45 CFR § 180 compliance
F · 50
This hospital published little 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
49,320
Insurances with rates
7
CPT / HCPCS codes
11,207
Source MRF
Most expensive procedures (gross)
4902110
$60,470
Hc Nm Ther Isotope Y-90 Ibitumomab Tiuxetan Zevalin Pere
Gross
$93,031
75987008010
$45,537
KRYSTEXXA 8 MG/ML IV SOLN - Mixture
Gross
$70,056
50242010501
$40,011
POLIVY 140 MG IV SOLR - Mixture
Gross
$61,556
6054023
$31,953
HC AN FEM/POPL REVASC W/ STENT & ATHER COMPLEX
Gross
$49,159
15054112004
$31,077
SOMATULINE DEPOT 120 MG/0.5 ML SUBQ SYRG
Gross
$47,810
6054021
$29,049
HC AN FEM/POPL REVASC W/ STENT & ATHER SIMPLE
Gross
$44,690
51144005001
$26,713
ADCETRIS 50 MG IV SOLR - Mixture
Gross
$41,097
59572077501
$26,453
REBLOZYL 75 MG SUBQ SOLR - Mixture
Gross
$40,697
6054019
$25,561
HC AN FEM/POPL REVASC W/ ATHER COMPLEX
Gross
$39,324
6054036
$25,561
HC AN TIB/PER REVASC W/ ATHER COMPLEX
Gross
$39,324
169720501
$25,487
NOVOSEVEN RT 5 MG (5,000 MCG) IV SOLR
Gross
$39,211
4902128
$23,904
Hc Nm Ther Isotope Sm-153 Samarium Lexidronam Quadramete
Gross
$36,776
6054017
$23,237
HC AN FEM/POPL REVASC W/ ATHER SIMPLE
Gross
$35,749
6054034
$23,237
HC AN TIB/PER REVASC W/ ATHER SIMPLE
Gross
$35,749
61755000801
$23,187
LIBTAYO 50 MG/ML IV SOLN - Mixture
Gross
$35,673
6054046
$22,589
HC CD CORONARY INTERVENTION W/ STENT(S), BIFURCATION OR MULT SEPARATE LESIONS
Gross
$34,752
66302001401
$22,515
UNITUXIN 3.5 MG/ML IV SOLN - Mixture
Gross
$34,639
6054040
$22,472
HC AN TIB/PER REVASC W/ STENT & ATHER COMPLEX
Gross
$34,573
8451001
$22,323
MYLOTARG 4.5 MG (1 MG/ML INITIAL CONC) IV SOLR - Mixture
Gross
$34,344
49702024015
$22,269
CABENUVA 600 MG/3 ML- 900 MG/3 ML IM SPER
Gross
$34,260
6054015
$22,066
HC AN FEM/POPL REVASC W/ STENT COMPLEX
Gross
$33,947
6054013
$20,060
HC AN FEM/POPL REVASC W/ STENT SIMPLE
Gross
$30,861
6054007
$19,843
HC AN ILIAC INIT REVASC W/ STENT & ANGIOPLASTY COMPLEX
Gross
$30,528
64764030020
$19,817
ENTYVIO 300 MG IV SOLR - Mixture
Gross
$30,488
6054032
$18,748
HC AN TIB/PER REVASC W/ STENT COMPLEX
Gross
$28,843
50242008527
$18,657
ACTIVASE 100 MG IV SOLR
Gross
$28,704
6054038
$18,572
HC AN TIB/PER REVASC W/ STENT & ATHER SIMPLE
Gross
$28,573
69097087067
$17,921
LANREOTIDE DEPOT 120 MG/0.5 ML SUBQ SYRG
Gross
$27,570
3754264
$17,402
Hc Replantation Digit Complete
Gross
$26,773
6054030
$17,044
HC AN TIB/PER REVASC W/ STENT SIMPLE
Gross
$26,221
6054005
$16,400
HC AN ILIAC INIT REVASC W/ STENT & ANGIOPLASTY SIMPLE
Gross
$25,230
51144000301
$16,225
TIVDAK 40 MG IV SOLR - Mixture
Gross
$24,962
50242012047
$16,112
TNKASE 50 MG IV SOLR
Gross
$24,787
73607001111
$14,034
ARTESUNATE 110 MG IV SOLR - Mixture
Gross
$21,592
6054037
$13,840
HC AN TIB/PER REVASC W/ ATHER, COMPLEX, EA ADDL
Gross
$21,292
50242004413
$13,830
ACTIVASE 50 MG IV SOLR - Mixture
Gross
$21,278
74334603
$13,001
LUPRON DEPOT (3 MONTH) 22.5 MG IM SYKT
Gross
$20,001
68727071201
$12,969
ZEPZELCA 4 MG IV SOLR - Mixture
Gross
$19,953
6054018
$12,581
HC AN ATHERECTOMY FEM/POP, SIMPLE, EA ADDL
Gross
$19,356
6054020
$12,581
HC AN ATHERECTOMY FEM/POP, COMPLEX, EA ADDL
Gross
$19,356
72694051501
$12,340
ASPARLAS 750 UNITS/ML IV SOLN - Mixture
Gross
$18,985
6054028
$12,159
HC AN TIB/PER REVASC W/ TLA COMPLEX
Gross
$18,707
6054044
$12,159
HC AN INFRAMALLEOLAR REVASC W/ ANGIOPLASTY, COMPLEX
Gross
$18,707
6054042
$12,158
HC AN INFRAMALLEOLAR REVASC W/ ANGIOPLASTY, SIMPLE
Gross
$18,704
58468004001
$12,114
FABRAZYME 35 MG IV SOLR - Mixture
Gross
$18,637
55513022201
$11,929
NPLATE 500 MCG SUBQ SOLR
Gross
$18,352
3753860
$11,763
Hc Insert Temp Pacemaker Electrode
Gross
$18,097
6032825
$11,520
Hc An Pecut Kyphoplasty One Vertebral Body Thoracic
Gross
$17,723
6054035
$11,437
HC AN TIB/PER REVASC W/ ATHER, SIMPLE, EA ADDL
Gross
$17,596
39599001_7
$11,296
PR THORASCOPIC REPAIR OF CONGENITAL DIAPHR HERNIA
Gross
$17,379
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4902110 | Hc Nm Ther Isotope Y-90 Ibitumomab Tiuxetan Zevalin Pere | $93,031 | $60,470 | — | — | 0 |
| 75987008010 | KRYSTEXXA 8 MG/ML IV SOLN - Mixture | $70,056 | $45,537 | — | — | 0 |
| 50242010501 | POLIVY 140 MG IV SOLR - Mixture | $61,556 | $40,011 | — | — | 0 |
| 6054023 | HC AN FEM/POPL REVASC W/ STENT & ATHER COMPLEX | $49,159 | $31,953 | — | — | 0 |
| 15054112004 | SOMATULINE DEPOT 120 MG/0.5 ML SUBQ SYRG | $47,810 | $31,077 | — | — | 0 |
| 6054021 | HC AN FEM/POPL REVASC W/ STENT & ATHER SIMPLE | $44,690 | $29,049 | — | — | 0 |
| 51144005001 | ADCETRIS 50 MG IV SOLR - Mixture | $41,097 | $26,713 | — | — | 0 |
| 59572077501 | REBLOZYL 75 MG SUBQ SOLR - Mixture | $40,697 | $26,453 | — | — | 0 |
| 6054019 | HC AN FEM/POPL REVASC W/ ATHER COMPLEX | $39,324 | $25,561 | — | — | 0 |
| 6054036 | HC AN TIB/PER REVASC W/ ATHER COMPLEX | $39,324 | $25,561 | — | — | 0 |
| 169720501 | NOVOSEVEN RT 5 MG (5,000 MCG) IV SOLR | $39,211 | $25,487 | — | — | 0 |
| 4902128 | Hc Nm Ther Isotope Sm-153 Samarium Lexidronam Quadramete | $36,776 | $23,904 | — | — | 0 |
| 6054017 | HC AN FEM/POPL REVASC W/ ATHER SIMPLE | $35,749 | $23,237 | — | — | 0 |
| 6054034 | HC AN TIB/PER REVASC W/ ATHER SIMPLE | $35,749 | $23,237 | — | — | 0 |
| 61755000801 | LIBTAYO 50 MG/ML IV SOLN - Mixture | $35,673 | $23,187 | — | — | 0 |
| 6054046 | HC CD CORONARY INTERVENTION W/ STENT(S), BIFURCATION OR MULT SEPARATE LESIONS | $34,752 | $22,589 | — | — | 0 |
| 66302001401 | UNITUXIN 3.5 MG/ML IV SOLN - Mixture | $34,639 | $22,515 | — | — | 0 |
| 6054040 | HC AN TIB/PER REVASC W/ STENT & ATHER COMPLEX | $34,573 | $22,472 | — | — | 0 |
| 8451001 | MYLOTARG 4.5 MG (1 MG/ML INITIAL CONC) IV SOLR - Mixture | $34,344 | $22,323 | — | — | 0 |
| 49702024015 | CABENUVA 600 MG/3 ML- 900 MG/3 ML IM SPER | $34,260 | $22,269 | — | — | 0 |
| 6054015 | HC AN FEM/POPL REVASC W/ STENT COMPLEX | $33,947 | $22,066 | — | — | 0 |
| 6054013 | HC AN FEM/POPL REVASC W/ STENT SIMPLE | $30,861 | $20,060 | — | — | 0 |
| 6054007 | HC AN ILIAC INIT REVASC W/ STENT & ANGIOPLASTY COMPLEX | $30,528 | $19,843 | — | — | 0 |
| 64764030020 | ENTYVIO 300 MG IV SOLR - Mixture | $30,488 | $19,817 | — | — | 0 |
| 6054032 | HC AN TIB/PER REVASC W/ STENT COMPLEX | $28,843 | $18,748 | — | — | 0 |
| 50242008527 | ACTIVASE 100 MG IV SOLR | $28,704 | $18,657 | — | — | 0 |
| 6054038 | HC AN TIB/PER REVASC W/ STENT & ATHER SIMPLE | $28,573 | $18,572 | — | — | 0 |
| 69097087067 | LANREOTIDE DEPOT 120 MG/0.5 ML SUBQ SYRG | $27,570 | $17,921 | — | — | 0 |
| 3754264 | Hc Replantation Digit Complete | $26,773 | $17,402 | — | — | 0 |
| 6054030 | HC AN TIB/PER REVASC W/ STENT SIMPLE | $26,221 | $17,044 | — | — | 0 |
| 6054005 | HC AN ILIAC INIT REVASC W/ STENT & ANGIOPLASTY SIMPLE | $25,230 | $16,400 | — | — | 0 |
| 51144000301 | TIVDAK 40 MG IV SOLR - Mixture | $24,962 | $16,225 | — | — | 0 |
| 50242012047 | TNKASE 50 MG IV SOLR | $24,787 | $16,112 | — | — | 0 |
| 73607001111 | ARTESUNATE 110 MG IV SOLR - Mixture | $21,592 | $14,034 | — | — | 0 |
| 6054037 | HC AN TIB/PER REVASC W/ ATHER, COMPLEX, EA ADDL | $21,292 | $13,840 | — | — | 0 |
| 50242004413 | ACTIVASE 50 MG IV SOLR - Mixture | $21,278 | $13,830 | — | — | 0 |
| 74334603 | LUPRON DEPOT (3 MONTH) 22.5 MG IM SYKT | $20,001 | $13,001 | — | — | 0 |
| 68727071201 | ZEPZELCA 4 MG IV SOLR - Mixture | $19,953 | $12,969 | — | — | 0 |
| 6054018 | HC AN ATHERECTOMY FEM/POP, SIMPLE, EA ADDL | $19,356 | $12,581 | — | — | 0 |
| 6054020 | HC AN ATHERECTOMY FEM/POP, COMPLEX, EA ADDL | $19,356 | $12,581 | — | — | 0 |
| 72694051501 | ASPARLAS 750 UNITS/ML IV SOLN - Mixture | $18,985 | $12,340 | — | — | 0 |
| 6054028 | HC AN TIB/PER REVASC W/ TLA COMPLEX | $18,707 | $12,159 | — | — | 0 |
| 6054044 | HC AN INFRAMALLEOLAR REVASC W/ ANGIOPLASTY, COMPLEX | $18,707 | $12,159 | — | — | 0 |
| 6054042 | HC AN INFRAMALLEOLAR REVASC W/ ANGIOPLASTY, SIMPLE | $18,704 | $12,158 | — | — | 0 |
| 58468004001 | FABRAZYME 35 MG IV SOLR - Mixture | $18,637 | $12,114 | — | — | 0 |
| 55513022201 | NPLATE 500 MCG SUBQ SOLR | $18,352 | $11,929 | — | — | 0 |
| 3753860 | Hc Insert Temp Pacemaker Electrode | $18,097 | $11,763 | — | — | 0 |
| 6032825 | Hc An Pecut Kyphoplasty One Vertebral Body Thoracic | $17,723 | $11,520 | — | — | 0 |
| 6054035 | HC AN TIB/PER REVASC W/ ATHER, SIMPLE, EA ADDL | $17,596 | $11,437 | — | — | 0 |
| 39599001_7 | PR THORASCOPIC REPAIR OF CONGENITAL DIAPHR HERNIA | $17,379 | $11,296 | — | — | 0 |
Showing top 50 of 49,320 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.