45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
11,562
Insurances with rates
22
CPT / HCPCS codes
7
Most expensive procedures (gross)
2501027
$51,511
INJECTION, OCRELIZUMAB, 1 MG
Gross
$79,248
2560057
$47,146
INJECTION, POLATUZUMAB VEDOTIN-PIIQ, 1 MG
Gross
$72,532
2560066
$37,873
INJECTION, GUSELKUMAB, 1 MG
Gross
$58,266
36NS70314
$35,490
PATIENT PROGRAMMER, NEUROSTIMULATOR
Gross
$54,600
2560095
$31,904
INJECTION, EFGARTIGIMOD ALFA, 2 MG AND HYALURONIDASE-QVFC
Gross
$49,084
2560082
$31,279
INJECTION, DOSTARLIMAB-GXLY, 10 MG
Gross
$48,121
2501332
$30,992
INJECTION, LUSPATERCEPT-AAMT, 0.25 MG
Gross
$47,680
2500110
$30,488
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$46,905
36NS10021
$29,974
STRATTICE TM, PER SQUARE CENTIMETER
Gross
$46,114
1099395TH
$29,440
Established patient periodic preventive medicine examination (18-39 years)
Gross
$45,292
1099396TH
$29,440
Established patient periodic preventive medicine examination (40-64 years)
Gross
$45,292
1099397TH
$29,440
Established patient periodic preventive medicine examination (65 year old or older)
Gross
$45,292
7599395TH
$29,440
Established patient periodic preventive medicine examination (18-39 years)
Gross
$45,292
7599396TH
$29,440
Established patient periodic preventive medicine examination (40-64 years)
Gross
$45,292
7599397TH
$29,440
Established patient periodic preventive medicine examination (65 year old or older)
Gross
$45,292
2500967
$28,816
INJECTION, ATEZOLIZUMAB, 10 MG
Gross
$44,333
2501180
$28,266
INJECTION, CEMIPLIMAB-RWLC, 1 MG
Gross
$43,486
36NS11794
$27,885
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), HIGH FREQUENCY, WITH RECHARGEABLE BATTERY AND CHARGING SYS
Gross
$42,900
36NS12135
$27,885
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), HIGH FREQUENCY, WITH RECHARGEABLE BATTERY AND CHARGING SYS
Gross
$42,900
36NS70479
$27,885
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), HIGH FREQUENCY, WITH RECHARGEABLE BATTERY AND CHARGING SYS
Gross
$42,900
2599864
$26,482
INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ
Gross
$40,741
2508528
$26,311
INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG
Gross
$40,479
36NS121489
$25,350
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE
Gross
$39,000
2500571
$24,475
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$37,654
36NS11383
$24,083
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM
Gross
$37,050
36NS770065
$22,815
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE
Gross
$35,100
35636551
$22,376
Removal of spine bone for insertion of neurostimulator electrode plate in spine
Gross
$34,425
36NS71170
$22,321
PROSTHESIS, PENILE, INFLATABLE
Gross
$34,340
36NS71290
$22,321
PROSTHESIS, PENILE, INFLATABLE
Gross
$34,340
2521862
$22,264
INJECTION, NATALIZUMAB, 1 MG
Gross
$34,252
36NS12585
$21,928
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE
Gross
$33,735
36NS70116
$21,858
PROSTHESIS, PENILE, INFLATABLE
Gross
$33,628
6360200
$21,160
INJECTION, IPILIMUMAB, 1 MG
Gross
$32,554
36NS70331
$20,748
SCS CHRGNG SYS
Gross
$31,920
2500926
$19,984
INJECTION, NIVOLUMAB, 1 MG
Gross
$30,744
36NS71166
$19,254
PROSTHESIS, PENILE, INFLATABLE
Gross
$29,621
36NS007030
$19,013
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM
Gross
$29,250
36NS8885
$18,435
STRATTICE TM, PER SQUARE CENTIMETER
Gross
$28,361
2565432
$18,101
INJECTION, COLLAGENASE, CLOSTRIDIUM HISTOLYTICUM, 0.01 MG
Gross
$27,848
6360069
$17,495
INJECTION, PANITUMUMAB, 10 MG
Gross
$26,916
2512226
$16,970
INJECTION, PERTUZUMAB, 1 MG
Gross
$26,107
36NS10680
$16,624
PROSTHESIS, PENILE, INFLATABLE
Gross
$25,575
36NS12009
$16,624
PROSTHESIS, PENILE, INFLATABLE
Gross
$25,575
2549970
$16,270
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$25,030
6325633
$15,203
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$23,389
2500648
$15,140
INJECTION, PEMBROLIZUMAB, 1 MG
Gross
$23,292
2501396
$14,961
INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$23,018
2501028
$14,864
INJECTION, BENRALIZUMAB, 1 MG
Gross
$22,867
36NS000278
$14,804
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE
Gross
$22,776
36NS11387
$14,768
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE
Gross
$22,720
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2501027 | INJECTION, OCRELIZUMAB, 1 MG | $79,248 | $51,511 | — | — | 22 |
| 2560057 | INJECTION, POLATUZUMAB VEDOTIN-PIIQ, 1 MG | $72,532 | $47,146 | — | — | 22 |
| 2560066 | INJECTION, GUSELKUMAB, 1 MG | $58,266 | $37,873 | — | — | 22 |
| 36NS70314 | PATIENT PROGRAMMER, NEUROSTIMULATOR | $54,600 | $35,490 | — | — | 16 |
| 2560095 | INJECTION, EFGARTIGIMOD ALFA, 2 MG AND HYALURONIDASE-QVFC | $49,084 | $31,904 | — | — | 22 |
| 2560082 | INJECTION, DOSTARLIMAB-GXLY, 10 MG | $48,121 | $31,279 | — | — | 22 |
| 2501332 | INJECTION, LUSPATERCEPT-AAMT, 0.25 MG | $47,680 | $30,992 | — | — | 22 |
| 2500110 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $46,905 | $30,488 | — | — | 22 |
| 36NS10021 | STRATTICE TM, PER SQUARE CENTIMETER | $46,114 | $29,974 | — | — | 17 |
| 1099395TH | Established patient periodic preventive medicine examination (18-39 years) | $45,292 | $29,440 | — | — | 14 |
| 1099396TH | Established patient periodic preventive medicine examination (40-64 years) | $45,292 | $29,440 | — | — | 14 |
| 1099397TH | Established patient periodic preventive medicine examination (65 year old or older) | $45,292 | $29,440 | — | — | 14 |
| 7599395TH | Established patient periodic preventive medicine examination (18-39 years) | $45,292 | $29,440 | — | — | 14 |
| 7599396TH | Established patient periodic preventive medicine examination (40-64 years) | $45,292 | $29,440 | — | — | 14 |
| 7599397TH | Established patient periodic preventive medicine examination (65 year old or older) | $45,292 | $29,440 | — | — | 14 |
| 2500967 | INJECTION, ATEZOLIZUMAB, 10 MG | $44,333 | $28,816 | — | — | 22 |
| 2501180 | INJECTION, CEMIPLIMAB-RWLC, 1 MG | $43,486 | $28,266 | — | — | 22 |
| 36NS11794 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), HIGH FREQUENCY, WITH RECHARGEABLE BATTERY AND CHARGING SYS | $42,900 | $27,885 | — | — | 16 |
| 36NS12135 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), HIGH FREQUENCY, WITH RECHARGEABLE BATTERY AND CHARGING SYS | $42,900 | $27,885 | — | — | 16 |
| 36NS70479 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), HIGH FREQUENCY, WITH RECHARGEABLE BATTERY AND CHARGING SYS | $42,900 | $27,885 | — | — | 16 |
| 2599864 | INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ | $40,741 | $26,482 | — | — | 22 |
| 2508528 | INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG | $40,479 | $26,311 | — | — | 22 |
| 36NS121489 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE | $39,000 | $25,350 | — | — | 16 |
| 2500571 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $37,654 | $24,475 | — | — | 22 |
| 36NS11383 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM | $37,050 | $24,083 | — | — | 16 |
| 36NS770065 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE | $35,100 | $22,815 | — | — | 16 |
| 35636551 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | $34,425 | $22,376 | — | — | 17 |
| 36NS71170 | PROSTHESIS, PENILE, INFLATABLE | $34,340 | $22,321 | — | — | 16 |
| 36NS71290 | PROSTHESIS, PENILE, INFLATABLE | $34,340 | $22,321 | — | — | 16 |
| 2521862 | INJECTION, NATALIZUMAB, 1 MG | $34,252 | $22,264 | — | — | 22 |
| 36NS12585 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE | $33,735 | $21,928 | — | — | 16 |
| 36NS70116 | PROSTHESIS, PENILE, INFLATABLE | $33,628 | $21,858 | — | — | 16 |
| 6360200 | INJECTION, IPILIMUMAB, 1 MG | $32,554 | $21,160 | — | — | 22 |
| 36NS70331 | SCS CHRGNG SYS | $31,920 | $20,748 | — | — | 13 |
| 2500926 | INJECTION, NIVOLUMAB, 1 MG | $30,744 | $19,984 | — | — | 22 |
| 36NS71166 | PROSTHESIS, PENILE, INFLATABLE | $29,621 | $19,254 | — | — | 16 |
| 36NS007030 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM | $29,250 | $19,013 | — | — | 16 |
| 36NS8885 | STRATTICE TM, PER SQUARE CENTIMETER | $28,361 | $18,435 | — | — | 17 |
| 2565432 | INJECTION, COLLAGENASE, CLOSTRIDIUM HISTOLYTICUM, 0.01 MG | $27,848 | $18,101 | — | — | 22 |
| 6360069 | INJECTION, PANITUMUMAB, 10 MG | $26,916 | $17,495 | — | — | 22 |
| 2512226 | INJECTION, PERTUZUMAB, 1 MG | $26,107 | $16,970 | — | — | 22 |
| 36NS10680 | PROSTHESIS, PENILE, INFLATABLE | $25,575 | $16,624 | — | — | 16 |
| 36NS12009 | PROSTHESIS, PENILE, INFLATABLE | $25,575 | $16,624 | — | — | 16 |
| 2549970 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $25,030 | $16,270 | — | — | 22 |
| 6325633 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $23,389 | $15,203 | — | — | 22 |
| 2500648 | INJECTION, PEMBROLIZUMAB, 1 MG | $23,292 | $15,140 | — | — | 22 |
| 2501396 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $23,018 | $14,961 | — | — | 22 |
| 2501028 | INJECTION, BENRALIZUMAB, 1 MG | $22,867 | $14,864 | — | — | 22 |
| 36NS000278 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE | $22,776 | $14,804 | — | — | 16 |
| 36NS11387 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE | $22,720 | $14,768 | — | — | 16 |
Showing top 50 of 11,562 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.