45 CFR § 180 compliance
C · 70
This hospital published part 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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
8,294
Insurances with rates
9
CPT / HCPCS codes
164
Most expensive procedures (gross)
00003232822
$145,076
IPILIMUMAB 200 MG/40 ML VIAL
Gross
$207,252
50242010501
$91,144
POLATUZUMAB VEDOTIN-PIIQ 140 MG VIAL
Gross
$130,206
00074347303
$62,471
LEUPROLIDE ACETATE (LUPRON) 45 MG SYRINGEKIT (NF)
Gross
$89,245
72893000501
$60,538
PRALAtrexate 40 MG/2 ML VIAL
Gross
$86,483
59572077501
$59,311
LUSPATERCEPT-AAMT 75 MG VIAL
Gross
$84,731
00024582411
$56,672
CABAZITAXEL 60 MG/1.5 ML VIAL
Gross
$80,960
61755000801
$54,068
CEMIPLIMAB-RWLC (LIBTAYO) 350 MG/7 ML VIAL
Gross
$77,241
51144005001
$52,683
BRENTUXIMAB VEDOTIN 50 MG VIAL
Gross
$75,261
50242091701
$51,984
ATEZOLIZUMAB 1200 MG/20 ML VIAL (NF)
Gross
$74,263
57894050301
$51,919
DARATUMUMAB-HYALURONIDASE-FIHJ 15 ML VIAL (NF)
Gross
$74,171
64764030020
$46,702
VEDOLIZUMAB 300 MG/20 ML VIAL
Gross
$66,718
15054112004
$45,941
LANREOTIDE ACETATE 120 MG/0.5 ML SYRINGE (NF)
Gross
$65,631
00003232711
$41,833
IPILIMUMAB 50 MG/10 ML VIAL (NF)
Gross
$59,762
00008451001
$41,644
GEMTUZUMAB OZOGAMICIN 4.5 MG VIAL
Gross
$59,492
50242012047
$40,656
TENECTEPLASE 50 MG VIAL
Gross
$58,080
00078100768
$38,865
OFATUMUMAB 20 MG/0.4 ML PEN.INJCTR
Gross
$55,522
00003373413
$37,431
NIVOLUMAB 240 MG/24 ML VIAL (NF)
Gross
$53,473
50242007001
$36,384
OBINUTUZUMAB 1000 MG/40 ML VIAL
Gross
$51,977
00002767801
$35,188
RAMUCIRUMAB (CYRAMZA) 500 MG/50 ML VIAL (NF)
Gross
$50,269
55513095601
$35,153
PANITUMUMAB 400 MG/20 ML VIAL
Gross
$50,219
00074368303
$34,706
LEUPROLIDE ACETATE (LUPRON) 30 MG SYRINGEKIT (NF)
Gross
$49,580
50242014501
$31,826
PERTUZUMAB 420 MG/14 ML VIAL (NF)
Gross
$45,466
00074334603
$31,235
LEUPROLIDE ACETATE (LUPRON) 22.5 MG SYRINGEKIT (NF
Gross
$44,622
55513019001
$29,651
PEGFILGRASTIM 6 MG/0.6 ML SYRINGE (NF)
Gross
$42,359
55513019201
$29,651
PEGFILGRASTIM ON BODY 6 MG/0.6 ML SYR.W..INJ
Gross
$42,359
50474071079
$29,104
CERTOLIZUMAB PEGOL 400 MG/2 ML SYRINGEKIT
Gross
$41,577
50242010901
$28,937
RITUXIMAB/HYALURONIDASEHUMAN 1600 MG/13.4 ML VIA
Gross
$41,339
00006302602
$28,349
PEMBROLIZUMAB 100 MG/4 ML VIAL
Gross
$40,498
00078082581
$27,678
OCTREOTIDE ACETATEMI-SPHERES 30 MG VIAL
Gross
$39,540
00310304000
$25,896
ANIFROLUMAB-FNIA 300 MG/2 ML VIAL (NF)
Gross
$36,994
00024515175
$25,572
RASBURICASE 7.5 MG VIAL (NF)
Gross
$36,531
50242008701
$25,559
ADO-TRASTUZUMAB EMTANSINE 160 MG VIAL
Gross
$36,514
50242010801
$25,320
RITUXIMAB/HYALURONIDASEHUMAN 1400 MG/11.7 ML VIA
Gross
$36,172
25682000101
$25,114
ECULIZUMAB 300 MG/30 ML VIAL
Gross
$35,877
00944270007
$25,048
IMMUN GLOB 10% G(IGG)/GLY/IGA OV50 30 GM/300 ML VI
Gross
$35,783
00078069061
$23,230
OFATUMUMAB 1000 MG/50 ML VIAL
Gross
$33,186
55513022201
$22,258
ROMIPLOSTIM 500 MCG VIAL
Gross
$31,798
50242005306
$21,703
RITUXIMAB (RITUXAN) 500 MG/50 ML VIAL (NF)
Gross
$31,005
00310461150
$20,948
DURVALUMAB 500 MG/10 ML VIAL (NF)
Gross
$29,926
50242004413
$20,329
ALTEPLASE 50 MG/50 ML VIAL
Gross
$29,042
51144003001
$19,759
ENFORTUMAB VEDOTIN-EJFV (PADCEV) 30 MG VIAL (NF)
Gross
$28,227
63459010450
$19,532
RITUXIMAB-ABBS (TRUXIMA) 500 MG/50 ML VIAL (NF)
Gross
$27,904
70114012001
$19,289
PEGFILGRASTIM-CBQV 6 MG/0.6 ML AUTO.INJCT
Gross
$27,555
61314086602
$18,136
PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SYRINGE
Gross
$25,909
73594931001
$17,548
FERRIC DERISOMALTOSE 1000 MG/10 ML VIAL (NF)
Gross
$25,069
00944270006
$16,699
IMMUN GLOB 10% G(IGG)/GLY/IGA OV50 20 GM/200 ML VI
Gross
$23,856
55513073001
$16,416
DENOSUMAB 120 MG/1.7 ML VIAL
Gross
$23,452
00069030501
$15,667
TRASTUZUMAB-QYYP (TRAZIMERA) 420 MG VIAL (NF)
Gross
$22,382
10019007901
$15,051
BENDAMUSTINE HCL 100 MG/4 ML VIAL (NF)
Gross
$21,501
55513003201
$14,900
DARBEPOETIN ALFA IN POLYSORBAT 500 MCG/ML SYRINGE
Gross
$21,285
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 00003232822 | IPILIMUMAB 200 MG/40 ML VIAL | $207,252 | $145,076 | — | — | 10 |
| 50242010501 | POLATUZUMAB VEDOTIN-PIIQ 140 MG VIAL | $130,206 | $91,144 | — | — | 10 |
| 00074347303 | LEUPROLIDE ACETATE (LUPRON) 45 MG SYRINGEKIT (NF) | $89,245 | $62,471 | — | — | 10 |
| 72893000501 | PRALAtrexate 40 MG/2 ML VIAL | $86,483 | $60,538 | — | — | 10 |
| 59572077501 | LUSPATERCEPT-AAMT 75 MG VIAL | $84,731 | $59,311 | — | — | 10 |
| 00024582411 | CABAZITAXEL 60 MG/1.5 ML VIAL | $80,960 | $56,672 | — | — | 10 |
| 61755000801 | CEMIPLIMAB-RWLC (LIBTAYO) 350 MG/7 ML VIAL | $77,241 | $54,068 | — | — | 10 |
| 51144005001 | BRENTUXIMAB VEDOTIN 50 MG VIAL | $75,261 | $52,683 | — | — | 10 |
| 50242091701 | ATEZOLIZUMAB 1200 MG/20 ML VIAL (NF) | $74,263 | $51,984 | — | — | 10 |
| 57894050301 | DARATUMUMAB-HYALURONIDASE-FIHJ 15 ML VIAL (NF) | $74,171 | $51,919 | — | — | 10 |
| 64764030020 | VEDOLIZUMAB 300 MG/20 ML VIAL | $66,718 | $46,702 | — | — | 10 |
| 15054112004 | LANREOTIDE ACETATE 120 MG/0.5 ML SYRINGE (NF) | $65,631 | $45,941 | — | — | 10 |
| 00003232711 | IPILIMUMAB 50 MG/10 ML VIAL (NF) | $59,762 | $41,833 | — | — | 10 |
| 00008451001 | GEMTUZUMAB OZOGAMICIN 4.5 MG VIAL | $59,492 | $41,644 | — | — | 10 |
| 50242012047 | TENECTEPLASE 50 MG VIAL | $58,080 | $40,656 | — | — | 10 |
| 00078100768 | OFATUMUMAB 20 MG/0.4 ML PEN.INJCTR | $55,522 | $38,865 | — | — | 10 |
| 00003373413 | NIVOLUMAB 240 MG/24 ML VIAL (NF) | $53,473 | $37,431 | — | — | 10 |
| 50242007001 | OBINUTUZUMAB 1000 MG/40 ML VIAL | $51,977 | $36,384 | — | — | 10 |
| 00002767801 | RAMUCIRUMAB (CYRAMZA) 500 MG/50 ML VIAL (NF) | $50,269 | $35,188 | — | — | 10 |
| 55513095601 | PANITUMUMAB 400 MG/20 ML VIAL | $50,219 | $35,153 | — | — | 10 |
| 00074368303 | LEUPROLIDE ACETATE (LUPRON) 30 MG SYRINGEKIT (NF) | $49,580 | $34,706 | — | — | 10 |
| 50242014501 | PERTUZUMAB 420 MG/14 ML VIAL (NF) | $45,466 | $31,826 | — | — | 10 |
| 00074334603 | LEUPROLIDE ACETATE (LUPRON) 22.5 MG SYRINGEKIT (NF | $44,622 | $31,235 | — | — | 10 |
| 55513019001 | PEGFILGRASTIM 6 MG/0.6 ML SYRINGE (NF) | $42,359 | $29,651 | — | — | 10 |
| 55513019201 | PEGFILGRASTIM ON BODY 6 MG/0.6 ML SYR.W..INJ | $42,359 | $29,651 | — | — | 10 |
| 50474071079 | CERTOLIZUMAB PEGOL 400 MG/2 ML SYRINGEKIT | $41,577 | $29,104 | — | — | 10 |
| 50242010901 | RITUXIMAB/HYALURONIDASEHUMAN 1600 MG/13.4 ML VIA | $41,339 | $28,937 | — | — | 10 |
| 00006302602 | PEMBROLIZUMAB 100 MG/4 ML VIAL | $40,498 | $28,349 | — | — | 10 |
| 00078082581 | OCTREOTIDE ACETATEMI-SPHERES 30 MG VIAL | $39,540 | $27,678 | — | — | 10 |
| 00310304000 | ANIFROLUMAB-FNIA 300 MG/2 ML VIAL (NF) | $36,994 | $25,896 | — | — | 10 |
| 00024515175 | RASBURICASE 7.5 MG VIAL (NF) | $36,531 | $25,572 | — | — | 10 |
| 50242008701 | ADO-TRASTUZUMAB EMTANSINE 160 MG VIAL | $36,514 | $25,559 | — | — | 10 |
| 50242010801 | RITUXIMAB/HYALURONIDASEHUMAN 1400 MG/11.7 ML VIA | $36,172 | $25,320 | — | — | 10 |
| 25682000101 | ECULIZUMAB 300 MG/30 ML VIAL | $35,877 | $25,114 | — | — | 10 |
| 00944270007 | IMMUN GLOB 10% G(IGG)/GLY/IGA OV50 30 GM/300 ML VI | $35,783 | $25,048 | — | — | 10 |
| 00078069061 | OFATUMUMAB 1000 MG/50 ML VIAL | $33,186 | $23,230 | — | — | 10 |
| 55513022201 | ROMIPLOSTIM 500 MCG VIAL | $31,798 | $22,258 | — | — | 10 |
| 50242005306 | RITUXIMAB (RITUXAN) 500 MG/50 ML VIAL (NF) | $31,005 | $21,703 | — | — | 10 |
| 00310461150 | DURVALUMAB 500 MG/10 ML VIAL (NF) | $29,926 | $20,948 | — | — | 10 |
| 50242004413 | ALTEPLASE 50 MG/50 ML VIAL | $29,042 | $20,329 | — | — | 10 |
| 51144003001 | ENFORTUMAB VEDOTIN-EJFV (PADCEV) 30 MG VIAL (NF) | $28,227 | $19,759 | — | — | 10 |
| 63459010450 | RITUXIMAB-ABBS (TRUXIMA) 500 MG/50 ML VIAL (NF) | $27,904 | $19,532 | — | — | 10 |
| 70114012001 | PEGFILGRASTIM-CBQV 6 MG/0.6 ML AUTO.INJCT | $27,555 | $19,289 | — | — | 10 |
| 61314086602 | PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SYRINGE | $25,909 | $18,136 | — | — | 10 |
| 73594931001 | FERRIC DERISOMALTOSE 1000 MG/10 ML VIAL (NF) | $25,069 | $17,548 | — | — | 10 |
| 00944270006 | IMMUN GLOB 10% G(IGG)/GLY/IGA OV50 20 GM/200 ML VI | $23,856 | $16,699 | — | — | 10 |
| 55513073001 | DENOSUMAB 120 MG/1.7 ML VIAL | $23,452 | $16,416 | — | — | 10 |
| 00069030501 | TRASTUZUMAB-QYYP (TRAZIMERA) 420 MG VIAL (NF) | $22,382 | $15,667 | — | — | 10 |
| 10019007901 | BENDAMUSTINE HCL 100 MG/4 ML VIAL (NF) | $21,501 | $15,051 | — | — | 10 |
| 55513003201 | DARBEPOETIN ALFA IN POLYSORBAT 500 MCG/ML SYRINGE | $21,285 | $14,900 | — | — | 10 |
Showing top 50 of 8,294 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.