45 CFR § 180 compliance
A · 100
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
18,078
Insurances with rates
11
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-198444
$3,131,000
LOVOTIBEGLOGENE AUTOTEMCEL 1.7 X 10EXP6 TO 20 X 10EXP6 CELL/ML IV SUSP
Gross
$6,262,000
RX-203778
$1,982,610
PRADEMAGENE ZAMIKERACEL 5.5 CM X 7.5 CM TOPICAL SHEETS
Gross
$3,965,220
RX-194325
$1,890,000
ELIVALDOGENE AUTOTEMCEL 4 X 10EXP6 TO 30 X 10EXP6 CELL/ML IV SUSP
Gross
$3,780,000
RX-602233
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 9.1-9.5 KG NDC KIT)
Gross
$3,259,153
RX-602263
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 7.1-7.5 KG NDC KIT)
Gross
$3,259,153
RX-602330
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 3.1-3.5 KG NDC KIT)
Gross
$3,259,153
RX-602332
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 2.6-3.0 KG NDC KIT)
Gross
$3,259,153
RX-602413
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 3.6-4.0 KG NDC KIT)
Gross
$3,259,153
RX-602414
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 4.1-4.5 KG NDC KIT)
Gross
$3,259,153
RX-602415
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 4.6-5.0 KG NDC KIT)
Gross
$3,259,153
RX-602416
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 5.1-5.5 KG NDC KIT)
Gross
$3,259,153
RX-602417
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 5.6-6.0 KG NDC KIT)
Gross
$3,259,153
RX-602418
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 6.1-6.5 KG NDC KIT)
Gross
$3,259,153
RX-602419
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 6.6-7.0 KG NDC KIT)
Gross
$3,259,153
RX-602420
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 7.6-8.0 KG NDC KIT)
Gross
$3,259,153
RX-602421
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 8.1-8.5 KG NDC KIT)
Gross
$3,259,153
RX-602422
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 8.6-9.0 KG NDC KIT)
Gross
$3,259,153
RX-602423
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 9.6-10.0 KG NDC KIT)
Gross
$3,259,153
RX-602424
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 10.1-10.5 KG NDC KIT)
Gross
$3,259,153
RX-602425
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 10.6-11.0 KG NDC KIT)
Gross
$3,259,153
RX-602426
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 11.1-11.5 KG NDC KIT)
Gross
$3,259,153
RX-602427
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 11.6-12.0 KG NDC KIT)
Gross
$3,259,153
RX-602428
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 12.1-12.5 KG NDC KIT)
Gross
$3,259,153
RX-602429
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 12.6-13.0 KG NDC KIT)
Gross
$3,259,153
RX-602430
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 13.1-13.5 KG NDC KIT)
Gross
$3,259,153
RX-602941
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 13.6-14.0 KG NDC KIT)
Gross
$3,259,153
RX-602942
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 14.1-14.5 KG NDC KIT)
Gross
$3,259,153
RX-602943
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 14.6-15.0 KG NDC KIT)
Gross
$3,259,153
RX-602944
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 15.1-15.5 KG NDC KIT)
Gross
$3,259,153
RX-602945
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 15.6-16.0 KG NDC KIT)
Gross
$3,259,153
RX-602946
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 16.1-16.5 KG NDC KIT)
Gross
$3,259,153
RX-602947
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 16.6-17.0 KG NDC KIT)
Gross
$3,259,153
RX-602948
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 17.1-17.5 KG NDC KIT)
Gross
$3,259,153
RX-602949
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 17.6-18.0 KG NDC KIT)
Gross
$3,259,153
RX-602950
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 18.1-18.5 KG NDC KIT)
Gross
$3,259,153
RX-602951
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 18.6-19.0 KG NDC KIT)
Gross
$3,259,153
RX-602952
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 19.1-19.5 KG NDC KIT)
Gross
$3,259,153
RX-602953
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 19.6-20.0 KG NDC KIT)
Gross
$3,259,153
RX-602954
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 20.1-21.5 KG NDC KIT)
Gross
$3,259,153
RX-602955
$1,629,577
ONASEMNOGENE (ZOLGENSMA)(WT= 20.6-21.0 KG NDC KIT)
Gross
$3,259,153
RX-179350
$611,458
TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION
Gross
$1,222,916
RX-105971
$316,133
INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION
Gross
$632,265
RX-176606
$306,606
NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION
Gross
$613,212
RX-9685
$288,690
CORTICOTROPIN 80 UNIT/ML INJECTION GEL
Gross
$577,380
RX-187077
$235,044
LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE
Gross
$470,089
RX-206292
$227,718
NARSOPLIMAB-WUUG 370 MG/2 ML (185 MG/ML) INTRAVENOUS SOLUTION
Gross
$455,436
RX-185308
$188,792
CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION
Gross
$377,583
RX-12519
$174,368
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION
Gross
$348,736
RX-500275
$174,368
PEGASPARGASE IM 750 UNITS/ML EXTEMP INJ
Gross
$348,736
RX-188900
$161,441
NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION
Gross
$322,883
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-198444 | LOVOTIBEGLOGENE AUTOTEMCEL 1.7 X 10EXP6 TO 20 X 10EXP6 CELL/ML IV SUSP | $6,262,000 | $3,131,000 | $2,003,214 | $3,131,000 | 17 |
| RX-203778 | PRADEMAGENE ZAMIKERACEL 5.5 CM X 7.5 CM TOPICAL SHEETS | $3,965,220 | $1,982,610 | $1,268,474 | $1,268,474 | 13 |
| RX-194325 | ELIVALDOGENE AUTOTEMCEL 4 X 10EXP6 TO 30 X 10EXP6 CELL/ML IV SUSP | $3,780,000 | $1,890,000 | $1,209,222 | $1,209,222 | 13 |
| RX-602233 | ONASEMNOGENE (ZOLGENSMA)(WT= 9.1-9.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602263 | ONASEMNOGENE (ZOLGENSMA)(WT= 7.1-7.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602330 | ONASEMNOGENE (ZOLGENSMA)(WT= 3.1-3.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602332 | ONASEMNOGENE (ZOLGENSMA)(WT= 2.6-3.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602413 | ONASEMNOGENE (ZOLGENSMA)(WT= 3.6-4.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602414 | ONASEMNOGENE (ZOLGENSMA)(WT= 4.1-4.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602415 | ONASEMNOGENE (ZOLGENSMA)(WT= 4.6-5.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602416 | ONASEMNOGENE (ZOLGENSMA)(WT= 5.1-5.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602417 | ONASEMNOGENE (ZOLGENSMA)(WT= 5.6-6.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602418 | ONASEMNOGENE (ZOLGENSMA)(WT= 6.1-6.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602419 | ONASEMNOGENE (ZOLGENSMA)(WT= 6.6-7.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602420 | ONASEMNOGENE (ZOLGENSMA)(WT= 7.6-8.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602421 | ONASEMNOGENE (ZOLGENSMA)(WT= 8.1-8.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602422 | ONASEMNOGENE (ZOLGENSMA)(WT= 8.6-9.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602423 | ONASEMNOGENE (ZOLGENSMA)(WT= 9.6-10.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602424 | ONASEMNOGENE (ZOLGENSMA)(WT= 10.1-10.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602425 | ONASEMNOGENE (ZOLGENSMA)(WT= 10.6-11.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602426 | ONASEMNOGENE (ZOLGENSMA)(WT= 11.1-11.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602427 | ONASEMNOGENE (ZOLGENSMA)(WT= 11.6-12.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602428 | ONASEMNOGENE (ZOLGENSMA)(WT= 12.1-12.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602429 | ONASEMNOGENE (ZOLGENSMA)(WT= 12.6-13.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602430 | ONASEMNOGENE (ZOLGENSMA)(WT= 13.1-13.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602941 | ONASEMNOGENE (ZOLGENSMA)(WT= 13.6-14.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602942 | ONASEMNOGENE (ZOLGENSMA)(WT= 14.1-14.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602943 | ONASEMNOGENE (ZOLGENSMA)(WT= 14.6-15.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602944 | ONASEMNOGENE (ZOLGENSMA)(WT= 15.1-15.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602945 | ONASEMNOGENE (ZOLGENSMA)(WT= 15.6-16.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602946 | ONASEMNOGENE (ZOLGENSMA)(WT= 16.1-16.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602947 | ONASEMNOGENE (ZOLGENSMA)(WT= 16.6-17.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602948 | ONASEMNOGENE (ZOLGENSMA)(WT= 17.1-17.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602949 | ONASEMNOGENE (ZOLGENSMA)(WT= 17.6-18.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602950 | ONASEMNOGENE (ZOLGENSMA)(WT= 18.1-18.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602951 | ONASEMNOGENE (ZOLGENSMA)(WT= 18.6-19.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602952 | ONASEMNOGENE (ZOLGENSMA)(WT= 19.1-19.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602953 | ONASEMNOGENE (ZOLGENSMA)(WT= 19.6-20.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602954 | ONASEMNOGENE (ZOLGENSMA)(WT= 20.1-21.5 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-602955 | ONASEMNOGENE (ZOLGENSMA)(WT= 20.6-21.0 KG NDC KIT) | $3,259,153 | $1,629,577 | $1,042,603 | $2,511,291 | 17 |
| RX-179350 | TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION | $1,222,916 | $611,458 | $391,211 | $391,211 | 13 |
| RX-105971 | INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION | $632,265 | $316,133 | $202,262 | $202,262 | 13 |
| RX-176606 | NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION | $613,212 | $306,606 | $1,256 | $140,000 | 18 |
| RX-9685 | CORTICOTROPIN 80 UNIT/ML INJECTION GEL | $577,380 | $288,690 | $184,704 | $184,704 | 13 |
| RX-187077 | LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE | $470,089 | $235,044 | $150,381 | $150,381 | 13 |
| RX-206292 | NARSOPLIMAB-WUUG 370 MG/2 ML (185 MG/ML) INTRAVENOUS SOLUTION | $455,436 | $227,718 | $192,194 | $236,827 | 17 |
| RX-185308 | CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION | $377,583 | $188,792 | $120,789 | $120,789 | 13 |
| RX-12519 | PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION | $348,736 | $174,368 | $111,561 | $111,561 | 13 |
| RX-500275 | PEGASPARGASE IM 750 UNITS/ML EXTEMP INJ | $348,736 | $174,368 | $111,561 | $111,561 | 13 |
| RX-188900 | NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION | $322,883 | $161,441 | $103,290 | $103,290 | 13 |
Showing top 50 of 18,078 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.