TUCSON MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2326	nusinersen 12 MG/5ML Soln 5 mL Vial	$275,106	$77,030	—	—	2
90288	HC Babybig Botulism Immune Globulin	$182,700	$51,156	—	—	0
A9513	lutetium lu 177 dotatate 370 MBQ/ML Soln 200 millicurie Vial	$168,000	$47,040	—	—	2
C1825	PROCEDURE CHARGE Bartostim Neo2	$157,500	$44,100	—	—	0
A9607	lutetium lu 177 vipivotide tetraxetan 1000 MBQ/ML Soln 200 millicurie Vial	$149,028	$41,728	—	—	2
C1827	Generator Vivistim Paired VNS IPG # 1001	$147,500	$41,300	—	—	0
C1604	Detour System Procedure Charge	$125,000	$35,000	—	—	0
J2507	pegloticase 8 MG/ML Soln 1 mL Vial	$95,573	$26,760	—	—	2
J9999	carmustine in polifeprosan 7.7 MG Wafr 8 each Box	$85,300	$23,884	—	—	0
C1824	IPG OPTIMIZER SMART CCM X10	$69,000	$19,320	—	—	0
J0638	canakinumab 150 MG/ML Soln 1 mL Vial	$66,457	$18,608	—	—	2
J0202	alemtuzumab 12 MG/1.2ML Soln 1.2 mL Vial	$65,609	$18,371	—	—	2
J2350	ocrelizumab 300 MG/10ML Soln 10 mL Vial	$64,569	$18,079	—	—	2
L8614	Implant Nucleus Nexa Modiolar # CI1032 Cochlear	$62,158	$17,404	—	—	2
J1162	digoxin immune fab 40 MG Solr 1 each Vial	$52,768	$14,775	—	—	2
C9607	HC Chronic Des Snle Vessel W/WO Atherectomy	$48,956	$13,708	—	—	2
92933	HC Prq Card Stent/Ath/Angio	$48,682	$13,631	—	—	2
92924	HC Paravalvular Leak Occl Device Mitral	$47,166	$13,206	—	—	2
93591	HC Paravalvular Leak Occl Device Aortic	$47,166	$13,206	—	—	2
92930	HC Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments	$46,822	$13,110	—	—	2
93582	HC Perq Transcath Closure Pda	$45,740	$12,807	—	—	2
C1820	NEUROSTM DP BRN RECHG ACTIVA # 37612 MEDTRONIC	$45,677	$12,790	—	—	0
64590	KIT, NALU NEUROSTIM - RINCON ASC	$45,649	$12,782	—	—	2
C1823	LD TV RESPISTIM LQS QUAD 65 LT	$45,000	$12,600	—	—	0
93590	HC Perq Transcath Cls Mitral Valve	$44,920	$12,578	—	—	2
J3357	ustekinumab 45 MG/0.5ML Sosy 0.5 mL Syringe	$44,192	$12,374	—	—	0
J1628	guselkumab 100 MG/ML Sosy 1 mL Syringe	$44,164	$12,366	—	—	2
C1767	Kit NALU PNS Dual 4 with 2 Leads (Bundled Charge) # 71020 NALU	$39,363	$11,022	—	—	0
C2616	Y-90 SIR-Spheres Dose 1 Package Package	$39,270	$10,996	—	—	2
J1299	eculizumab 300 MG/30ML Soln 30 mL Vial	$39,138	$10,959	—	—	2
J7170	Emicizumab-kxwh 105 MG/0.7ML Soln 0.7 mL Vial	$38,804	$10,865	—	—	2
C1722	VIRTUOSO VR ICD GENERATOR D154VWC	$38,400	$10,752	—	—	0
C1721	ICD INTICA N7 PMRI VR-T DF1	$37,485	$10,496	—	—	0
J1950	leuprolide (6 month) 45 MG Kit 1 each Box	$37,292	$10,442	—	—	2
C1882	ICD COBLT XT HF MRI SURSCN IS4	$36,350	$10,178	—	—	0
C1785	ATLAS II HF US ICD	$32,900	$9,212	—	—	0
92941	HC Cto Pci Stemi 1 Vsl	$31,967	$8,951	—	—	2
92943	HC Coronary Chronic Pci Single Vessel	$31,967	$8,951	—	—	4
C9608	HC Chronic Des Ea Addl W/WO Atherectomy	$31,407	$8,794	—	—	0
93580	HC Transcath Closure Asd/Pfo Stich Device	$31,406	$8,794	—	—	2
J3380	vedolizumab 300 MG Solr 1 each Vial	$30,170	$8,448	—	—	2
J9266	pegaspargase 750 UNIT/ML Soln 5 mL Vial	$30,031	$8,409	—	—	2
92945	HC Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&Rtrgr	$29,486	$8,256	—	—	2
J9042	brentuximab vedotin 50 MG Solr 1 each Vial	$28,792	$8,062	—	—	2
C9610	CATH BLN AGENT US MR 2X12MM	$28,250	$7,910	—	—	0
C9358	MSH SURGIMND 20X30CMX2MM #606-200-017	$26,790	$7,501	—	—	0
J2323	natalizumab 300 MG/15ML Conc 15 mL Vial	$26,638	$7,459	—	—	2
93653	HC Comp Ep/Ablation Svt	$26,595	$7,447	—	—	2
C1772	Pump Pain Infusion Synchromed III 20ml # 8667-20 Medtronic	$26,320	$7,370	—	—	0
93654	HC Comp Ep/Ablation Vt Inc 3d	$26,020	$7,286	—	—	2

Showing top 50 of 14,235 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.