45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
30,187
Insurances with rates
6
CPT / HCPCS codes
11,961
Most expensive procedures (gross)
479010274
$191,045
Lurbinectedin 4mg-8mL Vial (WMMC)
Gross
$191,045
111928788
$171,199
Cabazitaxel 60mg-6mL Vial [WMMC]
Gross
$171,199
482236184
$117,000
Givosiran 189mg-mL Vial (WMMC)
Gross
$117,000
194007043
$109,655
Ipilimumab 200mg-40mL Vial [WMMC]
Gross
$109,655
29122625
$75,756
ETERNA IMPLANTABLE PULSE GENERATOR
Gross
$75,756
28756708
$64,388
IMPLANT NEUROSTIMULATOR INCEPTIVE MRI
Gross
$64,388
28311241
$62,100
PROCLAIM XR 7 3662 C1767 32508486
Gross
$62,100
595349434
$59,595
polatuzumab vedotin 140 mg Pow
Gross
$59,595
14440189
$50,325
INTELLIS SURESCAN IMPLANTABLE NEUROSTIMULATOR 97715 C1820 32
Gross
$50,325
594678519
$47,068
risankizumab rzaa 60 mg/mL Sol
Gross
$47,068
25347593
$46,200
*TAPE* XENMATRIX AB SURGICAL GRAFT 20 X 25CM 1152025 C1781 32501454
Gross
$46,200
17347936
$45,900
RESTORESENSOR NEUROSTIMULATOR 37714 C1820 32503671
Gross
$45,900
482267612
$45,760
Pertuzumab/Trastuzumab/Hyaluronidase 1200mg-600mg-30,000units/15mL Vial (WMMC)
Gross
$45,760
14452354
$45,000
RESTORE ULTRA NEUROSTIMULATOR 37712 C-1820 32500159
Gross
$45,000
28791262
$44,065
PUMP INTRATHECAL 20ML
Gross
$44,065
29016123
$44,065
PUMP INTRATHECAL 40ML
Gross
$44,065
68250476
$42,242
Alteplase 100mg-100mL Vial [WMMC]
Gross
$42,242
17347934
$42,000
RESTORE ADVANCED NEUROSTIMULAT 37713 C1820 32503748
Gross
$42,000
28637669
$41,088
FLATCUT TALAR DOME SZ 3 INFINITY ADAPTIS
Gross
$41,088
17353599
$39,306
SYNCHROMED II PUMP, 8637-20 8637-20 C1772 32502803
Gross
$39,306
28637668
$38,725
INFINITY ADAPTIS TIB SZ4 INFINITY ADAPTIS
Gross
$38,725
387161012
$38,192
Leuprolide 45mg Syringe (WMMC)
Gross
$38,192
22557444
$37,800
PRIME ADVANCE NEUROSTIMULATOR 97702 C1820 32506085
Gross
$37,800
14452475
$37,500
PRIME ADVANCED NEUROSTIMULATOR 37702 C-1767 32500217
Gross
$37,500
17352894
$33,585
NEUROSTIMULATOR 7427V-NP 7427V-NP NO C CODE 32502301
Gross
$33,585
293862195
$33,584
Vedolizumab 300mg-5mL Vial (WMMC]
Gross
$33,584
17348864
$33,375
FEMORAL SIZE 3, RT 71421173 C1776 32504814
Gross
$33,375
318338809
$32,465
Atezolizumab 1200mg-20mL Vial [WMMC]
Gross
$32,465
595320503
$32,415
fecal microbiota, live jslm Sus
Gross
$32,415
531412103
$31,907
Luspatercept 75 mg Vial [WMMC]
Gross
$31,907
29047498
$31,165
ALLOGRAFT TISSUE 20 X 16CM FLEXHD
Gross
$31,165
29060678
$31,165
FLEXHD PERFORATED 16X20
Gross
$31,165
29059262
$31,164
FLEXHD PLIABLE, THIN 16X20
Gross
$31,164
29085676
$30,959
37243 vasc embolz/occlus, inclus of all radiological s&i intrprc roadmapping, image giud, tech
Gross
$30,959
482266796
$30,511
Pertuzumab/Trastuzumab/Hyaluronidase 600mg-600mg-20,000units/10mL Vial (WMMC)
Gross
$30,511
482269209
$29,812
Belantamab 100mg-2mL Vial (WMMC)
Gross
$29,812
17348978
$28,500
SUPERION INDIRECT DECOMPRESSION IMPLANT, 8MM 100-9808/101-9808 C1821 32507005
Gross
$28,500
17348980
$28,500
SUPERION INDIRECT DECOMPRESSION IMPLANT, 10MM 100-9810/101-9810 C1821 32507006
Gross
$28,500
24361738
$28,500
SUPERION INDIRECT DECOMPRESSION IMPLANT, 12MM 100-9812/101-9812 C1821 32507007
Gross
$28,500
24361739
$28,500
SUPERION INDIRECT DECOMPRESSION IMPLANT, 14MM 100-9814/101-9814 C1821 32507008
Gross
$28,500
24361740
$28,500
SUPERION INDIRECT DECOMPRESSION IMPLANT, 16MM 100-9816/101-9816 C1821 32507010
Gross
$28,500
307803886
$27,450
Lanreotide 120mg-0.5mL Syringe [WMMC]
Gross
$27,450
194006860
$27,425
Ipilimumab 50mg-10mL Vial [WMMC]
Gross
$27,425
470992819
$27,281
Daratumumab-Hyaluronidase 1800mg-30,000 units/15mL Inj (WMMC)
Gross
$27,281
470996229
$27,073
Rituximab-Hyaluronidse 1600mg/26,800units Inj (WMMC)
Gross
$27,073
14452874
$26,289
CONICAL PROXIMAL BODY 20 X 75MM CEMENTLESS 1975-20-075 C1713 32502762
Gross
$26,289
28351776
$26,118
WMMC CARDIO PROC LEVEL II CHARGE
Gross
$26,118
600977631
$25,817
pegfilgrastim fpgk 6 mg/0.6 mL Sol
Gross
$25,817
14450003
$25,500
PURAPLY ANTIMICROBIAL *TAG* 8 X 16CM COLLAGEN SHEET **TISSUE LOG
Gross
$25,500
25582657
$25,500
CARTIFORM, 20MM DISC *TAG*
Gross
$25,500
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 479010274 | Lurbinectedin 4mg-8mL Vial (WMMC) | $191,045 | $191,045 | — | — | 0 |
| 111928788 | Cabazitaxel 60mg-6mL Vial [WMMC] | $171,199 | $171,199 | — | — | 0 |
| 482236184 | Givosiran 189mg-mL Vial (WMMC) | $117,000 | $117,000 | — | — | 0 |
| 194007043 | Ipilimumab 200mg-40mL Vial [WMMC] | $109,655 | $109,655 | — | — | 0 |
| 29122625 | ETERNA IMPLANTABLE PULSE GENERATOR | $75,756 | $75,756 | — | — | 0 |
| 28756708 | IMPLANT NEUROSTIMULATOR INCEPTIVE MRI | $64,388 | $64,388 | — | — | 0 |
| 28311241 | PROCLAIM XR 7 3662 C1767 32508486 | $62,100 | $62,100 | — | — | 0 |
| 595349434 | polatuzumab vedotin 140 mg Pow | $59,595 | $59,595 | — | — | 0 |
| 14440189 | INTELLIS SURESCAN IMPLANTABLE NEUROSTIMULATOR 97715 C1820 32 | $50,325 | $50,325 | — | — | 0 |
| 594678519 | risankizumab rzaa 60 mg/mL Sol | $47,068 | $47,068 | — | — | 0 |
| 25347593 | *TAPE* XENMATRIX AB SURGICAL GRAFT 20 X 25CM 1152025 C1781 32501454 | $46,200 | $46,200 | — | — | 0 |
| 17347936 | RESTORESENSOR NEUROSTIMULATOR 37714 C1820 32503671 | $45,900 | $45,900 | — | — | 0 |
| 482267612 | Pertuzumab/Trastuzumab/Hyaluronidase 1200mg-600mg-30,000units/15mL Vial (WMMC) | $45,760 | $45,760 | — | — | 0 |
| 14452354 | RESTORE ULTRA NEUROSTIMULATOR 37712 C-1820 32500159 | $45,000 | $45,000 | — | — | 0 |
| 28791262 | PUMP INTRATHECAL 20ML | $44,065 | $44,065 | — | — | 0 |
| 29016123 | PUMP INTRATHECAL 40ML | $44,065 | $44,065 | — | — | 0 |
| 68250476 | Alteplase 100mg-100mL Vial [WMMC] | $42,242 | $42,242 | — | — | 0 |
| 17347934 | RESTORE ADVANCED NEUROSTIMULAT 37713 C1820 32503748 | $42,000 | $42,000 | — | — | 0 |
| 28637669 | FLATCUT TALAR DOME SZ 3 INFINITY ADAPTIS | $41,088 | $41,088 | — | — | 0 |
| 17353599 | SYNCHROMED II PUMP, 8637-20 8637-20 C1772 32502803 | $39,306 | $39,306 | — | — | 0 |
| 28637668 | INFINITY ADAPTIS TIB SZ4 INFINITY ADAPTIS | $38,725 | $38,725 | — | — | 0 |
| 387161012 | Leuprolide 45mg Syringe (WMMC) | $38,192 | $38,192 | — | — | 0 |
| 22557444 | PRIME ADVANCE NEUROSTIMULATOR 97702 C1820 32506085 | $37,800 | $37,800 | — | — | 0 |
| 14452475 | PRIME ADVANCED NEUROSTIMULATOR 37702 C-1767 32500217 | $37,500 | $37,500 | — | — | 0 |
| 17352894 | NEUROSTIMULATOR 7427V-NP 7427V-NP NO C CODE 32502301 | $33,585 | $33,585 | — | — | 0 |
| 293862195 | Vedolizumab 300mg-5mL Vial (WMMC] | $33,584 | $33,584 | — | — | 0 |
| 17348864 | FEMORAL SIZE 3, RT 71421173 C1776 32504814 | $33,375 | $33,375 | — | — | 0 |
| 318338809 | Atezolizumab 1200mg-20mL Vial [WMMC] | $32,465 | $32,465 | — | — | 0 |
| 595320503 | fecal microbiota, live jslm Sus | $32,415 | $32,415 | — | — | 0 |
| 531412103 | Luspatercept 75 mg Vial [WMMC] | $31,907 | $31,907 | — | — | 0 |
| 29047498 | ALLOGRAFT TISSUE 20 X 16CM FLEXHD | $31,165 | $31,165 | — | — | 0 |
| 29060678 | FLEXHD PERFORATED 16X20 | $31,165 | $31,165 | — | — | 0 |
| 29059262 | FLEXHD PLIABLE, THIN 16X20 | $31,164 | $31,164 | — | — | 0 |
| 29085676 | 37243 vasc embolz/occlus, inclus of all radiological s&i intrprc roadmapping, image giud, tech | $30,959 | $30,959 | — | — | 0 |
| 482266796 | Pertuzumab/Trastuzumab/Hyaluronidase 600mg-600mg-20,000units/10mL Vial (WMMC) | $30,511 | $30,511 | — | — | 0 |
| 482269209 | Belantamab 100mg-2mL Vial (WMMC) | $29,812 | $29,812 | — | — | 0 |
| 17348978 | SUPERION INDIRECT DECOMPRESSION IMPLANT, 8MM 100-9808/101-9808 C1821 32507005 | $28,500 | $28,500 | — | — | 0 |
| 17348980 | SUPERION INDIRECT DECOMPRESSION IMPLANT, 10MM 100-9810/101-9810 C1821 32507006 | $28,500 | $28,500 | — | — | 0 |
| 24361738 | SUPERION INDIRECT DECOMPRESSION IMPLANT, 12MM 100-9812/101-9812 C1821 32507007 | $28,500 | $28,500 | — | — | 0 |
| 24361739 | SUPERION INDIRECT DECOMPRESSION IMPLANT, 14MM 100-9814/101-9814 C1821 32507008 | $28,500 | $28,500 | — | — | 0 |
| 24361740 | SUPERION INDIRECT DECOMPRESSION IMPLANT, 16MM 100-9816/101-9816 C1821 32507010 | $28,500 | $28,500 | — | — | 0 |
| 307803886 | Lanreotide 120mg-0.5mL Syringe [WMMC] | $27,450 | $27,450 | — | — | 0 |
| 194006860 | Ipilimumab 50mg-10mL Vial [WMMC] | $27,425 | $27,425 | — | — | 0 |
| 470992819 | Daratumumab-Hyaluronidase 1800mg-30,000 units/15mL Inj (WMMC) | $27,281 | $27,281 | — | — | 0 |
| 470996229 | Rituximab-Hyaluronidse 1600mg/26,800units Inj (WMMC) | $27,073 | $27,073 | — | — | 0 |
| 14452874 | CONICAL PROXIMAL BODY 20 X 75MM CEMENTLESS 1975-20-075 C1713 32502762 | $26,289 | $26,289 | — | — | 0 |
| 28351776 | WMMC CARDIO PROC LEVEL II CHARGE | $26,118 | $26,118 | — | — | 0 |
| 600977631 | pegfilgrastim fpgk 6 mg/0.6 mL Sol | $25,817 | $25,817 | — | — | 0 |
| 14450003 | PURAPLY ANTIMICROBIAL *TAG* 8 X 16CM COLLAGEN SHEET **TISSUE LOG | $25,500 | $25,500 | — | — | 0 |
| 25582657 | CARTIFORM, 20MM DISC *TAG* | $25,500 | $25,500 | — | — | 0 |
Showing top 50 of 30,187 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.