HANOVER HOSPITAL — Hospital Ledger

45 CFR § 180 compliance

C · 70

This hospital published part 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

15,556

Insurances with rates

CPT / HCPCS codes

13,506

Source MRF

json ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
80649	Injection, ocrelizumab, 1 mg	$134,914	$134,914	$49.14	$89.03	7
590263	Micromatrix flex, per mg	$97,998	$97,998	$838	$1,229	3
78430	Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit	$97,158	$97,158	$5,571	$21,562	7
78426	Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c	$94,401	$94,401	$5,571	$21,562	7
116938	Injection, dostarlimab-gxly, 10 mg	$75,909	$75,909	$204	$370	7
78427	Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c	$72,684	$72,684	$5,571	$21,562	7
128512	Injection, cemiplimab-rwlc, 1 mg	$56,661	$56,661	$24.58	$44.54	7
114469	Injection, daratumumab, 10 mg and hyaluronidase-fihj	$55,168	$55,168	$45.04	$81.6	7
118605	Injection, lanreotide, 1 mg	$53,806	$53,806	$93.78	$93.78	4
118606	Injection, risankizumab-rzaa, intravenous, 1 mg	$53,797	$53,797	$12.63	$22.88	7
85896	Injection, caplacizumab-yhdp, 1 mg	$53,448	$53,448	$835	$1,224	3
88468	Injection, vedolizumab, intravenous, 1 mg	$53,289	$53,289	$17.99	$32.59	7
415857	Integra flowable wound matrix, injectable, 1 cc	$47,412	$47,412	$1,270	$1,494	7
67967	Injection, natalizumab, 1 mg	$45,991	$45,991	$20.71	$37.53	7
125779	Injection, eculizumab, 2 mg	$30,508	$30,508	$38.09	$69.01	7
399133	Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and nec	$30,428	$30,428	$456	$574	19
52635	Injection, pegaspargase, per single dose vial	$29,285	$29,285	$23,010	$41,689	7
117482	Injection, anifrolumab-fnia, 1 mg	$28,034	$28,034	$48.6	$48.6	4
6738	Injection, pentostatin, 10 mg	$27,764	$27,764	$2,272	$4,117	7
69568	Injection, bendamustine hcl (bendeka), 1 mg	$26,356	$26,356	$11.54	$20.91	7
44194	Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr	$25,687	$25,687	$5,571	$26,419	9
44193	Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr	$25,687	$25,687	$5,571	$26,419	9
422129	Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length	$24,647	$24,647	$1,186	$1,739	3
78432	Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment	$23,501	$23,501	$5,571	$21,562	7
375477	Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary suppl	$23,094	$23,094	$43.8	$55.14	19
77372	Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani	$23,017	$23,017	$13,000	$44,719	9
44199	Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr	$22,650	$22,650	$5,571	$26,419	9
8660	Injection, melphalan hydrochloride, not otherwise specified, 50 mg	$22,490	$22,490	$134	$242	7
31658	Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru	$22,223	$22,223	—	—	5
82258	Injection, pertuzumab, 1 mg	$21,866	$21,866	$13.8	$24.99	7
44083	Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima	$21,719	$21,719	$8,547	$25,500	8
73831	Injection, basiliximab, 20 mg	$21,596	$21,596	$3,985	$7,219	7
118550	Injection, bortezomib, 0.1 mg	$21,003	$21,003	$2.13	$3.85	7
44192	Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr	$20,323	$20,323	$5,571	$26,419	9
93355	Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel	$19,097	$19,097	—	—	3
127852	Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula	$17,775	$17,775	$5,571	$26,419	9
72837	Injection, digoxin immune fab (ovine), per vial	$17,276	$17,276	$4,223	$7,652	7
3834	Injection, cytomegalovirus immune globulin intravenous (human), per vial	$17,223	$17,223	$1,540	$2,791	7
1192	Injection, aldesleukin, per single use vial	$17,221	$17,221	$8,848	$8,848	4
44084	Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis	$16,694	$16,694	$5,571	$21,562	7
79326	Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg	$15,784	$15,784	$534	$783	3
2594	Injection, calcitonin salmon, up to 400 units	$15,119	$15,119	$1,607	$2,356	3
117998	Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie	$14,925	$14,925	$1,107	$1,623	3
118609	Injection, fulvestrant, 25 mg	$14,541	$14,541	$5.87	$10.63	7
48267	Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep,	$14,474	$14,474	$1,807	$2,621	8
120714	Injection, artesunate, 1 mg	$13,967	$13,967	$137	$137	4
3244	Injection, cidofovir, 375 mg	$13,309	$13,309	$444	$804	7
18874	Varicella-zoster immune globulin, human, for intramuscular use	$13,228	$13,228	$2,682	$3,934	6
71359	Injection, leuprolide acetate (for depot suspension), per 3.75 mg	$13,092	$13,092	$1,420	$2,572	7
89110	Indium in-111 labeled autologous platelets, diagnostic, per study dose	$12,684	$12,684	$4,509	$6,613	3

Showing top 50 of 15,556 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.