SANFORD LUVERNE MEDICAL CENTER

45 CFR § 180 compliance

F · 55

This hospital published little 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

2,975

Insurances with rates

CPT / HCPCS codes

1,587

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2350	Ocrelizumab Soln For IV Infusion 300 MG/10ML	$39,311	$31,449	—	—	28
J1950	Leuprolide Acetate (3 Month) For Inj Pediatric Kit 11.25 MG	$20,256	$16,205	—	—	28
J2427	Paliperidone Palmitate ER Susp Pref Syr 819 MG/2.63ML	$19,886	$15,908	—	—	28
J3380	Vedolizumab For IV Solution 300 MG	$17,323	$13,859	—	—	28
J2997	Alteplase For Inj 100 MG	$16,548	$13,238	—	—	56
J3101	Tenecteplase For IV Soln Kit 50 MG	$14,432	$11,545	—	—	56
J9119	Cemiplimab-rwlc IV Soln 350 MG/7ML (50 MG/ML)	$14,429	$11,543	—	—	28
J1930	Lanreotide Acetate Extended Release Inj 120 MG/0.5ML	$13,419	$10,735	—	—	28
J9144	Daratumumab-Hyaluronidase-fihj Inj 1800-30000 MG-Unit/15ML	$11,645	$9,316	—	—	28
J0717	Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML	$11,261	$9,009	—	—	28
33244	RMVL SNGL DUAL CVD LEAD	$10,494	$8,395	—	—	28
J0517	Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML	$10,070	$8,056	—	—	28
33225	INS ELECTRODE CARD VEN SYS LV PACING WINS DEFIB PPM GEN	$9,256	$7,405	—	—	28
33235	PPM LEAD REMOVAL DUAL	$9,038	$7,230	—	—	28
32160	SURG 32160 THORACOTOMY W/CARDIAC MASSAGE	$8,839	$7,071	—	—	28
78815	PET CT SKULL BASE TO MID THIGH	$8,759	$7,007	—	—	28
J2353	Octreotide Acetate For IM Inj Kit 20 MG	$8,709	$6,967	—	—	28
J2506	Pegfilgrastim Soln Prefilled Syringe Kit 6 MG/0.6ML	$8,479	$6,783	—	—	28
Q5127	Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML	$8,420	$6,736	—	—	28
78816	PET CT WHOLE BODY	$8,320	$6,656	—	—	28
J9306	Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML)	$8,151	$6,521	—	—	28
J0896	Luspatercept-aamt For Subcutaneous Inj 25 MG	$7,943	$6,354	—	—	28
78814	PET CT LIMITED AREA	$7,554	$6,043	—	—	28
33226	REPOSIT BIV PM IC LEAD	$7,526	$6,021	—	—	28
C1783	STNT TRABEC MICRO BYPASS INJ W	$7,500	$6,000	—	—	28
33234	PPM LEAD REMOVAL SINGLE	$7,236	$5,789	—	—	28
33216	INSERT LEAD TRANSVENOUS PPM DEFIB SNGL	$7,224	$5,779	—	—	28
J9271	Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML)	$7,138	$5,710	—	—	28
J9356	Trastuzumab-Hyaluronidase-oysk Inj 600-10000 MG-Unit/5ML	$7,082	$5,666	—	—	28
33218	REPAIR SNGLE ELECTRODE PPM DEFIB	$7,082	$5,666	—	—	28
J1306	Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML	$6,936	$5,549	—	—	28
0360	ABD HYSTERECTOMY BSO	$6,635	$5,308	—	—	28
74178	CT ABD PELVIS WO THEN W CONT	$6,334	$5,067	—	—	28
74174	CTA ABD PELVIS W CONTRAST+WO IF PERFORM	$6,049	$4,839	—	—	28
33223	RELOCATION SKN POCKET FOR DEFIB	$5,978	$4,782	—	—	28
J2426	Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML	$5,819	$4,655	—	—	28
95811	SLEEP STUDY SPLT NGHT 95811	$5,736	$4,589	—	—	28
33222	REVISION POCKET PPM	$5,620	$4,496	—	—	28
90378	Palivizumab IM Soln 100 MG/ML	$5,593	$4,475	—	—	56
J9303	Panitumumab IV Soln 400 MG/20ML	$5,510	$4,408	—	—	28
74177	CT ABD PELVIS W CONTRAST	$5,420	$4,336	—	—	28
72156	MRI C SPINE WO THEN W CONT	$5,349	$4,279	—	—	28
72157	MRI T SPINE WO THEN W CONT	$5,349	$4,279	—	—	28
72158	MRI L SPINE WO THEN W CONT	$5,349	$4,279	—	—	28
70543	MRI FACE NECK ORB WO THEN W CONT	$5,321	$4,257	—	—	28
72197	MRI PELVIS WO THEN W CONT	$5,278	$4,222	—	—	28
74183	MRI ABDOMEN WO THEN W CONT	$5,278	$4,222	—	—	28
95810	PSG 4+ PARAMETERS	$5,268	$4,214	—	—	28
33215	SURG 33215 RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE	$5,238	$4,190	—	—	28
J9305	Pemetrexed Disodium For IV Soln 500 MG (Base Equiv)	$5,195	$4,156	—	—	28

Showing top 50 of 2,975 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.