UNIVERSITY OF TOLEDO MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
30237-8900-06	PROVENGE 50 MILLION CELL/250 ML INTRAVENOUS SUSPENSION	$508,402	$305,041	—	—	32
40861-1027-92	DIALYSATE 4K/3CA WITH BICARB AND CALCIUM (NXSTAGE 401)	$307,111	$184,266	—	—	5
40861-1027-61	DIALYSATE 0K/3CA WITH BICARB AND CALCIUM (NXSTAGE 402)	$307,111	$184,266	—	—	5
40861-1027-78	DIALYSATE 2K/3CA WITH BICARB CRRT SOLUTION (NXSTAGE 400)	$307,111	$184,266	—	—	5
8120000011	HC CADAVER DONOR -KIDNEY/PANCREAS	$304,500	$182,700	—	—	5
50633-0210-11	VORAXAZE 1,000 UNIT INTRAVENOUS SOLUTION	$272,788	$163,673	—	—	10
00003-2328-22	YERVOY 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION	$228,536	$137,121	—	—	32
75987-0080-10	KRYSTEXXA 8 MG/ML INTRAVENOUS SOLUTION	$193,987	$116,392	—	—	32
18478	KIT,CATHETER,IMPELLA 5.5	$184,500	$110,700	—	—	11
57894-0061-03	STELARA 90 MG/ML SUBCUTANEOUS SYRINGE	$178,940	$107,364	—	—	32
50292	MESH,DUAL,SYNTH,OVAL,26X34CM	$177,940	$106,764	—	—	11
00597-0035-10	SPEVIGO 60 MG/ML INTRAVENOUS SOLUTION	$176,071	$105,643	—	—	32
60011	SYSTEM,TRICLIP,G4	$159,900	$95,940	—	—	11
72493-0103-03	JELMYTO 40 MG X 2 INTRA-PYELOCALYCEAL KIT	$152,825	$91,695	—	—	32
72493-0101-40	JELMYTO 40 MG X 2 INTRA-PYELOCALYCEAL KIT	$152,825	$91,695	—	—	32
25682-0028-01	ULTOMIRIS 100 MG/ML INTRAVENOUS SOLUTION	$152,354	$91,413	—	—	32
00008-0100-01	BESPONSA 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) INTRAVENOUS SOLUTION	$150,915	$90,549	—	—	32
00187-0007-14	VIRAZOLE 6 GRAM SOLUTION FOR INHALATION	$148,572	$89,143	—	—	5
76128-0155-75	PHOTOFRIN 75 MG INTRAVENOUS SOLUTION	$148,360	$89,016	—	—	32
8120000005	HC CADAVER DONOR - PANCREAS	$147,000	$88,200	—	—	5
8120000004	HC KIDNEY ACQUISITION-BILATERAL-CADV	$144,174	$86,504	—	—	5
3370	DEFIB,AMPLIA MRI,SINGLE	$142,701	$85,620	—	—	11
8110000002	HC LIVING DONOR - LIVER	$142,023	$85,214	—	—	5
8120000001	HC CADAVER DONOR - HEART	$141,225	$84,735	—	—	5
50478	KIT,HEART VALVE,SAPIEN3,20MM	$139,400	$83,640	—	—	6
50479	KIT,HEART VALVE,SAPIEN3,23MM	$139,400	$83,640	—	—	6
50480	KIT,HEART VALVE,SAPIEN3,26MM	$139,400	$83,640	—	—	6
50481	KIT,HEART VALVE,SAPIEN3,29MM	$139,400	$83,640	—	—	6
8110000001	HC LIVING DONOR - KIDNEY	$138,821	$83,293	—	—	5
8120000002	HC CADAVER DONOR - KIDNEY	$138,821	$83,293	—	—	5
00078-0734-61	ILARIS (PF) 150 MG/ML SUBCUTANEOUS SOLUTION	$134,943	$80,966	—	—	32
3437	VALVE,HEART,TRANSCATHETER,20MM	$133,250	$79,950	—	—	6
5216	VALVE,HEART,TRANSCATHETER,23MM	$133,250	$79,950	—	—	6
5217	VALVE,HEART,TRANSCATHETER,26MM	$133,250	$79,950	—	—	6
5218	VALVE,HEART,TRANSCATHETER,29MM	$133,250	$79,950	—	—	10
50242-0150-01	OCREVUS 30 MG/ML INTRAVENOUS SOLUTION	$131,303	$78,782	—	—	31
8120000003	HC CADAVER DONOR - LIVER	$123,472	$74,083	—	—	5
10314	CATHETER,MITRACLIP,STEER GUIDE	$123,000	$73,800	—	—	11
10500	SYSTEM,MITRACLIP,G4,XTW	$123,000	$73,800	—	—	11
10501	SYSTEM,MITRACLIP,G4	$123,000	$73,800	—	—	11
15983	EVOLUT FX 26mm Valve	$123,000	$73,800	—	—	6
15985	EVLOLUTFX-26	$123,000	$73,800	—	—	6
17503	Evolut FX Transcatheter Aortic Valve 26mm	$123,000	$73,800	—	—	6
23390	SYSTEM,MITRACLIP,G4,NTW	$123,000	$73,800	—	—	11
23391	SYSTEM,MITRACLIP,G4,XT	$123,000	$73,800	—	—	11
23392	SYSTEM,MITRACLIP,G4,NT	$123,000	$73,800	—	—	11
24389	Evolut FX Transcatheter Aortic Valve 34mm	$123,000	$73,800	—	—	6
24405	Evolut FX Transcatheter Aortic Valve 29mm	$123,000	$73,800	—	—	6
50071	VALVE,AORTIC,EVOLUTFX+,23MM	$123,000	$73,800	—	—	6
50072	VALVE,AORTIC,EVOLUTFX+,26MM	$123,000	$73,800	—	—	6

Showing top 50 of 34,370 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.