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
4,947
Insurances with rates
17
CPT / HCPCS codes
0
Most expensive procedures (gross)
41506781
$109,478
POLATUZUMAB (POLIVY) 140MG SDV
Gross
$199,050
41506872
$72,785
DARATUMUMAB,HYALURONIDASE1800MG/30000 JZ
Gross
$132,336
41506989
$67,672
FECAL MICROBIOTA, LIVE-JSLM 150 ML JZ
Gross
$123,040
41506706
$54,856
RITUXAN HYALURONIDASE 1600MG
Gross
$99,739
41506951
$50,537
INJ CABOTE RILPIVIR 600MG/900MG SDV
Gross
$91,885
41506534
$49,779
PERTUZUMAB 420MG INJ JZ
Gross
$90,508
41506361
$48,448
OCTREOTIDE DEPOT 1 MG IM INJ JZ
Gross
$88,088
41506384
$44,606
TRIPTORELIN PAMOATE JZ
Gross
$81,101
41506745
$42,462
INJ BENRALIZUMAB, 30MG JZ
Gross
$77,203
41506515
$40,195
RASBURICASE 7.5MG INJ
Gross
$73,082
41507002
$39,510
ANIFROLUMAB-FNIA 300 MG SDV JZ
Gross
$71,837
41506771
$38,254
LEUPROLIDE ACETATE 11.25 MG KIT JZ
Gross
$69,552
41506931
$33,691
INJ, CABOTE RILPIVIR 400/600MG KIT
Gross
$61,257
41501370
$33,573
DIGOXIN IMMUNE FAB (OVINE) PER VIAL
Gross
$61,042
41506929
$32,355
OCTREOTIDE (SANDOSTATIN LAR) 20 MG JZ
Gross
$58,827
41506914
$31,725
TEZEPELUMAB-EKKO (TEZSPIRE) 210 MG PFS
Gross
$57,681
41506885
$30,167
PEGFILGRASTIM 6 MG INJ JZ
Gross
$54,849
41506886
$30,167
PEGFILGRASTIM 6 MG INJ PFS JZ
Gross
$54,849
45909024.7
$29,609
INSRT/REDO PN/GASTR STIMUL
Gross
$53,834
41506643
$27,868
MEPOLIZUMAB 100MG VIAL JZ
Gross
$50,669
41506915
$26,055
INCLISIRAN (LEGVIO) 284 MG/1.5 ML PFS JZ
Gross
$47,372
49200051.7
$24,506
IMPLANT NEUROELECTRODES BIL
Gross
$44,556
41506362
$24,421
DENOSUMAB INJECTION 1 MG JZ
Gross
$44,401
40650013.7
$23,497
CYSTO/URETERO W/LITHOTRIPSY BIL
Gross
$42,722
41506967
$23,055
PEGFILGRASTIM-CBQV (UDENYCA) 6 MG INJ JZ
Gross
$41,918
41506682
$18,527
IDARUCIZUMAB INJ 2.5 GM
Gross
$33,686
40408057.7
$17,543
TRLUML PERIP ATHRC ILIAC ART
Gross
$31,897
41506627
$16,509
PALIPERIDONE 1MG
Gross
$30,017
41506788
$15,497
THYROTROPIN ALFA (TYROGEN) 1.1 MG VIAL
Gross
$28,176
41506878
$15,386
USTEKINUMAB (STELARA) 130 MG SDV
Gross
$27,974
41506870
$15,017
PROTHROMBIN CMPLX KCENTRA (HUMAN)
Gross
$27,304
40410003.7
$14,433
R&L HRT CATH W/VENTRICLGRPHY
Gross
$26,241
40410001.7
$14,433
R HRT CORONARY ARTERY ANGIO
Gross
$26,241
40410002.7
$14,433
R HRT ART/GRFT ANGIO
Gross
$26,241
40410007.7
$14,433
L HRT ARTERY/VENTRICLE ANGIO
Gross
$26,241
40410008.7
$14,433
L HRT ART/GRFT ANGIO
Gross
$26,241
40410004.7
$14,433
R&L HRT ART/VENTRICLE ANGIO
Gross
$26,241
40410005.7
$14,433
R&L HRT ART/VENTRICLE ANGIO BYPASS
Gross
$26,241
43209835.7
$14,072
XR PLMT NEPHROURETERAL CATHETER BIL
Gross
$25,586
41506405
$13,276
DENOSUMAB JZ
Gross
$24,138
40406202.7
$13,153
REVASC INTRAVASC LITHOTRIPSY
Gross
$23,914
41501597
$12,751
LEUPROLIDE ACETATE / 3.75 MG (1 MNTH) JZ
Gross
$23,184
41506752
$12,744
FULPHILA 6MG INJ JZ
Gross
$23,170
45909270.7
$12,253
PERC IMPL ELECTRODES PERIPH NRV
Gross
$22,278
49200049.7
$12,253
IMPLANT NEUROELECTRODES
Gross
$22,278
45909261.7
$12,252
PERC IMPL NS ELEC ARRAY,EPD/C/T/L
Gross
$22,276
45909264.7
$12,252
PERC IMPL NS ELECT,CRANIAL NRV
Gross
$22,276
40650014.7
$11,749
CYSTO/URETERO W/LITHOTRIPSY LT
Gross
$21,361
40650015.7
$11,749
CYSTO/URETERO W/LITHOTRIPSY RT
Gross
$21,361
40650010.7
$11,612
CYSTO W/INSERT URETERAL STENT BIL
Gross
$21,112
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 41506781 | POLATUZUMAB (POLIVY) 140MG SDV | $199,050 | $109,478 | — | — | 1 |
| 41506872 | DARATUMUMAB,HYALURONIDASE1800MG/30000 JZ | $132,336 | $72,785 | — | — | 7 |
| 41506989 | FECAL MICROBIOTA, LIVE-JSLM 150 ML JZ | $123,040 | $67,672 | — | — | 7 |
| 41506706 | RITUXAN HYALURONIDASE 1600MG | $99,739 | $54,856 | — | — | 1 |
| 41506951 | INJ CABOTE RILPIVIR 600MG/900MG SDV | $91,885 | $50,537 | — | — | 7 |
| 41506534 | PERTUZUMAB 420MG INJ JZ | $90,508 | $49,779 | — | — | 7 |
| 41506361 | OCTREOTIDE DEPOT 1 MG IM INJ JZ | $88,088 | $48,448 | — | — | 7 |
| 41506384 | TRIPTORELIN PAMOATE JZ | $81,101 | $44,606 | — | — | 7 |
| 41506745 | INJ BENRALIZUMAB, 30MG JZ | $77,203 | $42,462 | — | — | 7 |
| 41506515 | RASBURICASE 7.5MG INJ | $73,082 | $40,195 | — | — | 7 |
| 41507002 | ANIFROLUMAB-FNIA 300 MG SDV JZ | $71,837 | $39,510 | — | — | 7 |
| 41506771 | LEUPROLIDE ACETATE 11.25 MG KIT JZ | $69,552 | $38,254 | — | — | 7 |
| 41506931 | INJ, CABOTE RILPIVIR 400/600MG KIT | $61,257 | $33,691 | — | — | 7 |
| 41501370 | DIGOXIN IMMUNE FAB (OVINE) PER VIAL | $61,042 | $33,573 | — | — | 7 |
| 41506929 | OCTREOTIDE (SANDOSTATIN LAR) 20 MG JZ | $58,827 | $32,355 | — | — | 7 |
| 41506914 | TEZEPELUMAB-EKKO (TEZSPIRE) 210 MG PFS | $57,681 | $31,725 | — | — | 7 |
| 41506885 | PEGFILGRASTIM 6 MG INJ JZ | $54,849 | $30,167 | — | — | 7 |
| 41506886 | PEGFILGRASTIM 6 MG INJ PFS JZ | $54,849 | $30,167 | — | — | 7 |
| 45909024.7 | INSRT/REDO PN/GASTR STIMUL | $53,834 | $29,609 | — | — | 13 |
| 41506643 | MEPOLIZUMAB 100MG VIAL JZ | $50,669 | $27,868 | — | — | 7 |
| 41506915 | INCLISIRAN (LEGVIO) 284 MG/1.5 ML PFS JZ | $47,372 | $26,055 | — | — | 7 |
| 49200051.7 | IMPLANT NEUROELECTRODES BIL | $44,556 | $24,506 | — | — | 27 |
| 41506362 | DENOSUMAB INJECTION 1 MG JZ | $44,401 | $24,421 | — | — | 7 |
| 40650013.7 | CYSTO/URETERO W/LITHOTRIPSY BIL | $42,722 | $23,497 | — | — | 13 |
| 41506967 | PEGFILGRASTIM-CBQV (UDENYCA) 6 MG INJ JZ | $41,918 | $23,055 | — | — | 7 |
| 41506682 | IDARUCIZUMAB INJ 2.5 GM | $33,686 | $18,527 | — | — | 1 |
| 40408057.7 | TRLUML PERIP ATHRC ILIAC ART | $31,897 | $17,543 | — | — | 13 |
| 41506627 | PALIPERIDONE 1MG | $30,017 | $16,509 | — | — | 7 |
| 41506788 | THYROTROPIN ALFA (TYROGEN) 1.1 MG VIAL | $28,176 | $15,497 | — | — | 7 |
| 41506878 | USTEKINUMAB (STELARA) 130 MG SDV | $27,974 | $15,386 | — | — | 7 |
| 41506870 | PROTHROMBIN CMPLX KCENTRA (HUMAN) | $27,304 | $15,017 | — | — | 1 |
| 40410003.7 | R&L HRT CATH W/VENTRICLGRPHY | $26,241 | $14,433 | — | — | 15 |
| 40410001.7 | R HRT CORONARY ARTERY ANGIO | $26,241 | $14,433 | — | — | 15 |
| 40410002.7 | R HRT ART/GRFT ANGIO | $26,241 | $14,433 | — | — | 15 |
| 40410007.7 | L HRT ARTERY/VENTRICLE ANGIO | $26,241 | $14,433 | — | — | 15 |
| 40410008.7 | L HRT ART/GRFT ANGIO | $26,241 | $14,433 | — | — | 15 |
| 40410004.7 | R&L HRT ART/VENTRICLE ANGIO | $26,241 | $14,433 | — | — | 15 |
| 40410005.7 | R&L HRT ART/VENTRICLE ANGIO BYPASS | $26,241 | $14,433 | — | — | 15 |
| 43209835.7 | XR PLMT NEPHROURETERAL CATHETER BIL | $25,586 | $14,072 | — | — | 17 |
| 41506405 | DENOSUMAB JZ | $24,138 | $13,276 | — | — | 7 |
| 40406202.7 | REVASC INTRAVASC LITHOTRIPSY | $23,914 | $13,153 | — | — | 13 |
| 41501597 | LEUPROLIDE ACETATE / 3.75 MG (1 MNTH) JZ | $23,184 | $12,751 | — | — | 7 |
| 41506752 | FULPHILA 6MG INJ JZ | $23,170 | $12,744 | — | — | 7 |
| 45909270.7 | PERC IMPL ELECTRODES PERIPH NRV | $22,278 | $12,253 | — | — | 27 |
| 49200049.7 | IMPLANT NEUROELECTRODES | $22,278 | $12,253 | — | — | 27 |
| 45909261.7 | PERC IMPL NS ELEC ARRAY,EPD/C/T/L | $22,276 | $12,252 | — | — | 27 |
| 45909264.7 | PERC IMPL NS ELECT,CRANIAL NRV | $22,276 | $12,252 | — | — | 27 |
| 40650014.7 | CYSTO/URETERO W/LITHOTRIPSY LT | $21,361 | $11,749 | — | — | 13 |
| 40650015.7 | CYSTO/URETERO W/LITHOTRIPSY RT | $21,361 | $11,749 | — | — | 13 |
| 40650010.7 | CYSTO W/INSERT URETERAL STENT BIL | $21,112 | $11,612 | — | — | 13 |
Showing top 50 of 4,947 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.