CHATUGE REGIONAL HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
63685	63685 INSERTION OR REPLACEMENT GENERATOR FAC	$49,202	$24,601	—	—	13
J3380	vedolizumab 300 mg Pow [UGH]	$44,928	$22,464	—	—	36
J2997	alteplase 100 mg IV Inj [UGH]	$42,242	$21,121	—	—	32
J3101	tenecteplase 50 mg Pow	$39,827	$19,913	—	—	48
J9217	leuprolide 30 mg/4 months Kit	$39,247	$19,623	—	—	18
J0775	collagenase clostridium histolyticum 0.9 mg Pow	$31,605	$15,803	—	—	18
64575	64575 INCISION FOR IMPLANT NEUROSTIMULATOR FAC	$28,931	$14,465	—	—	13
64590	64590 INSERTION OR REPL OF NEUROSTIMULATOR FAC	$28,931	$14,465	—	—	13
J2506	pegfilgrastim 6 mg/0.6 ML SubQ Inj [UGH]	$25,960	$12,980	—	—	18
62362	62362 IMPLANT OR REVISION EPIDURAL PUMP FAC	$25,894	$12,947	—	—	13
J2406	oritavancin 1200 mg Pow	$25,617	$12,809	—	—	36
J1930	lanreotide 60 mg/0.2 ML Sol	$21,917	$10,958	—	—	18
J2323	natalizumab 300 mg/15 ML IV Conc [UGH]	$21,187	$10,594	—	—	18
J1162	digoxin immune FAB 40 mg Inj [UGH]	$18,341	$9,170	—	—	16
J0256	alpha 1-proteinase inhibitor human Pow	$17,244	$8,622	—	—	18
J1306	inclisiran 284 mg/1.5 ML Sol	$17,221	$8,611	—	—	36
Q5119	riTUXimab pvvr 10 mg/ML Sol	$17,203	$8,602	—	—	18
J1437	ferric derisomaltose 100 mg/ML Sol	$16,200	$8,100	—	—	36
j3101	tenecteplase 50 mg IV Inj [UGH]	$15,392	$7,696	—	—	96
J0840	antivenin (Crotalidae) polyvalent - Pow [UGH]	$15,350	$7,675	—	—	16
J2182	mepolizumab 100 mg/ML Sol	$14,756	$7,378	—	—	18
J0717	certolizumab 200 mg/ML Kit [UGH]	$14,716	$7,358	—	—	16
J1561	immune globulin 10% IV Sol 200ML [UGH]	$14,280	$7,140	—	—	36
63650	63650 PERCUTANEOUS LEAD IMPLANT EPIDURAL FAC	$14,242	$7,121	—	—	26
J0597	C1 esterase inhibitor, human 500 intl units Kit [UGH]	$13,512	$6,756	—	—	16
22513	22513 THORACIC KYPHOPLASTY FAC	$13,187	$6,593	—	—	13
22514	22514 LUMBAR KYPHOPLASTY	$13,187	$6,593	—	—	13
J1951	leuprolide 45 mg/6 months PWD	$13,009	$6,504	—	—	18
64555	64555. PERC IMPL NEUROSTIM ELECT ARRAY PERIPH P	$12,717	$6,358	—	—	13
J3111	romosozumab 105 mg/1.17 ML Sol	$12,619	$6,309	—	—	108
25400	25400 Repair radius or ulna	$12,162	$6,081	—	—	18
J0897	denosumab 120 mg/1.7 ML Sol	$11,291	$5,645	—	—	54
J0881	darbepoetin alfa 300 mcg/0.6 ML Inj Sol [UGH]	$11,148	$5,574	—	—	18
62365	62365 REMOVAL OF EPIDURAL PUMP FAC	$10,884	$5,442	—	—	13
Q0222	bebtelovimab 175 mg/2 ML Sol	$10,080	$5,040	—	—	16
J3358	ustekinumab 5 mg/ML Sol	$9,718	$4,859	—	—	18
62350	62350 IMPLANT OR REVISION EPIDURAL CATH FAC	$9,718	$4,859	—	—	13
J1602	golimumab 50 mg/4 ML Sol [UGH]	$9,596	$4,798	—	—	54
J7168	prothrombin complex - Pow [UGH]	$9,557	$4,778	—	—	64
J1459	immune globulin 10% IV Sol 100 ML [UGH]	$9,208	$4,604	—	—	54
J0630	calcitonin 200 intl units/ML Inj Sol [UGH]	$8,673	$4,337	—	—	108
J1451	fomepizole 1 g/ML Sol	$8,312	$4,156	—	—	32
Q5136	denosumab bbdz 60 mg/ML Sol	$7,700	$3,850	—	—	18
J1439	ferric carboxymaltose (as elemental iron) 50 mg/ML Sol	$7,363	$3,681	—	—	54
J2357	omalizumab 150 mg/ML Sol [UGH]	$6,797	$3,399	—	—	36
63688	63688 REVISION OR REMOVAL SPINAL GENERATOR FAC	$6,773	$3,386	—	—	13
J9280	mitoMYcin 40 mg Pow	$6,573	$3,286	—	—	54
J3262	tocilizumab 200 mg/10 ML Sol [UGH]	$6,374	$3,187	—	—	54
64585	64585 REVISION OR REMOVAL PERIPHERAL LEAD FAC	$6,047	$3,023	—	—	13
64633	6463350 NERVE DESTR CERV OR THOR SGL BILAT FAC	$5,682	$2,841	—	—	13

Showing top 50 of 1,442 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.