PRISMA HEALTH PATEWOOD HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-8910000007	HC Lisocabtagene Mara Car POS T (Breyanzi)	$2,956,965	$1,922,027	—	—	112
PX-8910000014	HC Ciltacabtagene Car-POS T(Carvykti) 70 Ml	$2,776,552	$1,804,759	—	—	111
PX-8910000000	Tisagenlecleucel IV Up to 600 Million Car POS	$2,591,313	$1,684,353	—	—	112
PX-8910000012	HC Brexucabtagene Car POS T (Tecartus) Mcl	$2,448,600	$1,591,590	—	—	112
PX-8120000001	HC Cadaver Donor Sac- Liver	$269,900	$175,435	—	—	37
PX-8110000000	HC Living Donor Sac- Kidney	$165,000	$107,250	—	—	37
PX-2780001168	HC Remede System 1001	$144,375	$93,844	—	—	39
PX-3613326400	HC Rem Defibrillator W/Repl Mult Lead Sys	$125,369	$81,490	—	—	118
PX-8130000000	HC Cadaver Donor Sac-Pancreas	$121,000	$78,650	—	—	37
PX-4810483000	HC Tmvi Percutaneous Approach	$83,602	$54,341	—	—	54
PX-4800915000	HC Insj Perm Ccm-D Sys Pg&Dual Transvns Eltrds/Lds	$80,154	$52,100	—	—	93
PX-3613322400	HC Ins Electrode to Prev Pacemaker/Generator	$78,541	$51,052	—	—	118
PX-2780000625	HC Therasphere Yttrium-90	$66,719	$43,367	—	—	104
PX-3610620000	HC Evasc Ven Artlz Tibl/Prnl Vn	$63,764	$41,447	—	—	82
PX-4810976500	HC Revascularization Intravasc Lithotripsy Stent	$57,974	$37,683	—	—	107
PX-3613729400	HC Rvsc Evsc Tpvt St Athr Cpx 1st Vsl	$51,721	$33,619	—	—	85
SUP-M365SC11600	KIT IPG SPECTRA WAVEWRITER (M365SC11600 150940)	$51,425	$33,426	—	—	36
PX-4810795000	HC Tcat Ins 2chmbr Ldls Pm Cmpl	$50,062	$32,540	—	—	117
PX-2720001417	HC Oxygenator Centrimag Precon Pack for Cpb Perfusion	$49,913	$32,443	—	—	30
PX-4810801000	HC Tcat Rmv&Rpl 2chmbr Ldls Pm	$47,678	$30,991	—	—	96
PX-3613728900	HC Revsc Evsc Tpvt Athrc Sf Ea Add Vsl	$46,822	$30,434	—	—	33
PX-3613727100	HC Revsc Evsc Fpvt Athrc Sf 1st Vsl	$46,822	$30,434	—	—	91
PX-3613728400	HC Revsc Evasc Tpvt St Sf 1st Vsl	$46,822	$30,434	—	—	91
PX-3613727500	HC Rvsc Evsc Fpvt St Athrc Sf 1st Vsl	$46,822	$30,434	—	—	85
PX-4809293300	HC Stent Plmnt W/Ath/Angio Sgl	$46,686	$30,346	—	—	118
PX-4800823000	HC Tcat Ins 1chmbr Ldls Pm Ra	$45,199	$29,379	—	—	117
PX-3613718400	HC Prim Perc Thromb Init Vessel	$44,892	$29,180	—	—	118
PX-4810960700	HC Perc D-E Cor Revasc Chro Sgl	$44,654	$29,025	—	—	118
PX-4902347200	ASC Reconstr Total Shoulder Implant	$41,171	$26,761	—	—	96
SUP-DTMB1D1	ICD AMPLIA MRI BIV (DTMB1D1 146113)	$38,720	$25,168	—	—	36
PX-4813336100	HC Tavr/Tavi W/Pros Valve Perc Fem	$37,880	$24,622	—	—	96
PX-3613723000	HC Tib/per Revasc W/Stent	$37,435	$24,333	—	—	42
PX-3613723800	HC Pl Stent Inravasc Vein Initl	$37,435	$24,333	—	—	107
PX-3613718300	HC Tips Revision	$37,435	$24,333	—	—	118
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
PX-3613724400	HC Vasc Embolize/Occlude Bleed	$34,347	$22,326	—	—	118
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
RX-408031244	TENECTEPLASE 25 MG/5 ML INTRAVENOUS SOLUTION	$32,920	$21,398	—	—	96
PX-4810525000	HC Insj/Rplcmt Compl Iims	$32,500	$21,125	—	—	108
PX-4025172100	HC Ins Trurl Ablt Trnsdc Thr US	$32,482	$21,113	—	—	79
PX-3612098200	HC Ablation Bone Tumr Perc W/CT	$32,167	$20,909	—	—	118
RX-408031015	TENECTEPLASE 50 MG/10 ML INJECTION FOR STROKE	$31,961	$20,775	—	—	96
PX-2780001068	HC Cannula Perfusion 72cm 21fr Tandemheart Venous Dilator Introducer Sterile Latex Free Disposable	$31,815	$20,680	—	—	30
RX-199218	IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION	$30,449	$19,792	—	—	118
SUP-RMT281414	EXCLUDER C3 28X14X14 (RMT281414 A57797)	$30,235	$19,653	—	—	30
SUP-ENBF2316C124E	ENDO END TRK 23X16X124 (ENBF2316C124E C23788)	$30,174	$19,613	—	—	30
PX-3612361500	HC Optx Prox Humrl Fx W/Int Fix	$29,855	$19,406	—	—	102
PX-4819294500	HC Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&Rtrgr	$29,486	$19,166	—	—	93

Showing top 50 of 3,135 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.