COPPER QUEEN COMMUNITY HOSPITAL

45 CFR § 180 compliance

B · 85

This hospital published most of what § 180 requires.

●Machine-readable file published

●Gross / standard charges

●Discounted cash price

●Payer-specific negotiated rates

○Min / max negotiated charges

●Free, public, no login required

Procedures listed

11,663

Insurances with rates

CPT / HCPCS codes

4,949

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
H81201073	HCHG ORGAN ACQUISITION: SINGLE CADAVER DONOR, LIVER AND KIDNEY	$433,920	$303,744	—	—	0
H81201063	HCHG ORGAN ACQUISITION: SINGLE CADAVER DONOR, PANCREAS AND KIDNEY	$404,113	$282,879	—	—	0
H81201043	HCHG ORGAN ACQUISITION: LIVING DONOR, KIDNEY	$364,491	$255,144	—	—	0
H81201033	HCHG ORGAN ACQUISITION: CADAVER DONOR, KIDNEY	$364,491	$255,144	—	—	0
J0225	INJECTION; VUTRISIRAN; 1 MG	$328,215	$229,751	—	—	7
H81201053	HCHG ORGAN ACQUISITION: CADAVER DONOR, PANCREAS	$314,691	$220,284	—	—	0
71336-1003-01	Amvuttra	$286,442	$200,510	—	—	7
187000714	Virazole	$274,574	$192,202	—	—	2
H81201023	HCHG ORGAN ACQUISITION: CADAVER DONOR, LIVER	$245,514	$171,860	—	—	0
A9543	Y90 IBRITUMOMAB, RX	$172,791	$120,954	—	—	7
25682-0025-01	Ultomiris	$169,066	$118,346	—	—	7
25682-0028-01	Ultomiris	$169,066	$118,346	—	—	7
55566-1050-01	Adstiladrin	$154,688	$108,281	—	—	7
L8614	COCHLEAR DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS	$149,180	$104,426	—	—	2
J7330	CULTURED CHONDROCYTES IMPLNT	$139,557	$97,690	—	—	3
C1767	GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE	$126,027	$88,219	—	—	2
Q4116	ALLODERM; PER SQUARE CENTIMETER	$124,126	$86,888	—	—	9
69488-0003-01	Lutathera	$116,400	$81,480	—	—	7
310453530	Imjudo	$113,815	$79,670	—	—	2
63685	INS/RPLC SPI NPG/RCVR POCKET	$113,167	$79,217	—	—	17
C1824	GENERATOR; CARDIAC CONTRACTILITY MODULATION (IMPLANTABLE)	$107,900	$75,530	—	—	0
A9699	RADIOPHARM RX AGENT NOC	$106,250	$74,375	—	—	0
3232822	Yervoy	$99,602	$69,721	—	—	2
0408T	INSERTION OR REPLACEMENT OF PULSE GENERATOR AND ELECTRODES OF HEART CONTRACTILITY MODULATOR SYSTEM	$96,133	$67,293	—	—	8
0571T	INSERTION OR REPLACEMENT OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR SYSTEM WITH ELECTRODES UNDER BREA	$96,133	$67,293	—	—	8
00310-4535-30	Imjudo	$95,472	$66,830	—	—	7
0915T	INSJ PERM CCM-D SYS PG&ELTRD	$95,015	$66,511	—	—	7
50242-0150-01	Ocrevus	$94,629	$66,240	—	—	7
J2350	INJECTION; OCRELIZUMAB; 1 MG	$94,629	$66,240	—	—	7
19303	SIMPLE COMPLETE REMOVAL OF BREAST	$88,752	$62,126	—	—	15
C1822	GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); HIGH FREQUENCY; WITH RECHARGEABLE BATTERY AND CHARGING SYS	$86,744	$60,721	—	—	0
81481-0803-01	Anktiva	$85,920	$60,144	—	—	7
J7175	INJECTION; FACTOR X; (HUMAN); 1 I.U.	$85,622	$59,936	—	—	7
64208-7753-01	Coagadex	$85,622	$59,936	—	—	7
00078-0734-61	Ilaris	$77,791	$54,454	—	—	7
50242-0127-01	Columvi	$75,784	$53,049	—	—	7
C2624	IMPLANTABLE WIRELESS PULMONARY ARTERY PRESSURE SENSOR WITH DELIVERY CATHETER; INCLUDING ALL SYSTEM C	$75,735	$53,015	—	—	0
19302	PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES	$69,051	$48,336	—	—	15
0614T	RMVL&RPLCMT SS IMPL DFB PG	$68,877	$48,214	—	—	8
78069819	Rydapt	$67,118	$46,983	—	—	2
J3357	USTEKINUMAB; FOR SUBCUTANEOUS INJECTION; 1 MG	$66,823	$46,776	—	—	0
0414T	RMVL & RPL CAR MODULJ PLS GN	$66,519	$46,563	—	—	8
0409T	INSJ/RPLC CAR MODULJ PLS GN	$66,519	$46,563	—	—	8
0923T	RMVL&RPLCMT PERM CCM-D PG	$66,519	$46,563	—	—	7
0916T	INSJ PERM CCM-D SYS PG ONLY	$66,519	$46,563	—	—	7
6508301	Keytruda Qlex	$66,172	$46,321	—	—	2
6508399	Keytruda Qlex	$66,172	$46,321	—	—	2
8010001	Besponsa	$65,769	$46,038	—	—	2
C1721	CARDIOVERTER-DEFIBRILLATOR; DUAL CHAMBER (IMPLANTABLE)	$64,565	$45,195	—	—	2
62362	IMPLANT SPINE INFUSION PUMP	$60,894	$42,626	—	—	17

Showing top 50 of 11,663 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.