BENSON HOSPITAL — Hospital Ledger

45 CFR § 180 compliance

F · 55

This hospital published little of what § 180 requires.

●Machine-readable file published

○Gross / standard charges

○Discounted cash price

●Payer-specific negotiated rates

○Min / max negotiated charges

●Free, public, no login required

Procedures listed

16,048

Insurances with rates

CPT / HCPCS codes

14,422

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2350	OCREVUS 300 MG/10 ML VIAL	$58,505	$28,082	—	—	13
J2997	Activase 100 MG VIAL	$31,686	$15,209	—	—	13
J3380	ENTYVIO 300 MG VIAL	$21,114	$10,135	—	—	13
J1561	GAMUNEX-C 40 GRAM/400 ML VIAL	$18,737	$8,994	—	—	13
J9310	Rituxan 500 MG/50 ML VIAL	$16,278	$7,813	—	—	12
J9217	Lupron Depot 22.5 MG 3MO KIT	$15,763	$7,566	—	—	13
Q5115	TRUXIMA 500 MG/50 ML VIAL	$15,220	$7,306	—	—	13
J2356	TEZSPIRE 210 MG/1.91 ML SYRING	$13,850	$6,648	—	—	13
J1306	LEQVIO 284 MG/1.5 ML SYRINGE	$12,296	$5,902	—	—	13
90376	KEDRAB 1,500 UNIT/10 ML VIAL	$12,252	$5,881	—	—	13
90375	HYPERRAB 300 UNIT/ML VIAL	$12,249	$5,879	—	—	13
J0717	CIMZIA 2X200 MG/ML SYRINGE KIT	$9,716	$4,664	—	—	13
J1569	GAMMAGARD LIQUID 10% VIAL	$9,598	$4,607	—	—	39
J0135	HUMIRA 40 MG/0.8 ML SYRINGE	$8,777	$4,213	—	—	13
37195	FAC THROMBOLYSIS, CEREBRAL, BY INTRAVENOUS INFUSION	$8,671	$4,162	—	—	13
J0897	XGEVA 120 MG/1.7 ML VIAL	$7,989	$3,835	—	—	13
J1602	SIMPONI ARIA 50 MG/4 ML VIAL	$7,197	$3,455	—	—	13
J9217	LUPRON DEPOT 7.5 MG KIT	$7,008	$3,364	—	—	13
J3111	EVENITY 210 MG DOSE-2 SYRINGES	$6,958	$3,340	—	—	13
81229	INTERROGATION OF GENOMIC REGIONS CHROMOSOME MICRORRAY	$6,826	$3,276	—	—	13
81162	BRCA1, BRCA2 (REPAIR ASSOC) GENE ANALYSIS; FULL SEQ & FULL DUPL/DELETION ANALYS	$6,407	$3,075	—	—	13
J0882	ARANESP 200 MCG/0.4 ML SYRINGE	$5,573	$2,675	—	—	13
15273	APPLY SKIN SUB/100CM	$5,316	$2,552	—	—	39
75630	FAC CT ANGIO ABDOMINAL PLUS BILATERAL ILIOFEMORAL LOWER EXTREMITY	$5,110	$2,453	—	—	13
J0630	CALCITONIN-SALMON 200 UNIT SPR	$5,056	$2,427	—	—	13
J1561	GAMUNEX-C 10 GRAM/100 ML VIAL	$4,929	$2,366	—	—	13
J0841	ANAVIP VIAL	$4,752	$2,281	—	—	13
J2357	XOLAIR 150 MG/ML SYRINGE	$4,396	$2,110	—	—	13
J0897	PROLIA 60 MG/ML SYRINGE	$4,268	$2,049	—	—	13
J0129	Orencia 250 MG VIAL	$4,232	$2,031	—	—	13
J2357	XOLAIR 150 MG/1.2 ML POWDER VL	$3,836	$1,841	—	—	13
J0485	NULOJIX 250 MG VIAL	$3,492	$1,676	—	—	13
J1745	INFLECTRA 100 MG VIAL	$3,411	$1,637	—	—	13
74178	FAC CT ABDOMEN/PELVIS WO/W CONTRAST	$3,219	$1,545	—	—	13
59409	FAC VAGINAL DELIVERY	$3,103	$1,489	—	—	13
15277	APPLY SKIN SUB/100CM	$3,035	$1,457	—	—	26
70553	FAC MRI BRAIN COMBINED WO/W CONTRAST	$3,027	$1,453	—	—	13
81407	MOLECULAR PATHOLOGY PROCEDURE LEVEL 8	$2,997	$1,439	—	—	13
74177	FAC CT ABDOMEN/PELVIS W/ IV & ORAL CONTRAST	$2,961	$1,421	—	—	13
72157	FAC MRI THORASIC SPINE COMPLETE WO/W CONTRAST	$2,943	$1,412	—	—	13
72197	FAC MRI PELVIS COMBINED WO/W CONTRAST	$2,795	$1,342	—	—	13
72156	FAC MRI CERVICAL SPINE CANAL WO/W CONTRAST	$2,747	$1,318	—	—	13
J0490	BENLYSTA 400 MG VIAL	$2,720	$1,306	—	—	13
74176	FAC CT ABD/PELVIS W/O CONTRAST	$2,704	$1,298	—	—	13
72158	FAC MRI LUMBAR SPINE COMPLETE WO/W CONTRAST	$2,665	$1,279	—	—	13
73223	FAC MRI UPPER EXTREMITY JOINT WO/W CONTRAST	$2,628	$1,261	—	—	13
73723	FAC MRI LOWER EXTREMITY JOINT WO/W CONTRAST	$2,594	$1,245	—	—	13
71552	FAC MRI CHEST COMBINED WO/W CONTRAST	$2,560	$1,229	—	—	13
70552	FAC MRI BRAIN W/ CONTRAST	$2,542	$1,220	—	—	13
0120	Swing Bed	$2,538	$1,218	—	—	54

Showing top 50 of 16,048 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.