SIGNATURE HEALTHCARE BROCKTON HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J9228	IPILIMUMAB 200 MG/40 ML VIAL	$205,889	$144,122	—	—	7
J0225	INJ; VUTRISIRAN 25MG/0.5ML	$143,221	$100,255	—	—	7
J2350	OCREVUS 300 mg/10 mL	$104,907	$73,435	—	—	7
J9043	CABAZITAXEL 60MG/1.5ML VL	$66,382	$46,467	—	—	7
J9022	ATEZOLIZUMAB 1,200MG/20ML VIAL	$55,525	$38,867	—	—	7
J9042	BRENTUXIMAB VEDOTIN 50MG/10ML	$50,943	$35,660	—	—	7
J9144	DARATUMUMAB HYLRNDSE FIHJ 15ml	$48,651	$34,056	—	—	7
33263	RMVL/RPLC; DFB GEN 2 LEAD	$47,547	$33,283	—	—	7
93591	PERQ TRNSCATH CLS AORTIC	$47,547	$33,283	—	—	7
C9606	PERC D-E COR REVASC W AMI S	$47,547	$33,283	—	—	5
62362	IMPLNT; SPINE INFUSION PUMP	$47,547	$33,283	—	—	14
C9602	PERC D-E COR STENT ATHER S	$47,547	$33,283	—	—	7
92933	PRQ CARD STENT/ATH/ANGIO	$47,547	$33,283	—	—	7
33227	RMVL/RPLC; PM GEN SINGL	$47,547	$33,283	—	—	7
93590	PERQ TRNSCATH CLS MITRAL	$47,547	$33,283	—	—	7
33262	RMVL/RPLC; PULSE GEN 1 LEAD	$47,547	$33,283	—	—	7
33228	RMVL/RPLC; PM GEN DUAL LEAD	$47,547	$33,283	—	—	7
63685	INSRT/RPL; SPINAL NEUROSTMLTOR	$47,547	$33,283	—	—	14
37229	REVAS,ENDO/TIBIOPER W/ATHRCTMY	$47,547	$33,283	—	—	7
33264	RMVL/RPLC; DFB GEN MLY LD	$47,547	$33,283	—	—	7
33229	RMVL/RPLC; PM GEN MULT LEADS	$47,547	$33,283	—	—	7
33289	IMPLNT; PRESSURE SENSOR W/ANGI	$47,547	$33,283	—	—	5
33270	INSRT/RPLC; SUBQ DEFIBRILLATOR	$47,547	$33,283	—	—	7
33249	INSRT; PACE-DFB W/LEAD	$47,547	$33,283	—	—	7
J9301	OBINUTUZUMAB 1,000 MG/40 ML VL	$42,188	$29,532	—	—	7
77372	SRS CRANIAL LESION,1 FRAC CMP	$38,417	$26,892	—	—	7
J7169	FACTOR XA,INACTIV -ZHZO 200 MG	$33,726	$23,608	—	—	7
J3380	VEDOLIZUMAB 300MG VIAL	$33,392	$23,374	—	—	7
J2507	PEGLOTICASE 16mg/1mL VIAL	$33,202	$23,242	—	—	7
J9306	PERTUZUMAB 420MG/14ML VL	$32,599	$22,819	—	—	7
33285	INSRT; SUBQ CAR RHYTHM MNTR	$30,498	$21,349	—	—	7
J9271	PEMBROLIZUMAB 100 MG/4 ML ML	$29,950	$20,965	—	—	7
J0517	BENRALIZUMAB 30 MG/ML SYRINGE	$29,273	$20,491	—	—	7
J9312	riTUXimab 10mg/mL 50mL	$28,937	$20,256	—	—	7
J9303	PANITUMUMAB 400MG/20ML VIAL	$28,642	$20,049	—	—	7
92941	PRQ CARD REVASC MI 1 VSL	$28,568	$19,998	—	—	7
37228	TIB/PER REVASC W/TLA	$28,568	$19,998	—	—	6
92943	PRQ CARD REVASC CHRONIC 1VSL	$28,568	$19,998	—	—	7
92928	PLCMNT DRUG ELUT STNT, SGL	$28,568	$19,998	—	—	7
37243	VASC EMBOLIZE/OCCLUDE ORGAN	$28,568	$19,998	—	—	7
33214	UPGRADE IMPLANTED PACEMEKER SY	$28,568	$19,998	—	—	7
92937	PERC D-E COR REVASC T CABG S	$28,568	$19,998	—	—	7
36906	THRMBC/NFS DIALYSIS CIRCUIT	$28,568	$19,998	—	—	9
92924	PRQ CARD ANGIO/ATHRECT 1 ART	$28,568	$19,998	—	—	7
37221	ENDOV;ILIAC,OPN/PER,STNT PLCMT	$28,568	$19,998	—	—	14
37242	VASC EMBOLIZE; OCCLUDE ARTERY	$28,568	$19,998	—	—	7
33213	INSRT; PULSE GEN DUAL LEADS	$28,568	$19,998	—	—	7
Q4128	FLEX HD STRUCT DIAMOND XL	$27,881	$19,517	—	—	14
J2506	PEGFILGRASTIM ONPRO 6MG SYR	$26,348	$18,444	—	—	7
C1813	LGX TENACIO 21cm PRECONNECT IP	$25,868	$18,108	—	—	5

Showing top 50 of 19,678 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.