JEFFERSON ABINGTON HOSPITAL — Hospital Ledger

45 CFR § 180 compliance

F · 55

This hospital published little 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

16,071

Insurances with rates

CPT / HCPCS codes

14,784

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
50242-085-27	ALTEPLASE INFUSION - PE	$26,401	$10,560	—	—	0
50242-085-25	ALTEPLASE INFUSION - STROKE (DOSES >45 MG)	$26,401	$10,560	—	—	0
50242-918-01	ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION	$22,054	$630	—	—	0
73607-002-01	ARTESUNATE 110 MG INTRAVENOUS SOLUTION	$16,136	$6,454	—	—	0
50242-044-13	ALTEPLASE 50 MG INTRAVENOUS SOLUTION	$13,201	$5,280	—	—	0
50242-044-06	ALTEPLASE INFUSION - PE (CARDIAC ARREST)	$13,201	$5,280	—	—	0
50242-088-01	ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION	$11,969	$4,788	—	—	0
50242-061-01	BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION	$10,201	$255	—	—	0
70121-1755-1	BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION	$9,198	$230	—	—	0
49411-052-08	AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION	$8,263	$13.98	—	—	0
65162-893-74	ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION	$2,647	$7.06	—	—	0
72606-011-01	BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION	$2,439	$203	—	—	0
0944-2884-01	ALPHA-1-PROTEINASE INHIBITOR(HUMAN) 1 GRAM/50 ML(2 %) INTRAVENOUS SOLN	$1,980	$660	—	—	0
69097-805-40	AZACITIDINE 100 MG SOLUTION FOR INJECTION	$1,008	$252	—	—	0
43598-305-62	AZACITIDINE 100 MG SOLUTION FOR INJECTION	$960	$240	—	—	0
50242-041-64	ALTEPLASE 2 MG INTRA-CATHETER SOLUTION FOR MIXTURE	$889	$222	—	—	0
50242-041-10	ALTEPLASE 2 MG INTRA-CATHETER SOLUTION	$889	$222	—	—	0
0009-3169-06	ALPROSTADIL 500 MCG/ML INJECTION SOLUTION	$813	$203	—	—	0
63323-562-10	BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION	$696	$174	—	—	0
31722-562-24	ABACAVIR 20 MG/ML ORAL SOLUTION	$628	$0.65	—	—	0
64980-405-24	ABACAVIR 20 MG/ML ORAL SOLUTION	$628	$0.65	—	—	0
24208-539-20	ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT	$627	$157	—	—	0
0703-8777-01	ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION	$613	$5.11	—	—	0
D3410	APICOECTOMY - ANTERIOR	$600	—	—	—	1
0409-1932-02	ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION	$549	$4.57	—	—	0
63323-963-21	ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION	$528	$4.4	—	—	0
63323-963-30	ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION	$528	$4.4	—	—	0
0781-6139-48	AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION	$522	$0.65	—	—	0
0009-3701-08	ALPROSTADIL 20 MCG INTRACAVERNOSAL SOLUTION	$504	$126	—	—	0
64208-2510-2	ALBUMIN HUMAN-KJDA 5 % INTRAVENOUS SOLUTION	$460	$0.37	—	—	0
33333-001-10	ALTEPLASE 1 MG/2 ML INTRA-CATHETER SOLUTION COMPOUNDED	$459	$45.92	—	—	0
44206-310-90	ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION	$450	$0.45	—	—	0
0053-7680-91	ALBUMIN HUMAN 25 % INTRAVENOUS SOLUTION	$450	$2.25	—	—	0
0053-7680-32	ALBUMIN HUMAN 25% IV SOLUTION (NEO/PED)	$450	$2.25	—	—	0
63323-402-01	AZTREONAM 2 GRAM SOLUTION FOR INJECTION	$440	$87.97	—	—	0
68982-623-02	ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION FOR MIXTURE	$434	$0.35	—	—	0
65862-535-13	AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION	$433	$0.69	—	—	0
44206-251-90	ALBUMIN HUMAN 25% IV SOLUTION (NEO/PED)	$432	$2.16	—	—	0
83634-400-10	BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION	$432	$108	—	—	0
60432-065-00	AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION	$432	$0.86	—	—	0
0781-9158-95	BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION	$375	$75	—	—	0
0143-9982-01	AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION	$371	$0.74	—	—	0
69097-142-60	ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER	$370	$11.05	—	—	0
0944-0495-05	ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION	$361	$0.29	—	—	0
0121-0646-16	AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION	$359	$0.15	—	—	0
0944-0493-01	ALBUMIN HUMAN 25% IV SOLUTION (NEO/PED)	$347	$1.39	—	—	0
0065-0303-55	ATROPINE 1 % EYE DROPS	$345	$13.82	—	—	0
55150-259-30	ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION	$320	$2.13	—	—	0
66993-019-68	ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER	$312	$3.47	—	—	0
63323-402-41	AZTREONAM 2 GRAM SOLUTION FOR INJECTION	$309	$61.74	—	—	0

Showing top 50 of 16,071 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.