45 CFR § 180 compliance
D · 65
This hospital published part 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
5,158
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
0169-2080-15
$83,943
CONCIZUMAB-MTCI 150 MG/1.5ML SC SOPN
Gross
$85,656
0078-0686-15
$46,082
ELTROMBOPAG OLAMINE 50 MG PO TABS
Gross
$47,022
51144-050-01
$41,242
BRENTUXIMAB VEDOTIN 50 MG IV SOLR
Gross
$42,084
0169-7205-01
$38,415
COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR
Gross
$39,199
0078-0709-56
$37,958
CAPMATINIB HCL 150 MG PO TABS
Gross
$38,733
55292-702-55
$36,415
HEMIN 350 MG IV SOLR
Gross
$37,158
64764-300-20
$30,453
VEDOLIZUMAB 300 MG IV SOLR
Gross
$31,075
50242-085-27
$27,692
ALTEPLASE 100 MG IV SOLR
Gross
$28,257
50242-120-47
$26,109
TENECTEPLASE 50 MG IV KIT
Gross
$26,642
50242-176-01
$26,109
TENECTEPLASE 50 MG IV KIT
Gross
$26,642
99999-9993-44
$26,010
INDOMETHACIN 0.5 MG/ML IN SWFI PEDIATRIC SYRINGE
Gross
$26,540
50242-064-01
$25,289
ERLOTINIB HCL 150 MG PO TABS
Gross
$25,806
70370-2040-1
$25,280
VALBENAZINE TOSYLATE 40 MG PO CAPS
Gross
$25,796
0078-0401-34
$25,190
IMATINIB MESYLATE 100 MG PO TABS
Gross
$25,704
0002-7678-01
$24,415
RAMUCIRUMAB 500 MG/50ML IV SOLN
Gross
$24,913
0713-0176-30
$19,045
INDOMETHACIN 50 MG RE SUPP
Gross
$19,433
0024-5151-75
$18,009
RASBURICASE 7.5 MG IV SOLR
Gross
$18,376
73607-011-11
$17,499
ARTESUNATE 110 MG IV SOLR
Gross
$17,857
59148-020-50
$16,841
TOLVAPTAN 15 MG PO TABS
Gross
$17,184
50633-120-11
$15,652
DIGOXIN IMMUNE FAB 40 MG IV SOLR
Gross
$15,971
42211-102-43
$15,387
INDOMETHACIN 50 MG RE SUPP
Gross
$15,701
0169-7202-01
$15,366
COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR
Gross
$15,680
50242-053-06
$15,284
RITUXIMAB 500 MG/50ML IV SOLN
Gross
$15,596
50242-044-13
$13,846
ALTEPLASE 50 MG IV SOLR
Gross
$14,129
61958-1201-1
$13,220
ELVITEG-COBIC-EMTRICIT-TENOFDF 150-150-200-300 MG PO TABS
Gross
$13,490
63402-308-10
$13,027
LURASIDONE HCL 80 MG PO TABS
Gross
$13,293
61958-1901-1
$12,602
ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS
Gross
$12,859
61958-2501-1
$12,602
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$12,859
61958-2501-3
$12,602
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$12,859
49702-231-13
$11,650
ABACAVIR-DOLUTEGRAVIR-LAMIVUD 600-50-300 MG PO TABS
Gross
$11,887
76075-101-01
$11,507
CARFILZOMIB 60 MG IV SOLR
Gross
$11,742
61958-1101-1
$11,469
EMTRICITAB-RILPIVIR-TENOFOV DF 200-25-300 MG PO TABS
Gross
$11,703
61958-2101-1
$11,469
EMTRICITAB-RILPIVIR-TENOFOV AF 200-25-25 MG PO TABS
Gross
$11,703
0254-3012-55
$11,270
ALVIMOPAN 12 MG PO CAPS
Gross
$11,500
42291-351-90
$10,915
IMATINIB MESYLATE 100 MG PO TABS
Gross
$11,137
55513-730-01
$10,854
DENOSUMAB 120 MG/1.7ML SC SOLN
Gross
$11,076
0003-3774-12
$10,768
NIVOLUMAB 100 MG/10ML IV SOLN
Gross
$10,988
50242-061-01
$10,372
BEVACIZUMAB 400 MG/16ML IV SOLN
Gross
$10,583
65649-303-03
$10,352
RIFAXIMIN 550 MG PO TABS
Gross
$10,563
65649-303-02
$10,352
RIFAXIMIN 550 MG PO TABS
Gross
$10,563
13533-318-50
$10,304
RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN
Gross
$10,514
50633-110-12
$10,062
CROTALIDAE POLYVAL IMMUNE FAB IV SOLR
Gross
$10,267
60574-4113-1
$10,004
PALIVIZUMAB 100 MG/ML IM SOLN
Gross
$10,208
65757-403-03
$9,511
ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY
Gross
$9,705
99999-9995-35
$9,292
CARBON C-14 UREA (PYTEST) CAPSULE
Gross
$9,481
15584-0101-1
$8,961
EFAVIRENZ-EMTRICITAB-TENOFO DF 600-200-300 MG PO TABS
Gross
$9,144
0002-4182-30
$8,869
BARICITINIB 2 MG PO TABS
Gross
$9,050
57894-502-20
$8,663
DARATUMUMAB 400 MG/20ML IV SOLN
Gross
$8,840
49411-052-08
$8,358
AMINOCAPROIC ACID 0.25 GM/ML PO SOLN
Gross
$8,529
0024-0591-20
$8,259
OXALIPLATIN 100 MG/20ML IV SOLN
Gross
$8,428
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0169-2080-15 | CONCIZUMAB-MTCI 150 MG/1.5ML SC SOPN | $85,656 | $83,943 | — | — | 0 |
| 0078-0686-15 | ELTROMBOPAG OLAMINE 50 MG PO TABS | $47,022 | $46,082 | — | — | 0 |
| 51144-050-01 | BRENTUXIMAB VEDOTIN 50 MG IV SOLR | $42,084 | $41,242 | — | — | 0 |
| 0169-7205-01 | COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR | $39,199 | $38,415 | — | — | 0 |
| 0078-0709-56 | CAPMATINIB HCL 150 MG PO TABS | $38,733 | $37,958 | — | — | 0 |
| 55292-702-55 | HEMIN 350 MG IV SOLR | $37,158 | $36,415 | — | — | 0 |
| 64764-300-20 | VEDOLIZUMAB 300 MG IV SOLR | $31,075 | $30,453 | — | — | 0 |
| 50242-085-27 | ALTEPLASE 100 MG IV SOLR | $28,257 | $27,692 | — | — | 0 |
| 50242-120-47 | TENECTEPLASE 50 MG IV KIT | $26,642 | $26,109 | — | — | 0 |
| 50242-176-01 | TENECTEPLASE 50 MG IV KIT | $26,642 | $26,109 | — | — | 0 |
| 99999-9993-44 | INDOMETHACIN 0.5 MG/ML IN SWFI PEDIATRIC SYRINGE | $26,540 | $26,010 | — | — | 0 |
| 50242-064-01 | ERLOTINIB HCL 150 MG PO TABS | $25,806 | $25,289 | — | — | 0 |
| 70370-2040-1 | VALBENAZINE TOSYLATE 40 MG PO CAPS | $25,796 | $25,280 | — | — | 0 |
| 0078-0401-34 | IMATINIB MESYLATE 100 MG PO TABS | $25,704 | $25,190 | — | — | 0 |
| 0002-7678-01 | RAMUCIRUMAB 500 MG/50ML IV SOLN | $24,913 | $24,415 | — | — | 0 |
| 0713-0176-30 | INDOMETHACIN 50 MG RE SUPP | $19,433 | $19,045 | — | — | 0 |
| 0024-5151-75 | RASBURICASE 7.5 MG IV SOLR | $18,376 | $18,009 | — | — | 0 |
| 73607-011-11 | ARTESUNATE 110 MG IV SOLR | $17,857 | $17,499 | — | — | 0 |
| 59148-020-50 | TOLVAPTAN 15 MG PO TABS | $17,184 | $16,841 | — | — | 0 |
| 50633-120-11 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $15,971 | $15,652 | — | — | 0 |
| 42211-102-43 | INDOMETHACIN 50 MG RE SUPP | $15,701 | $15,387 | — | — | 0 |
| 0169-7202-01 | COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR | $15,680 | $15,366 | — | — | 0 |
| 50242-053-06 | RITUXIMAB 500 MG/50ML IV SOLN | $15,596 | $15,284 | — | — | 0 |
| 50242-044-13 | ALTEPLASE 50 MG IV SOLR | $14,129 | $13,846 | — | — | 0 |
| 61958-1201-1 | ELVITEG-COBIC-EMTRICIT-TENOFDF 150-150-200-300 MG PO TABS | $13,490 | $13,220 | — | — | 0 |
| 63402-308-10 | LURASIDONE HCL 80 MG PO TABS | $13,293 | $13,027 | — | — | 0 |
| 61958-1901-1 | ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS | $12,859 | $12,602 | — | — | 0 |
| 61958-2501-1 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $12,859 | $12,602 | — | — | 0 |
| 61958-2501-3 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $12,859 | $12,602 | — | — | 0 |
| 49702-231-13 | ABACAVIR-DOLUTEGRAVIR-LAMIVUD 600-50-300 MG PO TABS | $11,887 | $11,650 | — | — | 0 |
| 76075-101-01 | CARFILZOMIB 60 MG IV SOLR | $11,742 | $11,507 | — | — | 0 |
| 61958-1101-1 | EMTRICITAB-RILPIVIR-TENOFOV DF 200-25-300 MG PO TABS | $11,703 | $11,469 | — | — | 0 |
| 61958-2101-1 | EMTRICITAB-RILPIVIR-TENOFOV AF 200-25-25 MG PO TABS | $11,703 | $11,469 | — | — | 0 |
| 0254-3012-55 | ALVIMOPAN 12 MG PO CAPS | $11,500 | $11,270 | — | — | 0 |
| 42291-351-90 | IMATINIB MESYLATE 100 MG PO TABS | $11,137 | $10,915 | — | — | 0 |
| 55513-730-01 | DENOSUMAB 120 MG/1.7ML SC SOLN | $11,076 | $10,854 | — | — | 0 |
| 0003-3774-12 | NIVOLUMAB 100 MG/10ML IV SOLN | $10,988 | $10,768 | — | — | 0 |
| 50242-061-01 | BEVACIZUMAB 400 MG/16ML IV SOLN | $10,583 | $10,372 | — | — | 0 |
| 65649-303-03 | RIFAXIMIN 550 MG PO TABS | $10,563 | $10,352 | — | — | 0 |
| 65649-303-02 | RIFAXIMIN 550 MG PO TABS | $10,563 | $10,352 | — | — | 0 |
| 13533-318-50 | RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN | $10,514 | $10,304 | — | — | 0 |
| 50633-110-12 | CROTALIDAE POLYVAL IMMUNE FAB IV SOLR | $10,267 | $10,062 | — | — | 0 |
| 60574-4113-1 | PALIVIZUMAB 100 MG/ML IM SOLN | $10,208 | $10,004 | — | — | 0 |
| 65757-403-03 | ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY | $9,705 | $9,511 | — | — | 0 |
| 99999-9995-35 | CARBON C-14 UREA (PYTEST) CAPSULE | $9,481 | $9,292 | — | — | 0 |
| 15584-0101-1 | EFAVIRENZ-EMTRICITAB-TENOFO DF 600-200-300 MG PO TABS | $9,144 | $8,961 | — | — | 0 |
| 0002-4182-30 | BARICITINIB 2 MG PO TABS | $9,050 | $8,869 | — | — | 0 |
| 57894-502-20 | DARATUMUMAB 400 MG/20ML IV SOLN | $8,840 | $8,663 | — | — | 0 |
| 49411-052-08 | AMINOCAPROIC ACID 0.25 GM/ML PO SOLN | $8,529 | $8,358 | — | — | 0 |
| 0024-0591-20 | OXALIPLATIN 100 MG/20ML IV SOLN | $8,428 | $8,259 | — | — | 0 |
Showing top 50 of 5,158 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.