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

BETSY JOHNSON REGIONAL HOSPITAL

Dunn, NC · CCN 340071 · Rates published

Your selected procedure

You selected 27447 (CPT)

REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE

This hospital’s price: $12,720 across 15 payers · range $6,793-$31,799

Source: https://apim.services.craneware.com/api-pricing-transparency/api/public/ea6d74d45d610b52f5492adfe02e8f87/charges/mrf · 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.

18,659 distinct procedures filed
22 distinct payers
812,319 rate rows
2026-08-01 last MRF observed
Data quality

479,952 of 812,319 rate rows are consumer-grade (59.1%)

332,367 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 312,448
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 16,237
placeholder amount (≤ $0.02) — excluded from medians 2,793
percent-of-charges filed in the dollar field — excluded from medians 396
exceeds 10× this hospital's gross charge — excluded from medians 367
per-diem day rate — not a per-procedure price 120
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/ea6d74d45d610b52f5492adfe02e8f87/charges/mrf
Found on page https://www.capefearvalley.com/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 44f6966fbfc86c3e… · 147,971,143 bytes · first seen 2026-05-09

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
59572050200
NDC 		Pomalyst 11 $175,431.90 $462,311.75 $353,822.59 nat. median
$710
outlier · 498.4×
59572050400
NDC 		Pomalyst 11 $175,431.90 $462,311.75 $353,822.59 nat. median
$710
outlier · 498.4×
59572050300
NDC 		Pomalyst 11 $175,431.90 $462,311.75 $353,822.59 nat. median
$751
outlier · 471.2×
59572050100
NDC 		Pomalyst 11 $175,431.90 $462,311.75 $353,822.59 nat. median
$710
outlier · 498.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $76,977.62 $934,585.90 $318,924.70 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $57,622.97 $609,123.48 $238,210.02 nat. median
$261,939
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $48,608.24 $489,804.92 $195,921.97 nat. median
$205,166
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $43,962.07 $463,155.05 $181,239.97 nat. median
$199,832
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $29,155.65 $304,839.18 $119,866.03 nat. median
$132,706
0.9× median
60505267708
NDC 		ARIPiprazole 11 $58,161.91 $153,272.79 $117,304.77 nat. median
$76,372
1.5× median
7
MS_DRG 		Lung Transplant 22 $27,003.72 $285,490.32 $111,018.91 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $27,070.63 $272,779.45 $110,797.60 nat. median
$114,305
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $100,185.63 $250,464.08 $102,189.34 nat. median
$96,134
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $22,848.48 $250,743.22 $93,935.72 nat. median
$108,240
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $22,593.38 $240,916.35 $92,886.94 nat. median
$100,978
0.9× median
66215060214
NDC 		Uptravi 11 $45,870.65 $120,881.90 $92,514.95 nat. median
$45,137
outlier · 2.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $22,097.58 $228,815.85 $90,848.57 nat. median
$99,646
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 22 $21,986.86 $221,552.38 $89,596.73 nat. median
$98,002
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $1,279.00 $244,074.62 $89,397.94 nat. median
$96,835
0.9× median
60505267408
NDC 		Aripiprazole 11 $41,128.60 $108,385.29 $82,950.88 nat. median
$448
outlier · 185.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $20,073.19 $217,486.12 $82,505.29 nat. median
$92,900
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $1,279.00 $193,368.80 $77,902.00 nat. median
$81,364
1.0× median
59572041028
NDC 		Revlimid 11 $38,370.08 $101,115.81 $77,387.30 nat. median
$4,279
outlier · 18.1×
00187552675
NDC 		Targretin 11 $38,233.58 $100,756.10 $77,112.00 nat. median
$50,205
1.5× median
59572050421
NDC 		Pomalyst 11 $36,844.91 $97,096.56 $74,311.24 nat. median
$41,078
1.8× median
00069814120
NDC 		Xalkori 11 $36,540.78 $96,295.10 $73,697.85 nat. median
$1,268
outlier · 58.1×
00069814020
NDC 		Xalkori 11 $36,540.78 $96,295.10 $73,697.85 nat. median
$1,128
outlier · 65.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $17,686.03 $188,439.25 $72,567.62 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $17,676.49 $187,870.32 $72,527.93 nat. median
$80,459
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $1,279.00 $200,885.42 $71,284.36 nat. median
$81,124
0.9× median
69413033030
NDC 		Daraprim 11 $34,584.23 $91,139.04 $69,751.74 nat. median
$2,264
outlier · 30.8×
00069098038
NDC 		Sutent 11 $34,552.65 $91,055.81 $69,688.05 nat. median
$881
outlier · 79.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $16,848.93 $176,392.42 $69,082.83 nat. median
$77,385
0.9× median
10
MS_DRG 		Pancreas Transplant 22 $16,670.28 $167,979.48 $67,425.03 nat. median
$67,750
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 $16,577.61 $167,045.65 $67,038.56 nat. median
$69,153
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $16,352.73 $171,591.72 $67,017.14 nat. median
$73,475
0.9× median
00069013501
NDC 		Bosulif 11 $33,040.93 $87,072.03 $66,639.12 nat. median
$43,386
1.5× median
00069013601
NDC 		Bosulif 11 $33,040.86 $87,071.83 $66,638.98 nat. median
$1,463
outlier · 45.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $16,192.73 $172,302.42 $66,351.08 nat. median
$74,472
0.9× median
00078068715
NDC 		Promacta 11 $32,655.34 $86,055.88 $65,861.43 nat. median
$1,836
outlier · 35.9×
00069014501
NDC 		Inlyta 11 $32,527.94 $85,720.14 $65,604.48 nat. median
$387
outlier · 169.3×
00069015111
NDC 		Inlyta 11 $32,527.94 $85,720.14 $65,604.48 nat. median
$1,162
outlier · 56.5×
24979071544
NDC 		SORAfenib Tosylate 11 $32,405.76 $85,398.16 $65,358.07 nat. median
$42,552
1.5× median
13668068212
NDC 		SORAfenib Tosylate 11 $32,405.76 $85,398.16 $65,358.07 nat. median
$42,552
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 $15,638.53 $171,048.50 $64,043.93 nat. median
$71,485
0.9× median
00003052811
NDC 		Sprycel 11 $31,122.42 $82,016.21 $62,769.74 nat. median
$1,145
outlier · 54.8×
00003052411
NDC 		Sprycel 11 $31,122.42 $82,016.21 $62,769.74 nat. median
$1,145
outlier · 54.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $1,279.00 $162,432.62 $60,704.43 nat. median
$66,640
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $14,833.07 $160,538.95 $60,690.85 nat. median
$68,581
0.9× median
J9600
HCPCS 		Photofrin 22 $24,228.42 $78,729.16 $60,571.05 nat. median
$29,477
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 18,659 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
             
59572050200 NDC Pomalyst 12 11 $616,415.67 $369,849.40 40% off $175,431.90 $462,311.75 $353,822.59 2026-08-01
59572050400 NDC Pomalyst 12 11 $616,415.67 $369,849.40 40% off $175,431.90 $462,311.75 $353,822.59 2026-08-01
59572050100 NDC Pomalyst 12 11 $616,415.67 $369,849.40 40% off $175,431.90 $462,311.75 $353,822.59 2026-08-01
59572050300 NDC Pomalyst 12 11 $616,415.67 $369,849.40 40% off $175,431.90 $462,311.75 $353,822.59 2026-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 44 22 — — $76,977.62 $934,585.90 $318,924.70 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 22 — — $57,622.97 $609,123.48 $238,210.02 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 44 22 — — $48,608.24 $489,804.92 $195,921.97 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 44 22 — — $43,962.07 $463,155.05 $181,239.97 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 22 — — $29,155.65 $304,839.18 $119,866.03 2026-08-01
60505267708 NDC ARIPiprazole 12 11 $204,363.72 $122,618.23 40% off $58,161.91 $153,272.79 $117,304.77 2026-08-01
7 MS_DRG Lung Transplant 44 22 — — $27,003.72 $285,490.32 $111,018.91 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 44 22 — — $27,070.63 $272,779.45 $110,797.60 2026-08-01
209 MS_DRG Complex Aortic Arch Procedures 12 12 — — $100,185.63 $250,464.08 $102,189.34 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 45 22 — — $22,848.48 $250,743.22 $93,935.72 2026-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 22 — — $22,593.38 $240,916.35 $92,886.94 2026-08-01
66215060214 NDC Uptravi 12 11 $161,175.87 $96,705.52 40% off $45,870.65 $120,881.90 $92,514.95 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 22 — — $22,097.58 $228,815.85 $90,848.57 2026-08-01
215 MS_DRG Other Heart Assist System Implant 44 22 — — $21,986.86 $221,552.38 $89,596.73 2026-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 22 — — $1,279.00 $244,074.62 $89,397.94 2026-08-01
60505267408 NDC Aripiprazole 12 11 $144,513.72 $86,708.23 40% off $41,128.60 $108,385.29 $82,950.88 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 22 — — $20,073.19 $217,486.12 $82,505.29 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 44 22 — — $1,279.00 $193,368.80 $77,902.00 2026-08-01
59572041028 NDC Revlimid 12 11 $134,821.08 $80,892.65 40% off $38,370.08 $101,115.81 $77,387.30 2026-08-01
00187552675 NDC Targretin 12 11 $134,341.47 $80,604.88 40% off $38,233.58 $100,756.10 $77,112.00 2026-08-01
59572050421 NDC Pomalyst 12 11 $129,462.08 $77,677.25 40% off $36,844.91 $97,096.56 $74,311.24 2026-08-01
00069814020 NDC Xalkori 12 11 $128,393.46 $77,036.08 40% off $36,540.78 $96,295.10 $73,697.85 2026-08-01
00069814120 NDC Xalkori 12 11 $128,393.46 $77,036.08 40% off $36,540.78 $96,295.10 $73,697.85 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 22 — — $17,686.03 $188,439.25 $72,567.62 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 22 — — $17,676.49 $187,870.32 $72,527.93 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 22 — — $1,279.00 $200,885.42 $71,284.36 2026-08-01
69413033030 NDC Daraprim 12 11 $121,518.72 $72,911.23 40% off $34,584.23 $91,139.04 $69,751.74 2026-08-01
00069098038 NDC Sutent 12 11 $121,407.75 $72,844.65 40% off $34,552.65 $91,055.81 $69,688.05 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 22 — — $16,848.93 $176,392.42 $69,082.83 2026-08-01
10 MS_DRG Pancreas Transplant 44 22 — — $16,670.28 $167,979.48 $67,425.03 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 22 — — $16,577.61 $167,045.65 $67,038.56 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 22 — — $16,352.73 $171,591.72 $67,017.14 2026-08-01
00069013501 NDC Bosulif 12 11 $116,096.04 $69,657.62 40% off $33,040.93 $87,072.03 $66,639.12 2026-08-01
00069013601 NDC Bosulif 12 11 $116,095.77 $69,657.46 40% off $33,040.86 $87,071.83 $66,638.98 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 22 — — $16,192.73 $172,302.42 $66,351.08 2026-08-01
00078068715 NDC Promacta 12 11 $114,741.18 $68,844.71 40% off $32,655.34 $86,055.88 $65,861.43 2026-08-01
00069014501 NDC Inlyta 12 11 $114,293.52 $68,576.11 40% off $32,527.94 $85,720.14 $65,604.48 2026-08-01
00069015111 NDC Inlyta 12 11 $114,293.52 $68,576.11 40% off $32,527.94 $85,720.14 $65,604.48 2026-08-01
24979071544 NDC SORAfenib Tosylate 12 11 $113,864.22 $68,318.53 40% off $32,405.76 $85,398.16 $65,358.07 2026-08-01
13668068212 NDC SORAfenib Tosylate 12 11 $113,864.22 $68,318.53 40% off $32,405.76 $85,398.16 $65,358.07 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 22 — — $15,638.53 $171,048.50 $64,043.93 2026-08-01
00003052411 NDC Sprycel 12 11 $109,354.95 $65,612.97 40% off $31,122.42 $82,016.21 $62,769.74 2026-08-01
00003052811 NDC Sprycel 12 11 $109,354.95 $65,612.97 40% off $31,122.42 $82,016.21 $62,769.74 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 22 — — $1,279.00 $162,432.62 $60,704.43 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 22 — — $14,833.07 $160,538.95 $60,690.85 2026-08-01
J9600 HCPCS Photofrin 52 22 $104,972.22 $62,983.33 40% off $24,228.42 $78,729.16 $60,571.05 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 22 — — $14,608.99 $155,845.60 $59,758.04 2026-08-01
60505363006 NDC Dasatinib 12 11 $103,888.26 $62,332.96 40% off $29,566.60 $77,916.20 $59,631.86 2026-08-01
60505362906 NDC Dasatinib 12 11 $103,888.26 $62,332.96 40% off $29,566.60 $77,916.20 $59,631.86 2026-08-01
66993023460 NDC Dasatinib 12 11 $103,888.26 $62,332.96 40% off $29,566.60 $77,916.20 $59,631.86 2026-08-01
66993023560 NDC Dasatinib 12 11 $103,888.26 $62,332.96 40% off $29,566.60 $77,916.20 $59,631.86 2026-08-01
00078062851 NDC Afinitor Disperz 12 11 $103,348.80 $62,009.28 40% off $29,413.07 $77,511.60 $59,322.21 2026-08-01
00078056751 NDC Afinitor 12 11 $103,348.80 $62,009.28 40% off $29,413.07 $77,511.60 $59,322.21 2026-08-01
00078062051 NDC Afinitor 12 11 $103,348.80 $62,009.28 40% off $29,413.07 $77,511.60 $59,322.21 2026-08-01
00078056651 NDC Afinitor 12 11 $103,348.80 $62,009.28 40% off $29,413.07 $77,511.60 $59,322.21 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 22 — — $14,349.03 $151,965.98 $58,675.80 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 44 22 — — $14,046.07 $161,447.17 $57,414.60 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 22 — — $14,023.16 $155,117.78 $57,319.21 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 22 — — $1,279.00 $150,903.17 $57,302.86 2026-08-01
00078062751 NDC Afinitor Disperz 12 11 $99,298.41 $59,579.05 40% off $28,260.33 $74,473.81 $56,997.29 2026-08-01
00078059451 NDC Afinitor 12 11 $98,806.38 $59,283.83 40% off $28,120.30 $74,104.78 $56,714.86 2026-08-01
00003085522 NDC Sprycel 12 11 $98,548.88 $59,129.33 40% off $28,047.01 $73,911.66 $56,567.06 2026-08-01
00003085722 NDC Sprycel 12 11 $98,548.88 $59,129.33 40% off $28,047.01 $73,911.66 $56,567.06 2026-08-01
00003085222 NDC Sprycel 12 11 $98,548.88 $59,129.33 40% off $28,047.01 $73,911.66 $56,567.06 2026-08-01
00078062651 NDC Afinitor Disperz 12 11 $98,313.72 $58,988.23 40% off $27,980.08 $73,735.29 $56,432.07 2026-08-01
57962014009 NDC Imbruvica 12 11 $97,985.79 $58,791.47 40% off $27,886.76 $73,489.34 $56,243.85 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 22 — — $13,616.77 $145,602.25 $55,627.46 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 22 — — $13,597.92 $148,620.92 $55,548.96 2026-08-01
00378668028 NDC SUNItinib Malate 12 11 $95,663.31 $57,397.99 40% off $27,225.78 $71,747.48 $54,910.74 2026-08-01
00310135030 NDC Tagrisso 12 11 $95,224.91 $57,134.95 40% off $27,101.01 $71,418.68 $54,659.10 2026-08-01
50881002560 NDC Jakafi 12 11 $95,058.72 $57,035.23 40% off $27,053.71 $71,294.04 $54,563.71 2026-08-01
50881000560 NDC Jakafi 12 11 $95,058.72 $57,035.23 40% off $27,053.71 $71,294.04 $54,563.71 2026-08-01
50881001060 NDC Jakafi 12 11 $95,058.72 $57,035.23 40% off $27,053.71 $71,294.04 $54,563.71 2026-08-01
50881001560 NDC Jakafi 12 11 $95,058.72 $57,035.23 40% off $27,053.71 $71,294.04 $54,563.71 2026-08-01
50881002060 NDC Jakafi 12 11 $95,058.72 $57,035.23 40% off $27,053.71 $71,294.04 $54,563.71 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 22 — — $13,327.00 $138,873.52 $54,421.13 2026-08-01
60505381703 NDC Dasatinib 12 11 $93,622.46 $56,173.48 40% off $26,644.95 $70,216.84 $53,739.29 2026-08-01
66993023630 NDC Dasatinib 12 11 $93,622.46 $56,173.48 40% off $26,644.95 $70,216.84 $53,739.29 2026-08-01
70710174503 NDC Dasatinib 12 11 $93,622.46 $56,173.48 40% off $26,644.95 $70,216.84 $53,739.29 2026-08-01
60505363103 NDC Dasatinib 12 11 $93,622.46 $56,173.48 40% off $26,644.95 $70,216.84 $53,739.29 2026-08-01
66993023730 NDC Dasatinib 12 11 $93,622.46 $56,173.48 40% off $26,644.95 $70,216.84 $53,739.29 2026-08-01
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 27 21 $17,323.00 $10,393.80 40% off $30,571.61 $76,429.02 $53,500.32 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 22 — — $13,063.58 $136,410.90 $53,324.54 2026-08-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 12 — — $51,990.52 $129,976.30 $53,030.33 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 44 22 — — $12,990.18 $148,107.78 $53,018.96 2026-08-01
00078111215 NDC Mekinist 12 11 $92,257.88 $55,354.73 40% off $26,256.59 $69,193.41 $52,956.03 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 44 22 — — $1,279.00 $151,008.38 $52,873.12 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 22 — — $12,889.79 $137,613.22 $52,601.07 2026-08-01
57962028028 NDC Imbruvica 12 11 $91,454.53 $54,872.72 40% off $26,027.96 $68,590.90 $52,494.90 2026-08-01
57962042028 NDC Imbruvica 12 11 $91,454.53 $54,872.72 40% off $26,027.96 $68,590.90 $52,494.90 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 44 22 — — $12,830.58 $136,447.38 $52,354.58 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 44 22 — — $12,742.17 $134,759.85 $51,986.52 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 22 — — $12,946.58 $132,960.75 $51,896.05 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 22 — — $12,650.72 $139,025.95 $51,605.79 2026-08-01
73556016801 NDC Tavneos 12 11 $89,386.83 $53,632.10 40% off $25,439.49 $67,040.12 $51,308.04 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 22 — — $12,566.56 $148,620.92 $51,255.45 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 44 22 — — $12,557.44 $135,056.10 $51,217.47 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 44 22 — — $12,742.17 $128,397.52 $51,043.61 2026-08-01
67877024810 NDC QUEtiapine Fumarate 12 11 $88,866.72 $53,320.03 40% off $25,291.47 $66,650.04 $51,009.50 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 44 22 — — $12,434.55 $133,447.98 $50,705.90 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 22 — — $12,309.03 $133,366.48 $50,183.35 2026-08-01
00480418489 NDC PAZOPanib Hydrochloride 12 11 $86,601.24 $51,960.74 40% off $24,646.71 $64,950.93 $49,709.11 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 22 — — $12,140.92 $135,477.00 $49,483.53 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 22 — — $12,071.36 $130,478.72 $49,193.96 2026-08-01
00078068166 NDC Tafinlar 12 11 $84,975.30 $50,985.18 40% off $24,183.97 $63,731.48 $48,775.82 2026-08-01
00074057622 NDC Venclexta 12 11 $84,369.96 $50,621.98 40% off $24,011.69 $63,277.47 $48,428.36 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 22 — — $11,710.81 $121,107.02 $47,693.02 2026-08-01
834 MS_DRG Acute Leukemia With Mcc 44 22 — — $11,710.81 $125,317.35 $47,693.02 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 44 22 — — $11,806.73 $119,015.90 $47,606.36 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 22 — — $1,279.00 $128,153.50 $47,041.73 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 44 22 — — $11,536.02 $127,779.90 $46,965.35 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 44 22 — — $11,510.87 $124,900.80 $46,860.66 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 44 22 — — $1,279.00 $131,268.78 $46,754.56 2026-08-01
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 44 22 — — $11,454.70 $129,817.45 $46,631.39 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 22 — — $11,444.36 $124,548.65 $46,589.29 2026-08-01
00006056840 NDC Zolinza 12 11 $81,070.56 $48,642.34 40% off $23,072.68 $60,802.92 $46,534.50 2026-08-01
00054049714 NDC Everolimus 12 11 $80,594.21 $48,356.53 40% off $22,937.11 $60,445.66 $46,261.07 2026-08-01
00054048213 NDC Everolimus 12 11 $80,594.15 $48,356.49 40% off $22,937.10 $60,445.61 $46,261.04 2026-08-01
00054049713 NDC Everolimus 12 11 $80,594.15 $48,356.49 40% off $22,937.10 $60,445.61 $46,261.04 2026-08-01
00054048113 NDC Everolimus 12 11 $80,594.15 $48,356.49 40% off $22,937.10 $60,445.61 $46,261.04 2026-08-01
00469012599 NDC Xtandi 12 11 $80,510.04 $48,306.02 40% off $22,913.16 $60,382.53 $46,212.76 2026-08-01
00187355510 NDC Ancobon 12 11 $80,313.57 $48,188.14 40% off $22,857.24 $60,235.18 $46,099.99 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 44 22 — — $11,443.14 $115,307.75 $45,972.58 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 22 — — $11,290.85 $124,733.38 $45,964.36 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 22 — — $11,243.20 $121,944.40 $45,770.38 2026-08-01
61958170101 NDC Zydelig 12 11 $78,982.11 $47,389.27 40% off $22,478.31 $59,236.58 $45,335.73 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 44 22 — — $10,911.24 $120,731.33 $44,419.01 2026-08-01
00093776624 NDC Everolimus 12 11 $77,051.97 $46,231.18 40% off $21,928.99 $57,788.98 $44,227.83 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 44 22 — — $1,279.00 $121,875.68 $44,118.96 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 44 22 — — $10,833.37 $119,209.15 $44,102.01 2026-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 44 22 — — $10,801.74 $114,528.62 $43,973.22 2026-08-01
00078068615 NDC Promacta 12 11 $76,500.27 $45,900.16 40% off $21,771.98 $57,375.20 $43,911.15 2026-08-01
70377001311 NDC Everolimus 12 11 $76,352.18 $45,811.31 40% off $21,729.83 $57,264.14 $43,826.15 2026-08-01
70377001322 NDC Everolimus 12 11 $76,352.17 $45,811.30 40% off $21,729.83 $57,264.13 $43,826.15 2026-08-01
49884012591 NDC Everolimus 12 11 $76,349.02 $45,809.41 40% off $21,728.93 $57,261.76 $43,824.33 2026-08-01
49884012891 NDC Everolimus 12 11 $76,349.02 $45,809.41 40% off $21,728.93 $57,261.76 $43,824.33 2026-08-01
51991082228 NDC Everolimus 12 11 $76,319.41 $45,791.65 40% off $21,720.50 $57,239.56 $43,807.34 2026-08-01
51991082428 NDC Everolimus 12 11 $76,319.41 $45,791.65 40% off $21,720.50 $57,239.56 $43,807.34 2026-08-01
00378309785 NDC Everolimus 12 11 $76,268.51 $45,761.11 40% off $21,706.02 $57,201.38 $43,778.12 2026-08-01
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 44 22 — — $10,716.37 $113,118.05 $43,625.68 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 44 22 — — $10,656.14 $110,597.48 $43,380.49 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 22 — — $10,648.23 $126,955.52 $43,348.30 2026-08-01
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 44 22 — — $10,644.17 $113,480.92 $43,331.79 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 22 — — $10,607.67 $113,669.85 $43,183.19 2026-08-01
47335090618 NDC QUEtiapine Fumarate 12 11 $74,439.72 $44,663.83 40% off $21,185.54 $55,829.79 $42,728.40 2026-08-01
50242014001 NDC Erivedge 12 11 $74,374.35 $44,624.61 40% off $21,166.94 $55,780.76 $42,690.88 2026-08-01
33270 CPT Ins/rep Subq Defibrillator 50 22 $76,329.00 $45,797.40 40% off $21,723.23 $77,744.62 $42,324.43 2026-08-01
33231 CPT Insrt Pulse Gen W/mult Leads 50 22 $76,140.00 $45,684.00 40% off $21,669.44 $77,744.63 $42,219.63 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 44 22 — — $10,352.17 $111,121.30 $42,143.05 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 44 22 — — $10,335.74 $107,005.50 $42,076.18 2026-08-01
245 MS_DRG Aicd Generator Procedures 44 22 — — $10,411.99 $105,403.85 $42,064.23 2026-08-01
49884011991 NDC Everolimus 12 11 $72,993.51 $43,796.11 40% off $20,773.95 $54,745.13 $41,898.27 2026-08-01
51991082128 NDC Everolimus 12 11 $72,965.16 $43,779.10 40% off $20,765.88 $54,723.87 $41,882.00 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 44 22 — — $10,186.29 $107,881.48 $41,467.78 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 44 22 — — $10,144.31 $104,684.60 $41,296.88 2026-08-01
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 44 22 — — $10,142.49 $108,182.08 $41,289.44 2026-08-01
59651033201 NDC Flucytosine 12 11 $71,480.97 $42,888.58 40% off $20,343.48 $53,610.73 $41,030.07 2026-08-01
42494034001 NDC Flucytosine 12 11 $71,480.97 $42,888.58 40% off $20,343.48 $53,610.73 $41,030.07 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 44 22 — — $10,042.72 $109,663.52 $40,883.32 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 44 22 — — $9,991.62 $105,884.80 $40,675.26 2026-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 22 — — $9,935.65 $106,608.35 $40,447.43 2026-08-01
00597014360 NDC Ofev 12 11 $70,199.82 $42,119.89 40% off $19,978.87 $52,649.86 $40,294.70 2026-08-01
00597014560 NDC Ofev 12 11 $70,199.82 $42,119.89 40% off $19,978.87 $52,649.86 $40,294.70 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 44 22 — — $9,849.06 $103,673.35 $40,094.93 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 22 — — $9,845.21 $108,388.18 $40,079.26 2026-08-01
00069077038 NDC Sutent 12 11 $69,748.13 $41,848.88 40% off $19,850.32 $52,311.10 $40,035.43 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 22 — — $9,815.40 $115,662.27 $39,957.89 2026-08-01
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 44 22 — — $9,813.98 $106,135.95 $39,952.12 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 22 — — $9,651.14 $105,109.70 $39,289.22 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 22 — — $9,596.60 $99,617.68 $39,067.17 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 22 — — $9,571.45 $105,066.80 $38,964.79 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 44 22 — — $9,486.69 $97,550.12 $38,619.75 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 44 22 — — $9,410.24 $103,267.60 $38,308.51 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 22 — — $9,258.55 $97,034.82 $37,691.01 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 45 22 — — $9,139.73 $101,256.53 $37,575.66 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 44 22 — — $9,152.50 $101,762.52 $37,259.26 2026-08-01
57894019506 NDC Zytiga 12 11 $64,649.43 $38,789.66 40% off $18,399.23 $48,487.07 $37,108.77 2026-08-01
57894015012 NDC Zytiga 12 11 $64,649.16 $38,789.50 40% off $18,399.15 $48,486.87 $37,108.62 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 44 22 — — $9,276.61 $93,476.50 $37,066.02 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 44 22 — — $9,078.49 $99,025.10 $36,957.96 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 44 22 — — $9,000.21 $103,645.48 $36,639.32 2026-08-01
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 44 22 — — $8,998.18 $97,657.48 $36,631.06 2026-08-01
00597014130 NDC Gilotrif 12 11 $63,694.17 $38,216.50 40% off $18,127.36 $47,770.63 $36,560.46 2026-08-01
00597013830 NDC Gilotrif 12 11 $63,694.17 $38,216.50 40% off $18,127.36 $47,770.63 $36,560.46 2026-08-01
00597013730 NDC Gilotrif 12 11 $63,694.17 $38,216.50 40% off $18,127.36 $47,770.63 $36,560.46 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 44 22 — — $8,959.45 $96,970.40 $36,473.39 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 44 22 — — $8,939.58 $98,121.18 $36,392.50 2026-08-01
00078060715 NDC Gilenya 12 11 $63,112.05 $37,867.23 40% off $17,961.69 $47,334.04 $36,226.32 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 44 22 — — $8,841.02 $97,382.62 $35,991.27 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 44 22 — — $8,836.36 $97,921.55 $35,972.29 2026-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 44 22 — — $8,823.99 $97,966.65 $35,921.94 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 44 22 — — $8,750.38 $96,614.00 $35,622.26 2026-08-01
791 MS_DRG Prematurity With Major Problems 44 22 — — $8,735.17 $94,595.82 $35,560.36 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 44 22 — — $1,279.00 $98,499.08 $35,401.18 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 36 20 — — $8,470.95 $90,428.50 $35,338.31 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 44 22 — — $8,580.65 $89,878.85 $34,931.32 2026-08-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 50 22 $62,625.00 $37,575.00 40% off $17,823.08 $77,744.62 $34,725.56 2026-08-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 44 22 — — $8,503.60 $87,463.45 $34,617.63 2026-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 44 22 — — $8,431.81 $96,023.60 $34,325.40 2026-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 44 22 — — $8,574.98 $86,406.45 $34,223.56 2026-08-01
00832607950 NDC Olanzapine 12 11 $59,490.72 $35,694.43 40% off $16,931.06 $44,618.04 $34,147.68 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 44 22 — — $8,388.01 $90,553.02 $34,147.08 2026-08-01
69344010233 NDC Indocin 11 11 $58,647.33 $35,188.40 40% off $14,550.40 $43,985.50 $34,015.45 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 44 22 — — $1,279.00 $93,769.25 $34,001.06 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 44 22 — — $8,487.17 $85,521.65 $33,943.05 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 44 22 — — $8,332.04 $86,310.55 $33,919.24 2026-08-01
166 MS_DRG Other Resp System O.r. Procedures With Comorbity 44 22 — — $8,310.14 $87,697.50 $33,830.06 2026-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 44 22 — — $8,253.57 $88,240.73 $33,599.76 2026-08-01
67877024610 NDC QUEtiapine Fumarate 12 11 $58,271.22 $34,962.73 40% off $16,583.99 $43,703.42 $33,447.68 2026-08-01
35573047302 NDC Phenoxybenzamine HCl 12 11 $58,268.97 $34,961.38 40% off $16,583.35 $43,701.73 $33,446.38 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 22 — — $8,211.59 $91,437.62 $33,428.88 2026-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 22 — — $8,151.57 $90,349.05 $33,184.53 2026-08-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 12 — — $32,510.32 $81,275.80 $33,160.53 2026-07-15
616 MS_DRG Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 45 22 — — $8,339.94 $84,038.12 $33,032.88 2026-08-01
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 44 22 — — $8,090.53 $83,865.13 $32,936.05 2026-08-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 50 22 $63,903.00 $38,341.80 40% off $18,186.79 $55,093.37 $32,823.27 2026-08-01
33249 CPT Insj/rplcmt Defib W/lead(s) 50 22 $57,800.00 $34,680.00 40% off $16,449.88 $77,744.62 $32,741.57 2026-08-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 50 22 $62,018.00 $37,210.80 40% off $17,650.32 $55,093.37 $32,574.79 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Comorbity 45 22 — — $7,850.03 $84,116.32 $32,273.38 2026-08-01
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Comorbity 44 22 — — $7,901.33 $83,010.60 $32,165.82 2026-08-01
60219175406 NDC Abiraterone Acetate 12 11 $55,869.03 $33,521.42 40% off $15,900.33 $41,901.77 $32,068.83 2026-08-01
82293000210 NDC Abiraterone Acetate 12 11 $55,869.03 $33,521.42 40% off $15,900.33 $41,901.77 $32,068.83 2026-08-01
68462088260 NDC Abiraterone Acetate 12 11 $55,869.03 $33,521.42 40% off $15,900.33 $41,901.77 $32,068.83 2026-08-01
69238175406 NDC Abiraterone Acetate 12 11 $55,869.03 $33,521.42 40% off $15,900.33 $41,901.77 $32,068.83 2026-08-01
43598046860 NDC Abiraterone Acetate 12 11 $55,869.03 $33,521.42 40% off $15,900.33 $41,901.77 $32,068.83 2026-08-01
37286 CPT Revsc Evasc Tpvt St Cplx 1st 27 21 $45,628.00 $27,376.80 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 27 21 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 27 21 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 27 21 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 27 21 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
92930 CPT Prq Tcat Plmt Ntrac St 2+les 27 21 $54,836.00 $32,901.60 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37294 CPT Rvsc Evsc Tpvt St Athr Cpx 1 27 21 $45,628.00 $27,376.80 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37292 CPT Rvsc Evsc Tpvt St Athrc Sf 1 27 21 $45,628.00 $27,376.80 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37284 CPT Revsc Evasc Tpvt St Sf 1st 27 21 $45,628.00 $27,376.80 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 44 22 — — $7,771.75 $92,987.73 $31,638.31 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 44 22 — — $7,771.34 $84,994.43 $31,636.67 2026-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 22 — — $7,770.12 $87,688.90 $31,631.71 2026-08-01
265 MS_DRG Aicd Lead Procedures 44 22 — — $7,736.06 $85,131.82 $31,493.03 2026-08-01
00003052711 NDC Sprycel 12 11 $54,686.97 $32,812.18 40% off $15,563.91 $41,015.23 $31,390.32 2026-08-01
00078064930 NDC Gleevec 12 11 $54,679.82 $32,807.89 40% off $15,561.88 $41,009.86 $31,386.22 2026-08-01
492 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 44 22 — — $7,703.62 $86,278.30 $31,360.97 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 44 22 — — $7,659.61 $80,599.52 $31,181.81 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 44 22 — — $7,641.56 $85,292.85 $31,108.33 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 44 22 — — $7,607.50 $83,938.12 $30,969.66 2026-08-01
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 44 22 — — $7,605.26 $81,056.85 $30,960.56 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 22 — — $7,602.43 $84,002.52 $30,949.03 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 44 22 — — $7,589.85 $79,171.70 $30,897.83 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 45 22 — — $7,487.05 $83,802.82 $30,781.08 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 44 22 — — $7,544.03 $87,012.58 $30,711.27 2026-08-01
332 MS_DRG Rectal Resection With Mcc 44 22 — — $7,536.32 $85,185.55 $30,679.89 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 44 22 — — $7,528.61 $81,980.03 $30,648.53 2026-08-01
47335047583 NDC Imatinib Mesylate 12 11 $53,297.69 $31,978.61 40% off $15,168.52 $39,973.27 $30,592.88 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 44 22 — — $7,661.44 $77,201.10 $30,569.81 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 44 22 — — $7,476.09 $81,619.30 $30,434.72 2026-08-01
27487 CPT Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 56 21 $21,728.00 $13,036.80 40% off $17,371.25 $43,428.12 $30,399.69 2026-07-15
27279 CPT Fusion Of Pelvic Joint Using Imaging Guidance 27 21 $7,767.00 $4,660.20 40% off $17,371.25 $43,428.12 $30,399.69 2026-07-15
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 56 21 $13,634.00 $8,180.40 40% off $17,371.25 $43,428.12 $30,399.69 2026-07-15
252 MS_DRG Other Vascular Procedures With Comorbity 44 22 — — $7,458.65 $82,342.82 $30,363.72 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 22 — — $7,448.11 $83,165.18 $30,320.81 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 44 22 — — $7,409.58 $77,286.62 $30,163.94 2026-08-01
00378692078 NDC Abiraterone Acetate 12 11 $52,509.96 $31,505.98 40% off $14,944.33 $39,382.47 $30,140.72 2026-08-01
72205003092 NDC Abiraterone Acetate 12 11 $52,439.22 $31,463.53 40% off $14,924.20 $39,329.42 $30,100.11 2026-08-01
68462013508 NDC Abiraterone Acetate 12 11 $52,439.22 $31,463.53 40% off $14,924.20 $39,329.42 $30,100.11 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 22 — — $7,380.78 $75,998.42 $30,046.72 2026-08-01
33240 CPT Insrt Pulse Gen W/singl Lead 50 22 $54,164.00 $32,498.40 40% off $15,415.07 $55,093.38 $30,033.94 2026-08-01
33230 CPT Insrt Pulse Gen W/dual Leads 50 22 $54,162.00 $32,497.20 40% off $15,414.51 $55,093.38 $30,032.83 2026-08-01
665 MS_DRG Prostatectomy With Mcc 44 22 — — $7,465.14 $75,223.12 $29,936.88 2026-08-01
66993023360 NDC Dasatinib 12 11 $51,953.49 $31,172.09 40% off $14,785.96 $38,965.12 $29,821.30 2026-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 44 22 — — $7,309.20 $80,696.12 $29,755.31 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 44 22 — — $7,236.60 $78,130.45 $29,459.77 2026-08-01
38779177907 NDC Syrup 12 11 $51,318.72 $30,791.23 40% off $14,605.31 $38,489.04 $29,456.94 2026-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 44 22 — — $7,198.08 $87,888.58 $29,302.93 2026-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 44 22 — — $7,111.90 $76,979.68 $28,952.10 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 44 22 — — $7,109.05 $75,805.25 $28,940.53 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 44 22 — — $7,130.75 $72,571.87 $28,885.10 2026-08-01
485 MS_DRG Knee Procedures With Pdx Of Infection With Comorbity 44 22 — — $7,030.58 $76,734.92 $28,621.06 2026-08-01
279 MS_DRG Hepatic Coma And Other Major Acute Liver Disorders 44 22 — — $7,000.36 $84,878.50 $28,498.05 2026-08-01
71921017820 NDC Abiraterone Acetate 12 11 $49,636.62 $29,781.97 40% off $14,126.58 $37,227.46 $28,491.42 2026-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 44 22 — — $6,981.50 $75,101.00 $28,421.28 2026-08-01
840 MS_DRG Lymphoma & Non-acute Leukemia With Comorbity 44 22 — — $6,969.14 $76,902.33 $28,370.93 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 44 22 — — $6,951.69 $76,599.60 $28,299.90 2026-08-01
00093763056 NDC Imatinib Mesylate 12 11 $49,213.80 $29,528.28 40% off $14,006.25 $36,910.35 $28,248.72 2026-08-01
59651024130 NDC Imatinib Mesylate 12 11 $49,213.80 $29,528.28 40% off $14,006.25 $36,910.35 $28,248.72 2026-08-01
43598034530 NDC Imatinib Mesylate 12 11 $49,213.80 $29,528.28 40% off $14,006.25 $36,910.35 $28,248.72 2026-08-01
60505290103 NDC Imatinib Mesylate 12 11 $49,213.26 $29,527.96 40% off $14,006.09 $36,909.94 $28,248.41 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 44 22 — — $6,938.72 $85,352.98 $28,247.10 2026-08-01
500 MS_DRG Soft Tissue Procedures With Comorbity 44 22 — — $6,927.97 $75,397.27 $28,203.33 2026-08-01
27241024190 NDC metFORMIN HCl 12 11 $48,709.04 $29,225.42 40% off $13,862.59 $36,531.78 $27,958.99 2026-08-01
65162063711 NDC Pantoprazole Sodium 12 11 $48,573.72 $29,144.23 40% off $13,824.08 $36,430.29 $27,881.31 2026-08-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 44 22 — — $6,831.24 $78,121.85 $27,809.58 2026-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 44 22 — — $6,828.40 $73,179.45 $27,798.02 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 44 22 — — $6,801.43 $75,068.77 $27,688.21 2026-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 44 22 — — $6,773.25 $75,871.77 $27,573.47 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 44 22 — — $6,755.81 $75,294.23 $27,502.48 2026-08-01
652 MS_DRG Kidney Transplant 44 22 — — $6,730.66 $76,786.40 $27,400.12 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 44 22 — — $6,724.98 $71,352.32 $27,376.99 2026-08-01
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