45 CFR § 180 compliance
F · 50
This hospital published little 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
1,359
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
PHA5004
—
50242-0085-27 - ALTEPLASE (TPA) 100 MG VIAL [MGH]
Gross
$10,560
PHA4548
—
55513-0190-01 - PEGFILGRASTIM 6 MG/0.6 ML SYRINGE
Gross
$7,516
PHA7081
—
00944-3045-10 - ANTIHEMOPHILIC FACTOR ALBUMIN FREE
Gross
$7,280
PHA7130
—
oct30P[MGH]
Gross
$6,667
PHA7001
—
64764-0300-20 - VEDOLIZUMAB 300 MG INJECTION [MGH]
Gross
$6,014
PHA7126
—
oct20P[MGH]
Gross
$4,452
PHA7082
—
00074-3346-03 - LEUPROLIDE 22.5 MG/3 MONTHS INJ [M
Gross
$3,852
PHA4534
—
50242-0120-01 - TENECTEPLASE 50 MG VIAL [MGH]
Gross
$3,848
PHA4678
—
55513-0032-01 - DARBEPOETIN ALFA 500 MCG/ML INJ [M
Gross
$3,732
PHA4686
—
55513-0028-01 - DARBEPOETIN ALFA 200 MCG/ML INJ [M
Gross
$3,732
PHA4691
—
55513-0110-01 - DARBEPOETIN ALFA 300 MCG/ML INJ [M
Gross
$2,239
PHA7098
—
57970-0100-01 - DALBAVANCIN 500 MG INJ [MGH]
Gross
$1,842
PHA7128
—
bel400P[MGH]
Gross
$1,834
PHA0548
—
00009-0827-03 - DINOPROSTONE 20 MG VAG SUPPOSITORY
Gross
$1,347
PHA4538
—
57894-0030-01 - inFLIXimab 100 MG VIAL [MGH]
Gross
$1,226
PHA7091
—
00069-0809-01 - inFLIXimab (Inflectra) 100 MG VIAL
Gross
$1,136
PHA4719
—
00944-2833-10 - FACTOR 8 RECOBINATE 1,000 UNIT INJ
Gross
$1,100
PHA7118
—
lev19.5D[MGH[
Gross
$1,091
PHA4737
—
00074-4339-06 - ADALIMUMAB 40 MG INJECTION [MGH]
Gross
$1,078
PHA7027
—
00074-3641-03 - leuprolide 3.75 mg/month PWD
Gross
$1,077
PHA4323
—
50633-0120-11 - DIGOXIN IMMUNE FAB 40 MG VIAL [MGH
Gross
$1,039
PHA6092
—
55513-0710-01 - DENOSUMAB 60 MG/ML SYRINGE [MGH]
Gross
$1,028
PHA7089
—
00052-4330-01 - ETONOGESTREL 68 MG IUD [MGH]
Gross
$1,017
PHA6080
—
63833-0386-02 - PROTHROMBIN COMPLEX (HUMAN) [MGH]
Gross
$982
PHA4166
—
00078-0149-23 - CALCITONIN 200 UNIT/ML INJ [MGH]
Gross
$942
PHA7078
—
50419-0423-01 - LEVONORGESTREL 52 MG IUD [MGH]
Gross
$936
PHA4695
—
00781-3182-73 - Fomepizole 1.5gm/1.5mL vial [MGH]
Gross
$910
PHA7103
—
51285-0204-01 - INTRAUTERINE COPPER IUD [MGH]
Gross
$887
PHA7009
—
55566-8403-01 - degarelix 120 mg Pow
Gross
$830
PHA7069
—
64011-0247-02 - HYDROXYprogesterone 250 MG/mL INJ
Gross
$828
PHA0066
—
55513-0021-04 - DARBEPOETIN ALFA 40 MCG/ML INJ [MG
Gross
$746
PHA0185
—
59676-0340-01 - EPOETIN ALFA 40000 UNIT VIAL [MGH]
Gross
$741
PHA7010
—
55566-8303-01 - DEGARELIX 240 MG INJ [MGH]
Gross
$553
PHA0006
—
00002-8400-01 - TERIPARATIDE 20 MCG INJ [MGH]
Gross
$542
PHA4285
—
00143-9564-10 - PHENTOLAMINE 5 MG/ML INJ [MGH]
Gross
$510
PHA4461
—
11098-0507-01 - CYANIDE ANTIDOTE KIT [MGH]
Gross
$460
PHA3537
—
55513-0057-04 - DARBEPOETIN ALFA 25 MCG/ML SYRINGE
Gross
$444
PHA0218
—
13533-0700-02 - ALPHA1-PROTEINASE INHIB 1259 MG/20
Gross
$443
PHA5003
—
00006-3822-10 - CASPOFUNGIN 50 MG VIAL [MGH]
Gross
$405
PHA4703
—
59676-0320-04 - EPOETIN ALFA 20,000 UNIT VIAL [MGH
Gross
$371
PHA4575
—
49502-0500-02 - EPINEPHrine 0.3 MG PEN-SYRINGE [MG
Gross
$365
PHA4552
—
63323-0658-20 - CHLOROTHIAZIDE 500 MG VIAL [MGH]
Gross
$357
PHA4328
—
13533-0634-02 - tetanus immune globulin 250 units
Gross
$350
PHA7030
—
67457-0583-04 - fondaparinux 5 mg/0.4 mL Sol
Gross
$322
PHA4107
—
55513-0530-10 - FILGRASTIM 300 MCG/1 ML VIAL [MGH]
Gross
$317
PHA7065
—
00000-0000-57 - On Q pump 1 EA Misc
Gross
$308
PHA0253
—
49281-0589-05 - MENINGOCOCCAL DIPHTHERIA VACCINE [
Gross
$303
PHA4131
—
63851-0501-01 - RABIES VACCINE 1 ML INJ [MGH]
Gross
$283
PHA7005
—
55111-0681-02 - FONDAPARINUX 10 MG/0.8 mL INJ [MGH
Gross
$272
PHA4130
—
49281-0190-20 - RABIES IMMUNE GLOBULIN 150 UNIT/ML
Gross
$258
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PHA5004 | 50242-0085-27 - ALTEPLASE (TPA) 100 MG VIAL [MGH] | $10,560 | — | — | — | 0 |
| PHA4548 | 55513-0190-01 - PEGFILGRASTIM 6 MG/0.6 ML SYRINGE | $7,516 | — | — | — | 0 |
| PHA7081 | 00944-3045-10 - ANTIHEMOPHILIC FACTOR ALBUMIN FREE | $7,280 | — | — | — | 0 |
| PHA7130 | oct30P[MGH] | $6,667 | — | — | — | 0 |
| PHA7001 | 64764-0300-20 - VEDOLIZUMAB 300 MG INJECTION [MGH] | $6,014 | — | — | — | 0 |
| PHA7126 | oct20P[MGH] | $4,452 | — | — | — | 0 |
| PHA7082 | 00074-3346-03 - LEUPROLIDE 22.5 MG/3 MONTHS INJ [M | $3,852 | — | — | — | 0 |
| PHA4534 | 50242-0120-01 - TENECTEPLASE 50 MG VIAL [MGH] | $3,848 | — | — | — | 0 |
| PHA4678 | 55513-0032-01 - DARBEPOETIN ALFA 500 MCG/ML INJ [M | $3,732 | — | — | — | 0 |
| PHA4686 | 55513-0028-01 - DARBEPOETIN ALFA 200 MCG/ML INJ [M | $3,732 | — | — | — | 0 |
| PHA4691 | 55513-0110-01 - DARBEPOETIN ALFA 300 MCG/ML INJ [M | $2,239 | — | — | — | 0 |
| PHA7098 | 57970-0100-01 - DALBAVANCIN 500 MG INJ [MGH] | $1,842 | — | — | — | 0 |
| PHA7128 | bel400P[MGH] | $1,834 | — | — | — | 0 |
| PHA0548 | 00009-0827-03 - DINOPROSTONE 20 MG VAG SUPPOSITORY | $1,347 | — | — | — | 0 |
| PHA4538 | 57894-0030-01 - inFLIXimab 100 MG VIAL [MGH] | $1,226 | — | — | — | 0 |
| PHA7091 | 00069-0809-01 - inFLIXimab (Inflectra) 100 MG VIAL | $1,136 | — | — | — | 0 |
| PHA4719 | 00944-2833-10 - FACTOR 8 RECOBINATE 1,000 UNIT INJ | $1,100 | — | — | — | 0 |
| PHA7118 | lev19.5D[MGH[ | $1,091 | — | — | — | 0 |
| PHA4737 | 00074-4339-06 - ADALIMUMAB 40 MG INJECTION [MGH] | $1,078 | — | — | — | 0 |
| PHA7027 | 00074-3641-03 - leuprolide 3.75 mg/month PWD | $1,077 | — | — | — | 0 |
| PHA4323 | 50633-0120-11 - DIGOXIN IMMUNE FAB 40 MG VIAL [MGH | $1,039 | — | — | — | 0 |
| PHA6092 | 55513-0710-01 - DENOSUMAB 60 MG/ML SYRINGE [MGH] | $1,028 | — | — | — | 0 |
| PHA7089 | 00052-4330-01 - ETONOGESTREL 68 MG IUD [MGH] | $1,017 | — | — | — | 0 |
| PHA6080 | 63833-0386-02 - PROTHROMBIN COMPLEX (HUMAN) [MGH] | $982 | — | — | — | 0 |
| PHA4166 | 00078-0149-23 - CALCITONIN 200 UNIT/ML INJ [MGH] | $942 | — | — | — | 0 |
| PHA7078 | 50419-0423-01 - LEVONORGESTREL 52 MG IUD [MGH] | $936 | — | — | — | 0 |
| PHA4695 | 00781-3182-73 - Fomepizole 1.5gm/1.5mL vial [MGH] | $910 | — | — | — | 0 |
| PHA7103 | 51285-0204-01 - INTRAUTERINE COPPER IUD [MGH] | $887 | — | — | — | 0 |
| PHA7009 | 55566-8403-01 - degarelix 120 mg Pow | $830 | — | — | — | 0 |
| PHA7069 | 64011-0247-02 - HYDROXYprogesterone 250 MG/mL INJ | $828 | — | — | — | 0 |
| PHA0066 | 55513-0021-04 - DARBEPOETIN ALFA 40 MCG/ML INJ [MG | $746 | — | — | — | 0 |
| PHA0185 | 59676-0340-01 - EPOETIN ALFA 40000 UNIT VIAL [MGH] | $741 | — | — | — | 0 |
| PHA7010 | 55566-8303-01 - DEGARELIX 240 MG INJ [MGH] | $553 | — | — | — | 0 |
| PHA0006 | 00002-8400-01 - TERIPARATIDE 20 MCG INJ [MGH] | $542 | — | — | — | 0 |
| PHA4285 | 00143-9564-10 - PHENTOLAMINE 5 MG/ML INJ [MGH] | $510 | — | — | — | 0 |
| PHA4461 | 11098-0507-01 - CYANIDE ANTIDOTE KIT [MGH] | $460 | — | — | — | 0 |
| PHA3537 | 55513-0057-04 - DARBEPOETIN ALFA 25 MCG/ML SYRINGE | $444 | — | — | — | 0 |
| PHA0218 | 13533-0700-02 - ALPHA1-PROTEINASE INHIB 1259 MG/20 | $443 | — | — | — | 0 |
| PHA5003 | 00006-3822-10 - CASPOFUNGIN 50 MG VIAL [MGH] | $405 | — | — | — | 0 |
| PHA4703 | 59676-0320-04 - EPOETIN ALFA 20,000 UNIT VIAL [MGH | $371 | — | — | — | 0 |
| PHA4575 | 49502-0500-02 - EPINEPHrine 0.3 MG PEN-SYRINGE [MG | $365 | — | — | — | 0 |
| PHA4552 | 63323-0658-20 - CHLOROTHIAZIDE 500 MG VIAL [MGH] | $357 | — | — | — | 0 |
| PHA4328 | 13533-0634-02 - tetanus immune globulin 250 units | $350 | — | — | — | 0 |
| PHA7030 | 67457-0583-04 - fondaparinux 5 mg/0.4 mL Sol | $322 | — | — | — | 0 |
| PHA4107 | 55513-0530-10 - FILGRASTIM 300 MCG/1 ML VIAL [MGH] | $317 | — | — | — | 0 |
| PHA7065 | 00000-0000-57 - On Q pump 1 EA Misc | $308 | — | — | — | 0 |
| PHA0253 | 49281-0589-05 - MENINGOCOCCAL DIPHTHERIA VACCINE [ | $303 | — | — | — | 0 |
| PHA4131 | 63851-0501-01 - RABIES VACCINE 1 ML INJ [MGH] | $283 | — | — | — | 0 |
| PHA7005 | 55111-0681-02 - FONDAPARINUX 10 MG/0.8 mL INJ [MGH | $272 | — | — | — | 0 |
| PHA4130 | 49281-0190-20 - RABIES IMMUNE GLOBULIN 150 UNIT/ML | $258 | — | — | — | 0 |
Showing top 50 of 1,359 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.