45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
3,585
Insurances with rates
8
CPT / HCPCS codes
0
Most expensive procedures (gross)
33517418
$140,690
AFAMELANOTIDE 16 MG IMPLANT
Gross
$234,483
33571550
$105,046
PORFIMER SOD 75MG INJ
Gross
$175,076
33517430
$71,858
RAVULIZUMAB-CWVZ 1100MG/11ML
Gross
$119,763
33571823
$27,738
CIDOFOVIR 375 MG
Gross
$46,230
33572109
$19,415
PEGASPERGASE 750 IU/ML 5ML INJ
Gross
$32,359
33517185
$19,379
TRIKAFTA ORAL TAB 7DAY PACK
Gross
$32,298
33572992
$11,437
BUPRENORPHINE 300MG/1.5ML SUBQ
Gross
$19,061
33572124
$11,176
DIGOXIN IMMUNE 40MG VIAL
Gross
$18,627
33518300
$10,471
DOPTELET (10 TAB PK) 20 MG TAB
Gross
$17,452
33516872
$9,591
GLEOLAN 1500MG/50ML ORAL SLN
Gross
$15,985
33571555
$9,436
CALCITONIN SALMON 400U 2ML INJ
Gross
$15,727
33571658
$8,522
FLOXURIDINE 500MG INJ
Gross
$14,204
33572702
$8,383
DANTROLENE INJ SUSP 250MG
Gross
$13,972
33571917
$8,184
INTERLEUKIN-2 22MU/1.2ML INJ
Gross
$13,640
33571336
$8,027
INOTUZUMAB OZOGAMIC 0.1MG INJ
Gross
$13,379
33572225
$7,421
BASILIXIMAB 20MG VIAL
Gross
$12,368
960nan0892Tnan
$7,216
MRI GUIDED THETA-BURST REDETRM
Gross
$12,027
960nan0891Tnan
$7,216
MRI GUIDED THETA-BURST SUB DAY
Gross
$12,027
960nan0890Tnan
$7,216
MRI GUIDED THETA-BURST INITIAL
Gross
$12,027
33573607
$6,717
GLOFITAMAB-GXBM 2.5MG INJ
Gross
$11,195
33573762
$6,717
GLOFITAMAB-GXBM 2.5MG INJ
Gross
$11,195
33571882
$6,460
MELPHALAN 50MG/10ML INJ
Gross
$10,767
33572764
$6,076
IDARUCIZUMAB 2.5GM/50ML INJ
Gross
$10,127
33571681
$5,779
ISOPROTERENOL 5ML INJ
Gross
$9,631
33571879
$5,414
CYTOMEGALOVIRUS 2.5GM/50ML IIG
Gross
$9,023
33517498
$5,248
NEXVIAZYME 100MG/10ML INJ
Gross
$8,747
33572866
$5,026
TEDUGLUTIDE 5MG SDV KIT
Gross
$8,377
33570872
$4,959
RASBURICASE 0.5MG VIAL
Gross
$8,265
33572070
$4,833
PEGINTERFERON ALFA 180MCG/.5ML
Gross
$8,055
33517148
$4,831
TRUVADA 28DAY(28 TAB)START PK
Gross
$8,052
33572177
$4,548
HYDROXCOBAL 5GM/NS 100ML KT
Gross
$7,580
33513726
$4,459
LIPIODOL ULTRA 10ML
Gross
$7,431
33571580
$4,453
ISOPROTERENOL 0.2MG/ML AMP1ML
Gross
$7,421
33574279
$4,345
BRIXADI MONTH 128MG/0.36ML SYR
Gross
$7,242
33574282
$4,345
BRIXADI MONTH 96MG/0.27ML SYR
Gross
$7,242
33572522
$4,184
THYMOGLOBULIN 25MG VIAL
Gross
$6,973
33571532
$3,727
LYMPHOCYTE IMMU GLB 250MG 5ML
Gross
$6,211
33572832
$3,689
DUPILUMAB 300MG/2ML INJ
Gross
$6,149
33571323
$3,685
IDAMYCIN 5MG/5ML PF VIAL INJ
Gross
$6,142
33572834
$3,685
IDARUBICIN HCL 5MG/ML INJ
Gross
$6,142
33571639
$3,640
NITROPRUSSIDE NA 50MG INJ
Gross
$6,066
33570632
$3,560
LEUPROLIDE ADULT 3.75MG
Gross
$5,933
33515804
$3,470
SOFOSB 400MG-VELPAT 100MG
Gross
$5,783
124nannannan
$3,267
ROOM CHG SEMI PVT OTHER
Gross
$5,445
33510774
$3,141
TISSEEL VH S/D KIT 10ML
Gross
$5,235
33505047
$3,097
AZELASTINE .05% OPTH DRPS 6ML
Gross
$5,162
33510884
$3,075
TISSEEL VH S/D KIT 4ML
Gross
$5,125
33572082
$3,034
IPRATROPIUM HFA 12.9GM INHALER
Gross
$5,057
33572793
$3,007
DEFITELIO 200MG/2.5ML INJ
Gross
$5,012
513nanG2083PN
$3,001
ESKETAMINE BUNDLE 84M
Gross
$5,002
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 33517418 | AFAMELANOTIDE 16 MG IMPLANT | $234,483 | $140,690 | — | — | 12 |
| 33571550 | PORFIMER SOD 75MG INJ | $175,076 | $105,046 | — | — | 12 |
| 33517430 | RAVULIZUMAB-CWVZ 1100MG/11ML | $119,763 | $71,858 | — | — | 13 |
| 33571823 | CIDOFOVIR 375 MG | $46,230 | $27,738 | — | — | 13 |
| 33572109 | PEGASPERGASE 750 IU/ML 5ML INJ | $32,359 | $19,415 | — | — | 13 |
| 33517185 | TRIKAFTA ORAL TAB 7DAY PACK | $32,298 | $19,379 | — | — | 12 |
| 33572992 | BUPRENORPHINE 300MG/1.5ML SUBQ | $19,061 | $11,437 | — | — | 13 |
| 33572124 | DIGOXIN IMMUNE 40MG VIAL | $18,627 | $11,176 | — | — | 13 |
| 33518300 | DOPTELET (10 TAB PK) 20 MG TAB | $17,452 | $10,471 | — | — | 12 |
| 33516872 | GLEOLAN 1500MG/50ML ORAL SLN | $15,985 | $9,591 | — | — | 12 |
| 33571555 | CALCITONIN SALMON 400U 2ML INJ | $15,727 | $9,436 | — | — | 12 |
| 33571658 | FLOXURIDINE 500MG INJ | $14,204 | $8,522 | — | — | 13 |
| 33572702 | DANTROLENE INJ SUSP 250MG | $13,972 | $8,383 | — | — | 12 |
| 33571917 | INTERLEUKIN-2 22MU/1.2ML INJ | $13,640 | $8,184 | — | — | 12 |
| 33571336 | INOTUZUMAB OZOGAMIC 0.1MG INJ | $13,379 | $8,027 | — | — | 13 |
| 33572225 | BASILIXIMAB 20MG VIAL | $12,368 | $7,421 | — | — | 13 |
| 960nan0892Tnan | MRI GUIDED THETA-BURST REDETRM | $12,027 | $7,216 | — | — | 12 |
| 960nan0891Tnan | MRI GUIDED THETA-BURST SUB DAY | $12,027 | $7,216 | — | — | 12 |
| 960nan0890Tnan | MRI GUIDED THETA-BURST INITIAL | $12,027 | $7,216 | — | — | 12 |
| 33573607 | GLOFITAMAB-GXBM 2.5MG INJ | $11,195 | $6,717 | — | — | 13 |
| 33573762 | GLOFITAMAB-GXBM 2.5MG INJ | $11,195 | $6,717 | — | — | 13 |
| 33571882 | MELPHALAN 50MG/10ML INJ | $10,767 | $6,460 | — | — | 13 |
| 33572764 | IDARUCIZUMAB 2.5GM/50ML INJ | $10,127 | $6,076 | — | — | 12 |
| 33571681 | ISOPROTERENOL 5ML INJ | $9,631 | $5,779 | — | — | 12 |
| 33571879 | CYTOMEGALOVIRUS 2.5GM/50ML IIG | $9,023 | $5,414 | — | — | 13 |
| 33517498 | NEXVIAZYME 100MG/10ML INJ | $8,747 | $5,248 | — | — | 13 |
| 33572866 | TEDUGLUTIDE 5MG SDV KIT | $8,377 | $5,026 | — | — | 12 |
| 33570872 | RASBURICASE 0.5MG VIAL | $8,265 | $4,959 | — | — | 13 |
| 33572070 | PEGINTERFERON ALFA 180MCG/.5ML | $8,055 | $4,833 | — | — | 12 |
| 33517148 | TRUVADA 28DAY(28 TAB)START PK | $8,052 | $4,831 | — | — | 12 |
| 33572177 | HYDROXCOBAL 5GM/NS 100ML KT | $7,580 | $4,548 | — | — | 12 |
| 33513726 | LIPIODOL ULTRA 10ML | $7,431 | $4,459 | — | — | 12 |
| 33571580 | ISOPROTERENOL 0.2MG/ML AMP1ML | $7,421 | $4,453 | — | — | 12 |
| 33574279 | BRIXADI MONTH 128MG/0.36ML SYR | $7,242 | $4,345 | — | — | 13 |
| 33574282 | BRIXADI MONTH 96MG/0.27ML SYR | $7,242 | $4,345 | — | — | 13 |
| 33572522 | THYMOGLOBULIN 25MG VIAL | $6,973 | $4,184 | — | — | 13 |
| 33571532 | LYMPHOCYTE IMMU GLB 250MG 5ML | $6,211 | $3,727 | — | — | 13 |
| 33572832 | DUPILUMAB 300MG/2ML INJ | $6,149 | $3,689 | — | — | 12 |
| 33571323 | IDAMYCIN 5MG/5ML PF VIAL INJ | $6,142 | $3,685 | — | — | 13 |
| 33572834 | IDARUBICIN HCL 5MG/ML INJ | $6,142 | $3,685 | — | — | 13 |
| 33571639 | NITROPRUSSIDE NA 50MG INJ | $6,066 | $3,640 | — | — | 12 |
| 33570632 | LEUPROLIDE ADULT 3.75MG | $5,933 | $3,560 | — | — | 13 |
| 33515804 | SOFOSB 400MG-VELPAT 100MG | $5,783 | $3,470 | — | — | 12 |
| 124nannannan | ROOM CHG SEMI PVT OTHER | $5,445 | $3,267 | — | — | 34 |
| 33510774 | TISSEEL VH S/D KIT 10ML | $5,235 | $3,141 | — | — | 12 |
| 33505047 | AZELASTINE .05% OPTH DRPS 6ML | $5,162 | $3,097 | — | — | 12 |
| 33510884 | TISSEEL VH S/D KIT 4ML | $5,125 | $3,075 | — | — | 12 |
| 33572082 | IPRATROPIUM HFA 12.9GM INHALER | $5,057 | $3,034 | — | — | 12 |
| 33572793 | DEFITELIO 200MG/2.5ML INJ | $5,012 | $3,007 | — | — | 12 |
| 513nanG2083PN | ESKETAMINE BUNDLE 84M | $5,002 | $3,001 | — | — | 11 |
Showing top 50 of 3,585 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.