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
9,582
Insurances with rates
27
CPT / HCPCS codes
81
Most expensive procedures (gross)
0475004277
$79,365
INJECTION, TREMELIMUMAB-ACTL, 1 MG
Gross
$158,730
0475004416
$75,180
INJECTION, IPILIMUMAB, 1 MG
Gross
$150,360
0475004363
$36,771
INJECTION, POLATUZUMAB VEDOTIN-PIIQ, 1 MG
Gross
$73,542
0475004381
$36,552
INJECTION, TILDRAKIZUMAB, 1 MG
Gross
$73,103
0313008703
$33,997
JOINT DEVICE (IMPLANTABLE)
Gross
$67,994
0475004372
$32,740
INJECTION, EFGARTIGIMOD ALFA, 2 MG AND HYALURONIDASE-QVFC
Gross
$65,480
0475003675
$31,777
SIPULEUCEL-T, MINIMUM OF 50 MILLION AUTOLOGOUS CD54+ CELLS ACTIVATED WITH PAP-GM-CSF, INCLUDING LEUK
Gross
$63,554
0475004403
$31,406
INJECTION, TARLATAMAB-DLLE, 1 MG
Gross
$62,812
0475004388
$30,002
INJECTION, RETIFANLIMAB-DLWR, 1 MG
Gross
$60,004
0475004387
$29,643
INJECTION, GUSELKUMAB, 1 MG
Gross
$59,286
0475004290
$28,994
INJECTION, NIVOLUMAB AND RELATLIMAB-RMBW, 3 MG/1 MG
Gross
$57,988
0475004412
$25,397
INJECTION, NIPOCALIMAB-AAHU, 3 MG
Gross
$50,794
0313007081
$25,195
JOINT DEVICE (IMPLANTABLE)
Gross
$50,390
0475004401
$24,484
UNCLASSIFIED DRUGS
Gross
$48,968
0475003586
$24,192
INJECTION, CABAZITAXEL, 1 MG
Gross
$48,383
0475004257
$22,283
INJECTION, DOSTARLIMAB-GXLY, 10 MG
Gross
$44,566
0486000110
$22,146
STRATTICE TM, PER SQUARE CENTIMETER
Gross
$44,292
0475004215
$21,968
INJECTION, LUSPATERCEPT-AAMT, 0.25 MG
Gross
$43,936
0475004361
$21,585
INJECTION, CEMIPLIMAB-RWLC, 1 MG
Gross
$43,170
0475004180
$21,581
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$43,162
0475004331
$21,345
INJECTION, UBLITUXIMAB-XIIY, 1MG
Gross
$42,689
0475003973
$20,042
INJECTION, ATEZOLIZUMAB, 10 MG
Gross
$40,084
0486000111
$19,932
STRATTICE TM, PER SQUARE CENTIMETER
Gross
$39,864
0475004022
$19,740
INJECTION, BRENTUXIMAB VEDOTIN, 1 MG
Gross
$39,479
0475004410
$19,522
INJECTION, MIRIKIZUMAB-MRKZ, 1 MG
Gross
$39,045
0475004225
$18,593
INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG
Gross
$37,185
0475009772
$18,512
INJECTION, GEMTUZUMAB OZOGAMICIN, 0.1 MG
Gross
$37,024
0313000017
$18,404
PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE)
Gross
$36,807
0475004295
$18,370
INJECTION, TECLISTAMAB-CQYV, 0.5 MG
Gross
$36,740
0475004390
$17,392
INJECTION, TENECTEPLASE, 1 MG
Gross
$34,783
0475004153
$17,025
INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ
Gross
$34,050
0475003658
$15,987
INJECTION, NATALIZUMAB, 1 MG
Gross
$31,973
0475003982
$15,866
INJECTION, OCRELIZUMAB, 1 MG
Gross
$31,733
0475003842
$15,696
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$31,393
0313008602
$15,294
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE
Gross
$30,588
0313009516
$15,232
JOINT DEVICE (IMPLANTABLE)
Gross
$30,464
0475004252
$15,161
INJECTION, BREXANOLONE, 1 MG
Gross
$30,322
0475004413
$15,061
INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG
Gross
$30,121
0475004088
$14,857
INJECTION, OBINUTUZUMAB, 10 MG
Gross
$29,714
0475004268
$14,855
INJECTION, AVELUMAB, 10 MG
Gross
$29,710
0486000108
$14,451
STRATTICE TM, PER SQUARE CENTIMETER
Gross
$28,901
0313007062
$14,327
JOINT DEVICE (IMPLANTABLE)
Gross
$28,653
0475004172
$14,316
INJECTION, LURBINECTEDIN, 0.1 MG
Gross
$28,633
0475001340
$14,098
INJECTION, TENECTEPLASE, 1 MG
Gross
$28,197
0475004042
$14,072
INJECTION, NIVOLUMAB, 1 MG
Gross
$28,144
0475004175
$14,029
INJECTION, ATEZOLIZUMAB, 10 MG
Gross
$28,059
0475009732
$14,027
INJECTION, AGALSIDASE BETA, 1 MG
Gross
$28,054
0475004400
$13,975
INJECTION, MIRVETUXIMAB SORAVTANSINE-GYNX, 1 MG
Gross
$27,949
0475004273
$13,905
INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$27,810
0312043282
$13,302
Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope
Gross
$26,603
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0475004277 | INJECTION, TREMELIMUMAB-ACTL, 1 MG | $158,730 | $79,365 | — | — | 26 |
| 0475004416 | INJECTION, IPILIMUMAB, 1 MG | $150,360 | $75,180 | — | — | 26 |
| 0475004363 | INJECTION, POLATUZUMAB VEDOTIN-PIIQ, 1 MG | $73,542 | $36,771 | — | — | 26 |
| 0475004381 | INJECTION, TILDRAKIZUMAB, 1 MG | $73,103 | $36,552 | — | — | 26 |
| 0313008703 | JOINT DEVICE (IMPLANTABLE) | $67,994 | $33,997 | — | — | 19 |
| 0475004372 | INJECTION, EFGARTIGIMOD ALFA, 2 MG AND HYALURONIDASE-QVFC | $65,480 | $32,740 | — | — | 26 |
| 0475003675 | SIPULEUCEL-T, MINIMUM OF 50 MILLION AUTOLOGOUS CD54+ CELLS ACTIVATED WITH PAP-GM-CSF, INCLUDING LEUK | $63,554 | $31,777 | — | — | 26 |
| 0475004403 | INJECTION, TARLATAMAB-DLLE, 1 MG | $62,812 | $31,406 | — | — | 26 |
| 0475004388 | INJECTION, RETIFANLIMAB-DLWR, 1 MG | $60,004 | $30,002 | — | — | 26 |
| 0475004387 | INJECTION, GUSELKUMAB, 1 MG | $59,286 | $29,643 | — | — | 26 |
| 0475004290 | INJECTION, NIVOLUMAB AND RELATLIMAB-RMBW, 3 MG/1 MG | $57,988 | $28,994 | — | — | 26 |
| 0475004412 | INJECTION, NIPOCALIMAB-AAHU, 3 MG | $50,794 | $25,397 | — | — | 26 |
| 0313007081 | JOINT DEVICE (IMPLANTABLE) | $50,390 | $25,195 | — | — | 19 |
| 0475004401 | UNCLASSIFIED DRUGS | $48,968 | $24,484 | — | — | 19 |
| 0475003586 | INJECTION, CABAZITAXEL, 1 MG | $48,383 | $24,192 | — | — | 26 |
| 0475004257 | INJECTION, DOSTARLIMAB-GXLY, 10 MG | $44,566 | $22,283 | — | — | 26 |
| 0486000110 | STRATTICE TM, PER SQUARE CENTIMETER | $44,292 | $22,146 | — | — | 26 |
| 0475004215 | INJECTION, LUSPATERCEPT-AAMT, 0.25 MG | $43,936 | $21,968 | — | — | 26 |
| 0475004361 | INJECTION, CEMIPLIMAB-RWLC, 1 MG | $43,170 | $21,585 | — | — | 26 |
| 0475004180 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $43,162 | $21,581 | — | — | 26 |
| 0475004331 | INJECTION, UBLITUXIMAB-XIIY, 1MG | $42,689 | $21,345 | — | — | 26 |
| 0475003973 | INJECTION, ATEZOLIZUMAB, 10 MG | $40,084 | $20,042 | — | — | 26 |
| 0486000111 | STRATTICE TM, PER SQUARE CENTIMETER | $39,864 | $19,932 | — | — | 26 |
| 0475004022 | INJECTION, BRENTUXIMAB VEDOTIN, 1 MG | $39,479 | $19,740 | — | — | 26 |
| 0475004410 | INJECTION, MIRIKIZUMAB-MRKZ, 1 MG | $39,045 | $19,522 | — | — | 26 |
| 0475004225 | INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG | $37,185 | $18,593 | — | — | 26 |
| 0475009772 | INJECTION, GEMTUZUMAB OZOGAMICIN, 0.1 MG | $37,024 | $18,512 | — | — | 26 |
| 0313000017 | PROSTHESIS, URINARY SPHINCTER (IMPLANTABLE) | $36,807 | $18,404 | — | — | 19 |
| 0475004295 | INJECTION, TECLISTAMAB-CQYV, 0.5 MG | $36,740 | $18,370 | — | — | 26 |
| 0475004390 | INJECTION, TENECTEPLASE, 1 MG | $34,783 | $17,392 | — | — | 26 |
| 0475004153 | INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ | $34,050 | $17,025 | — | — | 26 |
| 0475003658 | INJECTION, NATALIZUMAB, 1 MG | $31,973 | $15,987 | — | — | 26 |
| 0475003982 | INJECTION, OCRELIZUMAB, 1 MG | $31,733 | $15,866 | — | — | 26 |
| 0475003842 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $31,393 | $15,696 | — | — | 26 |
| 0313008602 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE | $30,588 | $15,294 | — | — | 19 |
| 0313009516 | JOINT DEVICE (IMPLANTABLE) | $30,464 | $15,232 | — | — | 19 |
| 0475004252 | INJECTION, BREXANOLONE, 1 MG | $30,322 | $15,161 | — | — | 19 |
| 0475004413 | INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG | $30,121 | $15,061 | — | — | 26 |
| 0475004088 | INJECTION, OBINUTUZUMAB, 10 MG | $29,714 | $14,857 | — | — | 26 |
| 0475004268 | INJECTION, AVELUMAB, 10 MG | $29,710 | $14,855 | — | — | 26 |
| 0486000108 | STRATTICE TM, PER SQUARE CENTIMETER | $28,901 | $14,451 | — | — | 26 |
| 0313007062 | JOINT DEVICE (IMPLANTABLE) | $28,653 | $14,327 | — | — | 19 |
| 0475004172 | INJECTION, LURBINECTEDIN, 0.1 MG | $28,633 | $14,316 | — | — | 26 |
| 0475001340 | INJECTION, TENECTEPLASE, 1 MG | $28,197 | $14,098 | — | — | 26 |
| 0475004042 | INJECTION, NIVOLUMAB, 1 MG | $28,144 | $14,072 | — | — | 26 |
| 0475004175 | INJECTION, ATEZOLIZUMAB, 10 MG | $28,059 | $14,029 | — | — | 26 |
| 0475009732 | INJECTION, AGALSIDASE BETA, 1 MG | $28,054 | $14,027 | — | — | 26 |
| 0475004400 | INJECTION, MIRVETUXIMAB SORAVTANSINE-GYNX, 1 MG | $27,949 | $13,975 | — | — | 26 |
| 0475004273 | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $27,810 | $13,905 | — | — | 26 |
| 0312043282 | Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope | $26,603 | $13,302 | — | — | 26 |
Showing top 50 of 9,582 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.