TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
278846	TC TISAGENLECLEUCEL, CAR-POSITIVE T CELLS (KYMRIAH), PER THERAPEUTIC DOSE	$1,452,145	$972,937	—	—	6
278847	TC TISAGENLECLEUCEL, UP TO 600 MILLION CAR-T (KYMRIAH), PER THERAPEUTIC DOSE	$1,140,314	$764,010	—	—	6
181000	TC ORGAN ACQUISITION - CADAVERIC - LUNG	$336,080	$225,174	—	—	5
68403110006	botulism immune globulin 50 mg/mL Inj 100 mg Vial	$297,312	$199,199	—	—	5
100048	TC ORGAN ACQUISITION - CADAVERIC - HEART	$270,901	$181,504	—	—	5
67979000201	histrelin 50 mg KIT Inj 1 Each Box	$263,484	$176,534	—	—	8
180002	TC ORGAN ACQUISITION - CADAVERIC - LIVER	$262,060	$175,580	—	—	5
50633021011	glucarpidase 1000 units Solr 1 Each Vial	$227,004	$152,092	—	—	6
180009	TC ORGAN ACQUISITION - LIVING - LIVER	$217,556	$145,763	—	—	5
180001	TC ORGAN ACQUISITION - CADAVERIC - KIDNEY	$191,987	$128,631	—	—	5
69866103001	autologous cultured chondrocytes Shee 1 Each Package	$187,656	$125,729	—	—	5
180003	TC ORGAN ACQUISITION - LIVING - KIDNEY	$184,900	$123,883	—	—	5
68135081102	cerliponase Alfa 30 mg/mL Inj 1 Each Box	$184,678	$123,734	—	—	7
62559086015	corticotropin 80 units/mL Gel 5 mL Vial	$182,757	$122,447	—	—	8
278179	TC CORD BLOOD PROCUREMENT	$165,017	$110,561	—	—	5
200058	TC IMP VAD THORATEC #10012-2555-001	$157,590	$105,585	—	—	5
278861	TC CELL SPEC ENRICH/DEPLET (CD34 SELECT-CD19 DEPLETION)	$152,474	$102,158	—	—	5
72694051501	calaspargase pegol 750 units/mL Soln 5 mL Vial	$152,470	$102,155	—	—	8
72694095401	pegaspargase 750 units/mL Soln 5 mL Vial	$140,810	$94,343	—	—	8
278083	TC MARROW PROCUREMENT	$137,695	$92,256	—	—	5
278168	TC CELL SPEC ENRICH/DEPLET (CD34 SELECT)	$128,398	$86,027	—	—	5
50633012011	Digoxin Immune Fab 40 MG Solr 1 Each Vial	$127,007	$85,095	—	—	7
278181	TC PBSC COLLECTION	$122,883	$82,332	—	—	5
69866103002	autologous cultured chondrocytes Shee 2 Each Package	$120,745	$80,899	—	—	5
49452359005	Hydrocortisone Acetate Powd 5,000 g Bottle	$116,732	$78,210	—	—	5
278Q04811001126	KIT IMPL TUNN ADPT 14MM SEAL OUTFLO GRFT W/ BEND RELF APCL CUF COR KNF PNCH THRD PROTCT	$107,919	$72,306	—	—	6
66302001401	dinutuximab 3.5 mg/mL Inj 5 mL Vial	$100,028	$67,019	—	—	8
295501	TC IMP, EDWARDS SAPIEN VALVE	$82,875	$55,526	—	—	5
295419	TC TRANSCATH PULMVALVE IMPLANTATION, PERC	$82,662	$55,384	—	—	5
4274302	TC NM LUTETIUM LU 177 DOTATATE (LUTATHERA)	$82,053	$54,976	—	—	6
99999115937	normocarb HF 25 solution 25 Dialysate Inj 60 g	$81,376	$54,522	—	—	5
99999115938	normocarb HF 35 solution 35 Dialysate Inj 60 g	$81,376	$54,522	—	—	5
783019	TC MACI MEMBRANE 1	$75,906	$50,857	—	—	8
295468	TC CATHETER, IMPELLA 5.0	$71,400	$47,838	—	—	5
295619	TC SVT ABLATION OF 1 ATRIAL FOCUS/ATRIAL RE-ENTRY W/ EP EVAL, 3D MAP & INDUCT OR ATTEMPT OF ARRHYTHM	$70,481	$47,222	—	—	5
295620	TC ABLATION OF VT TACHY/FOCUS OF VT ECTOPY W/ EP EVAL, 3D MAP & INDUCT OR ATTEMPT OF ARRHYTHMIA	$70,305	$47,104	—	—	5
295621	TC INDUCT OR ATTEMPT OF ARRHYTHMIA INCLD LT/RT PACE & ABLATION OF AFIB BY PULM VEIN ISOLATION W/ EP	$70,305	$47,104	—	—	5
199647	TC IMP PACER VENTAK PRIZM 1DR HE DUAL #1853	$70,125	$46,984	—	—	5
51144005001	brentuximab vedotin 5 mg/mL Inj 1 Each Vial	$66,578	$44,607	—	—	8
00074969403	leuprolide 30 MG (Ped) Kit 1 Each Box	$66,392	$44,482	—	—	8
295546	TC ICD EMBLEM MRI S-ICD	$65,025	$43,567	—	—	5
295467	TC CATHETER, IMPELLA: 2.5, CP, RP	$63,750	$42,713	—	—	5
295474	TC ICD INSERTION/REPLACEMENT, W/ SUBCUTANEOUS ELECTRODE	$62,966	$42,187	—	—	5
295284	TC MELODY PULMONARY VALVE IMPLANT	$61,200	$41,004	—	—	5
278177	TC THERAPEUTIC CELL (T-CELLS), HEMATOPOIETIC PROGENITOR	$60,823	$40,751	—	—	5
00074377903	leuprolide 11.25 MG (Ped) Kit 1 Each Box	$60,282	$40,389	—	—	8
8910000001	TC CELL THERAPY INVESTIGATIONAL NEW DRUG COST RECOVERY-PROCESSING HAPLOTAB	$59,034	$39,553	—	—	5
295586	TC ANGIOVAC CIRCUIT PACK WITH BUBBLE TRAPS	$58,650	$39,296	—	—	5
68727074501	DAUNOrubicin-cytarabine Lipo 2.2-5 mg/mL Susr 1 Each Vial	$57,675	$38,642	—	—	15
75987007009	sodium PHENYLbutyrate 3 GM/TSP Powd 266 g Bottle	$56,567	$37,900	—	—	5

Showing top 50 of 35,540 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.