ASHTABULA COUNTY MEDICAL CENTER (Ashtabula, OH) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
33249	INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR	$96,999	$67,899	—	—	17
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$89,897	$62,928	—	—	18
J9042	BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION	$81,787	$57,251	—	—	6
33262	RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD	$65,488	$45,842	—	—	5
33274	TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG	$57,450	$40,215	—	—	23
33207	INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR	$37,708	$26,396	—	—	5
J9334	EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN	$33,969	$23,778	—	—	6
J9026	TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION	$31,982	$22,387	—	—	12
33208	INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT	$31,484	$22,039	—	—	17
33228	REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS	$29,667	$20,767	—	—	17
J9173	DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION	$26,670	$18,669	—	—	12
J9228	IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION	$25,618	$17,933	—	—	18
J1302	SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION	$24,933	$17,453	—	—	12
J9271	PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION	$24,905	$17,433	—	—	18
33285	INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG	$23,315	$16,321	—	—	17
J2327	RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION	$22,559	$15,791	—	—	6
J9144	DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN	$21,884	$15,319	—	—	12
J3380	VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION	$20,925	$14,648	—	—	6
J1930	LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE	$20,584	$14,409	—	—	6
J9301	OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION	$19,562	$13,694	—	—	12
J9177	ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION	$18,898	$13,228	—	—	30
J2323	NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION	$18,380	$12,866	—	—	6
J9380	TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION	$18,205	$12,744	—	—	30
C1764	C1764 LOOP RECORDER TIER 2	$18,030	$12,621	—	—	6
J3101	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION	$17,691	$12,383	—	—	6
J9022	ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION	$17,297	$12,108	—	—	12
J9223	LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION	$16,974	$11,881	—	—	24
J9299	NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION	$16,771	$11,740	—	—	12
J1561	IMMUNE GLOB G 10%-GLY-IGA AVE 46 MCG/ML INJECTION SOLUTION - MIXTURE COMPONENT WRAPPER	$15,856	$11,099	—	—	60
J2353	OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE	$14,309	$10,016	—	—	6
J9055	CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION	$14,060	$9,842	—	—	48
J9311	RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN	$13,614	$9,529	—	—	6
J1306	INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE	$13,434	$9,403	—	—	6
93451	RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT	$13,121	$9,185	—	—	10
93453	R & L HRT CATH W/NJX L VENTRICULOG IMG S&I	$13,121	$9,185	—	—	5
93458	CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I	$13,121	$9,185	—	—	15
93459	CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I	$13,121	$9,185	—	—	10
J9036	BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION	$12,497	$8,748	—	—	6
J0517	BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE	$12,467	$8,727	—	—	6
J0717	CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT	$12,419	$8,693	—	—	12
J1602	GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION	$12,415	$8,691	—	—	6
J9303	PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION	$11,813	$8,269	—	—	12
Q5103	INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION	$11,753	$8,227	—	—	24
J9034	BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION	$11,266	$7,886	—	—	6
J0256	ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 5,000 MG INTRAVENOUS SOLUTION	$11,226	$7,858	—	—	6
J9354	ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION	$11,080	$7,756	—	—	12
J0875	DALBAVANCIN 500 MG INTRAVENOUS SOLUTION	$11,048	$7,733	—	—	12
Q5104	INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION	$10,917	$7,642	—	—	30
J1569	IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION	$10,843	$7,590	—	—	12
J0177	AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION	$10,128	$7,089	—	—	6

Showing top 50 of 22,285 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.