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
9,673
Insurances with rates
18
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
221909_ERX
$72,996
INJECTION, OCRELIZUMAB, 1 MG
Gross
$72,996
232595_ERX
$62,276
INJECTION, TEPROTUMUMAB-TRBW, 10 MG
Gross
$62,276
234158_ERX
$52,120
INJECTION, PERTUZUMAB, TRASTUZUMAB, AND HYALURONIDASE-ZZXF, PER 10 MG
Gross
$52,120
218713_ERX
$40,396
INJECTION, ATEZOLIZUMAB, 10 MG
Gross
$40,396
176805_ERX
$35,914
INJECTION, LANREOTIDE, 1 MG
Gross
$35,914
234159_ERX
$34,745
INJECTION, PERTUZUMAB, TRASTUZUMAB, AND HYALURONIDASE-ZZXF, PER 10 MG
Gross
$34,745
233531_ERX
$34,315
INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ
Gross
$34,315
460000004
$34,047
HCHG OPTIME SUP PACEMAKER REV CD 275
Gross
$34,047
500002391
$32,861
Insertion of heart rhythm monitor under skin
Gross
$32,861
194025_ERX
$32,332
INJECTION, IPILIMUMAB, 1 MG
Gross
$32,332
209778_ERX
$31,637
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$31,637
207710_ERX
$29,215
INJECTION, OBINUTUZUMAB, 10 MG
Gross
$29,215
229308_ERX
$28,277
INJECTION, ATEZOLIZUMAB, 10 MG
Gross
$28,277
222967_ERX
$26,975
INJECTION, RITUXIMAB 10 MG AND HYALURONIDASE
Gross
$26,975
209334_ERX
$26,537
INJECTION, RAMUCIRUMAB, 5 MG
Gross
$26,537
213469_ERX
$26,194
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$26,194
350005642
$23,723
Transplantation of donor liver
Gross
$23,723
350005643
$23,723
Transplantation of donor liver
Gross
$23,723
200555_ERX
$23,704
INJECTION, PERTUZUMAB, 1 MG
Gross
$23,704
204465_ERX
$22,607
INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG
Gross
$22,607
212708_ERX
$21,060
INJECTION, PEMBROLIZUMAB, 1 MG
Gross
$21,060
181938_ERX
$20,917
INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE
Gross
$20,917
229498_ERX
$19,176
INJECTION, TRASTUZUMAB, 10 MG AND HYALURONIDASE-OYSK
Gross
$19,176
213468_ERX
$17,493
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$17,493
225219_ERX
$16,827
INJECTION, TENECTEPLASE, 1 MG
Gross
$16,827
226635_ERX
$16,747
INJECTION, MOGAMULIZUMAB-KPKC, 1 MG
Gross
$16,747
212539_ERX
$16,056
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$16,056
239856_ERX
$15,781
INJECTION, PEMETREXED (PEMFEXY), 10 MG
Gross
$15,781
350004080
$15,729
Complete laser vaporization of prostate including control of bleeding using an endoscope
Gross
$15,729
230303_ERX
$15,620
INJECTION, TRASTUZUMAB-ANNS, BIOSIMILAR, (KANJINTI), 10 MG
Gross
$15,620
222319_ERX
$15,487
INJECTION, DURVALUMAB, 10 MG
Gross
$15,487
350006029
$15,085
Removal of chest cavity lining and lung lining using an endoscope
Gross
$15,085
350006030
$15,085
Removal of chest cavity lining and lung lining using an endoscope
Gross
$15,085
350006006
$15,079
Total hip replacement after previous hip surgery
Gross
$15,079
350006067
$15,079
Total hip replacement after previous hip surgery
Gross
$15,079
350006036
$14,825
Suture of multiple tears or holes in small bowel
Gross
$14,825
350006037
$14,825
Suture of multiple tears or holes in small bowel
Gross
$14,825
232510_ERX
$14,701
INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG
Gross
$14,701
204464_ERX
$14,130
INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG
Gross
$14,130
350005513
$13,791
Removal of tongue, floor of mouth, jaw bone, tissue, and lymph nodes
Gross
$13,791
350005514
$13,791
Removal of tongue, floor of mouth, jaw bone, tissue, and lymph nodes
Gross
$13,791
228755_ERX
$13,759
INJECTION, COAGULATION FACTOR XA (RECOMBINANT), INACTIVATED-ZHZO (ANDEXXA), 10 MG
Gross
$13,759
400048553
$13,567
HCHG TFH DRESSING INCISION PREVENA KCI
Gross
$13,567
215484_ERX
$12,958
INJECTION, TRABECTEDIN, 0.1 MG
Gross
$12,958
237992_ERX
$12,911
INJECTION, AMIVANTAMAB-VMJW, 2 MG
Gross
$12,911
650001622
$12,779
HEARING AID, DIGITAL, MONAURAL, BTE
Gross
$12,779
350005998
$12,625
Prosthetic repair of shoulder joint, total shoulder
Gross
$12,625
350006034
$12,429
Suture of perforated ulcer, wound, or injury of stomach or upper small bowel
Gross
$12,429
350006035
$12,429
Suture of perforated ulcer, wound, or injury of stomach or upper small bowel
Gross
$12,429
350006396
$12,260
Bone graft of pelvic bone with microvascular connection
Gross
$12,260
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 221909_ERX | INJECTION, OCRELIZUMAB, 1 MG | $72,996 | $72,996 | — | — | 22 |
| 232595_ERX | INJECTION, TEPROTUMUMAB-TRBW, 10 MG | $62,276 | $62,276 | — | — | 21 |
| 234158_ERX | INJECTION, PERTUZUMAB, TRASTUZUMAB, AND HYALURONIDASE-ZZXF, PER 10 MG | $52,120 | $52,120 | — | — | 21 |
| 218713_ERX | INJECTION, ATEZOLIZUMAB, 10 MG | $40,396 | $40,396 | — | — | 22 |
| 176805_ERX | INJECTION, LANREOTIDE, 1 MG | $35,914 | $35,914 | — | — | 22 |
| 234159_ERX | INJECTION, PERTUZUMAB, TRASTUZUMAB, AND HYALURONIDASE-ZZXF, PER 10 MG | $34,745 | $34,745 | — | — | 21 |
| 233531_ERX | INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ | $34,315 | $34,315 | — | — | 21 |
| 460000004 | HCHG OPTIME SUP PACEMAKER REV CD 275 | $34,047 | $34,047 | — | — | 18 |
| 500002391 | Insertion of heart rhythm monitor under skin | $32,861 | $32,861 | — | — | 22 |
| 194025_ERX | INJECTION, IPILIMUMAB, 1 MG | $32,332 | $32,332 | — | — | 22 |
| 209778_ERX | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $31,637 | $31,637 | — | — | 22 |
| 207710_ERX | INJECTION, OBINUTUZUMAB, 10 MG | $29,215 | $29,215 | — | — | 22 |
| 229308_ERX | INJECTION, ATEZOLIZUMAB, 10 MG | $28,277 | $28,277 | — | — | 22 |
| 222967_ERX | INJECTION, RITUXIMAB 10 MG AND HYALURONIDASE | $26,975 | $26,975 | — | — | 22 |
| 209334_ERX | INJECTION, RAMUCIRUMAB, 5 MG | $26,537 | $26,537 | — | — | 22 |
| 213469_ERX | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $26,194 | $26,194 | — | — | 22 |
| 350005642 | Transplantation of donor liver | $23,723 | $23,723 | — | — | 22 |
| 350005643 | Transplantation of donor liver | $23,723 | $23,723 | — | — | 22 |
| 200555_ERX | INJECTION, PERTUZUMAB, 1 MG | $23,704 | $23,704 | — | — | 22 |
| 204465_ERX | INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG | $22,607 | $22,607 | — | — | 22 |
| 212708_ERX | INJECTION, PEMBROLIZUMAB, 1 MG | $21,060 | $21,060 | — | — | 22 |
| 181938_ERX | INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE | $20,917 | $20,917 | — | — | 22 |
| 229498_ERX | INJECTION, TRASTUZUMAB, 10 MG AND HYALURONIDASE-OYSK | $19,176 | $19,176 | — | — | 22 |
| 213468_ERX | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $17,493 | $17,493 | — | — | 22 |
| 225219_ERX | INJECTION, TENECTEPLASE, 1 MG | $16,827 | $16,827 | — | — | 21 |
| 226635_ERX | INJECTION, MOGAMULIZUMAB-KPKC, 1 MG | $16,747 | $16,747 | — | — | 21 |
| 212539_ERX | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $16,056 | $16,056 | — | — | 21 |
| 239856_ERX | INJECTION, PEMETREXED (PEMFEXY), 10 MG | $15,781 | $15,781 | — | — | 21 |
| 350004080 | Complete laser vaporization of prostate including control of bleeding using an endoscope | $15,729 | $15,729 | — | — | 22 |
| 230303_ERX | INJECTION, TRASTUZUMAB-ANNS, BIOSIMILAR, (KANJINTI), 10 MG | $15,620 | $15,620 | — | — | 21 |
| 222319_ERX | INJECTION, DURVALUMAB, 10 MG | $15,487 | $15,487 | — | — | 22 |
| 350006029 | Removal of chest cavity lining and lung lining using an endoscope | $15,085 | $15,085 | — | — | 22 |
| 350006030 | Removal of chest cavity lining and lung lining using an endoscope | $15,085 | $15,085 | — | — | 22 |
| 350006006 | Total hip replacement after previous hip surgery | $15,079 | $15,079 | — | — | 22 |
| 350006067 | Total hip replacement after previous hip surgery | $15,079 | $15,079 | — | — | 22 |
| 350006036 | Suture of multiple tears or holes in small bowel | $14,825 | $14,825 | — | — | 22 |
| 350006037 | Suture of multiple tears or holes in small bowel | $14,825 | $14,825 | — | — | 22 |
| 232510_ERX | INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG | $14,701 | $14,701 | — | — | 21 |
| 204464_ERX | INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG | $14,130 | $14,130 | — | — | 22 |
| 350005513 | Removal of tongue, floor of mouth, jaw bone, tissue, and lymph nodes | $13,791 | $13,791 | — | — | 22 |
| 350005514 | Removal of tongue, floor of mouth, jaw bone, tissue, and lymph nodes | $13,791 | $13,791 | — | — | 22 |
| 228755_ERX | INJECTION, COAGULATION FACTOR XA (RECOMBINANT), INACTIVATED-ZHZO (ANDEXXA), 10 MG | $13,759 | $13,759 | — | — | 21 |
| 400048553 | HCHG TFH DRESSING INCISION PREVENA KCI | $13,567 | $13,567 | — | — | 18 |
| 215484_ERX | INJECTION, TRABECTEDIN, 0.1 MG | $12,958 | $12,958 | — | — | 22 |
| 237992_ERX | INJECTION, AMIVANTAMAB-VMJW, 2 MG | $12,911 | $12,911 | — | — | 21 |
| 650001622 | HEARING AID, DIGITAL, MONAURAL, BTE | $12,779 | $12,779 | — | — | 21 |
| 350005998 | Prosthetic repair of shoulder joint, total shoulder | $12,625 | $12,625 | — | — | 18 |
| 350006034 | Suture of perforated ulcer, wound, or injury of stomach or upper small bowel | $12,429 | $12,429 | — | — | 22 |
| 350006035 | Suture of perforated ulcer, wound, or injury of stomach or upper small bowel | $12,429 | $12,429 | — | — | 22 |
| 350006396 | Bone graft of pelvic bone with microvascular connection | $12,260 | $12,260 | — | — | 22 |
Showing top 50 of 9,673 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.