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

OCHILTREE GENERAL HOSPITAL

Perryton, TX · CCN 451359 · Rates published

Your selected procedure

You selected 93306 (CPT)

US ECHOCMPLTE TTE

This hospital’s price: $757 across 18 payers · range $196-$1,545

Source: https://www.ochiltreehospital.com/files/024c4d38a/75-1211903_Ochiltree_Ochiltree_standardcharges.csv · observed 2026-05-06

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.

8,346 distinct procedures filed
19 distinct payers
110,281 rate rows
2026-05-06 last MRF observed
Data quality

108,853 of 110,281 rate rows are consumer-grade (98.7%)

1,428 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 672
exceeds 10× this hospital's gross charge — excluded from medians 389
placeholder amount (≤ $0.02) — excluded from medians 242
percent-of-charges filed in the dollar field — excluded from medians 66
per-diem day rate — not a per-procedure price 27
exceeds 3× this hospital's gross charge for a DRG stay — excluded 23
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/LOMV-1774906742396/machine-readable/751211903_ochiltree-general-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/ochiltree-general-hospital-tx
Discovered viaCMS hospital list
Last fetch success · 2026-09-25
Content fingerprint 0ccc71701e46da56… · 13,368,851 bytes · first seen 2026-06-20

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
5003580
CDM 		Nf-somatuline Depot Subq Soln 60mg/0.2ml 6 $49,172.00 $90,315.00 $87,806.50 nat. median
$6
outlier · 14634.4×
5005369
CDM 		Nf-stelara Subcutaneous Solution 45mg/0. 6 $46,776.00 $85,915.00 $83,528.50 nat. median
$83,528
1.0× median
5006778
CDM 		Nf-takhzyro Subq Soln 150mg/1ml 6 $23,824.00 $43,758.00 $42,542.50 nat. median
$32,576
1.3× median
5004632
CDM 		Nf-nystatin Not Applicable Powder 5billi 6 $20,424.00 $37,513.00 $36,471.00 nat. median
$36,471
1.0× median
CP17773217790858167
CDM 		Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 5 $3,991.00 $31,500.00 $30,800.00 nat. median
$30,800
1.0× median
J3101
HCPCS 		Tenecteplase (TNKase) Kit 50mg 18 $15,532.46 $32,359.30 $29,123.18 nat. median
$3,787
outlier · 7.7×
5005831
CDM 		Nf-cortrophin Gel Inj Gel 80u/1ml 6 $12,339.00 $22,664.00 $22,034.50 nat. median
$22,034
1.0× median
5005934
CDM 		Nf-taltz Subcutaneous Solution 80mg/1ml 6 $12,199.00 $22,406.00 $21,784.00 nat. median
$15
outlier · 1414.5×
5005826
CDM 		Nf-taltz Subcutaneous Solution 80mg/1ml 6 $12,199.00 $22,406.00 $21,784.00 nat. median
$21,784
1.0× median
5005825
CDM 		Nf-taltz Subcutaneous Solution 80mg/1ml 6 $12,199.00 $22,406.00 $21,784.00 nat. median
$21,784
1.0× median
5005845
CDM 		Nf-cortrophin Gel Inj Gel 80u/1ml 6 $11,921.00 $21,896.00 $21,288.00 nat. median
$21,288
1.0× median
5005835
CDM 		Nf-cortrophin Gel Inj Gel 80u/1ml 6 $11,921.00 $21,896.00 $21,288.00 nat. median
$21,288
1.0× median
5005842
CDM 		Nf-cortrophin Gel Inj Gel 80u/1ml 6 $11,921.00 $21,896.00 $21,288.00 nat. median
$21,288
1.0× median
5005843
CDM 		Nf-cortrophin Gel Inj Gel 80u/1ml 6 $11,921.00 $21,896.00 $21,288.00 nat. median
$21,288
1.0× median
5005844
CDM 		Nf-cortrophin Gel Inj Gel 80u/1ml 6 $11,921.00 $21,896.00 $21,288.00 nat. median
$21,288
1.0× median
5004182
CDM 		Nf-humira Pen Subq Soln 80mg/0.8ml 6 $10,528.00 $19,337.00 $18,799.50 nat. median
$18,800
1.0× median
J3380
HCPCS 		Entyvio 300mg Sdv 18 $9,418.56 $19,622.00 $17,660.00 nat. median
$155
outlier · 114.3×
5001033
CDM 		Pegfilgrastim (Neulasta) Cpj 6mg/0.6ml 6 $9,852.00 $18,096.00 $17,593.50 nat. median
$13
outlier · 1339.9×
5002070
CDM 		Nf-animas Insulin Pump R1000 6 $9,555.00 $17,550.00 $17,062.50 nat. median
$1,800
outlier · 9.5×
J1162
HCPCS 		Digoxin Imm (digifab) Vial 40mg 18 $8,953.78 $18,653.70 $16,789.00 nat. median
$7,165
outlier · 2.3×
29826
CPT 		Shaving Of Shoulder Bone Using Endoscope 6 $9,378.00 $17,225.00 $16,746.50 nat. median
$3,122
outlier · 5.4×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 $15,186.58 $15,501.37 $15,186.58 nat. median
$19,268
0.8× median
J0775
HCPCS 		Xiaflex Sdv 0.9mg 6 $8,359.00 $15,354.00 $14,927.50 nat. median
$114
outlier · 131.1×
47562
CPT 		Removal Of Gallbladder Using An Endoscope 6 $8,193.00 $15,049.00 $14,631.00 nat. median
$5,988
outlier · 2.4×
5005562
CDM 		Nf-nystatin Powder 6 $8,169.00 $15,005.00 $14,588.00 nat. median
$14,588
1.0× median
37244
CPT 		Reboa (resuscitative Endocascular Balloo 18 $191.52 $44,143.93 $13,626.34 nat. median
$12,394
1.1× median
5004641
CDM 		Ziextenzo 6mg/0.6ml Pfs 6 $7,502.00 $13,779.00 $13,396.50 nat. median
$13,396
1.0× median
5001306
CDM 		Aranesp 500mcg/ml Pfs 6 $6,776.00 $12,446.00 $12,100.50 nat. median
$9,518
1.3× median
49505
CPT 		Repair Of Groin Hernia Patient Age 5 Years Or Older 6 $6,580.00 $12,085.00 $11,749.50 nat. median
$3,855
outlier · 3.0×
5005585
CDM 		Nf-synagis Intramuscular Soln 50mg/0.5ml 6 $6,423.00 $11,797.00 $11,469.50 nat. median
$6
outlier · 1767.3×
5005702
CDM 		Nf-synagis Intramuscular Soln 50mg/0.5ml 6 $6,423.00 $11,797.00 $11,469.50 nat. median
$11,470
1.0× median
5005666
CDM 		Nf-synagis Intramuscular Soln 50mg/0.5ml 6 $6,423.00 $11,797.00 $11,469.50 nat. median
$11,470
1.0× median
5005605
CDM 		Nf-synagis Intramuscular Soln 50mg/0.5ml 6 $6,423.00 $11,797.00 $11,469.50 nat. median
$11,470
1.0× median
5005684
CDM 		Nf-synagis Intramuscular Soln 50mg/0.5ml 6 $6,423.00 $11,797.00 $11,469.50 nat. median
$11,470
1.0× median
5005608
CDM 		Nf-synagis Intramuscular Soln 50mg/0.5ml 6 $6,423.00 $11,797.00 $11,469.50 nat. median
$12,326
0.9× median
5005640
CDM 		Nf-synagis Intramuscular Soln 50mg/0.5ml 6 $6,423.00 $11,797.00 $11,469.50 nat. median
$396
outlier · 29.0×
J1437
HCPCS 		Monoferric 1000MG/10mL Sdv 18 $6,077.76 $12,662.00 $11,396.00 nat. median
$45
outlier · 252.3×
J0840
HCPCS 		Antivenin Crotalidae (crofab) 18 $5,986.66 $12,472.20 $11,225.00 nat. median
$3,452
outlier · 3.3×
5004584
CDM 		Nf-invega Hafyera IM Susp ER 1560mg/5ml 6 $6,223.00 $11,430.00 $11,112.50 nat. median
$11,112
1.0× median
5005851
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$10,902
1.0× median
5005817
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$10,902
1.0× median
5005647
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$10,902
1.0× median
5005729
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$10,902
1.0× median
5005869
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$10,902
1.0× median
5005695
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$10,902
1.0× median
5005631
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$10,902
1.0× median
5005663
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$104
outlier · 104.9×
5005600
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$20,018
0.5× median
5005678
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$10,902
1.0× median
5005791
CDM 		Nf-humira Subcutaneous Solution 20mg/0.2 6 $6,105.00 $11,214.00 $10,902.50 nat. median
$40
outlier · 270.6×

Other procedures at this hospital

Browse this hospital's 8,346 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
             
5003580 CDM Nf-somatuline Depot Subq Soln 60mg/0.2ml 8 6 $100,350.00 $70,245.00 30% off $49,172.00 $90,315.00 $87,806.50 2026-05-06
5005369 CDM Nf-stelara Subcutaneous Solution 45mg/0. 8 6 $95,461.00 $66,823.00 30% off $46,776.00 $85,915.00 $83,528.50 2026-05-06
5006778 CDM Nf-takhzyro Subq Soln 150mg/1ml 8 6 $48,620.00 $34,034.00 30% off $23,824.00 $43,758.00 $42,542.50 2026-05-06
5004632 CDM Nf-nystatin Not Applicable Powder 5billi 8 6 $41,681.00 $29,177.00 30% off $20,424.00 $37,513.00 $36,471.00 2026-05-06
CP17773217790858167 CDM Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 7 5 $35,000.00 $24,500.00 30% off $3,991.00 $31,500.00 $30,800.00 2026-05-06
J3101 HCPCS Tenecteplase (TNKase) Kit 50mg 20 18 $32,359.30 $19,415.58 40% off $15,532.46 $32,359.30 $29,123.18 2026-05-06
5005831 CDM Nf-cortrophin Gel Inj Gel 80u/1ml 8 6 $25,182.00 $17,627.00 30% off $12,339.00 $22,664.00 $22,034.50 2026-05-06
5005825 CDM Nf-taltz Subcutaneous Solution 80mg/1ml 8 6 $24,896.00 $17,427.00 30% off $12,199.00 $22,406.00 $21,784.00 2026-05-06
5005826 CDM Nf-taltz Subcutaneous Solution 80mg/1ml 8 6 $24,896.00 $17,427.00 30% off $12,199.00 $22,406.00 $21,784.00 2026-05-06
5005934 CDM Nf-taltz Subcutaneous Solution 80mg/1ml 8 6 $24,896.00 $17,427.00 30% off $12,199.00 $22,406.00 $21,784.00 2026-05-06
5005843 CDM Nf-cortrophin Gel Inj Gel 80u/1ml 8 6 $24,329.00 $17,030.00 30% off $11,921.00 $21,896.00 $21,288.00 2026-05-06
5005845 CDM Nf-cortrophin Gel Inj Gel 80u/1ml 8 6 $24,329.00 $17,030.00 30% off $11,921.00 $21,896.00 $21,288.00 2026-05-06
5005844 CDM Nf-cortrophin Gel Inj Gel 80u/1ml 8 6 $24,329.00 $17,030.00 30% off $11,921.00 $21,896.00 $21,288.00 2026-05-06
5005835 CDM Nf-cortrophin Gel Inj Gel 80u/1ml 8 6 $24,329.00 $17,030.00 30% off $11,921.00 $21,896.00 $21,288.00 2026-05-06
5005842 CDM Nf-cortrophin Gel Inj Gel 80u/1ml 8 6 $24,329.00 $17,030.00 30% off $11,921.00 $21,896.00 $21,288.00 2026-05-06
5004182 CDM Nf-humira Pen Subq Soln 80mg/0.8ml 8 6 $21,485.00 $15,039.00 30% off $10,528.00 $19,337.00 $18,799.50 2026-05-06
J3380 HCPCS Entyvio 300mg Sdv 20 18 $19,622.00 $11,773.20 40% off $9,418.56 $19,622.00 $17,660.00 2026-05-06
5001033 CDM Pegfilgrastim (Neulasta) Cpj 6mg/0.6ml 8 6 $20,107.00 $14,075.00 30% off $9,852.00 $18,096.00 $17,593.50 2026-05-06
5002070 CDM Nf-animas Insulin Pump R1000 8 6 $19,500.00 $13,650.00 30% off $9,555.00 $17,550.00 $17,062.50 2026-05-06
J1162 HCPCS Digoxin Imm (digifab) Vial 40mg 20 18 $18,653.70 $11,192.22 40% off $8,953.78 $18,653.70 $16,789.00 2026-05-06
29826 CPT Shaving Of Shoulder Bone Using Endoscope 8 6 $19,139.00 $13,397.00 30% off $9,378.00 $17,225.00 $16,746.50 2026-05-06
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 7 $15,186.58 $9,111.95 40% off $15,186.58 $15,501.37 $15,186.58 2025-06-17
J0775 HCPCS Xiaflex Sdv 0.9mg 8 6 $17,060.00 $11,942.00 30% off $8,359.00 $15,354.00 $14,927.50 2026-05-06
47562 CPT Removal Of Gallbladder Using An Endoscope 8 6 $16,721.00 $11,705.00 30% off $8,193.00 $15,049.00 $14,631.00 2026-05-06
5005562 CDM Nf-nystatin Powder 8 6 $16,672.00 $11,670.00 30% off $8,169.00 $15,005.00 $14,588.00 2026-05-06
37244 CPT Reboa (resuscitative Endocascular Balloo 33 18 $26,204.50 $15,722.70 40% off $191.52 $44,143.93 $13,626.34 2026-05-06
5004641 CDM Ziextenzo 6mg/0.6ml Pfs 8 6 $15,310.00 $10,717.00 30% off $7,502.00 $13,779.00 $13,396.50 2026-05-06
5001306 CDM Aranesp 500mcg/ml Pfs 8 6 $13,829.00 $9,680.00 30% off $6,776.00 $12,446.00 $12,100.50 2026-05-06
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 8 6 $13,428.00 $9,400.00 30% off $6,580.00 $12,085.00 $11,749.50 2026-05-06
5005640 CDM Nf-synagis Intramuscular Soln 50mg/0.5ml 8 6 $13,108.00 $9,176.00 30% off $6,423.00 $11,797.00 $11,469.50 2026-05-06
5005605 CDM Nf-synagis Intramuscular Soln 50mg/0.5ml 8 6 $13,108.00 $9,176.00 30% off $6,423.00 $11,797.00 $11,469.50 2026-05-06
5005702 CDM Nf-synagis Intramuscular Soln 50mg/0.5ml 8 6 $13,108.00 $9,176.00 30% off $6,423.00 $11,797.00 $11,469.50 2026-05-06
5005608 CDM Nf-synagis Intramuscular Soln 50mg/0.5ml 8 6 $13,108.00 $9,176.00 30% off $6,423.00 $11,797.00 $11,469.50 2026-05-06
5005666 CDM Nf-synagis Intramuscular Soln 50mg/0.5ml 8 6 $13,108.00 $9,176.00 30% off $6,423.00 $11,797.00 $11,469.50 2026-05-06
5005684 CDM Nf-synagis Intramuscular Soln 50mg/0.5ml 8 6 $13,108.00 $9,176.00 30% off $6,423.00 $11,797.00 $11,469.50 2026-05-06
5005585 CDM Nf-synagis Intramuscular Soln 50mg/0.5ml 8 6 $13,108.00 $9,176.00 30% off $6,423.00 $11,797.00 $11,469.50 2026-05-06
J1437 HCPCS Monoferric 1000MG/10mL Sdv 20 18 $12,662.00 $7,597.20 40% off $6,077.76 $12,662.00 $11,396.00 2026-05-06
J0840 HCPCS Antivenin Crotalidae (crofab) 20 18 $12,472.20 $7,483.32 40% off $5,986.66 $12,472.20 $11,225.00 2026-05-06
5004584 CDM Nf-invega Hafyera IM Susp ER 1560mg/5ml 8 6 $12,700.00 $8,890.00 30% off $6,223.00 $11,430.00 $11,112.50 2026-05-06
5006093 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006164 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006022 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006791 CDM Nf-humira Pfs Citrate-free Soln 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006481 CDM Nf-humira Citrate-free Subq Soln 20mg/0. 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006269 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006112 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005869 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006073 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005631 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006060 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006594 CDM Nf-humira Citrate-free Subq Soln 20mg/0. 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005695 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006771 CDM Nf-humira Pfs Citrate-free Soln 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005791 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006240 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005917 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006152 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006749 CDM Nf-humira Pfs Citrate-free Soln 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006695 CDM Nf-humira Pfs Citrate-free Soln 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006552 CDM Nf-humira Citrate-free Subq Soln 20mg/0. 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006311 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006342 CDM Nf-humira Citrate-free Subq Soln 20mg/0. 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005817 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006299 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005761 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005937 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006186 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006437 CDM Nf-humira Citrate-free Subq Soln 20mg/0. 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005997 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005851 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005647 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006253 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005678 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006650 CDM Nf-humira Pfs Citrate-free Soln 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005814 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005663 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006369 CDM Nf-humira Citrate-free Subq Soln 20mg/0. 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005889 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005600 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006036 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006742 CDM Nf-humira Pfs Citrate-free Soln 10mg/0.1 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006221 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005958 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006522 CDM Nf-humira Citrate-free Subq Soln 20mg/0. 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005729 CDM Nf-humira Subcutaneous Solution 20mg/0.2 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5006322 CDM Nf-humira Citrate-free Subq Soln 20mg/0. 8 6 $12,460.00 $8,722.00 30% off $6,105.00 $11,214.00 $10,902.50 2026-05-06
5005639 CDM Nf-synagis Intramuscular Solution 100mg/ 8 6 $12,376.00 $8,663.00 30% off $6,064.00 $11,138.00 $10,829.00 2026-05-06
5005683 CDM Nf-synagis Intramuscular Solution 100mg/ 8 6 $12,376.00 $8,663.00 30% off $6,064.00 $11,138.00 $10,829.00 2026-05-06
5005587 CDM Nf-synagis Intramuscular Solution 100mg/ 8 6 $12,376.00 $8,663.00 30% off $6,064.00 $11,138.00 $10,829.00 2026-05-06
5005609 CDM Nf-synagis Intramuscular Solution 100mg/ 8 6 $12,376.00 $8,663.00 30% off $6,064.00 $11,138.00 $10,829.00 2026-05-06
5005584 CDM Nf-synagis Intramuscular Solution 100mg/ 8 6 $12,376.00 $8,663.00 30% off $6,064.00 $11,138.00 $10,829.00 2026-05-06
5005701 CDM Nf-synagis Intramuscular Solution 100mg/ 8 6 $12,376.00 $8,663.00 30% off $6,064.00 $11,138.00 $10,829.00 2026-05-06
5005604 CDM Nf-synagis Intramuscular Solution 100mg/ 8 6 $12,376.00 $8,663.00 30% off $6,064.00 $11,138.00 $10,829.00 2026-05-06
5005665 CDM Nf-synagis Intramuscular Solution 100mg/ 8 6 $12,376.00 $8,663.00 30% off $6,064.00 $11,138.00 $10,829.00 2026-05-06
33210 CPT Transvenous Pacemaker Single Chamber 33 18 $20,236.50 $12,141.90 40% off $403.20 $30,958.16 $10,522.98 2026-05-06
33211 CPT Transvenous Pacemaker Double Chamber 33 18 $20,236.50 $12,141.90 40% off $403.20 $30,958.16 $10,522.98 2026-05-06
5005027 CDM Nf-humira Subcutaneous Solution 40mg/0.4 8 6 $11,537.00 $8,076.00 30% off $5,653.00 $10,383.00 $10,094.50 2026-05-06
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 7 7 $9,971.02 $5,982.61 40% off $7,826.80 $9,971.02 $9,971.02 2025-06-17
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 8 8 $16,859.27 $10,115.56 40% off $2,955.00 $16,859.27 $9,479.67 2025-06-17
5004183 CDM Nf-humira Subcutaneous Solution 40mg/0.4 8 6 $10,742.00 $7,519.00 30% off $5,264.00 $9,668.00 $9,399.50 2026-05-06
787 MS_DRG Cesarean Section Without Sterilization With Cc 8 8 $18,561.54 $11,136.92 40% off $2,955.00 $18,561.54 $9,317.61 2025-06-17
5003607 CDM Nf-sandostatin Lar Depot IM Pwdforsusp 1 8 6 $10,190.00 $7,133.00 30% off $4,993.00 $9,171.00 $8,916.50 2026-05-06
5003611 CDM Nf-sandostatin Lar Depot IM Pwdforsusp 1 8 6 $10,190.00 $7,133.00 30% off $4,993.00 $9,171.00 $8,916.50 2026-05-06
5003582 CDM Nf-sandostatin Lar Depot IM Pwdforsusp 1 8 6 $10,190.00 $7,133.00 30% off $4,993.00 $9,171.00 $8,916.50 2026-05-06
5003639 CDM Nf-humira Subcutaneous Solution 20mg/0.4 8 6 $10,002.00 $7,001.00 30% off $4,901.00 $9,002.00 $8,752.00 2026-05-06
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 10 10 $20,867.71 $12,520.63 40% off $1,298.00 $20,867.71 $8,694.05 2025-06-17
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 10 10 $25,634.90 $15,380.94 40% off $1,298.00 $25,634.90 $8,674.11 2025-06-17
J2997 HCPCS Alteplase (activase) 100mg 40 18 $17,022.00 $10,249.10 40% off $314.40 $33,322.00 $8,324.78 2026-05-06
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 7 7 $8,200.75 $4,920.45 40% off $8,200.75 $8,273.39 $8,200.75 2025-06-17
J0881 HCPCS Aranesp 300mcg Pfs 28 18 $8,360.00 $5,852.00 30% off $4,012.80 $10,125.00 $7,524.00 2026-05-06
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 10 $13,157.28 $7,894.37 40% off $1,298.00 $18,101.94 $7,398.27 2025-06-17
5005611 CDM Nf-invega Sustenna IM Susp ER 156mg 8 6 $8,035.00 $5,625.00 30% off $3,937.00 $7,232.00 $7,031.00 2026-05-06
5005680 CDM Nf-invega Sustenna IM Susp ER 156mg 8 6 $8,035.00 $5,625.00 30% off $3,937.00 $7,232.00 $7,031.00 2026-05-06
5005300 CDM Nf-invega Sustenna IM Susp ER 117mg 8 6 $8,035.00 $5,625.00 30% off $3,937.00 $7,232.00 $7,031.00 2026-05-06
5005538 CDM Nf-invega Sustenna IM Susp ER 156mg 8 6 $8,035.00 $5,625.00 30% off $3,937.00 $7,232.00 $7,031.00 2026-05-06
36571 CPT Insert Picvad Cath 21 18 $7,592.50 $4,555.50 40% off $3,644.40 $10,469.51 $6,834.00 2026-05-06
291 MS_DRG Heart Failure And Shock With Mcc 10 10 $11,637.00 $6,982.20 40% off $1,298.00 $11,637.00 $6,714.15 2025-06-17
5005176 CDM Nf-invega Sustenna IM Susp ER 117mg 8 6 $7,660.00 $5,362.00 30% off $3,753.00 $6,894.00 $6,702.50 2026-05-06
5005218 CDM Nf-invega Sustenna IM Susp ER 117mg 8 6 $7,660.00 $5,362.00 30% off $3,753.00 $6,894.00 $6,702.50 2026-05-06
5005039 CDM Nf-invega Sustenna IM Susp ER 117mg 8 6 $7,660.00 $5,362.00 30% off $3,753.00 $6,894.00 $6,702.50 2026-05-06
5005097 CDM Nf-invega Sustenna IM Susp ER 117mg 8 6 $7,660.00 $5,362.00 30% off $3,753.00 $6,894.00 $6,702.50 2026-05-06
59612 CPT Vag Delivery After Cs 21 18 $7,446.90 $4,468.14 40% off $3,574.51 $9,545.63 $6,702.21 2026-05-06
57460 CPT Leep 21 18 $7,446.90 $4,468.14 40% off $725.76 $7,446.90 $6,702.00 2026-05-06
5003676 CDM Simponi Aria 50mg/4ml Sdv 8 6 $7,440.00 $5,208.00 30% off $3,646.00 $6,696.00 $6,510.00 2026-05-06
5004725 CDM Nf-invega Sustenna IM Susp ER 117mg 8 6 $7,436.00 $5,205.00 30% off $3,644.00 $6,692.00 $6,506.50 2026-05-06
5004887 CDM Nf-invega Sustenna IM Susp ER 117mg 8 6 $7,436.00 $5,205.00 30% off $3,644.00 $6,692.00 $6,506.50 2026-05-06
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 10 10 $58,350.95 $35,010.57 40% off $1,298.00 $58,350.95 $6,476.44 2025-06-17
5004052 CDM Nf-invega Sustenna IM Susp ER 156mg 8 6 $7,056.00 $4,939.00 30% off $3,457.00 $6,350.00 $6,174.00 2026-05-06
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 10 10 $10,402.90 $6,241.74 40% off $1,298.00 $14,614.56 $6,158.81 2025-06-17
C1777 HCPCS Femoral Component Cemented Std#3rt 8 6 $7,000.00 $4,900.00 30% off $3,430.00 $6,300.00 $6,125.00 2026-05-06
J0897 HCPCS Prolia Pfs 60MG/mL 21 19 $6,772.90 $4,063.74 40% off $19.00 $6,772.90 $6,096.00 2026-05-06
11426 CPT Exc Benign Lesion Over 4.0 Cm 21 18 $6,768.40 $4,061.04 40% off $3,248.83 $9,764.45 $6,091.56 2026-05-06
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 10 10 $57,233.44 $34,340.06 40% off $1,298.00 $57,233.44 $6,025.51 2025-06-17
181 MS_DRG Respiratory Neoplasms With Cc 10 10 $10,071.45 $6,042.87 40% off $1,298.00 $10,071.45 $6,009.65 2025-06-17
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 10 10 $9,901.55 $5,940.93 40% off $1,298.00 $11,861.07 $5,933.20 2025-06-17
44188 CPT Laparoscopic Assisted Colostomy 33 18 $12,000.00 $7,200.00 40% off $2,056.80 $12,000.00 $5,880.00 2026-05-06
602 MS_DRG Cellulitis With Mcc 10 10 $9,631.65 $5,778.99 40% off $1,298.00 $11,772.59 $5,811.74 2025-06-17
304 MS_DRG Hypertension With Mcc 10 10 $9,508.80 $5,705.28 40% off $1,298.00 $9,508.80 $5,756.46 2025-06-17
J0875 HCPCS Dalvance 500mg Vial 20 18 $6,349.85 $3,809.91 40% off $3,047.93 $6,349.85 $5,715.00 2026-05-06
5005471 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005429 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005312 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005373 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005482 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005285 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005310 CDM Nf-enbrel Mini Subcutaneous Soln 50mg/1m 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005500 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005586 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005546 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005397 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005535 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005539 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005439 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005566 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005438 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005324 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005467 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005412 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005350 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005302 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005589 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
5005518 CDM Nf-enbrel Subcutaneous Solution 50mg/1ml 8 6 $6,344.00 $4,441.00 30% off $3,109.00 $5,710.00 $5,551.00 2026-05-06
81443 CPT Qherit Expanded Carrier Screen 21 18 $6,121.40 $3,672.84 40% off $2,938.27 $14,446.50 $5,509.26 2026-05-06
947 MS_DRG Signs And Symptoms With Mcc 10 10 $11,797.22 $7,078.33 40% off $1,298.00 $11,797.22 $5,394.68 2025-06-17
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 10 10 $18,041.08 $10,824.65 40% off $1,298.00 $18,041.08 $5,349.55 2025-06-17
26951 CPT Amp Finger Or Thumb 33 18 $7,710.00 $4,626.06 40% off $2,550.72 $11,109.97 $5,314.00 2026-05-06
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 10 10 $81,114.18 $48,668.51 40% off $1,298.00 $81,114.18 $5,200.24 2025-06-17
920 MS_DRG Complications Of Treatment With Cc 10 10 $10,914.00 $6,548.40 40% off $1,298.00 $10,914.00 $5,196.76 2025-06-17
5005003 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005234 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005021 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5004983 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005263 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005216 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5004970 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005251 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005199 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005174 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005142 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005197 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005046 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005268 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005089 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005259 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005110 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5005154 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5004993 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,907.00 $4,135.00 30% off $2,894.00 $5,316.00 $5,168.50 2026-05-06
5003613 CDM Nf-ocrevus Intravenous Solution 30mg/1ml 8 6 $5,850.00 $4,095.00 30% off $2,867.00 $5,265.00 $5,119.00 2026-05-06
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 10 10 $10,416.73 $6,250.04 40% off $1,298.00 $10,416.73 $5,062.12 2025-06-17
5004655 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,768.00 $4,038.00 30% off $2,826.00 $5,191.00 $5,047.00 2026-05-06
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 10 10 $9,542.59 $5,725.55 40% off $1,298.00 $9,542.59 $4,995.10 2025-06-17
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 10 10 $21,535.35 $12,921.21 40% off $1,298.00 $21,535.35 $4,981.71 2025-06-17
5001342 CDM Nplate 250 Mcg/0.5 Ml Vial 8 6 $5,680.00 $3,976.00 30% off $2,783.00 $5,112.00 $4,970.00 2026-05-06
292 MS_DRG Heart Failure And Shock With Cc 10 10 $21,494.31 $12,896.59 40% off $1,298.00 $21,494.31 $4,913.97 2025-06-17
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 10 10 $19,981.22 $11,988.73 40% off $1,298.00 $19,981.22 $4,884.13 2025-06-17
74174 CPT CTA Abd/pel With 21 18 $5,421.00 $3,252.60 40% off $1,153.89 $5,421.00 $4,879.00 2026-05-06
500754 CDM Major Sg 1st 30 Minutes 8 6 $5,565.00 $3,895.00 30% off $2,727.00 $5,009.00 $4,869.50 2026-05-06
58720 CPT Salpingo-oopherectomy Unilateral 33 18 $9,900.00 $5,940.00 40% off $896.56 $9,900.00 $4,851.00 2026-05-06
72149 CPT MRI Lumbar Spine W 21 18 $5,341.00 $3,204.60 40% off $2,090.17 $5,341.00 $4,807.00 2026-05-06
59409 CPT Vaginal Delivery 33 18 $9,188.00 $5,512.80 40% off $644.64 $9,545.63 $4,777.76 2026-05-06
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 10 10 $7,215.75 $4,329.45 40% off $1,298.00 $8,105.09 $4,724.59 2025-06-17
5004464 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,371.00 $3,760.00 30% off $2,632.00 $4,834.00 $4,699.50 2026-05-06
5004423 CDM Nf-enbrel Subcutaneous Solution 25mg/0.5 8 6 $5,371.00 $3,760.00 30% off $2,632.00 $4,834.00 $4,699.50 2026-05-06
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 10 10 $17,589.61 $10,553.77 40% off $1,298.00 $17,589.61 $4,685.15 2025-06-17
593 MS_DRG Skin Ulcers With Cc 10 10 $55,606.79 $33,364.07 40% off $1,298.00 $55,606.79 $4,682.98 2025-06-17
19083 CPT US Vacuum Biopsy 21 18 $5,189.92 $3,113.95 40% off $2,491.16 $5,661.73 $4,671.00 2026-05-06
J1561 HCPCS Gamunex-c 10gm/100ml 16 6 $8,100.00 $5,670.00 30% off $1,568.00 $11,700.00 $4,625.00 2026-05-06
27252 CPT Cl Tx Hip Disl Traumatic W Anesthia 33 18 $5,197.00 $3,118.36 40% off $2,160.00 $5,669.75 $4,500.00 2026-05-06
5004607 CDM Nf-vivitrol IM Pwd For Susp ER 380mg 8 6 $5,095.00 $3,567.00 30% off $2,497.00 $4,586.00 $4,458.50 2026-05-06
C1776 HCPCS Biolox 28mm Delta Head M 128 6 $6,200.00 $4,340.00 30% off $135.00 $23,128.00 $4,414.50 2026-05-06
51102 CPT Suprapubic Catheter 21 18 $4,851.70 $2,911.02 40% off $2,328.82 $7,121.86 $4,367.00 2026-05-06
54161 CPT Circumcision > 28 Days 21 18 $4,851.70 $2,911.02 40% off $2,328.82 $7,121.86 $4,367.00 2026-05-06
54162 CPT Lysis Of Penile Adhesion 21 18 $4,851.70 $2,911.02 40% off $2,328.82 $7,121.86 $4,367.00 2026-05-06
54150 CPT Circumcision Newborn 29 18 $4,852.00 $3,396.00 30% off $2,328.82 $7,121.86 $4,367.00 2026-05-06
54163 CPT Rpr Incomplete Circ 21 18 $4,851.70 $2,911.02 40% off $2,328.82 $7,121.86 $4,367.00 2026-05-06
71552 CPT MRI Chest W/wo Contrast 21 18 $4,800.00 $2,880.00 40% off $2,090.17 $4,800.00 $4,320.00 2026-05-06
72157 CPT MRI Thoracic Spine Wwo 21 18 $4,793.00 $2,875.80 40% off $2,090.17 $4,793.00 $4,314.00 2026-05-06
J0129 HCPCS Orencia 250mg Vial 20 18 $4,791.05 $2,874.63 40% off $2,299.70 $4,791.05 $4,312.00 2026-05-06
72156 CPT MRI Cerv Spine Wwo 21 18 $4,767.00 $2,860.20 40% off $2,090.17 $4,767.00 $4,290.00 2026-05-06
49587 CPT Umbi Hernia Rep > 5 Yr W/obstruction 21 18 $4,750.00 $2,850.00 40% off $2,280.00 $12,226.87 $4,275.00 2026-05-06
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 8 6 $4,800.00 $3,360.00 30% off $2,352.00 $4,320.00 $4,200.00 2026-05-06
950 MS_DRG Aftercare Without Cc/mcc 10 10 $17,817.54 $10,690.52 40% off $1,298.00 $17,817.54 $4,194.27 2025-06-17
72142 CPT MRI Cervical Spine W 21 18 $4,658.00 $2,794.80 40% off $2,090.17 $4,658.00 $4,192.00 2026-05-06
Q0138 HCPCS Feraheme 510MG/17mL Sdv 20 18 $4,655.10 $2,793.06 40% off $2,234.45 $4,655.10 $4,190.00 2026-05-06
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 10 10 $6,081.30 $3,648.78 40% off $1,298.00 $6,081.30 $4,115.35 2025-06-17
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 8 6 $4,700.00 $3,290.00 30% off $2,303.00 $4,230.00 $4,112.50 2026-05-06
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 8 6 $4,700.00 $3,290.00 30% off $2,303.00 $4,230.00 $4,112.50 2026-05-06
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 8 6 $4,700.00 $3,290.00 30% off $2,303.00 $4,230.00 $4,112.50 2026-05-06
81162 CPT Brca Panel 21 18 $4,562.20 $2,737.32 40% off $2,189.86 $13,292.29 $4,106.00 2026-05-06
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 10 10 $21,026.08 $12,615.65 40% off $1,298.00 $21,026.08 $4,104.90 2025-06-17
74183 CPT MRI Abdomen Wwo Contrast 24 18 $4,550.00 $2,730.00 40% off $2,090.17 $4,550.00 $4,095.00 2026-05-06
1001244 CDM Mesh Ventralight Circle 15cm Echo 2 8 6 $4,673.00 $3,271.00 30% off $2,290.00 $4,206.00 $4,089.00 2026-05-06
72158 CPT MRI Lumbar Wwo 24 18 $4,539.00 $2,723.40 40% off $2,090.17 $4,539.00 $4,085.00 2026-05-06
948 MS_DRG Signs And Symptoms Without Mcc 10 10 $8,984.27 $5,390.56 40% off $1,298.00 $8,984.27 $4,079.95 2025-06-17
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 10 10 $5,746.88 $3,448.13 40% off $1,298.00 $5,746.88 $4,063.60 2025-06-17
20680 CPT Removal Of Internal Fixation Device 21 18 $4,500.00 $2,700.00 40% off $2,160.00 $9,764.45 $4,050.00 2026-05-06
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 10 10 $18,839.26 $11,303.56 40% off $1,298.00 $18,839.26 $4,044.16 2025-06-17
293 MS_DRG Heart Failure And Shock Without Cc/mcc 10 10 $9,224.19 $5,534.51 40% off $1,298.00 $9,224.19 $4,022.32 2025-06-17
25028 CPT I And D Absc Fa Wrist 33 18 $7,710.00 $4,626.06 40% off $754.56 $11,109.97 $4,009.25 2026-05-06
26990 CPT I And D Absc Pelvis Hip 33 18 $7,710.00 $4,626.06 40% off $754.56 $11,109.97 $4,009.25 2026-05-06
188 MS_DRG Pleural Effusion Without Cc/mcc 10 10 $5,586.70 $3,352.02 40% off $1,298.00 $5,586.70 $3,991.51 2025-06-17
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 10 10 $17,917.78 $10,750.67 40% off $2,704.00 $17,917.78 $3,984.44 2025-06-17
62323 CPT Injection(s) Of Therapeutic Substance 8 6 $4,500.00 $3,150.00 30% off $2,205.00 $4,050.00 $3,937.50 2026-05-06
62322 CPT Injection(s) Of Therapeutic Substance 8 6 $4,500.00 $3,150.00 30% off $2,205.00 $4,050.00 $3,937.50 2026-05-06
J3111 HCPCS Evenity 210mg Pfs2 20 18 $4,353.40 $2,612.04 40% off $2,089.63 $4,353.40 $3,918.03 2026-05-06
56501 CPT Destruction Lesion Vulva Simple 21 18 $4,343.80 $2,606.28 40% off $297.86 $4,343.80 $3,910.00 2026-05-06
26356 CPT Rep Flexor Tendon Primary 32 18 $7,710.00 $4,626.06 40% off $456.48 $7,710.10 $3,893.62 2026-05-06
59414 CPT Delivery Of Placenta 33 18 $7,446.90 $4,468.14 40% off $644.64 $9,545.63 $3,872.39 2026-05-06
70552 CPT MRI Brain W Contrast 21 18 $4,292.00 $2,575.20 40% off $1,157.55 $4,292.00 $3,863.00 2026-05-06
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 9 9 $14,860.86 $8,916.52 40% off $1,500.00 $14,860.86 $3,786.00 2025-06-17
784 MS_DRG Cesarean Section With Sterilization With Cc 9 9 $15,612.26 $9,367.36 40% off $1,500.00 $15,612.26 $3,786.00 2025-06-17
949 MS_DRG Aftercare With Cc/mcc 10 10 $5,123.55 $3,074.13 40% off $1,298.00 $14,835.48 $3,783.10 2025-06-17
866 MS_DRG Viral Illness Without Mcc 10 10 $6,945.83 $4,167.50 40% off $1,298.00 $6,945.83 $3,764.17 2025-06-17
72197 CPT MRI Pelvis W/wo 21 18 $4,172.00 $2,503.20 40% off $2,002.56 $4,172.00 $3,755.00 2026-05-06
J0885 HCPCS Epoetin (procrit) 40,000 Vial UNITS/mL 20 18 $4,169.10 $2,501.46 40% off $2,001.17 $4,169.10 $3,752.10 2026-05-06
603 MS_DRG Cellulitis Without Mcc 10 10 $10,193.31 $6,115.99 40% off $1,298.00 $10,193.31 $3,734.72 2025-06-17
Q4149 HCPCS Augment Injectable Kit 1.5cc Injectable 8 6 $4,228.00 $2,960.00 30% off $2,072.00 $3,805.00 $3,699.50 2026-05-06
5001176 CDM Nf-harvoni Oral Tablet 90mg-400mg 8 6 $4,172.00 $2,920.00 30% off $2,044.00 $3,755.00 $3,650.50 2026-05-06
5001498 CDM Nf-harvoni Oral Tablet 90mg-400mg 8 6 $4,172.00 $2,920.00 30% off $2,044.00 $3,755.00 $3,650.50 2026-05-06
5001159 CDM Nf-harvoni Oral Tablet 90mg-400mg 8 6 $4,172.00 $2,920.00 30% off $2,044.00 $3,755.00 $3,650.50 2026-05-06
5001174 CDM Nf-harvoni Oral Tablet 90mg-400mg 8 6 $4,172.00 $2,920.00 30% off $2,044.00 $3,755.00 $3,650.50 2026-05-06
5001496 CDM Nf-harvoni Oral Tablet 90mg-400mg 8 6 $4,172.00 $2,920.00 30% off $2,044.00 $3,755.00 $3,650.50 2026-05-06
72146 CPT MRI Thoracic Spine Wo 24 18 $4,053.00 $2,431.80 40% off $1,063.98 $4,053.00 $3,647.70 2026-05-06
5005648 CDM Nf-nystatin Powder 8 6 $4,168.00 $2,918.00 30% off $2,042.00 $3,751.00 $3,647.00 2026-05-06
59514 CPT Cesarean Delivery 53 18 $3,647.00 $2,553.00 30% off $634.56 $8,755.00 $3,647.00 2026-05-06
5005652 CDM Nf-nystatin Powder 8 6 $4,168.00 $2,918.00 30% off $2,042.00 $3,751.00 $3,647.00 2026-05-06
36558 CPT Anesth Insertion Tunneled Cv Cath 25 12 $2,924.00 $1,754.40 40% off $1,403.52 $10,469.51 $3,644.40 2025-06-17
36569 CPT Picc Insert Without Port/pump >5 Yrs 33 18 $3,814.80 $2,288.88 40% off $1,816.80 $4,128.47 $3,618.00 2026-05-06
73220 CPT MRI Up Ext Not Jt Wwo R 8 6 $4,100.00 $2,870.00 30% off $2,009.00 $3,690.00 $3,587.50 2026-05-06
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 10 10 $6,439.14 $3,863.48 40% off $1,298.00 $6,439.14 $3,554.99 2025-06-17
43246 CPT Plce Gastrostomy Tube Per 45 18 $3,893.50 $2,336.10 40% off $344.64 $5,995.04 $3,543.09 2026-05-06
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 10 10 $13,445.06 $8,067.04 40% off $1,298.00 $13,445.06 $3,541.34 2025-06-17
54 MS_DRG Nervous System Neoplasms With Mcc 7 7 $3,538.70 $2,123.22 40% off $3,538.70 $9,388.25 $3,538.70 2025-06-17
95805 CPT Sleep Study-narcolepsy 21 18 $3,925.00 $2,355.00 40% off $814.81 $3,925.00 $3,533.00 2026-05-06
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 8 8 $4,547.25 $2,728.35 40% off $1,500.00 $4,547.25 $3,523.76 2025-06-17
20525 CPT Remove Fb Muscle Deep 33 18 $6,768.00 $4,061.04 40% off $725.28 $9,764.45 $3,519.57 2026-05-06
27603 CPT I And D Absc Ankle Leg 33 18 $6,768.00 $4,061.04 40% off $632.64 $9,764.45 $3,519.57 2026-05-06
10180 CPT I And D Po Wound Infection 33 18 $6,768.00 $4,061.04 40% off $632.64 $9,764.45 $3,519.57 2026-05-06
27372 CPT Rem Fb Thigh Knee 33 18 $6,768.00 $4,061.04 40% off $725.28 $9,764.45 $3,519.57 2026-05-06
24201 CPT Rem Fb Up Arm Elbow Deep 33 18 $6,768.00 $4,061.04 40% off $289.44 $9,764.45 $3,519.57 2026-05-06
23930 CPT I And D Absc Up Arm Elbow 33 18 $6,768.00 $4,061.04 40% off $632.64 $6,768.40 $3,519.57 2026-05-06
23333 CPT Rem Fb Shldr Subq 33 18 $6,768.00 $4,061.04 40% off $245.76 $6,768.40 $3,519.57 2026-05-06
23030 CPT I And D Absc Shldr Area 33 18 $6,768.00 $4,061.04 40% off $632.64 $9,764.45 $3,519.57 2026-05-06
21501 CPT I And D Absc Neck Thorax 33 18 $6,768.00 $4,061.04 40% off $632.64 $9,764.45 $3,519.57 2026-05-06
73723 CPT MRI Lwr Ext Jt Wwo Rt 8 6 $4,002.00 $2,801.00 30% off $1,961.00 $3,602.00 $3,502.00 2026-05-06
71275 CPT CT Chest Pe 31 18 $3,869.00 $2,321.40 40% off $1,157.55 $4,063.00 $3,482.10 2026-05-06
45990 CPT Anorectal Exam Reuiring Anesthesia 33 18 $6,688.00 $4,012.86 40% off $179.04 $9,725.65 $3,477.81 2026-05-06
49180 CPT Bx Abd/retroperitoneal Mass 21 18 $3,861.90 $2,317.14 40% off $1,853.71 $5,661.73 $3,476.00 2026-05-06
49405 CPT CT Guided Cyst Aspiration 21 18 $3,861.90 $2,317.14 40% off $1,853.71 $5,661.73 $3,476.00 2026-05-06
11422 CPT Exc Benign Sn N H F G1.1-2c 16 6 $4,031.00 $2,821.50 30% off $1,892.00 $3,780.00 $3,476.00 2026-05-06
11404 CPT Exc Benign Lesion 3.1-4cm 16 6 $4,031.00 $2,821.50 30% off $1,892.00 $3,780.00 $3,476.00 2026-05-06
J1451 HCPCS Fomepizole (antizol) Vial 1.5gm 20 18 $3,841.50 $2,304.90 40% off $1,843.92 $3,841.50 $3,458.00 2026-05-06
27503 CPT Cl Fx Red Supracondylar 33 18 $3,828.00 $2,296.98 40% off $1,680.00 $5,669.75 $3,445.47 2026-05-06
24675 CPT Cl Fx Reduction Ulnar 21 18 $3,828.30 $2,296.98 40% off $1,837.58 $5,669.75 $3,445.47 2026-05-06
27510 CPT Cl Fx Red Without Manipu Femoral, Distal 41 18 $3,828.00 $2,296.98 40% off $1.00 $5,669.75 $3,445.00 2026-05-06
58120 CPT Dilation & Curettage Diagnostic Or Thera 21 18 $3,807.00 $2,284.20 40% off $1,827.36 $9,545.63 $3,426.30 2026-05-06
59812 CPT D&c Incomplete Abortion Any Trimester 21 18 $3,807.00 $2,284.20 40% off $1,827.36 $9,545.63 $3,426.30 2026-05-06
43840 CPT Pro Lap Gastrorrhaphy Of Perf Gastric Ul 13 12 $3,421.00 $2,052.60 40% off $1,642.08 $5,934.35 $3,421.00 2025-06-17
11626 CPT Exc Mal Les Excised Diameter >4.0 Cm 32 18 $6,768.00 $4,061.04 40% off $268.32 $6,768.40 $3,417.78 2026-05-06
11446 CPT Exc Benign Lesi W Margins >4.0 Cm 32 18 $6,768.00 $4,061.04 40% off $436.32 $6,768.40 $3,417.78 2026-05-06
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