45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
8,964
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
73554-1111-1
$3,038,000
LOVOTIBEGLOGENE AUTOTEMCEL IV SUSP
Gross
$3,100,000
73776-001-11
$600,328
LIFILEUCEL 72000000000 CELLS IV SUSP
Gross
$612,580
0078-0846-19
$593,296
TISAGENLECLEUCEL 250000000 CELLS IV SUSP
Gross
$605,404
83047-410-04
$560,805
OBECABTAGENE AUTOLEUCEL 410000000 CELLS IV SUSP
Gross
$572,250
57894-111-01
$560,521
CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP
Gross
$571,960
73153-900-01
$546,760
LISOCABTAGENE MARALEUCEL 70000000 CELLS/ML IV SUSP
Gross
$557,918
57894-111-02
$544,204
CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP
Gross
$555,310
71287-119-01
$537,922
AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP
Gross
$548,900
0078-0958-19
$512,689
TISAGENLECLEUCEL 600000000 CELLS IV SUSP
Gross
$523,152
71287-220-01
$493,508
BREXUCABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP
Gross
$503,580
71287-219-01
$415,520
BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP
Gross
$424,000
59572-504-00
$146,123
POMALIDOMIDE 4 MG PO CAPS
Gross
$149,105
59572-502-00
$146,123
POMALIDOMIDE 2 MG PO CAPS
Gross
$149,105
59572-503-00
$146,123
POMALIDOMIDE 3 MG PO CAPS
Gross
$149,105
59572-405-00
$109,215
LENALIDOMIDE 5 MG PO CAPS
Gross
$111,444
59572-410-00
$109,215
LENALIDOMIDE 10 MG PO CAPS
Gross
$111,444
59572-402-00
$109,215
LENALIDOMIDE 2.5 MG PO CAPS
Gross
$111,444
59572-420-00
$109,215
LENALIDOMIDE 20 MG PO CAPS
Gross
$111,444
69468-151-20
$108,406
URIDINE TRIACETATE 10 G PO PACK
Gross
$110,619
812
$102,394
HC CADAVERIC LIVER
Gross
$104,484
68403-1100-6
$84,893
BOTULISM IMMUNE GLOBULIN HUMAN 100 MG IV SOLR
Gross
$86,625
811
$83,462
HC NON CADAVER LIVER
Gross
$85,165
813
$74,746
HC PANCREAS AFTER KIDNEY
Gross
$76,271
624
$72,442
HC VALVE HEART EVOLUT-R 26MM_459035
Gross
$73,920
67979-002-01
$61,472
HISTRELIN ACETATE (CPP) 50 MG SC KIT
Gross
$62,727
0173-0913-01
$58,923
BELANTAMAB MAFODOTIN-BLMF 70 MG IV SOLR
Gross
$60,125
69488-003-01
$58,188
LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN
Gross
$59,375
0187-0010-50
$55,934
SOD BENZ-SOD PHENYLACET 10-10 % IV SOLN
Gross
$57,076
50633-210-11
$52,960
GLUCARPIDASE 1000 UNITS IV SOLR
Gross
$54,041
0310-4535-30
$51,967
TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN
Gross
$53,027
24338-050-08
$51,744
CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR
Gross
$52,800
0003-2328-22
$44,368
IPILIMUMAB 200 MG/40ML IV SOLN
Gross
$45,274
72187-0401-1
$41,352
TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN
Gross
$42,196
99999-9968-52
$41,352
TAGRAXOFUSP-ERZS 100 MCG/ML DILUTION SYRINGE
Gross
$42,196
57894-061-03
$36,264
USTEKINUMAB 90 MG/ML SC SOSY
Gross
$37,004
79952-110-01
$35,561
LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR
Gross
$36,287
0469-1425-90
$35,499
GILTERITINIB FUMARATE 40 MG PO TABS
Gross
$36,224
72694-515-01
$33,165
CALASPARGASE PEGOL-MKNL 3750 UNIT/5ML IV SOLN
Gross
$33,842
58468-0200-1
$33,163
ALEMTUZUMAB 12 MG/1.2ML IV SOLN
Gross
$33,840
72694-954-01
$32,849
PEGASPARGASE 750 UNIT/ML IJ SOLN
Gross
$33,519
30237-8900-6
$32,133
SIPULEUCEL-T 50000000 CELLS IV SUSP
Gross
$32,789
0008-0100-01
$29,883
INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR
Gross
$30,493
72493-103-03
$29,866
MITOMYCIN (WITH HYDROGEL) 2 X 40 MG UL KIT
Gross
$30,475
25010-705-15
$29,473
PENICILLAMINE 250 MG PO CAPS
Gross
$30,074
25682-028-01
$29,340
RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN
Gross
$29,939
0069-8140-20
$29,122
CRIZOTINIB 250 MG PO CAPS
Gross
$29,716
0069-8141-20
$29,122
CRIZOTINIB 200 MG PO CAPS
Gross
$29,716
76128-155-75
$28,571
PORFIMER SODIUM 75 MG IV SOLR
Gross
$29,154
0002-7026-60
$28,227
PIRTOBRUTINIB 100 MG PO TABS
Gross
$28,803
0187-0007-14
$28,098
RIBAVIRIN 6 G IN SOLR
Gross
$28,671
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 73554-1111-1 | LOVOTIBEGLOGENE AUTOTEMCEL IV SUSP | $3,100,000 | $3,038,000 | — | — | 0 |
| 73776-001-11 | LIFILEUCEL 72000000000 CELLS IV SUSP | $612,580 | $600,328 | — | — | 0 |
| 0078-0846-19 | TISAGENLECLEUCEL 250000000 CELLS IV SUSP | $605,404 | $593,296 | — | — | 0 |
| 83047-410-04 | OBECABTAGENE AUTOLEUCEL 410000000 CELLS IV SUSP | $572,250 | $560,805 | — | — | 0 |
| 57894-111-01 | CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP | $571,960 | $560,521 | — | — | 0 |
| 73153-900-01 | LISOCABTAGENE MARALEUCEL 70000000 CELLS/ML IV SUSP | $557,918 | $546,760 | — | — | 0 |
| 57894-111-02 | CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP | $555,310 | $544,204 | — | — | 0 |
| 71287-119-01 | AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP | $548,900 | $537,922 | — | — | 0 |
| 0078-0958-19 | TISAGENLECLEUCEL 600000000 CELLS IV SUSP | $523,152 | $512,689 | — | — | 0 |
| 71287-220-01 | BREXUCABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP | $503,580 | $493,508 | — | — | 0 |
| 71287-219-01 | BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP | $424,000 | $415,520 | — | — | 0 |
| 59572-504-00 | POMALIDOMIDE 4 MG PO CAPS | $149,105 | $146,123 | — | — | 0 |
| 59572-502-00 | POMALIDOMIDE 2 MG PO CAPS | $149,105 | $146,123 | — | — | 0 |
| 59572-503-00 | POMALIDOMIDE 3 MG PO CAPS | $149,105 | $146,123 | — | — | 0 |
| 59572-405-00 | LENALIDOMIDE 5 MG PO CAPS | $111,444 | $109,215 | — | — | 0 |
| 59572-410-00 | LENALIDOMIDE 10 MG PO CAPS | $111,444 | $109,215 | — | — | 0 |
| 59572-402-00 | LENALIDOMIDE 2.5 MG PO CAPS | $111,444 | $109,215 | — | — | 0 |
| 59572-420-00 | LENALIDOMIDE 20 MG PO CAPS | $111,444 | $109,215 | — | — | 0 |
| 69468-151-20 | URIDINE TRIACETATE 10 G PO PACK | $110,619 | $108,406 | — | — | 0 |
| 812 | HC CADAVERIC LIVER | $104,484 | $102,394 | — | — | 0 |
| 68403-1100-6 | BOTULISM IMMUNE GLOBULIN HUMAN 100 MG IV SOLR | $86,625 | $84,893 | — | — | 0 |
| 811 | HC NON CADAVER LIVER | $85,165 | $83,462 | — | — | 0 |
| 813 | HC PANCREAS AFTER KIDNEY | $76,271 | $74,746 | — | — | 0 |
| 624 | HC VALVE HEART EVOLUT-R 26MM_459035 | $73,920 | $72,442 | — | — | 0 |
| 67979-002-01 | HISTRELIN ACETATE (CPP) 50 MG SC KIT | $62,727 | $61,472 | — | — | 0 |
| 0173-0913-01 | BELANTAMAB MAFODOTIN-BLMF 70 MG IV SOLR | $60,125 | $58,923 | — | — | 0 |
| 69488-003-01 | LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN | $59,375 | $58,188 | — | — | 0 |
| 0187-0010-50 | SOD BENZ-SOD PHENYLACET 10-10 % IV SOLN | $57,076 | $55,934 | — | — | 0 |
| 50633-210-11 | GLUCARPIDASE 1000 UNITS IV SOLR | $54,041 | $52,960 | — | — | 0 |
| 0310-4535-30 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN | $53,027 | $51,967 | — | — | 0 |
| 24338-050-08 | CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR | $52,800 | $51,744 | — | — | 0 |
| 0003-2328-22 | IPILIMUMAB 200 MG/40ML IV SOLN | $45,274 | $44,368 | — | — | 0 |
| 72187-0401-1 | TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN | $42,196 | $41,352 | — | — | 0 |
| 99999-9968-52 | TAGRAXOFUSP-ERZS 100 MCG/ML DILUTION SYRINGE | $42,196 | $41,352 | — | — | 0 |
| 57894-061-03 | USTEKINUMAB 90 MG/ML SC SOSY | $37,004 | $36,264 | — | — | 0 |
| 79952-110-01 | LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR | $36,287 | $35,561 | — | — | 0 |
| 0469-1425-90 | GILTERITINIB FUMARATE 40 MG PO TABS | $36,224 | $35,499 | — | — | 0 |
| 72694-515-01 | CALASPARGASE PEGOL-MKNL 3750 UNIT/5ML IV SOLN | $33,842 | $33,165 | — | — | 0 |
| 58468-0200-1 | ALEMTUZUMAB 12 MG/1.2ML IV SOLN | $33,840 | $33,163 | — | — | 0 |
| 72694-954-01 | PEGASPARGASE 750 UNIT/ML IJ SOLN | $33,519 | $32,849 | — | — | 0 |
| 30237-8900-6 | SIPULEUCEL-T 50000000 CELLS IV SUSP | $32,789 | $32,133 | — | — | 0 |
| 0008-0100-01 | INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR | $30,493 | $29,883 | — | — | 0 |
| 72493-103-03 | MITOMYCIN (WITH HYDROGEL) 2 X 40 MG UL KIT | $30,475 | $29,866 | — | — | 0 |
| 25010-705-15 | PENICILLAMINE 250 MG PO CAPS | $30,074 | $29,473 | — | — | 0 |
| 25682-028-01 | RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN | $29,939 | $29,340 | — | — | 0 |
| 0069-8140-20 | CRIZOTINIB 250 MG PO CAPS | $29,716 | $29,122 | — | — | 0 |
| 0069-8141-20 | CRIZOTINIB 200 MG PO CAPS | $29,716 | $29,122 | — | — | 0 |
| 76128-155-75 | PORFIMER SODIUM 75 MG IV SOLR | $29,154 | $28,571 | — | — | 0 |
| 0002-7026-60 | PIRTOBRUTINIB 100 MG PO TABS | $28,803 | $28,227 | — | — | 0 |
| 0187-0007-14 | RIBAVIRIN 6 G IN SOLR | $28,671 | $28,098 | — | — | 0 |
Showing top 50 of 8,964 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.