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

STEVENS COMMUNITY MEDICAL CENTER

Morris, MN · CCN 241363 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

Ultrasound of heart during rest, exercise and/or drug-induced stress with report

This hospital’s price: $1,119 across 8 payers · range $805-$1,686

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSCMCMORRISMN&type=CDMWithoutLabel&fileType=CSV · observed 2026-06-26

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

5,231 distinct procedures filed
12 distinct payers
62,765 rate rows
2026-06-26 last MRF observed
Data quality

62,589 of 62,765 rate rows are consumer-grade (99.7%)

176 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
exceeds 10× this hospital's gross charge — excluded from medians 85
percent-of-charges filed in the dollar field — excluded from medians 45
per-diem day rate — not a per-procedure price 41
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSCMCMORRISMN&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.scmcinc.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-02
Content fingerprint 7860ec2bf86c6fc1… · 22,539,563 bytes · first seen 2026-08-01

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
J9228
HCPCS 		Injection, Ipilimumab, 1 Mg 7 $14,301.13 $119,822.09 $43,579.99 nat. median
$9,011
outlier · 4.8×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 7 $23,870.13 $49,999.11 $27,029.98 nat. median
$518
outlier · 52.2×
J9043
HCPCS 		Injection, Cabazitaxel, 1 Mg 7 $22,792.79 $47,742.48 $25,810.02 nat. median
$738
outlier · 35.0×
J9042
HCPCS 		Injection, Brentuximab Vedotin, 1 Mg 7 $20,393.19 $42,716.20 $23,092.77 nat. median
$971
outlier · 23.8×
J9022
HCPCS 		Injection, Atezolizumab, 10 Mg 7 $18,483.77 $38,716.67 $20,930.59 nat. median
$6,910
outlier · 3.0×
J9119
HCPCS 		Injection, Cemiplimab-rwlc, 1 Mg 7 $17,551.02 $36,762.90 $19,874.36 nat. median
$91
outlier · 218.3×
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 7 $14,174.73 $29,690.83 $16,051.13 nat. median
$213
outlier · 75.4×
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 7 $13,860.01 $29,031.59 $15,694.74 nat. median
$2,159
outlier · 7.3×
J0870
HCPCS 		Injection, Imetelstat, 1 Mg 7 $13,624.93 $28,539.19 $15,428.54 nat. median
$3,859
outlier · 4.0×
J3245
HCPCS 		Injection, Tildrakizumab, 1 Mg 7 $13,541.22 $28,363.85 $15,333.76 nat. median
$256
outlier · 59.9×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 7 $13,233.24 $27,718.75 $14,985.01 nat. median
$3,824
outlier · 3.9×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 7 $13,129.71 $27,501.90 $14,867.78 nat. median
$168
outlier · 88.8×
J9308
HCPCS 		Injection, Ramucirumab, 5 Mg 7 $11,793.69 $24,703.41 $13,354.89 nat. median
$1,489
outlier · 9.0×
J0775
HCPCS 		Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg 7 $11,435.58 $23,953.32 $12,949.38 nat. median
$114
outlier · 113.7×
25004189
CDM 		Operating Room Services - General Classification 10 $6,910.34 $20,138.13 $11,529.59 nat. median
$10,887
1.1× median
25003827
CDM 		Operating Room Services - General Classification 10 $6,881.14 $20,053.02 $11,480.86 nat. median
$5,164
outlier · 2.2×
J9330
HCPCS 		Injection, Temsirolimus, 1 Mg 7 $9,756.75 $20,436.78 $11,048.31 nat. median
$673
outlier · 16.4×
J9306
HCPCS 		Injection, Pertuzumab, 1 Mg 7 $9,517.15 $19,934.90 $10,776.99 nat. median
$81
outlier · 133.2×
25015705
CDM 		Operating Room Services - General Classification 10 $6,440.39 $18,768.58 $10,745.49 nat. median
$1,416
outlier · 7.6×
J0896
HCPCS 		Injection, Luspatercept-aamt, 0.25 Mg 7 $9,488.79 $19,875.50 $10,744.88 nat. median
$4,628
outlier · 2.3×
25002250
CDM 		Operating Room Services - General Classification 10 $6,416.05 $18,697.66 $10,704.89 nat. median
$5,498
1.9× median
J9271
HCPCS 		Injection, Pembrolizumab, 1 Mg 7 $9,314.92 $19,511.31 $10,547.99 nat. median
$280
outlier · 37.6×
25007348
CDM 		Operating Room Services - General Classification 10 $6,317.63 $18,410.83 $10,540.67 nat. median
$8,716
1.2× median
25004058
CDM 		Operating Room Services - General Classification 10 $6,120.50 $17,836.38 $10,211.78 nat. median
$10,212
1.0× median
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 7 $8,875.42 $18,590.72 $10,050.32 nat. median
$1,651
outlier · 6.1×
25002405
CDM 		Operating Room Services - General Classification 10 $5,857.40 $17,069.66 $9,772.81 nat. median
$9,773
1.0× median
25006517
CDM 		Operating Room Services - General Classification 10 $5,758.44 $16,781.25 $9,607.69 nat. median
$9,608
1.0× median
25010870
CDM 		Operating Room Services - General Classification 10 $5,728.15 $16,692.99 $9,557.16 nat. median
$9,557
1.0× median
J9354
HCPCS 		Injection, Ado-trastuzumab Emtansine, 1 Mg 7 $5,782.29 $19,221.12 $9,401.62 nat. median
$4,242
outlier · 2.2×
25001792
CDM 		Operating Room Services - General Classification 10 $5,475.60 $15,957.00 $9,135.79 nat. median
$5,595
1.6× median
25006746
CDM 		Operating Room Services - General Classification 10 $5,273.34 $15,367.58 $8,798.33 nat. median
$8,798
1.0× median
25009570
CDM 		Operating Room Services - General Classification 10 $5,264.69 $15,342.36 $8,783.89 nat. median
$5,554
1.6× median
25002283
CDM 		Operating Room Services - General Classification 10 $5,264.69 $15,342.36 $8,783.89 nat. median
$7,124
1.2× median
J1162
HCPCS 		Injection, Digoxin Immune Fab (ovine), Per Vial 7 $7,701.94 $16,132.71 $8,721.49 nat. median
$7,155
1.2× median
25019604
CDM 		Operating Room Services - General Classification 10 $5,166.26 $15,055.53 $8,619.67 nat. median
$8,620
1.0× median
25017579
CDM 		Operating Room Services - General Classification 10 $5,166.26 $15,055.53 $8,619.67 nat. median
$8,620
1.0× median
25013736
CDM 		Operating Room Services - General Classification 10 $5,022.68 $14,637.10 $8,380.11 nat. median
$7,155
1.2× median
25002307
CDM 		Operating Room Services - General Classification 10 $5,001.59 $14,575.64 $8,344.92 nat. median
$6,688
1.2× median
25002326
CDM 		Operating Room Services - General Classification 10 $5,001.59 $14,575.64 $8,344.92 nat. median
$5,100
1.6× median
25013227
CDM 		Operating Room Services - General Classification 10 $5,001.59 $14,575.64 $8,344.92 nat. median
$11,233
0.7× median
25002310
CDM 		Operating Room Services - General Classification 10 $5,001.59 $14,575.64 $8,344.92 nat. median
$13
outlier · 666.5×
25015693
CDM 		Operating Room Services - General Classification 10 $5,001.05 $14,574.06 $8,344.02 nat. median
$11,500
0.7× median
25009135
CDM 		Operating Room Services - General Classification 10 $4,969.68 $14,482.65 $8,291.68 nat. median
$5,223
1.6× median
25004795
CDM 		Operating Room Services - General Classification 10 $4,935.88 $14,384.15 $8,235.29 nat. median
$6,937
1.2× median
25010170
CDM 		Operating Room Services - General Classification 10 $4,904.79 $14,293.53 $8,183.41 nat. median
$8,870
0.9× median
25000021
CDM 		Operating Room Services - General Classification 10 $4,902.89 $14,288.02 $8,180.25 nat. median
$50
outlier · 162.3×
25009611
CDM 		Operating Room Services - General Classification 10 $4,902.89 $14,288.02 $8,180.25 nat. median
$6,839
1.2× median
J9303
HCPCS 		Injection, Panitumumab, 10 Mg 7 $2,718.86 $21,991.72 $8,097.05 nat. median
$1,801
outlier · 4.5×
25011407
CDM 		Operating Room Services - General Classification 10 $4,771.21 $13,904.26 $7,960.54 nat. median
$7,961
1.0× median
25005426
CDM 		Operating Room Services - General Classification 10 $4,771.21 $13,904.26 $7,960.54 nat. median
$7,961
1.0× median

Other procedures at this hospital

Browse this hospital's 5,231 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
             
J9228 HCPCS Injection, Ipilimumab, 1 Mg 14 7 $95,036.59 $71,277.44 25% off $14,301.13 $119,822.09 $43,579.99 2026-06-26
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 7 7 $63,450.65 $47,587.99 25% off $23,870.13 $49,999.11 $27,029.98 2026-06-26
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 7 7 $60,586.90 $45,440.18 25% off $22,792.79 $47,742.48 $25,810.02 2026-06-26
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 7 7 $54,208.38 $40,656.29 25% off $20,393.19 $42,716.20 $23,092.77 2026-06-26
J9022 HCPCS Injection, Atezolizumab, 10 Mg 7 7 $49,132.83 $36,849.62 25% off $18,483.77 $38,716.67 $20,930.59 2026-06-26
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 7 7 $46,653.42 $34,990.07 25% off $17,551.02 $36,762.90 $19,874.36 2026-06-26
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 7 7 $37,678.72 $28,259.04 25% off $14,174.73 $29,690.83 $16,051.13 2026-06-26
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 7 7 $36,842.12 $27,631.59 25% off $13,860.01 $29,031.59 $15,694.74 2026-06-26
J0870 HCPCS Injection, Imetelstat, 1 Mg 7 7 $36,217.24 $27,162.93 25% off $13,624.93 $28,539.19 $15,428.54 2026-06-26
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 7 7 $35,994.73 $26,996.05 25% off $13,541.22 $28,363.85 $15,333.76 2026-06-26
J3101 HCPCS Injection, Tenecteplase, 1 Mg 7 7 $35,176.08 $26,382.06 25% off $13,233.24 $27,718.75 $14,985.01 2026-06-26
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 7 7 $34,900.89 $26,175.67 25% off $13,129.71 $27,501.90 $14,867.78 2026-06-26
J9308 HCPCS Injection, Ramucirumab, 5 Mg 7 7 $31,349.51 $23,512.13 25% off $11,793.69 $24,703.41 $13,354.89 2026-06-26
J0775 HCPCS Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg 7 7 $30,397.61 $22,798.21 25% off $11,435.58 $23,953.32 $12,949.38 2026-06-26
25004189 CDM Operating Room Services - General Classification 10 10 $25,556.00 $19,167.00 25% off $6,910.34 $20,138.13 $11,529.59 2026-06-26
25003827 CDM Operating Room Services - General Classification 10 10 $25,448.00 $19,086.00 25% off $6,881.14 $20,053.02 $11,480.86 2026-06-26
J9330 HCPCS Injection, Temsirolimus, 1 Mg 7 7 $25,935.00 $19,451.25 25% off $9,756.75 $20,436.78 $11,048.31 2026-06-26
J9306 HCPCS Injection, Pertuzumab, 1 Mg 7 7 $25,298.10 $18,973.58 25% off $9,517.15 $19,934.90 $10,776.99 2026-06-26
25015705 CDM Operating Room Services - General Classification 10 10 $23,818.00 $17,863.50 25% off $6,440.39 $18,768.58 $10,745.49 2026-06-26
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 7 7 $25,222.72 $18,917.04 25% off $9,488.79 $19,875.50 $10,744.88 2026-06-26
25002250 CDM Operating Room Services - General Classification 10 10 $23,728.00 $17,796.00 25% off $6,416.05 $18,697.66 $10,704.89 2026-06-26
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 7 7 $24,760.54 $18,570.41 25% off $9,314.92 $19,511.31 $10,547.99 2026-06-26
25007348 CDM Operating Room Services - General Classification 10 10 $23,364.00 $17,523.00 25% off $6,317.63 $18,410.83 $10,540.67 2026-06-26
25004058 CDM Operating Room Services - General Classification 10 10 $22,635.00 $16,976.25 25% off $6,120.50 $17,836.38 $10,211.78 2026-06-26
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 7 7 $23,592.29 $17,694.22 25% off $8,875.42 $18,590.72 $10,050.32 2026-06-26
25002405 CDM Operating Room Services - General Classification 10 10 $21,662.00 $16,246.50 25% off $5,857.40 $17,069.66 $9,772.81 2026-06-26
25006517 CDM Operating Room Services - General Classification 10 10 $21,296.00 $15,972.00 25% off $5,758.44 $16,781.25 $9,607.69 2026-06-26
25010870 CDM Operating Room Services - General Classification 10 10 $21,184.00 $15,888.00 25% off $5,728.15 $16,692.99 $9,557.16 2026-06-26
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 14 7 $19,881.27 $14,910.95 25% off $5,782.29 $19,221.12 $9,401.62 2026-06-26
25001792 CDM Operating Room Services - General Classification 10 10 $20,250.00 $15,187.50 25% off $5,475.60 $15,957.00 $9,135.79 2026-06-26
25006746 CDM Operating Room Services - General Classification 10 10 $19,502.00 $14,626.50 25% off $5,273.34 $15,367.58 $8,798.33 2026-06-26
25009570 CDM Operating Room Services - General Classification 10 10 $19,470.00 $14,602.50 25% off $5,264.69 $15,342.36 $8,783.89 2026-06-26
25002283 CDM Operating Room Services - General Classification 10 10 $19,470.00 $14,602.50 25% off $5,264.69 $15,342.36 $8,783.89 2026-06-26
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 7 7 $20,472.98 $15,354.74 25% off $7,701.94 $16,132.71 $8,721.49 2026-06-26
25019604 CDM Operating Room Services - General Classification 10 10 $19,106.00 $14,329.50 25% off $5,166.26 $15,055.53 $8,619.67 2026-06-26
25017579 CDM Operating Room Services - General Classification 10 10 $19,106.00 $14,329.50 25% off $5,166.26 $15,055.53 $8,619.67 2026-06-26
25013736 CDM Operating Room Services - General Classification 10 10 $18,575.00 $13,931.25 25% off $5,022.68 $14,637.10 $8,380.11 2026-06-26
25002307 CDM Operating Room Services - General Classification 10 10 $18,497.00 $13,872.75 25% off $5,001.59 $14,575.64 $8,344.92 2026-06-26
25002326 CDM Operating Room Services - General Classification 10 10 $18,497.00 $13,872.75 25% off $5,001.59 $14,575.64 $8,344.92 2026-06-26
25013227 CDM Operating Room Services - General Classification 10 10 $18,497.00 $13,872.75 25% off $5,001.59 $14,575.64 $8,344.92 2026-06-26
25002310 CDM Operating Room Services - General Classification 10 10 $18,497.00 $13,872.75 25% off $5,001.59 $14,575.64 $8,344.92 2026-06-26
25015693 CDM Operating Room Services - General Classification 10 10 $18,495.00 $13,871.25 25% off $5,001.05 $14,574.06 $8,344.02 2026-06-26
25009135 CDM Operating Room Services - General Classification 10 10 $18,379.00 $13,784.25 25% off $4,969.68 $14,482.65 $8,291.68 2026-06-26
25004795 CDM Operating Room Services - General Classification 10 10 $18,254.00 $13,690.50 25% off $4,935.88 $14,384.15 $8,235.29 2026-06-26
25010170 CDM Operating Room Services - General Classification 10 10 $18,139.00 $13,604.25 25% off $4,904.79 $14,293.53 $8,183.41 2026-06-26
25000021 CDM Operating Room Services - General Classification 10 10 $18,132.00 $13,599.00 25% off $4,902.89 $14,288.02 $8,180.25 2026-06-26
25009611 CDM Operating Room Services - General Classification 10 10 $18,132.00 $13,599.00 25% off $4,902.89 $14,288.02 $8,180.25 2026-06-26
J9303 HCPCS Injection, Panitumumab, 10 Mg 14 7 $17,567.72 $13,175.79 25% off $2,718.86 $21,991.72 $8,097.05 2026-06-26
25011407 CDM Operating Room Services - General Classification 10 10 $17,645.00 $13,233.75 25% off $4,771.21 $13,904.26 $7,960.54 2026-06-26
25005426 CDM Operating Room Services - General Classification 10 10 $17,645.00 $13,233.75 25% off $4,771.21 $13,904.26 $7,960.54 2026-06-26
J9207 HCPCS Injection, Ixabepilone, 1 Mg 14 7 $16,583.88 $12,437.92 25% off $3,119.43 $19,602.15 $7,946.17 2026-06-26
25019611 CDM Operating Room Services - General Classification 10 10 $17,401.00 $13,050.75 25% off $4,705.23 $13,711.99 $7,850.47 2026-06-26
25019504 CDM Operating Room Services - General Classification 10 10 $17,401.00 $13,050.75 25% off $4,705.23 $13,711.99 $7,850.47 2026-06-26
25009784 CDM Operating Room Services - General Classification 10 10 $17,280.00 $12,960.00 25% off $4,672.51 $13,616.64 $7,795.87 2026-06-26
25001306 CDM Operating Room Services - General Classification 10 10 $17,195.00 $12,896.25 25% off $4,649.53 $13,549.66 $7,757.52 2026-06-26
25002832 CDM Operating Room Services - General Classification 10 10 $17,036.00 $12,777.00 25% off $4,606.53 $13,424.37 $7,685.80 2026-06-26
25014424 CDM Operating Room Services - General Classification 10 10 $16,916.00 $12,687.00 25% off $4,574.09 $13,329.81 $7,631.66 2026-06-26
J1932 HCPCS Injection, Lanreotide, (cipla), 1 Mg 7 7 $17,820.89 $13,365.67 25% off $6,704.22 $14,042.86 $7,591.70 2026-06-26
Q5127 HCPCS Injection, Pegfilgrastim-fpgk (stimufend), Biosimilar, 0.5 Mg 7 7 $17,699.83 $13,274.87 25% off $6,658.68 $13,947.47 $7,540.13 2026-06-26
25009593 CDM Operating Room Services - General Classification 10 10 $16,593.00 $12,444.75 25% off $4,486.75 $13,075.28 $7,485.93 2026-06-26
25026353 CDM Operating Room Services - General Classification 10 10 $16,429.00 $12,321.75 25% off $4,442.40 $12,946.05 $7,411.94 2026-06-26
25002446 CDM Operating Room Services - General Classification 10 10 $16,428.00 $12,321.00 25% off $4,442.13 $12,945.26 $7,411.49 2026-06-26
25014928 CDM Operating Room Services - General Classification 10 10 $16,428.00 $12,321.00 25% off $4,442.13 $12,945.26 $7,411.49 2026-06-26
25004566 CDM Operating Room Services - General Classification 10 10 $16,428.00 $12,321.00 25% off $4,442.13 $12,945.26 $7,411.49 2026-06-26
25019259 CDM Operating Room Services - General Classification 10 10 $16,395.00 $12,296.25 25% off $4,433.21 $12,919.26 $7,396.60 2026-06-26
25002291 CDM Operating Room Services - General Classification 10 10 $16,395.00 $12,296.25 25% off $4,433.21 $12,919.26 $7,396.60 2026-06-26
25022657 CDM Operating Room Services - General Classification 10 10 $16,395.00 $12,296.25 25% off $4,433.21 $12,919.26 $7,396.60 2026-06-26
25009542 CDM Operating Room Services - General Classification 10 10 $16,395.00 $12,296.25 25% off $4,433.21 $12,919.26 $7,396.60 2026-06-26
25025142 CDM Operating Room Services - General Classification 10 10 $16,395.00 $12,296.25 25% off $4,433.21 $12,919.26 $7,396.60 2026-06-26
J9312 HCPCS Injection, Rituximab, 10 Mg 7 7 $17,357.53 $13,018.15 25% off $6,529.90 $13,677.73 $7,394.31 2026-06-26
25003121 CDM Operating Room Services - General Classification 10 10 $16,204.00 $12,153.00 25% off $4,381.56 $12,768.75 $7,310.43 2026-06-26
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 7 7 $17,062.96 $12,797.22 25% off $6,419.09 $13,445.61 $7,268.82 2026-06-26
25011212 CDM Operating Room Services - General Classification 10 10 $16,073.00 $12,054.75 25% off $4,346.14 $12,665.52 $7,251.34 2026-06-26
25019566 CDM Operating Room Services - General Classification 10 10 $16,072.00 $12,054.00 25% off $4,345.87 $12,664.74 $7,250.88 2026-06-26
25000117 CDM Operating Room Services - General Classification 10 10 $16,064.00 $12,048.00 25% off $4,343.71 $12,658.43 $7,247.27 2026-06-26
25019943 CDM Operating Room Services - General Classification 10 10 $16,020.00 $12,015.00 25% off $4,331.81 $12,623.76 $7,227.43 2026-06-26
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 14 7 $18,555.60 $13,916.70 25% off $334.42 $28,543.16 $7,163.65 2026-06-26
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 14 7 $16,323.99 $12,243.00 25% off $5,817.44 $13,541.23 $6,954.02 2026-06-26
J9173 HCPCS Injection, Durvalumab, 10 Mg 7 7 $16,286.46 $12,214.85 25% off $6,126.97 $12,833.73 $6,938.03 2026-06-26
25002279 CDM Operating Room Services - General Classification 10 10 $15,322.00 $11,491.50 25% off $4,143.07 $12,073.74 $6,912.52 2026-06-26
25005379 CDM Operating Room Services - General Classification 10 10 $15,310.00 $11,482.50 25% off $4,139.82 $12,064.28 $6,907.10 2026-06-26
25002427 CDM Operating Room Services - General Classification 10 10 $15,211.00 $11,408.25 25% off $4,113.05 $11,986.27 $6,862.44 2026-06-26
25014840 CDM Operating Room Services - General Classification 10 10 $15,211.00 $11,408.25 25% off $4,113.05 $11,986.27 $6,862.44 2026-06-26
25012229 CDM Operating Room Services - General Classification 10 10 $15,211.00 $11,408.25 25% off $4,113.05 $11,986.27 $6,862.44 2026-06-26
25019912 CDM Operating Room Services - General Classification 10 10 $15,174.00 $11,380.50 25% off $4,103.05 $11,957.11 $6,845.75 2026-06-26
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 7 7 $15,654.86 $11,741.15 25% off $5,889.36 $12,336.03 $6,668.97 2026-06-26
25007420 CDM Operating Room Services - General Classification 10 10 $14,658.00 $10,993.50 25% off $3,963.52 $11,550.50 $6,612.96 2026-06-26
25004875 CDM Operating Room Services - General Classification 10 10 $14,602.00 $10,951.50 25% off $3,948.38 $11,506.38 $6,587.69 2026-06-26
25003079 CDM Operating Room Services - General Classification 10 10 $14,573.00 $10,929.75 25% off $3,940.54 $11,483.52 $6,574.61 2026-06-26
25003247 CDM Operating Room Services - General Classification 10 10 $14,304.00 $10,728.00 25% off $3,867.80 $11,271.55 $6,453.25 2026-06-26
J2182 HCPCS Injection, Mepolizumab, 1 Mg 7 7 $15,125.81 $11,344.36 25% off $5,690.33 $11,919.14 $6,443.60 2026-06-26
25001312 CDM Operating Room Services - General Classification 10 10 $14,231.00 $10,673.25 25% off $3,848.06 $11,214.03 $6,420.32 2026-06-26
25007331 CDM Operating Room Services - General Classification 10 10 $13,787.00 $10,340.25 25% off $3,728.00 $10,864.16 $6,220.01 2026-06-26
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 7 7 $14,557.69 $10,918.27 25% off $5,476.60 $11,471.46 $6,201.58 2026-06-26
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 7 7 $14,548.24 $10,911.18 25% off $5,473.05 $11,464.01 $6,197.55 2026-06-26
25002825 CDM Operating Room Services - General Classification 10 10 $13,630.00 $10,222.50 25% off $3,685.55 $10,740.44 $6,149.18 2026-06-26
25007089 CDM Operating Room Services - General Classification 10 10 $13,577.00 $10,182.75 25% off $3,671.22 $10,698.68 $6,125.26 2026-06-26
J0741 HCPCS Injection, Cabotegravir And Rilpivirine, 2mg/3mg 7 7 $14,294.45 $10,720.84 25% off $5,377.57 $11,264.03 $6,089.44 2026-06-26
95805 HCPCS Sleep Study, Multiple Trials 8 8 $13,075.00 $9,806.25 25% off $4,918.82 $10,303.10 $6,053.73 2026-06-26
25001029 CDM Operating Room Services - General Classification 10 10 $13,072.00 $9,804.00 25% off $3,534.67 $10,300.74 $5,897.43 2026-06-26
25012633 CDM Operating Room Services - General Classification 10 10 $12,899.00 $9,674.25 25% off $3,487.89 $10,164.41 $5,819.38 2026-06-26
25002768 CDM Operating Room Services - General Classification 10 10 $12,899.00 $9,674.25 25% off $3,487.89 $10,164.41 $5,819.38 2026-06-26
25012217 CDM Operating Room Services - General Classification 10 10 $12,412.00 $9,309.00 25% off $3,356.20 $9,780.66 $5,599.68 2026-06-26
25005405 CDM Operating Room Services - General Classification 10 10 $12,412.00 $9,309.00 25% off $3,356.20 $9,780.66 $5,599.68 2026-06-26
J0897 HCPCS Injection, Denosumab, 1 Mg 14 7 $11,287.97 $8,465.98 25% off $2,991.11 $11,524.57 $5,529.74 2026-06-26
25006386 CDM Operating Room Services - General Classification 10 10 $12,137.00 $9,102.75 25% off $3,281.84 $9,563.96 $5,475.60 2026-06-26
25001838 CDM Operating Room Services - General Classification 10 10 $12,137.00 $9,102.75 25% off $3,281.84 $9,563.96 $5,475.60 2026-06-26
25001727 CDM Operating Room Services - General Classification 10 10 $12,076.00 $9,057.00 25% off $3,265.35 $9,515.89 $5,448.09 2026-06-26
25000355 CDM Operating Room Services - General Classification 10 10 $12,076.00 $9,057.00 25% off $3,265.35 $9,515.89 $5,448.09 2026-06-26
25014987 CDM Operating Room Services - General Classification 10 10 $12,068.00 $9,051.00 25% off $3,263.19 $9,509.58 $5,444.48 2026-06-26
25003064 CDM Operating Room Services - General Classification 10 10 $11,926.00 $8,944.50 25% off $3,224.79 $9,397.69 $5,380.41 2026-06-26
25001731 CDM Operating Room Services - General Classification 10 10 $11,805.00 $8,853.75 25% off $3,192.07 $9,302.34 $5,325.83 2026-06-26
25001851 CDM Operating Room Services - General Classification 10 10 $11,790.00 $8,842.50 25% off $3,188.02 $9,290.52 $5,319.06 2026-06-26
25006978 CDM Operating Room Services - General Classification 10 10 $11,790.00 $8,842.50 25% off $3,188.02 $9,290.52 $5,319.06 2026-06-26
25004806 CDM Operating Room Services - General Classification 10 10 $11,741.00 $8,805.75 25% off $3,174.77 $9,251.91 $5,296.95 2026-06-26
25023673 CDM Operating Room Services - General Classification 10 10 $11,667.00 $8,750.25 25% off $3,154.76 $9,193.60 $5,263.57 2026-06-26
25000692 CDM Operating Room Services - General Classification 10 10 $11,622.00 $8,716.50 25% off $3,142.59 $9,158.14 $5,243.27 2026-06-26
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 7 7 $12,265.68 $9,199.26 25% off $4,614.35 $9,665.36 $5,225.18 2026-06-26
25002348 CDM Operating Room Services - General Classification 10 10 $11,561.00 $8,670.75 25% off $3,126.09 $9,110.07 $5,215.74 2026-06-26
25005637 CDM Operating Room Services - General Classification 10 10 $11,561.00 $8,670.75 25% off $3,126.09 $9,110.07 $5,215.74 2026-06-26
J9145 HCPCS Injection, Daratumumab, 10 Mg 7 7 $12,106.39 $9,079.79 25% off $4,554.42 $9,539.84 $5,157.32 2026-06-26
J9358 HCPCS Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg 7 7 $12,078.11 $9,058.58 25% off $4,543.79 $9,517.55 $5,145.27 2026-06-26
910158_ERX CDM Ryanodex 250 Mg Vial 10 10 $11,368.26 $8,526.20 25% off $3,073.98 $8,958.19 $5,128.79 2026-06-26
Q5158 HCPCS Injection, Denosumab-bnht (bomyntra/conexxence), Biosimilar, 1 Mg 18 9 $10,630.43 $7,972.83 25% off $2,024.67 $10,853.26 $5,087.89 2026-06-26
J9035 HCPCS Injection, Bevacizumab, 10 Mg 7 7 $11,885.93 $8,914.45 25% off $4,471.49 $9,366.11 $5,063.41 2026-06-26
Q5136 HCPCS Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg 14 7 $9,903.90 $7,427.92 25% off $2,483.90 $10,405.70 $4,992.89 2026-06-26
Q5157 HCPCS Injection, Denosumab-bmwo (stoboclo/osenvelt), Biosimilar, 1 Mg 18 9 $10,411.24 $7,808.43 25% off $1,982.93 $10,629.46 $4,982.97 2026-06-26
25009439 CDM Operating Room Services - General Classification 10 10 $10,953.00 $8,214.75 25% off $2,961.69 $8,630.96 $4,941.44 2026-06-26
Q5107 HCPCS Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg 7 7 $11,487.32 $8,615.49 25% off $4,321.53 $9,052.01 $4,893.60 2026-06-26
25015199 CDM Operating Room Services - General Classification 10 10 $10,829.00 $8,121.75 25% off $2,928.16 $8,533.25 $4,885.50 2026-06-26
J9205 HCPCS Injection, Irinotecan Liposome, 1 Mg 7 7 $11,397.56 $8,548.17 25% off $4,287.76 $8,981.28 $4,855.36 2026-06-26
25002474 CDM Operating Room Services - General Classification 10 10 $10,587.00 $7,940.25 25% off $2,862.72 $8,342.56 $4,776.33 2026-06-26
25011858 CDM Operating Room Services - General Classification 10 10 $10,587.00 $7,940.25 25% off $2,862.72 $8,342.56 $4,776.33 2026-06-26
25006945 CDM Operating Room Services - General Classification 10 10 $10,587.00 $7,940.25 25% off $2,862.72 $8,342.56 $4,776.33 2026-06-26
25001215 CDM Operating Room Services - General Classification 10 10 $10,482.00 $7,861.50 25% off $2,834.33 $8,259.82 $4,728.95 2026-06-26
25009806 CDM Operating Room Services - General Classification 10 10 $10,344.00 $7,758.00 25% off $2,797.02 $8,151.07 $4,666.69 2026-06-26
25006873 CDM Operating Room Services - General Classification 10 10 $10,344.00 $7,758.00 25% off $2,797.02 $8,151.07 $4,666.69 2026-06-26
25010142 CDM Operating Room Services - General Classification 10 10 $10,344.00 $7,758.00 25% off $2,797.02 $8,151.07 $4,666.69 2026-06-26
25002635 CDM Operating Room Services - General Classification 10 10 $10,344.00 $7,758.00 25% off $2,797.02 $8,151.07 $4,666.69 2026-06-26
25001714 CDM Operating Room Services - General Classification 10 10 $10,274.00 $7,705.50 25% off $2,778.09 $8,095.91 $4,635.11 2026-06-26
25009452 CDM Operating Room Services - General Classification 10 10 $10,237.00 $7,677.75 25% off $2,768.08 $8,066.76 $4,618.42 2026-06-26
25006724 CDM Operating Room Services - General Classification 10 10 $10,236.00 $7,677.00 25% off $2,767.81 $8,065.97 $4,617.98 2026-06-26
25003326 CDM Operating Room Services - General Classification 10 10 $10,221.00 $7,665.75 25% off $2,763.76 $8,054.15 $4,611.20 2026-06-26
C9399 HCPCS Unclassified Drugs Or Biologicals 7 7 $10,710.69 $8,033.02 25% off $4,029.36 $8,440.02 $4,562.75 2026-06-26
25002412 CDM Operating Room Services - General Classification 10 10 $9,978.00 $7,483.50 25% off $2,698.05 $7,862.66 $4,501.58 2026-06-26
25003986 CDM Operating Room Services - General Classification 10 10 $9,978.00 $7,483.50 25% off $2,698.05 $7,862.66 $4,501.58 2026-06-26
J2802 HCPCS Injection, Romiplostim, 1 Microgram 14 7 $8,923.55 $6,692.66 25% off $2,238.05 $9,375.62 $4,498.64 2026-06-26
J9177 HCPCS Injection, Enfortumab Vedotin-ejfv, 0.25 Mg 7 7 $10,513.31 $7,884.98 25% off $3,955.11 $8,284.49 $4,478.67 2026-06-26
38493_ERX CDM Naglazyme 5 Mg/5 Ml Vial 9 9 $10,491.68 $7,868.76 25% off $2,836.95 $8,267.44 $4,469.46 2026-06-26
J9299 HCPCS Injection, Nivolumab, 1 Mg 14 7 $8,897.23 $6,672.92 25% off $1,966.43 $9,903.08 $4,423.40 2026-06-26
25001882 CDM Operating Room Services - General Classification 10 10 $9,788.00 $7,341.00 25% off $2,646.68 $7,712.94 $4,415.85 2026-06-26
25003208 CDM Operating Room Services - General Classification 10 10 $9,779.00 $7,334.25 25% off $2,644.24 $7,705.85 $4,411.80 2026-06-26
25000039 CDM Operating Room Services - General Classification 10 10 $9,736.00 $7,302.00 25% off $2,632.61 $7,671.97 $4,392.40 2026-06-26
25007663 CDM Operating Room Services - General Classification 10 10 $9,721.00 $7,290.75 25% off $2,628.56 $7,660.15 $4,385.63 2026-06-26
25001624 CDM Operating Room Services - General Classification 10 10 $9,721.00 $7,290.75 25% off $2,628.56 $7,660.15 $4,385.63 2026-06-26
Q5130 HCPCS Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg 7 7 $10,290.00 $7,717.50 25% off $3,871.10 $8,108.52 $4,383.54 2026-06-26
25010954 CDM Operating Room Services - General Classification 10 10 $9,660.00 $7,245.00 25% off $2,612.06 $7,612.08 $4,358.11 2026-06-26
25001153 CDM Operating Room Services - General Classification 10 10 $9,650.00 $7,237.50 25% off $2,609.36 $7,604.20 $4,353.60 2026-06-26
25001202 CDM Operating Room Services - General Classification 10 10 $9,640.00 $7,230.00 25% off $2,606.66 $7,596.32 $4,349.09 2026-06-26
25010968 CDM Operating Room Services - General Classification 10 10 $9,614.00 $7,210.50 25% off $2,599.63 $7,575.83 $4,337.35 2026-06-26
25004342 CDM Operating Room Services - General Classification 10 10 $9,292.00 $6,969.00 25% off $2,512.56 $7,322.10 $4,192.09 2026-06-26
25004234 CDM Operating Room Services - General Classification 10 10 $9,292.00 $6,969.00 25% off $2,512.56 $7,322.10 $4,192.09 2026-06-26
25003426 CDM Operating Room Services - General Classification 10 10 $9,281.00 $6,960.75 25% off $2,509.58 $7,313.43 $4,187.12 2026-06-26
25000017 CDM Operating Room Services - General Classification 10 10 $9,248.00 $6,936.00 25% off $2,500.66 $7,287.42 $4,172.23 2026-06-26
25006439 CDM Operating Room Services - General Classification 10 10 $9,248.00 $6,936.00 25% off $2,500.66 $7,287.42 $4,172.23 2026-06-26
25001387 CDM Operating Room Services - General Classification 10 10 $9,248.00 $6,936.00 25% off $2,500.66 $7,287.42 $4,172.23 2026-06-26
25001129 CDM Operating Room Services - General Classification 10 10 $9,177.00 $6,882.75 25% off $2,481.46 $7,231.48 $4,140.20 2026-06-26
25012603 CDM Operating Room Services - General Classification 10 10 $9,127.00 $6,845.25 25% off $2,467.94 $7,192.08 $4,117.64 2026-06-26
25014972 CDM Operating Room Services - General Classification 10 10 $9,127.00 $6,845.25 25% off $2,467.94 $7,192.08 $4,117.64 2026-06-26
25002379 CDM Operating Room Services - General Classification 10 10 $9,100.00 $6,825.00 25% off $2,460.64 $7,170.80 $4,105.47 2026-06-26
J9305 HCPCS Injection, Pemetrexed, Not Otherwise Specified, 10 Mg 14 7 $9,124.59 $6,843.44 25% off $1,227.86 $11,808.43 $4,104.70 2026-06-26
25001844 CDM Operating Room Services - General Classification 10 10 $9,000.00 $6,750.00 25% off $2,433.60 $7,092.00 $4,060.35 2026-06-26
25004853 CDM Operating Room Services - General Classification 10 10 $8,928.00 $6,696.00 25% off $2,414.13 $7,035.26 $4,027.87 2026-06-26
25001995 CDM Operating Room Services - General Classification 10 10 $8,921.00 $6,690.75 25% off $2,412.24 $7,029.75 $4,024.71 2026-06-26
25001681 CDM Operating Room Services - General Classification 10 10 $8,884.00 $6,663.00 25% off $2,402.23 $7,000.59 $4,008.01 2026-06-26
J9034 HCPCS Injection, Bendamustine Hcl (bendeka), 1 Mg 7 7 $9,298.54 $6,973.91 25% off $3,498.11 $7,327.25 $3,961.18 2026-06-26
25001746 CDM Operating Room Services - General Classification 10 10 $8,671.00 $6,503.25 25% off $2,344.64 $6,832.75 $3,911.93 2026-06-26
25000080 CDM Operating Room Services - General Classification 10 10 $8,657.00 $6,492.75 25% off $2,340.85 $6,821.72 $3,905.61 2026-06-26
Q2050 HCPCS Injection, Doxorubicin Hydrochloride, Liposomal, Not Otherwise Specified, 10 Mg 7 7 $9,112.93 $6,834.70 25% off $3,428.28 $7,180.99 $3,882.11 2026-06-26
25000268 CDM Operating Room Services - General Classification 10 10 $8,465.00 $6,348.75 25% off $2,288.94 $6,670.42 $3,818.99 2026-06-26
J2777 HCPCS Injection, Faricimab-svoa, 0.1 Mg 14 7 $7,361.02 $5,520.77 25% off $1,813.56 $7,802.22 $3,743.68 2026-06-26
25002391 CDM Operating Room Services - General Classification 10 10 $8,216.00 $6,162.00 25% off $2,221.61 $6,474.21 $3,706.65 2026-06-26
25002629 CDM Operating Room Services - General Classification 10 10 $8,153.00 $6,114.75 25% off $2,204.57 $6,424.56 $3,678.22 2026-06-26
25000130 CDM Operating Room Services - General Classification 10 10 $8,153.00 $6,114.75 25% off $2,204.57 $6,424.56 $3,678.22 2026-06-26
25001160 CDM Operating Room Services - General Classification 10 10 $8,153.00 $6,114.75 25% off $2,204.57 $6,424.56 $3,678.22 2026-06-26
25010975 CDM Operating Room Services - General Classification 10 10 $8,153.00 $6,114.75 25% off $2,204.57 $6,424.56 $3,678.22 2026-06-26
25010097 CDM Operating Room Services - General Classification 10 10 $8,113.00 $6,084.75 25% off $2,193.76 $6,393.04 $3,660.18 2026-06-26
J3358 HCPCS Ustekinumab, For Intravenous Injection, 1 Mg 7 7 $8,399.22 $6,299.42 25% off $3,159.79 $6,618.59 $3,578.07 2026-06-26
25000520 CDM Operating Room Services - General Classification 10 10 $7,916.00 $5,937.00 25% off $2,140.49 $6,237.81 $3,571.30 2026-06-26
25001539 CDM Operating Room Services - General Classification 10 10 $7,858.00 $5,893.50 25% off $2,124.80 $6,192.10 $3,545.14 2026-06-26
J0517 HCPCS Injection, Benralizumab, 1 Mg 7 7 $8,274.87 $6,206.15 25% off $3,113.01 $6,520.60 $3,525.09 2026-06-26
25010325 CDM Operating Room Services - General Classification 10 10 $7,760.00 $5,820.00 25% off $2,098.30 $6,114.88 $3,500.93 2026-06-26
25000364 CDM Operating Room Services - General Classification 10 10 $7,756.00 $5,817.00 25% off $2,097.22 $6,111.73 $3,499.12 2026-06-26
25004083 CDM Operating Room Services - General Classification 10 10 $7,733.00 $5,799.75 25% off $2,091.00 $6,093.60 $3,488.74 2026-06-26
25010051 CDM Operating Room Services - General Classification 10 10 $7,669.00 $5,751.75 25% off $2,073.70 $6,043.17 $3,459.86 2026-06-26
J9202 HCPCS Goserelin Acetate Implant, Per 3.6 Mg 14 7 $7,793.55 $5,845.16 25% off $888.87 $10,420.78 $3,418.43 2026-06-26
25003187 CDM Operating Room Services - General Classification 10 10 $7,552.00 $5,664.00 25% off $2,042.06 $5,950.98 $3,407.09 2026-06-26
25010529 CDM Operating Room Services - General Classification 10 10 $7,544.00 $5,658.00 25% off $2,039.90 $5,944.67 $3,403.47 2026-06-26
25000063 CDM Operating Room Services - General Classification 10 10 $7,532.00 $5,649.00 25% off $2,036.65 $5,935.22 $3,398.06 2026-06-26
25000586 CDM Operating Room Services - General Classification 10 10 $7,492.00 $5,619.00 25% off $2,025.84 $5,903.70 $3,380.02 2026-06-26
25001246 CDM Operating Room Services - General Classification 10 10 $7,480.00 $5,610.00 25% off $2,022.59 $5,894.24 $3,374.60 2026-06-26
25000056 CDM Operating Room Services - General Classification 10 10 $7,473.00 $5,604.75 25% off $2,020.70 $5,888.72 $3,371.44 2026-06-26
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 7 7 $7,898.59 $5,923.94 25% off $2,971.45 $6,224.09 $3,364.80 2026-06-26
25019709 CDM Operating Room Services - General Classification 10 10 $7,447.00 $5,585.25 25% off $2,013.67 $5,868.24 $3,359.72 2026-06-26
25004839 CDM Operating Room Services - General Classification 10 10 $7,446.00 $5,584.50 25% off $2,013.40 $5,867.45 $3,359.27 2026-06-26
25003051 CDM Operating Room Services - General Classification 10 10 $7,446.00 $5,584.50 25% off $2,013.40 $5,867.45 $3,359.27 2026-06-26
25012316 CDM Operating Room Services - General Classification 10 10 $7,446.00 $5,584.50 25% off $2,013.40 $5,867.45 $3,359.27 2026-06-26
25005552 CDM Operating Room Services - General Classification 10 10 $7,443.00 $5,582.25 25% off $2,012.59 $5,865.08 $3,357.91 2026-06-26
25015597 CDM Operating Room Services - General Classification 10 10 $7,403.00 $5,552.25 25% off $2,001.77 $5,833.56 $3,339.86 2026-06-26
Q5114 HCPCS Injection, Trastuzumab-dkst, Biosimilar, (ogivri), 10 Mg 14 7 $6,794.17 $5,095.64 25% off $1,407.69 $7,759.03 $3,326.42 2026-06-26
25001805 CDM Operating Room Services - General Classification 10 10 $7,351.00 $5,513.25 25% off $1,987.71 $5,792.59 $3,316.41 2026-06-26
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 13 9 $5,346.00 $4,009.50 25% off $2,011.17 $5,002.24 $3,316.12 2026-06-26
25004257 CDM Operating Room Services - General Classification 10 10 $7,333.00 $5,499.75 25% off $1,982.84 $5,778.40 $3,308.28 2026-06-26
25014583 CDM Operating Room Services - General Classification 10 10 $7,326.00 $5,494.50 25% off $1,980.95 $5,772.89 $3,305.12 2026-06-26
25002988 CDM Operating Room Services - General Classification 10 10 $7,300.00 $5,475.00 25% off $1,973.92 $5,752.40 $3,293.39 2026-06-26
25005124 CDM Operating Room Services - General Classification 10 10 $7,297.00 $5,472.75 25% off $1,973.11 $5,750.04 $3,292.04 2026-06-26
25010999 CDM Operating Room Services - General Classification 10 10 $7,270.00 $5,452.50 25% off $1,965.81 $5,728.76 $3,279.86 2026-06-26
25005224 CDM Operating Room Services - General Classification 10 10 $7,249.00 $5,436.75 25% off $1,960.13 $5,712.21 $3,270.39 2026-06-26
25004031 CDM Operating Room Services - General Classification 10 10 $7,241.00 $5,430.75 25% off $1,957.97 $5,705.91 $3,266.78 2026-06-26
25015206 CDM Operating Room Services - General Classification 10 10 $7,239.00 $5,429.25 25% off $1,957.43 $5,704.33 $3,265.88 2026-06-26
25000784 CDM Operating Room Services - General Classification 10 10 $7,221.00 $5,415.75 25% off $1,952.56 $5,690.15 $3,257.76 2026-06-26
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 7 7 $7,596.31 $5,697.23 25% off $2,857.73 $5,985.89 $3,236.03 2026-06-26
25001261 CDM Operating Room Services - General Classification 10 10 $7,160.00 $5,370.00 25% off $1,936.06 $5,642.08 $3,230.23 2026-06-26
25010649 CDM Operating Room Services - General Classification 10 10 $7,160.00 $5,370.00 25% off $1,936.06 $5,642.08 $3,230.23 2026-06-26
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 7 7 $7,578.56 $5,683.92 25% off $2,851.05 $5,971.91 $3,228.47 2026-06-26
25003806 CDM Operating Room Services - General Classification 10 10 $7,136.00 $5,352.00 25% off $1,929.57 $5,623.17 $3,219.41 2026-06-26
25001662 CDM Operating Room Services - General Classification 10 10 $7,126.00 $5,344.50 25% off $1,926.87 $5,615.29 $3,214.89 2026-06-26
J2426 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg 7 7 $7,521.50 $5,641.13 25% off $2,829.59 $5,926.94 $3,204.16 2026-06-26
25007784 CDM Operating Room Services - General Classification 10 10 $7,088.00 $5,316.00 25% off $1,916.60 $5,585.34 $3,197.75 2026-06-26
25003360 CDM Operating Room Services - General Classification 10 10 $7,088.00 $5,316.00 25% off $1,916.60 $5,585.34 $3,197.75 2026-06-26
25000328 CDM Operating Room Services - General Classification 10 10 $7,088.00 $5,316.00 25% off $1,916.60 $5,585.34 $3,197.75 2026-06-26
25005455 CDM Operating Room Services - General Classification 10 10 $7,071.00 $5,303.25 25% off $1,912.00 $5,571.95 $3,190.09 2026-06-26
25003169 CDM Operating Room Services - General Classification 10 10 $7,042.00 $5,281.50 25% off $1,904.16 $5,549.10 $3,176.99 2026-06-26
25003639 CDM Operating Room Services - General Classification 10 10 $6,974.00 $5,230.50 25% off $1,885.77 $5,495.51 $3,146.32 2026-06-26
25010235 CDM Operating Room Services - General Classification 10 10 $6,974.00 $5,230.50 25% off $1,885.77 $5,495.51 $3,146.32 2026-06-26
59610 HCPCS Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 13 9 $5,072.00 $3,804.00 25% off $1,908.09 $4,717.16 $3,146.16 2026-06-26
25009953 CDM Operating Room Services - General Classification 10 10 $6,938.00 $5,203.50 25% off $1,876.04 $5,467.14 $3,130.08 2026-06-26
25001518 CDM Operating Room Services - General Classification 10 10 $6,923.00 $5,192.25 25% off $1,871.98 $5,455.32 $3,123.31 2026-06-26
25002246 CDM Operating Room Services - General Classification 10 10 $6,889.00 $5,166.75 25% off $1,862.79 $5,428.53 $3,107.97 2026-06-26
72200028 CDM Intensive Care Unit - General Classification 6 6 $5,667.00 $4,250.25 25% off $1,532.36 $4,403.26 $3,107.22 2026-06-26
72200010 CDM Intensive Care Unit - General Classification 6 6 $5,667.00 $4,250.25 25% off $1,532.36 $4,403.26 $3,107.22 2026-06-26
25015313 CDM Operating Room Services - General Classification 10 10 $6,845.00 $5,133.75 25% off $1,850.89 $5,393.86 $3,088.12 2026-06-26
25002681 CDM Operating Room Services - General Classification 10 10 $6,829.00 $5,121.75 25% off $1,846.56 $5,381.25 $3,080.90 2026-06-26
J9047 HCPCS Injection, Carfilzomib, 1 Mg 21 7 $7,191.55 $5,393.66 25% off $985.46 $11,071.09 $3,063.60 2026-06-26
25010533 CDM Operating Room Services - General Classification 10 10 $6,734.00 $5,050.50 25% off $1,820.87 $5,306.39 $3,038.04 2026-06-26
25004991 CDM Operating Room Services - General Classification 10 10 $6,660.00 $4,995.00 25% off $1,800.86 $5,248.08 $3,004.66 2026-06-26
25002654 CDM Operating Room Services - General Classification 10 10 $6,636.00 $4,977.00 25% off $1,794.37 $5,229.17 $2,993.84 2026-06-26
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 13 9 $4,820.00 $3,615.00 25% off $1,813.28 $4,503.19 $2,989.85 2026-06-26
25001004 CDM Operating Room Services - General Classification 10 10 $6,620.00 $4,965.00 25% off $1,790.05 $5,216.56 $2,986.61 2026-06-26
25001573 CDM Operating Room Services - General Classification 10 10 $6,619.00 $4,964.25 25% off $1,789.78 $5,215.77 $2,986.16 2026-06-26
25006266 CDM Operating Room Services - General Classification 10 10 $6,594.00 $4,945.50 25% off $1,783.02 $5,196.07 $2,974.88 2026-06-26
25002858 CDM Operating Room Services - General Classification 10 10 $6,540.00 $4,905.00 25% off $1,768.42 $5,153.52 $2,950.52 2026-06-26
25010508 CDM Operating Room Services - General Classification 10 10 $6,464.00 $4,848.00 25% off $1,747.87 $5,093.63 $2,916.23 2026-06-26
25001330 CDM Operating Room Services - General Classification 10 10 $6,464.00 $4,848.00 25% off $1,747.87 $5,093.63 $2,916.23 2026-06-26
25005268 CDM Operating Room Services - General Classification 10 10 $6,426.00 $4,819.50 25% off $1,737.59 $5,063.69 $2,899.09 2026-06-26
25006471 CDM Operating Room Services - General Classification 10 10 $6,405.00 $4,803.75 25% off $1,731.91 $5,047.14 $2,889.61 2026-06-26
25011103 CDM Operating Room Services - General Classification 10 10 $6,372.00 $4,779.00 25% off $1,722.99 $5,021.14 $2,874.72 2026-06-26
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 7 7 $6,682.43 $5,011.82 25% off $2,513.93 $5,265.75 $2,846.72 2026-06-26
Q4197 HCPCS Puraply Xt, Per Square Centimeter 7 7 $6,676.00 $5,007.00 25% off $2,511.51 $5,260.69 $2,843.98 2026-06-26
25012330 CDM Operating Room Services - General Classification 10 10 $6,271.00 $4,703.25 25% off $1,695.68 $4,941.55 $2,829.16 2026-06-26
25006546 CDM Operating Room Services - General Classification 10 10 $6,268.00 $4,701.00 25% off $1,694.87 $4,939.18 $2,827.81 2026-06-26
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 8 8 $5,396.00 $4,047.00 25% off $2,029.98 $4,252.05 $2,822.92 2026-06-26
25005206 CDM Operating Room Services - General Classification 10 10 $6,236.00 $4,677.00 25% off $1,686.21 $4,913.97 $2,813.38 2026-06-26
25009215 CDM Operating Room Services - General Classification 10 10 $6,225.00 $4,668.75 25% off $1,683.24 $4,905.30 $2,808.41 2026-06-26
25002951 CDM Operating Room Services - General Classification 10 10 $6,212.00 $4,659.00 25% off $1,679.72 $4,895.06 $2,802.55 2026-06-26
25011392 CDM Operating Room Services - General Classification 10 10 $6,194.00 $4,645.50 25% off $1,674.86 $4,880.87 $2,794.42 2026-06-26
25009756 CDM Operating Room Services - General Classification 10 10 $6,177.00 $4,632.75 25% off $1,670.26 $4,867.48 $2,786.76 2026-06-26
25000291 CDM Operating Room Services - General Classification 10 10 $6,066.00 $4,549.50 25% off $1,640.25 $4,780.01 $2,736.68 2026-06-26
25003195 CDM Operating Room Services - General Classification 10 10 $6,046.00 $4,534.50 25% off $1,634.84 $4,764.25 $2,727.65 2026-06-26
25009387 CDM Operating Room Services - General Classification 10 10 $6,045.00 $4,533.75 25% off $1,634.57 $4,763.46 $2,727.20 2026-06-26
25001502 CDM Operating Room Services - General Classification 10 10 $6,041.00 $4,530.75 25% off $1,633.49 $4,760.31 $2,725.40 2026-06-26
20225 HCPCS Deep Biopsy Of Bone Using Needle Or Trocar 10 10 $6,035.00 $4,526.25 25% off $1,631.86 $4,755.58 $2,722.69 2026-06-26
25002469 CDM Operating Room Services - General Classification 10 10 $6,033.00 $4,524.75 25% off $1,631.32 $4,754.00 $2,721.79 2026-06-26
25006073 CDM Operating Room Services - General Classification 10 10 $5,993.00 $4,494.75 25% off $1,620.51 $4,722.48 $2,703.74 2026-06-26
25003373 CDM Operating Room Services - General Classification 10 10 $5,970.00 $4,477.50 25% off $1,614.29 $4,704.36 $2,693.36 2026-06-26
25005431 CDM Operating Room Services - General Classification 10 10 $5,951.00 $4,463.25 25% off $1,609.15 $4,689.39 $2,684.80 2026-06-26
25003009 CDM Operating Room Services - General Classification 10 10 $5,936.00 $4,452.00 25% off $1,605.09 $4,677.57 $2,678.03 2026-06-26
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 7 7 $6,285.90 $4,714.43 25% off $2,364.76 $4,953.29 $2,677.79 2026-06-26
25000171 CDM Operating Room Services - General Classification 10 10 $5,913.00 $4,434.75 25% off $1,598.88 $4,659.44 $2,667.65 2026-06-26
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 7 7 $6,262.00 $4,696.50 25% off $2,355.76 $4,934.46 $2,667.61 2026-06-26
25004485 CDM Operating Room Services - General Classification 10 10 $5,885.00 $4,413.75 25% off $1,591.30 $4,637.38 $2,655.02 2026-06-26
J9055 HCPCS Injection, Cetuximab, 10 Mg 14 7 $5,241.99 $3,931.49 25% off $1,314.69 $5,507.58 $2,642.66 2026-06-26
J1451 HCPCS Injection, Fomepizole, 15 Mg 7 7 $6,174.00 $4,630.50 25% off $2,322.66 $4,865.11 $2,630.12 2026-06-26
J9048 HCPCS Injection, Bortezomib (fresenius Kabi), Not Therapeutically Equivalent To J9041,… 7 7 $6,142.69 $4,607.02 25% off $2,310.88 $4,840.44 $2,616.79 2026-06-26
25000252 CDM Operating Room Services - General Classification 10 10 $5,786.00 $4,339.50 25% off $1,564.53 $4,559.37 $2,610.36 2026-06-26
90378 HCPCS Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle 14 7 $5,269.10 $3,951.82 25% off $1,372.60 $5,429.00 $2,604.95 2026-06-26
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 8 8 $5,591.00 $4,193.25 25% off $2,103.33 $4,405.71 $2,588.64 2026-06-26
25003949 CDM Operating Room Services - General Classification 10 10 $5,735.00 $4,301.25 25% off $1,550.74 $4,519.18 $2,587.35 2026-06-26
J9264 HCPCS Injection, Paclitaxel Protein-bound Particles, 1 Mg 7 7 $6,059.63 $4,544.72 25% off $2,279.63 $4,774.99 $2,581.40 2026-06-26
25005548 CDM Operating Room Services - General Classification 10 10 $5,711.00 $4,283.25 25% off $1,544.25 $4,500.27 $2,576.52 2026-06-26
25001112 CDM Operating Room Services - General Classification 10 10 $5,687.00 $4,265.25 25% off $1,537.76 $4,481.36 $2,565.69 2026-06-26
25002668 CDM Operating Room Services - General Classification 10 10 $5,677.00 $4,257.75 25% off $1,535.06 $4,473.48 $2,561.18 2026-06-26
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 25 9 $6,738.00 $5,053.50 25% off $108.06 $5,309.54 $2,560.44 2026-06-26
25009481 CDM Operating Room Services - General Classification 10 10 $5,655.00 $4,241.25 25% off $1,529.11 $4,456.14 $2,551.26 2026-06-26
J9355 HCPCS Injection, Trastuzumab, Excludes Biosimilar, 10 Mg 7 7 $5,981.04 $4,485.78 25% off $2,250.07 $4,713.06 $2,547.92 2026-06-26
25000700 CDM Operating Room Services - General Classification 10 10 $5,599.00 $4,199.25 25% off $1,513.97 $4,412.01 $2,525.99 2026-06-26
25003895 CDM Operating Room Services - General Classification 10 10 $5,598.00 $4,198.50 25% off $1,513.70 $4,411.22 $2,525.54 2026-06-26
25003275 CDM Operating Room Services - General Classification 10 10 $5,591.00 $4,193.25 25% off $1,511.81 $4,405.71 $2,522.38 2026-06-26
25005108 CDM Operating Room Services - General Classification 10 10 $5,586.00 $4,189.50 25% off $1,510.45 $4,401.77 $2,520.12 2026-06-26
25001134 CDM Operating Room Services - General Classification 10 10 $5,532.00 $4,149.00 25% off $1,495.85 $4,359.22 $2,495.76 2026-06-26
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