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
9,104
Insurances with rates
21
CPT / HCPCS codes
4,029
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25682-0028-01 | Ultomiris | $380,416 | $228,250 | — | — | 13 |
| 67457-0889-10 | fosaprepitant dimeglumine | $243,694 | $146,216 | — | — | 1 |
| 50242-0150-01 | Ocrevus | $212,915 | $127,749 | — | — | 13 |
| 00310-4535-30 | Imjudo | $210,619 | $126,371 | — | — | 12 |
| 58468-0426-01 | Nexviazyme | $200,323 | $120,194 | — | — | 12 |
| 73150-0150-06 | Briumvi | $180,001 | $108,000 | — | — | 12 |
| 51144-0050-01 | Adcetris | $158,699 | $95,219 | — | — | 13 |
| Q4116 | ALLODERM; PER SQUARE CENTIMETER | $150,388 | $90,233 | — | — | 17 |
| C1822 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); HIGH FREQUENCY; WITH RECHARGEABLE BATTERY AND CHARGING SYS | $147,000 | $88,200 | — | — | 0 |
| C1882 | CARDIOVERTER-DEFIBRILLATOR; OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE) | $147,000 | $88,200 | — | — | 0 |
| 62935-0163-60 | Fensolvi | $141,155 | $84,693 | — | — | 12 |
| C1826 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE CO | $140,000 | $84,000 | — | — | 0 |
| 65597-0801-01 | Datroway | $132,078 | $79,247 | — | — | 13 |
| 75987-0080-10 | Krystexxa | $128,861 | $77,317 | — | — | 12 |
| C1820 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING | $128,135 | $76,881 | — | — | 0 |
| C1767 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE | $127,575 | $76,545 | — | — | 2 |
| C2616 | BRACHYTHERAPY SOURCE; NON-STRANDED; YTTRIUM-90; PER SOURCE | $125,965 | $75,579 | — | — | 12 |
| J3316 | INJ., TRIPTORELIN XR 3.75 MG | $120,426 | $72,256 | — | — | 13 |
| C1895 | LEAD; CARDIOVERTER-DEFIBRILLATOR; ENDOCARDIAL DUAL COIL (IMPLANTABLE) | $113,176 | $67,906 | — | — | 0 |
| 24338-0150-20 | Triptodur | $107,267 | $64,360 | — | — | 12 |
| C1813 | PROSTHESIS; PENILE; INFLATABLE | $105,532 | $63,319 | — | — | 0 |
| 50633-0110-11 | INJECTION; CROTALIDAE POLYVALENT IMMUNE FAB (OVINE); UP TO 1 GRAM | $103,634 | $62,180 | — | — | 12 |
| C1721 | CARDIOVERTER-DEFIBRILLATOR; DUAL CHAMBER (IMPLANTABLE) | $95,788 | $57,473 | — | — | 1 |
| 50242-0105-01 | Polivy | $93,323 | $55,994 | — | — | 13 |
| C1722 | CARDIOVERTER-DEFIBRILLATOR; SINGLE CHAMBER (IMPLANTABLE) | $89,775 | $53,865 | — | — | 0 |
| C1772 | INFUSION PUMP; PROGRAMMABLE (IMPLANTABLE) | $88,410 | $53,046 | — | — | 0 |
| 51144-0030-01 | Padcev | $86,274 | $51,764 | — | — | 13 |
| 00003-6120-01 | Opdivo Qvantig | $84,122 | $50,473 | — | — | 0 |
| 00003-2327-11 | Yervoy | $82,955 | $49,773 | — | — | 13 |
| 55513-0077-01 | Imdelltra | $81,019 | $48,611 | — | — | 13 |
| 68727-0712-01 | Zepzelca | $80,512 | $48,307 | — | — | 13 |
| 33270 | INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE | $76,329 | $45,797 | — | — | 12 |
| 33231 | INSRT PULSE GEN W/MULT LEADS | $76,140 | $45,684 | — | — | 12 |
| 57894-0501-01 | Rybrevant | $75,244 | $45,146 | — | — | 13 |
| 00310-4611-50 | Imfinzi | $65,260 | $39,156 | — | — | 13 |
| 00006-3083-01 | Keytruda Qlex | $64,988 | $38,993 | — | — | 0 |
| 33262 | REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR | $63,903 | $38,342 | — | — | 12 |
| 59572-0775-01 | Reblozyl | $62,808 | $37,685 | — | — | 13 |
| 33264 | REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR | $62,625 | $37,575 | — | — | 12 |
| 33263 | REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR | $62,018 | $37,211 | — | — | 13 |
| J9043 | CABAZITAXEL INJECTION | $61,241 | $36,745 | — | — | 13 |
| 00173-0898-03 | Jemperli | $61,235 | $36,741 | — | — | 13 |
| 13533-0800-40 | Gamunex-C | $60,351 | $36,211 | — | — | 13 |
| 00006-3026-04 | Keytruda | $60,040 | $36,024 | — | — | 13 |
| 00006-3026-02 | Keytruda | $60,040 | $36,024 | — | — | 13 |
| 33249 | INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM | $57,800 | $34,680 | — | — | 13 |
| 65597-0406-01 | Enhertu | $55,461 | $33,277 | — | — | 13 |
| 00944-2700-07 | Gammagard Liquid | $54,961 | $32,977 | — | — | 13 |
| 92930 | PRQ TCAT PLMT NTRAC ST 2+LES | $54,836 | $32,902 | — | — | 12 |
| 33240 | INSRT PULSE GEN W/SINGL LEAD | $54,164 | $32,498 | — | — | 12 |
Showing top 50 of 9,104 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.