ALLEGHANY MEMORIAL HOSPITAL — Hospital Ledger

45 CFR § 180 compliance

C · 70

This hospital published part 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

2,287

Insurances with rates

CPT / HCPCS codes

1,500

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J9118	CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION	$381,825	$190,913	—	—	1
J3316	TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION	$307,875	$153,938	—	—	2
J0638	CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION	$265,914	$132,957	—	—	1
J7189	COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION	$224,859	$112,430	—	—	2
J9043	CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION	$198,258	$99,129	—	—	2
J9307	PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION	$192,948	$96,474	—	—	1
J1628	GUSELKUMAB 100 MG/ML SUBCUTANEOUS AUTO-INJECTOR	$190,150	$95,075	—	—	1
J1304	TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION	$188,060	$94,030	—	—	1
J2427	PALIPERIDONE PALMITATE (6 MONTH) 1,092 MG/3.5 ML INTRAMUSCULAR SYRINGE	$182,644	$91,322	—	—	1
J0139	ADALIMUMAB 80 MG/0.8 ML SUBCUTANEOUS PEN KIT	$180,736	$90,368	—	—	2
J9042	BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION	$168,452	$84,226	—	—	1
J9272	DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION	$155,096	$77,548	—	—	1
J9153	DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION	$148,672	$74,336	—	—	3
J9022	ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION	$147,961	$73,981	—	—	1
J1440	FECAL MICROBIOTA, LIVE-JSLM 150 ML RECTAL SUSPENSION ENEMA	$143,420	$71,710	—	—	2
J9119	CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION	$139,479	$69,739	—	—	1
J9144	DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN	$138,325	$69,162	—	—	1
J9228	IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION	$122,572	$61,286	—	—	1
J9380	TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION	$118,705	$59,353	—	—	1
J7313	FLUOCINOLONE 0.19 MG INTRAVITREAL IMPLANT	$115,720	$57,860	—	—	1
C9047	CAPLACIZUMAB-YHDP 11 MG INJECTION KIT	$112,718	$56,359	—	—	1
J3101	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION	$108,313	$54,156	—	—	2
J9289	NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION	$107,524	$53,762	—	—	1
J8565	GEFITINIB 250 MG TABLET	$103,704	$51,852	—	—	1
J9303	PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION	$94,588	$47,294	—	—	1
J0775	COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION	$89,962	$44,981	—	—	1
J9354	ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION	$83,942	$41,971	—	—	1
J1930	LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE	$80,057	$40,029	—	—	1
J0717	CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT	$77,709	$38,855	—	—	2
J9015	ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION	$76,652	$38,326	—	—	1
J9039	BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION	$73,064	$36,532	—	—	1
J9021	ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION	$72,259	$36,130	—	—	2
J0391	ARTESUNATE 110 MG INTRAVENOUS SOLUTION	$70,727	$35,364	—	—	2
J0491	ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION	$70,142	$35,071	—	—	1
J0517	BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE	$68,047	$34,023	—	—	1
J9057	COPANLISIB 60 MG INTRAVENOUS SOLUTION	$66,402	$33,201	—	—	1
J1162	DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION	$62,437	$31,219	—	—	3
J7504	LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION	$62,065	$31,033	—	—	2
J2506	PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE	$60,505	$30,253	—	—	1
J0741	CABOTEGRAVIR ER 400 MG/2 ML-RILPIVIRINE ER 600 MG/2ML IM SUSPENSION,ER	$59,519	$29,760	—	—	1
J0480	BASILIXIMAB 20 MG INTRAVENOUS SOLUTION	$59,516	$29,758	—	—	1
J2997	ALTEPLASE 50 MG INTRAVENOUS SOLUTION	$57,440	$28,720	—	—	2
J0565	BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION	$54,758	$27,379	—	—	2
J7520	SIROLIMUS 1 MG TABLET	$54,271	$27,136	—	—	9
J9299	NIVOLUMAB 120 MG/12 ML INTRAVENOUS SOLUTION	$53,762	$26,881	—	—	1
J3110	TERIPARATIDE 20 MCG/DOSE (560 MCG/2.24 ML) SUBCUTANEOUS PEN INJECTOR	$52,267	$26,133	—	—	1
Q5120	PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE	$50,072	$25,036	—	—	1
J9061	AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION	$50,058	$25,029	—	—	2
Q5117	TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION	$48,575	$24,288	—	—	2
J9072	CYCLOPHOSPHAMIDE 500 MG/ML INTRAVENOUS SOLUTION	$48,326	$24,163	—	—	1

Showing top 50 of 2,287 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.