SPEARE MEMORIAL HOSPITAL (Plymouth, NH) prices

Code	Description	Gross	Cash	Min payer	Max payer
cabazitaxel 60 mg IV Soln	cabazitaxel 60 mg IV Soln	$27,313	—	—	—
alteplase 100 mg/100 mL (1 mg/mL) IV Inj	alteplase 100 mg/100 mL (1 mg/mL) IV Inj	$25,662	—	—	—
Pacemaker, transvenous - ED Procedure Performed	Pacemaker, transvenous - ED Procedure Performed	$19,719	—	—	—
agalsidase beta 35 mg IV Inj	agalsidase beta 35 mg IV Inj	$16,844	—	—	—
immune globulin 10% IV Soln 400 mL	immune globulin 10% IV Soln 400 mL	$15,863	—	—	—
ED Treat Elbow Fracture 24635	ED Treat Elbow Fracture 24635	$15,450	—	—	—
Nivolumab 240 mg/24 mL (10 mg/mL) IV Soln	Nivolumab 240 mg/24 mL (10 mg/mL) IV Soln	$15,307	—	—	—
octreotide LAR 30 mg IM Inj	octreotide LAR 30 mg IM Inj	$15,296	—	—	—
brentuximab vedotin 50 mg/10 mL (5 mg/mL) IV Inj	brentuximab vedotin 50 mg/10 mL (5 mg/mL) IV Inj	$15,190	—	—	—
natalizumab 300 mg/15 mL (20 mg/mL) IV Conc	natalizumab 300 mg/15 mL (20 mg/mL) IV Conc	$15,184	—	—	—
tenecteplase 50 mg IV Inj	tenecteplase 50 mg IV Inj	$13,222	—	—	—
pembrolizumab 100 mg/4mL (25 mg/mL) Sol	pembrolizumab 100 mg/4mL (25 mg/mL) Sol	$12,981	—	—	—
leuprolide 30 mg/4 months Inj	leuprolide 30 mg/4 months Inj	$12,479	—	—	—
pegfilgrastim cbqv 6 mg/0.6 mL Sol	pegfilgrastim cbqv 6 mg/0.6 mL Sol	$12,174	—	—	—
panitumumab 400 mg/20 mL (20 mg/mL) IV Soln	panitumumab 400 mg/20 mL (20 mg/mL) IV Soln	$12,020	—	—	—
pertuzumab 420 mg/14 mL IV Soln 14 mL	pertuzumab 420 mg/14 mL IV Soln 14 mL	$11,898	—	—	—
vedolizumab 300 mg/ 5mL IV Inj	vedolizumab 300 mg/ 5mL IV Inj	$11,725	—	—	—
leuprolide 22.5 mg/3 months Inj	leuprolide 22.5 mg/3 months Inj	$11,668	—	—	—
Laparoscopy Unlisted Procedure Abdomen/Peritoneu	Laparoscopy Unlisted Procedure Abdomen/Peritoneum/Omentum 49329	$11,410	—	—	—
26951\Amputation, Finger or Thumb, Prim-Sec, Any	26951\Amputation, Finger or Thumb, Prim-Sec, Any Joint, Direct Closure	$11,308	—	—	—
durvalumab 50 mg/mL Sol 500 mg vial	durvalumab 50 mg/mL Sol 500 mg vial	$10,159	—	—	—
pegfilgrastim 6 mg/0.6 mL Subcut Soln 0.6 mL	pegfilgrastim 6 mg/0.6 mL Subcut Soln 0.6 mL	$9,926	—	—	—
PEMEtrexed 500 mg IV Inj	PEMEtrexed 500 mg IV Inj	$9,733	—	—	—
59409\Vaginal Delivery Only	59409\Vaginal Delivery Only	$9,693	—	—	—
59414\Delivery of Placenta (Separate Proc)	59414\Delivery of Placenta (Separate Proc)	$9,693	—	—	—
romiPLOStim 500 mcg Subcut Inj	romiPLOStim 500 mcg Subcut Inj	$9,661	—	—	—
RiTUXimab 500 mg/50 mL IV Soln (10 mg/mL)	RiTUXimab 500 mg/50 mL IV Soln (10 mg/mL)	$9,616	—	—	—
US Aspiration Abscess/Hematoma/Cyst	US Aspiration Abscess/Hematoma/Cyst	$9,187	—	—	—
romiDEPsin 10 mg IV Inj	romiDEPsin 10 mg IV Inj	$8,911	—	—	—
26426\Rpr Xtnsr Tdn Cntrl Slip Tiss w/Lat Band E	26426\Rpr Xtnsr Tdn Cntrl Slip Tiss w/Lat Band Each Finger	$8,755	—	—	—
Medial Malleolus w/ manipulation - Fracture Mani	Medial Malleolus w/ manipulation - Fracture Manipulation Site	$8,541	—	—	—
21501\Incision and Drainage, Deep Abcess/Hema, S	21501\Incision and Drainage, Deep Abcess/Hema, Soft Tissue of Neck/Thorax	$8,240	—	—	—
Global Obstetric Care Cesarean Delivery After Fa	Global Obstetric Care Cesarean Delivery After Failed VBAC 59618	$8,009	—	—	—
Surgical Case Level 5 first hour	Surgical Case Level 5 first hour	$7,996	—	—	—
leuprolide 45 mg/6 months Inj (Eligard)	leuprolide 45 mg/6 months Inj (Eligard)	$7,918	—	—	—
leuprolide 11.25 mg/3 months Inj	leuprolide 11.25 mg/3 months Inj	$7,854	—	—	—
Global Obstetric Care Cesarean Delivery 59510	Global Obstetric Care Cesarean Delivery 59510	$7,790	—	—	—
Tendon Repair, Finger - ED Procedure Performed	Tendon Repair, Finger - ED Procedure Performed	$7,749	—	—	—
ecallantide 10 mg/mL Subcut Soln 1 mL	ecallantide 10 mg/mL Subcut Soln 1 mL	$7,727	—	—	—
Ruptured aneurysm direct repair or excision w/wo	Ruptured aneurysm direct repair or excision w/wo patch graft abdominal aorta 35082	$7,599	—	—	—
Global Obstetric Care VBAC Delivery w/wo Episiot	Global Obstetric Care VBAC Delivery w/wo Episiotomy and/or Forceps 59610	$7,493	—	—	—
54700\Incision and Drainage of Epididymis, Teste	54700\Incision and Drainage of Epididymis, Testes, a/o Scrotal Space	$7,437	—	—	—
oxaliplatin Inj 100 mg/20 mL (5 mg/mL) (BRAND)	oxaliplatin Inj 100 mg/20 mL (5 mg/mL) (BRAND)	$7,375	—	—	—
dantrolene 250 mg Inj	dantrolene 250 mg Inj	$7,310	—	—	—
Colectomy Partial w/ Coloproctostomy w/ Colostom	Colectomy Partial w/ Coloproctostomy w/ Colostomy 44146	$7,262	—	—	—
52310\Cystourethroscopy w/Removal of Foreign Bod	52310\Cystourethroscopy w/Removal of Foreign Body; Simple	$7,250	—	—	—
bendamustine 100 mg/20 mL (5 mg/mL) IV Inj	bendamustine 100 mg/20 mL (5 mg/mL) IV Inj	$7,225	—	—	—
52281\Cystourethroscopy, with Calibration and/or	52281\Cystourethroscopy, with Calibration and/or Dilation	$7,224	—	—	—
Global Obstetric Care Vaginal Delivery w/wo Epis	Global Obstetric Care Vaginal Delivery w/wo Episiotomy and/or Forceps 59400	$7,124	—	—	—
bevacizumab 400 mg/16 mL (25 mg/mL) IV Soln	bevacizumab 400 mg/16 mL (25 mg/mL) IV Soln	$7,064	—	—	—

Showing top 50 of 10,135 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.