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
6,530
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
51144-050-01
$27,950
BRENTUXIMAB VEDOTIN 50 MG IV SOLR
Gross
$28,521
0054-0428-25
$25,747
FLUCYTOSINE 500 MG PO CAPS
Gross
$26,272
50242-070-01
$19,846
OBINUTUZUMAB 1000 MG/40ML IV SOLN
Gross
$20,251
50242-085-27
$18,767
ALTEPLASE 100 MG IV SOLR
Gross
$19,150
50242-120-47
$17,694
TENECTEPLASE 50 MG IV KIT
Gross
$18,055
50242-176-01
$17,694
TENECTEPLASE 50 MG IV KIT
Gross
$18,055
0024-5151-75
$16,924
RASBURICASE 7.5 MG IV SOLR
Gross
$17,269
72626-2701-1
$16,206
SOFOSBUVIR-VELPATASVIR 400-100 MG PO TABS
Gross
$16,537
50633-120-11
$14,709
DIGOXIN IMMUNE FAB 40 MG IV SOLR
Gross
$15,009
52015-080-01
$14,621
FIDAXOMICIN 200 MG PO TABS
Gross
$14,919
25682-001-01
$14,383
ECULIZUMAB 300 MG/30ML IV SOLN
Gross
$14,677
50242-053-06
$14,363
RITUXIMAB 500 MG/50ML IV SOLN
Gross
$14,657
0019-9050-40
$13,831
INDIUM IN-111 PENTETREOTIDE IV KIT
Gross
$14,114
50242-044-13
$13,012
ALTEPLASE 50 MG IV SOLR
Gross
$13,278
51144-030-01
$12,883
ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR
Gross
$13,146
50242-061-01
$12,152
BEVACIZUMAB 400 MG/16ML IV SOLN
Gross
$12,400
65649-303-03
$12,129
RIFAXIMIN 550 MG PO TABS
Gross
$12,377
65649-303-02
$12,129
RIFAXIMIN 550 MG PO TABS
Gross
$12,377
61958-2501-1
$11,843
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$12,085
61958-2501-3
$11,843
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$12,085
0009-5135-03
$11,807
LINEZOLID 600 MG PO TABS
Gross
$12,048
61314-866-01
$11,641
PEGFILGRASTIM-BMEZ 6 MG/0.6ML SC SOSY
Gross
$11,879
67386-314-01
$10,965
CLOBAZAM 10 MG PO TABS
Gross
$11,188
99999-9995-35
$10,887
CARBON C-14 UREA (PYTEST) CAPSULE
Gross
$11,109
65757-404-03
$10,783
ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY
Gross
$11,003
55513-221-01
$10,494
ROMIPLOSTIM 250 MCG SC SOLR
Gross
$10,708
0002-4182-30
$10,392
BARICITINIB 2 MG PO TABS
Gross
$10,604
50242-137-01
$10,125
TOCILIZUMAB 400 MG/20ML IV SOLN
Gross
$10,331
55513-207-01
$9,891
BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN
Gross
$10,093
59148-072-80
$9,765
ARIPIPRAZOLE ER 400 MG IM PRSY
Gross
$9,965
0597-0197-05
$9,677
IDARUCIZUMAB 2.5 GM/50ML IV SOLN
Gross
$9,875
63459-104-50
$9,632
RITUXIMAB-ABBS 500 MG/50ML IV SOLN
Gross
$9,829
59148-008-35
$9,435
ARIPIPRAZOLE 10 MG PO TABS
Gross
$9,628
59148-007-35
$9,435
ARIPIPRAZOLE 5 MG PO TABS
Gross
$9,628
99999-9980-96
$8,953
TECHNETIUM TC 99M EXAMETAZIME IV (CERETEC WBC)
Gross
$9,135
59676-575-30
$8,639
DARUNAVIR-COBICISTAT 800-150 MG PO TABS
Gross
$8,815
13533-318-05
$8,576
RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN
Gross
$8,751
0024-5910-01
$8,487
SARILUMAB 200 MG/1.14ML SC SOSY
Gross
$8,660
0024-5922-01
$8,487
SARILUMAB 200 MG/1.14ML SC SOAJ
Gross
$8,660
0944-2700-07
$8,266
GAMMAGARD 30 GM/300ML IJ SOLN
Gross
$8,435
49702-228-13
$8,143
DOLUTEGRAVIR SODIUM 50 MG PO TABS
Gross
$8,310
17156-023-05
$7,946
TECHNETIUM TC 99M EXAMETAZIME IV KIT
Gross
$8,108
61958-2002-2
$7,713
EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS
Gross
$7,870
61958-2002-1
$7,713
EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS
Gross
$7,870
58468-0030-2
$7,709
THYROTROPIN ALFA 0.9 MG IM SOLR
Gross
$7,866
0187-0730-30
$7,687
BUPROPION HCL ER (XL) 150 MG PO TB24
Gross
$7,844
59676-562-01
$7,558
DARUNAVIR 600 MG PO TABS
Gross
$7,713
10370-268-01
$7,497
TRETINOIN 10 MG PO CAPS
Gross
$7,650
0078-0696-67
$7,410
SACUBITRIL-VALSARTAN 97-103 MG PO TABS
Gross
$7,561
99999-9998-17
$7,398
INDIUM IN 111 WBC INJECTION
Gross
$7,549
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 51144-050-01 | BRENTUXIMAB VEDOTIN 50 MG IV SOLR | $28,521 | $27,950 | — | — | 0 |
| 0054-0428-25 | FLUCYTOSINE 500 MG PO CAPS | $26,272 | $25,747 | — | — | 0 |
| 50242-070-01 | OBINUTUZUMAB 1000 MG/40ML IV SOLN | $20,251 | $19,846 | — | — | 0 |
| 50242-085-27 | ALTEPLASE 100 MG IV SOLR | $19,150 | $18,767 | — | — | 0 |
| 50242-120-47 | TENECTEPLASE 50 MG IV KIT | $18,055 | $17,694 | — | — | 0 |
| 50242-176-01 | TENECTEPLASE 50 MG IV KIT | $18,055 | $17,694 | — | — | 0 |
| 0024-5151-75 | RASBURICASE 7.5 MG IV SOLR | $17,269 | $16,924 | — | — | 0 |
| 72626-2701-1 | SOFOSBUVIR-VELPATASVIR 400-100 MG PO TABS | $16,537 | $16,206 | — | — | 0 |
| 50633-120-11 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $15,009 | $14,709 | — | — | 0 |
| 52015-080-01 | FIDAXOMICIN 200 MG PO TABS | $14,919 | $14,621 | — | — | 0 |
| 25682-001-01 | ECULIZUMAB 300 MG/30ML IV SOLN | $14,677 | $14,383 | — | — | 0 |
| 50242-053-06 | RITUXIMAB 500 MG/50ML IV SOLN | $14,657 | $14,363 | — | — | 0 |
| 0019-9050-40 | INDIUM IN-111 PENTETREOTIDE IV KIT | $14,114 | $13,831 | — | — | 0 |
| 50242-044-13 | ALTEPLASE 50 MG IV SOLR | $13,278 | $13,012 | — | — | 0 |
| 51144-030-01 | ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR | $13,146 | $12,883 | — | — | 0 |
| 50242-061-01 | BEVACIZUMAB 400 MG/16ML IV SOLN | $12,400 | $12,152 | — | — | 0 |
| 65649-303-03 | RIFAXIMIN 550 MG PO TABS | $12,377 | $12,129 | — | — | 0 |
| 65649-303-02 | RIFAXIMIN 550 MG PO TABS | $12,377 | $12,129 | — | — | 0 |
| 61958-2501-1 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $12,085 | $11,843 | — | — | 0 |
| 61958-2501-3 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $12,085 | $11,843 | — | — | 0 |
| 0009-5135-03 | LINEZOLID 600 MG PO TABS | $12,048 | $11,807 | — | — | 0 |
| 61314-866-01 | PEGFILGRASTIM-BMEZ 6 MG/0.6ML SC SOSY | $11,879 | $11,641 | — | — | 0 |
| 67386-314-01 | CLOBAZAM 10 MG PO TABS | $11,188 | $10,965 | — | — | 0 |
| 99999-9995-35 | CARBON C-14 UREA (PYTEST) CAPSULE | $11,109 | $10,887 | — | — | 0 |
| 65757-404-03 | ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY | $11,003 | $10,783 | — | — | 0 |
| 55513-221-01 | ROMIPLOSTIM 250 MCG SC SOLR | $10,708 | $10,494 | — | — | 0 |
| 0002-4182-30 | BARICITINIB 2 MG PO TABS | $10,604 | $10,392 | — | — | 0 |
| 50242-137-01 | TOCILIZUMAB 400 MG/20ML IV SOLN | $10,331 | $10,125 | — | — | 0 |
| 55513-207-01 | BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN | $10,093 | $9,891 | — | — | 0 |
| 59148-072-80 | ARIPIPRAZOLE ER 400 MG IM PRSY | $9,965 | $9,765 | — | — | 0 |
| 0597-0197-05 | IDARUCIZUMAB 2.5 GM/50ML IV SOLN | $9,875 | $9,677 | — | — | 0 |
| 63459-104-50 | RITUXIMAB-ABBS 500 MG/50ML IV SOLN | $9,829 | $9,632 | — | — | 0 |
| 59148-008-35 | ARIPIPRAZOLE 10 MG PO TABS | $9,628 | $9,435 | — | — | 0 |
| 59148-007-35 | ARIPIPRAZOLE 5 MG PO TABS | $9,628 | $9,435 | — | — | 0 |
| 99999-9980-96 | TECHNETIUM TC 99M EXAMETAZIME IV (CERETEC WBC) | $9,135 | $8,953 | — | — | 0 |
| 59676-575-30 | DARUNAVIR-COBICISTAT 800-150 MG PO TABS | $8,815 | $8,639 | — | — | 0 |
| 13533-318-05 | RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN | $8,751 | $8,576 | — | — | 0 |
| 0024-5910-01 | SARILUMAB 200 MG/1.14ML SC SOSY | $8,660 | $8,487 | — | — | 0 |
| 0024-5922-01 | SARILUMAB 200 MG/1.14ML SC SOAJ | $8,660 | $8,487 | — | — | 0 |
| 0944-2700-07 | GAMMAGARD 30 GM/300ML IJ SOLN | $8,435 | $8,266 | — | — | 0 |
| 49702-228-13 | DOLUTEGRAVIR SODIUM 50 MG PO TABS | $8,310 | $8,143 | — | — | 0 |
| 17156-023-05 | TECHNETIUM TC 99M EXAMETAZIME IV KIT | $8,108 | $7,946 | — | — | 0 |
| 61958-2002-2 | EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS | $7,870 | $7,713 | — | — | 0 |
| 61958-2002-1 | EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS | $7,870 | $7,713 | — | — | 0 |
| 58468-0030-2 | THYROTROPIN ALFA 0.9 MG IM SOLR | $7,866 | $7,709 | — | — | 0 |
| 0187-0730-30 | BUPROPION HCL ER (XL) 150 MG PO TB24 | $7,844 | $7,687 | — | — | 0 |
| 59676-562-01 | DARUNAVIR 600 MG PO TABS | $7,713 | $7,558 | — | — | 0 |
| 10370-268-01 | TRETINOIN 10 MG PO CAPS | $7,650 | $7,497 | — | — | 0 |
| 0078-0696-67 | SACUBITRIL-VALSARTAN 97-103 MG PO TABS | $7,561 | $7,410 | — | — | 0 |
| 99999-9998-17 | INDIUM IN 111 WBC INJECTION | $7,549 | $7,398 | — | — | 0 |
Showing top 50 of 6,530 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.