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
4,549
Insurances with rates
8
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
119469
$56,703
Ustekinumab 90 Mg/ml Subcutaneous Syringe
Gross
$56,703
180349
$41,955
Ocrelizumab 30 Mg/ml Intravenous Solution
Gross
$41,955
180284
$41,118
Canakinumab (Pf) 150 Mg/ml Subcutaneous Solution
Gross
$41,118
10500C1767
$38,212
Interstim X Neurostimulator
Gross
$38,212
187610
$36,608
Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe
Gross
$36,608
CP17624571377121553
$33,410
Uterine and adnexa procedures for non-malignancy without CC or MCC
Gross
$33,410
10500C1820
$29,200
Interstim Ii Neurostimulator
Gross
$29,200
181954
$28,714
Guselkumab 100 Mg/ml Subcutaneous Syringe
Gross
$28,714
1050010112
$27,500
Puraply Am 8cm X 16cm
Gross
$27,500
CP17624571377123214
$27,251
Obstetric care, planned cesarean delivery
Gross
$27,251
151268
$25,474
Leuprolide Acetate (6 Month) 45 Mg Intramuscular Syringe Kit
Gross
$25,474
194061
$24,905
Luspatercept-aamt 75 Mg Subcutaneous Solution
Gross
$24,905
1050010113
$23,360
Epifix 7cm X 7cm
Gross
$23,360
CP17624571377112981
$23,303
Shaving of shoulder bone using endoscope
Gross
$23,303
207144
$22,934
Ublituximab-xiiy 25 Mg/ml Intravenous Solution
Gross
$22,934
10500C1776
$22,505
Femoral Tc3 Cemented Size 4 Ri
Gross
$22,505
CP17624571377128422
$21,792
Removal of gallbladder using an endoscope
Gross
$21,792
196736
$21,754
Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln
Gross
$21,754
204772
$21,462
Risankizumab-rzaa 60 Mg/ml Intravenous Solution
Gross
$21,462
168531
$19,441
Vedolizumab 300 Mg Intravenous Solution
Gross
$19,441
10500C1781
$19,055
Mesh Phasix St 15cm X 20cm
Gross
$19,055
10500C1762
$18,988
Amniotic Allograft Liquid 2ml
Gross
$18,988
10500Q4278
$18,750
Epieffect 3x5 Cm
Gross
$18,750
40120
$18,007
Natalizumab 300 Mg/15 Ml Intravenous Solution
Gross
$18,007
21108
$17,236
Leuprolide 30 Mg (4 Month) Intramuscular Syringe Kit
Gross
$17,236
183862
$16,303
Nivolumab 240 Mg/24 Ml Intravenous Solution
Gross
$16,303
CP17624571377112684
$15,206
Removal of one knee cartilage using an endoscope
Gross
$15,206
10500A2019
$14,760
Kerecis Shield Spiral 30mm
Gross
$14,760
119619
$14,619
Kit For Preparation Of Tc-99m-medronate Sodium 20 Mg Iv Solution
Gross
$14,619
159381
$14,373
Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution
Gross
$14,373
171960
$13,894
Octreotide,microspheres Er 30 Mg Intramuscular Susp, Extended Release
Gross
$13,894
198520
$13,797
Ravulizumab-cwvz 100 Mg/ml Intravenous Solution
Gross
$13,797
CP17624571377122735
$13,791
Obstetric care, planned vaginal delivery
Gross
$13,791
81696
$13,779
Eculizumab 300 Mg/30 Ml Intravenous Solution
Gross
$13,779
172818
$13,757
Paliperidone Palmitate (3 Month) 819 Mg/2.63 Ml Intramuscular Syringe
Gross
$13,757
CP17624571377120113
$13,257
Obstetric care, planned vaginal delivery (post delivery by cesarean section)
Gross
$13,257
10500C1763
$13,238
Xcellistem Wound Power 1000mg
Gross
$13,238
21045
$13,117
Leuprolide Acetate 22.5 Mg (3 Month) Intramuscular Syringe Kit
Gross
$13,117
202803
$13,116
Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution
Gross
$13,116
91495
$12,734
Certolizumab Pegol 400 Mg (200 Mg X 2 Vials) Subcutaneous Kit
Gross
$12,734
171476
$12,301
Pembrolizumab 25 Mg/ml Intravenous Solution
Gross
$12,301
97853
$12,101
Certolizumab Pegol 400 Mg/2 Ml (200 Mg/ml X2) Subcutaneous Syringe Kit
Gross
$12,101
CP17624571377125712
$11,862
Repair of groin hernia patient age 5 years or older
Gross
$11,862
9002
$11,424
Alteplase 100 Mg Intravenous Solution
Gross
$11,424
10500C1897
$11,385
Lead Kit Is2 28cm
Gross
$11,385
21044
$11,130
Leuprolide Acetate 11.25 Mg (3 Month) Intramuscular Syringe Kit
Gross
$11,130
183207
$11,088
Benralizumab 30 Mg/ml Subcutaneous Syringe
Gross
$11,088
10500C1777
$11,000
Actis Collared High Size 8
Gross
$11,000
184667
$10,784
Tenecteplase 50 Mg Intravenous Solution
Gross
$10,784
10500C1713
$10,738
Plate Mtp Fusion Large Right
Gross
$10,738
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 119469 | Ustekinumab 90 Mg/ml Subcutaneous Syringe | $56,703 | $56,703 | $15,079 | $54,435 | 9 |
| 180349 | Ocrelizumab 30 Mg/ml Intravenous Solution | $41,955 | $41,955 | $11,157 | $40,277 | 9 |
| 180284 | Canakinumab (Pf) 150 Mg/ml Subcutaneous Solution | $41,118 | $41,118 | $6,578 | $39,473 | 9 |
| 10500C1767 | Interstim X Neurostimulator | $38,212 | $38,212 | $6,113 | $36,684 | 9 |
| 187610 | Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe | $36,608 | $36,608 | $9,735 | $35,144 | 9 |
| CP17624571377121553 | Uterine and adnexa procedures for non-malignancy without CC or MCC | $33,410 | $33,410 | $2,917 | $32,074 | 9 |
| 10500C1820 | Interstim Ii Neurostimulator | $29,200 | $29,200 | $4,671 | $28,032 | 9 |
| 181954 | Guselkumab 100 Mg/ml Subcutaneous Syringe | $28,714 | $28,714 | $7,636 | $27,565 | 9 |
| 1050010112 | Puraply Am 8cm X 16cm | $27,500 | $27,500 | $4,400 | $26,400 | 9 |
| CP17624571377123214 | Obstetric care, planned cesarean delivery | $27,251 | $27,251 | $4,360 | $26,161 | 9 |
| 151268 | Leuprolide Acetate (6 Month) 45 Mg Intramuscular Syringe Kit | $25,474 | $25,474 | $4,075 | $24,455 | 9 |
| 194061 | Luspatercept-aamt 75 Mg Subcutaneous Solution | $24,905 | $24,905 | $6,623 | $23,909 | 9 |
| 1050010113 | Epifix 7cm X 7cm | $23,360 | $23,360 | $3,737 | $22,426 | 9 |
| CP17624571377112981 | Shaving of shoulder bone using endoscope | $23,303 | $23,303 | $3,728 | $22,371 | 9 |
| 207144 | Ublituximab-xiiy 25 Mg/ml Intravenous Solution | $22,934 | $22,934 | $6,099 | $22,017 | 9 |
| 10500C1776 | Femoral Tc3 Cemented Size 4 Ri | $22,505 | $22,505 | $3,600 | $21,605 | 9 |
| CP17624571377128422 | Removal of gallbladder using an endoscope | $21,792 | $21,792 | $3,486 | $20,920 | 9 |
| 196736 | Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln | $21,754 | $21,754 | $5,785 | $20,884 | 9 |
| 204772 | Risankizumab-rzaa 60 Mg/ml Intravenous Solution | $21,462 | $21,462 | $3,434 | $20,604 | 9 |
| 168531 | Vedolizumab 300 Mg Intravenous Solution | $19,441 | $19,441 | $5,170 | $18,663 | 9 |
| 10500C1781 | Mesh Phasix St 15cm X 20cm | $19,055 | $19,055 | $3,048 | $18,293 | 9 |
| 10500C1762 | Amniotic Allograft Liquid 2ml | $18,988 | $18,988 | $3,038 | $18,228 | 9 |
| 10500Q4278 | Epieffect 3x5 Cm | $18,750 | $18,750 | $3,000 | $18,000 | 9 |
| 40120 | Natalizumab 300 Mg/15 Ml Intravenous Solution | $18,007 | $18,007 | $4,789 | $17,287 | 9 |
| 21108 | Leuprolide 30 Mg (4 Month) Intramuscular Syringe Kit | $17,236 | $17,236 | $2,757 | $16,547 | 9 |
| 183862 | Nivolumab 240 Mg/24 Ml Intravenous Solution | $16,303 | $16,303 | $2,608 | $15,651 | 9 |
| CP17624571377112684 | Removal of one knee cartilage using an endoscope | $15,206 | $15,206 | $2,433 | $14,598 | 9 |
| 10500A2019 | Kerecis Shield Spiral 30mm | $14,760 | $14,760 | $2,361 | $14,170 | 9 |
| 119619 | Kit For Preparation Of Tc-99m-medronate Sodium 20 Mg Iv Solution | $14,619 | $14,619 | $3,888 | $14,034 | 9 |
| 159381 | Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution | $14,373 | $14,373 | $3,822 | $13,798 | 9 |
| 171960 | Octreotide,microspheres Er 30 Mg Intramuscular Susp, Extended Release | $13,894 | $13,894 | $2,223 | $13,338 | 9 |
| 198520 | Ravulizumab-cwvz 100 Mg/ml Intravenous Solution | $13,797 | $13,797 | $3,669 | $13,245 | 9 |
| CP17624571377122735 | Obstetric care, planned vaginal delivery | $13,791 | $13,791 | $2,206 | $13,239 | 9 |
| 81696 | Eculizumab 300 Mg/30 Ml Intravenous Solution | $13,779 | $13,779 | $3,664 | $13,228 | 9 |
| 172818 | Paliperidone Palmitate (3 Month) 819 Mg/2.63 Ml Intramuscular Syringe | $13,757 | $13,757 | $3,658 | $13,207 | 9 |
| CP17624571377120113 | Obstetric care, planned vaginal delivery (post delivery by cesarean section) | $13,257 | $13,257 | $2,121 | $12,727 | 9 |
| 10500C1763 | Xcellistem Wound Power 1000mg | $13,238 | $13,238 | $2,118 | $12,708 | 9 |
| 21045 | Leuprolide Acetate 22.5 Mg (3 Month) Intramuscular Syringe Kit | $13,117 | $13,117 | $2,098 | $12,592 | 9 |
| 202803 | Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution | $13,116 | $13,116 | $3,488 | $12,591 | 9 |
| 91495 | Certolizumab Pegol 400 Mg (200 Mg X 2 Vials) Subcutaneous Kit | $12,734 | $12,734 | $3,386 | $12,225 | 9 |
| 171476 | Pembrolizumab 25 Mg/ml Intravenous Solution | $12,301 | $12,301 | $1,968 | $11,809 | 9 |
| 97853 | Certolizumab Pegol 400 Mg/2 Ml (200 Mg/ml X2) Subcutaneous Syringe Kit | $12,101 | $12,101 | $3,218 | $11,617 | 9 |
| CP17624571377125712 | Repair of groin hernia patient age 5 years or older | $11,862 | $11,862 | $1,898 | $11,388 | 9 |
| 9002 | Alteplase 100 Mg Intravenous Solution | $11,424 | $11,424 | $3,038 | $10,967 | 9 |
| 10500C1897 | Lead Kit Is2 28cm | $11,385 | $11,385 | $1,821 | $10,930 | 9 |
| 21044 | Leuprolide Acetate 11.25 Mg (3 Month) Intramuscular Syringe Kit | $11,130 | $11,130 | $1,781 | $10,685 | 9 |
| 183207 | Benralizumab 30 Mg/ml Subcutaneous Syringe | $11,088 | $11,088 | $1,774 | $10,644 | 9 |
| 10500C1777 | Actis Collared High Size 8 | $11,000 | $11,000 | $1,760 | $10,560 | 9 |
| 184667 | Tenecteplase 50 Mg Intravenous Solution | $10,784 | $10,784 | $2,868 | $10,353 | 9 |
| 10500C1713 | Plate Mtp Fusion Large Right | $10,738 | $10,738 | $1,718 | $10,308 | 9 |
Showing top 50 of 4,549 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.