PELHAM MEDICAL CENTER

CCN 420103

45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
23,719
Insurances with rates
10
CPT / HCPCS codes
13,394
Source MRF

Most expensive procedures (gross)

55566105000
$181,686
nadofaragene firadenovec-vncg 3x10exp11 vp/mL suspension 1 each Vial
Gross
$302,809
55566105001
$181,686
nadofaragene firadenovec-vncg 3x10exp11 vp/mL suspension 4 each Vial
Gross
$302,809
71336100101
$120,262
givosiran 189 mg/mL solution 1 mL Vial
Gross
$200,436
74107001
$85,864
risankizumab-rzaa 360 mg/2.4 mL (150 mg/mL) wearable injector 2.4 mL Cartridge
Gross
$143,107
36000193
$80,910
HC Surgery 901-960 Min
Gross
$134,850
50242055401
$80,594
ocrelizumab-hyaluronidase-ocsq 920 mg-23000 unit/23 mL solution 23 mL Vial
Gross
$134,323
36000192
$79,646
HC Surgery 841-900 Min
Gross
$132,743
310453530
$76,139
tremelimumab-actl 20 mg/mL solution 15 mL Vial
Gross
$126,898
36000191
$74,336
HC Surgery 781-840 Min
Gross
$123,893
69488000301
$73,206
lutetium Lu 177 dotatate 10 mCi/mL (370 MBq/mL) solution 200 millicurie
Gross
$122,010
58468020001
$72,898
alemtuzumab 12 mg/1.2 mL solution 1.2 mL Vial
Gross
$121,497
96009029
$72,824
Pbb Inj, Adstiladrin, per Tx Dos
Gross
$121,374
36000190
$69,026
HC Surgery 721-780 Min
Gross
$115,043
36000038
$68,126
HC Surgery 661-720 Min
Gross
$113,543
30237890006
$63,925
sipuleucel-T-lactated ringers 50 million cell/250 mL suspension 250 mL Bag
Gross
$106,542
36000037
$62,581
HC Surgery 601-660 Min
Gross
$104,301
74725010064
$61,992
kit prep of Ga-68-gozetotide 25 mcg recon soln 50 millicurie Vial
Gross
$103,320
36000056
$60,116
HC Gyn Robotic Surgery 541-600 Min
Gross
$100,193
36000083
$60,116
HC Gen/Cv Thoracic Robot Surg 541-600 Min
Gross
$100,193
69488001061
$59,613
lutetium Lu-177 vipivotide tetraxetan 27 mCi/mL (1000 MBq/mL) solution 200 millicurie Vial
Gross
$99,356
78121761
$59,613
lutetium Lu-177 vipivotide tetraxetan 27 mCi/mL (1000 MBq/mL) solution 200 millicurie Vial
Gross
$99,356
36000036
$57,035
HC Surgery 541-600 Min
Gross
$95,058
50242015001
$56,211
ocrelizumab 30 mg/mL solution 10 mL Vial
Gross
$93,684
36000055
$54,571
HC Gyn Robotic Surgery 481-540 Min
Gross
$90,952
36000082
$54,571
HC Gen/Cv Thoracic Robot Surg 481-540 Min
Gross
$90,952
36000035
$51,493
HC Surgery 481-540 Min
Gross
$85,821
78073461
$50,758
canakinumab (PF) 150 mg/mL solution 1 mL Vial
Gross
$84,596
75987008010
$50,662
pegloticase 8 mg/mL solution 1 mL Vial
Gross
$84,436
36000054
$48,671
HC Gyn Robotic Surgery 421-480 Min
Gross
$81,118
36000081
$48,671
HC Gen/Cv Thoracic Robot Surg 421-480 Min
Gross
$81,118
73475310203
$47,221
efgartigimod-hyaluronidase-qvfc 1008 mg-11200 unit/5.6 mL solution 5.6 mL Vial
Gross
$78,702
72493010303
$46,855
mitoMYcin 40 mg x 2 kit 1 each KIT
Gross
$78,091
79952011001
$46,406
loncastuximab tesirine-lpyl 10 mg recon soln 1 each Vial
Gross
$77,343
25682002801
$45,842
ravulizumab-cwvz 100 mg/mL solution 11 mL Vial
Gross
$76,403
36000034
$45,591
HC Surgery 421-480 Min
Gross
$75,985
36000053
$42,818
HC Gyn Robotic Surgery 361-420 Min
Gross
$71,363
36000080
$42,818
HC Gen/Cv Thoracic Robot Surg 361-420 Min
Gross
$71,363
57894064001
$41,974
guselkumab 100 mg/mL syringe 1 mL Syringe
Gross
$69,956
57894065001
$41,533
guselkumab 200 mg/20 mL (10 mg/mL) solution 20 mL Vial
Gross
$69,221
57894065002
$41,533
guselkumab 200 mg/20 mL (10 mg/mL) solution 20 mL Vial
Gross
$69,221
24582411
$41,522
cabazitaxel 10 mg/mL (first dilution) solution 6 mL Vial
Gross
$69,203
72893000501
$40,641
PRALAtrexate 40 mg/2 mL (20 mg/mL) solution 2 mL Vial
Gross
$67,735
8010001
$40,500
inotuzumab ozogamicin per 0.1 mg
Gross
$67,500
54482030101
$40,318
pegaspargase 750 unit/mL solution 5 mL Vial
Gross
$67,197
944381001
$40,318
pegaspargase 750 unit/mL solution 5 mL Vial
Gross
$67,197
36000033
$39,738
HC Surgery 361-420 Min
Gross
$66,230
80446040101
$39,553
tebentafusp-tebn 100 mcg/0.5 mL solution 0.5 mL Vial
Gross
$65,922
50242024501
$38,042
pertuzumab-trastuzumab-hy-zzxf 1200 mg-600mg- 30000 unit/15mL solution 15 mL Vial
Gross
$63,404
74347303
$37,215
leuprolide acetate (6 month) 45 mg syringe kit 1 each KIT
Gross
$62,025
36000052
$37,150
HC Gyn Robotic Surgery 301-360 Min
Gross
$61,916
Showing top 50 of 23,719 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.