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 JACKSON

Jackson, OH · CCN 361320 · Rates published

5,744 distinct procedures filed
33 distinct payers
255,567 rate rows
2026-07-15 last MRF observed
Data quality

254,935 of 255,567 rate rows are consumer-grade (99.8%)

632 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 308
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 159
per-diem day rate — not a per-procedure price 150
exceeds 10× this hospital's gross charge — excluded from medians 8
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ncstoragemlholzer.blob.core.windows.net/public/2026_311724085_holzer-medical-center-jackson_standard-charges.json.csv
Found on page https://www.holzer.org/patients-visitors/billing-insurance-pricing/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-25
Content fingerprint aa4281a34d70a33e… · 26,952,603 bytes · first seen 2026-05-15

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
J7330
HCPCS 		Cultured Chondrocytes Implnt 15 $52,565.51 $99,278.80 $80,468.08 nat. median
$75,000
1.1× median
310453530
NDC 		Tremelimumab-actl 300 Mg Vial Imjudo 15 $46,861.09 $88,505.04 $71,735.66 nat. median
$81,011
0.9× median
63685
CPT 		Inc/repl Spine Nstim Pg/rcvr 15 $44,325.37 $83,715.90 $67,853.94 nat. median
$20,965
outlier · 3.2×
3232822
NDC 		Ipilimumab Soln 200 Mg/40 Ml 15 $38,650.87 $72,998.66 $59,167.33 nat. median
$73,161
0.8× median
57894006103
NDC 		Ustekinumab - Stelara 90mg 15 $27,208.20 $51,387.26 $41,650.72 nat. median
$41,608
1.0× median
25682002801
NDC 		Ravulizumab-cwvz 100 Mg/ml 11 Ml Ultom 15 $26,696.38 $50,420.60 $40,867.23 nat. median
$258
outlier · 158.4×
62362
CPT 		Impl/repl Pr Pump For Infusion-62362 15 $24,475.98 $46,227.00 $37,468.20 nat. median
$16,427
outlier · 2.3×
75987008010
NDC 		Pegloticase (krystexxa) 8mg/ml Vial 15 $24,077.46 $45,474.33 $36,858.14 nat. median
$39,673
0.9× median
33274
CPT 		Cc Tcat Insj/rpl Perm Ldls Pm 33274 15 $23,159.63 $43,740.85 $35,453.11 nat. median
$19,643
1.8× median
C9765
HCPCS 		Revasc Intra Lithotrip-stent 15 $21,665.72 $40,919.35 $33,166.21 nat. median
$19,139
1.7× median
0238T
OTHER 		Trluml Peripheral Atherectomy 15 $21,665.72 $40,919.35 $33,166.21 nat. median
$17,543
1.9× median
50242015001
NDC 		Ocrelizumab (ocrevus) 30mg/ml 15 $19,165.81 $36,197.85 $29,339.31 nat. median
$34,293
0.9× median
C1767
HCPCS 		Generator Neuro Non-recharge-11027 15 $17,102.00 $42,478.30 $29,064.10 nat. median
$23,896
1.2× median
93653
CPT 		Ep Com Eps W/induct + Rfa Svt 93653 15 $18,528.01 $34,993.25 $28,362.95 nat. median
$26,652
1.1× median
59572077501
NDC 		Luspatercept-aamt 75mg Roblozyl 15 $18,265.73 $34,497.90 $27,961.46 nat. median
$20,403
1.4× median
7572
APR_DRG 		Organic Mental Health Conditions And Disturbances 8 $27,305.33 $28,670.59 $27,714.91 nat. median
$5,969
outlier · 4.6×
72893000501
NDC 		Pralatrexate Soln 40 Mg/2 Ml 15 $18,092.67 $34,171.04 $27,696.53 nat. median
$28,056
1.0× median
C1822
HCPCS 		Gen, Neuro, Hf, With Rechg Bat-110438 15 $17,664.35 $33,362.10 $27,040.86 nat. median
$31,540
0.9× median
93656
CPT 		Ep Com Eps W/pulm Vein 93656 15 $17,645.74 $33,326.95 $27,012.37 nat. median
$27,236
1.0× median
36906
CPT 		Vi Thrmbc/nfs Dialysis Circuit-36906 33 $8,675.34 $43,721.85 $26,578.28 nat. median
$18,571
1.4× median
57894065002
NDC 		Guselkumab 200 Mg/20 Ml Tremfya 15 $17,184.23 $32,455.30 $26,305.87 nat. median
$53
outlier · 498.2×
C1820
HCPCS 		Gen, Neuro, With Rechg Bat-10908 15 $2,012.00 $43,048.30 $25,987.15 nat. median
$22,986
1.1× median
33214
CPT 		Cc Upgrade Pacemkr Sc To Dc 33214 15 $16,716.20 $31,571.35 $25,589.41 nat. median
$11,422
outlier · 2.2×
C1882
HCPCS 		Aicd Other Than Sing/dual-9949 15 $49.29 $39,425.00 $25,350.00 nat. median
$27,360
0.9× median
3712511
NDC 		Nivolumab-relatimab-rmbw 240 Mg/80mg/ 20 15 $16,480.04 $31,125.32 $25,227.89 nat. median
$29,487
0.9× median
62110626
LOCAL 		Ortho Device Disp-110626 15 $15,090.00 $28,500.00 $23,100.00 nat. median
$23,100
1.0× median
C1722
HCPCS 		Aicd Single Chamber-11026 15 $12,876.80 $27,550.00 $20,480.00 nat. median
$20,901
1.0× median
C1721
HCPCS 		Aicd Dual Chamber-1109 15 $238.58 $30,020.00 $19,862.70 nat. median
$22,344
0.9× median
24582411
NDC 		Cabazitaxel 10mg/ml(final) 6ml 15 $12,371.77 $23,366.17 $18,938.90 nat. median
$23,366
0.8× median
82959011101
NDC 		Imetelstat 188 Mg Vial Rytelo 15 $12,291.52 $23,214.61 $18,816.05 nat. median
$19,060
1.0× median
C9607
HCPCS 		Cc Des Ctoc Sngl Any C9607 15 $12,290.30 $23,212.30 $18,814.18 nat. median
$20,030
0.9× median
C9606
HCPCS 		Cc Des Toc/stoc Ami C9606 15 $12,290.30 $23,212.30 $18,814.18 nat. median
$17,846
1.1× median
C9608
HCPCS 		Cc Des Ctoc Adtnl C9608 15 $12,290.30 $23,212.30 $18,814.18 nat. median
$11,824
1.6× median
C9600
HCPCS 		Cc Des +/- Ptca Sngle Art/br C9600 15 $12,290.30 $23,212.30 $18,814.18 nat. median
$14,512
1.3× median
C9604
HCPCS 		Cc Des Of/thru Crft C9604 15 $12,290.30 $23,212.30 $18,814.18 nat. median
$14,775
1.3× median
C9603
HCPCS 		Cc Des & Ather +/- Pcta Adtnl C9603 15 $12,290.30 $23,212.30 $18,814.18 nat. median
$12,723
1.5× median
C9605
HCPCS 		Cc Des Of/thru Grft Adtnl C9605 15 $12,290.30 $23,212.30 $18,814.18 nat. median
$11,203
1.7× median
C9602
HCPCS 		Cc Des & Ather +/- Ptca Sngl C9602 15 $12,290.30 $23,212.30 $18,814.18 nat. median
$20,101
0.9× median
C9601
HCPCS 		Cc Des +/- Ptca Adtnl Brnch C9601 15 $12,290.30 $23,212.30 $18,814.18 nat. median
$12,050
1.6× median
74501501
NDC 		Risankizumab-rzaa 60 Mg/ml 10 Ml Vial S 15 $12,248.11 $23,132.61 $18,749.59 nat. median
$22,001
0.9× median
57894006003
NDC 		Ustekinumab - Stelara 45mg/0.5ml Syringu 15 $12,152.74 $22,952.49 $18,603.60 nat. median
$22,756
0.8× median
92924
CPT 		Cc Atherectmy +/- Ptca Sngle 92924 15 $12,145.44 $22,938.70 $18,592.42 nat. median
$13,242
1.4× median
50242091701
NDC 		Atezolizumab 1,200mg/20ml Vial Tecentriq 15 $11,921.08 $22,514.97 $18,248.98 nat. median
$14,672
1.2× median
74969403
NDC 		Leuprolide (ped 3 Month) 30mg Lupron 15 $11,901.90 $22,478.74 $18,219.61 nat. median
$17,973
1.0× median
33249
CPT 		Ep Ins Icd System 33249 15 $11,813.46 $22,311.70 $18,084.22 nat. median
$31,620
0.6× median
61755000801
NDC 		Injection, Cemiplimab-rwlc Soln 350 Mg 15 $11,806.94 $22,299.40 $18,074.25 nat. median
$66
outlier · 273.0×
74347303
NDC 		Leuprolide (6month) 45mg 1ea 15 $11,792.64 $22,272.39 $18,052.36 nat. median
$18,756
1.0× median
51144005001
NDC 		Brentuximab Vedotin 50mg Vial 15 $11,456.33 $21,637.20 $17,537.52 nat. median
$18,344
1.0× median
36905
CPT 		Vi Thrmbc/nfs Dialysis Circuit-36905 33 $5,723.61 $28,845.80 $17,535.21 nat. median
$12,319
1.4× median
36903
CPT 		Vi Intro Cath Dialysis Circuit-36903 33 $5,723.61 $28,845.80 $17,535.21 nat. median
$12,642
1.4× median

Other procedures at this hospital

Browse this hospital's 5,744 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J7330 HCPCS Cultured Chondrocytes Implnt 32 15 $104,504.00 $52,252.00 50% off $52,565.51 $99,278.80 $80,468.08 2026-07-15
310453530 NDC Tremelimumab-actl 300 Mg Vial Imjudo 32 15 $93,163.20 $46,581.60 50% off $46,861.09 $88,505.04 $71,735.66 2026-07-15
63685 CPT Inc/repl Spine Nstim Pg/rcvr 32 15 $88,122.00 $44,061.00 50% off $44,325.37 $83,715.90 $67,853.94 2026-07-15
3232822 NDC Ipilimumab Soln 200 Mg/40 Ml 32 15 $76,840.69 $38,420.35 50% off $38,650.87 $72,998.66 $59,167.33 2026-07-15
57894006103 NDC Ustekinumab - Stelara 90mg 32 15 $54,091.85 $27,045.92 50% off $27,208.20 $51,387.26 $41,650.72 2026-07-15
25682002801 NDC Ravulizumab-cwvz 100 Mg/ml 11 Ml Ultom 32 15 $53,074.32 $26,537.16 50% off $26,696.38 $50,420.60 $40,867.23 2026-07-15
62362 CPT Impl/repl Pr Pump For Infusion-62362 32 15 $48,660.00 $24,330.00 50% off $24,475.98 $46,227.00 $37,468.20 2026-07-15
75987008010 NDC Pegloticase (krystexxa) 8mg/ml Vial 32 15 $47,867.72 $23,933.86 50% off $24,077.46 $45,474.33 $36,858.14 2026-07-15
33274 CPT Cc Tcat Insj/rpl Perm Ldls Pm 33274 32 15 $46,043.00 $23,021.50 50% off $23,159.63 $43,740.85 $35,453.11 2026-07-15
C9765 HCPCS Revasc Intra Lithotrip-stent 32 15 $43,073.00 $21,536.50 50% off $21,665.72 $40,919.35 $33,166.21 2026-07-15
0238T OTHER Trluml Peripheral Atherectomy 32 15 $43,073.00 $21,536.50 50% off $21,665.72 $40,919.35 $33,166.21 2026-07-15
50242015001 NDC Ocrelizumab (ocrevus) 30mg/ml 32 15 $38,103.00 $19,051.50 50% off $19,165.81 $36,197.85 $29,339.31 2026-07-15
C1767 HCPCS Generator Neuro Non-recharge-11027 64 15 $39,357.00 $19,678.50 50% off $17,102.00 $42,478.30 $29,064.10 2026-07-15
93653 CPT Ep Com Eps W/induct + Rfa Svt 93653 32 15 $36,835.00 $18,417.50 50% off $18,528.01 $34,993.25 $28,362.95 2026-07-15
59572077501 NDC Luspatercept-aamt 75mg Roblozyl 32 15 $36,313.58 $18,156.79 50% off $18,265.73 $34,497.90 $27,961.46 2026-07-15
7572 APR_DRG Organic Mental Health Conditions And Disturbances 8 8 — — $27,305.33 $28,670.59 $27,714.91 2026-07-15
72893000501 NDC Pralatrexate Soln 40 Mg/2 Ml 32 15 $35,969.52 $17,984.76 50% off $18,092.67 $34,171.04 $27,696.53 2026-07-15
C1822 HCPCS Gen, Neuro, Hf, With Rechg Bat-110438 32 15 $35,118.00 $17,559.00 50% off $17,664.35 $33,362.10 $27,040.86 2026-07-15
93656 CPT Ep Com Eps W/pulm Vein 93656 32 15 $35,081.00 $17,540.50 50% off $17,645.74 $33,326.95 $27,012.37 2026-07-15
36906 CPT Vi Thrmbc/nfs Dialysis Circuit-36906 56 33 $46,023.00 $23,011.50 50% off $8,675.34 $43,721.85 $26,578.28 2026-07-15
57894065002 NDC Guselkumab 200 Mg/20 Ml Tremfya 32 15 $34,163.47 $17,081.74 50% off $17,184.23 $32,455.30 $26,305.87 2026-07-15
C1820 HCPCS Gen, Neuro, With Rechg Bat-10908 576 15 $36,700.00 $18,350.00 50% off $2,012.00 $43,048.30 $25,987.15 2026-07-15
33214 CPT Cc Upgrade Pacemkr Sc To Dc 33214 32 15 $33,233.00 $16,616.50 50% off $16,716.20 $31,571.35 $25,589.41 2026-07-15
C1882 HCPCS Aicd Other Than Sing/dual-9949 224 15 $36,000.00 $18,000.00 50% off $49.29 $39,425.00 $25,350.00 2026-07-15
3712511 NDC Nivolumab-relatimab-rmbw 240 Mg/80mg/ 20 32 15 $32,763.49 $16,381.75 50% off $16,480.04 $31,125.32 $25,227.89 2026-07-15
62110626 LOCAL Ortho Device Disp-110626 32 15 $30,000.00 $15,000.00 50% off $15,090.00 $28,500.00 $23,100.00 2026-07-15
C1722 HCPCS Aicd Single Chamber-11026 96 15 $27,000.00 $13,500.00 50% off $12,876.80 $27,550.00 $20,480.00 2026-07-15
C1721 HCPCS Aicd Dual Chamber-1109 96 15 $29,516.00 $14,758.00 50% off $238.58 $30,020.00 $19,862.70 2026-07-15
24582411 NDC Cabazitaxel 10mg/ml(final) 6ml 32 15 $24,595.97 $12,297.99 50% off $12,371.77 $23,366.17 $18,938.90 2026-07-15
82959011101 NDC Imetelstat 188 Mg Vial Rytelo 32 15 $24,436.43 $12,218.22 50% off $12,291.52 $23,214.61 $18,816.05 2026-07-15
C9607 HCPCS Cc Des Ctoc Sngl Any C9607 32 15 $24,434.00 $12,217.00 50% off $12,290.30 $23,212.30 $18,814.18 2026-07-15
C9606 HCPCS Cc Des Toc/stoc Ami C9606 32 15 $24,434.00 $12,217.00 50% off $12,290.30 $23,212.30 $18,814.18 2026-07-15
C9608 HCPCS Cc Des Ctoc Adtnl C9608 32 15 $24,434.00 $12,217.00 50% off $12,290.30 $23,212.30 $18,814.18 2026-07-15
C9600 HCPCS Cc Des +/- Ptca Sngle Art/br C9600 32 15 $24,434.00 $12,217.00 50% off $12,290.30 $23,212.30 $18,814.18 2026-07-15
C9604 HCPCS Cc Des Of/thru Crft C9604 32 15 $24,434.00 $12,217.00 50% off $12,290.30 $23,212.30 $18,814.18 2026-07-15
C9603 HCPCS Cc Des & Ather +/- Pcta Adtnl C9603 32 15 $24,434.00 $12,217.00 50% off $12,290.30 $23,212.30 $18,814.18 2026-07-15
C9605 HCPCS Cc Des Of/thru Grft Adtnl C9605 32 15 $24,434.00 $12,217.00 50% off $12,290.30 $23,212.30 $18,814.18 2026-07-15
C9602 HCPCS Cc Des & Ather +/- Ptca Sngl C9602 32 15 $24,434.00 $12,217.00 50% off $12,290.30 $23,212.30 $18,814.18 2026-07-15
C9601 HCPCS Cc Des +/- Ptca Adtnl Brnch C9601 32 15 $24,434.00 $12,217.00 50% off $12,290.30 $23,212.30 $18,814.18 2026-07-15
74501501 NDC Risankizumab-rzaa 60 Mg/ml 10 Ml Vial S 32 15 $24,350.12 $12,175.06 50% off $12,248.11 $23,132.61 $18,749.59 2026-07-15
57894006003 NDC Ustekinumab - Stelara 45mg/0.5ml Syringu 32 15 $24,160.52 $12,080.26 50% off $12,152.74 $22,952.49 $18,603.60 2026-07-15
92924 CPT Cc Atherectmy +/- Ptca Sngle 92924 32 15 $24,146.00 $12,073.00 50% off $12,145.44 $22,938.70 $18,592.42 2026-07-15
50242091701 NDC Atezolizumab 1,200mg/20ml Vial Tecentriq 32 15 $23,699.97 $11,849.99 50% off $11,921.08 $22,514.97 $18,248.98 2026-07-15
74969403 NDC Leuprolide (ped 3 Month) 30mg Lupron 32 15 $23,661.83 $11,830.92 50% off $11,901.90 $22,478.74 $18,219.61 2026-07-15
33249 CPT Ep Ins Icd System 33249 32 15 $23,486.00 $11,743.00 50% off $11,813.46 $22,311.70 $18,084.22 2026-07-15
61755000801 NDC Injection, Cemiplimab-rwlc Soln 350 Mg 32 15 $23,473.05 $11,736.52 50% off $11,806.94 $22,299.40 $18,074.25 2026-07-15
74347303 NDC Leuprolide (6month) 45mg 1ea 32 15 $23,444.62 $11,722.31 50% off $11,792.64 $22,272.39 $18,052.36 2026-07-15
51144005001 NDC Brentuximab Vedotin 50mg Vial 32 15 $22,776.00 $11,388.00 50% off $11,456.33 $21,637.20 $17,537.52 2026-07-15
36905 CPT Vi Thrmbc/nfs Dialysis Circuit-36905 56 33 $30,364.00 $15,182.00 50% off $5,723.61 $28,845.80 $17,535.21 2026-07-15
36903 CPT Vi Intro Cath Dialysis Circuit-36903 56 33 $30,364.00 $15,182.00 50% off $5,723.61 $28,845.80 $17,535.21 2026-07-15
57894050301 NDC Daratumumab-hyaluronidase Darzalex Faspr 32 15 $22,759.78 $11,379.89 50% off $11,448.17 $21,621.79 $17,525.03 2026-07-15
33208 CPT Ep Ins Dual Ppm System 33208 32 15 $22,659.00 $11,329.50 50% off $11,397.48 $21,526.05 $17,447.43 2026-07-15
64764030020 NDC Injection, Vedolizumba, 1mg 32 15 $21,980.19 $10,990.09 50% off $11,056.04 $20,881.18 $16,924.75 2026-07-15
33228 CPT Ep Ppm Gen Change Dual 33228 32 15 $21,702.00 $10,851.00 50% off $10,916.11 $20,616.90 $16,710.54 2026-07-15
33229 CPT Ep Ppm Gen Change Multi 33229 32 15 $21,702.00 $10,851.00 50% off $10,916.11 $20,616.90 $16,710.54 2026-07-15
33285 CPT Ep Insj Subq Car Rhythm Mntr 33285 32 15 $21,446.00 $10,723.00 50% off $10,787.34 $20,373.70 $16,513.42 2026-07-15
3232711 NDC Ipilimumab Soln 50 Mg/10 Ml 32 15 $20,850.65 $10,425.33 50% off $10,487.88 $19,808.12 $16,055.00 2026-07-15
92925 CPT Cc Ather +/- Ptca Adtnl Brnch 92924 32 15 $20,524.00 $10,262.00 50% off $10,323.57 $19,497.80 $15,803.48 2026-07-15
C1786 HCPCS Impl Sgl Chambr Rr Pace-1111 96 15 $21,500.00 $10,750.00 50% off $6,262.35 $25,175.00 $15,585.50 2026-07-15
50242007001 NDC Injection, Obinutuzumab 10mg 32 15 $20,231.76 $10,115.88 50% off $10,176.58 $19,220.17 $15,578.46 2026-07-15
74368303 NDC Leuprolide Acetate (4 Month)kit 30mg 32 15 $20,167.37 $10,083.68 50% off $10,144.19 $19,159.00 $15,528.87 2026-07-15
64406000801 NDC Natalizumab 300mg 15ml Vial 32 15 $20,056.26 $10,028.13 50% off $10,088.30 $19,053.45 $15,443.32 2026-07-15
37243 CPT Vi Uterine Fibroid Embo Organ 37243 56 33 $23,735.00 $11,867.50 50% off $4,474.05 $22,548.25 $15,427.75 2026-07-15
33207 CPT Ep Ins Vent Ppm System 33207 32 15 $19,647.00 $9,823.50 50% off $9,882.44 $18,664.65 $15,128.19 2026-07-15
50242012047 NDC Tenecteplase 32 15 $19,493.58 $9,746.79 50% off $9,805.27 $18,518.90 $15,010.06 2026-07-15
92937 CPT Cc Revasc Of/thru Graft 92937 32 15 $19,232.00 $9,616.00 50% off $9,673.70 $18,270.40 $14,808.64 2026-07-15
92928 CPT Cc Stent +/- Ptca Sngl Art/br 92928 32 15 $19,232.00 $9,616.00 50% off $9,673.70 $18,270.40 $14,808.64 2026-07-15
92941 CPT Cc Revasc Toc/stoc Ami Sngle 92941 32 15 $19,232.00 $9,616.00 50% off $9,673.70 $18,270.40 $14,808.64 2026-07-15
92943 CPT Cc Revasc Ctoc Sngl Any 92943 32 15 $19,232.00 $9,616.00 50% off $9,673.70 $18,270.40 $14,808.64 2026-07-15
68727071201 NDC Lurbinectedin 4 Mg Vial (zepzel) 32 15 $19,055.40 $9,527.70 50% off $9,584.87 $18,102.63 $14,672.66 2026-07-15
4212 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 8 8 — — $14,079.04 $14,782.99 $14,290.23 2026-07-15
50242091801 NDC Atezolizumab 14ml Vial Teentriq 32 15 $18,508.46 $9,254.23 50% off $9,309.76 $17,583.04 $14,251.51 2026-07-15
33227 CPT Ep Ppm Gen Change Single 33227 32 15 $18,402.00 $9,201.00 50% off $9,256.21 $17,481.90 $14,169.54 2026-07-15
3373413 NDC Nivolumab 240mg/24ml Vial Opdivo 32 15 $18,300.36 $9,150.18 50% off $9,205.08 $17,385.34 $14,091.28 2026-07-15
72893000301 NDC Pralatrexate Soln 20 Mg/ml (1 Ml) 32 15 $18,023.77 $9,011.89 50% off $9,065.96 $17,122.58 $13,878.30 2026-07-15
C2621 HCPCS Impl Pace Not Sgl/dual-10636 64 15 $18,900.00 $9,450.00 50% off $7,746.20 $21,280.00 $13,860.00 2026-07-15
4693 APR_DRG Acute Kidney Injury 8 8 — — $13,639.72 $14,321.71 $13,844.31 2026-07-15
63650 CPT Perc Impl Ns Electrode Array; Epidural 32 15 $17,821.00 $8,910.50 50% off $8,963.96 $16,929.95 $13,722.17 2026-07-15
63663 CPT Revise Spine Eltrd Perq Aray 32 15 $17,821.00 $8,910.50 50% off $8,963.96 $16,929.95 $13,722.17 2026-07-15
44206043940 NDC Immune Globulin 10%(privigen) 40mg/400ml 32 15 $17,701.01 $8,850.50 50% off $8,903.61 $16,815.96 $13,629.78 2026-07-15
93650 CPT Ep Ablation Av Node +- Pacer93650 32 15 $17,543.00 $8,771.50 50% off $8,824.13 $16,665.85 $13,508.11 2026-07-15
2767801 NDC Ramucirumab 10 Mg/ml 50 Ml Cyramza 32 15 $17,292.89 $8,646.44 50% off $8,698.32 $16,428.25 $13,315.53 2026-07-15
33206 CPT Ep Ins Artrial Ppm Sys 33206 32 15 $17,272.00 $8,636.00 50% off $8,687.82 $16,408.40 $13,299.44 2026-07-15
93621 CPT Ep Eval W/l Atrial Pacing 93621 32 15 $17,220.00 $8,610.00 50% off $8,661.66 $16,359.00 $13,259.40 2026-07-15
55513095601 NDC Panitumumab 400 Mg/20 Ml Vectibix 32 15 $17,035.04 $8,517.52 50% off $8,568.63 $16,183.29 $13,116.98 2026-07-15
62110442 LOCAL Human Dermis Graft Single Use 32 15 $16,896.00 $8,448.00 50% off $8,498.69 $16,051.20 $13,009.92 2026-07-15
33213 CPT Ep Ins Ppm Gen Only Dual 33213 32 15 $16,719.00 $8,359.50 50% off $8,409.66 $15,883.05 $12,873.63 2026-07-15
6780068 LOCAL Ep Ins Ppm Gen Only Multi 33221 32 15 $16,719.00 $8,359.50 50% off $8,409.66 $15,883.05 $12,873.63 2026-07-15
92938 CPT Cc Revasc Of/thru Grft Adtnl 92938 32 15 $16,349.00 $8,174.50 50% off $8,223.55 $15,531.55 $12,588.73 2026-07-15
92929 CPT Cc Stent +/- Ptca Adtnl Brnch 92929 32 15 $16,349.00 $8,174.50 50% off $8,223.55 $15,531.55 $12,588.73 2026-07-15
92944 CPT Cc Revasc Ctoc Adtnl Any 92944 32 15 $16,349.00 $8,174.50 50% off $8,223.55 $15,531.55 $12,588.73 2026-07-15
78082581 NDC Octreotide Acetate Kit 30 Mg 32 15 $16,253.39 $8,126.69 50% off $8,175.46 $15,440.72 $12,515.11 2026-07-15
93616 CPT Ep Esoph Record W/pacing 93616 32 15 $15,575.00 $7,787.50 50% off $7,834.23 $14,796.25 $11,992.75 2026-07-15
93615 CPT Ep Esoph Record Atrial Elect93615 32 15 $15,415.00 $7,707.50 50% off $7,753.74 $14,644.25 $11,869.55 2026-07-15
33225 CPT Ep Ins Biv Lead At New Gen 33225 32 15 $15,415.00 $7,707.50 50% off $7,753.74 $14,644.25 $11,869.55 2026-07-15
33224 CPT Ep Ins Biv Lead W/prev Gen 33224 32 15 $15,415.00 $7,707.50 50% off $7,753.74 $14,644.25 $11,869.55 2026-07-15
25682002501 NDC Ravulizumab-cwyz 300mg/3ml Ultomiris 32 15 $15,363.08 $7,681.54 50% off $7,727.63 $14,594.93 $11,829.57 2026-07-15
25682000101 NDC Eculizumab 10mg/ml 30ml Soliris 32 15 $15,341.82 $7,670.91 50% off $7,716.94 $14,574.73 $11,813.20 2026-07-15
93620 CPT Ep Complete Eps W/induction 93620 32 15 $15,214.00 $7,607.00 50% off $7,652.64 $14,453.30 $11,714.78 2026-07-15
74334603 NDC Leuprolide Acetate (3 Month) Sykt 22.5mg 32 15 $15,144.99 $7,572.49 50% off $7,617.93 $14,387.74 $11,661.64 2026-07-15
55513019201 NDC Pegfilgrastim Delivery Kit 6mg/0.6ml 32 15 $15,096.10 $7,548.05 50% off $7,593.34 $14,341.30 $11,624.00 2026-07-15
55513019001 NDC Pegfilgrastim Syrg 6 Mg/0.6ml 32 15 $15,096.10 $7,548.05 50% off $7,593.34 $14,341.30 $11,624.00 2026-07-15
62106742 LOCAL Suture Device 32 15 $15,000.00 $7,500.00 50% off $7,545.00 $14,250.00 $11,550.00 2026-07-15
62109534 LOCAL Bone Graft-10953 32 15 $15,000.00 $7,500.00 50% off $7,545.00 $14,250.00 $11,550.00 2026-07-15
62110614 LOCAL Ortho Device Disp-110614 32 15 $14,997.00 $7,498.50 50% off $7,543.49 $14,247.15 $11,547.69 2026-07-15
93461 CPT Cc Lhc Rhc Graft 93461 32 15 $14,794.00 $7,397.00 50% off $7,441.38 $14,054.30 $11,391.38 2026-07-15
93619 CPT Ep Comp Eval W/atr Pacing 93619 32 15 $14,315.00 $7,157.50 50% off $7,200.44 $13,599.25 $11,022.55 2026-07-15
50474070062 NDC Certolizumab 200mg Vieal 2 Vial Cimza 32 15 $14,116.67 $7,058.34 50% off $7,100.69 $13,410.84 $10,869.84 2026-07-15
50474071079 NDC Certolizumab Pegol Cimza Prefilled Syr 32 15 $14,116.67 $7,058.34 50% off $7,100.69 $13,410.84 $10,869.84 2026-07-15
13533080040 NDC Immune Glob 40gm/400ml 32 15 $13,743.60 $6,871.80 50% off $6,913.03 $13,056.42 $10,582.57 2026-07-15
93460 CPT Cc Lhc/rhc 93460 32 15 $13,715.00 $6,857.50 50% off $6,898.65 $13,029.25 $10,560.55 2026-07-15
68982085005 NDC Immun Glob (igg) Malt-iga Octagam 300ml 32 15 $13,714.35 $6,857.18 50% off $6,898.32 $13,028.63 $10,560.05 2026-07-15
C1785 HCPCS Impl Dual Chamb Rr Pace-10645 96 15 $13,500.00 $6,750.00 50% off $4,904.25 $33,563.50 $10,395.00 2026-07-15
33212 CPT Ep Ins Ppm Gen Only Single 33212 32 15 $13,418.00 $6,709.00 50% off $6,749.25 $12,747.10 $10,331.86 2026-07-15
33217 CPT Ep Insert Dual Electrodes 33217 32 15 $13,415.00 $6,707.50 50% off $6,747.74 $12,744.25 $10,329.55 2026-07-15
6302604 NDC Pembrolizumab (keytruda) Soln 100mg/4ml 32 15 $13,342.71 $6,671.35 50% off $6,711.38 $12,675.57 $10,273.89 2026-07-15
33220 CPT Ep Repair Two Electrodes 33220 32 15 $13,133.00 $6,566.50 50% off $6,605.90 $12,476.35 $10,112.41 2026-07-15
55513022201 NDC Romiplostim (nplate) 500mcg 32 15 $12,962.08 $6,481.04 50% off $6,519.93 $12,313.98 $9,980.80 2026-07-15
2482 APR_DRG Major Gastrointestinal And Peritoneal Infections 8 8 — — $9,787.34 $10,276.71 $9,934.15 2026-07-15
24515175 NDC Rasburicase(elitek) 7.5 Mg 32 15 $12,838.39 $6,419.19 50% off $6,457.71 $12,196.47 $9,885.56 2026-07-15
92920 CPT Cc Ptca Sngl Art/brnch 92920 32 15 $12,664.00 $6,332.00 50% off $6,369.99 $12,030.80 $9,751.28 2026-07-15
310304000 NDC Anifrolumab 300mg/2 Ml Saphnelo 32 15 $12,559.46 $6,279.73 50% off $6,317.41 $11,931.49 $9,670.78 2026-07-15
93459 CPT Cc Left Heart Cath Graft 93459 32 15 $12,498.00 $6,249.00 50% off $6,286.49 $11,873.10 $9,623.46 2026-07-15
944270007 NDC Immun Glob Gammagard Liq 30gm 32 15 $12,335.62 $6,167.81 50% off $6,204.82 $11,718.84 $9,498.43 2026-07-15
36224 CPT Cc Sel Uni I Car: Intrcrnl 36224 32 15 $12,299.00 $6,149.50 50% off $6,186.40 $11,684.05 $9,470.23 2026-07-15
1403 APR_DRG Chronic Obstructive Pulmonary Disease 8 8 — — $9,317.31 $9,783.18 $9,457.07 2026-07-15
93458 CPT Cc Left Heart Cath 93458 32 15 $11,735.00 $5,867.50 50% off $5,902.70 $11,148.25 $9,035.95 2026-07-15
50633012011 NDC Digoxin Immune Fab Solr 40 Mg 32 15 $11,717.16 $5,858.58 50% off $5,893.73 $11,131.30 $9,022.21 2026-07-15
93613 CPT Ep 3d Mapping 93613 32 15 $11,663.00 $5,831.50 50% off $5,866.49 $11,079.85 $8,980.51 2026-07-15
7202 APR_DRG Septicemia And Disseminated Infections 8 8 — — $8,847.28 $9,289.64 $8,979.99 2026-07-15
33216 CPT Ep Insert Single Electrode 33216 32 15 $11,561.00 $5,780.50 50% off $5,815.18 $10,982.95 $8,901.97 2026-07-15
43337 CPT Thorabd Diaphr Hern Repair W Mesh 56 33 $12,023.00 $6,011.50 50% off $2,266.34 $11,421.85 $8,897.02 2026-07-15
33218 CPT Ep Repair Single Electrode 33218 32 15 $11,532.00 $5,766.00 50% off $5,800.60 $10,955.40 $8,879.64 2026-07-15
1942 APR_DRG Heart Failure 8 8 — — $8,741.79 $9,178.88 $8,872.92 2026-07-15
93622 CPT Ep Eval W/l Vent Pacing 93622 32 15 $11,413.00 $5,706.50 50% off $5,740.74 $10,842.35 $8,788.01 2026-07-15
4662 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 8 8 — — $8,564.19 $8,992.40 $8,692.66 2026-07-15
37248 CPT Vi Trluml Balo Angiop 1st Vein-37248 56 33 $15,022.00 $7,511.00 50% off $2,831.65 $14,270.90 $8,675.20 2026-07-15
37246 CPT Vi Trluml Balo Angiop 1st Art-37246 56 33 $15,022.00 $7,511.00 50% off $2,831.65 $14,270.90 $8,675.20 2026-07-15
36904 CPT Vi Thrmbc/nfs Dialysis Circuit-36904 56 33 $15,022.00 $7,511.00 50% off $2,831.65 $14,270.90 $8,675.20 2026-07-15
36902 CPT Vi Intro Cath Dialysis Circuit-36902 56 33 $15,022.00 $7,511.00 50% off $2,831.65 $14,270.90 $8,675.20 2026-07-15
50242005306 NDC Rituximab 10mg/ml Conc 50ml 32 15 $11,070.38 $5,535.19 50% off $5,568.40 $10,516.86 $8,524.19 2026-07-15
1972 APR_DRG Peripheral & Other Vascular Disorders 8 8 — — $8,373.24 $8,791.91 $8,498.84 2026-07-15
C1724 HCPCS Transl Atherect Rotatn Cath-10512 64 15 $11,085.00 $5,542.50 50% off $5,424.85 $10,815.75 $8,475.52 2026-07-15
93609 CPT Ep Cath Mapping Tachycard 93609 32 15 $10,944.00 $5,472.00 50% off $5,504.83 $10,396.80 $8,426.88 2026-07-15
C1764 HCPCS Event Recorder Cardiac-9877 32 15 $10,904.00 $5,452.00 50% off $5,484.71 $10,358.80 $8,396.08 2026-07-15
6287163 LOCAL Bone Strut Femoral Pretreat-8716 32 15 $10,896.00 $5,448.00 50% off $5,480.69 $10,351.20 $8,389.92 2026-07-15
78081881 NDC Octreotide Acetate Kit 20 Mg 32 15 $10,880.14 $5,440.07 50% off $5,472.71 $10,336.13 $8,377.71 2026-07-15
62105026 LOCAL Device Single Use-10502 32 15 $10,808.00 $5,404.00 50% off $5,436.42 $10,267.60 $8,322.16 2026-07-15
4632 APR_DRG Kidney And Urinary Tract Infections 8 8 — — $7,968.64 $8,577.39 $8,291.48 2026-07-15
92921 CPT Cc Ptca Addtnl Brnch 92921 32 15 $10,764.00 $5,382.00 50% off $5,414.29 $10,225.80 $8,288.28 2026-07-15
36907 CPT Vi Balo Angiop Ctr Dialysis Seg-36907 56 33 $11,473.00 $5,736.50 50% off $2,162.66 $10,899.35 $8,206.59 2026-07-15
93457 CPT Cc Cord Art Onoly Rhc Graft 93457 32 15 $10,656.00 $5,328.00 50% off $5,359.97 $10,123.20 $8,205.12 2026-07-15
93657 CPT Ep Adtnl Rfa S/p Pulm Vein 93657 32 15 $10,612.00 $5,306.00 50% off $5,337.84 $10,081.40 $8,171.24 2026-07-15
93655 CPT Ep Adtnl Rfa Diff Frm First 93655 32 15 $10,612.00 $5,306.00 50% off $5,337.84 $10,081.40 $8,171.24 2026-07-15
1402 APR_DRG Chronic Obstructive Pulmonary Disease 8 8 — — $8,003.36 $8,403.53 $8,123.41 2026-07-15
47540 CPT Vi Plmt Bile Duct Stent Prq New Access W 56 33 $14,009.00 $7,004.50 50% off $2,640.70 $13,308.55 $8,090.20 2026-07-15
8611 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status 8 8 — — $7,968.64 $8,367.08 $8,088.17 2026-07-15
4692 APR_DRG Acute Kidney Injury 8 8 — — $7,968.64 $8,367.08 $8,088.17 2026-07-15
62109767 LOCAL Device Single Use-10976 32 15 $10,500.00 $5,250.00 50% off $5,281.50 $9,975.00 $8,085.00 2026-07-15
948 MS_DRG Signs And Symptoms Without Mcc 13 8 — — $5,262.00 $16,386.00 $7,905.00 2026-07-15
682 MS_DRG Renal Failure With Mcc 12 7 — — $7,872.00 $10,550.00 $7,872.00 2026-07-15
1132 APR_DRG Infections Of Upper Respiratory Tract 8 8 — — $7,626.80 $76,268.00 $7,855.61 2026-07-15
6297832 LOCAL Lap Band Access Port-9783 32 15 $10,096.00 $5,048.00 50% off $5,078.29 $9,591.20 $7,773.92 2026-07-15
63459010450 NDC Rituximab-abbs 10 Mg/ml 50 Ml Truxima 32 15 $9,970.94 $4,985.47 50% off $5,015.38 $9,472.39 $7,677.62 2026-07-15
24065601 NDC Isatuximab-irfc 500 Mg/ 25 Ml Sarclisa 32 15 $9,940.44 $4,970.22 50% off $5,000.04 $9,443.42 $7,654.14 2026-07-15
51144003001 NDC Enfortumab Vedotin-ejfv 30 Mg Padcev 32 15 $9,937.59 $4,968.80 50% off $4,998.61 $9,440.71 $7,651.94 2026-07-15
310461150 NDC Durvalumab Soln 50 Mg/ml 32 15 $9,930.45 $4,965.23 50% off $4,995.02 $9,433.93 $7,646.45 2026-07-15
70114010101 NDC Pegfilgrastim-cbqv Syrg 6mg/0.6m Undenya 32 15 $9,847.50 $4,923.75 50% off $4,953.29 $9,355.13 $7,582.57 2026-07-15
6297626 LOCAL Lap Band Sys-9762 32 15 $9,766.00 $4,883.00 50% off $4,912.30 $9,277.70 $7,519.82 2026-07-15
62110123 LOCAL Ortho Device-110123 32 15 $9,600.00 $4,800.00 50% off $4,828.80 $9,120.00 $7,392.00 2026-07-15
93618 CPT Ep Heart Rhythym Pacing 93618 32 15 $9,594.00 $4,797.00 50% off $4,825.78 $9,114.30 $7,387.38 2026-07-15
59572071101 NDC Luspatercept-aamt 25mg Roblozyl 32 15 $9,514.03 $4,757.02 50% off $4,785.56 $9,038.33 $7,325.80 2026-07-15
93452 CPT Left Hrt Cath W/ventirclgrphy 32 15 $9,503.00 $4,751.50 50% off $4,780.01 $9,027.85 $7,317.31 2026-07-15
62100535 LOCAL Set Hyrdo Inj-10055 32 15 $9,448.20 $4,724.10 50% off $4,752.44 $8,975.79 $7,275.11 2026-07-15
93623 CPT Ep Eval W/drug Stimulation 93623 32 15 $9,414.00 $4,707.00 50% off $4,735.24 $8,943.30 $7,248.78 2026-07-15
93600 CPT Ep His Recording 93600 32 15 $9,298.00 $4,649.00 50% off $4,676.89 $8,833.10 $7,159.46 2026-07-15
1401 APR_DRG Chronic Obstructive Pulmonary Disease 8 8 — — $7,033.92 $7,385.62 $7,139.43 2026-07-15
63459030547 NDC Trastuzumab-pkrb 420 Mg Herzuma 32 15 $9,267.18 $4,633.59 50% off $4,661.39 $8,803.82 $7,135.73 2026-07-15
61314086601 NDC Pegfilgrastim-bmez 6mg/0.6ml Ziextenzo 32 15 $9,263.75 $4,631.88 50% off $4,659.67 $8,800.56 $7,133.09 2026-07-15
3375614 NDC Nivolumab 120 Mg/12 Ml Opdivo 32 15 $9,189.16 $4,594.58 50% off $4,622.15 $8,729.70 $7,075.65 2026-07-15
93603 CPT Ep Rv Recording 93603 32 15 $9,154.00 $4,577.00 50% off $4,604.46 $8,696.30 $7,048.58 2026-07-15
758 MS_DRG Infections, Female Reproductive System With Cc 2 1 — — $7,042.00 $7,042.00 $7,042.00 2026-07-15
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 2 1 — — $7,040.00 $7,040.00 $7,040.00 2026-07-15
55513003201 NDC Darbepoetin Alfa 500mcg(aranesp)non-esrd 32 15 $9,133.80 $4,566.90 50% off $4,594.30 $8,677.11 $7,033.03 2026-07-15
93602 CPT Ep Right Atrial Recording 93602 32 15 $9,125.00 $4,562.50 50% off $4,589.88 $8,668.75 $7,026.25 2026-07-15
33211 CPT Ep Insert Temp Pacer Dual 33211 32 15 $9,050.00 $4,525.00 50% off $4,552.15 $8,597.50 $6,968.50 2026-07-15
33210 CPT Ep Insert Temp Pacer Single 33210 32 15 $9,050.00 $4,525.00 50% off $4,552.15 $8,597.50 $6,968.50 2026-07-15
93624 CPT Ep Eps Follow Up Study 93624 32 15 $9,001.00 $4,500.50 50% off $4,527.50 $8,550.95 $6,930.77 2026-07-15
93631 CPT Ep Intra Op Pacing & Map 93631 32 15 $9,001.00 $4,500.50 50% off $4,527.50 $8,550.95 $6,930.77 2026-07-15
55513013201 NDC Trastuzumab-anns 420 Mg Vial Kanjinti 32 15 $8,989.15 $4,494.57 50% off $4,521.54 $8,539.69 $6,921.65 2026-07-15
62109778 LOCAL Cryo-probe-10977 32 15 $8,985.00 $4,492.50 50% off $4,519.45 $8,535.75 $6,918.45 2026-07-15
62107986 LOCAL Single Use Disposable Cardio-0798 32 15 $8,985.00 $4,492.50 50% off $4,519.45 $8,535.75 $6,918.45 2026-07-15
62109756 LOCAL Clamp Long Jaw-10945 32 15 $8,985.00 $4,492.50 50% off $4,519.45 $8,535.75 $6,918.45 2026-07-15
93456 CPT Cc Cornary Art Only Rhc 93456 32 15 $8,928.00 $4,464.00 50% off $4,490.78 $8,481.60 $6,874.56 2026-07-15
C1748 HCPCS Single Use Endoscopy Device 110717 32 15 $8,790.00 $4,395.00 50% off $4,421.37 $8,350.50 $6,768.30 2026-07-15
2821 APR_DRG Disorders Of Pancreas Except Malignancy 8 8 — — $6,545.20 $6,872.46 $6,643.38 2026-07-15
33215 CPT Ep Repo Ra/rv/icd 33215 32 15 $8,584.00 $4,292.00 50% off $4,317.75 $8,154.80 $6,609.68 2026-07-15
3831 APR_DRG Cellulitis And Other Skin Infections 8 8 — — $6,499.80 $6,824.79 $6,597.30 2026-07-15
62104827 LOCAL Femoral Component Cruciate Size 5-0482 32 15 $8,532.00 $4,266.00 50% off $4,291.60 $8,105.40 $6,569.64 2026-07-15
33241 CPT Ep Remove Icd Gen Only 33241 32 15 $8,512.00 $4,256.00 50% off $4,281.54 $8,086.40 $6,554.24 2026-07-15
62109312 LOCAL Bone Graft-10931 32 15 $8,499.00 $4,249.50 50% off $4,275.00 $8,074.05 $6,544.23 2026-07-15
62106510 LOCAL Human Dermis Graft Single Use 32 15 $8,479.00 $4,239.50 50% off $4,264.94 $8,055.05 $6,528.83 2026-07-15
69024901 NDC Rituximab-pwr 10mg/ml 50ml Ruxvience 32 15 $8,464.56 $4,232.28 50% off $4,257.67 $8,041.33 $6,517.71 2026-07-15
76075010101 NDC Carfilzomib 60mg 32 15 $8,355.03 $4,177.52 50% off $4,202.58 $7,937.28 $6,433.37 2026-07-15
62110715 LOCAL Device Single Use 110715 32 15 $8,250.00 $4,125.00 50% off $4,149.75 $7,837.50 $6,352.50 2026-07-15
944270006 NDC Immun Glob 20 Gm/200 Ml Gammagard Liq 32 15 $8,249.75 $4,124.88 50% off $4,149.62 $7,837.26 $6,352.31 2026-07-15
1391 APR_DRG Other Pnuemonia 8 8 — — $6,252.77 $6,565.40 $6,346.56 2026-07-15
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 10 6 — — $6,331.00 $6,331.00 $6,331.00 2026-07-15
62100534 LOCAL Set Hyrdo Inj-10054 32 15 $8,216.00 $4,108.00 50% off $4,132.65 $7,805.20 $6,326.32 2026-07-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 13 8 — — $1,752.00 $7,082.00 $6,316.00 2026-07-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 10 6 — — $6,316.00 $6,316.00 $6,316.00 2026-07-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 6 — — $6,316.00 $6,316.00 $6,316.00 2026-07-15
684 MS_DRG Renal Failure Without Cc/mcc 10 6 — — $6,316.00 $6,316.00 $6,316.00 2026-07-15
33223 CPT Ep Pocket Revision For Icd 33223 32 15 $8,181.00 $4,090.50 50% off $4,115.04 $7,771.95 $6,299.37 2026-07-15
33222 CPT Ep Revise/relocate Pocket 33222 32 15 $8,181.00 $4,090.50 50% off $4,115.04 $7,771.95 $6,299.37 2026-07-15
291 MS_DRG Heart Failure And Shock With Mcc 11 7 — — $5,311.00 $6,283.00 $6,283.00 2026-07-15
55513073001 NDC Denosumab 120mg / 1.7 Ml 1ea 32 15 $8,150.40 $4,075.20 50% off $4,099.65 $7,742.88 $6,275.81 2026-07-15
62107931 LOCAL Humeral Head Bone Graft-10793 32 15 $8,100.00 $4,050.00 50% off $4,074.30 $7,695.00 $6,237.00 2026-07-15
13533031805 NDC Rabies Ig (hyperrab) 300u/ml 5ml 32 15 $8,039.77 $4,019.89 50% off $4,044.00 $7,637.78 $6,190.62 2026-07-15
Q4107 HCPCS Graft Jacket Per 1 Sq Cm 128 15 $8,838.00 $4,419.00 50% off $164.98 $8,963.25 $6,132.75 2026-07-15
93612 CPT Ep Rv/lv Pacing 93612 32 15 $7,951.00 $3,975.50 50% off $3,999.35 $7,553.45 $6,122.27 2026-07-15
47541 CPT Placement Of Access Through Biliary Tree 56 33 $8,860.00 $4,430.00 50% off $1,670.11 $8,417.00 $6,098.50 2026-07-15
4691 APR_DRG Acute Kidney Injury 8 8 — — $5,984.19 $6,283.59 $6,074.14 2026-07-15
93662 CPT Ep Intracardiac Echo 93662 32 15 $7,853.00 $3,926.50 50% off $3,950.06 $7,460.35 $6,046.81 2026-07-15
42367054032 NDC Dantrolene 250mg Vial Ryanodex 32 15 $7,833.60 $3,916.80 50% off $3,940.30 $7,441.92 $6,031.87 2026-07-15
62100553 LOCAL Ortho Disposable Item 32 15 $7,773.00 $3,886.50 50% off $3,909.82 $7,384.35 $5,985.21 2026-07-15
93610 CPT Ep Right Atrial Pacing 93610 32 15 $7,736.00 $3,868.00 50% off $3,891.21 $7,349.20 $5,956.72 2026-07-15
3377412 NDC Nivolumab Opdivo 100mg/10ml Vial 32 15 $7,670.62 $3,835.31 50% off $3,858.32 $7,287.09 $5,906.38 2026-07-15
15191113 NDC Ixabepilone Solr 45 Mg 32 15 $7,663.95 $3,831.97 50% off $3,854.97 $7,280.75 $5,901.24 2026-07-15
62109791 LOCAL Proclip 40-10979 32 15 $7,650.00 $3,825.00 50% off $3,847.95 $7,267.50 $5,890.50 2026-07-15
62108331 LOCAL Ortho Device Disp-10833 32 15 $7,587.00 $3,793.50 50% off $3,816.26 $7,207.65 $5,841.99 2026-07-15
24584101 NDC Aflibercept 200mg/8ml Soln 8ml 32 15 $7,566.00 $3,783.00 50% off $3,805.70 $7,187.70 $5,825.82 2026-07-15
50633011012 NDC Antivenin Crotalidae Poly 32 15 $7,561.32 $3,780.66 50% off $3,803.34 $7,183.25 $5,822.22 2026-07-15
50242006101 NDC Bevacizumab Soln 25 Mg/ml 32 15 $7,537.35 $3,768.68 50% off $3,791.29 $7,160.48 $5,803.76 2026-07-15
62110576 LOCAL Device Single Use-110576 32 15 $7,500.00 $3,750.00 50% off $3,772.50 $7,125.00 $5,775.00 2026-07-15
62107997 LOCAL Single Use Disposable Cardio-0799 32 15 $7,485.00 $3,742.50 50% off $3,764.95 $7,110.75 $5,763.45 2026-07-15
78492 CPT Nm PET Myocardial Multiple 78492 32 15 $7,422.00 $3,711.00 50% off $3,733.27 $7,050.90 $5,714.94 2026-07-15
78816 CPT Nm Petct Wb Scan 78816 32 15 $7,422.00 $3,711.00 50% off $3,733.27 $7,050.90 $5,714.94 2026-07-15
78459 CPT Nm PET Myocard Metabolic 78459 32 15 $7,422.00 $3,711.00 50% off $3,733.27 $7,050.90 $5,714.94 2026-07-15
78609 CPT Nm PET Brain Perfusion 78609 32 15 $7,422.00 $3,711.00 50% off $3,733.27 $7,050.90 $5,714.94 2026-07-15
78608 CPT Nm PET Brain Metabolic 78608 32 15 $7,422.00 $3,711.00 50% off $3,733.27 $7,050.90 $5,714.94 2026-07-15
78815 CPT Nm Petct Skull-midthigh 78815 32 15 $7,422.00 $3,711.00 50% off $3,733.27 $7,050.90 $5,714.94 2026-07-15
36252 CPT Vi Renal Art Bilat 36252 32 15 $7,381.00 $3,690.50 50% off $3,712.64 $7,011.95 $5,683.37 2026-07-15
28010 CPT Tenotomy Sw Toe; Single 32 15 $7,355.00 $3,677.50 50% off $3,699.57 $6,987.25 $5,663.35 2026-07-15
33275 CPT Cc Tcat Rmvl Perm Ldls Pm 33275 32 15 $7,352.00 $3,676.00 50% off $3,698.06 $6,984.40 $5,661.04 2026-07-15
15273 CPT Skin Sub Grft T/arm/lg Child 56 33 $9,712.00 $4,856.00 50% off $1,830.71 $9,226.40 $5,608.68 2026-07-15
62100554 LOCAL Collegen Veritas-10055 32 15 $7,278.00 $3,639.00 50% off $3,660.83 $6,914.10 $5,604.06 2026-07-15
62110723 LOCAL Device Single Use-110723 32 15 $7,260.00 $3,630.00 50% off $3,651.78 $6,897.00 $5,590.20 2026-07-15
6292296 LOCAL Annuloplasty Cosgrove-9229 32 15 $7,207.00 $3,603.50 50% off $3,625.12 $6,846.65 $5,549.39 2026-07-15
3470382 LOCAL Sgy Or Time 48 25 $8,517.00 $4,258.50 50% off $1,605.45 $8,091.15 $5,536.05 2026-07-15
3452211 NDC Elotuzumab 400 Mg Vial Empliciti 32 15 $7,177.99 $3,588.99 50% off $3,610.53 $6,819.09 $5,527.05 2026-07-15
63688 CPT Rev Or Rem Impl Spinal Ns Pg Or Receiver 32 15 $7,171.00 $3,585.50 50% off $3,607.01 $6,812.45 $5,521.67 2026-07-15
36578 CPT Rplcmt Cath Ctr Vad Subq Port/pmp 32 15 $7,098.00 $3,549.00 50% off $3,570.29 $6,743.10 $5,465.46 2026-07-15
33235 CPT Ep Remove Ppm Leads Dual 33235 32 15 $7,079.00 $3,539.50 50% off $3,560.74 $6,725.05 $5,450.83 2026-07-15
6283147 LOCAL Ortho Device Disp-8314 32 15 $7,074.00 $3,537.00 50% off $3,558.22 $6,720.30 $5,446.98 2026-07-15
63833038702 NDC Human Prothrombin Complx Kcentra 1000 Un 32 15 $7,031.08 $3,515.54 50% off $3,536.63 $6,679.53 $5,413.93 2026-07-15
57665033101 NDC Cytarabine Liposomal(depocyt) 50ml/5ml 32 15 $7,013.76 $3,506.88 50% off $3,527.92 $6,663.07 $5,400.60 2026-07-15
57894050220 NDC Daratumumab (darazalex) 400mg/20ml 32 15 $6,960.64 $3,480.32 50% off $3,501.20 $6,612.61 $5,359.69 2026-07-15
65597040601 NDC Fam-trastuzumab Deruxtecn Nxki (enhertu) 32 15 $6,945.32 $3,472.66 50% off $3,493.50 $6,598.05 $5,347.90 2026-07-15
13533080024 NDC Immune Globulin 20gm/200ml(gamunex) 32 15 $6,910.80 $3,455.40 50% off $3,476.13 $6,565.26 $5,321.32 2026-07-15
3472529 LOCAL Or Level 4 First 30 Min 48 25 $8,181.00 $4,090.50 50% off $1,542.12 $7,771.95 $5,317.65 2026-07-15
59148007280 NDC Aripiprazole Inj ER 400mg 32 15 $6,874.39 $3,437.20 50% off $3,457.82 $6,530.67 $5,293.28 2026-07-15
62109712 LOCAL Ortho Device-10971 32 15 $6,828.00 $3,414.00 50% off $3,434.48 $6,486.60 $5,257.56 2026-07-15
11012 CPT Debridement Fx/dislc Subq/t/m/f/bone 32 15 $6,809.00 $3,404.50 50% off $3,424.93 $6,468.55 $5,242.93 2026-07-15
62110622 LOCAL Ortho Device Disp-110622 32 15 $6,787.00 $3,393.50 50% off $3,413.86 $6,447.65 $5,225.99 2026-07-15
62110620 LOCAL Ortho Device Disp-110620 32 15 $6,766.00 $3,383.00 50% off $3,403.30 $6,427.70 $5,209.82 2026-07-15
33244 CPT Ep Icd Lead Removal 33244 32 15 $6,710.00 $3,355.00 50% off $3,375.13 $6,374.50 $5,166.70 2026-07-15
Q4128 HCPCS Human Dermis Graft Single Use 96 15 $6,600.00 $3,300.00 50% off $3,137.84 $8,265.00 $5,148.00 2026-07-15
51144002001 NDC Enfortumab Vedotin-ejfv 20 Mg Padcev 32 15 $6,651.06 $3,325.53 50% off $3,345.48 $6,318.51 $5,121.32 2026-07-15
55513020701 NDC Bevacizumbba-awwb 25mg/ml Mavasi 16ml 32 15 $6,608.69 $3,304.34 50% off $3,324.17 $6,278.26 $5,088.69 2026-07-15
6290068 LOCAL Annuloplasty Band Cg -9006 32 15 $6,552.00 $3,276.00 50% off $3,295.66 $6,224.40 $5,045.04 2026-07-15
36254 CPT Vi Renal Art Bil Supersel 36254 56 33 $7,381.00 $3,690.50 50% off $1,391.32 $7,011.95 $5,024.90 2026-07-15
55513022101 NDC Romiplostim Solr 250 Mcg 32 15 $6,520.06 $3,260.03 50% off $3,279.59 $6,194.06 $5,020.45 2026-07-15
31611 CPT Te Fistula W Ins Speech Prosth-31611 32 15 $6,462.00 $3,231.00 50% off $3,250.39 $6,138.90 $4,975.74 2026-07-15
93642 CPT Ep Cardioversion Eval Icd 93642 32 15 $6,449.00 $3,224.50 50% off $3,243.85 $6,126.55 $4,965.73 2026-07-15
62935045345 NDC Leuprolide Ace Syr 45mg (eligard) Ds 32 15 $6,419.71 $3,209.86 50% off $3,229.11 $6,098.72 $4,943.18 2026-07-15
33286 CPT Ep Rmvl Subq Car Rhythm Mntr 33286 32 15 $6,366.00 $3,183.00 50% off $3,202.10 $6,047.70 $4,901.82 2026-07-15
50437 CPT Vi Dilat Xst Trc New Access Rcs 50437 56 33 $8,478.00 $4,239.00 50% off $1,598.10 $8,054.10 $4,896.05 2026-07-15
78491 CPT Nm PET Myocardial Single 78491 32 15 $6,336.00 $3,168.00 50% off $3,187.01 $6,019.20 $4,878.72 2026-07-15
50242013701 NDC Tocilizumab 400 Mg/20ml, 20 Ml Vial 32 15 $6,292.61 $3,146.30 50% off $3,165.18 $5,977.98 $4,845.31 2026-07-15
62110664 LOCAL Ortho Device Disp-110664 32 15 $6,228.00 $3,114.00 50% off $3,132.68 $5,916.60 $4,795.56 2026-07-15
93640 CPT Ep Testing Icd Leads 93640 32 15 $6,222.00 $3,111.00 50% off $3,129.67 $5,910.90 $4,790.94 2026-07-15
62110658 LOCAL Ortho Device Disp-110658 32 15 $6,209.00 $3,104.50 50% off $3,123.13 $5,898.55 $4,780.93 2026-07-15
914 MS_DRG Traumatic Injury Without Mcc 10 6 — — $4,757.00 $4,757.00 $4,757.00 2026-07-15
603 MS_DRG Cellulitis Without Mcc 13 8 — — $4,757.00 $6,554.00 $4,757.00 2026-07-15
93455 CPT Cc Cornary Art Only Grafts 93455 32 15 $6,176.00 $3,088.00 50% off $3,106.53 $5,867.20 $4,755.52 2026-07-15
82959011201 NDC Imetelstat 47 Mg Vial Rytelo 32 15 $6,167.62 $3,083.81 50% off $3,102.31 $5,859.24 $4,749.07 2026-07-15
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 13 8 — — $4,746.00 $7,082.00 $4,746.00 2026-07-15
304 MS_DRG Hypertension With Mcc 10 6 — — $4,746.00 $4,746.00 $4,746.00 2026-07-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 11 7 — — $3,541.00 $4,746.00 $4,746.00 2026-07-15
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 12 7 — — $3,277.00 $4,746.00 $4,746.00 2026-07-15
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 13 8 — — $4,746.00 $8,193.00 $4,746.00 2026-07-15
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 10 6 — — $4,746.00 $4,746.00 $4,746.00 2026-07-15
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 13 8 — — $4,746.00 $10,623.00 $4,746.00 2026-07-15
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 13 8 — — $4,723.00 $12,298.00 $4,723.00 2026-07-15
3470424 LOCAL Sgy Or Time 48 25 $7,238.00 $3,619.00 50% off $1,364.36 $6,876.10 $4,704.70 2026-07-15
28110 CPT Ostectomy, Partial Incision 32 15 $6,054.00 $3,027.00 50% off $3,045.16 $5,751.30 $4,661.58 2026-07-15
93641 CPT Ep Eval Generator & Leads 93641 32 15 $6,049.00 $3,024.50 50% off $3,042.65 $5,746.55 $4,657.73 2026-07-15
597019705 NDC Idarucizumab 2.5 Gm Praxbind Vial 32 15 $6,047.82 $3,023.91 50% off $3,042.05 $5,745.43 $4,656.82 2026-07-15
77301 CPT Imrt Radiotherapy Plan 32 15 $6,035.00 $3,017.50 50% off $3,035.61 $5,733.25 $4,646.95 2026-07-15
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