THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-186721	TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION	$131,508	$13,151	—	—	21
RX-108956	IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION	$114,524	$11,452	—	—	21
RX-41815	NM ISO Y-90 IBRITUMOMAB PER DOSE UP TO 40 MCI	$78,180	$7,818	—	—	12
RX-40840557	NM ISO Y-90 SIR-SPHERES RESIN MICROSPHERES PER DOSE	$78,180	$7,818	—	—	28
RX-170511	INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN	$75,622	$7,562	—	—	21
RX-184719	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION	$48,764	$4,876	—	—	21
RX-105644	CABAZITAXEL 10 MG/ML (FINAL CONC) INTRAVENOUS SOLUTION	$45,632	$4,563	—	—	21
RX-110751	LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT	$41,918	$4,192	—	—	21
RX-111348	BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION	$40,828	$4,083	—	—	21
RX-177050	LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION	$39,017	$3,902	—	—	21
RX-182340	DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION	$38,040	$3,804	—	—	21
RX-165100	ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION	$37,005	$3,700	—	—	21
RX-174319	CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION	$35,137	$3,514	—	—	21
RX-170494	DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION	$34,038	$3,404	—	—	21
RX-185620	RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION	$33,783	$3,378	—	—	21
RX-178799	DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN	$32,773	$3,277	—	—	21
RX-170557	GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN	$32,555	$3,255	—	—	21
RX-126219	VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION	$31,337	$3,134	—	—	21
PX-36009740	HC Cysto Impl 4 or More	$30,776	$3,078	—	—	12
RX-179479	PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN	$30,054	$3,005	—	—	21
RX-98451	NM ISO I-123 IOBENGUANE (MIBG) PER DOSE UP TO 15MCI	$28,872	$2,887	—	—	12
RX-108955	IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION	$28,631	$2,863	—	—	21
RX-21108	LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT	$27,945	$2,794	—	—	21
RX-40120	NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION	$27,526	$2,753	—	—	12
RX-9002	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$27,281	$2,728	—	—	21
RX-87860	LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE	$26,139	$2,614	—	—	21
RX-175622	ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION	$25,903	$2,590	—	—	21
RX-40845011	TENECTEPLASE IV BOLUS (STROKE)	$25,722	$2,572	—	—	12
RX-172314	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION	$25,722	$2,572	—	—	12
RX-179410	LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION	$25,575	$2,558	—	—	21
RX-171488	NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION	$25,116	$2,512	—	—	21
PX-33377372	Complete single session course of cranial lesion surgery using radiation and a machine to deliver ex	$25,011	$2,501	—	—	20
RX-108057	PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION	$23,588	$2,359	—	—	21
RX-180945	NM PET ISO F18 FLUOROESTRADIOL (CERIANNA) PER 1 MCI	$22,910	$2,291	—	—	12
RX-131678	OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE	$21,429	$2,143	—	—	21
RX-116596	PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION	$21,355	$2,135	—	—	21
RX-170401	FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION	$21,017	$2,102	—	—	12
RX-21045	LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT	$20,959	$2,096	—	—	21
RX-180504	RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION	$20,756	$2,076	—	—	42
RX-188908	NM PET ISO F18 FLOTUFOLASTAT GALLIUM (POSLUMA) PER 1 MCI	$20,666	$2,067	—	—	12
RX-120087	ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION	$20,580	$2,058	—	—	21
RX-169680	RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN	$20,387	$2,039	—	—	21
RX-81696	ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION	$20,221	$2,022	—	—	12
RX-129658	PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR	$19,896	$1,990	—	—	21
SUP-10180	SPYSCOPE DS II ACC	$19,795	$1,980	—	—	16
RX-91495	CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT	$19,528	$1,953	—	—	21
RX-97853	CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT	$19,528	$1,953	—	—	21
PX-36036482	HC Endoven Ablti Ther Chem Adhesive 1st Vein	$19,235	$1,924	—	—	12
RX-127559	IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN	$18,997	$1,900	—	—	21
RX-88653	IXABEPILONE 45 MG INTRAVENOUS SOLUTION	$18,735	$1,874	—	—	21

Showing top 50 of 4,245 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.