HOLY ROSARY HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
143901	SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION	$334,172	—	—	—	22
143901	SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION	$334,172	—	—	—	22
210658	INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION	$223,442	—	—	—	22
210658	INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION	$223,442	—	—	—	22
216356	LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN	$214,114	—	—	—	22
216356	LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN	$214,114	—	—	—	22
218328	TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION	$207,625	—	—	—	22
218328	TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION	$207,625	—	—	—	22
2722109771	HC PERCUTANEOUS VENTRICULAR ASSIST DEVICE LVL 71	$163,193	—	—	—	22
2782649771	HC VALVE IMPLANT LVL 71	$163,193	—	—	—	22
2722109771	HC PERCUTANEOUS VENTRICULAR ASSIST DEVICE LVL 71	$163,193	—	—	—	22
2782649771	HC VALVE IMPLANT LVL 71	$163,193	—	—	—	22
2721649601	HC KIT PUMP DEVICE CARDIAC VENTRICULAR SMARTASSIST 5.5 S2	$156,640	—	—	—	22
2721649601	HC KIT PUMP DEVICE CARDIAC VENTRICULAR SMARTASSIST 5.5 S2	$156,640	—	—	—	22
2782649770	HC VALVE IMPLANT LVL 70	$155,422	—	—	—	22
278TRIG470	HC NTAP TRICLIP G4 VLV RPR SYSTM	$155,422	—	—	—	22
2782649770	HC VALVE IMPLANT LVL 70	$155,422	—	—	—	22
278TRIG470	HC NTAP TRICLIP G4 VLV RPR SYSTM	$155,422	—	—	—	22
2721649701	HC PUMP BLOOD VAD W/ VALVES	$155,380	—	—	—	22
2721649701	HC PUMP BLOOD VAD W/ VALVES	$155,380	—	—	—	22
183256	RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN	$141,522	—	—	—	22
183256	RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN	$141,522	—	—	—	22
275C188267	HC ICD BIV/CRT-D LVL 67	$134,259	—	—	—	22
275C188267	HC ICD BIV/CRT-D LVL 67	$134,259	—	—	—	22
2782649766	HC VALVE IMPLANT LVL 66	$127,866	—	—	—	22
278C182366	HC NEUROSTIM GENERATOR/LEAD LVL 66	$127,866	—	—	—	22
278C188966	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 66	$127,866	—	—	—	22
2782649766	HC VALVE IMPLANT LVL 66	$127,866	—	—	—	22
278C182366	HC NEUROSTIM GENERATOR/LEAD LVL 66	$127,866	—	—	—	22
278C188966	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 66	$127,866	—	—	—	22
192637	FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION	$124,186	—	—	—	22
192637	FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION	$124,186	—	—	—	22
2782649765	HC VALVE IMPLANT LVL 65	$121,777	—	—	—	22
2782649765	HC VALVE IMPLANT LVL 65	$121,777	—	—	—	22
168829	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION	$116,308	—	—	—	22
168829	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION	$116,308	—	—	—	22
2782649764	HC VALVE IMPLANT LVL 64	$115,978	—	—	—	22
2782669764	HC VASCULAR STENT GRAFT IMPLANT LVL 64	$115,978	—	—	—	22
2782649764	HC VALVE IMPLANT LVL 64	$115,978	—	—	—	22
2782669764	HC VASCULAR STENT GRAFT IMPLANT LVL 64	$115,978	—	—	—	22
2782649763	HC VALVE IMPLANT LVL 63	$110,455	—	—	—	22
278C188963	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 63	$110,455	—	—	—	22
2782649763	HC VALVE IMPLANT LVL 63	$110,455	—	—	—	22
278C188963	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 63	$110,455	—	—	—	22
199175	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$105,620	—	—	—	22
199175	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$105,620	—	—	—	22
278C188962	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 62	$105,195	—	—	—	22
278C187462	HC STENT COATED/COVERED IMPLANT LVL 62	$105,195	—	—	—	22
2782669762	HC VASCULAR STENT GRAFT IMPLANT LVL 62	$105,195	—	—	—	22
278C188962	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 62	$105,195	—	—	—	22

Showing top 50 of 28,559 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.