WELLSTONE REGIONAL HOSPITAL (Jeffersonville, IN) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J9226	SUPPRELIN LA 50 MG (65 MCG/DAY) IMPLANT KIT [91426]	$156,397	$93,838	—	—	2
J0202	LEMTRADA 12 MG/1.2 ML INTRAVENOUS SOLN [127557]	$95,034	$57,020	—	—	2
J2507	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLN [108958]	$94,484	$56,691	—	—	2
33249	INSRT/REPLACE SGL CHBR ICD+GEN	$86,388	$51,833	—	—	2
64590	INSRT/REDO PERPH/SAC/GAS NEUROGEN	$75,868	$45,521	—	—	2
63655	LAMI PRIOR IMPLANT NEUROELECTRODES	$75,868	$45,521	—	—	2
J9229	INOTUZUMAB OZOGAMICIN 0.9 MG (0.25 MG/ML INITIAL) INTRAVENOUS SOLR [138459]	$73,377	$44,026	—	—	2
33230	INSRT ICD PULSE GEN DUAL LEAD	$71,588	$42,953	—	—	2
J9274	TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLN [152604]	$66,858	$40,115	—	—	2
J7311	FLUOCINOLONE 0.59 MG INTRAVITREAL IMPL [38567]	$62,783	$37,670	—	—	2
33262	REMOVE/REPLCE ICD GEN SNG LEAD	$60,725	$36,435	—	—	2
33263	REMOVE/RPLCE ICD GEN DUAL LEAD	$60,725	$36,435	—	—	2
0408T	INSJ/RPLC CARDIAC MODULJ SYS	$60,725	$36,435	—	—	2
J9309	POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLR [144062]	$57,892	$34,735	—	—	2
J0257	ALPHA-1 PROTEINASE INHIB.(HUM) 1 GRAM/50 ML (2 %) INTRAVENOUS SOLN [108371]	$56,400	$33,840	—	—	2
33224	INSERT PACING LEAD CONNECT	$55,706	$33,423	—	—	2
33225	L VENTRIC PACING LEAD ADD-ON	$55,706	$33,423	—	—	2
J1290	ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLN [104899]	$54,850	$32,910	—	—	2
33270	INS/REP SUBQ DEFIBRILLATOR	$53,421	$32,053	—	—	2
C1823	REMEDE IMPL GENERATOR PULSE PG	$51,000	$30,600	—	—	1
J9321	EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLN [157061]	$50,998	$30,599	—	—	2
C2624	SYS SENSOR/DELV PA CARDIOMEMS	$50,010	$30,006	—	—	1
C1824	GENERATOR IPG CARDIAC OPTIMIZER SMART	$50,010	$30,006	—	—	1
0624	VALVE AORTIC NEO2 ACURATE SM - CLINICAL	$50,010	$30,006	—	—	1
C1822	KIT IMPL SENZA IPG	$49,425	$29,655	—	—	1
64596	INS/RPLCMT PRQ ELTRD RA PN 1	$47,244	$28,346	—	—	2
J9015	ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLR [4422]	$46,965	$28,179	—	—	2
J3357	USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRG [105173]	$45,941	$27,564	—	—	2
C1722	ICD INVENTRA PROMRI 7 VRT DX	$43,125	$25,875	—	—	1
J3285	TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLN [23976]	$42,020	$25,212	—	—	2
63685	INSRT/REDO SPINE N GENERATOR	$40,103	$24,062	—	—	2
37227	SP ART FEM-POP STENT-ATHR-PTA	$38,284	$22,970	—	—	1
37231	SP ART TIB-PER STENT-ATHPTAINI	$38,284	$22,970	—	—	1
C1840	LENS MAG TELESCOPE 2.7X	$38,125	$22,875	—	—	1
J9042	BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLR [112510]	$37,297	$22,378	—	—	2
J1744	ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRG [112531]	$36,787	$22,072	—	—	2
64628	TRML DSTRJ IOS BVN 1ST 2 L/S	$35,415	$21,249	—	—	2
J9022	ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLN [134000]	$35,000	$21,000	—	—	2
J1640	HEMIN 350 MG INTRAVENOUS SOLR [137871]	$34,364	$20,618	—	—	2
C1772	PUMP SYNCHROMED II 40ML	$34,235	$20,541	—	—	1
J9153	DAUNORUBICIN-CYTARABINE LIPOS 44-100 MG INTRAVENOUS SOLR [138443]	$33,660	$20,196	—	—	2
C1602	FILLER BONE VOID CERAMENT G 10CC	$33,467	$20,080	—	—	1
J9119	CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLN [142058]	$32,993	$19,796	—	—	2
J2327	RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLN [153831]	$32,360	$19,416	—	—	2
J9203	GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONC) INTRAVENOUS SOLR [138502]	$32,176	$19,306	—	—	2
J9144	DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SUBCUTANEOUS SOLN [147077]	$31,987	$19,192	—	—	2
37215	SP CAROTID STENT W EPS	$31,839	$19,103	—	—	4
37216	SP CAROTID STENT WO EPS	$31,839	$19,103	—	—	2
33208	INSRT/REPL A/V PM W/LEAD	$31,643	$18,986	—	—	2
C1882	DEFIB VIVA XT CRT-D QUAD	$31,366	$18,819	—	—	2

Showing top 50 of 10,221 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.