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: 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
4,605
Insurances with rates
18
CPT / HCPCS codes
1,652
Most expensive procedures (gross)
71336-1003-01
$159,579
Amvuttra
Gross
$238,177
25682-0028-01
$96,071
Ultomiris
Gross
$143,390
50242-0150-01
$55,196
Ocrevus
Gross
$82,382
75987-0130-15
$51,978
Tepezza
Gross
$77,578
00003-2328-22
$47,477
Yervoy
Gross
$70,861
37221
$47,173
INSERTION OF STENT IN GROIN ARTERY; INITIAL VESSEL
Gross
$70,408
00003-7125-11
$40,431
Opdualag
Gross
$60,345
57894-0061-03
$38,977
Stelara Prefilled Syringe
Gross
$58,175
00006-3026-01
$33,856
Keytruda
Gross
$50,532
00006-3026-04
$31,542
Keytruda
Gross
$47,078
00074-5015-01
$30,666
Skyrizi 600MG/10ML
Gross
$45,771
37227
$29,530
REMOVAL OF PLAQUE AND INSERTION OF STENTS IN ARTERIES OF LEG
Gross
$44,074
19307
$27,236
REMOVAL OF BREAST AND UNDERARM LYMPH NODES
Gross
$40,650
37228
$26,454
BALLOON DILATION OF ARTERY OF LEG; INITIAL VESSEL
Gross
$39,484
36475
$25,996
DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE
Gross
$38,800
44206-0439-40
$24,923
Privigen
Gross
$37,199
44206-0439-93
$24,923
INJECTION; IMMUNE GLOBULIN (PRIVIGEN); INTRAVENOUS; NON-LYOPHILIZED (E.G. LIQUID); 500 MG
Gross
$37,199
36837
$24,562
PERCUTANEOUS ARTERIOVENOUS FISTULA CREATION; UPPER EXTREMITY; SEPARATE ACCESS SITES OF THE PERIPHERA
Gross
$36,660
C9772
$24,507
REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCUL
Gross
$36,577
50242-0105-01
$24,160
Polivy
Gross
$36,059
50242-0009-01
$24,049
INJECTION; TENECTEPLASE; 1 MG
Gross
$35,894
36903
$23,620
INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND INSERTION OF STENT IN DIALYSIS SEGMENT
Gross
$35,254
63685
$21,775
INSERTION OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER
Gross
$32,500
37236
$21,285
INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY; CHEST; HEART; NECK AND BRAIN) WITH REVIEW BY R
Gross
$31,769
37242
$21,285
OCCLUSION OF ARTERY WITH REVIEW BY RADIOLOGIST
Gross
$31,769
57894-0030-01
$21,255
Remicade
Gross
$31,725
50242-0918-01
$21,062
Tecentriq
Gross
$31,436
37224
$20,979
BALLOON DILATION OF ARTERY OF LEG
Gross
$31,312
00003-3734-13
$20,824
Opdivo
Gross
$31,081
00003-4522-11
$19,862
Empliciti
Gross
$29,645
27487
$19,728
REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS
Gross
$29,445
50881-0006-03
$19,712
Zynyz
Gross
$29,421
37220
$18,866
BALLOON DILATION OF GROIN ARTERY; INITIAL VESSEL
Gross
$28,158
50242-0245-01
$18,607
Phesgo
Gross
$27,772
37225
$18,497
REMOVAL OF PLAQUE IN ARTERIES OF LEG
Gross
$27,607
00944-2700-07
$17,335
Gammagard Liquid
Gross
$25,873
00944-2700-13
$17,335
INJECTION; IMMUNE GLOBULIN; (GAMMAGARD LIQUID); NON-LYOPHILIZED; (E. G. LIQUID); 500 MG
Gross
$25,873
00074-3473-03
$17,219
Lupron Depot
Gross
$25,699
C1767
$16,951
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE
Gross
$25,300
42440
$16,938
REMOVAL OF SALIVA GLAND UNDER FLOOR OF MOUTH
Gross
$25,280
23472
$16,723
PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER
Gross
$24,960
50474-0982-84
$16,585
Rystiggo
Gross
$24,754
37223
$16,468
INSERTION OF STENT IN GROIN ARTERY; ADDITIONAL VESSEL
Gross
$24,579
63663
$16,197
REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE
Gross
$24,174
35321
$16,080
REMOVAL OF BLOOD CLOT AND PORTION OF ARTERY OF UPPER ARM
Gross
$24,000
00173-0898-03
$15,770
Jemperli
Gross
$23,537
50242-0053-06
$15,546
Rituxan
Gross
$23,202
50242-0103-01
$15,531
Polivy
Gross
$23,181
61755-0008-01
$15,155
Libtayo
Gross
$22,619
50242-0917-01
$15,044
Tecentriq
Gross
$22,454
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 71336-1003-01 | Amvuttra | $238,177 | $159,579 | — | — | 7 |
| 25682-0028-01 | Ultomiris | $143,390 | $96,071 | — | — | 7 |
| 50242-0150-01 | Ocrevus | $82,382 | $55,196 | — | — | 10 |
| 75987-0130-15 | Tepezza | $77,578 | $51,978 | — | — | 10 |
| 00003-2328-22 | Yervoy | $70,861 | $47,477 | — | — | 9 |
| 37221 | INSERTION OF STENT IN GROIN ARTERY; INITIAL VESSEL | $70,408 | $47,173 | — | — | 3 |
| 00003-7125-11 | Opdualag | $60,345 | $40,431 | — | — | 7 |
| 57894-0061-03 | Stelara Prefilled Syringe | $58,175 | $38,977 | — | — | 3 |
| 00006-3026-01 | Keytruda | $50,532 | $33,856 | — | — | 10 |
| 00006-3026-04 | Keytruda | $47,078 | $31,542 | — | — | 10 |
| 00074-5015-01 | Skyrizi 600MG/10ML | $45,771 | $30,666 | — | — | 9 |
| 37227 | REMOVAL OF PLAQUE AND INSERTION OF STENTS IN ARTERIES OF LEG | $44,074 | $29,530 | — | — | 0 |
| 19307 | REMOVAL OF BREAST AND UNDERARM LYMPH NODES | $40,650 | $27,236 | — | — | 8 |
| 37228 | BALLOON DILATION OF ARTERY OF LEG; INITIAL VESSEL | $39,484 | $26,454 | — | — | 2 |
| 36475 | DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE | $38,800 | $25,996 | — | — | 8 |
| 44206-0439-40 | Privigen | $37,199 | $24,923 | — | — | 7 |
| 44206-0439-93 | INJECTION; IMMUNE GLOBULIN (PRIVIGEN); INTRAVENOUS; NON-LYOPHILIZED (E.G. LIQUID); 500 MG | $37,199 | $24,923 | — | — | 7 |
| 36837 | PERCUTANEOUS ARTERIOVENOUS FISTULA CREATION; UPPER EXTREMITY; SEPARATE ACCESS SITES OF THE PERIPHERA | $36,660 | $24,562 | — | — | 8 |
| C9772 | REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCUL | $36,577 | $24,507 | — | — | 8 |
| 50242-0105-01 | Polivy | $36,059 | $24,160 | — | — | 9 |
| 50242-0009-01 | INJECTION; TENECTEPLASE; 1 MG | $35,894 | $24,049 | — | — | 7 |
| 36903 | INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND INSERTION OF STENT IN DIALYSIS SEGMENT | $35,254 | $23,620 | — | — | 8 |
| 63685 | INSERTION OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER | $32,500 | $21,775 | — | — | 8 |
| 37236 | INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY; CHEST; HEART; NECK AND BRAIN) WITH REVIEW BY R | $31,769 | $21,285 | — | — | 8 |
| 37242 | OCCLUSION OF ARTERY WITH REVIEW BY RADIOLOGIST | $31,769 | $21,285 | — | — | 6 |
| 57894-0030-01 | Remicade | $31,725 | $21,255 | — | — | 10 |
| 50242-0918-01 | Tecentriq | $31,436 | $21,062 | — | — | 7 |
| 37224 | BALLOON DILATION OF ARTERY OF LEG | $31,312 | $20,979 | — | — | 2 |
| 00003-3734-13 | Opdivo | $31,081 | $20,824 | — | — | 7 |
| 00003-4522-11 | Empliciti | $29,645 | $19,862 | — | — | 9 |
| 27487 | REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS | $29,445 | $19,728 | — | — | 7 |
| 50881-0006-03 | Zynyz | $29,421 | $19,712 | — | — | 10 |
| 37220 | BALLOON DILATION OF GROIN ARTERY; INITIAL VESSEL | $28,158 | $18,866 | — | — | 3 |
| 50242-0245-01 | Phesgo | $27,772 | $18,607 | — | — | 7 |
| 37225 | REMOVAL OF PLAQUE IN ARTERIES OF LEG | $27,607 | $18,497 | — | — | 2 |
| 00944-2700-07 | Gammagard Liquid | $25,873 | $17,335 | — | — | 10 |
| 00944-2700-13 | INJECTION; IMMUNE GLOBULIN; (GAMMAGARD LIQUID); NON-LYOPHILIZED; (E. G. LIQUID); 500 MG | $25,873 | $17,335 | — | — | 10 |
| 00074-3473-03 | Lupron Depot | $25,699 | $17,219 | — | — | 7 |
| C1767 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE | $25,300 | $16,951 | — | — | 2 |
| 42440 | REMOVAL OF SALIVA GLAND UNDER FLOOR OF MOUTH | $25,280 | $16,938 | — | — | 8 |
| 23472 | PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $24,960 | $16,723 | — | — | 8 |
| 50474-0982-84 | Rystiggo | $24,754 | $16,585 | — | — | 7 |
| 37223 | INSERTION OF STENT IN GROIN ARTERY; ADDITIONAL VESSEL | $24,579 | $16,468 | — | — | 0 |
| 63663 | REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE | $24,174 | $16,197 | — | — | 8 |
| 35321 | REMOVAL OF BLOOD CLOT AND PORTION OF ARTERY OF UPPER ARM | $24,000 | $16,080 | — | — | 6 |
| 00173-0898-03 | Jemperli | $23,537 | $15,770 | — | — | 10 |
| 50242-0053-06 | Rituxan | $23,202 | $15,546 | — | — | 10 |
| 50242-0103-01 | Polivy | $23,181 | $15,531 | — | — | 9 |
| 61755-0008-01 | Libtayo | $22,619 | $15,155 | — | — | 10 |
| 50242-0917-01 | Tecentriq | $22,454 | $15,044 | — | — | 10 |
Showing top 50 of 4,605 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.