45 CFR § 180 compliance
A · 100
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
2,659
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4302687
$43,167
Ipilimumab 5mg/ml 40ml Vial
Gross
$53,959
4308680-JZ
$14,625
Dostarlimab 50mg/ml 10ml Vial
Gross
$18,281
4308680
$14,625
Dostarlimab 50mg/ml 10ml Vial
Gross
$18,281
4305000
$10,792
Ipilimumab 5mg/ml 10ml Vial
Gross
$13,490
4309478
$10,766
Daratumumab-hylds120mg-2000u/ml 15mlvial
Gross
$13,458
4309941
$10,590
Alteplase 100mg Iv Vial
Gross
$13,237
4305556-TB
$10,374
Tenecteplase 50mg Iv Inj
Gross
$12,968
4305556
$10,374
Tenecteplase 50mg Iv Inj
Gross
$12,968
4309865-JW
$9,850
Nivolumab 10mg/ml 24ml Vial
Gross
$12,312
4309865
$9,850
Nivolumab 10mg/ml 24ml Vial
Gross
$12,312
4309676-JZ
$7,459
Pembrolizumab 25mg/ml 4ml Sdv
Gross
$9,324
4309676
$7,459
Pembrolizumab 25mg/ml 4ml Sdv
Gross
$9,324
4309644
$7,357
Octreotide Acetate 30mg
Gross
$9,196
4309825
$6,901
Leuprolide 45mg Im Inj
Gross
$8,626
4240132-TC
$6,240
Nm Pet Scan
Gross
$7,800
4309642
$6,100
Benralizumab 30mg/ml 1ml
Gross
$7,625
4301289-JZ
$5,626
Pegfilgrastim 6mg/0.6ml
Gross
$7,033
4301289
$5,626
Pegfilgrastim 6mg/0.6ml
Gross
$7,033
4309643
$5,604
Neulasta Onpro Kit 6mg/0.6ml
Gross
$7,005
4309645
$5,567
Octreotide Acetate 20mg
Gross
$6,959
4309645-JZ
$5,548
Octreotide Acetate 20mg
Gross
$6,935
4240142-TC
$4,992
Nm Pet Skull Base To Mid Thi
Gross
$6,240
4251066-TC
$4,560
Ct Angio Abd&plvis Cntrst Mtrl W/wo Cnt
Gross
$5,700
4251069-TC
$4,326
Ct Abd/pelv Combo W W/out
Gross
$5,408
4309429-JZ
$4,204
Inclisiran Sod 284mg/1.5ml Syringe
Gross
$5,255
4309429
$4,204
Inclisiran Sod 284mg/1.5ml Syringe
Gross
$5,255
4309727-TB
$4,177
Immune Globulin10%iv 30gm
Gross
$5,221
4309727
$4,177
Immune Globulin10%iv 30gm
Gross
$5,221
4309943
$4,108
Denosumab 120mg Inj
Gross
$5,135
4309943-JZ
$4,093
Denosumab 120mg Inj
Gross
$5,116
4301943-JW
$4,007
Hyperrab 1500 Iu5 Ml
Gross
$5,009
4301943
$4,007
Hyperrab 1500 Iu5 Ml
Gross
$5,009
4300012-JW
$3,945
Nivolumab 10mg/ml 10ml Vial
Gross
$4,931
4300012
$3,945
Nivolumab 10mg/ml 10ml Vial
Gross
$4,931
4251067-TC
$3,807
CT scan of abdomen and pelvis with contrast
Gross
$4,759
4260428
$3,600
Mri Abdomen W W/o
Gross
$4,500
4260432
$3,461
Mri Cervical Spine W& W/o
Gross
$4,326
4260437
$3,461
Mri Thoracic Spine W&w/o
Gross
$4,326
4260442
$3,461
Mri Lumbar Spine W & W/o
Gross
$4,326
4309629
$3,422
Romosozumab-aqqg 210mg Inj
Gross
$4,278
4240567
$3,374
Nm Spect Cardiac Scan
Gross
$4,218
4260412
$3,374
MRI Scan
Gross
$4,218
4309628-TB
$3,293
Rituximab-pvvr 100mg/10ml 50ml Vial
Gross
$4,116
4309628
$3,293
Rituximab-pvvr 100mg/10ml 50ml Vial
Gross
$4,116
4301490-TB
$3,290
Zoladex 10.8mg
Gross
$4,113
4301490
$3,290
Zoladex 10.8mg
Gross
$4,113
4306824-JZ
$3,286
Eflapegrastim-xnst 13.2mg/0.6ml Syr
Gross
$4,108
4306824
$3,286
Eflapegrastim-xnst 13.2mg/0.6ml Syr
Gross
$4,108
4309629-TB
$3,259
Romosozumab-aqqg 210mg Inj
Gross
$4,074
4251068-TC
$3,202
Ct Combo Abd/pelv W/o Con
Gross
$4,002
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4302687 | Ipilimumab 5mg/ml 40ml Vial | $53,959 | $43,167 | $37,232 | $51,801 | 11 |
| 4308680-JZ | Dostarlimab 50mg/ml 10ml Vial | $18,281 | $14,625 | $12,614 | $17,550 | 11 |
| 4308680 | Dostarlimab 50mg/ml 10ml Vial | $18,281 | $14,625 | $12,614 | $17,550 | 11 |
| 4305000 | Ipilimumab 5mg/ml 10ml Vial | $13,490 | $10,792 | $9,308 | $12,950 | 11 |
| 4309478 | Daratumumab-hylds120mg-2000u/ml 15mlvial | $13,458 | $10,766 | $9,286 | $12,920 | 11 |
| 4309941 | Alteplase 100mg Iv Vial | $13,237 | $10,590 | $9,134 | $12,708 | 11 |
| 4305556-TB | Tenecteplase 50mg Iv Inj | $12,968 | $10,374 | $8,948 | $12,449 | 11 |
| 4305556 | Tenecteplase 50mg Iv Inj | $12,968 | $10,374 | $8,948 | $12,449 | 11 |
| 4309865-JW | Nivolumab 10mg/ml 24ml Vial | $12,312 | $9,850 | $8,495 | $11,820 | 11 |
| 4309865 | Nivolumab 10mg/ml 24ml Vial | $12,312 | $9,850 | $8,495 | $11,820 | 11 |
| 4309676-JZ | Pembrolizumab 25mg/ml 4ml Sdv | $9,324 | $7,459 | $6,434 | $8,951 | 11 |
| 4309676 | Pembrolizumab 25mg/ml 4ml Sdv | $9,324 | $7,459 | $6,434 | $8,951 | 11 |
| 4309644 | Octreotide Acetate 30mg | $9,196 | $7,357 | $6,345 | $8,828 | 11 |
| 4309825 | Leuprolide 45mg Im Inj | $8,626 | $6,901 | $5,952 | $8,281 | 11 |
| 4240132-TC | Nm Pet Scan | $7,800 | $6,240 | $5,382 | $7,488 | 11 |
| 4309642 | Benralizumab 30mg/ml 1ml | $7,625 | $6,100 | $5,261 | $7,320 | 11 |
| 4301289-JZ | Pegfilgrastim 6mg/0.6ml | $7,033 | $5,626 | $4,853 | $6,752 | 11 |
| 4301289 | Pegfilgrastim 6mg/0.6ml | $7,033 | $5,626 | $4,853 | $6,752 | 11 |
| 4309643 | Neulasta Onpro Kit 6mg/0.6ml | $7,005 | $5,604 | $4,833 | $6,725 | 11 |
| 4309645 | Octreotide Acetate 20mg | $6,959 | $5,567 | $4,802 | $6,681 | 11 |
| 4309645-JZ | Octreotide Acetate 20mg | $6,935 | $5,548 | $4,785 | $6,658 | 11 |
| 4240142-TC | Nm Pet Skull Base To Mid Thi | $6,240 | $4,992 | $4,306 | $5,990 | 11 |
| 4251066-TC | Ct Angio Abd&plvis Cntrst Mtrl W/wo Cnt | $5,700 | $4,560 | $3,933 | $5,472 | 11 |
| 4251069-TC | Ct Abd/pelv Combo W W/out | $5,408 | $4,326 | $3,732 | $5,192 | 11 |
| 4309429-JZ | Inclisiran Sod 284mg/1.5ml Syringe | $5,255 | $4,204 | $3,626 | $5,045 | 11 |
| 4309429 | Inclisiran Sod 284mg/1.5ml Syringe | $5,255 | $4,204 | $3,626 | $5,045 | 11 |
| 4309727-TB | Immune Globulin10%iv 30gm | $5,221 | $4,177 | $3,602 | $5,012 | 11 |
| 4309727 | Immune Globulin10%iv 30gm | $5,221 | $4,177 | $3,602 | $5,012 | 11 |
| 4309943 | Denosumab 120mg Inj | $5,135 | $4,108 | $3,543 | $4,930 | 11 |
| 4309943-JZ | Denosumab 120mg Inj | $5,116 | $4,093 | $3,530 | $4,911 | 11 |
| 4301943-JW | Hyperrab 1500 Iu5 Ml | $5,009 | $4,007 | $3,456 | $4,809 | 11 |
| 4301943 | Hyperrab 1500 Iu5 Ml | $5,009 | $4,007 | $3,456 | $4,809 | 11 |
| 4300012-JW | Nivolumab 10mg/ml 10ml Vial | $4,931 | $3,945 | $3,402 | $4,734 | 11 |
| 4300012 | Nivolumab 10mg/ml 10ml Vial | $4,931 | $3,945 | $3,402 | $4,734 | 11 |
| 4251067-TC | CT scan of abdomen and pelvis with contrast | $4,759 | $3,807 | $3,284 | $4,569 | 11 |
| 4260428 | Mri Abdomen W W/o | $4,500 | $3,600 | $3,105 | $4,320 | 11 |
| 4260432 | Mri Cervical Spine W& W/o | $4,326 | $3,461 | $2,985 | $4,153 | 11 |
| 4260437 | Mri Thoracic Spine W&w/o | $4,326 | $3,461 | $2,985 | $4,153 | 11 |
| 4260442 | Mri Lumbar Spine W & W/o | $4,326 | $3,461 | $2,985 | $4,153 | 11 |
| 4309629 | Romosozumab-aqqg 210mg Inj | $4,278 | $3,422 | $2,952 | $4,107 | 11 |
| 4240567 | Nm Spect Cardiac Scan | $4,218 | $3,374 | $2,910 | $4,049 | 11 |
| 4260412 | MRI Scan | $4,218 | $3,374 | $2,910 | $4,049 | 11 |
| 4309628-TB | Rituximab-pvvr 100mg/10ml 50ml Vial | $4,116 | $3,293 | $2,840 | $3,951 | 11 |
| 4309628 | Rituximab-pvvr 100mg/10ml 50ml Vial | $4,116 | $3,293 | $2,840 | $3,951 | 11 |
| 4301490-TB | Zoladex 10.8mg | $4,113 | $3,290 | $2,838 | $3,948 | 11 |
| 4301490 | Zoladex 10.8mg | $4,113 | $3,290 | $2,838 | $3,948 | 11 |
| 4306824-JZ | Eflapegrastim-xnst 13.2mg/0.6ml Syr | $4,108 | $3,286 | $2,835 | $3,944 | 11 |
| 4306824 | Eflapegrastim-xnst 13.2mg/0.6ml Syr | $4,108 | $3,286 | $2,835 | $3,944 | 11 |
| 4309629-TB | Romosozumab-aqqg 210mg Inj | $4,074 | $3,259 | $2,811 | $3,911 | 11 |
| 4251068-TC | Ct Combo Abd/pelv W/o Con | $4,002 | $3,202 | $2,761 | $3,842 | 11 |
Showing top 50 of 2,659 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.