TEMPLE HEALTH - CHESTNUT HILL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-213069	AFAMITRESGENE AUTOLEUCEL 2.68X 10EXP9 TO 10X 10EXP9 CELL IV SUSPENSION	$10,977,700	—	—	—	13
RX-211623	LIFILEUCEL 7.5 X 10EXP9 TO 72 X 10EXP9 CELL INTRAVENOUS SUSPENSION	$8,486,200	—	—	—	13
RX-204856	CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION	$8,385,188	—	—	—	16
RX-201692	LISOCABTAGENE MARALEUCEL 1.5 X 10EXP6 TO 70 X 10EXP6 CELL/ML IV SUSP	$8,023,391	—	—	—	16
RX-202106	IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION	$7,977,518	—	—	—	16
RX-208670	OMIDUBICEL-ONLV INTRAVENOUS SUSPENSION	$7,732,257	—	—	—	13
RX-2107307868	OMIDUBICEL-ONLV CULTURED FRACTION (CF) IV SUSPENSION (1OF2)	$7,732,257	—	—	—	13
RX-2107307869	OMIDUBICEL-ONLV NON-CULTURED FRACTION (NF) IV SUSPENSION (2OF2)	$7,732,257	—	—	—	13
RX-189051	AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION	$7,050,120	—	—	—	16
RX-188776	TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION	$6,899,810	—	—	—	16
RX-190598	TISAGENLECLEUCEL 0.6 X 10EXP8 TO 6 X10EXP8 CELL INTRAVENOUS SUSPENSION	$6,899,810	—	—	—	16
RX-199955	BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION	$6,468,000	—	—	—	16
RX-4082206	INV - OBECABTAGENE AUTOLEUCEL INTRAVENOUS SYRINGE 10 X 10EXP6 CELL (IRB# EA25-1017)	$3,963,750	—	—	—	13
RX-4082207	INV - OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 300 X 10EXP6 CELL (IRB# EA25-1017)	$3,963,750	—	—	—	13
RX-205700	VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE	$1,626,284	—	—	—	16
RX-155216	SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION	$853,025	—	—	—	16
RX-204948	LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN	$781,795	—	—	—	16
RX-189868	LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION	$685,391	—	—	—	16
RX-164248	GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION	$589,095	—	—	—	16
RX-159835	IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION	$493,521	—	—	—	16
RX-212089	NOGAPENDEKIN ALFA INBAKICEPT-PMLN 400 MCG/0.4 ML INTRAVESICAL SOLUTION	$487,813	—	—	—	16
RX-211245	EMICIZUMAB-KXWH 300 MG/2 ML (150 MG/ML) SUBCUTANEOUS SOLUTION	$438,540	—	—	—	16
RX-158898	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION	$418,906	—	—	—	16
RX-186154	NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION	$387,104	—	—	—	16
RX-202485	LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION	$385,914	—	—	—	16
RX-206646	SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION	$380,212	—	—	—	16
RX-195861	TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION	$347,864	—	—	—	32
RX-218052	PEMBROLIZUMAB 790 MG-BERAHYALURONID-PMPH 9,600 UNIT/4.8 ML SUBCUT SOLN	$327,880	—	—	—	13
RX-197475	CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION	$327,025	—	—	—	16
RX-200763	RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION	$326,357	—	—	—	32
RX-185941	INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN	$325,880	—	—	—	16
RX-176742	ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION	$319,080	—	—	—	16
RX-199094	MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT	$316,493	—	—	—	16
RX-186942	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$281,255	—	—	—	16
RX-14472	PORFIMER 75 MG INTRAVENOUS SOLUTION	$278,340	—	—	—	16
RX-12519	PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION	$277,162	—	—	—	16
RX-155972	COAGULATION FACTOR VIIA RECOMB 8 MG (8,000 MCG) INTRAVENOUS SOLUTION	$258,961	—	—	—	16
RX-2104500618	POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION	$253,600	—	—	—	16
42210799	HC STEREO RAD,SGL TX,(IMAGE-GUID)	$248,801	—	—	—	14
RX-198407	TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION	$245,527	—	—	—	16
38301206	HC TMR LASER	$238,966	—	—	—	14
RX-208999	EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION	$224,562	—	—	—	16
RX-189356	EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION	$219,270	—	—	—	16
RX-209571	NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION	$218,017	—	—	—	16
RX-204937	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION	$210,141	—	—	—	16
RX-153810	PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION	$209,000	—	—	—	16
RX-212514	TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION	$204,391	—	—	—	16
RX-208402	RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION	$200,889	—	—	—	16
RX-155530	CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION	$198,588	—	—	—	16
RX-213494	GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION	$198,384	—	—	—	16

Showing top 50 of 12,176 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.