BOTHWELL REGIONAL HEALTH CENTER (Sedalia, MO) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
25682-0028-01	Ultomiris	$280,650	$210,488	—	—	10
57894006103A	Stelara PFS	$110,926	$83,195	—	—	0
57894-0061-03	Stelara PFS	$110,926	$83,195	—	—	0
4507190	ULTOMIRIS 1100MG/11ML	$94,559	$70,919	—	—	0
25682002801A	Ultomiris	$94,559	$70,919	—	—	0
37295	RVSC EVSC TPVT ST ATH CPX EA	$87,255	$65,441	—	—	10
37294	RVSC EVSC TPVT ST ATHR CPX 1	$85,508	$64,131	—	—	10
J2327	INJ RISANKIZUMAB-RZAA 1 MG	$83,734	$62,801	—	—	10
00074105001A	Skyrizi PFS	$83,734	$62,801	—	—	10
00074-1050-01	Skyrizi PFS	$83,733	$62,800	—	—	10
37291	REVSC EVSC TPVT ATHR CPLX EA	$81,854	$61,391	—	—	10
A9604	SM 153 LEXIDRONAM	$81,241	$60,931	—	—	10
37290	REVSC EVSC TPVT ATHRC CPLX 1	$80,112	$60,084	—	—	10
50242-0150-01	Ocrevus	$74,802	$56,102	—	—	10
C1721	AICD, DUAL CHAMBER	$71,565	$53,674	—	—	0
3392145	PC-Insert/Replace Stim Gen/Rec	$68,371	$51,278	—	—	0
J2350	INJECTION, OCRELIZUMAB, 1 MG	$64,740	$48,555	—	—	10
50242015001A	Ocrevus	$64,740	$48,555	—	—	10
4507207	VYVGART HYTRULO 1008MG/5.6ML	$64,097	$48,073	—	—	0
73475310203A	Vyvgart Hytrulo	$64,097	$48,073	—	—	0
73475-3102-03	Vyvgart Hytrulo	$64,097	$48,072	—	—	10
57894-0501-01	Rybrevant	$60,664	$45,498	—	—	10
00003-3734-13	Opdivo	$58,472	$43,854	—	—	10
50242-0918-01	Tecentriq	$57,714	$43,286	—	—	10
57894-0640-01	Tremfya PFS	$52,638	$39,478	—	—	10
37277	RVSC EVSC FPVT ST ATHR CPX 1	$52,033	$39,025	—	—	10
50242024501A	Phesgo	$50,625	$37,969	—	—	10
J1628	INJ., GUSELKUMAB, 1 MG	$47,563	$35,672	—	—	10
57894064001A	Tremfya PFS	$47,563	$35,672	—	—	10
00310-4611-50	Imfinzi	$47,190	$35,393	—	—	10
37273	REVSC EVSC FPVT ATHRC CPLX 1	$46,635	$34,976	—	—	10
37287	REVSC EVASC TPVT ST CPLX EA	$45,986	$34,490	—	—	10
00006-3026-02	Keytruda	$44,284	$33,213	—	—	10
J2329	INJ UBLITUXIMAB-XIIY, 1 MG	$44,263	$33,197	—	—	10
73150015006A	Briumvi	$44,263	$33,197	—	—	10
37286	REVSC EVASC TPVT ST CPLX 1ST	$44,243	$33,182	—	—	10
J3357	USTEKINUMAB SUB CU INJ, 1 MG	$43,833	$32,875	—	—	0
57894006003A	Stelara PFS	$43,833	$32,875	—	—	0
33225	L VENTRIC PACING LEAD ADD-ON	$42,872	$32,154	—	—	10
37236	OPEN/PERQ PLACE STENT 1ST	$42,622	$31,967	—	—	10
65597-0406-01	Enhertu	$42,216	$31,662	—	—	10
33224	INSERT PACING LEAD & CONNECT	$42,053	$31,540	—	—	10
0236T	TRLUML PERIP ATHRC ABD AORTA	$41,274	$30,956	—	—	10
0237T	TRLUML PERIP ATHRC BRCHIOCPH	$41,274	$30,956	—	—	10
0235T	TRLUML PERIP ATHRC VISCERAL	$41,274	$30,956	—	—	0
0238T	TRLUML PERIP ATHRC ILIAC ART	$41,274	$30,956	—	—	10
0234T	TRLUML PERIP ATHRC RENAL ART	$41,274	$30,956	—	—	10
50242-0917-01	Tecentriq	$41,224	$30,918	—	—	10
J0896	INJ LUSPATERCEPT-AAMT 0.25MG	$41,129	$30,847	—	—	10
59572077501A	Reblozyl	$41,129	$30,847	—	—	10

Showing top 50 of 12,060 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.