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
4,135
Insurances with rates
19
CPT / HCPCS codes
958
Most expensive procedures (gross)
50242-0150-01
$121,947
Ocrevus
Gross
$156,343
00173-0898-03
$68,913
Jemperli
Gross
$88,350
50242-0918-01
$54,748
Tecentriq
Gross
$70,190
75987-0130-15
$42,933
Tepezza
Gross
$55,042
68727-0712-01
$42,568
Zepzelca
Gross
$54,574
00006-3026-01
$39,415
Keytruda
Gross
$50,532
00006-3026-02
$39,415
Keytruda
Gross
$50,532
68982-0850-05
$38,182
Octagam 10%
Gross
$48,951
00074-5015-01
$35,701
Skyrizi 600MG/10ML
Gross
$45,771
57894-0503-01
$34,633
Darzalex Faspro
Gross
$44,402
27130
$33,462
REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS
Gross
$42,900
64764-0300-20
$33,116
Entyvio
Gross
$42,457
65597-0406-01
$31,850
Enhertu
Gross
$40,834
50242-0037-06
$28,347
INJECTION; TENECTEPLASE; 1 MG
Gross
$36,342
50242-0105-01
$28,126
Polivy
Gross
$36,059
00069-0809-01
$27,900
Inflectra
Gross
$35,769
63459-0103-10
$27,700
Truxima
Gross
$35,513
27447
$24,184
REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE
Gross
$31,005
59572-0962-10
$23,053
INJECTION; ROMIDEPSIN; LYOPHILIZED; 0.1 MG
Gross
$29,556
00074-3346-03
$22,148
Lupron Depot
Gross
$28,395
57894-0505-20
$21,608
Darzalex
Gross
$27,703
50474-0710-79
$20,637
Cimzia Prefilled Syringe
Gross
$26,457
00074-3473-03
$20,045
Lupron Depot
Gross
$25,699
00003-2327-11
$19,622
Yervoy
Gross
$25,156
59572-0775-01
$18,461
Reblozyl
Gross
$23,668
50242-0053-06
$18,098
Rituxan
Gross
$23,202
50242-0103-01
$18,081
Polivy
Gross
$23,181
C1776
$18,057
JOINT DEVICE (IMPLANTABLE)
Gross
$23,150
50242-0145-01
$18,054
Perjeta
Gross
$23,146
50242-0917-01
$18,040
Tecentriq
Gross
$23,128
00310-3040-00
$17,824
Saphnelo
Gross
$22,851
55513-0141-21
$17,823
Kanjinti
Gross
$22,851
50242-0070-01
$16,591
Gazyva
Gross
$21,270
61755-0008-01
$16,510
Libtayo
Gross
$21,167
00003-2187-13
$15,767
Orencia
Gross
$20,214
50242-0120-47
$15,532
TNKase
Gross
$19,913
26615
$15,475
TREATMENT OF BROKEN MIDHAND BONE
Gross
$19,840
27759
$14,898
TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD
Gross
$19,100
00069-0324-01
$14,695
Nyvepria Prefilled Syringe
Gross
$18,840
23472
$14,313
PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER
Gross
$18,350
76075-0101-01
$14,170
Kyprolis
Gross
$18,167
29806
$13,728
REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE
Gross
$17,600
55513-0730-21
$13,303
Xgeva
Gross
$17,056
00944-2700-06
$13,075
Gammagard Liquid
Gross
$16,762
00944-2700-12
$13,075
Gammagard Liquid
Gross
$16,762
47563
$12,730
REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE
Gross
$16,320
27823
$12,675
TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP
Gross
$16,250
27792
$12,605
TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE
Gross
$16,160
55513-0132-01
$12,562
Kanjinti
Gross
$16,105
23412
$12,468
REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF
Gross
$15,985
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242-0150-01 | Ocrevus | $156,343 | $121,947 | — | — | 5 |
| 00173-0898-03 | Jemperli | $88,350 | $68,913 | — | — | 1 |
| 50242-0918-01 | Tecentriq | $70,190 | $54,748 | — | — | 1 |
| 75987-0130-15 | Tepezza | $55,042 | $42,933 | — | — | 1 |
| 68727-0712-01 | Zepzelca | $54,574 | $42,568 | — | — | 3 |
| 00006-3026-01 | Keytruda | $50,532 | $39,415 | — | — | 3 |
| 00006-3026-02 | Keytruda | $50,532 | $39,415 | — | — | 3 |
| 68982-0850-05 | Octagam 10% | $48,951 | $38,182 | — | — | 5 |
| 00074-5015-01 | Skyrizi 600MG/10ML | $45,771 | $35,701 | — | — | 1 |
| 57894-0503-01 | Darzalex Faspro | $44,402 | $34,633 | — | — | 1 |
| 27130 | REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $42,900 | $33,462 | — | — | 5 |
| 64764-0300-20 | Entyvio | $42,457 | $33,116 | — | — | 5 |
| 65597-0406-01 | Enhertu | $40,834 | $31,850 | — | — | 1 |
| 50242-0037-06 | INJECTION; TENECTEPLASE; 1 MG | $36,342 | $28,347 | — | — | 1 |
| 50242-0105-01 | Polivy | $36,059 | $28,126 | — | — | 3 |
| 00069-0809-01 | Inflectra | $35,769 | $27,900 | — | — | 5 |
| 63459-0103-10 | Truxima | $35,513 | $27,700 | — | — | 3 |
| 27447 | REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $31,005 | $24,184 | — | — | 6 |
| 59572-0962-10 | INJECTION; ROMIDEPSIN; LYOPHILIZED; 0.1 MG | $29,556 | $23,053 | — | — | 1 |
| 00074-3346-03 | Lupron Depot | $28,395 | $22,148 | — | — | 3 |
| 57894-0505-20 | Darzalex | $27,703 | $21,608 | — | — | 3 |
| 50474-0710-79 | Cimzia Prefilled Syringe | $26,457 | $20,637 | — | — | 1 |
| 00074-3473-03 | Lupron Depot | $25,699 | $20,045 | — | — | 1 |
| 00003-2327-11 | Yervoy | $25,156 | $19,622 | — | — | 3 |
| 59572-0775-01 | Reblozyl | $23,668 | $18,461 | — | — | 1 |
| 50242-0053-06 | Rituxan | $23,202 | $18,098 | — | — | 3 |
| 50242-0103-01 | Polivy | $23,181 | $18,081 | — | — | 3 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $23,150 | $18,057 | — | — | 5 |
| 50242-0145-01 | Perjeta | $23,146 | $18,054 | — | — | 3 |
| 50242-0917-01 | Tecentriq | $23,128 | $18,040 | — | — | 1 |
| 00310-3040-00 | Saphnelo | $22,851 | $17,824 | — | — | 3 |
| 55513-0141-21 | Kanjinti | $22,851 | $17,823 | — | — | 3 |
| 50242-0070-01 | Gazyva | $21,270 | $16,591 | — | — | 1 |
| 61755-0008-01 | Libtayo | $21,167 | $16,510 | — | — | 3 |
| 00003-2187-13 | Orencia | $20,214 | $15,767 | — | — | 1 |
| 50242-0120-47 | TNKase | $19,913 | $15,532 | — | — | 3 |
| 26615 | TREATMENT OF BROKEN MIDHAND BONE | $19,840 | $15,475 | — | — | 1 |
| 27759 | TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD | $19,100 | $14,898 | — | — | 1 |
| 00069-0324-01 | Nyvepria Prefilled Syringe | $18,840 | $14,695 | — | — | 3 |
| 23472 | PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $18,350 | $14,313 | — | — | 2 |
| 76075-0101-01 | Kyprolis | $18,167 | $14,170 | — | — | 3 |
| 29806 | REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE | $17,600 | $13,728 | — | — | 3 |
| 55513-0730-21 | Xgeva | $17,056 | $13,303 | — | — | 1 |
| 00944-2700-06 | Gammagard Liquid | $16,762 | $13,075 | — | — | 5 |
| 00944-2700-12 | Gammagard Liquid | $16,762 | $13,075 | — | — | 5 |
| 47563 | REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE | $16,320 | $12,730 | — | — | 4 |
| 27823 | TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP | $16,250 | $12,675 | — | — | 1 |
| 27792 | TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE | $16,160 | $12,605 | — | — | 1 |
| 55513-0132-01 | Kanjinti | $16,105 | $12,562 | — | — | 1 |
| 23412 | REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF | $15,985 | $12,468 | — | — | 5 |
Showing top 50 of 4,135 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.