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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

MAYO CLINIC HEALTH SYSTEM NEW PRAGUE

New Prague, MN · CCN 241361 · Rates published

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You selected 93306 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

4,929 distinct procedures filed
311 distinct payers
6,867,432 rate rows
2026-03-31 last MRF observed
Data quality

2,336,781 of 6,867,432 rate rows are consumer-grade (34.0%)

4,530,651 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 4,527,775
per-diem day rate — not a per-procedure price 1,568
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,274
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 18
exceeds 10× this hospital's gross charge — excluded from medians 13
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mcorgstatic.blob.core.windows.net/cms-price/411236756_mayo-clinic-health-system-new-prague_standardcharges.csv
Found on page https://www.mayoclinichealthsystem.org/locations/new-prague/billing/cms-hospital-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint 2a3364d7b7caccdd… · 3,431,642,467 bytes · first seen 2026-05-07

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
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 292 $255.84 $161,500.00 $153,425.00 nat. median
$432
outlier · 354.8×
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 292 $24,664.18 $118,577.80 $112,648.91 nat. median
$2,868
outlier · 39.3×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 292 $216.90 $81,733.40 $77,646.73 nat. median
$742
outlier · 104.6×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 293 $3,660.83 $77,074.84 $75,485.67 nat. median
$9,200
outlier · 8.2×
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 293 $13,482.06 $82,537.95 $71,282.78 nat. median
$14,744
outlier · 4.8×
2281
APR_DRG 		Inguinal, Femoral And Umbilical Hernia Procedures 1 $70,138.61 $70,138.61 $70,138.61 nat. median
$7,501
outlier · 9.4×
RX-219415
CDM 		Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 292 $13,994.32 $67,280.40 $63,916.38 nat. median
$63,916
1.0× median
RX-707820
CDM 		Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 292 $13,994.32 $67,280.40 $63,916.38 nat. median
$63,916
1.0× median
7221
APR_DRG 		Fever And Inflammatory Conditions 1 $59,582.02 $59,582.02 $59,582.02 nat. median
$3,800
outlier · 15.7×
7201
APR_DRG 		Septicemia And Disseminated Infections 1 $58,441.07 $58,441.07 $58,441.07 nat. median
$5,125
outlier · 11.4×
3511
APR_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses 1 $57,812.99 $57,812.99 $57,812.99 nat. median
$4,513
outlier · 12.8×
J9274
HCPCS 		Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 292 $217.09 $60,346.80 $57,329.46 nat. median
$418
outlier · 137.2×
J0638
HCPCS 		Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 293 $141.60 $54,485.39 $53,361.98 nat. median
$253
outlier · 211.1×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 293 $59.41 $52,256.13 $51,178.69 nat. median
$470
outlier · 109.0×
33264
CPT 		Pr Rmvl&rplc Icd Gen Multi Lead 293 $323.95 $51,181.08 $50,125.80 nat. median
$31,574
1.6× median
2441
APR_DRG 		Diverticulitis And Diverticulosis 1 $47,223.50 $47,223.50 $47,223.50 nat. median
$4,474
outlier · 10.6×
4691
APR_DRG 		Acute Kidney Injury 1 $47,001.34 $47,001.34 $47,001.34 nat. median
$4,029
outlier · 11.7×
33249
CPT 		Pr Ins/rplc Dfib W Transven Lead 293 $723.02 $47,684.23 $46,701.05 nat. median
$31,620
1.5× median
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 292 $197.83 $44,253.00 $42,040.35 nat. median
$561
outlier · 74.9×
0620T
CPT 		Pr Endovasc Venous Arterialization Tibial/peroneal 292 $9,111.86 $48,101.03 $41,616.65 nat. median
$32,709
1.3× median
92930
CPT 		Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 292 $731.00 $41,245.37 $40,394.95 nat. median
$27,623
1.5× median
3471
APR_DRG 		Other Back And Neck Disorders, Fractures And Injuries 1 $40,347.59 $40,347.59 $40,347.59 nat. median
$5,343
outlier · 7.6×
33270
CPT 		Pr Ins/rplc Subq Icd W Subq Elec 293 $447.78 $40,353.94 $39,521.90 nat. median
$32,114
1.2× median
C2616
HCPCS 		Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 292 $8,629.40 $42,870.00 $39,413.13 nat. median
$26,836
1.5× median
J9334
HCPCS 		Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 292 $33.89 $41,450.60 $39,378.07 nat. median
$83
outlier · 475.4×
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 293 $227.28 $40,195.73 $39,366.96 nat. median
$735
outlier · 53.6×
93656
CPT 		Pr Ep Eval Tx Art Fib Pulm Vein 293 $718.24 $39,535.26 $38,720.10 nat. median
$27,236
1.4× median
1391
APR_DRG 		Other Pneumonia 1 $38,488.06 $38,488.06 $38,488.06 nat. median
$4,074
outlier · 9.4×
93654
CPT 		Pr Ep Eval W Vent Tachy Ablate 293 $763.57 $38,235.46 $37,447.10 nat. median
$27,016
1.4× median
4613
APR_DRG 		Kidney And Urinary Tract Malignancy 1 $36,627.79 $36,627.79 $36,627.79 nat. median
$11,060
outlier · 3.3×
C9767
HCPCS 		Hc Revasc Lithotrip-stent-ather 292 $7,984.08 $38,385.00 $36,465.75 nat. median
$20,608
1.8× median
4214
APR_DRG 		Malnutrition, Failure To Thrive And Other Nutritional Disorders 1 $36,464.67 $36,464.67 $36,464.67 nat. median
$19,781
1.8× median
33274
CPT 		Pr Rplc/insrt Transcath Leadls Pm 292 $571.47 $37,102.50 $36,337.50 nat. median
$19,643
1.8× median
4631
APR_DRG 		Kidney And Urinary Tract Infections 1 $36,181.46 $36,181.46 $36,181.46 nat. median
$4,171
outlier · 8.7×
37231
CPT 		Pr Revasc Tib/pero Stnt&arth&angp 293 $473.80 $43,050.25 $35,563.25 nat. median
$18,389
1.9× median
C9607
HCPCS 		Hc Perc Translum Revasc Cor Sngl 292 $7,783.36 $37,420.00 $35,549.00 nat. median
$20,030
1.8× median
C9602
HCPCS 		Hc Perc Translum Ather Wangio Sng 292 $7,542.50 $36,262.00 $34,448.90 nat. median
$20,101
1.7× median
C9606
HCPCS 		Hc Perc Translum Revasc Ami Sngl 292 $7,509.84 $36,105.00 $34,299.75 nat. median
$17,846
1.9× median
33263
CPT 		Pr Rmvl&rplc Icd Gen Dual Lead 293 $312.27 $34,094.53 $33,391.55 nat. median
$23,376
1.4× median
J9272
HCPCS 		Dostarlimab-gxly 50 Mg/ml Intravenous Solution 292 $243.71 $34,619.50 $32,888.53 nat. median
$786
outlier · 41.8×
33262
CPT 		Pr Rmvl&rplc Icd Gen Sngl Lead 293 $300.84 $33,481.49 $32,791.15 nat. median
$23,311
1.4× median
J9382
HCPCS 		Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 292 $7,164.89 $34,446.60 $32,724.27 nat. median
$115
outlier · 284.4×
93653
CPT 		Pr Ep Eval W Supravent Ablate 293 $633.43 $32,747.20 $32,072.00 nat. median
$26,652
1.2× median
J9022
HCPCS 		Atezolizumab 60 Mg/ml Intravenous Solution (wrapper) 293 $7,007.52 $32,679.30 $32,005.50 nat. median
$6,785
outlier · 4.7×
J9024
HCPCS 		Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 292 $31.58 $33,689.90 $32,005.41 nat. median
$87
outlier · 368.5×
36836
CPT 		Pr Perq Av Fistula Creation Uxtr Single Access 292 $6,626.88 $30,904.20 $30,267.00 nat. median
$17,555
1.7× median
J9144
HCPCS 		Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 293 $55.57 $30,639.00 $30,007.27 nat. median
$211
outlier · 141.9×
2451
APR_DRG 		Inflammatory Bowel Disease 1 $28,466.30 $28,466.30 $28,466.30 nat. median
$4,903
outlier · 5.8×
J2329
HCPCS 		Ublituximab-xiiy 25 Mg/ml Intravenous Solution 292 $6,207.28 $29,842.70 $28,350.57 nat. median
$177
outlier · 160.1×
37290
CPT 		Pr Revsc Evsc Tpvt Athrc Cplx 1 292 $6,082.13 $28,363.77 $27,778.95 nat. median
$22,780
1.2× median

Other procedures at this hospital

Browse this hospital's 4,929 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
             
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 372 292 $161,500.00 $121,125.00 25% off $255.84 $161,500.00 $153,425.00 2026-03-31
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 372 292 $118,577.80 $88,933.35 25% off $24,664.18 $118,577.80 $112,648.91 2026-03-31
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 372 292 $81,733.40 $61,300.05 25% off $216.90 $81,733.40 $77,646.73 2026-03-31
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 374 293 $79,458.60 $59,593.95 25% off $3,660.83 $77,074.84 $75,485.67 2026-03-31
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 374 293 $75,034.50 $56,275.88 25% off $13,482.06 $82,537.95 $71,282.78 2026-03-31
2281 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 1 1 — — $70,138.61 $70,138.61 $70,138.61 2026-03-31
RX-707820 CDM Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 372 292 $67,280.40 $50,460.30 25% off $13,994.32 $67,280.40 $63,916.38 2026-03-31
RX-219415 CDM Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 372 292 $67,280.40 $50,460.30 25% off $13,994.32 $67,280.40 $63,916.38 2026-03-31
7221 APR_DRG Fever And Inflammatory Conditions 1 1 — — $59,582.02 $59,582.02 $59,582.02 2026-03-31
7201 APR_DRG Septicemia And Disseminated Infections 1 1 — — $58,441.07 $58,441.07 $58,441.07 2026-03-31
3511 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 1 1 — — $57,812.99 $57,812.99 $57,812.99 2026-03-31
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 372 292 $60,346.80 $45,260.10 25% off $217.09 $60,346.80 $57,329.46 2026-03-31
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 374 293 $56,170.50 $42,127.88 25% off $141.60 $54,485.39 $53,361.98 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 374 293 $53,872.30 $40,404.23 25% off $59.41 $52,256.13 $51,178.69 2026-03-31
33264 CPT Pr Rmvl&rplc Icd Gen Multi Lead 374 293 $52,764.00 $39,573.00 25% off $323.95 $51,181.08 $50,125.80 2026-03-31
2441 APR_DRG Diverticulitis And Diverticulosis 1 1 — — $47,223.50 $47,223.50 $47,223.50 2026-03-31
4691 APR_DRG Acute Kidney Injury 1 1 — — $47,001.34 $47,001.34 $47,001.34 2026-03-31
33249 CPT Pr Ins/rplc Dfib W Transven Lead 374 293 $49,159.00 $36,869.25 25% off $723.02 $47,684.23 $46,701.05 2026-03-31
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 372 292 $44,253.00 $33,189.75 25% off $197.83 $44,253.00 $42,040.35 2026-03-31
0620T CPT Pr Endovasc Venous Arterialization Tibial/peroneal 372 292 $43,807.00 $32,855.25 25% off $9,111.86 $48,101.03 $41,616.65 2026-03-31
92930 CPT Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 372 292 $42,521.00 $31,890.75 25% off $731.00 $41,245.37 $40,394.95 2026-03-31
3471 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 1 1 — — $40,347.59 $40,347.59 $40,347.59 2026-03-31
33270 CPT Pr Ins/rplc Subq Icd W Subq Elec 374 293 $41,602.00 $31,201.50 25% off $447.78 $40,353.94 $39,521.90 2026-03-31
C2616 HCPCS Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 742 292 $41,487.50 $31,115.63 25% off $8,629.40 $42,870.00 $39,413.13 2026-03-31
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 372 292 $41,450.60 $31,087.95 25% off $33.89 $41,450.60 $39,378.07 2026-03-31
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 374 293 $41,438.90 $31,079.18 25% off $227.28 $40,195.73 $39,366.96 2026-03-31
93656 CPT Pr Ep Eval Tx Art Fib Pulm Vein 374 293 $40,758.00 $30,568.50 25% off $718.24 $39,535.26 $38,720.10 2026-03-31
1391 APR_DRG Other Pneumonia 1 1 — — $38,488.06 $38,488.06 $38,488.06 2026-03-31
93654 CPT Pr Ep Eval W Vent Tachy Ablate 374 293 $39,418.00 $29,563.50 25% off $763.57 $38,235.46 $37,447.10 2026-03-31
4613 APR_DRG Kidney And Urinary Tract Malignancy 1 1 — — $36,627.79 $36,627.79 $36,627.79 2026-03-31
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 744 292 $38,385.00 $28,788.75 25% off $7,984.08 $38,385.00 $36,465.75 2026-03-31
4214 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 1 1 — — $36,464.67 $36,464.67 $36,464.67 2026-03-31
33274 CPT Pr Rplc/insrt Transcath Leadls Pm 372 292 $38,250.00 $28,687.50 25% off $571.47 $37,102.50 $36,337.50 2026-03-31
4631 APR_DRG Kidney And Urinary Tract Infections 1 1 — — $36,181.46 $36,181.46 $36,181.46 2026-03-31
37231 CPT Pr Revasc Tib/pero Stnt&arth&angp 374 293 $37,435.00 $28,076.25 25% off $473.80 $43,050.25 $35,563.25 2026-03-31
C9607 HCPCS Hc Perc Translum Revasc Cor Sngl 372 292 $37,420.00 $28,065.00 25% off $7,783.36 $37,420.00 $35,549.00 2026-03-31
C9602 HCPCS Hc Perc Translum Ather Wangio Sng 372 292 $36,262.00 $27,196.50 25% off $7,542.50 $36,262.00 $34,448.90 2026-03-31
C9606 HCPCS Hc Perc Translum Revasc Ami Sngl 372 292 $36,105.00 $27,078.75 25% off $7,509.84 $36,105.00 $34,299.75 2026-03-31
33263 CPT Pr Rmvl&rplc Icd Gen Dual Lead 374 293 $35,149.00 $26,361.75 25% off $312.27 $34,094.53 $33,391.55 2026-03-31
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 372 292 $34,619.50 $25,964.63 25% off $243.71 $34,619.50 $32,888.53 2026-03-31
33262 CPT Pr Rmvl&rplc Icd Gen Sngl Lead 374 293 $34,517.00 $25,887.75 25% off $300.84 $33,481.49 $32,791.15 2026-03-31
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 372 292 $34,446.60 $25,834.95 25% off $7,164.89 $34,446.60 $32,724.27 2026-03-31
93653 CPT Pr Ep Eval W Supravent Ablate 374 293 $33,760.00 $25,320.00 25% off $633.43 $32,747.20 $32,072.00 2026-03-31
J9022 HCPCS Atezolizumab 60 Mg/ml Intravenous Solution (wrapper) 374 293 $33,690.00 $25,267.50 25% off $7,007.52 $32,679.30 $32,005.50 2026-03-31
J9024 HCPCS Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 372 292 $33,689.90 $25,267.43 25% off $31.58 $33,689.90 $32,005.41 2026-03-31
36836 CPT Pr Perq Av Fistula Creation Uxtr Single Access 372 292 $31,860.00 $23,895.00 25% off $6,626.88 $30,904.20 $30,267.00 2026-03-31
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 375 293 $31,586.60 $23,689.95 25% off $55.57 $30,639.00 $30,007.27 2026-03-31
2451 APR_DRG Inflammatory Bowel Disease 1 1 — — $28,466.30 $28,466.30 $28,466.30 2026-03-31
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 372 292 $29,842.70 $22,382.03 25% off $6,207.28 $29,842.70 $28,350.57 2026-03-31
37290 CPT Pr Revsc Evsc Tpvt Athrc Cplx 1 372 292 $29,241.00 $21,930.75 25% off $6,082.13 $28,363.77 $27,778.95 2026-03-31
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 372 292 $29,126.00 $21,844.50 25% off $6,058.21 $29,126.00 $27,669.70 2026-03-31
37227 CPT Pr Revasc Fem/pop W Stnt/athr/ang 374 293 $28,923.00 $21,692.25 25% off $451.43 $33,261.45 $27,476.85 2026-03-31
37294 CPT Pr Rvsc Evsc Tpvt St Athr Cpx 1 372 292 $28,870.00 $21,652.50 25% off $6,004.96 $28,003.90 $27,426.50 2026-03-31
1943 APR_DRG Heart Failure 1 1 — — $27,322.88 $27,322.88 $27,322.88 2026-03-31
C9604 HCPCS Hc Perc Translum Revasc Sngl Vssl 372 292 $28,385.00 $21,288.75 25% off $5,904.08 $28,385.00 $26,965.75 2026-03-31
37277 CPT Pr Rvsc Evsc Fpvt St Athr Cpx 1 372 292 $28,299.00 $21,224.25 25% off $5,886.19 $27,450.03 $26,884.05 2026-03-31
C9600 HCPCS Hc Perc Transcath Plct Drug Stnt Sng 372 292 $28,199.00 $21,149.25 25% off $5,865.39 $28,199.00 $26,789.05 2026-03-31
2803 APR_DRG Alcoholic Liver Disease 1 1 — — $26,615.56 $26,615.56 $26,615.56 2026-03-31
2843 APR_DRG Disorders Of Gallbladder And Biliary Tract 1 1 — — $26,528.95 $26,528.95 $26,528.95 2026-03-31
37273 CPT Pr Revsc Evsc Fpvt Athrc Cplx 1 372 292 $27,895.00 $20,921.25 25% off $5,802.16 $27,058.15 $26,500.25 2026-03-31
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 372 292 $27,620.10 $20,715.08 25% off $5,744.98 $27,620.10 $26,239.10 2026-03-31
92941 CPT Pr Perc Revasc Trans Mi Sngl Vesl 374 293 $27,605.00 $20,703.75 25% off $420.14 $26,776.85 $26,224.75 2026-03-31
92933 CPT Pr Ptca Intracor Stnt Sngl Mjr 374 293 $26,965.00 $20,223.75 25% off $491.39 $26,156.05 $25,616.75 2026-03-31
92945 CPT Pr Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 372 292 $26,778.00 $20,083.50 25% off $913.95 $25,974.66 $25,439.10 2026-03-31
37230 CPT Pr Revasc Tib/pero W Stent&angiop 374 293 $26,178.00 $19,633.50 25% off $438.19 $30,104.70 $24,869.10 2026-03-31
J9228 HCPCS Ipilimumab 5 Mg/ml Intravenous Solution (wrapper) 374 293 $26,168.10 $19,626.08 25% off $183.48 $25,383.06 $24,859.70 2026-03-31
483 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 1 1 — — $24,848.69 $24,848.69 $24,848.69 2026-03-31
2841 APR_DRG Disorders Of Gallbladder And Biliary Tract 1 1 — — $24,758.19 $24,758.19 $24,758.19 2026-03-31
37226 CPT Pr Revasc Fem/pop W Stent/angplst 374 293 $25,778.00 $19,333.50 25% off $325.34 $29,644.70 $24,489.10 2026-03-31
37229 CPT Pr Revasc Tib/peroneal W Athrc 374 293 $25,713.00 $19,284.75 25% off $440.36 $29,569.95 $24,427.35 2026-03-31
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 372 292 $25,675.30 $19,256.47 25% off $5,340.46 $25,675.30 $24,391.54 2026-03-31
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 375 293 $25,557.80 $19,168.35 25% off $5,316.02 $24,791.07 $24,279.91 2026-03-31
37298 CPT Pr Revsc Evsc Imvt Angio Cplx 1 372 292 $25,473.00 $19,104.75 25% off $5,132.30 $24,708.81 $24,199.35 2026-03-31
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 374 293 $25,148.30 $18,861.22 25% off $34.05 $24,393.85 $23,890.89 2026-03-31
4203 APR_DRG Diabetes 1 1 — — $23,745.85 $23,745.85 $23,745.85 2026-03-31
37221 CPT Pr Revasc Opn/perc Iliac W Stent 374 293 $24,560.00 $18,420.00 25% off $278.11 $28,244.00 $23,332.00 2026-03-31
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 374 293 $24,133.80 $18,100.35 25% off $79.00 $23,409.79 $22,927.11 2026-03-31
37286 CPT Pr Revsc Evasc Tpvt St Cplx 1st 372 292 $23,931.00 $17,948.25 25% off $4,977.65 $23,213.07 $22,734.45 2026-03-31
J9223 HCPCS Lurbinectedin 4 Mg/8 Ml Intravenous Solution (wetted) 374 293 $23,868.50 $17,901.38 25% off $207.13 $23,152.45 $22,675.08 2026-03-31
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 372 292 $23,835.00 $17,876.25 25% off $4,957.68 $23,835.00 $22,643.25 2026-03-31
C9772 HCPCS Hc Revasc Lithotrip Tibi/perone 372 292 $23,721.00 $17,790.75 25% off $4,933.97 $23,721.00 $22,534.95 2026-03-31
1373 APR_DRG Major Respiratory Infections And Inflammations 1 1 — — $22,475.55 $22,475.55 $22,475.55 2026-03-31
C9601 HCPCS Hc Perc Transcath Plct Drug Stnt Add 370 290 $23,594.00 $17,695.50 25% off $4,907.55 $23,594.00 $22,414.30 2026-03-31
92924 CPT Pr Ptca W Cor Angio Sngl Mjr 374 293 $23,469.00 $17,601.75 25% off $416.77 $22,764.93 $22,295.55 2026-03-31
33208 CPT Pr Ins/rplc Pcmkr Atrial & Vent 374 293 $23,224.00 $17,418.00 25% off $413.35 $22,527.28 $22,062.80 2026-03-31
37288 CPT Pr Revsc Evsc Tpvt Athrc Sf 1st 372 292 $23,124.00 $17,343.00 25% off $4,809.79 $22,430.28 $21,967.80 2026-03-31
37282 CPT Pr Rvsc Evsc Tpvt Angio Cplx 1 372 292 $23,121.00 $17,340.75 25% off $4,809.17 $22,427.37 $21,964.95 2026-03-31
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 372 292 $23,010.70 $17,258.03 25% off $4,786.23 $23,010.70 $21,860.17 2026-03-31
33206 CPT Pr Ins/rplc Pcmkr Atrial 374 293 $22,911.00 $17,183.25 25% off $367.16 $22,223.67 $21,765.45 2026-03-31
92928 CPT Pr Plc Intracor Stnt Sngl 374 293 $22,745.00 $17,058.75 25% off $411.64 $22,062.65 $21,607.75 2026-03-31
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 375 293 $22,623.10 $16,967.33 25% off $24.00 $21,944.41 $21,491.95 2026-03-31
C9603 HCPCS Hc Perc Translum Ather Wangio Ea Add 370 290 $22,591.00 $16,943.25 25% off $4,698.93 $22,591.00 $21,461.45 2026-03-31
Q3027 HCPCS Interferon Beta-1a 30 Mcg/0.5 Ml Intramuscular (wrapper) 374 293 $22,532.40 $16,899.30 25% off $912.18 $24,785.64 $21,405.78 2026-03-31
92937 CPT Pr Perc Revasc Trans Cor Sngl Vesl 374 293 $22,414.00 $16,810.50 25% off $464.83 $21,741.58 $21,293.30 2026-03-31
33229 CPT Pr Rplc Perm Gen Mult Lead 374 293 $22,332.00 $16,749.00 25% off $301.19 $21,662.04 $21,215.40 2026-03-31
37271 CPT Pr Revsc Evsc Fpvt Athrc Sf 1st 372 292 $22,137.00 $16,602.75 25% off $4,604.50 $21,472.89 $21,030.15 2026-03-31
552 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 1 1 — — $20,676.93 $20,676.93 $20,676.93 2026-03-31
1393 APR_DRG Other Pneumonia 1 1 — — $20,676.93 $20,676.93 $20,676.93 2026-03-31
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 744 292 $29,051.30 $21,788.47 25% off $4,431.27 $36,798.40 $20,665.07 2026-03-31
37228 CPT Pr Revasc Tib/pero W Angplst Unilat 374 293 $21,704.00 $16,278.00 25% off $340.01 $24,959.60 $20,618.80 2026-03-31
2493 APR_DRG Other Gastroenteritis, Nausea And Vomiting 1 1 — — $20,573.00 $20,573.00 $20,573.00 2026-03-31
37242 CPT Pr Vasc Embl/occlude Arterial 374 293 $21,494.00 $16,120.50 25% off $380.00 $20,849.18 $20,419.30 2026-03-31
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 372 292 $21,493.00 $16,119.75 25% off $4,470.54 $21,493.00 $20,418.35 2026-03-31
1394 APR_DRG Other Pneumonia 1 1 — — $20,256.87 $20,256.87 $20,256.87 2026-03-31
36905 CPT Pr Av Fistula Pta Thrombectomy 372 292 $21,290.00 $15,967.50 25% off $3,343.49 $20,651.30 $20,225.50 2026-03-31
92943 CPT Pr Perc Revasc Trans Chr Sngl Vesl 374 293 $21,248.00 $15,936.00 25% off $563.02 $20,610.56 $20,185.60 2026-03-31
36903 CPT Pr Av Fistula Stent 372 292 $21,239.00 $15,929.25 25% off $4,417.71 $20,601.83 $20,177.05 2026-03-31
36906 CPT Pr Av Fistula Stent Thrombectomy 372 292 $21,146.00 $15,859.50 25% off $4,398.37 $20,511.62 $20,088.70 2026-03-31
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg/4 Ml Intravenous Solution (wetted) 372 292 $21,058.30 $15,793.73 25% off $188.76 $21,058.30 $20,005.39 2026-03-31
37225 CPT Pr Revasc Fem/pop W Athrc/angplst 374 293 $20,831.00 $15,623.25 25% off $377.31 $23,955.65 $19,789.45 2026-03-31
37241 CPT Pr Vasc Embl/occlude Venous 374 293 $20,631.00 $15,473.25 25% off $342.49 $20,012.07 $19,599.45 2026-03-31
92929 CPT Hc Plc Intracor Stnt Ea Add 372 292 $20,621.00 $15,465.75 25% off $4,289.17 $20,621.00 $19,589.95 2026-03-31
452 APR_DRG Cva And Precerebral Occlusion With Infarction 1 1 — — $19,559.65 $19,559.65 $19,559.65 2026-03-31
37258 CPT Pr Revsc Evasc Ivt Stent Sf 1st 372 292 $20,526.00 $15,394.50 25% off $4,269.41 $19,910.22 $19,499.70 2026-03-31
482 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 1 1 — — $19,236.30 $19,236.30 $19,236.30 2026-03-31
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 377 293 $20,226.50 $15,169.88 25% off $172.22 $19,619.71 $19,215.18 2026-03-31
J9331 HCPCS Sirolimus-protein Bound 100 Mg Intravenous Suspension 372 292 $20,018.00 $15,013.50 25% off $84.57 $20,018.00 $19,017.10 2026-03-31
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 374 293 $19,632.30 $14,724.23 25% off $17.02 $19,043.33 $18,650.69 2026-03-31
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 372 292 $19,572.30 $14,679.23 25% off $4,071.04 $19,572.30 $18,593.69 2026-03-31
33207 CPT Pr Ins/rplc Pcmkr Vent 374 293 $19,378.00 $14,533.50 25% off $383.48 $18,796.66 $18,409.10 2026-03-31
33228 CPT Pr Rplc Perm Gen Dual Lead 374 293 $19,304.00 $14,478.00 25% off $287.90 $18,724.88 $18,338.80 2026-03-31
37243 CPT Pr Vasc Embl/occlude Tmr Infarct 374 293 $19,158.00 $14,368.50 25% off $453.38 $18,583.26 $18,200.10 2026-03-31
8112 APR_DRG Allergic Reactions 1 1 — — $18,162.32 $18,162.32 $18,162.32 2026-03-31
37236 CPT Pr Plc Opn/perc Stent Init 374 293 $18,926.00 $14,194.50 25% off $344.94 $18,358.22 $17,979.70 2026-03-31
37244 CPT Pr Vasc Embl/occlude Hemorrhage 374 293 $18,816.00 $14,112.00 25% off $532.12 $18,251.52 $17,875.20 2026-03-31
3512 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 1 1 — — $17,870.73 $17,870.73 $17,870.73 2026-03-31
37280 CPT Pr Revsc Evsc Tpvt Angio Sf 1st 372 292 $18,431.00 $13,823.25 25% off $3,833.65 $17,878.07 $17,509.45 2026-03-31
93461 CPT Pr Cath Plc Art/grft Ang W R&l Hrt 374 293 $18,302.00 $13,726.50 25% off $1,321.96 $17,752.94 $17,386.90 2026-03-31
2822 APR_DRG Disorders Of Pancreas Except Malignancy 1 1 — — $17,001.74 $17,001.74 $17,001.74 2026-03-31
1402 APR_DRG Chronic Obstructive Pulmonary Disease 1 1 — — $16,811.19 $16,811.19 $16,811.19 2026-03-31
37238 CPT Pr Plc Opn/perc Stent Same Init 374 293 $17,437.00 $13,077.75 25% off $242.67 $16,913.89 $16,565.15 2026-03-31
27130 CPT Pr Arthro Acetab&fem Prosth (tha) 373 292 $17,244.00 $12,933.00 25% off $1,078.05 $16,726.68 $16,381.80 2026-03-31
33285 CPT Pr Impl Pt Actv Card Event Record 374 293 $17,228.00 $12,921.00 25% off $67.76 $16,711.16 $16,366.60 2026-03-31
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 375 293 $17,201.30 $12,900.98 25% off $60.29 $16,685.26 $16,341.24 2026-03-31
3832 APR_DRG Cellulitis And Other Skin Infections 1 1 — — $16,251.11 $16,251.11 $16,251.11 2026-03-31
1392 APR_DRG Other Pneumonia 1 1 — — $16,023.03 $16,023.03 $16,023.03 2026-03-31
J9039 HCPCS Blinatumomab 35 Mcg Intravenous (wrapper) 374 293 $16,850.20 $12,637.65 25% off $164.25 $16,344.69 $16,007.69 2026-03-31
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 374 293 $16,755.20 $12,566.40 25% off $225.11 $16,252.54 $15,917.44 2026-03-31
1332 APR_DRG Respiratory Failure 1 1 — — $15,815.17 $15,815.17 $15,815.17 2026-03-31
37187 CPT Pr Thrmbct Mech Trluml Vein 374 293 $16,597.00 $12,447.75 25% off $316.30 $16,099.09 $15,767.15 2026-03-31
47554 CPT Pr Bilry Endo Perc Via T-tube W Rmvl 374 293 $16,587.00 $12,440.25 25% off $368.82 $16,089.39 $15,757.65 2026-03-31
J9311 HCPCS Rituximab 1,400 Mg/11.7 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln 374 293 $16,565.60 $12,424.20 25% off $3,445.64 $16,068.63 $15,737.32 2026-03-31
37224 CPT Pr Revasc Fem/pop W Angplst Unilat 374 293 $16,175.00 $12,131.25 25% off $251.03 $18,601.25 $15,366.25 2026-03-31
4632 APR_DRG Kidney And Urinary Tract Infections 1 1 — — $15,307.05 $15,307.05 $15,307.05 2026-03-31
47383 CPT Pr Ablt Perc Liver Tmr Cryoablat 374 293 $16,104.00 $12,078.00 25% off $379.03 $15,620.88 $15,298.80 2026-03-31
33225 CPT Hc Ins Pacing Elctd Lv Lead Add 372 291 $15,770.00 $11,827.50 25% off $351.28 $15,296.90 $14,981.50 2026-03-31
5662 APR_DRG Antepartum Without O.r. Procedure 1 1 — — $14,816.25 $14,816.25 $14,816.25 2026-03-31
4202 APR_DRG Diabetes 1 1 — — $14,611.27 $14,611.27 $14,611.27 2026-03-31
27138 CPT Pr Rev Total Hip Femoral Only 372 292 $15,377.00 $11,532.75 25% off $1,264.39 $14,915.69 $14,608.15 2026-03-31
33227 CPT Pr Rplc Perm Gen Sngl Lead 374 293 $15,344.00 $11,508.00 25% off $276.12 $14,883.68 $14,576.80 2026-03-31
37222 CPT Hc Revasc Iliac Arty Ea Ipsi Vssl 374 293 $15,123.00 $11,342.25 25% off $116.70 $17,391.45 $14,366.85 2026-03-31
93655 CPT Hc Ablt Arrhythmia Add On 372 291 $14,891.00 $11,168.25 25% off $232.14 $14,444.27 $14,146.45 2026-03-31
37234 CPT Hc Revasc Tib/pero Stnt&angiop Ea 374 293 $14,875.00 $11,156.25 25% off $178.30 $17,106.25 $14,131.25 2026-03-31
2492 APR_DRG Other Gastroenteritis, Nausea And Vomiting 1 1 — — $14,022.32 $14,022.32 $14,022.32 2026-03-31
J9011 HCPCS Datopotamab Deruxtecan-dlnk 100 Mg/5 Ml Intravenous Solution (wetted) 372 292 $14,341.70 $10,756.28 25% off $2,983.07 $14,341.70 $13,624.62 2026-03-31
50593 CPT Pr Ablation Renal Tumor Perc Cryo 374 293 $14,306.00 $10,729.50 25% off $378.73 $13,876.82 $13,590.70 2026-03-31
7752 APR_DRG Alcohol Abuse And Dependence 1 1 — — $13,468.01 $13,468.01 $13,468.01 2026-03-31
93620 CPT Pr Ep Eval W Arrhythmia 374 293 $14,166.00 $10,624.50 25% off $923.08 $13,741.02 $13,457.70 2026-03-31
J0491 HCPCS Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution 372 292 $14,154.70 $10,616.03 25% off $18.08 $14,154.70 $13,446.97 2026-03-31
37220 CPT Pr Revasc Iliac Artery Init Vessel 374 293 $13,910.00 $10,432.50 25% off $226.77 $15,996.50 $13,214.50 2026-03-31
37233 CPT Hc Revasc Tib/pero Athr&angiop Ea 372 291 $13,890.00 $10,417.50 25% off $2,889.12 $15,973.50 $13,195.50 2026-03-31
93453 CPT Pr Rt&lt Hrt Cath W Ventriclgrphy 374 293 $13,890.00 $10,417.50 25% off $1,112.95 $13,473.30 $13,195.50 2026-03-31
J0517 HCPCS Benralizumab 30 Mg/ml Subcutaneous Syringe 374 293 $13,676.50 $10,257.38 25% off $2,844.71 $13,266.21 $12,992.68 2026-03-31
J2783 HCPCS Rasburicase 7.5 Mg Intravenous Solution 374 293 $13,629.00 $10,221.75 25% off $377.52 $13,220.13 $12,947.55 2026-03-31
A9586 HCPCS Florbetapir F-18 10 Mci (370 Mbq) Intravenous Solution 372 292 $13,597.50 $10,198.13 25% off $1,825.64 $13,597.50 $12,917.63 2026-03-31
33990 CPT Pr Ins Perc Vent Assist Dev Left Heart Arterial Only W Img 372 291 $13,570.00 $10,177.50 25% off $278.21 $13,162.90 $12,891.50 2026-03-31
27487 CPT Pr Rev Tot Knee Arthro Fem&tib 372 292 $13,549.00 $10,161.75 25% off $1,457.47 $19,147.84 $12,871.55 2026-03-31
93459 CPT Pr Cath Plc Arty/grft Ang W L Hrt 374 293 $13,411.00 $10,058.25 25% off $1,081.49 $13,008.67 $12,740.45 2026-03-31
33216 CPT Pr Ins Sngl Eltrd/ppcmkr/icd 374 293 $13,388.00 $10,041.00 25% off $304.05 $12,986.36 $12,718.60 2026-03-31
93460 CPT Pr Cath Plc Art/ven Ang W R&l Hrt 374 293 $13,371.00 $10,028.25 25% off $1,199.76 $12,969.87 $12,702.45 2026-03-31
92920 CPT Pr Ptca Sngl Mjr Arty/brnch 374 293 $13,369.00 $10,026.75 25% off $343.70 $12,967.93 $12,700.55 2026-03-31
36908 CPT Hc Av Fistula Stent Central 370 290 $13,332.00 $9,999.00 25% off $2,115.89 $12,932.04 $12,665.40 2026-03-31
36832 CPT Pr Rev Art Ven Fstl Wo Thrmbct 374 293 $13,182.00 $9,886.50 25% off $614.33 $12,786.54 $12,522.90 2026-03-31
64555 CPT Pr Impl Neurostim Peripheral Perc 374 293 $12,927.00 $9,695.25 25% off $282.81 $12,539.19 $12,280.65 2026-03-31
0201T CPT Hc Perc Sacrl Augmntation Bilat 372 292 $12,905.00 $9,678.75 25% off $2,684.24 $12,517.85 $12,259.75 2026-03-31
36902 CPT Pr Av Fistula Pta 372 292 $12,877.00 $9,657.75 25% off $1,804.62 $12,490.69 $12,233.15 2026-03-31
1412 APR_DRG Asthma 1 1 — — $12,116.88 $12,116.88 $12,116.88 2026-03-31
J9173 HCPCS Durvalumab 50 Mg/ml Intravenous Solution 374 293 $12,707.90 $9,530.92 25% off $2,643.24 $12,326.66 $12,072.51 2026-03-31
J9038 HCPCS Axatilimab-csfr 50 Mg/ml Intravenous Solution 744 292 $20,965.20 $15,723.90 25% off $2,569.13 $29,578.80 $11,981.05 2026-03-31
36907 CPT Hc Av Fistula Pta Central 370 290 $12,564.00 $9,423.00 25% off $872.13 $12,187.08 $11,935.80 2026-03-31
33210 CPT Pr Ins/rplc Temp Elec/pcmkr Sngl 374 293 $12,358.00 $9,268.50 25% off $125.91 $11,987.26 $11,740.10 2026-03-31
22510 CPT Pr Perc Cervicothoracic Inject 374 293 $12,326.00 $9,244.50 25% off $358.36 $11,956.22 $11,709.70 2026-03-31
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg/5 Ml Intravenous Solution (wetted) 746 293 $12,004.00 $9,003.00 25% off $42.16 $18,368.21 $11,643.88 2026-03-31
22514 CPT Pr Perc Vert Agmntj Cav Crtj Lmbr 374 293 $12,216.00 $9,162.00 25% off $393.69 $11,849.52 $11,605.20 2026-03-31
0644T CPT Pr Tcat Rmvl/dblk Icar Mas Perq 372 292 $12,165.00 $9,123.75 25% off $2,507.93 $11,800.05 $11,556.75 2026-03-31
22511 CPT Pr Perc Lumbosacral Injection 374 293 $12,157.00 $9,117.75 25% off $338.76 $11,792.29 $11,549.15 2026-03-31
93650 CPT Pr Ablt Av Node 374 293 $12,153.00 $9,114.75 25% off $444.22 $11,788.41 $11,545.35 2026-03-31
J9200 HCPCS Floxuridine 0.5 Gram/5 Ml Solution For Injection (wetted) 374 293 $12,145.60 $9,109.20 25% off $2,526.28 $11,781.23 $11,538.32 2026-03-31
93456 CPT Pr Cath Plc Cor Arty/ang W Rt Hrt 374 293 $12,132.00 $9,099.00 25% off $1,091.29 $11,768.04 $11,525.40 2026-03-31
0913T CPT Pr Prq Tcat Ther Rx Ntrac Balo1 372 292 $12,113.00 $9,084.75 25% off $2,519.50 $12,606.85 $11,507.35 2026-03-31
22513 CPT Pr Perc Vertebplsty Cavty Img Guid 1 374 293 $12,092.00 $9,069.00 25% off $420.13 $11,729.24 $11,487.40 2026-03-31
A9582 HCPCS Iobenguane Sulfate I-123 10 Mci/5 Ml (370 Mbq/5 Ml) Intravenous Soln 372 292 $12,059.00 $9,044.25 25% off $2,317.50 $12,059.00 $11,456.05 2026-03-31
77373 CPT Hc Stereotactic Body Radtn Del 374 293 $12,020.00 $9,015.00 25% off $1,000.91 $11,659.40 $11,419.00 2026-03-31
J9312 HCPCS Rituximab 10 Mg/ml Concentrate,intravenous 374 293 $11,961.30 $8,970.98 25% off $2,487.95 $11,602.46 $11,363.24 2026-03-31
93455 CPT Pr Cath Plc Cor Arty/grft Angio 374 293 $11,903.00 $8,927.25 25% off $976.27 $11,545.91 $11,307.85 2026-03-31
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 372 292 $11,901.00 $8,925.75 25% off $2,000.94 $11,901.00 $11,305.95 2026-03-31
27447 CPT Pr Arthro Knee Condyle&plat (tka) 375 293 $11,818.00 $8,863.50 25% off $1,076.03 $27,827.76 $11,227.10 2026-03-31
A9548 HCPCS Pentetate Indium Disodium In-111 1.5 Mci/1.5 Ml Intrathecal Solution 372 292 $11,758.00 $8,818.50 25% off $745.62 $11,405.26 $11,170.10 2026-03-31
93457 CPT Pr Cath Plc Arty/grft Ang W R Hrt 374 293 $11,730.00 $8,797.50 25% off $1,189.19 $11,378.10 $11,143.50 2026-03-31
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 373 292 $11,722.90 $8,792.17 25% off $89.34 $11,722.90 $11,136.76 2026-03-31
50592 CPT Pr Ablation Renal Tumors Unilat Rf 374 293 $11,581.00 $8,685.75 25% off $283.15 $11,233.57 $11,001.95 2026-03-31
93596 CPT Pr R&l Hrt Cath Chd Nml Nt Cnj 372 292 $11,564.00 $8,673.00 25% off $2,405.31 $11,564.00 $10,985.80 2026-03-31
A9595 HCPCS Piflufolastat F 18 37 Mbq/ml To 2,960 Mbq/ml (1-80 Mci/ml) IV Solution 372 292 $11,500.00 $8,625.00 25% off $346.49 $11,500.00 $10,925.00 2026-03-31
20982 CPT Pr Ablation Bn Tmr Radiofrequency 374 293 $11,346.00 $8,509.50 25% off $297.91 $19,147.84 $10,778.70 2026-03-31
27702 CPT Pr Arthroplasty Ank W Implant 372 292 $11,262.00 $8,446.50 25% off $832.54 $29,631.76 $10,698.90 2026-03-31
23472 CPT Pr Arthro Glh Jt Total Shoulder 375 292 $11,239.00 $8,429.25 25% off $1,210.36 $19,147.84 $10,677.05 2026-03-31
J0896 HCPCS Luspatercept-aamt 25 Mg/0.5 Ml Subcutaneous Solution (wetted) 746 293 $10,855.90 $8,141.93 25% off $41.98 $30,765.88 $10,530.22 2026-03-31
20983 CPT Pr Ablation Bn Tmr Cryoablation 374 293 $11,071.00 $8,303.25 25% off $284.57 $10,738.87 $10,517.45 2026-03-31
0200T CPT Hc Perc Sac Augmentation Unlat Inj 372 292 $11,068.00 $8,301.00 25% off $2,302.14 $10,735.96 $10,514.60 2026-03-31
J9061 HCPCS Amivantamab-vmjw 50 Mg/ml Intravenous Solution 372 292 $11,050.10 $8,287.58 25% off $22.54 $11,050.10 $10,497.60 2026-03-31
37223 CPT Hc Revasc Iliac Arty Stnt Angplst 374 293 $10,922.00 $8,191.50 25% off $132.35 $12,560.30 $10,375.90 2026-03-31
36909 CPT Hc Av Fistula Embolization 370 290 $10,896.00 $8,172.00 25% off $2,266.37 $10,569.12 $10,351.20 2026-03-31
93458 CPT Pr Cath Plc Arty/vent Ang W L Hrt 374 293 $10,711.00 $8,033.25 25% off $1,006.38 $10,389.67 $10,175.45 2026-03-31
J9276 HCPCS Zanidatamab-hrii 300 Mg/6 Ml Intravenous Solution (wetted) 372 292 $10,641.70 $7,981.28 25% off $2,213.47 $10,641.70 $10,109.62 2026-03-31
0238T CPT Hc Tlpa Iliac Arty Ea Vssl 372 292 $10,629.00 $7,971.75 25% off $2,210.83 $20,019.10 $10,097.55 2026-03-31
J2997 HCPCS Alteplase 100 Mg Intravenous Solution 1,118 293 $10,620.30 $7,965.23 25% off $94.45 $20,191.04 $10,089.29 2026-03-31
RX-707829 CDM Denileukin Diftitox-cxdl 150 Mcg/ml Intravenous Solution (wetted) 372 292 $10,558.20 $7,918.65 25% off $2,196.11 $10,558.20 $10,030.29 2026-03-31
93657 CPT Hc Ablt Atrium Add Linear Cath 372 291 $10,486.00 $7,864.50 25% off $232.14 $10,171.42 $9,961.70 2026-03-31
J2353 HCPCS Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release 746 293 $10,265.30 $7,698.98 25% off $203.58 $14,705.30 $9,957.34 2026-03-31
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 374 293 $10,470.00 $7,852.50 25% off $2,177.76 $10,155.90 $9,946.50 2026-03-31
36904 CPT Pr Av Fistula Thrombectomy 372 292 $10,451.00 $7,838.25 25% off $2,173.81 $10,137.47 $9,928.45 2026-03-31
C9482 HCPCS Sotalol 150 Mg/10 Ml (15 Mg/ml) Intravenous Solution 372 292 $10,380.00 $7,785.00 25% off $25.05 $10,380.00 $9,861.00 2026-03-31
42330 CPT Pr Sialolithtomy Uncomp Intraoral 374 293 $10,353.00 $7,764.75 25% off $144.45 $10,042.41 $9,835.35 2026-03-31
0237T CPT Hc Trluml Periph Athrc W/rs&i Brchiocphl Ea Vsl 372 292 $10,338.00 $7,753.50 25% off $2,150.30 $12,606.85 $9,821.10 2026-03-31
49618 CPT Pr Rpr Aa Hrn Rcr > 10 Ncr/strn 368 289 $10,337.00 $7,752.75 25% off $1,123.83 $10,026.89 $9,820.15 2026-03-31
37607 CPT Pr Lig/banding Angioaccess Avf 374 293 $10,027.00 $7,520.25 25% off $313.93 $9,726.19 $9,525.65 2026-03-31
37246 CPT Pr Pta Arterial Initial 372 292 $10,002.00 $7,501.50 25% off $2,080.42 $9,701.94 $9,501.90 2026-03-31
A9800 HCPCS Kit For Preparation Of Ga-68-gozetotide 25 Mcg Intravenous Solution 372 292 $10,000.00 $7,500.00 25% off $362.50 $10,000.00 $9,500.00 2026-03-31
J0597 HCPCS C1 Esterase Inhibitor 500 Unit/10 Ml Intravenous Solution (wrapper) 374 293 $9,875.00 $7,406.25 25% off $75.86 $9,578.75 $9,381.25 2026-03-31
J0565 HCPCS Bezlotoxumab 25 Mg/ml Intravenous Solution 374 293 $9,872.60 $7,404.45 25% off $2,053.50 $9,576.42 $9,378.97 2026-03-31
J9299 HCPCS Nivolumab 10 Mg/ml Intravenous Solution (wrapper) 374 293 $9,850.30 $7,387.73 25% off $32.96 $9,554.79 $9,357.79 2026-03-31
PX-720000008 CDM Hc Labor & Delivery Level 3 Long 370 290 $9,757.00 $7,317.75 25% off $2,029.46 $9,757.00 $9,269.15 2026-03-31
50694 CPT Pr Plc Ureter Stnt New Wo Nephrost Cath 374 293 $9,736.00 $7,302.00 25% off $217.35 $9,443.92 $9,249.20 2026-03-31
93462 CPT Hc Lt Hrt Cath Txsptl Punc 372 291 $9,724.00 $7,293.00 25% off $157.58 $9,432.28 $9,237.80 2026-03-31
J9358 HCPCS Fam-trastuzumab Deruxtecan-nxki 100 Mg/5 Ml Intravenous Solution (wetted) 374 293 $9,474.40 $7,105.80 25% off $29.98 $9,190.17 $9,000.68 2026-03-31
33235 CPT Pr Rmvl Pcmkr Elec Dual Lead Sys 374 293 $9,466.00 $7,099.50 25% off $519.11 $9,182.02 $8,992.70 2026-03-31
37289 CPT Hc Revsc Evsc Tpvt Athrc Sf Ea 370 290 $9,279.00 $6,959.25 25% off $1,378.40 $9,000.63 $8,815.05 2026-03-31
27486 CPT Pr Rev Tot Knee Arthro 1 Compnt 373 292 $9,202.00 $6,901.50 25% off $1,185.44 $14,020.50 $8,741.90 2026-03-31
37239 CPT Hc Plc Opn/perc Stent Same Ea Add 372 291 $9,187.00 $6,890.25 25% off $118.16 $8,911.39 $8,727.65 2026-03-31
37248 CPT Pr Pta Venous Initial 372 292 $9,172.00 $6,879.00 25% off $1,907.78 $8,896.84 $8,713.40 2026-03-31
23470 CPT Pr Arthro Glh Jt Hemiarthro 372 292 $9,156.00 $6,867.00 25% off $1,015.36 $14,020.50 $8,698.20 2026-03-31
J1306 HCPCS Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe 372 292 $9,098.80 $6,824.10 25% off $12.32 $9,098.80 $8,643.86 2026-03-31
33233 CPT Pr Rmvl Pcmkr Pulse Gen Only 374 293 $9,080.00 $6,810.00 25% off $198.00 $9,037.15 $8,626.00 2026-03-31
63650 CPT Pr Impl Neurostim Elec Perc Epi 374 293 $9,059.00 $6,794.25 25% off $360.22 $8,787.23 $8,606.05 2026-03-31
5012 APR_DRG Male Reproductive System Diagnoses Except Malignancy 1 1 — — $8,568.71 $8,568.71 $8,568.71 2026-03-31
37235 CPT Hc Revasc Tib/pero Stnt&anthr Ea 374 293 $8,996.00 $6,747.00 25% off $243.04 $10,345.40 $8,546.20 2026-03-31
PX-360000008 CDM Hc Or Level 12 594 292 $8,983.00 $6,737.25 25% off $1,868.46 $8,983.00 $8,533.85 2026-03-31
J9205 HCPCS Irinotecan Liposomal 4.3 Mg/ml Intravenous 374 293 $8,951.40 $6,713.55 25% off $1,581.43 $8,682.86 $8,503.83 2026-03-31
93454 CPT Pr Cath Plc Cor Arty Angio S&i 374 293 $8,907.00 $6,680.25 25% off $876.42 $8,639.79 $8,461.65 2026-03-31
43240 CPT Pr Egd W Transmural Drn 374 293 $8,891.00 $6,668.25 25% off $325.85 $8,624.27 $8,446.45 2026-03-31
J2182 HCPCS Mepolizumab 100 Mg Subcutaneous Solution 374 293 $8,648.00 $6,486.00 25% off $1,798.78 $8,388.56 $8,215.60 2026-03-31
7222 APR_DRG Fever And Inflammatory Conditions 1 1 — — $8,184.74 $8,184.74 $8,184.74 2026-03-31
32994 CPT Pr Ablate Pulm Tumor Perq Crybl 372 292 $8,575.00 $6,431.25 25% off $1,783.60 $11,608.33 $8,146.25 2026-03-31
J9326 HCPCS Telisotuzumab Vedotin-tllv 20 Mg/ml Intravenous Solution (wrapper) 742 292 $39,378.80 $29,534.10 25% off $143.99 $39,378.80 $8,089.76 2026-03-31
A9592 HCPCS Copper Cu-64 Dotatate 148 Mbq/4 Ml (4 Mci/4 Ml) Intravenous Solution 372 292 $8,500.00 $6,375.00 25% off $594.28 $8,500.00 $8,075.00 2026-03-31
37232 CPT Hc Revasc Tib/pero W Angplst Ea 374 293 $8,457.00 $6,342.75 25% off $113.27 $9,725.55 $8,034.15 2026-03-31
66989 CPT Pr Xcpsl Ctrc Rmvl Cplx Insj 1+ 371 291 $8,452.00 $6,339.00 25% off $833.37 $8,198.44 $8,029.40 2026-03-31
J9177 HCPCS Enfortumab Vedotin-ejfv 20 Mg/2 Ml Intravenous Solution (wetted) 746 293 $8,272.00 $6,204.00 25% off $36.74 $11,817.51 $8,023.84 2026-03-31
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe 743 293 $8,261.00 $6,195.75 25% off $106.33 $10,481.04 $8,013.17 2026-03-31
PX-360000006 CDM Hc Or Level 11 594 292 $8,400.00 $6,300.00 25% off $1,747.20 $8,400.00 $7,980.00 2026-03-31
33218 CPT Pr Rpr Sngl Eltrd/ppcmkr/icd 374 293 $8,367.00 $6,275.25 25% off $320.42 $8,115.99 $7,948.65 2026-03-31
43276 CPT Pr Ercp Stent Exchange W Dil 374 293 $8,308.00 $6,231.00 25% off $398.99 $8,058.76 $7,892.60 2026-03-31
J9286 HCPCS Glofitamab-gxbm 1 Mg/ml Intravenous Solution 744 292 $19,601.00 $14,700.75 25% off $1,686.96 $31,091.60 $7,867.09 2026-03-31
J9035 HCPCS Bevacizumab 25 Mg/ml Intravenous Solution 374 293 $8,261.50 $6,196.13 25% off $73.20 $8,013.66 $7,848.43 2026-03-31
43274 CPT Pr Ercp Duct Stent Plc W Dil 374 293 $8,078.00 $6,058.50 25% off $383.27 $7,835.66 $7,674.10 2026-03-31
J0870 HCPCS Imetelstat 188 Mg/6 Ml Intravenous Solution (wetted) 744 292 $18,974.25 $14,230.69 25% off $1,634.82 $30,088.80 $7,623.91 2026-03-31
93623 CPT Hc Stim Hrt Pacing Post IV Inf 372 291 $8,007.00 $6,005.25 25% off $296.97 $7,766.79 $7,606.65 2026-03-31
45389 CPT Pr Colonoscopy Flex Stent Plc 374 293 $8,000.00 $6,000.00 25% off $241.37 $7,760.00 $7,600.00 2026-03-31
37211 CPT Pr Transcath Artl Thpy W S&i Init 374 293 $7,956.00 $5,967.00 25% off $304.12 $7,717.32 $7,558.20 2026-03-31
66991 CPT Pr Xcapsl Ctrc Rmvl Insj 1+ 371 291 $7,941.00 $5,955.75 25% off $668.41 $7,702.77 $7,543.95 2026-03-31
36251 CPT Pr Sel Cath Renal Arty&angio Unilat 374 293 $7,917.00 $5,937.75 25% off $202.89 $7,679.49 $7,521.15 2026-03-31
33952 CPT Pr Ecmo Insert Cannula >=6yr Perc 372 291 $7,851.00 $5,888.25 25% off $343.68 $7,615.47 $7,458.45 2026-03-31
36253 CPT Pr Cath 2nd+ord Renal Artery Unilat 374 293 $7,807.00 $5,855.25 25% off $285.35 $7,572.79 $7,416.65 2026-03-31
27828 CPT Pr Opn Tx Dist Tib W Tib&fib Fix 372 292 $7,792.00 $5,844.00 25% off $1,159.31 $14,020.50 $7,402.40 2026-03-31
J9317 HCPCS Sacituzumab Govitecan-hziy 180 Mg/18 Ml Intravenous Solution (wetted) 374 293 $7,731.10 $5,798.33 25% off $36.28 $7,499.17 $7,344.55 2026-03-31
58573 CPT Pr Lap Tot Hyst Utrs>250g W Tb/ov 373 292 $7,730.00 $5,797.50 25% off $1,017.86 $11,608.33 $7,343.50 2026-03-31
Q5136 HCPCS Denosumab-bbdz 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution 372 292 $7,709.90 $5,782.43 25% off $27.54 $7,709.90 $7,324.41 2026-03-31
29888 CPT Pr Arthsc Aid Acl Rpr 374 292 $7,692.00 $5,769.00 25% off $834.67 $7,924.16 $7,307.40 2026-03-31
23420 CPT Pr Rcnst Avul Cmplx Shldr Chr 372 292 $7,692.00 $5,769.00 25% off $852.19 $7,924.16 $7,307.40 2026-03-31
37252 CPT Hc Intravasc US Noncoronary Init Vsl 372 291 $7,686.00 $5,764.50 25% off $70.69 $7,455.42 $7,301.70 2026-03-31
27446 CPT Pr Arthro Knee Med/lat Cmprt (unilat) 372 292 $7,652.00 $5,739.00 25% off $975.23 $14,020.50 $7,269.40 2026-03-31
58554 CPT Pr Lap Vag Hyst Utrs>250 G W Rmvl 372 292 $7,650.00 $5,737.50 25% off $1,072.68 $11,608.33 $7,267.50 2026-03-31
24357 CPT Pr Tenotomy Elbow Percutaneous 374 293 $7,632.00 $5,724.00 25% off $375.28 $7,403.04 $7,250.40 2026-03-31
77301 CPT Hc Imrt Radiotherapy Plan 374 293 $7,631.00 $5,723.25 25% off $1,322.19 $7,402.07 $7,249.45 2026-03-31
J2802 HCPCS Romiplostim 250 Mcg Subcutaneous Solution 372 292 $7,611.20 $5,708.40 25% off $11.01 $7,611.20 $7,230.64 2026-03-31
36557 CPT Hc Ins Tunl Cvc Wo Port < 5 Yr 374 293 $7,548.00 $5,661.00 25% off $281.27 $7,321.56 $7,170.60 2026-03-31
PX-720000009 CDM Hc Labor & Delivery Level 3 Short 370 290 $7,540.00 $5,655.00 25% off $1,568.32 $7,540.00 $7,163.00 2026-03-31
J9321 HCPCS Epcoritamab-bysp 0.8 Mg/ml Subcutaneous Dilution 744 292 $25,804.95 $19,353.71 25% off $904.97 $47,259.10 $7,090.34 2026-03-31
49617 CPT Pr Rpr Aa Hrn Rcr > 10 Rdc 368 289 $7,452.00 $5,589.00 25% off $805.17 $7,228.44 $7,079.40 2026-03-31
78815 CPT Pr Pet/ct Trunk 374 293 $7,418.00 $5,563.50 25% off $1,365.96 $7,195.46 $7,047.10 2026-03-31
J9026 HCPCS Tarlatamab-dlle 10 Mg Intravenous Solution 744 292 $24,112.15 $18,084.12 25% off $988.46 $43,472.10 $6,897.20 2026-03-31
22515 CPT Hc Perc Vert Agmnt Mech Ea Add 372 291 $7,229.00 $5,421.75 25% off $171.41 $7,012.13 $6,867.55 2026-03-31
27870 CPT Pr Arthrodesis Ankle Opn 373 292 $7,172.00 $5,379.00 25% off $874.38 $14,020.50 $6,813.40 2026-03-31
50437 CPT Pr Perq Dil Xst Trc New Acs Ren Coltj Sys 372 292 $7,162.00 $5,371.50 25% off $318.12 $6,947.14 $6,803.90 2026-03-31
PX-360000004 CDM Hc Or Level 10 594 292 $7,143.00 $5,357.25 25% off $1,485.74 $7,143.00 $6,785.85 2026-03-31
J9350 HCPCS Mosunetuzumab-axgb 1 Mg/ml Intravenous Solution 744 292 $28,309.80 $21,232.35 25% off $467.46 $54,372.20 $6,778.41 2026-03-31
33244 CPT Pr Rmvl Icd Elec Transven Extract 374 293 $7,135.00 $5,351.25 25% off $697.95 $6,920.95 $6,778.25 2026-03-31
PX-720000006 CDM Hc Labor & Delivery Level 2 Long 370 290 $7,103.00 $5,327.25 25% off $1,477.42 $7,103.00 $6,747.85 2026-03-31
J9176 HCPCS Elotuzumab 300 Mg Intravenous Solution 374 293 $7,042.80 $5,282.10 25% off $1,464.90 $6,831.52 $6,690.66 2026-03-31
23412 CPT Pr Rpr Rupt Musctndn Cuff Chronic 373 292 $7,038.00 $5,278.50 25% off $744.29 $7,924.16 $6,686.10 2026-03-31
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