UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Q2053	brexucabtagene autoleucel 2x10exp6 to 2x10exp8 cell Susp 1 Each Bag	$1,709,400	$854,700	—	—	6
0812	HCHG ORGAN PERFUSION SET LIVER TRANSPLANT	$320,040	$160,020	—	—	3
Q2043	Sipuleucel-T in LR 50 million cell/250 mL Susp 250 mL Bag	$313,016	$156,508	—	—	4
C2642	SEED GMA TILE THER BIORESBL CLGN TILE 8 PK IMPLANTED W	$164,724	$82,362	—	—	22
0915T	HCHG INS PERM CARD CNTRCT MOD DEFIB SYS PULSE GEN & LEADS	$130,077	$65,039	—	—	4
0571T	HCHG INS/REPL CARDIOVERT-DEFIB SYST W SUBSTERN ELECTRODE	$130,077	$65,039	—	—	4
C1820	PRODIGY MRI	$122,152	$61,076	—	—	8
0812	HCHG ORGAN ACQUISITION SINGLE LUNG RECIPIENT	$115,894	$57,947	—	—	2
C1882	CRT-D INOGEN X4 IS-1/DF-1/IS4	$113,775	$56,888	—	—	17
L8614	IMPL COCLR SYNCHRONY 2 MD MI1250 STER LF	$106,930	$53,465	—	—	7
J9281	mitoMYcin 4 mg/mL Kit 1 Each KIT	$94,013	$47,007	—	—	4
33230	HCHG INS IMPL DEFIB PULSE GEN W/EXIST DUAL LEADS	$91,518	$45,759	—	—	12
C1882	DEFIBRILLATOR ENERGEN CRT-D IS-1/DF-1/IS-1	$90,650	$45,325	—	—	10
C1768	GRAFT SOFT TISS 9.5CM 12MM CRYOARTERY 2 BRCH AORTOILIAC	$86,562	$43,281	—	—	16
C1824	GENTR CARDIAC PACEMAKER OPTIMIZER SMART IPG	$85,100	$42,550	—	—	1
C1721	GENERATOR DUAL-CHAMBER ICD WITH RF CD2231-40Q	$84,049	$42,025	—	—	15
C2624	CARDIOMEMS PA SENSOR AND DELIVERY SYSTEM CM2000-GSM	$81,215	$40,608	—	—	3
33240	HCHG INS IMPL DEFIB PULSE GEN W/EXIST SNGL LEAD	$75,055	$37,528	—	—	25
93654	HCHG EP EVAL MAPPING ABLATN W RT ATRIAL PACING RCDG	$73,019	$36,510	—	—	2
L8614	IMPL COCLR NUCLEUS NEXA W/SLIM STR ELECT	$72,406	$36,203	—	—	15
33289	HCHG CATH RIGHT HEART W/PULM ARTERY SENSOR	$69,471	$34,736	—	—	14
33263	HCHG REMV IMPL DEFIB PULSE GEN W/REPL IMPL DEFIB PULSE GEN;DUAL LEAD	$67,094	$33,547	—	—	7
C1767	INSPIRE II GENERATOR PULSE IMPLANTABLE	$66,674	$33,337	—	—	2
0811	HCHG ORGAN ACQUISITION LIVING DONOR KIDNEY PROCUREMENT	$65,884	$32,942	—	—	2
L8670	GRAFT SOFT TISS 11CM 4-5MM 8-15MM CRYOARTERY 5MM BIFR	$64,750	$32,375	—	—	20
C1721	GEN ICD INCEPTA DR E163 BS	$59,755	$29,878	—	—	17
C1722	GENERATOR SINGLE CHAMBER ICD FORTIFY ASSURA CD1257-40 SJ	$58,026	$29,013	—	—	14
37231	HCHG TIB/PER REVASC STENT & ATHER	$56,095	$28,048	—	—	7
C2616	HCHG SIR-SPHERES	$53,566	$26,783	—	—	4
0797T	HCHG TRNSCATH PERM DUAL CHMBR LEADLESS PCMKR RT VENTR	$53,461	$26,731	—	—	1
0796T	HCHG TRNSCATH PERM DUAL CHMBR LEADLESS PCMKR RT ATRL	$53,461	$26,731	—	—	1
J7355	travoprost 75 mcg Impl 1 Each Packet	$53,439	$26,719	—	—	23
33947	HCHG ECMO/ECLS INITIATION ARTERY ICU	$51,864	$25,932	—	—	2
C2622	PROST PENL TACTRA 11MM MALL STER LF 16-25CM	$51,782	$25,891	—	—	2
J7170	emicizumab-kxwh 105 mg/0.7 mL Soln 0.7 mL Vial	$48,632	$24,316	—	—	4
C1772	PUMP SYNCHROMED II IMPLANTABLE	$47,234	$23,617	—	—	4
L5856	ELEC KNEE-SHIN SWING/STANCE	$45,456	$34,092	—	—	1
J1950	leuprolide (3 month) 11.25 mg Sykt 1 Each KIT	$45,208	$22,604	—	—	3
37230	HCHG TIB/PER REVASC W/STENT	$44,285	$22,143	—	—	1
L5973	ANK-FOOT SYS DORS-PLANT FLEX	$43,624	$32,718	—	—	9
C1722	GEN ICD INOGEN EL DF4-VR BS	$42,125	$21,062	—	—	4
J1640	hemin 350 mg Powd 1 Each Vial	$41,912	$20,956	—	—	25
A2006	MTRX WND W 40CM 20CM PU NOVOSORB MTX SGL USE INDIV PK STER	$41,440	$20,720	—	—	17
C1813	CX PRECONNECTED MS 18CM IP IZ	$39,210	$19,605	—	—	10
C1813	PROST PENL AMS 700CX MS PMP PRECNCT 2 CYL PENOSCROTAL INHBZN	$39,210	$19,605	—	—	6
J2562	PLERIXAFOR 1 MG INJECTION	$38,188	$19,094	—	—	2
C2622	PENILE PROSTHESIS MALLEABLE 11.0	$37,296	$18,648	—	—	2
33274	HCHG TRANS INS OR REPL PERM LEADLESS PACEMAKER VENTRIC	$37,171	$18,586	—	—	3
C1817	OCCLUDER MUSCULAR VSD 14 MM X 7 MM	$36,889	$18,445	—	—	8
C9765	HCHG REVASC ENDOVASC OPEN/PERC LOW EXT LITHO & STENT	$35,500	$17,750	—	—	1

Showing top 50 of 5,779 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.