RHODE ISLAND 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

28,154

Insurances with rates

CPT / HCPCS codes

14,548

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer
68403-1100-6	BOTULISM IMMUNE GLOBULIN, HUMAN 100 MG INTRAVENOUS SOLUTION [182530]	$3,189,700	$3,189,700	—	—
J1411	ETRANACOGENE DEZAPARVOVEC-DRLB 1X10EXP13 GC/ML INTRAVENOUS SUSPENSION [205640]	$3,006,000	$3,006,000	—	—
63613000	HC LISOCABTAGENE MARA CAR POS T CELLS PER THERA DOSE (BREYANZI)	$1,062,701	$1,062,701	—	—
63613001	HC IDECABTAGENE VICLEUCEL CAR POS T CELLS PER THERA DOSE (ABECMA)	$1,056,625	$1,056,625	—	—
J2326	NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION [185377]	$625,000	$625,000	—	—
J0225	VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE [203985]	$596,755	$596,755	—	—
J9348	NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION [198788]	$510,218	$510,218	—	—
C9293	GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION [116024]	$414,244	$414,244	—	—
J1747	SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION [205041]	$260,778	$260,778	—	—
J1303	RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [198352]	$256,160	$256,160	—	—
J0219	AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION [201321]	$229,111	$229,111	—	—
24338-050-08	CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT [21672]	$211,200	$211,200	—	—
Q2043	SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION [104852]	$184,010	$184,010	—	—
J9347	TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [205419]	$173,680	$173,680	—	—
J2840	SEBELIPASE ALFA 2 MG/ML INTRAVENOUS SOLUTION [181124]	$167,000	$167,000	—	—
J9600	PORFIMER 75 MG INTRAVENOUS SOLUTION [14472]	$165,699	$165,699	—	—
90378	PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION [108060]	$163,154	$163,154	—	—
J1429	GOLODIRSEN 50 MG/ML INTRAVENOUS SOLUTION [195519]	$160,320	$160,320	—	—
J1427	VILTOLARSEN 50 MG/ML INTRAVENOUS SOLUTION [197819]	$150,701	$150,701	—	—
J9118	CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION [194797]	$142,400	$142,400	—	—
J9298	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [203116]	$136,943	$136,943	—	—
J0840	CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313]	$135,999	$135,999	—	—
J9228	IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956]	$129,274	$129,274	—	—
J0870	IMETELSTAT 47 MG INTRAVENOUS SOLUTION [211240]	$124,675	$124,675	—	—
J9382	ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [213012]	$118,750	$118,750	—	—
J9359	LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [200229]	$117,735	$117,735	—	—
J1326	ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION [212372]	$113,920	$113,920	—	—
J0584	BUROSUMAB-TWZA 10 MG/ML SUBCUTANEOUS SOLUTION [190441]	$113,560	$113,560	—	—
J1951	LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE [196851]	$112,890	$112,890	—	—
J9272	DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [200237]	$109,499	$109,499	—	—
J9226	HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT [170312]	$107,419	$107,419	—	—
J3241	TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION [195813]	$99,532	$99,532	—	—
J9273	TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION [201618]	$98,280	$98,280	—	—
J9021	ASPARAGINASE ERWINIA CHRYSANTHEMI (RECOMBINANT)-RYWN (RYLAZE) 10 MG/0.5ML [40817046]	$97,678	$97,678	—	—
J0221	ALGLUCOSIDASE (LUMIZYME) 50 MG INTRAVENOUS SOLUTION [500225]	$96,860	$96,860	—	—
J0222	PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION [191123]	$95,190	$95,190	—	—
27800520	HC 278 WO HCPCS WATCHMAN TRICLIP STEERABLE CATHETER	$93,600	$93,600	—	—
J9229	INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN [188201]	$92,461	$92,461	—	—
C9306	TELISOTUZUMAB VEDOTIN-TLLV 20 MG INTRAVENOUS SOLUTION [215660]	$88,495	$88,495	—	—
81200003	HC CADAVER ORGAN ACQUISITION	$85,221	$85,221	—	—
34400003	HC YITRIUM-90 THERAP UP TO 40 MCI	$84,210	$84,210	—	—
27800451	414660 : KIT IMPL PLSE GENRTR SENZA II	$84,000	$84,000	—	—
J9063	MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION [205606]	$83,099	$83,099	—	—
27800521	TRICLIP STEERABLE GUID CATH	$81,900	$81,900	—	—
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [186245]	$81,250	$81,250	—	—
J9309	POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [193846]	$79,923	$79,923	—	—
J9266	PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519]	$79,905	$79,905	—	—
J9289	NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION [213618]	$79,232	$79,232	—	—
J9276	ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION [212771]	$79,158	$79,158	—	—
27800416	HC MITRA CLIP G4 SYSTEM & COMPONENTS INCL CLIPS & STEERABLE CATHETER	$75,000	$75,000	—	—

Showing top 50 of 28,154 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.