45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
23,040
Insurances with rates
7
CPT / HCPCS codes
13,822
Most expensive procedures (gross)
0003-2328-22
$170,649
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956]
Gross
$170,649
99999-9004-13
$142,650
SODIUM CHLORIDE 0.9 % IV BOLUS (NEONATAL) [450168]
Gross
$142,650
25682-028-01
$118,581
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [194515]
Gross
$118,581
50242-150-01
$102,278
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [182875]
Gross
$102,278
42023-168-01
$98,161
OR-EPINEPHRINE 80 MCG-0.9% SODIUM CHLORIDE 10 ML SYRINGE [440058]
Gross
$98,161
0024-5824-11
$70,522
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [105644]
Gross
$70,522
50242-245-01
$69,583
PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [193507]
Gross
$69,583
0003-7125-11
$66,277
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [198872]
Gross
$66,277
0024-5823-15
$62,411
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [105644]
Gross
$62,411
51144-050-01
$61,000
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348]
Gross
$61,000
50242-917-01
$54,752
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [180147]
Gross
$54,752
59572-775-01
$54,439
LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [191625]
Gross
$54,439
55292-702-55
$53,855
HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION [183908]
Gross
$53,855
72493-101-40
$53,440
MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [192843]
Gross
$53,440
55292-702-54
$52,067
HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION [183908]
Gross
$52,067
57894-503-01
$51,183
DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [192863]
Gross
$51,183
82959-111-01
$50,903
IMETELSTAT 188 MG INTRAVENOUS SOLUTION [207466]
Gross
$50,903
61755-008-01
$49,989
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [188341]
Gross
$49,989
50242-260-01
$46,387
PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN [193508]
Gross
$46,387
0003-2327-11
$44,120
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956]
Gross
$44,120
50242-085-27
$42,462
ALTEPLASE 100 MG INTRAVENOUS SOLUTION [9002]
Gross
$42,462
64406-008-01
$42,004
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [40120]
Gross
$42,004
50242-070-01
$41,209
OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [168046]
Gross
$41,209
68727-712-01
$40,550
LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [193439]
Gross
$40,550
64764-300-20
$38,755
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [169778]
Gross
$38,755
50242-085-25
$38,216
ALTEPLASE 100 MG INTRAVENOUS SOLUTION [9002]
Gross
$38,216
15054-1120-4
$37,405
LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861]
Gross
$37,405
50242-037-06
$37,188
TENECTEPLASE 50 MG INJECTION FOR ACUTE ISCHEMIC STROKE [632538]
Gross
$37,188
0002-7678-01
$35,706
RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [169676]
Gross
$35,706
0003-3734-13
$34,249
NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [186176]
Gross
$34,249
49702-240-15
$33,946
CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER [195061]
Gross
$33,946
50458-608-01
$33,754
PALIPERIDONE PALMITATE (3 MONTH) 546 MG/1.75 ML INTRAMUSCULAR SYRINGE [175411]
Gross
$33,754
72903-853-01
$33,166
MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION [200621]
Gross
$33,166
25682-001-01
$32,615
ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [81696]
Gross
$32,615
50242-145-01
$32,170
PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [116596]
Gross
$32,170
50242-087-01
$31,134
ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [120087]
Gross
$31,134
73475-3041-5
$30,952
EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION [198206]
Gross
$30,952
0006-3026-02
$28,821
PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [173958]
Gross
$28,821
0078-0825-81
$28,202
OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR KIT (WRAPPER) [508006]
Gross
$28,202
0006-3026-01
$27,788
PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [173958]
Gross
$27,788
69097-870-67
$27,310
LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861]
Gross
$27,310
0310-1730-30
$25,685
BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE [185590]
Gross
$25,685
0006-3026-04
$25,009
PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [173958]
Gross
$25,009
55513-222-01
$24,707
ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION [93567]
Gross
$24,707
0603-1508-58
$23,253
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212]
Gross
$23,253
50633-120-11
$22,093
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432]
Gross
$22,093
0074-3663-03
$21,836
LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21044]
Gross
$21,836
55513-112-01
$21,236
TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE [198220]
Gross
$21,236
50633-120-12
$21,231
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432]
Gross
$21,231
0078-0818-81
$21,160
OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR KIT (WRAPPER) [508005]
Gross
$21,160
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0003-2328-22 | IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956] | $170,649 | $170,649 | — | — | 0 |
| 99999-9004-13 | SODIUM CHLORIDE 0.9 % IV BOLUS (NEONATAL) [450168] | $142,650 | $142,650 | — | — | 0 |
| 25682-028-01 | RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [194515] | $118,581 | $118,581 | — | — | 0 |
| 50242-150-01 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [182875] | $102,278 | $102,278 | — | — | 0 |
| 42023-168-01 | OR-EPINEPHRINE 80 MCG-0.9% SODIUM CHLORIDE 10 ML SYRINGE [440058] | $98,161 | $98,161 | — | — | 0 |
| 0024-5824-11 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [105644] | $70,522 | $70,522 | — | — | 0 |
| 50242-245-01 | PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [193507] | $69,583 | $69,583 | — | — | 0 |
| 0003-7125-11 | NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [198872] | $66,277 | $66,277 | — | — | 0 |
| 0024-5823-15 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [105644] | $62,411 | $62,411 | — | — | 0 |
| 51144-050-01 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348] | $61,000 | $61,000 | — | — | 0 |
| 50242-917-01 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [180147] | $54,752 | $54,752 | — | — | 0 |
| 59572-775-01 | LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [191625] | $54,439 | $54,439 | — | — | 0 |
| 55292-702-55 | HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION [183908] | $53,855 | $53,855 | — | — | 0 |
| 72493-101-40 | MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [192843] | $53,440 | $53,440 | — | — | 0 |
| 55292-702-54 | HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION [183908] | $52,067 | $52,067 | — | — | 0 |
| 57894-503-01 | DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [192863] | $51,183 | $51,183 | — | — | 0 |
| 82959-111-01 | IMETELSTAT 188 MG INTRAVENOUS SOLUTION [207466] | $50,903 | $50,903 | — | — | 0 |
| 61755-008-01 | CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [188341] | $49,989 | $49,989 | — | — | 0 |
| 50242-260-01 | PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN [193508] | $46,387 | $46,387 | — | — | 0 |
| 0003-2327-11 | IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956] | $44,120 | $44,120 | — | — | 0 |
| 50242-085-27 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION [9002] | $42,462 | $42,462 | — | — | 0 |
| 64406-008-01 | NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [40120] | $42,004 | $42,004 | — | — | 0 |
| 50242-070-01 | OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [168046] | $41,209 | $41,209 | — | — | 0 |
| 68727-712-01 | LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [193439] | $40,550 | $40,550 | — | — | 0 |
| 64764-300-20 | VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [169778] | $38,755 | $38,755 | — | — | 0 |
| 50242-085-25 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION [9002] | $38,216 | $38,216 | — | — | 0 |
| 15054-1120-4 | LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861] | $37,405 | $37,405 | — | — | 0 |
| 50242-037-06 | TENECTEPLASE 50 MG INJECTION FOR ACUTE ISCHEMIC STROKE [632538] | $37,188 | $37,188 | — | — | 0 |
| 0002-7678-01 | RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [169676] | $35,706 | $35,706 | — | — | 0 |
| 0003-3734-13 | NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [186176] | $34,249 | $34,249 | — | — | 0 |
| 49702-240-15 | CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER [195061] | $33,946 | $33,946 | — | — | 0 |
| 50458-608-01 | PALIPERIDONE PALMITATE (3 MONTH) 546 MG/1.75 ML INTRAMUSCULAR SYRINGE [175411] | $33,754 | $33,754 | — | — | 0 |
| 72903-853-01 | MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION [200621] | $33,166 | $33,166 | — | — | 0 |
| 25682-001-01 | ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [81696] | $32,615 | $32,615 | — | — | 0 |
| 50242-145-01 | PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [116596] | $32,170 | $32,170 | — | — | 0 |
| 50242-087-01 | ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [120087] | $31,134 | $31,134 | — | — | 0 |
| 73475-3041-5 | EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION [198206] | $30,952 | $30,952 | — | — | 0 |
| 0006-3026-02 | PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [173958] | $28,821 | $28,821 | — | — | 0 |
| 0078-0825-81 | OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR KIT (WRAPPER) [508006] | $28,202 | $28,202 | — | — | 0 |
| 0006-3026-01 | PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [173958] | $27,788 | $27,788 | — | — | 0 |
| 69097-870-67 | LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861] | $27,310 | $27,310 | — | — | 0 |
| 0310-1730-30 | BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE [185590] | $25,685 | $25,685 | — | — | 0 |
| 0006-3026-04 | PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [173958] | $25,009 | $25,009 | — | — | 0 |
| 55513-222-01 | ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION [93567] | $24,707 | $24,707 | — | — | 0 |
| 0603-1508-58 | PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212] | $23,253 | $23,253 | — | — | 0 |
| 50633-120-11 | DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432] | $22,093 | $22,093 | — | — | 0 |
| 0074-3663-03 | LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21044] | $21,836 | $21,836 | — | — | 0 |
| 55513-112-01 | TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE [198220] | $21,236 | $21,236 | — | — | 0 |
| 50633-120-12 | DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432] | $21,231 | $21,231 | — | — | 0 |
| 0078-0818-81 | OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR KIT (WRAPPER) [508005] | $21,160 | $21,160 | — | — | 0 |
Showing top 50 of 23,040 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.