CARLE HOOPESTON REGIONAL HEALTH CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J7181	TRETTEN 2,500 UNIT INTRAVENOUS SOLUTION	$369,210	$369,210	—	—	10
J2326	SPINRAZA (PF) 12 MG/5 ML INTRATHECAL SOLUTION	$333,562	$333,562	—	—	5
Q2043	PROVENGE 50 MILLION CELL/250 ML INTRAVENOUS SUSPENSION	$289,537	$289,537	—	—	5
J0225	AMVUTTRA 25 MG/0.5 ML SUBCUTANEOUS SYRINGE	$272,120	$272,120	—	—	5
J9347	IMJUDO 20 MG/ML INTRAVENOUS SOLUTION	$269,803	$269,803	—	—	10
J2351	OCREVUS ZUNOVO 920 MG-23,000 UNIT/23 ML SUBCUTANEOUS SOLUTION	$193,199	$193,199	—	—	5
J1823	UPLIZNA 10 MG/ML INTRAVENOUS SOLUTION	$150,672	$150,672	—	—	10
J9999	GLIADEL WAFER 7.7 MG IMPLANT	$131,789	$131,789	—	—	5
J2350	OCREVUS 30 MG/ML INTRAVENOUS SOLUTION	$131,277	$131,277	—	—	5
J9226	SUPPRELIN LA 50 MG (65 MCG/DAY) IMPLANT KIT	$114,414	$114,414	—	—	5
0915T	Insj Perm Ccm-D Sys Pg&Eltrd	$105,273	$105,273	—	—	5
C9293	VORAXAZE 1,000 UNIT INTRAVENOUS SOLUTION	$98,571	$98,571	—	—	5
J1628	TREMFYA 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION	$92,643	$92,643	—	—	10
J9028	ANKTIVA 400 MCG/0.4 ML INTRAVESICAL SOLUTION	$81,624	$81,624	—	—	5
J9269	ELZONRIS 1,000 MCG/ML INTRAVENOUS SOLUTION	$76,965	$76,965	—	—	5
0916T	Insj Perm Ccm-D Sys Pg Only	$73,700	$73,700	—	—	5
0923T	Rmvl&Rplcmt Perm Ccm-D Pg	$73,700	$73,700	—	—	5
J2507	KRYSTEXXA 8 MG/ML INTRAVENOUS SOLUTION	$72,477	$72,477	—	—	5
J9334	VYVGART HYTRULO 1,000 MG-10,000 UNIT/5 ML SUBCUTANEOUS SYRINGE	$70,274	$70,274	—	—	10
J0202	LEMTRADA 12 MG/1.2 ML INTRAVENOUS SOLUTION	$67,817	$67,817	—	—	5
J9345	ZYNYZ 500 MG/20 ML INTRAVENOUS SOLUTION	$66,769	$66,769	—	—	5
J9359	ZYNLONTA 10 MG INTRAVENOUS SOLUTION	$66,188	$66,188	—	—	5
J1246	UNITUXIN 3.5 MG/ML INTRAVENOUS SOLUTION	$65,311	$65,311	—	—	5
J9316	PHESGO 1,200 MG-600 MG-30,000 UNIT/15 ML SUBCUTANEOUS SOLUTION	$65,129	$65,129	—	—	5
J0222	ONPATTRO 2 MG/ML INTRAVENOUS SOLUTION	$62,233	$62,233	—	—	5
J2267	OMVOH 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION	$61,013	$61,013	—	—	5
J2323	TYSABRI 300 MG/15 ML INTRAVENOUS SOLUTION	$56,472	$56,472	—	—	5
J9229	BESPONSA 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) INTRAVENOUS SOLUTION	$55,619	$55,619	—	—	5
J2329	BRIUMVI 25 MG/ML INTRAVENOUS SOLUTION	$55,374	$55,374	—	—	5
J9272	JEMPERLI 50 MG/ML INTRAVENOUS SOLUTION	$54,483	$54,483	—	—	5
J2327	SKYRIZI 360 MG/2.4 ML (150 MG/ML) SUBCUTANEOUS WEARABLE INJECTOR	$54,352	$54,352	—	—	10
C1767	Generator, Neurostimulator(Imp)	$53,800	$53,800	—	—	5
J3316	TRIPTODUR 22.5 MG IM SUSPENSION	$52,364	$52,364	—	—	10
J9022	TECENTRIQ 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION	$51,457	$51,457	—	—	5
J9024	TECENTRIQ HYBREZA 1,875 MG-30,000 UNIT/15 ML SUBCUTANEOUS SOLUTION	$51,457	$51,457	—	—	5
J0638	ILARIS (PF) 150 MG/ML SUBCUTANEOUS SOLUTION	$51,121	$51,121	—	—	5
J9119	LIBTAYO 50 MG/ML INTRAVENOUS SOLUTION	$50,326	$50,326	—	—	5
J7198	FEIBA NF 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLUTION	$50,220	$50,220	—	—	10
81416	Xomedx Plus Trio, Ref	$50,140	$50,140	—	—	5
J2502	SIGNIFOR LAR 40 MG IM SUSPENSION	$49,610	$49,610	—	—	5
J9274	KIMMTRAK 100 MCG/0.5 ML INTRAVENOUS SOLUTION	$49,043	$49,043	—	—	5
J9144	DARZALEX FASPRO 1,800 MG-30,000 UNIT/15 ML SUBCUTANEOUS SOLUTION	$46,939	$46,939	—	—	5
J1323	ELREXFIO 40 MG/ML SUBCUTANEOUS SOLUTION	$46,356	$46,356	—	—	20
J7185	XYNTHA SOLOFUSE 3,000 (+/-) UNIT INTRAVENOUS SYRINGE	$43,710	$43,710	—	—	10
J3263	LOQTORZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION	$43,322	$43,322	—	—	5
J3241	TEPEZZA 500 MG INTRAVENOUS SOLUTION	$42,685	$42,685	—	—	5
J9309	POLIVY 140 MG INTRAVENOUS SOLUTION	$42,434	$42,434	—	—	5
J9600	PHOTOFRIN 75 MG INTRAVENOUS SOLUTION	$42,417	$42,417	—	—	5
J1299	SOLIRIS 300 MG/30 ML INTRAVENOUS SOLUTION	$41,486	$41,486	—	—	5
J3245	ILUMYA 100 MG/ML SUBCUTANEOUS SYRINGE	$40,952	$40,952	—	—	10

Showing top 50 of 4,848 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.