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
3,709
Insurances with rates
5
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
22122637_1
$37,886
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$54,123
22123254_1
$25,996
INJECTION, VEDOLIZUMAB, 1 MG
Gross
$37,137
22122838_1
$22,928
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$32,755
22121377_1
$22,325
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$31,893
22122910_1
$19,416
INJECTION, PANITUMUMAB, 10 MG
Gross
$27,737
22122931_1
$18,355
INJECTION, PERTUZUMAB, 1 MG
Gross
$26,222
22121357_1
$17,506
INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG
Gross
$25,009
22123237_1
$17,432
INJECTION, TRIPTORELIN PAMOATE, 3.75 MG
Gross
$24,903
22121603_1
$17,204
INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE
Gross
$24,577
22165892_1
$17,194
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$24,563
22123086_1
$16,782
INJECTION, RITUXIMAB, 10 MG
Gross
$23,975
22122433_1
$15,996
INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG
Gross
$22,851
22122867_1
$14,547
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$20,781
22121740_1
$13,826
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$19,751
22122920_1
$13,479
INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG
Gross
$19,255
22121495_1
$11,388
INJECTION, BEVACIZUMAB, 10 MG
Gross
$16,269
22121356_1
$10,941
INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG
Gross
$15,630
22122432_1
$10,664
INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG
Gross
$15,234
22121780_1
$10,485
INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL
Gross
$14,978
22122636_1
$10,174
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$14,535
22122866_1
$9,715
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$13,878
22121745_1
$8,899
INJECTION, DENOSUMAB, 1 MG
Gross
$12,713
22183004_1
$8,810
FEMORAL METAL TAPER STEM 18
Gross
$12,585
22123235_1
$8,716
INJECTION, TRIPTORELIN PAMOATE, 3.75 MG
Gross
$12,451
22121737_1
$8,295
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$11,851
22121738_1
$8,295
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$11,851
22121904_1
$8,225
INJECTION, DOCETAXEL, 1 MG
Gross
$11,750
22123178_1
$8,135
INJECTION, TENECTEPLASE, 1 MG
Gross
$11,621
22122925_1
$7,921
INJECTION, PENTOSTATIN, 10 MG
Gross
$11,316
22135413_1
$6,765
INJECTION, ZIV-AFLIBERCEPT, 1 MG
Gross
$9,664
22123177_1
$6,354
INJECTION, TEMSIROLIMUS, 1 MG
Gross
$9,076
22121368_1
$6,306
INJECTION, ALEMTUZUMAB, 1 MG
Gross
$9,008
22121510_1
$5,727
INJECTION, BORTEZOMIB, 0.1 MG
Gross
$8,181
22121735_1
$5,530
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$7,900
22121736_1
$5,530
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$7,900
22117940_1
$5,402
INJECTION, PACLITAXEL PROTEIN-BOUND PARTICLES, 1 MG
Gross
$7,717
22121568_1
$5,380
INJECTION, CARFILZOMIB, 1 MG
Gross
$7,685
22122460_1
$5,364
GOSERELIN ACETATE IMPLANT, PER 3.6 MG
Gross
$7,662
22123025_1
$5,332
INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG
Gross
$7,617
22181674_1
$5,276
MESH (IMPLANTABLE)
Gross
$7,537
22168140_1
$5,204
INJECTION, ROMIPLOSTIM, 10 MICROGRAMS
Gross
$7,434
22181672_1
$5,012
MESH (IMPLANTABLE)
Gross
$7,160
22121606_1
$4,954
INJECTION, CETUXIMAB, 10 MG
Gross
$7,077
22121746_1
$4,838
INJECTION, DENOSUMAB, 1 MG
Gross
$6,912
22135412_1
$4,763
INJECTION, ZIV-AFLIBERCEPT, 1 MG
Gross
$6,805
22121538_1
$4,584
INJECTION, CALCITONIN SALMON, UP TO 400 UNITS
Gross
$6,548
22181671_1
$4,537
MESH (IMPLANTABLE)
Gross
$6,481
22181678_1
$4,537
MESH (IMPLANTABLE)
Gross
$6,481
22122333_1
$4,320
INJECTION, FERRIC CARBOXYMALTOSE, 1 MG
Gross
$6,171
2082122_1
$4,197
Repair of tendon of top side of foot
Gross
$5,996
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 22122637_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $54,123 | $37,886 | — | — | 54 |
| 22123254_1 | INJECTION, VEDOLIZUMAB, 1 MG | $37,137 | $25,996 | — | — | 54 |
| 22122838_1 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $32,755 | $22,928 | — | — | 54 |
| 22121377_1 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $31,893 | $22,325 | — | — | 54 |
| 22122910_1 | INJECTION, PANITUMUMAB, 10 MG | $27,737 | $19,416 | — | — | 54 |
| 22122931_1 | INJECTION, PERTUZUMAB, 1 MG | $26,222 | $18,355 | — | — | 54 |
| 22121357_1 | INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG | $25,009 | $17,506 | — | — | 54 |
| 22123237_1 | INJECTION, TRIPTORELIN PAMOATE, 3.75 MG | $24,903 | $17,432 | — | — | 54 |
| 22121603_1 | INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE | $24,577 | $17,204 | — | — | 54 |
| 22165892_1 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $24,563 | $17,194 | — | — | 54 |
| 22123086_1 | INJECTION, RITUXIMAB, 10 MG | $23,975 | $16,782 | — | — | 54 |
| 22122433_1 | INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG | $22,851 | $15,996 | — | — | 54 |
| 22122867_1 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $20,781 | $14,547 | — | — | 54 |
| 22121740_1 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $19,751 | $13,826 | — | — | 54 |
| 22122920_1 | INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG | $19,255 | $13,479 | — | — | 54 |
| 22121495_1 | INJECTION, BEVACIZUMAB, 10 MG | $16,269 | $11,388 | — | — | 54 |
| 22121356_1 | INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG | $15,630 | $10,941 | — | — | 54 |
| 22122432_1 | INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG | $15,234 | $10,664 | — | — | 54 |
| 22121780_1 | INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL | $14,978 | $10,485 | — | — | 54 |
| 22122636_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $14,535 | $10,174 | — | — | 54 |
| 22122866_1 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $13,878 | $9,715 | — | — | 54 |
| 22121745_1 | INJECTION, DENOSUMAB, 1 MG | $12,713 | $8,899 | — | — | 54 |
| 22183004_1 | FEMORAL METAL TAPER STEM 18 | $12,585 | $8,810 | — | — | 54 |
| 22123235_1 | INJECTION, TRIPTORELIN PAMOATE, 3.75 MG | $12,451 | $8,716 | — | — | 54 |
| 22121737_1 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $11,851 | $8,295 | — | — | 54 |
| 22121738_1 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $11,851 | $8,295 | — | — | 54 |
| 22121904_1 | INJECTION, DOCETAXEL, 1 MG | $11,750 | $8,225 | — | — | 54 |
| 22123178_1 | INJECTION, TENECTEPLASE, 1 MG | $11,621 | $8,135 | — | — | 54 |
| 22122925_1 | INJECTION, PENTOSTATIN, 10 MG | $11,316 | $7,921 | — | — | 54 |
| 22135413_1 | INJECTION, ZIV-AFLIBERCEPT, 1 MG | $9,664 | $6,765 | — | — | 54 |
| 22123177_1 | INJECTION, TEMSIROLIMUS, 1 MG | $9,076 | $6,354 | — | — | 54 |
| 22121368_1 | INJECTION, ALEMTUZUMAB, 1 MG | $9,008 | $6,306 | — | — | 54 |
| 22121510_1 | INJECTION, BORTEZOMIB, 0.1 MG | $8,181 | $5,727 | — | — | 54 |
| 22121735_1 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $7,900 | $5,530 | — | — | 54 |
| 22121736_1 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $7,900 | $5,530 | — | — | 54 |
| 22117940_1 | INJECTION, PACLITAXEL PROTEIN-BOUND PARTICLES, 1 MG | $7,717 | $5,402 | — | — | 54 |
| 22121568_1 | INJECTION, CARFILZOMIB, 1 MG | $7,685 | $5,380 | — | — | 54 |
| 22122460_1 | GOSERELIN ACETATE IMPLANT, PER 3.6 MG | $7,662 | $5,364 | — | — | 54 |
| 22123025_1 | INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG | $7,617 | $5,332 | — | — | 54 |
| 22181674_1 | MESH (IMPLANTABLE) | $7,537 | $5,276 | — | — | 54 |
| 22168140_1 | INJECTION, ROMIPLOSTIM, 10 MICROGRAMS | $7,434 | $5,204 | — | — | 54 |
| 22181672_1 | MESH (IMPLANTABLE) | $7,160 | $5,012 | — | — | 54 |
| 22121606_1 | INJECTION, CETUXIMAB, 10 MG | $7,077 | $4,954 | — | — | 54 |
| 22121746_1 | INJECTION, DENOSUMAB, 1 MG | $6,912 | $4,838 | — | — | 54 |
| 22135412_1 | INJECTION, ZIV-AFLIBERCEPT, 1 MG | $6,805 | $4,763 | — | — | 54 |
| 22121538_1 | INJECTION, CALCITONIN SALMON, UP TO 400 UNITS | $6,548 | $4,584 | — | — | 54 |
| 22181671_1 | MESH (IMPLANTABLE) | $6,481 | $4,537 | — | — | 54 |
| 22181678_1 | MESH (IMPLANTABLE) | $6,481 | $4,537 | — | — | 54 |
| 22122333_1 | INJECTION, FERRIC CARBOXYMALTOSE, 1 MG | $6,171 | $4,320 | — | — | 54 |
| 2082122_1 | Repair of tendon of top side of foot | $5,996 | $4,197 | — | — | 54 |
Showing top 50 of 3,709 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.