45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
7,364
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
60006591387
$210,395
nusinersen 2.4mg/mL 5mL vial (G/K)
Gross
$210,395
60006592838
$90,522
RAD lutetium Lu 177 dotatate 370 MBq/mL 200mCi soln (G/K)
Gross
$90,522
60006591191
$86,143
histrelin (Supprelin LA) 50mg subcut implant (G/K)
Gross
$86,143
60006593886
$73,738
RAD lutetium Lu 177 vipivotide tetraxetan 1000 MBq/mL 200mCi soln (G/K)
Gross
$73,738
60006594577
$65,657
tremelimumab-actl (Imjudo) 20mg/mL 15mL vial (G/K)
Gross
$65,657
60006549968
$58,074
carmustine 7.7mg wafer (pkg of 8)
Gross
$58,074
60006592021
$57,610
glucarpidase 1000 Unit(s) vial
Gross
$57,610
7671792
$50,000
Noncdm Charge Record Medical Supplies
Gross
$50,000
60006582423
$42,681
ipilimumab 5mg/mL 40mL vial (G/K)
Gross
$42,681
60006594272
$42,594
calaspargase pegol mknl 750 units/mL 5mL vial
Gross
$42,594
60006593984
$42,205
spesolimab sbzo 60mg/mL 7.5mL vial (G/K)
Gross
$42,205
60006585426
$39,318
sipuleucel-T 50million CD54+ cells in 250mL LR (G/K)
Gross
$39,318
60006593575
$38,765
ravulizumab-cwvz 1100mg/11mL (G/K)
Gross
$38,765
60006594599
$36,279
porfimer 75 mg injection (G/K)
Gross
$36,279
60006590948
$35,991
alemtuzumab 10mg/mL 1.2mL soln (G/K)
Gross
$35,991
60006591847
$33,718
pegloticase 8mg/mL 1mL vial (G/K)
Gross
$33,718
60006594567
$31,869
risankizumab rzaa (Skyrizi) 150mg injection (G/K)
Gross
$31,869
60006591924
$31,831
inotuzumab ozogamicin 0.9mg vial (G/K)
Gross
$31,831
60006592153
$30,743
pegaspargase 750 Unit(s)/mL 5mL vial (G/K)
Gross
$30,743
60006594213
$29,426
mosunetuzumab axgb 1mg/1mL 30mL vial (G/K)
Gross
$29,426
60006591374
$26,833
ocrelizumab 30mg/mL 10mL vial (G/K)
Gross
$26,833
60006592638
$26,289
teprotumumab-trbw 500 mg inj (G/K)
Gross
$26,289
60006594300
$25,143
epcoritamab bysp 48mg/0.8mL soln (G/K)
Gross
$25,143
60006591992
$24,770
polatuzumab vedotin 140mg vial (G/K)
Gross
$24,770
60006594596
$24,770
tarlatamab-dlle 10mg vial
Gross
$24,770
60006581920
$21,836
coagulation factor VIIa 8000 mcg (8 mg) Inject (G/K)
Gross
$21,836
60006594032
$19,807
fecal microbiota, live jslm 150mL enema (G/K)
Gross
$19,807
60006591548
$19,747
PRALAtrexate 20mg/mL 2mL soln (G/K)
Gross
$19,747
60006591038
$18,798
vinCRIStine liposome 5 mg/31mL
Gross
$18,798
60006594251
$17,830
cedazuridine-decitabine 100 mg-35mg tablet (5 tabs)
Gross
$17,830
5780484
$17,752
Surgery Cesarean Section With Hysterectomy
Gross
$17,752
7710317
$17,476
Noncdm Charge Record Medical Supplies
Gross
$17,476
60006594368
$17,114
talquetamab-tgvs 40 mg/mL soln (G/K)
Gross
$17,114
60006575906
$16,907
cabazitaxel 60mg (G/K)
Gross
$16,907
60006594298
$16,882
glofitamab gxbm 1mg/mL 10mL soln
Gross
$16,882
60006583124
$16,850
coagulation factor VIIa 5000 mcg (5 mg) Inject (G/K)
Gross
$16,850
60006592983
$16,520
USE IV SET immune globulin (Gamunex-C) 40gm/400mL soln (G/K)
Gross
$16,520
60006593789
$15,699
risankizumab rzaa (Skyrizi) 600mg vial (G/K)
Gross
$15,699
60006594133
$14,945
teclistamab cqyv 153mg/1.7mL vial (G/K)
Gross
$14,945
60006591218
$14,893
atezolizumab 60mg/mL 20mL soln (G/K)
Gross
$14,893
60006591452
$14,232
hemin 350mg vial (G/K)
Gross
$14,232
60006591386
$14,195
USE IV SET - immune globulin (Privigen) 40gm/400mL vial (G/K)
Gross
$14,195
60006591610
$14,024
daunorubicin/cytarabine liposomal 44 mg-100 mg inj (G/K)
Gross
$14,024
60006592221
$13,998
hyaluronidase/pertuzumab/trastuzumab 20,000 units-600 mg-600 mg/10 mL vial (G/K)
Gross
$13,998
60006590673
$13,923
plerixafor 20mg/mL 1.2mL vial (G/K)
Gross
$13,923
60006593233
$13,825
daratumumab-hyaluronidase 1800 mg-30,000 units/15 mL soln (G/K)
Gross
$13,825
60006592273
$13,708
belantamab mafodotin-blmf 100mg inj (G/K)
Gross
$13,708
60006591223
$13,696
brentuximab vedotin 50mg vial (G/K)
Gross
$13,696
60006593734
$13,580
gemtuzumab ozogamicin 4.5mg vial (G/K)
Gross
$13,580
60006592411
$13,548
romiDEPsin 27.5 mg/5.5 mL soln (G/K)
Gross
$13,548
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 60006591387 | nusinersen 2.4mg/mL 5mL vial (G/K) | $210,395 | $210,395 | — | — | 0 |
| 60006592838 | RAD lutetium Lu 177 dotatate 370 MBq/mL 200mCi soln (G/K) | $90,522 | $90,522 | — | — | 0 |
| 60006591191 | histrelin (Supprelin LA) 50mg subcut implant (G/K) | $86,143 | $86,143 | — | — | 0 |
| 60006593886 | RAD lutetium Lu 177 vipivotide tetraxetan 1000 MBq/mL 200mCi soln (G/K) | $73,738 | $73,738 | — | — | 0 |
| 60006594577 | tremelimumab-actl (Imjudo) 20mg/mL 15mL vial (G/K) | $65,657 | $65,657 | — | — | 0 |
| 60006549968 | carmustine 7.7mg wafer (pkg of 8) | $58,074 | $58,074 | — | — | 0 |
| 60006592021 | glucarpidase 1000 Unit(s) vial | $57,610 | $57,610 | — | — | 0 |
| 7671792 | Noncdm Charge Record Medical Supplies | $50,000 | $50,000 | — | — | 0 |
| 60006582423 | ipilimumab 5mg/mL 40mL vial (G/K) | $42,681 | $42,681 | — | — | 0 |
| 60006594272 | calaspargase pegol mknl 750 units/mL 5mL vial | $42,594 | $42,594 | — | — | 0 |
| 60006593984 | spesolimab sbzo 60mg/mL 7.5mL vial (G/K) | $42,205 | $42,205 | — | — | 0 |
| 60006585426 | sipuleucel-T 50million CD54+ cells in 250mL LR (G/K) | $39,318 | $39,318 | — | — | 0 |
| 60006593575 | ravulizumab-cwvz 1100mg/11mL (G/K) | $38,765 | $38,765 | — | — | 0 |
| 60006594599 | porfimer 75 mg injection (G/K) | $36,279 | $36,279 | — | — | 0 |
| 60006590948 | alemtuzumab 10mg/mL 1.2mL soln (G/K) | $35,991 | $35,991 | — | — | 0 |
| 60006591847 | pegloticase 8mg/mL 1mL vial (G/K) | $33,718 | $33,718 | — | — | 0 |
| 60006594567 | risankizumab rzaa (Skyrizi) 150mg injection (G/K) | $31,869 | $31,869 | — | — | 0 |
| 60006591924 | inotuzumab ozogamicin 0.9mg vial (G/K) | $31,831 | $31,831 | — | — | 0 |
| 60006592153 | pegaspargase 750 Unit(s)/mL 5mL vial (G/K) | $30,743 | $30,743 | — | — | 0 |
| 60006594213 | mosunetuzumab axgb 1mg/1mL 30mL vial (G/K) | $29,426 | $29,426 | — | — | 0 |
| 60006591374 | ocrelizumab 30mg/mL 10mL vial (G/K) | $26,833 | $26,833 | — | — | 0 |
| 60006592638 | teprotumumab-trbw 500 mg inj (G/K) | $26,289 | $26,289 | — | — | 0 |
| 60006594300 | epcoritamab bysp 48mg/0.8mL soln (G/K) | $25,143 | $25,143 | — | — | 0 |
| 60006591992 | polatuzumab vedotin 140mg vial (G/K) | $24,770 | $24,770 | — | — | 0 |
| 60006594596 | tarlatamab-dlle 10mg vial | $24,770 | $24,770 | — | — | 0 |
| 60006581920 | coagulation factor VIIa 8000 mcg (8 mg) Inject (G/K) | $21,836 | $21,836 | — | — | 0 |
| 60006594032 | fecal microbiota, live jslm 150mL enema (G/K) | $19,807 | $19,807 | — | — | 0 |
| 60006591548 | PRALAtrexate 20mg/mL 2mL soln (G/K) | $19,747 | $19,747 | — | — | 0 |
| 60006591038 | vinCRIStine liposome 5 mg/31mL | $18,798 | $18,798 | — | — | 0 |
| 60006594251 | cedazuridine-decitabine 100 mg-35mg tablet (5 tabs) | $17,830 | $17,830 | — | — | 0 |
| 5780484 | Surgery Cesarean Section With Hysterectomy | $17,752 | $17,752 | — | — | 0 |
| 7710317 | Noncdm Charge Record Medical Supplies | $17,476 | $17,476 | — | — | 0 |
| 60006594368 | talquetamab-tgvs 40 mg/mL soln (G/K) | $17,114 | $17,114 | — | — | 0 |
| 60006575906 | cabazitaxel 60mg (G/K) | $16,907 | $16,907 | — | — | 0 |
| 60006594298 | glofitamab gxbm 1mg/mL 10mL soln | $16,882 | $16,882 | — | — | 0 |
| 60006583124 | coagulation factor VIIa 5000 mcg (5 mg) Inject (G/K) | $16,850 | $16,850 | — | — | 0 |
| 60006592983 | USE IV SET immune globulin (Gamunex-C) 40gm/400mL soln (G/K) | $16,520 | $16,520 | — | — | 0 |
| 60006593789 | risankizumab rzaa (Skyrizi) 600mg vial (G/K) | $15,699 | $15,699 | — | — | 0 |
| 60006594133 | teclistamab cqyv 153mg/1.7mL vial (G/K) | $14,945 | $14,945 | — | — | 0 |
| 60006591218 | atezolizumab 60mg/mL 20mL soln (G/K) | $14,893 | $14,893 | — | — | 0 |
| 60006591452 | hemin 350mg vial (G/K) | $14,232 | $14,232 | — | — | 0 |
| 60006591386 | USE IV SET - immune globulin (Privigen) 40gm/400mL vial (G/K) | $14,195 | $14,195 | — | — | 0 |
| 60006591610 | daunorubicin/cytarabine liposomal 44 mg-100 mg inj (G/K) | $14,024 | $14,024 | — | — | 0 |
| 60006592221 | hyaluronidase/pertuzumab/trastuzumab 20,000 units-600 mg-600 mg/10 mL vial (G/K) | $13,998 | $13,998 | — | — | 0 |
| 60006590673 | plerixafor 20mg/mL 1.2mL vial (G/K) | $13,923 | $13,923 | — | — | 0 |
| 60006593233 | daratumumab-hyaluronidase 1800 mg-30,000 units/15 mL soln (G/K) | $13,825 | $13,825 | — | — | 0 |
| 60006592273 | belantamab mafodotin-blmf 100mg inj (G/K) | $13,708 | $13,708 | — | — | 0 |
| 60006591223 | brentuximab vedotin 50mg vial (G/K) | $13,696 | $13,696 | — | — | 0 |
| 60006593734 | gemtuzumab ozogamicin 4.5mg vial (G/K) | $13,580 | $13,580 | — | — | 0 |
| 60006592411 | romiDEPsin 27.5 mg/5.5 mL soln (G/K) | $13,548 | $13,548 | — | — | 0 |
Showing top 50 of 7,364 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.