45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
15,981
Insurances with rates
18
CPT / HCPCS codes
10,488
Most expensive procedures (gross)
25682-0028-01
$107,796
Ultomiris
Gross
$179,660
50242-0150-01
$55,747
Ocrevus
Gross
$92,912
798874
$50,557
JAK2-MUTATION DETECTION
Gross
$84,262
00003-7125-11
$40,839
Opdualag
Gross
$68,066
C1813
$35,897
PROSTHESIS; PENILE; INFLATABLE
Gross
$59,828
25682-0001-01
$35,241
Soliris
Gross
$58,735
C1826
$34,500
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE CO
Gross
$57,500
651495
$32,400
ST JUDE 3662 PROCLAIM GENESIS
Gross
$54,000
L8687
$28,980
IMPLT NROSTM PLS GEN DUA REC
Gross
$48,300
50242-0105-01
$27,934
Polivy
Gross
$46,556
33249
$27,866
INSJ/RPLCMT DEFIB W/LEAD(S)
Gross
$46,443
C1822
$25,470
GEN, NEURO, HF, RECHG BAT
Gross
$42,450
C1767
$25,376
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE
Gross
$42,294
C1820
$24,000
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING
Gross
$40,000
L8679
$24,000
IMP NEUROSTI PLS GN ANY TYPE
Gross
$40,000
C2622
$21,933
PROSTHESIS, PENILE, NON-INF
Gross
$36,555
73475-3041-05
$21,430
Vyvgart
Gross
$35,716
50242-0145-01
$20,478
Perjeta
Gross
$34,130
Q4122
$20,236
DERMACELL; DERMACELL AWM OR DERMACELL AWM POROUS; PER SQUARE CENTIMETER
Gross
$33,727
50881-0006-03
$19,920
Zynyz
Gross
$33,199
33240
$19,899
INSRT PULSE GEN W/SINGL LEAD
Gross
$33,166
00003-2327-11
$19,282
Yervoy
Gross
$32,137
57894-0060-03
$18,258
Stelara PFS
Gross
$30,429
600436
$17,537
GRAFT SURGICAL 20CM X 25CM
Gross
$29,228
72903-0853-01
$17,321
Elahere
Gross
$28,868
00310-4611-50
$17,069
Imfinzi
Gross
$28,448
15054-1060-04
$16,465
Somatuline Depot
Gross
$27,441
25682-0025-01
$16,347
Ultomiris
Gross
$27,245
00173-0898-03
$16,257
Jemperli
Gross
$27,096
00006-3026-02
$15,940
Keytruda
Gross
$26,567
57894-0503-01
$15,885
Darzalex Faspro
Gross
$26,475
600435
$15,876
GRAFT SURGICAL 15CM X 20CM
Gross
$26,460
50242-0260-01
$15,335
Phesgo
Gross
$25,558
650114
$15,084
DAVOL 1221520 PHASIX ST MESH
Gross
$25,140
63833-0825-02
$14,808
Berinert
Gross
$24,679
57894006003
$14,765
Stelara PFS
Gross
$24,609
61755-0008-01
$14,765
Libtayo
Gross
$24,609
15054-1120-04
$14,370
Somatuline Depot
Gross
$23,950
53445
$14,128
INSERT URO/VES NCK SPHINCTER
Gross
$23,547
53447
$14,128
REMOVE/REPLACE UR SPHINCTER
Gross
$23,547
54400
$14,128
INSERT SEMI-RIGID PROSTHESIS
Gross
$23,547
64764-0300-20
$14,056
Entyvio
Gross
$23,427
28705
$13,834
ARTHRODESIS PANTALAR
Gross
$23,057
23616
$13,834
OPTX PRX HMRL FX FIX RPR RPL
Gross
$23,057
24361
$13,834
RECONSTRUCT ELBOW JOINT
Gross
$23,057
24363
$13,834
REPLACE ELBOW JOINT
Gross
$23,057
24546
$13,834
TREAT HUMERUS FRACTURE
Gross
$23,057
25442
$13,834
ARTHRP W/PROSTC DSTL ULNA
Gross
$23,057
25446
$13,834
ARTHRP W/PROSTC DST RDS&CRPS
Gross
$23,057
50242-0070-01
$13,517
Gazyva
Gross
$22,528
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25682-0028-01 | Ultomiris | $179,660 | $107,796 | — | — | 6 |
| 50242-0150-01 | Ocrevus | $92,912 | $55,747 | — | — | 7 |
| 798874 | JAK2-MUTATION DETECTION | $84,262 | $50,557 | — | — | 0 |
| 00003-7125-11 | Opdualag | $68,066 | $40,839 | — | — | 6 |
| C1813 | PROSTHESIS; PENILE; INFLATABLE | $59,828 | $35,897 | — | — | 0 |
| 25682-0001-01 | Soliris | $58,735 | $35,241 | — | — | 6 |
| C1826 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE CO | $57,500 | $34,500 | — | — | 0 |
| 651495 | ST JUDE 3662 PROCLAIM GENESIS | $54,000 | $32,400 | — | — | 0 |
| L8687 | IMPLT NROSTM PLS GEN DUA REC | $48,300 | $28,980 | — | — | 0 |
| 50242-0105-01 | Polivy | $46,556 | $27,934 | — | — | 6 |
| 33249 | INSJ/RPLCMT DEFIB W/LEAD(S) | $46,443 | $27,866 | — | — | 8 |
| C1822 | GEN, NEURO, HF, RECHG BAT | $42,450 | $25,470 | — | — | 0 |
| C1767 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE | $42,294 | $25,376 | — | — | 0 |
| C1820 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING | $40,000 | $24,000 | — | — | 0 |
| L8679 | IMP NEUROSTI PLS GN ANY TYPE | $40,000 | $24,000 | — | — | 0 |
| C2622 | PROSTHESIS, PENILE, NON-INF | $36,555 | $21,933 | — | — | 0 |
| 73475-3041-05 | Vyvgart | $35,716 | $21,430 | — | — | 7 |
| 50242-0145-01 | Perjeta | $34,130 | $20,478 | — | — | 7 |
| Q4122 | DERMACELL; DERMACELL AWM OR DERMACELL AWM POROUS; PER SQUARE CENTIMETER | $33,727 | $20,236 | — | — | 7 |
| 50881-0006-03 | Zynyz | $33,199 | $19,920 | — | — | 6 |
| 33240 | INSRT PULSE GEN W/SINGL LEAD | $33,166 | $19,899 | — | — | 8 |
| 00003-2327-11 | Yervoy | $32,137 | $19,282 | — | — | 7 |
| 57894-0060-03 | Stelara PFS | $30,429 | $18,258 | — | — | 1 |
| 600436 | GRAFT SURGICAL 20CM X 25CM | $29,228 | $17,537 | — | — | 0 |
| 72903-0853-01 | Elahere | $28,868 | $17,321 | — | — | 7 |
| 00310-4611-50 | Imfinzi | $28,448 | $17,069 | — | — | 7 |
| 15054-1060-04 | Somatuline Depot | $27,441 | $16,465 | — | — | 7 |
| 25682-0025-01 | Ultomiris | $27,245 | $16,347 | — | — | 6 |
| 00173-0898-03 | Jemperli | $27,096 | $16,257 | — | — | 7 |
| 00006-3026-02 | Keytruda | $26,567 | $15,940 | — | — | 7 |
| 57894-0503-01 | Darzalex Faspro | $26,475 | $15,885 | — | — | 7 |
| 600435 | GRAFT SURGICAL 15CM X 20CM | $26,460 | $15,876 | — | — | 0 |
| 50242-0260-01 | Phesgo | $25,558 | $15,335 | — | — | 6 |
| 650114 | DAVOL 1221520 PHASIX ST MESH | $25,140 | $15,084 | — | — | 0 |
| 63833-0825-02 | Berinert | $24,679 | $14,808 | — | — | 6 |
| 57894006003 | Stelara PFS | $24,609 | $14,765 | — | — | 1 |
| 61755-0008-01 | Libtayo | $24,609 | $14,765 | — | — | 7 |
| 15054-1120-04 | Somatuline Depot | $23,950 | $14,370 | — | — | 7 |
| 53445 | INSERT URO/VES NCK SPHINCTER | $23,547 | $14,128 | — | — | 8 |
| 53447 | REMOVE/REPLACE UR SPHINCTER | $23,547 | $14,128 | — | — | 8 |
| 54400 | INSERT SEMI-RIGID PROSTHESIS | $23,547 | $14,128 | — | — | 6 |
| 64764-0300-20 | Entyvio | $23,427 | $14,056 | — | — | 7 |
| 28705 | ARTHRODESIS PANTALAR | $23,057 | $13,834 | — | — | 8 |
| 23616 | OPTX PRX HMRL FX FIX RPR RPL | $23,057 | $13,834 | — | — | 8 |
| 24361 | RECONSTRUCT ELBOW JOINT | $23,057 | $13,834 | — | — | 8 |
| 24363 | REPLACE ELBOW JOINT | $23,057 | $13,834 | — | — | 8 |
| 24546 | TREAT HUMERUS FRACTURE | $23,057 | $13,834 | — | — | 8 |
| 25442 | ARTHRP W/PROSTC DSTL ULNA | $23,057 | $13,834 | — | — | 8 |
| 25446 | ARTHRP W/PROSTC DST RDS&CRPS | $23,057 | $13,834 | — | — | 8 |
| 50242-0070-01 | Gazyva | $22,528 | $13,517 | — | — | 7 |
Showing top 50 of 15,981 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.