PRISMA HEALTH BAPTIST PARKRIDGE

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-206280	NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION	$610,506	$396,829	—	—	91
RX-230958	VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE	$459,740	$298,831	—	—	91
RX-223389	INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION	$180,079	$117,051	—	—	92
PX-2780001167	HC Remede System 1600	$158,125	$102,781	—	—	40
PX-3613824000	HC Hpc Allogeneic	$147,856	$96,106	—	—	81
PX-3613324900	HC Ins/Repl Defibrillator W/Sgl Lead	$108,000	$70,200	—	—	91
SUP-S3UCM226A	TRANSCATH ULTRA S3 ULTRA 26MM (S3UCM226A 165176)	$89,375	$58,094	—	—	32
PX-4813323100	HC Ins Cardio-Defib Gener W/M	$87,540	$56,901	—	—	81
PX-4810483000	HC Tmvi Percutaneous Approach	$83,602	$54,341	—	—	53
SUP-EVPROPLUS-29US	VALVE AORT EVOLUTPRO PLUS 29MM (EVPROPLUS-29US 164346)	$82,500	$53,625	—	—	32
PX-3337737100	HC Srs Multisource 1 Session	$74,400	$48,360	—	—	91
PX-3610268000	HC Implt/Rpl Crtd Sns Dev Gen	$68,600	$44,590	—	—	40
RX-165895	SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION	$62,268	$40,474	—	—	96
RX-232485	TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION	$59,542	$38,702	—	—	91
SUP-G124	ICD MOMENTUM CRT-D DF4 (G124 148799)	$59,160	$38,454	—	—	32
RX-235680	ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION	$53,016	$34,460	—	—	84
SUP-97715	NEUROSTIMLTR INTELIS MRI (97715 146109)	$52,962	$34,425	—	—	32
PX-3613729200	HC Rvsc Evsc Tpvt St Athrc Sf 1st Vsdl	$51,721	$33,619	—	—	76
PX-4800803000	HC Tcat Rmvl&Rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt	$50,062	$32,540	—	—	91
PX-3613727200	HC Revsc Evasc Fpvt Athrc Uni Sf Les Ea Addl Vsl	$46,822	$30,434	—	—	35
PX-3613728600	HC Revsc Evasc Tpvt St Cplx 1st Vsl	$46,822	$30,434	—	—	76
PX-3613727600	HC Revsc Evasc Fpvt St Athrc Uni Sf Les Ea Addl Vsl	$46,822	$30,434	—	—	35
PX-4809293300	HC Stent Plmnt W/Ath/Angio Sgl	$46,686	$30,346	—	—	91
PX-2720000940	HC Pack Hls Cardio Adult	$46,225	$30,046	—	—	32
PX-3613320600	HC Ins New/ Repl Perm Pacemaker	$45,742	$29,732	—	—	82
PX-4800823000	HC Tcat Ins 1chmbr Ldls Pm Ra	$45,199	$29,379	—	—	91
PX-4810976700	HC Revascularization Intravasc Litho Stent Atherect	$44,892	$29,180	—	—	92
PX-4810960000	HC Perc Drug-El Cor Stent Sgl	$44,208	$28,735	—	—	92
PX-3613322900	HC Rem Pacemaker W/Repl Mult Lead S	$44,117	$28,676	—	—	91
RX-232242	TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION	$41,733	$27,126	—	—	85
PX-4810960100	HC Perc Drug-El Cor Stent Bran Each	$41,442	$26,937	—	—	47
PX-2720001123	HC Cann W/Dilatr Ango 20-180 Bubbltrap	$39,875	$25,919	—	—	32
RX-232858	LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION	$37,557	$24,412	—	—	92
RX-236802	MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION	$36,953	$24,020	—	—	90
PX-3613724300	HC Vasc Embolize/Occlude Organ	$35,908	$23,340	—	—	92
PX-3613724100	HC Vasc Embolize/Occlude Venous	$35,908	$23,340	—	—	91
PX-3613724400	HC Vasc Embolize/Occlude Bleed\|REDUCED SERVICES	$34,347	$22,326	—	—	35
RX-218274	CAPLACIZUMAB-YHDP 11 MG INJECTION KIT	$34,339	$22,320	—	—	83
RX-9002	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$33,899	$22,034	—	—	182
PX-4813341800	HC Transcath Mitral Valve Rpr Int	$33,168	$21,559	—	—	81
RX-408031244	TENECTEPLASE 25 MG/5 ML INTRAVENOUS SOLUTION	$32,920	$21,398	—	—	91
PX-4810976600	HC Revascularization Intravasc Lithotripsy Atherect	$32,851	$21,353	—	—	91
PX-4025172100	HC Ins Trurl Ablt Trnsdc Thr US	$32,482	$21,113	—	—	66
PX-3612098200	HC Ablation Bone Tumr Perc W/CT	$32,167	$20,909	—	—	92
RX-408031015	TENECTEPLASE 50 MG/10 ML INJECTION FOR STROKE	$31,961	$20,775	—	—	91
RX-216771	AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION	$31,161	$20,255	—	—	32
SUP-G154	DEVICE DYNAGEN G154 (G154 200036)	$30,250	$19,663	—	—	32
SUP-SV104	ALLOGRAFT VEIN SAPH 60-69CM (SV104 165132)	$29,793	$19,366	—	—	32
PX-3613726000	HC Revsc Evasc Ivt St Plmt Uni Cplx Les 1st Vsl	$29,486	$19,166	—	—	76
PX-3613725800	HC Revsc Evasc Ivt Stent Sf 1st Vsl	$29,486	$19,166	—	—	76

Showing top 50 of 3,623 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.