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)
| 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.