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

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Hospital

MERCY HOSPITAL LEBANON

Lebanon, MO · CCN 260059 · Rates published

6,348 distinct procedures filed
81 distinct payers
827,742 rate rows
2026-03-13 last MRF observed
Data quality

803,669 of 827,742 rate rows are consumer-grade (97.1%)

24,073 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 18,937
per-diem day rate — not a per-procedure price 3,520
percent-of-charges filed in the dollar field — excluded from medians 839
exceeds 10× this hospital's gross charge — excluded from medians 482
placeholder amount (≤ $0.02) — excluded from medians 166
exceeds 3× this hospital's gross charge for a DRG stay — excluded 129
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 · 2026-05-19
Content fingerprint bf0d7845c8caf206… · 55,118,940 bytes · first seen 2026-05-16

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
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 78 $194.07 $96,247.53 $65,849.67 nat. median
$562
outlier · 117.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 44 $21,827.70 $144,518.83 $54,558.22 nat. median
$66,526
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $22,503.15 $103,261.19 $41,048.76 nat. median
$48,170
0.9× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 78 $58.29 $65,701.26 $39,402.00 nat. median
$712
outlier · 55.3×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 45 $21,649.95 $86,634.83 $37,557.33 nat. median
$44,810
0.8× median
J9334
HCPCS 		Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 78 $33.24 $51,212.92 $35,036.52 nat. median
$73
outlier · 477.6×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 49 $13,700.06 $74,419.31 $29,940.62 nat. median
$35,325
0.8× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 $15,745.53 $73,587.13 $29,648.37 nat. median
$35,264
0.8× median
J3245
HCPCS 		Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 78 $125.03 $57,173.69 $27,773.00 nat. median
$256
outlier · 108.4×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 $13,509.00 $66,634.89 $27,206.88 nat. median
$31,607
0.9× median
J9042
HCPCS 		Brentuximab Vedotin 50 Mg Intravenous Solution 78 $253.73 $38,837.90 $26,569.40 nat. median
$1,050
outlier · 25.3×
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 78 $222.96 $36,092.80 $24,691.17 nat. median
$739
outlier · 33.4×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 45 $8,923.05 $57,472.57 $23,989.25 nat. median
$26,748
0.9× median
J9228
HCPCS 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution|rx Amt Discard/not Admin… 78 $179.99 $113,017.91 $23,800.50 nat. median
$9,906
outlier · 2.4×
J2329
HCPCS 		Ublituximab-xiiy 25 Mg/ml Intravenous Solution 78 $69.41 $35,368.98 $23,727.00 nat. median
$168
outlier · 140.9×
J9119
HCPCS 		Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 78 $28.74 $33,767.41 $22,099.00 nat. median
$91
outlier · 242.1×
J9144
HCPCS 		Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 78 $54.51 $33,656.36 $21,648.60 nat. median
$233
outlier · 92.9×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 46 $9,243.00 $50,123.05 $21,408.24 nat. median
$24,346
0.9× median
397
MS_DRG 		Appendix Procedures With Mcc 47 $8,441.35 $50,074.96 $21,391.34 nat. median
$24,166
0.9× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 47 $6,825.60 $49,897.24 $21,328.93 nat. median
$23,832
0.9× median
J9022
HCPCS 		Atezolizumab 840 Mg/14 Ml (60 Mg/ml) Intravenous Solution 78 $89.60 $35,820.32 $21,108.42 nat. median
$6,951
outlier · 3.0×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 46 $9,437.20 $48,573.70 $20,864.12 nat. median
$22,354
0.9× median
817
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Mcc 47 $7,437.61 $47,705.97 $20,559.40 nat. median
$22,919
0.9× median
64590
CPT 		Ins/Rplc Perph Sac/Gstrc Npg/Rcvr Pckt Crtj&Conn 53 $267.19 $34,323.43 $20,406.84 nat. median
$18,332
1.1× median
43647
CPT 		Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum 47 $267.19 $34,323.43 $20,406.84 nat. median
$12,246
1.7× median
934
MS_DRG 		Full Thickness Burn Without Skin Graft Or Inhalation Injury 46 $5,756.10 $46,221.44 $20,038.05 nat. median
$21,218
0.9× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 46 $10,949.40 $46,164.98 $20,018.23 nat. median
$22,208
0.9× median
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 46 $8,958.60 $45,972.62 $19,950.69 nat. median
$22,580
0.9× median
J2327
HCPCS 		Risankizumab-rzaa 60 Mg/ml Intravenous Solution 78 $14.66 $33,022.52 $19,590.00 nat. median
$2,241
outlier · 8.7×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 47 $8,923.05 $44,090.81 $19,289.82 nat. median
$21,529
0.9× median
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 47 $9,314.10 $43,766.72 $19,176.01 nat. median
$21,263
0.9× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 30 $10,842.75 $42,048.00 $18,572.44 nat. median
$20,254
0.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 44 $8,386.21 $41,778.27 $18,477.71 nat. median
$20,421
0.9× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 46 $7,714.35 $41,153.09 $18,258.16 nat. median
$19,682
0.9× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 49 $8,110.82 $40,615.73 $18,069.44 nat. median
$19,635
0.9× median
100
MS_DRG 		Seizures With Mcc 30 $6,825.60 $40,496.55 $18,027.58 nat. median
$19,360
0.9× median
C1772
HCPCS 		Pump Synchromed Ii 40ml 8637-40 44 $5,625.00 $21,375.00 $18,000.00 nat. median
$8,320
outlier · 2.2×
J9223
HCPCS 		Lurbinectedin 4 Mg Intravenous Solution 78 $203.19 $25,821.48 $17,663.43 nat. median
$627
outlier · 28.2×
J9301
HCPCS 		Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 78 $77.50 $27,421.39 $17,261.00 nat. median
$314
outlier · 55.0×
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 48 $7,627.07 $38,284.38 $17,250.72 nat. median
$18,295
0.9× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 48 $8,080.65 $38,221.65 $17,228.69 nat. median
$18,249
0.9× median
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 37 $840.63 $17,369.26 $17,039.24 nat. median
$16,477
1.0× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 49 $8,460.90 $37,525.38 $16,984.18 nat. median
$18,509
0.9× median
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 47 $7,145.55 $37,508.66 $16,978.30 nat. median
$18,744
0.9× median
J9289
HCPCS 		Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 80 $26.84 $24,794.58 $16,956.91 nat. median
$3,058
outlier · 5.5×
J9316
HCPCS 		Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 78 $60.92 $29,536.48 $16,735.20 nat. median
$283
outlier · 59.2×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 46 $8,976.05 $36,720.39 $16,701.48 nat. median
$17,987
0.9× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 45 $2,185.00 $36,488.30 $16,619.95 nat. median
$16,145
1.0× median
J3101
HCPCS 		Tenecteplase 50 Mg Intravenous Solution 78 $168.95 $23,726.02 $16,233.59 nat. median
$5,949
outlier · 2.7×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 47 $6,470.10 $35,369.66 $16,227.11 nat. median
$17,483
0.9× median

Other procedures at this hospital

Browse this hospital's 6,348 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 28 $42,708.28 $27,760.38 35% off $22,503.15 $103,261.19 $41,048.76 2026-03-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 44 $92,617.25 $60,201.21 35% off $21,827.70 $144,518.83 $54,558.22 2026-03-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 51 45 $30,543.82 $19,853.48 35% off $21,649.95 $86,634.83 $37,557.33 2026-03-13
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 28 $48,505.32 $31,528.46 35% off $15,745.53 $73,587.13 $29,648.37 2026-03-13
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 59 49 $25,342.52 $16,472.64 35% off $13,700.06 $74,419.31 $29,940.62 2026-03-13
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 40 32 $26,812.67 $17,428.24 35% off $13,509.00 $66,634.89 $27,206.88 2026-03-13
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 54 46 $79,792.86 $51,865.36 35% off $10,949.40 $46,164.98 $20,018.23 2026-03-13
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 40 30 $24,803.15 $16,122.05 35% off $10,842.75 $42,048.00 $18,572.44 2026-03-13
56 MS_DRG Degenerative Nervous System Disorders With Mcc 54 46 $18,032.04 $11,720.83 35% off $9,437.20 $48,573.70 $20,864.12 2026-03-13
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 55 47 $33,690.02 $21,898.51 35% off $9,314.10 $43,766.72 $19,176.01 2026-03-13
330 MS_DRG Major Small And Large Bowel Procedures With Cc 54 46 $30,506.09 $19,828.96 35% off $9,243.00 $50,123.05 $21,408.24 2026-03-13
91 MS_DRG Other Disorders Of Nervous System With Mcc 54 46 $20,751.17 $13,488.26 35% off $8,976.05 $36,720.39 $16,701.48 2026-03-13
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 54 46 $46,104.30 $29,967.79 35% off $8,958.60 $45,972.62 $19,950.69 2026-03-13
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 51 45 $34,395.81 $22,357.28 35% off $8,923.05 $57,472.57 $23,989.25 2026-03-13
336 MS_DRG Peritoneal Adhesiolysis With Cc 55 47 $41,197.29 $26,778.24 35% off $8,923.05 $44,090.81 $19,289.82 2026-03-13
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 59 49 $15,416.69 $10,020.85 35% off $8,460.90 $37,525.38 $16,984.18 2026-03-13
397 MS_DRG Appendix Procedures With Mcc 55 47 $57,678.72 $37,491.17 35% off $8,441.35 $50,074.96 $21,391.34 2026-03-13
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 50 44 $47,050.95 $30,583.12 35% off $8,386.21 $41,778.27 $18,477.71 2026-03-13
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 59 49 $30,680.27 $19,942.18 35% off $8,110.82 $40,615.73 $18,069.44 2026-03-13
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 58 48 $22,000.85 $14,300.55 35% off $8,080.65 $38,221.65 $17,228.69 2026-03-13
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 55 47 $22,512.13 $14,632.88 35% off $8,055.05 $32,275.13 $15,140.39 2026-03-13
643 MS_DRG Endocrine Disorders With Mcc 58 48 $29,448.05 $19,141.23 35% off $7,998.75 $34,418.30 $15,893.02 2026-03-13
444 MS_DRG Disorders Of The Biliary Tract With Mcc 56 48 $11,444.70 $7,439.05 35% off $7,892.10 $31,493.12 $16,075.14 2026-03-13
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 54 46 $30,575.21 $19,873.89 35% off $7,714.35 $41,153.09 $18,258.16 2026-03-13
205 MS_DRG Other Respiratory System Diagnoses With Mcc 56 48 $40,022.18 $26,014.42 35% off $7,627.07 $38,284.38 $17,250.72 2026-03-13
813 MS_DRG Coagulation Disorders 55 47 $25,697.16 $16,703.15 35% off $7,572.15 $31,892.50 $15,006.01 2026-03-13
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 55 47 $29,426.50 $19,127.22 35% off $7,437.61 $47,705.97 $20,559.40 2026-03-13
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 36 30 $36,861.42 $23,959.92 35% off $7,429.95 $30,709.05 $14,590.40 2026-03-13
385 MS_DRG Inflammatory Bowel Disease With Mcc 59 49 $16,137.03 $10,489.07 35% off $7,301.23 $33,084.31 $15,424.55 2026-03-13
551 MS_DRG Medical Back Problems With Mcc 60 50 $19,301.22 $12,545.79 35% off $7,168.48 $35,045.57 $16,113.32 2026-03-13
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 55 47 $35,362.86 $22,985.86 35% off $7,145.55 $37,508.66 $16,978.30 2026-03-13
299 MS_DRG Peripheral Vascular Disorders With Mcc 59 49 $15,743.25 $10,233.11 35% off $7,143.51 $34,138.12 $15,794.64 2026-03-13
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 55 47 $36,559.39 $23,763.60 35% off $6,825.60 $49,897.24 $21,328.93 2026-03-13
100 MS_DRG Seizures With Mcc 36 30 $32,494.21 $21,121.24 35% off $6,825.60 $40,496.55 $18,027.58 2026-03-13
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 58 48 $29,240.82 $19,006.53 35% off $6,790.05 $33,502.49 $15,571.41 2026-03-13
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 54 46 $18,146.55 $11,795.26 35% off $6,737.93 $29,791.14 $14,268.06 2026-03-13
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 58 48 $29,619.50 $19,252.67 35% off $6,576.64 $32,917.04 $15,365.81 2026-03-13
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 58 48 $23,676.81 $15,389.93 35% off $6,541.20 $35,187.76 $16,163.24 2026-03-13
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 59 49 $30,899.06 $20,084.39 35% off $6,521.75 $33,544.31 $15,586.10 2026-03-13
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 55 47 $35,243.37 $22,908.19 35% off $6,505.65 $32,095.32 $15,077.23 2026-03-13
291 MS_DRG Heart Failure And Shock With Mcc 54 46 $24,428.59 $15,878.58 35% off $6,505.65 $26,842.97 $13,232.73 2026-03-13
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 55 47 $31,746.27 $20,635.08 35% off $6,470.10 $35,369.66 $16,227.11 2026-03-13
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 55 47 $36,201.36 $23,530.88 35% off $6,434.55 $31,875.77 $15,000.14 2026-03-13
177 MS_DRG Respiratory Infections And Inflammations With Mcc 59 49 $26,571.54 $17,271.50 35% off $6,420.42 $32,674.49 $15,280.63 2026-03-13
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 59 49 $17,138.18 $11,139.82 35% off $6,221.25 $34,591.85 $15,953.97 2026-03-13
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 58 48 $25,945.78 $16,864.76 35% off $6,185.70 $28,557.51 $13,834.82 2026-03-13
571 MS_DRG Skin Debridement With Cc 59 49 $31,885.62 $20,725.65 35% off $6,150.15 $35,325.76 $16,211.71 2026-03-13
811 MS_DRG Red Blood Cell Disorders With Mcc 58 48 $19,474.92 $12,658.70 35% off $6,108.23 $29,362.51 $14,117.53 2026-03-13
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 59 49 $29,090.93 $18,909.10 35% off $5,966.84 $25,174.44 $12,646.76 2026-03-13
602 MS_DRG Cellulitis With Mcc 59 49 $18,995.72 $12,347.22 35% off $5,961.02 $29,717.96 $14,242.36 2026-03-13
637 MS_DRG Diabetes With Mcc 54 46 $26,316.07 $17,105.45 35% off $5,950.94 $30,039.96 $14,355.43 2026-03-13
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 55 47 $31,101.43 $20,215.93 35% off $5,936.85 $28,720.60 $13,892.11 2026-03-13
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 54 46 $44,486.54 $28,916.25 35% off $5,882.16 $27,238.15 $13,371.49 2026-03-13
302 MS_DRG Atherosclerosis With Mcc 59 49 $27,022.01 $17,564.31 35% off $5,865.75 $25,019.71 $12,592.42 2026-03-13
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 58 48 $21,252.37 $13,814.04 35% off $5,782.27 $26,468.70 $13,101.27 2026-03-13
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 54 46 $16,652.94 $10,824.41 35% off $5,756.10 $46,221.44 $20,038.05 2026-03-13
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 59 49 $29,164.30 $18,956.79 35% off $5,630.80 $25,945.98 $12,917.70 2026-03-13
C1772 HCPCS Pump Synchromed Ii 40ml 8637-40 79 44 $22,500.00 $14,625.00 35% off $5,625.00 $21,375.00 $18,000.00 2026-03-13
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 59 49 $24,846.04 $16,149.93 35% off $5,616.90 $32,793.68 $15,322.48 2026-03-13
947 MS_DRG Signs And Symptoms With Mcc 50 44 $32,334.72 $21,017.57 35% off $5,552.88 $26,541.88 $13,126.98 2026-03-13
913 MS_DRG Traumatic Injury With Mcc 36 28 $31,083.71 $20,204.41 35% off $5,545.80 $34,177.85 $15,808.59 2026-03-13
682 MS_DRG Renal Failure With Mcc 50 44 $31,588.97 $20,532.83 35% off $5,545.80 $30,966.23 $14,680.72 2026-03-13
348 MS_DRG Anal And Stomal Procedures With Cc 54 46 $42,319.61 $27,507.75 35% off $5,545.80 $27,365.70 $13,416.29 2026-03-13
89 MS_DRG Concussion With Cc 36 28 $19,275.39 $12,529.00 35% off $5,545.80 $22,970.63 $11,872.83 2026-03-13
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 58 48 $27,449.45 $17,842.14 35% off $5,471.58 $26,518.88 $13,118.90 2026-03-13
375 MS_DRG Digestive Malignancy With Cc 55 47 $41,379.53 $26,896.69 35% off $5,310.35 $25,291.53 $12,687.87 2026-03-13
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 58 48 $28,982.81 $18,838.83 35% off $5,125.65 $27,926.06 $13,613.08 2026-03-13
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 59 49 $21,963.23 $14,276.10 35% off $5,086.22 $24,260.71 $12,325.88 2026-03-13
398 MS_DRG Appendix Procedures With Cc 54 46 $34,197.08 $22,228.10 35% off $5,083.65 $31,647.86 $14,920.10 2026-03-13
C1767 HCPCS Neurostimulator Gastric Enterra Ii 37800 79 44 $19,969.00 $12,979.85 35% off $4,992.25 $18,970.55 $15,975.20 2026-03-13
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 58 48 $11,310.82 $7,352.03 35% off $4,987.08 $21,201.73 $11,251.62 2026-03-13
304 MS_DRG Hypertension With Mcc 55 47 $31,483.51 $20,464.28 35% off $4,976.06 $24,881.71 $12,543.96 2026-03-13
189 MS_DRG Pulmonary Edema And Respiratory Failure 58 48 $24,646.37 $16,020.14 35% off $4,936.25 $25,830.98 $12,877.32 2026-03-13
71 MS_DRG Other Cerebrovascular Disorders With Cc 54 46 $28,174.38 $18,313.35 35% off $4,934.44 $21,452.63 $11,339.73 2026-03-13
388 MS_DRG Gastrointestinal Obstruction With Mcc 55 47 $23,930.12 $15,554.58 35% off $4,905.90 $30,878.41 $14,649.88 2026-03-13
92 MS_DRG Other Disorders Of Nervous System With Cc 54 46 $21,337.58 $13,869.43 35% off $4,858.21 $21,389.91 $11,317.71 2026-03-13
445 MS_DRG Disorders Of The Biliary Tract With Cc 58 48 $26,405.61 $17,163.65 35% off $4,852.45 $22,882.81 $11,841.98 2026-03-13
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 58 48 $16,613.84 $10,799.00 35% off $4,795.05 $23,160.90 $11,939.64 2026-03-13
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 51 45 $32,153.16 $20,899.55 35% off $4,783.47 $19,217.46 $10,554.78 2026-03-13
200 MS_DRG Pneumothorax With Cc 54 46 $14,796.87 $9,617.97 35% off $4,728.27 $22,985.26 $11,877.97 2026-03-13
381 MS_DRG Complicated Peptic Ulcer With Cc 59 49 $26,774.03 $17,403.12 35% off $4,727.90 $22,654.90 $11,761.93 2026-03-13
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 58 48 $20,940.72 $13,611.47 35% off $4,657.05 $25,941.80 $12,916.23 2026-03-13
184 MS_DRG Major Chest Trauma With Cc 55 47 $23,839.54 $15,495.70 35% off $4,585.95 $22,249.27 $11,619.48 2026-03-13
369 MS_DRG Major Esophageal Disorders With Cc 58 48 $27,846.73 $18,100.37 35% off $4,576.37 $20,913.18 $11,150.28 2026-03-13
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 59 49 $16,634.22 $10,812.24 35% off $4,550.40 $20,183.46 $10,894.01 2026-03-13
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 56 48 $25,609.98 $16,646.49 35% off $4,531.62 $27,482.79 $13,457.41 2026-03-13
378 MS_DRG Gastrointestinal Hemorrhage With Cc 58 48 $23,034.24 $14,972.26 35% off $4,484.99 $20,505.46 $11,007.09 2026-03-13
552 MS_DRG Medical Back Problems Without Mcc 58 48 $12,847.50 $8,350.87 35% off $4,377.84 $20,099.82 $10,864.64 2026-03-13
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 59 49 $24,599.96 $15,989.97 35% off $4,365.32 $21,222.64 $11,258.96 2026-03-13
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 54 46 $23,271.38 $15,126.40 35% off $4,333.90 $16,886.11 $9,736.06 2026-03-13
SUP-316.108 CDM Spacer Xpand-r Sm 0� 316.108 79 44 $17,318.00 $11,256.70 35% off $4,329.50 $16,452.10 $13,854.40 2026-03-13
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 58 48 $23,185.06 $15,070.29 35% off $4,310.87 $20,373.73 $10,960.85 2026-03-13
786 MS_DRG Cesarean Section Without Sterilization With Mcc 37 37 $32,154.41 $20,900.37 35% off $4,288.27 $19,974.56 $15,917.99 2026-03-13
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 59 49 $17,369.68 $11,290.29 35% off $4,252.10 $20,865.09 $11,133.39 2026-03-13
178 MS_DRG Respiratory Infections And Inflammations With Cc 59 49 $21,332.06 $13,865.84 35% off $4,230.45 $20,407.18 $10,972.58 2026-03-13
386 MS_DRG Inflammatory Bowel Disease With Cc 58 48 $19,405.74 $12,613.73 35% off $4,228.31 $20,413.46 $10,974.80 2026-03-13
394 MS_DRG Other Digestive System Diagnoses With Cc 58 48 $19,592.29 $12,734.99 35% off $4,159.35 $19,564.55 $10,676.67 2026-03-13
SUP-157225135 CDM Stem Fem Soln Bow Calcar 1572-25-135 79 44 $16,268.00 $10,574.20 35% off $4,067.00 $15,454.60 $13,014.40 2026-03-13
SUP-157226135 CDM Stem Fem Soln Bow Calcar 1572-26-135 79 44 $16,268.00 $10,574.20 35% off $4,067.00 $15,454.60 $13,014.40 2026-03-13
69 MS_DRG Transient Ischemia Without Thrombolytic 40 30 $14,545.02 $9,454.26 35% off $4,052.70 $16,702.11 $9,671.44 2026-03-13
SUP-157211135 CDM Stem Fem Soln Bow Lg 1572-11-135 79 44 $16,048.00 $10,431.20 35% off $4,012.00 $15,245.60 $12,838.40 2026-03-13
SUP-157210135 CDM Stem Fem Soln Bow Lg 1572-10-135 79 44 $16,048.00 $10,431.20 35% off $4,012.00 $15,245.60 $12,838.40 2026-03-13
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 58 48 $17,641.88 $11,467.22 35% off $4,010.69 $21,348.09 $11,303.02 2026-03-13
SUP-157215150 CDM Stem Fem Soln Str Calcar 1572-15-150 79 44 $15,947.00 $10,365.55 35% off $3,986.75 $15,149.65 $12,757.60 2026-03-13
SUP-157215120 CDM Stem Fem Soln Str Calcar 1572-15-120 79 44 $15,947.00 $10,365.55 35% off $3,986.75 $15,149.65 $12,757.60 2026-03-13
SUP-157215135 CDM Stem Fem Soln Str Calcar 1572-15-135 79 44 $15,947.00 $10,365.55 35% off $3,986.75 $15,149.65 $12,757.60 2026-03-13
SUP-157207135 CDM Stem Fem Soln Bow Lg 1572-07-135 79 44 $15,812.00 $10,277.80 35% off $3,953.00 $15,021.40 $12,649.60 2026-03-13
SUP-157202105 CDM Stem Fem Soln Str Lg 1572-02-105 79 44 $15,812.00 $10,277.80 35% off $3,953.00 $15,021.40 $12,649.60 2026-03-13
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 59 49 $16,797.81 $10,918.58 35% off $3,907.29 $17,588.65 $9,982.76 2026-03-13
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 60 50 $22,278.82 $14,481.23 35% off $3,854.97 $21,396.18 $11,319.91 2026-03-13
399 MS_DRG Appendix Procedures Without Cc/mcc 58 48 $21,822.39 $14,184.55 35% off $3,839.40 $23,934.53 $12,211.32 2026-03-13
948 MS_DRG Signs And Symptoms Without Mcc 55 47 $20,031.12 $13,020.23 35% off $3,816.60 $16,737.65 $9,683.92 2026-03-13
292 MS_DRG Heart Failure And Shock With Cc 54 46 $21,133.30 $13,736.64 35% off $3,815.79 $17,751.74 $10,040.05 2026-03-13
644 MS_DRG Endocrine Disorders With Cc 55 47 $13,212.90 $8,588.38 35% off $3,721.59 $21,431.73 $11,332.38 2026-03-13
596 MS_DRG Major Skin Disorders Without Mcc 58 48 $8,777.00 $5,705.05 35% off $3,692.55 $22,633.99 $11,754.60 2026-03-13
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 59 49 $19,044.69 $12,379.05 35% off $3,689.73 $16,850.56 $9,723.57 2026-03-13
PX-500001868 CDM Litho Level 6 Initial 30 Minutes 73 38 $14,570.00 $9,470.50 35% off $3,642.50 $13,841.50 $11,656.00 2026-03-13
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 58 48 $15,573.39 $10,122.70 35% off $3,626.10 $17,626.29 $9,995.99 2026-03-13
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 58 48 $19,913.39 $12,943.70 35% off $3,595.73 $17,367.02 $9,904.94 2026-03-13
638 MS_DRG Diabetes With Cc 59 49 $19,227.90 $12,498.13 35% off $3,581.52 $18,738.65 $10,386.63 2026-03-13
305 MS_DRG Hypertension Without Mcc 58 48 $24,994.79 $16,246.61 35% off $3,536.02 $15,788.39 $9,350.56 2026-03-13
181 MS_DRG Respiratory Neoplasms With Cc 58 48 $21,955.23 $14,270.90 35% off $3,519.45 $22,393.54 $11,670.15 2026-03-13
683 MS_DRG Renal Failure With Cc 59 49 $20,256.51 $13,166.73 35% off $3,496.34 $18,312.10 $10,236.84 2026-03-13
103 MS_DRG Headaches Without Mcc 40 30 $20,914.39 $13,594.35 35% off $3,483.90 $17,486.20 $9,946.80 2026-03-13
176 MS_DRG Pulmonary Embolism Without Mcc 58 48 $20,185.46 $13,120.55 35% off $3,483.90 $16,831.75 $9,716.95 2026-03-13
C1817 HCPCS Occluder Asd Septal 12mm 79 44 $13,901.00 $9,035.65 35% off $3,475.25 $13,205.95 $11,120.80 2026-03-13
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 55 47 $32,219.72 $20,942.82 35% off $3,458.16 $17,873.01 $10,082.64 2026-03-13
603 MS_DRG Cellulitis Without Mcc 60 50 $20,504.29 $13,327.79 35% off $3,455.90 $18,209.65 $10,200.86 2026-03-13
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 58 48 $27,234.17 $17,702.21 35% off $3,448.35 $14,310.12 $8,831.41 2026-03-13
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 58 48 $14,648.64 $9,521.62 35% off $3,377.25 $19,664.91 $9,408.64 2026-03-13
SUP-157211180 CDM Stem Fem Soln Bow Lg 1572-11-180 79 44 $13,469.00 $8,754.85 35% off $3,367.25 $12,795.55 $10,775.20 2026-03-13
SUP-157211150 CDM Stem Fem Soln Bow Lg 1572-11-150 79 44 $13,469.00 $8,754.85 35% off $3,367.25 $12,795.55 $10,775.20 2026-03-13
SUP-157210150 CDM Stem Fem Soln Bow Lg 1572-10-150 79 44 $13,469.00 $8,754.85 35% off $3,367.25 $12,795.55 $10,775.20 2026-03-13
SUP-157210180 CDM Stem Fem Soln Bow Lg 1572-10-180 79 44 $13,469.00 $8,754.85 35% off $3,367.25 $12,795.55 $10,775.20 2026-03-13
101 MS_DRG Seizures Without Mcc 40 30 $16,941.06 $11,011.69 35% off $3,336.73 $18,872.46 $10,433.63 2026-03-13
SUP-157202150 CDM Stem Fem Soln Str Lg 1572-02-150 79 44 $13,270.00 $8,625.50 35% off $3,317.50 $12,606.50 $10,616.00 2026-03-13
SUP-157207165 CDM Stem Fem Soln Bow Lg 1572-07-165 79 44 $13,270.00 $8,625.50 35% off $3,317.50 $12,606.50 $10,616.00 2026-03-13
PX-500001867 CDM Litho Level 5 Initial 30 Minutes 73 38 $13,262.00 $8,620.30 35% off $3,315.50 $12,598.90 $10,609.60 2026-03-13
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 58 48 $12,987.51 $8,441.88 35% off $3,306.15 $14,630.03 $8,943.76 2026-03-13
62305 CPT Myelography Inj 2 Or More Regions 73 38 $13,157.00 $8,552.05 35% off $3,289.25 $12,499.15 $10,525.60 2026-03-13
SUP-108391 CDM Comp Fem Mod Rch Prox Body Sz1 108391 79 44 $13,115.00 $8,524.75 35% off $3,278.75 $12,459.25 $10,492.00 2026-03-13
607 MS_DRG Minor Skin Disorders Without Mcc 59 49 $22,624.69 $14,706.05 35% off $3,273.89 $18,951.92 $10,461.53 2026-03-13
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 36 28 $35,432.18 $23,030.92 35% off $3,230.21 $15,786.30 $9,349.83 2026-03-13
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 59 49 $26,421.08 $17,173.70 35% off $3,214.75 $15,209.21 $9,147.16 2026-03-13
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 58 48 $22,873.92 $14,868.05 35% off $3,199.50 $15,382.75 $9,208.12 2026-03-13
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 58 48 $19,151.39 $12,448.40 35% off $3,166.05 $18,675.92 $10,364.60 2026-03-13
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 58 48 $24,769.70 $16,100.30 35% off $3,163.95 $21,065.82 $11,203.88 2026-03-13
303 MS_DRG Atherosclerosis Without Mcc 58 48 $28,925.13 $18,801.33 35% off $3,140.08 $14,075.94 $8,749.17 2026-03-13
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 60 50 $19,038.77 $12,375.20 35% off $3,138.27 $16,925.84 $9,750.01 2026-03-13
312 MS_DRG Syncope And Collapse 59 49 $29,158.86 $18,953.26 35% off $3,128.40 $18,224.28 $10,206.00 2026-03-13
62350 CPT Implant/Rev/Repos Epid Catheter 73 38 $12,474.00 $8,108.10 35% off $3,118.50 $11,850.30 $9,979.20 2026-03-13
313 MS_DRG Chest Pain 58 48 $27,903.64 $18,137.37 35% off $3,061.41 $15,054.48 $8,280.50 2026-03-13
389 MS_DRG Gastrointestinal Obstruction With Cc 59 49 $17,103.88 $11,117.52 35% off $3,037.12 $16,513.93 $9,605.35 2026-03-13
787 MS_DRG Cesarean Section Without Sterilization With Cc 46 44 $20,373.36 $13,242.68 35% off $2,996.56 $15,777.39 $12,006.45 2026-03-13
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 60 50 $15,464.87 $10,052.17 35% off $2,992.68 $16,300.66 $9,530.46 2026-03-13
293 MS_DRG Heart Failure And Shock Without Cc/mcc 58 48 $19,575.78 $12,724.26 35% off $2,986.20 $11,834.49 $7,962.02 2026-03-13
PX-500001866 CDM Litho Level 4 Initial 30 Minutes 73 38 $11,913.00 $7,743.45 35% off $2,978.25 $11,317.35 $9,530.40 2026-03-13
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 59 49 $23,253.23 $15,114.60 35% off $2,974.41 $21,279.09 $11,278.78 2026-03-13
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 58 48 $20,878.82 $13,571.23 35% off $2,940.67 $13,181.03 $8,434.90 2026-03-13
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 59 49 $18,555.79 $12,061.26 35% off $2,915.10 $16,961.38 $9,762.49 2026-03-13
645 MS_DRG Endocrine Disorders Without Cc/mcc 58 48 $14,907.86 $9,690.11 35% off $2,913.95 $16,064.38 $9,447.49 2026-03-13
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 114 77 $14,396.83 $9,357.94 35% off $2,879.37 $13,676.99 $10,005.80 2026-03-13
123 MS_DRG Neurological Eye Disorders 36 30 $34,821.47 $22,633.96 35% off $2,844.00 $16,697.93 $9,669.96 2026-03-13
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 59 49 $19,638.83 $12,765.24 35% off $2,833.83 $16,271.38 $9,520.16 2026-03-13
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 59 49 $18,195.55 $11,827.11 35% off $2,825.38 $12,992.85 $8,368.82 2026-03-13
864 MS_DRG Fever And Inflammatory Conditions 59 49 $23,411.71 $15,217.61 35% off $2,816.06 $18,560.92 $10,324.20 2026-03-13
38221 CPT Bone Marrow Bx Ndl/Trocar 73 38 $11,106.00 $7,218.90 35% off $2,776.50 $10,550.70 $8,884.80 2026-03-13
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 59 49 $16,002.33 $10,401.51 35% off $2,772.90 $13,423.58 $8,520.07 2026-03-13
791 MS_DRG Prematurity With Major Problems 5 5 $8,432.85 $5,481.35 35% off $2,758.76 $15,784.20 $14,158.34 2026-03-13
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 39 32 $28,041.23 $18,226.80 35% off $2,711.00 $21,124.36 $11,224.45 2026-03-13
PX-500001176 CDM Litho Level 3 Initial 30 Minutes 73 38 $10,723.00 $6,969.95 35% off $2,680.75 $10,186.85 $8,578.40 2026-03-13
202 MS_DRG Bronchitis And Asthma With Cc/mcc 58 48 $27,174.22 $17,663.24 35% off $2,658.33 $20,306.82 $10,937.36 2026-03-13
SUP-6495-5-016 CDM Stem Press-fit Str 16x125mm 6495-5-016 79 44 $10,620.00 $6,903.00 35% off $2,655.00 $10,089.00 $8,496.00 2026-03-13
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 59 49 $20,271.45 $13,176.44 35% off $2,630.70 $13,569.94 $8,571.48 2026-03-13
37799 CPT Collect Blood Estab Art Cath 73 38 $10,272.00 $6,676.80 35% off $2,568.00 $9,758.40 $8,217.60 2026-03-13
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 47 45 $19,952.95 $12,969.42 35% off $2,564.95 $17,267.22 $10,846.28 2026-03-13
C1764 HCPCS Record Card Loop Linq Inj 158 44 $10,125.00 $6,581.25 35% off $2,531.25 $11,318.30 $8,100.00 2026-03-13
639 MS_DRG Diabetes Without Cc/mcc 60 50 $20,525.59 $13,341.63 35% off $2,524.05 $12,988.67 $8,367.35 2026-03-13
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 59 49 $15,499.82 $10,074.88 35% off $2,524.05 $11,836.58 $7,962.75 2026-03-13
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 46 44 $16,138.63 $10,490.11 35% off $2,518.70 $15,246.20 $11,730.37 2026-03-13
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 46 44 $16,023.23 $10,415.10 35% off $2,503.30 $15,138.84 $11,674.57 2026-03-13
149 MS_DRG Dysequilibrium 40 32 $20,557.58 $13,362.43 35% off $2,452.95 $15,715.20 $9,324.86 2026-03-13
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 58 48 $9,944.57 $6,463.97 35% off $2,399.22 $13,689.12 $8,613.34 2026-03-13
SUP-1879-27-410 CDM Spacer Concorde Crv 1879-27-410 79 44 $9,270.00 $6,025.50 35% off $2,317.50 $8,806.50 $7,416.00 2026-03-13
684 MS_DRG Renal Failure Without Cc/mcc 59 49 $18,349.29 $11,927.04 35% off $2,295.57 $12,551.67 $8,213.87 2026-03-13
SUP-6276-3-005 CDM Body Broached #5 6276-3-005 79 44 $9,171.00 $5,961.15 35% off $2,292.75 $8,712.45 $7,336.80 2026-03-13
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 59 49 $16,465.33 $10,702.46 35% off $2,292.63 $11,374.50 $7,800.48 2026-03-13
866 MS_DRG Viral Illness Without Mcc 54 46 $32,529.39 $21,144.10 35% off $2,257.83 $18,182.47 $10,191.30 2026-03-13
SUP-4920-9-830 CDM Tibia Kt Hoffman Ii 4920-9-830 79 44 $8,905.00 $5,788.25 35% off $2,226.25 $8,459.75 $7,124.00 2026-03-13
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 58 48 $17,426.64 $11,327.32 35% off $2,225.09 $14,450.21 $8,880.62 2026-03-13
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 54 46 $6,139.73 $3,990.82 35% off $2,220.53 $15,087.93 $9,104.56 2026-03-13
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 51 45 $36,635.34 $23,812.97 35% off $2,185.00 $36,488.30 $16,619.95 2026-03-13
884 MS_DRG Organic Disturbances And Intellectual Disability 54 46 $16,078.43 $10,450.98 35% off $2,185.00 $33,640.49 $15,619.86 2026-03-13
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 59 49 $17,978.40 $11,685.96 35% off $2,185.00 $18,458.47 $10,288.24 2026-03-13
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 59 49 $14,736.29 $9,578.59 35% off $2,185.00 $12,898.76 $8,335.77 2026-03-13
SUP-4920-9-810 CDM Ankle Kt Hoffman Ii 4920-9-810 79 44 $8,401.00 $5,460.65 35% off $2,100.25 $7,980.95 $6,720.80 2026-03-13
SUP-AFLEX301 CDM Allograft Arthroflex 40x70mm Aflex301 79 44 $8,313.00 $5,403.45 35% off $2,078.25 $7,897.35 $6,650.40 2026-03-13
Q5098 HCPCS Ustekinumab-srlf 130 Mg/26 Ml Intravenous Solution 170 50 $9,947.25 $6,465.71 35% off $1,988.25 $25,859.60 $7,953.00 2026-03-13
SUP-155403165 CDM Stem Fem Aml Pc Lrg Hi Ofst 155403165 79 44 $7,943.00 $5,162.95 35% off $1,985.75 $7,545.85 $6,354.40 2026-03-13
SUP-155402225 CDM Stem Fem Aml Pc Lrg 1554-02-225 79 44 $7,943.00 $5,162.95 35% off $1,985.75 $7,545.85 $6,354.40 2026-03-13
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 47 45 $15,448.18 $10,041.32 35% off $1,955.21 $11,723.33 $9,342.48 2026-03-13
J9326 HCPCS Telisotuzumab Vedotin-tllv 100 Mg Intravenous Solution 340 50 $28,105.80 $18,268.77 35% off $1,873.32 $44,502.75 $9,138.14 2026-03-13
46220 CPT Papillectomy/Exc Tag Anus 73 38 $7,328.00 $4,763.20 35% off $1,832.00 $6,961.60 $5,862.40 2026-03-13
SUP-6495-6-100 CDM Ext Piece 100mm 6495-6-100 79 44 $7,316.00 $4,755.40 35% off $1,829.00 $6,950.20 $5,852.80 2026-03-13
41010 CPT Incision Of Lingual Frenum 73 38 $7,199.00 $4,679.35 35% off $1,799.75 $6,839.05 $5,759.20 2026-03-13
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 59 49 $10,939.31 $7,110.55 35% off $1,759.43 $14,009.03 $8,725.68 2026-03-13
SUP-PLP-101 CDM Allograft Ptla Ligament 10mm Preshape Plp-101 79 44 $6,975.00 $4,533.75 35% off $1,743.75 $6,626.25 $5,580.00 2026-03-13
A9572 HCPCS Nm In111 Pentetreotide Up To 6mci 118 80 $8,285.00 $5,385.25 35% off $1,704.99 $8,514.00 $5,650.20 2026-03-13
SUP-1741-62-000 CDM Cage Mesh Cvd 14x130mm 1741-62-000 79 44 $6,750.00 $4,387.50 35% off $1,687.50 $6,412.50 $5,400.00 2026-03-13
C1724 HCPCS Cath Diamondback 1.25mm 145cm 4fr Solid 158 44 $7,639.00 $4,965.35 35% off $1,684.75 $7,257.05 $5,652.86 2026-03-13
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 47 45 $13,925.74 $9,051.73 35% off $1,665.11 $10,988.05 $8,756.52 2026-03-13
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 58 48 $8,191.50 $5,324.47 35% off $1,613.85 $10,933.32 $7,645.54 2026-03-13
SUP-64103-008 CDM Spacer Novel-lcc Ti 64103-008 79 44 $6,300.00 $4,095.00 35% off $1,575.00 $5,985.00 $5,040.00 2026-03-13
SUP-KPT1505 CDM Tray Xpander 15/3 1st Fx Kpt1505 79 44 $6,119.00 $3,977.35 35% off $1,529.75 $5,813.05 $4,895.20 2026-03-13
47379 CPT Unlisted Laparoscopic Procedure Liver 54 47 $21,510.39 $13,981.75 35% off $1,297.82 $15,029.00 $5,552.07 2026-03-13
81229 CPT Chromosomal Microarray 119 80 $8,269.00 $5,374.85 35% off $986.00 $9,454.00 $6,201.75 2026-03-13
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 39 37 $6,727.89 $4,373.13 35% off $840.63 $17,369.26 $17,039.24 2026-03-13
44180 CPT Lap Surgical Enterolysis Pf 56 49 $10,501.27 $6,825.83 35% off $839.63 $15,029.00 $5,552.07 2026-03-13
794 MS_DRG Neonate With Other Significant Problems 41 39 $5,545.28 $3,604.43 35% off $831.00 $14,926.88 $14,643.27 2026-03-13
795 MS_DRG Normal Newborn 47 45 $5,191.35 $3,374.38 35% off $831.00 $6,616.87 $5,273.07 2026-03-13
PX-100001600 CDM L&d Level Vi, 18-24 Hrs 79 44 $6,165.00 $4,007.25 35% off $823.00 $5,856.75 $4,932.00 2026-03-13
PX-100001596 CDM L&d Level V, 18-24 Hrs 79 44 $6,160.00 $4,004.00 35% off $823.00 $5,852.00 $4,928.00 2026-03-13
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 57 49 $19,716.25 $12,815.56 35% off $822.52 $16,663.97 $9,907.49 2026-03-13
59151 CPT Laps Tx Ectopic Preg W/Salping&/Oophorectomy 58 51 $13,228.94 $8,598.81 35% off $705.68 $15,029.00 $5,552.07 2026-03-13
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated 56 47 $15,708.11 $10,210.27 35% off $684.15 $15,029.00 $5,552.07 2026-03-13
47563 CPT Lap,Cholecystectomy With Cholangio Pf 59 52 $12,326.28 $8,012.08 35% off $656.36 $15,029.00 $5,552.07 2026-03-13
58662 CPT Laps Fulg/Exc Ovary Viscera/Peritoneal Surface 61 53 $11,175.35 $7,263.98 35% off $647.96 $15,029.00 $5,552.07 2026-03-13
95782 CPT Polysom Attended >3 Chn <6 Yrs 111 78 $10,150.00 $6,597.50 35% off $646.67 $9,642.50 $7,612.50 2026-03-13
A9548 HCPCS Nm 111-in Pente Dtpa Per .500mci 118 80 $12,512.00 $8,132.80 35% off $636.98 $11,886.40 $5,286.32 2026-03-13
63663 CPT Revise Spine Eltrd Perq Aray Pf 190 79 $2,459.00 $1,598.35 35% off $614.75 $9,231.34 $6,245.36 2026-03-13
C1820 HCPCS Charging System 37752 474 44 $18,000.00 $11,700.00 35% off $607.50 $38,827.45 $5,917.50 2026-03-13
47562 CPT Lap,Cholecystectomy Pf 62 53 $10,452.43 $6,794.08 35% off $603.20 $15,029.00 $5,552.07 2026-03-13
66991 CPT Xcapsl Ctrc Rmvl Insj Io Lens Prosth Insj 1+ 54 47 $13,245.18 $8,609.37 35% off $597.22 $15,029.00 $4,910.07 2026-03-13
58661 CPT Laparoscopy W/Rmvl Adnexal Structures 60 53 $11,771.70 $7,651.60 35% off $593.37 $15,029.00 $5,552.07 2026-03-13
44970 CPT Laparos, Surgic,Appendectomy Pf 62 53 $12,904.31 $8,387.80 35% off $549.25 $15,029.00 $5,552.07 2026-03-13
43653 CPT Laps Surg Gastrostomy Without Constj Gstr Tube Spx 60 53 $10,848.04 $7,051.23 35% off $525.45 $15,029.00 $5,552.07 2026-03-13
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible 55 47 $12,405.12 $8,063.33 35% off $525.40 $15,029.00 $5,937.85 2026-03-13
49651 CPT Laps Surg Rpr Recurrent Inguinal Hernia 60 53 $14,606.28 $9,494.08 35% off $515.15 $16,663.97 $9,907.49 2026-03-13
62362 CPT Implant/Replace It/Epid Prog Pump Pf 185 74 $2,009.00 $1,305.85 35% off $502.25 $17,144.74 $9,972.75 2026-03-13
49592 CPT Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strng Pf 57 49 $14,236.30 $9,253.59 35% off $436.50 $15,029.00 $5,552.07 2026-03-13
49650 CPT Lap,Rx Init Ing Hernia Pf 62 55 $13,816.68 $8,980.84 35% off $394.61 $15,029.00 $5,552.07 2026-03-13
49322 CPT Laps Surg W/Aspir Cavity/Cyst Single/Multiple 60 53 $14,982.28 $9,738.48 35% off $341.30 $15,029.00 $5,552.07 2026-03-13
49321 CPT Laparoscopy Surg W/Bx Single/Multiple 60 53 $21,510.39 $13,981.75 35% off $313.60 $15,029.00 $5,552.07 2026-03-13
49320 CPT Laps Abd Prtm&Omentum Dx W/wo Spec Br/Wa Spx 61 53 $11,453.47 $7,444.76 35% off $300.88 $15,029.00 $5,552.07 2026-03-13
64590 CPT Ins/Rplc Perph Sac/Gstrc Npg/Rcvr Pckt Crtj&Conn 60 53 $29,232.11 $19,000.87 35% off $267.19 $34,323.43 $20,406.84 2026-03-13
43647 CPT Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum 54 47 $45,015.51 $29,260.08 35% off $267.19 $34,323.43 $20,406.84 2026-03-13
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 232 78 $40,876.00 $26,569.40 35% off $253.73 $38,837.90 $26,569.40 2026-03-13
J9204 HCPCS Mogamulizumab-kpkc 4 Mg/ml Intravenous Solution 232 78 $15,712.88 $10,213.37 35% off $243.78 $14,932.94 $10,213.37 2026-03-13
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 232 78 $37,986.42 $24,691.17 35% off $222.96 $36,092.80 $24,691.17 2026-03-13
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 232 78 $13,727.60 $8,922.94 35% off $212.96 $13,046.92 $8,922.94 2026-03-13
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 232 78 $27,174.50 $17,663.42 35% off $203.19 $25,821.48 $17,663.43 2026-03-13
J2353 HCPCS Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release|rx Amt Dis… 569 78 $15,464.61 $10,052.00 35% off $199.71 $22,010.63 $9,452.40 2026-03-13
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 232 78 $101,307.19 $65,849.67 35% off $194.07 $96,247.53 $65,849.67 2026-03-13
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution|rx Amt Discard/not Admin … 401 78 $118,954.22 $77,320.24 35% off $179.99 $113,017.91 $23,800.50 2026-03-13
J9303 HCPCS Panitumumab 100 Mg/5 Ml (20 Mg/ml) Intravenous Solution 400 78 $6,081.03 $3,952.67 35% off $169.74 $23,073.70 $4,864.82 2026-03-13
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 116 78 $24,974.76 $16,233.59 35% off $168.95 $23,726.02 $16,233.59 2026-03-13
Q5122 HCPCS Pegfilgrastim-apgf 6 Mg/0.6 Ml Subcutaneous Syringe 116 78 $11,814.26 $7,679.27 35% off $128.67 $11,223.55 $5,316.42 2026-03-13
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 232 78 $60,176.83 $39,114.94 35% off $125.03 $57,173.69 $27,773.00 2026-03-13
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml (deliverable) Wearable Subcut Injector 117 78 $12,566.75 $8,168.39 35% off $104.31 $11,938.41 $5,655.04 2026-03-13
J2997 HCPCS Alteplase 100 Mg Intravenous Solution 286 78 $13,244.55 $8,608.96 35% off $92.65 $25,164.64 $7,379.50 2026-03-13
J9022 HCPCS Atezolizumab 840 Mg/14 Ml (60 Mg/ml) Intravenous Solution 400 78 $26,397.52 $17,158.39 35% off $89.60 $35,820.32 $21,108.42 2026-03-13
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector 121 78 $19,318.15 $12,556.80 35% off $87.65 $18,352.24 $7,630.67 2026-03-13
58350 CPT Chromotubation Oviduct W/Materials 58 51 $11,453.47 $7,444.76 35% off $83.05 $15,029.00 $5,552.07 2026-03-13
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 232 78 $28,858.62 $18,758.10 35% off $77.50 $27,421.39 $17,261.00 2026-03-13
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 232 78 $37,224.51 $24,195.93 35% off $69.41 $35,368.98 $23,727.00 2026-03-13
Q5113 HCPCS Trastuzumab-pkrb 420 Mg Intravenous Solution 232 78 $13,161.45 $8,554.94 35% off $68.05 $12,509.08 $7,160.16 2026-03-13
J9316 HCPCS Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 232 78 $31,085.03 $20,205.27 35% off $60.92 $29,536.48 $16,735.20 2026-03-13
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 232 78 $19,763.37 $12,846.19 35% off $59.15 $18,780.90 $12,846.19 2026-03-13
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 232 78 $69,153.22 $44,949.59 35% off $58.29 $65,701.26 $39,402.00 2026-03-13
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 232 78 $35,421.75 $23,024.14 35% off $54.51 $33,656.36 $21,648.60 2026-03-13
43282 CPT Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh 54 47 $23,840.06 $15,496.04 35% off $52.82 $16,663.97 $9,907.49 2026-03-13
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 230 78 $21,858.02 $14,207.71 35% off $43.97 $20,770.82 $14,211.61 2026-03-13
J2406 HCPCS Oritavancin 1,200 Mg Intravenous Solution 116 78 $16,064.01 $10,441.61 35% off $41.67 $15,260.81 $10,441.61 2026-03-13
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg Intravenous Solution 400 78 $13,377.27 $8,695.23 35% off $41.36 $20,326.57 $10,692.22 2026-03-13
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 400 78 $13,520.85 $8,788.55 35% off $41.18 $38,511.44 $10,816.68 2026-03-13
Q9998 HCPCS Ustekinumab-aekn 130 Mg/26 Ml Intravenous Solution 114 77 $9,391.98 $6,104.79 35% off $39.58 $17,667.00 $6,997.03 2026-03-13
Q5152 HCPCS Eculizumab-aeeb 300 Mg/30 Ml Intravenous Solution 228 77 $19,672.85 $12,787.35 35% off $39.55 $18,694.91 $12,853.88 2026-03-13
J9177 HCPCS Enfortumab Vedotin-ejfv 20 Mg Intravenous Solution|rx Amt Discard/not Admin To P… 400 78 $9,422.15 $6,124.40 35% off $36.04 $13,420.87 $7,528.12 2026-03-13
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 232 78 $53,902.34 $35,036.52 35% off $33.24 $51,212.92 $35,036.52 2026-03-13
Q9999 HCPCS Ustekinumab-aauz 130 Mg/26 Ml Intravenous Solution 114 77 $11,306.26 $7,349.07 35% off $32.46 $13,481.00 $8,423.17 2026-03-13
J9299 HCPCS Nivolumab 100 Mg/10 Ml Intravenous Solution|rx Amt Discard/not Admin To Pt 570 78 $10,881.78 $7,073.16 35% off $32.34 $24,794.57 $5,281.00 2026-03-13
Q5151 HCPCS Eculizumab-aagh 300 Mg/30 Ml Intravenous Solution 228 77 $15,302.10 $9,946.36 35% off $30.76 $14,542.70 $9,997.89 2026-03-13
Q5120 HCPCS Pegfilgrastim-bmez 6 Mg/0.6 Ml Subcutaneous Syringe 116 78 $11,815.85 $7,680.30 35% off $29.75 $11,225.06 $5,317.13 2026-03-13
J9358 HCPCS Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution 232 78 $9,837.42 $6,394.32 35% off $29.41 $9,351.25 $6,394.32 2026-03-13
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 232 78 $29,796.42 $19,367.67 35% off $29.28 $28,312.30 $13,408.39 2026-03-13
J0897 HCPCS Denosumab 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution 402 78 $11,556.64 $7,511.82 35% off $28.82 $10,990.21 $5,026.16 2026-03-13
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 232 78 $35,538.64 $23,100.12 35% off $28.74 $33,767.41 $22,099.00 2026-03-13
Q5158 HCPCS Denosumab-bnht 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution|rx Amt Discard/not… 402 79 $11,209.94 $7,286.46 35% off $28.18 $10,660.84 $4,884.98 2026-03-13
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 234 80 $26,093.56 $16,960.81 35% off $26.84 $24,794.58 $16,956.91 2026-03-13
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 232 78 $28,607.35 $18,594.78 35% off $23.54 $27,182.68 $15,927.00 2026-03-13
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 232 78 $31,361.70 $20,385.10 35% off $20.91 $29,799.32 $14,559.00 2026-03-13
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe 232 78 $14,642.02 $9,517.31 35% off $17.67 $13,915.62 $8,454.60 2026-03-13
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 232 78 $22,854.65 $14,855.52 35% off $16.69 $21,717.62 $14,855.52 2026-03-13
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 232 78 $34,754.55 $22,590.46 35% off $14.66 $33,022.52 $19,590.00 2026-03-13
J3358 HCPCS Ustekinumab 130 Mg/26 Ml Intravenous Solution 232 78 $14,207.66 $9,234.98 35% off $12.75 $13,502.98 $7,602.40 2026-03-13
J1306 HCPCS Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe 116 78 $10,383.72 $6,749.42 35% off $12.08 $9,864.53 $6,749.42 2026-03-13
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 116 78 $7,913.05 $5,143.48 35% off $11.84 $7,517.40 $5,143.48 2026-03-13
Q5138 HCPCS Ustekinumab-auub 130 Mg/26 Ml Intravenous Solution 114 77 $9,506.95 $6,179.52 35% off $11.42 $9,031.60 $6,207.16 2026-03-13
Q9997 HCPCS Ustekinumab-ttwe 130 Mg/26 Ml Intravenous Solution 114 77 $7,382.06 $4,798.34 35% off $9.11 $7,012.96 $4,818.47 2026-03-13
J9176 HCPCS Elotuzumab 400 Mg Intravenous Solution 232 78 $10,170.51 $6,610.83 35% off $7.74 $9,667.68 $6,610.83 2026-03-13
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