CLOVIS COMMUNITY MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2326	NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION	$852,442	$681,954	—	—	2
J9226	HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT	$342,482	$273,985	—	—	3
C9293	GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION	$247,259	$197,807	—	—	0
J9043	CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION	$199,106	$159,285	—	—	3
J3357	USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE	$167,272	$133,818	—	—	2
J9347	TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION	$140,285	$112,228	—	—	3
J9228	IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION	$122,899	$98,319	—	—	3
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$118,501	$94,801	—	—	2
C1825	SYS BAROSTIM NEO	$108,025	$86,420	—	—	0
J3245	TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE	$103,640	$82,912	—	—	2
J9118	CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION	$102,681	$82,145	—	—	0
J9359	LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION	$98,237	$78,590	—	—	3
33289	TCAT IMPL WRLS P-ART PRS SNR	$98,160	$78,528	—	—	4
J9334	EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN	$96,746	$77,397	—	—	3
J9266	PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION	$94,908	$75,926	—	—	2
C1767	DEMIPULSE W/PT KIT	$83,863	$67,090	—	—	0
33231	INSRT PULSE GEN W/MULTI LEADS	$80,895	$64,716	—	—	5
33270	SUBQ ICD INSERT W/SUB ELECTRODE	$80,895	$64,716	—	—	5
33249	IMPLT DFIB SYS IMPL DUAL GEN+LEA	$80,895	$64,716	—	—	8
33264	RMV&RPL IMPLT DFIB GEN MULT LEAD	$80,895	$64,716	—	—	6
93654	COMPRE EP EVAL TX VT	$80,340	$64,272	—	—	4
93653	COMPRE EP EVAL TX SVT	$80,340	$64,272	—	—	4
93656	COMPRE EP EVAL ABLTJ ATR FIB	$80,340	$64,272	—	—	4
J9229	INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN	$80,047	$64,037	—	—	2
0823T	TCAT INS 1CHMBR LDLS PM RA	$73,037	$58,429	—	—	2
0825T	TCAT RMVL&RPL 1CHMB LDLS PM RA	$73,037	$58,429	—	—	2
C1769	GRAFT AORTOILIAC	$70,185	$56,148	—	—	0
33362	TAVR OPEN FEMERAL APP	$67,373	$53,899	—	—	0
33363	TAVR PERCUTANEOUS AXILLARY APP	$67,373	$53,899	—	—	0
33364	TAVR PERCUTANEOUS ILIAC APP	$67,373	$53,899	—	—	0
J9350	MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION	$65,317	$52,253	—	—	5
J9309	POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION	$64,298	$51,438	—	—	3
J2329	UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION	$63,050	$50,440	—	—	2
J2327	RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION	$60,933	$48,747	—	—	3
C2624	SYS CARDIAC PULMONARY ARTERY SENSOR DELIVERY	$59,250	$47,400	—	—	0
C1882	DEFIB CLARIA MRI CRT ALA CARTE	$59,073	$47,258	—	—	0
J0222	PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION	$58,925	$47,140	—	—	2
33263	RMV&RPL IMPLT DFIB GEN DUAL LEAD	$57,959	$46,367	—	—	6
33262	RMV&RPL IMPLT DFIB GEN SING LEAD	$57,959	$46,367	—	—	5
33240	DEFIB IMPLANT SNGL GEN ONLY	$57,959	$46,367	—	—	5
33230	INSRT PULSE GEN W/DUAL LEADS	$57,959	$46,367	—	—	6
J9321	EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION	$57,605	$46,084	—	—	3
J1930	LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE	$57,587	$46,070	—	—	2
C9765	REVASC INTRA LITHOTRIP-STENT	$55,344	$44,275	—	—	2
C9766	REVASC INTRA LITHOTRIP-ATHER	$55,344	$44,275	—	—	3
C9767	REVASC LITHOTRIP-STENT-ATHER	$55,344	$44,275	—	—	2
C9774	REVASC LITHOTR-ATHER TIB/PER	$54,433	$43,546	—	—	3
C9775	REVASC LITH-STENT-ATH TIB/PER	$54,433	$43,546	—	—	2
C9773	REVASC LITHOTR-STENT TIB/PER	$54,433	$43,546	—	—	3
C2616	SIR SPHERES MICROSPHERES	$53,985	$43,188	—	—	2

Showing top 50 of 15,074 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.