DOUGLAS GARDENS HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
EYLEA INJ 2/0.05ML	EYLEA INJ 2/0.05ML	$74,229	—	—	—	0
STELARA INJ 90MG/ML	STELARA INJ 90MG/ML	$46,312	—	—	—	0
STELARA INJ 45MG/0.5	STELARA INJ 45MG/0.5	$46,312	—	—	—	0
LEMTRADA INJ 12/1.2ML	LEMTRADA INJ 12/1.2ML	$42,099	—	—	—	0
SOMATULINE INJ 120/.5ML	SOMATULINE INJ 120/.5ML	$35,137	—	—	—	0
NEULASTA INJ 6MG/0.6M	NEULASTA INJ 6MG/0.6M	$20,840	—	—	—	0
SIMPONI INJ 50/0.5ML	SIMPONI INJ 50/0.5ML	$20,169	—	—	—	0
LUPRON DEPOT INJ 45MG	LUPRON DEPOT INJ 45MG	$20,039	—	—	—	0
LUPR DEP-PED INJ 11.25MG	LUPR DEP-PED INJ 11.25MG	$18,364	—	—	—	0
JEVTANA INJ 60/1.5ML	JEVTANA INJ 60/1.5ML	$15,788	—	—	—	0
PLEGRIDY INJ PEN	PLEGRIDY INJ PEN	$14,178	—	—	—	0
AVONEX PEN KIT 30MCG	AVONEX PEN KIT 30MCG	$14,178	—	—	—	0
LUPRON DEPOT INJ 30MG	LUPRON DEPOT INJ 30MG	$13,362	—	—	—	0
SANDOSTATIN KIT LAR 30MG	SANDOSTATIN KIT LAR 30MG	$12,818	—	—	—	0
COSENTYX PEN INJ 150MG/ML	COSENTYX PEN INJ 150MG/ML	$11,124	—	—	—	0
TALTZ INJ 80MG/ML	TALTZ INJ 80MG/ML	$10,362	—	—	—	0
FASENRA INJ 30MG/ML	FASENRA INJ 30MG/ML	$10,125	—	—	—	0
LUPRON DEPOT INJ 22.5MG	LUPRON DEPOT INJ 22.5MG	$10,023	—	—	—	0
NATPARA INJ 50MCG	NATPARA INJ 50MCG	$9,954	—	—	—	0
EVZIO INJ	EVZIO INJ	$9,411	—	—	—	0
CIMZIA PREFL KIT 200MG/ML	CIMZIA PREFL KIT 200MG/ML	$9,296	—	—	—	0
SANDOSTATIN KIT LAR 20MG	SANDOSTATIN KIT LAR 20MG	$8,563	—	—	—	0
LUPRON DEPOT INJ 11.25MG	LUPRON DEPOT INJ 11.25MG	$8,412	—	—	—	0
ARANESP INJ 500MCG	ARANESP INJ 500MCG	$7,771	—	—	—	0
ARANESP INJ 200MCG	ARANESP INJ 200MCG	$7,771	—	—	—	0
ARANESP INJ 150MCG	ARANESP INJ 150MCG	$7,771	—	—	—	0
NINLARO CAP 4MG	NINLARO CAP 4MG	$7,012	—	—	—	0
NINLARO CAP 3MG	NINLARO CAP 3MG	$7,012	—	—	—	0
LUPR DEP-PED INJ 15MG	LUPR DEP-PED INJ 15MG	$6,747	—	—	—	0
INVEGA TRINZ INJ 546MG	INVEGA TRINZ INJ 546MG	$6,439	—	—	—	0
INVEGA TRINZ INJ 819MG	INVEGA TRINZ INJ 819MG	$6,439	—	—	—	0
INVEGA TRINZ INJ 410MG	INVEGA TRINZ INJ 410MG	$6,427	—	—	—	0
HUMIRA PEN INJ 40MG/0.8	HUMIRA PEN INJ 40MG/0.8	$5,581	—	—	—	0
HUMIRA KIT 40MG/0.8	HUMIRA KIT 40MG/0.8	$5,581	—	—	—	0
HUMIRA INJ 40/0.4ML	HUMIRA INJ 40/0.4ML	$5,581	—	—	—	0
COSENTYX INJ 300DOSE	COSENTYX INJ 300DOSE	$5,566	—	—	—	0
ELIGARD INJ 45MG	ELIGARD INJ 45MG	$5,444	—	—	—	0
TRELSTAR MIX INJ 11.25MG	TRELSTAR MIX INJ 11.25MG	$4,902	—	—	—	0
PERSERIS INJ 120MG	PERSERIS INJ 120MG	$4,810	—	—	—	0
GENOTROPIN INJ 12MG	GENOTROPIN INJ 12MG	$4,757	—	—	—	0
ARANESP INJ 300MCG	ARANESP INJ 300MCG	$4,665	—	—	—	0
ABILIFY MAIN INJ 400MG	ABILIFY MAIN INJ 400MG	$4,571	—	—	—	0
JUXTAPID CAP 5MG	JUXTAPID CAP 5MG	$4,382	—	—	—	0
21077	PREPARE FACE/ORAL PROSTHESIS	$4,221	$2,503	$1,456	$2,533	2
NPLATE INJ 250MCG	NPLATE INJ 250MCG	$3,918	—	—	—	0
MYCAMINE INJ 100MG	MYCAMINE INJ 100MG	$3,849	—	—	—	0
INVEGA SUST INJ 156MG/ML	INVEGA SUST INJ 156MG/ML	$3,759	—	—	—	0
INVEGA SUST INJ 234/1.5	INVEGA SUST INJ 234/1.5	$3,759	—	—	—	0
INVEGA SUST INJ 117/0.75	INVEGA SUST INJ 117/0.75	$3,759	—	—	—	0
INVEGA SUST INJ 78/0.5ML	INVEGA SUST INJ 78/0.5ML	$3,759	—	—	—	0

Showing top 50 of 8,884 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.