COMMUNITY HOSPITAL OF STAUNTON

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
12203919	TREMELIMUMAB ACTL 300 MG 15 ML VIAL	$140,838	$70,419	—	—	1
12203919	TREMELIMUMAB ACTL 300 MG 15 ML VIAL	$140,838	$70,419	—	—	8
12203919	TREMELIMUMAB ACTL 300 MG 15 ML VIAL	$140,838	$70,419	—	—	10
12203335	IPILIMUMAB 200 MG 40 ML VIAL	$123,597	$61,798	—	—	1
12203335	IPILIMUMAB 200 MG 40 ML VIAL	$123,597	$61,798	—	—	8
12203335	IPILIMUMAB 200 MG 40 ML VIAL	$123,597	$61,798	—	—	10
12203385	ALEMTUZUMAB 12 MG 1.2 ML VIAL	$101,502	$50,751	—	—	1
12203385	ALEMTUZUMAB 12 MG 1.2 ML VIAL	$101,502	$50,751	—	—	8
12203385	ALEMTUZUMAB 12 MG 1.2 ML VIAL	$101,502	$50,751	—	—	10
12203493	USTEKINUMAB 90 MG ML SYRINGE	$99,479	$49,740	—	—	1
12203493	USTEKINUMAB 90 MG ML SYRINGE	$99,479	$49,740	—	—	8
12203493	USTEKINUMAB 90 MG ML SYRINGE	$99,479	$49,740	—	—	10
12203784	RAVULIZUMAB CWVZ 1100 MG 11 ML VIAL	$83,776	$41,888	—	—	1
12203784	RAVULIZUMAB CWVZ 1100 MG 11 ML VIAL	$83,776	$41,888	—	—	8
12203784	RAVULIZUMAB CWVZ 1100 MG 11 ML VIAL	$83,776	$41,888	—	—	10
12203300	CABAZITAXEL 60 MG 6 ML VIAL	$49,137	$24,569	—	—	1
12203300	CABAZITAXEL 60 MG 6 ML VIAL	$49,137	$24,569	—	—	8
12203300	CABAZITAXEL 60 MG 6 ML VIAL	$49,137	$24,569	—	—	10
12203410	BRENTUXIMAB VEDOTIN 50 MG VIAL	$44,943	$22,472	—	—	1
12203410	BRENTUXIMAB VEDOTIN 50 MG VIAL	$44,943	$22,472	—	—	8
12203410	BRENTUXIMAB VEDOTIN 50 MG VIAL	$44,943	$22,472	—	—	10
12203490	LEUPROLIDE ACETATE LUPRON 45 MG KIT	$43,946	$21,973	—	—	1
12203490	LEUPROLIDE ACETATE LUPRON 45 MG KIT	$43,946	$21,973	—	—	8
12203490	LEUPROLIDE ACETATE LUPRON 45 MG KIT	$43,946	$21,973	—	—	10
12203767	LUSPATERCEPT AAMT 75 MG 1.5 ML VIAL	$41,603	$20,801	—	—	1
12203767	LUSPATERCEPT AAMT 75 MG 1.5 ML VIAL	$41,603	$20,801	—	—	8
12203767	LUSPATERCEPT AAMT 75 MG 1.5 ML VIAL	$41,603	$20,801	—	—	10
12203599	ATEZOLIZUMAB 1200 MG 20 ML VIAL	$40,246	$20,123	—	—	1
12203599	ATEZOLIZUMAB 1200 MG 20 ML VIAL	$40,246	$20,123	—	—	8
12203599	ATEZOLIZUMAB 1200 MG 20 ML VIAL	$40,246	$20,123	—	—	10
12203882	DARATUMUMAB HYALURONIDASE FIHJ 1800 MG 30000 UNITS	$35,465	$17,733	—	—	1
12203882	DARATUMUMAB HYALURONIDASE FIHJ 1800 MG 30000 UNITS	$35,465	$17,733	—	—	8
12203882	DARATUMUMAB HYALURONIDASE FIHJ 1800 MG 30000 UNITS	$35,465	$17,733	—	—	10
12203253	VEDOLIZUMAB 300 MG 5 ML VIAL	$31,557	$15,779	—	—	1
12203253	VEDOLIZUMAB 300 MG 5 ML VIAL	$31,557	$15,779	—	—	8
12203253	VEDOLIZUMAB 300 MG 5 ML VIAL	$31,557	$15,779	—	—	10
12203850	CEMIPLIMAB RWLC 350 MG 7 ML VIAL	$31,438	$15,719	—	—	1
12203850	CEMIPLIMAB RWLC 350 MG 7 ML VIAL	$31,438	$15,719	—	—	8
12203850	CEMIPLIMAB RWLC 350 MG 7 ML VIAL	$31,438	$15,719	—	—	10
12203336	IPILIMUMAB 50 MG 10 ML VIAL	$30,899	$15,450	—	—	1
12203336	IPILIMUMAB 50 MG 10 ML VIAL	$30,899	$15,450	—	—	8
12203336	IPILIMUMAB 50 MG 10 ML VIAL	$30,899	$15,450	—	—	10
12203456	LEUPROLIDE ACETATE LUPRON 30 MG KIT	$29,297	$14,649	—	—	1
12203456	LEUPROLIDE ACETATE LUPRON 30 MG KIT	$29,297	$14,649	—	—	8
12203456	LEUPROLIDE ACETATE LUPRON 30 MG KIT	$29,297	$14,649	—	—	10
12203724	ATEZOLIZUMAB 840 MG 14 ML VIAL	$28,172	$14,086	—	—	1
12203724	ATEZOLIZUMAB 840 MG 14 ML VIAL	$28,172	$14,086	—	—	8
12203724	ATEZOLIZUMAB 840 MG 14 ML VIAL	$28,172	$14,086	—	—	10
12203547	NIVOLUMAB 240 MG 24 ML VIAL	$26,781	$13,390	—	—	1
12203547	NIVOLUMAB 240 MG 24 ML VIAL	$26,781	$13,390	—	—	8

Showing top 50 of 12,498 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.