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
4,422
Insurances with rates
5
CPT / HCPCS codes
1
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2512705 | LUPRON DEPOT 45 MG (6 MONTH) (LEUPROLIDE ACETATE) IM SYR. KIT | $40,048 | $30,036 | — | — | 7 |
| 2519155 | Activase 100 mg IV (alteplase) | $31,681 | $23,761 | — | — | 7 |
| 2512416 | Fulphila (pegfilgrastim-jmdb) subQ syringe | $25,050 | $18,788 | — | — | 7 |
| 2510840 | TNK-ASE 25MG INJ. (TENECTEPLASE) IV (STROKE) | $23,395 | $17,547 | — | — | 7 |
| 2513828 | TNK-ASE 50 MG INJ. (TENECTEPLASE) (HEART) | $23,395 | $17,547 | — | — | 7 |
| 2513802 | NEULASTA 6 MG INJ. | $22,478 | $16,859 | — | — | 7 |
| 2519148 | Gamunex-C 40 GM 10% inj solution | $19,716 | $14,787 | — | — | 7 |
| 2519296 | GAMMAGARD LIQUID 30GM (immun glob G(IgG)-gly-IgA ov50) inj solution | $16,121 | $12,091 | — | — | 7 |
| 2511046 | UDENYCA 6MG SQ (PEGFILGRASTIM-CBQV) SYRINGE | $15,030 | $11,273 | — | — | 7 |
| 2500486 | CROFAB RATTLESNAKE (CROTALIDAE POLYVALENT IMMUNE FAB) | $11,512 | $8,635 | — | — | 7 |
| 2510006 | Nucala 100 mg/ml (mepolizumab) subQ syringe | $11,401 | $8,551 | — | — | 7 |
| 2512341 | Cimzia (certolizumab pegol) 200 mg/ml subQ syringe kit | $10,206 | $7,655 | — | — | 7 |
| 2519130 | Gamunex-C 20 GM | $10,200 | $7,650 | — | — | 7 |
| Q4196235 | PURAPLY AM 2X4CM PER SQ CM | $9,903 | $7,427 | — | — | 7 |
| 2519288 | Xgeva 120 mg/ 1.7 ml vial(denosumab) | $8,967 | $6,726 | — | — | 7 |
| 2510204 | Simponi ARIA (golimumab) IV solution | $7,197 | $5,398 | — | — | 7 |
| 2513307 | Evenity (romosozumab-aqqg) subQ syringe | $6,697 | $5,023 | — | — | 7 |
| 6236500 | REMOVE SPINE INFUSION DEVICE | $6,179 | $4,634 | — | — | 8 |
| 2510113 | Dalvance (dalbavancin) 500 mg IV solution | $5,861 | $4,396 | — | — | 7 |
| Q4196233 | PURAPLY AM 6X9CM PER SQ CM | $5,643 | $4,232 | — | — | 7 |
| 2503547 | Prolia (denosumab) SubQ Syringe 60mg/ml | $5,317 | $3,988 | — | — | 7 |
| 3721100 | THROMBOLYTIC ART THERAPY | $5,150 | $3,863 | — | — | 7 |
| 2511053 | Gamunex-C 10 GM | $5,103 | $3,827 | — | — | 7 |
| 2519882 | Synvisc-One 6 ml syringe/48 mg | $4,931 | $3,699 | — | — | 7 |
| Q419723 | PURAPLY XT 4.91X4.91 PER SQ CM | $4,675 | $3,506 | — | — | 7 |
| 2513548 | INJECTAFER 750 MG (FERRIC CARBOXYMALTOSE) IV | $4,670 | $3,503 | — | — | 7 |
| 2511541 | Mirena 52mg (levonorgestrel) utrn intrauterine device | $4,627 | $3,470 | — | — | 7 |
| 2511848 | Kcentra 500 unit range IV recon soln | $4,500 | $3,375 | — | — | 7 |
| 2513000 | PrePack PAXLOVID (EUA) ORAL TABS, DOSE PACK | $4,488 | $3,366 | — | — | 7 |
| 2673500 | OPEN TX PHALANGEAL FX W/WO FIX | $4,300 | $3,225 | — | — | 8 |
| 2676500 | OPEN TX DIST PHALANG FX W/WO F | $4,300 | $3,225 | — | — | 8 |
| 2513059 | FERAHEME 510 MG/17 ML INJ. (FERUMOXYTOL) IV | $4,297 | $3,223 | — | — | 7 |
| 2519692 | Orencia (with maltose) (abatacept (with maltose)) IV recon soln | $4,232 | $3,174 | — | — | 7 |
| 7563500 | CTA ABD/PEL with runoff | $4,189 | $3,142 | — | — | 8 |
| 3850000 | BIOPSY/EXCISION OF LYMPH NODE | $4,000 | $3,000 | — | — | 8 |
| 5525000 | EXCISION-VASOTOMY UNIL OR BILA | $4,000 | $3,000 | — | — | 8 |
| 2516789 | RECLAST 5 MG/100 ML IV (ZOLEDRONIC ACID) | $3,901 | $2,926 | — | — | 7 |
| 2510543 | Durolane (hyaluronate sodium, stabilized) IAtc syringe | $3,870 | $2,903 | — | — | 7 |
| 2511905 | Procrit 40,000 U/ML (epoetin alfa) Inj Solution | $3,853 | $2,890 | — | — | 7 |
| 2518074 | PROCRIT 40,000 UNITS/DIALYSIS | $3,853 | $2,890 | — | — | 7 |
| 1512023 | SPLT THCKNS AUTOGRFT,F/H/FT100 | $3,597 | $2,698 | — | — | 8 |
| 1527323 | APPL SKIN CHILD T/A/L =>100CM | $3,597 | $2,698 | — | — | 8 |
| 7417800 | CT ABD/PEL WO/W CONTRAST | $3,548 | $2,661 | — | — | 8 |
| 2193000 | EXCISION TUMOR S TISSUE BACK/ | $3,500 | $2,625 | — | — | 8 |
| 1527123 | APPL SKIN T/A/L =<25CM | $3,225 | $2,419 | — | — | 8 |
| 2737200 | REMOV FOREIGN BODY,DEEP THIGH | $3,225 | $2,419 | — | — | 8 |
| 6478800 | EXCISION OF NEUROFIBROMA OR | $3,225 | $2,419 | — | — | 8 |
| 2517183 | Zometa 4 mg/5 ml (zoledronic acid) | $3,224 | $2,418 | — | — | 7 |
| 2517175 | ARANESP 40 MCG INJ (NO DIALYSI | $3,213 | $2,410 | — | — | 7 |
| 5226000 | CYSTOURETHROSCOPY/DILAT BLADER | $3,200 | $2,400 | — | — | 8 |
Showing top 50 of 4,422 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.