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
4,028
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
68152-103-03
$54,654
IBRITUMOMAB TIUXETAN FOR Y-90 3.2 MG/2ML IV KIT
Gross
$55,769
0003-2328-22
$44,368
IPILIMUMAB 200 MG/40ML IV SOLN
Gross
$45,274
404
$35,748
HC NM MYOCARDIAL IMAGING PET METABOLIC EVALUATION SINGLE STUDY W CT
Gross
$36,478
99999-9964-66
$34,554
ALTEPLASE (STROKE) CUSTOM BOLUS (NOT MIXTURE)
Gross
$35,259
70020-1911-1
$33,997
IXABEPILONE 45 MG IV SOLR
Gross
$34,691
50242-120-47
$33,895
TENECTEPLASE 50 MG IV KIT
Gross
$34,586
50242-176-01
$33,895
TENECTEPLASE 50 MG IV KIT
Gross
$34,586
0003-3734-13
$33,550
NIVOLUMAB 240 MG/24ML IV SOLN
Gross
$34,235
0006-3026-02
$33,176
PEMBROLIZUMAB 100 MG/4ML IV SOLN
Gross
$33,853
0002-7678-01
$31,695
RAMUCIRUMAB 500 MG/50ML IV SOLN
Gross
$32,342
67919-020-10
$30,687
ALVIMOPAN 12 MG PO CAPS
Gross
$31,313
55513-956-01
$29,600
PANITUMUMAB 400 MG/20ML IV SOLN
Gross
$30,204
50242-145-01
$28,808
PERTUZUMAB 420 MG/14ML IV SOLN
Gross
$29,396
48818-001-01
$28,669
PRALATREXATE 20 MG/ML IV SOLN
Gross
$29,254
0187-0007-14
$28,092
RIBAVIRIN 6 G IN SOLR
Gross
$28,665
17156-235-01
$27,913
IOBENGUANE SULFATE I 123 10 MCI/5ML IV SOLN
Gross
$28,483
50633-120-11
$27,060
DIGOXIN IMMUNE FAB 40 MG IV SOLR
Gross
$27,613
50242-087-01
$26,962
ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR
Gross
$27,512
52015-080-01
$26,899
FIDAXOMICIN 200 MG PO TABS
Gross
$27,448
42211-102-43
$26,603
INDOMETHACIN 50 MG RE SUPP
Gross
$27,146
66490-691-10
$26,564
PRIMIDONE 250 MG PO TABS
Gross
$27,106
50242-053-06
$26,425
RITUXIMAB 500 MG/50ML IV SOLN
Gross
$26,964
0009-7224-02
$26,224
LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN
Gross
$26,759
0019-9050-40
$25,446
INDIUM IN-111 PENTETREOTIDE IV KIT
Gross
$25,965
0310-4611-50
$24,158
DURVALUMAB 500 MG/10ML IV SOLN
Gross
$24,651
50242-044-13
$23,939
ALTEPLASE 50 MG IV SOLR
Gross
$24,427
0078-0818-81
$23,618
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$24,100
55513-730-01
$22,755
DENOSUMAB 120 MG/1.7ML SC SOLN
Gross
$23,219
0003-3774-12
$22,574
NIVOLUMAB 100 MG/10ML IV SOLN
Gross
$23,035
50242-088-01
$22,442
ADO-TRASTUZUMAB EMTANSINE 100 MG IV SOLR
Gross
$22,900
0024-5860-01
$22,345
CLOFARABINE 1 MG/ML IV SOLN
Gross
$22,802
0078-0811-81
$21,858
OCTREOTIDE ACETATE 10 MG IM KIT
Gross
$22,304
59572-984-01
$21,817
ROMIDEPSIN 10 MG IV SOLR
Gross
$22,263
50242-061-01
$21,743
BEVACIZUMAB 400 MG/16ML IV SOLN
Gross
$22,187
65649-303-03
$21,702
RIFAXIMIN 550 MG PO TABS
Gross
$22,145
0003-4522-11
$21,109
ELOTUZUMAB 400 MG IV SOLR
Gross
$21,540
70114-101-01
$21,072
PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY
Gross
$21,502
65597-406-01
$21,052
FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR
Gross
$21,482
0002-7623-01
$20,894
PEMETREXED DISODIUM 500 MG IV SOLR
Gross
$21,320
0173-0881-01
$20,840
MEPOLIZUMAB 100 MG SC SOLR
Gross
$21,265
61314-866-01
$20,829
PEGFILGRASTIM-BMEZ 6 MG/0.6ML SC SOSY
Gross
$21,254
59676-610-01
$20,753
TRABECTEDIN 1 MG IV SOLR
Gross
$21,177
15054-0043-1
$20,319
IRINOTECAN HCL LIPOSOME 43 MG/10ML IV SUSP
Gross
$20,734
76075-101-01
$19,895
CARFILZOMIB 60 MG IV SOLR
Gross
$20,301
99999-9995-35
$19,479
CARBON C-14 UREA (PYTEST) CAPSULE
Gross
$19,877
11994-016-01
$18,851
SAMARIUM SM 153 LEXIDRONAM 1850 MBQ/ML IV SOLN
Gross
$19,235
55513-221-01
$18,776
ROMIPLOSTIM 250 MCG SC SOLR
Gross
$19,159
0002-4182-30
$18,593
BARICITINIB 2 MG PO TABS
Gross
$18,972
57894-502-20
$18,161
DARATUMUMAB 400 MG/20ML IV SOLN
Gross
$18,532
50242-137-01
$18,115
TOCILIZUMAB 400 MG/20ML IV SOLN
Gross
$18,485
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 68152-103-03 | IBRITUMOMAB TIUXETAN FOR Y-90 3.2 MG/2ML IV KIT | $55,769 | $54,654 | — | — | 0 |
| 0003-2328-22 | IPILIMUMAB 200 MG/40ML IV SOLN | $45,274 | $44,368 | — | — | 0 |
| 404 | HC NM MYOCARDIAL IMAGING PET METABOLIC EVALUATION SINGLE STUDY W CT | $36,478 | $35,748 | — | — | 0 |
| 99999-9964-66 | ALTEPLASE (STROKE) CUSTOM BOLUS (NOT MIXTURE) | $35,259 | $34,554 | — | — | 0 |
| 70020-1911-1 | IXABEPILONE 45 MG IV SOLR | $34,691 | $33,997 | — | — | 0 |
| 50242-120-47 | TENECTEPLASE 50 MG IV KIT | $34,586 | $33,895 | — | — | 0 |
| 50242-176-01 | TENECTEPLASE 50 MG IV KIT | $34,586 | $33,895 | — | — | 0 |
| 0003-3734-13 | NIVOLUMAB 240 MG/24ML IV SOLN | $34,235 | $33,550 | — | — | 0 |
| 0006-3026-02 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $33,853 | $33,176 | — | — | 0 |
| 0002-7678-01 | RAMUCIRUMAB 500 MG/50ML IV SOLN | $32,342 | $31,695 | — | — | 0 |
| 67919-020-10 | ALVIMOPAN 12 MG PO CAPS | $31,313 | $30,687 | — | — | 0 |
| 55513-956-01 | PANITUMUMAB 400 MG/20ML IV SOLN | $30,204 | $29,600 | — | — | 0 |
| 50242-145-01 | PERTUZUMAB 420 MG/14ML IV SOLN | $29,396 | $28,808 | — | — | 0 |
| 48818-001-01 | PRALATREXATE 20 MG/ML IV SOLN | $29,254 | $28,669 | — | — | 0 |
| 0187-0007-14 | RIBAVIRIN 6 G IN SOLR | $28,665 | $28,092 | — | — | 0 |
| 17156-235-01 | IOBENGUANE SULFATE I 123 10 MCI/5ML IV SOLN | $28,483 | $27,913 | — | — | 0 |
| 50633-120-11 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $27,613 | $27,060 | — | — | 0 |
| 50242-087-01 | ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR | $27,512 | $26,962 | — | — | 0 |
| 52015-080-01 | FIDAXOMICIN 200 MG PO TABS | $27,448 | $26,899 | — | — | 0 |
| 42211-102-43 | INDOMETHACIN 50 MG RE SUPP | $27,146 | $26,603 | — | — | 0 |
| 66490-691-10 | PRIMIDONE 250 MG PO TABS | $27,106 | $26,564 | — | — | 0 |
| 50242-053-06 | RITUXIMAB 500 MG/50ML IV SOLN | $26,964 | $26,425 | — | — | 0 |
| 0009-7224-02 | LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN | $26,759 | $26,224 | — | — | 0 |
| 0019-9050-40 | INDIUM IN-111 PENTETREOTIDE IV KIT | $25,965 | $25,446 | — | — | 0 |
| 0310-4611-50 | DURVALUMAB 500 MG/10ML IV SOLN | $24,651 | $24,158 | — | — | 0 |
| 50242-044-13 | ALTEPLASE 50 MG IV SOLR | $24,427 | $23,939 | — | — | 0 |
| 0078-0818-81 | OCTREOTIDE ACETATE 20 MG IM KIT | $24,100 | $23,618 | — | — | 0 |
| 55513-730-01 | DENOSUMAB 120 MG/1.7ML SC SOLN | $23,219 | $22,755 | — | — | 0 |
| 0003-3774-12 | NIVOLUMAB 100 MG/10ML IV SOLN | $23,035 | $22,574 | — | — | 0 |
| 50242-088-01 | ADO-TRASTUZUMAB EMTANSINE 100 MG IV SOLR | $22,900 | $22,442 | — | — | 0 |
| 0024-5860-01 | CLOFARABINE 1 MG/ML IV SOLN | $22,802 | $22,345 | — | — | 0 |
| 0078-0811-81 | OCTREOTIDE ACETATE 10 MG IM KIT | $22,304 | $21,858 | — | — | 0 |
| 59572-984-01 | ROMIDEPSIN 10 MG IV SOLR | $22,263 | $21,817 | — | — | 0 |
| 50242-061-01 | BEVACIZUMAB 400 MG/16ML IV SOLN | $22,187 | $21,743 | — | — | 0 |
| 65649-303-03 | RIFAXIMIN 550 MG PO TABS | $22,145 | $21,702 | — | — | 0 |
| 0003-4522-11 | ELOTUZUMAB 400 MG IV SOLR | $21,540 | $21,109 | — | — | 0 |
| 70114-101-01 | PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY | $21,502 | $21,072 | — | — | 0 |
| 65597-406-01 | FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR | $21,482 | $21,052 | — | — | 0 |
| 0002-7623-01 | PEMETREXED DISODIUM 500 MG IV SOLR | $21,320 | $20,894 | — | — | 0 |
| 0173-0881-01 | MEPOLIZUMAB 100 MG SC SOLR | $21,265 | $20,840 | — | — | 0 |
| 61314-866-01 | PEGFILGRASTIM-BMEZ 6 MG/0.6ML SC SOSY | $21,254 | $20,829 | — | — | 0 |
| 59676-610-01 | TRABECTEDIN 1 MG IV SOLR | $21,177 | $20,753 | — | — | 0 |
| 15054-0043-1 | IRINOTECAN HCL LIPOSOME 43 MG/10ML IV SUSP | $20,734 | $20,319 | — | — | 0 |
| 76075-101-01 | CARFILZOMIB 60 MG IV SOLR | $20,301 | $19,895 | — | — | 0 |
| 99999-9995-35 | CARBON C-14 UREA (PYTEST) CAPSULE | $19,877 | $19,479 | — | — | 0 |
| 11994-016-01 | SAMARIUM SM 153 LEXIDRONAM 1850 MBQ/ML IV SOLN | $19,235 | $18,851 | — | — | 0 |
| 55513-221-01 | ROMIPLOSTIM 250 MCG SC SOLR | $19,159 | $18,776 | — | — | 0 |
| 0002-4182-30 | BARICITINIB 2 MG PO TABS | $18,972 | $18,593 | — | — | 0 |
| 57894-502-20 | DARATUMUMAB 400 MG/20ML IV SOLN | $18,532 | $18,161 | — | — | 0 |
| 50242-137-01 | TOCILIZUMAB 400 MG/20ML IV SOLN | $18,485 | $18,115 | — | — | 0 |
Showing top 50 of 4,028 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.