45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
37,191
Insurances with rates
9
CPT / HCPCS codes
12,418
Most expensive procedures (gross)
60809080101
$76,935
Pegloticase 8mg/mL INJ 1mL
Gross
$128,224
75987008010
$76,935
Pegloticase 8mg/mL INJ 1mL
Gross
$128,224
50242008525
$36,434
Alteplase 100mg Injection
Gross
$60,723
50242008527
$36,434
Alteplase 100mg Injection
Gross
$60,723
50242012047
$34,351
TNKase 50mg Inj
Gross
$57,251
50242017601
$34,351
TNKase 50mg Inj
Gross
$57,251
67457083306
$28,808
Pegfilgrastim-JMDB (Fulphila) 6mg/0.6mL INJ Syringe
Gross
$48,013
55513019001
$26,571
Pegfilgrastim 6mg/0.6ml INJ
Gross
$44,284
00024515175
$22,576
Rasburicase 7.5mg INJ
Gross
$37,627
24338005008
$21,859
Carmustine 7.7mg Wafer
Gross
$36,432
64764030020
$21,579
Vedolizumab 300mg vial
Gross
$35,964
00169706201
$21,114
NovoSeven 4.8mg/8ml INJ
Gross
$35,190
50633012011
$19,040
Digoxin Immune FAB 40mg Pwd INJ
Gross
$31,733
00078081881
$18,369
Octreotide LAR 20mg Kit
Gross
$30,616
50242004413
$18,217
Alteplase 50mg INJ VIAL
Gross
$30,361
00026382650
$17,388
Antihemophilic factor VIII (Kovaltry) 2000 units/5mL
Gross
$28,980
00078034161
$16,896
Octreotide LAR 20mg Kit
Gross
$28,160
55513003201
$16,022
Darbepoetin alfa (Aranesp) 500mcg/1mL
Gross
$26,703
55513011101
$15,525
Darbepoetin alfa (Aranesp) 300mcg/0.6mL
Gross
$25,875
66658023001
$15,075
Palivizumab 50mg/0.5ml IM Syringe
Gross
$25,125
62856017708
$15,025
Carmustine 7.7mg Wafer
Gross
$25,042
00026378665
$14,766
Kogenate FS 2000 Units/5mL INJ w/BIO-SET
Gross
$24,610
83257000541
$14,404
Pegfilgrastim-JMDB (Fulphila) 6mg/0.6mL INJ Syringe
Gross
$24,006
60574411301
$14,233
Palivizumab 100mg/1mL IM Syringe
Gross
$23,722
00078081181
$14,021
Octreotide LAR 10mg Kit
Gross
$23,368
00078064781
$13,306
Octreotide LAR 20mg Kit
Gross
$22,177
50633011012
$13,240
Antivenin Crotalidae (Crofab) INJ
Gross
$22,066
60574411401
$13,026
Palivizumab 50mg/0.5ml IM Syringe
Gross
$21,710
00078034061
$12,896
Octreotide LAR 10mg Kit
Gross
$21,493
66658023101
$12,729
Palivizumab 100mg/1mL IM Syringe
Gross
$21,215
58063010001
$12,654
Carmustine 7.7mg Wafer
Gross
$21,091
00173088101
$12,508
Mepolizumab (Nucala) 100mg/mL 1ml SubCut Vial
Gross
$20,846
42367054032
$12,110
Dantrolene (RyanoDEX) 250mg INJ Suspension
Gross
$20,184
00026379660
$11,592
Kogenate FS 2000 Units/5mL INJ w/BIO-SET
Gross
$19,320
63833038702
$10,833
Prothrombin complex 1000 Units/St Water INJ 40mL
Gross
$18,055
00075999508
$10,545
Carmustine 7.7mg Wafer
Gross
$17,576
50242003861
$10,065
TNKase 50mg Inj
Gross
$16,776
61379010001
$10,032
Carmustine 7.7mg Wafer
Gross
$16,720
13533060612
$8,970
Antithrombin III (500 Units/10mL) INJ
Gross
$14,950
00074364203
$8,463
Leuprolide Depot (Lupron) 7.5mg kit
Gross
$14,104
00169720501
$8,070
Factor VIIa Recombinant 5000mcg INJ
Gross
$13,450
13533060250
$8,039
Antithrombin III (500 Units/10mL) INJ
Gross
$13,398
13533060320
$8,039
Antithrombin III (500 Units/10mL) INJ
Gross
$13,398
55513022101
$7,695
RomiPLOStim (NPLATE) 250mcg/0.5ml INJ
Gross
$12,825
49401010201
$7,367
Belimumab Inj 400mg/5mL Vial
Gross
$12,279
55513073001
$7,008
Denosumab (Xgeva) 120mg/1.7mL INJ
Gross
$11,679
55513070301
$6,961
Denosumab (Xgeva) 120mg/1.7mL INJ
Gross
$11,602
57970010001
$6,943
Dalbavancin 500mg/25mL Inj
Gross
$11,571
16729022405
$6,729
DeCITAbine 50mg/10ml INJ
Gross
$11,216
64193042502
$6,728
Anti-inhibitor coagulant complex 2397 Units/50mL
Gross
$11,213
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 60809080101 | Pegloticase 8mg/mL INJ 1mL | $128,224 | $76,935 | — | — | 8 |
| 75987008010 | Pegloticase 8mg/mL INJ 1mL | $128,224 | $76,935 | — | — | 8 |
| 50242008525 | Alteplase 100mg Injection | $60,723 | $36,434 | — | — | 8 |
| 50242008527 | Alteplase 100mg Injection | $60,723 | $36,434 | — | — | 8 |
| 50242012047 | TNKase 50mg Inj | $57,251 | $34,351 | — | — | 4 |
| 50242017601 | TNKase 50mg Inj | $57,251 | $34,351 | — | — | 4 |
| 67457083306 | Pegfilgrastim-JMDB (Fulphila) 6mg/0.6mL INJ Syringe | $48,013 | $28,808 | — | — | 8 |
| 55513019001 | Pegfilgrastim 6mg/0.6ml INJ | $44,284 | $26,571 | — | — | 5 |
| 00024515175 | Rasburicase 7.5mg INJ | $37,627 | $22,576 | — | — | 8 |
| 24338005008 | Carmustine 7.7mg Wafer | $36,432 | $21,859 | — | — | 4 |
| 64764030020 | Vedolizumab 300mg vial | $35,964 | $21,579 | — | — | 8 |
| 00169706201 | NovoSeven 4.8mg/8ml INJ | $35,190 | $21,114 | — | — | 4 |
| 50633012011 | Digoxin Immune FAB 40mg Pwd INJ | $31,733 | $19,040 | — | — | 8 |
| 00078081881 | Octreotide LAR 20mg Kit | $30,616 | $18,369 | — | — | 8 |
| 50242004413 | Alteplase 50mg INJ VIAL | $30,361 | $18,217 | — | — | 8 |
| 00026382650 | Antihemophilic factor VIII (Kovaltry) 2000 units/5mL | $28,980 | $17,388 | — | — | 8 |
| 00078034161 | Octreotide LAR 20mg Kit | $28,160 | $16,896 | — | — | 8 |
| 55513003201 | Darbepoetin alfa (Aranesp) 500mcg/1mL | $26,703 | $16,022 | — | — | 8 |
| 55513011101 | Darbepoetin alfa (Aranesp) 300mcg/0.6mL | $25,875 | $15,525 | — | — | 8 |
| 66658023001 | Palivizumab 50mg/0.5ml IM Syringe | $25,125 | $15,075 | — | — | 4 |
| 62856017708 | Carmustine 7.7mg Wafer | $25,042 | $15,025 | — | — | 4 |
| 00026378665 | Kogenate FS 2000 Units/5mL INJ w/BIO-SET | $24,610 | $14,766 | — | — | 8 |
| 83257000541 | Pegfilgrastim-JMDB (Fulphila) 6mg/0.6mL INJ Syringe | $24,006 | $14,404 | — | — | 8 |
| 60574411301 | Palivizumab 100mg/1mL IM Syringe | $23,722 | $14,233 | — | — | 4 |
| 00078081181 | Octreotide LAR 10mg Kit | $23,368 | $14,021 | — | — | 8 |
| 00078064781 | Octreotide LAR 20mg Kit | $22,177 | $13,306 | — | — | 8 |
| 50633011012 | Antivenin Crotalidae (Crofab) INJ | $22,066 | $13,240 | — | — | 8 |
| 60574411401 | Palivizumab 50mg/0.5ml IM Syringe | $21,710 | $13,026 | — | — | 4 |
| 00078034061 | Octreotide LAR 10mg Kit | $21,493 | $12,896 | — | — | 8 |
| 66658023101 | Palivizumab 100mg/1mL IM Syringe | $21,215 | $12,729 | — | — | 4 |
| 58063010001 | Carmustine 7.7mg Wafer | $21,091 | $12,654 | — | — | 4 |
| 00173088101 | Mepolizumab (Nucala) 100mg/mL 1ml SubCut Vial | $20,846 | $12,508 | — | — | 8 |
| 42367054032 | Dantrolene (RyanoDEX) 250mg INJ Suspension | $20,184 | $12,110 | — | — | 4 |
| 00026379660 | Kogenate FS 2000 Units/5mL INJ w/BIO-SET | $19,320 | $11,592 | — | — | 8 |
| 63833038702 | Prothrombin complex 1000 Units/St Water INJ 40mL | $18,055 | $10,833 | — | — | 8 |
| 00075999508 | Carmustine 7.7mg Wafer | $17,576 | $10,545 | — | — | 4 |
| 50242003861 | TNKase 50mg Inj | $16,776 | $10,065 | — | — | 4 |
| 61379010001 | Carmustine 7.7mg Wafer | $16,720 | $10,032 | — | — | 4 |
| 13533060612 | Antithrombin III (500 Units/10mL) INJ | $14,950 | $8,970 | — | — | 8 |
| 00074364203 | Leuprolide Depot (Lupron) 7.5mg kit | $14,104 | $8,463 | — | — | 8 |
| 00169720501 | Factor VIIa Recombinant 5000mcg INJ | $13,450 | $8,070 | — | — | 8 |
| 13533060250 | Antithrombin III (500 Units/10mL) INJ | $13,398 | $8,039 | — | — | 8 |
| 13533060320 | Antithrombin III (500 Units/10mL) INJ | $13,398 | $8,039 | — | — | 8 |
| 55513022101 | RomiPLOStim (NPLATE) 250mcg/0.5ml INJ | $12,825 | $7,695 | — | — | 4 |
| 49401010201 | Belimumab Inj 400mg/5mL Vial | $12,279 | $7,367 | — | — | 8 |
| 55513073001 | Denosumab (Xgeva) 120mg/1.7mL INJ | $11,679 | $7,008 | — | — | 8 |
| 55513070301 | Denosumab (Xgeva) 120mg/1.7mL INJ | $11,602 | $6,961 | — | — | 8 |
| 57970010001 | Dalbavancin 500mg/25mL Inj | $11,571 | $6,943 | — | — | 8 |
| 16729022405 | DeCITAbine 50mg/10ml INJ | $11,216 | $6,729 | — | — | 5 |
| 64193042502 | Anti-inhibitor coagulant complex 2397 Units/50mL | $11,213 | $6,728 | — | — | 8 |
Showing top 50 of 37,191 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.