45 CFR § 180 compliance
B · 85
This hospital published most 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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
5,707
Insurances with rates
12
CPT / HCPCS codes
247
Most expensive procedures (gross)
2200032
$49,029
INJECTION, RAVULIZUMAB-CWVZ, 10 MG
Gross
$49,029
2200092
$34,905
INJECTION, OCRELIZUMAB, 1 MG
Gross
$34,905
2200230
$24,838
INJECTION, DOSTARLIMAB-GXLY, 10 MG
Gross
$24,838
2200031
$21,156
INJECTION, ATEZOLIZUMAB, 10 MG
Gross
$21,156
2200124
$20,105
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$20,105
2209510
$19,073
INJECTION, NATALIZUMAB, 1 MG
Gross
$19,073
2207374
$18,903
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$18,903
2204085
$18,742
INJECTION, PERTUZUMAB, TRASTUZUMAB, AND HYALURONIDASE-ZZXF, PER 10 MG
Gross
$18,742
2209528
$18,694
INJECTION, IPILIMUMAB, 1 MG
Gross
$18,694
2207271
$18,271
INJECTION, TENECTEPLASE, 1 MG
Gross
$18,271
2200014
$17,510
INJECTION, NIVOLUMAB, 1 MG
Gross
$17,510
2204348
$17,267
INJECTION, LURBINECTEDIN, 0.1 MG
Gross
$17,267
2200047
$16,006
INJECTION, ATEZOLIZUMAB, 10 MG
Gross
$16,006
2209493
$14,603
RAMUCIRUMAB 500 MG VL 50 ML
Gross
$14,603
6200992
$14,283
STRATTICE 10 x 20 cm LIFECELL TISSUE
Gross
$14,283
2207670
$14,234
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$14,234
2209502
$14,234
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$14,234
J2505
$14,201
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$14,201
2200033
$14,171
INJECTION, RAVULIZUMAB-CWVZ, 10 MG
Gross
$14,171
2200076
$14,132
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$14,132
2204081
$14,059
INJECTION, PERTUZUMAB, 1 MG
Gross
$14,059
2200074
$13,957
INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG
Gross
$13,957
2200013
$13,116
INJECTION, PEMBROLIZUMAB, 1 MG
Gross
$13,116
6210030
$12,523
MESH PHASIX ST 8X10
Gross
$12,523
2209446
$11,948
INJECTION, PALIPERIDONE PALMITATE EXTENDED RELEASE (INVEGA HAFYERA, OR INVEGA TRINZA), 1 MG
Gross
$11,948
2200164
$11,303
INJECTION, RASBURICASE, 0.5 MG
Gross
$11,303
2208917
$10,538
INJECTION, RITUXIMAB, 10 MG
Gross
$10,538
6200299
$10,259
HIP PROSTHESIS
Gross
$10,259
2203403
$9,529
INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG
Gross
$9,529
2200023
$9,416
INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG
Gross
$9,416
2209376
$9,112
INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG
Gross
$9,112
2207673
$8,860
INJECTION, PEGFILGRASTIM-BMEZ (ZIEXTENZO), BIOSIMILAR, 0.5 MG
Gross
$8,860
3300093
$8,832
Identification of red blood cell antibodies
Gross
$8,832
2208970
$8,690
INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$8,690
1505010
$8,622
Shock wave crushing of kidney stones
Gross
$8,622
2200194
$8,155
INJECTION, INCLISIRAN, 1 MG
Gross
$8,155
2203401
$8,146
INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG
Gross
$8,146
2200084
$8,115
INJECTION, PALIPERIDONE PALMITATE EXTENDED RELEASE (INVEGA SUSTENNA), 1 MG
Gross
$8,115
2200093
$8,026
INJECTION, PROTHROMBIN COMPLEX CONCENTRATE, HUMAN-LANS, PER I.U. OF FACTOR IX ACTIVITY
Gross
$8,026
5410106
$7,971
DRSG DERMAL REGENERATION 4X10
Gross
$7,971
2200105
$7,757
Rabies immune globulin for injection
Gross
$7,757
2204083
$7,732
INJECTION, TRASTUZUMAB-QYYP, BIOSIMILAR, (TRAZIMERA), 10 MG
Gross
$7,732
2203685
$7,632
PROTHROMBIN COMPLEX CONCENTRATE (HUMAN), KCENTRA, PER I.U. OF FACTOR IX ACTIVITY
Gross
$7,632
J7168
$7,632
PROTHROMBIN COMPLEX CONCENTRATE (HUMAN), KCENTRA, PER I.U. OF FACTOR IX ACTIVITY
Gross
$7,632
6210085
$7,484
MESH PHASIX ST 15X20
Gross
$7,484
4100008
$7,289
Nuclear medicine study whole body with CT scan
Gross
$7,289
4100009
$7,289
Nuclear medicine study from skull base to mid-thigh with CT scan
Gross
$7,289
4100010
$7,289
Nuclear medicine study from skull base to mid-thigh with CT scan
Gross
$7,289
4100020
$7,289
Nuclear medicine study from skull base to mid-thigh with CT scan
Gross
$7,289
4100021
$7,289
Nuclear medicine study from skull base to mid-thigh with CT scan
Gross
$7,289
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2200032 | INJECTION, RAVULIZUMAB-CWVZ, 10 MG | $49,029 | $49,029 | — | — | 12 |
| 2200092 | INJECTION, OCRELIZUMAB, 1 MG | $34,905 | $34,905 | — | — | 12 |
| 2200230 | INJECTION, DOSTARLIMAB-GXLY, 10 MG | $24,838 | $24,838 | — | — | 12 |
| 2200031 | INJECTION, ATEZOLIZUMAB, 10 MG | $21,156 | $21,156 | — | — | 12 |
| 2200124 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $20,105 | $20,105 | — | — | 12 |
| 2209510 | INJECTION, NATALIZUMAB, 1 MG | $19,073 | $19,073 | — | — | 12 |
| 2207374 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $18,903 | $18,903 | — | — | 12 |
| 2204085 | INJECTION, PERTUZUMAB, TRASTUZUMAB, AND HYALURONIDASE-ZZXF, PER 10 MG | $18,742 | $18,742 | — | — | 12 |
| 2209528 | INJECTION, IPILIMUMAB, 1 MG | $18,694 | $18,694 | — | — | 12 |
| 2207271 | INJECTION, TENECTEPLASE, 1 MG | $18,271 | $18,271 | — | — | 12 |
| 2200014 | INJECTION, NIVOLUMAB, 1 MG | $17,510 | $17,510 | — | — | 12 |
| 2204348 | INJECTION, LURBINECTEDIN, 0.1 MG | $17,267 | $17,267 | — | — | 12 |
| 2200047 | INJECTION, ATEZOLIZUMAB, 10 MG | $16,006 | $16,006 | — | — | 12 |
| 2209493 | RAMUCIRUMAB 500 MG VL 50 ML | $14,603 | $14,603 | — | — | 12 |
| 6200992 | STRATTICE 10 x 20 cm LIFECELL TISSUE | $14,283 | $14,283 | — | — | 12 |
| 2207670 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $14,234 | $14,234 | — | — | 12 |
| 2209502 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $14,234 | $14,234 | — | — | 12 |
| J2505 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $14,201 | $14,201 | — | — | 12 |
| 2200033 | INJECTION, RAVULIZUMAB-CWVZ, 10 MG | $14,171 | $14,171 | — | — | 12 |
| 2200076 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $14,132 | $14,132 | — | — | 12 |
| 2204081 | INJECTION, PERTUZUMAB, 1 MG | $14,059 | $14,059 | — | — | 12 |
| 2200074 | INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG | $13,957 | $13,957 | — | — | 12 |
| 2200013 | INJECTION, PEMBROLIZUMAB, 1 MG | $13,116 | $13,116 | — | — | 12 |
| 6210030 | MESH PHASIX ST 8X10 | $12,523 | $12,523 | — | — | 12 |
| 2209446 | INJECTION, PALIPERIDONE PALMITATE EXTENDED RELEASE (INVEGA HAFYERA, OR INVEGA TRINZA), 1 MG | $11,948 | $11,948 | — | — | 12 |
| 2200164 | INJECTION, RASBURICASE, 0.5 MG | $11,303 | $11,303 | — | — | 12 |
| 2208917 | INJECTION, RITUXIMAB, 10 MG | $10,538 | $10,538 | — | — | 12 |
| 6200299 | HIP PROSTHESIS | $10,259 | $10,259 | — | — | 12 |
| 2203403 | INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG | $9,529 | $9,529 | — | — | 12 |
| 2200023 | INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG | $9,416 | $9,416 | — | — | 12 |
| 2209376 | INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG | $9,112 | $9,112 | — | — | 12 |
| 2207673 | INJECTION, PEGFILGRASTIM-BMEZ (ZIEXTENZO), BIOSIMILAR, 0.5 MG | $8,860 | $8,860 | — | — | 12 |
| 3300093 | Identification of red blood cell antibodies | $8,832 | $8,832 | — | — | 12 |
| 2208970 | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $8,690 | $8,690 | — | — | 12 |
| 1505010 | Shock wave crushing of kidney stones | $8,622 | $8,622 | — | — | 12 |
| 2200194 | INJECTION, INCLISIRAN, 1 MG | $8,155 | $8,155 | — | — | 12 |
| 2203401 | INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG | $8,146 | $8,146 | — | — | 12 |
| 2200084 | INJECTION, PALIPERIDONE PALMITATE EXTENDED RELEASE (INVEGA SUSTENNA), 1 MG | $8,115 | $8,115 | — | — | 12 |
| 2200093 | INJECTION, PROTHROMBIN COMPLEX CONCENTRATE, HUMAN-LANS, PER I.U. OF FACTOR IX ACTIVITY | $8,026 | $8,026 | — | — | 12 |
| 5410106 | DRSG DERMAL REGENERATION 4X10 | $7,971 | $7,971 | — | — | 12 |
| 2200105 | Rabies immune globulin for injection | $7,757 | $7,757 | — | — | 12 |
| 2204083 | INJECTION, TRASTUZUMAB-QYYP, BIOSIMILAR, (TRAZIMERA), 10 MG | $7,732 | $7,732 | — | — | 12 |
| 2203685 | PROTHROMBIN COMPLEX CONCENTRATE (HUMAN), KCENTRA, PER I.U. OF FACTOR IX ACTIVITY | $7,632 | $7,632 | — | — | 12 |
| J7168 | PROTHROMBIN COMPLEX CONCENTRATE (HUMAN), KCENTRA, PER I.U. OF FACTOR IX ACTIVITY | $7,632 | $7,632 | — | — | 12 |
| 6210085 | MESH PHASIX ST 15X20 | $7,484 | $7,484 | — | — | 12 |
| 4100008 | Nuclear medicine study whole body with CT scan | $7,289 | $7,289 | — | — | 12 |
| 4100009 | Nuclear medicine study from skull base to mid-thigh with CT scan | $7,289 | $7,289 | — | — | 12 |
| 4100010 | Nuclear medicine study from skull base to mid-thigh with CT scan | $7,289 | $7,289 | — | — | 12 |
| 4100020 | Nuclear medicine study from skull base to mid-thigh with CT scan | $7,289 | $7,289 | — | — | 12 |
| 4100021 | Nuclear medicine study from skull base to mid-thigh with CT scan | $7,289 | $7,289 | — | — | 12 |
Showing top 50 of 5,707 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.