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
30,733
Insurances with rates
9
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
5029117
$224,218
71336-1003-01 - VUTRISIRAN 25 MG/0.5 ML SOL
Gross
$298,958
5028787
$57,040
15054-1060-04 - LANREOTIDE 60 MG/0.2 ML SOL
Gross
$76,053
453
$48,791
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC
Gross
$65,055
4876955
$45,436
25682-0028-01 - RAVULIZUMAB 100 MG/ML SOL
Gross
$60,582
457
$41,322
SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH
Gross
$55,096
475
$41,040
AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC
Gross
$54,720
582
$40,568
MASTECTOMY FOR MALIGNANCY WITH CC/MCC
Gross
$54,090
4807912
$38,359
60809-0801-01 - PEGLOTICASE 8 MG/ML SOL
Gross
$51,145
459
$37,685
SPINAL FUSION EXCEPT CERVICAL WITH MCC
Gross
$50,246
472
$37,381
CERVICAL SPINAL FUSION WITH CC
Gross
$49,842
4758008
$36,331
50242-0150-01 - OCRELIZUMAB 300 MG/10 ML SOL
Gross
$48,441
458
$35,720
SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH
Gross
$47,627
454
$35,525
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC
Gross
$47,367
455
$33,957
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC
Gross
$45,275
5066512
$33,797
00078-0734-61 - CANAKINUMAB 150 MG/ML SOL
Gross
$45,063
580
$32,728
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
Gross
$43,637
482
$32,416
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
Gross
$43,222
492
$32,265
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
Gross
$43,020
460
$32,027
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
Gross
$42,702
4945007
$31,766
47335-0177-95 - TILDRAKIZUMAB 100 MG/ML SOL
Gross
$42,355
585
$31,320
BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC
Gross
$41,760
5006829
$31,092
50242-0105-01 - POLATUZUMAB VEDOTIN 140 MG REC
Gross
$41,455
579
$30,774
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
Gross
$41,032
462
$30,332
BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
Gross
$40,442
473
$30,309
CERVICAL SPINAL FUSION WITHOUT CC/MCC
Gross
$40,412
4834580
$29,938
75987-0130-15 - TEPROTUMUMAB TRBW 500 MG REC
Gross
$39,917
471
$29,925
CERVICAL SPINAL FUSION WITH MCC
Gross
$39,899
4661906
$29,631
KIT IMPLANTABLE PULSE GEN SPINAL STIM SENZA RECHARGEABLE NIPG2000
Gross
$39,509
577
$28,808
SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
Gross
$38,410
467
$28,440
REVISION OF HIP OR KNEE REPLACEMENT WITH CC
Gross
$37,920
469
$28,281
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPL
Gross
$37,707
5116519
$27,900
INTICA NEO 7 VR-T DX 429559
Gross
$37,200
331
$27,338
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
Gross
$36,450
4967152
$27,028
00003-7125-11 - NIVOLUMAB-RELATLIMAB RMBW 240 MG-80 MG/20 ML SOL
Gross
$36,038
5108210
$27,028
00003-7125-11A - NIVOLUMAB-RELATLIMAB 240 MG-80 MG/20 ML INJ SOLN
Gross
$36,038
4965065
$27,000
DEFIBRILLATOR SYSTEM ICD EMBLEM S-ICD MRI 9B11
Gross
$36,000
498
$25,920
LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC
Gross
$34,560
581
$25,915
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
Gross
$34,554
5015224
$25,566
KIT IMPLANTABLE PULSE GEN SPINAL STIM NIPG2500
Gross
$34,088
518
$25,317
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
Gross
$33,756
4125505
$24,949
RADIO RX THERAPY BY IV INF
Gross
$33,265
4876947
$24,588
50242-0245-01 - HYALURONIDASE/PERTUZUMAB/TRASTUZUMAB 30,000 UNITS-1200 MG-600 MG/15 ML SOL
Gross
$32,784
4876943
$24,588
50242-0260-01 - HYALURONIDASE/PERTUZUMAB/TRASTUZUMAB 20,000 UNITS-600 MG-600 MG/10 ML SOL
Gross
$32,784
817
$24,570
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
Gross
$32,760
468
$24,431
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
Gross
$32,574
956
$24,098
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
Gross
$32,130
339
$24,030
APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
Gross
$32,040
4359552
$24,019
ALLOGRAFT CONDYLE LEFT FEMORAL WHOLE 33547002
Gross
$32,025
3636809
$24,019
ALLOGRAFT CONDYLE RGHT FEMORAL WHOLE 33547001
Gross
$32,025
4421246
$23,235
KIT IMPLANTABLE PULSE GEN SPINAL STIM SENZA NIPG1500
Gross
$30,980
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 5029117 | 71336-1003-01 - VUTRISIRAN 25 MG/0.5 ML SOL | $298,958 | $224,218 | — | — | 5 |
| 5028787 | 15054-1060-04 - LANREOTIDE 60 MG/0.2 ML SOL | $76,053 | $57,040 | — | — | 4 |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $65,055 | $48,791 | — | — | 4 |
| 4876955 | 25682-0028-01 - RAVULIZUMAB 100 MG/ML SOL | $60,582 | $45,436 | — | — | 5 |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH | $55,096 | $41,322 | — | — | 4 |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $54,720 | $41,040 | — | — | 4 |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $54,090 | $40,568 | — | — | 4 |
| 4807912 | 60809-0801-01 - PEGLOTICASE 8 MG/ML SOL | $51,145 | $38,359 | — | — | 5 |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $50,246 | $37,685 | — | — | 4 |
| 472 | CERVICAL SPINAL FUSION WITH CC | $49,842 | $37,381 | — | — | 4 |
| 4758008 | 50242-0150-01 - OCRELIZUMAB 300 MG/10 ML SOL | $48,441 | $36,331 | — | — | 5 |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH | $47,627 | $35,720 | — | — | 4 |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $47,367 | $35,525 | — | — | 4 |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $45,275 | $33,957 | — | — | 4 |
| 5066512 | 00078-0734-61 - CANAKINUMAB 150 MG/ML SOL | $45,063 | $33,797 | — | — | 5 |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $43,637 | $32,728 | — | — | 4 |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $43,222 | $32,416 | — | — | 4 |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $43,020 | $32,265 | — | — | 4 |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $42,702 | $32,027 | — | — | 4 |
| 4945007 | 47335-0177-95 - TILDRAKIZUMAB 100 MG/ML SOL | $42,355 | $31,766 | — | — | 5 |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $41,760 | $31,320 | — | — | 4 |
| 5006829 | 50242-0105-01 - POLATUZUMAB VEDOTIN 140 MG REC | $41,455 | $31,092 | — | — | 5 |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $41,032 | $30,774 | — | — | 4 |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $40,442 | $30,332 | — | — | 4 |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $40,412 | $30,309 | — | — | 4 |
| 4834580 | 75987-0130-15 - TEPROTUMUMAB TRBW 500 MG REC | $39,917 | $29,938 | — | — | 5 |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $39,899 | $29,925 | — | — | 4 |
| 4661906 | KIT IMPLANTABLE PULSE GEN SPINAL STIM SENZA RECHARGEABLE NIPG2000 | $39,509 | $29,631 | — | — | 4 |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $38,410 | $28,808 | — | — | 4 |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $37,920 | $28,440 | — | — | 4 |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPL | $37,707 | $28,281 | — | — | 4 |
| 5116519 | INTICA NEO 7 VR-T DX 429559 | $37,200 | $27,900 | — | — | 5 |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $36,450 | $27,338 | — | — | 4 |
| 4967152 | 00003-7125-11 - NIVOLUMAB-RELATLIMAB RMBW 240 MG-80 MG/20 ML SOL | $36,038 | $27,028 | — | — | 4 |
| 5108210 | 00003-7125-11A - NIVOLUMAB-RELATLIMAB 240 MG-80 MG/20 ML INJ SOLN | $36,038 | $27,028 | — | — | 5 |
| 4965065 | DEFIBRILLATOR SYSTEM ICD EMBLEM S-ICD MRI 9B11 | $36,000 | $27,000 | — | — | 4 |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $34,560 | $25,920 | — | — | 4 |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $34,554 | $25,915 | — | — | 4 |
| 5015224 | KIT IMPLANTABLE PULSE GEN SPINAL STIM NIPG2500 | $34,088 | $25,566 | — | — | 4 |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $33,756 | $25,317 | — | — | 4 |
| 4125505 | RADIO RX THERAPY BY IV INF | $33,265 | $24,949 | — | — | 5 |
| 4876947 | 50242-0245-01 - HYALURONIDASE/PERTUZUMAB/TRASTUZUMAB 30,000 UNITS-1200 MG-600 MG/15 ML SOL | $32,784 | $24,588 | — | — | 5 |
| 4876943 | 50242-0260-01 - HYALURONIDASE/PERTUZUMAB/TRASTUZUMAB 20,000 UNITS-600 MG-600 MG/10 ML SOL | $32,784 | $24,588 | — | — | 5 |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $32,760 | $24,570 | — | — | 4 |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $32,574 | $24,431 | — | — | 4 |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $32,130 | $24,098 | — | — | 4 |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $32,040 | $24,030 | — | — | 4 |
| 4359552 | ALLOGRAFT CONDYLE LEFT FEMORAL WHOLE 33547002 | $32,025 | $24,019 | — | — | 4 |
| 3636809 | ALLOGRAFT CONDYLE RGHT FEMORAL WHOLE 33547001 | $32,025 | $24,019 | — | — | 4 |
| 4421246 | KIT IMPLANTABLE PULSE GEN SPINAL STIM SENZA NIPG1500 | $30,980 | $23,235 | — | — | 4 |
Showing top 50 of 30,733 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.