45 CFR § 180 compliance
C · 70
This hospital published part 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
8,659
Insurances with rates
9
CPT / HCPCS codes
551
Source MRF
Most expensive procedures (gross)
6891825
$1,920,000
FNS-delandistrogene moxeparvovec-rokl (Elevidys 17.5-18.4 kg) INJ Kit
Gross
$3,840,000
6993855
$1,920,000
FNS-delandistrogene moxeparvovec-rokl (Elevidys 14.5-15.4 kg) INJ Kit
Gross
$3,840,000
7127500
$1,920,000
FNS-delandistrogene moxeparvovec-rokl (Elevidys 34.5-35.4 kg) INJ Kit
Gross
$3,840,000
7021600
$1,860,000
lovotibeglogene autotemcel (Lyfgenia) IV Bag 1
Gross
$3,720,000
6723523
$1,680,000
FNS-betibeglogene autotemcel (Zynteglo) IV Bag 1
Gross
$3,360,000
6929665
$1,506,775
FNS-onasemnogene abeparvovec 24.8 mL INJ Kit
Gross
$3,013,549
7037828
$1,506,775
FNS-onasemnogene abeparvovec 35.8 mL INJ Kit
Gross
$3,013,549
7055436
$1,506,775
FNS-onasemnogene abeparvovec 22 mL INJ Kit
Gross
$3,013,549
7087500
$1,506,775
FNS-onasemnogene abeparvovec 41.3 mL IMJ Kit
Gross
$3,013,549
7105563
$1,506,775
FNS-onasemnogene abeparvovec 38.5 mL INJ Kit
Gross
$3,013,549
7023485
$1,320,000
exagamglogene autotemcel (Casgevy) IV Bag 1
Gross
$2,640,000
3867864
$427,344
FNS-tisagenlecleuecel (Kymriah ) CAR positive T-cells IV Bag 1
Gross
$854,688
2315663
$150,545
histrelin 50 mg Implant (Supprelin LA)
Gross
$301,090
5911859
$136,000
hypochlorous acid (Vashe) 0.033% Top Soln 250 mL
Gross
$272,000
4021565
$80,445
FNS-pegaspargase 750 intlunits/mL INJ Soln 5 mL
Gross
$160,891
4035518
$76,615
FNS-pegaspargase (spec conc) 10 intlunits/mL-NS INJ Soln
Gross
$153,229
1093841
$34,650
botulism immune globulin 100 mg IV INJ (Human)
Gross
$69,300
3871402
$34,650
botulism immune globulin 100 mg IV INJ (Human)
Gross
$69,300
6837629
$29,568
elapegademase-lvlr 1.6 mg/mL IM Soln 1.5 mL
Gross
$59,136
6351920
$20,033
basiliximab 0.4 mg/mL-D5W IV Soln 25 mL (Dilution)
Gross
$40,065
3263503
$20,033
basiliximab 4 mg/mL IV Soln 2.5 mL
Gross
$40,065
3999405
$17,742
glycerol phenylbutyrate 1.1 gm/mL Oral Liq 25 mL
Gross
$35,484
7081531
$17,109
ibuprofen lysine 4 mg/mL-D5W IV Soln (Dilution)
Gross
$34,219
6963540
$15,615
fidaxomicin 40 mg/mL Oral Susp 136 mL
Gross
$31,230
3368835
$15,184
Atgam (Equine) 50 mg/mL INJ Soln 5 mL
Gross
$30,368
3949501
$15,044
ethacrynic acid 50 mg IV INJ Powder
Gross
$30,088
3394741
$14,922
digoxin immune FAB 10 mg/mL INJ 4 mL
Gross
$29,844
5351859
$14,576
tofacitinib 1 mg/mL Oral Soln 240 mL
Gross
$29,151
2587503
$13,678
basiliximab 4 mg/mL IV Soln 5 mL
Gross
$27,355
4111097
$13,591
corticotropin 80 units/mL INJ Soln 5 mL
Gross
$27,182
7032278
$12,030
vancomycin-heparin LOCK 2 mg-10 unit/mL
Gross
$24,060
3773460
$11,801
leuprolide 11.25 mg/3 MONTH (Ped) ER IM Kit
Gross
$23,602
6781031
$11,432
Atgam (Equine) 4 mg/mL-NS INJ Soln (Dilution)
Gross
$22,863
6625087
$11,400
ethacrynic acid 50 mg IV INJ Powder
Gross
$22,800
7067503
$11,400
ethacrynic acid 50 mg IV INJ Powder
Gross
$22,800
3945983
$11,400
ethacrynic acid 50 mg IV INJ Powder
Gross
$22,800
3946004
$11,400
ethacrynic acid 50 mg IV INJ Powder
Gross
$22,800
3953450
$11,397
ethacrynic acid 50 mg IV INJ Powder
Gross
$22,794
6061859
$10,314
palivizumab 100 mg/mL IM Soln 1 mL
Gross
$20,628
3552936
$9,943
dantrolene 50 mg/mL (Ryanodex) IV Powder
Gross
$19,886
6739645
$9,748
leuprolide 30 mg/3 MONTH (Ped) ER IM Kit
Gross
$19,497
7032277
$9,624
vancomycin-heparin HD LOCK 2.5 mg-500 units/mL
Gross
$19,248
3712602
$9,594
antivenin (Crotalidae) polyvalent 55.6 mg/mL IV Soln 18 mL
Gross
$19,188
3733272
$8,912
palivizumab 100 mg/mL IM Soln 1 mL
Gross
$17,824
3552901
$8,854
pentostatin 2 mg/mL IV Soln 5 mL
Gross
$17,708
3667225
$8,126
DACTINomycin 500 mcg/mL IV Soln 1 mL
Gross
$16,251
3711328
$7,912
carmustine 3.3 mg/mL IV Powder
Gross
$15,824
3713357
$7,519
melphalan (Alkeran I.V.) 5 mg/mL IV Soln 10 mL
Gross
$15,038
6701274
$7,500
sod benzoate-sod phenylacetate 100 mg/mL IV Soln 20 mL
Gross
$15,000
6701288
$7,500
sod benzoate-sod phenylacetate 10 mg/mL-D10W IV Soln (QS)(2gmVial)
Gross
$15,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6891825 | FNS-delandistrogene moxeparvovec-rokl (Elevidys 17.5-18.4 kg) INJ Kit | $3,840,000 | $1,920,000 | — | — | 18 |
| 6993855 | FNS-delandistrogene moxeparvovec-rokl (Elevidys 14.5-15.4 kg) INJ Kit | $3,840,000 | $1,920,000 | — | — | 18 |
| 7127500 | FNS-delandistrogene moxeparvovec-rokl (Elevidys 34.5-35.4 kg) INJ Kit | $3,840,000 | $1,920,000 | — | — | 18 |
| 7021600 | lovotibeglogene autotemcel (Lyfgenia) IV Bag 1 | $3,720,000 | $1,860,000 | — | — | 18 |
| 6723523 | FNS-betibeglogene autotemcel (Zynteglo) IV Bag 1 | $3,360,000 | $1,680,000 | — | — | 18 |
| 6929665 | FNS-onasemnogene abeparvovec 24.8 mL INJ Kit | $3,013,549 | $1,506,775 | — | — | 18 |
| 7037828 | FNS-onasemnogene abeparvovec 35.8 mL INJ Kit | $3,013,549 | $1,506,775 | — | — | 18 |
| 7055436 | FNS-onasemnogene abeparvovec 22 mL INJ Kit | $3,013,549 | $1,506,775 | — | — | 18 |
| 7087500 | FNS-onasemnogene abeparvovec 41.3 mL IMJ Kit | $3,013,549 | $1,506,775 | — | — | 18 |
| 7105563 | FNS-onasemnogene abeparvovec 38.5 mL INJ Kit | $3,013,549 | $1,506,775 | — | — | 18 |
| 7023485 | exagamglogene autotemcel (Casgevy) IV Bag 1 | $2,640,000 | $1,320,000 | — | — | 16 |
| 3867864 | FNS-tisagenlecleuecel (Kymriah ) CAR positive T-cells IV Bag 1 | $854,688 | $427,344 | — | — | 18 |
| 2315663 | histrelin 50 mg Implant (Supprelin LA) | $301,090 | $150,545 | — | — | 18 |
| 5911859 | hypochlorous acid (Vashe) 0.033% Top Soln 250 mL | $272,000 | $136,000 | — | — | 15 |
| 4021565 | FNS-pegaspargase 750 intlunits/mL INJ Soln 5 mL | $160,891 | $80,445 | — | — | 18 |
| 4035518 | FNS-pegaspargase (spec conc) 10 intlunits/mL-NS INJ Soln | $153,229 | $76,615 | — | — | 18 |
| 1093841 | botulism immune globulin 100 mg IV INJ (Human) | $69,300 | $34,650 | — | — | 15 |
| 3871402 | botulism immune globulin 100 mg IV INJ (Human) | $69,300 | $34,650 | — | — | 15 |
| 6837629 | elapegademase-lvlr 1.6 mg/mL IM Soln 1.5 mL | $59,136 | $29,568 | — | — | 15 |
| 6351920 | basiliximab 0.4 mg/mL-D5W IV Soln 25 mL (Dilution) | $40,065 | $20,033 | — | — | 18 |
| 3263503 | basiliximab 4 mg/mL IV Soln 2.5 mL | $40,065 | $20,033 | — | — | 18 |
| 3999405 | glycerol phenylbutyrate 1.1 gm/mL Oral Liq 25 mL | $35,484 | $17,742 | — | — | 15 |
| 7081531 | ibuprofen lysine 4 mg/mL-D5W IV Soln (Dilution) | $34,219 | $17,109 | — | — | 18 |
| 6963540 | fidaxomicin 40 mg/mL Oral Susp 136 mL | $31,230 | $15,615 | — | — | 15 |
| 3368835 | Atgam (Equine) 50 mg/mL INJ Soln 5 mL | $30,368 | $15,184 | — | — | 18 |
| 3949501 | ethacrynic acid 50 mg IV INJ Powder | $30,088 | $15,044 | — | — | 15 |
| 3394741 | digoxin immune FAB 10 mg/mL INJ 4 mL | $29,844 | $14,922 | — | — | 18 |
| 5351859 | tofacitinib 1 mg/mL Oral Soln 240 mL | $29,151 | $14,576 | — | — | 15 |
| 2587503 | basiliximab 4 mg/mL IV Soln 5 mL | $27,355 | $13,678 | — | — | 18 |
| 4111097 | corticotropin 80 units/mL INJ Soln 5 mL | $27,182 | $13,591 | — | — | 18 |
| 7032278 | vancomycin-heparin LOCK 2 mg-10 unit/mL | $24,060 | $12,030 | — | — | 18 |
| 3773460 | leuprolide 11.25 mg/3 MONTH (Ped) ER IM Kit | $23,602 | $11,801 | — | — | 18 |
| 6781031 | Atgam (Equine) 4 mg/mL-NS INJ Soln (Dilution) | $22,863 | $11,432 | — | — | 18 |
| 6625087 | ethacrynic acid 50 mg IV INJ Powder | $22,800 | $11,400 | — | — | 18 |
| 7067503 | ethacrynic acid 50 mg IV INJ Powder | $22,800 | $11,400 | — | — | 18 |
| 3945983 | ethacrynic acid 50 mg IV INJ Powder | $22,800 | $11,400 | — | — | 15 |
| 3946004 | ethacrynic acid 50 mg IV INJ Powder | $22,800 | $11,400 | — | — | 15 |
| 3953450 | ethacrynic acid 50 mg IV INJ Powder | $22,794 | $11,397 | — | — | 15 |
| 6061859 | palivizumab 100 mg/mL IM Soln 1 mL | $20,628 | $10,314 | — | — | 17 |
| 3552936 | dantrolene 50 mg/mL (Ryanodex) IV Powder | $19,886 | $9,943 | — | — | 15 |
| 6739645 | leuprolide 30 mg/3 MONTH (Ped) ER IM Kit | $19,497 | $9,748 | — | — | 18 |
| 7032277 | vancomycin-heparin HD LOCK 2.5 mg-500 units/mL | $19,248 | $9,624 | — | — | 18 |
| 3712602 | antivenin (Crotalidae) polyvalent 55.6 mg/mL IV Soln 18 mL | $19,188 | $9,594 | — | — | 18 |
| 3733272 | palivizumab 100 mg/mL IM Soln 1 mL | $17,824 | $8,912 | — | — | 17 |
| 3552901 | pentostatin 2 mg/mL IV Soln 5 mL | $17,708 | $8,854 | — | — | 18 |
| 3667225 | DACTINomycin 500 mcg/mL IV Soln 1 mL | $16,251 | $8,126 | — | — | 18 |
| 3711328 | carmustine 3.3 mg/mL IV Powder | $15,824 | $7,912 | — | — | 18 |
| 3713357 | melphalan (Alkeran I.V.) 5 mg/mL IV Soln 10 mL | $15,038 | $7,519 | — | — | 18 |
| 6701274 | sod benzoate-sod phenylacetate 100 mg/mL IV Soln 20 mL | $15,000 | $7,500 | — | — | 15 |
| 6701288 | sod benzoate-sod phenylacetate 10 mg/mL-D10W IV Soln (QS)(2gmVial) | $15,000 | $7,500 | — | — | 15 |
Showing top 50 of 8,659 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.