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
3,795
Insurances with rates
3
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
CP17459510426523786
$31,060
Cabazitaxel 60mg/1.5ml [Gmh]
Gross
$34,511
4507085
$26,176
Luspatercept Aamt 75 Mg Pow [Gmh]
Gross
$29,084
4507047
$24,349
Atezolizumab 1200 Mg/20 Ml Sol [Gmh]
Gross
$27,054
4506039
$23,123
Pegfilgrastim On-body 6 Mg/0.6 Ml Sol [Gmh]
Gross
$25,692
4507166
$21,694
Daratumumab-hyaluronidase Fihj 1800 Mg-30,000 Units/15 Ml Sol [Gmh]
Gross
$24,104
3305200
$20,355
64590 Implant Of Neurolog Devic
Gross
$22,617
4507068
$20,263
Vedolizumab 300 Mg Pow [Gmh]
Gross
$22,514
4505094
$19,027
Alteplase 100 Mg Pow [Gmh]
Gross
$21,141
4507002
$17,940
Tenecteplase 50 Mg Pow [Gmh]
Gross
$19,933
4507121
$16,866
Nivolumab 240 Mg/ 24 Ml Sol [Gmh]
Gross
$18,740
4507127
$16,547
Lurbinectedin 4 Mg Pow
Gross
$18,386
4301933
$16,493
Interstim X Neurostimulator
Gross
$18,325
4505027
$16,286
Immune Globulin Intravenous 10% Sol [Gmh]
Gross
$18,095
3302000
$14,961
53850 Microwave Thermo Therapy
Gross
$16,623
4507064
$14,949
Octreotide 30 Mg Pwd [Gmh]
Gross
$16,610
4506024
$14,777
Pertuzumab 420 Mg/14 Ml Sol [Gmh]
Gross
$16,419
4506026
$13,926
Leuprolide 22.5 Mg/3 Months Pwd
Gross
$15,473
4503752
$13,881
Pegfilgrastim 6. Mg Soln [Gmh]
Gross
$15,423
4501075
$12,977
Certolizumab Kit [Gmh]
Gross
$14,419
3303000
$12,817
52647 Evlove Laser Surgery
Gross
$14,241
4505097
$12,534
Pembrolizumab 25 Mg/ml Sol [Gmh]
Gross
$13,927
4507035
$11,689
Leuprolide 11.25 Mg/3 Months Pwd [Gmh]
Gross
$12,988
4505070
$11,333
Immune Globulin Intravenous And Subcutaneous 10% Sol [Gmh]
Gross
$12,592
4502013
$10,192
Rituximab 500 Mg/50 Ml Iv Sol [Gmh]
Gross
$11,324
4506048
$9,989
Octreotide 20 Mg Pwd [Gmh]
Gross
$11,099
4505093
$9,522
Alteplase 50 Mg Pow [Gmh]
Gross
$10,580
4507086
$9,177
Rituximab Abbs 10 Mg/ml 500mg Sol [Gmh]
Gross
$10,197
4507088
$9,036
Pegfilgrastim Jmdb 6 Mg/0.6 Ml Sol [Gmh]
Gross
$10,040
4309625
$8,910
Assert Iq Cardiac Monitor
Gross
$9,900
4505017
$8,778
Pemetrexed 500 Mg Pow [Gmh]
Gross
$9,753
4507169
$8,717
Durvalumab 50 Mg/ml Sol [Gmh]
Gross
$9,685
4506012
$8,377
Darbepoetin Alfa 500 Mcg/ml Sol [Gmh]
Gross
$9,308
4505033
$8,151
Immune Globulin Intravenous 10% Sol [Gmh]
Gross
$9,057
4309583
$7,898
Jot Dx Dm4500
Gross
$8,775
4507164
$7,304
Inclisiran 284 Mg/1.5 Ml Sol {Gmh]
Gross
$8,116
4506064
$7,259
Rabies Immune Globulin, Human 300 Units/ml 5 Ml Sol [Gmh]
Gross
$8,065
4501042
$7,115
Denosumab 120 Mg/1.7 Ml Sol [Gmh]
Gross
$7,905
4503842
$6,926
Polyvalent Immune Fab, Anti Snake [Gmh]
Gross
$7,695
4301924
$6,089
Lead Kit Is2 28cm
Gross
$6,765
4507069
$6,073
Bevacizumab Awwb 25 Mg/ml Sol [Gmh]
Gross
$6,748
4507163
$6,001
Omalizumab 300 Mg/2 Ml Sol [Gmh]
Gross
$6,668
4507114
$5,872
Leuprolide 45 Mg/6 Months Pwd [Gmh]
Gross
$6,524
3305000
$5,845
64581 Incision Implnt Neuro Ele
Gross
$6,494
3760103-TC
$5,490
Ct Angio Abdomen Pelvis Famc
Gross
$6,100
4507165
$5,426
Romosozumab 210 Mg/2.34 Ml Sol [Gmh]
Gross
$6,029
4507143
$5,388
Bendamustine 25 Mg/ml 4ml Sol [Gmh]
Gross
$5,987
3760066-TC
$5,260
Ct Abdomen +Pelvis W/ + W/o Cont
Gross
$5,844
3337101
$5,206
58291 Vaginal Hysterectomy, For Uterus Greater Than 250g With Removal Of Tube(s) And/or Ovary(s)
Gross
$5,784
3337098
$4,961
58280 Vaginal Hysterectomy, With Total Or Partial Vaginectomy With Repair Of Enterocele
Gross
$5,512
3337100
$4,798
58290 Vaginal Hysterectomy, For Uterus Greater Than 250g
Gross
$5,331
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| CP17459510426523786 | Cabazitaxel 60mg/1.5ml [Gmh] | $34,511 | $31,060 | $21,183 | $33,131 | 7 |
| 4507085 | Luspatercept Aamt 75 Mg Pow [Gmh] | $29,084 | $26,176 | $17,852 | $27,921 | 7 |
| 4507047 | Atezolizumab 1200 Mg/20 Ml Sol [Gmh] | $27,054 | $24,349 | $16,606 | $25,972 | 7 |
| 4506039 | Pegfilgrastim On-body 6 Mg/0.6 Ml Sol [Gmh] | $25,692 | $23,123 | $15,770 | $24,664 | 7 |
| 4507166 | Daratumumab-hyaluronidase Fihj 1800 Mg-30,000 Units/15 Ml Sol [Gmh] | $24,104 | $21,694 | $14,795 | $23,140 | 7 |
| 3305200 | 64590 Implant Of Neurolog Devic | $22,617 | $20,355 | $13,882 | $21,712 | 6 |
| 4507068 | Vedolizumab 300 Mg Pow [Gmh] | $22,514 | $20,263 | $13,819 | $21,613 | 7 |
| 4505094 | Alteplase 100 Mg Pow [Gmh] | $21,141 | $19,027 | $12,976 | $20,295 | 7 |
| 4507002 | Tenecteplase 50 Mg Pow [Gmh] | $19,933 | $17,940 | $12,235 | $19,136 | 7 |
| 4507121 | Nivolumab 240 Mg/ 24 Ml Sol [Gmh] | $18,740 | $16,866 | $11,503 | $17,990 | 7 |
| 4507127 | Lurbinectedin 4 Mg Pow | $18,386 | $16,547 | $11,285 | $17,651 | 7 |
| 4301933 | Interstim X Neurostimulator | $18,325 | $16,493 | $11,248 | $17,592 | 6 |
| 4505027 | Immune Globulin Intravenous 10% Sol [Gmh] | $18,095 | $16,286 | $11,107 | $17,371 | 7 |
| 3302000 | 53850 Microwave Thermo Therapy | $16,623 | $14,961 | $10,203 | $15,958 | 6 |
| 4507064 | Octreotide 30 Mg Pwd [Gmh] | $16,610 | $14,949 | $10,195 | $15,946 | 7 |
| 4506024 | Pertuzumab 420 Mg/14 Ml Sol [Gmh] | $16,419 | $14,777 | $10,078 | $15,762 | 7 |
| 4506026 | Leuprolide 22.5 Mg/3 Months Pwd | $15,473 | $13,926 | $9,497 | $14,854 | 7 |
| 4503752 | Pegfilgrastim 6. Mg Soln [Gmh] | $15,423 | $13,881 | $9,467 | $14,806 | 7 |
| 4501075 | Certolizumab Kit [Gmh] | $14,419 | $12,977 | $8,850 | $13,842 | 7 |
| 3303000 | 52647 Evlove Laser Surgery | $14,241 | $12,817 | $8,741 | $13,671 | 6 |
| 4505097 | Pembrolizumab 25 Mg/ml Sol [Gmh] | $13,927 | $12,534 | $8,548 | $13,370 | 7 |
| 4507035 | Leuprolide 11.25 Mg/3 Months Pwd [Gmh] | $12,988 | $11,689 | $7,972 | $12,468 | 7 |
| 4505070 | Immune Globulin Intravenous And Subcutaneous 10% Sol [Gmh] | $12,592 | $11,333 | $7,729 | $12,088 | 7 |
| 4502013 | Rituximab 500 Mg/50 Ml Iv Sol [Gmh] | $11,324 | $10,192 | $6,951 | $10,871 | 7 |
| 4506048 | Octreotide 20 Mg Pwd [Gmh] | $11,099 | $9,989 | $6,813 | $10,655 | 7 |
| 4505093 | Alteplase 50 Mg Pow [Gmh] | $10,580 | $9,522 | $6,494 | $10,157 | 7 |
| 4507086 | Rituximab Abbs 10 Mg/ml 500mg Sol [Gmh] | $10,197 | $9,177 | $6,259 | $9,789 | 7 |
| 4507088 | Pegfilgrastim Jmdb 6 Mg/0.6 Ml Sol [Gmh] | $10,040 | $9,036 | $6,163 | $9,638 | 7 |
| 4309625 | Assert Iq Cardiac Monitor | $9,900 | $8,910 | $6,077 | $9,504 | 6 |
| 4505017 | Pemetrexed 500 Mg Pow [Gmh] | $9,753 | $8,778 | $5,986 | $9,363 | 7 |
| 4507169 | Durvalumab 50 Mg/ml Sol [Gmh] | $9,685 | $8,717 | $5,945 | $9,298 | 7 |
| 4506012 | Darbepoetin Alfa 500 Mcg/ml Sol [Gmh] | $9,308 | $8,377 | $5,713 | $8,936 | 7 |
| 4505033 | Immune Globulin Intravenous 10% Sol [Gmh] | $9,057 | $8,151 | $5,559 | $8,695 | 7 |
| 4309583 | Jot Dx Dm4500 | $8,775 | $7,898 | $5,386 | $8,424 | 6 |
| 4507164 | Inclisiran 284 Mg/1.5 Ml Sol {Gmh] | $8,116 | $7,304 | $4,982 | $7,791 | 7 |
| 4506064 | Rabies Immune Globulin, Human 300 Units/ml 5 Ml Sol [Gmh] | $8,065 | $7,259 | $4,950 | $7,742 | 7 |
| 4501042 | Denosumab 120 Mg/1.7 Ml Sol [Gmh] | $7,905 | $7,115 | $4,852 | $7,589 | 7 |
| 4503842 | Polyvalent Immune Fab, Anti Snake [Gmh] | $7,695 | $6,926 | $4,723 | $7,387 | 7 |
| 4301924 | Lead Kit Is2 28cm | $6,765 | $6,089 | $4,152 | $6,494 | 6 |
| 4507069 | Bevacizumab Awwb 25 Mg/ml Sol [Gmh] | $6,748 | $6,073 | $4,142 | $6,478 | 7 |
| 4507163 | Omalizumab 300 Mg/2 Ml Sol [Gmh] | $6,668 | $6,001 | $4,093 | $6,401 | 7 |
| 4507114 | Leuprolide 45 Mg/6 Months Pwd [Gmh] | $6,524 | $5,872 | $4,004 | $6,263 | 7 |
| 3305000 | 64581 Incision Implnt Neuro Ele | $6,494 | $5,845 | $3,986 | $6,234 | 6 |
| 3760103-TC | Ct Angio Abdomen Pelvis Famc | $6,100 | $5,490 | $3,744 | $5,856 | 6 |
| 4507165 | Romosozumab 210 Mg/2.34 Ml Sol [Gmh] | $6,029 | $5,426 | $3,701 | $5,788 | 7 |
| 4507143 | Bendamustine 25 Mg/ml 4ml Sol [Gmh] | $5,987 | $5,388 | $3,675 | $5,748 | 7 |
| 3760066-TC | Ct Abdomen +Pelvis W/ + W/o Cont | $5,844 | $5,260 | $3,587 | $5,610 | 6 |
| 3337101 | 58291 Vaginal Hysterectomy, For Uterus Greater Than 250g With Removal Of Tube(s) And/or Ovary(s) | $5,784 | $5,206 | $3,550 | $5,553 | 6 |
| 3337098 | 58280 Vaginal Hysterectomy, With Total Or Partial Vaginectomy With Repair Of Enterocele | $5,512 | $4,961 | $3,383 | $5,292 | 6 |
| 3337100 | 58290 Vaginal Hysterectomy, For Uterus Greater Than 250g | $5,331 | $4,798 | $3,272 | $5,118 | 6 |
Showing top 50 of 3,795 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.