45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
●Discounted cash price
●Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
621
Insurances with rates
22
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-219415 | BELANTAMAB MAFODOTIN-BLMF 70 MG INTRAVENOUS SOLUTION | $67,280 | $59,207 | — | — | 351 |
| RX-707820 | BELANTAMAB MAFODOTIN-BLMF 70 MG/1.4 ML INTRAVENOUS SOLUTION (WETTED) | $67,280 | $59,207 | — | — | 351 |
| RX-177253 | CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION | $56,171 | $49,430 | — | — | 366 |
| RX-105644 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $41,439 | $36,466 | — | — | 366 |
| RX-213287 | ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN | $33,690 | $29,647 | — | — | 364 |
| RX-190682 | CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION | $32,013 | $28,171 | — | — | 366 |
| RX-214809 | AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION | $29,579 | $26,029 | — | — | 728 |
| RX-41019253401 | ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER) | $23,718 | $20,872 | — | — | 366 |
| RX-9002 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $20,816 | $18,318 | — | — | 366 |
| RX-120087 | ADO-TRASTUZUMAB EMTANSINE 160 MG/8 ML MG INTRAVENOUS SOLUTION (WETTED) | $18,936 | $16,664 | — | — | 366 |
| RX-706767 | BLINATUMOMAB 35 MCG INTRAVENOUS (WRAPPER) | $16,850 | $14,828 | — | — | 366 |
| RX-700403 | CERTOLIZUMAB PEGOL 400 MG/2 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED) | $15,550 | $13,684 | — | — | 366 |
| RX-181339 | BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE | $13,677 | $12,035 | — | — | 366 |
| RX-120086 | ADO-TRASTUZUMAB EMTANSINE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED) | $12,004 | $10,564 | — | — | 366 |
| RX-200961 | AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION | $11,050 | $9,724 | — | — | 364 |
| RX-9003 | ALTEPLASE 50 MG INTRAVENOUS SOLUTION | $10,620 | $9,346 | — | — | 366 |
| RX-117047 | CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED) | $10,357 | $9,114 | — | — | 366 |
| RX-700400 | C1 ESTERASE INHIBITOR 500 UNIT/10 ML INTRAVENOUS SOLUTION (WRAPPER) | $9,875 | $8,690 | — | — | 366 |
| RX-179288 | ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE | $9,853 | $8,670 | — | — | 366 |
| RX-131957 | ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE | $7,079 | $6,230 | — | — | 366 |
| SUP-10886982251893 | CA GRAPHIC TIB NAIL | $6,739 | $5,930 | — | — | 349 |
| RX-92853 | COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION | $6,450 | $5,676 | — | — | 231 |
| RX-220057 | BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION | $6,129 | $5,394 | — | — | 366 |
| RX-91300 | BENDAMUSTINE 100 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED) | $6,129 | $5,394 | — | — | 366 |
| RX-108843 | BELIMUMAB 400 MG INTRAVENOUS SOLUTION | $5,898 | $5,190 | — | — | 366 |
| RX-131956 | ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE | $5,416 | $4,766 | — | — | 366 |
| RX-170260 | CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED) | $5,404 | $4,755 | — | — | 366 |
| RX-705808 | AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL INJECTION (WRAPPER) | $5,399 | $4,751 | — | — | 366 |
| RX-108072 | CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION | $5,086 | $4,475 | — | — | 366 |
| RX-163687 | BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION | $4,367 | $3,843 | — | — | 366 |
| RX-70287 | ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION | $4,335 | $3,815 | — | — | 366 |
| SUP-10886982251923 | CASE SYSTEM STERILIZATION GRAPHIC ORTHOPEDIC SET INSTRUMENT | $4,125 | $3,630 | — | — | 349 |
| RX-126286 | ABATACEPT 125 MG/ML SUBCUTANEOUS SYRINGE | $4,124 | $3,629 | — | — | 366 |
| SUP-10886982076717 | BLADE CUTTER WITH HANDLE FOR ORTHOPEDIC SYSTEM | $4,047 | $3,561 | — | — | 349 |
| RX-37989 | CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION | $2,768 | $2,436 | — | — | 366 |
| RX-110675 | BELATACEPT 250 MG INTRAVENOUS SOLUTION | $2,716 | $2,390 | — | — | 366 |
| RX-108065 | BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION | $2,403 | $2,115 | — | — | 366 |
| SUP-10886982067135 | AWL SURGICAL L12MM MEDULLARY CANAL HUMERAL TITANIUM OPEN CANNULATED FOR NAIL SYSTEM | $2,137 | $1,881 | — | — | 349 |
| RX-189695 | CARFILZOMIB 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED) | $2,101 | $1,849 | — | — | 366 |
| SUP-00885556016633 | BIT DRILL SURGICAL STAINLESS STEEL QUICK LATEX FREE STERILE DISPOSABLE LOC 2.7X155MM | $1,997 | $1,758 | — | — | 349 |
| SUP-20705031005041 | AGENT TISSUE-CLOSURE-SYSTEM FIBRIN-SEALANT SYRINGE SPRAY-TIP 2-VIAL LATEX-FREE STERILE SINGLE-USE 5M | $1,941 | $1,708 | — | — | 349 |
| SUP-10886982187413 | ACCESSORY HANDLE SCREWDRIVER SURGICAL HEXAGONAL QUICK SMALL TAP NONSTERILE LARGE FRAGMENT SET 4.5MM | $1,913 | $1,684 | — | — | 349 |
| RX-182106 | ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION | $1,879 | $1,653 | — | — | 351 |
| RX-108842 | BELIMUMAB 120 MG INTRAVENOUS SOLUTION | $1,867 | $1,643 | — | — | 366 |
| SUP-1883525EA | BLADE SHAVER L18CM DIA3.5MM 15DEG AIRWAY NONROTATABLE ANGLED TIP LONG DOUBLE CURVED LOW DISTAL BEND | $1,820 | $1,602 | — | — | 349 |
| SUP-10884521058071 | ABLATION RFA PERIPHERAL VARICOSE VEIN SEGMENTAL CONTINOUS SINGLE USE 7FRX60CM | $1,775 | $1,562 | — | — | 349 |
| SUP-10705036014669 | BLADE SHEAR MONOPOLAR CURVED TIP TITANIUM LAPAROSCOPIC STERILE 5MMX9CM | $1,733 | $1,525 | — | — | 349 |
| SUP-ZOSTE3200102 | CLAMP BONE | $1,690 | $1,487 | — | — | 349 |
| RX-195531 | BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION | $1,640 | $1,443 | — | — | 732 |
| SUP-ZBIOM211201505 | BIT DRILL HIP ANTIROTATION SCREW FOR SYSTEM | $1,435 | $1,263 | — | — | 349 |
Showing top 50 of 621 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.