45 CFR § 180 compliance
B · 85
This hospital published most 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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
16,764
Insurances with rates
6
CPT / HCPCS codes
7,294
Most expensive procedures (gross)
104852
$275,636
SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION
Gross
$344,545
200574
$210,058
VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE
Gross
$262,572
172291
$180,252
HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT
Gross
$225,315
201908
$152,379
TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION
Gross
$190,474
21672
$125,030
CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT
Gross
$156,288
191705
$106,905
CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION
Gross
$133,632
194137
$100,448
INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION
Gross
$125,560
12519
$98,728
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION
Gross
$123,410
40917
$94,974
SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION
Gross
$118,718
208666
$90,331
OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN
Gross
$112,914
184358
$87,624
INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN
Gross
$109,530
173140
$87,259
ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION
Gross
$109,073
192158
$86,060
GIVOSIRAN 189 MG/ML SUBCUTANEOUS SOLUTION
Gross
$107,575
199147
$77,264
TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION
Gross
$96,580
152408
$76,842
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION
Gross
$96,053
182454
$72,964
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$91,205
203699
$72,342
LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$90,427
190691
$70,863
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION
Gross
$88,579
27500014
$70,040
HC PACEMAKER AVEIR LEADLESS DUAL CHAMBER
Gross
$87,550
202489
$69,557
MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION
Gross
$86,946
48100113
$69,277
HC INSERT/REPLACE SQ ICD W ELECTRODES
Gross
$86,597
107664
$63,945
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION
Gross
$79,932
119469
$62,075
USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE
Gross
$77,594
204020
$60,381
EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION
Gross
$75,477
27800103
$58,866
HC IMPLANTABLE PRESSURE SENSOR WO LEAD
Gross
$73,583
201556
$58,039
SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION
Gross
$72,549
48100134
$57,711
HC INSERT/REPLACE ICD W/SUBSTERNAL ELECTRODES
Gross
$72,139
48100120
$57,025
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
Gross
$71,281
199621
$56,504
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION
Gross
$70,630
119254
$55,921
PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION
Gross
$69,902
207439
$55,496
TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION
Gross
$69,371
177130
$55,009
URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET
Gross
$68,761
48100119
$54,478
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
Gross
$68,098
105644
$52,874
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION
Gross
$66,092
48100118
$51,931
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
Gross
$64,914
34400006
$50,562
HC ZEVALIN Y-90 PER STUDY
Gross
$63,203
48100117
$49,384
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
Gross
$61,730
153367
$48,228
LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$60,285
153416
$47,307
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION
Gross
$59,134
182380
$46,637
CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION
Gross
$58,296
27800122
$46,037
HC SQ ICD
Gross
$57,547
77539
$44,428
VORINOSTAT 100 MG CAPSULE
Gross
$55,536
197057
$44,077
DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION
Gross
$55,096
192115
$43,684
LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION
Gross
$54,605
179035
$42,878
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION
Gross
$53,597
27800106
$41,436
HC YTTRIUM 90 MICROSPHERES
Gross
$51,795
10052
$41,285
FLUCYTOSINE 500 MG CAPSULE
Gross
$51,606
48100131
$40,842
HC REVASC TIBIAL/PERIONEAL LITHOTRIPSY INCL ANGIOPLASTY WITH STENT AND ATHERECT
Gross
$51,052
48100130
$40,842
HC REVASC TIBIAL/PERIONEAL LITHOTRIPSY INCL ANGIOPLASTY WITH ATHERECTOMY
Gross
$51,052
48100129
$40,842
HC REVASC TIBIAL/PERIONEAL LITHOTRIPSY INCL ANGIOPLASTY WITH STENT
Gross
$51,052
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 104852 | SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION | $344,545 | $275,636 | — | — | 9 |
| 200574 | VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE | $262,572 | $210,058 | — | — | 9 |
| 172291 | HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT | $225,315 | $180,252 | — | — | 12 |
| 201908 | TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION | $190,474 | $152,379 | — | — | 9 |
| 21672 | CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT | $156,288 | $125,030 | — | — | 8 |
| 191705 | CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION | $133,632 | $106,905 | — | — | 12 |
| 194137 | INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION | $125,560 | $100,448 | — | — | 42 |
| 12519 | PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION | $123,410 | $98,728 | — | — | 21 |
| 40917 | SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION | $118,718 | $94,974 | — | — | 24 |
| 208666 | OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN | $112,914 | $90,331 | — | — | 9 |
| 184358 | INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN | $109,530 | $87,624 | — | — | 21 |
| 173140 | ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION | $109,073 | $87,259 | — | — | 21 |
| 192158 | GIVOSIRAN 189 MG/ML SUBCUTANEOUS SOLUTION | $107,575 | $86,060 | — | — | 21 |
| 199147 | TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION | $96,580 | $77,264 | — | — | 21 |
| 152408 | IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION | $96,053 | $76,842 | — | — | 21 |
| 182454 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $91,205 | $72,964 | — | — | 21 |
| 203699 | LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT | $90,427 | $72,342 | — | — | 9 |
| 190691 | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION | $88,579 | $70,863 | — | — | 21 |
| 27500014 | HC PACEMAKER AVEIR LEADLESS DUAL CHAMBER | $87,550 | $70,040 | — | — | 10 |
| 202489 | MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION | $86,946 | $69,557 | — | — | 42 |
| 48100113 | HC INSERT/REPLACE SQ ICD W ELECTRODES | $86,597 | $69,277 | — | — | 12 |
| 107664 | PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION | $79,932 | $63,945 | — | — | 21 |
| 119469 | USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE | $77,594 | $62,075 | — | — | 13 |
| 204020 | EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION | $75,477 | $60,381 | — | — | 21 |
| 27800103 | HC IMPLANTABLE PRESSURE SENSOR WO LEAD | $73,583 | $58,866 | — | — | 10 |
| 201556 | SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION | $72,549 | $58,039 | — | — | 9 |
| 48100134 | HC INSERT/REPLACE ICD W/SUBSTERNAL ELECTRODES | $72,139 | $57,711 | — | — | 12 |
| 48100120 | HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR | $71,281 | $57,025 | — | — | 9 |
| 199621 | NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION | $70,630 | $56,504 | — | — | 9 |
| 119254 | PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION | $69,902 | $55,921 | — | — | 18 |
| 207439 | TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION | $69,371 | $55,496 | — | — | 24 |
| 177130 | URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET | $68,761 | $55,009 | — | — | 24 |
| 48100119 | HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR | $68,098 | $54,478 | — | — | 9 |
| 105644 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $66,092 | $52,874 | — | — | 30 |
| 48100118 | HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR | $64,914 | $51,931 | — | — | 9 |
| 34400006 | HC ZEVALIN Y-90 PER STUDY | $63,203 | $50,562 | — | — | 13 |
| 48100117 | HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR | $61,730 | $49,384 | — | — | 9 |
| 153367 | LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT | $60,285 | $48,228 | — | — | 21 |
| 153416 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $59,134 | $47,307 | — | — | 21 |
| 182380 | CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION | $58,296 | $46,637 | — | — | 9 |
| 27800122 | HC SQ ICD | $57,547 | $46,037 | — | — | 8 |
| 77539 | VORINOSTAT 100 MG CAPSULE | $55,536 | $44,428 | — | — | 8 |
| 197057 | DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION | $55,096 | $44,077 | — | — | 9 |
| 192115 | LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION | $54,605 | $43,684 | — | — | 21 |
| 179035 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION | $53,597 | $42,878 | — | — | 21 |
| 27800106 | HC YTTRIUM 90 MICROSPHERES | $51,795 | $41,436 | — | — | 11 |
| 10052 | FLUCYTOSINE 500 MG CAPSULE | $51,606 | $41,285 | — | — | 32 |
| 48100131 | HC REVASC TIBIAL/PERIONEAL LITHOTRIPSY INCL ANGIOPLASTY WITH STENT AND ATHERECT | $51,052 | $40,842 | — | — | 11 |
| 48100130 | HC REVASC TIBIAL/PERIONEAL LITHOTRIPSY INCL ANGIOPLASTY WITH ATHERECTOMY | $51,052 | $40,842 | — | — | 11 |
| 48100129 | HC REVASC TIBIAL/PERIONEAL LITHOTRIPSY INCL ANGIOPLASTY WITH STENT | $51,052 | $40,842 | — | — | 11 |
Showing top 50 of 16,764 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.