MOLOKAI GENERAL HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
71336100301	Amvuttra	$328,215	$229,751	—	—	7
187000714	Virazole	$274,574	$192,202	—	—	7
52054033010	Daraprim	$206,250	$144,375	—	—	7
55566105001	Adstiladrin	$167,475	$117,233	—	—	7
59572020514	Thalomid	$131,595	$92,116	—	—	7
75987015001	Uplizna	$128,561	$89,993	—	—	7
75987015003	Uplizna	$128,561	$89,993	—	—	7
50633021011	Voraxaze	$118,891	$83,224	—	—	7
24338005008	Gliadel	$116,160	$81,312	—	—	7
310453530	Imjudo	$113,815	$79,670	—	—	7
59572021095	Thalomid	$106,802	$74,761	—	—	7
3232822	Yervoy	$99,602	$69,721	—	—	7
81481080301	Anktiva	$98,450	$68,915	—	—	7
72187040101	Elzonris	$92,831	$64,982	—	—	7
61958180101	Harvoni	$86,625	$60,638	—	—	7
00006-3026-04	Keytruda	$84,927	$59,449	—	—	0
75987008010	Krystexxa	$84,543	$59,180	—	—	7
59676070101	Sirturo	$82,500	$57,750	—	—	7
58468020001	Lemtrada	$81,797	$57,258	—	—	7
57894006103	Stelara PFS	$80,167	$56,117	—	—	7
72694051501	Asparlas	$79,849	$55,895	—	—	7
72694095401	Oncaspar	$73,742	$51,619	—	—	7
25010070515	Cuprimine	$72,019	$50,413	—	—	7
78069819	Rydapt	$67,118	$46,983	—	—	7
6508301	Keytruda Qlex	$66,172	$46,321	—	—	7
6508399	Keytruda Qlex	$66,172	$46,321	—	—	7
25682002801	Ultomiris	$65,865	$46,106	—	—	7
8010001	Besponsa	$65,769	$46,038	—	—	7
66215060606	Uptravi	$65,640	$45,948	—	—	7
76128015575	Photofrin	$64,138	$44,897	—	—	7
1.82E+22	MITOMYCIN 40 MG X 2 INTRAVES KIT	$59,125	$41,388	—	—	7
72493010603	Zusduri Kit	$59,125	$41,388	—	—	7
69013501	Bosulif	$59,113	$41,379	—	—	7
78073461	Ilaris	$58,807	$41,165	—	—	7
80446040101	Kimmtrak	$57,723	$40,406	—	—	7
50242015001	Ocrevus	$56,763	$39,734	—	—	7
3052811	Sprycel	$55,681	$38,976	—	—	7
3052411	Sprycel	$55,681	$38,976	—	—	7
44206-0439-40	Privigen	$54,226	$37,958	—	—	0
50242010501	Polivy	$51,181	$35,827	—	—	7
75987013015	Tepezza	$49,552	$34,686	—	—	7
47335017795	Ilumya PFS	$49,394	$34,576	—	—	7
J3245	INJ., TILDRAKIZUMAB, 1 MG	$49,394	$34,576	—	—	7
145380001	Soriatane	$48,145	$33,702	—	—	7
57894051401	Rybrevant Faspro	$47,673	$33,371	—	—	7
73475310203	Vyvgart Hytrulo	$44,243	$30,970	—	—	7
3712511	Opdualag	$42,410	$29,687	—	—	7
55566105000	Adstiladrin	$41,869	$29,308	—	—	7
6056840	Zolinza	$41,276	$28,893	—	—	7
55513007701	Imdelltra	$41,250	$28,875	—	—	7

Showing top 50 of 9,694 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.