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
607
Insurances with rates
26
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-41019253401
$29,647
ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER)
Gross
$33,690
RX-196819
$27,796
DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN
Gross
$31,587
RX-9002
$18,318
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$20,816
RX-202818
$14,265
EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED)
Gross
$16,211
RX-178590
$11,183
DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION
Gross
$12,708
RX-120086
$10,564
ADO-TRASTUZUMAB EMTANSINE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED)
Gross
$12,004
RX-106804
$7,407
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$8,417
RX-217240
$6,785
DENOSUMAB-BBDZ 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$7,710
RX-131957
$6,230
ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE
Gross
$7,079
RX-92853
$5,676
COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION
Gross
$6,450
RX-126579
$5,114
DANTROLENE 250 MG INTRAVENOUS SUSPENSION
Gross
$5,811
RX-131956
$4,766
ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE
Gross
$5,416
RX-705808
$4,751
AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL INJECTION (WRAPPER)
Gross
$5,399
RX-195531
$4,586
BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION
Gross
$5,211
RX-105502
$4,312
DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE
Gross
$4,900
RX-70287
$3,815
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION
Gross
$4,335
RX-126286
$3,629
ABATACEPT 125 MG/ML SUBCUTANEOUS SYRINGE
Gross
$4,124
SUP-20705031005041
$2,399
AGENT TISSUE-CLOSURE-SYSTEM FIBRIN-SEALANT SYRINGE SPRAY-TIP 2-VIAL LATEX-FREE STERILE SINGLE-USE 5M
Gross
$2,726
RX-110675
$2,390
BELATACEPT 250 MG INTRAVENOUS SOLUTION
Gross
$2,716
RX-108065
$2,115
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION
Gross
$2,403
RX-108048
$2,111
DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE
Gross
$2,399
RX-122184
$1,795
COPPER 380 SQUARE MM INTRAUTERINE DEVICE
Gross
$2,040
RX-24513
$1,436
EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION
Gross
$1,632
RX-108047
$1,356
DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE
Gross
$1,541
SUP-03596010610911
$1,267
DEVICE ARTHROSCOPIC ATION MENISCAL REPAIR CANNULATED ABSORBABLE STRAIGHT
Gross
$1,440
RX-9977
$1,233
CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM
Gross
$1,401
RX-96986
$1,193
DEGARELIX 80 MG/4 ML SUBCUTANEOUS SOLUTION (WETTED)
Gross
$1,356
RX-9347
$1,104
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION
Gross
$1,255
SUP-10884521070400
$1,013
DEVICE FIXATION 5MM TITANIUM PISTOL GRIP HANDLE FOR LAPAROSCOPIC HERNIA REPAIR
Gross
$1,151
RX-77012
$984
ETONOGESTREL 68 MG SUBDERMAL IMPLANT
Gross
$1,119
RX-108046
$979
DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE
Gross
$1,112
RX-76334
$979
DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE
Gross
$1,112
RX-128163
$955
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION
Gross
$1,085
RX-8970
$927
ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION
Gross
$1,053
RX-188825
$906
EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION
Gross
$1,030
SUP-1882040HREA
$902
BLADE SHAVER L11CM DIA2MM INFERIOR ROTATABLE STRAIGHT SHAFT ELEVATOR PACKAGED WITH IRRIGATION TUBING
Gross
$1,025
SUP-10884521067929
$901
DISSECTOR LAPAROSCOPIC STAINLESS STEEL BALLOON PREPERITONEAL HERNIA ROUND LG 10MM
Gross
$1,024
RX-9682
$890
COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT
Gross
$1,012
RX-87867
$848
DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT
Gross
$964
RX-188271
$846
COCAINE 4 % NASAL SOLUTION
Gross
$961
RX-87865
$732
DIAZEPAM 2.5 MG RECTAL KIT
Gross
$831
RX-124137
$701
BCG LIVE 50 MG INTRAVESICAL SUSPENSION
Gross
$797
RX-108044
$689
DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE
Gross
$783
RX-127398
$623
DULAGLUTIDE 0.75 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR
Gross
$708
RX-198285
$623
DULAGLUTIDE 3 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR
Gross
$708
RX-126285
$603
ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE
Gross
$686
SUP-10884521057852
$602
APPLIER CLIP L33CM DIA5MM TITANIUM CLIP W3.6XL9.1MM TECHNOLOGY DISPOSABLE CLIP III
Gross
$684
RX-107670
$546
CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION
Gross
$620
RX-107671
$546
CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION
Gross
$620
RX-199017
$508
EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION
Gross
$577
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-41019253401 | ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER) | $33,690 | $29,647 | — | — | 367 |
| RX-196819 | DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN | $31,587 | $27,796 | — | — | 367 |
| RX-9002 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $20,816 | $18,318 | — | — | 367 |
| RX-202818 | EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED) | $16,211 | $14,265 | — | — | 365 |
| RX-178590 | DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION | $12,708 | $11,183 | — | — | 367 |
| RX-120086 | ADO-TRASTUZUMAB EMTANSINE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED) | $12,004 | $10,564 | — | — | 367 |
| RX-106804 | DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $8,417 | $7,407 | — | — | 368 |
| RX-217240 | DENOSUMAB-BBDZ 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $7,710 | $6,785 | — | — | 365 |
| RX-131957 | ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE | $7,079 | $6,230 | — | — | 367 |
| RX-92853 | COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION | $6,450 | $5,676 | — | — | 367 |
| RX-126579 | DANTROLENE 250 MG INTRAVENOUS SUSPENSION | $5,811 | $5,114 | — | — | 363 |
| RX-131956 | ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE | $5,416 | $4,766 | — | — | 367 |
| RX-705808 | AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL INJECTION (WRAPPER) | $5,399 | $4,751 | — | — | 367 |
| RX-195531 | BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION | $5,211 | $4,586 | — | — | 367 |
| RX-105502 | DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE | $4,900 | $4,312 | — | — | 367 |
| RX-70287 | ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION | $4,335 | $3,815 | — | — | 367 |
| RX-126286 | ABATACEPT 125 MG/ML SUBCUTANEOUS SYRINGE | $4,124 | $3,629 | — | — | 367 |
| SUP-20705031005041 | AGENT TISSUE-CLOSURE-SYSTEM FIBRIN-SEALANT SYRINGE SPRAY-TIP 2-VIAL LATEX-FREE STERILE SINGLE-USE 5M | $2,726 | $2,399 | — | — | 363 |
| RX-110675 | BELATACEPT 250 MG INTRAVENOUS SOLUTION | $2,716 | $2,390 | — | — | 367 |
| RX-108065 | BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION | $2,403 | $2,115 | — | — | 734 |
| RX-108048 | DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE | $2,399 | $2,111 | — | — | 367 |
| RX-122184 | COPPER 380 SQUARE MM INTRAUTERINE DEVICE | $2,040 | $1,795 | — | — | 365 |
| RX-24513 | EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION | $1,632 | $1,436 | — | — | 367 |
| RX-108047 | DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE | $1,541 | $1,356 | — | — | 367 |
| SUP-03596010610911 | DEVICE ARTHROSCOPIC ATION MENISCAL REPAIR CANNULATED ABSORBABLE STRAIGHT | $1,440 | $1,267 | — | — | 363 |
| RX-9977 | CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM | $1,401 | $1,233 | — | — | 363 |
| RX-96986 | DEGARELIX 80 MG/4 ML SUBCUTANEOUS SOLUTION (WETTED) | $1,356 | $1,193 | — | — | 367 |
| RX-9347 | CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION | $1,255 | $1,104 | — | — | 365 |
| SUP-10884521070400 | DEVICE FIXATION 5MM TITANIUM PISTOL GRIP HANDLE FOR LAPAROSCOPIC HERNIA REPAIR | $1,151 | $1,013 | — | — | 363 |
| RX-77012 | ETONOGESTREL 68 MG SUBDERMAL IMPLANT | $1,119 | $984 | — | — | 364 |
| RX-108046 | DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE | $1,112 | $979 | — | — | 367 |
| RX-76334 | DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE | $1,112 | $979 | — | — | 367 |
| RX-128163 | CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION | $1,085 | $955 | — | — | 367 |
| RX-8970 | ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION | $1,053 | $927 | — | — | 365 |
| RX-188825 | EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION | $1,030 | $906 | — | — | 367 |
| SUP-1882040HREA | BLADE SHAVER L11CM DIA2MM INFERIOR ROTATABLE STRAIGHT SHAFT ELEVATOR PACKAGED WITH IRRIGATION TUBING | $1,025 | $902 | — | — | 363 |
| SUP-10884521067929 | DISSECTOR LAPAROSCOPIC STAINLESS STEEL BALLOON PREPERITONEAL HERNIA ROUND LG 10MM | $1,024 | $901 | — | — | 363 |
| RX-9682 | COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT | $1,012 | $890 | — | — | 363 |
| RX-87867 | DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT | $964 | $848 | — | — | 365 |
| RX-188271 | COCAINE 4 % NASAL SOLUTION | $961 | $846 | — | — | 363 |
| RX-87865 | DIAZEPAM 2.5 MG RECTAL KIT | $831 | $732 | — | — | 365 |
| RX-124137 | BCG LIVE 50 MG INTRAVESICAL SUSPENSION | $797 | $701 | — | — | 367 |
| RX-108044 | DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE | $783 | $689 | — | — | 367 |
| RX-127398 | DULAGLUTIDE 0.75 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR | $708 | $623 | — | — | 365 |
| RX-198285 | DULAGLUTIDE 3 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR | $708 | $623 | — | — | 365 |
| RX-126285 | ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE | $686 | $603 | — | — | 365 |
| SUP-10884521057852 | APPLIER CLIP L33CM DIA5MM TITANIUM CLIP W3.6XL9.1MM TECHNOLOGY DISPOSABLE CLIP III | $684 | $602 | — | — | 363 |
| RX-107670 | CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION | $620 | $546 | — | — | 367 |
| RX-107671 | CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION | $620 | $546 | — | — | 367 |
| RX-199017 | EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION | $577 | $508 | — | — | 367 |
Showing top 50 of 607 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.