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
13,462
Insurances with rates
85
CPT / HCPCS codes
3,095
Source MRF
Most expensive procedures (gross)
63833082502
$2,365,171
Berinert
Gross
$8,884,940
75987-0150-03
$145,979
Uplizna
Gross
$548,381
71336100301
$127,085
Amvuttra
Gross
$477,404
71336-1003-01
$127,085
Amvuttra
Gross
$477,404
25682-0025-01
$76,509
Ultomiris
Gross
$287,412
00338004746
$59,629
Sodium Chloride
Gross
$224,000
75987-0130-15
$54,361
Tepezza
Gross
$204,211
30237890006
$53,000
Provenge
Gross
$199,098
24338005008
$44,977
Gliadel
Gross
$168,960
00338004805
$44,722
Sodium Chloride
Gross
$168,000
50242-0150-01
$41,984
Ocrevus
Gross
$157,715
00003232822
$39,337
Yervoy
Gross
$147,773
59627022205
$38,630
Avonex
Gross
$145,115
00054039268
$35,671
Methadone HCl
Gross
$134,000
75987008010
$33,848
Krystexxa
Gross
$127,153
00003-7125-11
$32,199
Opdualag
Gross
$120,957
00338022104
$31,944
Plasma-Lyte A pH-7.4
Gross
$120,000
00338002304
$31,944
Dextrose
Gross
$120,000
00264210100
$31,944
Water For Irrigation
Gross
$120,000
00338007704
$31,944
Dextrose-Sodium Chloride
Gross
$120,000
00338004304
$31,944
Sodium Chloride
Gross
$120,000
00264220100
$31,944
Sodium Chloride
Gross
$120,000
00338080304
$31,944
Potassium Chl in Dextrose and Sodium Chl
Gross
$120,000
00338067504
$31,944
Dextrose/NaCl/Potassium Chloride
Gross
$120,000
00264763800
$31,944
Dextrose-Potassium Cl-Sodium Cl
Gross
$120,000
00338954306
$31,944
Sodium Chloride
Gross
$120,000
00264765200
$31,944
Dextrose-Potassium Cl-Sodium Cl
Gross
$120,000
00990711509
$31,944
Potassium Chloride-Sodium Chloride
Gross
$120,000
00338069104
$31,944
Potassium Chloride in Sodium Chloride
Gross
$120,000
00338004904
$31,944
Sodium Chloride
Gross
$120,000
00338066904
$31,944
Dextrose/NaCl/Potassium Chloride
Gross
$120,000
00338067304
$31,944
Dextrose/NaCl/Potassium Chloride
Gross
$120,000
00338011704
$31,944
Lactated Ringer's
Gross
$120,000
82959-0111-01
$31,139
Rytelo
Gross
$116,974
00338004804
$29,814
Sodium Chloride
Gross
$112,000
00603116158
$27,071
Dicyclomine HCl
Gross
$101,695
00069-6339-02
$24,822
Octagam 10%
Gross
$93,245
00078073461
$23,874
Ilaris
Gross
$89,686
50242015001
$23,121
Ocrevus
Gross
$86,857
72493010603
$22,893
Zusduri Kit
Gross
$86,000
J9282
$22,893
MITOMYCIN INTRAVESICAL INST
Gross
$86,000
33249
$22,494
INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM
Gross
$84,500
33231
$22,135
INSRT PULSE GEN W/MULT LEADS
Gross
$83,152
50242010501
$21,006
Polivy
Gross
$78,912
33270
$20,497
INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE
Gross
$77,000
57894-0501-01
$20,267
Rybrevant
Gross
$76,134
19318
$20,205
BREAST REDUCTION
Gross
$75,900
75987013015
$19,935
Tepezza
Gross
$74,887
47335017795
$19,125
Ilumya PFS
Gross
$71,846
33289
$18,900
INSERTION OF WIRELESS PRESSURE SENSOR INTO LUNG ARTERY THROUGH TUBE WITH REVIEW BY RADIOLOGIST
Gross
$71,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 63833082502 | Berinert | $8,884,940 | $2,365,171 | — | — | 6 |
| 75987-0150-03 | Uplizna | $548,381 | $145,979 | — | — | 6 |
| 71336100301 | Amvuttra | $477,404 | $127,085 | — | — | 6 |
| 71336-1003-01 | Amvuttra | $477,404 | $127,085 | — | — | 6 |
| 25682-0025-01 | Ultomiris | $287,412 | $76,509 | — | — | 6 |
| 00338004746 | Sodium Chloride | $224,000 | $59,629 | — | — | 0 |
| 75987-0130-15 | Tepezza | $204,211 | $54,361 | — | — | 6 |
| 30237890006 | Provenge | $199,098 | $53,000 | — | — | 5 |
| 24338005008 | Gliadel | $168,960 | $44,977 | — | — | 0 |
| 00338004805 | Sodium Chloride | $168,000 | $44,722 | — | — | 0 |
| 50242-0150-01 | Ocrevus | $157,715 | $41,984 | — | — | 6 |
| 00003232822 | Yervoy | $147,773 | $39,337 | — | — | 6 |
| 59627022205 | Avonex | $145,115 | $38,630 | — | — | 0 |
| 00054039268 | Methadone HCl | $134,000 | $35,671 | — | — | 0 |
| 75987008010 | Krystexxa | $127,153 | $33,848 | — | — | 6 |
| 00003-7125-11 | Opdualag | $120,957 | $32,199 | — | — | 6 |
| 00338022104 | Plasma-Lyte A pH-7.4 | $120,000 | $31,944 | — | — | 0 |
| 00338002304 | Dextrose | $120,000 | $31,944 | — | — | 0 |
| 00264210100 | Water For Irrigation | $120,000 | $31,944 | — | — | 0 |
| 00338007704 | Dextrose-Sodium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00338004304 | Sodium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00264220100 | Sodium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00338080304 | Potassium Chl in Dextrose and Sodium Chl | $120,000 | $31,944 | — | — | 0 |
| 00338067504 | Dextrose/NaCl/Potassium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00264763800 | Dextrose-Potassium Cl-Sodium Cl | $120,000 | $31,944 | — | — | 0 |
| 00338954306 | Sodium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00264765200 | Dextrose-Potassium Cl-Sodium Cl | $120,000 | $31,944 | — | — | 0 |
| 00990711509 | Potassium Chloride-Sodium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00338069104 | Potassium Chloride in Sodium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00338004904 | Sodium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00338066904 | Dextrose/NaCl/Potassium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00338067304 | Dextrose/NaCl/Potassium Chloride | $120,000 | $31,944 | — | — | 0 |
| 00338011704 | Lactated Ringer's | $120,000 | $31,944 | — | — | 0 |
| 82959-0111-01 | Rytelo | $116,974 | $31,139 | — | — | 6 |
| 00338004804 | Sodium Chloride | $112,000 | $29,814 | — | — | 0 |
| 00603116158 | Dicyclomine HCl | $101,695 | $27,071 | — | — | 0 |
| 00069-6339-02 | Octagam 10% | $93,245 | $24,822 | — | — | 6 |
| 00078073461 | Ilaris | $89,686 | $23,874 | — | — | 6 |
| 50242015001 | Ocrevus | $86,857 | $23,121 | — | — | 6 |
| 72493010603 | Zusduri Kit | $86,000 | $22,893 | — | — | 6 |
| J9282 | MITOMYCIN INTRAVESICAL INST | $86,000 | $22,893 | — | — | 6 |
| 33249 | INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM | $84,500 | $22,494 | — | — | 8 |
| 33231 | INSRT PULSE GEN W/MULT LEADS | $83,152 | $22,135 | — | — | 6 |
| 50242010501 | Polivy | $78,912 | $21,006 | — | — | 6 |
| 33270 | INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE | $77,000 | $20,497 | — | — | 6 |
| 57894-0501-01 | Rybrevant | $76,134 | $20,267 | — | — | 6 |
| 19318 | BREAST REDUCTION | $75,900 | $20,205 | — | — | 6 |
| 75987013015 | Tepezza | $74,887 | $19,935 | — | — | 0 |
| 47335017795 | Ilumya PFS | $71,846 | $19,125 | — | — | 6 |
| 33289 | INSERTION OF WIRELESS PRESSURE SENSOR INTO LUNG ARTERY THROUGH TUBE WITH REVIEW BY RADIOLOGIST | $71,000 | $18,900 | — | — | 6 |
Showing top 50 of 13,462 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.