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
5,486
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
99999-9995-32
$735,929
PRISMASATE BGK2/0 5000 ML BAG
Gross
$750,948
50242-070-01
$57,420
OBINUTUZUMAB 1000 MG/40ML IV SOLN
Gross
$58,592
72626-2701-1
$44,656
SOFOSBUVIR-VELPATASVIR 400-100 MG PO TABS
Gross
$45,568
51144-050-01
$42,205
BRENTUXIMAB VEDOTIN 50 MG IV SOLR
Gross
$43,066
25682-001-01
$36,859
ECULIZUMAB 300 MG/30ML IV SOLN
Gross
$37,612
50242-085-27
$27,275
ALTEPLASE 100 MG IV SOLR
Gross
$27,832
50242-176-01
$26,487
TENECTEPLASE 50 MG IV KIT
Gross
$27,028
50242-120-47
$25,716
TENECTEPLASE 50 MG IV KIT
Gross
$26,241
0480-2596-34
$25,103
FIDAXOMICIN 200 MG PO TABS
Gross
$25,615
61958-2501-1
$23,534
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$24,015
61958-2501-3
$23,534
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$24,015
50633-120-11
$21,073
DIGOXIN IMMUNE FAB 40 MG IV SOLR
Gross
$21,503
65757-404-03
$20,002
ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY
Gross
$20,410
67386-314-01
$19,590
CLOBAZAM 10 MG PO TABS
Gross
$19,990
50242-061-01
$19,369
BEVACIZUMAB 400 MG/16ML IV SOLN
Gross
$19,764
65649-303-03
$19,332
RIFAXIMIN 550 MG PO TABS
Gross
$19,726
65649-303-02
$19,332
RIFAXIMIN 550 MG PO TABS
Gross
$19,726
50242-044-13
$18,642
ALTEPLASE 50 MG IV SOLR
Gross
$19,023
51144-030-01
$18,458
ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR
Gross
$18,834
0024-5151-75
$17,915
RASBURICASE 7.5 MG IV SOLR
Gross
$18,280
0002-4182-30
$16,815
BARICITINIB 2 MG PO TABS
Gross
$17,158
50242-137-01
$16,137
TOCILIZUMAB 400 MG/20ML IV SOLN
Gross
$16,466
55513-207-01
$16,087
BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN
Gross
$16,415
0597-0197-05
$15,732
IDARUCIZUMAB 2.5 GM/50ML IV SOLN
Gross
$16,053
63459-104-50
$15,353
RITUXIMAB-ABBS 500 MG/50ML IV SOLN
Gross
$15,666
0944-2700-07
$14,769
GAMMAGARD 30 GM/300ML IJ SOLN
Gross
$15,070
0944-2700-13
$14,507
GAMMAGARD 30 GM/300ML IJ SOLN
Gross
$14,804
13668-745-21
$13,965
FIDAXOMICIN 200 MG PO TABS
Gross
$14,250
99999-9995-35
$13,882
CARBON C-14 UREA (PYTEST) CAPSULE
Gross
$14,165
59676-575-30
$13,769
DARUNAVIR-COBICISTAT 800-150 MG PO TABS
Gross
$14,050
13533-318-05
$13,669
RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN
Gross
$13,947
59676-562-01
$13,504
DARUNAVIR 600 MG PO TABS
Gross
$13,780
0187-0730-30
$13,465
BUPROPION HCL ER (XL) 150 MG PO TB24
Gross
$13,740
10370-268-01
$13,395
TRETINOIN 10 MG PO CAPS
Gross
$13,669
55513-221-01
$13,381
ROMIPLOSTIM 250 MCG SC SOLR
Gross
$13,654
49702-228-13
$13,368
DOLUTEGRAVIR SODIUM 50 MG PO TABS
Gross
$13,641
0006-0227-61
$13,035
RALTEGRAVIR POTASSIUM 400 MG PO TABS
Gross
$13,301
0006-3080-01
$13,035
RALTEGRAVIR POTASSIUM 600 MG PO TABS
Gross
$13,301
59148-072-80
$12,825
ARIPIPRAZOLE ER 400 MG IM PRSY
Gross
$13,087
50458-580-10
$12,474
RIVAROXABAN 10 MG PO TABS
Gross
$12,729
50458-578-10
$12,474
RIVAROXABAN 15 MG PO TABS
Gross
$12,729
50458-579-10
$12,474
RIVAROXABAN 20 MG PO TABS
Gross
$12,729
61958-2002-2
$12,293
EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS
Gross
$12,544
61958-2002-1
$12,293
EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS
Gross
$12,544
0024-5910-01
$11,471
SARILUMAB 200 MG/1.14ML SC SOSY
Gross
$11,705
0024-5922-01
$11,471
SARILUMAB 200 MG/1.14ML SC SOAJ
Gross
$11,705
99999-9980-96
$11,415
TECHNETIUM TC 99M EXAMETAZIME IV (CERETEC WBC)
Gross
$11,648
50458-580-90
$11,227
RIVAROXABAN 10 MG PO TABS
Gross
$11,456
42806-563-01
$11,180
CHLORDIAZEPOXIDE HCL 25 MG PO CAPS
Gross
$11,408
65219-594-20
$11,063
TOCILIZUMAB-AAZG 400 MG/20ML IV SOLN
Gross
$11,288
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 99999-9995-32 | PRISMASATE BGK2/0 5000 ML BAG | $750,948 | $735,929 | — | — | 0 |
| 50242-070-01 | OBINUTUZUMAB 1000 MG/40ML IV SOLN | $58,592 | $57,420 | — | — | 0 |
| 72626-2701-1 | SOFOSBUVIR-VELPATASVIR 400-100 MG PO TABS | $45,568 | $44,656 | — | — | 0 |
| 51144-050-01 | BRENTUXIMAB VEDOTIN 50 MG IV SOLR | $43,066 | $42,205 | — | — | 0 |
| 25682-001-01 | ECULIZUMAB 300 MG/30ML IV SOLN | $37,612 | $36,859 | — | — | 0 |
| 50242-085-27 | ALTEPLASE 100 MG IV SOLR | $27,832 | $27,275 | — | — | 0 |
| 50242-176-01 | TENECTEPLASE 50 MG IV KIT | $27,028 | $26,487 | — | — | 0 |
| 50242-120-47 | TENECTEPLASE 50 MG IV KIT | $26,241 | $25,716 | — | — | 0 |
| 0480-2596-34 | FIDAXOMICIN 200 MG PO TABS | $25,615 | $25,103 | — | — | 0 |
| 61958-2501-1 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $24,015 | $23,534 | — | — | 0 |
| 61958-2501-3 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $24,015 | $23,534 | — | — | 0 |
| 50633-120-11 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $21,503 | $21,073 | — | — | 0 |
| 65757-404-03 | ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY | $20,410 | $20,002 | — | — | 0 |
| 67386-314-01 | CLOBAZAM 10 MG PO TABS | $19,990 | $19,590 | — | — | 0 |
| 50242-061-01 | BEVACIZUMAB 400 MG/16ML IV SOLN | $19,764 | $19,369 | — | — | 0 |
| 65649-303-03 | RIFAXIMIN 550 MG PO TABS | $19,726 | $19,332 | — | — | 0 |
| 65649-303-02 | RIFAXIMIN 550 MG PO TABS | $19,726 | $19,332 | — | — | 0 |
| 50242-044-13 | ALTEPLASE 50 MG IV SOLR | $19,023 | $18,642 | — | — | 0 |
| 51144-030-01 | ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR | $18,834 | $18,458 | — | — | 0 |
| 0024-5151-75 | RASBURICASE 7.5 MG IV SOLR | $18,280 | $17,915 | — | — | 0 |
| 0002-4182-30 | BARICITINIB 2 MG PO TABS | $17,158 | $16,815 | — | — | 0 |
| 50242-137-01 | TOCILIZUMAB 400 MG/20ML IV SOLN | $16,466 | $16,137 | — | — | 0 |
| 55513-207-01 | BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN | $16,415 | $16,087 | — | — | 0 |
| 0597-0197-05 | IDARUCIZUMAB 2.5 GM/50ML IV SOLN | $16,053 | $15,732 | — | — | 0 |
| 63459-104-50 | RITUXIMAB-ABBS 500 MG/50ML IV SOLN | $15,666 | $15,353 | — | — | 0 |
| 0944-2700-07 | GAMMAGARD 30 GM/300ML IJ SOLN | $15,070 | $14,769 | — | — | 0 |
| 0944-2700-13 | GAMMAGARD 30 GM/300ML IJ SOLN | $14,804 | $14,507 | — | — | 0 |
| 13668-745-21 | FIDAXOMICIN 200 MG PO TABS | $14,250 | $13,965 | — | — | 0 |
| 99999-9995-35 | CARBON C-14 UREA (PYTEST) CAPSULE | $14,165 | $13,882 | — | — | 0 |
| 59676-575-30 | DARUNAVIR-COBICISTAT 800-150 MG PO TABS | $14,050 | $13,769 | — | — | 0 |
| 13533-318-05 | RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN | $13,947 | $13,669 | — | — | 0 |
| 59676-562-01 | DARUNAVIR 600 MG PO TABS | $13,780 | $13,504 | — | — | 0 |
| 0187-0730-30 | BUPROPION HCL ER (XL) 150 MG PO TB24 | $13,740 | $13,465 | — | — | 0 |
| 10370-268-01 | TRETINOIN 10 MG PO CAPS | $13,669 | $13,395 | — | — | 0 |
| 55513-221-01 | ROMIPLOSTIM 250 MCG SC SOLR | $13,654 | $13,381 | — | — | 0 |
| 49702-228-13 | DOLUTEGRAVIR SODIUM 50 MG PO TABS | $13,641 | $13,368 | — | — | 0 |
| 0006-0227-61 | RALTEGRAVIR POTASSIUM 400 MG PO TABS | $13,301 | $13,035 | — | — | 0 |
| 0006-3080-01 | RALTEGRAVIR POTASSIUM 600 MG PO TABS | $13,301 | $13,035 | — | — | 0 |
| 59148-072-80 | ARIPIPRAZOLE ER 400 MG IM PRSY | $13,087 | $12,825 | — | — | 0 |
| 50458-580-10 | RIVAROXABAN 10 MG PO TABS | $12,729 | $12,474 | — | — | 0 |
| 50458-578-10 | RIVAROXABAN 15 MG PO TABS | $12,729 | $12,474 | — | — | 0 |
| 50458-579-10 | RIVAROXABAN 20 MG PO TABS | $12,729 | $12,474 | — | — | 0 |
| 61958-2002-2 | EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS | $12,544 | $12,293 | — | — | 0 |
| 61958-2002-1 | EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS | $12,544 | $12,293 | — | — | 0 |
| 0024-5910-01 | SARILUMAB 200 MG/1.14ML SC SOSY | $11,705 | $11,471 | — | — | 0 |
| 0024-5922-01 | SARILUMAB 200 MG/1.14ML SC SOAJ | $11,705 | $11,471 | — | — | 0 |
| 99999-9980-96 | TECHNETIUM TC 99M EXAMETAZIME IV (CERETEC WBC) | $11,648 | $11,415 | — | — | 0 |
| 50458-580-90 | RIVAROXABAN 10 MG PO TABS | $11,456 | $11,227 | — | — | 0 |
| 42806-563-01 | CHLORDIAZEPOXIDE HCL 25 MG PO CAPS | $11,408 | $11,180 | — | — | 0 |
| 65219-594-20 | TOCILIZUMAB-AAZG 400 MG/20ML IV SOLN | $11,288 | $11,063 | — | — | 0 |
Showing top 50 of 5,486 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.