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
4,284
Insurances with rates
14
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-346382 | LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN | $362,040 | $163,316 | — | — | 14 |
| RX-373211 | OCRELIZUMAB-HYALURONIDASE-OCSQ 920-23000 MG-UT/23ML SC SOLN | $104,289 | $47,045 | — | — | 13 |
| RX-365419 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN | $101,873 | $45,955 | — | — | 14 |
| 330 | Major Small And Large Bowel Procedures With Cc | $97,590 | $44,023 | — | — | 9 |
| 348 | Anal And Stomal Procedures With Cc | $97,259 | $43,873 | — | — | 9 |
| 329 | Major Small And Large Bowel Procedures With McC | $94,989 | $42,850 | — | — | 9 |
| 328 | Stomach, Esophageal And Duodenal Procedures Without Cc/McC | $89,645 | $40,439 | — | — | 10 |
| RX-313560 | IPILIMUMAB 200 MG/40ML IV SOLN | $88,724 | $40,023 | — | — | 14 |
| 813 | Coagulation Disorders | $84,550 | $38,141 | — | — | 9 |
| RX-350177 | TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN | $81,076 | $36,573 | — | — | 14 |
| RX-359644 | LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR | $69,732 | $31,456 | — | — | 14 |
| RX-430359644 | LONCASTUXIMAB TESIRINE-LPYL 10 MG/2ML IV (WET SOLR VIAL) | $69,732 | $31,456 | — | — | 14 |
| RX-255737 | PEGASPARGASE 750 UNIT/ML IJ SOLN | $67,635 | $30,510 | — | — | 14 |
| 857 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc | $64,491 | $29,092 | — | — | 10 |
| RX-344974 | INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR | $58,607 | $26,438 | — | — | 14 |
| RX-430344974 | INOTUZUMAB OZOGAMICIN 0.9 MG/3.6ML IV (WET SOLR VIAL) | $58,607 | $26,438 | — | — | 14 |
| 483 | Major Joint Or Limb Reattachment Procedures Of Upper Extremities | $58,347 | $26,320 | — | — | 10 |
| 481 | Hip And Femur Procedures Except Major Joint With Cc | $53,703 | $24,225 | — | — | 10 |
| RX-343282 | OCRELIZUMAB 300 MG/10ML IV SOLN | $52,175 | $23,536 | — | — | 14 |
| 823 | Lymphoma And Non-Acute Leukemia With Other Procedures With McC | $50,698 | $22,870 | — | — | 10 |
| 946 | Rehabilitation Without Cc/McC | $50,443 | $22,755 | — | — | 6 |
| 315 | Other Circulatory System Diagnoses With Cc | $49,165 | $22,178 | — | — | 10 |
| 467 | Revision Of Hip Or Knee Replacement With Cc | $47,775 | $21,551 | — | — | 10 |
| RX-351870 | POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR | $47,408 | $21,386 | — | — | 14 |
| RX-430351870 | POLATUZUMAB VEDOTIN-PIIQ 140 MG/7ML IV (WET SOLR VIAL) | $47,408 | $21,386 | — | — | 14 |
| RX-366179 | MOSUNETUZUMAB-AXGB 30 MG/30ML IV SOLN | $46,535 | $20,992 | — | — | 14 |
| RX-362065 | EFGARTIGIMOD ALFA-FCAB 400 MG/20ML IV SOLN | $45,643 | $20,590 | — | — | 14 |
| RX-354371 | TEPROTUMUMAB-TRBW 500 MG IV SOLR | $44,993 | $20,296 | — | — | 14 |
| 418 | Laparoscopic Cholecystectomy Without C.D.E. With Cc | $43,574 | $19,656 | — | — | 10 |
| 840 | Lymphoma And Non-Acute Leukemia With McC | $41,747 | $18,832 | — | — | 10 |
| 638 | Diabetes With Cc | $40,023 | $18,054 | — | — | 2 |
| RX-368110 | EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SC SOLN | $39,445 | $17,794 | — | — | 14 |
| 91 | Other Disorders Of Nervous System With McC | $38,649 | $17,435 | — | — | 10 |
| RX-313170 | PRALATREXATE 40 MG/2ML IV SOLN | $37,425 | $16,882 | — | — | 14 |
| RX-408401163 | TARLATAMAB-DLLE 10 MG/4.2ML IV (WET SOLR VIAL) | $37,140 | $16,754 | — | — | 14 |
| 438 | Disorders Of Pancreas Except Malignancy With McC | $37,015 | $16,697 | — | — | 10 |
| 417 | Laparoscopic Cholecystectomy Without C.D.E. With McC | $36,843 | $16,620 | — | — | 10 |
| 74 | Cranial And Peripheral Nerve Disorders Without McC | $36,518 | $16,473 | — | — | 10 |
| 558 | Tendonitis, Myositis And Bursitis Without McC | $36,270 | $16,361 | — | — | 10 |
| 380 | Complicated Peptic Ulcer With McC | $33,787 | $15,241 | — | — | 10 |
| 964 | Other Multiple Significant Trauma With Cc | $33,761 | $15,230 | — | — | 10 |
| 368 | Major Esophageal Disorders With McC | $33,719 | $15,211 | — | — | 10 |
| 336 | Peritoneal Adhesiolysis With Cc | $33,410 | $15,071 | — | — | 10 |
| RX-310263 | CABAZITAXEL 60 MG/1.5ML IV SOLN | $33,346 | $15,042 | — | — | 14 |
| RX-430310263 | CABAZITAXEL 60 MG/6ML IV (WET SOLN VIAL) | $33,346 | $15,042 | — | — | 14 |
| 786 | Cesarean Section Without Sterilization With McC | $33,086 | $14,925 | — | — | 10 |
| RX-315103 | LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT | $32,513 | $14,667 | — | — | 14 |
| 432 | Cirrhosis And Alcoholic Hepatitis With McC | $31,903 | $14,391 | — | — | 10 |
| RX-316270 | BRENTUXIMAB VEDOTIN 50 MG IV SOLR | $31,669 | $14,286 | — | — | 14 |
| RX-430316270 | BRENTUXIMAB VEDOTIN 50 MG/10ML IV (WET SOLR VIAL) | $31,669 | $14,286 | — | — | 14 |
Showing top 50 of 4,284 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.