45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
3,922
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
0169-2080-15
$183,979
CONCIZUMAB-MTCI 150 MG/1.5ML SC SOPN
Gross
$187,734
0078-0686-15
$96,188
ELTROMBOPAG OLAMINE 50 MG PO TABS
Gross
$98,151
51144-050-01
$89,444
BRENTUXIMAB VEDOTIN 50 MG IV SOLR
Gross
$91,269
0169-7205-01
$88,353
COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR
Gross
$90,156
0078-0709-56
$79,232
CAPMATINIB HCL 150 MG PO TABS
Gross
$80,849
55292-702-55
$77,606
HEMIN 350 MG IV SOLR
Gross
$79,190
64764-300-20
$68,652
VEDOLIZUMAB 300 MG IV SOLR
Gross
$70,053
50242-085-27
$57,803
ALTEPLASE 100 MG IV SOLR
Gross
$58,983
50242-176-01
$56,047
TENECTEPLASE 50 MG IV KIT
Gross
$57,190
70370-2040-1
$54,671
VALBENAZINE TOSYLATE 40 MG PO CAPS
Gross
$55,786
50242-120-47
$54,499
TENECTEPLASE 50 MG IV KIT
Gross
$55,611
99999-9993-44
$54,291
INDOMETHACIN 0.5 MG/ML IN SWFI PEDIATRIC SYRINGE
Gross
$55,399
0078-0401-34
$52,581
IMATINIB MESYLATE 100 MG PO TABS
Gross
$53,654
0002-7678-01
$50,962
RAMUCIRUMAB 500 MG/50ML IV SOLN
Gross
$52,002
0024-5151-75
$37,966
RASBURICASE 7.5 MG IV SOLR
Gross
$38,741
73607-011-11
$36,528
ARTESUNATE 110 MG IV SOLR
Gross
$37,273
0169-7202-01
$35,341
COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR
Gross
$36,062
59148-020-50
$35,152
TOLVAPTAN (HYPONATREMIA) 15 MG PO TABS
Gross
$35,869
50242-053-06
$31,903
RITUXIMAB 500 MG/50ML IV SOLN
Gross
$32,554
61958-1201-1
$28,946
ELVITEG-COBIC-EMTRICIT-TENOFDF 150-150-200-300 MG PO TABS
Gross
$29,537
50242-044-13
$28,902
ALTEPLASE 50 MG IV SOLR
Gross
$29,491
61958-1901-1
$27,594
ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS
Gross
$28,158
61958-2501-1
$26,305
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$26,842
61958-2501-3
$26,305
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$26,842
61958-1101-1
$25,113
EMTRICITAB-RILPIVIR-TENOFOV DF 200-25-300 MG PO TABS
Gross
$25,625
61958-2101-1
$25,113
EMTRICITAB-RILPIVIR-TENOFOV AF 200-25-25 MG PO TABS
Gross
$25,625
49702-231-13
$25,046
ABACAVIR-DOLUTEGRAVIR-LAMIVUD 600-50-300 MG PO TABS
Gross
$25,558
76075-101-01
$24,022
CARFILZOMIB 60 MG IV SOLR
Gross
$24,513
0254-3012-55
$23,525
ALVIMOPAN 12 MG PO CAPS
Gross
$24,005
55513-730-01
$22,657
DENOSUMAB 120 MG/1.7ML SC SOLN
Gross
$23,119
0003-3774-12
$22,477
NIVOLUMAB 100 MG/10ML IV SOLN
Gross
$22,936
50242-061-01
$21,649
BEVACIZUMAB 400 MG/16ML IV SOLN
Gross
$22,091
65649-303-03
$21,608
RIFAXIMIN 550 MG PO TABS
Gross
$22,049
65649-303-02
$21,608
RIFAXIMIN 550 MG PO TABS
Gross
$22,049
65757-403-03
$21,044
ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY
Gross
$21,474
50633-110-12
$21,002
CROTALIDAE POLYVAL IMMUNE FAB IV SOLR
Gross
$21,431
99999-9995-35
$19,395
CARBON C-14 UREA (PYTEST) CAPSULE
Gross
$19,791
0002-4182-30
$18,794
BARICITINIB 2 MG PO TABS
Gross
$19,178
0169-7201-01
$17,671
COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR
Gross
$18,031
0597-0197-05
$17,584
IDARUCIZUMAB 2.5 GM/50ML IV SOLN
Gross
$17,943
63459-104-50
$17,160
RITUXIMAB-ABBS 500 MG/50ML IV SOLN
Gross
$17,510
0078-0883-61
$16,659
CRIZANLIZUMAB-TMCA 100 MG/10ML IV SOLN
Gross
$16,999
59011-480-10
$16,155
OXYCODONE HCL ER 80 MG PO T12A
Gross
$16,484
65757-500-03
$16,106
ARIPIPRAZOLE LAUROXIL ER 675 MG/2.4ML IM PRSY
Gross
$16,434
99999-9980-96
$15,949
TECHNETIUM TC 99M EXAMETAZIME IV (CERETEC WBC)
Gross
$16,275
65757-402-03
$15,795
ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4ML IM PRSY
Gross
$16,118
13668-745-21
$15,609
FIDAXOMICIN 200 MG PO TABS
Gross
$15,928
59676-575-30
$15,390
DARUNAVIR-COBICISTAT 800-150 MG PO TABS
Gross
$15,705
13533-318-05
$15,278
RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN
Gross
$15,590
13533-318-50
$15,278
RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN
Gross
$15,590
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0169-2080-15 | CONCIZUMAB-MTCI 150 MG/1.5ML SC SOPN | $187,734 | $183,979 | — | — | 0 |
| 0078-0686-15 | ELTROMBOPAG OLAMINE 50 MG PO TABS | $98,151 | $96,188 | — | — | 0 |
| 51144-050-01 | BRENTUXIMAB VEDOTIN 50 MG IV SOLR | $91,269 | $89,444 | — | — | 0 |
| 0169-7205-01 | COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR | $90,156 | $88,353 | — | — | 0 |
| 0078-0709-56 | CAPMATINIB HCL 150 MG PO TABS | $80,849 | $79,232 | — | — | 0 |
| 55292-702-55 | HEMIN 350 MG IV SOLR | $79,190 | $77,606 | — | — | 0 |
| 64764-300-20 | VEDOLIZUMAB 300 MG IV SOLR | $70,053 | $68,652 | — | — | 0 |
| 50242-085-27 | ALTEPLASE 100 MG IV SOLR | $58,983 | $57,803 | — | — | 0 |
| 50242-176-01 | TENECTEPLASE 50 MG IV KIT | $57,190 | $56,047 | — | — | 0 |
| 70370-2040-1 | VALBENAZINE TOSYLATE 40 MG PO CAPS | $55,786 | $54,671 | — | — | 0 |
| 50242-120-47 | TENECTEPLASE 50 MG IV KIT | $55,611 | $54,499 | — | — | 0 |
| 99999-9993-44 | INDOMETHACIN 0.5 MG/ML IN SWFI PEDIATRIC SYRINGE | $55,399 | $54,291 | — | — | 0 |
| 0078-0401-34 | IMATINIB MESYLATE 100 MG PO TABS | $53,654 | $52,581 | — | — | 0 |
| 0002-7678-01 | RAMUCIRUMAB 500 MG/50ML IV SOLN | $52,002 | $50,962 | — | — | 0 |
| 0024-5151-75 | RASBURICASE 7.5 MG IV SOLR | $38,741 | $37,966 | — | — | 0 |
| 73607-011-11 | ARTESUNATE 110 MG IV SOLR | $37,273 | $36,528 | — | — | 0 |
| 0169-7202-01 | COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR | $36,062 | $35,341 | — | — | 0 |
| 59148-020-50 | TOLVAPTAN (HYPONATREMIA) 15 MG PO TABS | $35,869 | $35,152 | — | — | 0 |
| 50242-053-06 | RITUXIMAB 500 MG/50ML IV SOLN | $32,554 | $31,903 | — | — | 0 |
| 61958-1201-1 | ELVITEG-COBIC-EMTRICIT-TENOFDF 150-150-200-300 MG PO TABS | $29,537 | $28,946 | — | — | 0 |
| 50242-044-13 | ALTEPLASE 50 MG IV SOLR | $29,491 | $28,902 | — | — | 0 |
| 61958-1901-1 | ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS | $28,158 | $27,594 | — | — | 0 |
| 61958-2501-1 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $26,842 | $26,305 | — | — | 0 |
| 61958-2501-3 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $26,842 | $26,305 | — | — | 0 |
| 61958-1101-1 | EMTRICITAB-RILPIVIR-TENOFOV DF 200-25-300 MG PO TABS | $25,625 | $25,113 | — | — | 0 |
| 61958-2101-1 | EMTRICITAB-RILPIVIR-TENOFOV AF 200-25-25 MG PO TABS | $25,625 | $25,113 | — | — | 0 |
| 49702-231-13 | ABACAVIR-DOLUTEGRAVIR-LAMIVUD 600-50-300 MG PO TABS | $25,558 | $25,046 | — | — | 0 |
| 76075-101-01 | CARFILZOMIB 60 MG IV SOLR | $24,513 | $24,022 | — | — | 0 |
| 0254-3012-55 | ALVIMOPAN 12 MG PO CAPS | $24,005 | $23,525 | — | — | 0 |
| 55513-730-01 | DENOSUMAB 120 MG/1.7ML SC SOLN | $23,119 | $22,657 | — | — | 0 |
| 0003-3774-12 | NIVOLUMAB 100 MG/10ML IV SOLN | $22,936 | $22,477 | — | — | 0 |
| 50242-061-01 | BEVACIZUMAB 400 MG/16ML IV SOLN | $22,091 | $21,649 | — | — | 0 |
| 65649-303-03 | RIFAXIMIN 550 MG PO TABS | $22,049 | $21,608 | — | — | 0 |
| 65649-303-02 | RIFAXIMIN 550 MG PO TABS | $22,049 | $21,608 | — | — | 0 |
| 65757-403-03 | ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY | $21,474 | $21,044 | — | — | 0 |
| 50633-110-12 | CROTALIDAE POLYVAL IMMUNE FAB IV SOLR | $21,431 | $21,002 | — | — | 0 |
| 99999-9995-35 | CARBON C-14 UREA (PYTEST) CAPSULE | $19,791 | $19,395 | — | — | 0 |
| 0002-4182-30 | BARICITINIB 2 MG PO TABS | $19,178 | $18,794 | — | — | 0 |
| 0169-7201-01 | COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR | $18,031 | $17,671 | — | — | 0 |
| 0597-0197-05 | IDARUCIZUMAB 2.5 GM/50ML IV SOLN | $17,943 | $17,584 | — | — | 0 |
| 63459-104-50 | RITUXIMAB-ABBS 500 MG/50ML IV SOLN | $17,510 | $17,160 | — | — | 0 |
| 0078-0883-61 | CRIZANLIZUMAB-TMCA 100 MG/10ML IV SOLN | $16,999 | $16,659 | — | — | 0 |
| 59011-480-10 | OXYCODONE HCL ER 80 MG PO T12A | $16,484 | $16,155 | — | — | 0 |
| 65757-500-03 | ARIPIPRAZOLE LAUROXIL ER 675 MG/2.4ML IM PRSY | $16,434 | $16,106 | — | — | 0 |
| 99999-9980-96 | TECHNETIUM TC 99M EXAMETAZIME IV (CERETEC WBC) | $16,275 | $15,949 | — | — | 0 |
| 65757-402-03 | ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4ML IM PRSY | $16,118 | $15,795 | — | — | 0 |
| 13668-745-21 | FIDAXOMICIN 200 MG PO TABS | $15,928 | $15,609 | — | — | 0 |
| 59676-575-30 | DARUNAVIR-COBICISTAT 800-150 MG PO TABS | $15,705 | $15,390 | — | — | 0 |
| 13533-318-05 | RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN | $15,590 | $15,278 | — | — | 0 |
| 13533-318-50 | RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN | $15,590 | $15,278 | — | — | 0 |
Showing top 50 of 3,922 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.