45 CFR § 180 compliance
F · 50
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
41,215
Insurances with rates
9
CPT / HCPCS codes
9,628
Source MRF
Most expensive procedures (gross)
60296015
$429,731
Krystexxa: 1 VIAL in 1 CARTON (54396-801-01) / 1 mL in 1 VIAL
Gross
$429,731
60296741
$365,067
Jelmyto: 1 Kit In 1 Carton (72493-103-03) * 1 Powder, For Solution In 1 Vial, Single-Dose (72493-1
Gross
$365,067
60295951
$358,646
Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use
Gross
$358,646
60296421
$319,371
Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01) / 4 Ml In 1 Vial, Single-Dose
Gross
$319,371
60296881
$297,698
Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial
Gross
$297,698
60296583
$277,535
Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use
Gross
$277,535
60296821
$266,430
Voraxaze: 1 Vial In 1 Carton (50633-210-11) / 1 Injection, Powder, For Solution In 1 Vial
Gross
$266,430
60296905
$264,243
Tepezza: 1 Vial, Single-Dose In 1 Carton (75987-130-15) / 1 Injection, Powder, Lyophilized, For Sol
Gross
$264,243
60296557
$256,994
Panhematin: 1 Vial In 1 Carton (55292-702-55) / 48 Ml In 1 Vial (55292-702-54)
Gross
$256,994
60296285
$239,005
ONCASPAR: 1 VIAL, SINGLE-USE in 1 CARTON (0944-3810-01) / 5 mL in 1 VIAL, SINGLE-USE
Gross
$239,005
60296677
$217,035
Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose
Gross
$217,035
91094586
$173,069
Atherectomy/Des/Ptca, Init-Lm
Gross
$173,069
91094587
$173,069
Atherectomy/Des/Ptca, Init-Ld
Gross
$173,069
91094588
$173,069
Atherectomy/Des/Ptca, Init-Lc
Gross
$173,069
91094589
$173,069
Atherectomy/Des/Ptca, Init-Rc
Gross
$173,069
91094590
$173,069
Atherectomy/Des/Ptca, Init-Ri
Gross
$173,069
91094592
$173,069
Atherectomy/Des/Ptca, Addl-Ld
Gross
$173,069
91094593
$173,069
Atherectomy/Des/Ptca, Addl-Lc
Gross
$173,069
91094594
$173,069
Atherectomy/Des/Ptca, Addl-Rc
Gross
$173,069
91094596
$173,069
Ather/Des/Ptca Graft, Init-Lm
Gross
$173,069
91094597
$173,069
Ather/Des/Ptca Graft, Init-Ld
Gross
$173,069
91094598
$173,069
Ather/Des/Ptca Graft, Init-Lc
Gross
$173,069
91094599
$173,069
Ather/Des/Ptca Gfaft, Init-Rc
Gross
$173,069
91094600
$173,069
Ather/Des/Ptca Graft, Init-Ri
Gross
$173,069
91094602
$173,069
Ather/Des/Ptca Graft, Addl-Ld
Gross
$173,069
91094603
$173,069
Ather/Des/Ptca Graft, Addl-Lc
Gross
$173,069
91094604
$173,069
Ather/Des/Ptca Graft, Addl-Rc
Gross
$173,069
91094606
$173,069
Stemi Pci Ather/Des/Throm-Lm
Gross
$173,069
91094607
$173,069
Stemi Pci Ather/Des/Throm-Ld
Gross
$173,069
91094608
$173,069
Stemi Pci Ather/Des/Throm-Lc
Gross
$173,069
91094609
$173,069
Stemi Pci Ather/Des/Throm-Rc
Gross
$173,069
91094610
$173,069
Stemi Pci Ather/Des/Throm-Ri
Gross
$173,069
91094611
$173,069
Cto Pci Ather/Des/Pta Init-Lm
Gross
$173,069
91094612
$173,069
Cto Pci Ather/Des/Pta Init-Ld
Gross
$173,069
91094613
$173,069
Cto Pci Ather/Des/Pta Init-Lc
Gross
$173,069
91094614
$173,069
Cto Pci Ather/Des/Pta Init-Rc
Gross
$173,069
91094615
$173,069
Cto Pci Ather/Des/Pta Init-Ri
Gross
$173,069
91094617
$173,069
Cto Pci Ather/Des/Pta Addl-Ld
Gross
$173,069
91094618
$173,069
Cto Pci Ather/Des/Pta Addl-Lc
Gross
$173,069
91094619
$173,069
Cto Pci Ather/Des/Pta Addl-Rc
Gross
$173,069
60296873
$156,063
Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01) / 10 Ml In 1 Vial, Single-Dose
Gross
$156,063
60296903
$154,195
Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01) / 1.7 Ml In 1 Vial, Single-Dose
Gross
$154,195
60296419
$151,694
Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01) / 20 Ml In 1 Vial, Single-Use
Gross
$151,694
91000068
$144,640
Tavr/Tavi Percutaneous
Gross
$144,640
40010282
$143,129
Vascular Major Surg, 1St Hr
Gross
$143,129
91094541
$140,557
Atherectomy/Bms/Ptca Init-Lm
Gross
$140,557
91094542
$140,557
Atherectomy/Bms/Ptca, Init-Ld
Gross
$140,557
91094543
$140,557
Atherectomy/Bms/Ptca, Init-Lc
Gross
$140,557
91094544
$140,557
Atherectomy/Bms/Ptca, Init-Rc
Gross
$140,557
91094545
$140,557
Arthrectomy/Bms/Ptca, Init-Ri
Gross
$140,557
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 60296015 | Krystexxa: 1 VIAL in 1 CARTON (54396-801-01) / 1 mL in 1 VIAL | $429,731 | $429,731 | — | — | 0 |
| 60296741 | Jelmyto: 1 Kit In 1 Carton (72493-103-03) * 1 Powder, For Solution In 1 Vial, Single-Dose (72493-1 | $365,067 | $365,067 | — | — | 0 |
| 60295951 | Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use | $358,646 | $358,646 | — | — | 0 |
| 60296421 | Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01) / 4 Ml In 1 Vial, Single-Dose | $319,371 | $319,371 | — | — | 0 |
| 60296881 | Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial | $297,698 | $297,698 | — | — | 0 |
| 60296583 | Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use | $277,535 | $277,535 | — | — | 0 |
| 60296821 | Voraxaze: 1 Vial In 1 Carton (50633-210-11) / 1 Injection, Powder, For Solution In 1 Vial | $266,430 | $266,430 | — | — | 0 |
| 60296905 | Tepezza: 1 Vial, Single-Dose In 1 Carton (75987-130-15) / 1 Injection, Powder, Lyophilized, For Sol | $264,243 | $264,243 | — | — | 0 |
| 60296557 | Panhematin: 1 Vial In 1 Carton (55292-702-55) / 48 Ml In 1 Vial (55292-702-54) | $256,994 | $256,994 | — | — | 0 |
| 60296285 | ONCASPAR: 1 VIAL, SINGLE-USE in 1 CARTON (0944-3810-01) / 5 mL in 1 VIAL, SINGLE-USE | $239,005 | $239,005 | — | — | 0 |
| 60296677 | Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose | $217,035 | $217,035 | — | — | 0 |
| 91094586 | Atherectomy/Des/Ptca, Init-Lm | $173,069 | $173,069 | — | — | 0 |
| 91094587 | Atherectomy/Des/Ptca, Init-Ld | $173,069 | $173,069 | — | — | 0 |
| 91094588 | Atherectomy/Des/Ptca, Init-Lc | $173,069 | $173,069 | — | — | 0 |
| 91094589 | Atherectomy/Des/Ptca, Init-Rc | $173,069 | $173,069 | — | — | 0 |
| 91094590 | Atherectomy/Des/Ptca, Init-Ri | $173,069 | $173,069 | — | — | 0 |
| 91094592 | Atherectomy/Des/Ptca, Addl-Ld | $173,069 | $173,069 | — | — | 0 |
| 91094593 | Atherectomy/Des/Ptca, Addl-Lc | $173,069 | $173,069 | — | — | 0 |
| 91094594 | Atherectomy/Des/Ptca, Addl-Rc | $173,069 | $173,069 | — | — | 0 |
| 91094596 | Ather/Des/Ptca Graft, Init-Lm | $173,069 | $173,069 | — | — | 0 |
| 91094597 | Ather/Des/Ptca Graft, Init-Ld | $173,069 | $173,069 | — | — | 0 |
| 91094598 | Ather/Des/Ptca Graft, Init-Lc | $173,069 | $173,069 | — | — | 0 |
| 91094599 | Ather/Des/Ptca Gfaft, Init-Rc | $173,069 | $173,069 | — | — | 0 |
| 91094600 | Ather/Des/Ptca Graft, Init-Ri | $173,069 | $173,069 | — | — | 0 |
| 91094602 | Ather/Des/Ptca Graft, Addl-Ld | $173,069 | $173,069 | — | — | 0 |
| 91094603 | Ather/Des/Ptca Graft, Addl-Lc | $173,069 | $173,069 | — | — | 0 |
| 91094604 | Ather/Des/Ptca Graft, Addl-Rc | $173,069 | $173,069 | — | — | 0 |
| 91094606 | Stemi Pci Ather/Des/Throm-Lm | $173,069 | $173,069 | — | — | 0 |
| 91094607 | Stemi Pci Ather/Des/Throm-Ld | $173,069 | $173,069 | — | — | 0 |
| 91094608 | Stemi Pci Ather/Des/Throm-Lc | $173,069 | $173,069 | — | — | 0 |
| 91094609 | Stemi Pci Ather/Des/Throm-Rc | $173,069 | $173,069 | — | — | 0 |
| 91094610 | Stemi Pci Ather/Des/Throm-Ri | $173,069 | $173,069 | — | — | 0 |
| 91094611 | Cto Pci Ather/Des/Pta Init-Lm | $173,069 | $173,069 | — | — | 0 |
| 91094612 | Cto Pci Ather/Des/Pta Init-Ld | $173,069 | $173,069 | — | — | 0 |
| 91094613 | Cto Pci Ather/Des/Pta Init-Lc | $173,069 | $173,069 | — | — | 0 |
| 91094614 | Cto Pci Ather/Des/Pta Init-Rc | $173,069 | $173,069 | — | — | 0 |
| 91094615 | Cto Pci Ather/Des/Pta Init-Ri | $173,069 | $173,069 | — | — | 0 |
| 91094617 | Cto Pci Ather/Des/Pta Addl-Ld | $173,069 | $173,069 | — | — | 0 |
| 91094618 | Cto Pci Ather/Des/Pta Addl-Lc | $173,069 | $173,069 | — | — | 0 |
| 91094619 | Cto Pci Ather/Des/Pta Addl-Rc | $173,069 | $173,069 | — | — | 0 |
| 60296873 | Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01) / 10 Ml In 1 Vial, Single-Dose | $156,063 | $156,063 | — | — | 0 |
| 60296903 | Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01) / 1.7 Ml In 1 Vial, Single-Dose | $154,195 | $154,195 | — | — | 0 |
| 60296419 | Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01) / 20 Ml In 1 Vial, Single-Use | $151,694 | $151,694 | — | — | 0 |
| 91000068 | Tavr/Tavi Percutaneous | $144,640 | $144,640 | — | — | 0 |
| 40010282 | Vascular Major Surg, 1St Hr | $143,129 | $143,129 | — | — | 0 |
| 91094541 | Atherectomy/Bms/Ptca Init-Lm | $140,557 | $140,557 | — | — | 0 |
| 91094542 | Atherectomy/Bms/Ptca, Init-Ld | $140,557 | $140,557 | — | — | 0 |
| 91094543 | Atherectomy/Bms/Ptca, Init-Lc | $140,557 | $140,557 | — | — | 0 |
| 91094544 | Atherectomy/Bms/Ptca, Init-Rc | $140,557 | $140,557 | — | — | 0 |
| 91094545 | Arthrectomy/Bms/Ptca, Init-Ri | $140,557 | $140,557 | — | — | 0 |
Showing top 50 of 41,215 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.