45 CFR § 180 compliance
F · 55
This hospital published little 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
19,208
Insurances with rates
11
CPT / HCPCS codes
8,552
Source MRF
Most expensive procedures (gross)
00409490264
$149,694
IMIGLUCERASE 400 UNITS IV SOLR
Gross
$213,849
68084020211
$142,892
IMIGLUCERASE 400 UNITS IV SOLR
Gross
$204,131
00406577162
$139,406
IPILIMUMAB 50 MG/10ML IV SOLN
Gross
$199,152
00069023801
$136,089
IMIGLUCERASE 400 UNITS IV SOLR
Gross
$194,413
00338071812
$129,287
IMIGLUCERASE 400 UNITS IV SOLR
Gross
$184,695
20555003300
$122,484
IMIGLUCERASE 400 UNITS IV SOLR
Gross
$174,977
67457094115
$104,582
IPILIMUMAB 50 MG/10ML IV SOLN
Gross
$149,404
67386013051
$92,654
PEMBROLIZUMAB 100 MG/4ML IV SOLN
Gross
$132,363
43598084858
$83,451
RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN
Gross
$119,215
357719
$81,212
HCHG EPIEFFECT 7X14 (LE-5714)
Gross
$116,017
00173085914
$74,344
EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN
Gross
$106,206
24208063110
$69,759
IPILIMUMAB 50 MG/10ML IV SOLN
Gross
$99,656
42747076101
$62,430
NIVOLUMAB 100 MG/10ML IV SOLN
Gross
$89,186
00143932001
$62,354
NIVOLUMAB 240 MG/24ML IV SOLN
Gross
$89,077
00781342194
$61,682
GAMMAGARD 30 GM/300ML INJ SOLN
Gross
$88,117
50242004062
$61,682
GAMMAGARD 30 GM/300ML INJ SOLN
Gross
$88,117
00338954124
$55,888
EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN
Gross
$79,841
00904733706
$55,290
MOGAMULIZUMAB-KPKC 20 MG/5ML IV SOLN
Gross
$78,985
307112
$55,246
HCHG IMPELLA CP CATHETER
Gross
$78,923
50242005306
$55,208
ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR
Gross
$78,868
60505082306
$54,674
EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN
Gross
$78,106
00009001820
$54,269
OCTREOTIDE ACETATE 30 MG IM KIT
Gross
$77,527
00517931025
$53,547
PERTUZUMAB 420 MG/14ML IV SOLN
Gross
$76,496
00781354510
$50,653
DURVALUMAB 500 MG/10ML IV SOLN
Gross
$72,362
00703001801
$49,575
EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN
Gross
$70,821
00093414856
$49,041
MOGAMULIZUMAB-KPKC 20 MG/5ML IV SOLN
Gross
$70,059
00143987501
$47,109
COAG FACT XA INACTIVATED-ZHZO 200 MG IV SOLR
Gross
$67,299
5270322
$46,716
HCHG CVMC NEUROSTIMULATOR W/RECHARGING UNIT, MEDTRONIC
Gross
$66,737
307529
$45,965
HCHG VIA MATRIX, PER SQ CM 6X4 (24 UNITS) Q4309
Gross
$65,664
5270365
$44,506
HCHG CVMC NEUROSTIMULATOR W/CHARGE UNIT-RESTORE ADVANCED
Gross
$63,580
00409233924
$41,434
ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR
Gross
$59,191
504031
$40,606
HCHG EPIEFFECT 7X7 (LE-5770)
Gross
$58,008
00904717861
$39,264
COAG FACT XA INACTIVATED-ZHZO 200 MG IV SOLR
Gross
$56,091
00143959525
$38,679
ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR
Gross
$55,256
63323001326
$36,968
RITUXIMAB 10 MG/ML IV CONC (S-ORDERABLE)
Gross
$52,811
00904661561
$36,685
INFLIXIMAB 100 MG IV SOLR
Gross
$52,407
25021083082
$36,254
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$51,791
5270369
$34,098
HCHG CVMC NEUROSTIMULATOR W/PROGRAMMER MEDTRONIC PRIME ADVANCED
Gross
$48,711
00245021111
$33,445
INFLIXIMAB-DYYB 100 MG IV SOLR
Gross
$47,778
00904636361
$33,205
RITUXIMAB-ABBS 10 MG/1 ML IV SOLN (WRAPPER)
Gross
$47,436
44567064010
$33,205
RITUXIMAB-ABBS 10 MG/1 ML IV SOLN (WRAPPER)
Gross
$47,436
5270311
$33,066
HCHG CVMC IMPLANTABLE PULSE GENERATOR W/CHARGING KIT
Gross
$47,237
60687086011
$32,956
BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN
Gross
$47,081
5401085
$32,352
HCHG CYGNUS DUAL, 4X6 (585-003)
Gross
$46,217
307535
$31,772
HCHG INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD
Gross
$45,388
00591352511
$31,406
GOLIMUMAB 50 MG/4ML IV SOLN
Gross
$44,865
306829
$31,337
HCHG ICD INSERT W/LD(S)1/2 CHAMBER
Gross
$44,767
00904727972
$30,280
SACITUZUMAB GOVITECAN-HZIY 180 MG IV SOLR
Gross
$43,258
00904655761
$29,994
GOLIMUMAB 50 MG/4ML IV SOLN
Gross
$42,849
42023015901
$29,733
INFLIXIMAB-DYYB 100 MG IV SOLR
Gross
$42,475
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 00409490264 | IMIGLUCERASE 400 UNITS IV SOLR | $213,849 | $149,694 | — | — | 16 |
| 68084020211 | IMIGLUCERASE 400 UNITS IV SOLR | $204,131 | $142,892 | — | — | 16 |
| 00406577162 | IPILIMUMAB 50 MG/10ML IV SOLN | $199,152 | $139,406 | — | — | 16 |
| 00069023801 | IMIGLUCERASE 400 UNITS IV SOLR | $194,413 | $136,089 | — | — | 16 |
| 00338071812 | IMIGLUCERASE 400 UNITS IV SOLR | $184,695 | $129,287 | — | — | 16 |
| 20555003300 | IMIGLUCERASE 400 UNITS IV SOLR | $174,977 | $122,484 | — | — | 16 |
| 67457094115 | IPILIMUMAB 50 MG/10ML IV SOLN | $149,404 | $104,582 | — | — | 16 |
| 67386013051 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $132,363 | $92,654 | — | — | 16 |
| 43598084858 | RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN | $119,215 | $83,451 | — | — | 16 |
| 357719 | HCHG EPIEFFECT 7X14 (LE-5714) | $116,017 | $81,212 | — | — | 14 |
| 00173085914 | EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN | $106,206 | $74,344 | — | — | 16 |
| 24208063110 | IPILIMUMAB 50 MG/10ML IV SOLN | $99,656 | $69,759 | — | — | 16 |
| 42747076101 | NIVOLUMAB 100 MG/10ML IV SOLN | $89,186 | $62,430 | — | — | 16 |
| 00143932001 | NIVOLUMAB 240 MG/24ML IV SOLN | $89,077 | $62,354 | — | — | 16 |
| 00781342194 | GAMMAGARD 30 GM/300ML INJ SOLN | $88,117 | $61,682 | — | — | 16 |
| 50242004062 | GAMMAGARD 30 GM/300ML INJ SOLN | $88,117 | $61,682 | — | — | 16 |
| 00338954124 | EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN | $79,841 | $55,888 | — | — | 16 |
| 00904733706 | MOGAMULIZUMAB-KPKC 20 MG/5ML IV SOLN | $78,985 | $55,290 | — | — | 16 |
| 307112 | HCHG IMPELLA CP CATHETER | $78,923 | $55,246 | — | — | 14 |
| 50242005306 | ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR | $78,868 | $55,208 | — | — | 16 |
| 60505082306 | EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN | $78,106 | $54,674 | — | — | 16 |
| 00009001820 | OCTREOTIDE ACETATE 30 MG IM KIT | $77,527 | $54,269 | — | — | 16 |
| 00517931025 | PERTUZUMAB 420 MG/14ML IV SOLN | $76,496 | $53,547 | — | — | 16 |
| 00781354510 | DURVALUMAB 500 MG/10ML IV SOLN | $72,362 | $50,653 | — | — | 16 |
| 00703001801 | EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN | $70,821 | $49,575 | — | — | 16 |
| 00093414856 | MOGAMULIZUMAB-KPKC 20 MG/5ML IV SOLN | $70,059 | $49,041 | — | — | 16 |
| 00143987501 | COAG FACT XA INACTIVATED-ZHZO 200 MG IV SOLR | $67,299 | $47,109 | — | — | 14 |
| 5270322 | HCHG CVMC NEUROSTIMULATOR W/RECHARGING UNIT, MEDTRONIC | $66,737 | $46,716 | — | — | 14 |
| 307529 | HCHG VIA MATRIX, PER SQ CM 6X4 (24 UNITS) Q4309 | $65,664 | $45,965 | — | — | 14 |
| 5270365 | HCHG CVMC NEUROSTIMULATOR W/CHARGE UNIT-RESTORE ADVANCED | $63,580 | $44,506 | — | — | 14 |
| 00409233924 | ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR | $59,191 | $41,434 | — | — | 16 |
| 504031 | HCHG EPIEFFECT 7X7 (LE-5770) | $58,008 | $40,606 | — | — | 14 |
| 00904717861 | COAG FACT XA INACTIVATED-ZHZO 200 MG IV SOLR | $56,091 | $39,264 | — | — | 14 |
| 00143959525 | ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR | $55,256 | $38,679 | — | — | 16 |
| 63323001326 | RITUXIMAB 10 MG/ML IV CONC (S-ORDERABLE) | $52,811 | $36,968 | — | — | 16 |
| 00904661561 | INFLIXIMAB 100 MG IV SOLR | $52,407 | $36,685 | — | — | 16 |
| 25021083082 | OCTREOTIDE ACETATE 20 MG IM KIT | $51,791 | $36,254 | — | — | 16 |
| 5270369 | HCHG CVMC NEUROSTIMULATOR W/PROGRAMMER MEDTRONIC PRIME ADVANCED | $48,711 | $34,098 | — | — | 14 |
| 00245021111 | INFLIXIMAB-DYYB 100 MG IV SOLR | $47,778 | $33,445 | — | — | 16 |
| 00904636361 | RITUXIMAB-ABBS 10 MG/1 ML IV SOLN (WRAPPER) | $47,436 | $33,205 | — | — | 16 |
| 44567064010 | RITUXIMAB-ABBS 10 MG/1 ML IV SOLN (WRAPPER) | $47,436 | $33,205 | — | — | 16 |
| 5270311 | HCHG CVMC IMPLANTABLE PULSE GENERATOR W/CHARGING KIT | $47,237 | $33,066 | — | — | 14 |
| 60687086011 | BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN | $47,081 | $32,956 | — | — | 16 |
| 5401085 | HCHG CYGNUS DUAL, 4X6 (585-003) | $46,217 | $32,352 | — | — | 14 |
| 307535 | HCHG INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD | $45,388 | $31,772 | — | — | 14 |
| 00591352511 | GOLIMUMAB 50 MG/4ML IV SOLN | $44,865 | $31,406 | — | — | 16 |
| 306829 | HCHG ICD INSERT W/LD(S)1/2 CHAMBER | $44,767 | $31,337 | — | — | 16 |
| 00904727972 | SACITUZUMAB GOVITECAN-HZIY 180 MG IV SOLR | $43,258 | $30,280 | — | — | 16 |
| 00904655761 | GOLIMUMAB 50 MG/4ML IV SOLN | $42,849 | $29,994 | — | — | 16 |
| 42023015901 | INFLIXIMAB-DYYB 100 MG IV SOLR | $42,475 | $29,733 | — | — | 16 |
Showing top 50 of 19,208 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.