45 CFR § 180 compliance
A · 100
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: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
6,083
Insurances with rates
8
CPT / HCPCS codes
0
Most expensive procedures (gross)
1407750
$63,235
Skyrizi Subcutaneous Sol 360mg/2.4ml(nf)
Gross
$70,261
1407678
$30,034
Risankizumab (Skyrizi)/ns 250 Ml Ivpb
Gross
$33,371
9902112
$26,286
Membrane Wrap 2 X 3
Gross
$29,207
1400006
$24,949
Activase Tpa 100 Mg58 Mil Iu Vial
Gross
$27,721
1400829
$19,534
Tnkase Inj [50 Mg]
Gross
$21,704
1400344
$17,010
Lupron Depot 3 Mo 22.5 Mg Syg
Gross
$18,900
1400399
$13,967
Neulasta Syr 6mg/0.6ml
Gross
$15,519
1406757
$13,411
Fasenra Pen Subq Soln 30mg/1ml
Gross
$14,901
1400784-GY
$13,098
Sandostatin Syr [30mg] Kit
Gross
$14,553
1400199
$12,838
Vedolizumab (Entyvio) 300mg In 250ml Ns
Gross
$14,264
1400192
$12,597
Leuprolide (Eligard) 22.5 Mg Inj Kit
Gross
$13,997
1400007-GY
$12,475
Activase Tpa 50 Mg29 Mil Iu Vial
Gross
$13,861
1400899
$11,795
Tezspire 210mg Pfs 1.91ml
Gross
$13,106
1407924
$11,760
Lupron Depot 3 Month Inj.11.25 Mg
Gross
$13,067
1400847
$11,505
Tysabri Inj 300mg/15ml15ml Sdv
Gross
$12,783
1400171
$11,260
Digoxin Immune Fab(digifab) 40 Mg Inj
Gross
$12,511
1407639
$10,169
Inclisiran (Leqvio) 284mg/1.5 Ml (Nf)
Gross
$11,299
1400791
$9,438
Simponi 100 Mg Pfs 1ml Syr
Gross
$10,487
1400766
$9,323
Rituximab (Rituxan) 1000 Mg In 250ml Ns
Gross
$10,359
1407760
$9,225
Udenyca Subcutaneous Solution 6mg/0.6ml
Gross
$10,250
1407845
$8,735
Immune Globulin Iv Sol (Octagam) 10% 20g
Gross
$9,706
1407867
$8,735
Durvalumab (Imfinzi) Sdv 500mg/10ml
Gross
$9,706
1406270
$8,427
Neulasta Onpro Kit 6mg/0.6ml
Gross
$9,363
1400301
$8,128
Pembrolizumab(keytruda)100mg In 100ml Ns
Gross
$9,031
1407513-GY
$8,029
Omalizumab (Xolair) 300 Mg/2ml Pfs
Gross
$8,921
1400781-GY
$7,949
Dantrolene (Ryanodex) 250mg/20ml Inj
Gross
$8,832
6300113
$7,795
Pf Rep Comp Facial 1.1-2.5cm
Gross
$8,661
1405390
$7,177
Immune Globiulin Inj 10% Gamunex-c
Gross
$7,974
800023
$7,047
Oper Rm 300-315min
Gross
$7,830
1407781-GY
$7,042
Udenyca Onbody Subq Soln 6mg/0.6ml
Gross
$7,824
800012
$6,787
Oper Rm 286-300min
Gross
$7,541
800011
$6,533
Oper Rm 271-285min
Gross
$7,259
1400911
$6,332
Gamunex-c 40gm Vl 400ml
Gross
$7,035
800022
$6,276
Oper Rm 256-270min
Gross
$6,973
1400054
$6,172
Bevacizumab (Avastin) Inj 400 Mg/16ml Vl
Gross
$6,858
1400137
$6,170
Nf- Crofab Antivenin Inj 1 Gm
Gross
$6,855
800010
$6,021
Oper Rm 241-255min
Gross
$6,690
1400892
$5,970
Zoladex Implant 10.8 Mg (3 Mo. Implant)
Gross
$6,633
800021
$5,760
Oper Rm 226-240min
Gross
$6,400
1407524
$5,752
Tocilizumab (Actemra) 400mg/20ml
Gross
$6,391
3300045
$5,557
Ct Abdomen/pelvis W/wo
Gross
$6,174
1406142
$5,551
Kcentra 1096iu Vial
Gross
$6,168
800020
$5,508
Oper Rm 211-225min
Gross
$6,120
1406537
$5,481
Gamunex-c 20gm Vl 200ml
Gross
$6,090
3400059
$5,407
Mri Elbow W/wo Left
Gross
$6,008
3400083
$5,407
Mri Shoulder W/wo Left
Gross
$6,008
3400089
$5,407
Mri Wrist W/wo Left
Gross
$6,008
3400094
$5,407
Mri Elbow W/wo Right
Gross
$6,008
3400118
$5,407
Mri Shoulder W/wo Right
Gross
$6,008
3400124
$5,407
Mri Wrist W/wo Right
Gross
$6,008
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1407750 | Skyrizi Subcutaneous Sol 360mg/2.4ml(nf) | $70,261 | $63,235 | $35,131 | $102,623 | 14 |
| 1407678 | Risankizumab (Skyrizi)/ns 250 Ml Ivpb | $33,371 | $30,034 | $16,686 | $48,742 | 14 |
| 9902112 | Membrane Wrap 2 X 3 | $29,207 | $26,286 | $14,604 | $42,660 | 14 |
| 1400006 | Activase Tpa 100 Mg58 Mil Iu Vial | $27,721 | $24,949 | $13,861 | $40,489 | 14 |
| 1400829 | Tnkase Inj [50 Mg] | $21,704 | $19,534 | $10,852 | $31,701 | 14 |
| 1400344 | Lupron Depot 3 Mo 22.5 Mg Syg | $18,900 | $17,010 | $9,450 | $27,605 | 14 |
| 1400399 | Neulasta Syr 6mg/0.6ml | $15,519 | $13,967 | $7,760 | $22,667 | 14 |
| 1406757 | Fasenra Pen Subq Soln 30mg/1ml | $14,901 | $13,411 | $7,451 | $21,764 | 14 |
| 1400784-GY | Sandostatin Syr [30mg] Kit | $14,553 | $13,098 | $7,277 | $21,256 | 14 |
| 1400199 | Vedolizumab (Entyvio) 300mg In 250ml Ns | $14,264 | $12,838 | $7,132 | $20,834 | 14 |
| 1400192 | Leuprolide (Eligard) 22.5 Mg Inj Kit | $13,997 | $12,597 | $6,999 | $20,444 | 14 |
| 1400007-GY | Activase Tpa 50 Mg29 Mil Iu Vial | $13,861 | $12,475 | $6,931 | $20,245 | 14 |
| 1400899 | Tezspire 210mg Pfs 1.91ml | $13,106 | $11,795 | $6,553 | $19,143 | 14 |
| 1407924 | Lupron Depot 3 Month Inj.11.25 Mg | $13,067 | $11,760 | $6,534 | $19,086 | 14 |
| 1400847 | Tysabri Inj 300mg/15ml15ml Sdv | $12,783 | $11,505 | $6,392 | $18,671 | 14 |
| 1400171 | Digoxin Immune Fab(digifab) 40 Mg Inj | $12,511 | $11,260 | $6,256 | $18,274 | 14 |
| 1407639 | Inclisiran (Leqvio) 284mg/1.5 Ml (Nf) | $11,299 | $10,169 | $5,650 | $16,503 | 14 |
| 1400791 | Simponi 100 Mg Pfs 1ml Syr | $10,487 | $9,438 | $5,244 | $15,317 | 14 |
| 1400766 | Rituximab (Rituxan) 1000 Mg In 250ml Ns | $10,359 | $9,323 | $5,180 | $15,130 | 14 |
| 1407760 | Udenyca Subcutaneous Solution 6mg/0.6ml | $10,250 | $9,225 | $5,125 | $14,971 | 14 |
| 1407845 | Immune Globulin Iv Sol (Octagam) 10% 20g | $9,706 | $8,735 | $4,853 | $14,177 | 14 |
| 1407867 | Durvalumab (Imfinzi) Sdv 500mg/10ml | $9,706 | $8,735 | $4,853 | $14,177 | 14 |
| 1406270 | Neulasta Onpro Kit 6mg/0.6ml | $9,363 | $8,427 | $4,682 | $13,676 | 14 |
| 1400301 | Pembrolizumab(keytruda)100mg In 100ml Ns | $9,031 | $8,128 | $4,516 | $13,191 | 14 |
| 1407513-GY | Omalizumab (Xolair) 300 Mg/2ml Pfs | $8,921 | $8,029 | $4,461 | $13,030 | 14 |
| 1400781-GY | Dantrolene (Ryanodex) 250mg/20ml Inj | $8,832 | $7,949 | $4,416 | $12,900 | 14 |
| 6300113 | Pf Rep Comp Facial 1.1-2.5cm | $8,661 | $7,795 | $161 | $8,661 | 14 |
| 1405390 | Immune Globiulin Inj 10% Gamunex-c | $7,974 | $7,177 | $3,987 | $11,647 | 14 |
| 800023 | Oper Rm 300-315min | $7,830 | $7,047 | $3,915 | $11,436 | 14 |
| 1407781-GY | Udenyca Onbody Subq Soln 6mg/0.6ml | $7,824 | $7,042 | $3,912 | $11,428 | 14 |
| 800012 | Oper Rm 286-300min | $7,541 | $6,787 | $3,771 | $11,014 | 14 |
| 800011 | Oper Rm 271-285min | $7,259 | $6,533 | $3,630 | $10,602 | 14 |
| 1400911 | Gamunex-c 40gm Vl 400ml | $7,035 | $6,332 | $3,518 | $10,275 | 14 |
| 800022 | Oper Rm 256-270min | $6,973 | $6,276 | $3,487 | $10,185 | 14 |
| 1400054 | Bevacizumab (Avastin) Inj 400 Mg/16ml Vl | $6,858 | $6,172 | $3,429 | $10,017 | 14 |
| 1400137 | Nf- Crofab Antivenin Inj 1 Gm | $6,855 | $6,170 | $3,428 | $10,012 | 14 |
| 800010 | Oper Rm 241-255min | $6,690 | $6,021 | $3,345 | $9,771 | 14 |
| 1400892 | Zoladex Implant 10.8 Mg (3 Mo. Implant) | $6,633 | $5,970 | $3,317 | $9,688 | 14 |
| 800021 | Oper Rm 226-240min | $6,400 | $5,760 | $3,200 | $9,348 | 14 |
| 1407524 | Tocilizumab (Actemra) 400mg/20ml | $6,391 | $5,752 | $3,196 | $9,335 | 14 |
| 3300045 | Ct Abdomen/pelvis W/wo | $6,174 | $5,557 | $3,087 | $9,018 | 14 |
| 1406142 | Kcentra 1096iu Vial | $6,168 | $5,551 | $3,084 | $9,009 | 14 |
| 800020 | Oper Rm 211-225min | $6,120 | $5,508 | $3,060 | $8,939 | 14 |
| 1406537 | Gamunex-c 20gm Vl 200ml | $6,090 | $5,481 | $3,045 | $8,895 | 14 |
| 3400059 | Mri Elbow W/wo Left | $6,008 | $5,407 | $3,004 | $8,775 | 14 |
| 3400083 | Mri Shoulder W/wo Left | $6,008 | $5,407 | $3,004 | $8,775 | 14 |
| 3400089 | Mri Wrist W/wo Left | $6,008 | $5,407 | $3,004 | $8,775 | 14 |
| 3400094 | Mri Elbow W/wo Right | $6,008 | $5,407 | $3,004 | $8,775 | 14 |
| 3400118 | Mri Shoulder W/wo Right | $6,008 | $5,407 | $3,004 | $8,775 | 14 |
| 3400124 | Mri Wrist W/wo Right | $6,008 | $5,407 | $3,004 | $8,775 | 14 |
Showing top 50 of 6,083 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.