ATRIUM HEALTH FLOYD POLK MEDICAL CENTER

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

2,722

Insurances with rates

CPT / HCPCS codes

1,783

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J9029	NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION	$240,050	$120,025	—	—	0
J9269	TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION	$135,077	$67,538	—	—	1
J9359	LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION	$111,116	$55,558	—	—	1
J9118	CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION	$100,183	$50,091	—	—	0
J9229	INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN	$91,682	$45,841	—	—	1
J9281	MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT	$88,490	$44,245	—	—	6
J9274	TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION	$81,970	$40,985	—	—	0
J9309	POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION	$74,496	$37,248	—	—	1
J9266	PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION	$74,456	$37,228	—	—	0
J9298	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION	$60,528	$30,264	—	—	1
J9307	PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION	$58,741	$29,371	—	—	5
J9043	CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION	$57,485	$28,742	—	—	2
J9316	PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN	$55,716	$27,858	—	—	1
J9042	BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION	$48,850	$24,425	—	—	0
C9399	ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION	$47,550	$23,775	—	—	4
J9272	DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION	$47,228	$23,614	—	—	1
J9022	ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION	$45,057	$22,529	—	—	3
J9153	DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION	$43,120	$21,560	—	—	6
J9119	CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION	$42,477	$21,239	—	—	1
J9144	DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN	$42,126	$21,063	—	—	2
J9203	GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN	$40,230	$20,115	—	—	1
J9228	IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION	$35,559	$17,779	—	—	1
J9301	OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION	$34,501	$17,250	—	—	1
J9223	LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION	$32,490	$16,245	—	—	0
J1323	ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION	$30,273	$15,136	—	—	6
J9273	TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION	$28,542	$14,271	—	—	0
J9306	PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION	$27,332	$13,666	—	—	1
J9311	RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN	$26,356	$13,178	—	—	0
J1299	ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION	$26,142	$13,071	—	—	2
C1604	SYSTEM CAP FOR ANY NUMBER OF TORUS STENT GRAFTS AND ENDOCROSS DEVICE DETOUR	$25,000	$12,500	—	—	0
J2860	SILTUXIMAB 400 MG INTRAVENOUS SOLUTION	$24,721	$12,361	—	—	1
J9207	IXABEPILONE 45 MG INTRAVENOUS SOLUTION	$24,225	$12,112	—	—	2
J0717	CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT	$24,048	$12,024	—	—	1
J9271	PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION	$23,178	$11,589	—	—	4
J9039	BLINATUMOMAB 35 MCG INTRAVENOUS KIT	$22,275	$11,137	—	—	0
C1722	DEFIBRILLATOR EMBLEM S-ICD 130 GM D12.7 MM W83.1 MM X H69.1 MM CARDIAC	$21,500	$10,750	—	—	3
J9021	ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION	$20,983	$10,492	—	—	2
J9015	ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION	$20,588	$10,294	—	—	0
J9057	COPANLISIB 60 MG INTRAVENOUS SOLUTION	$20,248	$10,124	—	—	2
C1767	GENERATOR NEUROSTIMULATOR L5.02 CM X H6.68 CM THK1.35 CM 25.5-MA 2-1200HZ 38.6 CU CM 7 IMPLANTABLE P	$19,500	$9,750	—	—	3
J9356	TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION	$18,751	$9,376	—	—	3
C1817	OCCLUDER AMPLATZER AMULET 16MM 22MM NITINOL PLASTIC 7.5X11-13MM 10- MM CARDIOVASCULAR HEMOSTASIS VAL	$18,000	$9,000	—	—	3
J9177	ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION	$16,904	$8,452	—	—	4
J9173	DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION	$16,892	$8,446	—	—	2
C1820	GENERATOR NEUROSTIMULATOR 16 CONTACT PRECISION MONTAGE MRI	$16,500	$8,250	—	—	2
J9354	ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION	$16,009	$8,004	—	—	4
J9299	NIVOLUMAB 120 MG/12 ML INTRAVENOUS SOLUTION	$15,625	$7,812	—	—	3
J9061	AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION	$15,277	$7,638	—	—	0
L8670	GRAFT STENT 25MM 13MM 80MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE	$14,999	$7,500	—	—	4
L8670	GRAFT STENT 22MM 16MM 70MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE	$14,999	$7,500	—	—	1

Showing top 50 of 2,722 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.