COMMUNITY MEMORIAL 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

16,105

Insurances with rates

CPT / HCPCS codes

12,475

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Q2042	tisagenlecleucel-T Suspension 1 Each Flex Cont	$2,719,138	$1,495,526	—	—	5
Q2056	ciltacabtagene autoleucel 100000000 CELLS Suspension 1 Each Bag	$2,394,750	$1,317,113	—	—	5
Q2041	axicabtagene ciloleucel Suspension 1 Each Package	$2,310,000	$1,270,500	—	—	5
Q2055	idecabtagene vicleucel 460000000 CELLS Suspension 1 Each Bag	$2,286,275	$1,257,451	—	—	5
Q2054	lisocabtagene maraleucel CD8 Suspension 1 Each Vial	$2,236,135	$1,229,874	—	—	3
Q2053	brexucabtagene autoleucel 200000000 CELLS Suspension 1 Each Flex Cont	$2,120,000	$1,166,000	—	—	5
J2326	nusinersen 12 MG/5ML Solution 5 mL Vial	$599,841	$329,912	—	—	5
J0225	vutrisiran 25 MG/0.5ML Solution Prefilled Syringe 0.5 mL Syringe	$486,685	$267,677	—	—	5
J1823	inebilizumab-cdon 100 MG/10ML Solution 10 mL Vial	$196,358	$107,997	—	—	5
J2351	ocrelizumab-hyaluronidase-ocsq 920-23000 mg-unit/23 mL Solution 23 mL Vial	$173,394	$95,367	—	—	5
0812	HC KIDNEY ACQUISITION EN BLOC	$173,000	$95,150	—	—	3
0811	HC KIDNEY ACQUISITION LIVE	$173,000	$95,150	—	—	3
J9269	tagraxofusp-erzs 1000 MCG/ML Solution 1 mL Vial	$138,417	$76,130	—	—	5
J2507	Pegloticase 8 MG/ML Solution 1 mL Vial	$126,104	$69,357	—	—	5
J0202	alemtuzumab 12 MG/1.2ML Solution 1.2 mL Vial	$123,699	$68,034	—	—	5
J9271	pembrolizumab 400 mg 400 mg Solution 66 mL Bag	$119,237	$65,581	—	—	9
J1747	spesolimab-sbzo 450 MG/7.5ML Solution 7.5 mL Vial	$117,204	$64,462	—	—	5
J9359	loncastuximab tesirine-lpyl 10 mg/2 mL Recon Soln 1 Each Vial	$113,857	$62,621	—	—	5
J9266	pegaspargase 750 UNIT/ML Solution 5 mL Vial	$109,957	$60,476	—	—	5
J1305	Evinacumab-dgnb 1200 MG/8ML Solution 8 mL Vial	$105,292	$57,911	—	—	5
J9281	mitoMYcin 80 (2 x 40) MG Recon Soln 1 Each Box	$100,383	$55,211	—	—	5
J1303	ravulizumab-cwvz 1100 MG/11ML Solution 11 mL Vial	$98,214	$54,018	—	—	5
J9600	porfimer Recon Soln 1 Each Vial	$97,967	$53,882	—	—	5
77371	HC SRS MULTISOURCE	$97,750	$53,763	—	—	2
J9229	inotuzumab ozogamicin 0.25 mg/ml Recon Soln 1 Each Vial	$93,938	$51,666	—	—	5
33289	HC TRANSCATH IMPL WIRELESS PULM ART PRESS SENSOR FOR L-T HEMODYNAM MONITOR	$92,989	$51,144	—	—	4
J2350	ocrelizumab 300 MG/10ML Solution 10 mL Vial	$86,702	$47,686	—	—	5
33270	HC INSERT REPLC PERM SUBQ IMPLANT DEFIBRILLATOR SYS	$86,072	$47,340	—	—	4
J9274	Tebentafusp-tebn 100 MCG/0.5ML Solution 0.5 mL Vial	$83,983	$46,191	—	—	5
63685	HC INSERT/REPLC SPINAL NRSTIM PLS GEN/RECVR, W PKT CREATION & CONN	$83,887	$46,138	—	—	4
0571T	HC INSERT/RPLCMT ICDS W/ SUBSTERNAL ELECTRODE INCLD IMG GUID AND EPS EVAL	$81,453	$44,799	—	—	4
J7313	Fluocinolone Acetonide 0.59 MG Implant 1 Each Package	$79,915	$43,953	—	—	5
J9350	Mosunetuzumab-axgb 30 MG/30ML Solution 30 mL Vial	$76,798	$42,239	—	—	5
J9309	polatuzumab vedotin-piiq 20 mg/mL Recon Soln 1 Each Vial	$76,322	$41,977	—	—	10
J3245	tildrakizumab-asmn 100 MG/ML Solution Prefilled Syringe 1 mL Syringe	$75,448	$41,496	—	—	4
J3241	teprotumumab-trbw 500 MG Recon Soln 1 Each Vial	$73,557	$40,456	—	—	5
0624	HC REPRISE IV TRIAL, LOTUS EDGE VALVE 23MM-27MM IDE G160209	$73,378	$40,358	—	—	3
J9334	efgartigimod alfa-hyaluronidase-qvfc 1008-11200 mg-UT/5.6 mL Solution 5.6 mL Vial	$67,582	$37,170	—	—	5
38240	HC HEMATOPOIETIC PROGENITOR CELL (HPC) ALLOGENEIC TRANSPLANTATION PER DONOR	$66,111	$36,361	—	—	20
33263	HC REM IMPL DEFIB PLSE GEN W REPL IMPL DEFIB PLSE GEN DUAL LEAD	$65,825	$36,204	—	—	4
L5991	IMPL BIOHELIX 21X80 -12	$64,575	$35,516	—	—	4
33340	HC PERC TRANSCATH CLOSURE LAA W/ ENDOCARDIAL IMPLANT	$63,897	$35,143	—	—	4
J9026	tarlatamab-dlle 10 MG Recon Soln 1 Each Vial	$63,010	$34,656	—	—	5
33262	HC REM IMPL DEFIB PLSE GEN W REPL IMPL DEFIB PLSE GEN SGL LEAD	$62,747	$34,511	—	—	4
J9298	nivolumab-relatlimab-rmbw 240-80 mg/20mL Solution 20 mL Vial	$62,005	$34,103	—	—	5
J3357	ustekinumab 45 MG/0.5ML Solution Prefilled Syringe 0.5 mL Syringe	$61,228	$33,675	—	—	5
J1628	guselkumab 200 MG/20ML Solution 20 mL Vial	$61,189	$33,654	—	—	6
33264	HC REM IMPL DEFIB PLSE GEN W REPL IMPL DEFIB PLSE GEN MULT LEAD	$61,148	$33,631	—	—	3
J9307	PRALAtrexate 40 MG/2ML Solution 2 mL Vial	$60,775	$33,426	—	—	6
J9381	teplizumab-mzwv 2 MG/2ML Solution 2 mL Vial	$59,100	$32,505	—	—	5

Showing top 50 of 16,105 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.