45 CFR § 180 compliance
D · 65
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
5,705
Insurances with rates
0
CPT / HCPCS codes
828
Source MRF
Most expensive procedures (gross)
41815
$349,126
IBRITUMOMAB TIUXETAN FOR Y-90 3.2 MG/2ML IV KIT
Gross
$349,126
188831
$220,428
TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN
Gross
$220,428
108956
$185,411
IPILIMUMAB 200 MG/40ML IV SOLN
Gross
$185,411
107664
$175,627
PEGLOTICASE 8 MG/ML IV SOLN
Gross
$175,627
4810000001
$139,303
HC REVASC LITHOTRIP-STENT-ATHER
Gross
$139,303
4810915T01
$128,731
HC NSJ PERM CCM-D SYS PG&ELTRD
Gross
$128,731
173366
$128,074
MITOMYCIN 80 (2 X 40) MG UL SOLR
Gross
$128,074
408110167
$128,074
MITOMYCIN 80 MG/20 ML UL (PREMIXED)
Gross
$128,074
430173366
$128,074
MITOMYCIN 80 (2 X 40) MG/6ML UL (WET SOLR VIAL)
Gross
$128,074
183935
$126,775
TEBENTAFUSP-TEBN 100 MCG/0.5ML IV SOLN
Gross
$126,775
137896
$120,765
OCRELIZUMAB 300 MG/10ML IV SOLN
Gross
$120,765
168184
$106,450
POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR
Gross
$106,450
189845
$100,729
MOSUNETUZUMAB-AXGB 30 MG/30ML IV SOLN
Gross
$100,729
3613323101
$97,524
HC INSRT PULSE GEN W/MULT LEADS
Gross
$97,524
3613327001
$97,524
HC INS SQ ICD W SQ EL W EVAL PROG
Gross
$97,524
430168184
$93,541
POLATUZUMAB VEDOTIN-PIIQ 140 MG/7ML IV (WET SOLR VIAL)
Gross
$93,541
361C800301
$91,950
HB IMP EXTAR KNEE SHCK ABSRB
Gross
$91,950
3613327601
$91,404
HC INSERTION PHRENIC NERVE STIMULATOR SYSTEM
Gross
$91,404
3613328701
$91,404
HC RMVL RPLC NSTM CSA PLS GN ONLY
Gross
$91,404
3613328702
$91,404
HC RMVL RPLC NSTM CSA PLS GN ONLY
Gross
$91,404
4810916T01
$90,124
HC INSJ PERM CCM-D SYS PG ONLY
Gross
$90,124
4810923T01
$90,124
HC RMVL&RPLCMT PERM CCM-D PG
Gross
$90,124
361C800501
$87,833
HC PEF BRONCH ABLT 3D NAV EBUS
Gross
$87,833
3601935701
$86,990
HC TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION
Gross
$86,990
192233
$84,780
NADOFARAGENE FIRADENOVEC-VNCG 300000000000 VP/ML IS SUSP
Gross
$84,780
195929
$84,780
TARLATAMAB-DLLE 10 MG IV SOLR
Gross
$84,780
408110157
$84,780
TARLATAMAB-DLLE 10 MG/4.2 ML IV (WET SOLR VIAL)
Gross
$84,780
3613327602
$84,633
HC INS RPLC NSTIM CSA CMPL RT LT
Gross
$84,633
361C976501
$84,141
HC IVL W/STENT W/ANGIOPLASTY
Gross
$84,141
361C977301
$84,141
HC IVL STENT W/ANGIOPLASTY
Gross
$84,141
361C977401
$84,141
HC IVL ATHERECTOMY W/ANGIO
Gross
$84,141
481C976601
$84,141
HC REVASC INTRA LITHOTRIP-ATHER
Gross
$84,141
481C977501
$84,141
HC REVASC LITH-STEN-ATH TIB/PER
Gross
$84,141
173604
$80,994
LURBINECTEDIN 4 MG IV SOLR
Gross
$80,994
430173604
$80,994
LURBINECTEDIN 4 MG/8.5ML IV (WET SOLR VIAL)
Gross
$80,994
192288
$80,745
ELRANATAMAB-BCMM 76 MG/1.9ML SC SOLN
Gross
$80,745
184158
$80,527
NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN
Gross
$80,527
105644
$78,388
CABAZITAXEL 60 MG/1.5ML IV SOLN
Gross
$78,388
430105644
$78,388
CABAZITAXEL 60 MG/6ML IV (AFTER FIRST DILUTION) (WET SOLN VIAL)
Gross
$78,388
278C261601
$77,913
HC YTTRIUM 90 PER DOSE
Gross
$77,913
108073
$76,726
PRALATREXATE 40 MG/2ML IV SOLN
Gross
$76,726
126857
$76,678
SILDENAFIL CITRATE 10 MG/ML PO SUSR
Gross
$76,678
4800825T01
$76,570
HC TCAT RMVL&RPLCMT PERM 1CHMBR LDLS PM R ATRIAL
Gross
$76,570
3613327201
$74,659
HC ROOM 1CPT 33272 REMOV ICD LEAD
Gross
$74,659
122152
$74,275
PRIVIGEN 40 GM/400ML IV SOLN
Gross
$74,275
170336
$73,323
LUSPATERCEPT-AAMT 75 MG SC SOLR
Gross
$73,323
430170336
$73,323
LUSPATERCEPT-AAMT 75 MG/1.5 ML SC (WET SOLR VIAL)
Gross
$73,323
4819365301
$73,160
HC EP EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA
Gross
$73,160
4819365401
$73,160
HC EP EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA
Gross
$73,160
4819365601
$73,160
HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN
Gross
$73,160
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 41815 | IBRITUMOMAB TIUXETAN FOR Y-90 3.2 MG/2ML IV KIT | $349,126 | $349,126 | — | — | 0 |
| 188831 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN | $220,428 | $220,428 | — | — | 0 |
| 108956 | IPILIMUMAB 200 MG/40ML IV SOLN | $185,411 | $185,411 | — | — | 0 |
| 107664 | PEGLOTICASE 8 MG/ML IV SOLN | $175,627 | $175,627 | — | — | 0 |
| 4810000001 | HC REVASC LITHOTRIP-STENT-ATHER | $139,303 | $139,303 | — | — | 0 |
| 4810915T01 | HC NSJ PERM CCM-D SYS PG&ELTRD | $128,731 | $128,731 | — | — | 0 |
| 173366 | MITOMYCIN 80 (2 X 40) MG UL SOLR | $128,074 | $128,074 | — | — | 0 |
| 408110167 | MITOMYCIN 80 MG/20 ML UL (PREMIXED) | $128,074 | $128,074 | — | — | 0 |
| 430173366 | MITOMYCIN 80 (2 X 40) MG/6ML UL (WET SOLR VIAL) | $128,074 | $128,074 | — | — | 0 |
| 183935 | TEBENTAFUSP-TEBN 100 MCG/0.5ML IV SOLN | $126,775 | $126,775 | — | — | 0 |
| 137896 | OCRELIZUMAB 300 MG/10ML IV SOLN | $120,765 | $120,765 | — | — | 0 |
| 168184 | POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR | $106,450 | $106,450 | — | — | 0 |
| 189845 | MOSUNETUZUMAB-AXGB 30 MG/30ML IV SOLN | $100,729 | $100,729 | — | — | 0 |
| 3613323101 | HC INSRT PULSE GEN W/MULT LEADS | $97,524 | $97,524 | — | — | 0 |
| 3613327001 | HC INS SQ ICD W SQ EL W EVAL PROG | $97,524 | $97,524 | — | — | 0 |
| 430168184 | POLATUZUMAB VEDOTIN-PIIQ 140 MG/7ML IV (WET SOLR VIAL) | $93,541 | $93,541 | — | — | 0 |
| 361C800301 | HB IMP EXTAR KNEE SHCK ABSRB | $91,950 | $91,950 | — | — | 0 |
| 3613327601 | HC INSERTION PHRENIC NERVE STIMULATOR SYSTEM | $91,404 | $91,404 | — | — | 0 |
| 3613328701 | HC RMVL RPLC NSTM CSA PLS GN ONLY | $91,404 | $91,404 | — | — | 0 |
| 3613328702 | HC RMVL RPLC NSTM CSA PLS GN ONLY | $91,404 | $91,404 | — | — | 0 |
| 4810916T01 | HC INSJ PERM CCM-D SYS PG ONLY | $90,124 | $90,124 | — | — | 0 |
| 4810923T01 | HC RMVL&RPLCMT PERM CCM-D PG | $90,124 | $90,124 | — | — | 0 |
| 361C800501 | HC PEF BRONCH ABLT 3D NAV EBUS | $87,833 | $87,833 | — | — | 0 |
| 3601935701 | HC TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION | $86,990 | $86,990 | — | — | 0 |
| 192233 | NADOFARAGENE FIRADENOVEC-VNCG 300000000000 VP/ML IS SUSP | $84,780 | $84,780 | — | — | 0 |
| 195929 | TARLATAMAB-DLLE 10 MG IV SOLR | $84,780 | $84,780 | — | — | 0 |
| 408110157 | TARLATAMAB-DLLE 10 MG/4.2 ML IV (WET SOLR VIAL) | $84,780 | $84,780 | — | — | 0 |
| 3613327602 | HC INS RPLC NSTIM CSA CMPL RT LT | $84,633 | $84,633 | — | — | 0 |
| 361C976501 | HC IVL W/STENT W/ANGIOPLASTY | $84,141 | $84,141 | — | — | 0 |
| 361C977301 | HC IVL STENT W/ANGIOPLASTY | $84,141 | $84,141 | — | — | 0 |
| 361C977401 | HC IVL ATHERECTOMY W/ANGIO | $84,141 | $84,141 | — | — | 0 |
| 481C976601 | HC REVASC INTRA LITHOTRIP-ATHER | $84,141 | $84,141 | — | — | 0 |
| 481C977501 | HC REVASC LITH-STEN-ATH TIB/PER | $84,141 | $84,141 | — | — | 0 |
| 173604 | LURBINECTEDIN 4 MG IV SOLR | $80,994 | $80,994 | — | — | 0 |
| 430173604 | LURBINECTEDIN 4 MG/8.5ML IV (WET SOLR VIAL) | $80,994 | $80,994 | — | — | 0 |
| 192288 | ELRANATAMAB-BCMM 76 MG/1.9ML SC SOLN | $80,745 | $80,745 | — | — | 0 |
| 184158 | NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN | $80,527 | $80,527 | — | — | 0 |
| 105644 | CABAZITAXEL 60 MG/1.5ML IV SOLN | $78,388 | $78,388 | — | — | 0 |
| 430105644 | CABAZITAXEL 60 MG/6ML IV (AFTER FIRST DILUTION) (WET SOLN VIAL) | $78,388 | $78,388 | — | — | 0 |
| 278C261601 | HC YTTRIUM 90 PER DOSE | $77,913 | $77,913 | — | — | 0 |
| 108073 | PRALATREXATE 40 MG/2ML IV SOLN | $76,726 | $76,726 | — | — | 0 |
| 126857 | SILDENAFIL CITRATE 10 MG/ML PO SUSR | $76,678 | $76,678 | — | — | 0 |
| 4800825T01 | HC TCAT RMVL&RPLCMT PERM 1CHMBR LDLS PM R ATRIAL | $76,570 | $76,570 | — | — | 0 |
| 3613327201 | HC ROOM 1CPT 33272 REMOV ICD LEAD | $74,659 | $74,659 | — | — | 0 |
| 122152 | PRIVIGEN 40 GM/400ML IV SOLN | $74,275 | $74,275 | — | — | 0 |
| 170336 | LUSPATERCEPT-AAMT 75 MG SC SOLR | $73,323 | $73,323 | — | — | 0 |
| 430170336 | LUSPATERCEPT-AAMT 75 MG/1.5 ML SC (WET SOLR VIAL) | $73,323 | $73,323 | — | — | 0 |
| 4819365301 | HC EP EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA | $73,160 | $73,160 | — | — | 0 |
| 4819365401 | HC EP EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA | $73,160 | $73,160 | — | — | 0 |
| 4819365601 | HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $73,160 | $73,160 | — | — | 0 |
Showing top 50 of 5,705 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.