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Hospital

MERCY HOSPITAL LEBANON

Lebanon, MO · CCN 260059 · Rates published

6,345 distinct procedures filed
83 distinct payers
827,050 rate rows
2026-06-10 last MRF observed
Data quality

821,321 of 827,050 rate rows are consumer-grade (99.3%)

5,729 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 3,035
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,058
percent-of-charges filed in the dollar field — excluded from medians 854
exceeds 10× this hospital's gross charge — excluded from medians 520
placeholder amount (≤ $0.02) — excluded from medians 158
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 87
exceeds 3× this hospital's gross charge for a DRG stay — excluded 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/431767432_mercy-hospital-lebanon_standardcharges.zip
Found on page https://www.mercy.net/forms/items-and-services-files/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint d0e298a0ebb9d243… · 57,894,361 bytes · first seen 2026-07-31

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
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $63,236.06 $144,518.83 $121,035.99 nat. median
$65,958
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 $41,252.13 $103,261.19 $71,866.51 nat. median
$47,707
1.5× median
J9277
HCPCS 		Pembrolizumab 790 Mg-berahyaluronid-pmph 9,600 Unit/4.8 Ml Subcut Soln 47 $16,444.48 $78,122.68 $65,777.92 nat. median
$7,040
outlier · 9.3×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 8 $36,693.06 $91,849.06 $63,924.02 nat. median
$42,341
1.5× median
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 81 $82.29 $100,135.53 $59,628.99 nat. median
$550
outlier · 108.5×
J2507
HCPCS 		Pegloticase 8 Mg/50 Ml Intravenous Solution 81 $1,538.05 $90,898.51 $54,810.22 nat. median
$8,784
outlier · 6.2×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 $26,620.18 $66,634.89 $44,677.67 nat. median
$31,378
1.4× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 $22,959.89 $57,472.57 $39,999.08 nat. median
$26,590
1.5× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 81 $24.21 $69,117.14 $36,070.85 nat. median
$331
outlier · 109.0×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 5 $18,280.62 $41,778.27 $34,989.73 nat. median
$20,254
1.7× median
397
MS_DRG 		Appendix Procedures With Mcc 8 $20,004.60 $50,074.96 $34,850.58 nat. median
$23,887
1.5× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 7 $19,611.61 $48,573.70 $34,057.02 nat. median
$21,951
1.6× median
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 8 $18,365.74 $45,972.62 $32,233.29 nat. median
$22,340
1.4× median
J9334
HCPCS 		Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 81 $13.92 $52,236.96 $31,391.48 nat. median
$77
outlier · 409.0×
934
MS_DRG 		Full Thickness Burn Without Skin Graft Or Inhalation Injury 9 $18,661.89 $46,221.44 $31,229.85 nat. median
$20,825
1.5× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 8 $17,613.97 $44,090.81 $30,685.81 nat. median
$21,326
1.4× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 6 $16,225.70 $40,615.73 $30,466.17 nat. median
$19,136
1.6× median
43647
CPT 		Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum 79 $252.08 $42,729.59 $29,236.04 nat. median
$12,250
outlier · 2.4×
J1628
HCPCS 		Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 81 $29.77 $48,686.98 $28,000.12 nat. median
$196
outlier · 142.5×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 12 $20,023.81 $50,123.05 $27,877.82 nat. median
$24,077
1.2× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 $19,933.60 $49,897.24 $27,752.22 nat. median
$23,528
1.2× median
J3245
HCPCS 		Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 81 $50.52 $57,173.69 $27,427.64 nat. median
$256
outlier · 107.1×
100
MS_DRG 		Seizures With Mcc 9 $16,350.47 $40,496.55 $27,361.79 nat. median
$19,081
1.4× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 8 $15,294.34 $38,284.38 $26,644.71 nat. median
$18,041
1.5× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 8 $15,269.28 $38,221.65 $26,601.06 nat. median
$18,028
1.5× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 8 $14,576.82 $36,488.30 $25,394.69 nat. median
$16,012
1.6× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 12 $17,887.95 $44,776.62 $24,904.20 nat. median
$21,203
1.2× median
584
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 12 $17,881.27 $44,759.90 $24,894.89 nat. median
$20,864
1.2× median
J9042
HCPCS 		Brentuximab Vedotin 50 Mg Intravenous Solution 81 $109.55 $41,925.44 $24,775.25 nat. median
$885
outlier · 28.0×
J9228
HCPCS 		Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 81 $76.28 $117,583.39 $24,761.63 nat. median
$8,184
outlier · 3.0×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 8 $14,129.93 $35,369.66 $24,616.17 nat. median
$17,341
1.4× median
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 8 $14,053.09 $35,177.30 $24,482.28 nat. median
$17,345
1.4× median
915
MS_DRG 		Allergic Reactions With Mcc 8 $14,046.40 $35,160.57 $24,470.65 nat. median
$16,954
1.4× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 12 $17,417.68 $43,599.45 $24,249.47 nat. median
$20,500
1.2× median
551
MS_DRG 		Medical Back Problems With Mcc 9 $14,149.64 $35,045.57 $23,678.80 nat. median
$16,668
1.4× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 $16,797.88 $42,048.00 $23,386.57 nat. median
$20,032
1.2× median
J9043
HCPCS 		Cabazitaxel 60 Mg/1.5ml (must Be Diluted To 10 Mg/ml) Intravenous Soln 81 $94.19 $36,092.80 $23,235.14 nat. median
$709
outlier · 32.8×
67
MS_DRG 		Precerebral Occlusion Without Infarction With Mcc 6 $12,268.05 $30,709.05 $23,035.09 nat. median
$15,041
1.5× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 9 $13,762.15 $34,085.85 $23,030.36 nat. median
$16,783
1.4× median
513
MS_DRG 		Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 8 $13,150.13 $32,917.04 $22,909.22 nat. median
$15,749
1.5× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 12 $16,440.37 $41,153.09 $22,888.83 nat. median
$19,576
1.2× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 9 $13,582.33 $33,640.49 $22,729.45 nat. median
$14,657
1.6× median
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 9 $13,543.50 $33,544.31 $22,664.46 nat. median
$15,878
1.4× median
J9022
HCPCS 		Atezolizumab 840 Mg/14 Ml (60 Mg/ml) Intravenous Solution 81 $38.32 $38,001.04 $22,393.93 nat. median
$5,498
outlier · 4.1×
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/mcc 8 $12,821.86 $32,095.32 $22,337.32 nat. median
$16,034
1.4× median
398
MS_DRG 		Appendix Procedures With Cc 8 $12,643.10 $31,647.86 $22,025.90 nat. median
$15,838
1.4× median
564
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 9 $13,031.07 $32,275.13 $21,806.93 nat. median
$15,664
1.4× median
64590
CPT 		Ins/Rplc Perph Sac/Gstrc Npg/Rcvr Pckt Crtj&Conn 79 $252.08 $34,338.26 $21,415.63 nat. median
$17,900
1.2× median
63661
CPT 		Rem Spine Eltrd Perq Aray Pf 79 $288.67 $34,338.26 $21,415.63 nat. median
$2,399
outlier · 8.9×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 5 $11,015.40 $25,174.44 $21,083.85 nat. median
$12,590
1.7× median

Other procedures at this hospital

Browse this hospital's 6,345 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
             
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 240 81 $105,399.82 $68,509.88 35% off $82.29 $100,135.53 $59,628.99 2026-06-10
J2507 HCPCS Pegloticase 8 Mg/50 Ml Intravenous Solution 120 81 $95,682.64 $62,193.72 35% off $1,538.05 $90,898.51 $54,810.22 2026-06-10
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 5 $92,923.19 $60,400.07 35% off $63,236.06 $144,518.83 $121,035.99 2026-06-10
J9277 HCPCS Pembrolizumab 790 Mg-berahyaluronid-pmph 9,600 Unit/4.8 Ml Subcut Soln 164 47 $82,228.40 $53,448.46 35% off $16,444.48 $78,122.68 $65,777.92 2026-06-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 8 $81,326.54 $52,862.25 35% off $41,252.13 $103,261.19 $71,866.51 2026-06-10
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 240 81 $72,748.88 $47,286.77 35% off $24.21 $69,117.14 $36,070.85 2026-06-10
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 240 81 $60,176.83 $39,114.94 35% off $50.52 $57,173.69 $27,427.64 2026-06-10
397 MS_DRG Appendix Procedures With Mcc 14 8 $57,764.87 $37,547.17 35% off $20,004.60 $50,074.96 $34,850.58 2026-06-10
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 240 81 $54,980.27 $35,737.18 35% off $13.92 $52,236.96 $31,391.48 2026-06-10
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 8 $52,915.85 $34,395.30 35% off $22,959.89 $57,472.57 $39,999.08 2026-06-10
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 240 81 $51,243.45 $33,308.24 35% off $29.77 $48,686.98 $28,000.12 2026-06-10
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 10 5 $47,152.42 $30,649.07 35% off $18,280.62 $41,778.27 $34,989.73 2026-06-10
336 MS_DRG Peritoneal Adhesiolysis With Cc 14 8 $46,102.23 $29,966.45 35% off $17,613.97 $44,090.81 $30,685.81 2026-06-10
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 14 8 $46,093.27 $29,960.63 35% off $18,365.74 $45,972.62 $32,233.29 2026-06-10
43647 CPT Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum 119 79 $44,978.52 $29,236.04 35% off $252.08 $42,729.59 $29,236.04 2026-06-10
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 240 81 $44,126.04 $28,681.93 35% off $109.55 $41,925.44 $24,775.25 2026-06-10
205 MS_DRG Other Respiratory System Diagnoses With Mcc 14 8 $40,352.77 $26,229.30 35% off $15,294.34 $38,284.38 $26,644.71 2026-06-10
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 240 81 $39,643.71 $25,768.41 35% off $28.64 $37,667.22 $20,784.68 2026-06-10
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 14 8 $38,136.41 $24,788.67 35% off $15,269.28 $38,221.65 $26,601.06 2026-06-10
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml (must Be Diluted To 10 Mg/ml) Intravenous Soln 240 81 $37,986.42 $24,691.17 35% off $94.19 $36,092.80 $23,235.14 2026-06-10
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 240 81 $37,977.09 $24,685.11 35% off $11.71 $36,083.94 $19,595.69 2026-06-10
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 240 81 $37,652.95 $24,474.42 35% off $22.47 $35,776.00 $19,297.56 2026-06-10
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 12 6 $36,902.46 $23,986.60 35% off $12,268.05 $30,709.05 $23,035.09 2026-06-10
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 14 8 $36,839.65 $23,945.77 35% off $14,053.09 $35,177.30 $24,482.28 2026-06-10
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 240 81 $36,513.70 $23,733.90 35% off $6.09 $34,693.72 $18,011.93 2026-06-10
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 8 $35,776.28 $23,254.58 35% off $36,693.06 $91,849.06 $63,924.02 2026-06-10
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 14 8 $35,310.40 $22,951.76 35% off $12,821.86 $32,095.32 $22,337.32 2026-06-10
637 MS_DRG Diabetes With Mcc 14 8 $35,177.79 $22,865.56 35% off $12,000.76 $30,039.96 $20,906.85 2026-06-10
123 MS_DRG Neurological Eye Disorders 12 6 $34,917.81 $22,696.58 35% off $6,670.71 $16,697.93 $12,525.24 2026-06-10
71 MS_DRG Other Cerebrovascular Disorders With Cc 14 8 $34,673.47 $22,537.76 35% off $8,570.18 $21,452.63 $14,930.35 2026-06-10
398 MS_DRG Appendix Procedures With Cc 14 8 $34,548.37 $22,456.44 35% off $12,643.10 $31,647.86 $22,025.90 2026-06-10
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 10 5 $34,359.46 $22,333.65 35% off $11,015.40 $25,174.44 $21,083.85 2026-06-10
779 MS_DRG Abortion Without D&c 14 8 $34,092.48 $22,160.11 35% off $7,027.38 $17,590.74 $12,242.60 2026-06-10
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 240 81 $33,870.15 $22,015.60 35% off $8.72 $32,182.34 $14,898.94 2026-06-10
204 MS_DRG Respiratory Signs And Symptoms 14 8 $32,812.90 $21,328.38 35% off $6,744.21 $16,881.93 $11,749.28 2026-06-10
571 MS_DRG Skin Debridement With Cc 20 12 $32,544.74 $21,154.08 35% off $14,112.39 $35,325.76 $19,647.74 2026-06-10
J9316 HCPCS Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 240 81 $32,483.58 $21,114.33 35% off $24.88 $30,865.10 $15,677.76 2026-06-10
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 10 5 $32,292.93 $20,990.40 35% off $8,408.85 $19,217.46 $16,094.82 2026-06-10
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 14 8 $32,011.10 $20,807.21 35% off $14,129.93 $35,369.66 $24,616.17 2026-06-10
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 14 8 $31,875.08 $20,718.80 35% off $14,576.82 $36,488.30 $25,394.69 2026-06-10
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 14 8 $31,714.48 $20,614.41 35% off $11,156.27 $27,926.06 $19,435.65 2026-06-10
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 240 81 $31,664.58 $20,581.98 35% off $33.31 $30,087.05 $15,756.38 2026-06-10
44120 CPT Entrc Rescj Small Intestine 1 Rescj & Anast 113 73 $31,630.82 $20,560.03 35% off $369.75 $30,049.28 $20,560.03 2026-06-10
44140 CPT Colectomy Partial W/Anastomosis 113 73 $31,630.82 $20,560.03 35% off $369.75 $30,049.28 $20,560.03 2026-06-10
915 MS_DRG Allergic Reactions With Mcc 14 8 $31,261.96 $20,320.27 35% off $14,046.40 $35,160.57 $24,470.65 2026-06-10
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 14 8 $31,117.85 $20,226.60 35% off $11,473.68 $28,720.60 $19,988.62 2026-06-10
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 6 $30,996.25 $20,147.56 35% off $16,225.70 $40,615.73 $30,466.17 2026-06-10
J9228 HCPCS Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 410 81 $30,952.04 $20,118.83 35% off $76.28 $117,583.39 $24,761.63 2026-06-10
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 14 8 $30,612.14 $19,897.89 35% off $13,150.13 $32,917.04 $22,909.22 2026-06-10
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 12 $30,161.18 $19,604.77 35% off $14,984.45 $37,508.66 $20,861.85 2026-06-10
177 MS_DRG Respiratory Infections And Inflammations With Mcc 20 12 $29,880.70 $19,422.45 35% off $13,053.23 $32,674.49 $18,173.15 2026-06-10
63661 CPT Rem Spine Eltrd Perq Aray Pf 119 79 $29,838.51 $19,395.03 35% off $288.67 $34,338.26 $21,415.63 2026-06-10
64590 CPT Ins/Rplc Perph Sac/Gstrc Npg/Rcvr Pckt Crtj&Conn 119 79 $29,838.51 $19,395.03 35% off $252.08 $34,338.26 $21,415.63 2026-06-10
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 16 9 $29,833.95 $19,392.07 35% off $2,711.00 $21,124.36 $14,272.83 2026-06-10
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 240 81 $29,796.42 $19,367.67 35% off $15.60 $28,312.30 $12,588.83 2026-06-10
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 240 81 $29,751.39 $19,338.40 35% off $10.00 $28,269.52 $14,658.92 2026-06-10
300 MS_DRG Peripheral Vascular Disorders With Cc 20 12 $29,598.59 $19,239.08 35% off $8,916.83 $22,320.36 $12,414.31 2026-06-10
643 MS_DRG Endocrine Disorders With Mcc 20 12 $29,482.69 $19,163.75 35% off $13,749.87 $34,418.30 $19,143.03 2026-06-10
312 MS_DRG Syncope And Collapse 16 9 $29,428.71 $19,128.66 35% off $7,358.05 $18,224.28 $12,313.37 2026-06-10
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 16 9 $29,166.43 $18,958.18 35% off $10,706.99 $26,518.88 $17,917.68 2026-06-10
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 20 12 $29,144.75 $18,944.09 35% off $17,887.95 $44,776.62 $24,904.20 2026-06-10
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 20 12 $29,081.42 $18,902.92 35% off $8,478.30 $21,222.64 $11,803.76 2026-06-10
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 12 $28,824.75 $18,736.09 35% off $19,933.60 $49,897.24 $27,752.22 2026-06-10
330 MS_DRG Major Small And Large Bowel Procedures With Cc 20 12 $28,657.12 $18,627.13 35% off $20,023.81 $50,123.05 $27,877.82 2026-06-10
313 MS_DRG Chest Pain 20 12 $28,617.50 $18,601.37 35% off $6,014.16 $15,054.48 $8,373.11 2026-06-10
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 240 81 $28,179.50 $18,316.67 35% off $86.02 $26,776.23 $15,701.00 2026-06-10
J9326 HCPCS Telisotuzumab Vedotin-tllv 100 Mg Intravenous Solution 398 81 $28,105.80 $18,268.77 35% off $59.53 $44,502.75 $7,502.88 2026-06-10
J9022 HCPCS Atezolizumab 840 Mg/14 Ml (60 Mg/ml) Intravenous Solution 410 81 $28,004.41 $18,202.87 35% off $38.32 $38,001.04 $22,393.93 2026-06-10
369 MS_DRG Major Esophageal Disorders With Cc 20 12 $27,823.63 $18,085.36 35% off $8,354.67 $20,913.18 $11,631.65 2026-06-10
178 MS_DRG Respiratory Infections And Inflammations With Cc 16 9 $27,405.94 $17,813.86 35% off $8,239.39 $20,407.18 $13,788.26 2026-06-10
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 20 12 $27,234.17 $17,702.21 35% off $5,716.79 $14,310.12 $7,959.11 2026-06-10
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 240 82 $27,147.50 $17,645.87 35% off $11.35 $25,795.83 $15,126.00 2026-06-10
551 MS_DRG Medical Back Problems With Mcc 16 9 $26,919.45 $17,497.64 35% off $14,149.64 $35,045.57 $23,678.80 2026-06-10
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 20 12 $26,892.85 $17,480.35 35% off $16,440.37 $41,153.09 $22,888.83 2026-06-10
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 10 $26,813.33 $17,428.66 35% off $26,620.18 $66,634.89 $44,677.67 2026-06-10
292 MS_DRG Heart Failure And Shock With Cc 16 9 $26,475.74 $17,209.23 35% off $7,167.26 $17,751.74 $11,994.09 2026-06-10
445 MS_DRG Disorders Of The Biliary Tract With Cc 20 12 $26,433.43 $17,181.73 35% off $9,141.52 $22,882.81 $12,727.14 2026-06-10
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 20 12 $26,356.99 $17,132.04 35% off $8,139.16 $20,373.73 $11,331.61 2026-06-10
49596 CPT Rpr Aa Hernia 1st > 10 Cm Ncrc8/Strangulated 117 77 $26,114.79 $16,974.61 35% off $88.72 $24,809.05 $19,324.94 2026-06-10
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 20 12 $25,754.60 $16,740.49 35% off $10,979.18 $27,482.79 $15,285.58 2026-06-10
864 MS_DRG Fever And Inflammatory Conditions 20 12 $25,111.84 $16,322.70 35% off $7,414.96 $18,560.92 $10,323.35 2026-06-10
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 20 12 $25,092.26 $16,309.97 35% off $7,272.12 $18,203.38 $10,124.49 2026-06-10
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 120 81 $24,974.76 $16,233.59 35% off $76.30 $23,726.02 $15,469.30 2026-06-10
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 20 12 $24,949.40 $16,217.11 35% off $14,057.26 $35,187.76 $19,570.99 2026-06-10
70 MS_DRG Other Cerebrovascular Disorders With Mcc 20 12 $24,946.15 $16,215.00 35% off $13,906.07 $34,809.30 $19,360.50 2026-06-10
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 20 12 $24,828.45 $16,138.49 35% off $16,797.88 $42,048.00 $23,386.57 2026-06-10
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 20 12 $24,707.20 $16,059.68 35% off $5,362.63 $13,423.58 $7,466.02 2026-06-10
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 20 12 $24,621.13 $16,003.73 35% off $11,408.53 $28,557.51 $15,883.33 2026-06-10
381 MS_DRG Complicated Peptic Ulcer With Cc 16 9 $24,573.78 $15,972.96 35% off $9,146.91 $22,654.90 $15,306.95 2026-06-10
184 MS_DRG Major Chest Trauma With Cc 16 9 $24,044.99 $15,629.24 35% off $8,983.13 $22,249.27 $15,032.88 2026-06-10
43282 CPT Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh 121 81 $23,927.91 $15,553.14 35% off $52.82 $22,731.51 $15,553.14 2026-06-10
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 20 12 $23,687.68 $15,396.99 35% off $13,819.20 $34,591.85 $19,239.56 2026-06-10
394 MS_DRG Other Digestive System Diagnoses With Cc 16 9 $23,587.49 $15,331.87 35% off $7,899.18 $19,564.55 $13,218.93 2026-06-10
682 MS_DRG Renal Failure With Mcc 20 12 $23,430.96 $15,230.12 35% off $12,370.79 $30,966.23 $17,223.03 2026-06-10
388 MS_DRG Gastrointestinal Obstruction With Mcc 20 12 $23,342.19 $15,172.42 35% off $12,335.71 $30,878.41 $17,174.18 2026-06-10
378 MS_DRG Gastrointestinal Hemorrhage With Cc 20 12 $23,282.65 $15,133.72 35% off $8,191.79 $20,505.46 $11,404.88 2026-06-10
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 20 12 $23,246.36 $15,110.13 35% off $8,500.85 $21,279.09 $11,835.16 2026-06-10
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 20 12 $23,183.29 $15,069.14 35% off $17,881.27 $44,759.90 $24,894.89 2026-06-10
291 MS_DRG Heart Failure And Shock With Mcc 16 9 $23,132.81 $15,036.33 35% off $10,837.84 $26,842.97 $18,136.65 2026-06-10
787 MS_DRG Cesarean Section Without Sterilization With Cc 6 4 $23,124.50 $15,030.92 35% off $9,428.03 $15,777.39 $10,439.46 2026-06-10
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 240 81 $23,083.10 $15,004.01 35% off $6.94 $21,934.65 $13,119.66 2026-06-10
69 MS_DRG Transient Ischemia Without Thrombolytic 20 12 $22,767.65 $14,798.97 35% off $6,672.38 $16,702.11 $9,289.51 2026-06-10
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 20 12 $22,748.43 $14,786.48 35% off $9,691.99 $24,260.71 $13,493.51 2026-06-10
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 16 9 $22,616.93 $14,701.00 35% off $13,031.07 $32,275.13 $21,806.93 2026-06-10
399 MS_DRG Appendix Procedures Without Cc/mcc 20 12 $22,548.74 $14,656.68 35% off $9,561.68 $23,934.53 $13,312.08 2026-06-10
189 MS_DRG Pulmonary Edema And Respiratory Failure 16 9 $22,531.67 $14,645.59 35% off $10,429.25 $25,830.98 $17,452.89 2026-06-10
C1772 HCPCS Pump Synchromed Ii 40ml 8637-40 80 43 $22,500.00 $14,625.00 35% off $5,625.00 $21,375.00 $18,000.00 2026-06-10
176 MS_DRG Pulmonary Embolism Without Mcc 18 10 $22,450.52 $14,592.84 35% off $6,724.17 $16,831.75 $11,285.42 2026-06-10
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 20 12 $22,254.91 $14,465.69 35% off $6,500.30 $16,271.38 $9,049.94 2026-06-10
181 MS_DRG Respiratory Neoplasms With Cc 20 12 $22,038.27 $14,324.88 35% off $8,946.06 $22,393.54 $12,455.01 2026-06-10
149 MS_DRG Dysequilibrium 20 12 $21,994.84 $14,296.65 35% off $6,278.11 $15,715.20 $8,740.60 2026-06-10
44204 CPT Laparoscopy Colectomy Partial W/Anastomosis 117 77 $21,951.30 $14,268.34 35% off $369.75 $20,853.74 $15,029.00 2026-06-10
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 238 81 $21,858.02 $14,207.71 35% off $18.38 $20,770.82 $14,203.81 2026-06-10
314 MS_DRG Other Circulatory System Diagnoses With Mcc 20 12 $21,797.69 $14,168.50 35% off $17,417.68 $43,599.45 $24,249.47 2026-06-10
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 20 12 $21,701.91 $14,106.24 35% off $8,547.62 $21,396.18 $11,900.29 2026-06-10
49321 CPT Laparoscopy Surg W/Bx Single/Multiple 119 79 $21,559.22 $14,013.49 35% off $308.61 $20,481.26 $13,135.00 2026-06-10
866 MS_DRG Viral Illness Without Mcc 20 12 $21,549.76 $14,007.34 35% off $7,263.77 $18,182.47 $10,112.86 2026-06-10
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 20 12 $21,456.48 $13,946.71 35% off $6,145.30 $15,382.75 $8,555.69 2026-06-10
152 MS_DRG Otitis Media And Uri With Mcc 20 12 $21,386.94 $13,901.51 35% off $9,874.92 $24,718.62 $13,748.19 2026-06-10
975 MS_DRG HIV With Major Related Condition With Cc 20 12 $21,149.86 $13,747.41 35% off $10,817.14 $27,077.16 $15,059.98 2026-06-10
293 MS_DRG Heart Failure And Shock Without Cc/mcc 16 9 $21,021.15 $13,663.75 35% off $4,778.17 $11,834.49 $7,996.06 2026-06-10
305 MS_DRG Hypertension Without Mcc 20 12 $21,000.81 $13,650.53 35% off $6,307.35 $15,788.39 $8,781.31 2026-06-10
100 MS_DRG Seizures With Mcc 16 9 $20,995.62 $13,647.15 35% off $16,350.47 $40,496.55 $27,361.79 2026-06-10
199 MS_DRG Pneumothorax With Mcc 20 12 $20,961.21 $13,624.79 35% off $14,735.53 $36,885.57 $20,515.29 2026-06-10
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 20 12 $20,905.81 $13,588.78 35% off $10,363.57 $25,941.80 $14,428.51 2026-06-10
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 240 81 $20,561.60 $13,365.04 35% off $24.37 $19,539.22 $11,139.50 2026-06-10
639 MS_DRG Diabetes Without Cc/mcc 20 12 $20,534.89 $13,347.68 35% off $5,188.88 $12,988.67 $7,224.14 2026-06-10
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 20 12 $20,438.58 $13,285.08 35% off $10,574.06 $26,468.70 $14,721.56 2026-06-10
153 MS_DRG Otitis Media And Uri Without Mcc 20 12 $20,379.55 $13,246.71 35% off $6,166.18 $15,435.02 $8,584.77 2026-06-10
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 20 12 $20,378.87 $13,246.27 35% off $6,910.44 $17,298.02 $9,620.94 2026-06-10
683 MS_DRG Renal Failure With Cc 20 12 $20,261.22 $13,169.79 35% off $7,315.56 $18,312.10 $10,184.96 2026-06-10
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 20 12 $20,215.93 $13,140.35 35% off $8,063.15 $20,183.46 $11,225.79 2026-06-10
948 MS_DRG Signs And Symptoms Without Mcc 16 9 $20,031.12 $13,020.23 35% off $6,757.82 $16,737.65 $11,308.92 2026-06-10
638 MS_DRG Diabetes With Cc 20 12 $20,014.10 $13,009.16 35% off $7,485.96 $18,738.65 $10,422.20 2026-06-10
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 6 4 $19,976.61 $12,984.80 35% off $8,094.19 $13,545.27 $8,962.53 2026-06-10
C1767 HCPCS Neurostimulator Gastric Enterra Ii 37800 80 43 $19,969.00 $12,979.85 35% off $4,992.25 $18,970.55 $15,975.20 2026-06-10
602 MS_DRG Cellulitis With Mcc 20 12 $19,929.62 $12,954.25 35% off $11,872.12 $29,717.96 $16,528.76 2026-06-10
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 16 9 $19,866.13 $12,912.98 35% off $13,543.50 $33,544.31 $22,664.46 2026-06-10
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 16 9 $19,815.53 $12,880.09 35% off $7,011.93 $17,367.02 $11,734.15 2026-06-10
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 16 9 $19,797.97 $12,868.68 35% off $5,305.80 $13,141.31 $8,879.02 2026-06-10
92 MS_DRG Other Disorders Of Nervous System With Cc 20 12 $19,686.74 $12,796.38 35% off $8,545.12 $21,389.91 $11,896.80 2026-06-10
Q5152 HCPCS Eculizumab-aeeb 300 Mg/30 Ml Intravenous Solution 236 80 $19,672.85 $12,787.35 35% off $17.28 $18,694.91 $12,787.35 2026-06-10
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 20 12 $19,642.60 $12,767.69 35% off $6,731.68 $16,850.56 $9,372.07 2026-06-10
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 16 9 $19,488.51 $12,667.53 35% off $13,762.15 $34,085.85 $23,030.36 2026-06-10
811 MS_DRG Red Blood Cell Disorders With Mcc 20 12 $19,476.43 $12,659.68 35% off $11,730.12 $29,362.51 $16,331.06 2026-06-10
812 MS_DRG Red Blood Cell Disorders Without Mcc 20 12 $19,324.72 $12,561.07 35% off $7,669.72 $19,198.64 $10,678.05 2026-06-10
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector 123 81 $19,318.15 $12,556.80 35% off $50.13 $18,352.24 $7,630.67 2026-06-10
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 20 12 $19,260.76 $12,519.49 35% off $6,761.75 $16,925.84 $9,413.94 2026-06-10
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 20 12 $19,041.74 $12,377.13 35% off $6,775.95 $16,961.38 $9,433.70 2026-06-10
684 MS_DRG Renal Failure Without Cc/mcc 20 12 $18,821.14 $12,233.74 35% off $5,014.31 $12,551.67 $6,981.08 2026-06-10
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 121 81 $18,785.49 $12,210.57 35% off $781.68 $18,814.84 $14,089.12 2026-06-10
49614 CPT Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated 121 81 $18,683.68 $12,144.39 35% off $500.39 $17,749.50 $13,825.92 2026-06-10
91 MS_DRG Other Disorders Of Nervous System With Mcc 20 12 $18,545.07 $12,054.30 35% off $14,669.54 $36,720.39 $20,423.42 2026-06-10
101 MS_DRG Seizures Without Mcc 20 12 $18,180.61 $11,817.40 35% off $7,539.42 $18,872.46 $10,496.63 2026-06-10
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 20 12 $18,105.46 $11,768.55 35% off $5,190.55 $12,992.85 $7,226.47 2026-06-10
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg Intravenous Solution|rx Amt Discard/not Admin T… 410 81 $18,075.83 $11,749.30 35% off $17.22 $21,139.19 $11,119.91 2026-06-10
56 MS_DRG Degenerative Nervous System Disorders With Mcc 14 7 $18,032.04 $11,720.83 35% off $19,611.61 $48,573.70 $34,057.02 2026-06-10
C1820 HCPCS Charging System 37752 480 43 $18,000.00 $11,700.00 35% off $607.50 $38,827.45 $5,917.50 2026-06-10
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 20 12 $17,991.92 $11,694.75 35% off $5,265.73 $13,181.03 $7,331.12 2026-06-10
603 MS_DRG Cellulitis Without Mcc 16 9 $17,514.27 $11,384.28 35% off $7,352.14 $18,209.65 $12,303.48 2026-06-10
947 MS_DRG Signs And Symptoms With Mcc 20 12 $17,344.29 $11,273.79 35% off $10,603.30 $26,541.88 $14,762.26 2026-06-10
SUP-316.108 CDM Spacer Xpand-r Sm 0� 316.108 80 43 $17,318.00 $11,256.70 35% off $4,329.50 $16,452.10 $13,854.40 2026-06-10
389 MS_DRG Gastrointestinal Obstruction With Cc 20 12 $17,087.97 $11,107.18 35% off $6,597.20 $16,513.93 $9,184.84 2026-06-10
J2406 HCPCS Oritavancin 1,200 Mg Intravenous Solution 120 81 $16,867.20 $10,963.68 35% off $17.57 $16,023.84 $9,528.60 2026-06-10
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 20 12 $16,828.79 $10,938.71 35% off $13,100.85 $32,793.68 $18,239.43 2026-06-10
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 20 12 $16,779.06 $10,906.39 35% off $8,528.41 $21,348.09 $11,873.54 2026-06-10
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 9 $16,757.74 $10,892.53 35% off $18,661.89 $46,221.44 $31,229.85 2026-06-10
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 6 4 $16,694.58 $10,851.48 35% off $6,365.27 $10,652.00 $7,048.13 2026-06-10
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 20 12 $16,643.34 $10,818.17 35% off $9,252.62 $23,160.90 $12,881.80 2026-06-10
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 20 12 $16,570.60 $10,770.89 35% off $7,374.03 $18,458.47 $10,266.37 2026-06-10
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 16 9 $16,536.38 $10,748.65 35% off $7,216.22 $17,873.01 $12,076.03 2026-06-10
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strng Pf 121 81 $16,435.76 $10,683.24 35% off $652.26 $15,613.97 $12,162.46 2026-06-10
J9204 HCPCS Mogamulizumab-kpkc 4 Mg/ml Intravenous Solution 240 81 $16,347.44 $10,625.84 35% off $103.44 $15,535.77 $9,298.07 2026-06-10
385 MS_DRG Inflammatory Bowel Disease With Mcc 20 12 $16,311.46 $10,602.45 35% off $13,216.95 $33,084.31 $18,401.08 2026-06-10
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 16 9 $16,300.07 $10,595.05 35% off $6,581.38 $16,300.66 $11,013.66 2026-06-10
202 MS_DRG Bronchitis And Asthma With Cc/mcc 20 12 $16,286.71 $10,586.36 35% off $8,112.43 $20,306.82 $11,294.40 2026-06-10
SUP-157225135 CDM Stem Fem Soln Bow Calcar 1572-25-135 80 43 $16,268.00 $10,574.20 35% off $4,067.00 $15,454.60 $13,014.40 2026-06-10
SUP-157226135 CDM Stem Fem Soln Bow Calcar 1572-26-135 80 43 $16,268.00 $10,574.20 35% off $4,067.00 $15,454.60 $13,014.40 2026-06-10
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 6 4 $16,220.19 $10,543.12 35% off $9,046.45 $15,138.84 $10,016.94 2026-06-10
200 MS_DRG Pneumothorax With Cc 16 9 $16,157.71 $10,502.51 35% off $9,280.29 $22,985.26 $15,530.16 2026-06-10
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 20 12 $16,139.07 $10,490.40 35% off $4,728.63 $11,836.58 $6,583.36 2026-06-10
884 MS_DRG Organic Disturbances And Intellectual Disability 16 9 $16,078.43 $10,450.98 35% off $13,582.33 $33,640.49 $22,729.45 2026-06-10
SUP-157211135 CDM Stem Fem Soln Bow Lg 1572-11-135 80 43 $16,048.00 $10,431.20 35% off $4,012.00 $15,245.60 $12,838.40 2026-06-10
SUP-157210135 CDM Stem Fem Soln Bow Lg 1572-10-135 80 43 $16,048.00 $10,431.20 35% off $4,012.00 $15,245.60 $12,838.40 2026-06-10
SUP-157215150 CDM Stem Fem Soln Str Calcar 1572-15-150 80 43 $15,947.00 $10,365.55 35% off $3,986.75 $15,149.65 $12,757.60 2026-06-10
SUP-157215135 CDM Stem Fem Soln Str Calcar 1572-15-135 80 43 $15,947.00 $10,365.55 35% off $3,986.75 $15,149.65 $12,757.60 2026-06-10
SUP-157215120 CDM Stem Fem Soln Str Calcar 1572-15-120 80 43 $15,947.00 $10,365.55 35% off $3,986.75 $15,149.65 $12,757.60 2026-06-10
SUP-157202105 CDM Stem Fem Soln Str Lg 1572-02-105 80 43 $15,812.00 $10,277.80 35% off $3,953.00 $15,021.40 $12,649.60 2026-06-10
SUP-157207135 CDM Stem Fem Soln Bow Lg 1572-07-135 80 43 $15,812.00 $10,277.80 35% off $3,953.00 $15,021.40 $12,649.60 2026-06-10
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 20 12 $15,677.16 $10,190.15 35% off $7,026.54 $17,588.65 $9,782.58 2026-06-10
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 20 12 $15,539.03 $10,100.37 35% off $7,041.58 $17,626.29 $9,803.52 2026-06-10
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 20 12 $15,524.87 $10,091.17 35% off $5,543.05 $13,875.21 $7,717.22 2026-06-10
J2353 HCPCS Octreotide,microspheres ER 10 Mg Intramuscular Susp, Extended Release 581 81 $15,464.61 $10,052.00 35% off $81.28 $22,010.63 $9,452.40 2026-06-10
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe 240 81 $15,373.83 $9,992.99 35% off $7.27 $14,610.84 $7,687.76 2026-06-10
Q5151 HCPCS Eculizumab-aagh 300 Mg/30 Ml Intravenous Solution 236 80 $15,302.10 $9,946.36 35% off $12.93 $14,542.70 $9,946.37 2026-06-10
49322 CPT Laps Surg W/Aspir Cavity/Cyst Single/Multiple 119 79 $15,109.77 $9,821.35 35% off $333.88 $15,029.00 $11,181.23 2026-06-10
644 MS_DRG Endocrine Disorders With Cc 16 9 $15,089.38 $9,808.10 35% off $8,653.05 $21,431.73 $14,480.50 2026-06-10
103 MS_DRG Headaches Without Mcc 20 12 $15,058.37 $9,787.94 35% off $6,985.61 $17,486.20 $9,725.60 2026-06-10
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 20 12 $15,000.60 $9,750.39 35% off $13,399.05 $33,540.13 $18,654.60 2026-06-10
J3358 HCPCS Ustekinumab 130 Mg/26 Ml Intravenous Solution 240 81 $14,917.87 $9,696.62 35% off $5.10 $14,177.68 $7,159.07 2026-06-10
645 MS_DRG Endocrine Disorders Without Cc/mcc 20 12 $14,907.86 $9,690.11 35% off $6,417.61 $16,064.38 $8,934.81 2026-06-10
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 20 12 $14,844.14 $9,648.69 35% off $7,856.00 $19,664.91 $10,937.38 2026-06-10
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 6 4 $14,762.31 $9,595.50 35% off $5,691.60 $9,524.64 $6,302.19 2026-06-10
49613 CPT Rpr Aa Hernia Recr < 3 Cm Reducible 121 81 $14,646.25 $9,520.06 35% off $368.70 $15,029.00 $10,984.69 2026-06-10
49651 CPT Laps Surg Rpr Recurrent Inguinal Hernia 119 79 $14,586.65 $9,481.32 35% off $512.56 $15,029.00 $10,853.00 2026-06-10
PX-500001868 CDM Litho Level 6 Initial 30 Minutes 74 37 $14,570.00 $9,470.50 35% off $3,642.50 $13,841.50 $11,656.00 2026-06-10
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 240 81 $14,417.70 $9,371.50 35% off $90.68 $13,702.52 $8,179.20 2026-06-10
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 410 81 $14,066.59 $9,143.28 35% off $17.46 $40,066.86 $11,253.27 2026-06-10
C1817 HCPCS Occluder Asd Septal 12mm 80 43 $13,901.00 $9,035.65 35% off $3,475.25 $13,205.95 $11,120.80 2026-06-10
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 20 12 $13,726.49 $8,922.22 35% off $4,544.03 $11,374.50 $6,326.35 2026-06-10
38531 CPT Open Biopsy/Excision Inguinofemoral Nodes 121 81 $13,724.70 $8,921.05 35% off $394.41 $13,038.47 $8,921.06 2026-06-10
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible Pf 121 81 $13,715.35 $8,914.98 35% off $501.29 $15,029.00 $10,286.51 2026-06-10
49505 CPT Rx Ing Hernia,5+Y/O,Reducibl Pf 119 79 $13,705.51 $8,908.58 35% off $474.57 $15,029.00 $10,279.13 2026-06-10
SUP-157211150 CDM Stem Fem Soln Bow Lg 1572-11-150 80 43 $13,469.00 $8,754.85 35% off $3,367.25 $12,795.55 $10,775.20 2026-06-10
SUP-157211180 CDM Stem Fem Soln Bow Lg 1572-11-180 80 43 $13,469.00 $8,754.85 35% off $3,367.25 $12,795.55 $10,775.20 2026-06-10
SUP-157210180 CDM Stem Fem Soln Bow Lg 1572-10-180 80 43 $13,469.00 $8,754.85 35% off $3,367.25 $12,795.55 $10,775.20 2026-06-10
SUP-157210150 CDM Stem Fem Soln Bow Lg 1572-10-150 80 43 $13,469.00 $8,754.85 35% off $3,367.25 $12,795.55 $10,775.20 2026-06-10
49650 CPT Bil Lap Ing Hernia Repair Init Pf 119 79 $13,416.17 $8,720.51 35% off $394.69 $15,029.00 $9,927.97 2026-06-10
59151 CPT Laps Tx Ectopic Preg W/Salping&/Oophorectomy 121 81 $13,273.76 $8,627.94 35% off $657.74 $15,029.00 $9,955.32 2026-06-10
SUP-157202150 CDM Stem Fem Soln Str Lg 1572-02-150 80 43 $13,270.00 $8,625.50 35% off $3,317.50 $12,606.50 $10,616.00 2026-06-10
SUP-157207165 CDM Stem Fem Soln Bow Lg 1572-07-165 80 43 $13,270.00 $8,625.50 35% off $3,317.50 $12,606.50 $10,616.00 2026-06-10
46060 CPT I&d Ischiorectal/Intramural Absc W/wo Seton 119 79 $13,263.01 $8,620.96 35% off $450.48 $15,029.00 $9,814.63 2026-06-10
PX-500001867 CDM Litho Level 5 Initial 30 Minutes 74 37 $13,262.00 $8,620.30 35% off $3,315.50 $12,598.90 $10,609.60 2026-06-10
J2997 HCPCS Alteplase 2 Mg Intra-catheter Solution 292 81 $13,244.55 $8,608.96 35% off $38.29 $25,164.64 $7,126.25 2026-06-10
66991 CPT Xcapsl Ctrc Rmvl Insj Io Lens Prosth Insj 1+ 121 81 $13,170.30 $8,560.69 35% off $538.21 $15,029.00 $9,877.73 2026-06-10
62305 CPT Myelography Inj 2 Or More Regions 74 37 $13,157.00 $8,552.05 35% off $3,289.25 $12,499.15 $10,525.60 2026-06-10
49591 CPT Rpr Aa Hernia 1st < 3 Cm Reducible Pf 121 81 $13,146.17 $8,545.01 35% off $300.14 $15,029.00 $9,859.63 2026-06-10
SUP-108391 CDM Comp Fem Mod Rch Prox Body Sz1 108391 80 43 $13,115.00 $8,524.75 35% off $3,278.75 $12,459.25 $10,492.00 2026-06-10
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 20 12 $13,020.96 $8,463.62 35% off $5,844.59 $14,630.03 $8,137.04 2026-06-10
44970 CPT Laparos, Surgic,Appendectomy Pf 121 81 $13,000.41 $8,450.27 35% off $541.98 $15,029.00 $9,750.31 2026-06-10
552 MS_DRG Medical Back Problems Without Mcc 16 9 $12,691.54 $8,249.50 35% off $8,115.29 $20,099.82 $13,580.59 2026-06-10
47379 CPT Unlisted Laparoscopic Procedure Liver 121 81 $12,643.09 $8,218.01 35% off $593.30 $15,029.00 $9,482.32 2026-06-10
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 20 12 $12,490.73 $8,118.97 35% off $6,306.52 $15,786.30 $8,780.15 2026-06-10
62350 CPT Implant/Rev/Repos Epid Catheter 8 2 $12,474.00 $8,108.10 35% off $352.17 $10,602.90 $5,613.30 2026-06-10
58563 CPT Hysteroscopy Endometrial Ablation 119 79 $12,247.30 $7,960.74 35% off $207.20 $15,029.00 $9,063.00 2026-06-10
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 6 4 $12,152.75 $7,899.29 35% off $9,110.61 $15,246.20 $10,087.98 2026-06-10
46230 CPT Excision Multiple External Papillae/Tags Anus 119 79 $12,108.94 $7,870.81 35% off $154.71 $15,029.00 $9,081.70 2026-06-10
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 20 12 $12,038.64 $7,825.12 35% off $5,152.97 $12,898.76 $7,174.14 2026-06-10
46947 CPT Hemorrhoidopexy Stapling 119 79 $12,007.16 $7,804.65 35% off $202.02 $15,029.00 $9,005.37 2026-06-10
PX-500001866 CDM Litho Level 4 Initial 30 Minutes 74 37 $11,913.00 $7,743.45 35% off $2,978.25 $11,317.35 $9,530.40 2026-06-10
J9177 HCPCS Enfortumab Vedotin-ejfv 20 Mg Intravenous Solution|rx Amt Discard/not Admin To P… 410 81 $11,768.69 $7,649.65 35% off $14.98 $13,420.87 $7,528.12 2026-06-10
47563 CPT Lap,Cholecystectomy With Cholangio Pf 121 81 $11,532.29 $7,495.99 35% off $643.26 $15,029.00 $8,649.22 2026-06-10
444 MS_DRG Disorders Of The Biliary Tract With Mcc 17 11 $11,485.32 $7,465.46 35% off $13,957.03 $31,493.12 $15,618.99 2026-06-10
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 20 12 $11,415.62 $7,420.15 35% off $8,469.94 $21,201.73 $11,792.14 2026-06-10
Q9999 HCPCS Ustekinumab-aauz 130 Mg/26 Ml Intravenous Solution 118 80 $11,306.26 $7,349.07 35% off $13.45 $13,481.00 $8,366.63 2026-06-10
J1306 HCPCS Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe 120 81 $11,231.04 $7,300.18 35% off $5.18 $10,669.49 $6,484.41 2026-06-10
46260 CPT Remove Hemorrhoid 2+ Int/Ext Pf 119 79 $11,181.31 $7,267.85 35% off $442.37 $15,029.00 $8,274.17 2026-06-10
38221 CPT Bone Marrow Bx Ndl/Trocar 74 37 $11,106.00 $7,218.90 35% off $2,776.50 $10,550.70 $8,884.80 2026-06-10
58350 CPT Chromotubation Oviduct W/Materials 119 79 $11,055.81 $7,186.28 35% off $76.60 $15,029.00 $8,291.86 2026-06-10
C1764 HCPCS Monitor Recorder Reveal Cardiac Lnq11 160 43 $11,019.50 $7,162.68 35% off $2,531.25 $11,318.30 $8,100.00 2026-06-10
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 20 12 $10,939.31 $7,110.55 35% off $5,596.51 $14,009.03 $7,791.65 2026-06-10
43653 CPT Laps Surg Gastrostomy Without Constj Gstr Tube Spx 119 79 $10,903.37 $7,087.19 35% off $525.83 $15,029.00 $8,177.53 2026-06-10
62330 CPT Dcmprn Prq Rmv Lig Flv 1lmbr 74 37 $10,902.00 $7,086.30 35% off $2,725.50 $10,356.90 $8,721.60 2026-06-10
J9358 HCPCS Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution 240 81 $10,862.65 $7,060.72 35% off $12.77 $10,325.22 $5,761.50 2026-06-10
PX-500001176 CDM Litho Level 3 Initial 30 Minutes 74 37 $10,723.00 $6,969.95 35% off $2,680.75 $10,186.85 $8,578.40 2026-06-10
47562 CPT Lap,Cholecystectomy Pf 121 81 $10,675.08 $6,938.80 35% off $593.30 $15,029.00 $8,006.31 2026-06-10
SUP-6495-5-016 CDM Stem Press-fit Str 16x125mm 6495-5-016 80 43 $10,620.00 $6,903.00 35% off $2,655.00 $10,089.00 $8,496.00 2026-06-10
J9176 HCPCS Elotuzumab 400 Mg Intravenous Solution 240 81 $10,581.15 $6,877.75 35% off $3.28 $10,057.79 $5,966.93 2026-06-10
44180 CPT Laparoscopy Enterolysis Separate Procedure 121 81 $10,549.01 $6,856.86 35% off $816.26 $15,029.00 $7,911.76 2026-06-10
49592 CPT Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strng Pf 121 81 $10,440.41 $6,786.27 35% off $416.74 $15,029.00 $7,830.31 2026-06-10
58662 CPT Laps Fulg/Exc Ovary Viscera/Peritoneal Surface 119 79 $10,329.97 $6,714.48 35% off $611.88 $15,029.00 $7,747.48 2026-06-10
37799 CPT Collect Blood Estab Art Cath 74 37 $10,272.00 $6,676.80 35% off $2,568.00 $9,758.40 $8,217.60 2026-06-10
Q5113 HCPCS Trastuzumab-pkrb 420 Mg Intravenous Solution 240 81 $10,237.24 $6,654.21 35% off $22.62 $9,731.08 $5,701.10 2026-06-10
95782 CPT Polysom Attended >3 Chn <6 Yrs <6 Hrs 114 80 $10,150.00 $6,597.50 35% off $375.94 $9,642.50 $7,612.50 2026-06-10
66174 CPT Trluml Dilat Aqueous O/f Can Wo Retention Dev/St 119 79 $10,065.29 $6,542.44 35% off $495.18 $15,029.00 $7,548.97 2026-06-10
49320 CPT Laps Abd Prtm&Omentum Dx W/wo Spec Br/Wa Spx 119 79 $10,042.67 $6,527.74 35% off $296.11 $15,029.00 $7,532.00 2026-06-10
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 20 12 $10,032.93 $6,521.40 35% off $5,468.71 $13,689.12 $7,613.72 2026-06-10
Q5098 HCPCS Ustekinumab-srlf 130 Mg/26 Ml Intravenous Solution 170 48 $9,947.25 $6,465.71 35% off $1,988.25 $25,859.60 $7,953.00 2026-06-10
56606 CPT Biopsy Vulva/Perineum Each Addl Lesion 120 81 $9,888.09 $6,427.26 35% off $17.54 $9,393.69 $5,736.00 2026-06-10
56605 CPT Biopsy Vulva/Perineum 1 Lesion Spx 121 81 $9,888.09 $6,427.26 35% off $40.19 $9,393.69 $5,736.00 2026-06-10
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 20 12 $9,725.73 $6,321.72 35% off $8,335.46 $20,865.09 $11,604.91 2026-06-10
Q9998 HCPCS Ustekinumab-aekn 130 Mg/26 Ml Intravenous Solution 119 81 $9,391.98 $6,104.79 35% off $17.63 $17,667.00 $6,950.07 2026-06-10
SUP-1879-27-410 CDM Spacer Concorde Crv 1879-27-410 80 43 $9,270.00 $6,025.50 35% off $2,317.50 $8,806.50 $7,416.00 2026-06-10
59820 CPT Tx Missed Abortion First Trimester Surgical 119 79 $9,200.03 $5,980.02 35% off $325.59 $15,029.00 $6,808.02 2026-06-10
SUP-6276-3-005 CDM Body Broached #5 6276-3-005 80 43 $9,171.00 $5,961.15 35% off $2,292.75 $8,712.45 $7,336.80 2026-06-10
SUP-4920-9-830 CDM Tibia Kt Hoffman Ii 4920-9-830 80 43 $8,905.00 $5,788.25 35% off $2,226.25 $8,459.75 $7,124.00 2026-06-10
596 MS_DRG Major Skin Disorders Without Mcc 20 12 $8,777.00 $5,705.05 35% off $9,042.12 $22,633.99 $12,588.74 2026-06-10
56620 CPT Vulvectomy Simple Partial 119 79 $8,497.47 $5,523.36 35% off $503.60 $15,029.00 $6,373.10 2026-06-10
SUP-4920-9-810 CDM Ankle Kt Hoffman Ii 4920-9-810 80 43 $8,401.00 $5,460.65 35% off $2,100.25 $7,980.95 $6,720.80 2026-06-10
SUP-AFLEX301 CDM Allograft Arthroflex 40x70mm Aflex301 80 43 $8,313.00 $5,403.45 35% off $2,078.25 $7,897.35 $6,650.40 2026-06-10
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 190 81 $8,308.75 $5,400.69 35% off $4.94 $7,893.31 $6,646.98 2026-06-10
A9572 HCPCS Nm In111 Pentetreotide Up To 6mci 121 82 $8,285.00 $5,385.25 35% off $816.58 $8,514.00 $5,650.20 2026-06-10
81229 CPT Chromosomal Microarray 122 82 $8,269.00 $5,374.85 35% off $986.00 $9,454.00 $6,201.75 2026-06-10
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 20 12 $8,140.28 $5,291.18 35% off $4,367.78 $10,933.32 $6,080.98 2026-06-10
46280 CPT Tx Anal Fstl Trans/Supra/Xtrasphnctrc Incl Seton 119 79 $8,008.24 $5,205.36 35% off $442.75 $15,029.00 $6,006.18 2026-06-10
38222 CPT Dx Bone Marrow Bx & Aspir 121 81 $7,978.00 $5,185.70 35% off $59.92 $7,579.10 $5,736.00 2026-06-10
58120 CPT Dilation & Curettage Dx&/Ther Nonobstetric 119 79 $7,970.90 $5,181.08 35% off $196.56 $15,029.00 $5,978.18 2026-06-10
SUP-155402225 CDM Stem Fem Aml Pc Lrg 1554-02-225 80 43 $7,943.00 $5,162.95 35% off $1,985.75 $7,545.85 $6,354.40 2026-06-10
SUP-155403165 CDM Stem Fem Aml Pc Lrg Hi Ofst 155403165 80 43 $7,943.00 $5,162.95 35% off $1,985.75 $7,545.85 $6,354.40 2026-06-10
57135 CPT Excision Vaginal Cyst/Tumor 119 79 $7,432.20 $4,830.93 35% off $156.71 $15,029.00 $5,574.15 2026-06-10
46220 CPT Papillectomy/Exc Tag Anus 74 37 $7,328.00 $4,763.20 35% off $1,832.00 $6,961.60 $5,862.40 2026-06-10
SUP-6495-6-100 CDM Ext Piece 100mm 6495-6-100 80 43 $7,316.00 $4,755.40 35% off $1,829.00 $6,950.20 $5,852.80 2026-06-10
41010 CPT Incision Of Lingual Frenum 74 37 $7,199.00 $4,679.35 35% off $1,799.75 $6,839.05 $5,759.20 2026-06-10
C1724 HCPCS Cath Diamondback 1.25mm 145cm 4fr Solid 160 43 $7,189.00 $4,672.85 35% off $1,684.75 $7,257.05 $5,614.66 2026-06-10
SUP-PLP-101 CDM Allograft Ptla Ligament 10mm Preshape Plp-101 80 43 $6,975.00 $4,533.75 35% off $1,743.75 $6,626.25 $5,580.00 2026-06-10
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 4 2 $6,926.00 $4,501.90 35% off $15,214.17 $16,846.33 $16,030.25 2026-06-10
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 20 12 $6,230.50 $4,049.82 35% off $6,027.52 $15,087.93 $8,391.72 2026-06-10
794 MS_DRG Neonate With Other Significant Problems 6 4 $5,338.59 $3,470.08 35% off $1,570.00 $13,796.20 $12,459.55 2026-06-10
63663 CPT Revise Spine Eltrd Perq Aray Pf 194 81 $2,459.00 $1,598.35 35% off $614.75 $9,231.34 $6,280.50 2026-06-10
62362 CPT Implant/Replace It/Epid Prog Pump Pf 190 77 $2,009.00 $1,305.85 35% off $502.25 $18,967.35 $9,972.75 2026-06-10
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