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
8,353
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
25010-705-15
$29,473
PENICILLAMINE 250 MG PO CAPS
Gross
$30,074
0069-0980-38
$26,735
SUNITINIB MALATE 50 MG PO CAPS
Gross
$27,281
61958-0802-1
$18,190
AMBRISENTAN 10 MG PO TABS
Gross
$18,561
0024-5824-11
$17,853
CABAZITAXEL 60 MG/1.5ML IV SOLN
Gross
$18,218
50419-254-01
$15,987
RIOCIGUAT 2.5 MG PO TABS
Gross
$16,314
51144-050-01
$15,528
BRENTUXIMAB VEDOTIN 50 MG IV SOLR
Gross
$15,845
66215-501-30
$14,634
MACITENTAN 10 MG PO TABS
Gross
$14,933
50242-917-01
$14,197
ATEZOLIZUMAB 1200 MG/20ML IV SOLN
Gross
$14,487
69413-330-30
$13,598
PYRIMETHAMINE 25 MG PO TABS
Gross
$13,875
57894-150-12
$13,470
ABIRATERONE ACETATE 250 MG PO TABS
Gross
$13,745
50419-251-01
$13,068
RIOCIGUAT 1 MG PO TABS
Gross
$13,335
43598-648-11
$12,897
TREPROSTINIL 200 MG/20ML IJ SOLN
Gross
$13,160
0078-0671-19
$12,467
LAPATINIB DITOSYLATE 250 MG PO TABS
Gross
$12,721
69344-102-33
$12,219
INDOMETHACIN 50 MG RE SUPP
Gross
$12,468
64764-300-20
$11,466
VEDOLIZUMAB 300 MG IV SOLR
Gross
$11,700
0003-2327-11
$11,092
IPILIMUMAB 50 MG/10ML IV SOLN
Gross
$11,318
64406-008-01
$10,877
NATALIZUMAB 300 MG/15ML IV CONC
Gross
$11,099
17156-235-01
$10,796
IOBENGUANE SULFATE I 123 10 MCI/5ML IV SOLN
Gross
$11,016
0009-7224-02
$10,650
LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN
Gross
$10,867
70710-1852-7
$10,593
INDOMETHACIN 50 MG RE SUPP
Gross
$10,809
58468-0225-1
$10,500
CAPLACIZUMAB-YHDP 11 MG IJ KIT
Gross
$10,715
50633-120-11
$10,466
DIGOXIN IMMUNE FAB 40 MG IV SOLR
Gross
$10,679
49702-250-18
$10,444
FOSTEMSAVIR TROMETHAMINE ER 600 MG PO TB12
Gross
$10,657
50242-085-27
$10,426
ALTEPLASE 100 MG IV SOLR
Gross
$10,639
52015-080-01
$10,403
FIDAXOMICIN 200 MG PO TABS
Gross
$10,616
42211-102-43
$10,289
INDOMETHACIN 50 MG RE SUPP
Gross
$10,499
0169-7202-01
$10,275
COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR
Gross
$10,485
59627-222-05
$10,234
INTERFERON BETA-1A 30 MCG/0.5ML IM PSKT
Gross
$10,443
13533-800-40
$10,077
IMMUNE GLOBULIN (HUMAN) 40 GM/400ML IJ SOLN
Gross
$10,282
0019-9050-40
$9,841
INDIUM IN-111 PENTETREOTIDE IV KIT
Gross
$10,042
50242-120-47
$9,830
TENECTEPLASE 50 MG IV KIT
Gross
$10,031
0006-3026-01
$9,819
PEMBROLIZUMAB 100 MG/4ML IV SOLN
Gross
$10,019
50242-064-01
$9,522
ERLOTINIB HCL 150 MG PO TABS
Gross
$9,716
65483-116-07
$9,447
ALDESLEUKIN 22000000 UNITS IV SOLR
Gross
$9,640
55292-702-54
$9,398
HEMIN 350 MG IV SOLR
Gross
$9,590
0169-7212-11
$9,397
COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR
Gross
$9,589
57894-421-01
$9,324
SILTUXIMAB 400 MG IV SOLR
Gross
$9,515
50242-044-13
$9,259
ALTEPLASE 50 MG IV SOLR
Gross
$9,447
0002-7678-01
$9,192
RAMUCIRUMAB 500 MG/50ML IV SOLN
Gross
$9,380
0078-0818-81
$9,134
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$9,321
63402-304-10
$8,711
LURASIDONE HCL 40 MG PO TABS
Gross
$8,888
0703-0696-01
$8,701
TREPROSTINIL 200 MG/20ML IJ SOLN
Gross
$8,878
50242-088-01
$8,680
ADO-TRASTUZUMAB EMTANSINE 100 MG IV SOLR
Gross
$8,857
83831-132-01
$8,594
PEMETREXED DIPOTASSIUM 500 MG IV SOLR
Gross
$8,769
66215-101-03
$8,549
BOSENTAN 62.5 MG PO TABS
Gross
$8,724
61958-2501-1
$8,427
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$8,599
61958-2501-3
$8,427
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$8,599
61958-1901-1
$8,427
ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS
Gross
$8,599
59148-102-80
$8,359
ARIPIPRAZOLE ER 720 MG/2.4ML IM PRSY
Gross
$8,530
0006-3075-04
$8,357
LETERMOVIR 240 MG PO TABS
Gross
$8,528
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25010-705-15 | PENICILLAMINE 250 MG PO CAPS | $30,074 | $29,473 | — | — | 0 |
| 0069-0980-38 | SUNITINIB MALATE 50 MG PO CAPS | $27,281 | $26,735 | — | — | 0 |
| 61958-0802-1 | AMBRISENTAN 10 MG PO TABS | $18,561 | $18,190 | — | — | 0 |
| 0024-5824-11 | CABAZITAXEL 60 MG/1.5ML IV SOLN | $18,218 | $17,853 | — | — | 0 |
| 50419-254-01 | RIOCIGUAT 2.5 MG PO TABS | $16,314 | $15,987 | — | — | 0 |
| 51144-050-01 | BRENTUXIMAB VEDOTIN 50 MG IV SOLR | $15,845 | $15,528 | — | — | 0 |
| 66215-501-30 | MACITENTAN 10 MG PO TABS | $14,933 | $14,634 | — | — | 0 |
| 50242-917-01 | ATEZOLIZUMAB 1200 MG/20ML IV SOLN | $14,487 | $14,197 | — | — | 0 |
| 69413-330-30 | PYRIMETHAMINE 25 MG PO TABS | $13,875 | $13,598 | — | — | 0 |
| 57894-150-12 | ABIRATERONE ACETATE 250 MG PO TABS | $13,745 | $13,470 | — | — | 0 |
| 50419-251-01 | RIOCIGUAT 1 MG PO TABS | $13,335 | $13,068 | — | — | 0 |
| 43598-648-11 | TREPROSTINIL 200 MG/20ML IJ SOLN | $13,160 | $12,897 | — | — | 0 |
| 0078-0671-19 | LAPATINIB DITOSYLATE 250 MG PO TABS | $12,721 | $12,467 | — | — | 0 |
| 69344-102-33 | INDOMETHACIN 50 MG RE SUPP | $12,468 | $12,219 | — | — | 0 |
| 64764-300-20 | VEDOLIZUMAB 300 MG IV SOLR | $11,700 | $11,466 | — | — | 0 |
| 0003-2327-11 | IPILIMUMAB 50 MG/10ML IV SOLN | $11,318 | $11,092 | — | — | 0 |
| 64406-008-01 | NATALIZUMAB 300 MG/15ML IV CONC | $11,099 | $10,877 | — | — | 0 |
| 17156-235-01 | IOBENGUANE SULFATE I 123 10 MCI/5ML IV SOLN | $11,016 | $10,796 | — | — | 0 |
| 0009-7224-02 | LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN | $10,867 | $10,650 | — | — | 0 |
| 70710-1852-7 | INDOMETHACIN 50 MG RE SUPP | $10,809 | $10,593 | — | — | 0 |
| 58468-0225-1 | CAPLACIZUMAB-YHDP 11 MG IJ KIT | $10,715 | $10,500 | — | — | 0 |
| 50633-120-11 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $10,679 | $10,466 | — | — | 0 |
| 49702-250-18 | FOSTEMSAVIR TROMETHAMINE ER 600 MG PO TB12 | $10,657 | $10,444 | — | — | 0 |
| 50242-085-27 | ALTEPLASE 100 MG IV SOLR | $10,639 | $10,426 | — | — | 0 |
| 52015-080-01 | FIDAXOMICIN 200 MG PO TABS | $10,616 | $10,403 | — | — | 0 |
| 42211-102-43 | INDOMETHACIN 50 MG RE SUPP | $10,499 | $10,289 | — | — | 0 |
| 0169-7202-01 | COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR | $10,485 | $10,275 | — | — | 0 |
| 59627-222-05 | INTERFERON BETA-1A 30 MCG/0.5ML IM PSKT | $10,443 | $10,234 | — | — | 0 |
| 13533-800-40 | IMMUNE GLOBULIN (HUMAN) 40 GM/400ML IJ SOLN | $10,282 | $10,077 | — | — | 0 |
| 0019-9050-40 | INDIUM IN-111 PENTETREOTIDE IV KIT | $10,042 | $9,841 | — | — | 0 |
| 50242-120-47 | TENECTEPLASE 50 MG IV KIT | $10,031 | $9,830 | — | — | 0 |
| 0006-3026-01 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $10,019 | $9,819 | — | — | 0 |
| 50242-064-01 | ERLOTINIB HCL 150 MG PO TABS | $9,716 | $9,522 | — | — | 0 |
| 65483-116-07 | ALDESLEUKIN 22000000 UNITS IV SOLR | $9,640 | $9,447 | — | — | 0 |
| 55292-702-54 | HEMIN 350 MG IV SOLR | $9,590 | $9,398 | — | — | 0 |
| 0169-7212-11 | COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR | $9,589 | $9,397 | — | — | 0 |
| 57894-421-01 | SILTUXIMAB 400 MG IV SOLR | $9,515 | $9,324 | — | — | 0 |
| 50242-044-13 | ALTEPLASE 50 MG IV SOLR | $9,447 | $9,259 | — | — | 0 |
| 0002-7678-01 | RAMUCIRUMAB 500 MG/50ML IV SOLN | $9,380 | $9,192 | — | — | 0 |
| 0078-0818-81 | OCTREOTIDE ACETATE 20 MG IM KIT | $9,321 | $9,134 | — | — | 0 |
| 63402-304-10 | LURASIDONE HCL 40 MG PO TABS | $8,888 | $8,711 | — | — | 0 |
| 0703-0696-01 | TREPROSTINIL 200 MG/20ML IJ SOLN | $8,878 | $8,701 | — | — | 0 |
| 50242-088-01 | ADO-TRASTUZUMAB EMTANSINE 100 MG IV SOLR | $8,857 | $8,680 | — | — | 0 |
| 83831-132-01 | PEMETREXED DIPOTASSIUM 500 MG IV SOLR | $8,769 | $8,594 | — | — | 0 |
| 66215-101-03 | BOSENTAN 62.5 MG PO TABS | $8,724 | $8,549 | — | — | 0 |
| 61958-2501-1 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $8,599 | $8,427 | — | — | 0 |
| 61958-2501-3 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $8,599 | $8,427 | — | — | 0 |
| 61958-1901-1 | ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS | $8,599 | $8,427 | — | — | 0 |
| 59148-102-80 | ARIPIPRAZOLE ER 720 MG/2.4ML IM PRSY | $8,530 | $8,359 | — | — | 0 |
| 0006-3075-04 | LETERMOVIR 240 MG PO TABS | $8,528 | $8,357 | — | — | 0 |
Showing top 50 of 8,353 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.