45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
11,038
Insurances with rates
6
CPT / HCPCS codes
4,866
Most expensive procedures (gross)
50242-0150-01
$62,928
OCREVUS
Gross
$165,601
73150-0150-06
$50,142
BRIUMVI
Gross
$131,954
71336100101
$48,582
GIVLAARI
Gross
$127,848
50242015001
$31,464
OCREVUS
Gross
$82,800
73150015006
$16,714
BRIUMVI
Gross
$43,985
82959011101
$16,614
RYTELO
Gross
$43,720
74501501
$16,555
SKYRIZI 600MG/10ML
Gross
$43,565
C1721
$15,675
AICD, DUAL CHAMBER
Gross
$41,250
63685
$15,528
INSERTION OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER
Gross
$40,864
50242008527
$14,045
ACTIVASE
Gross
$36,962
59572077501
$13,791
REBLOZYL
Gross
$36,292
50242007001
$13,154
GAZYVA
Gross
$34,616
00006-3026-01
$12,925
KEYTRUDA
Gross
$34,012
32504758
$12,821
CS REPLACEMENT NAVICULAR CUST
Gross
$33,739
J3101
$12,493
TENECTEPLASE INJECTION
Gross
$32,876
50242091701
$12,453
TECENTRIQ
Gross
$32,772
61755000801
$12,092
LIBTAYO
Gross
$31,820
76125-0150-02
$11,940
KEDRAB
Gross
$31,421
3373413
$11,712
OPDIVO
Gross
$30,820
C1820
$11,132
GENERATOR NEURO RECHG BAT SY
Gross
$29,296
64406000801
$10,918
TYSABRI
Gross
$28,733
00078-0825-81
$10,816
SANDOSTATIN LAR DEPOT
Gross
$28,463
78082581
$10,604
SANDOSTATIN LAR DEPOT
Gross
$27,905
55513019001
$10,243
NEULASTA
Gross
$26,956
55513-0192-01
$10,243
NEULASTA ONPRO
Gross
$26,956
40704347
$9,945
NEULASTA 6MG/0.6ML
Gross
$26,170
63833-0386-02
$9,866
KCENTRA
Gross
$25,962
00074-3346-03
$9,787
LUPRON DEPOT
Gross
$25,756
74334603
$9,787
LUPRON DEPOT
Gross
$25,756
J9217
$9,787
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION); 7.5 MG
Gross
$25,756
50242-0070-01
$9,396
GAZYVA
Gross
$24,726
13533-0800-40
$9,049
GAMUNEX-C
Gross
$23,814
6302601
$9,047
KEYTRUDA
Gross
$23,808
32501327
$8,989
CS FEMORAL COMPONENT F RT
Gross
$23,656
13533080040
$8,916
GAMUNEX-C
Gross
$23,463
32504662
$8,837
CS FEMORAL COMPONENT E RT
Gross
$23,256
32500490
$8,596
CS STEM HUMERAL 14MM
Gross
$22,620
32500898
$8,596
CS REV SHOULDER HUM STM 12X130
Gross
$22,620
32501288
$8,561
CS FEMORAL COMP E LT
Gross
$22,528
32509957
$8,561
CS LGCY KNEE CONDYLAR D LT
Gross
$22,528
32504755
$8,550
CS REPLACEMENT 2 METAT CST
Gross
$22,500
57970-0100-01
$8,518
DALVANCE
Gross
$22,417
2767801
$8,387
CYRAMZA
Gross
$22,070
J1569
$8,360
GAMMAGARD LIQUID INJECTION
Gross
$22,001
32500835
$8,299
CS STEM SHOULDER HUMERAL10X130
Gross
$21,840
32500145
$8,265
CS STEM HUMERAL REV SHOULDER
Gross
$21,750
32504634
$8,265
CS PATELLA FEMOR TROCHLEA COMP
Gross
$21,750
32504649
$8,075
CS CUSTOM 1ST METATARSAL REPL
Gross
$21,250
32504550
$7,953
CS FEMORAL COMPONENT E LT ROT
Gross
$20,930
Q4122
$7,796
DERMACELL; DERMACELL AWM OR DERMACELL AWM POROUS; PER SQUARE CENTIMETER
Gross
$20,517
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242-0150-01 | OCREVUS | $165,601 | $62,928 | — | — | 0 |
| 73150-0150-06 | BRIUMVI | $131,954 | $50,142 | — | — | 0 |
| 71336100101 | GIVLAARI | $127,848 | $48,582 | — | — | 0 |
| 50242015001 | OCREVUS | $82,800 | $31,464 | — | — | 0 |
| 73150015006 | BRIUMVI | $43,985 | $16,714 | — | — | 0 |
| 82959011101 | RYTELO | $43,720 | $16,614 | — | — | 0 |
| 74501501 | SKYRIZI 600MG/10ML | $43,565 | $16,555 | — | — | 0 |
| C1721 | AICD, DUAL CHAMBER | $41,250 | $15,675 | — | — | 0 |
| 63685 | INSERTION OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER | $40,864 | $15,528 | — | — | 0 |
| 50242008527 | ACTIVASE | $36,962 | $14,045 | — | — | 0 |
| 59572077501 | REBLOZYL | $36,292 | $13,791 | — | — | 0 |
| 50242007001 | GAZYVA | $34,616 | $13,154 | — | — | 0 |
| 00006-3026-01 | KEYTRUDA | $34,012 | $12,925 | — | — | 0 |
| 32504758 | CS REPLACEMENT NAVICULAR CUST | $33,739 | $12,821 | — | — | 0 |
| J3101 | TENECTEPLASE INJECTION | $32,876 | $12,493 | — | — | 0 |
| 50242091701 | TECENTRIQ | $32,772 | $12,453 | — | — | 0 |
| 61755000801 | LIBTAYO | $31,820 | $12,092 | — | — | 0 |
| 76125-0150-02 | KEDRAB | $31,421 | $11,940 | — | — | 0 |
| 3373413 | OPDIVO | $30,820 | $11,712 | — | — | 0 |
| C1820 | GENERATOR NEURO RECHG BAT SY | $29,296 | $11,132 | — | — | 0 |
| 64406000801 | TYSABRI | $28,733 | $10,918 | — | — | 0 |
| 00078-0825-81 | SANDOSTATIN LAR DEPOT | $28,463 | $10,816 | — | — | 0 |
| 78082581 | SANDOSTATIN LAR DEPOT | $27,905 | $10,604 | — | — | 0 |
| 55513019001 | NEULASTA | $26,956 | $10,243 | — | — | 0 |
| 55513-0192-01 | NEULASTA ONPRO | $26,956 | $10,243 | — | — | 0 |
| 40704347 | NEULASTA 6MG/0.6ML | $26,170 | $9,945 | — | — | 0 |
| 63833-0386-02 | KCENTRA | $25,962 | $9,866 | — | — | 0 |
| 00074-3346-03 | LUPRON DEPOT | $25,756 | $9,787 | — | — | 0 |
| 74334603 | LUPRON DEPOT | $25,756 | $9,787 | — | — | 0 |
| J9217 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION); 7.5 MG | $25,756 | $9,787 | — | — | 0 |
| 50242-0070-01 | GAZYVA | $24,726 | $9,396 | — | — | 0 |
| 13533-0800-40 | GAMUNEX-C | $23,814 | $9,049 | — | — | 0 |
| 6302601 | KEYTRUDA | $23,808 | $9,047 | — | — | 0 |
| 32501327 | CS FEMORAL COMPONENT F RT | $23,656 | $8,989 | — | — | 0 |
| 13533080040 | GAMUNEX-C | $23,463 | $8,916 | — | — | 0 |
| 32504662 | CS FEMORAL COMPONENT E RT | $23,256 | $8,837 | — | — | 0 |
| 32500490 | CS STEM HUMERAL 14MM | $22,620 | $8,596 | — | — | 0 |
| 32500898 | CS REV SHOULDER HUM STM 12X130 | $22,620 | $8,596 | — | — | 0 |
| 32501288 | CS FEMORAL COMP E LT | $22,528 | $8,561 | — | — | 0 |
| 32509957 | CS LGCY KNEE CONDYLAR D LT | $22,528 | $8,561 | — | — | 0 |
| 32504755 | CS REPLACEMENT 2 METAT CST | $22,500 | $8,550 | — | — | 0 |
| 57970-0100-01 | DALVANCE | $22,417 | $8,518 | — | — | 0 |
| 2767801 | CYRAMZA | $22,070 | $8,387 | — | — | 0 |
| J1569 | GAMMAGARD LIQUID INJECTION | $22,001 | $8,360 | — | — | 0 |
| 32500835 | CS STEM SHOULDER HUMERAL10X130 | $21,840 | $8,299 | — | — | 0 |
| 32500145 | CS STEM HUMERAL REV SHOULDER | $21,750 | $8,265 | — | — | 0 |
| 32504634 | CS PATELLA FEMOR TROCHLEA COMP | $21,750 | $8,265 | — | — | 0 |
| 32504649 | CS CUSTOM 1ST METATARSAL REPL | $21,250 | $8,075 | — | — | 0 |
| 32504550 | CS FEMORAL COMPONENT E LT ROT | $20,930 | $7,953 | — | — | 0 |
| Q4122 | DERMACELL; DERMACELL AWM OR DERMACELL AWM POROUS; PER SQUARE CENTIMETER | $20,517 | $7,796 | — | — | 0 |
Showing top 50 of 11,038 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.