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

NEWPORT COMMUNITY HOSPITAL

Newport, WA · CCN 501310 · Rates published

11,885 distinct procedures filed
23 distinct payers
168,447 rate rows
2026-07-30 last MRF observed
Data quality

168,193 of 168,447 rate rows are consumer-grade (99.8%)

254 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
per-diem day rate — not a per-procedure price 129
percent-of-charges filed in the dollar field — excluded from medians 89
placeholder amount (≤ $0.02) — excluded from medians 29
exceeds 10× this hospital's gross charge — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbNCHNEWPORTWA&type=CDMWithoutLabel
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Newport_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 237795996791eb25… · 996,992 bytes · first seen 2026-07-30

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
RX-151077
OTHER 		Ustekinumab 90 Mg/ml Subq Sosy 13 $26,128.91 $51,191.33 $45,325.66 nat. median
$892
outlier · 50.8×
177
OTHER 		Respiratory Infections And Inflammations With Mcc 6 $29,178.25 $29,178.25 $29,178.25 nat. median
$15,866
1.8× median
RX-212251
OTHER 		Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Subq Soln 13 $15,277.84 $29,932.10 $26,502.38 nat. median
$26,502
1.0× median
Sx0000GS-5770
OTHER 		Hc Allograft Human Tissue Epifix 49sqcm 7cm X 7cm 11 $13,267.49 $25,993.44 $24,368.85 nat. median
$24,369
1.0× median
378
OTHER 		Gastrointestinal Hemorrhage With Cc 6 $24,149.93 $24,149.93 $24,149.93 nat. median
$9,336
outlier · 2.6×
PTC013986 _1
OTHER 		Joint Device (implantable) 6 $19,890.00 $24,225.00 $23,205.00 nat. median
$23,205
1.0× median
SUP-GS-5770
OTHER 		Allograft Human Tissue Epifix 7cm X 7cm Dehy Purion 13 $13,267.49 $25,993.44 $23,015.03 nat. median
$23,015
1.0× median
SxABS-1101-20
OTHER 		Hc Cartiform Graft 11 $12,495.00 $24,480.00 $22,950.00 nat. median
$22,950
1.0× median
SUP-ABS-1101-20
OTHER 		Cartiform Graft 13 $12,495.00 $24,480.00 $21,675.00 nat. median
$21,675
1.0× median
194
OTHER 		Simple Pneumonia And Pleurisy With Cc 6 $21,668.84 $21,668.84 $21,668.84 nat. median
$8,331
outlier · 2.6×
PTC012811 _1
OTHER 		Epifix, Per Square Centimeter 6 $18,126.23 $22,076.81 $21,147.26 nat. median
$21,147
1.0× median
690
OTHER 		Kidney And Urinary Tract Infections Without Mcc 6 $19,789.73 $19,789.73 $19,789.73 nat. median
$7,892
outlier · 2.5×
Sx0000400-258
OTHER 		Hc Plate Talar Large 11 $10,642.80 $20,851.20 $19,548.00 nat. median
$19,548
1.0× median
Sx0000400-259
OTHER 		Hc Plate Talar X-large 11 $10,642.80 $20,851.20 $19,548.00 nat. median
$19,548
1.0× median
RX-199666
OTHER 		Ublituximab-xiiy 150 Mg/6ml IV Soln 13 $10,960.66 $21,473.94 $19,013.39 nat. median
$19,013
1.0× median
SUP-400-256
OTHER 		Plate Talar Med Right 36x35mm Implant 13 $10,642.80 $20,851.20 $18,462.00 nat. median
$18,462
1.0× median
SUP-400-258
OTHER 		Plate Talar Large 13 $10,642.80 $20,851.20 $18,462.00 nat. median
$18,462
1.0× median
SUP-400-259
OTHER 		Plate Talar X-large 35 X 38mm Left Ankle 13 $10,642.80 $20,851.20 $18,462.00 nat. median
$18,462
1.0× median
Sx0000400-254
OTHER 		Hc Plate Talar Sm Right 34x35mm Implant 11 $9,715.23 $19,033.92 $17,844.30 nat. median
$17,844
1.0× median
PTC012808 _1
OTHER 		Joint Device (implantable) 6 $15,210.00 $18,525.00 $17,745.00 nat. median
$17,745
1.0× median
Sx0000400-262
OTHER 		Hc Plate Tibial 35mm Medium Tibia Plate Implant 11 $9,606.45 $18,820.80 $17,644.50 nat. median
$17,644
1.0× median
Sx98-B002-006
OTHER 		Hc Partial Knee Set 3 Items Listed On Po Comments 11 $9,555.00 $18,720.00 $17,550.00 nat. median
$17,550
1.0× median
SUP-400-254
OTHER 		Plate Ankle Right Talar Small 34mm X 35mm 13 $9,715.23 $19,033.92 $16,852.95 nat. median
$16,853
1.0× median
SUP-400-263
OTHER 		Plate Tibial 40mm Sbi Implant 13 $9,606.45 $18,820.80 $16,664.25 nat. median
$16,664
1.0× median
SUP-400-264
OTHER 		Plate Tibial 45mm Sbi Implant 13 $9,606.45 $18,820.80 $16,664.25 nat. median
$16,664
1.0× median
SUP-400-262
OTHER 		Component Ankle Joint Tibial Medium 35x32.5mm 13 $9,606.45 $18,820.80 $16,664.25 nat. median
$16,664
1.0× median
SUP-98-B002-006-001
OTHER 		Partial Knee Set 3 Items Listed On Po Comments 13 $9,555.00 $18,720.00 $16,575.00 nat. median
$16,575
1.0× median
RX-148911
OTHER 		Vedolizumab 300 Mg IV Solr 13 $9,364.15 $18,346.09 $16,243.93 nat. median
$16,244
1.0× median
Sx0000400-264
OTHER 		Hc Plate Tibial 45mm Sbi Implant 11 $8,768.55 $17,179.20 $16,105.50 nat. median
$16,106
1.0× median
Rx64764030020
OTHER 		Vedolizumab For IV Solution 300 Mg 11 $8,028.24 $15,728.80 $14,745.75 nat. median
$12,370
1.2× median
PHA000044 _1
OTHER 		Injection, Alteplase Recombinant, 1 Mg 6 $12,559.95 $15,297.38 $14,653.27 nat. median
$14,653
1.0× median
Sx0000GS-5560
OTHER 		Hc Allograft Human Tissue Epifix 30sqcm 5cm X 6cm 11 $7,931.39 $15,539.04 $14,567.85 nat. median
$14,568
1.0× median
PTC013927 _1
OTHER 		Joint Device (implantable) 6 $12,168.00 $14,820.00 $14,196.00 nat. median
$14,196
1.0× median
Sx0051-107110
OTHER 		Hc Tprlc 133 Mp Type1 Pps Ho 11.0 11 $7,695.45 $15,076.80 $14,134.50 nat. median
$14,134
1.0× median
Sx42-5603-135
OTHER 		Hc Stem Extension 3mm Offset 14mm Dia +135mm Length Splined 11 $7,644.00 $14,976.00 $14,040.00 nat. median
$14,040
1.0× median
Sx0000400-257
OTHER 		Hc Plate Talar Med Left 36x35mm 11 $7,635.18 $14,958.72 $14,023.80 nat. median
$14,024
1.0× median
Sx0000400-255
OTHER 		Hc Talar Component L Small 11 $7,635.18 $14,958.72 $14,023.80 nat. median
$14,024
1.0× median
Sx0000400-256
OTHER 		Hc Plate Talar Med Right 36x35mm Implant 11 $7,635.18 $14,958.72 $14,023.80 nat. median
$14,024
1.0× median
Sx0000400-253
OTHER 		Hc Talar Component X Small 11 $7,635.18 $14,958.72 $14,023.80 nat. median
$14,024
1.0× median
PTC013928 _1
OTHER 		Joint Device (implantable) 6 $11,934.00 $14,535.00 $13,923.00 nat. median
$13,923
1.0× median
Rx50242008527
OTHER 		Alteplase For Inj 100 Mg 11 $7,509.82 $14,713.12 $13,793.55 nat. median
$13,794
1.0× median
Sx42-5420-083
OTHER 		Hc Tibia Fixed Right Size H Non-porous 11 $7,497.00 $14,688.00 $13,770.00 nat. median
$13,770
1.0× median
SUP-GS-5560
OTHER 		Allograft Human Tissue Epifix 5cm X 6cm Dehy Purion 13 $7,931.39 $15,539.04 $13,758.53 nat. median
$13,759
1.0× median
SUP-51-109070
OTHER 		Tprlc 133 Mp Sp T1 Pps Ho 7x99 13 $7,695.45 $15,076.80 $13,349.25 nat. median
$13,349
1.0× median
SUP-51-107110
OTHER 		Tprlc 133 Mp Type1 Pps Ho 11.0 13 $7,695.45 $15,076.80 $13,349.25 nat. median
$2,530
outlier · 5.3×
SUP-51-107100
OTHER 		Tprlc 133 Mp Type1 Pps Ho 10.0 13 $7,695.45 $15,076.80 $13,349.25 nat. median
$2,530
outlier · 5.3×
SUP-51-107130
OTHER 		Tprlc 133 Mp Type1 Pps Ho 13.0 13 $7,695.45 $15,076.80 $13,349.25 nat. median
$1,381
outlier · 9.7×
SUP-51-107090
OTHER 		Tprlc 133 Mp Type1 Pps Ho 9.0 13 $7,695.45 $15,076.80 $13,349.25 nat. median
$2,530
outlier · 5.3×
SUP-42-5603-135-14
OTHER 		Stem Extension 3mm Offset 14mm Dia +135mm Length Splined 13 $7,644.00 $14,976.00 $13,260.00 nat. median
$13,260
1.0× median
SUP-400-255
OTHER 		Component Ankle Joint Talar Left 34mm X 35mm 13 $7,635.18 $14,958.72 $13,244.70 nat. median
$13,245
1.0× median

Other procedures at this hospital

Browse this hospital's 11,885 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
RX-151077 OTHER Ustekinumab 90 Mg/ml Subq Sosy 18 13 $53,324.30 $53,324.30 $26,128.91 $51,191.33 $45,325.66 2026-05-09
177 OTHER Respiratory Infections And Inflammations With Mcc 6 6 $26,730.50 $24,057.45 $29,178.25 $29,178.25 $29,178.25 2026-07-30
RX-212251 OTHER Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Subq Soln 18 13 $31,179.27 $31,179.27 $15,277.84 $29,932.10 $26,502.38 2026-05-09
Sx0000GS-5770 OTHER Hc Allograft Human Tissue Epifix 49sqcm 7cm X 7cm 16 11 $27,076.50 $24,368.85 $13,267.49 $25,993.44 $24,368.85 2026-05-08
378 OTHER Gastrointestinal Hemorrhage With Cc 6 6 $36,092.89 $32,483.60 $24,149.93 $24,149.93 $24,149.93 2026-07-30
PTC013986 _1 OTHER Joint Device (implantable) 6 6 $25,500.00 $22,950.00 $19,890.00 $24,225.00 $23,205.00 2026-07-30
SUP-GS-5770 OTHER Allograft Human Tissue Epifix 7cm X 7cm Dehy Purion 18 13 $27,076.50 $27,076.50 $13,267.49 $25,993.44 $23,015.03 2026-05-09
SxABS-1101-20 OTHER Hc Cartiform Graft 16 11 $25,500.00 $22,950.00 $12,495.00 $24,480.00 $22,950.00 2026-05-08
SUP-ABS-1101-20 OTHER Cartiform Graft 18 13 $25,500.00 $25,500.00 $12,495.00 $24,480.00 $21,675.00 2026-05-09
194 OTHER Simple Pneumonia And Pleurisy With Cc 6 6 $16,623.73 $14,961.36 $21,668.84 $21,668.84 $21,668.84 2026-07-30
PTC012811 _1 OTHER Epifix, Per Square Centimeter 6 6 $23,238.75 $20,914.88 $18,126.23 $22,076.81 $21,147.26 2026-07-30
690 OTHER Kidney And Urinary Tract Infections Without Mcc 6 6 $13,942.88 $12,548.59 $19,789.73 $19,789.73 $19,789.73 2026-07-30
Sx0000400-259 OTHER Hc Plate Talar X-large 16 11 $21,720.00 $14,023.80 35% off $10,642.80 $20,851.20 $19,548.00 2026-05-08
Sx0000400-258 OTHER Hc Plate Talar Large 16 11 $21,720.00 $14,023.80 35% off $10,642.80 $20,851.20 $19,548.00 2026-05-08
RX-199666 OTHER Ublituximab-xiiy 150 Mg/6ml IV Soln 18 13 $22,368.69 $22,368.69 $10,960.66 $21,473.94 $19,013.39 2026-05-09
SUP-400-259 OTHER Plate Talar X-large 35 X 38mm Left Ankle 18 13 $21,720.00 $21,720.00 $10,642.80 $20,851.20 $18,462.00 2026-05-09
SUP-400-256 OTHER Plate Talar Med Right 36x35mm Implant 18 13 $21,720.00 $21,720.00 $10,642.80 $20,851.20 $18,462.00 2026-05-09
SUP-400-258 OTHER Plate Talar Large 18 13 $21,720.00 $21,720.00 $10,642.80 $20,851.20 $18,462.00 2026-05-09
Sx0000400-254 OTHER Hc Plate Talar Sm Right 34x35mm Implant 16 11 $19,827.00 $17,844.30 $9,715.23 $19,033.92 $17,844.30 2026-05-08
PTC012808 _1 OTHER Joint Device (implantable) 6 6 $19,500.00 $17,550.00 $15,210.00 $18,525.00 $17,745.00 2026-07-30
Sx0000400-262 OTHER Hc Plate Tibial 35mm Medium Tibia Plate Implant 16 11 $19,605.00 $12,657.60 35% off $9,606.45 $18,820.80 $17,644.50 2026-05-08
Sx98-B002-006 OTHER Hc Partial Knee Set 3 Items Listed On Po Comments 16 11 $19,500.00 $17,550.00 $9,555.00 $18,720.00 $17,550.00 2026-05-08
SUP-400-254 OTHER Plate Ankle Right Talar Small 34mm X 35mm 18 13 $19,827.00 $19,827.00 $9,715.23 $19,033.92 $16,852.95 2026-05-09
SUP-400-264 OTHER Plate Tibial 45mm Sbi Implant 18 13 $19,605.00 $19,605.00 $9,606.45 $18,820.80 $16,664.25 2026-05-09
SUP-400-262 OTHER Component Ankle Joint Tibial Medium 35x32.5mm 18 13 $19,605.00 $19,605.00 $9,606.45 $18,820.80 $16,664.25 2026-05-09
SUP-400-263 OTHER Plate Tibial 40mm Sbi Implant 18 13 $19,605.00 $19,605.00 $9,606.45 $18,820.80 $16,664.25 2026-05-09
SUP-98-B002-006-001 OTHER Partial Knee Set 3 Items Listed On Po Comments 18 13 $19,500.00 $19,500.00 $9,555.00 $18,720.00 $16,575.00 2026-05-09
RX-148911 OTHER Vedolizumab 300 Mg IV Solr 18 13 $19,110.51 $19,110.51 $9,364.15 $18,346.09 $16,243.93 2026-05-09
Sx0000400-264 OTHER Hc Plate Tibial 45mm Sbi Implant 16 11 $17,895.00 $16,105.50 $8,768.55 $17,179.20 $16,105.50 2026-05-08
Rx64764030020 OTHER Vedolizumab For IV Solution 300 Mg 16 11 $16,384.17 $13,911.08 $8,028.24 $15,728.80 $14,745.75 2026-05-08
PHA000044 _1 OTHER Injection, Alteplase Recombinant, 1 Mg 6 6 $16,102.50 $14,492.25 $12,559.95 $15,297.38 $14,653.27 2026-07-30
Sx0000GS-5560 OTHER Hc Allograft Human Tissue Epifix 30sqcm 5cm X 6cm 16 11 $16,186.50 $14,567.85 $7,931.39 $15,539.04 $14,567.85 2026-05-08
PTC013927 _1 OTHER Joint Device (implantable) 6 6 $15,600.00 $14,040.00 $12,168.00 $14,820.00 $14,196.00 2026-07-30
Sx0051-107110 OTHER Hc Tprlc 133 Mp Type1 Pps Ho 11.0 16 11 $15,705.00 $14,134.50 $7,695.45 $15,076.80 $14,134.50 2026-05-08
Sx42-5603-135 OTHER Hc Stem Extension 3mm Offset 14mm Dia +135mm Length Splined 16 11 $15,600.00 $14,040.00 $7,644.00 $14,976.00 $14,040.00 2026-05-08
Sx0000400-257 OTHER Hc Plate Talar Med Left 36x35mm 16 11 $15,582.00 $14,023.80 $7,635.18 $14,958.72 $14,023.80 2026-05-08
Sx0000400-255 OTHER Hc Talar Component L Small 16 11 $15,582.00 $14,023.80 $7,635.18 $14,958.72 $14,023.80 2026-05-08
Sx0000400-256 OTHER Hc Plate Talar Med Right 36x35mm Implant 16 11 $15,582.00 $14,023.80 $7,635.18 $14,958.72 $14,023.80 2026-05-08
Sx0000400-253 OTHER Hc Talar Component X Small 16 11 $15,582.00 $14,023.80 $7,635.18 $14,958.72 $14,023.80 2026-05-08
PTC013928 _1 OTHER Joint Device (implantable) 6 6 $15,300.00 $13,770.00 $11,934.00 $14,535.00 $13,923.00 2026-07-30
Rx50242008527 OTHER Alteplase For Inj 100 Mg 16 11 $15,326.17 $13,804.09 $7,509.82 $14,713.12 $13,793.55 2026-05-08
Sx42-5420-083 OTHER Hc Tibia Fixed Right Size H Non-porous 16 11 $15,300.00 $13,770.00 $7,497.00 $14,688.00 $13,770.00 2026-05-08
SUP-GS-5560 OTHER Allograft Human Tissue Epifix 5cm X 6cm Dehy Purion 18 13 $16,186.50 $16,186.50 $7,931.39 $15,539.04 $13,758.53 2026-05-09
SUP-51-107130 OTHER Tprlc 133 Mp Type1 Pps Ho 13.0 18 13 $15,705.00 $15,705.00 $7,695.45 $15,076.80 $13,349.25 2026-05-09
SUP-51-107090 OTHER Tprlc 133 Mp Type1 Pps Ho 9.0 18 13 $15,705.00 $15,705.00 $7,695.45 $15,076.80 $13,349.25 2026-05-09
SUP-51-107110 OTHER Tprlc 133 Mp Type1 Pps Ho 11.0 18 13 $15,705.00 $15,705.00 $7,695.45 $15,076.80 $13,349.25 2026-05-09
SUP-51-109070 OTHER Tprlc 133 Mp Sp T1 Pps Ho 7x99 18 13 $15,705.00 $15,705.00 $7,695.45 $15,076.80 $13,349.25 2026-05-09
SUP-51-107100 OTHER Tprlc 133 Mp Type1 Pps Ho 10.0 18 13 $15,705.00 $15,705.00 $7,695.45 $15,076.80 $13,349.25 2026-05-09
SUP-42-5603-135-14 OTHER Stem Extension 3mm Offset 14mm Dia +135mm Length Splined 18 13 $15,600.00 $15,600.00 $7,644.00 $14,976.00 $13,260.00 2026-05-09
SUP-400-255 OTHER Component Ankle Joint Talar Left 34mm X 35mm 18 13 $15,582.00 $15,582.00 $7,635.18 $14,958.72 $13,244.70 2026-05-09
SUP-400-253 OTHER Component Talar Ankle Joint Star Xs Sngle Left 18 13 $15,582.00 $15,582.00 $7,635.18 $14,958.72 $13,244.70 2026-05-09
SUP-400-257 OTHER Plate Talar Med Left 36x35mm 18 13 $15,582.00 $15,582.00 $7,635.18 $14,958.72 $13,244.70 2026-05-09
SUP-42-5420-083-02 OTHER Tibia Fixed Right Size H Non-porous 18 13 $15,300.00 $15,300.00 $7,497.00 $14,688.00 $13,005.00 2026-05-09
PTC012649 _1 OTHER Epifix, Per Square Centimeter 6 6 $14,238.75 $12,814.88 $11,106.23 $13,526.81 $12,957.26 2026-07-30
PTC012733 _1 OTHER Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 6 6 $13,920.00 $12,528.00 $10,857.60 $13,224.00 $12,667.20 2026-07-30
Sx0000400-263 OTHER Hc Plate Tibial 40mm Sbi Implant 16 11 $14,064.00 $12,657.60 $6,891.36 $13,501.44 $12,657.60 2026-05-08
Sx00110010263 OTHER Hc G7 Osseoti Acetabular Multihole 50mm D 16 11 $14,001.00 $12,600.90 $6,860.49 $13,440.96 $12,600.90 2026-05-08
RX-197120 OTHER Risankizumab-rzaa 600 Mg/10ml IV Soln 18 13 $14,720.84 $14,720.84 $7,213.21 $14,132.01 $12,512.71 2026-05-09
Sx0051-104100 OTHER Hc Tprlc 133 T1 Pps Ho 10x140mm 16 11 $13,860.00 $12,474.00 $6,791.40 $13,305.60 $12,474.00 2026-05-08
Sx0051-104160 OTHER Hc Tprlc 133 T1 Pps Ho 16x152mm 16 11 $13,860.00 $12,474.00 $6,791.40 $13,305.60 $12,474.00 2026-05-08
Sx0051-104110 OTHER Hc Tprlc 133 T1 Pps Ho 11x142mm 16 11 $13,860.00 $12,474.00 $6,791.40 $13,305.60 $12,474.00 2026-05-08
Sx0051-104130 OTHER Hc Tprlc 133 T1 Pps Ho 13x146mm 16 11 $13,860.00 $12,474.00 $6,791.40 $13,305.60 $12,474.00 2026-05-08
Sx0051-104150 OTHER Hc Tprlc 133 T1 Pps Ho 15x150mm 16 11 $13,860.00 $12,474.00 $6,791.40 $13,305.60 $12,474.00 2026-05-08
Sx0051-101080 OTHER Hc Tprlc 133 Fptype 1 Pps Ho 8.0 16 11 $13,860.00 $12,474.00 $6,791.40 $13,305.60 $12,474.00 2026-05-08
RX-74707388 OTHER Tenecteplase 50 Mg IV Kit (stroke) 18 13 $14,454.75 $14,454.75 $7,082.83 $13,876.56 $12,286.54 2026-05-09
RX-28530 OTHER Tenecteplase 50 Mg IV Kit 18 13 $14,454.75 $14,454.75 $7,082.83 $13,876.56 $12,286.54 2026-05-09
PTC013351 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013115 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013703 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC014159 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC012941 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013216 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC012915 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013979 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013540 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013396 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013266 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013512 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013409 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013348 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC012945 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013187 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013259 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013628 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
PTC013445 _1 OTHER Joint Device (implantable) 6 6 $13,500.00 $12,150.00 $10,530.00 $12,825.00 $12,285.00 2026-07-30
SxAR-9301-47C OTHER Hc Eclipse Trunion 47mm Slotted Head 47/18 16 11 $13,500.00 $12,150.00 $6,615.00 $12,960.00 $12,150.00 2026-05-08
Sx42-5006-068 OTHER Hc Femur Cemented Posterior Stab Standard Right Size 10 16 11 $13,500.00 $12,150.00 $6,615.00 $12,960.00 $12,150.00 2026-05-08
SUP-110010263 OTHER G7 Osseoti Acetabular Multihole 50mm D 18 13 $14,001.00 $14,001.00 $6,860.49 $13,440.96 $11,900.85 2026-05-09
SUP-51-107120 OTHER Tprlc 133 Mp Type1 Pps Ho 12.0 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104180 OTHER Tprlc 133 T1 Pps Ho 18x156mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104170 OTHER Tprlc 133 T1 Pps Ho 17x154mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104160 OTHER Tprlc 133 T1 Pps Ho 16x152mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104130 OTHER Tprlc 133 T1 Pps Ho 13x146mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-101060 OTHER Tprlc 133 Fp Type1 Pps Ho 6.0 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104120 OTHER Tprlc 133 T1 Pps Ho 12x144mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104150 OTHER Tprlc 133 T1 Pps Ho 15x150mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-101080 OTHER Tprlc 133 Fp Type 1 Pps Ho 8.0 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-101050 OTHER Tprlc 133 Fp Type1 Pps Ho 5.0 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-100080 OTHER Tprlc 133 Fp Type 1 Pps So 8.0 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104100 OTHER Tprlc 133 T1 Pps Ho 10x140mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104110 OTHER Tprlc 133 T1 Pps Ho 11x142mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104090 OTHER Tprlc 133 T1 Pps Ho 9x137mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
SUP-51-104140 OTHER Tprlc 133 T1 Pps Ho 14x148mm 18 13 $13,860.00 $13,860.00 $6,791.40 $13,305.60 $11,781.00 2026-05-09
Sx0051-109070 OTHER Hc Tprlc 133 Mp Sp T1 Pps Ho 7x99 16 11 $13,087.50 $11,778.75 $6,412.88 $12,564.00 $11,778.75 2026-05-08
Sx0051-107100 OTHER Hc Tprlc 133 Mp Type1 Pps Ho 10.0 16 11 $13,087.50 $11,778.75 $6,412.88 $12,564.00 $11,778.75 2026-05-08
PTC014036 _1 OTHER Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 6 6 $12,885.00 $11,596.50 $10,050.30 $12,240.75 $11,725.35 2026-07-30
PHA900534 _1 OTHER Injection, Vedolizumab, 1 Mg 6 6 $12,783.20 $11,504.88 $9,970.90 $12,144.04 $11,632.71 2026-07-30
SUP-42-5006-068-02 OTHER Femur Cemented Posterior Stab Standard Right Size 10 18 13 $13,500.00 $13,500.00 $6,615.00 $12,960.00 $11,475.00 2026-05-09
SUP-42-5026-056-01 OTHER Femur Cemented Cruciate Lft 4 Retaining Std Left Size 4 18 13 $13,500.00 $13,500.00 $6,615.00 $12,960.00 $11,475.00 2026-05-09
SUP-AR-9301-47CPC OTHER Eclipse Trunion 47mm Slotted Head 47/18 18 13 $13,500.00 $13,500.00 $6,615.00 $12,960.00 $11,475.00 2026-05-09
PTC013917 _1 OTHER Joint Device (implantable) 6 6 $12,525.00 $11,272.50 $9,769.50 $11,898.75 $11,397.75 2026-07-30
SxAR-9100-11S OTHER Hc Universal Apex Humeral Stem 11 16 11 $12,525.00 $11,272.50 $6,137.25 $12,024.00 $11,272.50 2026-05-08
PTC013440 _1 OTHER Joint Device (implantable) 6 6 $12,198.00 $10,978.20 $9,514.44 $11,588.10 $11,100.18 2026-07-30
Sx00350-12-04 OTHER Hc Tibial Plate Fb Sz 4 Rt 16 11 $12,250.00 $11,025.00 $6,002.50 $11,760.00 $11,025.00 2026-05-08
Sx42-5006-064 OTHER Hc Femur Cemented Posterior Stab Standard Left Size 8 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5026-058 OTHER Hc Psn Fem Cr Cmt Ccr Std Sz5 L 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5026-070 OTHER Hc Femur Cenented Cruciate Lft 11 Retaining Std 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5026-060 OTHER Hc Femur Cemented Cruciate Lft 6 Retaining Std Left Size 6 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5026-064 OTHER Hc Femur Cemented Cruciate Retaining Std Left Size 8 16 11 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5026-068 OTHER Hc Femur Cemented Cruciate Lft 10 Retaining Std Left Size 10 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5020-066 OTHER Hc Femur Cemented Cruciate Retaining Narrow Left Size 9 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5020-062 OTHER Hc Femur Cemented Cruciate Retaining Narrow Right Size 7 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5026-062 OTHER Hc Femur Cemented Cruciate Lft 7 Retaining Std Left Size 7 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5026-066 OTHER Hc Femur Cemented Cruciate Retaining Std Right Size 9 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5020-064 OTHER Hc Femur Cemented Cruciate Retaining Narrow Right Size 8 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5026-056 OTHER Hc Femur Cemented Cruciate Lft 4 Retaining Std Left Size 4 16 11 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
Sx42-5020-060 OTHER Hc Femur Cemented Cruciate Retaining Narrow Right Size 6 16 11 $12,150.00 $10,935.00 $5,953.50 $11,664.00 $10,935.00 2026-05-08
SUP-AR-9100-11S OTHER Universal Apex Humeral Stem 11 18 13 $12,525.00 $12,525.00 $6,137.25 $12,024.00 $10,646.25 2026-05-09
SUP-350-12-04 OTHER Tibial Plate Size 4 Right Fixed Bearing Curved 18 13 $12,250.00 $12,250.00 $6,002.50 $11,760.00 $10,412.50 2026-05-09
Sx0051-104140 OTHER Hc Tprlc 133 T1 Pps Ho 14x148mm 16 11 $11,550.00 $10,395.00 $5,659.50 $11,088.00 $10,395.00 2026-05-08
Sx0051-104090 OTHER Hc Tprlc 133 T1 Pps Ho 9x137mm 16 11 $11,550.00 $10,395.00 $5,659.50 $11,088.00 $10,395.00 2026-05-08
SUP-42-5020-062-01 OTHER Femur Cemented Cruciate Retaining Narrow Left Size 7 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-070-02 OTHER Femur Cenented Cruciate Rt 11 Retaining Std 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5020-066-02 OTHER Femur Cemented Cruciate Retaining Narrow Right Size 9 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5020-062-02 OTHER Femur Cemented Cruciate Retaining Narrow Right Size 7 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-060-01 OTHER Femur Cemented Cruciate Lft 6 Retaining Std Left Size 6 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5020-070-01 OTHER Femur Cemented Cruciate Narrow Left Size 11 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5020-064-02 OTHER Femur Cemented Cruciate Retaining Narrow Right Size 8 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-068-02 OTHER Femur Cemented Cruciate Rt 10 Retaining Std Right Size 10 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-068-01 OTHER Femur Cemented Cruciate Lft 10 Retaining Std Left Size 10 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-070-01 OTHER Femur Cenented Cruciate Lft 11 Retaining Std 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-066-01 OTHER Femur Cemented Cruciate Retaining Std Left Size 9 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-064-01 OTHER Femur Cemented Cruciate Retaining Std Left Size 8 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-066-02 OTHER Femur Cemented Cruciate Retaining Std Right Size 9 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5006-064-01 OTHER Femur Cemented Posterior Stab Standard Left Size 8 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5020-064-01 OTHER Femur Cemented Cruciate Retaining Narrow Left Size 8 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5020-060-02 OTHER Femur Cemented Cruciate Retaining Narrow Right Size 6 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-062-01 OTHER Femur Cemented Cruciate Lft 7 Retaining Std Left Size 7 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5020-068-01 OTHER Femur Cemented Cruciate Retaining Narrow Right Size 9 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-056-02 OTHER Component Femoral Size 4 Right Cemented Cruciate Retaining 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-058-01 OTHER Psn Fem Cr Cmt Ccr Std Sz5 L 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-062-02 OTHER Femur Cemented Cruciate Rt 7 Retaining Std Right Size 7 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5020-060-01 OTHER Femur Cemented Cruciate Retaining Narrow Left Size 6 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5020-066-01 OTHER Femur Cemented Cruciate Retaining Narrow Left Size 9 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SUP-42-5026-060-02 OTHER Femur Cemented Cruciate Rt 6 Retaining Std Right Size 6 18 13 $12,150.00 $12,150.00 $5,953.50 $11,664.00 $10,327.50 2026-05-09
SxAR-9301-45C OTHER Hc Eclipse Trunion 45mm Slotted Tps Cap 16 11 $11,250.00 $10,125.00 $5,512.50 $10,800.00 $10,125.00 2026-05-08
RX-91495 OTHER Certolizumab Pegol 2 X 200 Mg Subq Kit 18 13 $11,909.01 $11,909.01 $5,835.41 $11,432.65 $10,122.66 2026-05-09
SUP-AR-9301-51CPC OTHER Eclipse Trunion 51mm, Slotted, Tps Cap 18 13 $11,812.50 $11,812.50 $5,788.13 $11,340.00 $10,040.63 2026-05-09
PHA000047 _1 OTHER Injection, Tenecteplase, 1 Mg 6 6 $10,989.60 $9,890.64 $8,571.89 $10,440.12 $10,000.53 2026-07-30
SUP-110010266 OTHER G7 Osseoti Acetabular Multihole 56mm F 18 13 $11,667.50 $11,667.50 $5,717.08 $11,200.80 $9,917.38 2026-05-09
PTC020120 _1 OTHER Joint Device (implantable) 6 6 $10,674.00 $9,606.60 $8,325.72 $10,140.30 $9,713.34 2026-07-30
SUP-AR-9301-45CPC OTHER Eclipse Trunion 45mm Slotted Tps Cap 18 13 $11,250.00 $11,250.00 $5,512.50 $10,800.00 $9,562.50 2026-05-09
Sx0000414.502 OTHER Hc Scp Complete Knee Kit With Accuport Side Del Cannula 16 11 $10,500.00 $9,450.00 $5,145.00 $10,080.00 $9,450.00 2026-05-08
Sx00350-02-04 OTHER Hc Talar Implant Sz 4 Rt 16 11 $10,500.00 $9,450.00 $5,145.00 $10,080.00 $9,450.00 2026-05-08
Sx00K20003010 OTHER Hc Augment Bone Graft 3cc Kit 16 11 $10,485.00 $9,436.50 $5,137.65 $10,065.60 $9,436.50 2026-05-08
SxAR-9100-06S OTHER Hc Universal Apex Humeral Stem 6mm 16 11 $10,437.50 $9,393.75 $5,114.38 $10,020.00 $9,393.75 2026-05-08
Sx42-5020-070 OTHER Hc Femur Cemented Cruciate Narrow Right Size 11 16 11 $10,125.00 $9,112.50 $4,961.25 $9,720.00 $9,112.50 2026-05-08
Sx42-5020-068 OTHER Hc Femur Cemented Cruciate Retaining Narrow Right Size 10 16 11 $10,125.00 $9,112.50 $4,961.25 $9,720.00 $9,112.50 2026-05-08
Sx42-5020-058 OTHER Hc Femur Cemented Cruciate Retaining Narrow Right Size 5 16 11 $10,125.00 $9,112.50 $4,961.25 $9,720.00 $9,112.50 2026-05-08
Sx42-5026-074 OTHER Hc Femur Implant Psn Fem Cr Cmt Ccr/std Sz12 L 16 11 $10,125.00 $9,112.50 $4,961.25 $9,720.00 $9,112.50 2026-05-08
Sx42-5020-056 OTHER Hc Femur Cemented Cruciate Retaining Narrow Left Size 4 16 11 $10,125.00 $9,112.50 $4,961.25 $9,720.00 $9,112.50 2026-05-08
SUP-350-02-04 OTHER Implant Talar Size 4 Right Curved 18 13 $10,500.00 $10,500.00 $5,145.00 $10,080.00 $8,925.00 2026-05-09
SUP-414.502 OTHER Scp Complete Knee Kit With Accuport Side Del Cannula 18 13 $10,500.00 $10,500.00 $5,145.00 $10,080.00 $8,925.00 2026-05-09
SUP-K20003010 OTHER Graft Bone Augment 3cc Kit 18 13 $10,485.00 $10,485.00 $5,137.65 $10,065.60 $8,912.25 2026-05-09
SUP-AR-9100-06S OTHER Universal Apex Humeral Stem 6mm 18 13 $10,437.50 $10,437.50 $5,114.38 $10,020.00 $8,871.88 2026-05-09
PTC014120 _1 OTHER Joint Device (implantable) 6 6 $9,720.00 $8,748.00 $7,581.60 $9,234.00 $8,845.20 2026-07-30
SUP-AR-9501-04-135P OTHER Univers Revers Size 4/33 Monoblock Stem 18 13 $10,222.50 $10,222.50 $5,009.03 $9,813.60 $8,689.13 2026-05-09
SUP-AR-8924VNR-03CLDS OTHER Volar Distal Rad Kit 2.4 Mm Narrow Right 3h Kreulock 18 13 $10,156.25 $10,156.25 $4,976.56 $9,750.00 $8,632.81 2026-05-09
SUP-42-5020-058-01 OTHER Femur Cemented Cruciate Retaining Narrow Left Size 5 18 13 $10,125.00 $10,125.00 $4,961.25 $9,720.00 $8,606.25 2026-05-09
SUP-42-5020-058-02 OTHER Femur Cemented Cruciate Retaining Narrow Right Size 5 18 13 $10,125.00 $10,125.00 $4,961.25 $9,720.00 $8,606.25 2026-05-09
SUP-42-5026-074-01 OTHER Femur Implant Psn Fem Cr Cmt Ccr/std Sz12 L 18 13 $10,125.00 $10,125.00 $4,961.25 $9,720.00 $8,606.25 2026-05-09
SUP-42-5000-066-02 OTHER Femur Ps Cemented Cocr Narrow Right Size 9 18 13 $10,125.00 $10,125.00 $4,961.25 $9,720.00 $8,606.25 2026-05-09
SUP-42-5020-070-02 OTHER Femur Cemented Cruciate Narrow Right Size 11 18 13 $10,125.00 $10,125.00 $4,961.25 $9,720.00 $8,606.25 2026-05-09
SUP-42-5026-064-02 OTHER Femur Cemented Crucitate Retaining Std Right Size 8 18 13 $10,125.00 $10,125.00 $4,961.25 $9,720.00 $8,606.25 2026-05-09
SUP-42-5020-068-02 OTHER Femur Cemented Cruciate Retaining Narrow Right Size 10 18 13 $10,125.00 $10,125.00 $4,961.25 $9,720.00 $8,606.25 2026-05-09
SUP-42-5020-056-01 OTHER Femur Cemented Cruciate Retaining Narrow Left Size 4 18 13 $10,125.00 $10,125.00 $4,961.25 $9,720.00 $8,606.25 2026-05-09
SUP-AR-9580-2420 OTHER Baseplate Glenoid 24mm 20deg Full Aug OB 18 13 $10,080.00 $10,080.00 $4,939.20 $9,676.80 $8,568.00 2026-05-09
SUP-AR-9580-2420S OTHER Baseplate Glenoid 24mm 20deg Full Aug St 18 13 $10,080.00 $10,080.00 $4,939.20 $9,676.80 $8,568.00 2026-05-09
PHA900531 _1 OTHER Leuprolide Acetate (for Depot Suspension), 7.5 Mg 6 6 $9,414.50 $8,473.05 $7,343.31 $8,943.78 $8,567.19 2026-07-30
Sx00040243010 OTHER Hc Claw Ii U Plate Small 16 11 $9,432.00 $8,488.80 $4,621.68 $9,054.72 $8,488.80 2026-05-08
Rx00310320001 OTHER Coagulation Fact Xa (recomb) Inact-zhzo For IV Soln 200 Mg 16 11 $9,405.23 $8,464.71 $4,608.56 $9,029.02 $8,464.71 2026-05-08
SxAR-8924VSR- OTHER Hc Volar Distal Rad Plate 2.4 Mm Ti Std Rt 3 Hole Kreulock 16 11 $9,375.00 $8,437.50 $4,593.75 $9,000.00 $8,437.50 2026-05-08
SUP-AR-19041S OTHER Rotator Cuff Augmentation Implant System 18 13 $9,913.80 $9,913.80 $4,857.76 $9,517.25 $8,426.73 2026-05-09
Sx005820LPX2R OTHER Hc Slep Cross Check Plate Lap 2 Right 16 11 $9,330.00 $8,397.00 $4,571.70 $8,956.80 $8,397.00 2026-05-08
RX-156642 OTHER Mepolizumab 100 Mg Subq Solr 18 13 $9,872.55 $9,872.55 $4,837.55 $9,477.65 $8,391.67 2026-05-09
RX-156450 OTHER Idarucizumab 2.5 Gm/50ml IV Soln 18 13 $9,838.96 $9,838.96 $4,821.09 $9,445.40 $8,363.12 2026-05-09
Rx00597019705 OTHER Idarucizumab IV Soln 2.5 Gm/50ml 16 11 $9,275.04 $8,026.57 $4,544.77 $8,904.04 $8,347.54 2026-05-08
PTC012910 _1 OTHER Joint Device (implantable) 6 6 $9,000.00 $8,100.00 $7,020.00 $8,550.00 $8,190.00 2026-07-30
PTC012852 _1 OTHER Joint Device (implantable) 6 6 $9,000.00 $8,100.00 $7,020.00 $8,550.00 $8,190.00 2026-07-30
PTC013193 _1 OTHER Joint Device (implantable) 6 6 $9,000.00 $8,100.00 $7,020.00 $8,550.00 $8,190.00 2026-07-30
PTC013582 _1 OTHER Joint Device (implantable) 6 6 $9,000.00 $8,100.00 $7,020.00 $8,550.00 $8,190.00 2026-07-30
PTC012642 _1 OTHER Epifix, Per Square Centimeter 6 6 $8,987.00 $8,088.30 $7,009.86 $8,537.65 $8,178.17 2026-07-30
Sx00086MX2X04 OTHER Hc Maxforce Thick 2x4cm 16 11 $9,075.00 $8,167.50 $4,446.75 $8,712.00 $8,167.50 2026-05-08
Sx000650-1057 OTHER Hc Cer Bioloxd Option Hd 36mm 16 11 $9,028.50 $8,125.65 $4,423.97 $8,667.36 $8,125.65 2026-05-08
PHA000123 _1 OTHER Injection, Rituximab, 10 Mg 6 6 $8,926.20 $8,033.58 $6,962.44 $8,479.89 $8,122.84 2026-07-30
PTC012442 _1 OTHER Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 6 6 $8,925.00 $8,032.50 $6,961.50 $8,478.75 $8,121.75 2026-07-30
PTC013488 _1 OTHER Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 6 6 $8,863.50 $7,977.15 $6,913.53 $8,420.33 $8,065.78 2026-07-30
SUP-40243010 OTHER Claw Ii U Plate Small 18 13 $9,432.00 $9,432.00 $4,621.68 $9,054.72 $8,017.20 2026-05-09
SUP-AR-9094ES-10-3925L OTHER Es Troch Nail Lt 10mm X 39cm X 125 18 13 $9,408.75 $9,408.75 $4,610.29 $9,032.40 $7,997.44 2026-05-09
SUP-AR-9094ES-10-3325R OTHER Es Troch Nail Rt 10mm X 33cm X 125 18 13 $9,408.75 $9,408.75 $4,610.29 $9,032.40 $7,997.44 2026-05-09
SUP-AR-9094ES-10-3625L OTHER Es Troch Nail Lt 10mm X 36cm X 125 18 13 $9,408.75 $9,408.75 $4,610.29 $9,032.40 $7,997.44 2026-05-09
SUP-AR-9094ES-10-3325L OTHER Es Troch Nail Lt 10mm X 33cm X 125 18 13 $9,408.75 $9,408.75 $4,610.29 $9,032.40 $7,997.44 2026-05-09
SUP-AR-9094ES-10-3625R OTHER Es Troch Nail Rt 10mm X 36cm X 125 18 13 $9,408.75 $9,408.75 $4,610.29 $9,032.40 $7,997.44 2026-05-09
Rx50242005306 OTHER Rituximab IV Soln 500 Mg/50ml 16 11 $8,880.79 $6,394.20 28% off $4,351.59 $8,525.56 $7,992.71 2026-05-08
SUP-AR-8924VSR-03CLDS OTHER Volar Distal Rad Plate 2.4 Mm Ti Std Rt 3 Hole Kreulock 18 13 $9,375.00 $9,375.00 $4,593.75 $9,000.00 $7,968.75 2026-05-09
SUP-5820LPX2R OTHER Slep Cross Check Plate Lap 2 Right 18 13 $9,330.00 $9,330.00 $4,571.70 $8,956.80 $7,930.50 2026-05-09
PTC012927 _1 OTHER Epifix, Injectable, 1 Mg 6 6 $8,701.50 $7,831.35 $6,787.17 $8,266.43 $7,918.36 2026-07-30
PTC014102 _1 OTHER Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 6 6 $8,685.00 $7,816.50 $6,774.30 $8,250.75 $7,903.35 2026-07-30
PTC014105 _1 OTHER Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 6 6 $8,685.00 $7,816.50 $6,774.30 $8,250.75 $7,903.35 2026-07-30
Sx0000514.302 OTHER Hc Scp Foot And Ankle Kit 11ga 3cc Side Delivery 16 11 $8,700.00 $7,830.00 $4,263.00 $8,352.00 $7,830.00 2026-05-08
Sx0000GS-5440 OTHER Hc Allograft Human Tissue Epifix 16sqcm 4cm X 4cm 16 11 $8,686.50 $7,817.85 $4,256.39 $8,339.04 $7,817.85 2026-05-08
SUP-86MX2X04 OTHER Allograft Maxforce Thick 2x4cm 18 13 $9,075.00 $9,075.00 $4,446.75 $8,712.00 $7,713.75 2026-05-09
SUP-650-1057 OTHER Cer Bioloxd Option Hd 36mm 18 13 $9,028.50 $9,028.50 $4,423.97 $8,667.36 $7,674.23 2026-05-09
SUP-AR-2600FSB-2 OTHER Fibertak Speedbridge Implant System Knotless 18 13 $9,018.75 $9,018.75 $4,419.19 $8,658.00 $7,665.94 2026-05-09
Px00045010239 OTHER Hc Ed Amputate Finger/thumb Single W/direct Closure Cdm 16 11 $8,517.00 $6,059.70 29% off $4,173.33 $8,176.32 $7,665.30 2026-05-08
SUP-650-1055 OTHER Cer Bioloxd Option Hd 28mm 18 13 $8,970.00 $8,970.00 $4,395.30 $8,611.20 $7,624.50 2026-05-09
SUP-650-1056 OTHER Cer Bioloxd Option Hd 32mm 18 13 $8,970.00 $8,970.00 $4,395.30 $8,611.20 $7,624.50 2026-05-09
SUP-AR-9929BC-CP OTHER Achilles Pars Bc 3.9mm/amss Cc 18 13 $8,938.80 $8,938.80 $4,380.01 $8,581.25 $7,597.98 2026-05-09
RX-155757 OTHER Rituximab 500 Mg/50ml IV Soln 18 13 $8,880.79 $8,880.79 $4,351.59 $8,525.56 $7,548.67 2026-05-09
Sx03125-1180S OTHER Hc Nail Kit 11 X 180mm X 125 Ti Trochanteric 16 11 $8,382.50 $7,544.25 $4,107.43 $8,047.20 $7,544.25 2026-05-08
Sx03130-1180S OTHER Hc Nail Kit 11 X 180mm X 130 Ti Trochanteric 16 11 $8,382.50 $7,544.25 $4,107.43 $8,047.20 $7,544.25 2026-05-08
Rx50633012011 OTHER Digoxin Immune Fab For Inj 40 Mg 16 11 $8,329.79 $7,213.91 $4,081.60 $7,996.60 $7,496.81 2026-05-08
SUP-514.302 OTHER Scp Foot And Ankle Kit 11ga 3cc Side Delivery 18 13 $8,700.00 $8,700.00 $4,263.00 $8,352.00 $7,395.00 2026-05-09
Sx000076-6016 OTHER Hc Etex Beta Bsm Injectable Bone Substitute 5cc 16 11 $8,213.22 $12,528.00 $4,024.48 $7,884.69 $7,391.90 2026-05-08
SUP-GS-5440 OTHER Allograft Human Tissue Epifix 4cm X 4cm Dehy Purion 18 13 $8,686.50 $8,686.50 $4,256.39 $8,339.04 $7,383.53 2026-05-09
RX-31432 OTHER Digoxin Immune Fab 40 Mg IV Solr 18 13 $8,665.26 $8,665.26 $4,245.98 $8,318.65 $7,365.47 2026-05-09
Rx50242012047 OTHER Tenecteplase For IV Soln Kit 50 Mg 16 11 $8,179.24 $6,944.05 $4,007.83 $7,852.07 $7,361.32 2026-05-08
Sx0001020-390 OTHER Hc Nail Galileotroch Left 10mmx39cmx125 16 11 $8,174.25 $7,356.83 $4,005.38 $7,847.28 $7,356.83 2026-05-08
SUP-50109 OTHER Subtalar Mba Implant 9mm 18 13 $8,652.00 $8,652.00 $4,239.48 $8,305.92 $7,354.20 2026-05-09
Sx00000161469 OTHER Hc Oxford Twin Peg Femoral Medium 16 11 $8,100.00 $7,290.00 $3,969.00 $7,776.00 $7,290.00 2026-05-08
Sx00000161470 OTHER Hc Twin Peg Femoral Lg Size Cemented 16 11 $8,100.00 $7,290.00 $3,969.00 $7,776.00 $7,290.00 2026-05-08
Sx00000161471 OTHER Hc Cemented Twin Pegged Femoral X-large 16 11 $8,100.00 $7,290.00 $3,969.00 $7,776.00 $7,290.00 2026-05-08
Sx00000161468 OTHER Hc Twin Peg Femoral Cemented 16 11 $8,100.00 $7,290.00 $3,969.00 $7,776.00 $7,290.00 2026-05-08
PHA900194 _1 OTHER Injection, Pegfilgrastim, 6 Mg 6 6 $7,963.47 $7,167.12 $6,211.51 $7,565.30 $7,246.76 2026-07-30
SUP-627233 OTHER Plate 86mm Holex3 Right Proximal Lateral Humeral 18 13 $8,523.00 $8,523.00 $4,176.27 $8,182.08 $7,244.55 2026-05-09
PX-45010239 OTHER Amputation Of Finger Or Thumb With Direct Closure 18 13 $8,517.00 $8,517.00 $4,173.33 $8,176.32 $7,239.45 2026-05-09
SUP-AR-2600FSB-1 OTHER Fibertak Speedbridge Implant System With Bc Swvlk 18 13 $8,433.75 $8,433.75 $4,132.54 $8,096.40 $7,168.69 2026-05-09
Rx00078081881 OTHER Octreotide Acetate For IM Inj Kit 20 Mg 16 11 $7,959.08 $6,890.27 $3,899.95 $7,640.72 $7,163.17 2026-05-08
Sx00110024461 OTHER Hc G7 Dual Acetabular Liner Neutral 38mm Bearing Size C 16 11 $7,956.00 $7,160.40 $3,898.44 $7,637.76 $7,160.40 2026-05-08
Sx00110024462 OTHER Hc G7 Dual Acetabular Liner Neutral 38mm Bearing Size D 16 11 $7,956.00 $7,160.40 $3,898.44 $7,637.76 $7,160.40 2026-05-08
Sx00110024463 OTHER Hc G7 Dual Acetabular Liner Neutral 42mm Bearing Size E 16 11 $7,956.00 $7,160.40 $3,898.44 $7,637.76 $7,160.40 2026-05-08
SUP-AR-9580-2410-2S OTHER Baseplate 24mm 10 Full Aug +2 Lat St 18 13 $8,400.00 $8,400.00 $4,116.00 $8,064.00 $7,140.00 2026-05-09
SUP-AR-9580-2410-2 OTHER Baseplate 24mm 10 Full Aug +2 Lat OB 18 13 $8,400.00 $8,400.00 $4,116.00 $8,064.00 $7,140.00 2026-05-09
SUP-AR-9580-2410 OTHER Baseplate 24mm 10 Full Aug OB 18 13 $8,400.00 $8,400.00 $4,116.00 $8,064.00 $7,140.00 2026-05-09
SUP-AR-9944P-5L OTHER Maxforce Mtp Plate Petite 5-5 Left 18 13 $8,312.50 $8,312.50 $4,073.13 $7,980.00 $7,065.63 2026-05-09
SxAR-9501-05P OTHER Hc Univers Revers Humeral Stem Size 5 16 11 $7,827.75 $7,044.98 $3,835.60 $7,514.64 $7,044.98 2026-05-08
SxAR-9501-09P OTHER Hc Univers Revers Humeral Stem Size 9 16 11 $7,827.75 $6,709.50 $3,835.60 $7,514.64 $7,044.98 2026-05-08
SxAR-9501-10P OTHER Hc Univers Revers Humeral Stem Size 10 16 11 $7,827.75 $7,044.98 $3,835.60 $7,514.64 $7,044.98 2026-05-08
SxAR-9501-06P OTHER Hc Univers Revers Humeral Stem Size 6 16 11 $7,827.75 $6,709.50 $3,835.60 $7,514.64 $7,044.98 2026-05-08
Rx13533080041 OTHER Immune Globulin (human) IV Or Subcutaneous Soln 40 Gm/400ml 16 11 $7,812.20 $7,030.98 $3,827.98 $7,499.71 $7,030.98 2026-05-08
SUP-76-6016 OTHER Etex Beta Bsm Injectable Bone Substitute 5cc 18 13 $8,213.22 $8,213.22 $4,024.48 $7,884.69 $6,981.24 2026-05-09
SUP-1020-360 OTHER Nail Galileotroch Left 10mmx36cmx125 18 13 $8,174.25 $8,174.25 $4,005.38 $7,847.28 $6,948.11 2026-05-09
SUP-1020-390 OTHER Nail Galileotroch Left 10mmx39cmx125 18 13 $8,174.25 $8,174.25 $4,005.38 $7,847.28 $6,948.11 2026-05-09
PHA900592 _1 OTHER Unclassified Biologics 6 6 $7,575.30 $6,817.77 $5,908.73 $7,196.54 $6,893.52 2026-07-30
SUP-161469 OTHER Oxford Twin Peg Femoral Medium 18 13 $8,100.00 $8,100.00 $3,969.00 $7,776.00 $6,885.00 2026-05-09
SUP-161470 OTHER Twin Peg Femoral Lg Size Cemented 18 13 $8,100.00 $8,100.00 $3,969.00 $7,776.00 $6,885.00 2026-05-09
SUP-161471 OTHER Cemented Twin Pegged Femoral X-large 18 13 $8,100.00 $8,100.00 $3,969.00 $7,776.00 $6,885.00 2026-05-09
SUP-161468 OTHER Twin Peg Femoral Cemented 18 13 $8,100.00 $8,100.00 $3,969.00 $7,776.00 $6,885.00 2026-05-09
Sx0001021-395 OTHER Hc Nail Es Troch Right 10mmx39cmx125 16 11 $7,599.37 $6,839.43 $3,723.69 $7,295.40 $6,839.43 2026-05-08
Sx0001021-425 OTHER Hc Nail Galileotroch Right 10mmx42cmx125 16 11 $7,599.37 $6,839.43 $3,723.69 $7,295.40 $6,839.43 2026-05-08
PTC013349 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC014145 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC012942 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC012944 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC013188 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC013260 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC013538 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC013267 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC013539 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC012916 _1 OTHER Joint Device (implantable) 6 6 $7,500.00 $6,750.00 $5,850.00 $7,125.00 $6,825.00 2026-07-30
PTC013460 _1 OTHER Joint Device (implantable) 6 6 $7,455.00 $6,709.50 $5,814.90 $7,082.25 $6,784.05 2026-07-30
PTC012731 _1 OTHER Joint Device (implantable) 6 6 $7,455.00 $6,709.50 $5,814.90 $7,082.25 $6,784.05 2026-07-30
PTC012764 _1 OTHER Joint Device (implantable) 6 6 $7,455.00 $6,709.50 $5,814.90 $7,082.25 $6,784.05 2026-07-30
PTC012021 _1 OTHER Joint Device (implantable) 6 6 $7,455.00 $6,709.50 $5,814.90 $7,082.25 $6,784.05 2026-07-30
PTC013383 _1 OTHER Joint Device (implantable) 6 6 $7,455.00 $6,709.50 $5,814.90 $7,082.25 $6,784.05 2026-07-30
PTC013165 _1 OTHER Connective Tissue, Human (includes Fascia Lata) 6 6 $7,455.00 $6,709.50 $5,814.90 $7,082.25 $6,784.05 2026-07-30
RX-24435 OTHER Octreotide Acetate 20 Mg IM Kit 18 13 $7,961.69 $7,961.69 $3,901.23 $7,643.22 $6,767.44 2026-05-09
SUP-110024462 OTHER Liner Acetabular G7 Size D 40mm Dual Mobility Bearing 18 13 $7,956.00 $7,956.00 $3,898.44 $7,637.76 $6,762.60 2026-05-09
SUP-110024463 OTHER G7 Dual Acetabular Liner Neutral 42mm Bearing Size E 18 13 $7,956.00 $7,956.00 $3,898.44 $7,637.76 $6,762.60 2026-05-09
SUP-110024464 OTHER G7 Dual Acetabular Liner Neutral 42mm Bearing Size F 18 13 $7,956.00 $7,956.00 $3,898.44 $7,637.76 $6,762.60 2026-05-09
SUP-110024461 OTHER G7 Dual Acetabular Liner Neutral 38mm Bearing Size C 18 13 $7,956.00 $7,956.00 $3,898.44 $7,637.76 $6,762.60 2026-05-09
SUP-EI5200 OTHER Allograft Human Tissue Epifix Particulate 160mg Micronized Dehy Purion 18 13 $7,951.50 $7,951.50 $3,896.24 $7,633.44 $6,758.78 2026-05-09
Sx42-5226-010 OTHER Hc Constrained Posterior Stabiliz Right 10mm Tib Size G-h 16 11 $7,500.00 $6,750.00 $3,675.00 $7,200.00 $6,750.00 2026-05-08
Rx55513019001 OTHER Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 16 11 $7,488.62 $6,744.91 $3,669.42 $7,189.08 $6,739.76 2026-05-08
PTC012448 _1 OTHER Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 6 6 $7,382.25 $6,644.03 $5,758.16 $7,013.14 $6,717.85 2026-07-30
SxAR-9501-07P OTHER Hc Univers Revers Humeral Stem Size 7 16 11 $7,455.00 $6,709.50 $3,652.95 $7,156.80 $6,709.50 2026-05-08
SxAR-9501-08P OTHER Hc Univers Revers Humeral Stem Size 8 16 11 $7,455.00 $6,709.50 $3,652.95 $7,156.80 $6,709.50 2026-05-08
SxAR-9501-11P OTHER Hc Univers Revers Humeral Stem Size 11 16 11 $7,455.00 $6,709.50 $3,652.95 $7,156.80 $6,709.50 2026-05-08
SxAR-9501-12P OTHER Hc Univers Revers Humeral Stem Size 12 16 11 $7,455.00 $6,709.50 $3,652.95 $7,156.80 $6,709.50 2026-05-08
SUP-AR-9094ES-10-3930L OTHER Es Troch Nail Lt 10mm X 39cm X 130 18 13 $7,840.63 $7,840.63 $3,841.91 $7,527.00 $6,664.54 2026-05-09
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