HUDSON REGIONAL HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-346382	LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN	$362,040	$163,316	—	—	14
RX-373211	OCRELIZUMAB-HYALURONIDASE-OCSQ 920-23000 MG-UT/23ML SC SOLN	$104,289	$47,045	—	—	13
RX-365419	TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN	$101,873	$45,955	—	—	14
330	Major Small And Large Bowel Procedures With Cc	$97,590	$44,023	—	—	9
348	Anal And Stomal Procedures With Cc	$97,259	$43,873	—	—	9
329	Major Small And Large Bowel Procedures With McC	$94,989	$42,850	—	—	9
328	Stomach, Esophageal And Duodenal Procedures Without Cc/McC	$89,645	$40,439	—	—	10
RX-313560	IPILIMUMAB 200 MG/40ML IV SOLN	$88,724	$40,023	—	—	14
813	Coagulation Disorders	$84,550	$38,141	—	—	9
RX-350177	TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN	$81,076	$36,573	—	—	14
RX-359644	LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR	$69,732	$31,456	—	—	14
RX-430359644	LONCASTUXIMAB TESIRINE-LPYL 10 MG/2ML IV (WET SOLR VIAL)	$69,732	$31,456	—	—	14
RX-255737	PEGASPARGASE 750 UNIT/ML IJ SOLN	$67,635	$30,510	—	—	14
857	Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc	$64,491	$29,092	—	—	10
RX-344974	INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR	$58,607	$26,438	—	—	14
RX-430344974	INOTUZUMAB OZOGAMICIN 0.9 MG/3.6ML IV (WET SOLR VIAL)	$58,607	$26,438	—	—	14
483	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	$58,347	$26,320	—	—	10
481	Hip And Femur Procedures Except Major Joint With Cc	$53,703	$24,225	—	—	10
RX-343282	OCRELIZUMAB 300 MG/10ML IV SOLN	$52,175	$23,536	—	—	14
823	Lymphoma And Non-Acute Leukemia With Other Procedures With McC	$50,698	$22,870	—	—	10
946	Rehabilitation Without Cc/McC	$50,443	$22,755	—	—	6
315	Other Circulatory System Diagnoses With Cc	$49,165	$22,178	—	—	10
467	Revision Of Hip Or Knee Replacement With Cc	$47,775	$21,551	—	—	10
RX-351870	POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR	$47,408	$21,386	—	—	14
RX-430351870	POLATUZUMAB VEDOTIN-PIIQ 140 MG/7ML IV (WET SOLR VIAL)	$47,408	$21,386	—	—	14
RX-366179	MOSUNETUZUMAB-AXGB 30 MG/30ML IV SOLN	$46,535	$20,992	—	—	14
RX-362065	EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN	$45,643	$20,590	—	—	14
RX-354371	TEPROTUMUMAB-TRBW 500 MG IV SOLR	$44,993	$20,296	—	—	14
418	Laparoscopic Cholecystectomy Without C.D.E. With Cc	$43,574	$19,656	—	—	10
840	Lymphoma And Non-Acute Leukemia With McC	$41,747	$18,832	—	—	10
638	Diabetes With Cc	$40,023	$18,054	—	—	2
RX-368110	EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SC SOLN	$39,445	$17,794	—	—	14
91	Other Disorders Of Nervous System With McC	$38,649	$17,435	—	—	10
RX-313170	PRALATREXATE 40 MG/2ML IV SOLN	$37,425	$16,882	—	—	14
RX-408401163	TARLATAMAB-DLLE 10 MG/4.2ML IV (WET SOLR VIAL)	$37,140	$16,754	—	—	14
438	Disorders Of Pancreas Except Malignancy With McC	$37,015	$16,697	—	—	10
417	Laparoscopic Cholecystectomy Without C.D.E. With McC	$36,843	$16,620	—	—	10
74	Cranial And Peripheral Nerve Disorders Without McC	$36,518	$16,473	—	—	10
558	Tendonitis, Myositis And Bursitis Without McC	$36,270	$16,361	—	—	10
380	Complicated Peptic Ulcer With McC	$33,787	$15,241	—	—	10
964	Other Multiple Significant Trauma With Cc	$33,761	$15,230	—	—	10
368	Major Esophageal Disorders With McC	$33,719	$15,211	—	—	10
336	Peritoneal Adhesiolysis With Cc	$33,410	$15,071	—	—	10
RX-310263	CABAZITAXEL 60 MG/1.5ML IV SOLN	$33,346	$15,042	—	—	14
RX-430310263	CABAZITAXEL 60 MG/6ML IV (WET SOLN VIAL)	$33,346	$15,042	—	—	14
786	Cesarean Section Without Sterilization With McC	$33,086	$14,925	—	—	10
RX-315103	LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT	$32,513	$14,667	—	—	14
432	Cirrhosis And Alcoholic Hepatitis With McC	$31,903	$14,391	—	—	10
RX-316270	BRENTUXIMAB VEDOTIN 50 MG IV SOLR	$31,669	$14,286	—	—	14
RX-430316270	BRENTUXIMAB VEDOTIN 50 MG/10ML IV (WET SOLR VIAL)	$31,669	$14,286	—	—	14

Showing top 50 of 4,284 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.