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
5,036
Insurances with rates
1
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4660019
$90,458
ipilimumab 200mg/40mL Inj SDV [CARR]
Gross
$120,610
4660441
$75,570
ustekinumab 90 mg/mL Sol
Gross
$100,760
52454908
$68,850
EpiXpress 3x5
Gross
$91,800
48174919
$68,831
Insertion of Permanent Spinal Cord Stimulator
Gross
$91,775
50399407
$63,824
OMNIA IPG KIT
Gross
$85,099
49588119
$59,965
PROCLAIM DRG
Gross
$79,953
48373800
$51,003
Insertion or Replacement Spinal Neurostimulator Pulse Generator or receiver
Gross
$68,004
49170886
$46,256
PROCLAIM 7 ELITE
Gross
$61,675
4660748
$44,250
nivolumab-relatlimab rmbw 240 mg-80 mg/20 mL Sol [CARR]
Gross
$59,000
4660742
$43,883
polatuzumab vedotin 140 mg Pow [CARR]
Gross
$58,510
51539768
$43,605
IPG Kit
Gross
$58,140
51516124
$43,418
Epieffect 7x7
Gross
$57,891
51548491
$43,337
WAVEWRITER ALPHA 32 IPG KIT
Gross
$57,783
52979285
$42,150
37277 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilate
Gross
$56,200
50762234
$40,425
37229 PTA TIB/PERONEAL EA ADDL VESSEL
Gross
$53,900
4660057
$39,143
hyaluronidase/pertuzumab/trastuzumab 30000 units-1200 mg-600 mg/15 mL Sol
Gross
$52,190
49212062
$37,822
27880 AMPUTATION LEG THRU TIBIA&FIBIA
Gross
$50,429
48795232
$36,246
PTA with Stent and Arthrectomy Femoral 37227
Gross
$48,328
49808328
$35,458
SPECTRA WAVEWRITER IPG KIT
Gross
$47,277
4660772
$35,408
luspatercept 75 mg Pow-Inj [CARR]
Gross
$47,210
4660902
$34,958
leuprolide acetate 45 mg/6 months IM Kit [CARR]
Gross
$46,610
4660077
$34,793
cabazitaxel 60 mg/1.5 mL IV SDV [CARR]
Gross
$46,390
10747423
$33,882
Incision And Subcutaneous Placement Of Peripheral Neurostimulator Pulse Generator
Gross
$45,176
4660104
$33,840
dostarlimab gxly 500 mg/10 mL Sol [CARR]
Gross
$45,120
4660016
$32,603
atezolizumab 1200 mg/20 mL Inj SDV [CARR]
Gross
$43,470
49745492
$32,069
22869 Insert Stabliz Device WO Dcmprsn Lumb Sngl Lvl
Gross
$42,759
4660068
$31,455
daratumumab-hyaluronidase 1800 mg-30000 units/15 mL SQ Inj Sol [CARR]
Gross
$41,940
52723632
$31,050
Choriofix 2x3
Gross
$41,400
4660749
$30,735
cemiplimab rwlc 350 mg/7 mL Sol [CARR]
Gross
$40,980
51550491
$30,731
Interstim X SSMRI
Gross
$40,974
759249
$29,942
Pain Pump Implant
Gross
$39,923
3726642
$29,942
Total hip arthroplasty
Gross
$39,923
50971311
$29,942
64628 Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first
Gross
$39,923
50755297
$29,786
27828 - Open treatment of fracture of weight bearing articular surface/portion of distal tibia
Gross
$39,714
47786474
$29,117
27758 Open trtmnt of tibial shaft fracture, w plate/screws, w or w/o cerclage
Gross
$38,822
4660747
$28,860
risankizumab rzaa 600 mg/10mL Sol [CARR]
Gross
$38,480
4660757
$28,440
vedolizumab 300 mg inj [CARR]
Gross
$37,920
10712895
$28,133
Arthoplasty, femoral condyles or tibial plateau(s), knee
Gross
$37,511
4660116
$27,975
lanreotide 120 mg/0.5 mL Sol BRAND [CARR]
Gross
$37,300
49259597
$27,613
INS 3058 INTERSTIM II EMANUAL US
Gross
$36,817
51592044
$27,540
EpiXpress 2x3cm
Gross
$36,720
4660729
$26,985
mirikizumab mrkz 300 mg/ 15 mL Sol [CARR]
Gross
$35,980
49170440
$26,951
MONTAGE MRI IPG AND CHARGING KIT
Gross
$35,935
52974192
$26,550
37282 Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory
Gross
$35,400
4660027
$25,320
obinutuzumab 25 mg/mL Sol [CARR]
Gross
$33,760
49861756
$24,821
Vertiflex implant
Gross
$33,094
4660056
$23,828
hyaluronidase/pertuzumab/trastuzumab 20000 units-600 mg-600 mg/10 mL Sol
Gross
$31,770
49902192
$23,425
37225 FEM - POP PTA + ATHERECTOMY
Gross
$31,233
4661003
$23,213
lurbinectedin 4 mg Pow [CARR]
Gross
$30,950
10734869
$22,862
Transcatheter Placement Of An Intracoronary Stent(s), Percutaneous, Any Method; Single Vessel
Gross
$30,483
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4660019 | ipilimumab 200mg/40mL Inj SDV [CARR] | $120,610 | $90,458 | — | — | 1 |
| 4660441 | ustekinumab 90 mg/mL Sol | $100,760 | $75,570 | — | — | 1 |
| 52454908 | EpiXpress 3x5 | $91,800 | $68,850 | — | — | 1 |
| 48174919 | Insertion of Permanent Spinal Cord Stimulator | $91,775 | $68,831 | — | — | 2 |
| 50399407 | OMNIA IPG KIT | $85,099 | $63,824 | — | — | 1 |
| 49588119 | PROCLAIM DRG | $79,953 | $59,965 | — | — | 1 |
| 48373800 | Insertion or Replacement Spinal Neurostimulator Pulse Generator or receiver | $68,004 | $51,003 | — | — | 2 |
| 49170886 | PROCLAIM 7 ELITE | $61,675 | $46,256 | — | — | 1 |
| 4660748 | nivolumab-relatlimab rmbw 240 mg-80 mg/20 mL Sol [CARR] | $59,000 | $44,250 | — | — | 0 |
| 4660742 | polatuzumab vedotin 140 mg Pow [CARR] | $58,510 | $43,883 | — | — | 0 |
| 51539768 | IPG Kit | $58,140 | $43,605 | — | — | 1 |
| 51516124 | Epieffect 7x7 | $57,891 | $43,418 | — | — | 1 |
| 51548491 | WAVEWRITER ALPHA 32 IPG KIT | $57,783 | $43,337 | — | — | 1 |
| 52979285 | 37277 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilate | $56,200 | $42,150 | — | — | 2 |
| 50762234 | 37229 PTA TIB/PERONEAL EA ADDL VESSEL | $53,900 | $40,425 | — | — | 2 |
| 4660057 | hyaluronidase/pertuzumab/trastuzumab 30000 units-1200 mg-600 mg/15 mL Sol | $52,190 | $39,143 | — | — | 1 |
| 49212062 | 27880 AMPUTATION LEG THRU TIBIA&FIBIA | $50,429 | $37,822 | — | — | 2 |
| 48795232 | PTA with Stent and Arthrectomy Femoral 37227 | $48,328 | $36,246 | — | — | 2 |
| 49808328 | SPECTRA WAVEWRITER IPG KIT | $47,277 | $35,458 | — | — | 1 |
| 4660772 | luspatercept 75 mg Pow-Inj [CARR] | $47,210 | $35,408 | — | — | 1 |
| 4660902 | leuprolide acetate 45 mg/6 months IM Kit [CARR] | $46,610 | $34,958 | — | — | 1 |
| 4660077 | cabazitaxel 60 mg/1.5 mL IV SDV [CARR] | $46,390 | $34,793 | — | — | 1 |
| 10747423 | Incision And Subcutaneous Placement Of Peripheral Neurostimulator Pulse Generator | $45,176 | $33,882 | — | — | 2 |
| 4660104 | dostarlimab gxly 500 mg/10 mL Sol [CARR] | $45,120 | $33,840 | — | — | 1 |
| 4660016 | atezolizumab 1200 mg/20 mL Inj SDV [CARR] | $43,470 | $32,603 | — | — | 1 |
| 49745492 | 22869 Insert Stabliz Device WO Dcmprsn Lumb Sngl Lvl | $42,759 | $32,069 | — | — | 2 |
| 4660068 | daratumumab-hyaluronidase 1800 mg-30000 units/15 mL SQ Inj Sol [CARR] | $41,940 | $31,455 | — | — | 1 |
| 52723632 | Choriofix 2x3 | $41,400 | $31,050 | — | — | 1 |
| 4660749 | cemiplimab rwlc 350 mg/7 mL Sol [CARR] | $40,980 | $30,735 | — | — | 1 |
| 51550491 | Interstim X SSMRI | $40,974 | $30,731 | — | — | 1 |
| 759249 | Pain Pump Implant | $39,923 | $29,942 | — | — | 2 |
| 3726642 | Total hip arthroplasty | $39,923 | $29,942 | — | — | 2 |
| 50971311 | 64628 Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first | $39,923 | $29,942 | — | — | 1 |
| 50755297 | 27828 - Open treatment of fracture of weight bearing articular surface/portion of distal tibia | $39,714 | $29,786 | — | — | 2 |
| 47786474 | 27758 Open trtmnt of tibial shaft fracture, w plate/screws, w or w/o cerclage | $38,822 | $29,117 | — | — | 2 |
| 4660747 | risankizumab rzaa 600 mg/10mL Sol [CARR] | $38,480 | $28,860 | — | — | 1 |
| 4660757 | vedolizumab 300 mg inj [CARR] | $37,920 | $28,440 | — | — | 1 |
| 10712895 | Arthoplasty, femoral condyles or tibial plateau(s), knee | $37,511 | $28,133 | — | — | 2 |
| 4660116 | lanreotide 120 mg/0.5 mL Sol BRAND [CARR] | $37,300 | $27,975 | — | — | 1 |
| 49259597 | INS 3058 INTERSTIM II EMANUAL US | $36,817 | $27,613 | — | — | 1 |
| 51592044 | EpiXpress 2x3cm | $36,720 | $27,540 | — | — | 1 |
| 4660729 | mirikizumab mrkz 300 mg/ 15 mL Sol [CARR] | $35,980 | $26,985 | — | — | 1 |
| 49170440 | MONTAGE MRI IPG AND CHARGING KIT | $35,935 | $26,951 | — | — | 1 |
| 52974192 | 37282 Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory | $35,400 | $26,550 | — | — | 2 |
| 4660027 | obinutuzumab 25 mg/mL Sol [CARR] | $33,760 | $25,320 | — | — | 1 |
| 49861756 | Vertiflex implant | $33,094 | $24,821 | — | — | 1 |
| 4660056 | hyaluronidase/pertuzumab/trastuzumab 20000 units-600 mg-600 mg/10 mL Sol | $31,770 | $23,828 | — | — | 1 |
| 49902192 | 37225 FEM - POP PTA + ATHERECTOMY | $31,233 | $23,425 | — | — | 2 |
| 4661003 | lurbinectedin 4 mg Pow [CARR] | $30,950 | $23,213 | — | — | 1 |
| 10734869 | Transcatheter Placement Of An Intracoronary Stent(s), Percutaneous, Any Method; Single Vessel | $30,483 | $22,862 | — | — | 2 |
Showing top 50 of 5,036 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.