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
7,492
Insurances with rates
33
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
D990551306
$77,950
Ipilimumab 200 MG /40 ML VL
Gross
$155,901
D990551480
$73,533
Krystexxa 8mg/ml SDV
Gross
$147,065
D990551398
$67,173
Zynlonta 10 mg Vial
Gross
$134,346
D990551148
$50,253
Ocrevus 300mg Vial
Gross
$100,506
D990551385
$45,678
Polatuzumab Vedotin-PIIQ
Gross
$91,356
D990551506
$33,736
Tremfya 200mg/20 ml vial
Gross
$67,471
D990551301
$32,102
Leuprolide 6 Month 45mg Inject
Gross
$64,203
D990551236
$30,524
Adcetris 50mg Vial
Gross
$61,048
D990551083
$29,882
Luspatercept-AAMT 75mg Vial
Gross
$59,764
D990551226
$27,659
Tecentriq 1,200mg Vial
Gross
$55,319
D990551258
$26,733
Darzalex 1,800mg/15ml Vial
Gross
$53,467
D990551255
$26,267
Libtayo 350mg/7ml Vial
Gross
$52,535
D990551497
$25,258
Syrizi 600mg/10ml Vial
Gross
$50,516
D990551199
$23,449
ENTYVIO 300MG VIAL
Gross
$46,898
I990220193
$23,140
Imp-Connective Tissue, Human
Gross
$46,280
D990551305
$21,409
Lupron Depot 4 mos 30mg KIT
Gross
$42,818
D990551307
$19,488
Ipilimumab 50 MG/ 10 ML VL
Gross
$38,975
D990551383
$19,384
Atezolizumab 840 mg/14ml
Gross
$38,768
D990551183
$18,892
Alteplase (Activase)100mg Vial
Gross
$37,785
D990551320
$18,797
OPDIVO 240mg VIAL
Gross
$37,594
D990551038
$18,705
Fabrazyme 35mg Vial
Gross
$37,411
D990551186
$18,500
TNKASE 50MG KIT
Gross
$36,999
D990551324
$17,658
PANITUMUMAB 400MG/20ML VIAL
Gross
$35,316
D990551150
$16,423
SARDOSTATIN LAR 30MG KIT
Gross
$32,846
D990551304
$16,063
LUPRON DEPOT 22.5MG INJECTION
Gross
$32,126
S990760102
$16,020
Cygnus Dual 4x6
Gross
$32,040
D990551327
$15,993
Pertuzumab Vial 420 MG/14 ML
Gross
$31,987
D990551339
$15,431
Kadcyla 160mg Vial
Gross
$30,861
D990551333
$14,681
Vyvgart 400mg/20ml Vial
Gross
$29,361
D990551332
$14,650
Temsirolimus 30mg/3ml
Gross
$29,300
D990551050
$14,361
FASENRA 30MG SYRINGE
Gross
$28,723
D990551161
$14,314
Neulasta 6mg/0.6ml On-Body Inj
Gross
$28,628
D990551162
$14,314
NEULASTA 6MG/0.6ML SYRINGE
Gross
$28,628
D990551064
$14,050
Certolizumab 200mg/ml 2pk Inj
Gross
$28,100
D990550456
$13,976
Pembrolizumab 100mg/4ml Vial (
Gross
$27,952
D990551330
$13,943
riTUXimab 500mg / 50ml Vial
Gross
$27,886
D990551402
$13,484
Lupron Depot 11.25mg Inj
Gross
$26,968
D990551328
$13,441
Polivy 30mg Vial
Gross
$26,883
D990551341
$13,416
Valrubicin 800 mg/20 ml Vial
Gross
$26,832
D990551474
$13,397
Padcev 30mg Vial
Gross
$26,794
S990760110
$13,230
PuraPly Am 6X9
Gross
$26,460
D990551338
$13,194
Kadcyla 100mg Vial
Gross
$26,388
D990551405
$12,869
Opdivo 120mg/12ml
Gross
$25,738
D990551448
$12,836
Anifrolumab-FNIA 300mg/2ml SDV
Gross
$25,672
D990551360
$12,117
Kanjinti 420mg Vial
Gross
$24,234
D990551244
$12,043
Kyprolis 60mg Vial
Gross
$24,086
D990551112
$11,635
Gammagard 30gm/300ml
Gross
$23,270
D990551085
$11,595
Denosumab 70 MG/ML 1.7ML VIAL
Gross
$23,190
I990220214
$11,530
Implant-Fracture/Fixation Comp
Gross
$23,060
I990220026
$11,526
ARTHREX QUICKSET KIT
Gross
$23,051
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| D990551306 | Ipilimumab 200 MG /40 ML VL | $155,901 | $77,950 | — | — | 26 |
| D990551480 | Krystexxa 8mg/ml SDV | $147,065 | $73,533 | — | — | 26 |
| D990551398 | Zynlonta 10 mg Vial | $134,346 | $67,173 | — | — | 26 |
| D990551148 | Ocrevus 300mg Vial | $100,506 | $50,253 | — | — | 26 |
| D990551385 | Polatuzumab Vedotin-PIIQ | $91,356 | $45,678 | — | — | 26 |
| D990551506 | Tremfya 200mg/20 ml vial | $67,471 | $33,736 | — | — | 26 |
| D990551301 | Leuprolide 6 Month 45mg Inject | $64,203 | $32,102 | — | — | 28 |
| D990551236 | Adcetris 50mg Vial | $61,048 | $30,524 | — | — | 26 |
| D990551083 | Luspatercept-AAMT 75mg Vial | $59,764 | $29,882 | — | — | 26 |
| D990551226 | Tecentriq 1,200mg Vial | $55,319 | $27,659 | — | — | 26 |
| D990551258 | Darzalex 1,800mg/15ml Vial | $53,467 | $26,733 | — | — | 28 |
| D990551255 | Libtayo 350mg/7ml Vial | $52,535 | $26,267 | — | — | 26 |
| D990551497 | Syrizi 600mg/10ml Vial | $50,516 | $25,258 | — | — | 26 |
| D990551199 | ENTYVIO 300MG VIAL | $46,898 | $23,449 | — | — | 26 |
| I990220193 | Imp-Connective Tissue, Human | $46,280 | $23,140 | — | — | 27 |
| D990551305 | Lupron Depot 4 mos 30mg KIT | $42,818 | $21,409 | — | — | 28 |
| D990551307 | Ipilimumab 50 MG/ 10 ML VL | $38,975 | $19,488 | — | — | 26 |
| D990551383 | Atezolizumab 840 mg/14ml | $38,768 | $19,384 | — | — | 26 |
| D990551183 | Alteplase (Activase)100mg Vial | $37,785 | $18,892 | — | — | 28 |
| D990551320 | OPDIVO 240mg VIAL | $37,594 | $18,797 | — | — | 27 |
| D990551038 | Fabrazyme 35mg Vial | $37,411 | $18,705 | — | — | 26 |
| D990551186 | TNKASE 50MG KIT | $36,999 | $18,500 | — | — | 26 |
| D990551324 | PANITUMUMAB 400MG/20ML VIAL | $35,316 | $17,658 | — | — | 26 |
| D990551150 | SARDOSTATIN LAR 30MG KIT | $32,846 | $16,423 | — | — | 27 |
| D990551304 | LUPRON DEPOT 22.5MG INJECTION | $32,126 | $16,063 | — | — | 28 |
| S990760102 | Cygnus Dual 4x6 | $32,040 | $16,020 | — | — | 26 |
| D990551327 | Pertuzumab Vial 420 MG/14 ML | $31,987 | $15,993 | — | — | 27 |
| D990551339 | Kadcyla 160mg Vial | $30,861 | $15,431 | — | — | 26 |
| D990551333 | Vyvgart 400mg/20ml Vial | $29,361 | $14,681 | — | — | 27 |
| D990551332 | Temsirolimus 30mg/3ml | $29,300 | $14,650 | — | — | 26 |
| D990551050 | FASENRA 30MG SYRINGE | $28,723 | $14,361 | — | — | 27 |
| D990551161 | Neulasta 6mg/0.6ml On-Body Inj | $28,628 | $14,314 | — | — | 29 |
| D990551162 | NEULASTA 6MG/0.6ML SYRINGE | $28,628 | $14,314 | — | — | 29 |
| D990551064 | Certolizumab 200mg/ml 2pk Inj | $28,100 | $14,050 | — | — | 26 |
| D990550456 | Pembrolizumab 100mg/4ml Vial ( | $27,952 | $13,976 | — | — | 27 |
| D990551330 | riTUXimab 500mg / 50ml Vial | $27,886 | $13,943 | — | — | 26 |
| D990551402 | Lupron Depot 11.25mg Inj | $26,968 | $13,484 | — | — | 26 |
| D990551328 | Polivy 30mg Vial | $26,883 | $13,441 | — | — | 26 |
| D990551341 | Valrubicin 800 mg/20 ml Vial | $26,832 | $13,416 | — | — | 26 |
| D990551474 | Padcev 30mg Vial | $26,794 | $13,397 | — | — | 26 |
| S990760110 | PuraPly Am 6X9 | $26,460 | $13,230 | — | — | 26 |
| D990551338 | Kadcyla 100mg Vial | $26,388 | $13,194 | — | — | 26 |
| D990551405 | Opdivo 120mg/12ml | $25,738 | $12,869 | — | — | 27 |
| D990551448 | Anifrolumab-FNIA 300mg/2ml SDV | $25,672 | $12,836 | — | — | 29 |
| D990551360 | Kanjinti 420mg Vial | $24,234 | $12,117 | — | — | 27 |
| D990551244 | Kyprolis 60mg Vial | $24,086 | $12,043 | — | — | 26 |
| D990551112 | Gammagard 30gm/300ml | $23,270 | $11,635 | — | — | 29 |
| D990551085 | Denosumab 70 MG/ML 1.7ML VIAL | $23,190 | $11,595 | — | — | 30 |
| I990220214 | Implant-Fracture/Fixation Comp | $23,060 | $11,530 | — | — | 30 |
| I990220026 | ARTHREX QUICKSET KIT | $23,051 | $11,526 | — | — | 26 |
Showing top 50 of 7,492 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.