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

PEACEHEALTH UNITED GENERAL MEDICAL CENTER

Sedro Woolley, WA · CCN 501329 · Rates published

4,155 distinct procedures filed
18 distinct payers
156,076 rate rows
2026-07-31 last MRF observed
Data quality

32,870 of 156,076 rate rows are consumer-grade (21.1%)

123,206 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 119,121
exceeds 10× this hospital's gross charge — excluded from medians 3,471
per-diem day rate — not a per-procedure price 614
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/51492878d96ce15d3ad32eec16ccc830/charges/mrf
Found on page https://www.peacehealth.org/patient-financial-services/hospital-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 81e70ec1a3a6fad2… · 161,588,646 bytes · first seen 2026-05-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J0896
HCPCS 		Injection; Luspatercept-aamt; 0.25 Mg 1 $30,190.29 $30,190.29 $30,190.29 nat. median
$4,503
outlier · 6.7×
23515
CPT 		Treatment Of Broken Collar Bone 1 $19,032.62 $19,032.62 $19,032.62 nat. median
$7,011
outlier · 2.7×
49595
CPT 		Repair Of Anterior Abdominal Hernia(s) (ie; Epigastric; Incisional; Ventral; Umb… 1 $18,205.85 $18,205.85 $18,205.85 nat. median
$6,018
outlier · 3.0×
20680
CPT 		Removal Of Deep Implant From Bone 1 $12,237.72 $12,237.72 $12,237.72 nat. median
$3,268
outlier · 3.7×
J9223
HCPCS 		Inj. Lurbinectedin, 0.1 Mg 1 $4,483.75 $18,006.29 $11,245.02 nat. median
$605
outlier · 18.6×
47563
CPT 		Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 3 $5,320.00 $11,466.22 $10,465.00 nat. median
$6,018
1.7× median
J9299
HCPCS 		Opdivo 3 $2,687.76 $11,287.67 $10,366.01 nat. median
$2,649
outlier · 3.9×
25606
CPT 		Placement Of Stabilizing Device For Broken Forearm Bone On Thumb Side At Wrist 1 $10,303.27 $10,303.27 $10,303.27 nat. median
$3,664
outlier · 2.8×
77372
CPT 		Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 1 $9,597.60 $9,597.60 $9,597.60 nat. median
$9,046
1.1× median
J9173
HCPCS 		Imfinzi 2 $8,423.91 $15,407.60 $9,510.87 nat. median
$1,035
outlier · 9.2×
J9316
HCPCS 		Phesgo 1 $9,202.21 $9,202.21 $9,202.21 nat. median
$360
outlier · 25.6×
26727
CPT 		Placement Of Stabilizing Device For Broken Finger Or Thumb At Midportion Or Part… 2 $3,400.70 $13,061.95 $8,231.33 nat. median
$3,543
outlier · 2.3×
J9271
HCPCS 		Keytruda 2 $7,719.73 $7,964.33 $7,842.03 nat. median
$254
outlier · 30.9×
49594
CPT 		Repair Of Anterior Abdominal Hernia(s) (ie; Epigastric; Incisional; Ventral; Umb… 3 $6,233.50 $9,251.68 $7,713.83 nat. median
$5,951
1.3× median
J9022
HCPCS 		Tecentriq 1 $7,674.99 $7,674.99 $7,674.99 nat. median
$5,498
1.4× median
47562
CPT 		Removal Of Gallbladder Using An Endoscope 5 $3,544.34 $12,116.41 $7,597.80 nat. median
$5,954
1.3× median
24342
CPT 		Reinsertion Of Torn Upper Arm Tendon 1 $7,454.12 $7,454.12 $7,454.12 nat. median
$6,967
1.1× median
J9144
HCPCS 		Daratumumab, Hyaluronidase 1 $7,008.84 $7,008.84 $7,008.84 nat. median
$202
outlier · 34.7×
77295
CPT 		3d Radiation Therapy Planning 5 $3,667.16 $8,285.20 $6,841.99 nat. median
$1,916
outlier · 3.6×
36561
CPT 		Insertion Of Central Venous Tube With Port (5 Years Or Older) 4 $3,161.69 $8,108.95 $6,625.69 nat. median
$3,727
1.8× median
49593
CPT 		Repair Of Anterior Abdominal Hernia(s) (ie; Epigastric; Incisional; Ventral; Umb… 5 $1,740.72 $13,193.65 $6,311.20 nat. median
$5,927
1.1× median
19120
CPT 		Removal Of Growth And Tissue Of Breast; Duct; Or Nipple 1 $6,293.88 $6,293.88 $6,293.88 nat. median
$3,662
1.7× median
J9228
HCPCS 		Yervoy 2 $3,135.17 $20,473.30 $6,244.11 nat. median
$8,184
0.8× median
49651
CPT 		Repair Of Recurrent Groin Hernia Using An Endoscope 2 $4,600.40 $10,527.87 $6,217.05 nat. median
$5,950
1.0× median
J3380
HCPCS 		Injection; Vedolizumab; 1 Mg 1 $6,142.00 $6,142.00 $6,142.00 nat. median
$150
outlier · 41.0×
29882
CPT 		Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope 2 $4,099.61 $7,852.95 $5,976.28 nat. median
$3,932
1.5× median
25111
CPT 		Removal Of First Cyst Of Wrist 2 $5,233.41 $6,502.10 $5,867.76 nat. median
$2,007
outlier · 2.9×
24077
CPT 		Extensive Removal Of Growth Of Upper Arm Or Elbow; Less Than 5.0 Cm 1 $5,843.50 $5,843.50 $5,843.50 nat. median
$3,074
1.9× median
Q5119
HCPCS 		Ruxience 1 $5,822.25 $5,822.25 $5,822.25 nat. median
$751
outlier · 7.7×
27524
CPT 		Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal… 1 $5,642.39 $5,642.39 $5,642.39 nat. median
$6,994
0.8× median
29822
CPT 		Limited Removal Of Abnormal Shoulder Joint Tissue Using Endoscope 2 $880.88 $10,098.27 $5,489.58 nat. median
$3,800
1.4× median
29827
CPT 		Repair Of Shoulder Rotator Cuff Using An Endoscope 3 $3,523.54 $6,468.99 $5,396.13 nat. median
$7,177
0.8× median
49650
CPT 		Repair Of Groin Hernia Using An Endoscope 7 $3,280.83 $15,737.92 $5,387.03 nat. median
$5,834
0.9× median
26160
CPT 		Removal Of Growth Of Tendon Finger Or Hand 2 $2,414.90 $8,012.95 $5,213.92 nat. median
$1,913
outlier · 2.7×
58562
CPT 		Removal Of Foreign Body In Uterus Using An Endoscope 1 $4,908.55 $4,908.55 $4,908.55 nat. median
$3,319
1.5× median
25609
CPT 		Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 1 $4,784.71 $4,877.57 $4,831.14 nat. median
$7,267
0.7× median
64718
CPT 		Release And/or Relocation Of Elbow Nerve 5 $2,242.34 $7,037.21 $4,803.56 nat. median
$2,512
1.9× median
25130
CPT 		Removal Of Cyst Or Growth Of Wrist Bone 1 $4,591.13 $4,591.13 $4,591.13 nat. median
$3,519
1.3× median
Q5117
HCPCS 		Kanjinti 1 $4,488.17 $4,488.17 $4,488.17 nat. median
$764
outlier · 5.9×
11772
CPT 		Complicated Removal Of Cyst Of Tailbone 2 $4,149.73 $4,494.37 $4,322.05 nat. median
$3,019
1.4× median
92950
CPT 		Heart/lung Resuscitation Cpr 13 $1,051.47 $4,305.60 $4,305.60 nat. median
$589
outlier · 7.3×
94640
CPT 		Inhalation Treatment For Airway Obstruction Or Sputum Production 13 $57.74 $4,305.60 $4,305.60 nat. median
$194
outlier · 22.2×
94668
CPT 		Follow-up Therapy Service To Facilitate Lung Function 13 $4,305.60 $4,305.60 $4,305.60 nat. median
$136
outlier · 31.8×
94667
CPT 		Initial Therapy Service To Facilitate Lung Function 13 $99.98 $4,305.60 $4,305.60 nat. median
$153
outlier · 28.2×
94799
CPT 		Other Service Or Procedure On Lung 13 $4,305.60 $4,305.60 $4,305.60 nat. median
$166
outlier · 26.0×
94002
CPT 		Vent Mgmt Inpat Init Day 13 $4,305.60 $4,305.60 $4,305.60 nat. median
$920
outlier · 4.7×
94619
CPT 		Exercise Tst Brncspsm Wo ECG 13 $4,305.60 $4,305.60 $4,305.60 nat. median
$95
outlier · 45.2×
94729
CPT 		Test To Examine How Well The Lungs Exchange Gases 13 $82.96 $4,305.60 $4,305.60 nat. median
$217
outlier · 19.9×
A9576
HCPCS 		Prohance 13 $4,305.60 $4,305.60 $4,305.60 nat. median
$11
outlier · 387.9×
90717
CPT 		Yellow Fever Vaccine Subq 13 $4,305.60 $4,305.60 $4,305.60 nat. median
$256
outlier · 16.8×

Other procedures at this hospital

Browse this hospital's 4,155 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
             
J0896 HCPCS Injection; Luspatercept-aamt; 0.25 Mg 1 1 $53,525.25 $34,791.41 35% off $30,190.29 $30,190.29 $30,190.29 2026-07-31
77372 CPT Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 1 1 $30,960.00 $20,124.00 35% off $9,597.60 $9,597.60 $9,597.60 2026-07-31
J9316 HCPCS Phesgo 1 1 $30,280.40 $19,682.26 35% off $9,202.21 $9,202.21 $9,202.21 2026-07-31
J9173 HCPCS Imfinzi 3 2 $27,173.90 $17,663.04 35% off $8,423.91 $15,407.60 $9,510.87 2026-07-31
J9223 HCPCS Inj. Lurbinectedin, 0.1 Mg 2 1 $26,284.75 $17,085.09 35% off $4,483.75 $18,006.29 $11,245.02 2026-07-31
J9271 HCPCS Keytruda 2 2 $24,902.35 $16,186.53 35% off $7,719.73 $7,964.33 $7,842.03 2026-07-31
23515 CPT Treatment Of Broken Collar Bone 1 1 $24,650.00 $16,022.50 35% off $19,032.62 $19,032.62 $19,032.62 2026-07-31
J9022 HCPCS Tecentriq 1 1 $24,527.80 $15,943.07 35% off $7,674.99 $7,674.99 $7,674.99 2026-07-31
49595 CPT Repair Of Anterior Abdominal Hernia(s) (ie; Epigastric; Incisional; Ventral; Umb… 1 1 $24,050.00 $15,632.50 35% off $18,205.85 $18,205.85 $18,205.85 2026-07-31
J9144 HCPCS Daratumumab, Hyaluronidase 1 1 $22,677.75 $14,740.54 35% off $7,008.84 $7,008.84 $7,008.84 2026-07-31
J3380 HCPCS Injection; Vedolizumab; 1 Mg 1 1 $20,210.60 $13,136.89 35% off $6,142.00 $6,142.00 $6,142.00 2026-07-31
24342 CPT Reinsertion Of Torn Upper Arm Tendon 1 1 $19,850.00 $12,902.50 35% off $7,454.12 $7,454.12 $7,454.12 2026-07-31
J9228 HCPCS Yervoy 4 2 $19,183.15 $12,469.05 35% off $3,135.17 $20,473.30 $6,244.11 2026-07-31
27524 CPT Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal … 1 1 $18,530.00 $12,044.50 35% off $5,642.39 $5,642.39 $5,642.39 2026-07-31
25609 CPT Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 2 1 $18,290.00 $11,888.50 35% off $4,784.71 $4,877.57 $4,831.14 2026-07-31
47563 CPT Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 3 3 $16,475.00 $10,708.75 35% off $5,320.00 $11,466.22 $10,465.00 2026-07-31
47562 CPT Removal Of Gallbladder Using An Endoscope 7 5 $15,950.00 $10,367.50 35% off $3,544.34 $12,116.41 $7,597.80 2026-07-31
49651 CPT Repair Of Recurrent Groin Hernia Using An Endoscope 3 2 $15,333.34 $9,966.67 35% off $4,600.40 $10,527.87 $6,217.05 2026-07-31
20680 CPT Removal Of Deep Implant From Bone 1 1 $15,290.00 $9,938.50 35% off $12,237.72 $12,237.72 $12,237.72 2026-07-31
29882 CPT Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope 2 2 $14,750.00 $9,587.50 35% off $4,099.61 $7,852.95 $5,976.28 2026-07-31
36561 CPT Insertion Of Central Venous Tube With Port (5 Years Or Older) 5 4 $14,501.67 $9,426.08 35% off $3,161.69 $8,108.95 $6,625.69 2026-07-31
49650 CPT Repair Of Groin Hernia Using An Endoscope 15 7 $13,400.00 $8,710.00 35% off $3,280.83 $15,737.92 $5,387.03 2026-07-31
25130 CPT Removal Of Cyst Or Growth Of Wrist Bone 1 1 $13,250.00 $8,612.50 35% off $4,591.13 $4,591.13 $4,591.13 2026-07-31
11772 CPT Complicated Removal Of Cyst Of Tailbone 2 2 $12,590.00 $8,183.50 35% off $4,149.73 $4,494.37 $4,322.05 2026-07-31
26727 CPT Placement Of Stabilizing Device For Broken Finger Or Thumb At Midportion Or Part… 2 2 $11,750.00 $7,637.50 35% off $3,400.70 $13,061.95 $8,231.33 2026-07-31
29827 CPT Repair Of Shoulder Rotator Cuff Using An Endoscope 4 3 $11,365.00 $7,387.25 35% off $3,523.54 $6,468.99 $5,396.13 2026-07-31
49594 CPT Repair Of Anterior Abdominal Hernia(s) (ie; Epigastric; Incisional; Ventral; Umb… 3 3 $10,190.00 $6,623.50 35% off $6,233.50 $9,251.68 $7,713.83 2026-07-31
Q5119 HCPCS Ruxience 1 1 $10,131.35 $6,585.38 35% off $5,822.25 $5,822.25 $5,822.25 2026-07-31
25111 CPT Removal Of First Cyst Of Wrist 2 2 $9,230.00 $5,999.50 35% off $5,233.41 $6,502.10 $5,867.76 2026-07-31
24077 CPT Extensive Removal Of Growth Of Upper Arm Or Elbow; Less Than 5.0 Cm 1 1 $8,990.00 $5,843.50 35% off $5,843.50 $5,843.50 $5,843.50 2026-07-31
26160 CPT Removal Of Growth Of Tendon Finger Or Hand 2 2 $8,870.00 $5,765.50 35% off $2,414.90 $8,012.95 $5,213.92 2026-07-31
64718 CPT Release And/or Relocation Of Elbow Nerve 8 5 $8,633.34 $5,611.67 35% off $2,242.34 $7,037.21 $4,803.56 2026-07-31
J9299 HCPCS Opdivo 3 3 $8,575.70 $5,574.21 35% off $2,687.76 $11,287.67 $10,366.01 2026-07-31
25606 CPT Placement Of Stabilizing Device For Broken Forearm Bone On Thumb Side At Wrist 1 1 $8,033.34 $5,221.67 35% off $10,303.27 $10,303.27 $10,303.27 2026-07-31
49593 CPT Repair Of Anterior Abdominal Hernia(s) (ie; Epigastric; Incisional; Ventral; Umb… 5 5 $7,790.00 $5,063.50 35% off $1,740.72 $13,193.65 $6,311.20 2026-07-31
58562 CPT Removal Of Foreign Body In Uterus Using An Endoscope 1 1 $7,730.00 $5,024.50 35% off $4,908.55 $4,908.55 $4,908.55 2026-07-31
0200 RC — 21 14 $7,326.00 $4,761.90 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
19120 CPT Removal Of Growth And Tissue Of Breast; Duct; Or Nipple 1 1 $7,113.34 $4,623.67 35% off $6,293.88 $6,293.88 $6,293.88 2026-07-31
77295 CPT 3d Radiation Therapy Planning 5 5 $6,379.50 $4,146.68 35% off $3,667.16 $8,285.20 $6,841.99 2026-07-31
0169 RC — 21 14 $5,214.00 $3,389.10 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0120 RC — 21 14 $5,214.00 $3,389.10 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0191 RC — 21 14 $5,214.00 $3,389.10 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J3424 HCPCS Inj Hydroxocobalamin IV 25mg 20 13 $4,469.25 $2,905.01 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0126 RC — 19 15 $4,378.00 $2,845.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94002 CPT Vent Mgmt Inpat Init Day 20 13 $4,095.00 $2,661.75 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
29822 CPT Limited Removal Of Abnormal Shoulder Joint Tissue Using Endoscope 2 2 $4,085.41 $2,655.52 35% off $880.88 $10,098.27 $5,489.58 2026-07-31
J0841 HCPCS Inj Crotalidae IM F(ab')2 Eq 20 13 $3,863.89 $2,511.53 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0169-4772-11 NDC Ozempic 2 Mg Doses 20 13 $3,279.27 $2,131.53 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2515 HCPCS Pentobarbital Sodium Inj 20 13 $2,832.81 $1,841.33 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
Q5117 HCPCS Kanjinti 1 1 $2,765.15 $1,797.35 35% off $4,488.17 $4,488.17 $4,488.17 2026-07-31
0003-1100-60 NDC Cobenfy 20 13 $1,923.12 $1,250.03 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
A9585 HCPCS Gadobutrol Injection 20 13 $1,780.35 $1,157.23 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1807 HCPCS Inj, Ethacrynate Sod, 1 Mg 20 13 $1,611.88 $1,047.72 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0074-1040-08 NDC Survanta 20 13 $1,481.44 $962.94 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0188-06 NDC Clinimix 8/10 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0188-01 NDC Clinimix 8/10 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0644-03 NDC Travasol 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0644-04 NDC Travasol 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1145-03 NDC Clinimix E 4.25/10 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-7011-01 NDC Clinimix 5/15 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1123-04 NDC Clinimix E 5/15 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1130-04 NDC PremaSol 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1130-03 NDC PremaSol 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1138-03 NDC Clinimix 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-7022-01 NDC Clinimix E 4.25/5 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1125-04 NDC Clinimix E 5/20 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-7030-06 NDC Clinimix E 5/15 20 13 $1,438.00 $934.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
92950 CPT Heart/lung Resuscitation Cpr 21 13 $1,389.00 $902.85 35% off $1,051.47 $4,305.60 $4,305.60 2026-07-31
99465 CPT Nb Resuscitation 20 13 $1,163.00 $755.95 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1451 HCPCS Fomepizole, 15 Mg 20 13 $1,137.90 $739.64 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
A9578 HCPCS Multihance 20 13 $1,101.13 $715.73 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0074-4382-20 NDC Nimbex 20 13 $1,038.10 $674.77 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0169-4181-03 NDC Ozempic 0.25 Mg Or 0.5 Mg Doses 20 13 $1,005.14 $653.34 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0169-4181-13 NDC Ozempic 0.25 Mg Or 0.5 Mg Doses 20 13 $1,005.14 $653.34 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0125 RC — 21 14 $961.00 $624.65 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0093-5986-27 NDC EPINEPHrine 20 13 $957.78 $622.56 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94660 CPT Therapy Procedure Using A Positive Pressure Ventilator 80 13 $899.00 $584.35 35% off $278.55 $4,305.60 $4,305.60 2026-07-31
0006-5425-05 NDC Bridion 20 13 $843.31 $548.15 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0006-5425-15 NDC Bridion 20 13 $843.31 $548.15 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0115-1695-49 NDC EPINEPHrine 20 13 $797.90 $518.64 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0115-1694-49 NDC EPINEPHrine 20 13 $797.90 $518.64 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0211 HCPCS Inj, Nithiodote, 3mg / 125mg 20 13 $708.04 $460.23 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0675 HCPCS Hemabate 20 13 $625.21 $406.39 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1190 HCPCS Dexrazoxane Hcl Injection 7 5 $611.86 $397.71 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0023-2181-05 NDC Acular 20 13 $596.30 $387.60 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94727 CPT Pulm Function Test By Gas 20 13 $582.00 $378.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
A9576 HCPCS Prohance 20 13 $537.82 $349.58 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0093-5986-19 NDC EPINEPHrine 20 13 $507.89 $330.13 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0093-5985-19 NDC EPINEPHrine 20 13 $503.39 $327.20 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0006-5423-02 NDC Bridion 20 13 $486.77 $316.40 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0006-5423-12 NDC Bridion 20 13 $486.77 $316.40 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0209 HCPCS Inj, Sod Thiosulfate (hope) 20 13 $443.27 $288.13 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0115-1694-30 NDC EPINEPHrine 20 13 $427.95 $278.17 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94799 CPT Other Service Or Procedure On Lung 20 13 $413.00 $268.45 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
G0238 HCPCS Therapeutic Procedures To Improve Respiratory Function; Other Than Described By … 60 13 $405.00 $263.25 35% off $41.83 $4,305.60 $4,305.60 2026-07-31
Q9957 HCPCS Definity 49 13 $385.00 $250.25 35% off $117.00 $4,305.60 $4,305.60 2026-07-31
J0476 HCPCS Baclofen Intrathecal Trial 7 5 $374.24 $243.26 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1805 HCPCS Inj, Esmolol Hcl, 10mg 20 13 $353.87 $230.02 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2679 HCPCS Inj Fluphenazine Hcl 1.25 Mg 20 13 $344.15 $223.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0006-4119-01 NDC Gardasil 9 20 13 $340.34 $221.22 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2804 HCPCS Inj, Rifampin, 1 Mg 20 13 $335.00 $217.75 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94667 CPT Initial Therapy Service To Facilitate Lung Function 20 13 $329.00 $213.85 35% off $99.98 $4,305.60 $4,305.60 2026-07-31
0264-7578-10 NDC Mannitol 20 13 $323.15 $210.05 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
Q9968 HCPCS Provayblue 20 13 $321.97 $209.28 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0006-4171-01 NDC ProQuad 20 13 $301.17 $195.76 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9297-01 NDC Dantrolene Sodium 20 13 $297.08 $193.10 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0184-01 NDC Clinimix 8/14 20 13 $297.00 $193.05 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0264-4460-00 NDC Nutrilipid 20 13 $293.12 $190.53 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94619 CPT Exercise Tst Brncspsm Wo ECG 20 13 $293.00 $190.45 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2404 HCPCS niCARdipine Hcl-sodium Chloride 20 13 $284.93 $185.20 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J7519 HCPCS Inj. Mycophenolate Mofetil 20 13 $279.21 $181.49 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2601 HCPCS Vasopressin-sodium Chloride 20 13 $279.20 $181.48 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
A9581 HCPCS Gadoxetate Disodium Inj 20 13 $277.42 $180.32 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0009-0436-01 NDC R-gene 10 20 13 $277.02 $180.06 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0264-4460-10 NDC Nutrilipid 20 13 $275.38 $179.00 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0800-50 NDC Bss Plus 20 13 $274.15 $178.20 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0800-94 NDC Bss Plus 20 13 $274.15 $178.20 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94729 CPT Test To Examine How Well The Lungs Exchange Gases 60 13 $273.00 $177.45 35% off $82.96 $4,305.60 $4,305.60 2026-07-31
90717 CPT Yellow Fever Vaccine Subq 20 13 $268.33 $174.41 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2700 HCPCS Oxacillin Sodium Injeciton 20 13 $263.23 $171.10 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0650 HCPCS Inj, Levothyroxine Nos 10mcg 20 13 $259.01 $168.36 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94669 CPT Mechanical Chest Wall Oscill 20 13 $256.00 $166.40 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
Q9956 HCPCS Injection; Octafluoropropane Microspheres; Per Ml 40 13 $254.50 $165.43 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J9100 HCPCS Cytarabine Hcl 100 Mg Inj 7 5 $253.00 $164.45 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2598 HCPCS Inj, Vasopressin, 1 Unit 20 13 $249.44 $162.14 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2596 HCPCS Vasopressin (long Grove) 1 U 20 13 $249.44 $162.14 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0357-03 NDC Osmitrol 20 13 $248.08 $161.25 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-7032-01 NDC Clinimix E 5/15 20 13 $244.20 $158.73 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0264-4460-30 NDC Nutrilipid 20 13 $242.62 $157.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0357-02 NDC Osmitrol 20 13 $234.43 $152.38 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0264-7387-50 NDC Dextrose 20 13 $222.14 $144.39 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0112-20 NDC Norepinephrine Bitartrate-dextrose 20 13 $222.14 $144.39 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1101-04 NDC Clinimix 20 13 $217.80 $141.57 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-7011-04 NDC Clinimix 5/15 20 13 $217.80 $141.57 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1099-04 NDC Clinimix 20 13 $217.80 $141.57 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0719-06 NDC Dextrose 20 13 $216.68 $140.84 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
A9577 HCPCS Multihance 20 13 $214.47 $139.41 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0258 RC — 20 13 $213.95 $139.07 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-7024-01 NDC Clinimix E 4.25/5 20 13 $211.20 $137.28 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-7024-04 NDC Clinimix E 4.25/5 20 13 $211.20 $137.28 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9525-01 NDC dexmedeTOMIDine Hcl-sodium Chloride 20 13 $209.04 $135.88 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9525-10 NDC dexmedeTOMIDine Hcl-sodium Chloride 20 13 $209.04 $135.88 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0092-65 NDC Fluorescite 20 13 $207.96 $135.17 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2305 HCPCS Nitroglycerin-dextrose 20 13 $206.80 $134.42 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94644 CPT Inhalation Treatment For Acute Airway Obstruction; First Hour 80 13 $205.00 $133.25 35% off $62.30 $4,305.60 $4,305.60 2026-07-31
J0525 HCPCS Inj Cefotetan Disodium 10 Mg 20 13 $203.12 $132.03 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0264-7520-00 NDC Dextrose 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0054-03 NDC Sodium Chloride 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9318-01 NDC Norepinephrine Bitartrate 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0656-04 NDC Acetic Acid 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0023-02 NDC Dextrose 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9532-01 NDC dexmedeTOMIDine HCl 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0264-7805-10 NDC Sodium Chloride 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2290 HCPCS Inj, Nafcillin Sodium, 20 Mg 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1271 HCPCS Inj Doxycycline Hyclate 1 Mg 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1836 HCPCS metroNIDAZOLE 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2371 HCPCS Phenylephrine HCl 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1580 HCPCS Gentamicin Sulfate 8 6 $202.00 $131.30 35% off $61.39 $4,305.60 $4,305.60 2026-07-31
J3291 HCPCS Tranexamic Acid In Sod Chlor 20 13 $202.00 $131.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0074-4456-04 NDC Ultane 20 13 $201.36 $130.88 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0397-05 NDC Cyclogyl 20 13 $200.98 $130.64 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9392-10 NDC Remifentanil Hydrochloride 20 13 $200.49 $130.32 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9392-01 NDC Remifentanil Hydrochloride 20 13 $200.49 $130.32 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2865 HCPCS Smz-tmp Concentrate 20 13 $190.40 $123.76 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94640 CPT Inhalation Treatment For Airway Obstruction Or Sputum Production 100 13 $190.00 $123.50 35% off $57.74 $4,305.60 $4,305.60 2026-07-31
0143-9526-10 NDC dexmedeTOMIDine Hcl-sodium Chloride 20 13 $189.11 $122.92 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9526-01 NDC dexmedeTOMIDine Hcl-sodium Chloride 20 13 $189.11 $122.92 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2002 HCPCS Lidocaine Hcl-dextrose 20 13 $185.29 $120.44 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0502-06 NDC Clinisol 20 13 $184.80 $120.12 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0502-03 NDC Clinisol 20 13 $184.80 $120.12 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1113-04 NDC Clinimix E 4.25/5 20 13 $184.80 $120.12 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0736 HCPCS Inj, Clindamycin Phosp 300mg 20 13 $181.44 $117.94 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0023-04 NDC Dextrose 20 13 $181.19 $117.77 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0023-03 NDC Dextrose 20 13 $181.19 $117.77 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94664 CPT Evaluation Of Use Of Breathing Device 20 13 $180.00 $117.00 35% off $154.26 $4,305.60 $4,305.60 2026-07-31
0065-0359-05 NDC Cyclomydril 20 13 $179.33 $116.56 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9532-25 NDC dexmedeTOMIDine HCl 20 13 $178.58 $116.08 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1089-04 NDC Clinimix 20 13 $178.20 $115.83 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-7003-01 NDC Clinimix 20 13 $178.20 $115.83 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9318-10 NDC Norepinephrine Bitartrate 20 13 $177.97 $115.68 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J3379 HCPCS Inj, Valproate Sod, 5 Mg 20 13 $177.86 $115.61 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0396-05 NDC Cyclogyl 20 13 $176.84 $114.95 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0817-01 NDC Atropine Sulfate 20 13 $176.13 $114.48 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0324-01 NDC Recothrom 20 13 $156.99 $102.04 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0322-01 NDC Recothrom 20 13 $156.99 $102.04 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9391-10 NDC Remifentanil Hydrochloride 20 13 $155.50 $101.08 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9391-01 NDC Remifentanil Hydrochloride 20 13 $155.50 $101.08 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0180-01 NDC Clinimix 8/14 20 13 $155.10 $100.82 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0180-06 NDC Clinimix 8/14 20 13 $155.10 $100.82 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0074-4380-10 NDC Nimbex 20 13 $148.75 $96.69 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0397-02 NDC Cyclogyl 20 13 $144.50 $93.93 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0817-02 NDC Atropine Sulfate 20 13 $139.43 $90.63 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
G0237 HCPCS Therapeutic Procedures To Increase Strength Or Endurance Of Respiratory Muscles;… 20 13 $133.00 $86.45 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-0644-06 NDC Travasol 20 13 $132.00 $85.80 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-7030-01 NDC Clinimix E 5/15 20 13 $128.70 $83.66 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0359-02 NDC Cyclomydril 20 13 $127.04 $82.58 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1955 HCPCS levOCARNitine 20 13 $125.51 $81.58 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0396-02 NDC Cyclogyl 20 13 $124.07 $80.65 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0255 RC — 20 13 $122.76 $79.79 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94645 CPT Inhalation Treatment For Acute Airway Obstruction; Each Additional Hour 40 13 $120.00 $78.00 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1147-03 NDC Clinimix E 5/15 20 13 $118.80 $77.22 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0013-1114-21 NDC Cyklokapron 20 13 $118.00 $76.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0013-1114-20 NDC Cyklokapron 20 13 $118.00 $76.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1808 HCPCS Inj, Folic Acid, 0.1 Mg 20 13 $115.75 $75.24 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0006-4837-03 NDC Pneumovax 23 20 13 $115.24 $74.91 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0006-4837-01 NDC Pneumovax 23 20 13 $115.24 $74.91 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1105 HCPCS Dexmedetomidine Film, 1 Mcg 20 13 $113.72 $73.92 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1137-03 NDC Clinimix 20 13 $112.20 $72.93 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
G0239 HCPCS Therapeutic Procedures To Improve Respiratory Function Or Increase Strength Or E… 20 13 $112.00 $72.80 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0074-4378-05 NDC Nimbex 20 13 $109.75 $71.34 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0088-2500-33 NDC Apidra 20 13 $105.67 $68.69 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1144-03 NDC Clinimix E 4.25/5 20 13 $105.60 $68.64 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
94668 CPT Follow-up Therapy Service To Facilitate Lung Function 20 13 $105.00 $68.25 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
Q9960 HCPCS Conray-43 20 13 $103.13 $67.03 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1047-02 NDC Nitroglycerin-dextrose 20 13 $100.90 $65.59 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
Q9965 HCPCS Omnipaque 140 20 13 $99.99 $64.99 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0338-1133-03 NDC Clinimix 20 13 $99.00 $64.35 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2401 HCPCS Chloroprocaine HCl 20 13 $98.20 $63.83 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0250 RC — 20 13 $98.00 $63.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9508-10 NDC Ketamine HCl 20 13 $98.00 $63.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9508-01 NDC Ketamine HCl 20 13 $98.00 $63.70 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
A9579 HCPCS Injection; Gadolinium-based Magnetic Resonance Contrast Agent; Not Otherwise Spe… 40 13 $94.48 $61.41 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0795-50 NDC Bss 20 13 $94.30 $61.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-1795-04 NDC Balanced Salt Solution 20 13 $94.30 $61.30 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0618 HCPCS Calcium Chloride 20 13 $91.63 $59.56 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2470 HCPCS Inj Pantoprazole Sodium 40mg 20 13 $91.00 $59.15 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0281 HCPCS Aminocaproic Acid 20 13 $88.76 $57.69 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9232-01 NDC Vecuronium Bromide 20 13 $88.27 $57.38 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9232-10 NDC Vecuronium Bromide 20 13 $88.27 $57.38 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2599 HCPCS Vasopressin 20 13 $88.00 $57.20 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0168-0357-30 NDC Lidocaine-prilocaine 20 13 $85.48 $55.56 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9786-10 NDC Enalaprilat 20 13 $83.61 $54.35 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9786-01 NDC Enalaprilat 20 13 $83.61 $54.35 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0165 HCPCS Adrenalin 11 6 $83.15 $54.05 35% off $20.91 $4,305.60 $4,305.60 2026-07-31
0065-4274-01 NDC Pataday Twice Daily Relief 20 13 $82.30 $53.50 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1598 HCPCS Inj Glycopyrrolate Fres Kabi 20 13 $81.64 $53.07 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9509-01 NDC Ketamine HCl 20 13 $79.01 $51.36 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9509-10 NDC Ketamine HCl 20 13 $79.01 $51.36 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0670 HCPCS Inj Mepivacaine Hcl/10 Ml 20 13 $78.40 $50.96 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
Q9961 HCPCS Conray 20 13 $78.21 $50.84 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0474-01 NDC Systane 20 13 $77.14 $50.14 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0411-30 NDC Betadine 20 13 $76.90 $49.99 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-0795-15 NDC Bss 20 13 $76.77 $49.90 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0253 RC — 20 13 $76.70 $49.86 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0283-0871-31 NDC Hurricaine 20 13 $76.32 $49.61 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0283-1016-31 NDC Hurricaine 20 13 $74.65 $48.52 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1163 HCPCS Inj, Diltiazem Hcl, 0.5 Mg 20 13 $74.34 $48.32 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0283-0293-31 NDC Hurricaine 20 13 $73.16 $47.55 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0168-0357-55 NDC Lidocaine-prilocaine 20 13 $72.53 $47.14 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
G2215 HCPCS Take-home Supply Of Nasal Naloxone; 2-pack Of 4mg Per 0.1 Ml Nasal Spray (provis… 20 13 $72.40 $47.06 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0065-8064-01 NDC GenTeal Tears 20 13 $71.98 $46.79 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0013-1114-15 NDC Cyklokapron 20 13 $70.91 $46.09 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0013-1114-01 NDC Cyklokapron 20 13 $70.91 $46.09 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9787-01 NDC Enalaprilat 20 13 $70.83 $46.04 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9787-10 NDC Enalaprilat 20 13 $70.83 $46.04 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J3480 HCPCS Potassium Chloride 20 13 $70.54 $45.85 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0327-0001-10 NDC Clorpactin Wcs-90 20 13 $70.35 $45.73 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9397-10 NDC Cisatracurium Besylate 20 13 $70.02 $45.51 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9397-01 NDC Cisatracurium Besylate 20 13 $70.02 $45.51 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0283-0871-12 NDC Hurricaine 20 13 $69.37 $45.09 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9507-01 NDC Etomidate 20 13 $69.09 $44.91 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9507-10 NDC Etomidate 20 13 $69.09 $44.91 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0281020502 NDC Surgilube 20 13 $69.00 $44.85 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2795 HCPCS Ropivacaine Hcl Injection 20 13 $67.84 $44.10 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9251-10 NDC Rocuronium Bromide 20 13 $67.31 $43.75 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9251-01 NDC Rocuronium Bromide 20 13 $67.31 $43.75 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9234-10 NDC Vecuronium Bromide 20 13 $67.12 $43.63 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9234-01 NDC Vecuronium Bromide 20 13 $67.12 $43.63 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9784-10 NDC Flumazenil 20 13 $66.63 $43.31 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9506-10 NDC Etomidate 20 13 $65.50 $42.58 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9506-01 NDC Etomidate 20 13 $65.50 $42.58 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1596 HCPCS Glycopyrrolate 20 13 $64.96 $42.22 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9575-01 NDC Lidocaine HCl 20 13 $64.44 $41.89 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9575-10 NDC Lidocaine HCl 20 13 $64.44 $41.89 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J2004 HCPCS Inj, Lidocaine W Epinephrine 20 13 $64.27 $41.78 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9595-01 NDC Lidocaine HCl 20 13 $64.00 $41.60 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9172-01 NDC Lidocaine HCl 20 13 $64.00 $41.60 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1921 HCPCS Labetalol HCl 20 13 $64.00 $41.60 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9173-10 NDC Lidocaine HCl 20 13 $64.00 $41.60 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1939 HCPCS Inj, Bumetanide, 0.5 Mg 20 13 $64.00 $41.60 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
S0164 HCPCS PremierPro Rx Protonix IV 20 13 $64.00 $41.60 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1920 HCPCS PremierPro Rx Labetalol HCl 20 13 $64.00 $41.60 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J0616 HCPCS Metoprolol Tartrate 20 13 $64.00 $41.60 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9577-10 NDC Lidocaine HCl 20 13 $63.12 $41.03 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9577-01 NDC Lidocaine HCl 20 13 $63.12 $41.03 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9250-10 NDC Rocuronium Bromide 20 13 $62.66 $40.73 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9250-01 NDC Rocuronium Bromide 20 13 $62.66 $40.73 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9595-25 NDC Lidocaine HCl 20 13 $60.83 $39.54 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9594-25 NDC Lidocaine HCl 20 13 $60.64 $39.42 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9594-01 NDC Lidocaine HCl 20 13 $60.64 $39.42 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9173-01 NDC Lidocaine HCl 20 13 $60.38 $39.25 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
0143-9172-10 NDC Lidocaine HCl 20 13 $60.18 $39.12 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J1308 HCPCS Inj, Famotidine, 0.25 Mg 20 13 $59.58 $38.73 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
Q9958 HCPCS Cysto-conray Ii 20 13 $50.55 $32.86 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
J7674 HCPCS Methacholine Chloride, Neb 7 5 $49.45 $32.14 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
Q9966 HCPCS Isovue-m 200 41 13 $44.00 $28.60 35% off $27.81 $4,305.60 $4,305.60 2026-07-31
0065-0741-14 NDC Tetracaine HCl 20 13 $41.03 $26.67 35% off $4,305.60 $4,305.60 $4,305.60 2026-07-31
Q9967 HCPCS Low Osmolar Contrast Material; 300-399 Mg/ml Iodine Concentration; Per Ml 95 13 $35.00 $22.75 35% off $1.75 $4,305.60 $4,305.60 2026-07-31
A9575 HCPCS Injection; Gadoterate Meglumine; 0.1 Ml 69 13 $35.00 $22.75 35% off $10.64 $4,305.60 $4,305.60 2026-07-31
Q9963 HCPCS Gastrografin 21 13 $30.96 $20.12 35% off $27.91 $4,305.60 $4,305.60 2026-07-31
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