Hospital

EUCLID HOSPITAL

Euclid, OH · CCN 360082 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $5,305 across 17 payers · range $5,226-$9,878

Source: https://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/euclid · observed 2025-06-28

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.

7,178 distinct procedures filed

40 distinct payers

690,892 rate rows

2025-06-28 last MRF observed · ⚠ 14 mo old

Data quality

345,403 of 690,892 rate rows are consumer-grade (50.0%)

345,489 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	301,026
per-diem day rate — not a per-procedure price	35,131
placeholder amount (≤ $0.02) — excluded from medians	7,466
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	1,730
exceeds 10× this hospital's gross charge — excluded from medians	136

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/euclid
Found on page	https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-14
Content fingerprint	4104ff9aba3b407e… · 25,789,671 bytes · first seen 2026-05-14

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
J3394 HCPCS	Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension	16	$500,000.00	$4,483,344.00	$3,286,000.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension	16	$500,000.00	$4,744,320.00	$2,968,000.00	nat. median $2,997,086 1.0× median
J3399 HCPCS	Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit	24	$500,000.00	$4,948,785.00	$2,700,450.00	nat. median $2,460,273 1.1× median
J3392 HCPCS	Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension	18	$500,000.00	$4,540,800.00	$2,401,960.00	nat. median $2,405,851 1.0× median
Q2042 HCPCS	Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension	34	$500,000.00	$2,848,960.04	$1,416,294.76	nat. median $691,418 outlier · 2.0×
Q2056 HCPCS	Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension	34	$500,000.00	$2,505,866.40	$1,252,933.20	nat. median $631,793 2.0× median
Q2041 HCPCS	Yescarta Intravenous Suspension	34	$459,381.45	$2,417,184.00	$1,208,592.00	nat. median $588,565 outlier · 2.1×
Q2054 HCPCS	Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension	34	$474,060.62	$2,339,891.68	$1,169,945.84	nat. median $624,417 1.9× median
Q2053 HCPCS	Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension	34	$449,440.00	$2,217,600.00	$1,108,800.00	nat. median $577,541 1.9× median
J0225 HCPCS	Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe	34	$4,926.00	$859,327.20	$342,871.55	nat. median $8,133 outlier · 42.2×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	$158,089.88	$367,703.40	$160,461.23	nat. median $205,166 0.8× median
J2779 HCPCS	Susvimo 10 Mg/0.1 Ml Intravitreal Solution	34	$79.08	$288,000.00	$114,912.00	nat. median $88 outlier · 1308.2×
C9293 HCPCS	Voraxaze 1000 Unit Intravenous Solution	27	$902.96	$148,226.40	$88,935.84	nat. median $24,377 outlier · 3.6×
J9226 HCPCS	Supprelin La 50 Mg (65 Mcg/day) Implant Kit	34	$38,974.88	$175,562.52	$85,323.38	nat. median $55,200 1.5× median
J9274 HCPCS	Kimmtrak 100 Mcg/0.5 Ml Intravenous Solution	34	$208.93	$196,608.00	$78,446.59	nat. median $410 outlier · 191.1×
A9543 HCPCS	Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit	34	$14,774.74	$148,248.86	$74,124.43	nat. median $63,643 1.2× median
J9248 HCPCS	Hepzato (62 Mm Catheter) 50 Mg Intra-arterial Solution	34	$693.50	$180,000.00	$72,900.00	nat. median $874 outlier · 83.4×
J2777 HCPCS	Vabysmo 6 Mg/0.05 Ml Intravitreal Solution	34	$34.25	$164,854.80	$65,777.07	nat. median $54 outlier · 1221.3×
J9269 HCPCS	Elzonris 1000 Mcg/ml Intravenous Solution	34	$326.65	$162,031.92	$64,650.74	nat. median $498 outlier · 129.9×
J9029 HCPCS	Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension	34	$15,984.00	$144,556.65	$63,354.77	nat. median $69,291 0.9× median
850 MS_DRG	Acute Leukemia With Other Procedures	17	$46,072.00	$142,784.45	$62,004.20	nat. median $81,364 0.8× median
J0223 HCPCS	Givlaari 189 Mg/ml Subcutaneous Solution	34	$112.02	$153,417.60	$61,213.62	nat. median $152 outlier · 401.8×
J0179 HCPCS	Beovu 6 Mg/0.05 Ml Intravitreal Syringe	34	$325.68	$147,062.88	$58,678.09	nat. median $457 outlier · 128.4×
J0177 HCPCS	Eylea Hd 8 Mg/0.07 Ml Intravitreal Solution For Injection	34	$333.70	$137,700.00	$55,768.50	nat. median $460 outlier · 121.1×
J0178 HCPCS	Eylea 2 Mg/0.05 Ml Intravitreal Syringe	34	$821.98	$136,530.00	$54,475.47	nat. median $1,337 outlier · 40.7×
J2778 HCPCS	Darvocet-n 50 50 Mg-325 Mg Tab	34	$137.14	$140,400.00	$53,106.30	nat. median $382 outlier · 139.2×
J3357 HCPCS	Stelara 45 Mg/0.5 Ml Subcutaneous Solution	34	$152.57	$104,945.34	$52,472.67	nat. median $12,959 outlier · 4.0×
J9600 HCPCS	Photofrin 75 Mg Intravenous Solution	34	$23,170.54	$111,950.40	$51,619.22	nat. median $29,477 1.8× median
957 MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	17	$50,431.60	$115,695.10	$51,188.07	nat. median $71,485 0.7× median
J7352 HCPCS	Scenesse 16 Mg Subcutaneous Implant	34	$2,873.33	$120,982.00	$48,634.76	nat. median $3,403 outlier · 14.3×
J1930 HCPCS	Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe	34	$48.00	$109,584.00	$48,192.48	nat. median $4,399 outlier · 11.0×
870 MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	18	$11,984.00	$194,500.00	$47,069.80	nat. median $65,958 0.7× median
J0202 HCPCS	Lemtrada 12 Mg/1.2 Ml Intravenous Solution	34	$2,337.69	$117,798.96	$47,001.79	nat. median $3,876 outlier · 12.1×
955 MS_DRG	Craniotomy For Multiple Significant Trauma	17	$46,220.91	$105,838.65	$46,914.23	nat. median $64,357 0.7× median
J9281 HCPCS	Jelmyto 40 Mg X 2 Intra-pyelocalyceal Kit	34	$300.59	$117,504.00	$46,884.10	nat. median $532 outlier · 88.1×
928 MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	17	$45,231.64	$103,522.95	$45,910.11	nat. median $62,911 0.7× median
Q5128 HCPCS	Cimerli 0.5 Mg/0.05 Ml Intravitreal Solution	34	$201.01	$97,920.00	$44,064.00	nat. median $243 outlier · 181.2×
J9229 HCPCS	Besponsa 0.9 Mg(0.25 Mg/ml Initial Concentration) Intravenous Solution	34	$2,580.15	$109,958.40	$43,873.40	nat. median $5,934 outlier · 7.4×
969 MS_DRG	HIV With Extensive O.r. Procedures With Mcc	17	$42,883.61	$98,026.65	$43,526.87	nat. median $60,294 0.7× median
J2507 HCPCS	Krystexxa 8 Mg/ml Intravenous Solution	34	$3,391.91	$108,080.82	$43,124.25	nat. median $8,784 outlier · 4.9×
820 MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	18	$39,559.56	$207,900.00	$40,746.35	nat. median $56,397 0.7× median
790 MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	17	$5,351.00	$92,144.40	$40,370.71	nat. median $51,433 0.8× median
J2326 HCPCS	Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution	34	$1,210.10	$99,288.57	$39,914.01	nat. median $2,353 outlier · 17.0×
J9359 HCPCS	Zynlonta 10 Mg Intravenous Solution	34	$200.49	$99,959.04	$39,883.66	nat. median $701 outlier · 56.9×
J1951 HCPCS	Fensolvi 45 Mg Subcutaneous Syringe	34	$131.71	$98,795.04	$39,419.22	nat. median $173 outlier · 227.4×
834 MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	18	$37,606.18	$152,300.00	$38,734.37	nat. median $52,155 0.7× median
Q5124 HCPCS	Byooviz 0.5 Mg/0.05 Ml Intravitreal Solution	34	$149.75	$83,800.80	$37,710.36	nat. median $171 outlier · 220.8×
8 MS_DRG	Simultaneous Pancreas And Kidney Transplant	19	$26,000.00	$308,400.00	$37,035.40	nat. median $53,073 0.7× median
837 MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	18	$34,162.27	$171,600.00	$35,187.14	nat. median $46,754 0.8× median
853 MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	18	$11,984.00	$124,000.00	$34,123.21	nat. median $47,707 0.7× median

Other procedures at this hospital

Browse this hospital's 7,178 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3394	HCPCS	Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension	18	16	—	—	$500,000.00	$4,483,344.00	$3,286,000.00	2025-06-28
J3393	HCPCS	Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension	19	16	—	—	$500,000.00	$4,744,320.00	$2,968,000.00	2025-06-28
J3399	HCPCS	Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit	41	24	—	$4,972,500.00	$500,000.00	$4,948,785.00	$2,700,450.00	2025-06-28
J3392	HCPCS	Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension	26	18	—	—	$500,000.00	$4,540,800.00	$2,401,960.00	2025-06-28
Q2042	HCPCS	Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension	96	34	$2,848,960.04	$1,851,824.03 35% off	$500,000.00	$2,848,960.04	$1,416,294.76	2025-06-28
Q2056	HCPCS	Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension	58	34	$2,505,866.40	$1,628,813.16 35% off	$500,000.00	$2,505,866.40	$1,252,933.20	2025-06-28
Q2041	HCPCS	Yescarta Intravenous Suspension	58	34	$2,417,184.00	$1,571,169.60 35% off	$459,381.45	$2,417,184.00	$1,208,592.00	2025-06-28
Q2054	HCPCS	Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension	58	34	$2,339,891.68	$1,520,929.59 35% off	$474,060.62	$2,339,891.68	$1,169,945.84	2025-06-28
Q2053	HCPCS	Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension	58	34	$2,217,600.00	$1,441,440.00 35% off	$449,440.00	$2,217,600.00	$1,108,800.00	2025-06-28
J0225	HCPCS	Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe	59	34	$859,327.20	$558,562.68 35% off	$4,926.00	$859,327.20	$342,871.55	2025-06-28
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	17	—	—	$158,089.88	$367,703.40	$160,461.23	2025-06-28
J2779	HCPCS	Susvimo 10 Mg/0.1 Ml Intravitreal Solution	59	34	$288,000.00	$187,200.00 35% off	$79.08	$288,000.00	$114,912.00	2025-06-28
C9293	HCPCS	Voraxaze 1000 Unit Intravenous Solution	41	27	$148,226.40	$96,347.16 35% off	$902.96	$148,226.40	$88,935.84	2025-06-28
J9226	HCPCS	Supprelin La 50 Mg (65 Mcg/day) Implant Kit	59	34	$175,562.52	$114,115.64 35% off	$38,974.88	$175,562.52	$85,323.38	2025-06-28
J9274	HCPCS	Kimmtrak 100 Mcg/0.5 Ml Intravenous Solution	59	34	$196,608.00	$127,795.20 35% off	$208.93	$196,608.00	$78,446.59	2025-06-28
A9543	HCPCS	Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit	58	34	$148,248.86	$96,361.76 35% off	$14,774.74	$148,248.86	$74,124.43	2025-06-28
J9248	HCPCS	Hepzato (62 Mm Catheter) 50 Mg Intra-arterial Solution	59	34	$180,000.00	$117,000.00 35% off	$693.50	$180,000.00	$72,900.00	2025-06-28
J2777	HCPCS	Vabysmo 6 Mg/0.05 Ml Intravitreal Solution	59	34	$164,854.80	$107,155.62 35% off	$34.25	$164,854.80	$65,777.07	2025-06-28
J9269	HCPCS	Elzonris 1000 Mcg/ml Intravenous Solution	59	34	$162,031.92	$105,320.75 35% off	$326.65	$162,031.92	$64,650.74	2025-06-28
J9029	HCPCS	Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension	59	34	$72,000.00	$46,800.00 35% off	$15,984.00	$144,556.65	$63,354.77	2025-06-28
850	MS_DRG	Acute Leukemia With Other Procedures	28	17	—	—	$46,072.00	$142,784.45	$62,004.20	2025-06-28
J0223	HCPCS	Givlaari 189 Mg/ml Subcutaneous Solution	59	34	$153,417.60	$99,721.44 35% off	$112.02	$153,417.60	$61,213.62	2025-06-28
J0179	HCPCS	Beovu 6 Mg/0.05 Ml Intravitreal Syringe	59	34	$147,062.88	$95,590.87 35% off	$325.68	$147,062.88	$58,678.09	2025-06-28
J0177	HCPCS	Eylea Hd 8 Mg/0.07 Ml Intravitreal Solution For Injection	59	34	$137,700.00	$89,505.00 35% off	$333.70	$137,700.00	$55,768.50	2025-06-28
J0178	HCPCS	Eylea 2 Mg/0.05 Ml Intravitreal Syringe	59	34	$136,530.00	$88,744.50 35% off	$821.98	$136,530.00	$54,475.47	2025-06-28
J2778	HCPCS	Darvocet-n 50 50 Mg-325 Mg Tab	94	34	$140,400.00	$91,260.00 35% off	$137.14	$140,400.00	$53,106.30	2025-06-28
J3357	HCPCS	Stelara 45 Mg/0.5 Ml Subcutaneous Solution	94	34	$104,945.34	$68,214.47 35% off	$152.57	$104,945.34	$52,472.67	2025-06-28
J9600	HCPCS	Photofrin 75 Mg Intravenous Solution	58	34	$111,950.40	$72,767.76 35% off	$23,170.54	$111,950.40	$51,619.22	2025-06-28
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	28	17	—	—	$50,431.60	$115,695.10	$51,188.07	2025-06-28
J7352	HCPCS	Scenesse 16 Mg Subcutaneous Implant	58	34	$120,982.00	$78,638.30 35% off	$2,873.33	$120,982.00	$48,634.76	2025-06-28
J1930	HCPCS	Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe	129	34	$109,584.00	$71,229.60 35% off	$48.00	$109,584.00	$48,192.48	2025-06-28
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	29	18	—	—	$11,984.00	$194,500.00	$47,069.80	2025-06-28
J0202	HCPCS	Lemtrada 12 Mg/1.2 Ml Intravenous Solution	59	34	$117,798.96	$76,569.32 35% off	$2,337.69	$117,798.96	$47,001.79	2025-06-28
955	MS_DRG	Craniotomy For Multiple Significant Trauma	28	17	—	—	$46,220.91	$105,838.65	$46,914.23	2025-06-28
J9281	HCPCS	Jelmyto 40 Mg X 2 Intra-pyelocalyceal Kit	59	34	$117,504.00	$76,377.60 35% off	$300.59	$117,504.00	$46,884.10	2025-06-28
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	28	17	—	—	$45,231.64	$103,522.95	$45,910.11	2025-06-28
Q5128	HCPCS	Cimerli 0.5 Mg/0.05 Ml Intravitreal Solution	59	34	$97,920.00	$63,648.00 35% off	$201.01	$97,920.00	$44,064.00	2025-06-28
J9229	HCPCS	Besponsa 0.9 Mg(0.25 Mg/ml Initial Concentration) Intravenous Solution	59	34	$109,958.40	$71,472.96 35% off	$2,580.15	$109,958.40	$43,873.40	2025-06-28
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	28	17	—	—	$42,883.61	$98,026.65	$43,526.87	2025-06-28
J2507	HCPCS	Krystexxa 8 Mg/ml Intravenous Solution	59	34	$108,080.82	$70,252.53 35% off	$3,391.91	$108,080.82	$43,124.25	2025-06-28
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	29	18	—	—	$39,559.56	$207,900.00	$40,746.35	2025-06-28
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	23	17	—	—	$5,351.00	$92,144.40	$40,370.71	2025-06-28
J2326	HCPCS	Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution	58	34	$99,288.57	$64,537.57 35% off	$1,210.10	$99,288.57	$39,914.01	2025-06-28
J9359	HCPCS	Zynlonta 10 Mg Intravenous Solution	59	34	$99,959.04	$64,973.38 35% off	$200.49	$99,959.04	$39,883.66	2025-06-28
J1951	HCPCS	Fensolvi 45 Mg Subcutaneous Syringe	59	34	$98,795.04	$64,216.78 35% off	$131.71	$98,795.04	$39,419.22	2025-06-28
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	29	18	—	—	$37,606.18	$152,300.00	$38,734.37	2025-06-28
Q5124	HCPCS	Byooviz 0.5 Mg/0.05 Ml Intravitreal Solution	59	34	$83,800.80	$54,470.52 35% off	$149.75	$83,800.80	$37,710.36	2025-06-28
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	22	19	—	—	$26,000.00	$308,400.00	$37,035.40	2025-06-28
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	29	18	—	—	$34,162.27	$171,600.00	$35,187.14	2025-06-28
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	29	18	—	—	$11,984.00	$124,000.00	$34,123.21	2025-06-28
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	28	17	—	—	$32,628.04	$74,020.25	$33,117.46	2025-06-28
799	MS_DRG	Splenic Procedures With Mcc	28	17	—	—	$32,490.98	$73,699.40	$32,978.35	2025-06-28
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	28	17	—	—	$32,485.02	$73,685.45	$32,972.29	2025-06-28
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	29	18	—	—	$31,992.37	$112,000.00	$32,952.14	2025-06-28
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	29	18	—	—	$30,880.60	$103,500.00	$31,807.02	2025-06-28
J2781	HCPCS	Syfovre (pf) 15 Mg/0.1 Ml Intravitreal Solution	59	34	$79,628.40	$51,758.46 35% off	$147.36	$79,628.40	$31,771.73	2025-06-28
6840311006	NDC	Babybig 100 Mg Intravenous Solution	42	28	$51,570.00	$33,520.50 35% off	$11,242.26	$51,570.00	$30,942.00	2025-06-28
901	MS_DRG	Wound Debridements For Injuries With Mcc	28	17	—	—	$30,343.59	$68,672.75	$30,798.75	2025-06-28
J2782	HCPCS	Izervay (pf) 2 Mg/0.1 Ml Intravitreal Solution	59	34	$75,600.00	$49,140.00 35% off	$109.53	$75,600.00	$30,618.00	2025-06-28
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	28	17	—	—	$29,657.59	$67,066.95	$30,102.46	2025-06-28
J0638	HCPCS	Ilaris (pf) 150 Mg/ml Subcutaneous Solution	59	34	$72,797.79	$47,318.56 35% off	$124.48	$72,797.79	$29,046.32	2025-06-28
J2502	HCPCS	Signifor Lar 60 Mg IM Suspension	59	34	$72,075.84	$46,849.30 35% off	$463.20	$72,075.84	$28,758.26	2025-06-28
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	28	17	—	—	$28,220.03	$63,701.90	$28,643.33	2025-06-28
793	MS_DRG	Full Term Neonate With Major Problems	23	17	—	—	$5,351.00	$64,642.75	$28,621.96	2025-06-28
791	MS_DRG	Prematurity With Major Problems	23	17	—	—	$5,351.00	$62,928.45	$27,889.61	2025-06-28
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	28	17	—	—	$27,385.05	$61,747.35	$27,795.82	2025-06-28
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	22	17	—	—	$27,026.82	$60,908.80	$27,026.82	2025-06-28
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	28	17	—	—	$26,573.23	$59,847.05	$26,971.83	2025-06-28
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	28	17	—	—	$26,316.98	$59,247.20	$26,711.74	2025-06-28
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	20	17	—	—	$25,166.80	$27,683.48	$25,166.80	2025-06-28
J3241	HCPCS	Tepezza 500 Mg Intravenous Solution	59	34	$63,040.08	$40,976.05 35% off	$333.40	$63,040.08	$25,152.99	2025-06-28
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	28	17	—	—	$24,743.68	$55,564.40	$25,114.83	2025-06-28
J3245	HCPCS	Ilumya 100 Mg/ml Subcutaneous Syringe	59	34	$62,054.88	$40,335.67 35% off	$135.92	$62,054.88	$24,759.90	2025-06-28
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	20	17	—	—	$24,742.36	$27,216.60	$24,742.36	2025-06-28
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	28	17	—	—	$24,200.05	$54,291.85	$24,563.05	2025-06-28
J9042	HCPCS	Adcetris 50 Mg Intravenous Solution	59	34	$58,560.00	$38,064.00 35% off	$230.74	$58,560.00	$23,365.44	2025-06-28
J9266	HCPCS	Oncaspar 750 Unit/ml Injection Solution	59	34	$25,742.56	$16,732.66 35% off	$5,714.85	$61,720.81	$23,168.30	2025-06-28
J7170	HCPCS	Hemlibra 30 Mg/ml Subcutaneous Solution	129	34	$13,057.68	$8,487.49 35% off	$50.84	$65,288.37	$23,046.79	2025-06-28
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	29	18	—	—	$22,122.84	$72,000.00	$22,786.53	2025-06-28
J9216	HCPCS	Actimmune 100 Mcg (2 Million Unit)/0.5 Ml Subcutaneous Solution	42	28	$40,606.35	$26,394.13 35% off	$8,852.18	$40,606.35	$22,739.56	2025-06-28
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	28	17	—	—	$22,065.90	$49,296.20	$22,396.89	2025-06-28
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	28	17	—	—	$22,023.52	$49,197.00	$22,353.88	2025-06-28
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	29	18	—	—	$21,426.25	$104,500.00	$22,069.04	2025-06-28
974	MS_DRG	HIV With Major Related Condition With Mcc	28	17	—	—	$20,779.98	$46,286.10	$21,091.68	2025-06-28
J9153	HCPCS	Vyxeos 44 Mg-100 Mg Intravenous Solution	59	34	$51,684.00	$33,594.60 35% off	$232.80	$51,684.00	$20,621.92	2025-06-28
800	MS_DRG	Splenic Procedures With Cc	28	17	—	—	$20,300.57	$45,163.90	$20,605.08	2025-06-28
J9021	HCPCS	Rylaze 10 Mg/0.5 Ml Intramuscular Solution	59	34	$50,240.00	$32,656.00 35% off	$51.20	$50,240.00	$20,045.76	2025-06-28
963	MS_DRG	Other Multiple Significant Trauma With Mcc	28	17	—	—	$18,995.45	$42,108.85	$19,280.38	2025-06-28
849	MS_DRG	Radiotherapy	29	18	—	—	$18,693.51	$41,402.05	$19,254.32	2025-06-28
J9203	HCPCS	Mylotarg 4.5 Mg (1 Mg/ml Initial Concentration) Intravenous Solution	59	34	$48,216.00	$31,340.40 35% off	$226.28	$48,216.00	$19,238.18	2025-06-28
970	MS_DRG	HIV With Extensive O.r. Procedures Without Mcc	28	17	—	—	$18,575.64	$41,126.15	$18,854.28	2025-06-28
959	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	28	17	—	—	$18,513.40	$40,980.45	$18,791.10	2025-06-28
846	MS_DRG	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	29	18	—	—	$17,916.79	$39,583.90	$18,454.29	2025-06-28
J9043	HCPCS	Jevtana 10 Mg/ml (first Dilution) Intravenous Solution	59	34	$45,947.92	$29,866.15 35% off	$211.76	$45,947.92	$18,333.22	2025-06-28
J7311	HCPCS	Retisert 0.59 Mg Intravitreal Implant	59	34	$45,660.00	$29,679.00 35% off	$29.64	$45,660.00	$18,218.34	2025-06-28
817	MS_DRG	Other Antepartum Diagnoses With O.r. Procedures With Mcc	28	17	—	—	$17,792.97	$39,294.05	$18,059.86	2025-06-28
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	28	17	—	—	$17,218.21	$37,948.65	$17,476.49	2025-06-28
C9047	HCPCS	Cablivi 11 Mg Injection Kit	42	27	$30,858.06	$20,057.74 35% off	$739.86	$30,858.06	$17,280.51	2025-06-28
792	MS_DRG	Prematurity Without Major Problems	23	17	—	—	$5,351.00	$37,970.35	$17,227.48	2025-06-28
827	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	29	18	—	—	$16,632.86	$98,600.00	$17,131.85	2025-06-28
J9037	HCPCS	Blenrep 100 Mg Intravenous Solution	58	34	$42,367.04	$27,538.58 35% off	$46.78	$42,367.04	$17,031.55	2025-06-28
96	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	20	17	—	—	$16,879.84	$18,567.82	$16,879.84	2025-06-28
95	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Cc	20	17	—	—	$16,879.84	$18,567.82	$16,879.84	2025-06-28
808	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	28	17	—	—	$16,171.99	$35,499.65	$16,414.57	2025-06-28
82	MS_DRG	Traumatic Stupor And Coma >1 Hour With Mcc	21	18	—	—	$9,600.00	$18,006.98	$16,369.98	2025-06-28
821	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Cc	29	18	—	—	$15,788.60	$62,300.00	$16,262.26	2025-06-28
824	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	29	18	—	—	$15,570.09	$72,800.00	$16,037.19	2025-06-28
85	MS_DRG	Traumatic Stupor And Coma <1 Hour With Mcc	20	17	—	—	$16,011.09	$17,612.20	$16,011.09	2025-06-28
857	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	29	18	—	—	$15,434.34	$48,700.00	$15,897.37	2025-06-28
935	MS_DRG	Non-extensive Burns	28	17	—	—	$15,550.22	$34,044.20	$15,783.47	2025-06-28
J1640	HCPCS	Panhematin 350 Mg Intravenous Solution	59	34	$39,385.77	$25,600.75 35% off	$31.35	$39,385.77	$15,714.92	2025-06-28
906	MS_DRG	Hand Procedures For Injuries	28	17	—	—	$15,458.18	$33,828.75	$15,690.06	2025-06-28
J9999	HCPCS	Taltz Autoinjector 80 Mg/ml Subcutaneous	123	27	$26,141.43	$16,991.93 35% off	$3,719.95	$2,520,000.00	$15,684.86	2025-06-28
867	MS_DRG	Other Infectious And Parasitic Diseases Diagnoses With Mcc	29	18	—	—	$15,205.24	$50,700.00	$15,661.40	2025-06-28
835	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Cc	29	18	—	—	$15,149.61	$106,100.00	$15,604.10	2025-06-28
J9223	HCPCS	Zepzelca 4 Mg Intravenous Solution	59	34	$38,928.00	$25,303.20 35% off	$199.52	$38,928.00	$15,532.27	2025-06-28
934	MS_DRG	Full Thickness Burn Without Skin Graft Or Inhalation Injury	28	17	—	—	$15,215.17	$33,259.90	$15,443.40	2025-06-28
98	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	20	17	—	—	$15,370.78	$16,907.86	$15,370.78	2025-06-28
J2506	HCPCS	Neulasta 6 Mg/0.6 Ml Subcutaneous Syringe	59	34	$38,507.94	$25,030.16 35% off	$31.14	$38,507.94	$15,364.67	2025-06-28
940	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	28	17	—	—	$14,987.38	$32,726.70	$15,212.19	2025-06-28
814	MS_DRG	Reticuloendothelial And Immunity Disorders With Mcc	28	17	—	—	$14,848.99	$32,402.75	$15,071.72	2025-06-28
838	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…	29	18	—	—	$14,436.47	$71,900.00	$14,869.56	2025-06-28
J0801	HCPCS	Acthar H.p. 80 Unit/ml Injection Gel	80	28	$21,514.50	$13,984.43 35% off	$3,370.39	$32,618.88	$14,869.33	2025-06-28
908	MS_DRG	Other O.r. Procedures For Injuries With Cc	28	17	—	—	$14,362.97	$31,265.05	$14,578.42	2025-06-28
854	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Cc	28	17	—	—	$14,237.16	$30,970.55	$14,450.72	2025-06-28
80	MS_DRG	Nontraumatic Stupor And Coma With Mcc	20	17	—	—	$14,168.95	$15,585.85	$14,168.95	2025-06-28
941	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…	28	17	—	—	$13,947.13	$30,291.65	$14,156.33	2025-06-28
J1323	HCPCS	Elrexfio 40 Mg/ml Subcutaneous Solution	59	34	$34,769.92	$22,600.45 35% off	$178.85	$34,769.92	$14,081.82	2025-06-28
2433805008	NDC	Gliadel Wafer 7.7 Mg Implant	42	28	$23,443.16	$15,238.05 35% off	$5,110.61	$23,443.16	$14,065.90	2025-06-28
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	30	18	—	—	$11,984.00	$49,800.00	$13,998.78	2025-06-28
J9381	HCPCS	Tzield 1 Mg/ml Intravenous Solution	59	34	$34,586.28	$22,481.08 35% off	$36.38	$34,586.28	$13,799.93	2025-06-28
902	MS_DRG	Wound Debridements For Injuries With Cc	28	17	—	—	$13,571.68	$29,412.80	$13,775.26	2025-06-28
843	MS_DRG	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	28	17	—	—	$13,543.21	$29,346.15	$13,746.36	2025-06-28
862	MS_DRG	Postoperative And Post-traumatic Infections With Mcc	29	18	—	—	$13,181.67	$36,000.00	$13,577.12	2025-06-28
J0896	HCPCS	Reblozyl 25 Mg Subcutaneous Solution	94	34	$19,355.96	$12,581.37 35% off	$39.98	$58,067.60	$13,549.17	2025-06-28
J3380	HCPCS	Entyvio 300 Mg Intravenous Solution	59	34	$33,695.67	$21,902.19 35% off	$21.85	$33,695.67	$13,444.57	2025-06-28
J9309	HCPCS	Polivy 30 Mg Intravenous Solution	94	34	$19,143.20	$12,443.08 35% off	$124.03	$89,334.76	$13,400.24	2025-06-28
883	MS_DRG	Disorders Of Personality And Impulse Control	24	17	—	—	$13,282.32	$28,735.45	$13,282.32	2025-06-28
919	MS_DRG	Complications Of Treatment With Mcc	28	17	—	—	$13,081.68	$28,265.80	$13,277.90	2025-06-28
783	MS_DRG	Cesarean Section With Sterilization With Mcc	27	17	—	—	$8,088.00	$28,552.55	$13,204.18	2025-06-28
J9273	HCPCS	Tivdak 40 Mg Intravenous Solution	59	34	$32,908.80	$21,390.72 35% off	$174.80	$32,908.80	$13,130.61	2025-06-28
91	MS_DRG	Other Disorders Of Nervous System With Mcc	20	17	—	—	$13,077.05	$14,384.76	$13,077.05	2025-06-28
803	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc	28	17	—	—	$12,792.98	$27,590.00	$12,984.88	2025-06-28
789	MS_DRG	Neonates, Died Or Transferred To Another Acute Care Facility	23	17	—	—	$5,351.00	$27,940.30	$12,942.63	2025-06-28
886	MS_DRG	Behavioral And Developmental Disorders	22	17	—	—	$12,902.24	$27,845.75	$12,902.24	2025-06-28
896	MS_DRG	Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc	21	16	—	—	$12,798.28	$27,602.40	$12,798.28	2025-06-28
915	MS_DRG	Allergic Reactions With Mcc	28	17	—	—	$12,514.21	$26,937.45	$12,701.92	2025-06-28
J0717	HCPCS	Cimzia Powder For Recon 400 Mg (200 Mg X 2 Vials) Subcutaneous Kit	94	34	$28,797.28	$18,718.23 35% off	$4.62	$28,797.28	$12,670.81	2025-06-28
988	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	28	17	—	—	$12,369.20	$26,598.00	$12,554.74	2025-06-28
922	MS_DRG	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	28	17	—	—	$12,193.06	$26,185.70	$12,375.95	2025-06-28
J0578	HCPCS	Brixadi Monthly 128 Mg/0.36 Ml Solutionextend.rel. Subcut.syringe	131	34	$17,079.99	$11,101.99 35% off	$1,616.35	$34,160.01	$12,297.60	2025-06-28
983	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	28	17	—	—	$12,052.68	$25,857.10	$12,233.47	2025-06-28
905	MS_DRG	Skin Grafts For Injuries Without Cc/mcc	28	17	—	—	$11,920.25	$25,547.10	$12,099.06	2025-06-28
884	MS_DRG	Organic Disturbances And Intellectual Disability	22	17	—	—	$12,065.93	$25,888.10	$12,065.93	2025-06-28
801	MS_DRG	Splenic Procedures Without Cc/mcc	28	17	—	—	$11,877.21	$25,446.35	$12,055.37	2025-06-28
917	MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	28	17	—	—	$11,863.97	$25,415.35	$12,041.93	2025-06-28
855	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc	28	17	—	—	$11,770.60	$25,196.80	$11,947.16	2025-06-28
J3101	HCPCS	Tnkase 50 Mg Intravenous Solution	59	34	$29,870.13	$19,415.58 35% off	$153.11	$29,870.13	$11,918.18	2025-06-28
913	MS_DRG	Traumatic Injury With Mcc	28	17	—	—	$11,722.26	$25,083.65	$11,898.10	2025-06-28
J9354	HCPCS	Kadcyla 160 Mg Intravenous Solution	94	34	$30,640.32	$19,916.21 35% off	$38.44	$30,640.32	$11,804.18	2025-06-28
7223710207	NDC	Xpovio 40 Mg/week (40 Mg X 1) Tablet	42	28	$19,672.20	$12,786.93 35% off	$4,288.54	$19,672.20	$11,803.32	2025-06-28
7223710401	NDC	Xpovio 60 Mg/week (60 Mg X 1) Tablet	42	28	$19,672.20	$12,786.93 35% off	$4,288.54	$19,672.20	$11,803.32	2025-06-28
828	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	28	17	—	—	$11,620.29	$24,844.95	$11,794.60	2025-06-28
841	MS_DRG	Lymphoma And Non-acute Leukemia With Cc	29	18	—	—	$11,389.20	$30,200.00	$11,730.88	2025-06-28
786	MS_DRG	Cesarean Section Without Sterilization With Mcc	27	17	—	—	$8,088.00	$25,046.45	$11,706.37	2025-06-28
J9118	HCPCS	Asparlas 750 Unit/ml Intravenous Solution	43	28	$20,906.01	$13,588.91 35% off	$128.27	$20,906.01	$11,498.31	2025-06-28
813	MS_DRG	Coagulation Disorders	28	17	—	—	$11,256.76	$23,994.00	$11,425.61	2025-06-28
945	MS_DRG	Rehabilitation With Cc/mcc	23	16	—	—	$11,114.40	$23,660.75	$11,114.40	2025-06-28
964	MS_DRG	Other Multiple Significant Trauma With Cc	28	17	—	—	$10,939.59	$23,251.55	$11,103.69	2025-06-28
865	MS_DRG	Viral Illness With Mcc	28	17	—	—	$10,779.34	$22,876.45	$10,941.03	2025-06-28
J0218	HCPCS	Xenpozyme 20 Mg Intravenous Solution	59	34	$27,274.44	$17,728.39 35% off	$376.58	$27,274.44	$10,882.50	2025-06-28
830	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	28	17	—	—	$10,690.62	$22,668.75	$10,850.98	2025-06-28
794	MS_DRG	Neonate With Other Significant Problems	22	17	—	—	$10,781.33	$22,881.10	$10,781.33	2025-06-28
977	MS_DRG	HIV With Or Without Other Related Condition	28	17	—	—	$10,554.21	$22,349.45	$10,712.52	2025-06-28
J9039	HCPCS	Blincyto 35 Mcg Intravenous Solution	59	34	$26,672.48	$17,337.11 35% off	$145.36	$26,672.48	$10,642.32	2025-06-28
895	MS_DRG	Alcohol/drug Abuse Or Dependence W Rehabilitation Therapy	21	16	—	—	$10,593.94	$22,442.45	$10,593.94	2025-06-28
975	MS_DRG	HIV With Major Related Condition With Cc	28	17	—	—	$10,418.47	$22,031.70	$10,574.74	2025-06-28
811	MS_DRG	Red Blood Cell Disorders With Mcc	28	17	—	—	$10,322.45	$21,806.95	$10,477.28	2025-06-28
J1246	HCPCS	Unituxin 3.5 Mg/ml Intravenous Solution	41	27	$18,285.40	$11,885.51 35% off	$234.66	$18,285.40	$10,422.68	2025-06-28
839	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/mcc	29	18	—	—	$10,080.76	$21,241.20	$10,383.18	2025-06-28
3877917563	NDC	Fentanyl Citrate (bulk) 100 % Powder	42	28	$17,296.08	$11,242.45 35% off	$3,770.55	$17,296.08	$10,377.65	2025-06-28
88	MS_DRG	Concussion With Mcc	20	17	—	—	$10,347.62	$11,382.38	$10,347.62	2025-06-28
885	MS_DRG	Psychoses	25	18	—	—	$10,340.33	$22,399.00	$10,340.33	2025-06-28
99	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc	20	17	—	—	$10,232.40	$11,255.64	$10,232.40	2025-06-28
83	MS_DRG	Traumatic Stupor And Coma >1 Hour With Cc	20	17	—	—	$10,213.20	$11,234.52	$10,213.20	2025-06-28
J1602	HCPCS	Simponi 50 Mg/0.5 Ml Subcutaneous Syringe	129	34	$45,692.85	$29,700.35 35% off	$11.10	$45,692.85	$10,143.81	2025-06-28
J0480	HCPCS	Simulect 20 Mg Intravenous Solution	94	34	$21,884.00	$14,224.60 35% off	$3,701.53	$21,884.00	$10,004.14	2025-06-28
Q5111	HCPCS	Udenyca 6 Mg/0.6 Ml Subcutaneous Syringe	59	34	$25,050.00	$16,282.50 35% off	$135.49	$25,050.00	$9,994.95	2025-06-28
858	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc	29	18	—	—	$9,537.79	$38,300.00	$9,823.92	2025-06-28
847	MS_DRG	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc	29	18	—	—	$9,420.59	$19,900.00	$9,703.21	2025-06-28
836	MS_DRG	Acute Leukemia Without Major O.r. Procedures Without Cc/mcc	29	18	—	—	$9,420.59	$28,500.00	$9,703.21	2025-06-28
86	MS_DRG	Traumatic Stupor And Coma <1 Hour With Cc	20	17	—	—	$9,691.41	$10,660.55	$9,691.41	2025-06-28
818	MS_DRG	Other Antepartum Diagnoses With O.r. Procedures With Cc	28	17	—	—	$9,535.14	$19,964.00	$9,678.17	2025-06-28
947	MS_DRG	Signs And Symptoms With Mcc	28	17	—	—	$9,523.22	$19,936.10	$9,666.07	2025-06-28
909	MS_DRG	Other O.r. Procedures For Injuries Without Cc/mcc	28	17	—	—	$9,404.70	$19,658.65	$9,545.77	2025-06-28
J9307	HCPCS	Pralatrexate 20 Mg/ml (1 Ml) Intravenous Solution	59	34	$23,913.44	$15,543.74 35% off	$299.28	$23,913.44	$9,541.46	2025-06-28
796	MS_DRG	Vaginal Delivery With Sterilization And/or D&c With Mcc	28	17	—	—	$6,404.00	$19,787.30	$9,459.66	2025-06-28
J0775	HCPCS	Xiaflex 0.9 Mg Solution For Injection	59	34	$23,703.90	$15,407.54 35% off	$68.97	$23,703.90	$9,457.86	2025-06-28
825	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc	29	18	—	—	$9,156.39	$45,700.00	$9,431.08	2025-06-28
Q5120	HCPCS	Ziextenzo 6 Mg/0.6 Ml Subcutaneous Syringe	59	34	$23,553.18	$15,309.57 35% off	$43.24	$23,553.18	$9,397.72	2025-06-28
Q5122	HCPCS	Nyvepria 6 Mg/0.6 Ml Subcutaneous Syringe	59	34	$23,550.00	$15,307.50 35% off	$65.51	$23,550.00	$9,396.45	2025-06-28
809	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	28	17	—	—	$9,207.37	$19,196.75	$9,345.48	2025-06-28
J1961	HCPCS	Sunlenca 309 Mg/ml Subcutaneous Solution	59	34	$23,400.00	$15,210.00 35% off	$21.99	$23,400.00	$9,336.60	2025-06-28
903	MS_DRG	Wound Debridements For Injuries Without Cc/mcc	28	17	—	—	$9,078.91	$18,896.05	$9,215.10	2025-06-28
844	MS_DRG	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	29	18	—	—	$8,920.66	$28,600.00	$9,188.28	2025-06-28
J2353	HCPCS	Sandostatin Lar Depot 20 Mg Intramuscular Suspextended Release	129	34	$16,618.68	$10,802.14 35% off	$210.56	$24,885.21	$9,122.59	2025-06-28
887	MS_DRG	Other Mental Disorder Diagnoses	22	17	—	—	$8,882.25	$18,435.70	$8,882.25	2025-06-28
822	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc	29	18	—	—	$8,579.64	$53,000.00	$8,837.03	2025-06-28
989	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	28	17	—	—	$8,657.78	$17,910.25	$8,787.65	2025-06-28
J7314	HCPCS	Yutiq 0.18 Mg Intravitreal Implant	59	34	$21,914.00	$14,244.10 35% off	$527.08	$21,914.00	$8,743.69	2025-06-28
J7313	HCPCS	Iluvien 0.19 Mg Intravitreal Implant	59	34	$21,766.00	$14,147.90 35% off	$487.54	$21,766.00	$8,684.63	2025-06-28
J0870	HCPCS	Rytelo 188 Mg Intravenous Solution	94	34	$48,866.48	$31,763.21 35% off	$54.15	$48,866.48	$8,668.93	2025-06-28
831	MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures With Mcc	28	17	—	—	$8,144.00	$17,840.50	$8,627.98	2025-06-28
J1162	HCPCS	Digifab 40 Mg Intravenous Solution	59	34	$17,218.80	$11,192.22 35% off	$3,822.57	$17,218.80	$8,609.40	2025-06-28
J2277	HCPCS	Aphexda 62 Mg Subcutaneous Solution	59	34	$21,240.00	$13,806.00 35% off	$25.22	$21,240.00	$8,602.20	2025-06-28
J1950	HCPCS	Lupron Depot-ped 7.5 Mg (ped) Intramuscular Kit	269	34	$14,161.26	$9,204.82 35% off	$1,439.45	$46,791.75	$8,578.45	2025-06-28
J9200	HCPCS	Floxuridine 0.5 Gram Solution For Injection	59	34	$17,474.92	$11,358.70 35% off	$3,728.55	$17,474.92	$8,492.81	2025-06-28
J0139	HCPCS	Humira(cf) Pen Crohn's-ulc Colitis-hid Sup Strt 80 Mg/0.8 Ml Subcut Kt	177	34	$15,383.60	$9,999.34 35% off	$91.73	$30,767.32	$8,460.98	2025-06-28
804	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc	28	17	—	—	$8,327.36	$17,136.80	$8,452.27	2025-06-28
946	MS_DRG	Rehabilitation Without Cc/mcc	23	16	—	—	$8,399.53	$17,305.75	$8,399.53	2025-06-28
J0517	HCPCS	Fasenra 30 Mg/ml Subcutaneous Syringe	59	34	$21,049.38	$13,682.10 35% off	$165.25	$21,049.38	$8,398.70	2025-06-28
J2427	HCPCS	Invega Trinza 546 Mg/1.75 Ml Intramuscular Syringe	129	34	$14,684.85	$9,545.15 35% off	$12.19	$15,418.74	$8,326.12	2025-06-28
949	MS_DRG	Aftercare With Cc/mcc	28	17	—	—	$8,151.22	$16,724.50	$8,273.49	2025-06-28
842	MS_DRG	Lymphoma And Non-acute Leukemia Without Cc/mcc	29	18	—	—	$7,971.78	$28,400.00	$8,210.93	2025-06-28
4202315701	NDC	Ethacrynate Sodium 50 Mg Intravenous Solution	42	28	$13,680.00	$8,892.00 35% off	$2,982.24	$13,680.00	$8,208.00	2025-06-28
868	MS_DRG	Other Infectious And Parasitic Diseases Diagnoses With Cc	29	18	—	—	$7,959.86	$37,600.00	$8,198.66	2025-06-28
J1290	HCPCS	Kalbitor 10 Mg/ml (1 Ml) Subcutaneous Solution	59	34	$20,543.67	$13,353.39 35% off	$545.62	$20,543.67	$8,196.92	2025-06-28
784	MS_DRG	Cesarean Section With Sterilization With Cc	27	17	—	—	$8,088.00	$16,786.50	$8,177.71	2025-06-28
770	MS_DRG	Abortion With D&c, Aspiration Curettage Or Hysterotomy	27	17	—	—	$8,131.36	$16,678.00	$8,131.36	2025-06-28
89	MS_DRG	Concussion With Cc	20	17	—	—	$8,105.53	$8,916.08	$8,105.53	2025-06-28
J9177	HCPCS	Padcev 20 Mg Intravenous Solution	94	34	$13,483.20	$8,764.08 35% off	$36.20	$20,224.80	$8,089.92	2025-06-28
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	30	18	—	—	$7,833.39	$28,200.00	$8,068.39	2025-06-28
787	MS_DRG	Cesarean Section Without Sterilization With Cc	27	17	—	—	$8,037.33	$16,457.90	$8,037.33	2025-06-28
92	MS_DRG	Other Disorders Of Nervous System With Cc	20	17	—	—	$8,016.80	$8,818.48	$8,016.80	2025-06-28
923	MS_DRG	Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc	28	17	—	—	$7,759.89	$15,808.45	$7,876.29	2025-06-28
863	MS_DRG	Postoperative And Post-traumatic Infections Without Mcc	29	18	—	—	$7,627.45	$18,200.00	$7,856.27	2025-06-28
815	MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	28	17	—	—	$7,734.72	$15,749.55	$7,850.74	2025-06-28
920	MS_DRG	Complications Of Treatment With Cc	28	17	—	—	$7,733.40	$15,746.45	$7,849.40	2025-06-28
976	MS_DRG	HIV With Major Related Condition Without Cc/mcc	28	17	—	—	$7,647.98	$15,546.50	$7,762.70	2025-06-28
J9305	HCPCS	Alimta 500 Mg Intravenous Solution	59	34	$19,406.40	$12,614.16 35% off	$3.97	$19,406.40	$7,743.15	2025-06-28
J2406	HCPCS	Kimyrsa 1200 Mg Intravenous Solution	59	34	$19,212.78	$12,488.31 35% off	$40.90	$19,212.78	$7,665.90	2025-06-28
805	MS_DRG	Vaginal Delivery Without Sterilization Or D&c With Mcc	28	17	—	—	$6,404.00	$15,469.00	$7,614.87	2025-06-28
78	MS_DRG	Hypertensive Encephalopathy With Cc	20	17	—	—	$7,614.21	$8,375.63	$7,614.21	2025-06-28
810	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	28	17	—	—	$7,308.95	$14,752.90	$7,418.59	2025-06-28
798	MS_DRG	Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc	28	17	—	—	$6,404.00	$15,007.10	$7,417.55	2025-06-28
797	MS_DRG	Vaginal Delivery With Sterilization And/or D&c With Cc	28	17	—	—	$6,404.00	$15,007.10	$7,417.55	2025-06-28
882	MS_DRG	Neuroses Except Depressive	22	17	—	—	$7,376.49	$14,911.00	$7,376.49	2025-06-28
880	MS_DRG	Acute Adjustment Reaction And Psychosocial Dysfunction	22	17	—	—	$7,353.98	$14,858.30	$7,353.98	2025-06-28
A9594	HCPCS	Gallium Ga-68 Gozetotide 18.5 Mbq To 185 Mbq/ml (0.5-5 Mci/ml) IV Soln	55	34	$16,335.00	$10,617.75 35% off	$372.17	$16,335.00	$7,350.75	2025-06-28
84	MS_DRG	Traumatic Stupor And Coma >1 Hour Without Cc/mcc	20	17	—	—	$7,337.43	$8,071.17	$7,337.43	2025-06-28
779	MS_DRG	Abortion Without D&c	28	17	—	—	$7,196.39	$14,489.40	$7,304.34	2025-06-28
812	MS_DRG	Red Blood Cell Disorders Without Mcc	28	17	—	—	$7,117.59	$14,304.95	$7,224.35	2025-06-28
914	MS_DRG	Traumatic Injury Without Mcc	28	17	—	—	$7,074.55	$14,204.20	$7,180.67	2025-06-28
864	MS_DRG	Fever And Inflammatory Conditions	29	18	—	—	$6,952.71	$17,600.00	$7,161.29	2025-06-28
4236754032	NDC	Ryanodex 250 Mg Intravenous Suspension	42	28	$11,931.69	$7,755.60 35% off	$2,601.11	$11,931.69	$7,159.01	2025-06-28
965	MS_DRG	Other Multiple Significant Trauma Without Cc/mcc	28	17	—	—	$7,049.39	$14,145.30	$7,155.13	2025-06-28
866	MS_DRG	Viral Illness Without Mcc	29	18	—	—	$6,865.30	$13,714.40	$7,071.26	2025-06-28
J9352	HCPCS	Yondelis 1 Mg Intravenous Solution	59	34	$17,708.84	$11,510.75 35% off	$338.39	$17,708.84	$7,065.83	2025-06-28
881	MS_DRG	Depressive Neuroses	22	17	—	—	$7,059.32	$14,168.55	$7,059.32	2025-06-28
81	MS_DRG	Nontraumatic Stupor And Coma Without Mcc	20	17	—	—	$6,997.74	$7,697.51	$6,997.74	2025-06-28
788	MS_DRG	Cesarean Section Without Sterilization Without Cc/mcc	27	17	—	—	$6,997.08	$14,022.85	$6,997.08	2025-06-28
918	MS_DRG	Poisoning And Toxic Effects Of Drugs Without Mcc	28	17	—	—	$6,863.98	$13,711.30	$6,966.94	2025-06-28
5000472500	NDC	Deflux 50 Mg-15 Mg/ml (1) Syringe	41	28	$11,438.85	$7,435.25 35% off	$2,493.67	$11,438.85	$6,863.31	2025-06-28
87	MS_DRG	Traumatic Stupor And Coma <1 Hour Without Cc/mcc	20	17	—	—	$6,860.01	$7,546.01	$6,860.01	2025-06-28
897	MS_DRG	Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	21	16	—	—	$6,848.09	$13,674.10	$6,848.09	2025-06-28
J2182	HCPCS	Nucala 100 Mg Subcutaneous Solution	94	34	$12,715.86	$8,265.31 35% off	$30.44	$13,678.17	$6,839.09	2025-06-28
785	MS_DRG	Cesarean Section With Sterilization Without Cc/mcc	27	17	—	—	$6,790.48	$13,539.25	$6,790.48	2025-06-28
J9207	HCPCS	Ixempra 15 Mg Intravenous Solution	94	34	$9,669.88	$6,285.42 35% off	$127.50	$29,009.68	$6,768.92	2025-06-28
Q5130	HCPCS	Fylnetra 6 Mg/0.6 Ml Subcutaneous Syringe	59	34	$15,000.00	$9,750.00 35% off	$186.19	$15,000.00	$6,750.00	2025-06-28
J1823	HCPCS	Uplizna 10 Mg/ml Intravenous Solution	59	34	$16,829.82	$10,939.38 35% off	$473.51	$16,829.82	$6,715.10	2025-06-28
J1744	HCPCS	Icatibant 30 Mg/3 Ml Subcutaneous Syringe	94	34	$12,708.15	$8,260.30 35% off	$126.86	$13,377.00	$6,688.50	2025-06-28
90	MS_DRG	Concussion Without Cc/mcc	20	17	—	—	$6,683.21	$7,351.53	$6,683.21	2025-06-28
J3315	HCPCS	Trelstar 11.25 Mg IM Suspension	94	34	$9,868.56	$6,414.56 35% off	$416.69	$19,737.15	$6,645.98	2025-06-28
845	MS_DRG	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	28	17	—	—	$6,547.47	$12,970.40	$6,645.68	2025-06-28
848	MS_DRG	Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/mcc	29	18	—	—	$6,428.94	$13,700.00	$6,621.81	2025-06-28
819	MS_DRG	Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc	28	17	—	—	$6,413.05	$12,655.75	$6,509.24	2025-06-28
6302040002	NDC	Ninlaro 4 Mg Capsule	42	28	$10,691.20	$6,949.28 35% off	$2,330.68	$10,691.20	$6,414.72	2025-06-28
6302039002	NDC	Ninlaro 3 Mg Capsule	42	28	$10,691.20	$6,949.28 35% off	$2,330.68	$10,691.20	$6,414.72	2025-06-28
6302023002	NDC	Ninlaro 2.3 Mg Capsule	42	28	$10,691.20	$6,949.28 35% off	$2,330.68	$10,691.20	$6,414.72	2025-06-28
948	MS_DRG	Signs And Symptoms Without Mcc	28	17	—	—	$6,267.37	$12,314.75	$6,361.38	2025-06-28
J2997	HCPCS	Cathflo Activase 2 Mg Intra-catheter Solution	129	34	$666.60	$433.29 35% off	$88.82	$31,681.29	$6,320.42	2025-06-28
J0217	HCPCS	Lamzede 10 Mg Intravenous Solution	59	34	$15,800.40	$10,270.26 35% off	$424.00	$15,800.40	$6,304.36	2025-06-28
J9176	HCPCS	Empliciti 300 Mg Intravenous Solution	94	34	$10,709.00	$6,960.85 35% off	$7.40	$14,278.52	$6,282.55	2025-06-28
93	MS_DRG	Other Disorders Of Nervous System Without Cc/mcc	20	17	—	—	$6,232.94	$6,856.23	$6,232.94	2025-06-28
J0597	HCPCS	Berinert 500 Unit (10 Ml) Intravenous Kit	59	34	$15,377.79	$9,995.56 35% off	$64.43	$15,377.79	$6,135.74	2025-06-28
90378	HCPCS	Synagis 50 Mg/0.5 Ml Intramuscular Solution	58	34	$13,108.74	$8,520.68 35% off	$339.68	$13,108.74	$6,134.89	2025-06-28
J9319	HCPCS	Istodax 10 Mg/2 Ml Intravenous Solution	59	34	$15,353.52	$9,979.79 35% off	$29.86	$15,353.52	$6,126.05	2025-06-28
832	MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures With Cc	28	17	—	—	$5,955.49	$11,584.70	$6,044.82	2025-06-28
J0391	HCPCS	Artesunate 110 Mg Intravenous Solution	58	34	$14,940.00	$9,711.00 35% off	$47.84	$14,940.00	$6,005.88	2025-06-28
J9268	HCPCS	Nipent 10 Mg Intravenous Solution	59	34	$14,166.16	$9,208.00 35% off	$2,335.72	$14,166.16	$5,929.59	2025-06-28
7223710206	NDC	Xpovio 40 Mg Twice Week (40 Mg X 2) Tablet	42	28	$9,836.10	$6,393.47 35% off	$2,144.27	$9,836.10	$5,901.66	2025-06-28
7223710305	NDC	Xpovio 100 Mg/week (50 Mg X 2) Tablet	42	28	$9,836.10	$6,393.47 35% off	$2,144.27	$9,836.10	$5,901.66	2025-06-28
7223710202	NDC	Xpovio 80 Mg/week (40 Mg X 2) Tablet	42	28	$9,836.10	$6,393.47 35% off	$2,144.27	$9,836.10	$5,901.66	2025-06-28
806	MS_DRG	Vaginal Delivery Without Sterilization Or D&c With Cc	28	17	—	—	$5,797.90	$11,215.80	$5,884.87	2025-06-28
869	MS_DRG	Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc	28	17	—	—	$5,771.41	$11,153.80	$5,857.98	2025-06-28
776	MS_DRG	Postpartum And Post Abortion Diagnoses Without O.r. Procedures	28	17	—	—	$5,731.02	$11,059.25	$5,816.99	2025-06-28
5913723101	NDC	Gleolan 30 Mg/ml Oral Solution	42	28	$9,588.00	$6,232.20 35% off	$2,090.18	$9,588.00	$5,752.80	2025-06-28
Q2055	HCPCS	Abecma 300x10exp6 To 460x10exp6 Cell Intravenous Suspension	117	27	$47,847.16	$31,100.65 35% off	$1,441.64	$47,847.16	$5,741.66	2025-06-28
A9603	HCPCS	Cytalux 3.2 Mg/1.6 Ml Intravenous Solution	38	27	$9,562.50	$6,215.63 35% off	$291.26	$9,562.50	$5,737.50	2025-06-28
J0598	HCPCS	Cinryze 500 Unit (5 Ml) Intravenous Solution	94	34	$10,536.48	$6,848.71 35% off	$62.56	$11,513.49	$5,723.23	2025-06-28

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