SLEEPY EYE MEDICAL CENTER — 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

1,428

Insurances with rates

CPT / HCPCS codes

1,400

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Q5123	RITUXIMAB-ARRX 500MG VIAL,340B drug pricing program discount	$71,690	$28,082	—	—	35
Q5119	RUXIENCE (RITUXIMAB)500MG/50ML,340B drug pricing program discount	$71,690	$24,015	—	—	35
J3380	ENTYVIO 300MG,340B drug pricing program discount	$22,474	$13,236	—	—	35
J2997	ALTEPLASE INJ [100 MG]	$21,121	$16,555	—	—	35
J3101	TENECTEPLASE INJ [50 MG],340B drug pricing program discount	$19,914	$15,991	—	—	35
J0717	CIMZIA 200MG/ML PFS 2 PACK,340B drug pricing program discount	$14,399	$15.88	—	—	35
J0517	FASENRA 30MG PREFILLED SYRINGE,340B drug pricing program discount	$14,033	$338	—	—	35
49505	Inguinal Hernia-Open procedure	$12,829	$10,055	—	—	35
J9217	LUPRON 22.5MG	$12,265	$9,613	—	—	35
J1306	LEQVIO 284 MG/1.5ML SYRINGE,340B drug pricing program discount	$6,831	$5,096	—	—	35
J0897	DENOSUMAB INJ [120 MG/1.7,340B drug pricing program discount	$6,571	$4,902	—	—	35
95811	SLEEP STUDY W/PAP TITRATE	$6,438	$4,073	—	—	35
J3111	EVENITY 105MG/1.17MLS (2) INJ,340B drug pricing program discount	$6,309	$54.74	—	—	35
360	SURG-MAJOR PROC;INITIAL	$6,004	$3,799	—	—	34
J7169	ANDEXXA 200MG VIAL	$6,000	$4,476	—	—	34
95810	BASELINE SLEEP STUDY	$5,964	$3,773	—	—	35
74178	ABDOMEN/PELVIS W/WO CONTRAST,TECHNICAL COMPONENT	$5,509	$1,867	—	—	35
95805	MSLT OR MWT	$5,495	$3,477	—	—	35
71555	ANGIO CHEST W/WO CONTRAST,TECHNICAL COMPONENT	$5,383	$1,190	—	—	35
74183	ABDOMEN WO/W CONTRAST,TECHNICAL COMPONENT	$5,349	$1,867	—	—	35
70553	BRAIN WO/W CONTRAST,TECHNICAL COMPONENT	$5,349	$1,867	—	—	35
72156	CERVICAL SPINE WO/W CONTRAST,TECHNICAL COMPONENT	$5,349	$1,867	—	—	35
72158	LUMBAR SPINE WO/W CONTRAST,TECHNICAL COMPONENT	$5,349	$1,867	—	—	35
74185	ANGIO ABDOMEN W/WO CONTRAST,TECHNICAL COMPONENT	$5,349	$1,190	—	—	35
72197	PELVIS WO/W CONTRAST,TECHNICAL COMPONENT	$5,349	$1,867	—	—	35
70543	NECK WO/W CONTRAST,TECHNICAL COMPONENT	$5,349	$1,867	—	—	35
72157	THORACIC SPINE WO/W CONTRAST,TECHNICAL COMPONENT	$5,349	$1,867	—	—	35
73723	ANKLE LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT	$5,235	$1,867	—	—	35
73223	ELBOW LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT	$5,235	$1,867	—	—	35
73220	FOREARM LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT	$5,235	$1,867	—	—	35
73720	FEMUR LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT	$5,235	$1,867	—	—	35
74177	ABDOMEN PELVIS W/CONTRAST,TECHNICAL COMPONENT	$5,107	$1,867	—	—	35
70549	ANGIO NECK WO/W CONTRAST,TECHNICAL COMPONENT	$5,045	$1,867	—	—	35
73725	ANGIO LE BI W/WO CONTRAST,TECHNICAL COMPONENT	$5,045	$1,190	—	—	35
73225	ANGIO UE LT W/WO CONTRAST,TECHNICAL COMPONENT, LEFT	$5,045	$1,190	—	—	35
L8641	METATARSAL TOE JOINT IMPL	$4,935	$3,122	—	—	34
90375	HYPERRAB 300 UNITS/ML 3ML VIAL	$4,900	$1,713	—	—	35
70547	ANGIO NECK WO CONTRAST,TECHNICAL COMPONENT	$4,864	$1,190	—	—	35
70336	TMJ WO CONTRAST,TECHNICAL COMPONENT	$4,864	$1,190	—	—	35
70552	BRAIN W/CONTRAST,TECHNICAL COMPONENT	$4,864	$1,867	—	—	35
72142	CERVICAL SPINE W/CONTRAST,TECHNICAL COMPONENT	$4,864	$1,867	—	—	35
72147	THORACIC SPINE W/CONTRAST,TECHNICAL COMPONENT	$4,864	$1,867	—	—	35
72149	LUMBAR SPINE W/CONTRAST,TECHNICAL COMPONENT	$4,864	$1,867	—	—	35
70544	ANGIO HEAD WO CONTRAST,TECHNICAL COMPONENT	$4,864	$1,190	—	—	35
72196	PELVIS W/CONTRAST,TECHNICAL COMPONENT	$4,864	$1,867	—	—	35
70548	ANGIO NECK W/CONTRAST,TECHNICAL COMPONENT	$4,864	$1,867	—	—	35
74176	ABDOMEN PELVIS WO CONTRAST,TECHNICAL COMPONENT	$4,706	$1,190	—	—	35
73222	ELBOW LT W/CONTRAST,TECHNICAL COMPONENT, LEFT	$4,635	$3,722	—	—	35
73719	FEMUR LT W/CONTRAST,TECHNICAL COMPONENT, LEFT	$4,635	$1,867	—	—	35
52000	CYSTO SURGERY	$4,578	$2,897	—	—	35

Showing top 50 of 1,428 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.