PRISMA HEALTH OCONEE MEMORIAL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-8910000008	HC Idecabtagene Vicleucel Car 50ml (Abecma)	$2,884,058	$1,874,637	—	—	111
PX-8120000000	HC Cadaver Donor Sac- Kidney	$194,370	$126,341	—	—	39
RX-223389	INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION	$180,079	$117,051	—	—	117
PX-8110000000	HC Living Donor Sac- Kidney	$165,000	$107,250	—	—	39
PX-3613326400	HC Rem Defibrillator W/Repl Mult Lead Sys	$125,369	$81,490	—	—	117
RX-108054	USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE	$117,906	$76,639	—	—	53
PX-4803327600	HC Insertion Phrenic Nerve Stimulator System	$112,501	$73,126	—	—	95
RX-212252	INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN	$92,124	$59,881	—	—	87
RX-232820	RISANKIZUMAB-RZAA 180 MG/1.2 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR	$86,221	$56,044	—	—	46
PX-4810483000	HC Tmvi Percutaneous Approach	$83,602	$54,341	—	—	56
PX-4800408000	HC Insj/Rplc Cardiac Modulj Sys	$80,154	$52,100	—	—	105
PX-4816465600	HC Revision/Rplcmt Bat Modulation System Pg Only	$78,815	$51,230	—	—	101
PX-3613322400	HC Ins Electrode to Prev Pacemaker/Generator	$78,541	$51,052	—	—	117
PX-3610268000	HC Implt/Rpl Crtd Sns Dev Gen	$68,600	$44,590	—	—	43
PX-2780000625	HC Therasphere Yttrium-90	$66,719	$43,367	—	—	103
PX-4819365600	HC Ep Eval & Pulmonary Vein Isola	$59,094	$38,411	—	—	117
PX-4810976500	HC Revascularization Intravasc Lithotripsy Stent	$57,974	$37,683	—	—	106
PX-3613723100	HC Revsc Tibl Prnl W/Stent & Arth	$51,721	$33,619	—	—	42
PX-3613729400	HC Rvsc Evsc Tpvt St Athr Cpx 1st Vsl	$51,721	$33,619	—	—	87
PX-4819365300	HC Ep Eval & Ablate Svt Arrhyt	$51,165	$33,257	—	—	117
PX-2720001417	HC Oxygenator Centrimag Precon Pack for Cpb Perfusion	$49,913	$32,443	—	—	32
PX-4810801000	HC Tcat Rmv&Rpl 2chmbr Ldls Pm	$47,678	$30,991	—	—	98
PX-3613727300	HC Revsc Evsc Fpvt Athrc Cplx 1st Vsl	$46,822	$30,434	—	—	90
PX-3613727200	HC Revsc Evasc Fpvt Athrc Uni Sf Les Ea Addl Vsl	$46,822	$30,434	—	—	35
PX-3613727500	HC Rvsc Evsc Fpvt St Athrc Sf 1st Vsl	$46,822	$30,434	—	—	87
PX-3613728900	HC Revsc Evsc Tpvt Athrc Sf Ea Add Vsl	$46,822	$30,434	—	—	35
PX-3613727100	HC Revsc Evsc Fpvt Athrc Sf 1st Vsl	$46,822	$30,434	—	—	90
PX-2720000940	HC Pack Hls Cardio Adult	$46,225	$30,046	—	—	32
RX-232868	UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION	$45,578	$29,625	—	—	117
PX-4800823000	HC Tcat Ins 1chmbr Ldls Pm Ra	$45,199	$29,379	—	—	116
PX-4810981000	HC Tcat Impl Wrls Ivc Snr	$44,892	$29,180	—	—	95
RX-241850	AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION	$44,491	$28,919	—	—	116
PX-4810960000	HC Perc Drug-El Cor Stent Sgl	$44,208	$28,735	—	—	117
PX-3613326300	HC Rem Defibrillator W/Repl Dual Lead Sys	$41,650	$27,073	—	—	117
PX-3610238000	HC Trluml Perip Athrc Iliac Art	$38,738	$25,180	—	—	105
PX-3613718300	HC Tips Revision	$37,435	$24,333	—	—	117
PX-3613723600	HC Pl Stent Inravasc Artery Initl	$37,435	$24,333	—	—	106
PX-3613724300	HC Vasc Embolize/Occlude Organ	$35,908	$23,340	—	—	117
PX-3613724100	HC Vasc Embolize/Occlude Venous	$35,908	$23,340	—	—	117
RX-40830523	ALTEPLASE 0.9 MG/KG IV (NTE 90 MG) FOR STROKE	$33,899	$22,034	—	—	117
RX-9002	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$33,899	$22,034	—	—	117
PX-4803327400	HC Transcath Insj/Rpl Perm Ldls Pm	$33,769	$21,950	—	—	116
PX-4813341800	HC Transcath Mitral Valve Rpr Int	$33,168	$21,559	—	—	98
PX-4809293700	HC Perq Revasc Byp Graft 1vsl	$32,619	$21,202	—	—	117
PX-4810525000	HC Insj/Rplcmt Compl Iims	$32,500	$21,125	—	—	110
RX-408031015	TENECTEPLASE 50 MG/10 ML INJECTION FOR STROKE	$31,961	$20,775	—	—	98
PX-4810960300	HC Perc D-E Cor Stent Ather Br Each	$31,679	$20,591	—	—	52
PX-3613729900	HC Revsc Evasc Imvt Angiop Uni Cplx Les Ea Addl Vsl	$29,486	$19,166	—	—	35
PX-4819294500	HC Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&Rtrgr	$29,486	$19,166	—	—	95
PX-4819292400	HC Perq Trluml C Athrc Angiop 1 Maj C Art&/Branches	$29,486	$19,166	—	—	117

Showing top 50 of 3,028 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.