ST FRANCIS MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
180412_ERX	AUTOLOGOUS CULTURED CHONDROCYTES, IMPLANT	$243,873	$121,937	—	—	25
198451_ERX	INJECTION, TREMELIMUMAB-ACTL, 1 MG	$156,216	$78,108	—	—	40
151144_ERX	INJECTION, IPILIMUMAB, 1 MG	$153,032	$76,516	—	—	43
193774_ERX	INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG	$118,350	$59,175	—	—	40
1839177_SUP	HC Medical Supplies	$112,500	$56,250	—	—	27
119469_ERX	USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG	$105,280	$52,640	—	—	25
1759813_SUP	HC Anchor/Screw Bn/Bn Tis/Bn	$99,071	$49,536	—	—	27
1038088_SUP	HC Generator Neuro Nonrecharge	$85,928	$42,964	—	—	27
1248339_SUP	HC Supply Implant	$85,928	$42,964	—	—	27
2176931_SUP	HC Supply Implant	$85,000	$42,500	—	—	27
1321533_SUP	HC Generator Neuro Nonrecharge	$84,863	$42,431	—	—	27
1025850_SUP	HC Sterile Supply	$81,250	$40,625	—	—	27
1025783_SUP	HC Supply Implant	$75,000	$37,500	—	—	27
1295430_SUP	HC Catheter Guiding	$75,000	$37,500	—	—	27
187439_ERX	INJECTION, POLATUZUMAB VEDOTIN-PIIQ, 1 MG	$70,269	$35,135	—	—	43
196309_ERX	INJECTION, NIVOLUMAB AND RELATLIMAB-RMBW, 3 MG/1 MG	$65,161	$32,580	—	—	40
1038175_SUP	HC Gen, Neuro, Hf Rechg Bat	$65,000	$32,500	—	—	27
201228_ERX	INJECTION, EFGARTIGIMOD ALFA, 2 MG AND HYALURONIDASE-QVFC	$63,407	$31,704	—	—	40
119468_ERX	USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG	$58,925	$29,463	—	—	25
190894_ERX	INJECTION, PERTUZUMAB, TRASTUZUMAB, AND HYALURONIDASE-ZZXF, PER 10 MG	$58,685	$29,342	—	—	43
1732519_SUP	HC Sub	$58,663	$29,331	—	—	27
2176677_SUP	HC Anchor/Screw Bn/Bn Tis/Bn	$57,910	$28,955	—	—	27
190343_ERX	MITOMYCIN PYELOCALYCEAL INSTILLATION, 1 MG	$55,080	$27,540	—	—	43
1155646_SUP	HC Anchor/Screw Bn/Bn Tis/Bn	$55,059	$27,530	—	—	27
2384295_SUP	HC Wireless Pressure Sensor	$52,500	$26,250	—	—	27
151679_ERX	LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG	$51,913	$25,957	—	—	43
152154_ERX	INJECTION, BRENTUXIMAB VEDOTIN, 1 MG	$50,859	$25,430	—	—	43
193782_ERX	INJECTION, DOSTARLIMAB-GXLY, 10 MG	$50,830	$25,415	—	—	40
177552_ERX	INJECTION, ATEZOLIZUMAB, 10 MG	$50,426	$25,213	—	—	43
1226135_SUP	HC Anchor/Screw Bn/Bn Tis/Bn	$50,368	$25,184	—	—	27
105644_ERX	INJECTION, CABAZITAXEL, 1 MG	$49,743	$24,872	—	—	43
1761912_SUP	HC Supply Implant	$48,500	$24,250	—	—	27
1305041_SUP	HC Medical Supplies	$47,900	$23,950	—	—	27
1682950_SUP	HC Sub	$47,605	$23,803	—	—	27
2176663_SUP	HC Generator Neuro Nonrecharge	$47,488	$23,744	—	—	27
190369_ERX	INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ	$47,377	$23,689	—	—	43
201879_ERX	INJECTION, TALQUETAMAB-TGVS, 0.25 MG	$46,620	$23,310	—	—	40
188855_ERX	INJECTION, LUSPATERCEPT-AAMT, 0.25 MG	$46,575	$23,287	—	—	43
185431_ERX	INJECTION, CEMIPLIMAB-RWLC, 1 MG	$46,173	$23,087	—	—	43
1690525_SUP	HC Sterile Supply	$45,863	$22,931	—	—	27
152175_ERX	INJECTION, ICATIBANT, 1 MG	$44,813	$22,406	—	—	25
205411_ERX	INJECTION, IMETELSTAT, 1 MG	$44,746	$22,373	—	—	40
1049622_SUP	HC Aidc Other Than Sing/Dual	$43,750	$21,875	—	—	27
1324750_SUP	Strattice Tm per Sq Cm	$43,055	$21,528	—	—	27
198455_ERX	INJECTION, TECLISTAMAB-CQYV, 0.5 MG	$42,653	$21,326	—	—	40
1221387_SUP	HC Supply Implant	$42,500	$21,250	—	—	27
1477415_SUP	HC Generator Neuro Nonrecharge	$42,500	$21,250	—	—	27
22149_ERX	INJECTION, RITUXIMAB, 10 MG	$42,126	$21,063	—	—	43
1674396_SUP	HC Anchor/Screw Bn/Bn Tis/Bn	$40,875	$20,438	—	—	27
1049632_SUP	HC Sub	$40,478	$20,239	—	—	27

Showing top 50 of 5,698 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.