Price Transparency 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

ST. ALPHONSUS MEDICAL CENTER - BAKER CITY

Baker City, OR · CCN 381315 · Rates published

9,641 distinct procedures filed
58 distinct payers
1,095,897 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

1,062,451 of 1,095,897 rate rows are consumer-grade (96.9%)

33,446 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 32,650
percent-of-charges filed in the dollar field — excluded from medians 700
per-diem day rate — not a per-procedure price 84
placeholder amount (≤ $0.02) — excluded from medians 11
exceeds 10× this hospital's gross charge — excluded from medians 1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/saintalphonsusmedicalcenter-bakercity
Found on page https://www.saintalphonsus.org/for-patients/before-your-visit/price-estimator
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 377a8d272d05189a… · 15,742,140 bytes · first seen 2026-05-05

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
J2326
HCPCS 		Inj Nusinersen 0.1mg 58 $532.44 $441,282.59 $262,011.54 nat. median
$2,677
outlier · 97.9×
J9600
HCPCS 		Porfimer Per 75 Mg 58 $10,195.04 $168,319.92 $99,939.95 nat. median
$31,644
outlier · 3.2×
J1747
HCPCS 		Injection Spesolimab-sbzo 1 Mg 58 $26.47 $166,898.11 $99,095.75 nat. median
$94
outlier · 1056.7×
A9604
HCPCS 		Samarium Sm-153 Lexidronam Therapeutic Per 150 Millicuries 58 $7,594.33 $153,216.00 $90,972.00 nat. median
$11,413
outlier · 8.0×
27800000002-25809
CDM 		Device Impella 5.5 Smartassist 57 $34,036.20 $123,768.00 $73,487.25 nat. median
$69,620
1.1× median
27800000002-25808
CDM 		Device Impella 5.5 Smartassist 57 $34,036.20 $123,768.00 $73,487.25 nat. median
$69,620
1.1× median
A9542
HCPCS 		Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 57 $28,688.00 $104,320.00 $61,940.00 nat. median
$3,656
outlier · 16.9×
27800000002-25880
CDM 		Valve Sapien Thv Edwards Resilia 26mm 57 $25,716.24 $93,513.60 $55,523.70 nat. median
$52,601
1.1× median
27800000002-25879
CDM 		Valve Sapien Thv Edwards Resilia 29mm 57 $25,716.24 $93,513.60 $55,523.70 nat. median
$52,601
1.1× median
27800000002-25881
CDM 		Valve Sapien Thv Edwards Resilia 20mm 57 $25,716.24 $93,513.60 $55,523.70 nat. median
$52,601
1.1× median
27800000002-25878
CDM 		Valve Sapien Thv Edwards Resilia 23mm 57 $25,716.24 $93,513.60 $55,523.70 nat. median
$52,601
1.1× median
A9606
HCPCS 		Radium Ra-223 Dichloride Therapeutic Per Microcurie 58 $71.18 $90,748.67 $53,882.02 nat. median
$266
outlier · 202.2×
27800000002-26188
CDM 		Implant Gammatile Therapy Device 6pk 57 $24,687.59 $89,773.06 $53,302.75 nat. median
$50,497
1.1× median
27800000002-26241
CDM 		Valve Sapien 3 Ultra Thv 26mm W/command System 57 $24,581.70 $89,388.00 $53,074.13 nat. median
$50,281
1.1× median
27800000002-26140
CDM 		Valve Sapien 3 Thv 29mm W/command System 57 $24,581.70 $89,388.00 $53,074.13 nat. median
$50,281
1.1× median
27800000002-26239
CDM 		Valve Sapien 3 Ultra Thv 20mm W/command System 57 $24,581.70 $89,388.00 $53,074.13 nat. median
$50,281
1.1× median
27800000002-26240
CDM 		Valve Sapien 3 Ultra Thv 23mm W/command System 57 $24,581.70 $89,388.00 $53,074.13 nat. median
$50,281
1.1× median
27800000002-25866
CDM 		Valve Mitral Tendyne 33mm Lp 57 $22,690.80 $82,512.00 $48,991.50 nat. median
$46,413
1.1× median
27800000002-26244
CDM 		Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 57 $22,690.80 $82,512.00 $48,991.50 nat. median
$46,413
1.1× median
27800000002-25864
CDM 		Valve Aortic 26mm Evolut Fx 57 $22,690.80 $82,512.00 $48,991.50 nat. median
$46,413
1.1× median
A9504
HCPCS 		Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries 57 $19,624.00 $71,360.00 $42,370.00 nat. median
$871
outlier · 48.6×
7011434001
NDC 		Toripalimab-tpzi 240 Mg/6 Ml (40 mg/mL) Solution 6 Ml Vial 57 $19,562.47 $71,136.24 $42,237.14 nat. median
$24,008
1.8× median
27800000002-26079
CDM 		Set Pump Impella Rp 57 $18,909.00 $68,760.00 $40,826.25 nat. median
$38,678
1.1× median
27200000002-5844
CDM 		Set Pump Cath Sys Rp Flex W/smart Assist 57 $18,909.00 $68,760.00 $40,826.25 nat. median
$36,099
1.1× median
27800000002-25865
CDM 		Impella Rp With Smart Assist 57 $18,909.00 $68,760.00 $40,826.25 nat. median
$38,678
1.1× median
27800000002-26077
CDM 		Set Pump Impella Cp 57 $18,909.00 $68,760.00 $40,826.25 nat. median
$38,678
1.1× median
27800000002-26076
CDM 		Set Pump Impella Cp 57 $18,909.00 $68,760.00 $40,826.25 nat. median
$38,678
1.1× median
27800000002-26078
CDM 		Set Pump Impella Rp 57 $18,909.00 $68,760.00 $40,826.25 nat. median
$38,678
1.1× median
J2350
HCPCS 		Injection Ocrelizumab 1 Mg 58 $25.85 $63,086.02 $37,457.32 nat. median
$712
outlier · 52.6×
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 58 $16,143.60 $58,704.00 $34,855.50 nat. median
$62,507
0.6× median
C2616
HCPCS 		Brachytherapy Source Non-stranded Yttrium-90 Per Source 58 $7,557.88 $55,360.00 $32,870.00 nat. median
$28,125
1.2× median
27800000002-25838
CDM 		Stent Graft Confrm Thor 40x40x20 22f 57 $13,833.82 $50,304.82 $29,868.48 nat. median
$28,296
1.1× median
27800000002-26325
CDM 		Stent Graft Confrm Thor 34x34x10 22f 57 $13,833.82 $50,304.82 $29,868.48 nat. median
$28,296
1.1× median
27800000002-26364
CDM 		Stent Graft Confrm Thor 37x37x20 22f 57 $13,833.82 $50,304.82 $29,868.48 nat. median
$28,296
1.1× median
27800000002-26323
CDM 		Stent Graft Confrm Thor 37x37x10 22f 57 $13,833.82 $50,304.82 $29,868.48 nat. median
$28,296
1.1× median
27800000002-26366
CDM 		Stent Graft Confrm Thor 45x45x20 24f 57 $13,833.82 $50,304.82 $29,868.48 nat. median
$28,296
1.1× median
27800000002-26324
CDM 		Stent Graft Confrm Thor 28x28x10 20f 57 $13,833.82 $50,304.82 $29,868.48 nat. median
$28,296
1.1× median
27800000002-26292
CDM 		Stent Graft Confrm Thor 34x34x15 22f 57 $13,833.82 $50,304.82 $29,868.48 nat. median
$28,296
1.1× median
27800000002-26315
CDM 		Stent Graft Confrm Thor 37x37x15 22f 57 $13,833.82 $50,304.82 $29,868.48 nat. median
$28,296
1.1× median
27800000002-26299
CDM 		Stent Graft Confrm Thor 40x40x15 22f 57 $13,833.82 $50,304.82 $29,868.48 nat. median
$28,296
1.1× median
27800000002-25811
CDM 		Plug Cardiac Amulet Amplatzer 22mm 57 $13,057.80 $47,482.91 $28,192.98 nat. median
$26,709
1.1× median
27800000002-25812
CDM 		Plug Cardiac Amulet Amplatzer 18mm 57 $13,057.80 $47,482.91 $28,192.98 nat. median
$26,709
1.1× median
27800000002-25839
CDM 		Plug Cardiac Amulet Amplatzer 20mm 57 $13,057.80 $47,482.91 $28,192.98 nat. median
$26,709
1.1× median
27800000002-25813
CDM 		Plug Cardiac Amulet Amplatzer 16mm 57 $13,057.80 $47,482.91 $28,192.98 nat. median
$26,709
1.1× median
27800000002-25796
CDM 		Device Clsur Watchman Flx Laa 20mm 57 $12,858.12 $46,756.80 $27,761.85 nat. median
$26,301
1.1× median
27800000002-25912
CDM 		Device Watchman Flx Pro Procedure 57 $12,858.12 $46,756.80 $27,761.85 nat. median
$26,301
1.1× median
27800000002-25857
CDM 		Watchman Flx Procedure - Device 57 $12,858.12 $46,756.80 $27,761.85 nat. median
$26,301
1.1× median
0627T
HCPCS 		Hc Injection Intervertebral Disc Uni/bl W/fluoro Lumbar First Le 58 $5,517.52 $44,198.40 $26,242.80 nat. median
$12,867
outlier · 2.0×
J1302
HCPCS 		Injection Sutimlimab-jome 10 Mg 58 $7.82 $41,838.72 $24,841.74 nat. median
$29
outlier · 857.8×
27800000002-25852
CDM 		Conduit Konect Resilia Aortic Vlv 21mm 57 $11,345.40 $41,256.00 $24,495.75 nat. median
$23,206
1.1× median

Other procedures at this hospital

Browse this hospital's 9,641 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
             
J2326 HCPCS Inj Nusinersen 0.1mg 73 58 $275,801.62 $193,061.13 30% off $532.44 $441,282.59 $262,011.54 2025-01-01
J9600 HCPCS Porfimer Per 75 Mg 73 58 $105,199.95 $73,639.97 30% off $10,195.04 $168,319.92 $99,939.95 2025-01-01
J1747 HCPCS Injection Spesolimab-sbzo 1 Mg 73 58 $104,311.32 $73,017.92 30% off $26.47 $166,898.11 $99,095.75 2025-01-01
A9604 HCPCS Samarium Sm-153 Lexidronam Therapeutic Per 150 Millicuries 73 58 $95,760.00 $67,032.00 30% off $7,594.33 $153,216.00 $90,972.00 2025-01-01
27800000002-25808 CDM Device Impella 5.5 Smartassist 72 57 $77,355.00 $54,148.50 30% off $34,036.20 $123,768.00 $73,487.25 2025-01-01
27800000002-25809 CDM Device Impella 5.5 Smartassist 72 57 $77,355.00 $54,148.50 30% off $34,036.20 $123,768.00 $73,487.25 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 72 57 $65,200.00 $45,640.00 30% off $28,688.00 $104,320.00 $61,940.00 2025-01-01
27800000002-25880 CDM Valve Sapien Thv Edwards Resilia 26mm 72 57 $58,446.00 $40,912.20 30% off $25,716.24 $93,513.60 $55,523.70 2025-01-01
27800000002-25879 CDM Valve Sapien Thv Edwards Resilia 29mm 72 57 $58,446.00 $40,912.20 30% off $25,716.24 $93,513.60 $55,523.70 2025-01-01
27800000002-25881 CDM Valve Sapien Thv Edwards Resilia 20mm 72 57 $58,446.00 $40,912.20 30% off $25,716.24 $93,513.60 $55,523.70 2025-01-01
27800000002-25878 CDM Valve Sapien Thv Edwards Resilia 23mm 72 57 $58,446.00 $40,912.20 30% off $25,716.24 $93,513.60 $55,523.70 2025-01-01
A9606 HCPCS Radium Ra-223 Dichloride Therapeutic Per Microcurie 73 58 $56,717.92 $39,702.54 30% off $71.18 $90,748.67 $53,882.02 2025-01-01
27800000002-26188 CDM Implant Gammatile Therapy Device 6pk 72 57 $56,108.16 $39,275.71 30% off $24,687.59 $89,773.06 $53,302.75 2025-01-01
27800000002-26241 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 72 57 $55,867.50 $39,107.25 30% off $24,581.70 $89,388.00 $53,074.13 2025-01-01
27800000002-26240 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 72 57 $55,867.50 $39,107.25 30% off $24,581.70 $89,388.00 $53,074.13 2025-01-01
27800000002-26140 CDM Valve Sapien 3 Thv 29mm W/command System 72 57 $55,867.50 $39,107.25 30% off $24,581.70 $89,388.00 $53,074.13 2025-01-01
27800000002-26239 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 72 57 $55,867.50 $39,107.25 30% off $24,581.70 $89,388.00 $53,074.13 2025-01-01
27800000002-25866 CDM Valve Mitral Tendyne 33mm Lp 72 57 $51,570.00 $36,099.00 30% off $22,690.80 $82,512.00 $48,991.50 2025-01-01
27800000002-25864 CDM Valve Aortic 26mm Evolut Fx 72 57 $51,570.00 $36,099.00 30% off $22,690.80 $82,512.00 $48,991.50 2025-01-01
27800000002-26244 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 72 57 $51,570.00 $36,099.00 30% off $22,690.80 $82,512.00 $48,991.50 2025-01-01
A9504 HCPCS Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries 72 57 $44,600.00 $31,220.00 30% off $19,624.00 $71,360.00 $42,370.00 2025-01-01
7011434001 NDC Toripalimab-tpzi 240 Mg/6 Ml (40 mg/mL) Solution 6 Ml Vial 72 57 $44,460.15 $31,122.11 30% off $19,562.47 $71,136.24 $42,237.14 2025-01-01
27800000002-26079 CDM Set Pump Impella Rp 72 57 $42,975.00 $30,082.50 30% off $18,909.00 $68,760.00 $40,826.25 2025-01-01
27200000002-5844 CDM Set Pump Cath Sys Rp Flex W/smart Assist 72 57 $42,975.00 $30,082.50 30% off $18,909.00 $68,760.00 $40,826.25 2025-01-01
27800000002-25865 CDM Impella Rp With Smart Assist 72 57 $42,975.00 $30,082.50 30% off $18,909.00 $68,760.00 $40,826.25 2025-01-01
27800000002-26078 CDM Set Pump Impella Rp 72 57 $42,975.00 $30,082.50 30% off $18,909.00 $68,760.00 $40,826.25 2025-01-01
27800000002-26076 CDM Set Pump Impella Cp 72 57 $42,975.00 $30,082.50 30% off $18,909.00 $68,760.00 $40,826.25 2025-01-01
27800000002-26077 CDM Set Pump Impella Cp 72 57 $42,975.00 $30,082.50 30% off $18,909.00 $68,760.00 $40,826.25 2025-01-01
J2350 HCPCS Injection Ocrelizumab 1 Mg 73 58 $39,428.76 $27,600.13 30% off $25.85 $63,086.02 $37,457.32 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 73 58 $36,690.00 $25,683.00 30% off $16,143.60 $58,704.00 $34,855.50 2025-01-01
C2616 HCPCS Brachytherapy Source Non-stranded Yttrium-90 Per Source 73 58 $34,600.00 $24,220.00 30% off $7,557.88 $55,360.00 $32,870.00 2025-01-01
27800000002-26299 CDM Stent Graft Confrm Thor 40x40x15 22f 72 57 $31,440.51 $22,008.36 30% off $13,833.82 $50,304.82 $29,868.48 2025-01-01
27800000002-26324 CDM Stent Graft Confrm Thor 28x28x10 20f 72 57 $31,440.51 $22,008.36 30% off $13,833.82 $50,304.82 $29,868.48 2025-01-01
27800000002-26315 CDM Stent Graft Confrm Thor 37x37x15 22f 72 57 $31,440.51 $22,008.36 30% off $13,833.82 $50,304.82 $29,868.48 2025-01-01
27800000002-26323 CDM Stent Graft Confrm Thor 37x37x10 22f 72 57 $31,440.51 $22,008.36 30% off $13,833.82 $50,304.82 $29,868.48 2025-01-01
27800000002-26364 CDM Stent Graft Confrm Thor 37x37x20 22f 72 57 $31,440.51 $22,008.36 30% off $13,833.82 $50,304.82 $29,868.48 2025-01-01
27800000002-25838 CDM Stent Graft Confrm Thor 40x40x20 22f 72 57 $31,440.51 $22,008.36 30% off $13,833.82 $50,304.82 $29,868.48 2025-01-01
27800000002-26292 CDM Stent Graft Confrm Thor 34x34x15 22f 72 57 $31,440.51 $22,008.36 30% off $13,833.82 $50,304.82 $29,868.48 2025-01-01
27800000002-26366 CDM Stent Graft Confrm Thor 45x45x20 24f 72 57 $31,440.51 $22,008.36 30% off $13,833.82 $50,304.82 $29,868.48 2025-01-01
27800000002-26325 CDM Stent Graft Confrm Thor 34x34x10 22f 72 57 $31,440.51 $22,008.36 30% off $13,833.82 $50,304.82 $29,868.48 2025-01-01
27800000002-25812 CDM Plug Cardiac Amulet Amplatzer 18mm 72 57 $29,676.82 $20,773.77 30% off $13,057.80 $47,482.91 $28,192.98 2025-01-01
27800000002-25811 CDM Plug Cardiac Amulet Amplatzer 22mm 72 57 $29,676.82 $20,773.77 30% off $13,057.80 $47,482.91 $28,192.98 2025-01-01
27800000002-25839 CDM Plug Cardiac Amulet Amplatzer 20mm 72 57 $29,676.82 $20,773.77 30% off $13,057.80 $47,482.91 $28,192.98 2025-01-01
27800000002-25813 CDM Plug Cardiac Amulet Amplatzer 16mm 72 57 $29,676.82 $20,773.77 30% off $13,057.80 $47,482.91 $28,192.98 2025-01-01
27800000002-25796 CDM Device Clsur Watchman Flx Laa 20mm 72 57 $29,223.00 $20,456.10 30% off $12,858.12 $46,756.80 $27,761.85 2025-01-01
27800000002-25912 CDM Device Watchman Flx Pro Procedure 72 57 $29,223.00 $20,456.10 30% off $12,858.12 $46,756.80 $27,761.85 2025-01-01
27800000002-25857 CDM Watchman Flx Procedure - Device 72 57 $29,223.00 $20,456.10 30% off $12,858.12 $46,756.80 $27,761.85 2025-01-01
0627T HCPCS Hc Injection Intervertebral Disc Uni/bl W/fluoro Lumbar First Le 73 58 $27,624.00 $19,336.80 30% off $5,517.52 $44,198.40 $26,242.80 2025-01-01
J1302 HCPCS Injection Sutimlimab-jome 10 Mg 73 58 $26,149.20 $18,304.44 30% off $7.82 $41,838.72 $24,841.74 2025-01-01
27800000002-25852 CDM Conduit Konect Resilia Aortic Vlv 21mm 72 57 $25,785.00 $18,049.50 30% off $11,345.40 $41,256.00 $24,495.75 2025-01-01
27800000002-25853 CDM Conduit Konect Resilia Aortic Vlv 21mm 72 57 $25,785.00 $18,049.50 30% off $11,345.40 $41,256.00 $24,495.75 2025-01-01
27800000002-25855 CDM Conduit Konect Resilia Aortic Vlv 25mm 72 57 $25,785.00 $18,049.50 30% off $11,345.40 $41,256.00 $24,495.75 2025-01-01
27800000002-25854 CDM Conduit Konect Resilia Aortic Vlv 23mm 72 57 $25,785.00 $18,049.50 30% off $11,345.40 $41,256.00 $24,495.75 2025-01-01
27800000002-25856 CDM Conduit Konect Resilia Aortic Vlv 29mm 72 57 $25,785.00 $18,049.50 30% off $11,345.40 $41,256.00 $24,495.75 2025-01-01
27800000002-25914 CDM Conduit Konect Resilia Aortic Vlv 27mm 72 57 $25,785.00 $18,049.50 30% off $11,345.40 $41,256.00 $24,495.75 2025-01-01
A9572 HCPCS Indium In-111 Pentetreotide Diagnostic Per 6 Millicuries 72 57 $25,545.00 $17,881.50 30% off $11,239.80 $40,872.00 $24,267.75 2025-01-01
27200000002-5503 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 72 57 $25,006.66 $17,504.66 30% off $11,002.93 $40,010.66 $23,756.33 2025-01-01
L8614 HCPCS Dual K2 Processor Kit - Includ 216 57 $26,307.58 $18,415.31 30% off $9,719.23 $44,834.96 $23,676.82 2025-01-01
27200000002-5504 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 72 57 $24,839.00 $17,387.30 30% off $10,929.16 $39,742.40 $23,597.05 2025-01-01
27200000002-5505 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 72 57 $24,839.00 $17,387.30 30% off $10,929.16 $39,742.40 $23,597.05 2025-01-01
27800000002-25907 CDM Kt Processor Dual N8 72 57 $24,749.11 $17,324.38 30% off $10,889.61 $39,598.58 $23,511.65 2025-01-01
C1882 HCPCS Icd Crtd Cobalt Xt Hf Quad MRI Is4 Df4 216 57 $25,208.79 $17,646.15 30% off $10,648.79 $43,428.82 $23,338.95 2025-01-01
A9582 HCPCS Iodine I-123 Iobenguane Diagnostic Per Study Dose Up To 15 Millicuries 72 57 $24,445.60 $17,111.92 30% off $10,756.06 $39,112.96 $23,223.32 2025-01-01
27800000002-25815 CDM Device Embol Pipeline Flex 4.25x18mm 72 57 $23,689.97 $16,582.98 30% off $10,423.59 $37,903.95 $22,505.47 2025-01-01
27800000002-25814 CDM Device Embol Pipeline Flex 4.25x14mm 72 57 $23,689.97 $16,582.98 30% off $10,423.59 $37,903.95 $22,505.47 2025-01-01
27800000002-25816 CDM Device Embol Pipeline Flex 3.75x12mm 72 57 $23,689.97 $16,582.98 30% off $10,423.59 $37,903.95 $22,505.47 2025-01-01
A9566 HCPCS Technetium Tc-99m Fanolesomab Diagnostic Per Study Dose Up To 25 Millicuries 72 57 $23,437.65 $16,406.36 30% off $10,312.57 $37,500.24 $22,265.77 2025-01-01
C1721 HCPCS Icd Cobalt Xt Dr MRI Is1 Df4 216 57 $23,360.24 $16,352.17 30% off $10,187.28 $39,574.00 $22,192.23 2025-01-01
27800000002-26155 CDM Device Epi-sense 3cm Guide 72 57 $22,839.25 $15,987.48 30% off $10,049.27 $36,542.80 $21,697.29 2025-01-01
27800000002-26025 CDM Excluder Aort Ibc 23x12x10 Fa 72 57 $21,706.34 $15,194.44 30% off $9,550.79 $34,730.14 $20,621.02 2025-01-01
27800000002-26026 CDM Excluder Aort Ibc 23x14x10 Fa 72 57 $21,630.45 $15,141.32 30% off $9,517.40 $34,608.72 $20,548.93 2025-01-01
27800000002-26015 CDM Excluder Aort C3 23x14.5x16cm 72 57 $21,576.25 $15,103.38 30% off $9,493.55 $34,522.00 $20,497.44 2025-01-01
27800000002-26016 CDM Excluder Aort C3 26x14.5x12cm 72 57 $21,576.25 $15,103.38 30% off $9,493.55 $34,522.00 $20,497.44 2025-01-01
27800000002-26019 CDM Excluder Aort C3 28x14.5x16cm 72 57 $21,576.25 $15,103.38 30% off $9,493.55 $34,522.00 $20,497.44 2025-01-01
27800000002-26021 CDM Excluder Aort C3 35x14.5x14cm 72 57 $21,576.25 $15,103.38 30% off $9,493.55 $34,522.00 $20,497.44 2025-01-01
27800000002-26017 CDM Excluder Aort C3 26x14.5x14cm 72 57 $21,576.25 $15,103.38 30% off $9,493.55 $34,522.00 $20,497.44 2025-01-01
27800000002-26018 CDM Excluder Aort C3 28x14.5x12cm 72 57 $21,576.25 $15,103.38 30% off $9,493.55 $34,522.00 $20,497.44 2025-01-01
27800000002-26020 CDM Excluder Aort C3 31x14.5x13cm 72 57 $21,576.25 $15,103.38 30% off $9,493.55 $34,522.00 $20,497.44 2025-01-01
27800000002-26014 CDM Excluder Aort C3 23x14.5x12cm 72 57 $21,576.25 $15,103.38 30% off $9,493.55 $34,522.00 $20,497.44 2025-01-01
J9022 HCPCS Atezolizumab Per 10 Mg 73 58 $21,211.84 $14,848.29 30% off $36.93 $33,938.94 $20,151.25 2025-01-01
61635 HCPCS Hc Placement Transcatheter Stent Intracranial W/balloon Angiopla 72 57 $21,072.00 $14,750.40 30% off $9,271.68 $33,715.20 $20,018.40 2025-01-01
C1722 HCPCS Icd Cobalt Xt Vr MRI Df4 288 57 $21,471.00 $15,029.70 30% off $8,704.43 $51,146.43 $19,529.16 2025-01-01
J2356 HCPCS Injection Tezepelumab-ekko 1 Mg 73 58 $20,198.60 $14,139.02 30% off $7.83 $32,317.76 $19,188.67 2025-01-01
J9203 HCPCS Gemtuzumab Ozogamicin Per 0.1 Mg 73 58 $19,500.62 $13,650.43 30% off $99.56 $31,200.99 $18,525.59 2025-01-01
J0739 HCPCS Injection Cabotegravir Per 1 Mg 72 57 $19,345.05 $13,541.54 30% off $8,511.82 $30,952.08 $18,377.80 2025-01-01
4970223803 NDC Injection Cabotegravir Per 1 Mg 72 57 $19,345.05 $13,541.54 30% off $8,511.82 $30,952.08 $18,377.80 2025-01-01
27800000002-26090 CDM Stent Endur Aaa Bif 23x14x103 72 57 $18,897.64 $13,228.35 30% off $8,314.96 $30,236.22 $17,952.76 2025-01-01
27800000002-26092 CDM Stent Endur Aaa Bif 28x14x103 72 57 $18,897.64 $13,228.35 30% off $8,314.96 $30,236.22 $17,952.76 2025-01-01
27800000002-26091 CDM Stent Endur Aaa Bif 25x14x103 72 57 $18,897.64 $13,228.35 30% off $8,314.96 $30,236.22 $17,952.76 2025-01-01
J2327 HCPCS Risankizumab-rzaa 60 mg/mL Solution 10 Ml Vial 73 58 $18,038.98 $12,627.29 30% off $6.60 $28,862.37 $17,137.03 2025-01-01
J1440 HCPCS Fecal Microbiota Jsml 1 Ml 73 58 $18,000.00 $12,600.00 30% off $27.81 $28,800.00 $17,100.00 2025-01-01
C2624 HCPCS System Cardiomems Hosp Electronics 144 57 $17,682.00 $12,377.40 30% off $7,780.08 $46,756.80 $16,974.72 2025-01-01
A9587 HCPCS Gallium Ga-68 Dotatate Diagnostic 0.1 Millicurie 72 57 $17,500.00 $12,250.00 30% off $7,700.00 $28,000.00 $16,625.00 2025-01-01
36000000015 CDM Hc Or Robotic Level Ii Initial 30 Minutes 72 57 $16,422.00 $11,495.40 30% off $7,225.68 $26,275.20 $15,600.90 2025-01-01
J2323 HCPCS Natalizumab Per 1 Mg 73 58 $16,418.70 $11,493.09 30% off $10.66 $26,269.92 $15,597.77 2025-01-01
27800000002-26130 CDM Valve Aortic Inspiris 25 25mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-26124 CDM Valve Aortic Inspiris 19 19mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-26131 CDM Valve Aortic Inspiris 27 27mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-26133 CDM Valve Aortic Inspiris 29 29mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-25861 CDM Valve Mitral Mitris Resilia Sz 31 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-26129 CDM Valve Aortic Inspiris 25 25mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-26127 CDM Valve Aortic Inspiris 23 23mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-25859 CDM Valve Mitral Mitris Resilia Sz 29 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-25860 CDM Valve Mitral Mitris Resilia Sz 33 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-25863 CDM Valve Mitral Mitris Resilia Sz 27 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-26125 CDM Valve Aortic Inspiris 21 21mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-25862 CDM Valve Mitral Mitris Resilia Sz 25 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-26126 CDM Valve Aortic Inspiris 21 21mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-26128 CDM Valve Aortic Inspiris 23 23mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-26132 CDM Valve Aortic Inspiris 29 29mm 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
27800000002-25858 CDM Valve Mitral Mitris Resilia Sz 29 72 57 $16,408.48 $11,485.94 30% off $7,219.73 $26,253.57 $15,588.06 2025-01-01
4970223801 NDC Injection Cabotegravir Per 1 Mg 72 57 $16,314.45 $11,420.12 30% off $7,178.36 $26,103.12 $15,498.73 2025-01-01
C1786 HCPCS Pacemaker Vr Pm 19.5f 38.5mm Rv 504 57 $18,418.75 $12,893.13 30% off $2,192.25 $41,156.96 $15,162.07 2025-01-01
J0135 HCPCS Injection Adalimumab 20 Mg 73 58 $15,918.58 $11,143.01 30% off $807.18 $25,469.73 $15,122.65 2025-01-01
27200000002-5754 CDM Dvt Price Per Precedure Replc Parts 72 57 $15,787.50 $11,051.25 30% off $6,946.50 $25,260.00 $14,998.13 2025-01-01
27800000002-25908 CDM Capri Cervical Expandable Corpectomy Cage With Set Screw 12x14mm 72 57 $14,948.13 $10,463.69 30% off $6,577.18 $23,917.01 $14,200.72 2025-01-01
36000000011 CDM Hc Or Level Vi Initial 30 Minutes 72 57 $14,689.00 $10,282.30 30% off $6,463.16 $23,502.40 $13,954.55 2025-01-01
27800000002-26134 CDM Valve Aortic Root 29mm Stntlss Bioprosthetic Procine Freestyl 72 57 $14,524.50 $10,167.15 30% off $6,390.78 $23,239.20 $13,798.28 2025-01-01
J9033 HCPCS Injection Bendamustine Hcl (treanda) 1 Mg 73 58 $14,338.95 $10,037.27 30% off $3.68 $22,942.32 $13,622.00 2025-01-01
0628T HCPCS Hc Injection Intervertebral Disc Uni/bl W/fluoro Lumbar Ea Addit 72 57 $13,812.00 $9,668.40 30% off $6,077.28 $22,099.20 $13,121.40 2025-01-01
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg Recon Soln 1 Each Vial 73 58 $13,712.00 $9,598.40 30% off $76.91 $21,939.20 $13,026.40 2025-01-01
36000000013 CDM Hc Or Robotic Level I Initial 30 Minutes 72 57 $13,564.00 $9,494.80 30% off $5,968.16 $21,702.40 $12,885.80 2025-01-01
J9311 HCPCS Rituximab 10 Mg And Hyaluronidase 73 58 $13,153.16 $9,207.21 30% off $16.39 $21,045.06 $12,495.50 2025-01-01
J9306 HCPCS Pertuzumab Per 1 Mg 73 58 $13,053.57 $9,137.50 30% off $6.78 $20,885.71 $12,400.89 2025-01-01
J0401 HCPCS Inj Aripiprazole Ext Rel 1mg 73 58 $12,968.45 $9,077.92 30% off $3.00 $20,749.52 $12,320.03 2025-01-01
27800000002-26119 CDM Valve Aort Magna Ease 21mm Perimount Magna Ease 72 57 $12,701.57 $8,891.10 30% off $5,588.69 $20,322.51 $12,066.49 2025-01-01
7290385301 NDC Injection Mirvetuximab Soravtansin-gynx 1 Mg 72 57 $12,688.80 $8,882.16 30% off $5,583.07 $20,302.08 $12,054.36 2025-01-01
27800000002-26121 CDM Valve Aort Magna Ease 25mm Perimount Magna Ease 72 57 $12,619.48 $8,833.64 30% off $5,552.57 $20,191.17 $11,988.51 2025-01-01
27800000002-26120 CDM Valve Aort Magna Ease 23mm Perimount Magna Ease 72 57 $12,619.48 $8,833.64 30% off $5,552.57 $20,191.17 $11,988.51 2025-01-01
27800000002-26122 CDM Valve Aort Magna Ease 27mm Perimount Magna Ease 72 57 $12,619.48 $8,833.64 30% off $5,552.57 $20,191.17 $11,988.51 2025-01-01
27800000002-25848 CDM Sable 12x30mm 7-14mm 15deg 72 57 $12,558.43 $8,790.90 30% off $5,525.71 $20,093.49 $11,930.51 2025-01-01
27800000002-25847 CDM Sable 12x30mm 10-17mm 15deg 72 57 $12,558.43 $8,790.90 30% off $5,525.71 $20,093.49 $11,930.51 2025-01-01
27800000002-25846 CDM Sable 12x26mm 7-14mm 15deg 72 57 $12,558.43 $8,790.90 30% off $5,525.71 $20,093.49 $11,930.51 2025-01-01
A9600 HCPCS Strontium Sr-89 Chloride Therapeutic Per Millicurie 73 58 $12,447.50 $8,713.25 30% off $1,828.89 $19,916.00 $11,825.13 2025-01-01
J9332 HCPCS Efgartigimod Alfa-fcab 20 mg/mL Solution 20 Ml Vial 73 58 $12,380.76 $8,666.53 30% off $14.11 $19,809.22 $11,761.72 2025-01-01
A9584 HCPCS Iodine I-123 Ioflupane Diagnostic Per Study Dose Up To 5 Millicuries 72 57 $12,340.00 $8,638.00 30% off $5,429.60 $19,744.00 $11,723.00 2025-01-01
0597019705 NDC idaruCIZUmab 2.5 Gram/50 Ml Solution 50 Ml Vial 72 57 $12,265.50 $8,585.85 30% off $5,396.82 $19,624.80 $11,652.23 2025-01-01
36000000009 CDM Hc Or Level V Initial 30 Minutes 72 57 $12,240.00 $8,568.00 30% off $5,385.60 $19,584.00 $11,628.00 2025-01-01
Q5115 HCPCS Injection Rituximab-abbs Biosimilar (Truxima) Per 10 Mg 73 58 $12,035.25 $8,424.68 30% off $13.63 $19,256.40 $11,433.49 2025-01-01
27800000002-26136 CDM Valve Graft Vascutek 23mm Ascending Aortic Prosthesis 72 57 $11,935.35 $8,354.75 30% off $5,251.55 $19,096.56 $11,338.58 2025-01-01
27800000002-26135 CDM Valve Graft Vascutek 21mm Ascending Aortic Prosthesis 72 57 $11,935.35 $8,354.75 30% off $5,251.55 $19,096.56 $11,338.58 2025-01-01
J2506 HCPCS Injection Pegfilgrastim Excludes Biosimilar 0.5 Mg 73 58 $11,806.54 $8,264.58 30% off $48.29 $18,890.46 $11,216.21 2025-01-01
45000000033 CDM Hc Insertion/removal/replacement Cath 72 57 $11,740.00 $8,218.00 30% off $5,165.60 $18,784.00 $11,153.00 2025-01-01
A9586 HCPCS Florbetapir F18 Diagnostic Per Study Dose Up To 10 Millicuries 72 57 $11,602.75 $8,121.93 30% off $5,105.21 $18,564.40 $11,022.61 2025-01-01
27800000002-26372 CDM Clip Articlip Device 35mm Prov 72 57 $11,577.50 $8,104.25 30% off $5,094.10 $18,524.00 $10,998.63 2025-01-01
27800000002-26373 CDM Clip Articlip Device 40mm Prov 72 57 $11,577.50 $8,104.25 30% off $5,094.10 $18,524.00 $10,998.63 2025-01-01
27800000002-26367 CDM Clip Articlip Device 50mm Prov 72 57 $11,577.50 $8,104.25 30% off $5,094.10 $18,524.00 $10,998.63 2025-01-01
27800000002-26258 CDM Clip Articlip Device 45mm Prov 72 57 $11,577.50 $8,104.25 30% off $5,094.10 $18,524.00 $10,998.63 2025-01-01
27800000002-26257 CDM Clip Articlip Device 45mm Prov 72 57 $11,577.50 $8,104.25 30% off $5,094.10 $18,524.00 $10,998.63 2025-01-01
J0717 HCPCS Certolizumab Pegol Per 1 Mg 73 58 $11,438.38 $8,006.87 30% off $2.03 $18,301.41 $10,866.46 2025-01-01
27200000002-5525 CDM Clamp Isol Synergy Encompass 72 57 $11,367.00 $7,956.90 30% off $5,001.48 $18,187.20 $10,798.65 2025-01-01
27200000002-5526 CDM Clamp Isol Synergy Encompass 72 57 $11,367.00 $7,956.90 30% off $5,001.48 $18,187.20 $10,798.65 2025-01-01
27200000002-5527 CDM Clamp Isol Synergy Encompass 72 57 $11,367.00 $7,956.90 30% off $5,001.48 $18,187.20 $10,798.65 2025-01-01
J9271 HCPCS Pembrolizumab Per 1 Mg 73 58 $11,337.36 $7,936.15 30% off $25.22 $18,139.78 $10,770.49 2025-01-01
J9321 HCPCS Injection Epcoritamab-bysp 0.16 Mg 145 58 $6,439.15 $4,507.41 30% off $23.66 $49,452.67 $10,302.64 2025-01-01
A9547 HCPCS Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie 72 57 $10,776.60 $7,543.62 30% off $4,741.70 $17,242.56 $10,237.77 2025-01-01
C1817 HCPCS System Del Ampltz 9f 80cm 180d 576 57 $16,652.66 $11,656.86 30% off $963.16 $33,663.17 $9,982.75 2025-01-01
J0490 HCPCS Belimumab Per 10 Mg 73 58 $10,217.85 $7,152.50 30% off $23.80 $16,348.56 $9,706.96 2025-01-01
C2621 HCPCS Pacemaker Crtp Serena MRI Quad 432 57 $10,278.50 $7,194.95 30% off $3,954.87 $19,032.58 $9,678.79 2025-01-01
A9570 HCPCS Indium In-111 Labeled Autologous White Blood Cells Diagnostic Per Study Dose 72 57 $10,049.90 $7,034.93 30% off $4,421.96 $16,079.84 $9,547.41 2025-01-01
27800000002-26137 CDM Valve Mitral 25mm Mosaic 310 W/cinch Holder 72 57 $9,926.80 $6,948.76 30% off $4,367.79 $15,882.88 $9,430.46 2025-01-01
50693 HCPCS Hc Placement Stent Ureteral Existing Tract Bl 214 58 $9,818.00 $6,872.60 30% off $1,461.50 $23,563.20 $9,425.28 2025-01-01
C1761 HCPCS Cath Shockwave C2+ Ivl 4x12mm 72 57 $9,893.50 $6,925.45 30% off $4,353.14 $15,829.60 $9,398.83 2025-01-01
27800000002-26138 CDM Valve Mitral 27mm Mosaic 310 Bioprosthetic 72 57 $9,880.03 $6,916.02 30% off $4,347.21 $15,808.05 $9,386.03 2025-01-01
27800000002-26200 CDM Valve Mitral 31mm Mosaic 310 72 57 $9,820.67 $6,874.47 30% off $4,321.09 $15,713.07 $9,329.64 2025-01-01
27800000002-26139 CDM Valve Mitral 29mm Mosaic 310 72 57 $9,800.88 $6,860.62 30% off $4,312.39 $15,681.41 $9,310.84 2025-01-01
27800000002-26396 CDM Valve Aortic Ultra 25mm Mosaic 72 57 $9,750.36 $6,825.25 30% off $4,290.16 $15,600.58 $9,262.84 2025-01-01
27800000002-26237 CDM Valve Mitral 33mm Mosaic 310 72 57 $9,716.07 $6,801.25 30% off $4,275.07 $15,545.71 $9,230.27 2025-01-01
27800000002-25906 CDM Perf P-m Bp Upcharge 72 57 $9,672.48 $6,770.74 30% off $4,255.89 $15,475.97 $9,188.86 2025-01-01
C1896 HCPCS Electrd Sq Emblem S-icd 72 57 $9,548.28 $6,683.80 30% off $4,201.24 $15,277.25 $9,070.87 2025-01-01
27800000002-26414 CDM Valve Aortic Ultra 23mm Mosaic 72 57 $9,506.18 $6,654.33 30% off $4,182.72 $15,209.89 $9,030.87 2025-01-01
27800000002-25926 CDM Applier Endoanchor Heli-fx 72 57 $9,499.87 $6,649.91 30% off $4,179.94 $15,199.79 $9,024.88 2025-01-01
27800000002-26094 CDM Stent Endur Ii Limb 16x13x124 Contralateral Limb 72 57 $9,425.14 $6,597.60 30% off $4,147.06 $15,080.22 $8,953.88 2025-01-01
27800000002-26415 CDM Valve Aortic Ultra 27mm Mosaic Cinch Ii 72 57 $9,424.78 $6,597.35 30% off $4,146.90 $15,079.65 $8,953.54 2025-01-01
C1062 HCPCS Spinejack Case Kit 5.0mm 72 57 $9,381.04 $6,566.73 30% off $4,127.66 $15,009.66 $8,911.99 2025-01-01
27800000002-26095 CDM Stent Endur Ii Limb 16x13x93 Contralateral Limb 72 57 $9,330.41 $6,531.29 30% off $4,105.38 $14,928.66 $8,863.89 2025-01-01
27800000002-26407 CDM Valve Aortic Ultra 21mm Mosaic 72 57 $9,262.00 $6,483.40 30% off $4,075.28 $14,819.20 $8,798.90 2025-01-01
27200000002-5590 CDM Probe Ablation 15mm Dual Optablate 72 57 $9,207.27 $6,445.09 30% off $4,051.20 $14,731.63 $8,746.91 2025-01-01
27200000002-5591 CDM Probe Ablation 20mm Dual Optablate 72 57 $9,207.27 $6,445.09 30% off $4,051.20 $14,731.63 $8,746.91 2025-01-01
C1820 HCPCS Eterna 16 Channel Ipg Pt Cntrl Chrg 288 57 $27,160.20 $19,012.14 30% off $74.14 $56,328.19 $8,672.84 2025-01-01
36000000007 CDM Hc Or Level IV Initial 30 Minutes 72 57 $9,056.00 $6,339.20 30% off $3,984.64 $14,489.60 $8,603.20 2025-01-01
A9571 HCPCS Indium In-111 Labeled Autologous Platelets Diagnostic Per Study Dose 72 57 $9,002.25 $6,301.58 30% off $3,960.99 $14,403.60 $8,552.14 2025-01-01
27100000002-106 CDM Valve Inline Certas W/sphgrd 72 57 $8,931.85 $6,252.30 30% off $3,930.01 $14,290.96 $8,485.26 2025-01-01
27100000002-105 CDM Valve Inline Certas W/sphgrd 72 57 $8,931.85 $6,252.30 30% off $3,930.01 $14,290.96 $8,485.26 2025-01-01
27800000002-25822 CDM Colosseum Mesh 14x16mm 20mm 72 57 $8,912.57 $6,238.80 30% off $3,921.53 $14,260.11 $8,466.94 2025-01-01
27800000002-25825 CDM Colosseum Mesh 12x14mm 20mm 72 57 $8,912.57 $6,238.80 30% off $3,921.53 $14,260.11 $8,466.94 2025-01-01
27800000002-26008 CDM Excluder Aort 23mmx12cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-25998 CDM Excluder Aort 16mmx13.5cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-25994 CDM Excluder Aort 14.5mmx10cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26007 CDM Excluder Aort 23mmx10cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26005 CDM Excluder Aort 20mmx13.5cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-25995 CDM Excluder Aort 14.5mmx12cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26003 CDM Excluder Aort 18mmx9.5cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-25993 CDM Excluder Aort 12mmx14cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-25992 CDM Excluder Aort 12mmx12cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-25997 CDM Excluder Aort 16mmx11.5cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26009 CDM Excluder Aort 27mmx10cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-25991 CDM Excluder Aort 12mmx10cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26001 CDM Excluder Aort 18mmx11.5cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-25996 CDM Excluder Aort 14.5mmx14cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26011 CDM Excluder Aort 27mmx14cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26004 CDM Excluder Aort 20mmx11.5cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26000 CDM Excluder Aort 16mmx9.5cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26006 CDM Excluder Aort 20mmx9.5cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26002 CDM Excluder Aort 18mmx13.5cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26010 CDM Excluder Aort 27mmx12cm 72 57 $8,841.00 $6,188.70 30% off $3,890.04 $14,145.60 $8,398.95 2025-01-01
27800000002-26096 CDM Stent Endur Ii Limb 16x16x93 Contralateral Limb 72 57 $8,809.43 $6,166.60 30% off $3,876.15 $14,095.09 $8,368.96 2025-01-01
J1162 HCPCS Injection Digoxin Immune Fab (ovine) Per Vial 73 58 $8,798.82 $6,159.17 30% off $2,102.07 $14,078.11 $8,358.88 2025-01-01
J0741 HCPCS Cabotegravir-rilpivirine 600-900 Mg 600 Mg/3 Ml- 900 Mg/3 Ml Suspensionextended … 145 58 $13,051.56 $9,136.09 30% off $9.95 $20,882.50 $8,353.00 2025-01-01
J3101 HCPCS Injection Tenecteplase 1 Mg 145 58 $8,663.56 $6,064.49 30% off $67.37 $23,102.82 $8,317.02 2025-01-01
27800000002-26123 CDM Valve Aort Mech Conform 19mm 72 57 $8,588.40 $6,011.88 30% off $3,778.90 $13,741.44 $8,158.98 2025-01-01
L8612 HCPCS Valve Shunt Strata Prog Reg No Cath - Valve Only 72 57 $8,420.00 $5,894.00 30% off $3,704.80 $13,472.00 $7,999.00 2025-01-01
J9034 HCPCS Injection Bendamustine Hydrochloride 1 Mg 73 58 $8,355.30 $5,848.71 30% off $6.09 $13,368.48 $7,937.54 2025-01-01
A9507 HCPCS Indium In-111 Capromab Pendetide Diagnostic Per Study Dose Up To 10 Millicuries 72 57 $8,326.25 $5,828.38 30% off $3,663.55 $13,322.00 $7,909.94 2025-01-01
J2997 HCPCS Injection Alteplase Recombinant 1 Mg 217 58 $8,492.36 $5,944.65 30% off $39.08 $27,175.52 $7,897.89 2025-01-01
A9569 HCPCS Technetium Tc-99m Exametazime Labeled Autologous White Blood Cells Diagnostic Pe… 72 57 $8,194.15 $5,735.91 30% off $3,605.43 $13,110.64 $7,784.44 2025-01-01
27800000002-26384 CDM Clip Atriclip Laa Excl 45mm 72 57 $8,191.97 $5,734.38 30% off $3,604.47 $13,107.15 $7,782.37 2025-01-01
27800000002-26404 CDM Clip Atriclip Laa Excl 50mm 72 57 $8,156.88 $5,709.82 30% off $3,589.03 $13,051.01 $7,749.04 2025-01-01
27800000002-26419 CDM Clip Atriclip Laa Excl 35mm 72 57 $8,104.25 $5,672.98 30% off $3,565.87 $12,966.80 $7,699.04 2025-01-01
27800000002-26432 CDM Clip Atriclip Laa Excl 40mm 72 57 $8,104.25 $5,672.98 30% off $3,565.87 $12,966.80 $7,699.04 2025-01-01
27800000002-26383 CDM Clip Atriclip Laa Excl 45mm 72 57 $8,104.25 $5,672.98 30% off $3,565.87 $12,966.80 $7,699.04 2025-01-01
27800000002-26433 CDM Clip Atriclip Laa Excl 40mm 72 57 $8,104.25 $5,672.98 30% off $3,565.87 $12,966.80 $7,699.04 2025-01-01
J0897 HCPCS Denosumab Per 1 Mg 145 58 $7,986.80 $5,590.76 30% off $11.08 $23,505.92 $7,667.33 2025-01-01
Q5111 HCPCS Njection Pegfilgrastim-cbqv Biosimilar (udenyca) 0.5 Mg 73 58 $8,057.76 $5,640.43 30% off $59.62 $12,892.42 $7,654.87 2025-01-01
C1813 HCPCS Cylinder Titan Touch 20cm Zero Angl 288 57 $18,266.14 $12,786.30 30% off $1,984.85 $32,861.58 $7,649.68 2025-01-01
J9041 HCPCS Injection Bortezomib 0.1 Mg 73 58 $8,015.00 $5,610.50 30% off $0.91 $12,824.00 $7,614.25 2025-01-01
27800000002-26357 CDM Valve Strata Reg Nsc 72 57 $7,965.26 $5,575.68 30% off $3,504.71 $12,744.42 $7,567.00 2025-01-01
27800000002-26358 CDM Valve Strata Reg Nsc 72 57 $7,965.26 $5,575.68 30% off $3,504.71 $12,744.42 $7,567.00 2025-01-01
27800000002-26093 CDM Stent Endur Ii Aoext 23x23x49 Aortic Extension 72 57 $7,909.54 $5,536.68 30% off $3,480.20 $12,655.26 $7,514.06 2025-01-01
J9354 HCPCS Ado-trastuzumab Per 1 Mg 145 58 $12,453.58 $8,717.51 30% off $16.91 $19,925.73 $7,472.16 2025-01-01
C1764 HCPCS Recorder Icm Biomonitor Iiim 144 57 $7,735.88 $5,415.12 30% off $3,403.79 $15,644.37 $7,426.44 2025-01-01
J1448 HCPCS Trilaciclib 300 Mg Recon Soln 1 Each Vial 73 58 $7,740.00 $5,418.00 30% off $2.33 $12,384.00 $7,353.00 2025-01-01
27800000002-26360 CDM Liquid Embolic Trufill Sys 1ml N Bca 72 57 $7,570.42 $5,299.29 30% off $3,330.98 $12,112.67 $7,191.90 2025-01-01
27800000002-26361 CDM Liquid Embolic Trufill Sys 1ml N Bca 72 57 $7,570.42 $5,299.29 30% off $3,330.98 $12,112.67 $7,191.90 2025-01-01
A9521 HCPCS Technetium Tc-99m Exametazime Diagnostic Per Study Dose Up To 25 Millicuries 72 57 $7,382.05 $5,167.44 30% off $3,248.10 $11,811.28 $7,012.95 2025-01-01
Q5122 HCPCS Injection Pegfilgrastim-apgf Biosimilar (nyvepria) 0.5 Mg 73 58 $7,220.44 $5,054.31 30% off $28.82 $11,552.70 $6,859.42 2025-01-01
A9557 HCPCS Technetium Tc-99m Bicisate Diagnostic Per Study Dose Up To 25 Millicuries 72 57 $7,128.20 $4,989.74 30% off $3,136.41 $11,405.12 $6,771.79 2025-01-01
J9179 HCPCS Eribulin Per 0.1 Mg 73 58 $7,050.00 $4,935.00 30% off $60.57 $11,280.00 $6,697.50 2025-01-01
L8690 HCPCS Processor Cochlear Sound Osia 2 Kit 360 57 $8,362.74 $5,853.92 30% off $1,342.90 $15,354.24 $6,690.19 2025-01-01
20000000001 CDM Hc R&b ICU 60 56 $7,034.00 $4,923.80 30% off $4,220.40 $6,893.32 $6,682.30 2025-01-01
A9553 HCPCS Chromium Cr-51 Sodium Chromate Diagnostic Per Study Dose Up To 250 Microcuries 72 57 $7,028.75 $4,920.13 30% off $3,092.65 $11,246.00 $6,677.31 2025-01-01
J2357 HCPCS Injection Omalizumab 5 Mg 73 58 $6,924.80 $4,847.36 30% off $16.20 $11,079.68 $6,578.56 2025-01-01
C1785 HCPCS Pcmkr Dev Accolade MRI Dr Dual Chamber 288 57 $6,997.02 $4,897.91 30% off $2,726.73 $11,444.46 $6,569.72 2025-01-01
J9352 HCPCS Trabectedin Per 0.1 Mg 73 58 $6,895.96 $4,827.17 30% off $148.89 $11,033.54 $6,551.16 2025-01-01
J0630 HCPCS Injection Calcitonin Salmon Up To 400 Units 145 58 $4,760.00 $3,332.00 30% off $484.77 $23,804.00 $6,546.10 2025-01-01
27800000002-25924 CDM Cage Spnl L26mm Bngl Lrdtc Pt 72 57 $6,784.42 $4,749.09 30% off $2,985.14 $10,855.07 $6,445.20 2025-01-01
27800000002-26225 CDM Cage Spine Lordotic Std 20mm 72 57 $6,784.42 $4,749.09 30% off $2,985.14 $10,855.07 $6,445.20 2025-01-01
37224 HCPCS Hc Revascularization Endovascular Open/perc Femoral/popliteal Ar 214 58 $6,699.00 $4,689.30 30% off $2,396.17 $16,078.40 $6,431.04 2025-01-01
47535 HCPCS Hc Conversion External Biliary Drainage Catheter To Internal-ext 73 58 $6,669.00 $4,668.30 30% off $1,450.39 $10,670.40 $6,335.55 2025-01-01
72200000002 CDM Hc C-section Delivery/recovery Flat Rate Level 2 72 57 $6,641.00 $4,648.70 30% off $2,922.04 $10,625.60 $6,308.95 2025-01-01
Q5119 HCPCS Injection Rituximab-pvvr 73 58 $6,593.10 $4,615.17 30% off $8.92 $10,548.96 $6,263.45 2025-01-01
C1895 HCPCS Lead Pcmkr Df4 Dc Sprint 55cm Active 72 57 $6,540.87 $4,578.61 30% off $2,877.98 $10,465.39 $6,213.83 2025-01-01
C1777 HCPCS Lead 6935m55 Df4 Active 72 57 $6,540.87 $4,578.61 30% off $2,877.98 $10,465.39 $6,213.83 2025-01-01
21000000002 CDM Hc R&b Ccu Telemetry 60 56 $6,524.00 $4,566.80 30% off $3,914.40 $6,393.52 $6,197.80 2025-01-01
C1714 HCPCS Cath Oad Diamondback 1.25 144 57 $7,777.98 $5,444.59 30% off $2,773.97 $12,444.77 $6,052.30 2025-01-01
36000000005 CDM Hc Or Level Iii Initial 30 Minutes 72 57 $6,364.00 $4,454.80 30% off $2,800.16 $10,182.40 $6,045.80 2025-01-01
27200000002-6263 CDM Clamp Ablt Synergy 6.1cm R Isolator 72 57 $6,315.00 $4,420.50 30% off $2,778.60 $10,104.00 $5,999.25 2025-01-01
27200000002-5547 CDM Leadless Vr Reth Cath Tri Loop 72 57 $6,315.00 $4,420.50 30% off $2,778.60 $10,104.00 $5,999.25 2025-01-01
27200000002-5546 CDM Leadless Vr Reth Cath Tri Loop 72 57 $6,315.00 $4,420.50 30% off $2,778.60 $10,104.00 $5,999.25 2025-01-01
27200000002-6264 CDM Clamp Ablt Synergy 6.1cm R Isolator 72 57 $6,238.69 $4,367.08 30% off $2,745.02 $9,981.90 $5,926.76 2025-01-01
27800000002-26342 CDM Excluder Aort 16mmx12mmx7cm 72 57 $6,209.75 $4,346.83 30% off $2,732.29 $9,935.60 $5,899.26 2025-01-01
27800000002-25999 CDM Excluder Aort 16mmx14mmx7cm 72 57 $6,209.75 $4,346.83 30% off $2,732.29 $9,935.60 $5,899.26 2025-01-01
27800000002-26012 CDM Excluder Aort 28.5mmx3.3cm 72 57 $6,209.75 $4,346.83 30% off $2,732.29 $9,935.60 $5,899.26 2025-01-01
27800000002-26291 CDM Excluder Aort 16mmx10mmx7cm 72 57 $6,209.75 $4,346.83 30% off $2,732.29 $9,935.60 $5,899.26 2025-01-01
27800000002-26013 CDM Excluder Aort 36mmx4.5cm 72 57 $6,209.75 $4,346.83 30% off $2,732.29 $9,935.60 $5,899.26 2025-01-01
20600000003 CDM Hc R&b ICU Intermediate Semi Private 60 56 $6,116.00 $4,281.20 30% off $3,669.60 $5,993.68 $5,810.20 2025-01-01
27800000002-26023 CDM Excluder Aort Hc 16x12x7 Fa 72 57 $6,092.56 $4,264.79 30% off $2,680.73 $9,748.10 $5,787.93 2025-01-01
27800000002-26022 CDM Excluder Aort Hc 16x10x7 Fa 72 57 $6,072.23 $4,250.56 30% off $2,671.78 $9,715.57 $5,768.62 2025-01-01
27800000002-26024 CDM Excluder Aort Hc 16x14x7 Fa 72 57 $6,072.23 $4,250.56 30% off $2,671.78 $9,715.57 $5,768.62 2025-01-01
27800000002-25975 CDM Coil Target Xl 360 8x30cm Soft 72 57 $6,042.63 $4,229.84 30% off $2,658.76 $9,668.21 $5,740.50 2025-01-01
27200000002-5302 CDM Pen Isolator Coolrail Linear 72 57 $6,009.78 $4,206.85 30% off $2,644.30 $9,615.65 $5,709.29 2025-01-01
27200000002-5303 CDM Pen Isolator Coolrail Linear 72 57 $6,009.78 $4,206.85 30% off $2,644.30 $9,615.65 $5,709.29 2025-01-01
27200000002-5304 CDM Pen Isolator Coolrail Linear 72 57 $6,009.78 $4,206.85 30% off $2,644.30 $9,615.65 $5,709.29 2025-01-01
27800000002-25837 CDM Coil Target Xl 360 12x45cm Sft 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25973 CDM Coil Target Xl 360 7x20cm Soft 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25836 CDM Coil Target Xl 360 Sft 3mmx6cm 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25971 CDM Coil Target Xl 360 6x20cm Soft 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25978 CDM Coil Target Xl 360 Sft 5x15cm 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25974 CDM Coil Target Xl 360 7x20cm Soft 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25969 CDM Coil Target Xl 360 10x40cm Sft 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25976 CDM Coil Target Xl 360 9x30cm Soft 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25977 CDM Coil Target Xl 360 Sft 3mmx9cm 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25972 CDM Coil Target Xl 360 6x20cm Soft 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27800000002-25970 CDM Coil Target Xl 360 10x40cm Sft 72 57 $5,993.78 $4,195.65 30% off $2,637.26 $9,590.05 $5,694.09 2025-01-01
27200000002-6887 CDM Kit Tamp Bone E2 Ff Xpnd 10/2 72 57 $5,939.30 $4,157.51 30% off $2,613.29 $9,502.88 $5,642.34 2025-01-01
27200000002-6889 CDM Kit Tamp Bone E2 Ff Xpnd 10/2 72 57 $5,939.30 $4,157.51 30% off $2,613.29 $9,502.88 $5,642.34 2025-01-01
C2630 HCPCS Cath Ablat Df Curve Tacticath 216 57 $6,299.84 $4,409.89 30% off $1,816.09 $10,272.40 $5,596.84 2025-01-01
27200000002-6888 CDM Kit Tamp Bone E2 Ff Xpnd 10/2 72 57 $5,881.35 $4,116.95 30% off $2,587.79 $9,410.16 $5,587.28 2025-01-01
A9531 HCPCS Iodine I-131 Sodium Iodide Diagnostic Per Microcurie (up To 100 Microcuries) 72 57 $5,873.34 $4,111.34 30% off $2,584.27 $9,397.34 $5,579.67 2025-01-01
27200000002-5615 CDM Kit Bln Omnicurve 11gx20mm Disp 72 57 $5,788.75 $4,052.13 30% off $2,547.05 $9,262.00 $5,499.31 2025-01-01
27200000002-5617 CDM Kit Bln Omnicurve 11gx20mm Disp 72 57 $5,788.75 $4,052.13 30% off $2,547.05 $9,262.00 $5,499.31 2025-01-01
27200000002-5569 CDM Kit Bln Omnicurve 11gx15mm Disp 72 57 $5,788.75 $4,052.13 30% off $2,547.05 $9,262.00 $5,499.31 2025-01-01
27200000002-5571 CDM Kit Bln Omnicurve 11gx15mm Disp 72 57 $5,788.75 $4,052.13 30% off $2,547.05 $9,262.00 $5,499.31 2025-01-01
27200000002-5570 CDM Kit Bln Omnicurve 11gx15mm Disp 72 57 $5,788.75 $4,052.13 30% off $2,547.05 $9,262.00 $5,499.31 2025-01-01
27200000002-5568 CDM Kit Bln Omnicurve 11gx15mm Disp 72 57 $5,788.75 $4,052.13 30% off $2,547.05 $9,262.00 $5,499.31 2025-01-01
27200000002-5616 CDM Kit Bln Omnicurve 11gx20mm Disp 72 57 $5,788.75 $4,052.13 30% off $2,547.05 $9,262.00 $5,499.31 2025-01-01
27200000002-5619 CDM Kit Bln Omnicurve 11gx20mm Disp 72 57 $5,788.75 $4,052.13 30% off $2,547.05 $9,262.00 $5,499.31 2025-01-01
27800000002-25867 CDM Bone Matrix Fc Plus 5cc 72 57 $5,631.72 $3,942.20 30% off $2,477.96 $9,010.75 $5,350.13 2025-01-01
36573 HCPCS Hc Insertion Picc Without Port Or Pump With Imaging Guidance=>5y 73 58 $5,591.00 $3,913.70 30% off $671.41 $8,945.60 $5,311.45 2025-01-01
Q5116 HCPCS Trastuzumab-qyyp 150 Mg Recon Soln 1 Each Vial 73 58 $5,569.85 $3,898.90 30% off $5.62 $8,911.76 $5,291.36 2025-01-01
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