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
4,742
Insurances with rates
9
CPT / HCPCS codes
0
Most expensive procedures (gross)
SUP-149784
$152,700
MEMBRANE 2 AUTOLOGOUS CULTURED CHONDROCYTES
Gross
$254,500
SUP-148836
$92,635
MEMBRANE AUTOLOGOUS CULTURED CHONDROCYTES
Gross
$154,392
RX-108956
$67,320
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION
Gross
$112,200
RX-108054
$62,627
USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE
Gross
$104,379
RX-189220
$51,049
LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE
Gross
$85,082
RX-189115
$46,418
MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT
Gross
$77,363
RX-190261
$46,312
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION
Gross
$77,187
RX-182080
$39,917
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$66,529
RX-185232
$38,591
TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE
Gross
$64,319
63600140
$35,080
HC OR TIME 541-570 MIN
Gross
$58,466
RX-188516
$34,852
TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION
Gross
$58,086
RX-187119
$34,676
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION
Gross
$57,793
63600141
$34,207
HC OR TIME 571-600 MIN
Gross
$57,012
63600139
$33,894
HC OR TIME 511-540 MIN
Gross
$56,490
63600138
$32,599
HC OR TIME 481-510 MIN
Gross
$54,332
RX-128798
$31,319
USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE
Gross
$52,198
63600137
$31,308
HC OR TIME 451-480 MIN
Gross
$52,180
63600136
$29,378
HC OR TIME 421-450 MIN
Gross
$48,964
63600135
$27,847
HC OR TIME 391-420 MIN
Gross
$46,411
63600134
$26,467
HC OR TIME 361-390 MIN
Gross
$44,112
RX-189618
$25,971
PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN
Gross
$43,285
93610334
$25,796
HC INTRAVASCULAR LITHOTRIPSY STENT ATHERECTOMY LE ARTERY OTHER THAN TIBIAL PERONEAL INCL ANGIOPLASTY
Gross
$42,993
93610344
$25,766
HC INTRAVASCULAR LITHOTRIPSY TIBIAL PERONEAL ART W/STENT INCL ANGIOPLASTY SAME VSL
Gross
$42,944
93610345
$25,766
HC INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL
Gross
$42,944
93610346
$25,766
HC INTRAVASCULAR LITHOTRIPSY STENT ATHERECTOMY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL
Gross
$42,944
RX-105644
$25,689
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION
Gross
$42,814
63600133
$24,946
HC OR TIME 331-360 MIN
Gross
$41,577
SUP-133921
$23,996
GRAFT INTEGRA BILAYER MESHED W
Gross
$39,993
RX-188105
$23,879
LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION
Gross
$39,798
RX-111348
$23,671
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION
Gross
$39,452
63600132
$23,291
HC OR TIME 301-330 MIN
Gross
$38,819
RX-180358
$21,657
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION
Gross
$36,094
63600131
$21,535
HC OR TIME 271-300 MIN
Gross
$35,892
63610058
$21,135
HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE
Gross
$35,225
RX-185743
$20,425
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION
Gross
$34,041
63600130
$19,889
HC OR TIME 241-270 MIN
Gross
$33,149
RX-408880336
$19,770
DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN
Gross
$32,950
RX-194935
$19,540
TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION
Gross
$32,566
93610050
$19,459
HC REVASC PTA TIBIAL PERONEAL W STENT AND ATHERECTOMY EACH ADDITIONAL VESSEL UNIL
Gross
$32,431
RX-9002
$18,913
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$31,522
RX-173205
$18,122
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
Gross
$30,204
63600129
$18,017
HC OR TIME 211-240 MIN
Gross
$30,028
RX-202035
$17,832
TENECTEPLASE 25 MG INTRAVENOUS SOLUTION FOR STROKE
Gross
$29,721
RX-408408256
$17,832
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION WRAPPER FOR MI
Gross
$29,721
RX-408508256
$17,832
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE
Gross
$29,721
RX-189619
$17,370
PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN
Gross
$28,950
RX-40120
$17,194
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION
Gross
$28,656
RX-108955
$16,957
IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION
Gross
$28,262
RX-36417
$16,184
INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE KIT
Gross
$26,974
63600128
$16,124
HC OR TIME 181-210 MIN
Gross
$26,873
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| SUP-149784 | MEMBRANE 2 AUTOLOGOUS CULTURED CHONDROCYTES | $254,500 | $152,700 | — | — | 21 |
| SUP-148836 | MEMBRANE AUTOLOGOUS CULTURED CHONDROCYTES | $154,392 | $92,635 | — | — | 21 |
| RX-108956 | IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION | $112,200 | $67,320 | — | — | 27 |
| RX-108054 | USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE | $104,379 | $62,627 | — | — | 27 |
| RX-189220 | LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE | $85,082 | $51,049 | — | — | 27 |
| RX-189115 | MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT | $77,363 | $46,418 | — | — | 27 |
| RX-190261 | RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION | $77,187 | $46,312 | — | — | 54 |
| RX-182080 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $66,529 | $39,917 | — | — | 27 |
| RX-185232 | TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE | $64,319 | $38,591 | — | — | 27 |
| 63600140 | HC OR TIME 541-570 MIN | $58,466 | $35,080 | — | — | 18 |
| RX-188516 | TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION | $58,086 | $34,852 | — | — | 27 |
| RX-187119 | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION | $57,793 | $34,676 | — | — | 27 |
| 63600141 | HC OR TIME 571-600 MIN | $57,012 | $34,207 | — | — | 18 |
| 63600139 | HC OR TIME 511-540 MIN | $56,490 | $33,894 | — | — | 18 |
| 63600138 | HC OR TIME 481-510 MIN | $54,332 | $32,599 | — | — | 18 |
| RX-128798 | USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE | $52,198 | $31,319 | — | — | 27 |
| 63600137 | HC OR TIME 451-480 MIN | $52,180 | $31,308 | — | — | 18 |
| 63600136 | HC OR TIME 421-450 MIN | $48,964 | $29,378 | — | — | 18 |
| 63600135 | HC OR TIME 391-420 MIN | $46,411 | $27,847 | — | — | 18 |
| 63600134 | HC OR TIME 361-390 MIN | $44,112 | $26,467 | — | — | 18 |
| RX-189618 | PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN | $43,285 | $25,971 | — | — | 27 |
| 93610334 | HC INTRAVASCULAR LITHOTRIPSY STENT ATHERECTOMY LE ARTERY OTHER THAN TIBIAL PERONEAL INCL ANGIOPLASTY | $42,993 | $25,796 | — | — | 24 |
| 93610344 | HC INTRAVASCULAR LITHOTRIPSY TIBIAL PERONEAL ART W/STENT INCL ANGIOPLASTY SAME VSL | $42,944 | $25,766 | — | — | 24 |
| 93610345 | HC INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL | $42,944 | $25,766 | — | — | 24 |
| 93610346 | HC INTRAVASCULAR LITHOTRIPSY STENT ATHERECTOMY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL | $42,944 | $25,766 | — | — | 24 |
| RX-105644 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $42,814 | $25,689 | — | — | 27 |
| 63600133 | HC OR TIME 331-360 MIN | $41,577 | $24,946 | — | — | 18 |
| SUP-133921 | GRAFT INTEGRA BILAYER MESHED W | $39,993 | $23,996 | — | — | 19 |
| RX-188105 | LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION | $39,798 | $23,879 | — | — | 27 |
| RX-111348 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $39,452 | $23,671 | — | — | 27 |
| 63600132 | HC OR TIME 301-330 MIN | $38,819 | $23,291 | — | — | 18 |
| RX-180358 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION | $36,094 | $21,657 | — | — | 27 |
| 63600131 | HC OR TIME 271-300 MIN | $35,892 | $21,535 | — | — | 18 |
| 63610058 | HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE | $35,225 | $21,135 | — | — | 24 |
| RX-185743 | CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION | $34,041 | $20,425 | — | — | 27 |
| 63600130 | HC OR TIME 241-270 MIN | $33,149 | $19,889 | — | — | 18 |
| RX-408880336 | DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN | $32,950 | $19,770 | — | — | 27 |
| RX-194935 | TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION | $32,566 | $19,540 | — | — | 27 |
| 93610050 | HC REVASC PTA TIBIAL PERONEAL W STENT AND ATHERECTOMY EACH ADDITIONAL VESSEL UNIL | $32,431 | $19,459 | — | — | 18 |
| RX-9002 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $31,522 | $18,913 | — | — | 27 |
| RX-173205 | VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION | $30,204 | $18,122 | — | — | 27 |
| 63600129 | HC OR TIME 211-240 MIN | $30,028 | $18,017 | — | — | 18 |
| RX-202035 | TENECTEPLASE 25 MG INTRAVENOUS SOLUTION FOR STROKE | $29,721 | $17,832 | — | — | 27 |
| RX-408408256 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION WRAPPER FOR MI | $29,721 | $17,832 | — | — | 27 |
| RX-408508256 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE | $29,721 | $17,832 | — | — | 27 |
| RX-189619 | PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN | $28,950 | $17,370 | — | — | 27 |
| RX-40120 | NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION | $28,656 | $17,194 | — | — | 27 |
| RX-108955 | IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION | $28,262 | $16,957 | — | — | 27 |
| RX-36417 | INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE KIT | $26,974 | $16,184 | — | — | 27 |
| 63600128 | HC OR TIME 181-210 MIN | $26,873 | $16,124 | — | — | 18 |
Showing top 50 of 4,742 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.