Price Transparencybeta Hospital negotiated rates

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

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Hospital

COX MONETT HOSPITAL

Monett, MO · CCN 261329 · Rates published

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $554 across 23 payers · range $475-$3,504

Source: https://cdn.coxhealth.com/documents/431656689_cox-monett-hospital-inc_standardcharges.csv · observed 2026-07-15

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

6,215 distinct procedures filed
58 distinct payers
409,249 rate rows
2026-07-15 last MRF observed
Data quality

359,655 of 409,249 rate rows are consumer-grade (87.9%)

49,594 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 30,275
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,408
per-diem day rate — not a per-procedure price 6,565
exceeds 10× this hospital's gross charge — excluded from medians 2,284
placeholder amount (≤ $0.02) — excluded from medians 47
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn.coxhealth.com/documents/431656689_cox-monett-hospital-inc_standardcharges.csv
Found on page https://www.coxhealth.com/patients-and-visitors/pricing/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-01
Content fingerprint 820221d3c11c24ab… · 295,919,349 bytes · first seen 2026-06-16

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $231,056.14 $391,328.79 $307,486.37 nat. median
$359,454
0.9× median
A9513
HCPCS 		Lutathera 52 $981.09 $244,562.50 $244,562.50 nat. median
$479
outlier · 510.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $172,579.57 $312,460.94 $240,759.63 nat. median
$249,036
1.0× median
Q2043
HCPCS 		Provenge 52 $236,071.50 $236,071.50 $236,071.50 nat. median
$65,720
outlier · 3.6×
A9606
HCPCS 		Xofigo 52 $622.71 $172,322.50 $172,322.50 nat. median
$266
outlier · 647.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $131,305.63 $222,386.09 $159,459.02 nat. median
$190,559
0.8× median
69488-0010-61
NDC 		Pluvicto 52 $159,328.75 $159,328.75 $159,328.75 nat. median
$159,329
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $128,364.09 $246,160.84 $150,492.65 nat. median
$198,418
0.8× median
J0223
HCPCS 		Givlaari 52 $1.00 $144,830.00 $144,830.00 nat. median
$153
outlier · 949.3×
J9347
HCPCS 		Imjudo 52 $1.00 $139,247.50 $139,247.50 nat. median
$2,868
outlier · 48.5×
50242-0554-01
NDC 		Ocrevus Zunovo 52 $138,019.00 $138,019.00 $138,019.00 nat. median
$138,019
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 52 $108,036.36 $140,496.73 $124,266.54 nat. median
$63,528
2.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $67,514.73 $188,249.58 $114,346.48 nat. median
$104,013
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 3 $64,911.48 $182,151.18 $109,937.48 nat. median
$93,901
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $80,271.19 $135,951.49 $103,413.17 nat. median
$110,307
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $86,570.69 $146,620.66 $98,310.34 nat. median
$126,695
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $65,246.00 $128,443.76 $92,626.51 nat. median
$95,038
1.0× median
J9359
HCPCS 		Zynlonta 52 $1.00 $92,067.54 $92,067.54 nat. median
$742
outlier · 124.0×
J1747
HCPCS 		Spevigo 52 $1.00 $89,500.25 $89,500.25 nat. median
$92
outlier · 972.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $66,743.98 $113,041.11 $88,821.99 nat. median
$97,323
0.9× median
J2507
HCPCS 		Krystexxa 52 $1.00 $86,983.96 $86,983.96 nat. median
$9,200
outlier · 9.5×
7
MS_DRG 		Lung Transplant 3 $80,069.01 $135,609.07 $86,945.34 nat. median
$117,974
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $51,888.50 $118,161.01 $86,216.52 nat. median
$77,632
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $59,129.68 $116,842.23 $85,674.97 nat. median
$90,551
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $64,179.95 $108,698.52 $85,409.80 nat. median
$93,276
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $49,388.18 $115,728.05 $83,646.41 nat. median
$74,370
1.1× median
J0202
HCPCS 		Lemtrada 52 $486.88 $80,181.01 $80,181.01 nat. median
$3,902
outlier · 20.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $56,438.82 $95,587.75 $75,108.01 nat. median
$78,268
1.0× median
J2350
HCPCS 		Ocrevus 52 $1.00 $144,504.22 $72,260.86 nat. median
$470
outlier · 153.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $51,917.30 $96,329.74 $72,073.93 nat. median
$77,028
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $47,405.57 $97,602.91 $68,504.44 nat. median
$72,398
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $51,100.60 $86,546.66 $68,003.99 nat. median
$78,049
0.9× median
J9229
HCPCS 		Besponsa 52 $67,431.00 $67,431.00 $67,431.00 nat. median
$6,176
outlier · 10.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $47,888.97 $91,065.73 $66,518.03 nat. median
$71,748
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $45,731.14 $82,954.64 $64,882.53 nat. median
$67,976
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $48,568.43 $82,258.03 $64,634.21 nat. median
$66,715
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $36,704.01 $74,564.05 $61,575.11 nat. median
$58,280
1.1× median
J3241
HCPCS 		Tepezza 52 $1.00 $61,306.46 $61,306.46 nat. median
$729
outlier · 84.1×
J9281
HCPCS 		Jelmyto 52 $1.00 $60,062.50 $60,062.50 nat. median
$532
outlier · 112.9×
J9266
HCPCS 		Oncaspar 52 $1.00 $59,555.51 $59,555.51 nat. median
$33,233
1.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $35,163.75 $84,041.71 $59,555.18 nat. median
$55,167
1.1× median
00074-1050-01
NDC 		Skyrizi Pfs 52 $59,220.46 $59,220.46 $59,220.46 nat. median
$59,220
1.0× median
A9604
HCPCS 		Sm 153 Lexidronam 52 $58,773.92 $58,773.92 $58,773.92 nat. median
$12,627
outlier · 4.7×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $43,516.33 $73,701.53 $57,910.93 nat. median
$63,648
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $43,297.60 $73,331.08 $57,619.86 nat. median
$66,649
0.9× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $33,864.27 $79,444.48 $57,354.31 nat. median
$51,514
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 3 $36,980.33 $74,324.68 $57,227.40 nat. median
$53,927
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $40,850.58 $69,186.69 $56,983.09 nat. median
$63,873
0.9× median
J9334
HCPCS 		Vyvgart Hytrulo 52 $1.00 $56,327.12 $56,327.11 nat. median
$83
outlier · 680.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $39,565.81 $77,444.14 $56,143.58 nat. median
$62,031
0.9× median

Other procedures at this hospital

Browse this hospital's 6,215 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 — — $231,056.14 $391,328.79 $307,486.37 2026-07-15
A9513 HCPCS Lutathera 66 52 $244,562.50 $74,591.56 70% off $981.09 $244,562.50 $244,562.50 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 3 — — $172,579.57 $312,460.94 $240,759.63 2026-07-15
Q2043 HCPCS Provenge 65 52 $236,071.50 $72,001.81 69% off $236,071.50 $236,071.50 $236,071.50 2026-07-15
A9606 HCPCS Xofigo 66 52 $172,322.50 $52,558.36 70% off $622.71 $172,322.50 $172,322.50 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 3 — — $131,305.63 $222,386.09 $159,459.02 2026-07-15
69488-0010-61 NDC Pluvicto 65 52 $159,328.75 $48,595.27 69% off $159,328.75 $159,328.75 $159,328.75 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 3 — — $128,364.09 $246,160.84 $150,492.65 2026-07-15
J0223 HCPCS Givlaari 66 52 $144,830.00 $44,173.15 70% off $1.00 $144,830.00 $144,830.00 2026-07-15
J9347 HCPCS Imjudo 66 52 $139,247.50 $42,470.49 69% off $1.00 $139,247.50 $139,247.50 2026-07-15
50242-0554-01 NDC Ocrevus Zunovo 65 52 $138,019.00 $42,095.80 69% off $138,019.00 $138,019.00 $138,019.00 2026-07-15
A9543 HCPCS Y90 Ibritumomab, Rx 65 52 $140,496.73 $42,851.50 70% off $108,036.36 $140,496.73 $124,266.54 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 3 — — $67,514.73 $188,249.58 $114,346.48 2026-07-15
215 MS_DRG Other Heart Assist System Implant 7 3 — — $64,911.48 $182,151.18 $109,937.48 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 7 3 — — $80,271.19 $135,951.49 $103,413.17 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 3 — — $86,570.69 $146,620.66 $98,310.34 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 3 — — $65,246.00 $128,443.76 $92,626.51 2026-07-15
J9359 HCPCS Zynlonta 66 52 $92,067.54 $28,080.60 69% off $1.00 $92,067.54 $92,067.54 2026-07-15
J1747 HCPCS Spevigo 66 52 $89,500.25 $27,297.58 69% off $1.00 $89,500.25 $89,500.25 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 3 — — $66,743.98 $113,041.11 $88,821.99 2026-07-15
J2507 HCPCS Krystexxa 66 52 $86,983.96 $26,530.11 69% off $1.00 $86,983.96 $86,983.96 2026-07-15
7 MS_DRG Lung Transplant 7 3 — — $80,069.01 $135,609.07 $86,945.34 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 — — $51,888.50 $118,161.01 $86,216.52 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 — — $59,129.68 $116,842.23 $85,674.97 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $64,179.95 $108,698.52 $85,409.80 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 3 — — $49,388.18 $115,728.05 $83,646.41 2026-07-15
J0202 HCPCS Lemtrada 67 52 $80,181.01 $24,455.21 69% off $486.88 $80,181.01 $80,181.01 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 4 3 — — $56,438.82 $95,587.75 $75,108.01 2026-07-15
J2350 HCPCS Ocrevus 67 52 $72,260.86 $22,039.56 70% off $1.00 $144,504.22 $72,260.86 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 3 — — $51,917.30 $96,329.74 $72,073.93 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 — — $47,405.57 $97,602.91 $68,504.44 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 3 — — $51,100.60 $86,546.66 $68,003.99 2026-07-15
J9229 HCPCS Besponsa 65 52 $67,431.00 $20,566.46 69% off $67,431.00 $67,431.00 $67,431.00 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 3 — — $47,888.97 $91,065.73 $66,518.03 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 3 — — $45,731.14 $82,954.64 $64,882.53 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $48,568.43 $82,258.03 $64,634.21 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 3 — — $36,704.01 $74,564.05 $61,575.11 2026-07-15
J3241 HCPCS Tepezza 66 52 $61,306.46 $18,698.47 70% off $1.00 $61,306.46 $61,306.46 2026-07-15
J9281 HCPCS Jelmyto 66 52 $60,062.50 $18,319.06 70% off $1.00 $60,062.50 $60,062.50 2026-07-15
J9266 HCPCS Oncaspar 66 52 $59,555.51 $18,164.43 70% off $1.00 $59,555.51 $59,555.51 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 — — $35,163.75 $84,041.71 $59,555.18 2026-07-15
00074-1050-01 NDC Skyrizi Pfs 65 52 $59,220.46 $18,062.24 70% off $59,220.46 $59,220.46 $59,220.46 2026-07-15
A9604 HCPCS Sm 153 Lexidronam 65 52 $58,773.92 $17,926.05 69% off $58,773.92 $58,773.92 $58,773.92 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $43,516.33 $73,701.53 $57,910.93 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $43,297.60 $73,331.08 $57,619.86 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 3 — — $33,864.27 $79,444.48 $57,354.31 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 7 3 — — $36,980.33 $74,324.68 $57,227.40 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $40,850.58 $69,186.69 $56,983.09 2026-07-15
J9334 HCPCS Vyvgart Hytrulo 67 52 $56,327.11 $17,179.77 69% off $1.00 $56,327.12 $56,327.11 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 — — $39,565.81 $77,444.14 $56,143.58 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 3 — — $41,077.89 $69,571.66 $54,665.89 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 3 — — $42,620.60 $72,947.98 $54,108.31 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 3 — — $41,835.15 $70,854.20 $53,411.82 2026-07-15
J9298 HCPCS Opdualag 66 52 $52,936.03 $16,145.49 69% off $1.00 $52,936.03 $52,936.03 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 3 — — $35,671.66 $72,445.12 $52,540.32 2026-07-15
J9026 HCPCS Imdelltra 66 52 $52,517.50 $16,017.84 69% off $1.00 $52,517.50 $52,517.50 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 3 — — $37,426.36 $69,198.71 $52,302.24 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 3 — — $38,747.28 $67,659.32 $52,203.63 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 3 — — $30,531.33 $84,650.56 $51,709.47 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 3 — — $36,050.90 $72,074.14 $51,333.91 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 7 3 — — $34,154.07 $73,405.24 $51,082.50 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 3 — — $30,677.76 $74,547.76 $50,973.34 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 3 — — $40,919.82 $71,169.48 $50,674.74 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $37,951.42 $64,276.51 $50,505.23 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 — — $36,449.75 $66,877.91 $50,504.17 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 3 — — $37,902.40 $64,193.49 $50,440.00 2026-07-15
J1932 HCPCS Inj, Lanreotide, (cipla) 1mg 65 52 $50,284.08 $15,336.64 70% off $50,284.08 $50,284.08 $50,284.08 2026-07-15
J9028 HCPCS Anktiva 66 52 $50,137.50 $15,291.94 69% off $1.00 $50,137.50 $50,137.50 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 7 3 — — $33,864.27 $66,343.01 $50,029.77 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 7 3 — — $37,247.46 $66,972.82 $49,380.37 2026-07-15
10 MS_DRG Pancreas Transplant 7 3 — — $34,116.30 $82,732.24 $48,848.42 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 — — $34,953.61 $63,580.98 $48,842.02 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 3 — — $33,336.15 $63,507.03 $48,739.85 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 — — $39,622.79 $67,107.23 $48,739.85 2026-07-15
245 MS_DRG Aicd Generator Procedures 7 3 — — $29,940.10 $57,954.62 $48,441.36 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 3 — — $33,260.18 $66,965.42 $48,384.50 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 3 — — $28,824.43 $57,495.69 $48,356.22 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 3 — — $36,422.18 $62,013.24 $48,079.79 2026-07-15
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 7 3 — — $33,090.47 $63,044.84 $47,805.28 2026-07-15
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 7 3 — — $31,117.66 $69,036.02 $47,679.13 2026-07-15
J3357 HCPCS Stelara Pfs 67 52 $47,037.13 $14,346.32 70% off $1.00 $98,476.56 $47,037.13 2026-07-15
J3245 HCPCS Ilumya Pfs 66 52 $46,629.80 $14,222.09 69% off $1.00 $46,629.80 $46,629.80 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 3 — — $29,258.20 $60,737.60 $46,267.50 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 — — $32,451.45 $65,220.20 $45,799.33 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 3 — — $37,597.90 $63,677.78 $45,609.22 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 3 — — $30,641.61 $65,927.66 $45,559.47 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 7 3 — — $29,131.38 $62,412.57 $45,295.62 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 3 — — $32,595.43 $59,492.78 $44,924.28 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $33,722.13 $57,113.57 $44,876.96 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 — — $26,455.22 $63,323.38 $44,805.95 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 3 — — $31,213.24 $65,011.91 $44,793.69 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 3 — — $33,516.28 $56,764.92 $44,603.01 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 7 3 — — $28,239.32 $62,798.34 $44,591.14 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 3 — — $33,059.22 $58,230.70 $44,430.34 2026-07-15
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 7 3 — — $28,133.33 $63,192.74 $44,074.10 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 — — $29,125.86 $60,785.67 $43,931.07 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 7 3 — — $29,759.37 $60,939.73 $43,701.87 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $31,448.51 $53,262.84 $43,084.01 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 — — $30,859.73 $59,900.73 $42,783.29 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 7 3 — — $29,709.74 $58,715.07 $42,726.44 2026-07-15
J9042 HCPCS Adcetris 66 52 $42,717.50 $13,028.84 69% off $1.00 $42,717.50 $42,717.50 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 3 — — $31,553.27 $53,440.27 $41,990.67 2026-07-15
J9272 HCPCS Jemperli 66 52 $41,297.83 $12,595.84 69% off $1.00 $41,297.83 $41,297.83 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 — — $27,641.36 $59,004.70 $41,242.85 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 — — $28,137.62 $57,217.58 $40,958.57 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $30,653.87 $51,917.00 $40,793.75 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 3 — — $33,055.55 $55,984.60 $40,269.19 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 7 3 — — $36,157.79 $62,631.82 $40,162.58 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 3 — — $24,919.86 $51,990.55 $39,814.34 2026-07-15
C9293 HCPCS Voraxaze 66 52 $39,572.50 $12,069.61 70% off $1.00 $39,572.50 $39,572.50 2026-07-15
50242-0917-01 NDC Tecentriq 65 52 $39,398.84 $12,016.65 69% off $39,398.84 $39,398.84 $39,398.84 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 3 — — $28,670.03 $55,277.63 $39,358.60 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 7 3 — — $27,144.48 $49,689.47 $38,434.69 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 3 — — $27,400.57 $54,750.12 $38,257.02 2026-07-15
J9050 HCPCS Carmustine Injection 66 52 $38,107.79 $11,622.88 69% off $12,129.57 $38,107.79 $38,107.79 2026-07-15
24338-0050-08 NDC Gliadel 65 52 $38,107.79 $11,622.88 69% off $38,107.79 $38,107.79 $38,107.79 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 3 — — $28,500.94 $48,270.68 $37,928.66 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 3 — — $25,179.63 $47,739.66 $37,829.71 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 3 — — $32,756.19 $63,900.88 $37,729.63 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $28,227.68 $47,807.88 $37,565.01 2026-07-15
J1640 HCPCS Panhematin 66 52 $37,448.32 $11,421.74 69% off $1.00 $37,448.32 $37,448.32 2026-07-15
61755-0008-01 NDC Libtayo 65 52 $37,141.16 $11,328.05 70% off $37,141.16 $37,141.16 $37,141.16 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 3 — — $24,124.61 $52,025.06 $37,079.92 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 7 3 — — $24,407.05 $48,357.14 $37,058.60 2026-07-15
J9286 HCPCS Columvi 66 52 $36,856.93 $11,241.36 70% off $1.00 $36,856.93 $36,856.93 2026-07-15
J9144 HCPCS Darzalex Faspro 66 52 $36,834.03 $11,234.38 69% off $1.00 $36,834.03 $36,834.03 2026-07-15
J2329 HCPCS Briumvi 66 52 $36,671.25 $11,184.73 70% off $1.00 $36,671.25 $36,671.25 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 3 — — $21,629.81 $58,066.77 $36,633.37 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 3 — — $22,199.59 $51,290.49 $36,454.50 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $25,491.49 $43,173.71 $36,346.57 2026-07-15
J3055 HCPCS Talvey 66 52 $36,277.50 $11,064.64 69% off $1.00 $36,277.50 $36,277.50 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 3 — — $23,679.81 $50,252.72 $36,178.22 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 3 — — $25,674.67 $48,634.45 $36,177.33 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 3 — — $21,624.29 $45,338.74 $35,930.34 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $26,913.50 $45,582.11 $35,816.12 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 — — $23,291.99 $45,751.63 $35,636.31 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 3 — — $23,825.01 $42,083.71 $35,457.75 2026-07-15
332 MS_DRG Rectal Resection With Mcc 7 3 — — $21,251.79 $58,016.24 $35,311.39 2026-07-15
J1628 HCPCS Tremfya Pfs 66 52 $35,216.83 $10,741.13 70% off $1.00 $35,216.83 $35,216.83 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 3 — — $21,451.52 $50,756.82 $35,051.76 2026-07-15
J2327 HCPCS Skyrizi 600mg/10ml 7 2 $35,051.31 $10,690.65 69% off $1.00 $35,927.15 $35,051.31 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 3 — — $26,096.19 $44,197.88 $34,728.46 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 3 — — $23,418.81 $47,230.63 $34,705.29 2026-07-15
J0870 HCPCS Rytelo 67 52 $34,611.50 $10,556.51 69% off $1.00 $34,611.50 $34,611.50 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 3 — — $25,193.73 $46,848.56 $34,500.96 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 4 3 — — $25,911.17 $43,884.51 $34,482.23 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 3 — — $27,476.55 $46,535.72 $34,310.85 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 3 — — $26,134.79 $47,313.21 $34,205.14 2026-07-15
J9203 HCPCS Mylotarg 66 52 $34,143.59 $10,413.79 70% off $1.00 $34,143.59 $34,143.59 2026-07-15
J1961 HCPCS Sunlenca 66 52 $34,142.50 $10,413.46 70% off $1.00 $34,142.50 $34,142.50 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 3 — — $23,110.64 $46,651.36 $33,837.35 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 7 3 — — $25,551.53 $43,506.02 $33,730.74 2026-07-15
J1930 HCPCS Somatuline Depot 66 52 $33,484.50 $10,212.77 70% off $1.00 $33,484.50 $33,484.50 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 3 — — $20,868.87 $45,895.84 $33,433.14 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $25,018.50 $42,372.65 $33,294.28 2026-07-15
C1757 HCPCS Cath, Thrombectomy/embolect 85 52 $33,075.00 $10,087.88 69% off $198.00 $33,775.00 $33,075.00 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 3 — — $20,781.87 $46,207.66 $32,917.88 2026-07-15
791 MS_DRG Prematurity With Major Problems 7 3 — — $24,873.91 $42,352.40 $32,837.04 2026-07-15
J3380 HCPCS Entyvio 66 52 $32,777.19 $9,997.04 70% off $1.00 $32,777.19 $32,777.19 2026-07-15
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 7 3 — — $22,926.22 $41,294.91 $32,702.89 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 3 — — $19,031.46 $54,739.02 $32,232.68 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 3 — — $24,174.24 $41,307.24 $31,771.87 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 3 — — $23,589.75 $45,283.28 $31,592.42 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 3 — — $21,466.84 $44,626.36 $31,507.14 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 3 — — $24,389.90 $41,308.01 $31,460.94 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 3 — — $25,668.55 $43,473.60 $31,310.81 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 3 — — $25,142.26 $42,582.25 $31,286.82 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 3 — — $24,075.60 $40,775.69 $31,181.99 2026-07-15
J3263 HCPCS Loqtorzi 66 52 $31,139.61 $9,497.58 70% off $1.00 $31,139.61 $31,139.61 2026-07-15
J9228 HCPCS Yervoy 67 52 $31,087.70 $9,481.75 69% off $30.00 $124,298.02 $31,087.70 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 3 — — $22,354.60 $43,105.45 $30,933.25 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 3 — — $20,985.28 $42,077.55 $30,893.27 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 3 — — $19,960.89 $43,409.88 $30,605.44 2026-07-15
J9301 HCPCS Gazyva 66 52 $30,162.02 $9,199.42 69% off $1.00 $30,162.02 $30,162.02 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 — — $21,460.10 $41,192.62 $29,557.15 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 3 — — $20,026.44 $42,369.65 $29,232.90 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 3 — — $17,545.73 $43,371.68 $29,136.95 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 3 — — $26,509.75 $44,898.30 $28,926.41 2026-07-15
J9223 HCPCS Zepzelca 66 52 $28,402.50 $8,662.76 70% off $1.00 $28,402.50 $28,402.50 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 3 — — $16,765.18 $44,330.56 $28,394.39 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 3 — — $18,946.30 $41,091.55 $27,855.02 2026-07-15
50242-0918-01 NDC Tecentriq 65 52 $27,584.44 $8,413.25 70% off $27,584.44 $27,584.44 $27,584.44 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 3 — — $16,508.47 $44,328.10 $27,430.03 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 3 — — $16,704.53 $44,616.50 $27,425.94 2026-07-15
J9299 HCPCS Opdivo 74 52 $27,273.16 $8,318.31 70% off $1.00 $27,273.16 $27,273.16 2026-07-15
J9153 HCPCS Vyxeos 66 52 $27,142.50 $8,278.46 70% off $1.00 $27,142.50 $27,142.50 2026-07-15
C1982 HCPCS Cath, Pressure,valve-occlu 65 52 $27,125.00 $8,273.13 69% off $27,125.00 $27,125.00 $27,125.00 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 3 — — $15,833.31 $41,967.86 $26,816.12 2026-07-15
00002-7678-01 NDC Cyramza 65 52 $25,766.27 $7,858.71 70% off $25,766.27 $25,766.27 $25,766.27 2026-07-15
J9273 HCPCS Tivdak 66 52 $24,948.00 $7,609.14 70% off $1.00 $24,948.00 $24,948.00 2026-07-15
J9306 HCPCS Perjeta 66 52 $23,889.22 $7,286.21 70% off $1.00 $23,889.22 $23,889.22 2026-07-15
J0741 HCPCS Cabenuva 600mg/900mg Kit 70 52 $23,779.91 $7,252.87 70% off $1.00 $23,779.91 $23,779.91 2026-07-15
J9063 HCPCS Elahere 66 52 $23,233.38 $7,086.18 70% off $1.00 $23,233.38 $23,233.38 2026-07-15
J2427 HCPCS Invega Trinza 68 52 $23,046.73 $7,029.25 70% off $1.00 $46,075.92 $23,046.73 2026-07-15
J9311 HCPCS Rituxan Hycela 67 52 $23,035.53 $7,025.84 69% off $1.00 $26,323.80 $23,035.53 2026-07-15
24208-0416-01 NDC Retisert 65 52 $22,812.50 $6,957.81 70% off $22,812.50 $22,812.50 $22,812.50 2026-07-15
J1303 HCPCS Ultomiris 67 52 $22,431.50 $6,841.61 69% off $1.00 $22,879.78 $22,431.50 2026-07-15
50242-0087-01 NDC Kadcyla 65 52 $22,359.40 $6,819.62 69% off $22,359.40 $22,359.40 $22,359.40 2026-07-15
J9332 HCPCS Vyvgart 69 52 $21,683.83 $6,613.57 69% off $1.00 $37,391.92 $21,683.83 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 35 32 — — $21,313.07 $40,595.14 $21,313.07 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 42 34 — — $21,303.22 $40,575.43 $21,303.22 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 34 — — $21,069.82 $40,459.28 $21,245.14 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 40 34 — — $19,723.78 $40,326.17 $21,178.58 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 40 34 — — $21,047.95 $40,064.90 $21,047.95 2026-07-15
J7311 HCPCS Inj., Retisert, 0.01 Mg 65 52 $20,805.00 $6,345.53 69% off $20,805.00 $20,805.00 $20,805.00 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 40 34 — — $20,712.70 $39,394.40 $20,712.70 2026-07-15
J2799 HCPCS Uzedy 11 2 $8,284.32 $2,526.72 69% off $1.00 $29,541.74 $20,684.23 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 40 34 — — $20,631.35 $39,231.71 $20,631.35 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 40 34 — — $18,893.61 $39,155.29 $20,593.15 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 34 — — $20,514.88 $38,998.76 $20,514.88 2026-07-15
J0517 HCPCS Fasenra Pfs 67 52 $20,482.18 $6,247.06 70% off $1.00 $20,482.18 $20,482.18 2026-07-15
652 MS_DRG Kidney Transplant 40 34 — — $18,817.64 $38,860.72 $20,445.86 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 43 34 — — $20,413.20 $38,795.40 $20,413.20 2026-07-15
665 MS_DRG Prostatectomy With Mcc 40 34 — — $20,374.38 $38,717.75 $20,374.38 2026-07-15
J9271 HCPCS Keytruda 66 52 $20,254.78 $6,177.71 69% off $1.00 $20,254.78 $20,254.78 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 40 34 — — $19,446.24 $38,431.81 $20,231.40 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 40 34 — — $17,290.24 $38,138.48 $20,084.74 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 34 — — $19,538.14 $38,014.00 $20,022.50 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 40 34 — — $19,984.91 $37,938.82 $19,984.91 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 34 — — $18,018.71 $37,830.36 $19,930.68 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 40 34 — — $19,898.01 $37,765.03 $19,898.01 2026-07-15
C9610 HCPCS Cath Coronary Drug-delivery 65 52 $19,775.00 $6,031.38 69% off $19,775.00 $19,775.00 $19,775.00 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 34 — — $18,065.28 $37,274.50 $19,652.75 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 38 33 — — $19,610.28 $37,189.56 $19,610.28 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 40 34 — — $19,413.77 $37,117.97 $19,574.49 2026-07-15
265 MS_DRG Aicd Lead Procedures 43 34 — — $19,523.12 $37,015.23 $19,523.12 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 42 33 — — $14,168.68 $36,828.33 $19,429.67 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 40 34 — — $18,739.22 $36,780.26 $19,405.63 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 40 34 — — $19,112.95 $36,729.73 $19,380.37 2026-07-15
J9307 HCPCS Folotyn 66 52 $19,352.66 $5,902.56 70% off $1.00 $19,352.66 $19,352.66 2026-07-15
J2802 HCPCS Nplate 66 52 $19,288.57 $5,883.01 70% off $1.00 $19,288.57 $19,288.57 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 34 — — $19,281.34 $36,531.68 $19,281.34 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 40 34 — — $19,149.04 $36,267.08 $19,149.04 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 43 34 — — $17,750.36 $36,097.46 $19,064.23 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 37 34 — — $19,031.78 $36,032.57 $19,031.78 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 34 — — $18,992.35 $35,953.71 $18,992.35 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 34 — — $18,885.99 $35,740.99 $18,885.99 2026-07-15
J0391 HCPCS Artesunate 66 52 $18,842.25 $5,746.89 69% off $1.00 $18,842.25 $18,842.25 2026-07-15
C1761 HCPCS Cath, Trans Intra Litho/coro 65 52 $18,800.00 $5,734.00 70% off $18,800.00 $18,800.00 $18,800.00 2026-07-15
J0491 HCPCS Saphnelo 67 52 $18,686.36 $5,699.34 69% off $1.00 $19,059.74 $18,686.36 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 40 34 — — $15,000.07 $35,131.18 $18,581.09 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 40 34 — — $12,426.23 $34,733.08 $18,382.04 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 39 33 — — $16,735.16 $34,455.77 $18,243.38 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 40 34 — — $17,969.70 $34,368.26 $18,199.63 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 37 34 — — $18,146.67 $34,262.33 $18,146.67 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 40 34 — — $17,206.31 $34,099.58 $18,065.29 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 40 34 — — $16,072.25 $34,046.58 $18,038.79 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 40 34 — — $17,926.17 $33,821.33 $17,926.17 2026-07-15
J0717 HCPCS Cimzia 67 52 $17,866.38 $5,449.25 69% off $1.00 $19,976.63 $17,866.38 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 40 34 — — $16,563.00 $33,666.97 $17,848.99 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 43 34 — — $17,188.54 $33,559.74 $17,795.37 2026-07-15
C1889 HCPCS Implant/insert Device, Noc 69 52 $17,680.00 $5,392.40 70% off $364.27 $17,680.00 $17,680.00 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 33 — — $17,640.81 $33,250.62 $17,640.81 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 39 33 — — $17,592.56 $33,154.12 $17,592.56 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 40 34 — — $17,524.22 $33,017.44 $17,524.22 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 40 34 — — $17,516.29 $33,001.58 $17,516.29 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 40 34 — — $16,644.49 $32,948.42 $17,489.71 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 43 34 — — $13,802.30 $32,927.47 $17,479.24 2026-07-15
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 40 34 — — $14,876.31 $32,782.04 $17,406.52 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 40 34 — — $15,612.13 $32,646.46 $17,338.73 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 34 — — $16,030.59 $32,542.93 $17,286.97 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 40 34 — — $17,244.44 $32,457.89 $17,244.44 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 42 34 — — $17,208.11 $32,385.22 $17,208.11 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 40 34 — — $15,859.65 $32,339.57 $17,185.28 2026-07-15
65597-0801-01 NDC Datroway 65 52 $17,136.25 $5,226.56 69% off $17,136.25 $17,136.25 $17,136.25 2026-07-15
C9292 HCPCS Injection, Pertuzumab 65 52 $17,132.50 $5,225.41 70% off $17,132.50 $17,132.50 $17,132.50 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 40 34 — — $13,137.55 $32,216.32 $17,123.66 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 40 34 — — $15,420.98 $32,151.00 $17,091.00 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 38 32 — — $17,026.52 $32,022.04 $17,026.52 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 36 33 — — $16,936.24 $31,841.48 $16,936.24 2026-07-15
J0135 HCPCS Humira Pen Starter Pack 66 52 $16,882.76 $5,149.24 70% off $16,882.76 $84,000.00 $16,882.76 2026-07-15
330 MS_DRG Major Small & Large Bowel Procedures With Complication 40 34 — — $14,481.75 $31,563.09 $16,797.04 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 40 34 — — $16,774.86 $31,518.72 $16,774.86 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 40 34 — — $12,883.29 $31,486.68 $16,758.84 2026-07-15
13533-0800-40 NDC Gamunex-c 65 52 $16,706.34 $5,095.43 70% off $16,706.34 $16,706.34 $16,706.34 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 40 34 — — $13,962.82 $31,373.29 $16,702.15 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 40 34 — — $16,198.46 $31,294.41 $16,662.71 2026-07-15
570 MS_DRG Skin Debridement With Comorbity 40 34 — — $16,633.24 $31,235.49 $16,633.24 2026-07-15
800 MS_DRG Splenic Procedures With Cc 40 34 — — $16,565.96 $31,100.91 $16,565.96 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 40 34 — — $14,500.74 $31,036.82 $16,533.91 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 43 34 — — $15,641.54 $31,024.49 $16,527.74 2026-07-15
J9312 HCPCS Rituxan 17 5 $16,459.10 $5,020.03 69% off $1.00 $32,900.70 $16,459.10 2026-07-15
J3590 HCPCS Unclassified Biologics 66 52 $16,380.84 $4,996.16 69% off $16,380.84 $22,858.50 $16,380.84 2026-07-15
J9356 HCPCS Herceptin Hylecta 66 52 $16,380.84 $4,996.16 69% off $1.00 $16,380.84 $16,380.84 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 40 34 — — $12,241.82 $30,678.16 $16,354.58 2026-07-15
J9057 HCPCS Aliqopa 66 52 $16,345.98 $4,985.52 70% off $1.00 $16,345.98 $16,345.98 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 40 34 — — $14,560.17 $30,546.28 $16,288.64 2026-07-15
J1602 HCPCS Simponi Pfs 72 52 $16,180.75 $4,935.13 69% off $1.00 $26,154.68 $16,180.75 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 40 34 — — $14,818.72 $30,317.04 $16,174.02 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 37 34 — — $16,137.76 $30,244.53 $16,137.76 2026-07-15
333 MS_DRG Rectal Resection With Cc 40 34 — — $13,021.14 $30,154.35 $16,092.67 2026-07-15
545 MS_DRG Connective Tissue Disorders With Comorbity 40 34 — — $15,481.63 $30,128.46 $16,079.73 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 34 — — $12,844.69 $29,995.35 $16,013.17 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 40 34 — — $15,646.44 $29,995.35 $16,013.17 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 40 34 — — $15,890.81 $29,750.61 $15,890.81 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 39 33 — — $15,864.86 $29,698.73 $15,864.86 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 40 34 — — $15,844.11 $29,657.22 $15,844.11 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 40 34 — — $13,677.31 $29,610.81 $15,820.91 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 39 33 — — $15,785.48 $29,539.96 $15,785.48 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 40 34 — — $13,059.74 $29,159.72 $15,595.36 2026-07-15
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