $225.36 $2,871.82 $2,871.82 2026-03-31
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 12 12 $42,503.85 $27,074.95 36% off $736.70 $2,871.82 $2,871.82 2026-03-31
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 12 12 $55,120.10 $35,111.50 36% off $205.35 $29,698.90 $2,871.82 2026-03-31
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC 12 12 $20,076.85 $12,788.95 36% off $2,871.82 $32,052.35 $2,871.82 2026-03-31
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 7 7 $27,771.05 $17,690.16 36% off $19,761.06 $36,683.45 $19,761.06 2026-03-31
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 7 7 $11,937.60 $7,604.25 36% off $12,618.35 $22,398.03 $12,618.35 2026-03-31
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 7 7 $21,056.45 $13,412.96 36% off $14,196.02 $25,553.36 $14,196.02 2026-03-31
57 MS_DRG Degenerative Nervous System Disorders Without McC 12 12 $19,545.20 $12,450.29 36% off $2,871.82 $2,871.82 $2,871.82 2026-03-31
59400 CPT Routine OB Care 12 12 $5,091.00 $3,105.51 39% off $886.85 $4,941.83 $2,631.40 2026-03-31
59410 CPT OB Care 12 12 $2,608.00 $1,590.88 39% off $454.31 $2,531.59 $1,159.75 2026-03-31
59510 CPT Cesarean Delivery 12 12 $5,971.00 $3,642.31 39% off $1,040.15 $5,796.05 $2,890.75 2026-03-31
59515 CPT Cesarean Delivery 12 12 $3,488.00 $2,127.68 39% off $607.61 $3,385.80 $1,424.89 2026-03-31
602 MS_DRG Cellulitis With McC 7 7 $21,278.60 $13,554.47 36% off $19,832.49 $36,826.31 $19,832.49 2026-03-31
603 MS_DRG Cellulitis Without McC 7 7 $17,842.20 $11,365.48 36% off $12,457.96 $30,605.99 $12,457.96 2026-03-31
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without McC 7 7 $10,581.05 $6,740.13 36% off $12,994.29 $23,149.90 $12,994.29 2026-03-31
606 MS_DRG Minor Skin Disorders With McC 6 6 $10,187.90 $6,489.69 36% off $21,595.62 $21,595.62 $21,595.62 2026-03-31
637 MS_DRG Diabetes With McC 6 6 $4,256.60 $2,711.45 36% off $19,668.33 $19,668.33 $19,668.33 2026-03-31
638 MS_DRG Diabetes With Cc 12 12 $3,663.90 $2,333.90 36% off $2,871.82 $2,871.82 $2,871.82 2026-03-31
639 MS_DRG Diabetes Without Cc/McC 7 7 $12,529.25 $7,981.13 36% off $9,271.31 $22,572.55 $9,271.31 2026-03-31
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 6 6 $3,214.00 $2,047.32 36% off $18,061.85 $18,061.85 $18,061.85 2026-03-31
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 7 7 $8,299.05 $5,286.49 36% off $11,212.37 $19,586.06 $11,212.37 2026-03-31
64624 CPT Dstrj Nulyt Agt Gnclr Nrv 25 13 $2,897.00 $1,767.17 39% off $163.61 $2,869.77 $1,077.30 2026-03-31
64633 CPT Destroy Cerv/Thor Facet Jnt 25 13 $2,897.00 $1,767.17 39% off $214.05 $2,869.77 $1,094.31 2026-03-31
64635 CPT Destroy Lumb/Sac Facet Jnt 25 13 $2,897.00 $1,767.17 39% off $214.32 $2,869.77 $1,077.30 2026-03-31
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 7 7 $29,776.10 $18,967.38 36% off $14,163.44 $25,488.20 $14,163.44 2026-03-31
682 MS_DRG Renal Failure With McC 7 7 $24,551.90 $15,639.56 36% off $20,241.01 $37,643.33 $20,241.01 2026-03-31
683 MS_DRG Renal Failure With Cc 7 7 $10,465.00 $6,666.20 36% off $12,558.21 $22,277.74 $12,558.21 2026-03-31
689 MS_DRG Kidney And Urinary Tract Infections With McC 7 7 $30,706.75 $19,560.20 36% off $16,085.70 $29,332.73 $16,085.70 2026-03-31
690 MS_DRG Kidney And Urinary Tract Infections Without McC 7 7 $13,899.00 $8,853.66 36% off $11,476.77 $20,114.87 $11,476.77 2026-03-31
694 MS_DRG Urinary Stones Without McC 7 7 $14,578.50 $9,286.50 36% off $11,211.12 $19,583.56 $11,211.12 2026-03-31
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With McC 12 12 $59,276.45 $37,759.10 36% off $2,871.82 $2,871.82 $2,871.82 2026-03-31
70 MS_DRG Other Cerebrovascular Disorders With McC 7 7 $25,519.75 $16,256.08 36% off $23,207.11 $43,575.54 $23,207.11 2026-03-31
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/McC 7 7 $18,467.70 $11,763.92 36% off $10,117.16 $17,395.63 $10,117.16 2026-03-31
70336 CPT Magnetic Image, Jaw Join 13 13 $3,312.00 $2,020.32 39% off $578.05 $3,280.87 $1,341.36 2026-03-31
70470 CPT CT Head/Brain With And Without Contrast 13 13 $2,856.00 $1,742.16 39% off $446.60 $2,829.15 $1,156.68 2026-03-31
70482 CPT CT Orbit/ear/fossa With And Without Contrast 13 13 $3,015.00 $1,839.15 39% off $446.60 $2,986.66 $1,221.08 2026-03-31
70488 CPT CT Of Face With And Without Contrast 13 13 $3,028.00 $1,847.08 39% off $372.75 $2,999.54 $1,070.40 2026-03-31
70496 CPT CT Angiography, Head 13 13 $2,498.00 $1,523.78 39% off $446.60 $2,474.52 $1,011.69 2026-03-31
70498 CPT CT Angiography, Neck 13 13 $3,295.00 $2,009.95 39% off $446.60 $3,264.03 $1,334.48 2026-03-31
70540 CPT MRI Face/neck 13 13 $2,984.00 $1,820.24 39% off $578.05 $2,955.95 $1,208.52 2026-03-31
70543 CPT MRI Face/neck With And Without Contrast 13 13 $4,207.00 $2,566.27 39% off $607.75 $4,167.45 $1,703.84 2026-03-31
70544 CPT MRA Head 13 13 $3,555.00 $2,168.55 39% off $578.05 $3,521.58 $1,439.78 2026-03-31
70546 CPT MRA Head With And Without Contrast 13 13 $3,752.00 $2,288.72 39% off $607.75 $3,716.73 $1,519.56 2026-03-31
70547 CPT MRA Neck 13 13 $2,903.00 $1,770.83 39% off $578.05 $2,875.71 $1,175.72 2026-03-31
70549 CPT MRA Neck With And Without Contrast 13 13 $3,847.00 $2,346.67 39% off $607.75 $3,810.84 $1,558.04 2026-03-31
70551 CPT MRI Brain 13 13 $2,984.00 $1,820.24 39% off $578.05 $2,955.95 $1,208.52 2026-03-31
70552 CPT MRI Brain With Contrast 13 13 $3,478.00 $2,121.58 39% off $607.75 $3,445.31 $1,408.59 2026-03-31
70553 CPT MRI Brain With And Without Contrast 13 13 $3,986.00 $2,431.46 39% off $607.75 $3,948.53 $1,614.33 2026-03-31
71 MS_DRG Other Cerebrovascular Disorders With Cc 7 7 $10,614.15 $6,761.21 36% off $14,624.58 $26,410.48 $14,624.58 2026-03-31
71270 CPT CT Thorax With And Without Contrast 13 13 $3,123.00 $1,905.03 39% off $446.60 $3,093.64 $1,264.82 2026-03-31
71275 CPT CT Angiography, Chest 13 13 $2,653.00 $1,618.33 39% off $446.60 $2,628.06 $1,074.47 2026-03-31
71550 CPT MRI Chest With Contrast 13 13 $3,573.00 $2,179.53 39% off $578.05 $3,539.41 $1,447.07 2026-03-31
71552 CPT MRI Chest With And With Out Contrast 13 13 $3,847.00 $2,346.67 39% off $607.75 $3,810.84 $1,558.04 2026-03-31
72126 CPT CT Cervical Spine With Contrast 13 13 $2,813.00 $1,715.93 39% off $607.75 $2,786.56 $1,139.27 2026-03-31
72127 CPT CT Cervical Spine With And Without Contrast 13 13 $3,676.00 $2,242.36 39% off $446.60 $3,641.45 $1,339.80 2026-03-31
72128 CPT CT Thoracic Spine 13 13 $2,510.00 $1,531.10 39% off $352.55 $2,486.41 $1,016.55 2026-03-31
72129 CPT CT Thoracic Spine With Contrast 13 13 $2,813.00 $1,715.93 39% off $343.82 $2,786.56 $994.40 2026-03-31
72130 CPT CT Thoracic Spine With And Without Contrast 13 13 $3,773.00 $2,301.53 39% off $402.33 $3,737.53 $1,333.76 2026-03-31
72131 CPT CT Lumbar Spine 13 13 $2,692.00 $1,642.12 39% off $352.55 $2,666.70 $1,057.65 2026-03-31
72133 CPT CT Lumbar Spine With And Without Contrast 13 13 $2,452.00 $1,495.72 39% off $446.60 $2,428.95 $993.06 2026-03-31
72141 CPT MRI Cervial Spine 13 13 $3,573.00 $2,179.53 39% off $578.05 $3,539.41 $1,447.07 2026-03-31
72142 CPT MRI Cervial Spine With Contrast 13 13 $3,612.00 $2,203.32 39% off $607.75 $3,578.05 $1,462.86 2026-03-31
72146 CPT Thoracic MRI 13 13 $3,573.00 $2,179.53 39% off $578.05 $3,539.41 $1,447.07 2026-03-31
72147 CPT Thoracic MRI With Contrast 13 13 $3,478.00 $2,121.58 39% off $607.75 $3,445.31 $1,408.59 2026-03-31
72148 CPT MRI Lumbar Spine 13 13 $3,573.00 $2,179.53 39% off $578.05 $3,539.41 $1,447.07 2026-03-31
72149 CPT MRI Lumbar Spine With Contrast 13 13 $3,641.00 $2,221.01 39% off $607.75 $3,606.77 $1,474.61 2026-03-31
72156 CPT MRI Cervical Spine With And Without Contrast 13 13 $3,978.00 $2,426.58 39% off $607.75 $3,940.61 $1,611.09 2026-03-31
72157 CPT Thoracic MRI With And Without Contrast 13 13 $3,978.00 $2,426.58 39% off $607.75 $3,940.61 $1,611.09 2026-03-31
72158 CPT MRI Lumbar Spine With And Without Contrast 13 13 $4,179.00 $2,549.19 39% off $607.75 $4,139.72 $1,692.50 2026-03-31
72191 CPT CT Angiography Pelvis With And Without Contrast 13 13 $3,410.00 $2,080.10 39% off $446.60 $3,377.95 $1,339.80 2026-03-31
72194 CPT CT Pelvis With And Without Contrast 13 13 $3,529.00 $2,152.69 39% off $446.60 $3,495.83 $1,339.80 2026-03-31
72195 CPT MRI Chest 13 13 $3,573.00 $2,179.53 39% off $578.05 $3,539.41 $1,447.07 2026-03-31
72197 CPT MRI Pelvis With And Without Contrast 13 13 $4,282.00 $2,612.02 39% off $607.75 $4,241.75 $1,734.21 2026-03-31
72198 CPT Mr Angio Pelvis Without & With 13 13 $4,288.00 $2,615.68 39% off $578.05 $4,247.69 $1,734.15 2026-03-31
725 MS_DRG Benign Prostatic Hypertrophy With McC 7 7 $10,778.20 $6,865.71 36% off $17,247.33 $31,655.99 $17,247.33 2026-03-31
728 MS_DRG Inflammation Of The Male Reproductive System Without McC 7 7 $45,797.45 $29,172.98 36% off $11,658.48 $20,478.27 $11,658.48 2026-03-31
73202 CPT CT Upper Extremity With And Without Contrast 13 13 $3,126.00 $1,906.86 39% off $446.60 $3,096.62 $1,266.03 2026-03-31
73218 CPT MRI Upper Extremity 13 13 $3,573.00 $2,179.53 39% off $578.05 $3,539.41 $1,447.07 2026-03-31
73220 CPT MRI Upper Extremity With And Without Contrast 13 13 $4,288.00 $2,615.68 39% off $607.75 $4,247.69 $1,736.64 2026-03-31
73221 CPT MRI Upper Extremity Joint 13 13 $3,478.00 $2,121.58 39% off $578.05 $3,445.31 $1,408.59 2026-03-31
73222 CPT MRI Joint Upr Extrem W/d 13 13 $3,573.00 $2,179.53 39% off $635.71 $3,539.41 $1,263.06 2026-03-31
73223 CPT MRI Upper Extremity Joint With And Without Contrast 13 13 $3,953.00 $2,411.33 39% off $785.59 $3,915.84 $1,397.39 2026-03-31
73225 CPT Mr Angio Upr Extr W/O&with 13 13 $3,573.00 $2,179.53 39% off $694.21 $3,539.41 $1,263.06 2026-03-31
73702 CPT CT Lower Extremity With And Without Contrast 13 13 $3,126.00 $1,906.86 39% off $395.10 $3,096.62 $1,105.04 2026-03-31
73718 CPT MRI Lower Extremity 13 13 $3,478.00 $2,121.58 39% off $578.05 $3,445.31 $1,408.59 2026-03-31
73720 CPT MRI Lower Extremity With And Without Contrast 13 13 $3,953.00 $2,411.33 39% off $607.75 $3,915.84 $1,600.97 2026-03-31
73721 CPT MRI Lower Extremity Joint 13 13 $3,478.00 $2,121.58 39% off $578.05 $3,445.31 $1,408.59 2026-03-31
73722 CPT MRI Joint Of Lwr Extr With 13 13 $3,953.00 $2,411.33 39% off $611.05 $3,915.84 $1,600.97 2026-03-31
73723 CPT MRI Lower Extremity Joint With And Without Contrast 13 13 $3,953.00 $2,411.33 39% off $607.75 $3,915.84 $1,600.97 2026-03-31
73725 CPT Mr Ang Lwr Ext W Or Without 13 13 $3,573.00 $2,179.53 39% off $578.05 $3,539.41 $1,447.07 2026-03-31
74 MS_DRG Cranial And Peripheral Nerve Disorders Without McC 7 7 $10,394.20 $6,621.11 36% off $14,481.73 $26,124.77 $14,481.73 2026-03-31
74170 CPT CT Abdomen With And Without Contrast 13 13 $2,745.00 $1,674.45 39% off $446.60 $2,719.20 $1,111.73 2026-03-31
74174 CPT CT Angiography Abdomen And Pelvis With And Without Contrast 13 13 $3,891.00 $2,373.51 39% off $607.75 $3,854.42 $1,575.86 2026-03-31
74175 CPT CT Angiography Abdomen With And Without Contrast 13 13 $4,767.00 $2,907.87 39% off $446.60 $4,722.19 $1,685.13 2026-03-31
74176 CPT CT Abdomen And Pelvis 13 13 $3,243.00 $1,978.23 39% off $578.05 $3,212.52 $1,313.42 2026-03-31
74177 CPT CT Abdomen And Pelvis With Contrast 13 13 $3,542.00 $2,160.62 39% off $607.75 $3,508.71 $1,434.51 2026-03-31
74178 CPT CT Abdomen And/or Pelvis With Contrast 13 13 $3,897.00 $2,377.17 39% off $607.75 $3,860.37 $1,578.29 2026-03-31
74181 CPT MRI Abdomen 13 13 $3,573.00 $2,179.53 39% off $578.05 $3,539.41 $1,447.07 2026-03-31
74183 CPT MRI Abdomen With And Without Contrast 13 13 $3,953.00 $2,411.33 39% off $607.75 $3,915.84 $1,600.97 2026-03-31
74185 CPT MRI Angio, Abdom W Orw/O 13 13 $3,573.00 $2,179.53 39% off $683.04 $3,539.41 $1,263.06 2026-03-31
75635 CPT CT Angio Abdominal Arteries 13 13 $2,685.00 $1,637.85 39% off $467.73 $2,659.76 $1,087.43 2026-03-31
78071 CPT Parathyrd Planar W/wo Subtrj 13 13 $2,935.00 $1,790.35 39% off $631.76 $2,907.41 $1,037.52 2026-03-31
78226 CPT Hepatobiliary System Imaging 13 13 $2,978.00 $1,816.58 39% off $518.77 $2,950.01 $1,206.09 2026-03-31
78227 CPT Hepatbillary Sytem Imaging With Drug 13 13 $2,978.00 $1,816.58 39% off $518.77 $2,950.01 $1,206.09 2026-03-31
78452 CPT Myocardial Spect Multiple Studies 13 13 $4,145.00 $2,528.45 39% off $1,402.05 $4,669.50 $1,678.73 2026-03-31
78582 CPT Pulmonary Ventilation And Perfusion Imaging 13 13 $3,212.00 $1,959.32 39% off $598.23 $3,181.81 $1,135.44 2026-03-31
78815 CPT PET Scan; Skull Or Thigh 13 13 $4,123.00 $2,515.03 39% off $718.23 $4,084.24 $1,669.82 2026-03-31
78816 CPT Full Body PET Scan 13 13 $4,134.00 $2,521.74 39% off $1,398.33 $5,123.78 $1,872.70 2026-03-31
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 6 $8,026.75 $5,113.04 36% off $16,939.07 $16,939.07 $16,939.07 2026-03-31
812 MS_DRG Red Blood Cell Disorders Without McC 7 7 $20,361.65 $12,970.37 36% off $12,984.26 $23,129.85 $12,984.26 2026-03-31
81459 CPT Molecular Pathology 12 12 $3,822.00 $2,331.42 39% off $1,292.79 $3,786.07 $1,639.64 2026-03-31
81464 CPT Molecular Pathology 12 12 $3,822.00 $2,331.42 39% off $1,292.79 $3,786.07 $1,639.64 2026-03-31
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 7 7 $18,823.90 $11,990.82 36% off $18,841.28 $34,843.89 $18,841.28 2026-03-31
865 MS_DRG Viral Illness With McC 7 7 $16,582.00 $10,562.73 36% off $19,913.94 $36,989.21 $19,913.94 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 7 7 $19,281.40 $12,282.25 36% off $26,009.06 $49,179.44 $26,009.06 2026-03-31
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC 7 7 $14,159.50 $9,019.60 36% off $404.10 $25,839.07 $14,338.88 2026-03-31
884 MS_DRG Organic Disturbances And Intellectual Disability 6 6 $9,539.00 $6,076.34 36% off $22,347.48 $22,347.48 $22,347.48 2026-03-31
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC 7 7 $22,368.05 $14,248.45 36% off $12,474.25 $22,109.82 $12,474.25 2026-03-31
90375 HCPCS Rabies Immune Globulin 1500 Unit/5ml Ij Soln 26 13 $3,789.97 $2,311.89 39% off $220.68 $6,253.81 $1,242.29 2026-03-31
92 MS_DRG Other Disorders Of Nervous System With Cc 6 6 $6,380.30 $4,064.25 36% off $2,773.86 $14,687.24 $14,687.24 2026-03-31
93 MS_DRG Other Disorders Of Nervous System Without Cc/McC 12 12 $34,836.40 $22,190.79 36% off $2,871.82 $2,871.82 $2,871.82 2026-03-31
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 6 6 $3,841.45 $2,447.00 36% off $25,907.56 $25,907.56 $25,907.56 2026-03-31
945 MS_DRG Rehabilitation With Cc/McC 12 12 $19,886.75 $12,667.86 36% off $2,871.82 $2,871.82 $2,871.82 2026-03-31
947 MS_DRG Signs And Symptoms With McC 12 12 $23,309.45 $14,848.12 36% off $2,668.27 $2,871.82 $2,871.82 2026-03-31
948 MS_DRG Signs And Symptoms Without McC 12 12 $32,441.50 $20,665.24 36% off $145.93 $2,871.82 $2,871.82 2026-03-31
949 MS_DRG Aftercare With Cc/McC 12 12 $40,508.45 $25,803.88 36% off $2,871.82 $2,871.82 $2,871.82 2026-03-31
950 MS_DRG Aftercare Without Cc/McC 12 12 $58,233.10 $37,094.48 36% off $225.36 $2,871.82 $2,871.82 2026-03-31
95810 CPT Sleep Study 13 13 $4,376.00 $2,669.36 39% off $762.30 $4,334.87 $1,772.28 2026-03-31
95811 CPT Sleep Study With Titration 13 13 $4,759.00 $2,902.99 39% off $829.02 $4,714.27 $1,927.40 2026-03-31
A4300 HCPCS Impl Vasc Access Cath 13 13 $2,766.00 $1,687.26 39% off $481.84 $2,740.00 $1,120.23 2026-03-31
G0390 HCPCS Trauma Team Activation With Critical Care 12 12 $2,884.00 $1,759.24 39% off $366.12 $2,856.89 $1,093.76 2026-03-31
J0896 HCPCS Luspatercept-aamt 25 Mg Sc Solr 13 13 $7,095.55 $4,328.29 39% off $1,236.04 $7,028.85 $2,873.70 2026-03-31
J0897 HCPCS Denosumab 120 Mg/1.7ml Sc Soln 30 15 $4,275.27 $2,607.92 39% off $640.83 $4,826.05 $1,688.10 2026-03-31
J1326 HCPCS Zolbetuximab-clzb 100 Mg IV Solr 13 13 $3,941.75 $2,404.47 39% off $686.65 $3,904.70 $1,596.41 2026-03-31
J1566 HCPCS Gammagard S/d Low Iga 0.05 Gm/ml IV Solution Super Record 13 13 $5,550.00 $3,385.50 39% off $966.81 $5,497.83 $2,247.75 2026-03-31
J1569 HCPCS Gammagard 1 Gm/10 Ml Ij Soln (wrapped) 45 15 $3,016.90 $1,840.31 39% off $463.41 $9,934.20 $1,626.20 2026-03-31
J1602 HCPCS Golimumab 50 Mg/4ml IV Soln 12 12 $3,909.00 $2,384.49 39% off $617.00 $3,872.26 $1,482.49 2026-03-31
J1640 HCPCS Hemin 350 Mg/50ml IV (wet Solr Vial) 13 13 $27,269.20 $16,634.21 39% off $4,750.29 $27,012.87 $11,044.03 2026-03-31
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 43 15 $4,351.00 $2,654.11 39% off $505.68 $9,094.75 $2,532.52 2026-03-31
J2182 HCPCS Mepolizumab 100 Mg Sc Solr 13 13 $5,832.45 $3,557.79 39% off $1,016.01 $5,777.62 $2,362.14 2026-03-31
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 13 13 $15,157.05 $9,245.80 39% off $2,640.36 $15,014.57 $6,138.61 2026-03-31
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 15 15 $26,552.25 $16,196.87 39% off $4,625.40 $26,302.66 $9,386.22 2026-03-31
J2351 HCPCS Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln 12 12 $105,797.20 $64,536.29 39% off $35,785.90 $104,802.71 $42,211.34 2026-03-31
J2353 HCPCS Octreotide Acetate 20 Mg IM Kit 26 13 $10,409.35 $6,349.70 39% off $1,452.32 $12,364.27 $4,409.75 2026-03-31
J2426 HCPCS Paliperidone Palmitate ER 117 Mg/0.75ml IM Susy 65 13 $2,690.70 $1,641.33 39% off $156.83 $5,325.76 $1,230.72 2026-03-31
J2427 HCPCS Paliperidone Palmitate ER 546 Mg/1.75ml IM Susy 13 13 $10,747.70 $6,556.10 39% off $1,872.25 $10,646.67 $4,352.82 2026-03-31
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Sc Sosy 13 13 $8,796.70 $5,365.99 39% off $1,532.39 $8,714.01 $3,562.66 2026-03-31
J2783 HCPCS Rasburicase 1.5 Mg/ml IV (wet Solr Vial) 26 13 $5,025.85 $3,065.76 39% off $159.64 $9,049.43 $1,249.58 2026-03-31
J2802 HCPCS Romiplostim 125 Mcg Sc Solr 39 13 $4,846.20 $2,956.18 39% off $422.56 $11,076.20 $2,352.93 2026-03-31
J2997 HCPCS Alteplase 100 Mg IV Push 47 15 $4,230.75 $2,580.76 39% off $52.99 $17,036.54 $1,713.45 2026-03-31
J3101 HCPCS Tenecteplase 50 Mg IV Kit 13 13 $14,630.15 $8,924.39 39% off $2,548.57 $14,492.63 $5,925.21 2026-03-31
J3111 HCPCS Romosozumab-aqqg 105 Mg/1.17ml Sc Sosy 15 15 $3,928.50 $2,396.38 39% off $684.34 $3,891.57 $1,779.61 2026-03-31
J3262 HCPCS Tocilizumab 400 Mg/20ml IV Soln 13 13 $4,509.95 $2,751.07 39% off $785.63 $4,467.56 $1,826.53 2026-03-31
J3358 HCPCS Ustekinumab 130 Mg/26ml IV Soln 15 15 $3,574.05 $2,180.17 39% off $622.60 $3,540.45 $1,545.78 2026-03-31
J3380 HCPCS Vedolizumab 300 Mg IV Solr 15 15 $14,208.60 $8,667.25 39% off $4,473.68 $24,822.00 $5,754.48 2026-03-31
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contracept Sys, 52 Mg, 5 Year 18 14 $1,502.00 $916.22 39% off $146.22 $1,972.69 $990.76 2026-03-31
J7300 HCPCS Intraut Copper Contraceptive 14 14 $1,487.00 $907.07 39% off $525.65 $1,442.39 $1,059.29 2026-03-31
J7307 HCPCS Etonogestrel Implant System 14 14 $1,640.00 $1,000.40 39% off $579.74 $1,590.80 $1,132.34 2026-03-31
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 30 15 $18,496.70 $11,282.99 39% off $2,345.05 $23,310.40 $8,153.70 2026-03-31
J9023 HCPCS Avelumab 200 Mg/10ml IV Soln 12 12 $6,768.75 $4,128.94 39% off $2,289.53 $7,759.20 $2,903.79 2026-03-31
J9034 HCPCS Bendamustine Hcl 100 Mg/4ml IV Soln (bendeka) 12 12 $4,258.20 $2,597.50 39% off $1,440.34 $4,218.17 $1,636.78 2026-03-31
J9035 HCPCS Bevacizumab 100 Mg/4ml IV Soln 26 13 $4,049.65 $2,470.28 39% off $282.72 $6,415.47 $1,591.55 2026-03-31
J9039 HCPCS Blinatumomab 35 Mcg/2.8ml IV (wet Solr Vial) 26 13 $6,459.52 $3,940.31 39% off $749.48 $8,535.65 $3,044.26 2026-03-31
J9041 HCPCS Bortezomib 3.5 Mg Ij Solr 15 15 $3,402.45 $2,075.49 39% off $52.71 $3,370.47 $1,202.77 2026-03-31
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 13 13 $18,127.00 $11,057.47 39% off $3,157.72 $17,956.61 $7,341.44 2026-03-31
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 13 13 $28,964.35 $17,668.25 39% off $5,045.59 $28,692.09 $11,730.56 2026-03-31
J9061 HCPCS Amivantamab-vmjw 350 Mg/7ml IV Soln 12 12 $9,695.55 $5,914.29 39% off $3,279.52 $9,604.41 $3,798.22 2026-03-31
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 15 15 $16,037.85 $9,783.09 39% off $2,793.79 $15,887.09 $7,265.15 2026-03-31
J9153 HCPCS Daunorubicin-cytarabine Lipo 44-100 Mg/20ml IV (wet Susr Vial) 13 13 $17,196.50 $10,489.86 39% off $2,995.63 $17,034.85 $6,964.58 2026-03-31
J9173 HCPCS Durvalumab 120 Mg/2.4ml IV Soln 30 15 $4,745.68 $2,894.86 39% off $320.56 $7,579.23 $1,804.59 2026-03-31
J9179 HCPCS Eribulin Mesylate 1 Mg/2ml IV Soln 13 13 $2,500.40 $1,525.24 39% off $435.57 $2,476.90 $1,012.66 2026-03-31
J9202 HCPCS Goserelin Acetate 10.8 Mg Sc Impl 26 13 $2,926.38 $1,785.09 39% off $278.01 $4,216.84 $1,496.07 2026-03-31
J9205 HCPCS Irinotecan Hcl Liposome 43 Mg/10ml IV Susp 13 13 $5,244.15 $3,198.93 39% off $913.53 $5,194.85 $2,123.88 2026-03-31
J9207 HCPCS Ixabepilone 15 Mg IV Solr 26 13 $6,602.65 $4,027.62 39% off $575.54 $9,808.33 $3,239.97 2026-03-31
J9217 HCPCS Leuprolide Acetate (3 Month) 22.5 Mg IM Kit 84 15 $10,364.20 $6,322.16 39% off $120.35 $20,528.80 $1,334.64 2026-03-31
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 12 12 $13,470.15 $8,216.79 39% off $4,556.28 $13,343.53 $5,778.69 2026-03-31
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 24 12 $39,241.82 $23,937.51 39% off $5,633.06 $61,248.90 $18,705.52 2026-03-31
J9261 HCPCS Nelarabine 5 Mg/ml IV Soln 13 13 $3,217.80 $1,962.86 39% off $560.54 $3,187.55 $1,303.21 2026-03-31
J9263 HCPCS Oxaliplatin 100 Mg/20ml IV (wet Solr Vial) 26 13 $7,020.40 $4,282.44 39% off $817.90 $9,257.75 $3,301.80 2026-03-31
J9264 HCPCS Paclitaxel Protein-bound Part 100 Mg IV Susr 13 13 $2,959.15 $1,805.08 39% off $515.48 $2,931.33 $1,198.46 2026-03-31
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 13 13 $135,193.40 $82,467.97 39% off $23,550.69 $133,922.58 $54,753.33 2026-03-31
J9268 HCPCS Pentostatin 10 Mg IV Solr 13 13 $4,186.25 $2,553.61 39% off $729.24 $4,146.90 $1,695.43 2026-03-31
J9269 HCPCS Tagraxofusp-erzs 1000 Mcg/ml IV Soln 13 13 $54,524.65 $33,260.04 39% off $9,498.19 $54,012.12 $22,082.48 2026-03-31
J9271 HCPCS Pembrolizumab 100 Mg/4ml IV Soln 15 15 $24,428.85 $14,901.60 39% off $8,050.20 $35,112.00 $9,893.68 2026-03-31
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5ml IV Soln 12 12 $10,484.85 $6,395.76 39% off $3,546.50 $10,386.29 $4,316.88 2026-03-31
J9286 HCPCS Glofitamab-gxbm 2.5 Mg/2.5ml IV Soln 23 12 $6,706.55 $4,091.00 39% off $2,268.49 $6,643.56 $2,716.17 2026-03-31
J9299 HCPCS Nivolumab 100 Mg/10ml IV Soln 26 13 $14,609.62 $8,911.88 39% off $2,544.99 $14,472.32 $5,916.90 2026-03-31
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 13 13 $13,908.15 $8,483.97 39% off $2,422.80 $13,777.41 $5,632.80 2026-03-31
J9302 HCPCS Ofatumumab 100 Mg/5ml IV Conc 26 13 $15,388.35 $9,386.90 39% off $308.32 $28,734.14 $3,403.12 2026-03-31
J9303 HCPCS Panitumumab 100 Mg/5ml IV Soln 30 15 $14,729.43 $8,984.94 39% off $536.42 $26,131.53 $3,133.38 2026-03-31
J9305 HCPCS Pemetrexed Disodium 100 Mg IV Solr 60 15 $3,994.60 $2,436.70 39% off $38.98 $7,306.72 $1,273.89 2026-03-31
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 15 15 $11,231.40 $6,851.15 39% off $3,787.66 $20,412.00 $4,548.72 2026-03-31
J9307 HCPCS Pralatrexate 20 Mg/ml IV Soln 24 12 $28,448.53 $17,353.60 39% off $6,072.00 $37,573.11 $13,330.38 2026-03-31
J9308 HCPCS Ramucirumab 100 Mg/10ml IV Soln 24 12 $7,599.72 $4,635.84 39% off $858.04 $12,543.72 $3,398.02 2026-03-31
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 24 12 $9,230.70 $5,630.73 39% off $1,103.12 $18,270.00 $4,528.23 2026-03-31
J9311 HCPCS Rituximab-hyaluronidase Human 1400-23400 Mg -ut/11.7ml Sc Soln 12 12 $13,355.65 $8,146.95 39% off $4,517.55 $13,230.11 $5,454.12 2026-03-31
J9312 HCPCS Rituximab 100 Mg/10ml IV Soln 24 12 $5,726.85 $3,493.37 39% off $646.87 $9,451.61 $2,560.88 2026-03-31
J9317 HCPCS Sacituzumab Govitecan-hziy 180 Mg IV Solr 12 12 $4,213.10 $2,569.99 39% off $1,425.08 $4,173.50 $1,807.42 2026-03-31
J9345 HCPCS Retifanlimab-dlwr 500 Mg/20ml IV Soln 12 12 $36,637.75 $22,349.03 39% off $12,392.72 $36,293.36 $15,251.65 2026-03-31
J9347 HCPCS Tremelimumab-actl 300 Mg/15ml IV Soln 12 12 $51,573.10 $31,459.59 39% off $17,444.60 $51,088.31 $22,124.86 2026-03-31
J9350 HCPCS Mosunetuzumab-axgb 1 Mg/ml IV Soln 24 12 $42,328.00 $25,820.08 39% off $533.61 $82,297.51 $10,698.16 2026-03-31
J9352 HCPCS Trabectedin Continuous IV Infusion (chargeable Ccrx) 12 12 $6,481.30 $3,953.59 39% off $2,192.30 $6,420.38 $2,780.48 2026-03-31
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg IV Solr 24 12 $8,704.48 $5,309.73 39% off $2,265.24 $10,611.31 $3,907.85 2026-03-31
J9355 HCPCS Trastuzumab 150 Mg IV Solr 24 12 $3,181.43 $1,940.67 39% off $1,071.83 $3,164.08 $1,288.47 2026-03-31
J9400 HCPCS Ziv-aflibercept 100 Mg/4ml IV Soln 24 12 $2,441.15 $1,489.10 39% off $551.06 $3,222.57 $1,149.34 2026-03-31
Q4107 HCPCS Matrix Graftjacket 5x5cm 13 13 $4,208.00 $2,566.88 39% off $733.03 $4,168.44 $1,704.24 2026-03-31
Q4186 HCPCS Epifix, Per Sq Cm 65 13 $4,276.00 $2,608.36 39% off $513.72 $27,361.36 $2,572.78 2026-03-31
Q5099 HCPCS Ustekinumab-stba 130 Mg/26ml IV Soln 39 13 $5,092.05 $3,106.15 39% off $129.77 $10,083.27 $1,800.04 2026-03-31
Q5100 HCPCS Ustekinumab-kfce 130 Mg/26ml IV Soln 39 13 $3,659.15 $2,232.08 39% off $170.64 $7,244.41 $1,293.51 2026-03-31
Q5107 HCPCS Bevacizumab-awwb 100 Mg/4ml IV Soln 26 13 $3,280.62 $2,001.18 39% off $229.13 $5,196.59 $1,289.90 2026-03-31
Q5108 HCPCS Pegfilgrastim-jmdb 6 Mg/0.6ml Sc Sosy 15 15 $3,531.30 $2,154.09 39% off $615.15 $3,498.11 $1,516.74 2026-03-31
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6ml Sc Sosy 15 15 $6,367.30 $3,884.05 39% off $1,109.18 $6,307.45 $2,250.84 2026-03-31
Q5114 HCPCS Trastuzumab-dkst 150 Mg IV Solr 30 15 $4,469.25 $2,726.24 39% off $411.15 $6,516.46 $2,241.39 2026-03-31
Q5115 HCPCS Rituximab-abbs 100 Mg/10ml IV Soln 30 15 $3,617.25 $2,206.53 39% off $208.09 $5,983.17 $1,171.43 2026-03-31
Q5116 HCPCS Trastuzumab-qyyp 150 Mg IV Solr 24 12 $5,610.62 $3,422.48 39% off $245.55 $8,188.15 $2,832.58 2026-03-31
Q5117 HCPCS Trastuzumab-anns 150 Mg IV Solr 36 12 $2,579.55 $1,573.53 39% off $201.75 $7,088.88 $2,241.55 2026-03-31
Q5118 HCPCS Bevacizumab-bvzr 100 Mg/4ml IV Soln 24 12 $2,713.53 $1,655.25 39% off $215.10 $4,297.77 $1,067.06 2026-03-31
Q5119 HCPCS Rituximab-pvvr 100 Mg/10ml IV Soln 26 13 $3,674.95 $2,241.72 39% off $214.00 $6,063.91 $1,204.68 2026-03-31
Q5122 HCPCS Pegfilgrastim-apgf 6 Mg/0.6ml Sc Sosy 15 15 $6,523.10 $3,979.09 39% off $1,080.40 $6,461.78 $2,305.92 2026-03-31
Q5123 HCPCS Rituximab-arrx 100 Mg/10ml IV Soln 26 13 $4,206.35 $2,565.88 39% off $244.85 $6,941.28 $1,378.36 2026-03-31
Q5129 HCPCS Bevacizumab-adcd 100 Mg/4ml IV Soln 26 13 $8,173.82 $4,986.03 39% off $574.26 $12,928.42 $3,232.76 2026-03-31
Q5133 HCPCS Tocilizumab-bavi 400 Mg/20ml IV Soln 13 13 $5,413.10 $3,301.99 39% off $942.96 $5,362.22 $2,192.31 2026-03-31
Q5135 HCPCS Tocilizumab-aazg 400 Mg/20ml IV Soln 13 13 $4,775.85 $2,913.27 39% off $831.95 $4,730.96 $1,934.22 2026-03-31
Q5157 HCPCS Denosumab-bmwo 120 Mg/1.7ml Sc Soln 26 13 $6,166.93 $3,761.83 39% off $756.95 $7,913.46 $2,822.36 2026-03-31
Q9998 HCPCS Ustekinumab-aekn 130 Mg/26ml IV Soln 12 12 $3,415.55 $2,083.49 39% off $1,155.31 $3,383.44 $1,465.27 2026-03-31
V2632 HCPCS Toric Enhanced Iol Lens 12 12 $4,857.60 $2,963.14 39% off $132.54 $4,811.94 $1,842.24 2026-03-31
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