SOUTHWELL MEDICAL, A CAMPUS OF TRMC

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

139,739

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

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
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	—	—	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
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
7748984-626883	Insert Ventricular Assist Device 33990	$79,568	$39,784	—	—	7
7748984-626883	Insert Ventricular Assist Device 33990	$79,568	$39,784	—	—	9
7748984-626883	Insert Ventricular Assist Device 33990	$79,568	$39,784	—	—	2
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	—	—	9
7899322-626883	Upgrade Pacer to ICD 33249	$79,409	$39,705	—	—	9
7899325-626883	Upgrade Pacer to ICD Single Lead 33249	$79,409	$39,705	—	—	9
8310965-626883	CV CCL Upgrade ICD to CRTD	$79,409	$39,705	—	—	7
8310965-626883	CV CCL Upgrade ICD to CRTD	$79,409	$39,705	—	—	9
7723201-626883	Replace ICD Generator Multi Lead 33264	$79,409	$39,705	—	—	2
8310965-626883	CV CCL Upgrade ICD to CRTD	$79,409	$39,705	—	—	2
8321231-72026826	efgartigimod alfa-hyaluronidase qvfc 180 mg-2000 u	$78,962	$39,481	—	—	7
8321231-72026826	efgartigimod alfa-hyaluronidase qvfc 180 mg-2000 u	$78,962	$39,481	—	—	9
8242630-72026826	polatuzumab vedotin (Polivy) 140 mg	$78,862	$39,431	—	—	7
8242630-72026826	polatuzumab vedotin (Polivy) 140 mg	$78,862	$39,431	—	—	9
8088171-72026826	canakinumab 150 mg/mL Sol	$78,798	$39,399	—	—	7

Showing top 50 of 139,739 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.