NORTHFIELD HOSPITAL — Hospital Ledger

45 CFR § 180 compliance

B · 85

This hospital published most 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

2,092

Insurances with rates

CPT / HCPCS codes

2,054

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2350	Ocrelizumab Injection 300 mg	$78,799	$32,938	—	—	4
J9119	Cemiplimab-rwlc Inj 350mg	$43,271	$18,088	—	—	5
J9022	Atezolizumab Inj 1200 mg	$42,956	$17,956	—	—	4
J9144	Daratumumab/Hya 1800-30000	$40,159	$16,787	—	—	4
J3380	Vedolizumab Inj	$38,591	$16,132	—	—	4
J9228	Ipilimumab Injection	$34,568	$14,450	—	—	4
J9301	Obinutuzumab Inj	$34,361	$14,364	—	—	4
J9223	Lurbinectedin Inj 4 MG	$31,019	$12,966	—	—	4
J3101	Tnkase	$30,011	$12,545	—	—	4
J9306	Pertuzumab Inj	$26,040	$10,885	—	—	4
J2353	Sandostatin Lar Depot 30mg	$24,818	$10,374	—	—	4
J9332	Efgartigimod alfa-fcab 400mg	$24,113	$10,080	—	—	5
J9271	Pembrolizumab Inj	$22,969	$9,601	—	—	4
J2506	Pegfilgrast Delivery Kit 6M	$16,811	$7,028	—	—	4
J9173	Durvalumab Inj 500 mg	$16,399	$6,855	—	—	4
J9177	Enfortumab Vedotin-Ejfv 30 mg	$16,088	$6,725	—	—	5
J9354	Ado-Trastuzumab Emtansine Inj	$15,008	$6,274	—	—	4
15273	Skin Sub Grft T/Arm/Lg Child	$14,221	$5,945	—	—	5
J0896	Luspatercept - AAMT 25 MG	$13,943	$5,829	—	—	5
J2182	Mepolizumab 100mg Inj	$13,673	$5,716	—	—	4
J0897	Denosumab 120 mg	$12,510	$5,230	—	—	4
J9358	Fam-Trastu Deru-Nxki Inj 100MG	$12,375	$5,173	—	—	5
81408	Mopath Procedure Level 9	$12,231	$5,113	—	—	5
Q5111	Udenyca Pegfilgrastim-cbqv 6mg	$11,813	$4,938	—	—	5
10180	I&D Cplx Postop Wnd Inf	$10,924	$4,567	—	—	5
81442	Noonan Spectrum Disorders	$10,726	$4,484	—	—	5
81443	Genetic Tstg Severe Inh Cond	$10,401	$4,348	—	—	5
J3111	Romosozumab-Aqqg 210 mg	$10,035	$4,195	—	—	5
L8641	Toe Joint Implant	$9,922	$4,148	—	—	5
Q4104	Bioengin Skin Sub or Dressing	$9,848	$4,117	—	—	4
J9317	Sacituzumab Govitecan-hziy 180	$9,596	$4,012	—	—	4
J9205	Irinotecan Liposome	$9,437	$3,945	—	—	4
E0747	Electromag Therapy Stimulator	$8,750	$3,658	—	—	4
J9176	Elotuzumab 300 mg	$8,351	$3,491	—	—	4
70549	MRA Angio Neck w/wo Dy	$8,324	$3,480	—	—	5
70546	MRA Angio Head w/wo Dye	$8,283	$3,463	—	—	5
81162	BRCA 1&2 Gen Full Seq Dup/Del	$8,119	$3,394	—	—	5
64635	FL RFA Spine MBB L-S w/Imaging	$7,939	$3,319	—	—	5
71552	MRI Chest w/wo Dye	$7,568	$3,164	—	—	5
Q5122	Pegfilgrastim-apgf 6 mg	$7,436	$3,109	—	—	4
77049	MRI Breast w/wo Con w/CAD Bil	$7,383	$3,087	—	—	5
C8908	MRI Breast w/o Fol w/cont	$7,383	$3,087	—	—	5
J1602	Golimumab IV 50mg/4ml	$7,253	$3,032	—	—	4
J3032	Eptinezumab-Jjmr 100mg/1ml Via	$7,208	$3,013	—	—	5
15274	Skn Sub Grft T/A/L Child Add	$7,111	$2,973	—	—	5
95811	CPAP Titration, Fully Attended	$7,072	$2,957	—	—	5
35226	Rpr Blood Vessel Lower Ext	$7,072	$2,957	—	—	4
173	Critical/Intnsive Care Nursery	$6,978	$2,917	—	—	3
Q5108	Pegfilgrastim-Jmdb 6 mg	$6,529	$2,730	—	—	5
11044	Deb Bone 20 Sq cm or Less	$6,487	$2,712	—	—	5

Showing top 50 of 2,092 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.