PRISMA HEALTH HILLCREST HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-8910000011	HC Axicabtagene Ciloleucel Car+ (Yescarta)	$2,909,170	$1,890,961	—	—	112
PX-8910000008	HC Idecabtagene Vicleucel Car 50ml (Abecma)	$2,884,058	$1,874,637	—	—	112
PX-8910000014	HC Ciltacabtagene Car-POS T(Carvykti) 70 Ml	$2,776,552	$1,804,759	—	—	111
RX-223389	INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION	$180,079	$117,051	—	—	118
PX-8130000000	HC Cadaver Donor Sac-Pancreas	$121,000	$78,650	—	—	37
RX-212252	INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN	$92,124	$59,881	—	—	84
PX-2780001115	HC Limflow Sysytem	$89,928	$58,453	—	—	36
RX-232820	RISANKIZUMAB-RZAA 180 MG/1.2 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR	$86,221	$56,044	—	—	47
RX-208027	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$83,644	$54,368	—	—	118
PX-4800915000	HC Insj Perm Ccm-D Sys Pg&Dual Transvns Eltrds/Lds	$80,154	$52,100	—	—	92
PX-3613322400	HC Ins Electrode to Prev Pacemaker/Generator	$78,541	$51,052	—	—	118
PX-4810571000	HC Insj/Rplcmt Icds Ss Eltrd	$76,314	$49,604	—	—	111
PX-3613729200	HC Rvsc Evsc Tpvt St Athrc Sf 1st Vsdl	$51,721	$33,619	—	—	84
PX-3613729400	HC Rvsc Evsc Tpvt St Athr Cpx 1st Vsl	$51,721	$33,619	—	—	84
PX-4810797000	HC Tcat Ins 2chmbr Ldls Pm Rv	$47,678	$30,991	—	—	95
PX-4810801000	HC Tcat Rmv&Rpl 2chmbr Ldls Pm	$47,678	$30,991	—	—	95
PX-4810796000	HC Tcat Ins 2chmbr Ldls Pm Ra	$47,678	$30,991	—	—	95
PX-3613728800	HC Revsc Evsc Tpvt Athrc Sf 1st Vsl	$46,822	$30,434	—	—	90
PX-3613728500	HC Revsc Evasc Tpvt St Sf Ea Add Vsl	$46,822	$30,434	—	—	33
PX-3613727500	HC Rvsc Evsc Fpvt St Athrc Sf 1st Vsl	$46,822	$30,434	—	—	84
PX-3613728400	HC Revsc Evasc Tpvt St Sf 1st Vsl	$46,822	$30,434	—	—	90
PX-3613729500	HC Revsc Evsc Tpvt St Athrc Uni Cplx Les Ea Add Vsl	$46,822	$30,434	—	—	33
PX-3613727100	HC Revsc Evsc Fpvt Athrc Sf 1st Vsl	$46,822	$30,434	—	—	90
PX-3613722700	HC Fem/Popl Revasc Stnt & Ather	$46,087	$29,957	—	—	45
PX-4810981000	HC Tcat Impl Wrls Ivc Snr	$44,892	$29,180	—	—	92
PX-4810960600	HC Perc D-E Cor Revasc W Ami Sgl	$44,654	$29,025	—	—	60
PX-4810960000	HC Perc Drug-El Cor Stent Sgl	$44,208	$28,735	—	—	118
PX-4819359000	HC Perq Transcath Cls Mitral	$42,279	$27,481	—	—	95
RX-230966	RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION	$41,978	$27,286	—	—	118
PX-4810960100	HC Perc Drug-El Cor Stent Bran Each	$41,442	$26,937	—	—	53
PX-3613726900	HC Revsc Evasc Fpvt St Cplx 1st Vsl	$39,932	$25,956	—	—	106
PX-3613726700	HC Revsc Evsc Fpvt Stent Sf 1st Vsl	$39,932	$25,956	—	—	106
PX-2720001123	HC Cann W/Dilatr Ango 20-180 Bubbltrap	$39,875	$25,919	—	—	30
PX-3613718300	HC Tips Revision	$37,435	$24,333	—	—	118
RX-236802	MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION	$36,953	$24,020	—	—	101
PX-3613724100	HC Vasc Embolize/Occlude Venous	$35,908	$23,340	—	—	118
PX-2720001122	HC Cann W/Dilator Angovac C20-180	$35,750	$23,238	—	—	37
RX-40830523	ALTEPLASE 0.9 MG/KG IV (NTE 90 MG) FOR STROKE	$33,899	$22,034	—	—	118
RX-40830522	ALTEPLASE 100 MG IV FOR PULMONARY EMBOLISM	$33,899	$22,034	—	—	118
PX-4803327400	HC Transcath Insj/Rpl Perm Ldls Pm	$33,769	$21,950	—	—	117
RX-408031015	TENECTEPLASE 50 MG/10 ML INJECTION FOR STROKE	$32,920	$21,398	—	—	95
PX-4809293700	HC Perq Revasc Byp Graft 1vsl	$32,619	$21,202	—	—	118
PX-4810525000	HC Insj/Rplcmt Compl Iims	$32,500	$21,125	—	—	108
PX-3615588200	HC Ablt Trurl Prst8 Tis Trnsdcr	$32,481	$21,113	—	—	90
PX-3612098200	HC Ablation Bone Tumr Perc W/CT	$32,167	$20,909	—	—	118
RX-214622	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION	$31,961	$20,775	—	—	95
PX-4810960300	HC Perc D-E Cor Stent Ather Br Each	$31,679	$20,591	—	—	53
PX-3613729800	HC Revsc Evasc Imvt Angiop Uni Cplx Les 1st Vsl	$29,486	$19,166	—	—	81
PX-4819293700	HC Perq Trluml Revsc of/-Cab Grf 1 Maj C Art&/Brnch	$29,486	$19,166	—	—	118
PX-3610756400	HC Vein Mech Throm W/Intrvas US	$28,351	$18,428	—	—	36

Showing top 50 of 2,902 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.