DELRAY MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
88222033_63	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$150,816	—	—	—	4
88222033_62	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$120,653	—	—	—	4
73607001111	ARTESUNATE 110 MG INTRAVENOUS SOLUTION	$114,262	$51.83	—	—	6
88222033_61	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$105,571	—	—	—	4
88222033_60	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$90,490	—	—	—	4
88222033_59	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$84,457	—	—	—	4
2751001_44	INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$80,925	—	—	—	4
88222033_58	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$75,408	—	—	—	4
2751001_43	INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$64,740	—	—	—	4
88222033_57	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$60,327	—	—	—	4
2751001_42	INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$58,266	—	—	—	4
88222033_56	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$54,294	—	—	—	4
88222033_55	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$51,278	—	—	—	4
50242008525	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$50,479	$94.15	—	—	6
50242008527_2	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$50,479	$94.15	—	—	6
2751001_41	INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$48,555	—	—	—	4
63833038602_4	HUMAN PROTHROMBIN COMPLEX 4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION	$46,343	$2.14	—	—	6
88222033_54	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$45,245	—	—	—	4
2751101_33	INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP	$40,753	—	—	—	4
13533031805_8	RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION	$40,733	$266	—	—	6
2751001_40	INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$38,844	—	—	—	4
13533031805_7	RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION	$36,660	$266	—	—	6
88222033_53	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$36,196	—	—	—	4
63833038602_3	HUMAN PROTHROMBIN COMPLEX 4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION	$33,102	$2.14	—	—	6
2751101_32	INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP	$32,602	—	—	—	4
13533031805_6	RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION	$32,586	$266	—	—	6
13533031850_2	RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION	$32,586	$266	—	—	6
76125015010	RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION	$32,586	$266	—	—	6
2751001_39	INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$32,370	—	—	—	4
50242003706_4	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION KIT WRAPPER	$30,848	$172	—	—	6
50242012001	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION KIT WRAPPER	$30,848	$172	—	—	6
50242012047_4	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION	$30,848	—	—	—	4
50242012047_5	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION	$30,848	$172	—	—	6
50242012047_6	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION KIT WRAPPER	$30,848	$172	—	—	6
88222033_52	INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$30,164	—	—	—	4
32077003-209	HC FLUOROSCOPIC GUIDANCE EPIDURAL	$29,574	—	—	—	12
36192921-209	HC PTCA EACH ADDL MAJOR CORONAY BRANCH OF MAJOR CORONARY ARTERY	$29,574	—	—	—	12
2751101_31	INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP	$29,342	—	—	—	4
2751001_38	INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$29,133	—	—	—	4
50242013501	TOCILIZUMAB 20 MG/ML IV SOLUTION	$27,059	$5.79	—	—	6
50242013701_6	TOCILIZUMAB 20 MG/ML IV SOLUTION	$27,059	$5.79	—	—	6
50242013701_7	TOCILIZUMAB 20 MG/ML IV SOLUTION (COVID19 EUA)	$27,059	—	—	—	4
63833038602_2	HUMAN PROTHROMBIN COMPLEX 4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION	$26,482	$2.14	—	—	6
63833039601	HUMAN PROTHROMBIN COMPLEX 4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION	$26,482	$2.14	—	—	6
57970010001_2	DALBAVANCIN 500 MG INTRAVENOUS SOLUTION	$26,410	$15.55	—	—	6
50242013701_5	TOCILIZUMAB 20 MG/ML IV SOLUTION	$26,383	$5.79	—	—	6
2751001_37	INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION	$25,896	—	—	—	4
50242008527	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$25,240	$94.15	—	—	6
50242013701_4	TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION	$24,637	$5.79	—	—	6
2751101_30	INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP	$24,452	—	—	—	4

Showing top 50 of 47,906 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.