UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital

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

92,450

Insurances with rates

CPT / HCPCS codes

12,442

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
510020263	vutrisiran 25 mg/0.5 mL syringe	$424,154	$152,695	—	—	16
510020263	vutrisiran 25 mg/0.5 mL syringe	$424,154	$152,695	—	—	22
510020266	lumasiran 94.5 mg/0.5 mL inj	$407,533	$146,712	—	—	16
510020266	lumasiran 94.5 mg/0.5 mL inj	$407,533	$146,712	—	—	22
440159301	GENERATOR SENTIVA IMPLT 1000	$216,664	$77,999	—	—	16
440159301	GENERATOR SENTIVA IMPLT 1000	$216,664	$77,999	—	—	22
440146538	PMP PAIN PROMETRA II 13827	$206,460	$74,326	—	—	16
440146538	PMP PAIN PROMETRA II 13827	$206,460	$74,326	—	—	22
510020195	tebentafusp-tebn 100 mcg/0.5 mL inj	$193,897	$69,803	—	—	16
510020195	tebentafusp-tebn 100 mcg/0.5 mL inj	$193,897	$69,803	—	—	22
440188880	GENERATOR VAGUS ASPIRE SR 106	$192,580	$69,329	—	—	16
440188880	GENERATOR VAGUS ASPIRE SR 106	$192,580	$69,329	—	—	22
440160102	KT NEUROSTIMULATOR RNS-320-K	$191,700	$69,012	—	—	16
440160102	KT NEUROSTIMULATOR RNS-320-K	$191,700	$69,012	—	—	22
440127048	MESH 30X35CM 1223035	$168,000	$60,480	—	—	16
440127048	MESH 30X35CM 1223035	$168,000	$60,480	—	—	22
510018653	tagraxofusp-erzs (Elzonris) 1000 mcg inj	$160,682	$57,845	—	—	16
510018653	tagraxofusp-erzs (Elzonris) 1000 mcg inj	$160,682	$57,845	—	—	22
440186195	GENRTR NRSTM 16CHNL222ETCTRSY33	$151,518	$54,546	—	—	16
440186195	GENRTR NRSTM 16CHNL222ETCTRSY33	$151,518	$54,546	—	—	22
492089214	PUMP SET CP IMPELLA 0048-0003	$150,000	$54,000	—	—	16
492089214	PUMP SET CP IMPELLA 0048-0003	$150,000	$54,000	—	—	22
440159427	KT NEURO PRC 10 NEUROKIT-400-T10	$139,625	$50,265	—	—	16
440159427	KT NEURO PRC 10 NEUROKIT-400-T10	$139,625	$50,265	—	—	22
440127438	HFX IQ IPG KT 1090-A	$137,970	$49,669	—	—	16
440127438	HFX IQ IPG KT 1090-A	$137,970	$49,669	—	—	22
440182685	IMP PULSE GEN NIPG3000	$137,900	$49,644	—	—	16
440182685	IMP PULSE GEN NIPG3000	$137,900	$49,644	—	—	22
440179816	SYS GEN STIM 222PP5CTRSY33	$136,062	$48,982	—	—	16
440179816	SYS GEN STIM 222PP5CTRSY33	$136,062	$48,982	—	—	22
510013649	ustekinumab 45 mg/0.5 mL inj	$135,292	$48,705	—	—	16
510013649	ustekinumab 45 mg/0.5 mL inj	$135,292	$48,705	—	—	22
510013713	ustekinumab 90 mg/1 mL inj	$135,292	$48,705	—	—	16
510013713	ustekinumab 90 mg/1 mL inj	$135,292	$48,705	—	—	22
440119868	GEN ETERNA 16 IMP 32400ABT	$133,500	$48,060	—	—	16
440119868	GEN ETERNA 16 IMP 32400ABT	$133,500	$48,060	—	—	22
510020157	loncastuximab tesirine-lpyl 10 mg inj	$132,168	$47,581	—	—	16
510020157	loncastuximab tesirine-lpyl 10 mg inj	$132,168	$47,581	—	—	22
440122578	GEN IPG PROCLAIM PLUS 3670ABT	$130,500	$46,980	—	—	16
440122578	GEN IPG PROCLAIM PLUS 3670ABT	$130,500	$46,980	—	—	22
440123444	KIT HFX IQ IPG 1090-B	$128,250	$46,170	—	—	16
440164592	KT SENZA GEN IPG NIPG2500	$128,250	$46,170	—	—	16
440123444	KIT HFX IQ IPG 1090-B	$128,250	$46,170	—	—	22
440164592	KT SENZA GEN IPG NIPG2500	$128,250	$46,170	—	—	22
492068953	GENERATOR CRT-D MDIN D224TRK	$128,125	$46,125	—	—	16
440168953	GENERATOR CRT-D MDIN D224TRK	$128,125	$46,125	—	—	16
492068953	GENERATOR CRT-D MDIN D224TRK	$128,125	$46,125	—	—	22
440168953	GENERATOR CRT-D MDIN D224TRK	$128,125	$46,125	—	—	22
510020127	lanreotide 90 mg syringe	$127,939	$46,058	—	—	16
510020127	lanreotide 90 mg syringe	$127,939	$46,058	—	—	22

Showing top 50 of 92,450 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.