45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
13,777
Insurances with rates
16
CPT / HCPCS codes
3,255
Most expensive procedures (gross)
50242004062
$571,024
Xolair
Gross
$815,749
67979000201
$122,962
Supprelin LA
Gross
$175,661
75987015003
$118,333
Uplizna
Gross
$169,048
75987015001
$118,333
Uplizna
Gross
$169,048
64406005801
$115,500
Spinraza
Gross
$165,000
50633021011
$105,938
Voraxaze
Gross
$151,341
57894006103
$75,010
Stelara PFS
Gross
$107,157
72694051501
$74,748
Asparlas
Gross
$106,783
62935016360
$70,615
Fensolvi
Gross
$100,878
72694095401
$69,034
Oncaspar
Gross
$98,621
74357501
$66,891
Lupron Depot-PED
Gross
$95,558
73042020101
$63,879
Danyelza
Gross
$91,256
00074-3575-01
$63,689
Lupron Depot-PED
Gross
$90,984
8010001
$59,818
Besponsa
Gross
$85,455
74105001
$58,422
Skyrizi PFS
Gross
$83,459
74210001
$58,422
Skyrizi PEN
Gross
$83,459
24338015020
$56,286
Triptodur
Gross
$80,408
J3316
$56,286
INJ., TRIPTORELIN XR 3.75 MG
Gross
$80,408
78073461
$54,950
Ilaris
Gross
$78,500
J7330
$53,864
CULTURED CHONDROCYTES IMPLNT
Gross
$76,949
66302001401
$51,303
Unituxin
Gross
$73,290
50242092301
$46,449
Hemlibra
Gross
$66,356
66658050501
$45,477
Gamifant
Gross
$64,968
90288
$40,110
BOTULISM IG IV
Gross
$57,300
57894006003
$37,514
Stelara PFS
Gross
$53,591
73650031601
$36,751
Tzield
Gross
$52,501
13533-0800-15
$35,788
Gamunex-C
Gross
$51,125
13533-0800-71
$35,788
Gamunex-C
Gross
$51,125
J9381
$35,327
INJ TEPLIZUMAB MZWV 5 MCG
Gross
$50,467
74969403
$33,454
Lupron Depot-Ped
Gross
$47,792
50242092201
$32,520
Hemlibra
Gross
$46,457
51144005001
$32,319
Adcetris
Gross
$46,171
25682-0001-01
$31,980
Soliris
Gross
$45,686
37244
$31,246
VASC EMBOLIZE/OCCLUDE BLEED
Gross
$44,637
74377903
$30,376
Lupron Depot-Ped
Gross
$43,394
00078-0883-61
$30,066
Adakveo
Gross
$42,951
C1767
$29,331
GENERATOR, NEURO NON-RECHARG
Gross
$41,901
37241
$29,169
VASC EMBOLIZE/OCCLUDE VENOUS
Gross
$41,670
22849
$28,573
REINSERT SPINAL FIXATION
Gross
$40,818
61626
$28,190
TCAT PERM OCCLS/EMBOL NONCNS
Gross
$40,271
74501501
$26,717
Skyrizi 600MG/10ML
Gross
$38,167
8451001
$25,781
Mylotarg
Gross
$36,830
64764030020
$24,784
Entyvio
Gross
$35,405
73650-0316-01
$22,969
Tzield
Gross
$32,812
64764-0300-20
$22,949
Entyvio
Gross
$32,785
63833-0615-02
$22,681
Humate-P
Gross
$32,401
68727-0900-03
$22,490
Rylaze
Gross
$32,129
37242
$20,478
VASC EMBOLIZE/OCCLUDE ARTERY
Gross
$29,254
270009591RC12 HB FEE SCHEDULE
$20,322
Inactive
Gross
$29,031
58468004001
$19,770
Fabrazyme
Gross
$28,243
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242004062 | Xolair | $815,749 | $571,024 | — | — | 2 |
| 67979000201 | Supprelin LA | $175,661 | $122,962 | — | — | 2 |
| 75987015003 | Uplizna | $169,048 | $118,333 | — | — | 2 |
| 75987015001 | Uplizna | $169,048 | $118,333 | — | — | 2 |
| 64406005801 | Spinraza | $165,000 | $115,500 | — | — | 2 |
| 50633021011 | Voraxaze | $151,341 | $105,938 | — | — | 1 |
| 57894006103 | Stelara PFS | $107,157 | $75,010 | — | — | 1 |
| 72694051501 | Asparlas | $106,783 | $74,748 | — | — | 2 |
| 62935016360 | Fensolvi | $100,878 | $70,615 | — | — | 2 |
| 72694095401 | Oncaspar | $98,621 | $69,034 | — | — | 2 |
| 74357501 | Lupron Depot-PED | $95,558 | $66,891 | — | — | 2 |
| 73042020101 | Danyelza | $91,256 | $63,879 | — | — | 2 |
| 00074-3575-01 | Lupron Depot-PED | $90,984 | $63,689 | — | — | 1 |
| 8010001 | Besponsa | $85,455 | $59,818 | — | — | 2 |
| 74105001 | Skyrizi PFS | $83,459 | $58,422 | — | — | 2 |
| 74210001 | Skyrizi PEN | $83,459 | $58,422 | — | — | 2 |
| 24338015020 | Triptodur | $80,408 | $56,286 | — | — | 2 |
| J3316 | INJ., TRIPTORELIN XR 3.75 MG | $80,408 | $56,286 | — | — | 2 |
| 78073461 | Ilaris | $78,500 | $54,950 | — | — | 2 |
| J7330 | CULTURED CHONDROCYTES IMPLNT | $76,949 | $53,864 | — | — | 1 |
| 66302001401 | Unituxin | $73,290 | $51,303 | — | — | 0 |
| 50242092301 | Hemlibra | $66,356 | $46,449 | — | — | 2 |
| 66658050501 | Gamifant | $64,968 | $45,477 | — | — | 2 |
| 90288 | BOTULISM IG IV | $57,300 | $40,110 | — | — | 0 |
| 57894006003 | Stelara PFS | $53,591 | $37,514 | — | — | 1 |
| 73650031601 | Tzield | $52,501 | $36,751 | — | — | 2 |
| 13533-0800-15 | Gamunex-C | $51,125 | $35,788 | — | — | 1 |
| 13533-0800-71 | Gamunex-C | $51,125 | $35,788 | — | — | 1 |
| J9381 | INJ TEPLIZUMAB MZWV 5 MCG | $50,467 | $35,327 | — | — | 2 |
| 74969403 | Lupron Depot-Ped | $47,792 | $33,454 | — | — | 2 |
| 50242092201 | Hemlibra | $46,457 | $32,520 | — | — | 2 |
| 51144005001 | Adcetris | $46,171 | $32,319 | — | — | 2 |
| 25682-0001-01 | Soliris | $45,686 | $31,980 | — | — | 1 |
| 37244 | VASC EMBOLIZE/OCCLUDE BLEED | $44,637 | $31,246 | — | — | 1 |
| 74377903 | Lupron Depot-Ped | $43,394 | $30,376 | — | — | 2 |
| 00078-0883-61 | Adakveo | $42,951 | $30,066 | — | — | 1 |
| C1767 | GENERATOR, NEURO NON-RECHARG | $41,901 | $29,331 | — | — | 0 |
| 37241 | VASC EMBOLIZE/OCCLUDE VENOUS | $41,670 | $29,169 | — | — | 1 |
| 22849 | REINSERT SPINAL FIXATION | $40,818 | $28,573 | — | — | 1 |
| 61626 | TCAT PERM OCCLS/EMBOL NONCNS | $40,271 | $28,190 | — | — | 1 |
| 74501501 | Skyrizi 600MG/10ML | $38,167 | $26,717 | — | — | 2 |
| 8451001 | Mylotarg | $36,830 | $25,781 | — | — | 2 |
| 64764030020 | Entyvio | $35,405 | $24,784 | — | — | 2 |
| 73650-0316-01 | Tzield | $32,812 | $22,969 | — | — | 2 |
| 64764-0300-20 | Entyvio | $32,785 | $22,949 | — | — | 1 |
| 63833-0615-02 | Humate-P | $32,401 | $22,681 | — | — | 2 |
| 68727-0900-03 | Rylaze | $32,129 | $22,490 | — | — | 2 |
| 37242 | VASC EMBOLIZE/OCCLUDE ARTERY | $29,254 | $20,478 | — | — | 1 |
| 270009591RC12 HB FEE SCHEDULE | Inactive | $29,031 | $20,322 | — | — | 0 |
| 58468004001 | Fabrazyme | $28,243 | $19,770 | — | — | 2 |
Showing top 50 of 13,777 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.