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
21,801
Insurances with rates
2
CPT / HCPCS codes
8,068
Source MRF
Most expensive procedures (gross)
53010010
$4,704,003
etranacogene dezaparvovec-drlb 1x10exp13 gc/mL Susp 1 Each KIT
Gross
$8,400,005
73153090001
$824,829
lisocabtagene maraleuceL 1.5 x to 70 x 10exp6 cell/mL Susp 1 Each VIAL
Gross
$1,472,908
0100T
$489,294
PLMT SCJNCL RTA PROSTH&PLS&IMPLTJ INTRA-OC RTA
Gross
$873,740
58468034801
$238,617
fitusiran 50 mg/0.5 mL Pen injector 0.5 mL SYRINGE
Gross
$426,101
64406005801
$216,291
nusinersen (PF) 12 mg/5 mL Soln 5 mL VIAL
Gross
$386,234
71336100301
$176,451
vutrisiran 25 mg/0.5 mL Syringe 0.5 mL SYRINGE
Gross
$315,092
71258001522
$159,865
iobenguane I-131 337.5 mCi/22.5 mL Soln 1 Each VIAL
Gross
$285,473
68135092701
$140,074
valoctocogene roxaparvovc-rvox 2 x 10exp13 vg/mL Susp 1 Each VIAL
Gross
$250,132
33276
$124,622
INSERTION PHRENIC NERVE STIMULATOR SYSTEM
Gross
$222,540
72893000704
$109,384
yttrium-90-ibritumomab 3.2 mg/2 mL Kit 1 Each VIAL
Gross
$195,328
69488000301
$108,154
lutetium Lu 177 dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each VIAL
Gross
$193,133
58468034701
$104,125
fitusiran 20 mg/0.2 mL Soln 0.2 mL VIAL
Gross
$185,938
47379.0001
$103,852
"LAPAROSCOPIC BIOPSY, LIVER"
Gross
$185,450
30237890006
$100,991
sipuleuceL-T in LR 50 million cell/250 mL Susp 250 mL BAG
Gross
$180,340
44238.0001
$98,823
LAPAROSCOPIC DUODENODUODENOSTOMY
Gross
$176,470
49329.0001
$98,823
LAPAROSCOPIC REMOVAL OF INTRAABDOMINAL INTRAUTERINE DEVICE
Gross
$176,470
49659.0002
$98,823
"HERNIA REPAIR, KEYHOLE"
Gross
$176,470
71336100201
$96,930
lumasiran 94.5 mg/0.5 mL Soln 0.5 mL VIAL
Gross
$173,090
A9543
$95,014
YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI
Gross
$169,668
597003510
$90,008
Spesolimab-sbzo 60 mg/mL Soln 7.5 mL VIAL
Gross
$160,728
A9699
$86,712
RADIOPHARMACEUTICAL THERAPEUTIC NOC
Gross
$154,842
69488001061
$82,549
"lutetium Lu-177 vipivotide tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each VIAL"
Gross
$147,409
73372011601
$81,303
afamelanotide 16 mg Implant 1 Each VIAL
Gross
$145,183
67979000201
$80,936
histrelin 50 mg (65 mcg/day) Kit 1 Each KIT
Gross
$144,528
33270
$80,231
INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD
Gross
$143,270
68403110006
$77,014
botulism immune globulin (human) 100 mg Recon soln 1 Each VIAL
Gross
$137,525
99999015868
$77,014
botulism immune globulin (human) 100 mg Recon soln 1 Each VIAL
Gross
$137,525
68875010201
$75,631
teduglutide 5 mg Kit 1 Each KIT
Gross
$135,056
75987015001
$75,400
inebilizumab-cdon 10 mg/mL Soln 10 mL VIAL
Gross
$134,644
33263
$74,990
RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD
Gross
$133,910
33240
$73,690
INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD
Gross
$131,590
187001050
$73,644
sodium benzoate-sod phenylacet 10-10 % Soln 50 mL VIAL
Gross
$131,508
71336100101
$70,795
givosiran 189 mg/mL Soln 1 mL VIAL
Gross
$126,420
50633021011
$69,729
"glucarpidase 1,000 unit Recon soln 1 Each VIAL"
Gross
$124,516
310453530
$66,774
tremelimumab-actl 20 mg/mL Soln 15 mL VIAL
Gross
$119,240
50242055401
$66,582
"ocrelizumab-hyaluronidase-ocsq 920 mg-23,000 unit/23 mL Soln 23 mL VIAL"
Gross
$118,897
64582
$66,354
OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR
Gross
$118,490
33231
$60,676
INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS
Gross
$108,350
38240
$59,394
TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR
Gross
$106,060
50242093001
$58,501
emicizumab-kxwh 300 mg/2 mL (150 mg/mL) Soln 2 mL VIAL
Gross
$104,466
3232822
$58,439
ipilimumab 200 mg/40 mL (5 mg/mL) Soln 40 mL VIAL
Gross
$104,355
0620T
$56,902
ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
Gross
$101,610
33264
$56,487
RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD
Gross
$100,870
0308T
$56,056
INSJ OC TLSCP PROSTH RMVL CRYSTALLINE/IO LENS
Gross
$100,100
33287
$54,874
RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR
Gross
$97,990
72187040101
$54,468
"tagraxofusp-erzs 1,000 mcg/mL Soln 1 mL VIAL"
Gross
$97,264
0515T
$51,503
INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS
Gross
$91,970
0520T
$51,503
RMVL&RPLCMT PG WCS LV PACG BATTERY COMPNT ONLY
Gross
$91,970
0238T
$51,061
TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
Gross
$91,180
A4648.0021
$50,715
TISSUE MARKER (IMPLANTABLE) ($50000.01-65000)
Gross
$90,563
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 53010010 | etranacogene dezaparvovec-drlb 1x10exp13 gc/mL Susp 1 Each KIT | $8,400,005 | $4,704,003 | — | — | 3 |
| 73153090001 | lisocabtagene maraleuceL 1.5 x to 70 x 10exp6 cell/mL Susp 1 Each VIAL | $1,472,908 | $824,829 | — | — | 3 |
| 0100T | PLMT SCJNCL RTA PROSTH&PLS&IMPLTJ INTRA-OC RTA | $873,740 | $489,294 | — | — | 3 |
| 58468034801 | fitusiran 50 mg/0.5 mL Pen injector 0.5 mL SYRINGE | $426,101 | $238,617 | — | — | 3 |
| 64406005801 | nusinersen (PF) 12 mg/5 mL Soln 5 mL VIAL | $386,234 | $216,291 | — | — | 3 |
| 71336100301 | vutrisiran 25 mg/0.5 mL Syringe 0.5 mL SYRINGE | $315,092 | $176,451 | — | — | 3 |
| 71258001522 | iobenguane I-131 337.5 mCi/22.5 mL Soln 1 Each VIAL | $285,473 | $159,865 | — | — | 3 |
| 68135092701 | valoctocogene roxaparvovc-rvox 2 x 10exp13 vg/mL Susp 1 Each VIAL | $250,132 | $140,074 | — | — | 3 |
| 33276 | INSERTION PHRENIC NERVE STIMULATOR SYSTEM | $222,540 | $124,622 | — | — | 3 |
| 72893000704 | yttrium-90-ibritumomab 3.2 mg/2 mL Kit 1 Each VIAL | $195,328 | $109,384 | — | — | 3 |
| 69488000301 | lutetium Lu 177 dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each VIAL | $193,133 | $108,154 | — | — | 3 |
| 58468034701 | fitusiran 20 mg/0.2 mL Soln 0.2 mL VIAL | $185,938 | $104,125 | — | — | 3 |
| 47379.0001 | "LAPAROSCOPIC BIOPSY, LIVER" | $185,450 | $103,852 | — | — | 3 |
| 30237890006 | sipuleuceL-T in LR 50 million cell/250 mL Susp 250 mL BAG | $180,340 | $100,991 | — | — | 3 |
| 44238.0001 | LAPAROSCOPIC DUODENODUODENOSTOMY | $176,470 | $98,823 | — | — | 3 |
| 49329.0001 | LAPAROSCOPIC REMOVAL OF INTRAABDOMINAL INTRAUTERINE DEVICE | $176,470 | $98,823 | — | — | 3 |
| 49659.0002 | "HERNIA REPAIR, KEYHOLE" | $176,470 | $98,823 | — | — | 3 |
| 71336100201 | lumasiran 94.5 mg/0.5 mL Soln 0.5 mL VIAL | $173,090 | $96,930 | — | — | 3 |
| A9543 | YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI | $169,668 | $95,014 | — | — | 3 |
| 597003510 | Spesolimab-sbzo 60 mg/mL Soln 7.5 mL VIAL | $160,728 | $90,008 | — | — | 3 |
| A9699 | RADIOPHARMACEUTICAL THERAPEUTIC NOC | $154,842 | $86,712 | — | — | 3 |
| 69488001061 | "lutetium Lu-177 vipivotide tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each VIAL" | $147,409 | $82,549 | — | — | 3 |
| 73372011601 | afamelanotide 16 mg Implant 1 Each VIAL | $145,183 | $81,303 | — | — | 3 |
| 67979000201 | histrelin 50 mg (65 mcg/day) Kit 1 Each KIT | $144,528 | $80,936 | — | — | 3 |
| 33270 | INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD | $143,270 | $80,231 | — | — | 3 |
| 68403110006 | botulism immune globulin (human) 100 mg Recon soln 1 Each VIAL | $137,525 | $77,014 | — | — | 3 |
| 99999015868 | botulism immune globulin (human) 100 mg Recon soln 1 Each VIAL | $137,525 | $77,014 | — | — | 3 |
| 68875010201 | teduglutide 5 mg Kit 1 Each KIT | $135,056 | $75,631 | — | — | 3 |
| 75987015001 | inebilizumab-cdon 10 mg/mL Soln 10 mL VIAL | $134,644 | $75,400 | — | — | 3 |
| 33263 | RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD | $133,910 | $74,990 | — | — | 3 |
| 33240 | INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD | $131,590 | $73,690 | — | — | 3 |
| 187001050 | sodium benzoate-sod phenylacet 10-10 % Soln 50 mL VIAL | $131,508 | $73,644 | — | — | 3 |
| 71336100101 | givosiran 189 mg/mL Soln 1 mL VIAL | $126,420 | $70,795 | — | — | 3 |
| 50633021011 | "glucarpidase 1,000 unit Recon soln 1 Each VIAL" | $124,516 | $69,729 | — | — | 3 |
| 310453530 | tremelimumab-actl 20 mg/mL Soln 15 mL VIAL | $119,240 | $66,774 | — | — | 3 |
| 50242055401 | "ocrelizumab-hyaluronidase-ocsq 920 mg-23,000 unit/23 mL Soln 23 mL VIAL" | $118,897 | $66,582 | — | — | 3 |
| 64582 | OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR | $118,490 | $66,354 | — | — | 3 |
| 33231 | INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS | $108,350 | $60,676 | — | — | 3 |
| 38240 | TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR | $106,060 | $59,394 | — | — | 3 |
| 50242093001 | emicizumab-kxwh 300 mg/2 mL (150 mg/mL) Soln 2 mL VIAL | $104,466 | $58,501 | — | — | 3 |
| 3232822 | ipilimumab 200 mg/40 mL (5 mg/mL) Soln 40 mL VIAL | $104,355 | $58,439 | — | — | 3 |
| 0620T | ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN | $101,610 | $56,902 | — | — | 3 |
| 33264 | RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD | $100,870 | $56,487 | — | — | 3 |
| 0308T | INSJ OC TLSCP PROSTH RMVL CRYSTALLINE/IO LENS | $100,100 | $56,056 | — | — | 3 |
| 33287 | RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR | $97,990 | $54,874 | — | — | 3 |
| 72187040101 | "tagraxofusp-erzs 1,000 mcg/mL Soln 1 mL VIAL" | $97,264 | $54,468 | — | — | 3 |
| 0515T | INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS | $91,970 | $51,503 | — | — | 3 |
| 0520T | RMVL&RPLCMT PG WCS LV PACG BATTERY COMPNT ONLY | $91,970 | $51,503 | — | — | 3 |
| 0238T | TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA | $91,180 | $51,061 | — | — | 3 |
| A4648.0021 | TISSUE MARKER (IMPLANTABLE) ($50000.01-65000) | $90,563 | $50,715 | — | — | 3 |
Showing top 50 of 21,801 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.