JACKSON COUNTY REGIONAL HEALTH CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Q2043	SIPULEUCEL-T - SU	$164,834	$164,834	—	—	11
J9347	TREMELIMUMAB ACTL 300 MG/15 ML INJ	$115,197	$115,197	—	—	10
J9228	IPILIMUMAB 5 MG/ML INJ 40 ML	$98,845	$98,845	—	—	11
J3357	USTEKINUMAB 90 MG/ML SYRINGE	$78,278	$78,278	—	—	11
J9359	LONCASTUXIMAB TESIRINE 10 MG INJ	$75,445	$75,445	—	—	10
J9266	PEGASPARGASE 750 I-UNITS/ML INJ 5 ML	$71,868	$71,868	—	—	22
J1303	RAVULIZUMAB CWVZ 1100 MG/11 ML INJ	$69,386	$69,386	—	—	11
RIBAVIRIN FOR INHALATION 6 GM	RIBAVIRIN FOR INHALATION 6 GM	$67,562	$67,562	—	—	10
J2327	RISANKIZUMAB 150 MG/ML SO	$58,257	$58,257	—	—	10
CARMUSTINE 7.7 MG WAFER	CARMUSTINE 7.7 MG WAFER	$57,296	$57,296	—	—	20
J2350	OCRELIZUMAB 30 MG/ML INJ 10 ML	$52,557	$52,557	—	—	11
J9309	POLATUZUMAB VEDOTIN 20 MG/ML INJ	$48,925	$48,925	—	—	10
NM I 131 TOSITUMOMAB THERAPEUDIC	NM I 131 TOSITUMOMAB THERAPEUDIC	$43,301	$43,301	—	—	10
J9298	NIVOLUMAB-RELATLIMAB RMBW 240 MG-80 MG/20 ML	$42,128	$42,128	—	—	10
J9043	CABAZITAXEL 10 MG/ML INJ	$41,011	$41,011	—	—	11
J3358	USTEKINUMAB 45 MG/0.5 ML SYRINGE	$39,139	$39,139	—	—	11
J0896	LUSPATERCEPT 75 MG INJ	$33,673	$33,673	—	—	10
J9272	DOSTARLIMAB-GXLY 500 MG/10 ML INJ	$32,878	$32,878	—	—	10
0238T	TRLUML PERIP ATHRC ILIAC ART 0238T	$32,747	$32,747	—	—	9
J9042	BRENTUXIMAB 5 MG/ML INJ	$32,181	$32,181	—	—	11
J9119	CEMIPLIMAB-RWLC 50 MG/ML INJ 7 ML	$29,583	$29,583	—	—	11
J1440	FECAL MICROBIOTA LIVE-JSLM SUSP	$26,584	$26,584	—	—	10
J1932	LANREOTIDE 120 MG/0.5 ML INJ	$26,272	$26,272	—	—	10
J9144	DARATUMUMAB-HYALURONIDASE 1800 MG/15 ML	$25,828	$25,828	—	—	10
J9316	PERTUZUMAB/TRASTUZUMAB/HYALURONIDASE 600 MG-600 MG-20K UNITS/10	$25,075	$25,075	—	—	10
J3380	VEDOLIZUMAB 60 MG/ML INJ 5 ML	$24,185	$24,185	—	—	11
J1826	INTERFERON BETA-1A 30 MCG/0.5 ML INJ	$23,483	$23,483	—	—	11
J9301	OBINUTUZUMAB 25 MG/ML INJ 40 ML	$23,002	$23,002	—	—	11
J1930	LANREOTIDE 90 MG/0.3 ML INJ	$22,925	$22,925	—	—	33
J9223	LURBINECTEDIN 4 MG INJ	$22,622	$22,622	—	—	10
J9311	RITUXIMAB-HYALURON (1 600 MG-26 800 UNITS)/13.4 ML INJ	$22,257	$22,257	—	—	11
J3101	TENECTEPLASE 50 MG/10 ML INJ	$21,801	$21,801	—	—	11
J9022	ATEZOLIZUMAB 60 MG/ML INJ 14 ML	$21,431	$21,431	—	—	11
Q4100	TISSUE STRATTICE 10 X 16 FIRM	$20,670	$20,670	—	—	11
J9308	RAMUCIRUMAB 10 MG/ML INJ 50 ML	$20,115	$20,115	—	—	11
J9273	TISOTUMAB VEDOTIN TFTV 40 MG INJ	$19,549	$19,549	—	—	10
J1300	ECULIZUMAB 10 MG/ML INJ 30 ML	$19,305	$19,305	—	—	11
J2506	PEGFILGRASTIM 6 MG/0.6 ML INJ	$18,967	$18,967	—	—	10
J9306	PERTUZUMAB 30 MG/ML INJ 14 ML	$18,775	$18,775	—	—	11
J9307	PRALATREXATE 20 MG/ML INJ	$18,494	$18,494	—	—	11
J9271	PEMBROLIZUMAB 25 MG/ML INJ 4 ML	$16,455	$16,455	—	—	11
J0517	BENRALIZUMAB 30 MG/ML INJ	$16,290	$16,290	—	—	11
J0717	CERTOLIZUMAB 200 MG/ML INJ	$15,963	$15,963	—	—	11
J1290	ECALLANTIDE 10 MG/ML INJ	$15,900	$15,900	—	—	11
J2783	RASBURICASE 7.5 MG INJ	$15,752	$15,752	—	—	11
J2860	SILTUXIMAB 20 MG/ML INJ 20 ML	$15,713	$15,713	—	—	22
J2325	NESIRITIDE 1500 MCG/5 ML	$15,644	$15,644	—	—	11
J1640	PANHEMATIN 7 MG/ML INJ	$14,802	$14,802	—	—	11
J0491	ANIFROLUMAB FNIA 300 MG/2 ML SO	$14,787	$14,787	—	—	10
J9356	TRASTUZUMAB-HYALURON (600 MG-10 000 UNITS)/5 ML INJ	$13,870	$13,870	—	—	11

Showing top 50 of 10,098 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.