45 CFR § 180 compliance
A · 100
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
21,579
Insurances with rates
9
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
8084969
$177,349
Immune Globulin (Privigen) 10% 40gm Vial
Gross
$253,356
5930087
$94,630
Inf Ocrelizumab(ocrevus) 600mg/500ml I##
Gross
$135,185
244531
$84,787
Nexgen 5994-014-92 Fem Comp
Gross
$121,124
8083579
$52,016
Ocrelizumab (Ocrevus) 300mg/10ml Vial
Gross
$74,308
5930152
$47,315
Inf Ocrelizumab(ocrevus) 300mg/250ml I##
Gross
$67,593
5930086
$47,314
Inf Ocrelizumab(ocrevus) 300mg/10ml Vi##
Gross
$67,592
5930142
$35,513
Inf Rituximab(truxima) 1000mg/500mlinf##
Gross
$50,733
5930137
$34,536
Inf Risankizumab (Skyrizi) 600mg/250ml##
Gross
$49,337
5930138
$34,536
Inf Risankizumab (Skyrizi) 600mg/10ml ##
Gross
$49,337
8084059
$34,536
Risankizumab (Skyrizi) 600mg/10ml Vial
Gross
$49,337
247765
$28,196
Spinal Stimulator W/ Charger
Gross
$40,280
CP17587507708656224
$26,739
Major joint replacement or reattachment of lower extremity without MCC
Gross
$38,199
160402
$23,835
56-3160r Total Hip System Xxl Right
Gross
$34,050
420442
$22,400
Trimano Fortis Support Arm
Gross
$32,000
8070092
$22,177
Alteplase (Activase) 100mg/100ml Kit
Gross
$31,682
240233
$21,000
Fixator Ankle Ext
Gross
$30,000
247945
$21,000
Primeadvanced
Gross
$30,000
8075136
$20,910
Tenecteplase (Tnkase) 50mg Kit
Gross
$29,871
241188
$20,762
Tibla Proimal Left W/btb 450060
Gross
$29,660
5930040
$20,604
Inf Vedolizumab (Entyvio) 300mg/20ml ##
Gross
$29,434
8081524
$19,797
Natalizumab (Tysabri) 300mg/15ml Vial
Gross
$28,282
CP17587507708652049
$19,784
Uterine and adnexa procedures for non-malignancy without CC or MCC
Gross
$28,263
8083662
$19,438
Vedolizumab (Entyvio) 300mg/20ml Vial
Gross
$27,768
5930026
$18,810
Inf Natalizumab(tysabri) 300mg/15ml Vi##
Gross
$26,871
5930088
$18,462
Inf Oritavancin (Kimyrsa) 1.2g Vial###
Gross
$26,374
248599
$18,320
Mesh Xcm Biologic 20x20
Gross
$26,172
248476
$18,162
Depuy 1987-14-111 Dist Fem Comp
Gross
$25,946
8084975
$18,064
Rituximab (Ruxience) 1,000mg/500ml Infus
Gross
$25,805
248542
$17,987
Interstim Ii Neurostimulator (97800)
Gross
$25,696
248908
$17,795
Nex Tib Stem Plate 5
Gross
$25,421
191358
$17,599
Depuy Attune Tib Base Sz3 1506-60-003
Gross
$25,142
5930100
$17,390
Inf Anifrolumab (Saphnelo) 300mg/20ml ##
Gross
$24,843
247827
$17,297
Depuy 1987-13-105 Dist Fem Comp
Gross
$24,710
243485
$16,352
Interstim Micro Neurostimulator 97810
Gross
$23,360
309255
$16,311
Axonics Non-rechargeable Neurostim 4101
Gross
$23,302
248645
$16,036
S-rom 56-3042n Fem Stem
Gross
$22,908
5930092
$15,981
Inf Rituximab (Truxima) 500mg/50ml Vl ##
Gross
$22,830
245676
$15,753
Depuy 1987-14-105 Dist Fem Comp
Gross
$22,505
CP17593501587935464
$15,533
Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr
Gross
$22,190
8081295
$15,371
Certolizumab (Cimzia) 400mg Lypho Kit
Gross
$21,958
170973
$15,296
L 10/12mm (15-0028/07)
Gross
$21,852
309259
$15,051
Rechargeable Neurostimulator 5101
Gross
$21,502
CP17593501587931459
$14,833
Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar
Gross
$21,190
8085360
$14,653
Certolizumab (Cimzia) 200mg Vial
Gross
$20,933
8083224
$14,544
Benralizumab (Fasenra) 30mg/1ml Pfs
Gross
$20,777
5930159
$14,543
Inf Tezepelumab(tezspire) 210mg/1.91ml##
Gross
$20,776
5930019
$14,366
Inf Certolizumab (Cimzia) 400mg Lyph Ki#
Gross
$20,523
5930036
$13,889
Inf Benralizumab (Fasenra) 30mg/1ml Pfs#
Gross
$19,841
247716
$13,864
Depuy 62-3421l Fem Rot Hinged
Gross
$19,806
247904
$13,864
Depuy 62-3421r Fem Rot Hinged
Gross
$19,806
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 8084969 | Immune Globulin (Privigen) 10% 40gm Vial | $253,356 | $177,349 | $139,346 | $258,423 | 7 |
| 5930087 | Inf Ocrelizumab(ocrevus) 600mg/500ml I## | $135,185 | $94,630 | $74,352 | $137,889 | 7 |
| 244531 | Nexgen 5994-014-92 Fem Comp | $121,124 | $84,787 | $90,843 | $123,546 | 6 |
| 8083579 | Ocrelizumab (Ocrevus) 300mg/10ml Vial | $74,308 | $52,016 | $40,869 | $75,794 | 7 |
| 5930152 | Inf Ocrelizumab(ocrevus) 300mg/250ml I## | $67,593 | $47,315 | $37,176 | $68,945 | 7 |
| 5930086 | Inf Ocrelizumab(ocrevus) 300mg/10ml Vi## | $67,592 | $47,314 | $37,176 | $68,944 | 7 |
| 5930142 | Inf Rituximab(truxima) 1000mg/500mlinf## | $50,733 | $35,513 | $27,903 | $51,748 | 7 |
| 5930137 | Inf Risankizumab (Skyrizi) 600mg/250ml## | $49,337 | $34,536 | $27,135 | $50,324 | 7 |
| 5930138 | Inf Risankizumab (Skyrizi) 600mg/10ml ## | $49,337 | $34,536 | $37,003 | $50,324 | 6 |
| 8084059 | Risankizumab (Skyrizi) 600mg/10ml Vial | $49,337 | $34,536 | $37,003 | $50,324 | 6 |
| 247765 | Spinal Stimulator W/ Charger | $40,280 | $28,196 | $30,210 | $41,086 | 6 |
| CP17587507708656224 | Major joint replacement or reattachment of lower extremity without MCC | $38,199 | $26,739 | $21,009 | $38,963 | 7 |
| 160402 | 56-3160r Total Hip System Xxl Right | $34,050 | $23,835 | $25,538 | $34,731 | 6 |
| 420442 | Trimano Fortis Support Arm | $32,000 | $22,400 | $24,000 | $32,640 | 6 |
| 8070092 | Alteplase (Activase) 100mg/100ml Kit | $31,682 | $22,177 | $17,425 | $32,316 | 7 |
| 240233 | Fixator Ankle Ext | $30,000 | $21,000 | $22,500 | $30,600 | 6 |
| 247945 | Primeadvanced | $30,000 | $21,000 | $22,500 | $30,600 | 6 |
| 8075136 | Tenecteplase (Tnkase) 50mg Kit | $29,871 | $20,910 | $16,429 | $30,468 | 7 |
| 241188 | Tibla Proimal Left W/btb 450060 | $29,660 | $20,762 | $22,245 | $30,253 | 6 |
| 5930040 | Inf Vedolizumab (Entyvio) 300mg/20ml ## | $29,434 | $20,604 | $16,189 | $30,023 | 7 |
| 8081524 | Natalizumab (Tysabri) 300mg/15ml Vial | $28,282 | $19,797 | $15,555 | $28,848 | 7 |
| CP17587507708652049 | Uterine and adnexa procedures for non-malignancy without CC or MCC | $28,263 | $19,784 | $15,545 | $28,828 | 7 |
| 8083662 | Vedolizumab (Entyvio) 300mg/20ml Vial | $27,768 | $19,438 | $15,272 | $28,323 | 7 |
| 5930026 | Inf Natalizumab(tysabri) 300mg/15ml Vi## | $26,871 | $18,810 | $14,779 | $27,408 | 7 |
| 5930088 | Inf Oritavancin (Kimyrsa) 1.2g Vial### | $26,374 | $18,462 | $14,506 | $26,901 | 7 |
| 248599 | Mesh Xcm Biologic 20x20 | $26,172 | $18,320 | $19,629 | $26,695 | 6 |
| 248476 | Depuy 1987-14-111 Dist Fem Comp | $25,946 | $18,162 | $19,460 | $26,465 | 6 |
| 8084975 | Rituximab (Ruxience) 1,000mg/500ml Infus | $25,805 | $18,064 | $14,193 | $26,321 | 7 |
| 248542 | Interstim Ii Neurostimulator (97800) | $25,696 | $17,987 | $19,272 | $26,210 | 6 |
| 248908 | Nex Tib Stem Plate 5 | $25,421 | $17,795 | $19,066 | $25,929 | 6 |
| 191358 | Depuy Attune Tib Base Sz3 1506-60-003 | $25,142 | $17,599 | $18,857 | $25,645 | 6 |
| 5930100 | Inf Anifrolumab (Saphnelo) 300mg/20ml ## | $24,843 | $17,390 | $5,428 | $25,340 | 9 |
| 247827 | Depuy 1987-13-105 Dist Fem Comp | $24,710 | $17,297 | $18,533 | $25,204 | 6 |
| 243485 | Interstim Micro Neurostimulator 97810 | $23,360 | $16,352 | $17,520 | $23,827 | 6 |
| 309255 | Axonics Non-rechargeable Neurostim 4101 | $23,302 | $16,311 | $17,477 | $23,768 | 6 |
| 248645 | S-rom 56-3042n Fem Stem | $22,908 | $16,036 | $17,181 | $23,366 | 6 |
| 5930092 | Inf Rituximab (Truxima) 500mg/50ml Vl ## | $22,830 | $15,981 | $12,557 | $23,287 | 7 |
| 245676 | Depuy 1987-14-105 Dist Fem Comp | $22,505 | $15,753 | $16,879 | $22,955 | 6 |
| CP17593501587935464 | Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr | $22,190 | $15,533 | $6,631 | $22,634 | 9 |
| 8081295 | Certolizumab (Cimzia) 400mg Lypho Kit | $21,958 | $15,371 | $12,077 | $22,397 | 7 |
| 170973 | L 10/12mm (15-0028/07) | $21,852 | $15,296 | $16,389 | $22,289 | 6 |
| 309259 | Rechargeable Neurostimulator 5101 | $21,502 | $15,051 | $16,127 | $21,932 | 6 |
| CP17593501587931459 | Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar | $21,190 | $14,833 | $6,631 | $21,614 | 9 |
| 8085360 | Certolizumab (Cimzia) 200mg Vial | $20,933 | $14,653 | $11,513 | $21,352 | 7 |
| 8083224 | Benralizumab (Fasenra) 30mg/1ml Pfs | $20,777 | $14,544 | $15,583 | $21,193 | 6 |
| 5930159 | Inf Tezepelumab(tezspire) 210mg/1.91ml## | $20,776 | $14,543 | $11,427 | $21,192 | 7 |
| 5930019 | Inf Certolizumab (Cimzia) 400mg Lyph Ki# | $20,523 | $14,366 | $11,288 | $20,933 | 7 |
| 5930036 | Inf Benralizumab (Fasenra) 30mg/1ml Pfs# | $19,841 | $13,889 | $14,881 | $20,238 | 6 |
| 247716 | Depuy 62-3421l Fem Rot Hinged | $19,806 | $13,864 | $14,855 | $20,202 | 6 |
| 247904 | Depuy 62-3421r Fem Rot Hinged | $19,806 | $13,864 | $14,855 | $20,202 | 6 |
Showing top 50 of 21,579 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.