CENTURA ST. CATHERINE-DODGE CITY

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J9228	IPILIMUMAB 5 MG/ML INJECTION (SO)	$119,455	$47,782	—	—	8
C1882	HC IMPLANT AICD OTHER	$110,943	$44,377	—	—	3
J9269	TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION	$108,194	$43,278	—	—	4
J2507	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION	$100,211	$40,084	—	—	8
J3357	USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE	$97,450	$38,980	—	—	3
J9281	MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT	$82,845	$33,138	—	—	5
J1303	RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION	$82,185	$32,874	—	—	8
33262	HC REPLACE GENERATOR ONLY (ICD) SINGLE	$80,022	$32,009	—	—	5
33263	HC REPLACE GENERATOR ONLY (ICD) DUAL	$80,022	$32,009	—	—	4
33231	HC INSERT GENERATOR ONLY (ICD) TO EXISTING MULTIPLE LEADS	$80,022	$32,009	—	—	4
33264	HC REPLACE GENERATOR ONLY (ICD) MULTIPLE	$80,022	$32,009	—	—	4
33230	HC INSERT GENERATOR ONLY (ICD) TO EXISTING DUAL LEADS	$80,022	$32,009	—	—	4
C2616	YTTRIUM-90 BRACHYTX SRC NON-STRANDED	$79,875	$31,950	—	—	4
33249	HC INS RPL ICD SYSTEM DUAL	$78,241	$31,297	—	—	5
33270	HC INSERT/REPLACE (SICD) SUBCUTANEOUS ICD SYSTEM	$71,036	$28,414	—	—	4
A9543	Y-90 ZEVALIN	$70,810	$28,324	—	—	4
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$69,000	$27,600	—	—	5
C1722	HC IMPLANT AICD SINGLE	$68,301	$27,321	—	—	3
33276	HC INSERT PHRENIC NERVE STIM SYS W/ IMAGING GDNCE	$67,856	$27,142	—	—	4
33287	HC RMVL & REPLCMNT PHRENIC NERVE STIM PULSE GEN	$67,856	$27,142	—	—	4
J7311	FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT	$66,588	$26,635	—	—	5
J9266	PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION	$65,105	$26,042	—	—	4
C9606	HC COR REVASC ACUTE MI DRUG-ELUTING STENT/PTA/ATHERECT INITIAL VES	$62,470	$24,988	—	—	3
J3245	TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE	$60,331	$24,132	—	—	4
J3241	TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION	$55,721	$22,288	—	—	5
J9298	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION	$50,864	$20,345	—	—	4
J9307	PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION	$47,513	$19,005	—	—	5
33208	HC INSERT/REPLACE (PACEMAKER) DUAL RT ATRIAL & RT VENTRICULAR LEAD SYSTEM	$43,548	$17,419	—	—	4
C9607	HC COR REVASC CHRONIC OCC DRUG-ELUTING STENT/PTA/ATHERECT INITIAL VES	$43,532	$17,413	—	—	4
92943	HC COR REVASC CHRONIC OCC BARE METAL STENT/PTA/ATHERECT INITIAL VES	$43,034	$17,214	—	—	4
33229	HC REPLACE GENERATOR ONLY (PACEMAKER) MULTIPLE	$40,350	$16,140	—	—	5
33228	HC REPLACE GENERATOR ONLY (PACEMAKER) DUAL	$40,350	$16,140	—	—	5
33221	HC INSERT GENERATOR ONLY (PACEMAKER) TO EXISTING MULTIPLE LEADS	$40,350	$16,140	—	—	4
C9604	HC COR REVASC GRAFT DRUG ELUTING STENT/PTA/ATHERECT INITIAL VESSEL FA	$39,679	$15,871	—	—	5
J9042	BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION	$39,557	$15,823	—	—	5
C2621	HC IMPLANT PACER OTHER	$38,552	$15,421	—	—	3
J9043	CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION	$37,846	$15,138	—	—	4
J9022	ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION	$37,121	$14,848	—	—	4
33227	HC REPLACE GENERATOR ONLY (PACEMAKER) SINGLE	$36,789	$14,716	—	—	4
J2329	UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION	$36,654	$14,662	—	—	4
J9119	CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION	$34,993	$13,997	—	—	5
A9604	SAMARIUM-153 LEXIDRONAM	$34,493	$13,797	—	—	4
J2327	RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION	$34,321	$13,728	—	—	4
J9203	GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN	$34,126	$13,650	—	—	5
J9144	DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN	$33,926	$13,570	—	—	4
C1764	HC IMPLANT CARDIAC EVENT REC	$31,818	$12,727	—	—	3
33212	HC INSERT GENERATOR ONLY (PACEMAKER) TO EXISTING SINGLE LEAD	$31,528	$12,611	—	—	4
J1932	LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE	$31,124	$12,450	—	—	4
J3380	VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION	$30,333	$12,133	—	—	4
C9047	CAPLACIZUMAB-YHDP 11 MG INJECTION KIT	$28,847	$11,539	—	—	4

Showing top 50 of 15,465 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.