JENNIE STUART MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J9043	CABAZITAXEL 60 MG/1.5ML IV SOLN	$286,920	$88,945	—	—	8
J9228	IPILIMUMAB 200 MG/40ML IV SOLN	$196,800	$61,008	—	—	7
J3357	USTEKINUMAB 45 MG/0.5ML SC SOSY	$171,182	$53,066	—	—	8
J0896	LUSPATERCEPT-AAMT 75 MG SC SOLR	$144,917	$44,924	—	—	8
J9281	MITOMYCIN 80 (2 X 40) MG UL SOLR	$135,542	$42,018	—	—	7
J1930	SOMATULINE DEPOT 120 MG/0.5ML SC SOLN	$112,299	$34,813	—	—	7
J2350	OCRELIZUMAB 300 MG/10ML IV SOLN	$112,155	$34,768	—	—	8
J1932	LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN	$104,438	$32,376	—	—	8
J9334	EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SC SOLN	$87,419	$27,100	—	—	8
J9298	NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN	$83,797	$25,977	—	—	7
J0775	COLLAGENASE CLOSTRID HISTOLYT 0.9 MG IJ SOLR	$83,479	$25,878	—	—	8
J0139	ADALIMUMAB 80 MG/0.8ML SC AJKT	$81,302	$25,204	—	—	15
J9042	BRENTUXIMAB VEDOTIN 50 MG IV SOLR	$68,876	$21,352	—	—	7
J9272	DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN	$65,368	$20,264	—	—	8
J9022	ATEZOLIZUMAB 1200 MG/20ML IV SOLN	$62,972	$19,521	—	—	8
J9119	CEMIPLIMAB-RWLC 350 MG/7ML IV SOLN	$59,362	$18,402	—	—	7
J2327	RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN	$57,771	$17,909	—	—	8
J9144	DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN	$57,444	$17,808	—	—	8
J3380	VEDOLIZUMAB 300 MG IV SOLR	$50,858	$15,766	—	—	7
J9316	PERTUZ-TRASTUZ-HYALURON-ZZXF 60-60-2000 MG-MG-U/ML SC SOLN	$50,410	$15,627	—	—	8
J9301	OBINUTUZUMAB 1000 MG/40ML IV SOLN	$48,905	$15,161	—	—	8
J3101	TENECTEPLASE 50MG IV KIT FOR PULMONARY EMBOLISM	$45,084	$13,976	—	—	16
J9223	LURBINECTEDIN 4 MG IV SOLR	$44,828	$13,897	—	—	7
J3247	SECUKINUMAB (300 MG DOSE) 150 MG/ML SC SOAJ	$44,812	$13,892	—	—	8
J9299	NIVOLUMAB 240 MG/24ML IV SOLN	$43,160	$13,380	—	—	8
J1437	FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOLN	$42,893	$13,297	—	—	7
J9308	RAMUCIRUMAB 500 MG/50ML IV SOLN	$40,774	$12,640	—	—	7
J9303	PANITUMUMAB 400 MG/20ML IV SOLN	$39,376	$12,207	—	—	8
J9306	PERTUZUMAB 420 MG/14ML IV SOLN	$37,060	$11,489	—	—	8
J9311	RITUXIMAB-HYALURONIDASE HUMAN 1400-23400 MG -UT/11.7ML SC SOLN	$35,735	$11,078	—	—	8
J2506	PEGFILGRASTIM INF DEV 6 MG/0.6ML SC SOSY	$34,873	$10,811	—	—	8
J9354	ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR	$34,685	$10,752	—	—	8
J9271	PEMBROLIZUMAB 100 MG/4ML IV SOLN	$32,687	$10,133	—	—	16
J0717	CERTOLIZUMAB PEGOL 200 MG/ML SC PSKT	$32,599	$10,106	—	—	7
J2802	ROMIPLOSTIM 250 MCG SC SOLR	$32,333	$10,023	—	—	8
J0517	BENRALIZUMAB 30 MG/ML SC SOSY	$31,771	$9,849	—	—	8
J2783	RASBURICASE 7.5 MG IV SOLR	$30,075	$9,323	—	—	16
J1162	DIGOXIN IMMUNE FAB 40 MG IV SOLR	$27,027	$8,378	—	—	7
J1438	ETANERCEPT 50 MG/ML SC SOAJ	$23,952	$7,425	—	—	8
J2356	TEZEPELUMAB-EKKO 210 MG/1.91ML SC SOSY	$23,740	$7,359	—	—	7
77372	HC SRS LINEAR BASED	$23,452	$7,270	—	—	8
Q5111	PEGFILGRASTIM-CBQV (INF DEV) 6 MG/0.6ML SC SOSY	$22,686	$7,033	—	—	8
J9309	POLATUZUMAB VEDOTIN-PIIQ 30 MG IV SOLR	$21,671	$6,718	—	—	7
J1568	IMMUNE GLOBULIN HUMAN (OCTAGAM) 10% IV SOLN	$21,110	$6,544	—	—	23
J9061	AMIVANTAMAB-VMJW 350 MG/7ML IV SOLN	$20,684	$6,412	—	—	8
J2182	MEPOLIZUMAB 100 MG SC SOLR	$19,577	$6,069	—	—	8
J1306	INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY	$19,495	$6,043	—	—	7
Q5123	RITUXIMAB-ARRX 500 MG/50ML IV SOLN	$19,475	$6,037	—	—	7
J1569	IMMUNE GLOBULIN HUMAN (GAMMAGARD LIQUID) 10 % IJ SOLN	$18,976	$5,883	—	—	38
90377	RABIES IMMUNE GLOBULIN 1500 UNIT/10ML IJ SOLN	$18,492	$5,733	—	—	8

Showing top 50 of 20,719 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.