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
18,212
Insurances with rates
3
CPT / HCPCS codes
581
Most expensive procedures (gross)
25004319
$110,569
IMJUDO 1mg (300 mgSDV)
Gross
$221,137
25003724
$96,761
YERVOY 1mg (200mg Vial)
Gross
$193,523
25004261
$82,402
OPDUALAG 3/1mg(480/160mg/2SDV)
Gross
$164,803
76101322
$78,230
ECMO/ECLS INSJ PRPH CANNULA
Gross
$156,460
761T1322
$77,625
ECMO/ECLS INSJ PRPH CANNULA(T
Gross
$155,250
25002652
$73,071
ONCASPAR 750 IU / ML 5ML VIAL
Gross
$146,143
25004182
$58,356
INVEGA HAFYERA 1mg(1560mg Syr)
Gross
$116,711
25002260
$56,247
OCREVUS 1mg (300mg Vial)
Gross
$112,493
27000188
$55,600
CARDIO MEMS PA SENSOR SYSTEM
Gross
$111,200
25004115
$49,102
TEPEZZA 10 MG (500mg VIAL)
Gross
$98,203
27000059
$48,950
VITALITY 2 EL VR SC/LEAD 8486
Gross
$97,900
25004213
$48,945
ILUMYA 1mg (100mg PFS)
Gross
$97,890
27000045
$46,963
CRT CROME HF MRI SURESCAN
Gross
$93,925
27000082
$45,720
MONTAGE PUL GEN FULL BDY MRI S
Gross
$91,440
27000003
$45,340
DEFIBRILLATR CRT-D DTBA1D4
Gross
$90,680
25002572
$39,128
JEVTANA 1MG (60MG VIAL)
Gross
$78,255
25004181
$38,905
INVEGA HAFYERA 1mg(1092mg Syr)
Gross
$77,809
27000079
$38,139
MESH STRATTICE PREFORATD 20*25
Gross
$76,278
27000081
$36,942
NEUROSTIMULATOR 3058
Gross
$73,884
25004006
$34,542
ADCETRIS 50 MG/10 ML VIAL
Gross
$69,083
25004304
$32,965
REBLOZYL 0.25mg (75mg SDV)
Gross
$65,931
25004100
$32,140
JEMPERLI 10mg (500mg SDV)
Gross
$64,279
48100002
$31,982
CARDIOMEMS INSERTION PROCEDURE
Gross
$63,963
34000058
$31,803
YTTRIU 90 IBRITUMO TIUX PR DOS
Gross
$63,605
25002716
$31,370
PROVENGE 50 MM/250 PER INFSN
Gross
$62,741
25002559
$30,661
TECENTRIQ 10MG (1200MG VL)
Gross
$61,322
25004042
$29,771
LIBTAYO 1mg (350mg Vial)
Gross
$59,541
25002296
$29,122
INVEGA TRINZA 1MG (819MG SYR)
Gross
$58,245
25004160
$28,808
DARZALEX FASPRO 10mg (1800mg)
Gross
$57,617
25004311
$28,266
SKYRIZI 1mg(600mg SDV)
Gross
$56,531
25003694
$27,783
MYLOTARG (GEMTUZUMAB) 5MG VIAL
Gross
$55,566
25004590
$26,480
TREMFYA 1mg (200mg SDV)
Gross
$52,960
25004152
$26,056
SOMATULINE DEPOT 1mg(120mg)PFS
Gross
$52,113
25002419
$25,506
ENTYVIO 1 MG (300MG VIAL)
Gross
$51,012
25003723
$24,190
YERVOY 1mg (50mg Vial)
Gross
$48,381
25002667
$23,470
GAZYVA 10MG [1000 MG VL]
Gross
$46,939
25004340
$22,610
TENECTEPLASE 1mg (50mg SDV)
Gross
$45,220
25003944
$22,100
LURBINECTEDIN 0.1mg (4mg SDV)
Gross
$44,200
25004151
$22,094
SOMATULINE DEPOT 1mg (90mg)PFS
Gross
$44,189
25004175
$21,463
TECENTRIQ 10MG (840MG VL)
Gross
$42,926
25002665
$21,220
OPDIVO 240MG/24ML VIAL
Gross
$42,441
25002068
$20,913
PRIVIGEN 500mg (40gm) SDV
Gross
$41,825
25002674
$20,047
CYRAMZA 5MG [500 MG/50ML)VIAL
Gross
$40,095
76101279
$19,984
IMPLANT CARDIAC EV RECORD
Gross
$39,967
761T1279
$19,836
IMPLANT CARDIAC EV RECORD(T
Gross
$39,672
48000103
$19,836
IMPLANT CARDIAC EV RECORD
Gross
$39,672
36000022
$19,836
IMPLANT CARDIAC EV RECORD
Gross
$39,672
25002295
$19,452
INVEGA TRINZA 1mg (546mg Syr)
Gross
$38,905
25001968
$19,369
XIAFLEX 0.01MG [0.9 MG VIAL]
Gross
$38,739
25002680
$19,036
IMLYGIC 10^8 PFU ML VIAL (1ML)
Gross
$38,073
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25004319 | IMJUDO 1mg (300 mgSDV) | $221,137 | $110,569 | — | — | 6 |
| 25003724 | YERVOY 1mg (200mg Vial) | $193,523 | $96,761 | — | — | 6 |
| 25004261 | OPDUALAG 3/1mg(480/160mg/2SDV) | $164,803 | $82,402 | — | — | 6 |
| 76101322 | ECMO/ECLS INSJ PRPH CANNULA | $156,460 | $78,230 | — | — | 7 |
| 761T1322 | ECMO/ECLS INSJ PRPH CANNULA(T | $155,250 | $77,625 | — | — | 5 |
| 25002652 | ONCASPAR 750 IU / ML 5ML VIAL | $146,143 | $73,071 | — | — | 6 |
| 25004182 | INVEGA HAFYERA 1mg(1560mg Syr) | $116,711 | $58,356 | — | — | 6 |
| 25002260 | OCREVUS 1mg (300mg Vial) | $112,493 | $56,247 | — | — | 6 |
| 27000188 | CARDIO MEMS PA SENSOR SYSTEM | $111,200 | $55,600 | — | — | 3 |
| 25004115 | TEPEZZA 10 MG (500mg VIAL) | $98,203 | $49,102 | — | — | 6 |
| 27000059 | VITALITY 2 EL VR SC/LEAD 8486 | $97,900 | $48,950 | — | — | 5 |
| 25004213 | ILUMYA 1mg (100mg PFS) | $97,890 | $48,945 | — | — | 6 |
| 27000045 | CRT CROME HF MRI SURESCAN | $93,925 | $46,963 | — | — | 5 |
| 27000082 | MONTAGE PUL GEN FULL BDY MRI S | $91,440 | $45,720 | — | — | 5 |
| 27000003 | DEFIBRILLATR CRT-D DTBA1D4 | $90,680 | $45,340 | — | — | 5 |
| 25002572 | JEVTANA 1MG (60MG VIAL) | $78,255 | $39,128 | — | — | 6 |
| 25004181 | INVEGA HAFYERA 1mg(1092mg Syr) | $77,809 | $38,905 | — | — | 6 |
| 27000079 | MESH STRATTICE PREFORATD 20*25 | $76,278 | $38,139 | — | — | 5 |
| 27000081 | NEUROSTIMULATOR 3058 | $73,884 | $36,942 | — | — | 5 |
| 25004006 | ADCETRIS 50 MG/10 ML VIAL | $69,083 | $34,542 | — | — | 6 |
| 25004304 | REBLOZYL 0.25mg (75mg SDV) | $65,931 | $32,965 | — | — | 6 |
| 25004100 | JEMPERLI 10mg (500mg SDV) | $64,279 | $32,140 | — | — | 6 |
| 48100002 | CARDIOMEMS INSERTION PROCEDURE | $63,963 | $31,982 | — | — | 6 |
| 34000058 | YTTRIU 90 IBRITUMO TIUX PR DOS | $63,605 | $31,803 | — | — | 6 |
| 25002716 | PROVENGE 50 MM/250 PER INFSN | $62,741 | $31,370 | — | — | 6 |
| 25002559 | TECENTRIQ 10MG (1200MG VL) | $61,322 | $30,661 | — | — | 6 |
| 25004042 | LIBTAYO 1mg (350mg Vial) | $59,541 | $29,771 | — | — | 6 |
| 25002296 | INVEGA TRINZA 1MG (819MG SYR) | $58,245 | $29,122 | — | — | 6 |
| 25004160 | DARZALEX FASPRO 10mg (1800mg) | $57,617 | $28,808 | — | — | 6 |
| 25004311 | SKYRIZI 1mg(600mg SDV) | $56,531 | $28,266 | — | — | 6 |
| 25003694 | MYLOTARG (GEMTUZUMAB) 5MG VIAL | $55,566 | $27,783 | — | — | 6 |
| 25004590 | TREMFYA 1mg (200mg SDV) | $52,960 | $26,480 | — | — | 6 |
| 25004152 | SOMATULINE DEPOT 1mg(120mg)PFS | $52,113 | $26,056 | — | — | 6 |
| 25002419 | ENTYVIO 1 MG (300MG VIAL) | $51,012 | $25,506 | — | — | 6 |
| 25003723 | YERVOY 1mg (50mg Vial) | $48,381 | $24,190 | — | — | 6 |
| 25002667 | GAZYVA 10MG [1000 MG VL] | $46,939 | $23,470 | — | — | 6 |
| 25004340 | TENECTEPLASE 1mg (50mg SDV) | $45,220 | $22,610 | — | — | 6 |
| 25003944 | LURBINECTEDIN 0.1mg (4mg SDV) | $44,200 | $22,100 | — | — | 6 |
| 25004151 | SOMATULINE DEPOT 1mg (90mg)PFS | $44,189 | $22,094 | — | — | 6 |
| 25004175 | TECENTRIQ 10MG (840MG VL) | $42,926 | $21,463 | — | — | 6 |
| 25002665 | OPDIVO 240MG/24ML VIAL | $42,441 | $21,220 | — | — | 6 |
| 25002068 | PRIVIGEN 500mg (40gm) SDV | $41,825 | $20,913 | — | — | 6 |
| 25002674 | CYRAMZA 5MG [500 MG/50ML)VIAL | $40,095 | $20,047 | — | — | 6 |
| 76101279 | IMPLANT CARDIAC EV RECORD | $39,967 | $19,984 | — | — | 9 |
| 761T1279 | IMPLANT CARDIAC EV RECORD(T | $39,672 | $19,836 | — | — | 6 |
| 48000103 | IMPLANT CARDIAC EV RECORD | $39,672 | $19,836 | — | — | 6 |
| 36000022 | IMPLANT CARDIAC EV RECORD | $39,672 | $19,836 | — | — | 6 |
| 25002295 | INVEGA TRINZA 1mg (546mg Syr) | $38,905 | $19,452 | — | — | 6 |
| 25001968 | XIAFLEX 0.01MG [0.9 MG VIAL] | $38,739 | $19,369 | — | — | 6 |
| 25002680 | IMLYGIC 10^8 PFU ML VIAL (1ML) | $38,073 | $19,036 | — | — | 6 |
Showing top 50 of 18,212 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.