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
3,776
Insurances with rates
10
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
Rx50242015001_1
$46,456
INJECTION, OCRELIZUMAB, 1 MG
Gross
$46,456
036002850_1
$29,400
Removal and replacement of multicomponent inflatable penile implant during same surgery
Gross
$29,400
Rx00074347303_1
$28,989
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$28,989
Rx59572077501_1
$27,233
INJECTION, LUSPATERCEPT-AAMT, 0.25 MG
Gross
$27,233
Rx73150015006_1
$25,012
INJECTION, UBLITUXIMAB-XIIY, 1MG
Gross
$25,012
Rx51144005001_1
$23,807
INJECTION, BRENTUXIMAB VEDOTIN, 1 MG
Gross
$23,807
048100092_1
$22,345
Insertion of heart rhythm monitor under skin
Gross
$22,345
Rx50242091701_1
$21,958
INJECTION, ATEZOLIZUMAB, 10 MG
Gross
$21,958
036002849_1
$21,100
Insertion of multicomponent inflatable penile implant
Gross
$21,100
Rx64764030020_1
$21,074
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$21,074
Rx57894050301_1
$20,632
INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ
Gross
$20,632
Rx69097087067_1
$20,022
INJECTION, LANREOTIDE, (CIPLA), 1 MG
Gross
$20,022
Rx00074368303_1
$19,331
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$19,331
Rx50242012047_1
$18,683
INJECTION, TENECTEPLASE, 1 MG
Gross
$18,683
Rx50242012047_1{2}
$18,683
INJECTION, TENECTEPLASE, 1 MG
Gross
$18,683
036002096_1
$16,900
LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INS
Gross
$16,900
Rx50242007001_1
$16,811
INJECTION, OBINUTUZUMAB, 10 MG
Gross
$16,811
036001602_1
$15,900
Treatment of broken lower spine bone with placement of stabilizing device
Gross
$15,900
036002649_1
$15,845
Repair of shoulder rotator cuff using an endoscope
Gross
$15,845
036003179_1
$15,513
Removal of gallbladder with X-ray study of bile ducts
Gross
$15,513
Rx00003373413_1
$15,202
INJECTION, NIVOLUMAB, 1 MG
Gross
$15,202
036003160_1
$15,167
Removal of uterus through vagina, more than 250.0 g
Gross
$15,167
22514_1
$14,850
Treatment of broken lower spine bone with placement of stabilizing device
Gross
$14,850
Rx50242010801_1
$14,811
INJECTION, RITUXIMAB 10 MG AND HYALURONIDASE
Gross
$14,811
Rx00074334603_1
$14,501
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$14,501
Rx55513019001_1
$14,454
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$14,454
036002829_1
$13,400
Removal of breast and underarm lymph nodes
Gross
$13,400
Rx50242014501_1
$13,316
INJECTION, PERTUZUMAB, 1 MG
Gross
$13,316
036001082_1
$13,300
Insertion of sacral nerve neurostimulator electrode array
Gross
$13,300
036002861_1
$13,300
Insertion of sacral nerve neurostimulator electrode
Gross
$13,300
036002888_1
$13,300
Re-amputation of lower leg
Gross
$13,300
036002898_1
$13,300
Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver
Gross
$13,300
Rx13533080040_1
$13,154
INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$13,154
036002092_1
$13,000
Removal of gallbladder with X-ray study of bile ducts using an endoscope
Gross
$13,000
036003035_1
$12,788
Repair of shoulder joint capsule using an endoscope
Gross
$12,788
036003041_1
$12,788
Repair of shoulder socket using an endoscope
Gross
$12,788
036002835_1
$12,600
Replacement of joint between wrist and fingers using tissue
Gross
$12,600
Rx55513022201_1
$12,403
INJECTION, ROMIPLOSTIM, 1 MICROGRAM
Gross
$12,403
036002151_1
$12,400
Repair of groin hernia using an endoscope
Gross
$12,400
036002854_1
$12,200
Removal of uterus, tubes, and/or ovaries through vagina using an endoscope, 250.0 g or less
Gross
$12,200
Rx00074366303_1
$12,172
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
Gross
$12,172
036000425_1
$12,000
Amputation of toe and midfoot bone
Gross
$12,000
036000851_1
$12,000
Shock wave crushing of kidney stones
Gross
$12,000
036002878_1
$12,000
Amputation of midfoot bone
Gross
$12,000
036002203_1
$11,951
Correction of rigid deformity of first joint of big toe
Gross
$11,951
036003038_1
$11,951
Reconstruction of ankle tendon with removal of extra ankle joint bone
Gross
$11,951
Rx00944270007_1
$11,800
INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG
Gross
$11,800
Rx00006302602_1
$11,517
INJECTION, PEMBROLIZUMAB, 1 MG
Gross
$11,517
036002091_1
$11,300
Removal of gallbladder using an endoscope
Gross
$11,300
036002335_1
$11,300
Repair of recurrent groin hernia using an endoscope
Gross
$11,300
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Rx50242015001_1 | INJECTION, OCRELIZUMAB, 1 MG | $46,456 | $46,456 | — | — | 8 |
| 036002850_1 | Removal and replacement of multicomponent inflatable penile implant during same surgery | $29,400 | $29,400 | — | — | 10 |
| Rx00074347303_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $28,989 | $28,989 | — | — | 8 |
| Rx59572077501_1 | INJECTION, LUSPATERCEPT-AAMT, 0.25 MG | $27,233 | $27,233 | — | — | 8 |
| Rx73150015006_1 | INJECTION, UBLITUXIMAB-XIIY, 1MG | $25,012 | $25,012 | — | — | 8 |
| Rx51144005001_1 | INJECTION, BRENTUXIMAB VEDOTIN, 1 MG | $23,807 | $23,807 | — | — | 8 |
| 048100092_1 | Insertion of heart rhythm monitor under skin | $22,345 | $22,345 | — | — | 10 |
| Rx50242091701_1 | INJECTION, ATEZOLIZUMAB, 10 MG | $21,958 | $21,958 | — | — | 8 |
| 036002849_1 | Insertion of multicomponent inflatable penile implant | $21,100 | $21,100 | — | — | 10 |
| Rx64764030020_1 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $21,074 | $21,074 | — | — | 8 |
| Rx57894050301_1 | INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ | $20,632 | $20,632 | — | — | 8 |
| Rx69097087067_1 | INJECTION, LANREOTIDE, (CIPLA), 1 MG | $20,022 | $20,022 | — | — | 8 |
| Rx00074368303_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $19,331 | $19,331 | — | — | 8 |
| Rx50242012047_1 | INJECTION, TENECTEPLASE, 1 MG | $18,683 | $18,683 | — | — | 8 |
| Rx50242012047_1{2} | INJECTION, TENECTEPLASE, 1 MG | $18,683 | $18,683 | — | — | 8 |
| 036002096_1 | LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INS | $16,900 | $16,900 | — | — | 10 |
| Rx50242007001_1 | INJECTION, OBINUTUZUMAB, 10 MG | $16,811 | $16,811 | — | — | 8 |
| 036001602_1 | Treatment of broken lower spine bone with placement of stabilizing device | $15,900 | $15,900 | — | — | 10 |
| 036002649_1 | Repair of shoulder rotator cuff using an endoscope | $15,845 | $15,845 | — | — | 10 |
| 036003179_1 | Removal of gallbladder with X-ray study of bile ducts | $15,513 | $15,513 | — | — | 10 |
| Rx00003373413_1 | INJECTION, NIVOLUMAB, 1 MG | $15,202 | $15,202 | — | — | 8 |
| 036003160_1 | Removal of uterus through vagina, more than 250.0 g | $15,167 | $15,167 | — | — | 10 |
| 22514_1 | Treatment of broken lower spine bone with placement of stabilizing device | $14,850 | $14,850 | — | — | 8 |
| Rx50242010801_1 | INJECTION, RITUXIMAB 10 MG AND HYALURONIDASE | $14,811 | $14,811 | — | — | 8 |
| Rx00074334603_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $14,501 | $14,501 | — | — | 8 |
| Rx55513019001_1 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $14,454 | $14,454 | — | — | 8 |
| 036002829_1 | Removal of breast and underarm lymph nodes | $13,400 | $13,400 | — | — | 10 |
| Rx50242014501_1 | INJECTION, PERTUZUMAB, 1 MG | $13,316 | $13,316 | — | — | 8 |
| 036001082_1 | Insertion of sacral nerve neurostimulator electrode array | $13,300 | $13,300 | — | — | 10 |
| 036002861_1 | Insertion of sacral nerve neurostimulator electrode | $13,300 | $13,300 | — | — | 10 |
| 036002888_1 | Re-amputation of lower leg | $13,300 | $13,300 | — | — | 10 |
| 036002898_1 | Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver | $13,300 | $13,300 | — | — | 10 |
| Rx13533080040_1 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $13,154 | $13,154 | — | — | 8 |
| 036002092_1 | Removal of gallbladder with X-ray study of bile ducts using an endoscope | $13,000 | $13,000 | — | — | 10 |
| 036003035_1 | Repair of shoulder joint capsule using an endoscope | $12,788 | $12,788 | — | — | 10 |
| 036003041_1 | Repair of shoulder socket using an endoscope | $12,788 | $12,788 | — | — | 10 |
| 036002835_1 | Replacement of joint between wrist and fingers using tissue | $12,600 | $12,600 | — | — | 10 |
| Rx55513022201_1 | INJECTION, ROMIPLOSTIM, 1 MICROGRAM | $12,403 | $12,403 | — | — | 8 |
| 036002151_1 | Repair of groin hernia using an endoscope | $12,400 | $12,400 | — | — | 10 |
| 036002854_1 | Removal of uterus, tubes, and/or ovaries through vagina using an endoscope, 250.0 g or less | $12,200 | $12,200 | — | — | 10 |
| Rx00074366303_1 | INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG | $12,172 | $12,172 | — | — | 8 |
| 036000425_1 | Amputation of toe and midfoot bone | $12,000 | $12,000 | — | — | 10 |
| 036000851_1 | Shock wave crushing of kidney stones | $12,000 | $12,000 | — | — | 10 |
| 036002878_1 | Amputation of midfoot bone | $12,000 | $12,000 | — | — | 10 |
| 036002203_1 | Correction of rigid deformity of first joint of big toe | $11,951 | $11,951 | — | — | 10 |
| 036003038_1 | Reconstruction of ankle tendon with removal of extra ankle joint bone | $11,951 | $11,951 | — | — | 10 |
| Rx00944270007_1 | INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG | $11,800 | $11,800 | — | — | 8 |
| Rx00006302602_1 | INJECTION, PEMBROLIZUMAB, 1 MG | $11,517 | $11,517 | — | — | 8 |
| 036002091_1 | Removal of gallbladder using an endoscope | $11,300 | $11,300 | — | — | 10 |
| 036002335_1 | Repair of recurrent groin hernia using an endoscope | $11,300 | $11,300 | — | — | 10 |
Showing top 50 of 3,776 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.