SAINT ANNE'S HOSPITAL — Hospital Ledger

45 CFR § 180 compliance

F · 55

This hospital published little 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

19,049

Insurances with rates

CPT / HCPCS codes

13,025

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer
J9298	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [203116]	$136,943	$136,943	—	—
J9228	IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956]	$129,274	$129,274	—	—
J9307	PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073]	$89,473	$89,473	—	—
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [186245]	$81,250	$81,250	—	—
33300002	HC BREAST CATH PLCMT DELAYED	$68,194	$68,194	—	—
J9316	PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [197475]	$60,994	$60,994	—	—
J9042	BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348]	$56,262	$56,262	—	—
36001025	HC TRNSL ATHER ILIAC ART	$55,909	$55,909	—	—
36140070	HC INJ PLATELET RICH PLASMA W IMG HARVEST AND PREPARATION	$55,909	$55,909	—	—
36140074	HC TRANSLUMINAL PERIPHERAL ATHERECTOMY ILIAC ARTERY EA VESSEL	$55,909	$55,909	—	—
J9309	POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION [198118]	$55,558	$55,558	—	—
J9281	MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [196668]	$53,440	$53,440	—	—
27800001	409333 : TAG CONFORM THORACIC SG AC 31MMX31MMX10CM 20FR	$46,524	$46,524	—	—
J2327	RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [203993]	$45,682	$45,682	—	—
34400006	HC SAMARIUM SM153 LEXIDRON PER DOSE UP TO 150MCI	$45,597	$45,597	—	—
J9119	CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [191713]	$45,500	$45,500	—	—
36150028	HC INS/RPLC SPINAL NPG/RCVR POCKET	$44,806	$44,806	—	—
J9043	CABAZITAXEL 60 MG/1.5 ML (BEFORE RECONSTITUTION) INTRAVENOUS SOLUTION [351044]	$41,483	$41,483	—	—
27800059	DEFIBRILLATOR CRT-D 40 J UNIFY ASSURA DF4-LLHH/IS-1 CONN	$40,560	$40,560	—	—
J1930	LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861]	$39,835	$39,835	—	—
J9144	DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [196850]	$37,681	$37,681	—	—
27800007	412506 : DEFIBRILLATOR ICD 2 CHMBR GALLANT DR 31CC 51MM X 69MM THCK	$37,188	$37,188	—	—
36001023	HC ABD AORTA XRA W CONTR W SI	$36,885	$36,885	—	—
36001024	HC ATHER BRACHCEPH AND BRANCH	$36,885	$36,885	—	—
36140072	HC TRANSLUMINAL PERIPHERAL ATHERECTOMY INCL S&I ABDOMINAL AORTA	$36,885	$36,885	—	—
36140073	HC TRANSLUM PERIPH ATHEREC INCL S&I BRACHIOCEPH EA VESSEL	$36,885	$36,885	—	—
J9022	ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION [193131]	$36,756	$36,756	—	—
J2997	ALTEPLASE 100 MG INTRAVENOUS SOLUTION FOR PEDIATRIC STROKE BOLUS [300060]	$36,640	$36,640	—	—
J9177	ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [195549]	$36,529	$36,529	—	—
J9358	FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [195554]	$34,343	$34,343	—	—
J9145	DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [180792]	$34,204	$34,204	—	—
J9319	ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344]	$33,979	$33,979	—	—
27800008	440377 : DEFIBRILLATOR ICD VR VIGILANT EL 5.37CM X 7.36CM 0.99CM DF4	$32,182	$32,182	—	—
J9271	PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [177064]	$32,033	$32,033	—	—
J9317	SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [196663]	$30,970	$30,970	—	—
33300004	HC GK SRS DELIVERY OF TREATMENT	$30,734	$30,734	—	—
33300099	HC RAD TX DELVRY SRS CRANIAL LES ONE SESSION LINEAR ACC BASED	$30,734	$30,734	—	—
27800038	435151 : PUMP INTRATHECAL INFUSION 87.5MM THICK 19.6MM WITH 20ML RESE	$30,698	$30,698	—	—
J9061	AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [200550]	$29,864	$29,864	—	—
36000783	HC ENDOVAS BALL ART OCC HEAD/NCK	$29,807	$29,807	—	—
36140051	HC REV INCL RPLCMT SPINL NEUROST ELECTRD PLATE/PADDLE INC FLUOR W PERF	$27,764	$27,764	—	—
J9354	ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [163364]	$27,658	$27,658	—	—
J1749	ILOPROST 100 MCG/ML INTRAVENOUS SOLUTION [212266]	$27,500	$27,500	—	—
J0840	CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313]	$27,200	$27,200	—	—
J9223	LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [197224]	$26,698	$26,698	—	—
27800425	412468 : DEVICE THROMCTMY MECH PRICE PER PROC FOR PULM EMB	$26,400	$26,400	—	—
36000277	HC PPM DUAL CHAMBER W 2 LEADS	$25,959	$25,959	—	—
J9301	OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [164934]	$25,800	$25,800	—	—
48100147	HC DES STENT PLACE SINGLE	$25,247	$25,247	—	—
J2323	NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [40120]	$24,800	$24,800	—	—

Showing top 50 of 19,049 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.