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
3,389
Insurances with rates
19
CPT / HCPCS codes
750
Most expensive procedures (gross)
50242-0150-01
$121,947
Ocrevus
Gross
$156,343
75987-0130-15
$112,191
Tepezza
Gross
$143,834
73150-0150-06
$99,674
Briumvi
Gross
$127,787
58468-0426-01
$60,625
Nexviazyme
Gross
$77,725
73475-3102-03
$53,760
Vyvgart Hytrulo
Gross
$68,923
00310-4611-50
$43,263
Imfinzi
Gross
$55,466
57894-0503-01
$34,633
Darzalex Faspro
Gross
$44,402
15054-1120-04
$32,577
Somatuline Depot
Gross
$41,765
51144-0030-01
$27,607
Padcev
Gross
$35,393
00003-3734-13
$24,728
Opdivo
Gross
$31,702
00944-2700-06
$21,743
Gammagard Liquid
Gross
$27,876
25607
$21,216
TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING
Gross
$27,200
00006-3026-02
$18,728
Keytruda
Gross
$24,010
61755-0008-01
$17,643
Libtayo
Gross
$22,619
00078-0790-61
$16,453
SandoSTATIN LAR Depot
Gross
$21,094
64764-0300-20
$14,569
Entyvio
Gross
$18,679
55513-0141-21
$14,258
Kanjinti
Gross
$18,280
78206-0148-01
$13,886
Ontruzant
Gross
$17,803
25400
$13,650
REPAIR NON-HEALED FRACTURE OF FOREARM BONE
Gross
$17,500
55513-0730-21
$13,303
Xgeva
Gross
$17,056
36819
$12,823
RELOCATION OF UPPER ARM SURFACE VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS
Gross
$16,440
Q4186
$12,636
EPIFIX; PER SQUARE CENTIMETER
Gross
$16,200
C1776
$12,441
JOINT DEVICE (IMPLANTABLE)
Gross
$15,950
26675
$11,934
CLOSED TREATMENT OF DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION UNDER ANESTHESIA
Gross
$15,300
58468-0090-03
$11,538
Synvisc One
Gross
$14,792
49650
$10,959
REPAIR OF GROIN HERNIA USING AN ENDOSCOPE
Gross
$14,050
25608
$10,733
TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF S
Gross
$13,760
25111
$10,650
REMOVAL OF FIRST CYST OF WRIST
Gross
$13,653
00069-0809-01
$10,629
Inflectra
Gross
$13,626
50242-0145-01
$10,617
Perjeta
Gross
$13,611
27447
$10,243
REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE
Gross
$13,133
00074-3346-03
$10,023
Lupron Depot
Gross
$12,849
55513-0192-01
$9,990
Neulasta Onpro
Gross
$12,808
50474-0710-79
$9,339
Cimzia Prefilled Syringe
Gross
$11,972
26055
$9,204
INCISION OF TENDON COVERING OF FINGER
Gross
$11,800
72606-0012-01
$8,435
Vegzelma
Gross
$10,815
26860
$8,362
FUSION OF FINGER JOINT; INITIAL JOINT
Gross
$10,720
20680
$8,249
REMOVAL OF DEEP IMPLANT FROM BONE
Gross
$10,575
66991
$8,038
EXTRACAPSULAR REMOVAL OF CATARACT WITH INSERTION OF ARTIFICIAL LENS AND INSERTION OF DRAINAGE DEVICE
Gross
$10,305
12496-0300-02
$7,927
Sublocade 300mg
Gross
$10,163
67457-0833-06
$7,816
Fulphila Prefilled Syringe
Gross
$10,020
00003-2187-13
$7,238
Orencia
Gross
$9,280
51144-0020-01
$6,836
Padcev
Gross
$8,764
65757-0300-01
$6,708
Vivitrol
Gross
$8,600
29881
$6,614
REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE
Gross
$8,480
67457-0847-44
$6,318
Ogivri
Gross
$8,101
25447
$6,162
REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS
Gross
$7,900
50242-0037-06
$6,062
INJECTION; TENECTEPLASE; 1 MG
Gross
$7,771
61958-2901-02
$5,970
Veklury
Gross
$7,653
66982
$5,866
COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS
Gross
$7,520
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242-0150-01 | Ocrevus | $156,343 | $121,947 | — | — | 1 |
| 75987-0130-15 | Tepezza | $143,834 | $112,191 | — | — | 4 |
| 73150-0150-06 | Briumvi | $127,787 | $99,674 | — | — | 4 |
| 58468-0426-01 | Nexviazyme | $77,725 | $60,625 | — | — | 4 |
| 73475-3102-03 | Vyvgart Hytrulo | $68,923 | $53,760 | — | — | 1 |
| 00310-4611-50 | Imfinzi | $55,466 | $43,263 | — | — | 1 |
| 57894-0503-01 | Darzalex Faspro | $44,402 | $34,633 | — | — | 1 |
| 15054-1120-04 | Somatuline Depot | $41,765 | $32,577 | — | — | 1 |
| 51144-0030-01 | Padcev | $35,393 | $27,607 | — | — | 1 |
| 00003-3734-13 | Opdivo | $31,702 | $24,728 | — | — | 1 |
| 00944-2700-06 | Gammagard Liquid | $27,876 | $21,743 | — | — | 4 |
| 25607 | TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING | $27,200 | $21,216 | — | — | 1 |
| 00006-3026-02 | Keytruda | $24,010 | $18,728 | — | — | 1 |
| 61755-0008-01 | Libtayo | $22,619 | $17,643 | — | — | 1 |
| 00078-0790-61 | SandoSTATIN LAR Depot | $21,094 | $16,453 | — | — | 1 |
| 64764-0300-20 | Entyvio | $18,679 | $14,569 | — | — | 4 |
| 55513-0141-21 | Kanjinti | $18,280 | $14,258 | — | — | 4 |
| 78206-0148-01 | Ontruzant | $17,803 | $13,886 | — | — | 1 |
| 25400 | REPAIR NON-HEALED FRACTURE OF FOREARM BONE | $17,500 | $13,650 | — | — | 0 |
| 55513-0730-21 | Xgeva | $17,056 | $13,303 | — | — | 1 |
| 36819 | RELOCATION OF UPPER ARM SURFACE VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS | $16,440 | $12,823 | — | — | 0 |
| Q4186 | EPIFIX; PER SQUARE CENTIMETER | $16,200 | $12,636 | — | — | 2 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $15,950 | $12,441 | — | — | 0 |
| 26675 | CLOSED TREATMENT OF DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION UNDER ANESTHESIA | $15,300 | $11,934 | — | — | 0 |
| 58468-0090-03 | Synvisc One | $14,792 | $11,538 | — | — | 1 |
| 49650 | REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $14,050 | $10,959 | — | — | 1 |
| 25608 | TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF S | $13,760 | $10,733 | — | — | 0 |
| 25111 | REMOVAL OF FIRST CYST OF WRIST | $13,653 | $10,650 | — | — | 0 |
| 00069-0809-01 | Inflectra | $13,626 | $10,629 | — | — | 4 |
| 50242-0145-01 | Perjeta | $13,611 | $10,617 | — | — | 1 |
| 27447 | REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $13,133 | $10,243 | — | — | 0 |
| 00074-3346-03 | Lupron Depot | $12,849 | $10,023 | — | — | 3 |
| 55513-0192-01 | Neulasta Onpro | $12,808 | $9,990 | — | — | 1 |
| 50474-0710-79 | Cimzia Prefilled Syringe | $11,972 | $9,339 | — | — | 1 |
| 26055 | INCISION OF TENDON COVERING OF FINGER | $11,800 | $9,204 | — | — | 1 |
| 72606-0012-01 | Vegzelma | $10,815 | $8,435 | — | — | 1 |
| 26860 | FUSION OF FINGER JOINT; INITIAL JOINT | $10,720 | $8,362 | — | — | 0 |
| 20680 | REMOVAL OF DEEP IMPLANT FROM BONE | $10,575 | $8,249 | — | — | 1 |
| 66991 | EXTRACAPSULAR REMOVAL OF CATARACT WITH INSERTION OF ARTIFICIAL LENS AND INSERTION OF DRAINAGE DEVICE | $10,305 | $8,038 | — | — | 0 |
| 12496-0300-02 | Sublocade 300mg | $10,163 | $7,927 | — | — | 1 |
| 67457-0833-06 | Fulphila Prefilled Syringe | $10,020 | $7,816 | — | — | 1 |
| 00003-2187-13 | Orencia | $9,280 | $7,238 | — | — | 1 |
| 51144-0020-01 | Padcev | $8,764 | $6,836 | — | — | 1 |
| 65757-0300-01 | Vivitrol | $8,600 | $6,708 | — | — | 3 |
| 29881 | REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $8,480 | $6,614 | — | — | 1 |
| 67457-0847-44 | Ogivri | $8,101 | $6,318 | — | — | 4 |
| 25447 | REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS | $7,900 | $6,162 | — | — | 0 |
| 50242-0037-06 | INJECTION; TENECTEPLASE; 1 MG | $7,771 | $6,062 | — | — | 1 |
| 61958-2901-02 | Veklury | $7,653 | $5,970 | — | — | 1 |
| 66982 | COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $7,520 | $5,866 | — | — | 0 |
Showing top 50 of 3,389 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.