MOLOKAI GENERAL HOSPITAL — Hospital Ledger

45 CFR § 180 compliance

B · 85

This hospital published most 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

5,252

Insurances with rates

CPT / HCPCS codes

1,321

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
187000714	Virazole	$274,574	$192,202	—	—	7
310453530	Imjudo	$113,815	$79,670	—	—	7
3232822	Yervoy	$99,602	$69,721	—	—	7
00006-3026-04	Keytruda	$84,927	$59,449	—	—	0
78069819	Rydapt	$67,118	$46,983	—	—	7
6508301	Keytruda Qlex	$66,172	$46,321	—	—	7
6508399	Keytruda Qlex	$66,172	$46,321	—	—	7
8010001	Besponsa	$65,769	$46,038	—	—	7
1.82E+22	MITOMYCIN 40 MG X 2 INTRAVES KIT	$59,125	$41,388	—	—	7
69013501	Bosulif	$59,113	$41,379	—	—	7
78073461	Ilaris	$58,807	$41,165	—	—	7
3052811	Sprycel	$55,681	$38,976	—	—	7
3052411	Sprycel	$55,681	$38,976	—	—	7
44206-0439-40	Privigen	$54,226	$37,958	—	—	0
J3245	INJ., TILDRAKIZUMAB, 1 MG	$49,394	$34,576	—	—	7
145380001	Soriatane	$48,145	$33,702	—	—	7
3712511	Opdualag	$42,410	$29,687	—	—	7
6056840	Zolinza	$41,276	$28,893	—	—	7
187355510	Ancobon	$40,891	$28,624	—	—	7
J9043	CABAZITAXEL INJECTION	$40,079	$28,055	—	—	7
24582411	Jevtana	$40,079	$28,055	—	—	7
69449402	Elrexfio	$39,287	$27,501	—	—	7
69449401	Elrexfio	$39,287	$27,501	—	—	7
78068615	Promacta	$38,949	$27,264	—	—	7
69077038	Sutent	$35,510	$24,857	—	—	7
74347303	Lupron Depot	$35,414	$24,790	—	—	7
57894-0503-01	Darzalex Faspro	$34,895	$24,427	—	—	0
15054-1120-04	Somatuline Depot	$34,423	$24,096	—	—	0
6308399	Keytruda Qlex	$33,086	$23,160	—	—	7
6308301	Keytruda Qlex	$33,086	$23,160	—	—	7
173089803	Jemperli	$33,083	$23,158	—	—	7
69097-0870-67	Lanreotide	$32,014	$22,410	—	—	0
187093801	Tasmar	$29,338	$20,537	—	—	7
74501501	Skyrizi 600MG/10ML	$29,238	$20,467	—	—	7
8451001	Mylotarg	$28,038	$19,627	—	—	7
64764-0300-20	Entyvio	$24,960	$17,472	—	—	0
3232711	Yervoy	$24,901	$17,430	—	—	7
173089601	Blenrep	$24,273	$16,991	—	—	7
J2997	ALTEPLASE RECOMBINANT	$24,201	$16,941	—	—	7
74368303	Lupron Depot	$23,609	$16,527	—	—	7
C9047	INJECTION, CAPLACIZUMAB-YHDP	$23,572	$16,500	—	—	7
69252201	Elrexfio	$22,745	$15,921	—	—	7
69252202	Elrexfio	$22,745	$15,921	—	—	7
00074-3346-03	Lupron Depot	$22,076	$15,453	—	—	0
3373413	Opdivo	$21,844	$15,290	—	—	7
3612001	Opdivo Qvantig	$21,843	$15,290	—	—	7
78068515	Promacta	$21,523	$15,066	—	—	7
2767801	Cyramza	$20,636	$14,445	—	—	7
74379902	Humira PFS	$19,037	$13,326	—	—	7
78082581	SandoSTATIN LAR Depot	$19,010	$13,307	—	—	7

Showing top 50 of 5,252 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.