45 CFR § 180 compliance
D · 65
This hospital published part 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
6,068
Insurances with rates
18
CPT / HCPCS codes
2,527
Source MRF
Most expensive procedures (gross)
50242-0150-01
$87,724
Ocrevus
Gross
$175,448
67979000201
$80,061
Supprelin LA
Gross
$160,122
73150-0150-06
$70,826
Briumvi
Gross
$141,653
00006-3026-02
$50,131
Keytruda
Gross
$100,261
25682002801
$45,789
Ultomiris
Gross
$91,577
29806
$40,527
REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE
Gross
$81,054
50242015001
$38,443
Ocrevus
Gross
$76,886
23615
$36,977
TREATMENT OF BROKEN TOP OF UPPER ARM BONE
Gross
$73,953
75987013015
$31,045
Tepezza
Gross
$62,089
27132
$30,303
TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY
Gross
$60,606
23472
$29,507
PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER
Gross
$59,013
00074-3473-03
$27,366
Lupron Depot
Gross
$54,731
29888
$26,189
REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE
Gross
$52,377
27766
$26,070
TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE
Gross
$52,140
27418
$25,896
REPAIR OF UPPER END OF SHIN BONE AT KNEE JOINT
Gross
$51,792
27130
$25,662
REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS
Gross
$51,324
27446
$23,888
REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE
Gross
$47,775
27524
$23,033
TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP
Gross
$46,065
57894-0503-01
$22,465
Darzalex Faspro
Gross
$44,930
29882
$21,567
REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE
Gross
$43,134
27447
$21,567
REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE
Gross
$43,134
73150015006
$20,421
Briumvi
Gross
$40,843
23430
$19,920
ANCHORING OF BICEPS TENDON
Gross
$39,840
27814
$19,920
TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE
Gross
$39,840
23515
$19,908
TREATMENT OF BROKEN COLLAR BONE
Gross
$39,816
64764-0300-20
$19,890
Entyvio
Gross
$39,780
27726
$19,671
REPAIR OF NONHEALED BROKEN OUTER LOWER LEG BONE WITH PLACEMENT OF STABILIZING DEVICE
Gross
$39,342
27486
$19,656
REVISION OF COMPONENT OF TOTAL KNEE JOINT PROSTHESIS
Gross
$39,312
49525
$19,578
REPAIR OF SLIDING GROIN HERNIA
Gross
$39,156
49520
$19,503
REPAIR OF GROIN HERNIA THAT IS NOT TRAPPED
Gross
$39,006
24685
$18,960
TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW
Gross
$37,920
15054112004
$18,646
Somatuline Depot
Gross
$37,292
29827
$18,368
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE
Gross
$36,735
00074501501
$18,072
Skyrizi 600MG/10ML
Gross
$36,144
64764030020
$16,900
Entyvio
Gross
$33,800
50242008527
$16,219
Activase
Gross
$32,437
64406000801
$16,008
Tysabri
Gross
$32,016
29823
$15,642
REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE
Gross
$31,284
49321
$15,170
BIOPSY OF ABDOMEN USING AN ENDOSCOPE
Gross
$30,340
29822
$14,813
LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE
Gross
$29,625
27792
$14,694
TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE
Gross
$29,388
50242-0145-01
$14,494
Perjeta
Gross
$28,987
C1776
$14,212
JOINT DEVICE (IMPLANTABLE)
Gross
$28,423
50242-0037-06
$14,105
INJECTION; TENECTEPLASE; 1 MG
Gross
$28,211
27425
$14,102
RELEASE OF LIGAMENTS OF KNEE JOINT
Gross
$28,203
50242012047
$14,006
TNKase
Gross
$28,011
00074-3346-03
$13,683
Lupron Depot
Gross
$27,365
55513-0190-01
$13,638
Neulasta
Gross
$27,276
55513-0192-01
$13,638
Neulasta Onpro
Gross
$27,276
25607
$13,446
TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING
Gross
$26,892
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242-0150-01 | Ocrevus | $175,448 | $87,724 | — | — | 0 |
| 67979000201 | Supprelin LA | $160,122 | $80,061 | — | — | 3 |
| 73150-0150-06 | Briumvi | $141,653 | $70,826 | — | — | 0 |
| 00006-3026-02 | Keytruda | $100,261 | $50,131 | — | — | 0 |
| 25682002801 | Ultomiris | $91,577 | $45,789 | — | — | 3 |
| 29806 | REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE | $81,054 | $40,527 | — | — | 3 |
| 50242015001 | Ocrevus | $76,886 | $38,443 | — | — | 3 |
| 23615 | TREATMENT OF BROKEN TOP OF UPPER ARM BONE | $73,953 | $36,977 | — | — | 0 |
| 75987013015 | Tepezza | $62,089 | $31,045 | — | — | 3 |
| 27132 | TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY | $60,606 | $30,303 | — | — | 0 |
| 23472 | PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $59,013 | $29,507 | — | — | 1 |
| 00074-3473-03 | Lupron Depot | $54,731 | $27,366 | — | — | 0 |
| 29888 | REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE | $52,377 | $26,189 | — | — | 0 |
| 27766 | TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE | $52,140 | $26,070 | — | — | 1 |
| 27418 | REPAIR OF UPPER END OF SHIN BONE AT KNEE JOINT | $51,792 | $25,896 | — | — | 1 |
| 27130 | REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $51,324 | $25,662 | — | — | 3 |
| 27446 | REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE | $47,775 | $23,888 | — | — | 1 |
| 27524 | TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP | $46,065 | $23,033 | — | — | 1 |
| 57894-0503-01 | Darzalex Faspro | $44,930 | $22,465 | — | — | 0 |
| 29882 | REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $43,134 | $21,567 | — | — | 2 |
| 27447 | REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $43,134 | $21,567 | — | — | 6 |
| 73150015006 | Briumvi | $40,843 | $20,421 | — | — | 3 |
| 23430 | ANCHORING OF BICEPS TENDON | $39,840 | $19,920 | — | — | 0 |
| 27814 | TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE | $39,840 | $19,920 | — | — | 0 |
| 23515 | TREATMENT OF BROKEN COLLAR BONE | $39,816 | $19,908 | — | — | 1 |
| 64764-0300-20 | Entyvio | $39,780 | $19,890 | — | — | 0 |
| 27726 | REPAIR OF NONHEALED BROKEN OUTER LOWER LEG BONE WITH PLACEMENT OF STABILIZING DEVICE | $39,342 | $19,671 | — | — | 0 |
| 27486 | REVISION OF COMPONENT OF TOTAL KNEE JOINT PROSTHESIS | $39,312 | $19,656 | — | — | 1 |
| 49525 | REPAIR OF SLIDING GROIN HERNIA | $39,156 | $19,578 | — | — | 0 |
| 49520 | REPAIR OF GROIN HERNIA THAT IS NOT TRAPPED | $39,006 | $19,503 | — | — | 1 |
| 24685 | TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW | $37,920 | $18,960 | — | — | 1 |
| 15054112004 | Somatuline Depot | $37,292 | $18,646 | — | — | 3 |
| 29827 | REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE | $36,735 | $18,368 | — | — | 3 |
| 00074501501 | Skyrizi 600MG/10ML | $36,144 | $18,072 | — | — | 3 |
| 64764030020 | Entyvio | $33,800 | $16,900 | — | — | 3 |
| 50242008527 | Activase | $32,437 | $16,219 | — | — | 3 |
| 64406000801 | Tysabri | $32,016 | $16,008 | — | — | 3 |
| 29823 | REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE | $31,284 | $15,642 | — | — | 0 |
| 49321 | BIOPSY OF ABDOMEN USING AN ENDOSCOPE | $30,340 | $15,170 | — | — | 1 |
| 29822 | LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE | $29,625 | $14,813 | — | — | 1 |
| 27792 | TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE | $29,388 | $14,694 | — | — | 2 |
| 50242-0145-01 | Perjeta | $28,987 | $14,494 | — | — | 0 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $28,423 | $14,212 | — | — | 6 |
| 50242-0037-06 | INJECTION; TENECTEPLASE; 1 MG | $28,211 | $14,105 | — | — | 3 |
| 27425 | RELEASE OF LIGAMENTS OF KNEE JOINT | $28,203 | $14,102 | — | — | 1 |
| 50242012047 | TNKase | $28,011 | $14,006 | — | — | 3 |
| 00074-3346-03 | Lupron Depot | $27,365 | $13,683 | — | — | 0 |
| 55513-0190-01 | Neulasta | $27,276 | $13,638 | — | — | 0 |
| 55513-0192-01 | Neulasta Onpro | $27,276 | $13,638 | — | — | 0 |
| 25607 | TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING | $26,892 | $13,446 | — | — | 0 |
Showing top 50 of 6,068 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.