45 CFR § 180 compliance
B · 85
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
7,315
Insurances with rates
92
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-40841293
$744,975
SULFAMETHOXAZOLE 0.08 MCG-TRIMETHOPRIM 0.016 MCG/ML INTRAVENOUS
Gross
$1,655,500
RX-181540
$639,319
NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION
Gross
$1,420,709
RX-198803
$502,706
VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE
Gross
$1,117,125
RX-204670
$360,235
EMICIZUMAB-KXWH 300 MG/2 ML (150 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$800,523
RX-188804
$320,823
TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION
Gross
$712,940
RX-108054
$290,908
USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE
Gross
$646,463
RX-190450
$245,052
CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION
Gross
$544,560
CASE-69930
$209,201
Cochlear Device Implantation W/WO Mastoidectomy|LEFT SIDE
Gross
$464,892
RX-127625
$182,097
GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION
Gross
$404,661
CASE-63053
$180,556
Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm
Gross
$401,235
RX-185134
$180,118
EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION
Gross
$400,261
CASE-64568
$170,968
Open Implantation Cranial Nerve Nea & Pulse Gen|LEFT SIDE
Gross
$379,930
CASE-64569
$165,798
Revision/Replmt Neurostimlator Eltrd Cranial Nrv
Gross
$368,439
CASE-61885
$165,798
Insj/Rplcmt Cranial Neurostim Pulse Generator
Gross
$368,439
CASE-79101
$160,790
HC Inf Radiopharmaceutical Tx IV
Gross
$357,312
RX-108956
$155,605
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION
Gross
$345,789
CASE-29889
$155,250
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj
Gross
$345,001
CASE-30115
$151,514
Excision Nasal Polyp Extensive
Gross
$336,697
CASE-33244
$146,810
HC Ep Rmv Lead Icd Trnsven
Gross
$326,245
CASE-33225
$146,810
HC Ins Lead Lt Vent
Gross
$326,245
CASE-33241
$146,810
HC Ep Rmv Gener Icd Only W/O Rplc
Gross
$326,245
RX-10910
$145,153
PENTOSTATIN 10 MG INTRAVENOUS SOLUTION
Gross
$322,562
CASE-64582
$139,948
Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|RIGHT SIDE
Gross
$310,996
RX-105644
$139,897
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION
Gross
$310,883
CASE-63052
$139,154
Lam Facetec/Foramot Drg Arthrd Lumbar 1 Vrt Sgm
Gross
$309,231
CASE-33249
$138,795
HC Ins Dual/Sgl Chmb Icd&Lead
Gross
$308,432
RX-206956
$138,440
GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION
Gross
$307,643
CASE-33231
$130,077
HC Ins Gen Icd W/Exist Bi-V Lds
Gross
$289,061
RX-111341
$129,707
LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$288,237
CASE-79445
$129,458
HC Radiopharmaceutical Tx Intra-Arterial Particulate Admin
Gross
$287,685
RX-185133
$126,082
EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION
Gross
$280,183
RX-111348
$125,169
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION
Gross
$278,154
CASE-61624
$124,767
HC Tcat Perm Occls/Embol Noncns
Gross
$277,259
CASE-29999
$121,268
Unlisted Procedure Arthroscopy
Gross
$269,484
RX-111340
$117,765
LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$261,701
CASE-44979
$117,057
Unlisted Laparoscopy Procedure Appendix
Gross
$260,126
CASE-33289
$114,450
HC Implnt Pa Wireless Pressure Sensor
Gross
$254,334
RX-179409
$113,540
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION
Gross
$252,311
CASE-46230
$113,192
HC Excision Multiple External Papillae/Tags Anus [46230]
Gross
$251,538
CASE-44602
$112,202
Enterorrhaphy Single Perforation
Gross
$249,337
CASE-38572
$110,999
Laps Bi Tot Pel Lmphadec & Pri-Aortic Lymph Bx 1|BILATERAL PROCEDURE
Gross
$246,664
CASE-36248
$109,080
HC Art Cath Abd Ea Add Ord
Gross
$242,400
RX-184289
$109,011
DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION
Gross
$242,246
RX-193503
$108,821
COAGULATION FACTOR VIIA RECOMBINANT-JNCW 5 MG (5,000 MCG) IV SOLUTION
Gross
$241,824
CASE-33999
$108,764
HC Unlisted Procedure, Cardiac Surgery
Gross
$241,697
RX-183567
$108,604
HEMIN 336 MG INTRAVENOUS POWDER FOR SOLUTION
Gross
$241,342
CASE-12035
$108,461
HC Lac Rep Inter Sate 12.6-20cm|DISTINCT PROCEDURAL SERVICE
Gross
$241,024
CASE-49657
$106,295
Lap, Recurrent Incisional Hernia Repair,Incarcerated
Gross
$236,210
CASE-49653
$106,295
Lap, Ventral Hernia Repair,Incarcerated
Gross
$236,210
CASE-61886
$106,186
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds
Gross
$235,969
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-40841293 | SULFAMETHOXAZOLE 0.08 MCG-TRIMETHOPRIM 0.016 MCG/ML INTRAVENOUS | $1,655,500 | $744,975 | — | — | 8 |
| RX-181540 | NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION | $1,420,709 | $639,319 | — | — | 26 |
| RX-198803 | VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE | $1,117,125 | $502,706 | — | — | 44 |
| RX-204670 | EMICIZUMAB-KXWH 300 MG/2 ML (150 MG/ML) SUBCUTANEOUS SOLUTION | $800,523 | $360,235 | — | — | 16 |
| RX-188804 | TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION | $712,940 | $320,823 | — | — | 27 |
| RX-108054 | USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE | $646,463 | $290,908 | — | — | 24 |
| RX-190450 | CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION | $544,560 | $245,052 | — | — | 27 |
| CASE-69930 | Cochlear Device Implantation W/WO Mastoidectomy|LEFT SIDE | $464,892 | $209,201 | — | — | 25 |
| RX-127625 | GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION | $404,661 | $182,097 | — | — | 36 |
| CASE-63053 | Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm | $401,235 | $180,556 | — | — | 35 |
| RX-185134 | EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION | $400,261 | $180,118 | — | — | 7 |
| CASE-64568 | Open Implantation Cranial Nerve Nea & Pulse Gen|LEFT SIDE | $379,930 | $170,968 | — | — | 31 |
| CASE-64569 | Revision/Replmt Neurostimlator Eltrd Cranial Nrv | $368,439 | $165,798 | — | — | 17 |
| CASE-61885 | Insj/Rplcmt Cranial Neurostim Pulse Generator | $368,439 | $165,798 | — | — | 20 |
| CASE-79101 | HC Inf Radiopharmaceutical Tx IV | $357,312 | $160,790 | — | — | 27 |
| RX-108956 | IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION | $345,789 | $155,605 | — | — | 30 |
| CASE-29889 | Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj | $345,001 | $155,250 | — | — | 19 |
| CASE-30115 | Excision Nasal Polyp Extensive | $336,697 | $151,514 | — | — | 21 |
| CASE-33244 | HC Ep Rmv Lead Icd Trnsven | $326,245 | $146,810 | — | — | 32 |
| CASE-33225 | HC Ins Lead Lt Vent | $326,245 | $146,810 | — | — | 6 |
| CASE-33241 | HC Ep Rmv Gener Icd Only W/O Rplc | $326,245 | $146,810 | — | — | 22 |
| RX-10910 | PENTOSTATIN 10 MG INTRAVENOUS SOLUTION | $322,562 | $145,153 | — | — | 45 |
| CASE-64582 | Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|RIGHT SIDE | $310,996 | $139,948 | — | — | 19 |
| RX-105644 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $310,883 | $139,897 | — | — | 28 |
| CASE-63052 | Lam Facetec/Foramot Drg Arthrd Lumbar 1 Vrt Sgm | $309,231 | $139,154 | — | — | 19 |
| CASE-33249 | HC Ins Dual/Sgl Chmb Icd&Lead | $308,432 | $138,795 | — | — | 20 |
| RX-206956 | GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION | $307,643 | $138,440 | — | — | 18 |
| CASE-33231 | HC Ins Gen Icd W/Exist Bi-V Lds | $289,061 | $130,077 | — | — | 14 |
| RX-111341 | LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT | $288,237 | $129,707 | — | — | 26 |
| CASE-79445 | HC Radiopharmaceutical Tx Intra-Arterial Particulate Admin | $287,685 | $129,458 | — | — | 20 |
| RX-185133 | EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION | $280,183 | $126,082 | — | — | 24 |
| RX-111348 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $278,154 | $125,169 | — | — | 49 |
| CASE-61624 | HC Tcat Perm Occls/Embol Noncns | $277,259 | $124,767 | — | — | 20 |
| CASE-29999 | Unlisted Procedure Arthroscopy | $269,484 | $121,268 | — | — | 20 |
| RX-111340 | LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT | $261,701 | $117,765 | — | — | 23 |
| CASE-44979 | Unlisted Laparoscopy Procedure Appendix | $260,126 | $117,057 | — | — | 38 |
| CASE-33289 | HC Implnt Pa Wireless Pressure Sensor | $254,334 | $114,450 | — | — | 20 |
| RX-179409 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION | $252,311 | $113,540 | — | — | 35 |
| CASE-46230 | HC Excision Multiple External Papillae/Tags Anus [46230] | $251,538 | $113,192 | — | — | 17 |
| CASE-44602 | Enterorrhaphy Single Perforation | $249,337 | $112,202 | — | — | 20 |
| CASE-38572 | Laps Bi Tot Pel Lmphadec & Pri-Aortic Lymph Bx 1|BILATERAL PROCEDURE | $246,664 | $110,999 | — | — | 20 |
| CASE-36248 | HC Art Cath Abd Ea Add Ord | $242,400 | $109,080 | — | — | 19 |
| RX-184289 | DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION | $242,246 | $109,011 | — | — | 20 |
| RX-193503 | COAGULATION FACTOR VIIA RECOMBINANT-JNCW 5 MG (5,000 MCG) IV SOLUTION | $241,824 | $108,821 | — | — | 26 |
| CASE-33999 | HC Unlisted Procedure, Cardiac Surgery | $241,697 | $108,764 | — | — | 27 |
| RX-183567 | HEMIN 336 MG INTRAVENOUS POWDER FOR SOLUTION | $241,342 | $108,604 | — | — | 35 |
| CASE-12035 | HC Lac Rep Inter Sate 12.6-20cm|DISTINCT PROCEDURAL SERVICE | $241,024 | $108,461 | — | — | 15 |
| CASE-49657 | Lap, Recurrent Incisional Hernia Repair,Incarcerated | $236,210 | $106,295 | — | — | 30 |
| CASE-49653 | Lap, Ventral Hernia Repair,Incarcerated | $236,210 | $106,295 | — | — | 28 |
| CASE-61886 | Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds | $235,969 | $106,186 | — | — | 24 |
Showing top 50 of 7,315 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.