UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER

45 CFR § 180 compliance

F · 50

This hospital published little 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

5,052

Insurances with rates

CPT / HCPCS codes

3,640

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer
S3399	ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT	$11,272,063	$8,454,047	—	—
C9399	BETIBEGLOGENE AUTOTEMCEL 2 X 10EXP6 TO 20 X 10EXP6 CELL/ML IV SUSP	$3,080,000	$2,310,000	—	—
Q2042	TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION	$2,446,250	$1,834,688	—	—
Q2055	IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 460 X 10EXP6 CELL IV SUSPENSION	$2,160,425	$1,620,319	—	—
Q2054	LISOCABTAGENE MARALEUCEL(CD8) 1.5X TO 70X 10EXP6 CELL/ML IV SUSP(1OF2)	$2,113,045	$1,584,784	—	—
Q2041	AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION	$2,054,850	$1,541,138	—	—
Q2053	BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION	$2,054,850	$1,541,138	—	—
J2326	NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION	$686,637	$514,977	—	—
J7330	IMPLANT, MACI FINAL, PRODUCT ASSEMBLED, DOUBLE	$313,512	$235,134	—	—
A9543	KIT FOR YTTRIUM-90-IBRITUMOMAB 3.2 MG/2 ML INTRAVENOUS	$307,938	$230,954	—	—
J9226	HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT	$249,917	$187,438	—	—
J1823	INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION	$224,883	$168,663	—	—
J0223	GIVOSIRAN 189 MG/ML SUBCUTANEOUS SOLUTION	$222,208	$166,656	—	—
J9347	TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION	$215,736	$161,802	—	—
C9293	GLUCARPIDASE 1,000 UNIT/1 ML IV INJECTION - RECONSTITUTED 1000 UNIT/ML	$202,725	$152,044	—	—
J1305	EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION	$200,850	$150,638	—	—
J9228	IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION	$177,907	$133,430	—	—
J9269	TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION	$171,001	$128,250	—	—
J0202	ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION	$156,048	$117,036	—	—
A9606	RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN	$148,063	$111,047	—	—
J3357	USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE	$136,811	$102,608	—	—
J9359	LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION	$133,462	$100,096	—	—
Q2043	SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION	$133,364	$100,023	—	—
J1747	SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION	$131,667	$98,751	—	—
J2507	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION	$131,154	$98,365	—	—
J1303	RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION	$129,891	$97,419	—	—
J9118	CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION	$128,921	$96,690	—	—
38230	HC BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC	$122,091	$91,568	—	—
J9348	NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION	$116,613	$87,460	—	—
J9229	INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN	$116,476	$87,357	—	—
J9266	PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION	$114,549	$85,912	—	—
J9274	TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION	$112,072	$84,054	—	—
J7311	FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT	$105,240	$78,930	—	—
J9600	PORFIMER 2.5 MG/ML IV SYRINGE	$105,199	$78,899	—	—
L8688	GENERATOR, M1000-D, SENTIVA DUO	$102,756	$77,067	—	—
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$98,446	$73,835	—	—
J9350	MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION	$98,373	$73,780	—	—
33240	HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD	$95,796	$71,847	—	—
J0638	CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION	$94,723	$71,042	—	—
A9604	SAMARIUM SM 153 LEXIDRONAM 5,550 MBQ/3 ML INTRAVENOUS SOLUTION	$88,888	$66,666	—	—
J9309	POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION	$86,294	$64,721	—	—
33289	HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR	$84,298	$63,224	—	—
J3241	TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION	$83,988	$62,991	—	—
J2502	PASIREOTIDE PAMOATE 20 MG IM SUSPENSION	$82,122	$61,591	—	—
J7170	EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION	$78,611	$58,958	—	—
J9029	NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION	$77,250	$57,938	—	—
J9298	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION	$75,752	$56,814	—	—
C2624	DELIVERY SYS, CORDELLA AND PULM ARTERY SENSOR (IDE G1900020)	$71,250	$53,438	—	—
J1628	GUSELKUMAB 100 MG/ML SUBCUTANEOUS SYRINGE	$70,893	$53,170	—	—
J9316	PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN	$70,291	$52,718	—	—

Showing top 50 of 5,052 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.