UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-467817	OCRELIZUMAB-HYALURONIDASE-OCSQ 920 MG-23,000 UNIT/23 ML SC SOLN	$352,960	$70,592	—	—	43
RX-332555	OCRELIZUMAB 30 MG/ML IV SOLN	$176,480	$35,296	—	—	43
RX-214151	TEPLIZUMAB-MZWV(TZIELD) 100 MCG/ML IV SOLN	$123,214	$24,643	—	—	43
RX-461413	TEPLIZUMAB-MZWV 1 MG/ML IV SOLN	$123,214	$24,643	—	—	43
RX-467807	GUSELKUMAB 200 MG/20 ML (10 MG/ML) IV SOLN	$118,612	$23,722	—	—	86
RX-459645	RISANKIZUMAB-RZAA 60 MG/ML IV SOLN	$88,687	$17,737	—	—	49
RX-79826	ALTEPLASE 100 MG IV SOLR	$87,916	$17,583	—	—	43
CASE-27702	Arthroplasty Ankle W/Implant	$85,007	$17,001	—	—	31
RX-336024	TENECTEPLASE 50 MG IV SOLR	$82,890	$16,578	—	—	90
RX-213971	TENECTEPLASE IV SOLR (ROUNDED-FOR STROKE)	$82,890	$16,578	—	—	90
RX-321333	VEDOLIZUMAB 300 MG IV SOLR	$80,027	$16,005	—	—	43
SUP-9770VR	VANTA Replacement KIT	$73,360	$14,672	—	—	37
SUP-997006	VANTA Non-rechargable IPG Neurostimulation	$69,800	$13,960	—	—	37
SUP-1193045	MESH HERN W12XL18IN POLY-4-HYDROXYBUTYRATE SYN RECT WVN	$69,480	$13,896	—	—	37
CASE-27450	Osteotomy Femur Shaft/Supracondylar W/Fixation	$68,559	$13,712	—	—	30
RX-301653	COLLAGENASE CLOSTRIDIUM HISTO. 0.9 MG IJ SOLR	$68,344	$13,669	—	—	43
CASE-28735	Arthrd Midtarsl/Tars Mlt/Transvrs W/Osteot	$68,235	$13,647	—	—	31
PX-HCBKR13000021	HC Transplant Prep T-Cell Deplet	$65,000	$13,000	—	—	53
PX-HCBKR13000020	HC Transplant Prep, Tumor Cell Depl	$65,000	$13,000	—	—	50
RX-83055	PEGFILGRASTIM 6 MG/0.6 ML SC SYRG	$64,116	$12,823	—	—	43
CASE-27405	Rpr Primary Torn Ligm&/Capsule Knee Collateral	$63,439	$12,688	—	—	31
CASE-26567	Osteotomy Phalanx Finger Each	$58,204	$11,641	—	—	31
CASE-27871	Arthrodesis Tibiofibular Joint Proximal/Distal	$58,009	$11,602	—	—	30
CASE-27705	Osteotomy Tibia	$53,668	$10,734	—	—	31
CASE-27707	Osteotomy Fibula	$53,668	$10,734	—	—	31
CASE-27870	Arthrodesis Ankle Open	$53,668	$10,734	—	—	31
CASE-28725	Arthrodesis Subtalar	$53,668	$10,734	—	—	31
RX-170043	ROMIPLOSTIM 500 MCG SC SOLR	$52,386	$10,477	—	—	43
CASE-20902	Bone Graft Any Donor Area Major/Large	$52,047	$10,409	—	—	31
CASE-27720	Repair Nonunion/Malunion Tibia W/O Graft	$52,047	$10,409	—	—	31
CASE-23472	Arthroplasty Glenohumeral Joint Total Shoulder	$51,531	$10,306	—	—	31
CASE-23430	Tenodesis Long Tendon Biceps	$51,531	$10,306	—	—	31
RX-168404	CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SC KIT	$51,295	$10,259	—	—	43
RX-173216	CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X 2) SC SYKT	$51,295	$10,259	—	—	43
RX-335160	BENRALIZUMAB 30 MG/ML SC SYRG	$49,992	$9,998	—	—	43
SUP-60012002	DOME TALAR 34X33X10MM INVISION 2 STANDARD ANKLE COCR	$49,340	$9,868	—	—	7
RX-80908	DIGOXIN IMMUNE FAB 40 MG IV SOLR	$47,782	$9,556	—	—	46
CASE-29883	Arthroscopy Knee W/Meniscus Rpr Medial&Lateral	$47,551	$9,510	—	—	29
SUP-ABS-1102-25	GRAFT BONE CARTIFORM 25X20MM	$44,000	$8,800	—	—	5
CASE-27658	Repair Flexor Tendon Leg Primary W/O Graft Each	$43,957	$8,791	—	—	31
CASE-27299	Hp 27299 Tenotomy, Abductor Hip Percutaneous C/T 27000	$43,786	$8,757	—	—	29
CASE-27130	Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$42,962	$8,592	—	—	31
CASE-94660	HC Bipap per Day	$42,962	$8,592	—	—	19
RX-338473	PEGFILGRASTIM-CBQV 6 MG/0.6 ML SC SYRG	$41,708	$8,342	—	—	45
CASE-28304	Osteotomy Tarsal Bones Oth/Thn Calcaneus/Talus	$40,898	$8,180	—	—	31
CASE-28310	Osteot Shrt Corrj Prox Phalanx 1st Toe	$40,898	$8,180	—	—	31
CASE-28300	Osteotomy Calcaneus W/WO Internal Fixation	$40,898	$8,180	—	—	31
CASE-20550	Hp Inj Single Tendon Shth/Ligmnt	$40,866	$8,173	—	—	29
SUP-DW245P	Steerable Guidewire Drivewire 24 200cm 0.024in (virtual 5 pack)	$40,500	$8,100	—	—	6
CASE-28750	Arthrodesis Great Toe Metatarsophalangeal Joint	$39,253	$7,851	—	—	31

Showing top 50 of 9,865 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.