45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●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
19,285
Insurances with rates
16
CPT / HCPCS codes
1,789
Most expensive procedures (gross)
9852357
$98,686
Alteplase 25mg/25ml for Chest Tube [STUR]
Gross
$201,400
9320479
$34,104
ipilimumab 200 mg/40mL Sol [STUR]
Gross
$69,600
9096969
$27,401
pegloticase 8 mg/mL [STUR]
Gross
$55,921
14774220
$27,149
33274 The transcatheter insertion�or replacement�of a permanent leadless pacemaker in the right vent
Gross
$55,406
14917354
$24,446
mitoMYcin 80 mg (Jelmyto) inj [STUR}
Gross
$49,890
9320478
$23,614
alemtuzumab 12 mg/1.2 mL inj Sol [STUR]
Gross
$48,192
9096918
$21,280
ocrelizumab 300 mg/10 mL [STUR]
Gross
$43,429
14596708
$19,098
Mesh Phasix ST Mesh 1203035
Gross
$38,975
9356701
$17,679
Restore Sensor Bat Mri 97714
Gross
$36,080
9356677
$17,140
Restore Sensor Battery 37714 Rechargeabel Battery Only
Gross
$34,980
9356687
$15,362
Icd Protecta Xt Single D314Vrg 196880
Gross
$31,350
9096033
$14,805
atropine/hyoscyamine/PB/scopolamine Oral Elix 480 mL [STUR]
Gross
$30,214
9096126
$14,283
cabazitaxel 60 mg/1.5 mL [STUR]
Gross
$29,148
14927500
$13,700
telisotuzumab vedotin tllv 100 mg Pow [STUR]
Gross
$27,960
13312021
$13,360
T.05.05 Phasix™ Mesh Square 12x12 1193030
Gross
$27,265
9356676
$12,936
Prime Adv Rech Battery 37702 Battery Only
Gross
$26,400
12886482
$12,452
hyaluronidase/pertuzumab/trastuzumab 30,000 units-1200 mg-600 mg/15 mL Sol [STUR]
Gross
$25,413
14851657
$12,387
33207 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricu
Gross
$25,279
12538989
$11,855
luspatercept-aamt 75 mg Inj [STUR]
Gross
$24,195
14478176
$11,789
dostarlimab gxly 500 mg/10 mL Sol [STUR]
Gross
$24,060
9096023
$11,698
atezolizumab 1200 mg/20 mL [STUR]
Gross
$23,874
9356685
$11,696
T.03.03 Stimulator Nerve Interstim Ii L51 Mm X H44 Mm 22 Gm Implantable Pulse Generator
Gross
$23,870
14109134
$10,878
ublituximab-xiiy 150 mg/6 mL Sol [STUR]
Gross
$22,200
9357325
$10,861
INACTIVE Graft Distaflo 8MM X 70CM Df7008Sc
Gross
$22,165
9096185
$10,706
cemiplimab-rwlc 350 mg/7 mL [STUR]
Gross
$21,849
9096096
$10,660
brentuximab vedotin 50 mg Pow [STUR]
Gross
$21,756
9096245
$10,420
coagulation factor VIIa 5000 mcg Pow [STUR]
Gross
$21,266
12538930
$10,333
risankizumab-rzaa 600mg/10ml Inj [STUR]
Gross
$21,087
12538933
$10,309
daratumumab-hyaluronidase 1800 mg-30,000 units/15ml inj [STUR]
Gross
$21,039
13651445
$10,143
LASER FIBERS NMP (Long) - X Large NMPFXLL
Gross
$20,700
9443027
$10,081
leuprolide (lupron) 45 mg/6 months Kit [STUR]
Gross
$20,573
9097291
$9,907
vedolizumab 300 mg Pow [STUR]
Gross
$20,217
9096917
$9,261
obinutuzumab 1000 mg/40mL [STUR]
Gross
$18,900
14727546
$9,188
29x39x19 20 AUF Cage 1700-LI90S
Gross
$18,750
12891899
$9,092
hyaluronidase/pertuzumab/trastuzumab 20,000 units-600 mg-600 mg/10 mL Sol [STUR]
Gross
$18,555
14741450
$8,952
fecal microbiota, live jslm Sus [STUR]
Gross
$18,270
13312023
$8,714
Phasix™ Mesh Rectangle 8x10 1190400
Gross
$17,785
9096877
$8,702
natalizumab 300 mg/15 mL IV Conc [STUR]
Gross
$17,758
13999121
$8,649
33285 Insertion, subcutaneous cardiac rhythm monitor, including programming TechFee
Gross
$17,651
9347741
$8,529
ipilimumab 50 mg/10mL Sol [STUR]
Gross
$17,406
9357261
$8,381
Catheter Thermachoice Tc003 S30814
Gross
$17,104
12512984
$8,189
atezolizumab 840 mg/14 mL [STUR]
Gross
$16,712
13333903
$8,154
Bone Matrix NMP Fibers Long Large 11.0 cm NMPFLGL
Gross
$16,640
9563741
$8,090
33210 INS/RPLCMT TEMP ELTRD/PMCATH TechFee
Gross
$16,511
12756737
$8,090
33210 Insert or replace of temporary transvenous dual chamber cardiac electrode or pacemaker cathete
Gross
$16,511
9096907
$7,940
nivolumab 240 mg/24mL [STUR]
Gross
$16,204
9095957
$7,896
alteplase 100 mg IV Inj [STUR]
Gross
$16,113
10734860
$7,869
lurbinectedin 4 mg vial [STUR]
Gross
$16,060
14320365
$7,806
OPTILUME BPH CATHETER SYSTEM 30X40 1189-30040
Gross
$15,930
14320366
$7,806
OPTILUME BPH CATHETER SYSTEM 30X35 1189-30035
Gross
$15,930
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 9852357 | Alteplase 25mg/25ml for Chest Tube [STUR] | $201,400 | $98,686 | — | — | 0 |
| 9320479 | ipilimumab 200 mg/40mL Sol [STUR] | $69,600 | $34,104 | — | — | 0 |
| 9096969 | pegloticase 8 mg/mL [STUR] | $55,921 | $27,401 | — | — | 0 |
| 14774220 | 33274 The transcatheter insertion�or replacement�of a permanent leadless pacemaker in the right vent | $55,406 | $27,149 | — | — | 0 |
| 14917354 | mitoMYcin 80 mg (Jelmyto) inj [STUR} | $49,890 | $24,446 | — | — | 0 |
| 9320478 | alemtuzumab 12 mg/1.2 mL inj Sol [STUR] | $48,192 | $23,614 | — | — | 0 |
| 9096918 | ocrelizumab 300 mg/10 mL [STUR] | $43,429 | $21,280 | — | — | 0 |
| 14596708 | Mesh Phasix ST Mesh 1203035 | $38,975 | $19,098 | — | — | 0 |
| 9356701 | Restore Sensor Bat Mri 97714 | $36,080 | $17,679 | — | — | 0 |
| 9356677 | Restore Sensor Battery 37714 Rechargeabel Battery Only | $34,980 | $17,140 | — | — | 0 |
| 9356687 | Icd Protecta Xt Single D314Vrg 196880 | $31,350 | $15,362 | — | — | 0 |
| 9096033 | atropine/hyoscyamine/PB/scopolamine Oral Elix 480 mL [STUR] | $30,214 | $14,805 | — | — | 0 |
| 9096126 | cabazitaxel 60 mg/1.5 mL [STUR] | $29,148 | $14,283 | — | — | 0 |
| 14927500 | telisotuzumab vedotin tllv 100 mg Pow [STUR] | $27,960 | $13,700 | — | — | 0 |
| 13312021 | T.05.05 Phasix™ Mesh Square 12x12 1193030 | $27,265 | $13,360 | — | — | 0 |
| 9356676 | Prime Adv Rech Battery 37702 Battery Only | $26,400 | $12,936 | — | — | 0 |
| 12886482 | hyaluronidase/pertuzumab/trastuzumab 30,000 units-1200 mg-600 mg/15 mL Sol [STUR] | $25,413 | $12,452 | — | — | 0 |
| 14851657 | 33207 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricu | $25,279 | $12,387 | — | — | 0 |
| 12538989 | luspatercept-aamt 75 mg Inj [STUR] | $24,195 | $11,855 | — | — | 0 |
| 14478176 | dostarlimab gxly 500 mg/10 mL Sol [STUR] | $24,060 | $11,789 | — | — | 0 |
| 9096023 | atezolizumab 1200 mg/20 mL [STUR] | $23,874 | $11,698 | — | — | 0 |
| 9356685 | T.03.03 Stimulator Nerve Interstim Ii L51 Mm X H44 Mm 22 Gm Implantable Pulse Generator | $23,870 | $11,696 | — | — | 0 |
| 14109134 | ublituximab-xiiy 150 mg/6 mL Sol [STUR] | $22,200 | $10,878 | — | — | 0 |
| 9357325 | INACTIVE Graft Distaflo 8MM X 70CM Df7008Sc | $22,165 | $10,861 | — | — | 0 |
| 9096185 | cemiplimab-rwlc 350 mg/7 mL [STUR] | $21,849 | $10,706 | — | — | 0 |
| 9096096 | brentuximab vedotin 50 mg Pow [STUR] | $21,756 | $10,660 | — | — | 0 |
| 9096245 | coagulation factor VIIa 5000 mcg Pow [STUR] | $21,266 | $10,420 | — | — | 0 |
| 12538930 | risankizumab-rzaa 600mg/10ml Inj [STUR] | $21,087 | $10,333 | — | — | 0 |
| 12538933 | daratumumab-hyaluronidase 1800 mg-30,000 units/15ml inj [STUR] | $21,039 | $10,309 | — | — | 0 |
| 13651445 | LASER FIBERS NMP (Long) - X Large NMPFXLL | $20,700 | $10,143 | — | — | 0 |
| 9443027 | leuprolide (lupron) 45 mg/6 months Kit [STUR] | $20,573 | $10,081 | — | — | 0 |
| 9097291 | vedolizumab 300 mg Pow [STUR] | $20,217 | $9,907 | — | — | 0 |
| 9096917 | obinutuzumab 1000 mg/40mL [STUR] | $18,900 | $9,261 | — | — | 0 |
| 14727546 | 29x39x19 20 AUF Cage 1700-LI90S | $18,750 | $9,188 | — | — | 0 |
| 12891899 | hyaluronidase/pertuzumab/trastuzumab 20,000 units-600 mg-600 mg/10 mL Sol [STUR] | $18,555 | $9,092 | — | — | 0 |
| 14741450 | fecal microbiota, live jslm Sus [STUR] | $18,270 | $8,952 | — | — | 0 |
| 13312023 | Phasix™ Mesh Rectangle 8x10 1190400 | $17,785 | $8,714 | — | — | 0 |
| 9096877 | natalizumab 300 mg/15 mL IV Conc [STUR] | $17,758 | $8,702 | — | — | 0 |
| 13999121 | 33285 Insertion, subcutaneous cardiac rhythm monitor, including programming TechFee | $17,651 | $8,649 | — | — | 0 |
| 9347741 | ipilimumab 50 mg/10mL Sol [STUR] | $17,406 | $8,529 | — | — | 0 |
| 9357261 | Catheter Thermachoice Tc003 S30814 | $17,104 | $8,381 | — | — | 0 |
| 12512984 | atezolizumab 840 mg/14 mL [STUR] | $16,712 | $8,189 | — | — | 0 |
| 13333903 | Bone Matrix NMP Fibers Long Large 11.0 cm NMPFLGL | $16,640 | $8,154 | — | — | 0 |
| 9563741 | 33210 INS/RPLCMT TEMP ELTRD/PMCATH TechFee | $16,511 | $8,090 | — | — | 0 |
| 12756737 | 33210 Insert or replace of temporary transvenous dual chamber cardiac electrode or pacemaker cathete | $16,511 | $8,090 | — | — | 0 |
| 9096907 | nivolumab 240 mg/24mL [STUR] | $16,204 | $7,940 | — | — | 0 |
| 9095957 | alteplase 100 mg IV Inj [STUR] | $16,113 | $7,896 | — | — | 0 |
| 10734860 | lurbinectedin 4 mg vial [STUR] | $16,060 | $7,869 | — | — | 0 |
| 14320365 | OPTILUME BPH CATHETER SYSTEM 30X40 1189-30040 | $15,930 | $7,806 | — | — | 0 |
| 14320366 | OPTILUME BPH CATHETER SYSTEM 30X35 1189-30035 | $15,930 | $7,806 | — | — | 0 |
Showing top 50 of 19,285 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.