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
19,028
Insurances with rates
19
CPT / HCPCS codes
9,786
Source MRF
Most expensive procedures (gross)
00003232822
$55,707
Yervoy 200 mg/40 ml Vial
Gross
$101,286
57894006103
$39,486
Stelara 90 mg/ml Syringe
Gross
$71,792
50242015001_2
$30,287
Ocrevus 300 mg/10 ml Vial
Gross
$55,067
50242010501
$24,281
Polivy 140 mg Vial
Gross
$44,147
00074347303
$18,674
Lupron Depot 45 mg 6Mo Kit
Gross
$33,952
50242091701
$17,248
Tecentriq 1200 mg/20 ml Vial
Gross
$31,359
61755000801
$17,074
Libtayo 350 mg/7 ml Vial
Gross
$31,043
6009150343
$16,590
PYLARIFY (PIFLUFOLASTAT F-18)
Gross
$30,164
50242008527
$16,520
Activase 100 mg Vial
Gross
$30,036
15054112003
$16,401
Somatuline Depot 120 mg/0.5 ml
Gross
$29,820
15054112003_2
$16,401
Somatuline Depot 120 mg/0.5 ml
Gross
$29,820
57894050301
$14,217
Darzalex Faspro 1800 mg-30000 Unit/15 ml Vial
Gross
$25,849
57894050301_2
$14,217
Darzalex Faspro 1800 mg-30000 Unit/15 ml Vial
Gross
$25,849
50242010901
$14,110
Rituxan Hycela 1600 mg-26800
Gross
$25,654
00173089601
$13,850
Blenrep 100 mg Vial
Gross
$25,181
64406000801
$13,362
Tysabri 300 mg/15 ml Vial
Gross
$24,295
50242026001
$13,265
Phesgo 600 mg-600 mg-20000 Unit/10 ml
Gross
$24,119
64764030020
$12,690
Entyvio 300 mg Vial
Gross
$23,072
00003232711
$12,639
Yervoy 50 mg/10 ml Vial
Gross
$22,980
00074368303
$12,522
Lupron Depot-4 Month Kit
Gross
$22,768
00003373413
$12,418
Opdivo 240 mg/24 ml Vial
Gross
$22,578
50242091801
$12,150
Tecentriq 840 mg/14 ml Vial
Gross
$22,092
00078082581
$12,022
Sandostatin Lar Depot 30 mg Kt
Gross
$21,857
55513019001
$11,735
Neulasta 6 mg/0.6 ml Syringe
Gross
$21,336
55513019201
$11,735
Neulasta Onpro 6 mg/0.6 ml Kit
Gross
$21,336
00002767801
$11,414
Cyramza 500 mg/50 ml Vial
Gross
$20,753
68727071201
$11,360
Zepzelca 4 mg Vial
Gross
$20,655
44206043940
$10,975
Privigen 10% Vial
Gross
$19,955
50242014501
$10,037
Perjeta 420 mg/14 ml Vial
Gross
$18,248
50242012001
$9,797
Tnkase 50 mg Kit
Gross
$17,813
55513095601
$9,741
Vectibix 400 mg/20 ml Vial
Gross
$17,711
51144000301
$9,673
Tivdak 40 mg Vial
Gross
$17,586
00006302602_2
$9,242
Keytruda 100 mg/4 ml Vial
Gross
$16,804
50242005306
$8,938
Rituxan 500 mg/50 ml Vial
Gross
$16,251
50242008701
$8,915
Kadcyla 160 mg Vial
Gross
$16,208
00078081881
$8,101
Sandostatin Lar Depot 20 mg Kt
Gross
$14,730
63459010450
$8,070
Truxima 500 mg/50 ml Vial
Gross
$14,672
70114010101
$7,935
Udenyca 6 mg/0.6 ml Syringe
Gross
$14,428
00310304000
$7,448
Saphnelo 300 mg/2 ml Vial
Gross
$13,542
50242007701
$7,420
Herceptin Hylecta 600 mg-10000 Unit/5 ml Vial
Gross
$13,491
00002762301
$7,092
Alimta 500 mg Vial
Gross
$12,895
13533031805
$6,415
Hyperrab 300 Unit/ml Vial
Gross
$11,663
4009370278
$6,280
QUADLINK IMPLANT SYSTEM 11MM
Gross
$11,419
4009380278
$6,280
QUADLINK IMPLANT SYSTEM 10MM
Gross
$11,419
50633011012
$6,167
Crofab Vial
Gross
$11,212
51144003001
$6,152
Padcev 30 mg Vial
Gross
$11,186
50242006101
$6,148
Avastin 400 mg/16 ml Vial
Gross
$11,178
55513013201
$6,122
Kanjinti 420 mg Vial
Gross
$11,130
00006302500
$6,109
Zinplava 1000 mg/40 ml Vial
Gross
$11,107
4010110278
$5,981
QUADLINK IMPLANT SYSTEM 9MM
Gross
$10,875
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 00003232822 | Yervoy 200 mg/40 ml Vial | $101,286 | $55,707 | — | — | 25 |
| 57894006103 | Stelara 90 mg/ml Syringe | $71,792 | $39,486 | — | — | 25 |
| 50242015001_2 | Ocrevus 300 mg/10 ml Vial | $55,067 | $30,287 | — | — | 25 |
| 50242010501 | Polivy 140 mg Vial | $44,147 | $24,281 | — | — | 25 |
| 00074347303 | Lupron Depot 45 mg 6Mo Kit | $33,952 | $18,674 | — | — | 25 |
| 50242091701 | Tecentriq 1200 mg/20 ml Vial | $31,359 | $17,248 | — | — | 25 |
| 61755000801 | Libtayo 350 mg/7 ml Vial | $31,043 | $17,074 | — | — | 25 |
| 6009150343 | PYLARIFY (PIFLUFOLASTAT F-18) | $30,164 | $16,590 | — | — | 21 |
| 50242008527 | Activase 100 mg Vial | $30,036 | $16,520 | — | — | 25 |
| 15054112003 | Somatuline Depot 120 mg/0.5 ml | $29,820 | $16,401 | — | — | 25 |
| 15054112003_2 | Somatuline Depot 120 mg/0.5 ml | $29,820 | $16,401 | — | — | 21 |
| 57894050301 | Darzalex Faspro 1800 mg-30000 Unit/15 ml Vial | $25,849 | $14,217 | — | — | 25 |
| 57894050301_2 | Darzalex Faspro 1800 mg-30000 Unit/15 ml Vial | $25,849 | $14,217 | — | — | 21 |
| 50242010901 | Rituxan Hycela 1600 mg-26800 | $25,654 | $14,110 | — | — | 25 |
| 00173089601 | Blenrep 100 mg Vial | $25,181 | $13,850 | — | — | 21 |
| 64406000801 | Tysabri 300 mg/15 ml Vial | $24,295 | $13,362 | — | — | 25 |
| 50242026001 | Phesgo 600 mg-600 mg-20000 Unit/10 ml | $24,119 | $13,265 | — | — | 25 |
| 64764030020 | Entyvio 300 mg Vial | $23,072 | $12,690 | — | — | 25 |
| 00003232711 | Yervoy 50 mg/10 ml Vial | $22,980 | $12,639 | — | — | 25 |
| 00074368303 | Lupron Depot-4 Month Kit | $22,768 | $12,522 | — | — | 25 |
| 00003373413 | Opdivo 240 mg/24 ml Vial | $22,578 | $12,418 | — | — | 25 |
| 50242091801 | Tecentriq 840 mg/14 ml Vial | $22,092 | $12,150 | — | — | 25 |
| 00078082581 | Sandostatin Lar Depot 30 mg Kt | $21,857 | $12,022 | — | — | 25 |
| 55513019001 | Neulasta 6 mg/0.6 ml Syringe | $21,336 | $11,735 | — | — | 25 |
| 55513019201 | Neulasta Onpro 6 mg/0.6 ml Kit | $21,336 | $11,735 | — | — | 25 |
| 00002767801 | Cyramza 500 mg/50 ml Vial | $20,753 | $11,414 | — | — | 25 |
| 68727071201 | Zepzelca 4 mg Vial | $20,655 | $11,360 | — | — | 25 |
| 44206043940 | Privigen 10% Vial | $19,955 | $10,975 | — | — | 25 |
| 50242014501 | Perjeta 420 mg/14 ml Vial | $18,248 | $10,037 | — | — | 25 |
| 50242012001 | Tnkase 50 mg Kit | $17,813 | $9,797 | — | — | 25 |
| 55513095601 | Vectibix 400 mg/20 ml Vial | $17,711 | $9,741 | — | — | 25 |
| 51144000301 | Tivdak 40 mg Vial | $17,586 | $9,673 | — | — | 21 |
| 00006302602_2 | Keytruda 100 mg/4 ml Vial | $16,804 | $9,242 | — | — | 25 |
| 50242005306 | Rituxan 500 mg/50 ml Vial | $16,251 | $8,938 | — | — | 25 |
| 50242008701 | Kadcyla 160 mg Vial | $16,208 | $8,915 | — | — | 25 |
| 00078081881 | Sandostatin Lar Depot 20 mg Kt | $14,730 | $8,101 | — | — | 25 |
| 63459010450 | Truxima 500 mg/50 ml Vial | $14,672 | $8,070 | — | — | 25 |
| 70114010101 | Udenyca 6 mg/0.6 ml Syringe | $14,428 | $7,935 | — | — | 25 |
| 00310304000 | Saphnelo 300 mg/2 ml Vial | $13,542 | $7,448 | — | — | 21 |
| 50242007701 | Herceptin Hylecta 600 mg-10000 Unit/5 ml Vial | $13,491 | $7,420 | — | — | 25 |
| 00002762301 | Alimta 500 mg Vial | $12,895 | $7,092 | — | — | 25 |
| 13533031805 | Hyperrab 300 Unit/ml Vial | $11,663 | $6,415 | — | — | 21 |
| 4009370278 | QUADLINK IMPLANT SYSTEM 11MM | $11,419 | $6,280 | — | — | 21 |
| 4009380278 | QUADLINK IMPLANT SYSTEM 10MM | $11,419 | $6,280 | — | — | 21 |
| 50633011012 | Crofab Vial | $11,212 | $6,167 | — | — | 25 |
| 51144003001 | Padcev 30 mg Vial | $11,186 | $6,152 | — | — | 25 |
| 50242006101 | Avastin 400 mg/16 ml Vial | $11,178 | $6,148 | — | — | 25 |
| 55513013201 | Kanjinti 420 mg Vial | $11,130 | $6,122 | — | — | 25 |
| 00006302500 | Zinplava 1000 mg/40 ml Vial | $11,107 | $6,109 | — | — | 25 |
| 4010110278 | QUADLINK IMPLANT SYSTEM 9MM | $10,875 | $5,981 | — | — | 21 |
Showing top 50 of 19,028 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.