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
5,700
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
50242010501
$45,715
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION
Gross
$45,715
73607000201
$27,215
ARTESUNATE 110 MG INTRAVENOUS SOLUTION
Gross
$27,215
73607001111
$27,215
ARTESUNATE 110 MG INTRAVENOUS SOLUTION
Gross
$27,215
310320001
$21,520
FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION
Gross
$21,520
65597040601
$21,316
FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION
Gross
$21,316
62064012201
$18,251
IBALIZUMAB-UIYK 200 MG/1.33 ML (150 MG/ML) INTRAVENOUS SOLUTION
Gross
$18,251
50242008525
$16,198
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$16,198
40400018
$15,264
HC MYOCARDIAL IMG, PET, METABOLIC EVAL, 1 STUDY CONCURRENT CT
Gross
$15,264
57894050520
$14,322
DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION
Gross
$14,322
55513022201
$12,968
ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION
Gross
$12,968
50242005306
$12,123
RITUXIMAB 10 MG/ML INTRAVENOUS SOLUTION
Gross
$12,123
944270012
$11,871
IMMUNE GLOBULIN (GAMMAGARD) 10% 20 G/200 ML INJECTION SOLUTION
Gross
$11,871
30900310
$10,019
HC UNLISTED MOL PATH (6000)
Gross
$10,019
944270006
$9,892
IMMUNE GLOBULIN (GAMMAGARD) 10% 20 G/200 ML INJECTION SOLUTION
Gross
$9,892
50242010301
$9,796
POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION
Gross
$9,796
50242003706
$9,622
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$9,622
40400005
$9,222
HC PET IMAGING W/CT SKULL BASE TO MID-THIGH
Gross
$9,222
63459010450
$9,083
RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION
Gross
$9,083
30900319
$8,600
HC UNLISTED MOLE PROC (5150)
Gross
$8,600
63833038702
$8,273
PROTHROMBIN COMPLEX CONCENTRATE (KCENTRA) (VARIABLE)
Gross
$8,273
63833039701
$8,273
PROTHROMBIN COMPLEX CONCENTRATE (KCENTRA) (VARIABLE)
Gross
$8,273
13533080024
$8,190
IMMUNE GLOBULIN (GAMUNEX-C) 10% 20 G/200 ML INJECTION SOLUTION
Gross
$8,190
30900309
$8,149
HC UNLISTED MOL PATH (4880)
Gross
$8,149
55513073001
$8,062
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$8,062
50458056401
$7,953
PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE
Gross
$7,953
30900063
$7,848
HC PMPP22 GENE DUP/DELET (4700)
Gross
$7,848
33300005
$7,469
HC INTENSITY MODULATED RADIOTHERAPY PLAN
Gross
$7,469
30900308
$7,347
HC UNLISTED MOL PATH (4400)
Gross
$7,347
33300003
$7,120
HC THERA RAD SIMULATE-ADD FIELD SET, 3D
Gross
$7,120
13533080025
$7,020
IMMUNE GLOBULIN (GAMUNEX-C) 10% 20 G/200 ML INJECTION SOLUTION
Gross
$7,020
72000017
$6,640
HC CESAREAN SECTION, EMERGENT W/MAJOR SURG
Gross
$6,640
55513022101
$6,484
ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION
Gross
$6,484
59148007280
$6,315
ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE
Gross
$6,315
30900340
$6,128
HC EXOME SEQUENCE ANAL (3670)
Gross
$6,128
33300073
$6,108
HC SRS LINEAR BASED, 1 SESSION
Gross
$6,108
30900206
$5,728
HC MOPATH PROCEDUR LEVEL 8 (3430)
Gross
$5,728
30900118
$5,678
HC MOPATH PROCEDUR LEVEL 4 (3400)
Gross
$5,678
30900217
$5,678
HC MOPATH PROCEDUR LEVEL 9 (3405)
Gross
$5,678
13533031801
$5,674
RABIES IMMUNE GLOBULIN (PF) 1500 UNIT/5 ML INTRAMUSCULAR SOLUTION
Gross
$5,674
30900057
$5,527
HC MSH2 GENE FULL SEQ (3310)
Gross
$5,527
54288010515
$5,444
ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION
Gross
$5,444
72000004
$5,329
HC FETAL DEMISE/GENETIC TERMINATION 2/3 TRIM
Gross
$5,329
72000009
$5,329
HC VAGINAL DELIVERY W/EPI ANESTHESIA
Gross
$5,329
41000038
$5,254
HC ECMO/ECLS INITIATION VENOUS - DAILY MGMT
Gross
$5,254
41000039
$5,254
HC ECMO/ECLS INITIATION ARTERY - DAILY MGMT
Gross
$5,254
30900360
$5,060
HC MOPATH PROCEDURE LEVEL 6 (3030)
Gross
$5,060
34100159
$4,982
HC RADIOPHARM LOCAL TUMOR, SPECT, MIN 2 AREA 1 DAY IMG /1 AREA OR IMG 2+ DAYS
Gross
$4,982
61958200201
$4,795
ED NPEP (SEXUAL ASSAULT) EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET
Gross
$4,795
55513067001
$4,785
INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION
Gross
$4,785
59148004580
$4,736
ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE
Gross
$4,736
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242010501 | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION | $45,715 | $45,715 | — | — | 0 |
| 73607000201 | ARTESUNATE 110 MG INTRAVENOUS SOLUTION | $27,215 | $27,215 | — | — | 0 |
| 73607001111 | ARTESUNATE 110 MG INTRAVENOUS SOLUTION | $27,215 | $27,215 | — | — | 0 |
| 310320001 | FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION | $21,520 | $21,520 | — | — | 0 |
| 65597040601 | FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION | $21,316 | $21,316 | — | — | 0 |
| 62064012201 | IBALIZUMAB-UIYK 200 MG/1.33 ML (150 MG/ML) INTRAVENOUS SOLUTION | $18,251 | $18,251 | — | — | 0 |
| 50242008525 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $16,198 | $16,198 | — | — | 0 |
| 40400018 | HC MYOCARDIAL IMG, PET, METABOLIC EVAL, 1 STUDY CONCURRENT CT | $15,264 | $15,264 | — | — | 0 |
| 57894050520 | DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION | $14,322 | $14,322 | — | — | 0 |
| 55513022201 | ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION | $12,968 | $12,968 | — | — | 0 |
| 50242005306 | RITUXIMAB 10 MG/ML INTRAVENOUS SOLUTION | $12,123 | $12,123 | — | — | 0 |
| 944270012 | IMMUNE GLOBULIN (GAMMAGARD) 10% 20 G/200 ML INJECTION SOLUTION | $11,871 | $11,871 | — | — | 0 |
| 30900310 | HC UNLISTED MOL PATH (6000) | $10,019 | $10,019 | — | — | 0 |
| 944270006 | IMMUNE GLOBULIN (GAMMAGARD) 10% 20 G/200 ML INJECTION SOLUTION | $9,892 | $9,892 | — | — | 0 |
| 50242010301 | POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION | $9,796 | $9,796 | — | — | 0 |
| 50242003706 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION | $9,622 | $9,622 | — | — | 0 |
| 40400005 | HC PET IMAGING W/CT SKULL BASE TO MID-THIGH | $9,222 | $9,222 | — | — | 0 |
| 63459010450 | RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION | $9,083 | $9,083 | — | — | 0 |
| 30900319 | HC UNLISTED MOLE PROC (5150) | $8,600 | $8,600 | — | — | 0 |
| 63833038702 | PROTHROMBIN COMPLEX CONCENTRATE (KCENTRA) (VARIABLE) | $8,273 | $8,273 | — | — | 0 |
| 63833039701 | PROTHROMBIN COMPLEX CONCENTRATE (KCENTRA) (VARIABLE) | $8,273 | $8,273 | — | — | 0 |
| 13533080024 | IMMUNE GLOBULIN (GAMUNEX-C) 10% 20 G/200 ML INJECTION SOLUTION | $8,190 | $8,190 | — | — | 0 |
| 30900309 | HC UNLISTED MOL PATH (4880) | $8,149 | $8,149 | — | — | 0 |
| 55513073001 | DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $8,062 | $8,062 | — | — | 0 |
| 50458056401 | PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE | $7,953 | $7,953 | — | — | 0 |
| 30900063 | HC PMPP22 GENE DUP/DELET (4700) | $7,848 | $7,848 | — | — | 0 |
| 33300005 | HC INTENSITY MODULATED RADIOTHERAPY PLAN | $7,469 | $7,469 | — | — | 0 |
| 30900308 | HC UNLISTED MOL PATH (4400) | $7,347 | $7,347 | — | — | 0 |
| 33300003 | HC THERA RAD SIMULATE-ADD FIELD SET, 3D | $7,120 | $7,120 | — | — | 0 |
| 13533080025 | IMMUNE GLOBULIN (GAMUNEX-C) 10% 20 G/200 ML INJECTION SOLUTION | $7,020 | $7,020 | — | — | 0 |
| 72000017 | HC CESAREAN SECTION, EMERGENT W/MAJOR SURG | $6,640 | $6,640 | — | — | 0 |
| 55513022101 | ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION | $6,484 | $6,484 | — | — | 0 |
| 59148007280 | ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE | $6,315 | $6,315 | — | — | 0 |
| 30900340 | HC EXOME SEQUENCE ANAL (3670) | $6,128 | $6,128 | — | — | 0 |
| 33300073 | HC SRS LINEAR BASED, 1 SESSION | $6,108 | $6,108 | — | — | 0 |
| 30900206 | HC MOPATH PROCEDUR LEVEL 8 (3430) | $5,728 | $5,728 | — | — | 0 |
| 30900118 | HC MOPATH PROCEDUR LEVEL 4 (3400) | $5,678 | $5,678 | — | — | 0 |
| 30900217 | HC MOPATH PROCEDUR LEVEL 9 (3405) | $5,678 | $5,678 | — | — | 0 |
| 13533031801 | RABIES IMMUNE GLOBULIN (PF) 1500 UNIT/5 ML INTRAMUSCULAR SOLUTION | $5,674 | $5,674 | — | — | 0 |
| 30900057 | HC MSH2 GENE FULL SEQ (3310) | $5,527 | $5,527 | — | — | 0 |
| 54288010515 | ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION | $5,444 | $5,444 | — | — | 0 |
| 72000004 | HC FETAL DEMISE/GENETIC TERMINATION 2/3 TRIM | $5,329 | $5,329 | — | — | 0 |
| 72000009 | HC VAGINAL DELIVERY W/EPI ANESTHESIA | $5,329 | $5,329 | — | — | 0 |
| 41000038 | HC ECMO/ECLS INITIATION VENOUS - DAILY MGMT | $5,254 | $5,254 | — | — | 0 |
| 41000039 | HC ECMO/ECLS INITIATION ARTERY - DAILY MGMT | $5,254 | $5,254 | — | — | 0 |
| 30900360 | HC MOPATH PROCEDURE LEVEL 6 (3030) | $5,060 | $5,060 | — | — | 0 |
| 34100159 | HC RADIOPHARM LOCAL TUMOR, SPECT, MIN 2 AREA 1 DAY IMG /1 AREA OR IMG 2+ DAYS | $4,982 | $4,982 | — | — | 0 |
| 61958200201 | ED NPEP (SEXUAL ASSAULT) EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET | $4,795 | $4,795 | — | — | 0 |
| 55513067001 | INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION | $4,785 | $4,785 | — | — | 0 |
| 59148004580 | ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE | $4,736 | $4,736 | — | — | 0 |
Showing top 50 of 5,700 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.