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
6,510
Insurances with rates
43
CPT / HCPCS codes
119
Source MRF
Most expensive procedures (gross)
00831
$2,598,750
OBECBTGE AUTOL UP TO 400 MIL
Gross
$3,465,000
0891
$2,286,900
BREXUCABTAGENE TECARTUS T-CELL
Gross
$3,049,200
0891
$2,286,900
BREXUCABTAGENE TECARTUS T-CELL
Gross
$3,049,200
00078095819
$2,261,858
KYMRIAH T-CELL SUSP FOR INFUSION
Gross
$3,015,811
00078095819
$2,261,858
KYMRIAH T-CELL SUSP FOR INFUSION
Gross
$3,015,811
00024582411
$240,365
CABAZITAXEL(JEVTANA) 60MG/6ML INJ
Gross
$320,487
00024582411
$240,365
CABAZITAXEL(JEVTANA) 60MG/6ML INJ
Gross
$320,487
00003232822
$148,604
YERVOY SOLN 200MG/40ML
Gross
$198,139
00003232822
$148,604
YERVOY SOLN 200MG/40ML
Gross
$198,139
00843
$112,222
ONCASPAR 3750U/5ML SD VIAL
Gross
$149,629
02046
$97,454
05932602_AVEIR DR
Gross
$129,938
00008010001
$93,056
INJ INOTUZUMAB OZOGAM 0.1 MG
Gross
$124,075
00074105001
$87,632
INJ SKYRIZI (RISANKIZUMAB-RZAA)SQ
Gross
$116,842
00856
$85,487
PHOTOFRIN 75MG VIAL
Gross
$113,983
01580
$70,875
IMPLT/RPL CRTD SNS DEV TOTAL
Gross
$94,500
0266T
$70,875
IMPLT/RPL CRTD SNS DEV TOTAL
Gross
$94,500
0266T
$70,875
IMPLT/RPL CRTD SNS DEV TOTAL
Gross
$94,500
02051
$60,000
CATH RENAL DENERV RADIOFREQ
Gross
$80,000
02052
$60,000
CATH RENAL DENERV ULTRASND
Gross
$80,000
00749
$58,381
INJ TRAVOPROST INTRA IMPL(75MCG)
Gross
$77,841
00169720501
$55,974
NOVOSEVEN (FACT VIIA REC) 5000MCG
Gross
$74,633
00169720501
$55,974
NOVOSEVEN (FACT VIIA REC) 5000MCG
Gross
$74,633
00069449402
$54,617
INJ ELRANATAMAB-BCMM 1 MG(76MG)
Gross
$72,823
00069449402
$54,617
INJ ELRANATAMAB-BCMM 1 MG(76MG)
Gross
$72,823
00074347303
$53,895
LUPRON DEPOT 45MG(6 MONTH) INJ KIT
Gross
$71,860
00074347303
$53,895
LUPRON DEPOT 45MG(6 MONTH) INJ KIT
Gross
$71,860
0278
$53,575
NM NS YTTRIUM-90 PER SOURCE
Gross
$71,433
02616
$53,575
NM NS YTTRIUM-90 PER SOURCE
Gross
$71,433
0268T
$52,874
IMPLT/RPL CRTD SNS DEV GEN
Gross
$70,499
0268T
$52,874
IMPLT/RPL CRTD SNS DEV GEN
Gross
$70,499
0278
$49,500
02245763 MITRACLIP TRANSCATH TEER
Gross
$66,000
00173089803
$49,360
INJ DOSTARLIMAB-GXLY 10 MG
Gross
$65,813
00839
$48,337
AXATILIMAB-CSFR 0.1 MG(22MG)
Gross
$64,449
00093306634
$44,320
FIRAZYR 30MG/3ML SYR
Gross
$59,093
00093306634
$44,320
FIRAZYR 30MG/3ML SYR
Gross
$59,093
00074501501
$43,410
RISANKIZUMAB-RZAA 1MG(600MG)
Gross
$57,880
00074501501
$43,410
RISANKIZUMAB-RZAA 1MG(600MG)
Gross
$57,880
00720
$42,767
GLOFITAMAB GXBM 2.5 MG (10MG)
Gross
$57,022
00008451001
$40,805
MYLOTARG 4.5MG/4.5ML SOLR
Gross
$54,407
00008451001
$40,805
MYLOTARG 4.5MG/4.5ML SOLR
Gross
$54,407
0275
$38,068
03039712 MICRA VR
Gross
$50,757
0275
$38,068
03039712 MICRA VR
Gross
$50,757
00003232711
$37,151
YERVOY SOLN 50MG/10ML
Gross
$49,535
00003232711
$37,151
YERVOY SOLN 50MG/10ML
Gross
$49,535
0790
$36,414
ESWL - DOUBLE
Gross
$48,552
0790
$36,414
ESWL - DOUBLE
Gross
$48,552
01476
$36,044
GAZYVA (OBINUTUZUMAB) 1000MG/40ML
Gross
$48,059
00074368303
$35,929
LUPRON DEPOT 30MG 4MONTH KIT
Gross
$47,906
00074368303
$35,929
LUPRON DEPOT 30MG 4MONTH KIT
Gross
$47,906
00003373413
$32,590
NIVOLUMAG(OPDIVO) 240MG/24ML VIAL
Gross
$43,454
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 00831 | OBECBTGE AUTOL UP TO 400 MIL | $3,465,000 | $2,598,750 | $278,250 | $347,813 | 24 |
| 0891 | BREXUCABTAGENE TECARTUS T-CELL | $3,049,200 | $2,286,900 | $489,305 | $3,049,200 | 88 |
| 0891 | BREXUCABTAGENE TECARTUS T-CELL | $3,049,200 | $2,286,900 | $1,134,302 | $3,049,200 | 13 |
| 00078095819 | KYMRIAH T-CELL SUSP FOR INFUSION | $3,015,811 | $2,261,858 | $487,629 | $3,015,811 | 88 |
| 00078095819 | KYMRIAH T-CELL SUSP FOR INFUSION | $3,015,811 | $2,261,858 | $1,121,882 | $3,015,811 | 13 |
| 00024582411 | CABAZITAXEL(JEVTANA) 60MG/6ML INJ | $320,487 | $240,365 | $227 | $320,487 | 93 |
| 00024582411 | CABAZITAXEL(JEVTANA) 60MG/6ML INJ | $320,487 | $240,365 | $49,515 | $320,487 | 30 |
| 00003232822 | YERVOY SOLN 200MG/40ML | $198,139 | $148,604 | $7,339 | $198,139 | 93 |
| 00003232822 | YERVOY SOLN 200MG/40ML | $198,139 | $148,604 | $30,612 | $198,139 | 30 |
| 00843 | ONCASPAR 3750U/5ML SD VIAL | $149,629 | $112,222 | $142,120 | $177,650 | 23 |
| 02046 | 05932602_AVEIR DR | $129,938 | $97,454 | $32,217 | $129,938 | 25 |
| 00008010001 | INJ INOTUZUMAB OZOGAM 0.1 MG | $124,075 | $93,056 | $19,170 | $124,075 | 30 |
| 00074105001 | INJ SKYRIZI (RISANKIZUMAB-RZAA)SQ | $116,842 | $87,632 | $18,892 | $116,842 | 84 |
| 00856 | PHOTOFRIN 75MG VIAL | $113,983 | $85,487 | $726,853 | $908,566 | 23 |
| 01580 | IMPLT/RPL CRTD SNS DEV TOTAL | $94,500 | $70,875 | $43,879 | $96,185 | 25 |
| 0266T | IMPLT/RPL CRTD SNS DEV TOTAL | $94,500 | $70,875 | $35,154 | $94,500 | 13 |
| 0266T | IMPLT/RPL CRTD SNS DEV TOTAL | $94,500 | $70,875 | $5,305 | $94,500 | 84 |
| 02051 | CATH RENAL DENERV RADIOFREQ | $80,000 | $60,000 | $19,835 | $80,000 | 25 |
| 02052 | CATH RENAL DENERV ULTRASND | $80,000 | $60,000 | $19,835 | $80,000 | 25 |
| 00749 | INJ TRAVOPROST INTRA IMPL(75MCG) | $77,841 | $58,381 | $196 | $245 | 23 |
| 00169720501 | NOVOSEVEN (FACT VIIA REC) 5000MCG | $74,633 | $55,974 | $5.43 | $74,633 | 93 |
| 00169720501 | NOVOSEVEN (FACT VIIA REC) 5000MCG | $74,633 | $55,974 | $11,531 | $74,633 | 30 |
| 00069449402 | INJ ELRANATAMAB-BCMM 1 MG(76MG) | $72,823 | $54,617 | $184 | $72,823 | 93 |
| 00069449402 | INJ ELRANATAMAB-BCMM 1 MG(76MG) | $72,823 | $54,617 | $11,251 | $72,823 | 30 |
| 00074347303 | LUPRON DEPOT 45MG(6 MONTH) INJ KIT | $71,860 | $53,895 | $176 | $71,860 | 93 |
| 00074347303 | LUPRON DEPOT 45MG(6 MONTH) INJ KIT | $71,860 | $53,895 | $11,102 | $71,860 | 30 |
| 0278 | NM NS YTTRIUM-90 PER SOURCE | $71,433 | $53,575 | $11,550 | $71,433 | 93 |
| 02616 | NM NS YTTRIUM-90 PER SOURCE | $71,433 | $53,575 | $17,450 | $22,214 | 24 |
| 0268T | IMPLT/RPL CRTD SNS DEV GEN | $70,499 | $52,874 | $5,305 | $70,499 | 84 |
| 0268T | IMPLT/RPL CRTD SNS DEV GEN | $70,499 | $52,874 | $26,226 | $70,499 | 13 |
| 0278 | 02245763 MITRACLIP TRANSCATH TEER | $66,000 | $49,500 | $12,494 | $66,000 | 75 |
| 00173089803 | INJ DOSTARLIMAB-GXLY 10 MG | $65,813 | $49,360 | $10,168 | $65,813 | 30 |
| 00839 | AXATILIMAB-CSFR 0.1 MG(22MG) | $64,449 | $48,337 | $24.49 | $30.61 | 24 |
| 00093306634 | FIRAZYR 30MG/3ML SYR | $59,093 | $44,320 | $224 | $59,093 | 92 |
| 00093306634 | FIRAZYR 30MG/3ML SYR | $59,093 | $44,320 | $21,983 | $59,093 | 13 |
| 00074501501 | RISANKIZUMAB-RZAA 1MG(600MG) | $57,880 | $43,410 | $149 | $57,880 | 93 |
| 00074501501 | RISANKIZUMAB-RZAA 1MG(600MG) | $57,880 | $43,410 | $8,942 | $57,880 | 30 |
| 00720 | GLOFITAMAB GXBM 2.5 MG (10MG) | $57,022 | $42,767 | $28,436 | $35,545 | 23 |
| 00008451001 | MYLOTARG 4.5MG/4.5ML SOLR | $54,407 | $40,805 | $946 | $54,407 | 93 |
| 00008451001 | MYLOTARG 4.5MG/4.5ML SOLR | $54,407 | $40,805 | $8,406 | $54,407 | 30 |
| 0275 | 03039712 MICRA VR | $50,757 | $38,068 | $9,608 | $50,757 | 75 |
| 0275 | 03039712 MICRA VR | $50,757 | $38,068 | $8,207 | $50,757 | 89 |
| 00003232711 | YERVOY SOLN 50MG/10ML | $49,535 | $37,151 | $1,835 | $49,535 | 93 |
| 00003232711 | YERVOY SOLN 50MG/10ML | $49,535 | $37,151 | $7,653 | $49,535 | 30 |
| 0790 | ESWL - DOUBLE | $48,552 | $36,414 | $18,061 | $48,552 | 13 |
| 0790 | ESWL - DOUBLE | $48,552 | $36,414 | $7,850 | $48,552 | 79 |
| 01476 | GAZYVA (OBINUTUZUMAB) 1000MG/40ML | $48,059 | $36,044 | $3,265 | $4,081 | 23 |
| 00074368303 | LUPRON DEPOT 30MG 4MONTH KIT | $47,906 | $35,929 | $176 | $47,906 | 93 |
| 00074368303 | LUPRON DEPOT 30MG 4MONTH KIT | $47,906 | $35,929 | $7,401 | $47,906 | 30 |
| 00003373413 | NIVOLUMAG(OPDIVO) 240MG/24ML VIAL | $43,454 | $32,590 | $791 | $43,454 | 93 |
Showing top 50 of 6,510 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.