45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
19,041
Insurances with rates
23
CPT / HCPCS codes
6,279
Most expensive procedures (gross)
7220391
$1,332,745
CILTACABTAGENE AUTOLEUCEL 70BC
Gross
$2,221,242
7220389
$1,305,988
IDECABTAGENE VICLEUCEL 460BCMA
Gross
$2,176,647
4600762
$178,066
LVAD IMPLANT
Gross
$296,777
7223549
$150,516
PROVENGE
Gross
$250,860
7220885
$144,865
GIVOSIRAN INJ 0.5MG INJ (378)
Gross
$241,442
7229548
$142,684
GLUCARPIDASE INJ, PER 10 UNITS
Gross
$237,807
7220372
$115,901
INEBILIZUMAB-CDON INJ (100)
Gross
$193,169
7220997
$104,916
PEGLOTICASE INJ PER 1MG (8)
Gross
$174,860
7222092
$101,812
TREMELIMUMAB-ACTL 300mg (300)
Gross
$169,687
7220478
$81,032
ULTOMIRIS 1100MG (110)
Gross
$135,054
4600803
$74,250
IMPELLA DEVICE SMART ASSIST
Gross
$123,750
7405126
$70,950
EVOQUE TRICUSPID VALVE
Gross
$118,250
7220496
$69,671
ZYNLONTA 10MG
Gross
$116,119
7405063
$68,017
IMPELLA 5.5 WITH SMARTASSIST
Gross
$113,361
7223591
$67,844
PEGASPARGASE INJECTION
Gross
$113,074
7222083
$62,556
EMICIZUMAB-KXWH 150 MG/1 ML
Gross
$104,260
7220891
$61,270
TAGRAXOFUSP-ERZS 10 MCG (100)
Gross
$102,117
7405098
$61,050
TRICLIP G4 SYSTEM
Gross
$101,750
4600569
$59,400
BAROSTIM NEO CVRx
Gross
$99,000
7401627
$59,400
BAROSTIM NEO CVRx
Gross
$99,000
7220249
$58,546
BESPONSA 0.9MG INJ (9)
Gross
$97,577
7401528
$58,498
RESPICARDIA GENERATOR/LEAD
Gross
$97,496
7220404
$58,021
PEMBROLIZUM-BERAHYA-PMPH 790MG
Gross
$96,701
7220289
$57,660
JELMYTO 2-40MG VIAL
Gross
$96,100
7405061
$56,100
VALVE TAVR SAPIEN 3 ULTRA
Gross
$93,500
7425074
$56,100
VALVE TAVR SAPIEN
Gross
$93,500
7268048
$53,842
Y90 IBRITUMOMAB RX <= 40 MCI
Gross
$89,737
7401677
$53,803
INSJ PERQ VAD R HRT VENOUS
Gross
$89,672
7223580
$52,114
OCRELIZUMAB INJ (300)
Gross
$86,857
7403004
$51,000
CCL SAPIEN 3 UR 20MM-061323
Gross
$85,000
7403005
$51,000
CCL SAPIEN 3 UR 23MM-061324
Gross
$85,000
7403006
$51,000
CCL SAPIEN 3 UR 26MM-061325
Gross
$85,000
7403007
$51,000
CCL SAPIEN 3 UR 29MM-061320
Gross
$85,000
7405059
$49,914
MITRAL TEER DEVICE
Gross
$83,190
7405060
$49,500
VALVE AORTIC TAV�
Gross
$82,500
7401727
$49,417
INSJ PERQ VAD R HRT VENOUS
Gross
$82,362
7321020
$49,394
COMPLEX GK DELIVERY
Gross
$82,323
7401693
$48,750
EVOLUT FX TAVR SYSTEM 23MM
Gross
$81,250
7401694
$48,750
EVOLUT FX TAVR SYSTEM 26MM
Gross
$81,250
7401695
$48,750
EVOLUT FX TAVR SYSTEM 29MM
Gross
$81,250
7401696
$48,750
EVOLUT FX TAVR SYSTEM 34MM
Gross
$81,250
7220483
$48,638
BUROSUMAB-TWZA 30MG (30)
Gross
$81,064
7257247
$48,263
TAVR SUPPLIES 129826-27
Gross
$80,438
7401620
$48,263
S3UCM223A - TAVR VALVE
Gross
$80,438
7401621
$48,263
S3UCM226A - TAVR VALVE
Gross
$80,438
4600796
$47,850
TAMBE DEVICE
Gross
$79,750
4600807
$47,685
AMDS HYBRID PROSTHESIS STENT
Gross
$79,475
7223599
$47,347
POLATUZUMAB VEDOTIN-PIIQ
Gross
$78,912
7220887
$47,303
BOTULISM IMMUNEGLOBULIN (BABYB
Gross
$78,838
7425142
$47,250
1ST OPN IMPLT BAT MODULJ SYS
Gross
$78,750
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 7220391 | CILTACABTAGENE AUTOLEUCEL 70BC | $2,221,242 | $1,332,745 | — | — | 16 |
| 7220389 | IDECABTAGENE VICLEUCEL 460BCMA | $2,176,647 | $1,305,988 | — | — | 16 |
| 4600762 | LVAD IMPLANT | $296,777 | $178,066 | — | — | 8 |
| 7223549 | PROVENGE | $250,860 | $150,516 | — | — | 16 |
| 7220885 | GIVOSIRAN INJ 0.5MG INJ (378) | $241,442 | $144,865 | — | — | 16 |
| 7229548 | GLUCARPIDASE INJ, PER 10 UNITS | $237,807 | $142,684 | — | — | 16 |
| 7220372 | INEBILIZUMAB-CDON INJ (100) | $193,169 | $115,901 | — | — | 16 |
| 7220997 | PEGLOTICASE INJ PER 1MG (8) | $174,860 | $104,916 | — | — | 16 |
| 7222092 | TREMELIMUMAB-ACTL 300mg (300) | $169,687 | $101,812 | — | — | 16 |
| 7220478 | ULTOMIRIS 1100MG (110) | $135,054 | $81,032 | — | — | 16 |
| 4600803 | IMPELLA DEVICE SMART ASSIST | $123,750 | $74,250 | — | — | 8 |
| 7405126 | EVOQUE TRICUSPID VALVE | $118,250 | $70,950 | — | — | 8 |
| 7220496 | ZYNLONTA 10MG | $116,119 | $69,671 | — | — | 8 |
| 7405063 | IMPELLA 5.5 WITH SMARTASSIST | $113,361 | $68,017 | — | — | 8 |
| 7223591 | PEGASPARGASE INJECTION | $113,074 | $67,844 | — | — | 16 |
| 7222083 | EMICIZUMAB-KXWH 150 MG/1 ML | $104,260 | $62,556 | — | — | 16 |
| 7220891 | TAGRAXOFUSP-ERZS 10 MCG (100) | $102,117 | $61,270 | — | — | 16 |
| 7405098 | TRICLIP G4 SYSTEM | $101,750 | $61,050 | — | — | 8 |
| 4600569 | BAROSTIM NEO CVRx | $99,000 | $59,400 | — | — | 8 |
| 7401627 | BAROSTIM NEO CVRx | $99,000 | $59,400 | — | — | 8 |
| 7220249 | BESPONSA 0.9MG INJ (9) | $97,577 | $58,546 | — | — | 16 |
| 7401528 | RESPICARDIA GENERATOR/LEAD | $97,496 | $58,498 | — | — | 8 |
| 7220404 | PEMBROLIZUM-BERAHYA-PMPH 790MG | $96,701 | $58,021 | — | — | 8 |
| 7220289 | JELMYTO 2-40MG VIAL | $96,100 | $57,660 | — | — | 16 |
| 7405061 | VALVE TAVR SAPIEN 3 ULTRA | $93,500 | $56,100 | — | — | 8 |
| 7425074 | VALVE TAVR SAPIEN | $93,500 | $56,100 | — | — | 8 |
| 7268048 | Y90 IBRITUMOMAB RX <= 40 MCI | $89,737 | $53,842 | — | — | 16 |
| 7401677 | INSJ PERQ VAD R HRT VENOUS | $89,672 | $53,803 | — | — | 4 |
| 7223580 | OCRELIZUMAB INJ (300) | $86,857 | $52,114 | — | — | 16 |
| 7403004 | CCL SAPIEN 3 UR 20MM-061323 | $85,000 | $51,000 | — | — | 8 |
| 7403005 | CCL SAPIEN 3 UR 23MM-061324 | $85,000 | $51,000 | — | — | 8 |
| 7403006 | CCL SAPIEN 3 UR 26MM-061325 | $85,000 | $51,000 | — | — | 8 |
| 7403007 | CCL SAPIEN 3 UR 29MM-061320 | $85,000 | $51,000 | — | — | 8 |
| 7405059 | MITRAL TEER DEVICE | $83,190 | $49,914 | — | — | 8 |
| 7405060 | VALVE AORTIC TAV� | $82,500 | $49,500 | — | — | 8 |
| 7401727 | INSJ PERQ VAD R HRT VENOUS | $82,362 | $49,417 | — | — | 4 |
| 7321020 | COMPLEX GK DELIVERY | $82,323 | $49,394 | — | — | 16 |
| 7401693 | EVOLUT FX TAVR SYSTEM 23MM | $81,250 | $48,750 | — | — | 8 |
| 7401694 | EVOLUT FX TAVR SYSTEM 26MM | $81,250 | $48,750 | — | — | 8 |
| 7401695 | EVOLUT FX TAVR SYSTEM 29MM | $81,250 | $48,750 | — | — | 8 |
| 7401696 | EVOLUT FX TAVR SYSTEM 34MM | $81,250 | $48,750 | — | — | 8 |
| 7220483 | BUROSUMAB-TWZA 30MG (30) | $81,064 | $48,638 | — | — | 16 |
| 7257247 | TAVR SUPPLIES 129826-27 | $80,438 | $48,263 | — | — | 8 |
| 7401620 | S3UCM223A - TAVR VALVE | $80,438 | $48,263 | — | — | 8 |
| 7401621 | S3UCM226A - TAVR VALVE | $80,438 | $48,263 | — | — | 8 |
| 4600796 | TAMBE DEVICE | $79,750 | $47,850 | — | — | 8 |
| 4600807 | AMDS HYBRID PROSTHESIS STENT | $79,475 | $47,685 | — | — | 8 |
| 7223599 | POLATUZUMAB VEDOTIN-PIIQ | $78,912 | $47,347 | — | — | 16 |
| 7220887 | BOTULISM IMMUNEGLOBULIN (BABYB | $78,838 | $47,303 | — | — | 8 |
| 7425142 | 1ST OPN IMPLT BAT MODULJ SYS | $78,750 | $47,250 | — | — | 5 |
Showing top 50 of 19,041 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.