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
17,500
Insurances with rates
21
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
178212_ERX
$149,522
LUTETIUM LU 177, DOTATATE, THERAPEUTIC, 1 MILLICURIE
Gross
$299,044
196465_ERX
$121,759
LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN, THERAPEUTIC, 1 MILLICURIE
Gross
$243,519
151144_ERX
$76,516
INJECTION, IPILIMUMAB, 1 MG
Gross
$153,032
168241_ERX
$64,796
INJECTION, ALEMTUZUMAB, 1 MG
Gross
$129,592
12519_ERX
$57,461
INJECTION, PEGASPARGASE, PER SINGLE DOSE VIAL
Gross
$114,922
107664_ERX
$57,342
INJECTION, PEGLOTICASE, 1 MG
Gross
$114,685
1839177_SUP
$56,250
HC Medical Supplies
Gross
$112,500
2176929_SUP
$56,250
HC Medical Supplies
Gross
$112,500
1759813_SUP
$49,536
HC Anchor/Screw Bn/Bn Tis/Bn
Gross
$99,071
2110749_SUP
$49,536
HC Anchor/Screw Bn/Bn Tis/Bn
Gross
$99,071
181210_ERX
$44,198
INJECTION, OCRELIZUMAB, 1 MG
Gross
$88,395
1038088_SUP
$42,964
HC Generator Neuro Nonrecharge
Gross
$85,928
1248339_SUP
$42,964
HC Supply Implant
Gross
$85,928
2176931_SUP
$42,500
HC Supply Implant
Gross
$85,000
2249162_SUP
$42,500
HC Supply Implant
Gross
$85,000
2249163_SUP
$42,500
HC Supply Implant
Gross
$85,000
2249164_SUP
$42,500
HC Supply Implant
Gross
$85,000
2249165_SUP
$42,500
HC Supply Implant
Gross
$85,000
1321533_SUP
$42,431
HC Generator Neuro Nonrecharge
Gross
$84,863
1025850_SUP
$40,625
HC Sterile Supply
Gross
$81,250
1146529_SUP
$40,625
HC Supply Implant
Gross
$81,250
1148071_SUP
$40,625
HC Sterile Supply
Gross
$81,250
1148072_SUP
$40,625
HC Supply Implant
Gross
$81,250
1148073_SUP
$40,625
HC Supply Implant
Gross
$81,250
1420416_SUP
$40,625
HC Supply Implant
Gross
$81,250
1759353_SUP
$40,625
HC Sterile Supply
Gross
$81,250
1759355_SUP
$40,625
HC Supply Implant
Gross
$81,250
2023038_SUP
$40,625
HC Sterile Supply
Gross
$81,250
332174_SUP
$40,625
HC Sterile Supply
Gross
$81,250
332176_SUP
$40,625
HC Sterile Supply
Gross
$81,250
1732517_SUP
$40,030
HC Acid Dual Chamber
Gross
$80,060
2186329_SUP
$38,250
HC Supply Implant
Gross
$76,500
1025783_SUP
$37,500
HC Supply Implant
Gross
$75,000
1295366_SUP
$37,500
HC Supply Implant
Gross
$75,000
1295430_SUP
$37,500
HC Catheter Guiding
Gross
$75,000
1342124_SUP
$37,500
HC Supply Implant
Gross
$75,000
1342125_SUP
$37,500
HC Supply Implant
Gross
$75,000
1539314_SUP
$37,500
HC Supply Implant
Gross
$75,000
1922618_SUP
$37,500
HC Supply Implant
Gross
$75,000
1922619_SUP
$37,500
HC Supply Implant
Gross
$75,000
1922620_SUP
$37,500
HC Supply Implant
Gross
$75,000
1927136_SUP
$37,500
HC Catheter Guiding
Gross
$75,000
2423883_SUP
$37,500
HC Supply Implant
Gross
$75,000
2423884_SUP
$37,500
HC Supply Implant
Gross
$75,000
2423885_SUP
$37,500
HC Supply Implant
Gross
$75,000
187439_ERX
$35,135
INJECTION, POLATUZUMAB VEDOTIN-PIIQ, 1 MG
Gross
$70,269
2368397_SUP
$34,586
HC Aidc Other Than Sing/Dual
Gross
$69,173
1732516_SUP
$33,619
HC Acid Dual Chamber
Gross
$67,238
1301562_SUP
$33,579
HC Acid Dual Chamber
Gross
$67,158
1682942_SUP
$33,579
HC Acid Dual Chamber
Gross
$67,158
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 178212_ERX | LUTETIUM LU 177, DOTATATE, THERAPEUTIC, 1 MILLICURIE | $299,044 | $149,522 | — | — | 25 |
| 196465_ERX | LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN, THERAPEUTIC, 1 MILLICURIE | $243,519 | $121,759 | — | — | 23 |
| 151144_ERX | INJECTION, IPILIMUMAB, 1 MG | $153,032 | $76,516 | — | — | 25 |
| 168241_ERX | INJECTION, ALEMTUZUMAB, 1 MG | $129,592 | $64,796 | — | — | 25 |
| 12519_ERX | INJECTION, PEGASPARGASE, PER SINGLE DOSE VIAL | $114,922 | $57,461 | — | — | 25 |
| 107664_ERX | INJECTION, PEGLOTICASE, 1 MG | $114,685 | $57,342 | — | — | 25 |
| 1839177_SUP | HC Medical Supplies | $112,500 | $56,250 | — | — | 8 |
| 2176929_SUP | HC Medical Supplies | $112,500 | $56,250 | — | — | 8 |
| 1759813_SUP | HC Anchor/Screw Bn/Bn Tis/Bn | $99,071 | $49,536 | — | — | 8 |
| 2110749_SUP | HC Anchor/Screw Bn/Bn Tis/Bn | $99,071 | $49,536 | — | — | 8 |
| 181210_ERX | INJECTION, OCRELIZUMAB, 1 MG | $88,395 | $44,198 | — | — | 25 |
| 1038088_SUP | HC Generator Neuro Nonrecharge | $85,928 | $42,964 | — | — | 8 |
| 1248339_SUP | HC Supply Implant | $85,928 | $42,964 | — | — | 8 |
| 2176931_SUP | HC Supply Implant | $85,000 | $42,500 | — | — | 8 |
| 2249162_SUP | HC Supply Implant | $85,000 | $42,500 | — | — | 8 |
| 2249163_SUP | HC Supply Implant | $85,000 | $42,500 | — | — | 8 |
| 2249164_SUP | HC Supply Implant | $85,000 | $42,500 | — | — | 8 |
| 2249165_SUP | HC Supply Implant | $85,000 | $42,500 | — | — | 8 |
| 1321533_SUP | HC Generator Neuro Nonrecharge | $84,863 | $42,431 | — | — | 8 |
| 1025850_SUP | HC Sterile Supply | $81,250 | $40,625 | — | — | 8 |
| 1146529_SUP | HC Supply Implant | $81,250 | $40,625 | — | — | 8 |
| 1148071_SUP | HC Sterile Supply | $81,250 | $40,625 | — | — | 8 |
| 1148072_SUP | HC Supply Implant | $81,250 | $40,625 | — | — | 8 |
| 1148073_SUP | HC Supply Implant | $81,250 | $40,625 | — | — | 8 |
| 1420416_SUP | HC Supply Implant | $81,250 | $40,625 | — | — | 8 |
| 1759353_SUP | HC Sterile Supply | $81,250 | $40,625 | — | — | 8 |
| 1759355_SUP | HC Supply Implant | $81,250 | $40,625 | — | — | 8 |
| 2023038_SUP | HC Sterile Supply | $81,250 | $40,625 | — | — | 8 |
| 332174_SUP | HC Sterile Supply | $81,250 | $40,625 | — | — | 8 |
| 332176_SUP | HC Sterile Supply | $81,250 | $40,625 | — | — | 8 |
| 1732517_SUP | HC Acid Dual Chamber | $80,060 | $40,030 | — | — | 8 |
| 2186329_SUP | HC Supply Implant | $76,500 | $38,250 | — | — | 8 |
| 1025783_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 1295366_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 1295430_SUP | HC Catheter Guiding | $75,000 | $37,500 | — | — | 8 |
| 1342124_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 1342125_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 1539314_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 1922618_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 1922619_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 1922620_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 1927136_SUP | HC Catheter Guiding | $75,000 | $37,500 | — | — | 8 |
| 2423883_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 2423884_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 2423885_SUP | HC Supply Implant | $75,000 | $37,500 | — | — | 8 |
| 187439_ERX | INJECTION, POLATUZUMAB VEDOTIN-PIIQ, 1 MG | $70,269 | $35,135 | — | — | 25 |
| 2368397_SUP | HC Aidc Other Than Sing/Dual | $69,173 | $34,586 | — | — | 8 |
| 1732516_SUP | HC Acid Dual Chamber | $67,238 | $33,619 | — | — | 8 |
| 1301562_SUP | HC Acid Dual Chamber | $67,158 | $33,579 | — | — | 8 |
| 1682942_SUP | HC Acid Dual Chamber | $67,158 | $33,579 | — | — | 8 |
Showing top 50 of 17,500 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.