ST FRANCIS HOSPITAL & MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Q2054	LISOCABTAGENE MARALEUCEL UP TO 110M PER TX	$3,375,000	$1,687,500	—	—	11
Q2041	VIABLE T-CELLS (AXICABTAGENE CILOLEUCEL)	$3,215,000	$1,607,500	—	—	11
Q2053	HB BREXUCABTAGENE CAR POS T	$2,950,000	$1,475,000	—	—	11
C1827	3045897 - DEVICE IMPLANTABLE PULSE GENERATOR VIVISTIM PAIRED VNS	$163,725	$81,863	—	—	11
C1824	3012551 - GENERATOR NRSTM OPTMZ SMART MINI IMPL PULSE	$144,300	$72,150	—	—	11
0810	ORGAN COST, LIVER	$128,240	$64,120	—	—	11
0815	STEM CELL ACQUISITION	$126,820	$63,410	—	—	11
C1767	3005513 - GENERATOR NRSTM 5 IMPL PULSE PROCLAIM PLUS SPNL CORD STIM	$111,486	$55,743	—	—	11
C2624	1168039 - SYSTEM PULM PRSS DLV SYS PA	$106,283	$53,141	—	—	11
L8614	1167733 - IMPLANT COCLR HIRES ULTRA HIFOCUS SIL MID SCALA ELECTRODE	$101,074	$50,537	—	—	11
C1722	1151589 - DEFIBRILLATOR EMBLEM 130 GM D12.7 MM W83.1 MM X H69.1 MM	$99,900	$49,950	—	—	11
A9699	RADIOPHARM RX AGENT NOC	$91,130	$45,565	—	—	11
C1820	1220663 - KIT NRSTM 20.1CC THK10.7MM IMPL RCHRG WRLS RMT BLUETOOTH	$86,025	$43,013	—	—	11
C1757	1188981 - CANNULA PRFSN OD18 FR ANGIOVAC 180 D 3 DUROMETER CIRCUIT	$80,475	$40,238	—	—	11
C1882	1173233 - DFBR CBLT XT HF 2 CHMBR IS-4 DF-4 CNCT QDPL 57SQ CM 13MM 51	$77,423	$38,711	—	—	11
77372	RADIOSURGERY COMPLETE TREATMENT	$70,350	$35,175	—	—	11
C1772	3040845 - PUMP INTRATHECAL SNCHR 3 40 ML	$62,160	$31,080	—	—	11
C1721	1171277 - DFBR CBLT 2 CHMBR BTRY 57SQ CM 13MM 51X66MM TI PU SIL RBR 79	$60,634	$30,317	—	—	11
C2616	YTTRIUM 90 SIR SPHERES PER SOURCE	$60,390	$30,195	—	—	11
C1768	1177063 - GRAFT STENT OD14-25 MM ODSEC18 FR L103 MM 2 BRANCH POLY NTNL	$52,285	$26,142	—	—	11
33903	PULM ART REVASC INITIAL STNT BILATERAL	$51,650	$25,825	—	—	11
34701	ENDO RPR AORTA GRAFT+S&I	$51,240	$25,620	—	—	11
37246	PTA ARTERY 1ST W/S&I	$51,220	$25,610	—	—	11
36837	AVF UPPER EXTREMITY CRTN SEPERATE ACCESS SITES WITH IMAGING	$49,930	$24,965	—	—	11
C1817	1240881 - OCCLUDER CV RT ATR DISC 30 MM LT ATR DISC 25 MM RECOMMENDED	$47,600	$23,800	—	—	11
36906	DIALYSIS CIRCUIT REMOVE CLOT+STENT	$45,340	$22,670	—	—	11
37229	ANGIO T/P + ATHERECTOMY 1ST	$45,130	$22,565	—	—	11
C1786	1247628 - PACEMAKER AVEIR LEADLESS RT VNTRC CARDIAC	$43,828	$21,914	—	—	11
37235	ANGIO T/P + STENT/THERECTOMY ADDL	$42,910	$21,455	—	—	11
37231	ANGIO T/P + STENT/ATHERECTOMY	$42,910	$21,455	—	—	11
36836	AVF UPPER EXTREMITY CRTN SINGLE ACCESS WITH IMAGING	$42,800	$21,400	—	—	11
77373	RADIOSURGERY EACH TREATMENT	$42,540	$21,270	—	—	11
Q0479	1026873 - PWR SUPPLY PUMP MBL PWR UN INTEGRATE PT CBL HRTMT HRTMT 2	$42,459	$21,230	—	—	11
33902	PULM ART REVASC INITIAL STNT UNILATERAL	$41,320	$20,660	—	—	11
C9797	VASC EMB/OCC W/PRS CATH	$40,480	$20,240	—	—	11
C9767	REVASC INTRAVASC LITHO/ATH/STNT	$40,080	$20,040	—	—	11
38210	T-CELL DEPLETION OF HARVEST	$39,550	$19,775	—	—	11
34845	GRAFT AORTA VISC+RENAL 1 ARTERY	$39,500	$19,750	—	—	11
37244	VASCULAR EMBOLIZATION HEMORRHAGE	$39,320	$19,660	—	—	11
37241	VASCULAR EMBOLIZATION VENOUS	$39,320	$19,660	—	—	11
37242	VASCULAR EMBOLIZATION ARTERIAL	$39,320	$19,660	—	—	11
37243	VASCULAR EMBOLIZATION TUMOR, ETC	$39,320	$19,660	—	—	11
0278	1031135 - VALVE AOR OD25 MM INSPIRIS RESILIA BIOPROSTHESIS COCR SIL	$39,200	$19,600	—	—	11
36903	DIALYSIS CIRCUIT ANGIO + STENT	$38,960	$19,480	—	—	11
34703	ENDO RPR AORTO-ILIAC GRAFT +S&I	$37,840	$18,920	—	—	11
34705	ENDO RPR A-BI-ILIAC GRAFT+S&I	$37,570	$18,785	—	—	11
Q0495	1038569 - DEVICE VNTRC ASSIST HRTMT UNV BTRY CHRGR	$34,838	$17,419	—	—	11
36909	DIALYSIS CIRCUIT EMBOLIZATION	$34,740	$17,370	—	—	11
37238	STENT INTRAVASCULAR 1ST VEIN	$32,010	$16,005	—	—	11
37236	STENT INTRAVASCULAR 1ST ARTERY	$32,010	$16,005	—	—	11

Showing top 50 of 12,260 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.