ROGER WILLIAMS MEDICAL CENTER (Providence, RI) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Q2056	CILTACABTAGENE AUTOLUCEL BAG	$2,498,897	$1,249,448	—	—	12
Q2041	AXICABTAGENE CILOLEUCEL BAG	$2,266,110	$1,133,055	—	—	12
J9228	IPILIMUMAB 200 MG/40 ML	$156,656	$78,328	—	—	10
C2616	YTTRIUM-90	$106,585	$53,293	—	—	17
J1303	RAVULIZUMAB-CWVZ 1100 MG/11 M	$105,666	$52,833	—	—	10
C1882	IMPLANTABLE CADIOVERT/DEFIBRIL	$85,101	$42,551	—	—	9
C1721	CARDIOVERTER DEFIB DUAL CHAMBE	$79,385	$39,693	—	—	9
38240	STEM CELL TRANSPLANT ALLO	$72,916	$36,458	—	—	10
J9321	EPCORITAMAB-BYSP 48 MG INJ	$71,282	$35,641	—	—	10
C1722	CARDIOVERTER DEFIB SINGLE CHAM	$67,531	$33,766	—	—	9
J9026	TARLATAMAB-DLLE 10 MG INJ	$67,500	$33,750	—	—	10
J9345	RETIFANLIMAB-DLWR 500 MG.20 ML	$65,043	$32,522	—	—	10
J9298	NIVOLUMAB/RELATILIMAB RMBW INJ	$61,624	$30,812	—	—	10
C1767	GENERATOR, NEUROSTIM-IMPLANT	$50,119	$25,059	—	—	14
C1820	GENERATOR,NEURO RECHG BAT SY	$49,500	$24,750	—	—	14
J9022	ATEZOLIZUMAB 1200 MG/20 ML VL	$41,373	$20,687	—	—	10
J9119	CEMIPLIMAB 350 MG INJ	$40,950	$20,475	—	—	10
J9380	TECLISTAMAB-CQYV 153MG/1.7ML	$40,622	$20,311	—	—	10
J1930	LANREOTIDE DEPOT 120 MG SYR	$38,052	$19,026	—	—	10
J2562	PLERIXAFOR 24MG/1.2ML	$36,145	$18,072	—	—	10
Q4116	ALLODERM 16 X 20	$31,710	$15,855	—	—	9
J9223	LUBRINECTEDIN 4 MG/8 ML INJ	$29,849	$14,924	—	—	10
J1299	ECULIZUMAB 300 MG/30 ML INJ	$29,354	$14,677	—	—	10
J2353	SANDOSTAT LAR 30MG SYR	$28,631	$14,315	—	—	10
C1772	INFUSION PUMP,PROGRAMMABLE	$26,902	$13,451	—	—	16
C1982	TRINAV INFUSION SYSTEM	$25,934	$12,967	—	—	14
J9306	PERTUZUMAB 420 MG INJ	$23,814	$11,907	—	—	10
J9301	OBINUTUZUMAB 1000 MG/40 ML	$23,220	$11,610	—	—	10
A9572	INDIUM 111-PENTETREOTIDE TO 6	$22,533	$11,267	—	—	12
J9271	PEMBROLIZUMAB 100 MG/4 ML	$21,556	$10,778	—	—	10
J9038	AXATILIMAB-CSFR 9 MG INJ	$21,263	$10,631	—	—	10
C1785	PACEMAKER	$21,171	$10,586	—	—	9
J9039	BLINATUMOMAB 35 MCG INJ	$20,822	$10,411	—	—	10
Q5119	RITUXIMAB-PVVR 500 MG INJ	$19,354	$9,677	—	—	10
J9173	DURVALUMAB 500 MG/10 ML INJ	$19,326	$9,663	—	—	10
C2621	PACEMAKER,NOT SINGLE OR DUAL	$19,224	$9,612	—	—	9
J0896	LUSPATERCEPT-AAMT INJ 25 MG	$18,509	$9,255	—	—	10
C1813	PROSTHESIS, PENILE, INFLATABLE	$17,606	$8,803	—	—	14
Q5122	PEGFILGRASTIM-1PGF 6 MG INJ	$17,190	$8,595	—	—	10
J2506	PEGFILGRASTIM 6 MG/0.6 ML SYR	$17,146	$8,573	—	—	20
C1786	PACEMAKER, SINGLE CHAMBER	$16,939	$8,470	—	—	9
J9309	POLATUZUMAB VEDOTIN-PIIQ 30 MG	$16,917	$8,458	—	—	11
C1764	EVENT RECORDER CARDIAC IMPLANT	$16,517	$8,259	—	—	9
C1895	LEAD, SPRINT QUATTRO	$15,962	$7,981	—	—	9
J2425	PALIFERMIN 6.25 MG/1.2 ML INJ	$15,806	$7,903	—	—	10
J9227	ISATUXIMAB-IRFC 500 MG INJ	$14,991	$7,495	—	—	10
Q5111	PEGFILGRASTIM CBQV 6 MG/.06 ML	$14,667	$7,334	—	—	10
C1724	CATH,TRANSLUM ATHEREC;ROTATION	$14,378	$7,189	—	—	14
J9177	ENFORTUBAB VEDOTIN-EJFV 30 MG	$14,243	$7,121	—	—	10
J9144	DARATUMUMAB-HYALURON INJ	$14,175	$7,088	—	—	10

Showing top 50 of 19,289 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.