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
3,135
Insurances with rates
11
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
5100586
$31,536
INTERSTIM NEUROSTIMULATOR 3058
Gross
$31,536
2001651
$24,375
OCREVUS(OCRELIZUMAB)INJ:300MG/10mL*
Gross
$24,375
2016468
$18,789
ALTEPLASE(ACTIVASE)INJ:100MG
Gross
$18,789
2000963
$18,385
LUPRON (LEUPROLIDE) INJ: 45MG *
Gross
$18,385
2000749
$14,271
TNKASE(TENECTEPLASE)INJ:50MG
Gross
$14,271
2002233
$14,094
NEULASTA(PEGFILGRASTIM)INJ:6MG/0.6mL
Gross
$14,094
2001885
$12,383
DARZALEX FASPRO INJ:1800MG-30,000U/15mL*
Gross
$12,383
5100587
$12,296
INTERSTIM LEAD
Gross
$12,296
2001596
$11,558
FASENRA(BENRALIZUMAB)INJ:30MG/mL
Gross
$11,558
2001629
$11,352
ENTYVIO(VEDOLIZUMAB)INJ:300MG*
Gross
$11,352
2001808
$10,576
OPDIVO(NIVOLUMAB)INJ:240MG/24mL SDPF
Gross
$10,576
2000438
$10,128
SandoSTATIN(OCTREOTIDE)INJ:30MG *
Gross
$10,128
1032449
$9,360
SCHEDULE C 196-210 MIN
Gross
$9,360
1032447
$9,180
SCHEDULE C 181-195 MIN
Gross
$9,180
1032445
$9,000
SCHEDULE C 166-180 MIN
Gross
$9,000
1032443
$8,820
SCHEDULE C 151-165 MIN
Gross
$8,820
1032441
$8,640
SCHEDULE C 136-150 MIN
Gross
$8,640
2001971
$8,609
IMFINZI(DURVALUMAB)IV:500MG/10mL
Gross
$8,609
1032439
$8,460
SCHEDULE C 121-135 MIN
Gross
$8,460
2001383
$8,435
DIGIFAB(DIGOXIN IMMUNE FAB):INJ 40MG
Gross
$8,435
1032437
$8,280
SCHEDULE C 106-120 MIN
Gross
$8,280
1032435
$8,100
SCHEDULE C 91-105 MIN
Gross
$8,100
2001884
$8,010
KEYTRUDA(PEMBROLIZUMAB)IVPB:100MG
Gross
$8,010
1032433
$7,920
SCHEDULE C 76-90 MIN
Gross
$7,920
1032431
$7,740
SCHEDULE C 61-75 MIN
Gross
$7,740
1032429
$7,560
SCHEDULE C 46-60 MIN
Gross
$7,560
2000257
$7,413
CROFAB(CROTALIDAE POLYVALENT)INJ:1GM
Gross
$7,413
1032427
$7,380
SCHEDULE C 31-45 MIN
Gross
$7,380
1032425
$7,200
SCHEDULE C 16-30 MIN
Gross
$7,200
2001659
$7,009
NUCALA(MEPOLIZUMAB)INJ:100MG*
Gross
$7,009
1032423
$7,000
SCHEDULE C 1-15 MIN
Gross
$7,000
2001628
$6,908
CIMZIA(CERTOLIZUMAB PEGOL)INJ:400MG
Gross
$6,908
2001836
$6,750
ARISTADA(ARIPIPRAZOLE)INJ:882MG/3.2mL
Gross
$6,750
2001951
$6,705
ZIEXTENZO(PEGFILGRAS-BMEZ)INJ:6MG/0.6mL*
Gross
$6,705
4770805
$6,658
CT PET/CT WHOLE BODY-INITIAL
Gross
$6,658
4770806
$6,658
CT PET/CT WHOLE BODY-SUBSEQUENT
Gross
$6,658
2000429
$6,550
LUPRON (LEUPROLIDE) INJ: 22.5MG *
Gross
$6,550
2001777
$6,537
RYANODEX(DANTROLENE SOD)INJ:250MG
Gross
$6,537
4770803
$6,454
CT PET/CT SKULL BASE-MID THIGH
Gross
$6,454
1032349
$6,340
SCHEDULE B 196-210 MIN
Gross
$6,340
2000383
$6,282
ELIGARD(LEUPROLIDE)INJ:45MG
Gross
$6,282
1032347
$6,180
SCHEDULE B 181-195 MIN
Gross
$6,180
2000640
$6,115
XGEVA(DENOSUMAB)INJ:120MG
Gross
$6,115
4770801
$6,056
CT PET/CT LIMITED AREA
Gross
$6,056
1032345
$6,020
SCHEDULE B 166-180 MIN
Gross
$6,020
2001990
$5,919
ABILIFY MAINTENA(ARIPiprazole)INJ:400MG
Gross
$5,919
1032343
$5,860
SCHEDULE B 151-165 MIN
Gross
$5,860
1032341
$5,700
SCHEDULE B 136-150 MIN
Gross
$5,700
4799278
$5,651
CT CTA ABD & PEL W/ CONT
Gross
$5,651
1032339
$5,540
SCHEDULE B 121-135 MIN
Gross
$5,540
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 5100586 | INTERSTIM NEUROSTIMULATOR 3058 | $31,536 | $31,536 | $18,606 | $30,275 | 13 |
| 2001651 | OCREVUS(OCRELIZUMAB)INJ:300MG/10mL* | $24,375 | $24,375 | $14,381 | $23,400 | 13 |
| 2016468 | ALTEPLASE(ACTIVASE)INJ:100MG | $18,789 | $18,789 | $11,085 | $18,037 | 13 |
| 2000963 | LUPRON (LEUPROLIDE) INJ: 45MG * | $18,385 | $18,385 | $10,847 | $17,650 | 13 |
| 2000749 | TNKASE(TENECTEPLASE)INJ:50MG | $14,271 | $14,271 | $8,420 | $13,700 | 13 |
| 2002233 | NEULASTA(PEGFILGRASTIM)INJ:6MG/0.6mL | $14,094 | $14,094 | $8,315 | $13,530 | 13 |
| 2001885 | DARZALEX FASPRO INJ:1800MG-30,000U/15mL* | $12,383 | $12,383 | $7,306 | $11,887 | 13 |
| 5100587 | INTERSTIM LEAD | $12,296 | $12,296 | $7,255 | $11,804 | 13 |
| 2001596 | FASENRA(BENRALIZUMAB)INJ:30MG/mL | $11,558 | $11,558 | $6,819 | $11,096 | 13 |
| 2001629 | ENTYVIO(VEDOLIZUMAB)INJ:300MG* | $11,352 | $11,352 | $6,697 | $10,897 | 13 |
| 2001808 | OPDIVO(NIVOLUMAB)INJ:240MG/24mL SDPF | $10,576 | $10,576 | $6,240 | $10,153 | 13 |
| 2000438 | SandoSTATIN(OCTREOTIDE)INJ:30MG * | $10,128 | $10,128 | $5,976 | $9,723 | 13 |
| 1032449 | SCHEDULE C 196-210 MIN | $9,360 | $9,360 | $5,522 | $8,986 | 13 |
| 1032447 | SCHEDULE C 181-195 MIN | $9,180 | $9,180 | $5,416 | $8,813 | 13 |
| 1032445 | SCHEDULE C 166-180 MIN | $9,000 | $9,000 | $5,310 | $8,640 | 13 |
| 1032443 | SCHEDULE C 151-165 MIN | $8,820 | $8,820 | $5,204 | $8,467 | 13 |
| 1032441 | SCHEDULE C 136-150 MIN | $8,640 | $8,640 | $5,098 | $8,294 | 13 |
| 2001971 | IMFINZI(DURVALUMAB)IV:500MG/10mL | $8,609 | $8,609 | $5,079 | $8,264 | 13 |
| 1032439 | SCHEDULE C 121-135 MIN | $8,460 | $8,460 | $4,991 | $8,122 | 13 |
| 2001383 | DIGIFAB(DIGOXIN IMMUNE FAB):INJ 40MG | $8,435 | $8,435 | $4,977 | $8,098 | 13 |
| 1032437 | SCHEDULE C 106-120 MIN | $8,280 | $8,280 | $4,885 | $7,949 | 13 |
| 1032435 | SCHEDULE C 91-105 MIN | $8,100 | $8,100 | $4,779 | $7,776 | 13 |
| 2001884 | KEYTRUDA(PEMBROLIZUMAB)IVPB:100MG | $8,010 | $8,010 | $4,726 | $7,689 | 13 |
| 1032433 | SCHEDULE C 76-90 MIN | $7,920 | $7,920 | $4,673 | $7,603 | 13 |
| 1032431 | SCHEDULE C 61-75 MIN | $7,740 | $7,740 | $4,567 | $7,430 | 13 |
| 1032429 | SCHEDULE C 46-60 MIN | $7,560 | $7,560 | $4,460 | $7,258 | 13 |
| 2000257 | CROFAB(CROTALIDAE POLYVALENT)INJ:1GM | $7,413 | $7,413 | $4,374 | $7,116 | 13 |
| 1032427 | SCHEDULE C 31-45 MIN | $7,380 | $7,380 | $4,354 | $7,085 | 13 |
| 1032425 | SCHEDULE C 16-30 MIN | $7,200 | $7,200 | $4,248 | $6,912 | 13 |
| 2001659 | NUCALA(MEPOLIZUMAB)INJ:100MG* | $7,009 | $7,009 | $4,135 | $6,729 | 13 |
| 1032423 | SCHEDULE C 1-15 MIN | $7,000 | $7,000 | $4,130 | $6,720 | 13 |
| 2001628 | CIMZIA(CERTOLIZUMAB PEGOL)INJ:400MG | $6,908 | $6,908 | $4,076 | $6,631 | 13 |
| 2001836 | ARISTADA(ARIPIPRAZOLE)INJ:882MG/3.2mL | $6,750 | $6,750 | $3,982 | $6,480 | 13 |
| 2001951 | ZIEXTENZO(PEGFILGRAS-BMEZ)INJ:6MG/0.6mL* | $6,705 | $6,705 | $3,956 | $6,437 | 13 |
| 4770805 | CT PET/CT WHOLE BODY-INITIAL | $6,658 | $6,658 | $3,928 | $6,392 | 13 |
| 4770806 | CT PET/CT WHOLE BODY-SUBSEQUENT | $6,658 | $6,658 | $3,928 | $6,392 | 13 |
| 2000429 | LUPRON (LEUPROLIDE) INJ: 22.5MG * | $6,550 | $6,550 | $3,865 | $6,288 | 13 |
| 2001777 | RYANODEX(DANTROLENE SOD)INJ:250MG | $6,537 | $6,537 | $3,857 | $6,275 | 13 |
| 4770803 | CT PET/CT SKULL BASE-MID THIGH | $6,454 | $6,454 | $3,808 | $6,196 | 13 |
| 1032349 | SCHEDULE B 196-210 MIN | $6,340 | $6,340 | $3,741 | $6,086 | 13 |
| 2000383 | ELIGARD(LEUPROLIDE)INJ:45MG | $6,282 | $6,282 | $3,706 | $6,031 | 13 |
| 1032347 | SCHEDULE B 181-195 MIN | $6,180 | $6,180 | $3,646 | $5,933 | 13 |
| 2000640 | XGEVA(DENOSUMAB)INJ:120MG | $6,115 | $6,115 | $3,608 | $5,870 | 13 |
| 4770801 | CT PET/CT LIMITED AREA | $6,056 | $6,056 | $3,573 | $5,814 | 13 |
| 1032345 | SCHEDULE B 166-180 MIN | $6,020 | $6,020 | $3,552 | $5,779 | 13 |
| 2001990 | ABILIFY MAINTENA(ARIPiprazole)INJ:400MG | $5,919 | $5,919 | $3,492 | $5,682 | 13 |
| 1032343 | SCHEDULE B 151-165 MIN | $5,860 | $5,860 | $3,457 | $5,626 | 13 |
| 1032341 | SCHEDULE B 136-150 MIN | $5,700 | $5,700 | $3,363 | $5,472 | 13 |
| 4799278 | CT CTA ABD & PEL W/ CONT | $5,651 | $5,651 | $3,334 | $5,425 | 13 |
| 1032339 | SCHEDULE B 121-135 MIN | $5,540 | $5,540 | $3,269 | $5,318 | 13 |
Showing top 50 of 3,135 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.