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
36,862
Insurances with rates
11
CPT / HCPCS codes
17,887
Source MRF
Most expensive procedures (gross)
6369001580
$47,302
ZYNLONTA 10MG VIAL
Gross
$72,772
6369001580
$47,302
ZYNLONTA 10MG VIAL
Gross
$72,772
6369001715
$43,108
JELMYTO 80MG KIT
Gross
$66,320
6369001715
$43,108
JELMYTO 80MG KIT
Gross
$66,320
6366000485
$37,467
STELARA 90MG/1ML SYRINGE
Gross
$57,642
6366000485
$37,467
STELARA 90MG/1ML SYRINGE
Gross
$57,642
6363002855
$35,100
YERVOY (IPILMUMAB) 200MG/40ML
Gross
$54,000
6363002855
$35,100
YERVOY (IPILMUMAB) 200MG/40ML
Gross
$54,000
6369001840
$33,492
RYSTIGGO 840 MG VIAL
Gross
$51,526
6369001840
$33,492
RYSTIGGO 840 MG VIAL
Gross
$51,526
6366000825
$31,688
OCREVUS SDV 30MG/ML
Gross
$48,750
6366000825
$31,688
OCREVUS SDV 30MG/ML
Gross
$48,750
6366000935
$30,551
SIPULEUCEL-T MIN 50MILLION
Gross
$47,001
6366000935
$30,551
SIPULEUCEL-T MIN 50MILLION
Gross
$47,001
6369001135
$30,127
HEMLIBRA 150 MG/ML
Gross
$46,349
6369001135
$30,127
HEMLIBRA 150 MG/ML
Gross
$46,349
6369001795
$29,219
VYVGRT HYTRL 1008MG 11200UN VL
Gross
$44,953
6369001795
$29,219
VYVGRT HYTRL 1008MG 11200UN VL
Gross
$44,953
6366008275
$25,350
GIVLAARI 189MG/ML
Gross
$39,000
6369001065
$25,350
IMJUDO 20MG/ML SOL 15 ML VIAL
Gross
$39,000
6366008275
$25,350
GIVLAARI 189MG/ML
Gross
$39,000
6369001065
$25,350
IMJUDO 20MG/ML SOL 15 ML VIAL
Gross
$39,000
6369001845
$22,328
RYSTIGGO 560 MG VIAL
Gross
$34,351
6369001845
$22,328
RYSTIGGO 560 MG VIAL
Gross
$34,351
6369001170
$21,090
HEMLIBRA 105MG/0.7ML
Gross
$32,446
6369001170
$21,090
HEMLIBRA 105MG/0.7ML
Gross
$32,446
6369000865
$20,799
KRYSTEXXA 8MG/ML
Gross
$31,998
6369000865
$20,799
KRYSTEXXA 8MG/ML
Gross
$31,998
6369001230
$20,208
JEMPERLI 50MG/ML VIAL
Gross
$31,089
6369001230
$20,208
JEMPERLI 50MG/ML VIAL
Gross
$31,089
6369001605
$19,192
TALVEY 40MG/1ML
Gross
$29,526
6369001605
$19,192
TALVEY 40MG/1ML
Gross
$29,526
6366000730
$19,162
TECENTRIQ INJ 1200MG/20ML VIAL
Gross
$29,480
6366000730
$19,162
TECENTRIQ INJ 1200MG/20ML VIAL
Gross
$29,480
6369000905
$18,315
ULTOMIRIS 1100MG VIAL
Gross
$28,178
6369000905
$18,315
ULTOMIRIS 1100MG VIAL
Gross
$28,178
6366000425
$18,206
STELARA 45MG/0.5ML
Gross
$28,009
6366000425
$18,206
STELARA 45MG/0.5ML
Gross
$28,009
6369001520
$18,152
TECVAYLI 90MG/1ML 1.7ML VIAL
Gross
$27,927
6369001520
$18,152
TECVAYLI 90MG/1ML 1.7ML VIAL
Gross
$27,927
6363002310
$18,135
ACTIVASE 100MG
Gross
$27,900
6363002310
$18,135
ACTIVASE 100MG
Gross
$27,900
6369001500
$17,535
RISANKIZUMAB-RZAA 600MG/10ML
Gross
$26,977
6369001500
$17,535
RISANKIZUMAB-RZAA 600MG/10ML
Gross
$26,977
6369001610
$17,453
VUTRISIRAN 25MG/0.5ML SYR
Gross
$26,851
6369001610
$17,453
VUTRISIRAN 25MG/0.5ML SYR
Gross
$26,851
6369000405
$17,160
ANDEXXA 200MG
Gross
$26,400
6369000405
$17,160
ANDEXXA 200MG
Gross
$26,400
6366000415
$15,016
SOLIRIS 300MG/30ML
Gross
$23,102
6366000415
$15,016
SOLIRIS 300MG/30ML
Gross
$23,102
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6369001580 | ZYNLONTA 10MG VIAL | $72,772 | $47,302 | — | — | 2 |
| 6369001580 | ZYNLONTA 10MG VIAL | $72,772 | $47,302 | — | — | 9 |
| 6369001715 | JELMYTO 80MG KIT | $66,320 | $43,108 | — | — | 2 |
| 6369001715 | JELMYTO 80MG KIT | $66,320 | $43,108 | — | — | 9 |
| 6366000485 | STELARA 90MG/1ML SYRINGE | $57,642 | $37,467 | — | — | 2 |
| 6366000485 | STELARA 90MG/1ML SYRINGE | $57,642 | $37,467 | — | — | 9 |
| 6363002855 | YERVOY (IPILMUMAB) 200MG/40ML | $54,000 | $35,100 | — | — | 2 |
| 6363002855 | YERVOY (IPILMUMAB) 200MG/40ML | $54,000 | $35,100 | — | — | 9 |
| 6369001840 | RYSTIGGO 840 MG VIAL | $51,526 | $33,492 | — | — | 2 |
| 6369001840 | RYSTIGGO 840 MG VIAL | $51,526 | $33,492 | — | — | 9 |
| 6366000825 | OCREVUS SDV 30MG/ML | $48,750 | $31,688 | — | — | 2 |
| 6366000825 | OCREVUS SDV 30MG/ML | $48,750 | $31,688 | — | — | 9 |
| 6366000935 | SIPULEUCEL-T MIN 50MILLION | $47,001 | $30,551 | — | — | 2 |
| 6366000935 | SIPULEUCEL-T MIN 50MILLION | $47,001 | $30,551 | — | — | 9 |
| 6369001135 | HEMLIBRA 150 MG/ML | $46,349 | $30,127 | — | — | 2 |
| 6369001135 | HEMLIBRA 150 MG/ML | $46,349 | $30,127 | — | — | 9 |
| 6369001795 | VYVGRT HYTRL 1008MG 11200UN VL | $44,953 | $29,219 | — | — | 2 |
| 6369001795 | VYVGRT HYTRL 1008MG 11200UN VL | $44,953 | $29,219 | — | — | 9 |
| 6366008275 | GIVLAARI 189MG/ML | $39,000 | $25,350 | — | — | 2 |
| 6369001065 | IMJUDO 20MG/ML SOL 15 ML VIAL | $39,000 | $25,350 | — | — | 2 |
| 6366008275 | GIVLAARI 189MG/ML | $39,000 | $25,350 | — | — | 9 |
| 6369001065 | IMJUDO 20MG/ML SOL 15 ML VIAL | $39,000 | $25,350 | — | — | 9 |
| 6369001845 | RYSTIGGO 560 MG VIAL | $34,351 | $22,328 | — | — | 2 |
| 6369001845 | RYSTIGGO 560 MG VIAL | $34,351 | $22,328 | — | — | 9 |
| 6369001170 | HEMLIBRA 105MG/0.7ML | $32,446 | $21,090 | — | — | 2 |
| 6369001170 | HEMLIBRA 105MG/0.7ML | $32,446 | $21,090 | — | — | 9 |
| 6369000865 | KRYSTEXXA 8MG/ML | $31,998 | $20,799 | — | — | 2 |
| 6369000865 | KRYSTEXXA 8MG/ML | $31,998 | $20,799 | — | — | 9 |
| 6369001230 | JEMPERLI 50MG/ML VIAL | $31,089 | $20,208 | — | — | 2 |
| 6369001230 | JEMPERLI 50MG/ML VIAL | $31,089 | $20,208 | — | — | 9 |
| 6369001605 | TALVEY 40MG/1ML | $29,526 | $19,192 | — | — | 2 |
| 6369001605 | TALVEY 40MG/1ML | $29,526 | $19,192 | — | — | 9 |
| 6366000730 | TECENTRIQ INJ 1200MG/20ML VIAL | $29,480 | $19,162 | — | — | 2 |
| 6366000730 | TECENTRIQ INJ 1200MG/20ML VIAL | $29,480 | $19,162 | — | — | 9 |
| 6369000905 | ULTOMIRIS 1100MG VIAL | $28,178 | $18,315 | — | — | 2 |
| 6369000905 | ULTOMIRIS 1100MG VIAL | $28,178 | $18,315 | — | — | 9 |
| 6366000425 | STELARA 45MG/0.5ML | $28,009 | $18,206 | — | — | 2 |
| 6366000425 | STELARA 45MG/0.5ML | $28,009 | $18,206 | — | — | 9 |
| 6369001520 | TECVAYLI 90MG/1ML 1.7ML VIAL | $27,927 | $18,152 | — | — | 2 |
| 6369001520 | TECVAYLI 90MG/1ML 1.7ML VIAL | $27,927 | $18,152 | — | — | 9 |
| 6363002310 | ACTIVASE 100MG | $27,900 | $18,135 | — | — | 2 |
| 6363002310 | ACTIVASE 100MG | $27,900 | $18,135 | — | — | 9 |
| 6369001500 | RISANKIZUMAB-RZAA 600MG/10ML | $26,977 | $17,535 | — | — | 2 |
| 6369001500 | RISANKIZUMAB-RZAA 600MG/10ML | $26,977 | $17,535 | — | — | 9 |
| 6369001610 | VUTRISIRAN 25MG/0.5ML SYR | $26,851 | $17,453 | — | — | 2 |
| 6369001610 | VUTRISIRAN 25MG/0.5ML SYR | $26,851 | $17,453 | — | — | 9 |
| 6369000405 | ANDEXXA 200MG | $26,400 | $17,160 | — | — | 2 |
| 6369000405 | ANDEXXA 200MG | $26,400 | $17,160 | — | — | 9 |
| 6366000415 | SOLIRIS 300MG/30ML | $23,102 | $15,016 | — | — | 2 |
| 6366000415 | SOLIRIS 300MG/30ML | $23,102 | $15,016 | — | — | 9 |
Showing top 50 of 36,862 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.