UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J3399	onasemnogene abeparvovec 20 trillion vg/mL Kit (46.8 mL)	$5,865,055	$5,865,055	—	—	1
J2326	NUSINERSEN 12 MG/5 ML INJ	$612,000	$612,000	—	—	1
0278	Tavr Valve 23Mm Ascenda 3 Sys	$150,150	$150,150	—	—	0
J9228	ipilimumab (Yervoy) 5 mg/mL IV Soln 40 mL	$148,380	$148,380	—	—	1
J9118	calaspargase pegol mknl 750 units/mL Inj Soln 5 mL	$123,764	$123,764	—	—	1
C1824	Optimizer Smart Mini IPG (10-B501-3-XX) (Impulse Dynamics)	$109,200	$109,200	—	—	0
J2507	pegloticase (Krystexxa) 8 mg/mL Inj 1 mL	$108,490	$108,490	—	—	1
C1822	IPG SENZA OMNIA CAT#HF10C ( INCLUDED CHGR2500/PTRC2500	$100,276	$100,276	—	—	0
C1604	Detour Stent System (DETOUR)(Endologix)	$100,000	$100,000	—	—	0
C1722	ICD Atlas V340 V343	$99,306	$99,306	—	—	0
J9266	Pegaspargase 3750 U/5 Ml Vial	$97,635	$97,635	—	—	1
J2350	ocrelizumab 300 mg/10 mL IV Soln 10 mL	$94,629	$94,629	—	—	1
C1721	ICD Energen Dr He	$94,322	$94,322	—	—	0
J7330	MEMBRANE - MACI (69866-1030-01	$93,249	$93,249	—	—	0
33231	Insrt Pacing CD with multi leads	$93,204	$93,204	—	—	2
33264	33264 Remove Replace Icd Gen Mult Leads	$93,204	$93,204	—	—	1
33270	33270 Ins/repla. perm. subcu impl defibrill.sys.w/subcuelectr	$93,204	$93,204	—	—	4
C1826	INCEPTIV SPINAL CORD STIMULATION PULSE GENERATOR MEDTRONIC ( 977119	$92,000	$92,000	—	—	0
33249	Insert or replace Pacing Cardio defib 1 or 2 leads	$91,851	$91,851	—	—	2
C1735	Catheter, renal denervation, radiofrequency	$90,000	$90,000	—	—	0
C2624	CardioMEMS PA Sensor (CM2000)(Abbott	$90,000	$90,000	—	—	0
C2616	C2616 Yttrium-90	$89,528	$89,528	—	—	3
0408T	OPTIMIZER INSERT	$84,893	$84,893	—	—	2
0620T	TADV (Transcath Arterialization Deep Veins) Limflow	$82,438	$82,438	—	—	1
33262	33262 Remove Or Replace Icd Gen 1 Lead	$75,246	$75,246	—	—	1
33263	33263 Remove Or Replace Icd Gen 2 Lead	$75,246	$75,246	—	—	1
C1784	ZENITH ALPHA THORACIC ENDOVASCULAR GRAFT (ZTA-P-46-179-W	$73,270	$73,270	—	—	0
33230	Insrt Pacing CD with eisting lead	$73,246	$73,246	—	—	2
33240	33240 Insert Or Replace Icd Pulse Generator Only Single Lead	$72,427	$72,427	—	—	2
33289	CardioMEMS PA Sensor & Delivery System	$67,222	$67,222	—	—	1
C1882	CRT-D Viva Quad XT	$66,780	$66,780	—	—	0
93653	EP+Svt Ablation	$62,118	$62,118	—	—	1
93654	EP+ Vt Ablation	$62,118	$62,118	—	—	1
93656	EP + Afib Ablation	$62,118	$62,118	—	—	1
0409T	OPTIMIZER GEN REPLACEMENT	$60,365	$60,365	—	—	2
0414T	REMOVAL AND REPLACEMENT OF OPTI GEN ONLY	$60,365	$60,365	—	—	2
33225	33225 Insert Lv Pacing Lead Initial	$58,261	$58,261	—	—	2
37187	37187 50 Thrombectomy Vein W/Fluoro	$56,182	$56,182	—	—	8
J9043	Cabazitaxel 60 mg/1.5 mL Kit	$55,399	$55,399	—	—	1
33221	33221 Insert Pm Gen Only W/Mult Lead	$52,847	$52,847	—	—	1
33229	33229 Remove Replace Pm Gen Multiple Lead	$52,847	$52,847	—	—	1
37294	Profee 37294: Rvsc evsc tpvt st athr cpx 1	$52,683	$52,683	—	—	1
C1772	Synchromed Ii Infus Pump 40Ml	$52,110	$52,110	—	—	0
C1767	Generator 102R	$50,396	$50,396	—	—	0
37275	37275 Revascul Fem/Pop With transluminal Stent/Artherectomy uni straightforward les 1st vsl	$48,872	$48,872	—	—	2
37277	37277 Revascul Fem/Pop With transluminal Stent/Artherectomy uni complex les 1st vsl	$48,872	$48,872	—	—	2
37231	pta & stent & atherectomy 37231	$47,861	$47,861	—	—	0
92933	92933 Ather,Stent + Ptca Sing Ves	$45,938	$45,938	—	—	2
21243	Arthroplasty, temporomandibular joint, with prosthetic joint replacement	$45,880	$45,880	—	—	2
0238T	0238T Iliac Artery Atherectomy	$45,571	$45,571	—	—	2

Showing top 50 of 19,748 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.