45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
44,939
Insurances with rates
12
CPT / HCPCS codes
25,841
Most expensive procedures (gross)
6369001580
$65,495
ZYNLONTA 10MG VIAL
Gross
$72,772
6369001580
$65,495
ZYNLONTA 10MG VIAL
Gross
$72,772
6369001715
$59,688
JELMYTO 80MG KIT
Gross
$66,320
6369001715
$59,688
JELMYTO 80MG KIT
Gross
$66,320
6366000485
$51,878
STELARA 90MG/1ML SYRINGE
Gross
$57,642
6366000485
$51,878
STELARA 90MG/1ML SYRINGE
Gross
$57,642
6363002855
$48,600
YERVOY (IPILMUMAB) 200MG/40ML
Gross
$54,000
6363002855
$48,600
YERVOY (IPILMUMAB) 200MG/40ML
Gross
$54,000
6369001840
$46,373
RYSTIGGO 840 MG VIAL
Gross
$51,526
6369001840
$46,373
RYSTIGGO 840 MG VIAL
Gross
$51,526
6366000825
$43,875
OCREVUS SDV 30MG/ML
Gross
$48,750
6366000825
$43,875
OCREVUS SDV 30MG/ML
Gross
$48,750
6366000935
$42,301
SIPULEUCEL-T MIN 50MILLION
Gross
$47,001
6366000935
$42,301
SIPULEUCEL-T MIN 50MILLION
Gross
$47,001
6369001135
$41,714
HEMLIBRA 150 MG/ML
Gross
$46,349
6369001135
$41,714
HEMLIBRA 150 MG/ML
Gross
$46,349
6369001795
$40,458
VYVGRT HYTRL 1008MG 11200UN VL
Gross
$44,953
6369001795
$40,458
VYVGRT HYTRL 1008MG 11200UN VL
Gross
$44,953
6366008275
$35,100
GIVLAARI 189MG/ML
Gross
$39,000
6369001065
$35,100
IMJUDO 20MG/ML SOL 15 ML VIAL
Gross
$39,000
6366008275
$35,100
GIVLAARI 189MG/ML
Gross
$39,000
6369001065
$35,100
IMJUDO 20MG/ML SOL 15 ML VIAL
Gross
$39,000
6369001845
$30,915
RYSTIGGO 560 MG VIAL
Gross
$34,351
6369001845
$30,915
RYSTIGGO 560 MG VIAL
Gross
$34,351
6369001170
$29,202
HEMLIBRA 105MG/0.7ML
Gross
$32,446
6369001170
$29,202
HEMLIBRA 105MG/0.7ML
Gross
$32,446
6369000865
$28,798
KRYSTEXXA 8MG/ML
Gross
$31,998
6369000865
$28,798
KRYSTEXXA 8MG/ML
Gross
$31,998
6369001230
$27,980
JEMPERLI 50MG/ML VIAL
Gross
$31,089
6369001230
$27,980
JEMPERLI 50MG/ML VIAL
Gross
$31,089
6369001605
$26,573
TALVEY 40MG/1ML
Gross
$29,526
6369001605
$26,573
TALVEY 40MG/1ML
Gross
$29,526
6366000730
$26,532
TECENTRIQ INJ 1200MG/20ML VIAL
Gross
$29,480
6366000730
$26,532
TECENTRIQ INJ 1200MG/20ML VIAL
Gross
$29,480
6369000905
$25,360
ULTOMIRIS 1100MG VIAL
Gross
$28,178
6369000905
$25,360
ULTOMIRIS 1100MG VIAL
Gross
$28,178
6366000425
$25,208
STELARA 45MG/0.5ML
Gross
$28,009
6366000425
$25,208
STELARA 45MG/0.5ML
Gross
$28,009
6369001520
$25,134
TECVAYLI 90MG/1ML 1.7ML VIAL
Gross
$27,927
6369001520
$25,134
TECVAYLI 90MG/1ML 1.7ML VIAL
Gross
$27,927
6369001500
$24,280
RISANKIZUMAB-RZAA 600MG/10ML
Gross
$26,977
6369001500
$24,280
RISANKIZUMAB-RZAA 600MG/10ML
Gross
$26,977
6369001610
$24,166
VUTRISIRAN 25MG/0.5ML SYR
Gross
$26,851
6369001610
$24,166
VUTRISIRAN 25MG/0.5ML SYR
Gross
$26,851
6369000405
$23,760
ANDEXXA 200MG
Gross
$26,400
6369000405
$23,760
ANDEXXA 200MG
Gross
$26,400
6366000415
$20,792
SOLIRIS 300MG/30ML
Gross
$23,102
6366000415
$20,792
SOLIRIS 300MG/30ML
Gross
$23,102
6366000385
$20,164
LUPRON 45MG KIT
Gross
$22,404
6366000385
$20,164
LUPRON 45MG KIT
Gross
$22,404
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6369001580 | ZYNLONTA 10MG VIAL | $72,772 | $65,495 | — | — | 0 |
| 6369001580 | ZYNLONTA 10MG VIAL | $72,772 | $65,495 | — | — | 2 |
| 6369001715 | JELMYTO 80MG KIT | $66,320 | $59,688 | — | — | 0 |
| 6369001715 | JELMYTO 80MG KIT | $66,320 | $59,688 | — | — | 2 |
| 6366000485 | STELARA 90MG/1ML SYRINGE | $57,642 | $51,878 | — | — | 0 |
| 6366000485 | STELARA 90MG/1ML SYRINGE | $57,642 | $51,878 | — | — | 2 |
| 6363002855 | YERVOY (IPILMUMAB) 200MG/40ML | $54,000 | $48,600 | — | — | 0 |
| 6363002855 | YERVOY (IPILMUMAB) 200MG/40ML | $54,000 | $48,600 | — | — | 2 |
| 6369001840 | RYSTIGGO 840 MG VIAL | $51,526 | $46,373 | — | — | 0 |
| 6369001840 | RYSTIGGO 840 MG VIAL | $51,526 | $46,373 | — | — | 2 |
| 6366000825 | OCREVUS SDV 30MG/ML | $48,750 | $43,875 | — | — | 0 |
| 6366000825 | OCREVUS SDV 30MG/ML | $48,750 | $43,875 | — | — | 2 |
| 6366000935 | SIPULEUCEL-T MIN 50MILLION | $47,001 | $42,301 | — | — | 0 |
| 6366000935 | SIPULEUCEL-T MIN 50MILLION | $47,001 | $42,301 | — | — | 2 |
| 6369001135 | HEMLIBRA 150 MG/ML | $46,349 | $41,714 | — | — | 0 |
| 6369001135 | HEMLIBRA 150 MG/ML | $46,349 | $41,714 | — | — | 2 |
| 6369001795 | VYVGRT HYTRL 1008MG 11200UN VL | $44,953 | $40,458 | — | — | 0 |
| 6369001795 | VYVGRT HYTRL 1008MG 11200UN VL | $44,953 | $40,458 | — | — | 2 |
| 6366008275 | GIVLAARI 189MG/ML | $39,000 | $35,100 | — | — | 0 |
| 6369001065 | IMJUDO 20MG/ML SOL 15 ML VIAL | $39,000 | $35,100 | — | — | 0 |
| 6366008275 | GIVLAARI 189MG/ML | $39,000 | $35,100 | — | — | 2 |
| 6369001065 | IMJUDO 20MG/ML SOL 15 ML VIAL | $39,000 | $35,100 | — | — | 2 |
| 6369001845 | RYSTIGGO 560 MG VIAL | $34,351 | $30,915 | — | — | 0 |
| 6369001845 | RYSTIGGO 560 MG VIAL | $34,351 | $30,915 | — | — | 2 |
| 6369001170 | HEMLIBRA 105MG/0.7ML | $32,446 | $29,202 | — | — | 0 |
| 6369001170 | HEMLIBRA 105MG/0.7ML | $32,446 | $29,202 | — | — | 2 |
| 6369000865 | KRYSTEXXA 8MG/ML | $31,998 | $28,798 | — | — | 0 |
| 6369000865 | KRYSTEXXA 8MG/ML | $31,998 | $28,798 | — | — | 2 |
| 6369001230 | JEMPERLI 50MG/ML VIAL | $31,089 | $27,980 | — | — | 0 |
| 6369001230 | JEMPERLI 50MG/ML VIAL | $31,089 | $27,980 | — | — | 2 |
| 6369001605 | TALVEY 40MG/1ML | $29,526 | $26,573 | — | — | 0 |
| 6369001605 | TALVEY 40MG/1ML | $29,526 | $26,573 | — | — | 2 |
| 6366000730 | TECENTRIQ INJ 1200MG/20ML VIAL | $29,480 | $26,532 | — | — | 0 |
| 6366000730 | TECENTRIQ INJ 1200MG/20ML VIAL | $29,480 | $26,532 | — | — | 2 |
| 6369000905 | ULTOMIRIS 1100MG VIAL | $28,178 | $25,360 | — | — | 0 |
| 6369000905 | ULTOMIRIS 1100MG VIAL | $28,178 | $25,360 | — | — | 2 |
| 6366000425 | STELARA 45MG/0.5ML | $28,009 | $25,208 | — | — | 0 |
| 6366000425 | STELARA 45MG/0.5ML | $28,009 | $25,208 | — | — | 2 |
| 6369001520 | TECVAYLI 90MG/1ML 1.7ML VIAL | $27,927 | $25,134 | — | — | 0 |
| 6369001520 | TECVAYLI 90MG/1ML 1.7ML VIAL | $27,927 | $25,134 | — | — | 2 |
| 6369001500 | RISANKIZUMAB-RZAA 600MG/10ML | $26,977 | $24,280 | — | — | 0 |
| 6369001500 | RISANKIZUMAB-RZAA 600MG/10ML | $26,977 | $24,280 | — | — | 2 |
| 6369001610 | VUTRISIRAN 25MG/0.5ML SYR | $26,851 | $24,166 | — | — | 0 |
| 6369001610 | VUTRISIRAN 25MG/0.5ML SYR | $26,851 | $24,166 | — | — | 2 |
| 6369000405 | ANDEXXA 200MG | $26,400 | $23,760 | — | — | 0 |
| 6369000405 | ANDEXXA 200MG | $26,400 | $23,760 | — | — | 2 |
| 6366000415 | SOLIRIS 300MG/30ML | $23,102 | $20,792 | — | — | 0 |
| 6366000415 | SOLIRIS 300MG/30ML | $23,102 | $20,792 | — | — | 2 |
| 6366000385 | LUPRON 45MG KIT | $22,404 | $20,164 | — | — | 0 |
| 6366000385 | LUPRON 45MG KIT | $22,404 | $20,164 | — | — | 2 |
Showing top 50 of 44,939 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.