45 CFR § 180 compliance
F · 55
This hospital published little 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: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
24,776
Insurances with rates
9
CPT / HCPCS codes
14,496
Most expensive procedures (gross)
75987-130-15
$237,744
TEPROTUMUMAB-TRBW 500 MG IV SOLR [156534]
Gross
$237,744
8120000005
$216,383
HC CADAVER DONOR LIVER ACQUISITION
Gross
$216,383
0310-4535-30
$200,225
TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN [171660]
Gross
$200,225
8120000004
$168,801
HC HEART AND LUNG ACQUISITION
Gross
$168,801
8120000001
$155,167
HC CADAVERIC KIDNEY ACQUISITION
Gross
$155,167
69488-010-61
$146,111
LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [168600]
Gross
$146,111
50242-150-01
$137,305
OCRELIZUMAB 300 MG/10ML IV SOLN [142433]
Gross
$137,305
8110000001
$135,360
HC KIDNEY ACQUISITION LIVE DONOR
Gross
$135,360
50633-120-12
$133,471
DIGOXIN IMMUNE FAB 40 MG IV SOLR [31432]
Gross
$133,471
72903-853-01
$118,126
MIRVETUXIMAB SORAVTANSINE-GYNX 100 MG/20ML IV SOLN [172120]
Gross
$118,126
3613324901
$114,158
HC INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR
Gross
$114,158
4813324901
$114,158
HC INSERT NEW ICD SYSTEM
Gross
$114,158
4813327001
$114,158
HC INSERT NEW SUBQ ICD SYSTEM
Gross
$114,158
4813328901
$111,688
HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR
Gross
$111,688
3613326401
$100,368
HC RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD
Gross
$100,368
4813326401
$100,368
HC ICD BATTERY CHANGE MULTI LEAD
Gross
$100,368
4810409T01
$91,910
HC CCM GENERATOR INSERTION
Gross
$91,910
4810414T01
$91,910
HC CCM GENERATOR CHANGE
Gross
$91,910
4810408T01
$81,474
HC CCM INSERT/REPLACE SYSTEM PLS GEN AND LEAD(S)
Gross
$81,474
4813326201
$80,317
HC ICD BATTERY CHANGE SINGLE LEAD
Gross
$80,317
4813326301
$80,317
HC ICD BATTERY CHANGE DUAL LEAD
Gross
$80,317
68727-712-01
$79,377
LURBINECTEDIN 4 MG IV SOLR [158716]
Gross
$79,377
4813324001
$78,180
HC INST NEW ICD TO EXIST SINGLE LEAD
Gross
$78,180
57894-470-01
$77,806
TALQUETAMAB-TGVS 40 MG/ML SUBCUT SOLN [176262]
Gross
$77,806
0003-6120-01
$76,859
NIVOLUMAB-HYALURONIDASE-NVHY 600-10000 MG-UT/5ML SUBCUT SOLN [183777]
Gross
$76,859
4810915T01
$75,863
HC INSRTN PERM CCDM-D SYS PG&DUAL TRANSVNS ELTRDS/LDS
Gross
$75,863
55513-069-01
$72,572
TARLATAMAB-DLLE 10 MG IV SOLR [180476]
Gross
$72,572
55513-077-01
$72,572
TARLATAMAB-DLLE 10 MG IV SOLR [180476]
Gross
$72,572
4819365301
$72,263
HC COMPRE EP EVAL ABLTJ 3D MAPG TX SVT
Gross
$72,263
4819365401
$72,263
HC COMPRE EP EVAL ABLTJ 3D MAPG TX VT
Gross
$72,263
4819365601
$72,263
HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION
Gross
$72,263
4819379930
$72,263
HC ABLTON CARD GANGLION PLEXI FOR CRD SYNCOPE
Gross
$72,263
65597-801-01
$70,991
DATOPOTAMAB DERUXTECAN-DLNK 100 MG IV SOLR [183916]
Gross
$70,991
4813323001
$67,956
HC INSERT NEW ICD TO EXIST DUAL LEADS
Gross
$67,956
4813722701
$67,680
HC REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL
Gross
$67,680
7613722701
$67,680
HC FEM/POP STENT AND ATHRECTOMY
Gross
$67,680
50633-220-04
$67,446
URIDINE TRIACETATE 10 G PO PACK [126646]
Gross
$67,446
50242-245-01
$67,330
PERTUZ-TRASTUZ-HYALURON-ZZXF 80-40-2000 MG-MG-U/ML SUBCUT SOLN [158988]
Gross
$67,330
4810801T01
$66,554
HC TRNSCTHTR RMVL & REPLACEMENT DUAL-CHMBR LEADLESS PCMKR
Gross
$66,554
4810802T01
$66,554
HC TRNSCTHTR RMVL & REPLACEMENT DUAL-CHMBR LEADLESS PCMKR R ATRIAL
Gross
$66,554
4810803T01
$66,554
HC TRNSCTHTR RMVL & REPLACEMENT DUAL-CHMBR LEADLESS PCMKR R VNTRCLR
Gross
$66,554
4810825T01
$66,554
HC TRNSCTHTR RMVL & REPLACEMENT SINGLE-CHMBR LEADLESS PCMKR R ATRIAL
Gross
$66,554
0173-0898-03
$66,519
DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN [163672]
Gross
$66,519
4810796T01
$66,484
HC INSERT DUAL-CHMBR LEADLESS PCMKR R ATRL CMPNT
Gross
$66,484
4810797T01
$66,484
HC INSERT DUAL-CHMBR LEADLESS PCMKR R VNTRCLR CMPNT
Gross
$66,484
0006-3026-01
$63,360
PEMBROLIZUMAB 100 MG/4ML IV SOLN [122785]
Gross
$63,360
3613723101
$62,141
HC REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL
Gross
$62,141
0006-3026-02
$61,888
PEMBROLIZUMAB 100 MG/4ML IV SOLN [122785]
Gross
$61,888
65597-406-01
$61,332
FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR [156314]
Gross
$61,332
59572-775-01
$59,699
LUSPATERCEPT-AAMT 75 MG SUBCUT SOLR [155930]
Gross
$59,699
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 75987-130-15 | TEPROTUMUMAB-TRBW 500 MG IV SOLR [156534] | $237,744 | $237,744 | — | — | 0 |
| 8120000005 | HC CADAVER DONOR LIVER ACQUISITION | $216,383 | $216,383 | — | — | 0 |
| 0310-4535-30 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN [171660] | $200,225 | $200,225 | — | — | 0 |
| 8120000004 | HC HEART AND LUNG ACQUISITION | $168,801 | $168,801 | — | — | 0 |
| 8120000001 | HC CADAVERIC KIDNEY ACQUISITION | $155,167 | $155,167 | — | — | 0 |
| 69488-010-61 | LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [168600] | $146,111 | $146,111 | — | — | 0 |
| 50242-150-01 | OCRELIZUMAB 300 MG/10ML IV SOLN [142433] | $137,305 | $137,305 | — | — | 0 |
| 8110000001 | HC KIDNEY ACQUISITION LIVE DONOR | $135,360 | $135,360 | — | — | 0 |
| 50633-120-12 | DIGOXIN IMMUNE FAB 40 MG IV SOLR [31432] | $133,471 | $133,471 | — | — | 0 |
| 72903-853-01 | MIRVETUXIMAB SORAVTANSINE-GYNX 100 MG/20ML IV SOLN [172120] | $118,126 | $118,126 | — | — | 0 |
| 3613324901 | HC INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR | $114,158 | $114,158 | — | — | 0 |
| 4813324901 | HC INSERT NEW ICD SYSTEM | $114,158 | $114,158 | — | — | 0 |
| 4813327001 | HC INSERT NEW SUBQ ICD SYSTEM | $114,158 | $114,158 | — | — | 0 |
| 4813328901 | HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR | $111,688 | $111,688 | — | — | 0 |
| 3613326401 | HC RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD | $100,368 | $100,368 | — | — | 0 |
| 4813326401 | HC ICD BATTERY CHANGE MULTI LEAD | $100,368 | $100,368 | — | — | 0 |
| 4810409T01 | HC CCM GENERATOR INSERTION | $91,910 | $91,910 | — | — | 0 |
| 4810414T01 | HC CCM GENERATOR CHANGE | $91,910 | $91,910 | — | — | 0 |
| 4810408T01 | HC CCM INSERT/REPLACE SYSTEM PLS GEN AND LEAD(S) | $81,474 | $81,474 | — | — | 0 |
| 4813326201 | HC ICD BATTERY CHANGE SINGLE LEAD | $80,317 | $80,317 | — | — | 0 |
| 4813326301 | HC ICD BATTERY CHANGE DUAL LEAD | $80,317 | $80,317 | — | — | 0 |
| 68727-712-01 | LURBINECTEDIN 4 MG IV SOLR [158716] | $79,377 | $79,377 | — | — | 0 |
| 4813324001 | HC INST NEW ICD TO EXIST SINGLE LEAD | $78,180 | $78,180 | — | — | 0 |
| 57894-470-01 | TALQUETAMAB-TGVS 40 MG/ML SUBCUT SOLN [176262] | $77,806 | $77,806 | — | — | 0 |
| 0003-6120-01 | NIVOLUMAB-HYALURONIDASE-NVHY 600-10000 MG-UT/5ML SUBCUT SOLN [183777] | $76,859 | $76,859 | — | — | 0 |
| 4810915T01 | HC INSRTN PERM CCDM-D SYS PG&DUAL TRANSVNS ELTRDS/LDS | $75,863 | $75,863 | — | — | 0 |
| 55513-069-01 | TARLATAMAB-DLLE 10 MG IV SOLR [180476] | $72,572 | $72,572 | — | — | 0 |
| 55513-077-01 | TARLATAMAB-DLLE 10 MG IV SOLR [180476] | $72,572 | $72,572 | — | — | 0 |
| 4819365301 | HC COMPRE EP EVAL ABLTJ 3D MAPG TX SVT | $72,263 | $72,263 | — | — | 0 |
| 4819365401 | HC COMPRE EP EVAL ABLTJ 3D MAPG TX VT | $72,263 | $72,263 | — | — | 0 |
| 4819365601 | HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $72,263 | $72,263 | — | — | 0 |
| 4819379930 | HC ABLTON CARD GANGLION PLEXI FOR CRD SYNCOPE | $72,263 | $72,263 | — | — | 0 |
| 65597-801-01 | DATOPOTAMAB DERUXTECAN-DLNK 100 MG IV SOLR [183916] | $70,991 | $70,991 | — | — | 0 |
| 4813323001 | HC INSERT NEW ICD TO EXIST DUAL LEADS | $67,956 | $67,956 | — | — | 0 |
| 4813722701 | HC REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL | $67,680 | $67,680 | — | — | 0 |
| 7613722701 | HC FEM/POP STENT AND ATHRECTOMY | $67,680 | $67,680 | — | — | 0 |
| 50633-220-04 | URIDINE TRIACETATE 10 G PO PACK [126646] | $67,446 | $67,446 | — | — | 0 |
| 50242-245-01 | PERTUZ-TRASTUZ-HYALURON-ZZXF 80-40-2000 MG-MG-U/ML SUBCUT SOLN [158988] | $67,330 | $67,330 | — | — | 0 |
| 4810801T01 | HC TRNSCTHTR RMVL & REPLACEMENT DUAL-CHMBR LEADLESS PCMKR | $66,554 | $66,554 | — | — | 0 |
| 4810802T01 | HC TRNSCTHTR RMVL & REPLACEMENT DUAL-CHMBR LEADLESS PCMKR R ATRIAL | $66,554 | $66,554 | — | — | 0 |
| 4810803T01 | HC TRNSCTHTR RMVL & REPLACEMENT DUAL-CHMBR LEADLESS PCMKR R VNTRCLR | $66,554 | $66,554 | — | — | 0 |
| 4810825T01 | HC TRNSCTHTR RMVL & REPLACEMENT SINGLE-CHMBR LEADLESS PCMKR R ATRIAL | $66,554 | $66,554 | — | — | 0 |
| 0173-0898-03 | DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN [163672] | $66,519 | $66,519 | — | — | 0 |
| 4810796T01 | HC INSERT DUAL-CHMBR LEADLESS PCMKR R ATRL CMPNT | $66,484 | $66,484 | — | — | 0 |
| 4810797T01 | HC INSERT DUAL-CHMBR LEADLESS PCMKR R VNTRCLR CMPNT | $66,484 | $66,484 | — | — | 0 |
| 0006-3026-01 | PEMBROLIZUMAB 100 MG/4ML IV SOLN [122785] | $63,360 | $63,360 | — | — | 0 |
| 3613723101 | HC REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL | $62,141 | $62,141 | — | — | 0 |
| 0006-3026-02 | PEMBROLIZUMAB 100 MG/4ML IV SOLN [122785] | $61,888 | $61,888 | — | — | 0 |
| 65597-406-01 | FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR [156314] | $61,332 | $61,332 | — | — | 0 |
| 59572-775-01 | LUSPATERCEPT-AAMT 75 MG SUBCUT SOLR [155930] | $59,699 | $59,699 | — | — | 0 |
Showing top 50 of 24,776 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.