MEDSTAR MONTGOMERY MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
63638449	OBECABTAGENE AUTOLEUCEL INJ	$674,092	$660,611	—	—	19
63637235	LIFILEUCEL IV SUSP	$661,253	$648,028	—	—	19
63636591	CILTACABTAGENE AUTOLEUCEL 70ML	$614,965	$602,666	—	—	19
63636609	CILTACABTAGENE AUTOLEUCEL 30ML	$614,965	$602,666	—	—	19
63635148	IDECABTAGENE (ABECMA) 50ML INJ	$538,632	$527,859	—	—	19
63635155	IDECABTAGENE (ABECMA) 250MLINJ	$538,632	$527,859	—	—	19
63635163	IDECABTAGENE (ABECMA) 500MLINJ	$538,632	$527,859	—	—	19
63635130	LISOCABTAGENE (BREYANZI) INJ	$526,819	$516,283	—	—	19
63633689	AXICABTAGENE 68ML INJ	$478,927	$469,348	—	—	19
63634505	BREXUCABTAGENE (TECARTUS) 68ML	$478,927	$469,348	—	—	19
63634513	TISAGENLECLEUCEL (KYMRIAH) INJ	$478,927	$469,348	—	—	19
62570163	KIT HEARTMATE 3 IMPLANT COMMER	$170,203	$166,799	—	—	19
62092408	IMPLANT KIT HEARTMATE II LVAD	$138,000	$135,240	—	—	19
62535448	IMPLANT HEARTMATE II PUMP ONLY	$134,388	$131,701	—	—	19
64010739	KIT HF MONT CORDELLA BL	$131,005	$128,385	—	—	19
64010887	KIT START UP HF CORDELLA BL	$131,005	$128,385	—	—	19
62432323	PUMP HEARTWARE	$118,016	$115,656	—	—	19
64011059	SYS TMVR LP29L TENDYNE	$94,966	$93,066	—	—	19
64011067	SYS TMVR LP29S TENDYNE	$94,966	$93,066	—	—	19
64011075	SYS TMVR LP33S TENDYNE	$94,966	$93,066	—	—	19
64011083	SYS TMVR LP35M TENDYNE	$94,966	$93,066	—	—	19
64011091	SYS TMVR LP39M TENDYNE	$94,966	$93,066	—	—	19
63638670	GEMCITABINE 225MG INTRAVESICAL	$88,595	$86,823	—	—	19
62985320	KIT APREVO LVL-5 CARLSMED	$84,793	$83,097	—	—	19
63637375	ADSTILADRIN BLADDER SUSP 75ML	$77,039	$75,498	—	—	19
62985312	KIT APREVO LVL-4 CARLSMED	$74,618	$73,125	—	—	19
62984372	VLV TRANSCATHETER 44MM EVOQUE	$72,922	$71,463	—	—	19
62984380	VLV TRANSCATHETER 49MM EVOQUE	$72,922	$71,463	—	—	19
62984398	VLV TRANSCATHETER 52MM EVOQUE	$72,922	$71,463	—	—	19
62984604	VLV TRANSCATH 56MM EVOQUE	$72,922	$71,463	—	—	19
62153481	KIT IMPELLA 5.5 W/SMART ASSIST	$69,530	$68,140	—	—	19
28514867	PLUG 251-270 12MM IMPEDE-FX	$67,834	$66,478	—	—	19
64011646	PLUG 251-270 12MM IMPEDE-FX	$67,834	$66,478	—	—	19
63625016	SIPULEUCEL-T 250ML INJ	$67,681	$66,327	—	—	19
62985304	KIT APREVO LVL-3 CARLSMED	$64,443	$63,154	—	—	19
28514859	PLUG 231-250 12MM IMPEDE-FX	$63,595	$62,323	—	—	19
64011638	PLUG 231-250 12MM IMPEDE-FX	$63,595	$62,323	—	—	19
25302555	SYS TMPLT REGN DRML 250 SQCM	$61,896	$60,658	—	—	19
62194519	SYS TRICLIP G4 W/GUIDE 3 CLIPS	$61,051	$59,830	—	—	19
64009988	SYS TRICLIP VLV REPAIR G5	$61,051	$59,830	—	—	19
28514834	PLUG 211-230 12MM IMPEDE-FX	$59,355	$58,168	—	—	19
62145446	GFT ARTC PLEXUS 150CMX32X40MM	$59,355	$58,168	—	—	19
62145453	GFT ARTC PLEXUS 150CMX30X40MM	$59,355	$58,168	—	—	19
62145461	GFT ARTC PLEXUS 150CMX30X38MM	$59,355	$58,168	—	—	19
62145479	GFT ARTC PLEXUS 150CMX30X36MM	$59,355	$58,168	—	—	19
62145487	GFT ARTC PLEXUS 150CMX30X34MM	$59,355	$58,168	—	—	19
62145495	GFT ARTC PLEXUS 150CMX30X32MM	$59,355	$58,168	—	—	19
62145503	GFT ARTC PLEXUS 150CMX28X30MM	$59,355	$58,168	—	—	19
62145511	GFT ARTC PLEXUS 150CMX26X28MM	$59,355	$58,168	—	—	19
62145529	GFT ARTC PLEXUS 150CMX24X26MM	$59,355	$58,168	—	—	19

Showing top 50 of 68,181 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.