TWIN CITY MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
1937	NF-GATTEX MULTIPLE ROUTE KIT 5MG	$157,755	$110,429	$61,524	$143,557	33
J3357	USTEKINUMAB 90 MG SYRINGE	$133,456	$93,419	$171	$121,445	38
J2350	OCRELIZUMAB 300 MG/10 ML VIAL	$99,682	$69,777	$58.91	$90,711	38
1998	NF-NYSTATIN POWDER	$90,309	$63,216	$35,221	$82,181	33
26008088	OCRELIZUMAB 300 MG/250 ML IVPB	$83,068	$58,148	$32,397	$75,592	33
26008089	OCRELIZUMAB 600 MG/500 ML IVPB	$83,068	$58,148	$32,397	$75,592	33
J9042	BRENTUXIMAB VEDOTIN 50 MG VIAL	$49,253	$34,477	$197	$44,820	38
J3380	VEDOLIZUMAB 300 MG VIAL	$43,337	$30,336	$21.29	$39,436	38
J9043	CABAZITAXEL 60 MG/1.5 ML KIT	$42,336	$29,635	$191	$38,526	38
J3101	TENECTEPLASE 50 MG VIAL	$38,704	$27,093	$135	$35,221	38
C1721	ICD-DR EVERA MRI XT DR SURESCAN (TRUNK)	$37,212	$26,048	$14,513	$33,863	33
J9015	ALDESLEUKIN 22 MILLION IU VIAL	$27,894	$19,526	$2,111	$25,383	38
641404	MTP FUSION KIT	$27,410	$19,187	$10,690	$24,943	33
J9039	BLINATUMOMAB 35 MCG VIAL	$25,264	$17,685	$124	$22,990	38
J1162	DIGOXIN IMMUNE FAB 40 MG VIAL	$23,668	$16,567	$4,128	$21,538	38
26007471	ACTIVASE (ALTEPLASE) 100 MG/100 ML	$23,455	$16,418	$9,147	$21,344	33
J9354	ADO-TRASTUZUMAB 100 MG VIAL	$19,633	$13,743	$34.15	$17,866	38
J0630	CALCITONIN INJECTION 400 IU/ 2 ML	$18,654	$13,058	$2,842	$16,975	38
J9047	CARFILZOMIB 60 MG VIAL	$15,360	$10,752	$41.11	$13,978	38
641195	MATRIX, ACTIVE 200	$14,758	$10,331	$5,756	$13,430	33
C1786	PACEMAKER SINGLE RATE-RESP	$12,788	$8,952	$4,987	$11,637	33
C1785	IPG ADVISA DR MRI US MR	$12,068	$8,448	$4,707	$10,982	33
J1602	GOLIMUMAB ARIA 50 MG/4 ML VIAL	$11,907	$8,335	$16.1	$10,835	38
C1895	LEAD DF4 ACTIVE DC US EN (TRUNK)	$10,869	$7,608	$4,239	$9,891	33
1971	NF-HUMIRA SUBCUTANEOUS SOLUTION 40MG/0.4	$10,836	$7,585	$4,226	$9,861	33
J3358	USTEKINUMAB 130 MG VIAL	$10,476	$7,333	$11.62	$9,533	38
J0875	DALBAVANCIN 500 MG VIAL	$9,697	$6,788	$15.89	$8,824	38
J9041	BORTEZOMIB 3.5 MG VIAL	$9,547	$6,683	$44.79	$8,688	38
641055	MATRIX, ACTIVE 100	$9,530	$6,671	$3,717	$8,672	33
J0178	AFLIBERCEPT 100 MG/4 ML VIAL	$9,529	$6,670	$916	$8,671	38
26007966	HUMULIN R * U-500 * 500 UNITS/ML	$8,856	$6,199	$3,454	$8,059	33
641238	TALAR IMPLANT KIT 9MM 340-0002SP	$8,824	$6,177	$3,441	$8,030	33
640462	MESH, SURGIMESH TINTRAE2226	$8,650	$6,055	$3,374	$7,872	33
J2505	NEULASTA(PEGFILGRASTIM)6MG/0.6ML SYRINGE	$8,256	$5,779	$3,220	$7,513	33
640637	GRAFT JACKET	$8,049	$5,634	$3,139	$7,325	33
640694	MESH, SURGIMESH TINTRAOK1522	$8,002	$5,601	$3,121	$7,282	33
J7168	KCENTRA 500 UNIT VIAL	$7,870	$5,509	$3,069	$7,162	33
641108	MICROMATRIX 1000MG C	$7,661	$5,363	$2,988	$6,972	33
640791	ESSUR BIRTH CONTROL DEVICE	$7,425	$5,198	$2,896	$6,757	33
641317	SUBTALAR MBA IMPLANT 10MM	$7,416	$5,191	$2,892	$6,749	33
641146	ACTIVE BARRIER 45	$7,344	$5,141	$2,864	$6,683	33
J3240	THYROGEN INTRAMUSCULAR PWDFORSOLN 1.1MG	$6,871	$4,810	$1,858	$6,252	38
641188	TRANSFIXATION FUSION PLATE/LFT	$6,771	$4,740	$2,641	$6,162	33
640994	MESH, SURGIMESH TINTRAE1522	$6,570	$4,599	$2,562	$5,979	33
1564	NF-INVEGA SUSTENNA IM SUSP ER 234MG	$6,504	$4,553	$2,537	$5,919	33
641252	MESH PHYSIOMESH OPEN SKIRTED 20X30 C	$6,234	$4,364	$2,431	$5,673	33
C1713	IMPLANT SMALL CANULATED	$6,055	$4,239	$2,361	$5,510	33
641143	MATRIX, ACTIVE 50	$5,741	$4,019	$2,239	$5,224	33
641208	MICROMATRIX 500MG C	$5,678	$3,975	$2,214	$5,167	33
8061194	AMNION MATRIX 3 CM X 4 CM GRAFT	$5,650	$3,955	$2,204	$5,142	33

Showing top 50 of 10,201 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.