45 CFR § 180 compliance
A · 100
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
32,566
Insurances with rates
10
CPT / HCPCS codes
9,981
Source MRF
Most expensive procedures (gross)
430801123
$250,532
DAUNORUBICIN 20 MG INJ
Gross
$985,570
430801123
$250,532
DAUNORUBICIN 20 MG INJ
Gross
$985,570
430807113
$79,606
GIVOSIRAN 189MG SUBCUTN
Gross
$313,164
430807113
$79,606
GIVOSIRAN 189MG SUBCUTN
Gross
$313,164
430808196
$74,309
TREMELIMUMAB-ACTL 300MG INJ
Gross
$292,323
430808196
$74,309
TREMELIMUMAB-ACTL 300MG INJ
Gross
$292,323
400221173
$57,115
MACI CELL PRODUCT 1 MEMBR 593957
Gross
$224,684
400221173
$57,115
MACI CELL PRODUCT 1 MEMBR 593957
Gross
$224,684
430804448
$52,010
USTEKINUMAB SUBCUTANIOUS 90MG
Gross
$204,603
430804448
$52,010
USTEKINUMAB SUBCUTANIOUS 90MG
Gross
$204,603
430805117
$51,880
VIEKIRA XR (200/33.33) TAB
Gross
$204,090
430805117
$51,880
VIEKIRA XR (200/33.33) TAB
Gross
$204,090
430808239
$43,863
RAVULIZUMAB-CWVZ 1100MG
Gross
$172,553
430808239
$43,863
RAVULIZUMAB-CWVZ 1100MG
Gross
$172,553
430808255
$36,826
OCRELIZUMAB 300MG/10ML INJ VIAL
Gross
$144,871
430808255
$36,826
OCRELIZUMAB 300MG/10ML INJ VIAL
Gross
$144,871
424234733
$34,571
SAPIEN 3 RESILIA W/COMM 20MM
Gross
$136,000
424234733
$34,571
SAPIEN 3 RESILIA W/COMM 20MM
Gross
$136,000
430805116
$34,340
VIEKIRA 28 DAY DOSE PACK
Gross
$135,090
430805116
$34,340
VIEKIRA 28 DAY DOSE PACK
Gross
$135,090
400225148
$33,046
VALVE HEART SAPIEN3 26MM471004
Gross
$130,000
400225148
$33,046
VALVE HEART SAPIEN3 26MM471004
Gross
$130,000
424232771
$31,114
IMP SYS PASCAL PRECSN
Gross
$122,400
424232771
$31,114
IMP SYS PASCAL PRECSN
Gross
$122,400
400224741
$30,504
VALVE AORTIC 29 535821
Gross
$120,000
400224741
$30,504
VALVE AORTIC 29 535821
Gross
$120,000
J3357
$26,005
USTEKINUMAB SUBCUTANIOUS 45MG
Gross
$102,302
J3357
$26,005
USTEKINUMAB SUBCUTANIOUS 45MG
Gross
$102,302
400225015
$25,420
IMPELLA CATH 5.0 383664
Gross
$100,000
400225015
$25,420
IMPELLA CATH 5.0 383664
Gross
$100,000
430808164
$24,876
NIVOLUMAB/RELATIMAB-RMBW 240/80
Gross
$97,862
430808164
$24,876
NIVOLUMAB/RELATIMAB-RMBW 240/80
Gross
$97,862
33249
$24,815
INSERT OR REPLACE IMP DEFIB
Gross
$97,618
33249
$24,815
INSERT OR REPLACE IMP DEFIB
Gross
$97,618
430808175
$24,449
PERTUZ1200/TRASTUZ600 INJ VIAL
Gross
$96,179
430808175
$24,449
PERTUZ1200/TRASTUZ600 INJ VIAL
Gross
$96,179
400219099
$23,421
VALVE HRT SAPIEN23MM RETRO390033
Gross
$92,138
400219099
$23,421
VALVE HRT SAPIEN23MM RETRO390033
Gross
$92,138
430807128
$22,910
LEUPROLIDE ACETATE DEPOT 45MG
Gross
$90,128
430807128
$22,910
LEUPROLIDE ACETATE DEPOT 45MG
Gross
$90,128
400230298
$22,306
VALVE HEART SAPIEN 3 20MM 500403
Gross
$87,750
400230298
$22,306
VALVE HEART SAPIEN 3 20MM 500403
Gross
$87,750
424232900
$21,861
VALVE EVOLUT FX+ 26MM
Gross
$86,000
424232900
$21,861
VALVE EVOLUT FX+ 26MM
Gross
$86,000
424202009
$21,768
PMD SINGLE CHAMBER DEFIB MEDTR
Gross
$85,633
424202009
$21,768
PMD SINGLE CHAMBER DEFIB MEDTR
Gross
$85,633
400223871
$21,620
VALVE CORE 23MM 506174
Gross
$85,050
400223871
$21,620
VALVE CORE 23MM 506174
Gross
$85,050
430808228
$21,600
DOSTARLIMAB-GXLY 500MG/10ML INJ
Gross
$84,972
430808228
$21,600
DOSTARLIMAB-GXLY 500MG/10ML INJ
Gross
$84,972
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 430801123 | DAUNORUBICIN 20 MG INJ | $985,570 | $250,532 | $492,785 | $492,785 | 3 |
| 430801123 | DAUNORUBICIN 20 MG INJ | $985,570 | $250,532 | $118,268 | $492,785 | 6 |
| 430807113 | GIVOSIRAN 189MG SUBCUTN | $313,164 | $79,606 | $156,582 | $156,582 | 3 |
| 430807113 | GIVOSIRAN 189MG SUBCUTN | $313,164 | $79,606 | $37,580 | $156,582 | 6 |
| 430808196 | TREMELIMUMAB-ACTL 300MG INJ | $292,323 | $74,309 | $146,162 | $146,162 | 3 |
| 430808196 | TREMELIMUMAB-ACTL 300MG INJ | $292,323 | $74,309 | $35,079 | $146,162 | 6 |
| 400221173 | MACI CELL PRODUCT 1 MEMBR 593957 | $224,684 | $57,115 | $56,171 | $92,120 | 4 |
| 400221173 | MACI CELL PRODUCT 1 MEMBR 593957 | $224,684 | $57,115 | $56,171 | $112,342 | 8 |
| 430804448 | USTEKINUMAB SUBCUTANIOUS 90MG | $204,603 | $52,010 | $102,302 | $102,302 | 3 |
| 430804448 | USTEKINUMAB SUBCUTANIOUS 90MG | $204,603 | $52,010 | $24,552 | $102,302 | 6 |
| 430805117 | VIEKIRA XR (200/33.33) TAB | $204,090 | $51,880 | — | — | 0 |
| 430805117 | VIEKIRA XR (200/33.33) TAB | $204,090 | $51,880 | $47.67 | $47.67 | 3 |
| 430808239 | RAVULIZUMAB-CWVZ 1100MG | $172,553 | $43,863 | $86,276 | $86,276 | 3 |
| 430808239 | RAVULIZUMAB-CWVZ 1100MG | $172,553 | $43,863 | $20,706 | $86,276 | 6 |
| 430808255 | OCRELIZUMAB 300MG/10ML INJ VIAL | $144,871 | $36,826 | $72,436 | $72,436 | 3 |
| 430808255 | OCRELIZUMAB 300MG/10ML INJ VIAL | $144,871 | $36,826 | $17,385 | $72,436 | 6 |
| 424234733 | SAPIEN 3 RESILIA W/COMM 20MM | $136,000 | $34,571 | $34,000 | $55,760 | 4 |
| 424234733 | SAPIEN 3 RESILIA W/COMM 20MM | $136,000 | $34,571 | $34,000 | $68,000 | 8 |
| 430805116 | VIEKIRA 28 DAY DOSE PACK | $135,090 | $34,340 | — | — | 0 |
| 430805116 | VIEKIRA 28 DAY DOSE PACK | $135,090 | $34,340 | $47.67 | $47.67 | 3 |
| 400225148 | VALVE HEART SAPIEN3 26MM471004 | $130,000 | $33,046 | $32,500 | $53,300 | 4 |
| 400225148 | VALVE HEART SAPIEN3 26MM471004 | $130,000 | $33,046 | $32,500 | $65,000 | 8 |
| 424232771 | IMP SYS PASCAL PRECSN | $122,400 | $31,114 | $30,600 | $50,184 | 4 |
| 424232771 | IMP SYS PASCAL PRECSN | $122,400 | $31,114 | $30,600 | $61,200 | 8 |
| 400224741 | VALVE AORTIC 29 535821 | $120,000 | $30,504 | $30,000 | $49,200 | 4 |
| 400224741 | VALVE AORTIC 29 535821 | $120,000 | $30,504 | $30,000 | $60,000 | 8 |
| J3357 | USTEKINUMAB SUBCUTANIOUS 45MG | $102,302 | $26,005 | $51,151 | $51,151 | 3 |
| J3357 | USTEKINUMAB SUBCUTANIOUS 45MG | $102,302 | $26,005 | $113 | $51,151 | 22 |
| 400225015 | IMPELLA CATH 5.0 383664 | $100,000 | $25,420 | $25,000 | $41,000 | 4 |
| 400225015 | IMPELLA CATH 5.0 383664 | $100,000 | $25,420 | $25,000 | $50,000 | 8 |
| 430808164 | NIVOLUMAB/RELATIMAB-RMBW 240/80 | $97,862 | $24,876 | $48,931 | $48,931 | 3 |
| 430808164 | NIVOLUMAB/RELATIMAB-RMBW 240/80 | $97,862 | $24,876 | $11,743 | $48,931 | 6 |
| 33249 | INSERT OR REPLACE IMP DEFIB | $97,618 | $24,815 | — | — | 0 |
| 33249 | INSERT OR REPLACE IMP DEFIB | $97,618 | $24,815 | $674 | $44,730 | 23 |
| 430808175 | PERTUZ1200/TRASTUZ600 INJ VIAL | $96,179 | $24,449 | $48,089 | $48,089 | 3 |
| 430808175 | PERTUZ1200/TRASTUZ600 INJ VIAL | $96,179 | $24,449 | $11,541 | $48,089 | 6 |
| 400219099 | VALVE HRT SAPIEN23MM RETRO390033 | $92,138 | $23,421 | $23,034 | $37,776 | 4 |
| 400219099 | VALVE HRT SAPIEN23MM RETRO390033 | $92,138 | $23,421 | $23,034 | $46,069 | 8 |
| 430807128 | LEUPROLIDE ACETATE DEPOT 45MG | $90,128 | $22,910 | $45,064 | $45,064 | 3 |
| 430807128 | LEUPROLIDE ACETATE DEPOT 45MG | $90,128 | $22,910 | $10,815 | $45,064 | 6 |
| 400230298 | VALVE HEART SAPIEN 3 20MM 500403 | $87,750 | $22,306 | $21,938 | $35,978 | 4 |
| 400230298 | VALVE HEART SAPIEN 3 20MM 500403 | $87,750 | $22,306 | $21,938 | $43,875 | 8 |
| 424232900 | VALVE EVOLUT FX+ 26MM | $86,000 | $21,861 | $21,500 | $35,260 | 4 |
| 424232900 | VALVE EVOLUT FX+ 26MM | $86,000 | $21,861 | $21,500 | $43,000 | 8 |
| 424202009 | PMD SINGLE CHAMBER DEFIB MEDTR | $85,633 | $21,768 | $21,408 | $35,110 | 4 |
| 424202009 | PMD SINGLE CHAMBER DEFIB MEDTR | $85,633 | $21,768 | $21,408 | $42,817 | 8 |
| 400223871 | VALVE CORE 23MM 506174 | $85,050 | $21,620 | $21,263 | $34,871 | 4 |
| 400223871 | VALVE CORE 23MM 506174 | $85,050 | $21,620 | $21,263 | $42,525 | 8 |
| 430808228 | DOSTARLIMAB-GXLY 500MG/10ML INJ | $84,972 | $21,600 | $42,486 | $42,486 | 3 |
| 430808228 | DOSTARLIMAB-GXLY 500MG/10ML INJ | $84,972 | $21,600 | $10,197 | $42,486 | 6 |
Showing top 50 of 32,566 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.