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
26,148
Insurances with rates
5
CPT / HCPCS codes
13,196
Source MRF
Most expensive procedures (gross)
57894006103
$40,929
Ustekinumab 90 MG/ML SYRINGE
Gross
$113,691
79952011001
$38,984
Loncastuximab Tesirine-lpyl 10 MG VIAL
Gross
$108,289
31538563
$32,040
DEFIBRILLATOR BI-VENT
Gross
$89,000
31549156
$32,040
DEFIBRILLATOR BI-VENT
Gross
$89,000
32533366
$32,021
DEFIBRILLATOR BI-VENT
Gross
$88,946
50242015001
$28,980
Ocrelizumab 300 MG/10 ML VIAL
Gross
$80,500
50242010501
$26,130
Polatuzumab Vedotin-piiq 140 MG VIAL
Gross
$72,584
31511447
$25,969
INSERT DUAL ICD SYSTEM
Gross
$72,137
31511355
$25,969
INSERT SINGLE ICD SYSTEM
Gross
$72,136
32532996
$25,547
DEFIBRILLATOR - PHOTON DUAL
Gross
$70,965
31530940
$24,621
INS/REPLAC SQ DEFIBRILLATOR
Gross
$68,392
31522076
$24,110
ICD GEN INSER W EX MULTI LDS
Gross
$66,971
31522373
$24,110
ICD GEN REM & REP MULTI LD
Gross
$66,971
31511264
$23,639
INSERT OF REPLACED DUAL ICD GE
Gross
$65,663
31511389
$23,639
INSERT OF REPLACED SING ICD GE
Gross
$65,663
31521977
$23,639
ICD GEN INSER W EX SING LD
Gross
$65,663
31522175
$23,639
ICD GEN REM & REPLACE SING LD
Gross
$65,663
31522274
$23,639
ICD GEN REM & REP DUAL LD
Gross
$65,663
31548958
$21,456
DEFIBRILLATOR VR
Gross
$59,600
32531972
$21,456
DEFIBRILLATOR VR
Gross
$59,600
00003712511
$21,228
Nivolumab-Relatlimab-rmbw 320 MG/20 ML VIAL
Gross
$58,966
00024582411
$20,160
Cabazitaxel 60 MG/1.5 ML VIAL
Gross
$55,999
50242024501
$19,539
Pertuzumab-Trastuzumab-hy-zzxf 1800 MG/15 ML VIAL
Gross
$54,275
00074347303
$18,081
Leuprolide Acetate 45 MG SYRINGEKIT
Gross
$50,225
59572077501
$17,325
Luspatercept-AAMT 75 MG VIAL
Gross
$48,124
00173089803
$16,559
Dostarlimab-gxly 500 MG/10 ML VIAL
Gross
$45,998
50242091701
$15,798
Atezolizumab 1200 MG/20 ML VIAL
Gross
$43,882
61755000801
$15,339
Cemiplimab-rwlc 350 MG/7 ML VIAL
Gross
$42,607
57894050301
$14,843
Daratumumab/Hyaluronidase-fihj 1800 MG/15 ML VIAL
Gross
$41,231
00074501501
$14,563
Risankizumab-rzza 600 MG/10 ML VIAL
Gross
$40,454
31519700
$13,816
ATHERECTOMY+STENT FEMORAL-POPL
Gross
$38,379
31519997
$13,816
ATHERECTOMY+STENT,TIBIOPERONEA
Gross
$38,379
31521581
$13,242
PCMKR GEN NEW W EX MUL LEADS
Gross
$36,784
31521878
$13,242
PCMKR REM & REP GEN W MUL LD
Gross
$36,784
64764030020
$13,141
Vedolizumab 300 MG/20 ML VIAL
Gross
$36,504
50242026001
$13,026
Pertuzumab-Trastuzumab-hy-zzxf 1200 MG/10 ML VIAL
Gross
$36,182
69097087067
$12,485
Lanreotide Acetate 120 MG/0.5 ML SYRINGE
Gross
$34,682
32517542
$12,475
HIP OR KNEE REVISION LEVEL 4
Gross
$34,654
00003232711
$12,464
Ipilimumab 50 MG/10 ML VIAL
Gross
$34,621
50242007001
$12,092
Obinutuzumab 1000 MG/40 ML VIAL
Gross
$33,590
64406000801
$11,987
Natalizumab 300 MG/15 ML VIAL
Gross
$33,297
31536385
$11,675
AVF / THROMBECTOMY / STENT
Gross
$32,430
31519304
$11,674
ATHERECTOMY, ILIAC
Gross
$32,429
31519799
$11,674
ATHERECTOMY TIBIOPERONEAL
Gross
$32,429
31519888
$11,674
STENT TIBIOPERONEAL INC ANGIO
Gross
$32,429
50242003706
$11,649
Tenecteplase 50 MG VIAL
Gross
$32,360
50242008525_2
$11,647
Alteplase 100 MG/100 ML VIAL
Gross
$32,352
50242008525
$11,646
Alteplase 100 MG/100 ML VIAL
Gross
$32,351
68727071201
$11,386
Lurbinectedin 4 MG VIAL
Gross
$31,629
31533316
$11,250
SQ ICD
Gross
$31,250
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 57894006103 | Ustekinumab 90 MG/ML SYRINGE | $113,691 | $40,929 | — | — | 3 |
| 79952011001 | Loncastuximab Tesirine-lpyl 10 MG VIAL | $108,289 | $38,984 | — | — | 3 |
| 31538563 | DEFIBRILLATOR BI-VENT | $89,000 | $32,040 | — | — | 3 |
| 31549156 | DEFIBRILLATOR BI-VENT | $89,000 | $32,040 | — | — | 3 |
| 32533366 | DEFIBRILLATOR BI-VENT | $88,946 | $32,021 | — | — | 3 |
| 50242015001 | Ocrelizumab 300 MG/10 ML VIAL | $80,500 | $28,980 | — | — | 3 |
| 50242010501 | Polatuzumab Vedotin-piiq 140 MG VIAL | $72,584 | $26,130 | — | — | 3 |
| 31511447 | INSERT DUAL ICD SYSTEM | $72,137 | $25,969 | — | — | 6 |
| 31511355 | INSERT SINGLE ICD SYSTEM | $72,136 | $25,969 | — | — | 6 |
| 32532996 | DEFIBRILLATOR - PHOTON DUAL | $70,965 | $25,547 | — | — | 3 |
| 31530940 | INS/REPLAC SQ DEFIBRILLATOR | $68,392 | $24,621 | — | — | 6 |
| 31522076 | ICD GEN INSER W EX MULTI LDS | $66,971 | $24,110 | — | — | 6 |
| 31522373 | ICD GEN REM & REP MULTI LD | $66,971 | $24,110 | — | — | 6 |
| 31511264 | INSERT OF REPLACED DUAL ICD GE | $65,663 | $23,639 | — | — | 6 |
| 31511389 | INSERT OF REPLACED SING ICD GE | $65,663 | $23,639 | — | — | 6 |
| 31521977 | ICD GEN INSER W EX SING LD | $65,663 | $23,639 | — | — | 6 |
| 31522175 | ICD GEN REM & REPLACE SING LD | $65,663 | $23,639 | — | — | 6 |
| 31522274 | ICD GEN REM & REP DUAL LD | $65,663 | $23,639 | — | — | 6 |
| 31548958 | DEFIBRILLATOR VR | $59,600 | $21,456 | — | — | 3 |
| 32531972 | DEFIBRILLATOR VR | $59,600 | $21,456 | — | — | 3 |
| 00003712511 | Nivolumab-Relatlimab-rmbw 320 MG/20 ML VIAL | $58,966 | $21,228 | — | — | 3 |
| 00024582411 | Cabazitaxel 60 MG/1.5 ML VIAL | $55,999 | $20,160 | — | — | 3 |
| 50242024501 | Pertuzumab-Trastuzumab-hy-zzxf 1800 MG/15 ML VIAL | $54,275 | $19,539 | — | — | 3 |
| 00074347303 | Leuprolide Acetate 45 MG SYRINGEKIT | $50,225 | $18,081 | — | — | 3 |
| 59572077501 | Luspatercept-AAMT 75 MG VIAL | $48,124 | $17,325 | — | — | 3 |
| 00173089803 | Dostarlimab-gxly 500 MG/10 ML VIAL | $45,998 | $16,559 | — | — | 3 |
| 50242091701 | Atezolizumab 1200 MG/20 ML VIAL | $43,882 | $15,798 | — | — | 3 |
| 61755000801 | Cemiplimab-rwlc 350 MG/7 ML VIAL | $42,607 | $15,339 | — | — | 3 |
| 57894050301 | Daratumumab/Hyaluronidase-fihj 1800 MG/15 ML VIAL | $41,231 | $14,843 | — | — | 3 |
| 00074501501 | Risankizumab-rzza 600 MG/10 ML VIAL | $40,454 | $14,563 | — | — | 3 |
| 31519700 | ATHERECTOMY+STENT FEMORAL-POPL | $38,379 | $13,816 | — | — | 3 |
| 31519997 | ATHERECTOMY+STENT,TIBIOPERONEA | $38,379 | $13,816 | — | — | 3 |
| 31521581 | PCMKR GEN NEW W EX MUL LEADS | $36,784 | $13,242 | — | — | 6 |
| 31521878 | PCMKR REM & REP GEN W MUL LD | $36,784 | $13,242 | — | — | 6 |
| 64764030020 | Vedolizumab 300 MG/20 ML VIAL | $36,504 | $13,141 | — | — | 3 |
| 50242026001 | Pertuzumab-Trastuzumab-hy-zzxf 1200 MG/10 ML VIAL | $36,182 | $13,026 | — | — | 3 |
| 69097087067 | Lanreotide Acetate 120 MG/0.5 ML SYRINGE | $34,682 | $12,485 | — | — | 3 |
| 32517542 | HIP OR KNEE REVISION LEVEL 4 | $34,654 | $12,475 | — | — | 3 |
| 00003232711 | Ipilimumab 50 MG/10 ML VIAL | $34,621 | $12,464 | — | — | 3 |
| 50242007001 | Obinutuzumab 1000 MG/40 ML VIAL | $33,590 | $12,092 | — | — | 3 |
| 64406000801 | Natalizumab 300 MG/15 ML VIAL | $33,297 | $11,987 | — | — | 3 |
| 31536385 | AVF / THROMBECTOMY / STENT | $32,430 | $11,675 | — | — | 6 |
| 31519304 | ATHERECTOMY, ILIAC | $32,429 | $11,674 | — | — | 6 |
| 31519799 | ATHERECTOMY TIBIOPERONEAL | $32,429 | $11,674 | — | — | 3 |
| 31519888 | STENT TIBIOPERONEAL INC ANGIO | $32,429 | $11,674 | — | — | 3 |
| 50242003706 | Tenecteplase 50 MG VIAL | $32,360 | $11,649 | — | — | 3 |
| 50242008525_2 | Alteplase 100 MG/100 ML VIAL | $32,352 | $11,647 | — | — | 3 |
| 50242008525 | Alteplase 100 MG/100 ML VIAL | $32,351 | $11,646 | — | — | 3 |
| 68727071201 | Lurbinectedin 4 MG VIAL | $31,629 | $11,386 | — | — | 3 |
| 31533316 | SQ ICD | $31,250 | $11,250 | — | — | 3 |
Showing top 50 of 26,148 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.