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

HOLZER MEDICAL CENTER

Gallipolis, OH · CCN 360054 · Rates published

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You selected 93350 (CPT)

US STRESS ECHO 93350

This hospital’s price: $686 across 36 payers · range $246-$1,181

Source: https://www.holzer.org/app/files/public/3b275ac3-ee65-4dd6-8651-62fb1b5f5f7a/01-2025_314379491_holzer-medical-center-gallipolis_standard-charges.csv · observed 2026-07-15

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

6,470 distinct procedures filed
36 distinct payers
351,241 rate rows
2026-07-15 last MRF observed
Data quality

332,474 of 351,241 rate rows are consumer-grade (94.7%)

18,767 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 10,980
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,487
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 123
placeholder amount (≤ $0.02) — excluded from medians 72
template filing: same amount across many unrelated codes — excluded 72
exceeds 10× this hospital's gross charge — excluded from medians 33
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.holzer.org/app/files/public/3b275ac3-ee65-4dd6-8651-62fb1b5f5f7a/01-2025_314379491_holzer-medical-center-gallipolis_standard-charges.csv
Found on page https://www.holzer.org/patients-visitors/billing-insurance-pricing/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 8f80e6989eac7e3e… · 30,868,528 bytes · first seen 2026-05-06

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
602
MS_DRG 		Cellulitis With Mcc 1 $102,183.95 $102,183.95 $102,183.95 nat. median
$14,020
outlier · 7.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 25 $964.21 $100,323.84 $72,107.76 nat. median
$75,000
1.0× median
00310453530
NDC 		Tremelimumab-actl 300 Mg Vial Imjudo 36 $135.45 $89,436.67 $51,379.51 nat. median
$37,433
1.4× median
63685
CPT 		Inc/repl Spine Nstim Pg/rcvr 36 $16,785.08 $82,132.80 $47,183.58 nat. median
$20,965
outlier · 2.3×
00003232822
NDC 		Ipilimumab Soln 200 Mg/40 Ml 36 $176.88 $73,767.06 $42,377.64 nat. median
$44,609
0.9× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $34,469.94 $34,469.94 $34,469.94 nat. median
$47,429
0.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $32,422.18 $32,422.18 $32,422.18 nat. median
$43,696
0.7× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 $31,589.50 $31,589.50 $31,589.50 nat. median
$18,115
1.7× median
33990
CPT 		Cc Insert Vad Artery Access-33990 25 $7,941.40 $62,683.61 $31,368.53 nat. median
$4,381
outlier · 7.2×
63655
CPT 		Laminect Impl Ns Electrodes; Epidural 36 $11,188.00 $53,702.40 $30,850.91 nat. median
$18,196
1.7× median
57894006103
NDC 		Ustekinumab - Stelara 90mg 36 $159.91 $51,928.18 $29,831.65 nat. median
$41,608
0.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $29,767.70 $29,767.70 $29,767.70 nat. median
$42,641
0.7× median
25682002801
NDC 		Ravulizumab-cwvz 100 Mg/ml 11 Ml Ultom 36 $220.75 $50,951.35 $29,270.49 nat. median
$258
outlier · 113.4×
64590
CPT 		Insrt/redo Pn/gastr Stimul-64590 36 $10,553.80 $50,658.24 $29,102.10 nat. median
$17,881
1.6× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $28,599.02 $28,599.02 $28,599.02 nat. median
$45,237
0.6× median
C1882
HCPCS 		Icd Other Than Sing/dual-251 25 $19.60 $43,200.00 $28,340.00 nat. median
$27,360
1.0× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 4 $26,217.39 $63,390.33 $26,929.86 nat. median
$21,155
1.3× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 5 $6,003.54 $55,997.54 $26,425.17 nat. median
$12,554
outlier · 2.1×
75987008010
NDC 		Pegloticase (krystexxa) 8mg/ml Vial 36 $3,482.15 $45,953.01 $26,399.05 nat. median
$39,673
0.7× median
62362
CPT 		Impl/repl Pr Pump For Infusion-62362 36 $9,448.60 $45,353.28 $26,054.51 nat. median
$16,427
1.6× median
37231
CPT 		Vi Pta/stent/ath Tibial 37231 36 $7,384.25 $45,223.68 $25,980.06 nat. median
$18,389
1.4× median
37227
CPT 		Vi Pta/stent/ath Fem 37227 36 $7,384.25 $45,223.68 $25,980.06 nat. median
$18,437
1.4× median
C1767
HCPCS 		Generator Neuro Non-recharge-10920 25 $175.90 $42,925.44 $25,576.41 nat. median
$23,896
1.1× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 1 $25,541.15 $25,541.15 $25,541.15 nat. median
$17,061
1.5× median
C1721
HCPCS 		Aicd Dual Chamber-234 25 $94.86 $48,384.00 $25,410.00 nat. median
$22,344
1.1× median
C1820
HCPCS 		Gen, Neuro, With Rechg Bat-10908 25 $175.90 $43,501.44 $24,750.00 nat. median
$22,986
1.1× median
33274
CPT 		Cc Tcat Insj/rpl Perm Ldls Pm 33274 36 $5,518.08 $42,913.92 $24,653.15 nat. median
$19,643
1.3× median
36906
CPT 		Vi Thrmbc/nfs Dialysis Circuit-36906 36 $7,384.25 $42,895.68 $24,642.67 nat. median
$18,571
1.3× median
C1822
HCPCS 		Gen, Neuro, Hf, With Rechg Bat-110438 25 $175.90 $33,713.28 $24,231.42 nat. median
$31,540
0.8× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 1 $23,983.95 $23,983.95 $23,983.95 nat. median
$32,637
0.7× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 1 $23,901.72 $23,901.72 $23,901.72 nat. median
$33,999
0.7× median
947
MS_DRG 		Signs And Symptoms With Mcc 1 $23,875.35 $23,875.35 $23,875.35 nat. median
$12,117
2.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $17,641.42 $29,521.02 $23,581.22 nat. median
$45,430
0.5× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $23,221.74 $23,221.74 $23,221.74 nat. median
$49,364
outlier · 0.5×
C9765
HCPCS 		Revasc Intra Lithotrip-stent 36 $4,089.85 $40,145.28 $23,062.63 nat. median
$19,139
1.2× median
C9767
HCPCS 		Revasc Lithotrip-stent-ather 36 $7,384.25 $40,145.28 $23,062.63 nat. median
$20,608
1.1× median
0238T
CPT 		Trluml Peripheral Atherectomy 36 $7,384.25 $40,145.28 $23,062.63 nat. median
$17,436
1.3× median
62110626
LOCAL 		Ortho Device Disp-110626 17 $6,000.00 $28,800.00 $22,800.00 nat. median
$23,100
1.0× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $21,846.69 $21,846.69 $21,846.69 nat. median
$30,777
0.7× median
50242015001
NDC 		Ocrelizumab (ocrevus) 30mg/ml 36 $59.80 $36,578.88 $21,013.81 nat. median
$34,293
0.6× median
C1722
HCPCS 		Aicd Single Chamber-9955 25 $175.90 $47,616.00 $21,000.00 nat. median
$20,901
1.0× median
93653
CPT 		Ep Com Eps W/induct + Rfa Svt 93653 36 $7,152.40 $34,331.52 $20,538.25 nat. median
$26,652
0.8× median
93654
CPT 		Ep Com Eps W/induct + Rfa Vt 93654 36 $6,811.80 $32,696.64 $20,538.25 nat. median
$27,016
0.8× median
93656
CPT 		Ep Com Eps W/pulm Vein 93656 36 $6,811.80 $32,696.64 $20,538.25 nat. median
$27,236
0.8× median
59572077501
NDC 		Luspatercept-aamt 75mg Roblozyl 36 $40.62 $34,861.04 $20,026.94 nat. median
$20,403
1.0× median
33249
CPT 		Ep Ins Icd System 33249 36 $4,560.40 $39,829.45 $19,876.11 nat. median
$31,620
0.6× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A 7 $10,324.86 $39,119.48 $19,601.10 nat. median
$26,586
0.7× median
949
MS_DRG 		Aftercare With Cc/mcc 2 $16,042.67 $21,718.37 $18,880.52 nat. median
$11,796
1.6× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 $18,810.79 $18,810.79 $18,810.79 nat. median
$27,627
0.7× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 1 $18,789.76 $18,789.76 $18,789.76 nat. median
$27,823
0.7× median

Other procedures at this hospital

Browse this hospital's 6,470 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
             
602 MS_DRG Cellulitis With Mcc 1 1 — — $102,183.95 $102,183.95 $102,183.95 2026-07-15
J7330 HCPCS Cultured Chondrocytes Implnt 44 25 $104,504.00 $52,252.00 50% off $964.21 $100,323.84 $72,107.76 2026-07-15
00310453530 NDC Tremelimumab-actl 300 Mg Vial Imjudo 62 36 $93,163.00 $46,581.60 50% off $135.45 $89,436.67 $51,379.51 2026-07-15
63685 CPT Inc/repl Spine Nstim Pg/rcvr 62 36 $85,555.00 $42,777.50 50% off $16,785.08 $82,132.80 $47,183.58 2026-07-15
00003232822 NDC Ipilimumab Soln 200 Mg/40 Ml 62 36 $76,841.00 $38,420.34 50% off $176.88 $73,767.06 $42,377.64 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $34,469.94 $34,469.94 $34,469.94 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $32,422.18 $32,422.18 $32,422.18 2026-07-15
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $31,589.50 $31,589.50 $31,589.50 2026-07-15
33990 CPT Cc Insert Vad Artery Access-33990 44 25 $39,707.00 $19,853.50 50% off $7,941.40 $62,683.61 $31,368.53 2026-07-15
63655 CPT Laminect Impl Ns Electrodes; Epidural 62 36 $55,940.00 $27,970.00 50% off $11,188.00 $53,702.40 $30,850.91 2026-07-15
57894006103 NDC Ustekinumab - Stelara 90mg 62 36 $54,092.00 $27,045.92 50% off $159.91 $51,928.18 $29,831.65 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $29,767.70 $29,767.70 $29,767.70 2026-07-15
25682002801 NDC Ravulizumab-cwvz 100 Mg/ml 11 Ml Ultom 62 36 $53,074.00 $26,537.16 50% off $220.75 $50,951.35 $29,270.49 2026-07-15
64590 CPT Insrt/redo Pn/gastr Stimul-64590 62 36 $52,769.00 $26,384.50 50% off $10,553.80 $50,658.24 $29,102.10 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $28,599.02 $28,599.02 $28,599.02 2026-07-15
C1882 HCPCS Icd Other Than Sing/dual-251 620 25 $40,100.00 $20,050.00 50% off $19.60 $43,200.00 $28,340.00 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 9 4 — — $26,217.39 $63,390.33 $26,929.86 2026-07-15
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 12 5 — — $6,003.54 $55,997.54 $26,425.17 2026-07-15
75987008010 NDC Pegloticase (krystexxa) 8mg/ml Vial 62 36 $47,868.00 $23,933.86 50% off $3,482.15 $45,953.01 $26,399.05 2026-07-15
62362 CPT Impl/repl Pr Pump For Infusion-62362 62 36 $47,243.00 $23,621.50 50% off $9,448.60 $45,353.28 $26,054.51 2026-07-15
37231 CPT Vi Pta/stent/ath Tibial 37231 62 36 $47,108.00 $23,554.00 50% off $7,384.25 $45,223.68 $25,980.06 2026-07-15
37227 CPT Vi Pta/stent/ath Fem 37227 62 36 $47,108.00 $23,554.00 50% off $7,384.25 $45,223.68 $25,980.06 2026-07-15
C1767 HCPCS Generator Neuro Non-recharge-10920 116 25 $34,000.00 $17,000.00 50% off $175.90 $42,925.44 $25,576.41 2026-07-15
91 MS_DRG Other Disorders Of Nervous System With Mcc 1 1 — — $25,541.15 $25,541.15 $25,541.15 2026-07-15
C1721 HCPCS Aicd Dual Chamber-234 656 25 $36,000.00 $18,000.00 50% off $94.86 $48,384.00 $25,410.00 2026-07-15
C1820 HCPCS Gen, Neuro, With Rechg Bat-10908 728 25 $36,000.00 $18,000.00 50% off $175.90 $43,501.44 $24,750.00 2026-07-15
33274 CPT Cc Tcat Insj/rpl Perm Ldls Pm 33274 62 36 $44,702.00 $22,351.00 50% off $5,518.08 $42,913.92 $24,653.15 2026-07-15
36906 CPT Vi Thrmbc/nfs Dialysis Circuit-36906 62 36 $44,683.00 $22,341.50 50% off $7,384.25 $42,895.68 $24,642.67 2026-07-15
C1822 HCPCS Gen, Neuro, Hf, With Rechg Bat-110438 44 25 $35,118.00 $17,559.00 50% off $175.90 $33,713.28 $24,231.42 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $23,983.95 $23,983.95 $23,983.95 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $23,901.72 $23,901.72 $23,901.72 2026-07-15
947 MS_DRG Signs And Symptoms With Mcc 1 1 — — $23,875.35 $23,875.35 $23,875.35 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $17,641.42 $29,521.02 $23,581.22 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $23,221.74 $23,221.74 $23,221.74 2026-07-15
C9765 HCPCS Revasc Intra Lithotrip-stent 62 36 $41,818.00 $20,909.00 50% off $4,089.85 $40,145.28 $23,062.63 2026-07-15
C9767 HCPCS Revasc Lithotrip-stent-ather 62 36 $41,818.00 $20,909.00 50% off $7,384.25 $40,145.28 $23,062.63 2026-07-15
0238T CPT Trluml Peripheral Atherectomy 62 36 $41,818.00 $20,909.00 50% off $7,384.25 $40,145.28 $23,062.63 2026-07-15
62110626 LOCAL Ortho Device Disp-110626 36 17 $30,000.00 $15,000.00 50% off $6,000.00 $28,800.00 $22,800.00 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $21,846.69 $21,846.69 $21,846.69 2026-07-15
50242015001 NDC Ocrelizumab (ocrevus) 30mg/ml 62 36 $38,103.00 $19,051.50 50% off $59.80 $36,578.88 $21,013.81 2026-07-15
C1722 HCPCS Aicd Single Chamber-9955 440 25 $29,000.00 $14,500.00 50% off $175.90 $47,616.00 $21,000.00 2026-07-15
93653 CPT Ep Com Eps W/induct + Rfa Svt 93653 62 36 $35,762.00 $17,881.00 50% off $7,152.40 $34,331.52 $20,538.25 2026-07-15
93654 CPT Ep Com Eps W/induct + Rfa Vt 93654 62 36 $34,059.00 $17,029.50 50% off $6,811.80 $32,696.64 $20,538.25 2026-07-15
93656 CPT Ep Com Eps W/pulm Vein 93656 62 36 $34,059.00 $17,029.50 50% off $6,811.80 $32,696.64 $20,538.25 2026-07-15
59572077501 NDC Luspatercept-aamt 75mg Roblozyl 62 36 $36,314.00 $18,156.79 50% off $40.62 $34,861.04 $20,026.94 2026-07-15
33249 CPT Ep Ins Icd System 33249 62 36 $22,802.00 $11,401.00 50% off $4,560.40 $39,829.45 $19,876.11 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A 12 7 — — $10,324.86 $39,119.48 $19,601.10 2026-07-15
949 MS_DRG Aftercare With Cc/mcc 2 2 — — $16,042.67 $21,718.37 $18,880.52 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $18,810.79 $18,810.79 $18,810.79 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $18,789.76 $18,789.76 $18,789.76 2026-07-15
37233 CPT Vi Pta/ath Tibial Ea Add 37233 44 25 $27,199.00 $13,599.50 50% off $5,439.80 $26,111.04 $18,767.31 2026-07-15
47783010101 NDC Ecallantide (kalbitor) 10mg/ml Vial 62 36 $33,628.00 $16,813.88 50% off $565.83 $32,282.64 $18,545.71 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $18,505.74 $18,505.74 $18,505.74 2026-07-15
00003712511 NDC Nivolumab-relatimab-rmbw 240 Mg/80mg/ 20 62 36 $32,763.00 $16,381.75 50% off $190.46 $31,452.95 $18,069.07 2026-07-15
33214 CPT Cc Upgrade Pacemkr Sc To Dc 33214 62 36 $32,265.00 $16,132.50 50% off $5,518.08 $30,974.40 $17,794.15 2026-07-15
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 — — $17,764.90 $17,764.90 $17,764.90 2026-07-15
63833051802 NDC Factor Xiii 62 36 $31,746.00 $15,872.96 50% off $1.17 $30,476.09 $17,507.88 2026-07-15
33229 CPT Ep Ppm Gen Change Multi 33229 62 36 $21,070.00 $10,535.00 50% off $4,214.00 $23,589.87 $16,849.91 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 1 — — $16,650.58 $16,650.58 $16,650.58 2026-07-15
C9601 HCPCS Cc Des +/- Ptca Adtnl Brnch C9601 44 25 $23,722.00 $11,861.00 50% off $4,744.40 $22,773.12 $16,368.18 2026-07-15
C9603 HCPCS Cc Des & Ather +/- Pcta Adtnl C9603 44 25 $23,722.00 $11,861.00 50% off $4,744.40 $22,773.12 $16,368.18 2026-07-15
C9605 HCPCS Cc Des Of/thru Grft Adtnl C9605 44 25 $23,722.00 $11,861.00 50% off $4,744.40 $22,773.12 $16,368.18 2026-07-15
C9608 HCPCS Cc Des Ctoc Adtnl C9608 44 25 $23,722.00 $11,861.00 50% off $4,744.40 $22,773.12 $16,368.18 2026-07-15
C9606 HCPCS Cc Des Toc/stoc Ami C9606 44 25 $23,722.00 $11,861.00 50% off $4,744.40 $22,773.12 $16,368.18 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $16,341.58 $16,341.58 $16,341.58 2026-07-15
36903 CPT Vi Intro Cath Dialysis Circuit-36903 62 36 $29,480.00 $14,740.00 50% off $5,896.00 $28,300.80 $16,258.22 2026-07-15
36905 CPT Vi Thrmbc/nfs Dialysis Circuit-36905 62 36 $29,480.00 $14,740.00 50% off $4,089.85 $28,300.80 $16,258.22 2026-07-15
22515 CPT Vi Kyphoplasty Each Add Vert Body 22515 44 25 $23,135.00 $11,567.50 50% off $3,337.04 $22,209.60 $15,963.15 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $15,856.13 $15,856.13 $15,856.13 2026-07-15
37229 CPT Vi Pta/atherect Tibial 37229 62 36 $27,199.00 $13,599.50 50% off $5,439.80 $26,111.04 $15,557.83 2026-07-15
37230 CPT Vi Pta/stent Tibial 37230 62 36 $27,199.00 $13,599.50 50% off $5,439.80 $26,111.04 $15,557.83 2026-07-15
37225 CPT Vi Pta/ather Fem/pop 37225 62 36 $27,199.00 $13,599.50 50% off $5,439.80 $26,111.04 $15,557.83 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $15,513.22 $15,513.22 $15,513.22 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $14,200.41 $16,445.84 $15,323.12 2026-07-15
C9607 HCPCS Cc Des Ctoc Sngl Any C9607 62 36 $23,722.00 $11,861.00 50% off $4,744.40 $22,773.12 $15,163.55 2026-07-15
C9602 HCPCS Cc Des & Ather +/- Ptca Sngl C9602 62 36 $23,722.00 $11,861.00 50% off $4,744.40 $22,773.12 $15,163.55 2026-07-15
37226 CPT Vi Pta/stent Fem/pop 37226 62 36 $27,199.00 $13,599.50 50% off $5,439.80 $26,111.04 $15,000.25 2026-07-15
92933 CPT Cc Ather & Stent +/- Ptca Sngl 92933 62 36 $18,672.00 $9,336.00 50% off $3,734.40 $21,228.97 $14,937.60 2026-07-15
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 1 1 — — $14,676.22 $14,676.22 $14,676.22 2026-07-15
48818000102 NDC Pralatrexate Soln 40 Mg/2 Ml 62 36 $26,320.00 $13,159.85 50% off $373.77 $25,266.91 $14,515.32 2026-07-15
C9764 HCPCS Revasc Intravasc Lithotripsy 62 36 $26,208.00 $13,104.00 50% off $2,209.03 $25,159.68 $14,453.72 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 3 — — $12,623.20 $14,587.63 $14,051.84 2026-07-15
92925 CPT Cc Ather +/- Ptca Adtnl Brnch 92924 44 25 $19,926.00 $9,963.00 50% off $3,985.20 $19,128.96 $13,748.94 2026-07-15
00024582411 NDC Cabazitaxel 10mg/ml(final) 6ml 62 36 $24,596.00 $12,297.99 50% off $216.46 $23,612.14 $13,564.68 2026-07-15
C9600 HCPCS Cc Des +/- Ptca Sngle Art/br C9600 62 36 $23,722.00 $11,861.00 50% off $4,744.40 $22,773.12 $13,443.80 2026-07-15
C9604 HCPCS Cc Des Of/thru Crft C9604 62 36 $23,722.00 $11,861.00 50% off $4,744.40 $22,773.12 $13,443.80 2026-07-15
884 MS_DRG Organic Disturbances And Intellectual Disability 3 1 — — $13,398.91 $13,398.91 $13,398.91 2026-07-15
92924 CPT Cc Atherectmy +/- Ptca Sngle 92924 62 36 $23,443.00 $11,721.50 50% off $4,688.60 $22,505.28 $13,364.01 2026-07-15
57894006003 NDC Ustekinumab - Stelara 45mg/0.5ml Syringu 62 36 $24,161.00 $12,080.26 50% off $159.91 $23,194.10 $13,324.53 2026-07-15
37243 CPT Vi Uterine Fibroid Embo Organ 37243 62 36 $23,044.00 $11,522.00 50% off $4,608.80 $22,122.24 $13,181.17 2026-07-15
C2621 HCPCS Impl Pace Not Sgl/dual-9529 260 25 $18,500.00 $9,250.00 50% off $175.90 $21,504.00 $13,097.00 2026-07-15
50242091701 NDC Atezolizumab 1,200mg/20ml Vial Tecentriq 62 36 $23,700.00 $11,849.98 50% off $86.24 $22,751.97 $13,070.53 2026-07-15
00074969403 NDC Leuprolide (ped 3 Month) 30mg Lupron 62 36 $23,662.00 $11,830.91 50% off $1,226.51 $22,715.35 $13,049.49 2026-07-15
61755000801 NDC Injection, Cemiplimab-rwlc Soln 350 Mg 62 36 $23,473.00 $11,736.52 50% off $28.24 $22,534.13 $12,945.39 2026-07-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without 1 1 — — $12,945.38 $12,945.38 $12,945.38 2026-07-15
00074347303 NDC Leuprolide (6month) 45mg 1ea 62 36 $23,445.00 $11,722.31 50% off $176.51 $22,506.83 $12,929.70 2026-07-15
92941 CPT Cc Revasc Toc/stoc Ami Sngle 92941 44 25 $18,672.00 $9,336.00 50% off $3,734.40 $17,925.12 $12,883.68 2026-07-15
62110442 LOCAL Human Dermis Graft Single Use 36 17 $16,896.00 $8,448.00 50% off $3,379.20 $16,220.16 $12,840.96 2026-07-15
22514 CPT Vi Lumbar Kyphoplasty 22514 62 36 $23,135.00 $11,567.50 50% off $3,337.04 $22,209.60 $12,758.95 2026-07-15
22513 CPT Vi Thoracic Kyphoplasty 22513 62 36 $23,135.00 $11,567.50 50% off $3,337.04 $22,209.60 $12,758.95 2026-07-15
33208 CPT Ep Ins Dual Ppm System 33208 62 36 $21,999.00 $10,999.50 50% off $4,399.80 $21,119.04 $12,583.43 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 5 — — $7,565.14 $14,753.51 $12,579.44 2026-07-15
51144005001 NDC Brentuximab Vedotin 50mg Vial 62 36 $22,776.00 $11,388.00 50% off $239.86 $21,864.96 $12,560.97 2026-07-15
57894050301 NDC Daratumumab-hyaluronidase Darzalex Faspr 62 36 $22,760.00 $11,379.89 50% off $51.41 $21,849.38 $12,552.01 2026-07-15
6292288 LOCAL Valve Pericardial-9228 36 17 $16,380.00 $8,190.00 50% off $3,276.00 $15,724.80 $12,448.80 2026-07-15
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 17 10 — — $11,118.59 $17,908.98 $12,360.65 2026-07-15
6780068 LOCAL Ep Ins Ppm Gen Only Multi 33221 36 17 $16,232.00 $8,116.00 50% off $3,246.40 $15,582.72 $12,336.32 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 2 — — $12,299.40 $14,284.82 $12,299.40 2026-07-15
63664 CPT Revise Spine Eltrd Plate 62 36 $17,302.00 $8,651.00 50% off $3,460.40 $17,624.34 $12,205.08 2026-07-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 — — $12,116.57 $12,116.57 $12,116.57 2026-07-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 — — $12,078.87 $12,078.87 $12,078.87 2026-07-15
33228 CPT Ep Ppm Gen Change Dual 33228 62 36 $21,070.00 $10,535.00 50% off $4,214.00 $20,227.20 $12,052.04 2026-07-15
6290043 LOCAL Valve Mosaic Aor Ultra US-9004 36 17 $15,600.00 $7,800.00 50% off $3,120.00 $14,976.00 $11,856.00 2026-07-15
6290050 LOCAL Valve Hkll Aortic Clinch US-9005 36 17 $15,600.00 $7,800.00 50% off $3,120.00 $14,976.00 $11,856.00 2026-07-15
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 1 1 — — $11,811.18 $11,811.18 $11,811.18 2026-07-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 1 1 — — $11,797.84 $11,797.84 $11,797.84 2026-07-15
64575 CPT Implant Neuroelectrodes-64575 62 36 $15,943.00 $7,971.50 50% off $3,188.60 $17,624.34 $11,779.70 2026-07-15
93621 CPT Ep Eval W/l Atrial Pacing 93621 44 25 $16,718.00 $8,359.00 50% off $1,365.62 $16,049.28 $11,535.42 2026-07-15
33285 CPT Ep Insj Subq Car Rhythm Mntr 33285 62 36 $20,821.00 $10,410.50 50% off $4,164.20 $19,988.16 $11,482.78 2026-07-15
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 — — $11,444.49 $11,444.49 $11,444.49 2026-07-15
62104991 LOCAL Cardio Implant Heart Valve-0499 36 17 $15,020.00 $7,510.00 50% off $3,004.00 $14,419.20 $11,415.20 2026-07-15
62106742 LOCAL Suture Device 36 17 $15,000.00 $7,500.00 50% off $3,000.00 $14,400.00 $11,400.00 2026-07-15
62109534 LOCAL Bone Graft-10953 36 17 $15,000.00 $7,500.00 50% off $3,000.00 $14,400.00 $11,400.00 2026-07-15
62110614 LOCAL Ortho Device Disp-110614 36 17 $14,997.00 $7,498.50 50% off $2,999.40 $14,397.12 $11,397.72 2026-07-15
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 1 1 — — $11,330.54 $11,330.54 $11,330.54 2026-07-15
E0749 HCPCS Impl Osteogen Stim-9033 44 25 $16,380.00 $8,190.00 50% off $307.61 $15,724.80 $11,302.20 2026-07-15
92934 CPT Cc Ather & Stent +/- Ptca Adtnl 92934 44 25 $16,349.00 $8,174.50 50% off $3,269.80 $15,695.04 $11,280.81 2026-07-15
00003232711 NDC Ipilimumab Soln 50 Mg/10 Ml 62 36 $20,443.00 $10,221.68 50% off $176.88 $19,625.62 $11,274.51 2026-07-15
64764030020 NDC Injection, Vedolizumba, 1mg 62 36 $20,358.00 $10,178.90 50% off $22.26 $19,543.49 $11,227.33 2026-07-15
C1786 HCPCS Impl Sgl Chambr Rr Pace-179 440 25 $14,400.00 $7,200.00 50% off $175.90 $27,302.40 $11,188.50 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $11,158.92 $11,158.92 $11,158.92 2026-07-15
93650 CPT Ep Ablation Av Node +- Pacer93650 62 36 $17,032.00 $8,516.00 50% off $3,406.40 $16,350.72 $11,000.31 2026-07-15
92944 CPT Cc Revasc Ctoc Adtnl Any 92944 44 25 $15,873.00 $7,936.50 50% off $3,174.60 $15,238.08 $10,952.37 2026-07-15
92938 CPT Cc Revasc Of/thru Grft Adtnl 92938 44 25 $15,873.00 $7,936.50 50% off $3,174.60 $15,238.08 $10,952.37 2026-07-15
92929 CPT Cc Stent +/- Ptca Adtnl Brnch 92929 44 25 $15,873.00 $7,936.50 50% off $3,174.60 $15,238.08 $10,952.37 2026-07-15
33207 CPT Ep Ins Vent Ppm System 33207 62 36 $19,075.00 $9,537.50 50% off $3,815.00 $18,312.00 $10,910.90 2026-07-15
C1785 HCPCS Impl Dual Chamb Rr Pace-260 260 25 $14,400.00 $7,200.00 50% off $175.90 $33,916.80 $10,800.00 2026-07-15
398 MS_DRG Appendix Procedures With Cc 1 1 — — $10,708.74 $10,708.74 $10,708.74 2026-07-15
92943 CPT Cc Revasc Ctoc Sngl Any 92943 62 36 $18,672.00 $9,336.00 50% off $3,734.40 $17,925.12 $10,680.38 2026-07-15
92937 CPT Cc Revasc Of/thru Graft 92937 62 36 $18,672.00 $9,336.00 50% off $3,734.40 $17,925.12 $10,680.38 2026-07-15
92928 CPT Cc Stent +/- Ptca Sngl Art/br 92928 62 36 $18,672.00 $9,336.00 50% off $3,734.40 $17,925.12 $10,680.38 2026-07-15
50242007001 NDC Injection, Obinutuzumab 10mg 62 36 $19,364.00 $9,681.95 50% off $74.59 $18,589.35 $10,679.20 2026-07-15
64406000801 NDC Natalizumab 300mg 15ml Vial 62 36 $19,288.00 $9,643.94 50% off $24.15 $18,516.36 $10,637.26 2026-07-15
00074368303 NDC Leuprolide Acetate (4 Month)kit 30mg 62 36 $19,211.00 $9,605.37 50% off $176.51 $18,442.31 $10,594.72 2026-07-15
68727071201 NDC Lurbinectedin 4 Mg Vial (zepzel) 62 36 $18,868.00 $9,434.10 50% off $203.60 $18,113.47 $10,405.81 2026-07-15
62105002 LOCAL Cardio Implant Heart Valve-0500 36 17 $13,650.00 $6,825.00 50% off $2,730.00 $13,104.00 $10,374.00 2026-07-15
33225 CPT Ep Ins Biv Lead At New Gen 33225 44 25 $14,966.00 $7,483.00 50% off $2,993.20 $14,367.36 $10,326.54 2026-07-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 11 5 — — $10,007.90 $11,459.28 $10,266.44 2026-07-15
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 1 — — $10,246.10 $10,246.10 $10,246.10 2026-07-15
33227 CPT Ep Ppm Gen Change Single 33227 62 36 $17,866.00 $8,933.00 50% off $3,573.20 $17,151.36 $10,219.35 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $10,173.19 $10,173.19 $10,173.19 2026-07-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 15 8 — — $6,417.25 $25,674.41 $10,158.83 2026-07-15
50242012047 NDC Tenecteplase 62 36 $18,395.00 $9,197.29 50% off $157.72 $17,658.80 $10,144.61 2026-07-15
62103392 LOCAL Endo Device Ligator 36 17 $13,344.00 $6,672.00 50% off $2,668.80 $12,810.24 $10,141.44 2026-07-15
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 2 2 — — $7,589.86 $12,442.00 $10,015.93 2026-07-15
25682000101 NDC Eculizumab 10mg/ml 30ml Soliris 62 36 $15,342.00 $7,670.91 50% off $224.63 $16,618.31 $9,972.18 2026-07-15
50242091801 NDC Atezolizumab 14ml Vial Teentriq 62 36 $17,972.00 $8,985.82 50% off $86.24 $17,252.78 $9,911.37 2026-07-15
00003373413 NDC Nivolumab 240mg/24ml Vial Opdivo 62 36 $17,943.00 $8,971.53 50% off $31.75 $17,225.34 $9,895.60 2026-07-15
25682002501 NDC Ravulizumab-cwyz 300mg/3ml Ultomiris 62 36 $15,063.00 $7,531.68 50% off $220.75 $16,618.31 $9,791.18 2026-07-15
100 MS_DRG Seizures With Mcc 3 1 — — $9,751.49 $9,751.49 $9,751.49 2026-07-15
C1764 HCPCS Event Recorder Cardiac-253 152 25 $12,765.00 $6,382.50 50% off $175.90 $14,400.00 $9,750.00 2026-07-15
33206 CPT Ep Ins Artrial Ppm Sys 33206 62 36 $16,769.00 $8,384.50 50% off $3,353.80 $16,098.24 $9,591.87 2026-07-15
63650 CPT Perc Impl Ns Electrode Array; Epidural 62 36 $17,302.00 $8,651.00 50% off $3,460.40 $16,609.92 $9,542.05 2026-07-15
63663 CPT Revise Spine Eltrd Perq Aray 62 36 $17,302.00 $8,651.00 50% off $3,460.40 $16,609.92 $9,542.05 2026-07-15
37221 CPT Vi Pta Stent Iliac Artery 37221 62 36 $12,815.00 $6,407.50 50% off $2,563.00 $13,318.61 $9,513.29 2026-07-15
37228 CPT Vi Pta Tibial/peroneal 37228 62 36 $12,815.00 $6,407.50 50% off $2,563.00 $13,318.61 $9,513.29 2026-07-15
00002767801 NDC Ramucirumab 10 Mg/ml 50 Ml Cyramza 62 36 $17,122.00 $8,561.22 50% off $71.07 $16,437.55 $9,443.03 2026-07-15
44206043940 NDC Immune Globulin 10%(privigen) 40mg/400ml 62 36 $17,023.00 $8,511.67 50% off $48.58 $16,342.41 $9,388.38 2026-07-15
33213 CPT Ep Ins Ppm Gen Only Dual 33213 62 36 $16,232.00 $8,116.00 50% off $3,246.40 $15,582.72 $9,284.70 2026-07-15
C1895 HCPCS Lead Aicd Endo Dual Coil-252 152 25 $12,000.00 $6,000.00 50% off $175.90 $14,400.00 $9,240.00 2026-07-15
33224 CPT Ep Ins Biv Lead W/prev Gen 33224 62 36 $14,966.00 $7,483.00 50% off $2,993.20 $14,367.36 $9,234.07 2026-07-15
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 1 1 — — $9,226.82 $9,226.82 $9,226.82 2026-07-15
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 1 1 — — $9,209.56 $9,209.56 $9,209.56 2026-07-15
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $9,200.37 $9,200.37 $9,200.37 2026-07-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 — — $9,166.97 $9,166.97 $9,166.97 2026-07-15
62104791 LOCAL Bone Graft-0479 36 17 $12,000.00 $6,000.00 50% off $2,400.00 $11,520.00 $9,120.00 2026-07-15
62109723 LOCAL Cardio Implant Heart Valve-10972 36 17 $11,985.00 $5,992.50 50% off $2,397.00 $11,505.60 $9,108.60 2026-07-15
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 — — $9,033.30 $9,033.30 $9,033.30 2026-07-15
00078082581 NDC Octreotide Acetate Kit 30 Mg 62 36 $16,253.00 $8,126.69 50% off $214.88 $15,603.25 $8,963.74 2026-07-15
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 1 1 — — $8,876.78 $8,876.78 $8,876.78 2026-07-15
62108342 LOCAL Ortho Device Disp-10834 36 17 $11,664.00 $5,832.00 50% off $2,332.80 $11,197.44 $8,864.64 2026-07-15
37223 CPT Vi Pta/stnt Add Ipsil Iliac 37223 44 25 $12,815.00 $6,407.50 50% off $2,563.00 $12,302.40 $8,842.35 2026-07-15
37234 CPT Vi Pta/stent Tib Ea Add 37234 44 25 $12,815.00 $6,407.50 50% off $2,563.00 $12,302.40 $8,842.35 2026-07-15
37235 CPT Vi Tib/per Revasc Stnt & Ather Ea Add 44 25 $12,815.00 $6,407.50 50% off $2,563.00 $12,302.40 $8,842.35 2026-07-15
37232 CPT Vi Pta Tibial Ea Add 37232 44 25 $12,815.00 $6,407.50 50% off $2,563.00 $12,302.40 $8,842.35 2026-07-15
37222 CPT Vi Pta Ea Add Ipsilat Iliac 37222 44 25 $12,815.00 $6,407.50 50% off $2,563.00 $12,302.40 $8,842.35 2026-07-15
48818000101 NDC Pralatrexate Soln 20 Mg/ml (1 Ml) 62 36 $15,961.00 $7,980.39 50% off $373.77 $15,322.36 $8,802.38 2026-07-15
64555 CPT Implant Neuroelectrodes 62 36 $15,943.00 $7,971.50 50% off $3,188.60 $15,305.28 $8,792.56 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 17 10 — — $5,406.98 $22,598.77 $8,751.61 2026-07-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 7 3 — — $6,702.83 $9,029.82 $8,682.28 2026-07-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 7 4 — — $7,970.03 $8,967.88 $8,594.02 2026-07-15
92975 CPT Cc Thrombolysis, Coronary 44 25 $12,295.00 $6,147.50 50% off $2,459.00 $11,803.20 $8,483.55 2026-07-15
50242014501 NDC Pertuzumab 420mg/14ml Vial Perjeta 62 36 $15,351.00 $7,675.34 50% off $16.12 $14,736.65 $8,465.90 2026-07-15
93620 CPT Ep Complete Eps W/induction 93620 62 36 $14,771.00 $7,385.50 50% off $1,365.62 $14,180.16 $8,449.01 2026-07-15
69853010201 NDC Factor X (andexxa) 200mg Vial 62 36 $12,948.00 $6,474.00 50% off $131.99 $13,109.18 $8,416.20 2026-07-15
93609 CPT Ep Cath Mapping Tachycard 93609 44 25 $10,625.00 $5,312.50 50% off $2,125.00 $11,142.06 $8,393.75 2026-07-15
93616 CPT Ep Esoph Record W/pacing 93616 62 36 $15,121.00 $7,560.50 50% off $1,029.17 $14,516.16 $8,339.23 2026-07-15
291 MS_DRG Heart Failure And Shock With Mcc 16 9 — — $6,473.67 $28,773.38 $8,331.48 2026-07-15
55513019201 NDC Pegfilgrastim Delivery Kit 6mg/0.6ml 62 36 $15,096.00 $7,548.05 50% off $31.14 $14,492.26 $8,325.50 2026-07-15
55513019001 NDC Pegfilgrastim Syrg 6 Mg/0.6ml 62 36 $15,096.00 $7,548.05 50% off $31.14 $14,492.26 $8,325.50 2026-07-15
6287163 LOCAL Bone Strut Femoral Pretreat-8716 36 17 $10,896.00 $5,448.00 50% off $2,179.20 $10,460.16 $8,280.96 2026-07-15
93615 CPT Ep Esoph Record Atrial Elect93615 62 36 $14,966.00 $7,483.00 50% off $1,029.17 $14,367.36 $8,253.75 2026-07-15
62105026 LOCAL Device Single Use-10502 36 17 $10,808.00 $5,404.00 50% off $2,161.60 $10,375.68 $8,214.08 2026-07-15
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M 9 4 — — $7,366.94 $10,815.65 $8,186.02 2026-07-15
50242008701 NDC Ado-trastuzumab (kadcyla) 160mg 62 36 $14,794.00 $7,397.20 50% off $40.44 $14,202.62 $8,159.10 2026-07-15
93655 CPT Ep Adtnl Rfa Diff Frm First 93655 44 25 $10,303.00 $5,151.50 50% off $2,060.60 $11,142.06 $8,139.37 2026-07-15
93657 CPT Ep Adtnl Rfa S/p Pulm Vein 93657 44 25 $10,303.00 $5,151.50 50% off $2,060.60 $11,142.06 $8,139.37 2026-07-15
50419035703 NDC Alemtuzumab Soln 30mg/ml 62 36 $12,468.00 $6,234.15 50% off $2,337.69 $13,109.18 $8,104.40 2026-07-15
C1724 HCPCS Transl Atherect Rotatn Cath-3339 224 25 $10,785.00 $5,392.50 50% off $175.90 $14,385.60 $8,088.75 2026-07-15
43337 CPT Thorabd Diaphr Hern Repair W Mesh 44 25 $11,673.00 $5,836.50 50% off $2,334.60 $11,206.08 $8,054.37 2026-07-15
62108429 LOCAL Bone Filler Single Use Kit-108429 36 17 $10,593.00 $5,296.50 50% off $2,118.60 $10,169.28 $8,050.68 2026-07-15
37246 CPT Vi Trluml Balo Angiop 1st Art-37246 62 36 $14,584.00 $7,292.00 50% off $2,209.03 $14,000.64 $8,043.07 2026-07-15
37248 CPT Vi Trluml Balo Angiop 1st Vein-37248 62 36 $14,584.00 $7,292.00 50% off $2,209.03 $14,000.64 $8,043.07 2026-07-15
36904 CPT Vi Thrmbc/nfs Dialysis Circuit-36904 62 36 $14,584.00 $7,292.00 50% off $2,209.03 $14,000.64 $8,043.07 2026-07-15
36902 CPT Vi Intro Cath Dialysis Circuit-36902 62 36 $14,584.00 $7,292.00 50% off $2,209.03 $14,000.64 $8,043.07 2026-07-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 — — $6,339.67 $9,715.18 $8,027.43 2026-07-15
786 MS_DRG Cesarean Section Without Sterilization With Mcc 1 1 — — $7,982.26 $7,982.26 $7,982.26 2026-07-15
62109767 LOCAL Device Single Use-10976 36 17 $10,500.00 $5,250.00 50% off $2,100.00 $10,080.00 $7,980.00 2026-07-15
00074334603 NDC Leuprolide Acetate (3 Month) Sykt 22.5mg 62 36 $14,428.00 $7,213.75 50% off $176.51 $13,850.40 $7,956.77 2026-07-15
93619 CPT Ep Comp Eval W/atr Pacing 93619 62 36 $13,898.00 $6,949.00 50% off $1,365.62 $13,342.08 $7,949.66 2026-07-15
93461 CPT Cc Lhc Rhc Graft 93461 62 36 $14,363.00 $7,181.50 50% off $1,705.06 $13,788.48 $7,921.19 2026-07-15
682 MS_DRG Renal Failure With Mcc 3 1 — — $7,833.50 $7,833.50 $7,833.50 2026-07-15
93613 CPT Ep 3d Mapping 93613 44 25 $11,323.00 $5,661.50 50% off $1,365.62 $10,870.08 $7,812.87 2026-07-15
304 MS_DRG Hypertension With Mcc 7 3 — — $7,018.64 $8,346.68 $7,779.01 2026-07-15
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 17 10 — — $6,081.45 $13,075.84 $7,773.11 2026-07-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 9 4 — — $6,585.84 $7,911.80 $7,690.14 2026-07-15
36907 CPT Vi Balo Angiop Ctr Dialysis Seg-36907 44 25 $11,139.00 $5,569.50 50% off $2,227.80 $10,693.44 $7,685.91 2026-07-15
6297832 LOCAL Lap Band Access Port-9783 36 17 $10,096.00 $5,048.00 50% off $2,019.20 $9,692.16 $7,672.96 2026-07-15
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 1 1 — — $7,672.28 $7,672.28 $7,672.28 2026-07-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 2 — — $6,645.98 $7,662.13 $7,662.13 2026-07-15
93622 CPT Ep Eval W/l Vent Pacing 93622 44 25 $11,081.00 $5,540.50 50% off $1,365.62 $10,637.76 $7,645.89 2026-07-15
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 — — $7,645.19 $7,645.19 $7,645.19 2026-07-15
68982085005 NDC Immun Glob (igg) Malt-iga Octagam 300ml 62 36 $13,714.00 $6,857.18 50% off $49.00 $13,165.78 $7,563.47 2026-07-15
C1761 HCPCS Cath Trans Intra Litho/coro-3064 116 25 $10,350.00 $5,175.00 50% off $175.90 $13,536.00 $7,521.30 2026-07-15
47540 CPT Vi Plmt Bile Duct Stent Prq New Access W 62 36 $13,601.00 $6,800.50 50% off $2,720.20 $13,056.96 $7,500.95 2026-07-15
33212 CPT Ep Ins Ppm Gen Only Single 33212 62 36 $13,027.00 $6,513.50 50% off $2,605.40 $12,505.92 $7,451.44 2026-07-15
33217 CPT Ep Insert Dual Electrodes 33217 62 36 $13,024.00 $6,512.00 50% off $705.71 $12,503.04 $7,449.73 2026-07-15
50474071079 NDC Certolizumab Pegol Cimza Prefilled Syr 62 36 $13,461.00 $6,730.45 50% off $4.65 $12,922.47 $7,423.69 2026-07-15
50474070062 NDC Certolizumab 200mg Vieal 2 Vial Cimza 62 36 $13,461.00 $6,730.45 50% off $4.65 $12,922.47 $7,423.69 2026-07-15
6297626 LOCAL Lap Band Sys-9762 36 17 $9,766.00 $4,883.00 50% off $1,953.20 $9,375.36 $7,422.16 2026-07-15
37220 CPT Vi Pta Iliac Artery 37220 62 36 $13,454.00 $6,727.00 50% off $2,690.80 $12,915.84 $7,419.88 2026-07-15
13533080040 NDC Immune Glob 40gm/400ml 62 36 $13,346.00 $6,672.90 50% off $48.80 $12,811.97 $7,360.21 2026-07-15
00006302604 NDC Pembrolizumab (keytruda) Soln 100mg/4ml 62 36 $13,343.00 $6,671.35 50% off $58.22 $12,809.00 $7,358.50 2026-07-15
33216 CPT Ep Insert Single Electrode 33216 62 36 $11,224.00 $5,612.00 50% off $705.71 $10,775.04 $7,346.67 2026-07-15
93460 CPT Cc Lhc/rhc 93460 62 36 $13,316.00 $6,658.00 50% off $1,705.06 $12,783.36 $7,343.77 2026-07-15
62110123 LOCAL Ortho Device-110123 36 17 $9,600.00 $4,800.00 50% off $1,920.00 $9,216.00 $7,296.00 2026-07-15
62100541 LOCAL Graft Tendon Implant 36 17 $9,600.00 $4,800.00 50% off $1,920.00 $9,216.00 $7,296.00 2026-07-15
92921 CPT Cc Ptca Addtnl Brnch 92921 44 25 $10,450.00 $5,225.00 50% off $2,090.00 $10,032.00 $7,210.50 2026-07-15
62100535 LOCAL Set Hyrdo Inj-10055 36 17 $9,448.00 $4,724.10 50% off $1,889.64 $9,070.27 $7,180.63 2026-07-15
37224 CPT Vi Pta Fem/pop Artery 37224 62 36 $12,815.00 $6,407.50 50% off $2,563.00 $12,302.40 $7,124.94 2026-07-15
552 MS_DRG Medical Back Problems Without Mcc 3 1 — — $7,111.72 $7,111.72 $7,111.72 2026-07-15
33220 CPT Ep Repair Two Electrodes 33220 62 36 $12,750.00 $6,375.00 50% off $705.71 $12,240.00 $7,031.62 2026-07-15
33211 CPT Ep Insert Temp Pacer Dual 33211 62 36 $8,786.00 $4,393.00 50% off $705.71 $10,285.34 $7,028.80 2026-07-15
33210 CPT Ep Insert Temp Pacer Single 33210 62 36 $8,786.00 $4,393.00 50% off $705.71 $10,285.34 $7,028.80 2026-07-15
35190 CPT Rpr/traumatic Av Fistula Extremities 62 36 $12,690.00 $6,345.00 50% off $1,089.44 $12,182.40 $6,998.53 2026-07-15
00024515175 NDC Rasburicase(elitek) 7.5 Mg 62 36 $12,650.00 $6,324.90 50% off $371.29 $12,143.81 $6,976.37 2026-07-15
92920 CPT Cc Ptca Sngl Art/brnch 92920 62 36 $12,295.00 $6,147.50 50% off $2,459.00 $11,803.20 $6,976.22 2026-07-15
3206257 LOCAL C-section Complex Unscheduled 36 17 $9,097.00 $4,548.50 50% off $1,819.40 $8,733.12 $6,913.72 2026-07-15
62350 CPT Impl Or Revise Epid Cath For Pain 62 36 $11,977.00 $5,988.50 50% off $2,395.40 $11,497.92 $6,850.84 2026-07-15
62107986 LOCAL Single Use Disposable Cardio-0798 36 17 $8,985.00 $4,492.50 50% off $1,797.00 $8,625.60 $6,828.60 2026-07-15
62109756 LOCAL Clamp Long Jaw-10945 36 17 $8,985.00 $4,492.50 50% off $1,797.00 $8,625.60 $6,828.60 2026-07-15
62109778 LOCAL Cryo-probe-10977 36 17 $8,985.00 $4,492.50 50% off $1,797.00 $8,625.60 $6,828.60 2026-07-15
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 — — $6,824.08 $6,824.08 $6,824.08 2026-07-15
55513022201 NDC Romiplostim (nplate) 500mcg 62 36 $12,349.00 $6,174.29 50% off $101.05 $11,854.63 $6,810.24 2026-07-15
62100970 LOCAL Ortho Device-10097 36 17 $8,955.00 $4,477.50 50% off $1,791.00 $8,596.80 $6,805.80 2026-07-15
00310304000 NDC Anifrolumab 300mg/2 Ml Saphnelo 62 36 $12,315.00 $6,157.36 50% off $17.29 $11,822.13 $6,791.57 2026-07-15
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 13 7 — — $3,954.73 $8,232.81 $6,753.83 2026-07-15
35286 CPT Rep Bld Ves W Grft Not V; Lwr Extremity 62 36 $11,883.00 $5,941.50 50% off $2,376.60 $11,407.68 $6,725.02 2026-07-15
93459 CPT Cc Left Heart Cath Graft 93459 62 36 $12,134.00 $6,067.00 50% off $1,705.06 $11,648.64 $6,691.90 2026-07-15
313 MS_DRG Chest Pain 6 3 — — $4,362.83 $7,859.97 $6,644.75 2026-07-15
00944270007 NDC Immun Glob Gammagard Liq 30gm 62 36 $11,978.00 $5,989.15 50% off $49.69 $11,499.17 $6,606.03 2026-07-15
47541 CPT Placement Of Access Through Biliary Tree 62 36 $8,602.00 $4,301.00 50% off $1,720.40 $9,159.29 $6,542.35 2026-07-15
638 MS_DRG Diabetes With Cc 6 5 — — $4,546.30 $9,693.04 $6,494.63 2026-07-15
3206307 LOCAL Induction Del For Iufd W/epidural 36 17 $8,518.00 $4,259.00 50% off $1,703.60 $8,177.28 $6,473.68 2026-07-15
62109312 LOCAL Bone Graft-10931 36 17 $8,499.00 $4,249.50 50% off $1,699.80 $8,159.04 $6,459.24 2026-07-15
93602 CPT Ep Right Atrial Recording 93602 62 36 $8,859.00 $4,429.50 50% off $1,365.62 $9,041.40 $6,458.14 2026-07-15
93600 CPT Ep His Recording 93600 62 36 $9,027.00 $4,513.50 50% off $1,365.62 $9,041.40 $6,458.14 2026-07-15
93624 CPT Ep Eps Follow Up Study 93624 62 36 $8,739.00 $4,369.50 50% off $1,365.62 $9,041.40 $6,458.14 2026-07-15
50633012011 NDC Digoxin Immune Fab Solr 40 Mg 62 36 $11,270.00 $5,635.11 50% off $2,254.04 $10,819.41 $6,446.57 2026-07-15
3206273 LOCAL C-sect High Risk Scheduled 36 17 $8,481.00 $4,240.50 50% off $1,696.20 $8,141.76 $6,445.56 2026-07-15
62106510 LOCAL Human Dermis Graft Single Use 36 17 $8,479.00 $4,239.50 50% off $1,695.80 $8,139.84 $6,444.04 2026-07-15
00024065601 NDC Isatuximab-irfc 500 Mg/ 25 Ml Sarclisa 44 25 $9,339.00 $4,669.26 50% off $107.96 $8,964.97 $6,443.57 2026-07-15
37187 CPT Yvi Thrombectomy Mech Vein 37187 62 36 $7,929.00 $3,964.50 50% off $1,585.80 $13,318.61 $6,343.20 2026-07-15
37184 CPT Yvi Thrombectomy Mech Art 37184 62 36 $7,929.00 $3,964.50 50% off $1,585.80 $21,228.97 $6,343.20 2026-07-15
683 MS_DRG Renal Failure With Cc 13 6 — — $4,122.95 $6,483.25 $6,326.53 2026-07-15
93623 CPT Ep Eval W/drug Stimulation 93623 44 25 $9,140.00 $4,570.00 50% off $1,365.62 $8,774.40 $6,306.60 2026-07-15
3470382 LOCAL Sgy Or Time 36 17 $8,269.00 $4,134.50 50% off $1,653.80 $7,938.24 $6,284.44 2026-07-15
93458 CPT Cc Left Heart Cath 93458 62 36 $11,393.00 $5,696.50 50% off $1,705.06 $10,937.28 $6,283.24 2026-07-15
62110715 LOCAL Device Single Use 110715 36 17 $8,250.00 $4,125.00 50% off $1,650.00 $7,920.00 $6,270.00 2026-07-15
62100534 LOCAL Set Hyrdo Inj-10054 36 17 $8,216.00 $4,108.00 50% off $1,643.20 $7,887.36 $6,244.16 2026-07-15
292 MS_DRG Heart Failure And Shock With Cc 1 1 — — $6,236.84 $6,236.84 $6,236.84 2026-07-15
93612 CPT Ep Rv/lv Pacing 93612 62 36 $7,719.00 $3,859.50 50% off $1,365.62 $9,041.40 $6,175.20 2026-07-15
33218 CPT Ep Repair Single Electrode 33218 62 36 $11,196.00 $5,598.00 50% off $705.71 $10,748.16 $6,174.59 2026-07-15
62107931 LOCAL Humeral Head Bone Graft-10793 36 17 $8,100.00 $4,050.00 50% off $1,620.00 $7,776.00 $6,156.00 2026-07-15
787 MS_DRG Cesarean Section Without Sterilization With Cc 3 3 — — $6,103.05 $6,344.58 $6,154.67 2026-07-15
50242005306 NDC Rituximab 10mg/ml Conc 50ml 62 36 $11,070.00 $5,535.19 50% off $77.31 $10,627.57 $6,105.32 2026-07-15
3206232 LOCAL Vag Del Complex With Epidural 36 17 $8,022.00 $4,011.00 50% off $1,604.40 $7,701.12 $6,096.72 2026-07-15
C1748 HCPCS Single Use Endoscopy Device 110717 44 25 $8,790.00 $4,395.00 50% off $175.90 $8,438.40 $6,065.10 2026-07-15
59572071101 NDC Luspatercept-aamt 25mg Roblozyl 62 36 $9,329.00 $4,664.50 50% off $40.62 $8,955.84 $6,063.85 2026-07-15
603 MS_DRG Cellulitis Without Mcc 13 6 — — $4,434.67 $7,719.99 $6,040.08 2026-07-15
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