AMERY HOSPITAL & CLINIC — Hospital Ledger

45 CFR § 180 compliance

B · 85

This hospital published most 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

5,597

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-346382	LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN	$362,040	$188,768	—	—	8
RX-339056	RADIUM RA 223 DICHLORIDE 30 MCCI/ML IV SOLN	$135,443	$70,620	—	—	9
RX-255737	PEGASPARGASE 750 UNIT/ML IJ SOLN	$135,194	$70,490	—	—	10
480	Hip And Femur Procedures Except Major Joint With McC	$118,032	$61,542	—	—	6
331	Major Small And Large Bowel Procedures Without Cc/McC	$106,841	$55,707	—	—	6
RX-373211	OCRELIZUMAB-HYALURONIDASE-OCSQ 920-23000 MG-UT/23ML SC SOLN	$104,289	$54,376	—	—	9
RX-365419	TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN	$101,873	$53,117	—	—	9
371	Major Gastrointestinal Disorders And Peritoneal Infections With McC	$99,467	$51,862	—	—	6
622	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC	$90,982	$47,438	—	—	6
RX-313560	IPILIMUMAB 200 MG/40ML IV SOLN	$88,724	$46,261	—	—	10
521	Hip Replacement With Principal Diagnosis Of Hip Fracture With McC	$86,607	$45,157	—	—	6
RX-350177	TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN	$81,076	$42,273	—	—	9
330	Major Small And Large Bowel Procedures With Cc	$71,299	$37,175	—	—	6
RX-359644	LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR	$69,732	$36,358	—	—	9
RX-430359644	LONCASTUXIMAB TESIRINE-LPYL 10 MG/2ML IV (WET SOLR VIAL)	$69,732	$36,358	—	—	9
399	Appendix Procedures Without Cc/McC	$62,250	$32,457	—	—	6
909	Other O.R. Procedures For Injuries Without Cc/McC	$59,088	$30,808	—	—	6
RX-344974	INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR	$58,607	$30,558	—	—	10
RX-430344974	INOTUZUMAB OZOGAMICIN 0.9 MG/3.6ML IV (WET SOLR VIAL)	$58,607	$30,558	—	—	10
481	Hip And Femur Procedures Except Major Joint With Cc	$57,788	$30,131	—	—	6
336	Peritoneal Adhesiolysis With Cc	$56,229	$29,318	—	—	6
RX-342976	CANAKINUMAB 150 MG/ML SC SOLN	$53,872	$28,089	—	—	10
RX-361122	PALIPERIDONE PALMITATE ER 1560 MG/5ML IM SUSY	$52,690	$27,473	—	—	9
RX-343282	OCRELIZUMAB 300 MG/10ML IV SOLN	$52,175	$27,204	—	—	10
522	Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC	$47,968	$25,011	—	—	6
RX-351870	POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR	$47,408	$24,719	—	—	9
RX-430351870	POLATUZUMAB VEDOTIN-PIIQ 140 MG/7ML IV (WET SOLR VIAL)	$47,408	$24,719	—	—	9
RX-366179	MOSUNETUZUMAB-AXGB 30 MG/30ML IV SOLN	$46,535	$24,263	—	—	9
788	Cesarean Section Without Sterilization Without Cc/McC	$46,091	$24,032	—	—	6
RX-362065	EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN	$45,643	$23,798	—	—	10
417	Laparoscopic Cholecystectomy Without C.D.E. With McC	$45,247	$23,592	—	—	6
939	O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC	$44,718	$23,316	—	—	0
787	Cesarean Section Without Sterilization With Cc	$44,339	$23,119	—	—	6
482	Hip And Femur Procedures Except Major Joint Without Cc/McC	$43,355	$22,605	—	—	6
494	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC	$42,639	$22,232	—	—	6
580	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	$42,562	$22,192	—	—	6
RX-361121	PALIPERIDONE PALMITATE ER 1092 MG/3.5ML IM SUSY	$40,169	$20,944	—	—	9
RX-368110	EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SC SOLN	$39,445	$20,567	—	—	10
784	Cesarean Section With Sterilization With Cc	$39,115	$20,395	—	—	6
264	Other Circulatory System O.R. Procedures	$37,985	$19,805	—	—	6
RX-362809	NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN	$37,813	$19,716	—	—	10
RX-313170	PRALATREXATE 40 MG/2ML IV SOLN	$37,425	$19,513	—	—	10
786	Cesarean Section Without Sterilization With McC	$36,539	$19,051	—	—	6
RX-367032	RETIFANLIMAB-DLWR 500 MG/20ML IV SOLN	$36,152	$18,850	—	—	10
419	Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC	$35,690	$18,609	—	—	6
853	Infectious And Parasitic Diseases With O.R. Procedures With McC	$34,592	$18,036	—	—	6
768	Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C	$34,587	$18,033	—	—	6
56	Degenerative Nervous System Disorders With McC	$34,552	$18,015	—	—	4
947	Signs And Symptoms With McC	$34,009	$17,732	—	—	2
RX-310263	CABAZITAXEL 60 MG/1.5ML IV SOLN	$33,346	$17,387	—	—	10

Showing top 50 of 5,597 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.