45 CFR § 180 compliance
B · 85
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
8,040
Insurances with rates
9
CPT / HCPCS codes
3,071
Source MRF
Most expensive procedures (gross)
75987015003
$123,386
INEBILIZUMAB-CDON 10 MG/ML VIAL
Gross
$137,095
01261
$39,204
MEMBRANCE WRAP 4X6CM
Gross
$43,560
00310453530
$36,518
TREMELIMUMAB-ACTL 20 MG/ML VIAL
Gross
$40,576
00003232822
$30,717
IPILIMUMAB 200 MG/40 ML (5 MG/ML) SOLN
Gross
$34,130
61958180101
$26,246
LEDIPASVIR-SOFOSBUVIR 90-400 MG TAB
Gross
$29,163
57894006103
$24,182
USTEKINUMAB 90 MG/ML SYRG
Gross
$26,868
28361
$23,011
MESH PERMACOL 20x30
Gross
$25,567
62856071030
$21,830
LENVATINIB 10 MG/DAY (10 MG X 1) CAP
Gross
$24,255
62856070830
$21,100
LENVATINIB 8 MG/DAY (4 MG X 2) CAP
Gross
$23,444
50419048858
$18,684
SORAfenib 200 MG TAB
Gross
$20,760
59572041028
$17,526
LENALIDOMIDE 10 MG CAP
Gross
$19,473
00069814020
$16,728
CRIZOTINIB 250 MG CAP
Gross
$18,587
50242015001
$16,017
OCRELIZUMAB 300MG/10ML VIAL
Gross
$17,797
75987013015
$15,760
TEPROTUMUMAB-TRBW 500 MG SOLR
Gross
$17,511
03140
$14,948
LITHROTRIPSY
Gross
$16,609
24209
$14,573
INTERSTIM NEUROSTIMULATOR
Gross
$16,193
00310351260
$14,246
ACALABRUTINIB MALEATE 100 MG TAB
Gross
$15,829
65597051128
$13,759
QUIZARTINIB 26.5 MG TAB
Gross
$15,288
50242010501
$13,500
POLATUZUMAB VEDOTIN-PIIQ 140 MG SOLR
Gross
$15,000
00469072560
$13,415
ENZALUTAMIDE 80 MG TAB
Gross
$14,906
69656010390
$13,275
NIRAPARIB 100 MG CAP
Gross
$14,750
57894065002
$13,103
GUSELKUMAB 200 MG/20 ML (10 MG/ML) VIAL
Gross
$14,559
50242024501
$12,525
PERTUZUMAB-TRASTUZUMAB-HY-ZZXF (1200MG-600MG-30000U/15ML) 1200 MG-600MG-30000 UNIT/15ML VIAL
Gross
$13,917
00003712511
$12,325
NIVOLUMAB/RELATLIMAB (240-80/20ML) 240-80MG/20ML VIAL
Gross
$13,694
00078068166
$12,139
DABRAFENIB 75 MG CAP
Gross
$13,488
57894006003
$12,091
USTEKINUMAB 45 MG/0.5 ML SYRG
Gross
$13,434
00074057622
$11,617
VENETOCLAX 100 MG TAB
Gross
$12,908
00078056651
$11,585
EVEROLIMUS 5 MG TAB
Gross
$12,873
00078056751
$11,585
EVEROLIMUS 10 MG TAB
Gross
$12,873
90569
$11,021
RADIATION TX DELIVERY, SB
Gross
$12,246
57962042028
$10,865
IBRUTINIB 420 MG TAB
Gross
$12,073
59572077501
$10,674
LUSPATERCEPT-AAMT 75 MG SOLR
Gross
$11,860
43534
$10,527
ZIMMER KNEE COATED BASEPL
Gross
$11,697
28344
$10,459
MESH PERMACOL LARGE
Gross
$11,622
90532
$9,959
3-D RADIOTHERAPY PLAN
Gross
$11,065
90534
$9,959
RADIOTHERAPY DOSE PLAN IM
Gross
$11,065
61755000801
$9,832
CEMIPLIMAB-RWLC 50 MG/ML VIAL
Gross
$10,925
00469012599
$9,815
ENZALUTAMIDE 40 MG CAP
Gross
$10,905
43501
$9,720
ZIMMER HIP EPOCH STEM
Gross
$10,800
43527
$9,526
ZIMMER HIP ACETABULAR REV
Gross
$10,584
57894019506
$9,455
ABIRATERONE 500 MG TAB
Gross
$10,506
50458060901
$9,299
PALIPERIDONE PALM (3 MONTH) 819 MG/2.63 ML SYRG
Gross
$10,333
00002298060
$9,270
SELPERCATINIB 80 MG CAP
Gross
$10,300
82959011101
$9,162
IMETELSTAT 188 MG VIAL
Gross
$10,181
43529
$9,061
ZIMMER HIP ACETABULAR CAG
Gross
$10,068
00074501501
$9,009
RISANKIZUMAB-RZAA 60 MG/ML VIAL
Gross
$10,010
57894015012
$8,979
ABIRATERONE 250 MG TAB
Gross
$9,976
57894050301
$8,975
DARATUMUMAB-HYALURONIDASE-FIHJ 1800 MG-30000 UNIT/15 ML VIAL
Gross
$9,973
15054112004
$8,950
LANREOTIDE 120 MG/0.5 ML SYRG
Gross
$9,944
00003085222
$8,888
DASATINIB 100 MG TAB
Gross
$9,875
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 75987015003 | INEBILIZUMAB-CDON 10 MG/ML VIAL | $137,095 | $123,386 | — | — | 9 |
| 01261 | MEMBRANCE WRAP 4X6CM | $43,560 | $39,204 | — | — | 9 |
| 00310453530 | TREMELIMUMAB-ACTL 20 MG/ML VIAL | $40,576 | $36,518 | — | — | 9 |
| 00003232822 | IPILIMUMAB 200 MG/40 ML (5 MG/ML) SOLN | $34,130 | $30,717 | — | — | 9 |
| 61958180101 | LEDIPASVIR-SOFOSBUVIR 90-400 MG TAB | $29,163 | $26,246 | — | — | 9 |
| 57894006103 | USTEKINUMAB 90 MG/ML SYRG | $26,868 | $24,182 | — | — | 9 |
| 28361 | MESH PERMACOL 20x30 | $25,567 | $23,011 | — | — | 9 |
| 62856071030 | LENVATINIB 10 MG/DAY (10 MG X 1) CAP | $24,255 | $21,830 | — | — | 9 |
| 62856070830 | LENVATINIB 8 MG/DAY (4 MG X 2) CAP | $23,444 | $21,100 | — | — | 9 |
| 50419048858 | SORAfenib 200 MG TAB | $20,760 | $18,684 | — | — | 9 |
| 59572041028 | LENALIDOMIDE 10 MG CAP | $19,473 | $17,526 | — | — | 9 |
| 00069814020 | CRIZOTINIB 250 MG CAP | $18,587 | $16,728 | — | — | 9 |
| 50242015001 | OCRELIZUMAB 300MG/10ML VIAL | $17,797 | $16,017 | — | — | 9 |
| 75987013015 | TEPROTUMUMAB-TRBW 500 MG SOLR | $17,511 | $15,760 | — | — | 9 |
| 03140 | LITHROTRIPSY | $16,609 | $14,948 | — | — | 9 |
| 24209 | INTERSTIM NEUROSTIMULATOR | $16,193 | $14,573 | — | — | 9 |
| 00310351260 | ACALABRUTINIB MALEATE 100 MG TAB | $15,829 | $14,246 | — | — | 9 |
| 65597051128 | QUIZARTINIB 26.5 MG TAB | $15,288 | $13,759 | — | — | 9 |
| 50242010501 | POLATUZUMAB VEDOTIN-PIIQ 140 MG SOLR | $15,000 | $13,500 | — | — | 9 |
| 00469072560 | ENZALUTAMIDE 80 MG TAB | $14,906 | $13,415 | — | — | 9 |
| 69656010390 | NIRAPARIB 100 MG CAP | $14,750 | $13,275 | — | — | 9 |
| 57894065002 | GUSELKUMAB 200 MG/20 ML (10 MG/ML) VIAL | $14,559 | $13,103 | — | — | 9 |
| 50242024501 | PERTUZUMAB-TRASTUZUMAB-HY-ZZXF (1200MG-600MG-30000U/15ML) 1200 MG-600MG-30000 UNIT/15ML VIAL | $13,917 | $12,525 | — | — | 9 |
| 00003712511 | NIVOLUMAB/RELATLIMAB (240-80/20ML) 240-80MG/20ML VIAL | $13,694 | $12,325 | — | — | 9 |
| 00078068166 | DABRAFENIB 75 MG CAP | $13,488 | $12,139 | — | — | 9 |
| 57894006003 | USTEKINUMAB 45 MG/0.5 ML SYRG | $13,434 | $12,091 | — | — | 9 |
| 00074057622 | VENETOCLAX 100 MG TAB | $12,908 | $11,617 | — | — | 9 |
| 00078056651 | EVEROLIMUS 5 MG TAB | $12,873 | $11,585 | — | — | 9 |
| 00078056751 | EVEROLIMUS 10 MG TAB | $12,873 | $11,585 | — | — | 9 |
| 90569 | RADIATION TX DELIVERY, SB | $12,246 | $11,021 | — | — | 9 |
| 57962042028 | IBRUTINIB 420 MG TAB | $12,073 | $10,865 | — | — | 9 |
| 59572077501 | LUSPATERCEPT-AAMT 75 MG SOLR | $11,860 | $10,674 | — | — | 9 |
| 43534 | ZIMMER KNEE COATED BASEPL | $11,697 | $10,527 | — | — | 9 |
| 28344 | MESH PERMACOL LARGE | $11,622 | $10,459 | — | — | 9 |
| 90532 | 3-D RADIOTHERAPY PLAN | $11,065 | $9,959 | — | — | 9 |
| 90534 | RADIOTHERAPY DOSE PLAN IM | $11,065 | $9,959 | — | — | 9 |
| 61755000801 | CEMIPLIMAB-RWLC 50 MG/ML VIAL | $10,925 | $9,832 | — | — | 9 |
| 00469012599 | ENZALUTAMIDE 40 MG CAP | $10,905 | $9,815 | — | — | 9 |
| 43501 | ZIMMER HIP EPOCH STEM | $10,800 | $9,720 | — | — | 9 |
| 43527 | ZIMMER HIP ACETABULAR REV | $10,584 | $9,526 | — | — | 9 |
| 57894019506 | ABIRATERONE 500 MG TAB | $10,506 | $9,455 | — | — | 9 |
| 50458060901 | PALIPERIDONE PALM (3 MONTH) 819 MG/2.63 ML SYRG | $10,333 | $9,299 | — | — | 9 |
| 00002298060 | SELPERCATINIB 80 MG CAP | $10,300 | $9,270 | — | — | 9 |
| 82959011101 | IMETELSTAT 188 MG VIAL | $10,181 | $9,162 | — | — | 9 |
| 43529 | ZIMMER HIP ACETABULAR CAG | $10,068 | $9,061 | — | — | 9 |
| 00074501501 | RISANKIZUMAB-RZAA 60 MG/ML VIAL | $10,010 | $9,009 | — | — | 9 |
| 57894015012 | ABIRATERONE 250 MG TAB | $9,976 | $8,979 | — | — | 9 |
| 57894050301 | DARATUMUMAB-HYALURONIDASE-FIHJ 1800 MG-30000 UNIT/15 ML VIAL | $9,973 | $8,975 | — | — | 9 |
| 15054112004 | LANREOTIDE 120 MG/0.5 ML SYRG | $9,944 | $8,950 | — | — | 9 |
| 00003085222 | DASATINIB 100 MG TAB | $9,875 | $8,888 | — | — | 9 |
Showing top 50 of 8,040 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.