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
6,993
Insurances with rates
16
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
781025040
$44,766
GLUCARPIDASE 1000 UNIT INJ 25040
Gross
$120,988
636021789
$30,278
SIR-SPHERES MICROSPHERES 21789
Gross
$81,832
781024837
$27,257
ALEMTUZUMAB 12MG/1.2ML 24837
Gross
$73,668
781014212
$25,853
SUPPRELIN LA IMPLANT 50 MG 14212
Gross
$69,872
781024982
$20,238
EMICIZUMAB 150MG/ML SOLN 24982
Gross
$54,697
781024852
$19,860
OCRELIZUMAB 300MG/10ML 24852
Gross
$53,675
636071442
$15,696
QUADRAMET SM153 LEXI 71442
Gross
$42,422
636001129
$14,978
SM-153 LEXIDRONAM/TDOSE 1129
Gross
$40,482
632050593
$14,223
ABLAT/REN/CRYO 1 OR > BIL 50593
Gross
$38,440
781024981
$14,168
EMICIZUMAB 105MG/0.7ML SOLN 24981
Gross
$38,291
781025037
$13,435
UBLITUXIMAB XILY 150MG/6ML 25037
Gross
$36,310
632050592
$12,485
ABLAT RENAL/RF 1 OR > BIL 50592
Gross
$33,742
781025044
$11,313
CYTARABINE DAUNOR 100MG INJ25044
Gross
$30,575
781025045
$10,938
DARATUMUMAB/HYAL 15ML 25045
Gross
$29,561
636001123
$10,718
SR-89 CHLORIDE TX/MCI 1123
Gross
$28,969
781025049
$10,355
ELRANATAMAB BCMM 40MG/ML 25049
Gross
$27,986
781032536
$10,031
GEMTUZUMAB OZOGAMICN 0.1MG 32536
Gross
$27,110
781025016
$9,976
CAPLACIZUMAB 11MG KIT 25016
Gross
$26,962
781014094
$9,532
EMICIZUMAB KXWH 60MG/0.4ML 14094
Gross
$25,763
781014104
$9,257
TISOTUMAB VEDOTIN TFTB 40MG 14104
Gross
$25,019
781024854
$8,377
LANREOTIDE 120 MG/0.5 ML 24854
Gross
$22,641
781090192
$8,124
LEUPROLIDE ACETATE 7.5 MG 90192
Gross
$21,957
781014024
$7,983
ECULIZUMAB INJ PER 2 MG 14024
Gross
$21,577
781024955
$7,570
TENECTEPLASE INJECTION 24955
Gross
$20,460
632026915
$7,143
ABLATION BONE BY CRYO 26915
Gross
$19,306
632000846
$7,111
ABLAT RENAL/CRYO 1 OR> LT 846
Gross
$19,220
632000848
$7,111
ABLAT RENAL/CRYO 1 OR> RT 848
Gross
$19,220
632032998
$6,899
ABLAT LUNG / RF 1 OR > UNI 32998
Gross
$18,647
636001116
$6,865
IN-111 PENTETREOTIDE<\=6MCI 1116
Gross
$18,555
632032994
$6,835
CR DEST LUNG BILAT 32994
Gross
$18,474
636001122
$6,571
I-123 IOBENGUANE </=10MCI 1122
Gross
$17,761
781032803
$6,489
OCTREOTIDE DEPOT 1MG IM INJ32803
Gross
$17,537
632020982
$6,488
ABLATION BONE BY RF 20982
Gross
$17,535
781017546
$6,371
SOMATULINE PER 1 MG 17546
Gross
$17,219
632000877
$6,242
ABLAT RENAL/RF 1 OR > LT 877
Gross
$16,871
632000878
$6,242
ABLAT RENAL/RF 1 OR > RT 878
Gross
$16,871
632047382
$6,242
ABLATE LIVER/RF/1>LES 47382
Gross
$16,871
781014072
$6,218
ANIFROLUMAB FNIA 300MG/2ML 14072
Gross
$16,804
781032042
$6,117
LEUPROLIDE ACETATE 7.5 MG 32042
Gross
$16,532
636043632
$5,821
RX IN 111 OCTREOTIDE 43632
Gross
$15,733
632047383
$5,791
ABLATE LIVER/CR/1>LES 47383
Gross
$15,650
636001095
$5,512
IN-111 OXYQUINOLINE/0.5MCI 1095
Gross
$14,898
632055899
$5,359
CT IRE ABLATE PROSTATE 55899
Gross
$14,483
632059507
$5,227
TISSUE APPLICATOR MW 14CM 59507
Gross
$14,126
632059509
$5,227
TISSUE APPLICATOR MW 19CM 59509
Gross
$14,126
781032385
$5,084
ALTEPLASE PER 1 MG 32385
Gross
$13,741
636029961
$5,068
RX I 123 DX </= 5 MCI 29961
Gross
$13,697
781032586
$4,905
PEGFILGRASTIM 6 MG INJ 32586
Gross
$13,258
636071439
$4,879
RX I 123 </= 10 MCI 71439
Gross
$13,186
781016632
$4,780
BENDAMUSTINE INJ 1MG 16632
Gross
$12,918
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 781025040 | GLUCARPIDASE 1000 UNIT INJ 25040 | $120,988 | $44,766 | — | — | 41 |
| 636021789 | SIR-SPHERES MICROSPHERES 21789 | $81,832 | $30,278 | — | — | 41 |
| 781024837 | ALEMTUZUMAB 12MG/1.2ML 24837 | $73,668 | $27,257 | — | — | 41 |
| 781014212 | SUPPRELIN LA IMPLANT 50 MG 14212 | $69,872 | $25,853 | — | — | 41 |
| 781024982 | EMICIZUMAB 150MG/ML SOLN 24982 | $54,697 | $20,238 | — | — | 41 |
| 781024852 | OCRELIZUMAB 300MG/10ML 24852 | $53,675 | $19,860 | — | — | 41 |
| 636071442 | QUADRAMET SM153 LEXI 71442 | $42,422 | $15,696 | — | — | 41 |
| 636001129 | SM-153 LEXIDRONAM/TDOSE 1129 | $40,482 | $14,978 | — | — | 41 |
| 632050593 | ABLAT/REN/CRYO 1 OR > BIL 50593 | $38,440 | $14,223 | — | — | 39 |
| 781024981 | EMICIZUMAB 105MG/0.7ML SOLN 24981 | $38,291 | $14,168 | — | — | 41 |
| 781025037 | UBLITUXIMAB XILY 150MG/6ML 25037 | $36,310 | $13,435 | — | — | 41 |
| 632050592 | ABLAT RENAL/RF 1 OR > BIL 50592 | $33,742 | $12,485 | — | — | 39 |
| 781025044 | CYTARABINE DAUNOR 100MG INJ25044 | $30,575 | $11,313 | — | — | 41 |
| 781025045 | DARATUMUMAB/HYAL 15ML 25045 | $29,561 | $10,938 | — | — | 41 |
| 636001123 | SR-89 CHLORIDE TX/MCI 1123 | $28,969 | $10,718 | — | — | 41 |
| 781025049 | ELRANATAMAB BCMM 40MG/ML 25049 | $27,986 | $10,355 | — | — | 41 |
| 781032536 | GEMTUZUMAB OZOGAMICN 0.1MG 32536 | $27,110 | $10,031 | — | — | 41 |
| 781025016 | CAPLACIZUMAB 11MG KIT 25016 | $26,962 | $9,976 | — | — | 41 |
| 781014094 | EMICIZUMAB KXWH 60MG/0.4ML 14094 | $25,763 | $9,532 | — | — | 41 |
| 781014104 | TISOTUMAB VEDOTIN TFTB 40MG 14104 | $25,019 | $9,257 | — | — | 41 |
| 781024854 | LANREOTIDE 120 MG/0.5 ML 24854 | $22,641 | $8,377 | — | — | 41 |
| 781090192 | LEUPROLIDE ACETATE 7.5 MG 90192 | $21,957 | $8,124 | — | — | 2 |
| 781014024 | ECULIZUMAB INJ PER 2 MG 14024 | $21,577 | $7,983 | — | — | 41 |
| 781024955 | TENECTEPLASE INJECTION 24955 | $20,460 | $7,570 | — | — | 41 |
| 632026915 | ABLATION BONE BY CRYO 26915 | $19,306 | $7,143 | — | — | 38 |
| 632000846 | ABLAT RENAL/CRYO 1 OR> LT 846 | $19,220 | $7,111 | — | — | 39 |
| 632000848 | ABLAT RENAL/CRYO 1 OR> RT 848 | $19,220 | $7,111 | — | — | 39 |
| 632032998 | ABLAT LUNG / RF 1 OR > UNI 32998 | $18,647 | $6,899 | — | — | 38 |
| 636001116 | IN-111 PENTETREOTIDE<\=6MCI 1116 | $18,555 | $6,865 | — | — | 41 |
| 632032994 | CR DEST LUNG BILAT 32994 | $18,474 | $6,835 | — | — | 39 |
| 636001122 | I-123 IOBENGUANE </=10MCI 1122 | $17,761 | $6,571 | — | — | 41 |
| 781032803 | OCTREOTIDE DEPOT 1MG IM INJ32803 | $17,537 | $6,489 | — | — | 41 |
| 632020982 | ABLATION BONE BY RF 20982 | $17,535 | $6,488 | — | — | 38 |
| 781017546 | SOMATULINE PER 1 MG 17546 | $17,219 | $6,371 | — | — | 41 |
| 632000877 | ABLAT RENAL/RF 1 OR > LT 877 | $16,871 | $6,242 | — | — | 39 |
| 632000878 | ABLAT RENAL/RF 1 OR > RT 878 | $16,871 | $6,242 | — | — | 39 |
| 632047382 | ABLATE LIVER/RF/1>LES 47382 | $16,871 | $6,242 | — | — | 38 |
| 781014072 | ANIFROLUMAB FNIA 300MG/2ML 14072 | $16,804 | $6,218 | — | — | 41 |
| 781032042 | LEUPROLIDE ACETATE 7.5 MG 32042 | $16,532 | $6,117 | — | — | 43 |
| 636043632 | RX IN 111 OCTREOTIDE 43632 | $15,733 | $5,821 | — | — | 41 |
| 632047383 | ABLATE LIVER/CR/1>LES 47383 | $15,650 | $5,791 | — | — | 38 |
| 636001095 | IN-111 OXYQUINOLINE/0.5MCI 1095 | $14,898 | $5,512 | — | — | 41 |
| 632055899 | CT IRE ABLATE PROSTATE 55899 | $14,483 | $5,359 | — | — | 39 |
| 632059507 | TISSUE APPLICATOR MW 14CM 59507 | $14,126 | $5,227 | — | — | 41 |
| 632059509 | TISSUE APPLICATOR MW 19CM 59509 | $14,126 | $5,227 | — | — | 41 |
| 781032385 | ALTEPLASE PER 1 MG 32385 | $13,741 | $5,084 | — | — | 41 |
| 636029961 | RX I 123 DX </= 5 MCI 29961 | $13,697 | $5,068 | — | — | 41 |
| 781032586 | PEGFILGRASTIM 6 MG INJ 32586 | $13,258 | $4,905 | — | — | 41 |
| 636071439 | RX I 123 </= 10 MCI 71439 | $13,186 | $4,879 | — | — | 41 |
| 781016632 | BENDAMUSTINE INJ 1MG 16632 | $12,918 | $4,780 | — | — | 41 |
Showing top 50 of 6,993 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.