COPPER QUEEN COMMUNITY HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
H81201073	HCHG ORGAN ACQUISITION: SINGLE CADAVER DONOR, LIVER AND KIDNEY	$433,920	$303,744	—	—	0
H81201063	HCHG ORGAN ACQUISITION: SINGLE CADAVER DONOR, PANCREAS AND KIDNEY	$404,113	$282,879	—	—	0
H81201043	HCHG ORGAN ACQUISITION: LIVING DONOR, KIDNEY	$364,491	$255,144	—	—	0
H81201033	HCHG ORGAN ACQUISITION: CADAVER DONOR, KIDNEY	$364,491	$255,144	—	—	0
71336100301	Amvuttra	$328,215	$229,751	—	—	2
J0225	INJECTION; VUTRISIRAN; 1 MG	$328,215	$229,751	—	—	7
H81201053	HCHG ORGAN ACQUISITION: CADAVER DONOR, PANCREAS	$314,691	$220,284	—	—	0
71336-1003-01	Amvuttra	$286,442	$200,510	—	—	7
187000714	Virazole	$274,574	$192,202	—	—	2
H81201023	HCHG ORGAN ACQUISITION: CADAVER DONOR, LIVER	$245,514	$171,860	—	—	0
52054033010	Daraprim	$206,250	$144,375	—	—	2
A9543	Y90 IBRITUMOMAB, RX	$172,791	$120,954	—	—	7
25682-0025-01	Ultomiris	$169,066	$118,346	—	—	7
25682-0028-01	Ultomiris	$169,066	$118,346	—	—	7
55566105001	Adstiladrin	$167,475	$117,233	—	—	2
55566-1050-01	Adstiladrin	$154,688	$108,281	—	—	7
L8614	COCHLEAR DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS	$149,180	$104,426	—	—	2
J7330	CULTURED CHONDROCYTES IMPLNT	$139,557	$97,690	—	—	3
59572020514	Thalomid	$131,595	$92,116	—	—	2
75987015001	Uplizna	$128,561	$89,993	—	—	2
75987015003	Uplizna	$128,561	$89,993	—	—	2
C1767	GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE	$126,027	$88,219	—	—	2
Q4116	ALLODERM; PER SQUARE CENTIMETER	$124,126	$86,888	—	—	9
50633021011	Voraxaze	$118,891	$83,224	—	—	2
69488-0003-01	Lutathera	$116,400	$81,480	—	—	7
24338005008	Gliadel	$116,160	$81,312	—	—	2
310453530	Imjudo	$113,815	$79,670	—	—	2
63685	INS/RPLC SPI NPG/RCVR POCKET	$113,167	$79,217	—	—	17
C1824	GENERATOR; CARDIAC CONTRACTILITY MODULATION (IMPLANTABLE)	$107,900	$75,530	—	—	0
59572021095	Thalomid	$106,802	$74,761	—	—	2
A9699	RADIOPHARM RX AGENT NOC	$106,250	$74,375	—	—	0
3232822	Yervoy	$99,602	$69,721	—	—	2
81481080301	Anktiva	$98,450	$68,915	—	—	2
0408T	INSERTION OR REPLACEMENT OF PULSE GENERATOR AND ELECTRODES OF HEART CONTRACTILITY MODULATOR SYSTEM	$96,133	$67,293	—	—	8
0571T	INSERTION OR REPLACEMENT OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR SYSTEM WITH ELECTRODES UNDER BREA	$96,133	$67,293	—	—	8
00310-4535-30	Imjudo	$95,472	$66,830	—	—	7
0915T	INSJ PERM CCM-D SYS PG&ELTRD	$95,015	$66,511	—	—	7
50242-0150-01	Ocrevus	$94,629	$66,240	—	—	7
J2350	INJECTION; OCRELIZUMAB; 1 MG	$94,629	$66,240	—	—	7
72187040101	Elzonris	$92,831	$64,982	—	—	2
19303	SIMPLE COMPLETE REMOVAL OF BREAST	$88,752	$62,126	—	—	15
C1822	GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); HIGH FREQUENCY; WITH RECHARGEABLE BATTERY AND CHARGING SYS	$86,744	$60,721	—	—	0
61958180101	Harvoni	$86,625	$60,638	—	—	2
81481-0803-01	Anktiva	$85,920	$60,144	—	—	7
J7175	INJECTION; FACTOR X; (HUMAN); 1 I.U.	$85,622	$59,936	—	—	7
64208-7753-01	Coagadex	$85,622	$59,936	—	—	7
75987008010	Krystexxa	$84,543	$59,180	—	—	2
59676070101	Sirturo	$82,500	$57,750	—	—	2
58468020001	Lemtrada	$81,797	$57,258	—	—	2
57894006103	Stelara PFS	$80,167	$56,117	—	—	2

Showing top 50 of 16,105 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.