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
8,572
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
0078-0846-19
$570,258
TISAGENLECLEUCEL 250000000 CELLS IV SUSP
Gross
$581,895
57894-111-01
$544,204
CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP
Gross
$555,310
57894-111-02
$544,204
CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP
Gross
$555,310
73153-900-01
$520,723
LISOCABTAGENE MARALEUCEL 70000000 CELLS/ML IV SUSP
Gross
$531,350
59572-515-03
$517,746
IDECABTAGENE VICLEUCEL 460000000 CELLS IV SUSP
Gross
$528,312
83047-410-04
$514,500
OBECABTAGENE AUTOLEUCEL 410000000 CELLS IV SUSP
Gross
$525,000
73776-001-11
$504,700
LIFILEUCEL 72000000000 CELLS IV SUSP
Gross
$515,000
71287-119-01
$493,508
AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP
Gross
$503,580
71287-220-01
$452,760
BREXUCABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP
Gross
$462,000
0078-0958-19
$447,802
TISAGENLECLEUCEL 600000000 CELLS IV SUSP
Gross
$456,941
71287-219-01
$415,520
BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP
Gross
$424,000
59572-504-00
$139,831
POMALIDOMIDE 4 MG PO CAPS
Gross
$142,685
59572-502-00
$139,831
POMALIDOMIDE 2 MG PO CAPS
Gross
$142,685
59572-503-00
$139,831
POMALIDOMIDE 3 MG PO CAPS
Gross
$142,685
812
$116,523
HC CADAVERIC LIVER
Gross
$118,901
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
811
$94,978
HC NON CADAVER LIVER
Gross
$96,916
813
$85,059
HC PANCREAS AFTER KIDNEY
Gross
$86,795
68403-1100-6
$84,893
BOTULISM IMMUNE GLOBULIN HUMAN 100 MG IV SOLR
Gross
$86,625
67979-002-01
$61,472
HISTRELIN ACETATE (CPP) 50 MG SC KIT
Gross
$62,727
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
624
$54,978
HC VALVE HEART EVOLUT-R 26MM_459035
Gross
$56,100
50633-210-11
$52,960
GLUCARPIDASE 1000 UNITS IV SOLR
Gross
$54,041
24338-050-08
$51,744
CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR
Gross
$52,800
0310-4535-30
$50,699
TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN
Gross
$51,734
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
0469-1425-90
$35,499
GILTERITINIB FUMARATE 40 MG PO TABS
Gross
$36,224
79952-110-01
$34,694
LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR
Gross
$35,402
57894-061-03
$34,537
USTEKINUMAB 90 MG/ML SC SOSY
Gross
$35,242
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
72493-103-03
$29,866
MITOMYCIN 80 (2 X 40) MG UL SOLR
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
0008-0100-01
$29,297
INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR
Gross
$29,895
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
0187-0007-14
$28,098
RIBAVIRIN 6 G IN SOLR
Gross
$28,671
0069-0980-38
$27,537
SUNITINIB MALATE 50 MG PO CAPS
Gross
$28,099
43598-672-01
$26,203
PYRIMETHAMINE 25 MG PO TABS
Gross
$26,738
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0078-0846-19 | TISAGENLECLEUCEL 250000000 CELLS IV SUSP | $581,895 | $570,258 | — | — | 0 |
| 57894-111-01 | CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP | $555,310 | $544,204 | — | — | 0 |
| 57894-111-02 | CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP | $555,310 | $544,204 | — | — | 0 |
| 73153-900-01 | LISOCABTAGENE MARALEUCEL 70000000 CELLS/ML IV SUSP | $531,350 | $520,723 | — | — | 0 |
| 59572-515-03 | IDECABTAGENE VICLEUCEL 460000000 CELLS IV SUSP | $528,312 | $517,746 | — | — | 0 |
| 83047-410-04 | OBECABTAGENE AUTOLEUCEL 410000000 CELLS IV SUSP | $525,000 | $514,500 | — | — | 0 |
| 73776-001-11 | LIFILEUCEL 72000000000 CELLS IV SUSP | $515,000 | $504,700 | — | — | 0 |
| 71287-119-01 | AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP | $503,580 | $493,508 | — | — | 0 |
| 71287-220-01 | BREXUCABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP | $462,000 | $452,760 | — | — | 0 |
| 0078-0958-19 | TISAGENLECLEUCEL 600000000 CELLS IV SUSP | $456,941 | $447,802 | — | — | 0 |
| 71287-219-01 | BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP | $424,000 | $415,520 | — | — | 0 |
| 59572-504-00 | POMALIDOMIDE 4 MG PO CAPS | $142,685 | $139,831 | — | — | 0 |
| 59572-502-00 | POMALIDOMIDE 2 MG PO CAPS | $142,685 | $139,831 | — | — | 0 |
| 59572-503-00 | POMALIDOMIDE 3 MG PO CAPS | $142,685 | $139,831 | — | — | 0 |
| 812 | HC CADAVERIC LIVER | $118,901 | $116,523 | — | — | 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 |
| 811 | HC NON CADAVER LIVER | $96,916 | $94,978 | — | — | 0 |
| 813 | HC PANCREAS AFTER KIDNEY | $86,795 | $85,059 | — | — | 0 |
| 68403-1100-6 | BOTULISM IMMUNE GLOBULIN HUMAN 100 MG IV SOLR | $86,625 | $84,893 | — | — | 0 |
| 67979-002-01 | HISTRELIN ACETATE (CPP) 50 MG SC KIT | $62,727 | $61,472 | — | — | 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 |
| 624 | HC VALVE HEART EVOLUT-R 26MM_459035 | $56,100 | $54,978 | — | — | 0 |
| 50633-210-11 | GLUCARPIDASE 1000 UNITS IV SOLR | $54,041 | $52,960 | — | — | 0 |
| 24338-050-08 | CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR | $52,800 | $51,744 | — | — | 0 |
| 0310-4535-30 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN | $51,734 | $50,699 | — | — | 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 |
| 0469-1425-90 | GILTERITINIB FUMARATE 40 MG PO TABS | $36,224 | $35,499 | — | — | 0 |
| 79952-110-01 | LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR | $35,402 | $34,694 | — | — | 0 |
| 57894-061-03 | USTEKINUMAB 90 MG/ML SC SOSY | $35,242 | $34,537 | — | — | 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 |
| 72493-103-03 | MITOMYCIN 80 (2 X 40) MG UL SOLR | $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 |
| 0008-0100-01 | INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR | $29,895 | $29,297 | — | — | 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 |
| 0187-0007-14 | RIBAVIRIN 6 G IN SOLR | $28,671 | $28,098 | — | — | 0 |
| 0069-0980-38 | SUNITINIB MALATE 50 MG PO CAPS | $28,099 | $27,537 | — | — | 0 |
| 43598-672-01 | PYRIMETHAMINE 25 MG PO TABS | $26,738 | $26,203 | — | — | 0 |
Showing top 50 of 8,572 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.