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
142,697
Insurances with rates
15
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 7448690-72026828 | nitroglycerin 25 mg/D5W 250 mL (icard) | $13,864,533 | $6,932,266 | — | — | 7 |
| 7448690-72026828 | nitroglycerin 25 mg/D5W 250 mL (icard) | $13,864,533 | $6,932,266 | — | — | 9 |
| 7450333-72026826 | sipuleucel-T IV Susp 250 mL | $273,971 | $136,986 | — | — | 7 |
| 7450333-72026826 | sipuleucel-T IV Susp 250 mL | $273,971 | $136,986 | — | — | 9 |
| 8270618-72026826 | inebilizumab cdon (Uplizna) 100 mg/10 mL Sol | $219,246 | $109,623 | — | — | 7 |
| 8270618-72026826 | inebilizumab cdon (Uplizna) 100 mg/10 mL Sol | $219,246 | $109,623 | — | — | 9 |
| 8275471-72026826 | tremelimumab actl 300 mg/15 mL Sol | $191,412 | $95,706 | — | — | 7 |
| 8275471-72026826 | tremelimumab actl 300 mg/15 mL Sol | $191,412 | $95,706 | — | — | 9 |
| 8286704-72026826 | loncastuximab tesirine lpyl 10 mg Inj | $132,630 | $66,315 | — | — | 7 |
| 8286704-72026826 | loncastuximab tesirine lpyl 10 mg Inj | $132,630 | $66,315 | — | — | 9 |
| 7449111-72026828 | pegloticase (Krystexxa) 8 mg/mL IV Soln 1 mL | $125,774 | $62,887 | — | — | 7 |
| 7449111-72026828 | pegloticase (Krystexxa) 8 mg/mL IV Soln 1 mL | $125,774 | $62,887 | — | — | 9 |
| 8326087-72026826 | pembrolizumab-berahyaluronidase 790 mg/9600 units | $118,100 | $59,050 | — | — | 7 |
| 8326087-72026826 | pembrolizumab-berahyaluronidase 790 mg/9600 units | $118,100 | $59,050 | — | — | 9 |
| 8203406-72026826 | ravulizumab 100 mg/mL Inj 11 mL | $115,247 | $57,623 | — | — | 7 |
| 8203406-72026826 | ravulizumab 100 mg/mL Inj 11 mL | $115,247 | $57,623 | — | — | 9 |
| 7447077-72026826 | ipilimumab 5 mg/mL IV Soln 40 mL | $113,664 | $56,832 | — | — | 7 |
| 7447077-72026826 | ipilimumab 5 mg/mL IV Soln 40 mL | $113,664 | $56,832 | — | — | 9 |
| 7748984-626883 | Insert Ventricular Assist Device 33990 | $96,563 | $48,282 | — | — | 7 |
| 7748984-626883 | Insert Ventricular Assist Device 33990 | $96,563 | $48,282 | — | — | 9 |
| 7748984-626883 | Insert Ventricular Assist Device 33990 | $96,563 | $48,282 | — | — | 2 |
| 7899255-626883 | Insert S-ICD Generator wLeads 33270 | $86,109 | $43,055 | — | — | 7 |
| 7899255-626883 | Insert S-ICD Generator wLeads 33270 | $86,109 | $43,055 | — | — | 9 |
| 7899255-626883 | Insert S-ICD Generator wLeads 33270 | $86,109 | $43,055 | — | — | 2 |
| 7727647-626883 | GENERATOR BIONICS PULSE SYS | $80,732 | $40,366 | — | — | 7 |
| 7727647-626883 | GENERATOR BIONICS PULSE SYS | $80,732 | $40,366 | — | — | 8 |
| 7727647-72066996 | GENERATOR BIONICS PULSE SYS | $80,732 | $40,366 | — | — | 7 |
| 7727647-72066996 | GENERATOR BIONICS PULSE SYS | $80,732 | $40,366 | — | — | 8 |
| 7727647-626883 | GENERATOR BIONICS PULSE SYS | $80,732 | $40,366 | — | — | 1 |
| 7727647-72066996 | GENERATOR BIONICS PULSE SYS | $80,732 | $40,366 | — | — | 1 |
| 7728662-626883 | PULSE GENERATR NERVE STIMULATR | $80,182 | $40,091 | — | — | 7 |
| 7728662-626883 | PULSE GENERATR NERVE STIMULATR | $80,182 | $40,091 | — | — | 8 |
| 7728662-72066996 | PULSE GENERATR NERVE STIMULATR | $80,182 | $40,091 | — | — | 7 |
| 7728662-72066996 | PULSE GENERATR NERVE STIMULATR | $80,182 | $40,091 | — | — | 8 |
| 7728662-626883 | PULSE GENERATR NERVE STIMULATR | $80,182 | $40,091 | — | — | 1 |
| 7728662-72066996 | PULSE GENERATR NERVE STIMULATR | $80,182 | $40,091 | — | — | 1 |
| 8114613-626883 | IPG SENZA OMNIA - DEVICE ONLY | $79,889 | $39,945 | — | — | 7 |
| 8114613-626883 | IPG SENZA OMNIA - DEVICE ONLY | $79,889 | $39,945 | — | — | 8 |
| 8114613-72066996 | IPG SENZA OMNIA - DEVICE ONLY | $79,889 | $39,945 | — | — | 7 |
| 8114613-72066996 | IPG SENZA OMNIA - DEVICE ONLY | $79,889 | $39,945 | — | — | 8 |
| 8114613-626883 | IPG SENZA OMNIA - DEVICE ONLY | $79,889 | $39,945 | — | — | 1 |
| 8114613-72066996 | IPG SENZA OMNIA - DEVICE ONLY | $79,889 | $39,945 | — | — | 1 |
| 7878595-72026826 | ocrelizumab (Ocrevus) 300 mg/10 mL Sol | $79,755 | $39,878 | — | — | 7 |
| 7878595-72026826 | ocrelizumab (Ocrevus) 300 mg/10 mL Sol | $79,755 | $39,878 | — | — | 9 |
| 7723201-626883 | Replace ICD Generator Multi Lead 33264 | $79,409 | $39,705 | — | — | 7 |
| 7723201-626883 | Replace ICD Generator Multi Lead 33264 | $79,409 | $39,705 | — | — | 9 |
| 7899238-626883 | Insert ICD/CRTD Single-Dual Lead 33249 | $79,409 | $39,705 | — | — | 7 |
| 7899238-626883 | Insert ICD/CRTD Single-Dual Lead 33249 | $79,409 | $39,705 | — | — | 9 |
| 7899322-626883 | Upgrade Pacer to ICD 33249 | $79,409 | $39,705 | — | — | 7 |
| 7899322-626883 | Upgrade Pacer to ICD 33249 | $79,409 | $39,705 | — | — | 9 |
Showing top 50 of 142,697 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.