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

MISSOURI BAPTIST SULLIVAN HOSPITAL

Sullivan, MO · CCN 261337 · Rates published

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This hospital’s price: $4,399 across 46 payers · range $1,464-$5,790

Source: https://www.bjc.org/hpt/36/431459495_MissouriBaptistSullivanHospital_standardcharges.json · observed 2025-12-15

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.

1,846 distinct procedures filed
50 distinct payers
198,101 rate rows
2025-12-15 last MRF observed
Data quality

193,045 of 198,101 rate rows are consumer-grade (97.4%)

5,056 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,440
per-diem day rate — not a per-procedure price 2,250
placeholder amount (≤ $0.02) — excluded from medians 162
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 91
exceeds 10× this hospital's gross charge — excluded from medians 84
exceeds 3× this hospital's gross charge for a DRG stay — excluded 27
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.bjc.org/hpt/36/431459495_MissouriBaptistSullivanHospital_standardcharges.json
Found on page https://www.bjc.org/patients-visitors/billing-and-financial-assistance/hospital-rates-disclosure
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 878e46c57f3bb774… · 119,472,394 bytes · first seen 2026-05-08

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
A9616
HCPCS 		Gallium-68 Gozetotide (gozellix) 25 Mcg Intravenous Solution 44 $358,572.50 $1,417,991.25 $1,059,418.75 nat. median
$1,240
outlier · 854.4×
A9800
HCPCS 		Gallium-68 Gozetotide (illuccix) 25 Mcg Intravenous Solution 44 $37,162.20 $146,959.62 $109,797.42 nat. median
$1,096
outlier · 100.2×
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 46 $36,864.54 $237,227.27 $108,917.97 nat. median
$2,868
outlier · 38.0×
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 46 $33,208.12 $131,323.02 $99,171.52 nat. median
$432
outlier · 229.3×
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 46 $29,048.17 $178,387.66 $85,467.34 nat. median
$561
outlier · 152.3×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 46 $25,897.50 $166,702.00 $76,515.34 nat. median
$9,200
outlier · 8.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $1,011.00 $108,328.44 $73,076.87 nat. median
$62,655
1.2× median
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 46 $21,678.42 $162,360.19 $64,049.86 nat. median
$3,902
outlier · 16.4×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 $31,488.93 $82,770.94 $62,752.77 nat. median
$45,430
1.4× median
799
MS_DRG 		Splenic Procedures With Mcc 8 $33,459.47 $87,308.76 $58,875.47 nat. median
$43,255
1.4× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 $28,351.60 $76,236.21 $57,985.96 nat. median
$41,685
1.4× median
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 32 $21,119.47 $83,517.91 $51,838.70 nat. median
$14,744
outlier · 3.5×
J9309
HCPCS 		Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 46 $18,307.43 $105,868.19 $50,722.52 nat. median
$4,472
outlier · 11.3×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 $1,011.00 $73,066.54 $49,289.68 nat. median
$43,696
1.1× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 46 $17,779.94 $98,394.08 $48,150.95 nat. median
$470
outlier · 102.5×
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 $19,898.87 $60,813.66 $46,152.27 nat. median
$32,092
1.4× median
L8670
HCPCS 		Cook Medical Zenith Taa - 1 Piece Case Cap 46 $8,778.00 $76,125.00 $40,775.00 nat. median
$1,069
outlier · 38.2×
J1628
HCPCS 		Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 46 $13,291.16 $80,657.05 $38,643.61 nat. median
$228
outlier · 169.3×
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 46 $13,456.47 $76,565.59 $36,882.95 nat. median
$735
outlier · 50.2×
C1876
HCPCS 		Stent Zenith Dissection Endovascular Zdes- 36-120-US 46 $12,320.00 $48,720.00 $36,400.00 nat. median
$2,544
outlier · 14.3×
J9042
HCPCS 		Brentuximab Vedotin 50 Mg Intravenous Solution 46 $11,703.74 $74,213.00 $34,579.22 nat. median
$951
outlier · 36.3×
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 8 $7,973.00 $49,562.86 $34,274.86 nat. median
$29,838
1.1× median
J9228
HCPCS 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 46 $8,527.57 $206,685.08 $34,110.19 nat. median
$9,003
outlier · 3.8×
827
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 8 $15,642.95 $38,838.33 $29,513.58 nat. median
$22,394
1.3× median
821
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 8 $13,893.42 $37,518.94 $28,501.66 nat. median
$21,587
1.3× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 8 $13,755.93 $37,004.40 $28,034.52 nat. median
$21,010
1.3× median
J9144
HCPCS 		Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 46 $10,376.10 $54,796.81 $27,897.57 nat. median
$211
outlier · 131.9×
J9203
HCPCS 		Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 46 $9,413.82 $59,755.50 $27,813.57 nat. median
$687
outlier · 40.5×
J9119
HCPCS 		Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 46 $10,087.15 $55,519.45 $27,244.45 nat. median
$91
outlier · 299.2×
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 8 $13,213.01 $33,439.55 $25,425.18 nat. median
$19,324
1.3× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 $12,575.01 $32,556.30 $24,672.92 nat. median
$18,642
1.3× median
J9022
HCPCS 		Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 46 $7,237.27 $62,307.41 $24,672.53 nat. median
$6,785
outlier · 3.6×
J9301
HCPCS 		Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 46 $8,769.78 $45,133.23 $24,037.18 nat. median
$287
outlier · 83.7×
J2327
HCPCS 		Risankizumab-rzaa 60 Mg/ml Intravenous Solution 46 $8,676.03 $49,528.78 $23,944.73 nat. median
$2,076
outlier · 11.5×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 9 $1,011.00 $33,488.16 $23,613.70 nat. median
$19,218
1.2× median
J9223
HCPCS 		Lurbinectedin 4 Mg Intravenous Solution 46 $7,765.07 $46,616.10 $22,334.25 nat. median
$617
outlier · 36.2×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 8 $11,279.73 $29,247.88 $22,097.94 nat. median
$15,476
1.4× median
919
MS_DRG 		Complications Of Treatment With Mcc 6 $11,523.88 $28,611.51 $20,847.15 nat. median
$17,507
1.2× median
15274
CPT 		App Skn Sub Grft T/a/L Area>/=100scm Adl 100sqcm 46 $119.24 $27,005.99 $20,186.97 nat. median
$797
outlier · 25.3×
J9308
HCPCS 		Ramucirumab 10 Mg/ml Intravenous Solution 46 $7,032.42 $41,788.18 $20,021.14 nat. median
$1,489
outlier · 13.4×
36837
CPT 		Hc Create Av Fistula Dual Perc Access 31 $7,074.54 $27,976.59 $19,840.87 nat. median
$17,349
1.1× median
J2323
HCPCS 		Natalizumab 300 Mg/15 Ml Intravenous Solution 46 $6,837.01 $40,654.74 $19,478.10 nat. median
$197
outlier · 98.8×
813
MS_DRG 		Coagulation Disorders 8 $10,055.77 $25,564.03 $19,335.86 nat. median
$14,889
1.3× median
885
MS_DRG 		Psychoses 6 $914.67 $23,410.37 $18,649.84 nat. median
$12,319
1.5× median
J9306
HCPCS 		Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 46 $5,966.46 $39,500.28 $18,337.20 nat. median
$80
outlier · 230.4×
784
MS_DRG 		Cesarean Section With Sterilization With Cc 8 $7,598.62 $30,039.53 $18,172.86 nat. median
$10,585
1.7× median
J3101
HCPCS 		Tenecteplase 50 Mg Intravenous Solution - For Stemi 32 $6,444.97 $25,486.91 $18,075.20 nat. median
$3,820
outlier · 4.7×
865
MS_DRG 		Viral Illness With Mcc 6 $10,747.74 $20,213.07 $18,001.00 nat. median
$14,518
1.2× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 8 $8,932.68 $23,536.07 $17,825.00 nat. median
$13,626
1.3× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 8 $5,862.00 $25,044.64 $17,641.28 nat. median
$14,244
1.2× median

Other procedures at this hospital

Browse this hospital's 1,846 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
             
A9616 HCPCS Gallium-68 Gozetotide (gozellix) 25 Mcg Intravenous Solution 71 44 $1,629,875.00 $977,925.00 40% off $358,572.50 $1,417,991.25 $1,059,418.75 2025-12-15
A9800 HCPCS Gallium-68 Gozetotide (illuccix) 25 Mcg Intravenous Solution 71 44 $168,919.10 $101,351.46 40% off $37,162.20 $146,959.62 $109,797.42 2025-12-15
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 74 46 $167,566.10 $100,539.66 40% off $36,864.54 $237,227.27 $108,917.97 2025-12-15
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 74 46 $150,946.00 $90,567.60 40% off $33,208.12 $131,323.02 $99,171.52 2025-12-15
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 74 46 $132,037.15 $79,222.29 40% off $29,048.17 $178,387.66 $85,467.34 2025-12-15
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 74 46 $117,715.90 $70,629.54 40% off $25,897.50 $166,702.00 $76,515.34 2025-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 9 $88,562.85 $53,137.71 40% off $1,011.00 $108,328.44 $73,076.87 2025-12-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 74 46 $98,538.25 $59,122.95 40% off $21,678.42 $162,360.19 $64,049.86 2025-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 8 $55,353.06 $33,211.84 40% off $31,488.93 $82,770.94 $62,752.77 2025-12-15
799 MS_DRG Splenic Procedures With Mcc 14 8 $123,252.80 $73,951.68 40% off $33,459.47 $87,308.76 $58,875.47 2025-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 8 $85,786.52 $51,471.91 40% off $28,351.60 $76,236.21 $57,985.96 2025-12-15
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 45 32 $95,997.60 $57,598.56 40% off $21,119.47 $83,517.91 $51,838.70 2025-12-15
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 74 46 $83,215.60 $49,929.36 40% off $18,307.43 $105,868.19 $50,722.52 2025-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 9 $89,853.92 $53,912.35 40% off $1,011.00 $73,066.54 $49,289.68 2025-12-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 74 46 $80,817.90 $48,490.74 40% off $17,779.94 $98,394.08 $48,150.95 2025-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 8 $31,280.54 $18,768.32 40% off $19,898.87 $60,813.66 $46,152.27 2025-12-15
L8670 HCPCS Cook Medical Zenith Taa - 1 Piece Case Cap 296 46 $66,500.00 $39,900.00 40% off $8,778.00 $76,125.00 $40,775.00 2025-12-15
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 74 46 $60,414.35 $36,248.61 40% off $13,291.16 $80,657.05 $38,643.61 2025-12-15
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 81 46 $61,165.75 $36,699.45 40% off $13,456.47 $76,565.59 $36,882.95 2025-12-15
C1876 HCPCS Stent Zenith Dissection Endovascular Zdes- 36-120-US 74 46 $56,000.00 $33,600.00 40% off $12,320.00 $48,720.00 $36,400.00 2025-12-15
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 74 46 $53,198.80 $31,919.28 40% off $11,703.74 $74,213.00 $34,579.22 2025-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 8 $23,910.55 $14,346.33 40% off $7,973.00 $49,562.86 $34,274.86 2025-12-15
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 148 46 $96,904.00 $58,142.40 40% off $8,527.57 $206,685.08 $34,110.19 2025-12-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 8 $146,900.68 $88,140.41 40% off $15,642.95 $38,838.33 $29,513.58 2025-12-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 14 8 $56,318.97 $33,791.38 40% off $13,893.42 $37,518.94 $28,501.66 2025-12-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 14 8 $15,903.90 $9,542.34 40% off $13,755.93 $37,004.40 $28,034.52 2025-12-15
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 74 46 $47,164.10 $28,298.46 40% off $10,376.10 $54,796.81 $27,897.57 2025-12-15
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 74 46 $42,790.10 $25,674.06 40% off $9,413.82 $59,755.50 $27,813.57 2025-12-15
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 74 46 $45,850.70 $27,510.42 40% off $10,087.15 $55,519.45 $27,244.45 2025-12-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 14 8 $71,083.31 $42,649.99 40% off $13,213.01 $33,439.55 $25,425.18 2025-12-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 8 $25,340.60 $15,204.36 40% off $12,575.01 $32,556.30 $24,672.92 2025-12-15
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 148 46 $41,624.35 $24,974.61 40% off $7,237.27 $62,307.41 $24,672.53 2025-12-15
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 77 46 $39,862.65 $23,917.59 40% off $8,769.78 $45,133.23 $24,037.18 2025-12-15
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 77 46 $39,436.50 $23,661.90 40% off $8,676.03 $49,528.78 $23,944.73 2025-12-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 15 9 $58,540.81 $35,124.49 40% off $1,011.00 $33,488.16 $23,613.70 2025-12-15
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 74 46 $35,295.75 $21,177.45 40% off $7,765.07 $46,616.10 $22,334.25 2025-12-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 14 8 $15,261.25 $9,156.75 40% off $11,279.73 $29,247.88 $22,097.94 2025-12-15
919 MS_DRG Complications Of Treatment With Mcc 12 6 $10,141.55 $6,084.93 40% off $11,523.88 $28,611.51 $20,847.15 2025-12-15
15274 CPT App Skn Sub Grft T/a/L Area>/=100scm Adl 100sqcm 90 46 $49,170.00 $29,502.00 40% off $119.24 $27,005.99 $20,186.97 2025-12-15
J9308 HCPCS Ramucirumab 10 Mg/ml Intravenous Solution 74 46 $31,965.55 $19,179.33 40% off $7,032.42 $41,788.18 $20,021.14 2025-12-15
36837 CPT Hc Create Av Fistula Dual Perc Access 42 31 $32,157.00 $19,294.20 40% off $7,074.54 $27,976.59 $19,840.87 2025-12-15
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 74 46 $31,077.30 $18,646.38 40% off $6,837.01 $40,654.74 $19,478.10 2025-12-15
813 MS_DRG Coagulation Disorders 14 8 $21,512.20 $12,907.32 40% off $10,055.77 $25,564.03 $19,335.86 2025-12-15
885 MS_DRG Psychoses 7 6 $26,639.90 $15,983.94 40% off $914.67 $23,410.37 $18,649.84 2025-12-15
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 74 46 $27,120.25 $16,272.15 40% off $5,966.46 $39,500.28 $18,337.20 2025-12-15
784 MS_DRG Cesarean Section With Sterilization With Cc 14 8 $30,039.53 $18,023.72 40% off $7,598.62 $30,039.53 $18,172.86 2025-12-15
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution - For Stemi 65 32 $29,295.30 $17,577.18 40% off $6,444.97 $25,486.91 $18,075.20 2025-12-15
865 MS_DRG Viral Illness With Mcc 9 6 $6,825.10 $4,095.06 40% off $10,747.74 $20,213.07 $18,001.00 2025-12-15
811 MS_DRG Red Blood Cell Disorders With Mcc 14 8 $36,854.81 $22,112.89 40% off $8,932.68 $23,536.07 $17,825.00 2025-12-15
884 MS_DRG Organic Disturbances And Intellectual Disability 14 8 $30,820.85 $18,492.51 40% off $5,862.00 $25,044.64 $17,641.28 2025-12-15
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 14 8 $11,185.25 $6,711.15 40% off $7,104.00 $24,286.92 $17,217.81 2025-12-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 15 9 $15,525.35 $9,315.21 40% off $1,011.00 $25,440.25 $17,161.64 2025-12-15
15273 CPT App Skn Subgrft T/a/L Area/100sq Cm 1st 100sq Cm 90 46 $49,170.00 $29,502.00 40% off $1,527.24 $27,005.99 $16,848.18 2025-12-15
28805 CPT Amputation Foot Transmetarsal|RIGHT Side 75 47 $22,386.11 $13,431.67 40% off $3,277.28 $21,733.40 $16,632.88 2025-12-15
Q0224 HCPCS Pemivibart 125 Mg/ml Intravenous Solution (eua) 74 46 $25,400.05 $15,240.03 40% off $5,588.01 $40,024.43 $16,510.03 2025-12-15
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 14 8 $11,852.20 $7,111.32 40% off $7,810.87 $21,216.48 $16,031.55 2025-12-15
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 74 46 $24,461.25 $14,676.75 40% off $5,381.48 $37,345.63 $15,899.81 2025-12-15
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 74 46 $24,752.00 $14,851.20 40% off $5,445.44 $33,024.72 $15,822.48 2025-12-15
57288 CPT Sling Operation Stress Incontinence 75 47 $42,109.03 $25,265.42 40% off $6,329.00 $27,949.46 $15,734.00 2025-12-15
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 8 6 $6,763.85 $4,058.31 40% off $6,113.00 $20,242.99 $15,717.46 2025-12-15
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 74 46 $23,369.15 $14,021.49 40% off $5,141.21 $35,446.42 $15,711.24 2025-12-15
36836 CPT Hc Create Av Fistula Sngl Perc Access 42 31 $24,953.00 $14,971.80 40% off $5,489.66 $21,709.11 $15,396.00 2025-12-15
J9039 HCPCS Blinatumomab 35 Mcg Intravenous Kit 74 46 $24,720.40 $14,832.24 40% off $5,438.49 $31,674.54 $15,175.59 2025-12-15
64721 CPT Neuroplasty &/Transpos Median Nrv Carpal Tunne|LEFT Side 75 47 $11,045.20 $6,627.12 40% off $4,587.00 $18,735.15 $14,811.03 2025-12-15
J2783 HCPCS Rasburicase 7.5 Mg Intravenous Solution 74 46 $20,496.70 $12,298.02 40% off $4,509.27 $31,794.79 $14,525.10 2025-12-15
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 74 46 $22,099.70 $13,259.82 40% off $4,861.93 $35,628.88 $14,364.81 2025-12-15
56740 CPT Excision Bartholins Gland Or Cyst|LEFT Side 74 46 $21,320.96 $12,792.58 40% off $4,587.00 $15,872.07 $14,093.15 2025-12-15
49505 CPT Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|LEFT Side 74 46 $22,295.10 $13,377.06 40% off $4,207.00 $19,011.26 $14,087.54 2025-12-15
11982 CPT Removal Non-biodegradable Drug Delivery Implant 74 46 $17,690.00 $10,614.00 40% off $4,374.00 $19,384.10 $13,537.00 2025-12-15
57200 CPT Colporrhaphy Suture Injury Vagina 74 46 $15,637.46 $9,382.48 40% off $3,646.66 $31,158.14 $13,537.00 2025-12-15
J0717 HCPCS Certolizumab Pegol 400 Mg (200 Mg X 2 Vials) Subcutaneous Kit 140 46 $23,327.50 $13,996.50 40% off $2,580.00 $20,294.93 $13,534.87 2025-12-15
20680 CPT Removal Implant Deep 75 47 $29,741.40 $17,844.84 40% off $2,909.41 $18,218.68 $13,208.54 2025-12-15
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg Intravenous Solution 148 46 $22,752.53 $13,651.52 40% off $3,850.44 $37,322.96 $13,126.50 2025-12-15
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 7 6 $18,018.55 $10,811.13 40% off $987.84 $16,092.95 $12,857.17 2025-12-15
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 14 8 $10,086.50 $6,051.90 40% off $6,060.06 $17,056.65 $12,849.42 2025-12-15
J0517 HCPCS Benralizumab 30 Mg/ml Subcutaneous Syringe 74 46 $19,328.40 $11,597.04 40% off $4,252.25 $27,197.70 $12,563.46 2025-12-15
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 14 8 $14,140.15 $8,484.09 40% off $7,735.53 $14,140.15 $12,088.52 2025-12-15
36571 CPT Insj Prph Ctr Vad W/Subq Port Age 5 Yr/> 74 46 $17,842.40 $10,705.44 40% off $3,162.58 $16,808.70 $11,873.19 2025-12-15
Q5152 HCPCS Eculizumab-aeeb 300 Mg/30 Ml Intravenous Solution 45 32 $21,739.95 $13,043.97 40% off $4,782.79 $18,913.76 $11,739.57 2025-12-15
812 MS_DRG Red Blood Cell Disorders Without Mcc 14 8 $22,594.25 $13,556.55 40% off $5,769.65 $15,389.03 $11,640.22 2025-12-15
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 7 6 $18,126.75 $10,876.05 40% off $1,024.42 $14,365.00 $11,619.39 2025-12-15
49550 CPT Rpr 1st Fem Hrna Any Age Reducible|LEFT Side 74 46 $26,686.78 $16,012.07 40% off $4,207.00 $21,349.42 $11,602.95 2025-12-15
J9026 HCPCS Tarlatamab-dlle 10 Mg Intravenous Solution 148 46 $35,662.97 $21,397.79 40% off $1,426.52 $86,616.76 $11,463.44 2025-12-15
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 148 46 $29,000.67 $17,400.40 40% off $3,190.09 $70,942.60 $11,381.10 2025-12-15
C1874 HCPCS Graft 6mm Cylindrical 105mm 24mm 20-21mm Endovascular 1,554 46 $19,600.00 $11,760.00 40% off $1,389.08 $54,810.00 $11,209.97 2025-12-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 14 8 $17,597.20 $10,558.32 40% off $5,044.00 $16,398.66 $11,206.81 2025-12-15
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 24 20 $46,972.00 $28,183.20 40% off $10,333.84 $30,531.80 $11,200.47 2025-12-15
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 14 8 $9,581.10 $5,748.66 40% off $5,469.60 $14,795.73 $11,174.35 2025-12-15
C1768 HCPCS Graft Cardiovascular 30cm 8mm 2 Vlr Wvn Sl Str Tube 296 46 $18,247.35 $10,948.42 40% off $380.53 $18,879.00 $11,147.50 2025-12-15
J0480 HCPCS Basiliximab 20 Mg Intravenous Solution 137 46 $18,309.40 $10,985.64 40% off $3,260.83 $26,434.54 $11,040.57 2025-12-15
866 MS_DRG Viral Illness Without Mcc 14 8 $35,290.05 $21,174.03 40% off $5,780.57 $14,574.50 $10,993.60 2025-12-15
28820 CPT Amputation Toe Metatarsophalangeal Joint|LEFT Foot, Great Toe 75 47 $17,643.36 $10,586.02 40% off $3,277.28 $15,575.76 $10,939.73 2025-12-15
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 14 8 $12,208.65 $7,325.19 40% off $5,068.00 $16,046.12 $10,916.69 2025-12-15
J2353 HCPCS Octreotide,microspheres ER 10 Mg Intramuscular Susp, Extended Release 222 46 $18,364.65 $11,018.79 40% off $2,630.10 $33,036.33 $10,647.63 2025-12-15
26951 CPT Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr|LEFT Hand, Third Digit 74 46 $17,087.86 $10,252.72 40% off $3,277.28 $13,670.29 $10,485.75 2025-12-15
881 MS_DRG Depressive Neuroses 16 10 $23,713.60 $14,228.16 40% off $969.54 $15,769.48 $10,446.55 2025-12-15
58559 CPT Hysteroscopy Lysis Intrauterine Adhesions 74 46 $19,513.87 $11,708.32 40% off $4,293.05 $12,584.00 $10,224.50 2025-12-15
58301 CPT Removal Intrauterine Device IUD 75 47 $14,859.85 $8,915.91 40% off $4,374.00 $14,538.71 $10,208.72 2025-12-15
11406 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L >4.0 Cm|UNUSUAL Non-overlapping Service 75 47 $12,255.25 $7,353.15 40% off $1,654.26 $13,318.76 $9,699.66 2025-12-15
11401 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.6-1.0 Cm 74 46 $11,620.81 $6,972.49 40% off $2,556.58 $12,393.12 $9,584.51 2025-12-15
11606 CPT Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm 74 46 $12,432.65 $7,459.59 40% off $1,654.26 $13,884.32 $9,545.47 2025-12-15
11771 CPT Excision Pilonidal Cyst/Sinus Extensive 74 46 $13,395.88 $8,037.53 40% off $2,909.41 $12,843.80 $9,311.76 2025-12-15
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector 80 46 $15,560.65 $9,336.39 40% off $1,681.92 $13,537.77 $9,204.12 2025-12-15
56605 CPT Biopsy Vulva/Perineum 1 Lesion Spx 75 47 $36,856.14 $22,113.68 40% off $922.54 $15,734.00 $9,118.01 2025-12-15
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 14 8 $5,707.30 $3,424.38 40% off $4,500.71 $12,094.02 $9,108.51 2025-12-15
11770 CPT Excision Pilonidal Cyst/Sinus Simple 74 46 $12,169.85 $7,301.91 40% off $2,909.41 $13,075.96 $8,989.72 2025-12-15
11420 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 0.5 Cm/< 75 47 $16,250.91 $9,750.55 40% off $1,654.26 $11,776.23 $8,938.00 2025-12-15
57522 CPT Conization Cervix W/wo D&c Rpr Eltrd Exc 74 46 $16,237.80 $9,742.68 40% off $3,242.35 $12,990.24 $8,930.79 2025-12-15
J9177 HCPCS Enfortumab Vedotin-ejfv 20 Mg Intravenous Solution 148 46 $14,736.32 $8,841.80 40% off $2,593.59 $24,362.99 $8,800.53 2025-12-15
12032 CPT Repair Intermediate S/a/T/E 2.6-7.5 Cm 74 46 $11,625.61 $6,975.37 40% off $1,654.26 $11,504.33 $8,789.39 2025-12-15
Q5151 HCPCS Eculizumab-aagh 300 Mg/30 Ml Intravenous Solution 45 32 $16,232.20 $9,739.32 40% off $3,571.08 $14,122.01 $8,765.39 2025-12-15
11422 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 1.1-2.0cm 75 47 $16,250.91 $9,750.55 40% off $1,654.26 $11,840.88 $8,620.61 2025-12-15
11426 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g > 4.0cm 74 46 $11,669.80 $7,001.88 40% off $2,909.41 $11,528.41 $8,613.18 2025-12-15
52000 CPT Cystourethroscopy|UNUSUAL Non-overlapping Service 75 47 $45,801.18 $27,480.71 40% off $698.42 $15,734.00 $8,550.41 2025-12-15
58563 CPT Hysteroscopy Endometrial Ablation 74 46 $26,578.71 $15,947.23 40% off $4,374.00 $17,654.42 $8,463.00 2025-12-15
58300 CPT Insertion Intrauterine Device IUD 74 46 $17,690.00 $10,614.00 40% off $3,242.35 $11,887.88 $8,463.00 2025-12-15
11404 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm 74 46 $13,296.30 $7,977.78 40% off $1,654.26 $11,528.96 $8,414.12 2025-12-15
58558 CPT Hysteroscopy Bx Endometrium&/Polypc W/wo D&c 74 46 $16,617.47 $9,970.48 40% off $3,242.35 $13,233.85 $8,337.58 2025-12-15
J9358 HCPCS Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution 74 46 $13,601.25 $8,160.75 40% off $2,992.28 $17,305.77 $8,291.37 2025-12-15
11421 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 0.6-1.0cm 75 47 $11,656.85 $6,994.11 40% off $709.28 $10,141.46 $8,261.94 2025-12-15
10081 CPT Incision & Drainage Pilonidal Cyst Complicated 75 47 $14,118.92 $8,471.35 40% off $709.28 $11,295.14 $8,198.00 2025-12-15
11423 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 2.1-3.0cm 74 46 $11,625.61 $6,975.37 40% off $1,654.26 $10,973.16 $8,198.00 2025-12-15
57505 CPT Endocervical Curettage Not Done As Part Of D&c 74 46 $16,237.80 $9,742.68 40% off $3,242.35 $12,920.05 $8,198.00 2025-12-15
11402 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 1.1-2.0 Cm 75 47 $11,888.51 $7,133.11 40% off $709.28 $10,827.60 $8,198.00 2025-12-15
11200 CPT Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15 74 46 $12,795.96 $7,677.58 40% off $2,780.14 $10,236.77 $8,198.00 2025-12-15
57455 CPT Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx 74 46 $17,912.15 $10,747.29 40% off $305.22 $11,664.32 $8,167.94 2025-12-15
11750 CPT Excision Nail Matrix Permanent Removal|RIGHT Foot, Great Toe 74 46 $9,144.35 $5,486.61 40% off $407.17 $11,737.49 $8,134.72 2025-12-15
58562 CPT Hysteroscopy Removal Impacted Foreign Body 74 46 $14,236.20 $8,541.72 40% off $3,242.35 $11,470.00 $8,072.00 2025-12-15
36561 CPT Insj Tunneled Ctr Vad W/Subq Port Age 5 Yr/> 75 47 $17,776.06 $10,665.64 40% off $4,587.00 $9,888.20 $8,066.77 2025-12-15
59820 CPT Treatment Of Miscarriage 75 47 $16,239.75 $9,743.85 40% off $3,242.35 $11,658.16 $8,014.99 2025-12-15
J9299 HCPCS Nivolumab 100 Mg/10 Ml Intravenous Solution 222 46 $14,167.80 $8,500.68 40% off $1,246.80 $44,546.05 $7,929.46 2025-12-15
10080 CPT Incision & Drainage Pilonidal Cyst Simple 74 46 $12,772.00 $7,663.20 40% off $709.28 $10,293.60 $7,884.81 2025-12-15
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/mcc 15 9 $29,311.45 $17,586.87 40% off $1,011.00 $11,629.01 $7,844.77 2025-12-15
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 14 8 $7,381.50 $4,428.90 40% off $3,673.82 $10,339.24 $7,842.02 2025-12-15
J1306 HCPCS Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe 74 46 $11,974.95 $7,184.97 40% off $2,634.49 $19,926.29 $7,783.72 2025-12-15
J9205 HCPCS Irinotecan Liposomal 4.3 Mg/ml Intravenous 74 46 $12,813.10 $7,687.86 40% off $2,818.88 $15,681.79 $7,675.05 2025-12-15
11403 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm 74 46 $11,714.46 $7,028.68 40% off $709.28 $11,000.44 $7,614.40 2025-12-15
J2796 HCPCS Romiplostim 500 Mcg/ml Vial 74 46 $11,418.20 $6,850.92 40% off $2,512.00 $9,933.83 $7,421.83 2025-12-15
46600 CPT Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd 74 46 $11,073.20 $6,643.92 40% off $407.17 $9,165.68 $7,197.58 2025-12-15
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 74 46 $9,653.70 $5,792.22 40% off $2,123.81 $25,358.21 $7,172.70 2025-12-15
58100 CPT Endometrial Bx W/wo Endocervix Bx Without Dilat Spx|DISTINCT Procedural Service 88 47 $22,607.48 $13,564.49 40% off $1,607.00 $15,734.00 $7,098.89 2025-12-15
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 1 1 $10,310.35 $6,186.21 40% off $7,015.57 $7,015.57 $7,015.57 2025-12-15
J2182 HCPCS Mepolizumab 100 Mg Subcutaneous Solution 74 46 $10,771.25 $6,462.75 40% off $2,369.68 $17,631.98 $7,001.31 2025-12-15
15275 CPT Sub Grft F/s/n/h/f/g/m/d <100sq Cm 1st 25 Sq Cm 90 46 $9,266.00 $5,559.60 40% off $740.27 $13,133.46 $6,884.64 2025-12-15
J9303 HCPCS Panitumumab 100 Mg/5 Ml (20 Mg/ml) Intravenous Solution 148 46 $19,501.92 $11,701.15 40% off $1,716.17 $38,408.86 $6,864.68 2025-12-15
J2802 HCPCS Romiplostim 125 Mcg Subcutaneous Solution 222 46 $11,418.20 $6,850.92 40% off $1,256.02 $30,547.73 $6,839.50 2025-12-15
59812 CPT Tx Incomplete Treatment Of Miscarriage Any Trimester Surgical 74 46 $14,001.50 $8,400.90 40% off $3,242.35 $8,198.00 $6,771.00 2025-12-15
57410 CPT Pelvic Examination W/Anesthesia Other Than Local 74 46 $11,073.20 $6,643.92 40% off $3,242.35 $8,198.00 $6,771.00 2025-12-15
44365 CPT Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery 74 46 $12,515.08 $7,509.05 40% off $1,607.00 $10,012.06 $6,771.00 2025-12-15
A9586 HCPCS Florbetapir F-18 10 Mci (370 Mbq) Intravenous Solution 71 44 $10,389.90 $6,233.94 40% off $2,285.78 $9,039.21 $6,753.44 2025-12-15
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 74 46 $10,222.05 $6,133.23 40% off $2,248.85 $14,060.80 $6,644.33 2025-12-15
J9317 HCPCS Sacituzumab Govitecan-hziy 180 Mg Intravenous Solution 66 43 $10,973.90 $6,584.34 40% off $2,414.26 $14,721.29 $6,617.26 2025-12-15
J9120 HCPCS Dactinomycin 0.5 Mg Intravenous Solution 74 46 $11,367.45 $6,820.47 40% off $727.01 $9,889.68 $6,593.12 2025-12-15
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 14 8 $2,953.55 $1,772.13 40% off $3,238.20 $8,763.80 $6,578.09 2025-12-15
10120 CPT Incision & Removal Foreign Body Subq Tiss Simple 74 46 $8,003.55 $4,802.13 40% off $407.17 $8,834.36 $6,146.34 2025-12-15
57454 CPT Colposcopy Cervix Bx Cervix & Endocrv Curretage 74 46 $10,061.40 $6,036.84 40% off $305.22 $8,049.12 $6,127.39 2025-12-15
J0180 HCPCS Agalsidase Beta 35 Mg Intravenous Solution 148 46 $15,915.48 $9,549.28 40% off $937.01 $44,570.37 $6,065.80 2025-12-15
15271 CPT App Skn Sub Grft T/a/L Area/100sq Cm /<1st 25 90 46 $7,754.48 $4,652.69 40% off $740.27 $8,198.00 $6,025.00 2025-12-15
J1572 HCPCS Immune Globulin, Human (flebogamma) (10%) Solution 45 32 $10,859.45 $6,515.67 40% off $2,389.08 $9,447.72 $5,864.10 2025-12-15
J1944 HCPCS Aripiprazole Lauroxil ER 1,064 Mg/3.9 Ml Suspension,ext.rel IM Syringe 296 46 $10,120.03 $6,072.01 40% off $1,271.82 $19,648.74 $5,819.06 2025-12-15
20600 CPT Arthrocentesis Aspir&/Inj Small Jt/Bursa Without Us|right Hand, Thumb 90 46 $894.65 $536.79 40% off $124.52 $8,608.52 $5,801.68 2025-12-15
10140 CPT I&d Hematoma Seroma/Fluid Collection 113 46 $2,830.00 $1,698.00 40% off $657.36 $14,622.54 $5,685.00 2025-12-15
15272 CPT App Skn Sub Grft T/a/L Area/100sq Cm Ea Adl 25sc 91 47 $7,800.48 $4,680.29 40% off $94.82 $6,771.00 $5,685.00 2025-12-15
10061 CPT Incision & Drainage Abscess Complicated/Multiple 114 47 $13,308.80 $7,985.28 40% off $168.52 $10,647.04 $5,685.00 2025-12-15
11047 CPT Debridement Bone Each Additional 20 Sq Cm 113 46 $5,439.00 $3,263.40 40% off $193.60 $13,403.02 $5,685.00 2025-12-15
43453 CPT Dilation Esophagus Guide Wire 74 46 $9,299.71 $5,579.83 40% off $1,607.00 $7,439.77 $5,685.00 2025-12-15
44369 CPT Enteroscopy > 2nd Prtn Abltj Lesion 75 47 $10,155.00 $6,093.00 40% off $1,607.00 $8,124.00 $5,585.25 2025-12-15
11044 CPT Debridement Bone 1st 20 Sq Cm/< 113 46 $5,439.00 $3,263.40 40% off $796.18 $8,324.12 $5,549.41 2025-12-15
J9023 HCPCS Avelumab 20 Mg/ml Intravenous Solution 74 46 $8,519.55 $5,111.73 40% off $1,874.30 $11,609.79 $5,537.71 2025-12-15
J3247 HCPCS Secukinumab 25 Mg/ml Intravenous Solution 66 43 $8,866.50 $5,319.90 40% off $1,950.63 $12,488.63 $5,349.50 2025-12-15
J2426 HCPCS Paliperidone Palmitate 117 Mg/0.75 Ml Intramuscular Syringe 222 46 $8,641.15 $5,184.69 40% off $1,425.73 $19,549.11 $5,210.61 2025-12-15
78452 CPT Hc Mpi Spect 1+ W Gated/Ef 80 46 $7,899.00 $4,739.40 40% off $682.05 $6,872.13 $5,004.02 2025-12-15
81558 CPT Hc Transplant Rej Kidney Mrna Gene Express Profile Qpcr 139 Genes 43 31 $8,101.00 $4,860.60 40% off $1,782.22 $7,662.60 $4,998.32 2025-12-15
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe 142 46 $6,480.00 $3,888.00 40% off $1,425.60 $10,747.71 $4,892.40 2025-12-15
95811 CPT Hc Polysomnogrpy>6yr W Cpap 148 46 $8,755.00 $5,253.00 40% off $1,444.52 $7,616.85 $4,878.54 2025-12-15
81456 CPT Tgt Gene Seq Pnl Hl Neo 51+ Genes, RNA 74 46 $7,347.00 $4,408.20 40% off $1,616.34 $6,904.85 $4,871.07 2025-12-15
J3032 HCPCS Eptinezumab-jjmr 100 Mg/ml Intravenous Solution 74 46 $7,421.40 $4,452.84 40% off $1,632.71 $11,334.45 $4,823.91 2025-12-15
C8929 HCPCS Hc Tte Cmplt W Dopp W Cont 114 46 $7,321.00 $4,392.60 40% off $1,610.62 $6,369.27 $4,809.90 2025-12-15
23350 CPT Injection Shoulder Arthrography/ Ct/mri Arthg 113 46 $5,117.35 $3,070.41 40% off $114.18 $8,198.00 $4,792.19 2025-12-15
81455 CPT Hc So/Hl Nplsm >50 Gene Sq 74 46 $7,300.00 $4,380.00 40% off $1,606.00 $6,904.85 $4,785.15 2025-12-15
20610 CPT Arthrocentesis Aspir&/Inj Major Jt/Bursa Without US 113 46 $1,541.25 $924.75 40% off $192.06 $8,198.00 $4,773.81 2025-12-15
11045 CPT Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm 113 46 $3,253.00 $1,951.80 40% off $120.34 $8,198.00 $4,770.50 2025-12-15
J0897 HCPCS Denosumab 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution 148 46 $8,511.98 $5,107.18 40% off $1,293.88 $19,546.12 $4,693.68 2025-12-15
J1950 HCPCS Leuprolide 3.75 Mg Intramuscular Syringe Kit 74 46 $7,756.20 $4,653.72 40% off $1,706.36 $9,752.44 $4,676.99 2025-12-15
44364 CPT Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare|UNUSUAL Non-overlapping Service 74 46 $10,755.95 $6,453.57 40% off $1,607.00 $6,771.00 $4,644.60 2025-12-15
J3358 HCPCS Ustekinumab 130 Mg/26 Ml Intravenous Solution 74 46 $7,688.60 $4,613.16 40% off $1,691.49 $8,977.44 $4,636.23 2025-12-15
78816 CPT Hc Pet/CT Tum Img Whole Bdy 74 45 $7,326.00 $4,395.60 40% off $1,611.72 $6,373.62 $4,611.72 2025-12-15
36590 CPT Rmvl Tun Ctr Vad W/Subq Port/Pmp Ctr/Prph Insj 113 46 $2,463.05 $1,477.83 40% off $539.44 $8,198.00 $4,587.00 2025-12-15
11043 CPT Debridement Muscle &/Fascia 1st 20 Sq Cm/< 114 47 $2,741.00 $1,644.60 40% off $590.92 $8,198.00 $4,508.60 2025-12-15
11046 CPT Debridement Muscle &/Fascia Ea Addl 20 Sq Cm 113 46 $4,598.00 $2,758.80 40% off $172.04 $8,198.00 $4,430.21 2025-12-15
93306 CPT Hc Tte Cmplt W Dopp Wo Cont 102 46 $6,655.00 $3,993.00 40% off $1,464.10 $5,789.85 $4,398.96 2025-12-15
95810 CPT Hc Poly >6yr W 4+ Para 148 46 $6,877.50 $4,126.50 40% off $1,296.90 $6,838.20 $4,379.99 2025-12-15
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 24 20 $18,187.00 $10,912.20 40% off $4,001.14 $11,924.59 $4,336.69 2025-12-15
74174 CPT Hc CT Angio Ab&Pel WO&with Contrast 68 43 $6,657.00 $3,994.20 40% off $620.99 $5,791.59 $4,327.05 2025-12-15
0315U CPT Onc Cutan Sq Cell Ca Mrna 40 44 32 $6,447.00 $3,868.20 40% off $1,418.34 $20,102.50 $4,261.47 2025-12-15
J2997 HCPCS Alteplase 2 Mg Intra-catheter Solution 148 46 $17,406.88 $10,444.12 40% off $185.76 $51,878.61 $4,255.42 2025-12-15
81441 CPT Ibmfs Seq Anal Pnl 30 Genes 74 46 $6,162.00 $3,697.20 40% off $1,355.64 $5,790.84 $4,233.29 2025-12-15
19083 CPT Hc Bx Breast 1st Lsn US Img 43 31 $6,717.00 $4,030.20 40% off $1,477.74 $5,843.79 $4,177.97 2025-12-15
J1602 HCPCS Golimumab 12.5 Mg/ml Intravenous Solution 74 46 $7,231.00 $4,338.60 40% off $911.00 $6,290.97 $4,085.51 2025-12-15
20605 CPT Arthrocentesis Aspir&/Inj Interm Jt/Burs Without Us|right Side 113 46 $1,287.65 $772.59 40% off $128.04 $8,198.00 $4,075.13 2025-12-15
J9050 HCPCS Carmustine 100 Mg Intravenous Solution 148 46 $9,350.85 $5,610.51 40% off $416.74 $10,846.99 $4,052.04 2025-12-15
J2357 HCPCS Omalizumab 150 Mg Subcutaneous Solution 148 46 $7,710.57 $4,626.35 40% off $1,187.43 $15,094.17 $4,048.05 2025-12-15
J0875 HCPCS Dalbavancin 500 Mg Intravenous Solution 74 46 $6,182.00 $3,709.20 40% off $1,360.04 $8,619.71 $4,018.30 2025-12-15
74178 CPT Hc CT Abd & Pelvis Wo/w Con 68 43 $6,052.00 $3,631.20 40% off $558.01 $5,265.24 $3,933.80 2025-12-15
J9041 HCPCS Bortezomib 3.5 Mg Injection Powder For Solution 74 46 $6,727.65 $4,036.59 40% off $133.70 $5,853.06 $3,902.04 2025-12-15
10006 CPT Fine Needle Aspiration Bx W/us Gdn Ea Addl 74 46 $4,737.00 $2,842.20 40% off $709.28 $5,315.10 $3,887.60 2025-12-15
36573 CPT Insertion Picc W/Rs&I 5 Yr/> 74 46 $4,583.10 $2,749.86 40% off $1,576.70 $8,198.00 $3,875.91 2025-12-15
0278 RC Graft 20mm 6mm 16fr 56mm Endvas Poly Stainless Steel Nitinol 64 28 $8,997.03 $5,398.22 40% off $1,494.55 $8,960.54 $3,838.27 2025-12-15
J9173 HCPCS Durvalumab 50 Mg/ml Intravenous Solution 148 46 $10,780.62 $6,468.38 40% off $918.10 $23,849.34 $3,825.37 2025-12-15
44389 CPT Colonoscopy Stoma W/Biopsy Single/Multiple 74 46 $14,815.51 $8,889.31 40% off $1,198.57 $6,771.00 $3,790.07 2025-12-15
93350 CPT Hc Dobut Stress Echo Wo Con 74 46 $5,663.00 $3,397.80 40% off $1,245.86 $4,926.81 $3,697.94 2025-12-15
Q9999 HCPCS Ustekinumab-aauz 130 Mg/26 Ml Intravenous Solution 45 32 $5,664.05 $3,398.43 40% off $1,246.09 $11,646.70 $3,681.63 2025-12-15
J9400 HCPCS Ziv-aflibercept 100 Mg/4 Ml (25 Mg/ml) Intravenous Solution 45 32 $6,715.00 $4,029.00 40% off $1,477.30 $5,842.05 $3,626.10 2025-12-15
27369 CPT Njx Px Cntrst Kne Arthg Cntrst Enhncd Ct/mri Kne 74 46 $4,264.43 $2,558.66 40% off $2,650.86 $8,198.00 $3,621.06 2025-12-15
78815 CPT Hc Pet/CT Tum Img Skull-thg 74 45 $5,661.00 $3,396.60 40% off $1,245.42 $4,925.07 $3,563.60 2025-12-15
J9179 HCPCS Eribulin 1 Mg/2 Ml (0.5 Mg/ml) Intravenous Solution 74 46 $5,917.65 $3,550.59 40% off $1,301.88 $5,148.36 $3,544.67 2025-12-15
J2315 HCPCS Naltrexone ER 380 Mg Intramuscular Suspension,extended Release 45 32 $6,483.95 $3,890.37 40% off $1,426.47 $5,641.04 $3,501.33 2025-12-15
J9264 HCPCS Paclitaxel Protein-bound 100 Mg Intravenous Suspension 83 43 $6,480.25 $3,888.15 40% off $1,425.66 $5,508.21 $3,499.34 2025-12-15
74177 CPT Hc CT Abd & Pelvis W/Con 68 43 $5,362.00 $3,217.20 40% off $494.92 $4,664.94 $3,485.30 2025-12-15
75580 CPT Hc Coronary CTA Ffr Data Set Analysis 68 43 $5,335.00 $3,201.00 40% off $1,173.70 $4,641.45 $3,467.75 2025-12-15
J9355 HCPCS Trastuzumab 150 Mg Intravenous Solution 74 46 $5,784.85 $3,470.91 40% off $1,272.67 $6,094.06 $3,465.12 2025-12-15
J9034 HCPCS Bendamustine 25 Mg/ml Intravenous Solution 66 43 $5,884.55 $3,530.73 40% off $1,294.60 $7,093.71 $3,460.00 2025-12-15
J0840 HCPCS Crotalidae Polyval Immune Fab 1 Gram Solution For Injection 74 46 $4,677.30 $2,806.38 40% off $1,029.01 $10,098.83 $3,414.20 2025-12-15
C1783 HCPCS Hc Istent Trabecular Micro-bypass Stent System 74 46 $5,250.00 $3,150.00 40% off $1,155.00 $4,567.50 $3,412.50 2025-12-15
70543 CPT Hc MRI Orb,Face,Neck Wo&w 68 43 $5,214.00 $3,128.40 40% off $496.37 $4,536.18 $3,389.10 2025-12-15
11042 CPT Debridement Subcutaneous Tissue 1st 20 Sq Cm/< 113 46 $1,895.00 $1,137.00 40% off $407.17 $8,198.00 $3,357.17 2025-12-15
C8902 HCPCS Hc Mr Angio Abd Wo/w Cst 68 43 $5,114.00 $3,068.40 40% off $522.86 $4,449.18 $3,324.10 2025-12-15
70546 CPT Hc Mr Angio Head Wo&w Cont 68 43 $5,044.00 $3,026.40 40% off $1,109.68 $4,388.28 $3,293.73 2025-12-15
J9047 HCPCS Carfilzomib 10 Mg Intravenous Solution 148 46 $9,265.90 $5,559.54 40% off $582.44 $18,448.06 $3,284.62 2025-12-15
C8925 HCPCS Hc Tee 2d Prbe W Rpt W Con 74 46 $4,990.00 $2,994.00 40% off $1,097.80 $4,341.30 $3,258.47 2025-12-15
36589 CPT Rmvl Tun Cvc Without Subq Port/Pmp 74 46 $12,785.46 $7,671.28 40% off $628.32 $8,198.00 $3,196.39 2025-12-15
J9055 HCPCS Cetuximab Ivpb 2mg/ml (test Dose 100 Mg/50 Ml) 285 46 $4,711.30 $2,826.78 40% off $766.10 $8,884.00 $3,184.84 2025-12-15
73223 CPT Hc MRI Up Extr Jnt W&wo Con 69 43 $4,868.00 $2,920.80 40% off $601.00 $4,235.16 $3,164.20 2025-12-15
72158 CPT Hc MRI Lumbar W&without Cont 68 43 $4,849.00 $2,909.40 40% off $440.31 $4,218.63 $3,151.85 2025-12-15
73220 CPT Hc Mr Up Extrm W&wo Not Jnt 68 43 $4,764.00 $2,858.40 40% off $647.50 $4,144.68 $3,096.60 2025-12-15
Q5138 HCPCS Ustekinumab-auub 130 Mg/26 Ml Intravenous Solution 45 32 $4,761.70 $2,857.02 40% off $1,047.57 $4,142.68 $3,095.11 2025-12-15
J0175 HCPCS Donanemab-azbt 17.5 Mg/ml Intravenous Solution 66 43 $4,915.15 $2,949.09 40% off $1,081.33 $8,069.58 $3,079.35 2025-12-15
70553 CPT Hc MRI Brain/Stem W/wo Cont 68 43 $4,704.00 $2,822.40 40% off $438.27 $4,092.48 $3,057.60 2025-12-15
J9145 HCPCS Daratumumab 20 Mg/ml Intravenous Solution 148 46 $8,650.73 $5,190.43 40% off $761.28 $15,655.92 $3,045.04 2025-12-15
72156 CPT Hc MRI Cervical W&without Cont 68 43 $4,684.00 $2,810.40 40% off $442.25 $4,075.08 $3,044.60 2025-12-15
Q9998 HCPCS Ustekinumab-aekn 130 Mg/26 Ml Intravenous Solution 45 32 $4,656.95 $2,794.17 40% off $1,024.53 $14,913.60 $3,027.02 2025-12-15
74183 CPT Hc MRI Abdomen W&wo Con 68 43 $4,649.00 $2,789.40 40% off $491.86 $4,044.63 $3,021.85 2025-12-15
11104 CPT Punch Biopsy Skin Single Lesion 74 46 $1,672.00 $1,003.20 40% off $407.17 $8,173.10 $3,003.00 2025-12-15
27093 CPT Injection Hip Arthrography Without Anesthesia|RIGHT Side 130 46 $8,764.80 $5,258.88 40% off $123.64 $5,285.17 $3,001.66 2025-12-15
J0129 HCPCS Abatacept 125 Mg/ml Subcutaneous Auto-injector 148 46 $5,184.27 $3,110.57 40% off $946.14 $6,188.33 $2,991.76 2025-12-15
73222 CPT Hc MRI Up Extrm Jnt W Con 68 43 $4,593.00 $2,755.80 40% off $494.56 $3,995.91 $2,985.45 2025-12-15
36569 CPT Insertion Picc Without Img Gdn 5 Yr/> 113 46 $4,565.00 $2,739.00 40% off $714.56 $7,645.00 $2,973.85 2025-12-15
45388 CPT Colonoscopy Flx Ablation Tumor Polyp/Other Les 114 46 $9,543.40 $5,726.04 40% off $1,198.57 $7,973.95 $2,963.32 2025-12-15
93312 CPT Hc Tee 2d Prbe W Rpt Wo Con 74 46 $4,536.00 $2,721.60 40% off $997.92 $3,946.32 $2,962.01 2025-12-15
27648 CPT Injection Ankle Arthrography 113 46 $3,911.60 $2,346.96 40% off $27.06 $6,771.00 $2,920.93 2025-12-15
0314U CPT Onc Cutan Mlnma Mrna 35 Genes 44 32 $4,876.00 $2,925.60 40% off $1,072.72 $4,611.75 $2,918.28 2025-12-15
45390 CPT Hc Colon Mucosal Resect 42 31 $6,921.00 $4,152.60 40% off $1,522.62 $6,021.27 $2,873.78 2025-12-15
J9202 HCPCS Goserelin 3.6 Mg Subcutaneous Implant 74 46 $4,776.80 $2,866.08 40% off $1,050.90 $4,298.80 $2,861.30 2025-12-15
J2786 HCPCS Reslizumab 10 Mg/ml Intravenous Solution 74 46 $4,400.35 $2,640.21 40% off $968.08 $6,153.78 $2,860.23 2025-12-15
72148 CPT Hc MRI Lumbar Spn Without Cont 68 43 $4,398.00 $2,638.80 40% off $251.73 $3,826.26 $2,858.70 2025-12-15
70549 CPT Hc Mr Angio Neck Wo&w Cont 68 43 $4,370.00 $2,622.00 40% off $961.40 $3,801.90 $2,853.61 2025-12-15
45399 CPT Unlisted Procedure Colon 74 46 $7,308.25 $4,384.95 40% off $931.46 $8,721.58 $2,823.00 2025-12-15
59412 CPT Hc External Version W/us 41 30 $4,545.00 $2,727.00 40% off $999.90 $3,954.15 $2,804.27 2025-12-15
J7327 HCPCS Hyaluronate Sodium, Stabilized 88 Mg/4 Ml Intra-articular Syringe 66 43 $5,143.50 $3,086.10 40% off $1,050.37 $4,371.98 $2,803.21 2025-12-15
43251 CPT Egd Removal Tumor Polyp/Other Lesion Snare Tech 109 46 $17,946.55 $10,767.93 40% off $395.12 $7,167.68 $2,769.00 2025-12-15
43250 CPT Egd Flex Removal Lesion(S) By Hot Biopsy Forceps 74 46 $8,902.16 $5,341.30 40% off $1,607.00 $7,121.73 $2,769.00 2025-12-15
72141 CPT Hc MRI Cervical Spn Without Con 68 43 $4,249.00 $2,549.40 40% off $251.10 $3,696.63 $2,761.85 2025-12-15
C8908 HCPCS Hc MRI Breast Wo And W Cont W/Cad Bilat 68 43 $4,232.00 $2,539.20 40% off $491.33 $3,681.84 $2,750.80 2025-12-15
97597 CPT Debridement Open Wound First 20 Sq Cm/<|SEPARATE Structure 106 47 $2,752.00 $1,651.20 40% off $200.96 $6,771.00 $2,730.93 2025-12-15
10060 CPT Incision & Drainage Abscess Simple/Single 113 46 $2,830.00 $1,698.00 40% off $87.34 $8,198.00 $2,728.21 2025-12-15
J3262 HCPCS Tocilizumab 200 Mg/10 Ml (20 Mg/ml) Intravenous Solution 222 46 $4,485.05 $2,691.03 40% off $394.69 $12,407.08 $2,704.49 2025-12-15
73221 CPT Hc MRI Up Extrm Jnt Wo Con 68 43 $4,131.00 $2,478.60 40% off $284.68 $3,593.97 $2,685.15 2025-12-15
54150 CPT Circumcision W/Clamp/Oth Dev W/Block 113 46 $3,714.00 $2,228.40 40% off $815.98 $6,771.00 $2,622.08 2025-12-15
43245 CPT Egd Dilation Gastric/Duodenal Stricture|UNUSUAL Non-overlapping Service 94 47 $9,766.36 $5,859.82 40% off $714.56 $6,514.94 $2,605.30 2025-12-15
10005 CPT Fine Needle Aspiration Bx W/us Gdn 1st Lesion 117 46 $3,750.00 $2,250.00 40% off $604.78 $3,847.00 $2,599.61 2025-12-15
J0485 HCPCS Belatacept 250 Mg Intravenous Solution 74 46 $4,070.50 $2,442.30 40% off $895.51 $5,376.95 $2,576.15 2025-12-15
99291 CPT Hc Critical Care+Proc 75 47 $3,873.00 $2,323.80 40% off $852.06 $3,369.51 $2,560.05 2025-12-15
70545 CPT Hc Mr Angio Head W Contrst 68 43 $3,903.00 $2,341.80 40% off $858.66 $3,395.61 $2,548.66 2025-12-15
J0139 HCPCS Adalimumab 40 Mg/0.8 Ml Subcutaneous Syringe (so) 18 16 $10,855.55 $6,513.33 40% off $2,388.22 $8,806.00 $2,531.51 2025-12-15
73723 CPT Hc Mr Lo Ext Any Jnt W&wo 68 43 $3,880.00 $2,328.00 40% off $599.07 $3,375.60 $2,522.00 2025-12-15
49083 CPT Abdom Paracentesis Dx/Ther W/Imaging Guidance 114 47 $4,652.16 $2,791.30 40% off $562.76 $6,771.00 $2,472.65 2025-12-15
44360 CPT Endoscopy Upper Small Intestine 105 46 $6,784.10 $4,070.46 40% off $784.96 $6,771.00 $2,451.22 2025-12-15
Q5107 HCPCS Bevacizumab-awwb 25 Mg/ml Intravenous Solution 148 46 $6,974.48 $4,184.69 40% off $613.77 $9,708.42 $2,441.09 2025-12-15
C8911 HCPCS Hc Mr Angio Chest Wo/w Cst 68 43 $3,730.00 $2,238.00 40% off $517.04 $3,245.10 $2,424.50 2025-12-15
73722 CPT Hc Mr Lo Ext Any Jnt W Con 69 43 $3,727.00 $2,236.20 40% off $495.86 $3,242.49 $2,422.55 2025-12-15
43275 CPT Hc Ercp W Removal FB/Stent 42 31 $5,264.00 $3,158.40 40% off $1,158.08 $4,587.00 $2,418.10 2025-12-15
45393 CPT Hc Colon W Decomp Tube Plcmnt 42 31 $5,240.00 $3,144.00 40% off $1,152.80 $4,587.00 $2,411.50 2025-12-15
99183 CPT Hc Full Body Hyperbaric O2-cah 66 43 $3,696.00 $2,217.60 40% off $813.12 $3,141.60 $2,402.40 2025-12-15
81408 CPT Hc Molec Path Proc Level 9 75 47 $3,499.00 $2,099.40 40% off $769.78 $4,730.00 $2,400.00 2025-12-15
70544 CPT Hc Mr Angio Head Wo Contrst 68 43 $3,628.00 $2,176.80 40% off $798.16 $3,156.36 $2,369.08 2025-12-15
70552 CPT Hc MRI Brain W Stem W Cont 68 43 $3,517.00 $2,110.20 40% off $385.42 $3,059.79 $2,286.05 2025-12-15
45378 CPT Colonoscopy Flx Dx W/Collj Spec When Pfrmd|DISCONTINUED Procedure 116 46 $7,178.00 $4,306.80 40% off $851.40 $4,587.00 $2,281.00 2025-12-15
J7298 HCPCS Levonorgestrel 21 Mcg/24 Hr (up To 8 Years) 52 Mg Intrauterine Device 74 46 $3,036.60 $1,821.96 40% off $668.05 $6,715.69 $2,256.19 2025-12-15
J7296 HCPCS Levonorgestrel 17.5 Mcg/24 Hr (up To 5 Yrs) 19.5mg Intrauterine Device 74 46 $3,036.60 $1,821.96 40% off $668.05 $6,715.69 $2,256.19 2025-12-15
78315 CPT Hc Bone Imaging, 3 Phase 74 46 $3,459.00 $2,075.40 40% off $760.98 $3,009.33 $2,248.35 2025-12-15
73218 CPT Hc Mr Uppr Extrm Wo Not Jnt 68 43 $3,440.00 $2,064.00 40% off $438.38 $2,992.80 $2,236.00 2025-12-15
Q9997 HCPCS Ustekinumab-ttwe 130 Mg/26 Ml Intravenous Solution 43 31 $3,622.10 $2,173.26 40% off $796.86 $3,151.23 $2,234.84 2025-12-15
43260 CPT Hc Endoscopic Retro Cholpan 42 31 $4,514.00 $2,708.40 40% off $993.08 $4,587.00 $2,211.85 2025-12-15
71552 CPT Hc MRI Chest W&wo Contrast 68 43 $3,391.00 $2,034.60 40% off $701.74 $2,950.17 $2,204.15 2025-12-15
64479 CPT Hc Epi Inj Crv/Thr W Img Bi 42 31 $3,398.00 $2,038.80 40% off $747.56 $4,587.00 $2,184.91 2025-12-15
Q5115 HCPCS Rituximab-abbs 10 Mg/ml Intravenous Solution 148 46 $6,520.25 $3,912.15 40% off $478.16 $9,454.33 $2,140.82 2025-12-15
93970 CPT Hc Duplxscn Extrem Veins Bi 74 46 $3,264.00 $1,958.40 40% off $469.22 $2,839.68 $2,131.39 2025-12-15
43255 CPT Egd Transoral Control Bleeding Any Method|SEPARATE Structure 131 47 $10,003.91 $6,002.35 40% off $403.92 $6,508.62 $2,129.76 2025-12-15
74176 CPT Hc CT Abd & Pelvis Without Con 69 43 $3,247.00 $1,948.20 40% off $225.02 $2,824.89 $2,110.55 2025-12-15
J9312 HCPCS Rituximab 10 Mg/ml Concentrate,intravenous 74 46 $3,487.50 $2,092.50 40% off $767.25 $4,134.03 $2,089.01 2025-12-15
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