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
9,193
Insurances with rates
24
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
8804344_1
$34,677
INJECTION, OCRELIZUMAB, 1 MG
Gross
$49,538
8701898_1
$27,361
Insertion or replacement of spinal neurostimulator generator or receiver
Gross
$39,087
14288566_1
$23,625
CYGNUS DUAL AMNIOTIC ALLOGRAFT,4X6CM
Gross
$33,750
13989640_1
$20,500
AUSTEDO XR 36 MG TABLET
Gross
$29,286
9772084_1
$19,600
GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE
Gross
$28,000
9846981_1
$17,850
Interspinous Process Distraction Device
Gross
$25,500
8701370_1
$17,748
Removal of spine bone for insertion of neurostimulator electrode plate in spine
Gross
$25,355
8701331_1
$16,467
Insertion of spinal canal drug infusion pump
Gross
$23,524
8701338_1
$16,467
Insertion of programmable spinal canal drug infusion pump
Gross
$23,524
10676746_1
$15,725
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$22,464
14288562_1
$15,540
CYGNUS DUAL AMNIOTIC ALLOGRAFT,4X4CM
Gross
$22,200
9852992_1
$14,591
Placement of stabilizing device to lower spine level
Gross
$20,844
8598612_1
$14,343
INJECTION, NATALIZUMAB, 1 MG
Gross
$20,491
8598673_1
$13,939
INJECTION, TENECTEPLASE, 1 MG
Gross
$19,913
8366091_1
$13,844
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$19,777
9853034_1
$11,900
INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE)
Gross
$17,000
8598621_1
$10,943
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$15,633
8736545_1
$10,468
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$14,955
14435403_1
$10,400
INJECTION, EFGARTIGIMOD ALFA-FCAB, 2MG
Gross
$14,857
10242110_1
$10,027
INJECTION, ADALIMUMAB, 20 MG
Gross
$14,324
8598439_1
$9,259
INJECTION, BENRALIZUMAB, 1 MG
Gross
$13,227
9739678_1
$8,778
PHASIX ST MESH RECTANGLE 4" X 6"
Gross
$12,540
9632393_1
$8,388
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$11,983
8678744_1
$8,295
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
Gross
$11,850
8679393_1
$8,295
Treatment of broken lower spine bone with placement of stabilizing device
Gross
$11,850
9393203_1
$8,048
INJECTION, PEMBROLIZUMAB, 1 MG
Gross
$11,496
8812612_1
$7,892
INJECTION, RITUXIMAB, 10 MG
Gross
$11,274
12839354_1
$7,340
INJECTION, TEZEPELUMAB-EKKO, 1 MG
Gross
$10,486
9853014_1
$7,295
Placement of stabilizing device to second lower spine level
Gross
$10,422
13738237_1
$7,014
INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG
Gross
$10,020
9581217_1
$7,014
INJECTION, PEGFILGRASTIM-JMDB (FULPHILA), BIOSIMILAR, 0.5 MG
Gross
$10,020
14288573_1
$6,825
NOVACHOR 1.5CMX2.75CM
Gross
$9,750
9619279_1
$6,376
INJECTION, IMMUNE GLOBULIN/HYALURONIDASE, (HYQVIA), 100 MG IMMUNEGLOBULIN
Gross
$9,109
9619286_1
$6,376
INJECTION, IMMUNE GLOBULIN/HYALURONIDASE, (HYQVIA), 100 MG IMMUNEGLOBULIN
Gross
$9,109
12745588_2
$6,375
Repair of large defect of abdominal wall at navel
Gross
$9,107
12174852_1
$6,343
INJECTION, DURVALUMAB, 10 MG
Gross
$9,062
8835014_1
$6,325
INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$9,036
9767332_1
$5,852
MESH (IMPLANTABLE)
Gross
$8,360
14288574_1
$5,775
CYGNUS DUAL AMNIOTIC ALLOGRAFT,2X3CM
Gross
$8,250
14061267_1
$5,667
INJECTION, INCLISIRAN, 1 MG
Gross
$8,096
8132877_1
$5,598
Insertion of spinal neurostimulator electrode array through skin
Gross
$7,997
10242104_1
$5,013
INJECTION, ADALIMUMAB, 20 MG
Gross
$7,162
8598595_1
$4,819
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$6,885
13764388_1
$4,554
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a
Gross
$6,506
14288570_1
$4,376
PURAPLY MZ MICRONIZED 1000 MG FINISHED PROD
Gross
$6,252
7969834_1
$4,171
Insertion of non-tunneled central venous tube for infusion (5 years or older)
Gross
$5,958
8598438_1
$4,156
INJECTION, BENDAMUSTINE HCL (BENDEKA), 1 MG
Gross
$5,937
14708265_1
$4,101
Destruction of nerve branches of knee using imaging guidance
Gross
$5,858
8807040_1
$4,101
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
Gross
$5,858
8807727_1
$4,101
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Gross
$5,858
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 8804344_1 | INJECTION, OCRELIZUMAB, 1 MG | $49,538 | $34,677 | — | — | 21 |
| 8701898_1 | Insertion or replacement of spinal neurostimulator generator or receiver | $39,087 | $27,361 | — | — | 24 |
| 14288566_1 | CYGNUS DUAL AMNIOTIC ALLOGRAFT,4X6CM | $33,750 | $23,625 | — | — | 3 |
| 13989640_1 | AUSTEDO XR 36 MG TABLET | $29,286 | $20,500 | — | — | 11 |
| 9772084_1 | GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLE | $28,000 | $19,600 | — | — | 10 |
| 9846981_1 | Interspinous Process Distraction Device | $25,500 | $17,850 | — | — | 3 |
| 8701370_1 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | $25,355 | $17,748 | — | — | 24 |
| 8701331_1 | Insertion of spinal canal drug infusion pump | $23,524 | $16,467 | — | — | 24 |
| 8701338_1 | Insertion of programmable spinal canal drug infusion pump | $23,524 | $16,467 | — | — | 24 |
| 10676746_1 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $22,464 | $15,725 | — | — | 21 |
| 14288562_1 | CYGNUS DUAL AMNIOTIC ALLOGRAFT,4X4CM | $22,200 | $15,540 | — | — | 3 |
| 9852992_1 | Placement of stabilizing device to lower spine level | $20,844 | $14,591 | — | — | 20 |
| 8598612_1 | INJECTION, NATALIZUMAB, 1 MG | $20,491 | $14,343 | — | — | 21 |
| 8598673_1 | INJECTION, TENECTEPLASE, 1 MG | $19,913 | $13,939 | — | — | 21 |
| 8366091_1 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $19,777 | $13,844 | — | — | 21 |
| 9853034_1 | INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE) | $17,000 | $11,900 | — | — | 10 |
| 8598621_1 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $15,633 | $10,943 | — | — | 21 |
| 8736545_1 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $14,955 | $10,468 | — | — | 21 |
| 14435403_1 | INJECTION, EFGARTIGIMOD ALFA-FCAB, 2MG | $14,857 | $10,400 | — | — | 21 |
| 10242110_1 | INJECTION, ADALIMUMAB, 20 MG | $14,324 | $10,027 | — | — | 7 |
| 8598439_1 | INJECTION, BENRALIZUMAB, 1 MG | $13,227 | $9,259 | — | — | 21 |
| 9739678_1 | PHASIX ST MESH RECTANGLE 4" X 6" | $12,540 | $8,778 | — | — | 11 |
| 9632393_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $11,983 | $8,388 | — | — | 21 |
| 8678744_1 | Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance | $11,850 | $8,295 | — | — | 24 |
| 8679393_1 | Treatment of broken lower spine bone with placement of stabilizing device | $11,850 | $8,295 | — | — | 24 |
| 9393203_1 | INJECTION, PEMBROLIZUMAB, 1 MG | $11,496 | $8,048 | — | — | 21 |
| 8812612_1 | INJECTION, RITUXIMAB, 10 MG | $11,274 | $7,892 | — | — | 21 |
| 12839354_1 | INJECTION, TEZEPELUMAB-EKKO, 1 MG | $10,486 | $7,340 | — | — | 21 |
| 9853014_1 | Placement of stabilizing device to second lower spine level | $10,422 | $7,295 | — | — | 20 |
| 13738237_1 | INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG | $10,020 | $7,014 | — | — | 21 |
| 9581217_1 | INJECTION, PEGFILGRASTIM-JMDB (FULPHILA), BIOSIMILAR, 0.5 MG | $10,020 | $7,014 | — | — | 21 |
| 14288573_1 | NOVACHOR 1.5CMX2.75CM | $9,750 | $6,825 | — | — | 3 |
| 9619279_1 | INJECTION, IMMUNE GLOBULIN/HYALURONIDASE, (HYQVIA), 100 MG IMMUNEGLOBULIN | $9,109 | $6,376 | — | — | 21 |
| 9619286_1 | INJECTION, IMMUNE GLOBULIN/HYALURONIDASE, (HYQVIA), 100 MG IMMUNEGLOBULIN | $9,109 | $6,376 | — | — | 21 |
| 12745588_2 | Repair of large defect of abdominal wall at navel | $9,107 | $6,375 | — | — | 17 |
| 12174852_1 | INJECTION, DURVALUMAB, 10 MG | $9,062 | $6,343 | — | — | 21 |
| 8835014_1 | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $9,036 | $6,325 | — | — | 21 |
| 9767332_1 | MESH (IMPLANTABLE) | $8,360 | $5,852 | — | — | 10 |
| 14288574_1 | CYGNUS DUAL AMNIOTIC ALLOGRAFT,2X3CM | $8,250 | $5,775 | — | — | 3 |
| 14061267_1 | INJECTION, INCLISIRAN, 1 MG | $8,096 | $5,667 | — | — | 21 |
| 8132877_1 | Insertion of spinal neurostimulator electrode array through skin | $7,997 | $5,598 | — | — | 24 |
| 10242104_1 | INJECTION, ADALIMUMAB, 20 MG | $7,162 | $5,013 | — | — | 7 |
| 8598595_1 | INJECTION, MEPOLIZUMAB, 1 MG | $6,885 | $4,819 | — | — | 21 |
| 13764388_1 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a | $6,506 | $4,554 | — | — | 22 |
| 14288570_1 | PURAPLY MZ MICRONIZED 1000 MG FINISHED PROD | $6,252 | $4,376 | — | — | 11 |
| 7969834_1 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | $5,958 | $4,171 | — | — | 23 |
| 8598438_1 | INJECTION, BENDAMUSTINE HCL (BENDEKA), 1 MG | $5,937 | $4,156 | — | — | 21 |
| 14708265_1 | Destruction of nerve branches of knee using imaging guidance | $5,858 | $4,101 | — | — | 22 |
| 8807040_1 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | $5,858 | $4,101 | — | — | 24 |
| 8807727_1 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | $5,858 | $4,101 | — | — | 24 |
Showing top 50 of 9,193 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.