Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MEMORIAL HOSPITAL OF CONVERSE COUNTY

Douglas, WY · CCN 531302 · Rates published

6,325 distinct procedures filed
7 distinct payers
59,381 rate rows
2026-05-17 last MRF observed
Data quality

31,271 of 59,381 rate rows are consumer-grade (52.7%)

28,110 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 26,990
per-diem day rate — not a per-procedure price 809
exceeds 10× this hospital's gross charge — excluded from medians 311
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/f8bfd33ee3ef0de934dcd806e09fcd05/charges/mrf
Found on page https://www.conversehospital.com/patients-visitors/pricing-information/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
Content fingerprint 4137b030965fd4a6… · 9,425,038 bytes · first seen 2026-05-16

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
J2327
OTHER 		Injection; Risankizumab-rzaa; Intravenous; 1 Mg 1 $32,381.77 $32,381.77 $32,381.77 nat. median
$16
outlier · 2045.6×
C1820
OTHER 		Generator; Neurostimulator (implantable); Non High-frequency With Rechargeable B… 1 $23,261.94 $23,261.94 $23,261.94 nat. median
$16,396
1.4× median
J3358
OTHER 		Ustekinumab; For Intravenous Injection; 1 Mg 1 $14,854.77 $14,854.77 $14,854.77 nat. median
$14
outlier · 1058.0×
J3380
OTHER 		Injection; Vedolizumab; 1 Mg 1 $14,610.02 $14,610.02 $14,610.02 nat. median
$24
outlier · 619.1×
J3032
OTHER 		Inj. Eptinezumab-jjmr 1 Mg 1 $13,160.03 $13,160.03 $13,160.03 nat. median
$21
outlier · 617.0×
C1776
OTHER 		Joint Device (implantable) 2 $11,915.21 $12,879.85 $12,397.53 nat. median
$4,168
outlier · 3.0×
J3262
OTHER 		Injection; Tocilizumab; 1 Mg 1 $12,340.18 $12,340.18 $12,340.18 nat. median
$7
outlier · 1733.2×
C1762
OTHER 		Connective Tissue; Human (includes Fascia Lata) 1 $11,975.18 $11,975.18 $11,975.18 nat. median
$3,682
outlier · 3.3×
J1745
OTHER 		Injection; Infliximab; Excludes Biosimilar; 10 Mg 2 $8,552.29 $13,607.96 $11,080.12 nat. median
$41
outlier · 268.0×
J9312
OTHER 		Injection; Rituximab; 10 Mg 1 $11,003.98 $11,003.98 $11,003.98 nat. median
$84
outlier · 131.6×
J0129
OTHER 		Abatacept Injection 1 $10,281.13 $10,281.13 $10,281.13 nat. median
$49
outlier · 208.8×
C1883
OTHER 		Adaptor/extension; Pacing Lead Or Neurostimulator Lead (implantable) 1 $8,912.37 $8,912.37 $8,912.37 nat. median
$1,365
outlier · 6.5×
Q5103
OTHER 		Injection; Infliximab-dyyb; Biosimilar; (inflectra); 10 Mg 1 $8,842.49 $8,842.49 $8,842.49 nat. median
$25
outlier · 356.6×
00409115901
OTHER 		BUPivacaine HCl 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,882
outlier · 2.7×
00409116201
OTHER 		BUPivacaine HCl 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,882
outlier · 2.7×
00409116202
OTHER 		BUPivacaine HCl 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,882
outlier · 2.7×
00338104702
OTHER 		Nitroglycerin-dextrose 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,413
outlier · 3.3×
00338112504
OTHER 		Clinimix E 5/20 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,330
outlier · 3.4×
00409132305
OTHER 		Lidocaine HCl 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,330
outlier · 3.4×
00409159610A
OTHER 		Precedex 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$1,577
outlier · 5.0×
00338001703
OTHER 		Dextrose 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,330
outlier · 3.4×
00338-0704-34
OTHER 		Potassium Chloride-sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$9
outlier · 912.1×
00338070548A
OTHER 		Potassium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$7,890
1.0× median
00338070434
OTHER 		Potassium Chloride-sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,330
outlier · 3.4×
00006542402A
OTHER 		Antivenin-spider 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$7,890
1.0× median
00338080704
OTHER 		Dextrose/NaCl/Potassium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,330
outlier · 3.4×
00338114803
OTHER 		Clinimix E 5/20 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,330
outlier · 3.4×
00378705852
OTHER 		Albuterol Sulfate 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$7,890
1.0× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$150,232
outlier · 0.1×
00409-1162-01
OTHER 		BUPivacaine HCl 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$12
outlier · 684.3×
00338004304A
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$1,577
outlier · 5.0×
00338-0049-18
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$27
outlier · 296.2×
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$218,232
outlier · 0.0×
00338-0049-48
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$1,592
outlier · 5.0×
00338005403
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,584
outlier · 3.1×
00264-7800-09
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,882
outlier · 2.7×
00264-7510-20
OTHER 		Dextrose 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,882
outlier · 2.7×
00264-7800-10
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,330
outlier · 3.4×
00264780020A
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$1
outlier · 7811.9×
00264785000
OTHER 		Water For Injection 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,882
outlier · 2.7×
00009085608
OTHER 		Hemabate 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,607
outlier · 3.0×
00338-0049-03
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$1,345
outlier · 5.9×
00338-0117-03
OTHER 		Lactated Ringer's 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$1,345
outlier · 5.9×
00338-0553-18
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$1,038
outlier · 7.6×
00338-0705-48
OTHER 		Potassium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$1,345
outlier · 5.9×
00338-9791-01
OTHER 		Sodium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$1,345
outlier · 5.9×
00338066904A
OTHER 		Dextrose/NaCl/Potassium Chloride 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$0
00338011703A
OTHER 		Lactated Ringer's 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$3
outlier · 2465.6×
00006542302
OTHER 		Bridion 7 $7,890.00 $7,890.00 $7,890.00 nat. median
$2,330
outlier · 3.4×
002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $7,890.00 $7,890.00 $7,890.00 nat. median
$117,167
outlier · 0.1×

Other procedures at this hospital

Browse this hospital's 6,325 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
             
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
244 OTHER Permanent Cardiac Pacemaker Implant Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
250 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
245 OTHER Aicd Generator Procedures 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
25021030884 OTHER Esmolol HCl 7 7 $783.75 $446.74 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
251 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
099 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
090 OTHER Concussion Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
241 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
201 OTHER Pneumothorax Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
100 OTHER Seizures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
080 OTHER Nontraumatic Stupor And Coma With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
068 OTHER Precerebral Occlusion Without Infarction Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
081 OTHER Nontraumatic Stupor And Coma Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
055 OTHER Nervous System Neoplasms Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
039 OTHER Extracranial Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
056 OTHER Degenerative Nervous System Disorders With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
062 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
067 OTHER Precerebral Occlusion Without Infarction With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
071 OTHER Other Cerebrovascular Disorders With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
076 OTHER Viral Meningitis Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
085 OTHER Traumatic Stupor And Coma <1 Hour With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
089 OTHER Concussion With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
098 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
204 OTHER Respiratory Signs And Symptoms 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
209 OTHER Complex Aortic Arch Procedures 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
228 OTHER Other Cardiothoracic Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
231 OTHER Coronary Bypass With Ptca With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
206 OTHER Other Respiratory System Diagnoses Without Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
229 OTHER Other Cardiothoracic Procedures Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
193 OTHER Simple Pneumonia & Pleurisy With Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
188 OTHER Pleural Effusion Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
191 OTHER Chronic Obstructive Pulmonary Disease With Complication 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
202 OTHER Bronchitis & Asthma With Complication/comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
215 OTHER Other Heart Assist System Implant 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
153 OTHER Otitis Media & Uri Without Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
032 OTHER Ventricular Shunt Procedures With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
033 OTHER Ventricular Shunt Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
057 OTHER Degenerative Nervous System Disorders Without Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990798303 OTHER Sodium Chloride 7 7 $50.50 $28.79 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990792909 OTHER Lactated Ringer's And 5% Dextrose 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990798309 OTHER Sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990792209 OTHER Dextrose 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
027 OTHER Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
031 OTHER Ventricular Shunt Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
035 OTHER Carotid Artery Stent Procedures With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
038 OTHER Extracranial Procedures With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
042 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
054 OTHER Nervous System Neoplasms With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
060 OTHER Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
061 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
063 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
066 OTHER Intracranial Hemorrhage Or Cerebral Infarction Without Complication/comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00009085608 OTHER Hemabate 7 7 $830.25 $473.24 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
070 OTHER Nonspecific Cerebrovascular Disorders With Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
074 OTHER Cranial And Peripheral Nerve Disorders Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
075 OTHER Viral Meningitis With Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
082 OTHER Traumatic Stupor And Coma >1 Hour With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
084 OTHER Traumatic Stupor And Coma >1 Hour Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
086 OTHER Traumatic Stupor And Coma <1 Hour With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
088 OTHER Concussion With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
092 OTHER Other Disorders Of Nervous System With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
093 OTHER Other Disorders Of Nervous System Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
095 OTHER Bacterial And Tuberculous Infections Of Nervous System With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
195 OTHER Simple Pneumonia & Pleurisy Without Complication/comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
203 OTHER Bronchitis & Asthma Without Complication/comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
139 OTHER Salivary Gland Procedures 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00006542302 OTHER Bridion 7 7 $652.25 $371.78 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
197 OTHER Interstitial Lung Disease With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
164 OTHER Major Chest Procedures With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
232 OTHER Coronary Bypass With Ptca Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
176 OTHER Pulmonary Embolism Without Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
198 OTHER Interstitial Lung Disease Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
212 OTHER Concomitant Aortic And Mitral Valve Procedures 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
187 OTHER Pleural Effusion With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
180 OTHER Respiratory Neoplasms With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
184 OTHER Major Chest Trauma With Complication 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
196 OTHER Interstitial Lung Disease With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
142 OTHER Major Head And Neck Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
194 OTHER Simple Pneumonia & Pleurisy With Complication 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
158 OTHER Dental & Oral Diseases With Complication 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
185 OTHER Major Chest Trauma Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
186 OTHER Pleural Effusion With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
151 OTHER Epistaxis Without Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
168 OTHER Other Respiratory System O.r. Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
190 OTHER Chronic Obstructive Pulmonary Disease With Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
179 OTHER Respiratory Infections & Inflammations Without Complication/comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
192 OTHER Chronic Obstructive Pulmonary Disease Without Complication/comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
205 OTHER Other Respiratory System Diagnoses With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
178 OTHER Respiratory Infections & Inflammations With Complication 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00143968410A OTHER Flumazenil Novaplus 7 7 $61.25 $34.91 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
13533031801 OTHER HyperRAB 7 7 $2,940.00 $1,675.80 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990711109 OTHER Dex/Lact. Ringers/Potassium Chl 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990792337 OTHER Dextrose 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990798436 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990-7115-09 OTHER Potassium Chloride-sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990-7902-09 OTHER Potassium Chloride In Dextrose And Sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990-7929-09 OTHER Lactated Ringer's And 5% Dextrose 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00641602225 OTHER Famotidine 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
006 OTHER Liver Transplant Without Mcc 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990-7983-09 OTHER Sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990710709 OTHER Potassium Chloride In Dextrose And Sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990711609 OTHER Potassium Chloride-sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990790409 OTHER Dextrose-potassium Cl-sodium Cl 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990792403A OTHER Dextrose-sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990792609 OTHER Dextrose-sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990794109 OTHER Dextrose-sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990795309A OTHER Lactated Ringer's 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
014 OTHER Allogeneic Bone Marrow Transplant 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
026 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
030 OTHER Spinal Procedures Without Complication/comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
034 OTHER Carotid Artery Stent Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
036 OTHER Carotid Artery Stent Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
037 OTHER Extracranial Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
041 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
052 OTHER Spinal Disorders And Injuries With Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
053 OTHER Spinal Disorders And Injuries Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00264-1800-32 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
059 OTHER Multiple Sclerosis And Cerebellar Ataxia With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00264-7510-20 OTHER Dextrose 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00264-7800-09 OTHER Sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00264-7800-10 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00264-7800-20 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
064 OTHER Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
065 OTHER Intracranial Hemorrhage Or Cerebral Infarction With Complication Or Tpa In 24 Hr… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00264751020A OTHER Dextrose 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00264780020A OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00264785000 OTHER Water For Injection 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
069 OTHER Transient Ischemia Without Thrombolytic 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
072 OTHER Other Cerebrovascular Disorders Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
073 OTHER Cranial And Peripheral Nerve Disorders With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338-0049-03 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338-0049-18 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338-0049-48 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
083 OTHER Traumatic Stupor And Coma >1 Hour With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338-0117-03 OTHER Lactated Ringer's 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338-0553-18 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338-0704-34 OTHER Potassium Chloride-sodium Chloride 7 7 $277.50 $158.18 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338-0705-48 OTHER Potassium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
087 OTHER Traumatic Stupor And Coma <1 Hour Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
091 OTHER Other Disorders Of Nervous System With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338-9791-01 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338001703 OTHER Dextrose 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338004304A OTHER Sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338005403 OTHER Sodium Chloride 7 7 $51.00 $29.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338008503A OTHER Dextrose-sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
096 OTHER Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338011703A OTHER Lactated Ringer's 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
10019011539 OTHER Brevibloc 7 7 $170.25 $97.04 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338066904A OTHER Dextrose/NaCl/Potassium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338070434 OTHER Potassium Chloride-sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338070548A OTHER Potassium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338080704 OTHER Dextrose/NaCl/Potassium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338104702 OTHER Nitroglycerin-dextrose 7 7 $137.50 $78.38 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
101 OTHER Seizures Without Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338112504 OTHER Clinimix E 5/20 7 7 $598.50 $341.15 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00338114803 OTHER Clinimix E 5/20 7 7 $334.25 $190.52 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
123 OTHER Neurological Eye Disorders 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
137 OTHER Mouth Procedures With Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00121087316A OTHER Lactulose 7 7 $36.00 $20.52 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
102 OTHER Headaches With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
103 OTHER Headaches Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
199 OTHER Pneumothorax With Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00006542402A OTHER Antivenin-spider 7 7 $204.50 $116.57 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
166 OTHER Other Respiratory System O.r. Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00378705852 OTHER Albuterol Sulfate 7 7 $19.25 $10.97 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
155 OTHER Other Ear; Nose; Mouth & Throat Diagnoses With Complication 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
200 OTHER Pneumothorax With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
157 OTHER Dental And Oral Diseases With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
144 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
135 OTHER Sinus And Mastoid Procedures With Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
183 OTHER Major Chest Trauma With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
121 OTHER Acute Major Eye Infections With Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
141 OTHER Major Head And Neck Procedures With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
113 OTHER Orbital Procedures With Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
181 OTHER Respiratory Neoplasms With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
125 OTHER Other Disorders Of The Eye Without Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
122 OTHER Acute Major Eye Infections Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
140 OTHER Major Head And Neck Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
114 OTHER Orbital Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
148 OTHER Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
124 OTHER Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409-1162-01 OTHER BUPivacaine HCl 21 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
163 OTHER Major Chest Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
165 OTHER Major Chest Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
136 OTHER Sinus And Mastoid Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
156 OTHER Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
167 OTHER Other Respiratory System O.r. Procedures With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
147 OTHER Ear, Nose, Mouth And Throat Malignancy With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
115 OTHER Extraocular Procedures Except Orbit 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
152 OTHER Otitis Media And Uri With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
116 OTHER Intraocular Procedures With Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
150 OTHER Epistaxis With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
145 OTHER Other Ear; Nose; Mouth And Throat O.r. Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
149 OTHER Dysequilibrium 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
189 OTHER Pulmonary Edema & Respiratory Failure 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
177 OTHER Respiratory Infections & Inflammations With Comorbity 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
154 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
175 OTHER Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
182 OTHER Respiratory Neoplasms Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
117 OTHER Intraocular Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00143950910A OTHER Ketamine HCl 7 7 $110.50 $62.99 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
13533031805 OTHER HyperRAB 7 7 $10,760.75 $6,133.63 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
146 OTHER Ear, Nose, Mouth And Throat Malignancy With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
138 OTHER Mouth Procedures Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409115901 OTHER BUPivacaine HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409116201 OTHER BUPivacaine HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409116202 OTHER BUPivacaine HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00069-0324-01 OTHER Nyvepria 7 7 $12,599.25 $7,181.57 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
007 OTHER Lung Transplant 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990-7953-09 OTHER Lactated Ringer's 7 7 $185.00 $105.45 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409163802 OTHER Precedex 7 7 $313.25 $178.55 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00517037405 OTHER Provayblue 7 7 $1,270.50 $724.19 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00517037510A OTHER Indigo Carmine 7 7 $67.75 $38.62 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409159610A OTHER Precedex 7 7 $479.50 $273.32 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00143978710A OTHER Enalaprilat 7 7 $51.25 $29.21 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409176102 OTHER Marcaine Spinal 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409177510 OTHER Dextrose 7 7 $135.75 $77.38 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00641601310 OTHER dilTIAZem HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00641601501 OTHER dilTIAZem HCl 7 7 $55.75 $31.78 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00944049302 OTHER Flexbumin 7 7 $549.75 $313.36 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
008 OTHER Simultaneous Pancreas And Kidney Transplant 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409226720 OTHER Labetalol HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990-7075-26 OTHER Potassium Chloride 7 7 $197.00 $112.29 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409233934 OTHER Labetalol HCl 7 7 $85.50 $48.74 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990-7983-03 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990-7984-37 OTHER Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409317801 OTHER Epinephrine-lidocaine HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990711509 OTHER Potassium Chloride-sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409337504 OTHER Levophed 7 7 $179.50 $102.32 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990790203 OTHER Potassium Chloride In Dextrose And Sodium Chloride 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990790209 OTHER Potassium Chloride In Dextrose And Sodium Chloride 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409427601 OTHER Lidocaine HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409427701 OTHER Lidocaine HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409471302 OTHER Lidocaine HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409471332 OTHER Lidocaine HCl 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409490014A OTHER Sodium Bicarbonate 7 7 $174.75 $99.61 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990793002 OTHER Dextrose 7 7 $49.25 $28.07 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409492834 OTHER Calcium Chloride 7 7 $84.25 $48.02 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00990795309 OTHER Lactated Ringer's 7 7 $92.50 $52.73 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
010 OTHER Pancreas Transplant 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409553414A OTHER Sodium Bicarbonate 7 7 $160.50 $91.49 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
013 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 6 6 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409663714A OTHER Sodium Bicarbonate 7 7 $153.25 $87.35 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409669502 OTHER Amidate 7 7 $60.25 $34.34 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409724803A OTHER Hetastarch/Sodium Chloride 7 7 $153.25 $87.35 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
00409729501A OTHER Potassium Phosphate 7 7 $106.75 $60.85 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
028 OTHER Spinal Procedures With Mcc 7 7 — — $7,890.00 $7,890.00 $7,890.00 2026-05-17
00517250210 OTHER Caffeine-sodium Benzoate 7 7 $251.50 $143.36 43% off $7,890.00 $7,890.00 $7,890.00 2026-05-17
Q5103 OTHER Injection; Infliximab-dyyb; Biosimilar; (inflectra); 10 Mg 1 1 $12,113.00 $6,904.41 43% off $8,842.49 $8,842.49 $8,842.49 2026-05-17
C1883 OTHER Adaptor/extension; Pacing Lead Or Neurostimulator Lead (implantable) 1 1 $12,276.00 $6,997.32 43% off $8,912.37 $8,912.37 $8,912.37 2026-05-17
J0129 OTHER Abatacept Injection 1 1 $7,168.38 $4,085.97 43% off $10,281.13 $10,281.13 $10,281.13 2026-05-17
J9312 OTHER Injection; Rituximab; 10 Mg 1 1 $15,157.00 $8,639.49 43% off $11,003.98 $11,003.98 $11,003.98 2026-05-17
J1745 OTHER Injection; Infliximab; Excludes Biosimilar; 10 Mg 2 2 $18,743.75 $10,683.94 43% off $8,552.29 $13,607.96 $11,080.12 2026-05-17
C1762 OTHER Connective Tissue; Human (includes Fascia Lata) 1 1 $17,670.00 $10,071.90 43% off $11,975.18 $11,975.18 $11,975.18 2026-05-17
J3262 OTHER Injection; Tocilizumab; 1 Mg 1 1 $16,997.50 $9,688.58 43% off $12,340.18 $12,340.18 $12,340.18 2026-05-17
C1776 OTHER Joint Device (implantable) 2 2 $41,046.26 $23,396.37 43% off $11,915.21 $12,879.85 $12,397.53 2026-05-17
J3032 OTHER Inj. Eptinezumab-jjmr 1 Mg 1 1 $3,211.00 $1,830.27 43% off $13,160.03 $13,160.03 $13,160.03 2026-05-17
J3380 OTHER Injection; Vedolizumab; 1 Mg 1 1 $20,124.00 $11,470.68 43% off $14,610.02 $14,610.02 $14,610.02 2026-05-17
J3358 OTHER Ustekinumab; For Intravenous Injection; 1 Mg 1 1 $20,349.00 $11,598.93 43% off $14,854.77 $14,854.77 $14,854.77 2026-05-17
C1820 OTHER Generator; Neurostimulator (implantable); Non High-frequency With Rechargeable B… 1 1 $31,566.25 $17,992.76 43% off $23,261.94 $23,261.94 $23,261.94 2026-05-17
J2327 OTHER Injection; Risankizumab-rzaa; Intravenous; 1 Mg 1 1 $44,603.00 $25,423.71 43% off $32,381.77 $32,381.77 $32,381.77 2026-05-17
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