45 CFR § 180 compliance
D · 65
This hospital published part 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
193,927
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
Rx71336100301
$390,950
VUTRISIRAN SODIUM SOLN PREFILLED SYRINGE 25 MG/0.5ML
Gross
$521,267
Rx00310453530
$220,829
TREMELIMUMAB-ACTL SOLN FOR IV INFUSION 300 MG/15ML
Gross
$294,438
Sx000106524US
$213,680
IMP KIT LVAD HEARTMATE3
Gross
$284,906
Rx00003232822
$193,253
IPILIMUMAB SOLN FOR IV INFUSION 200 MG/40ML (5 MG/ML)
Gross
$257,670
Sx00000106015
$173,250
KIT FULL HRTMTE II VAD
Gross
$231,000
Rx00003712511
$164,574
NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML
Gross
$219,431
Sx000005500US
$160,691
SET HVAD IMP STRL
Gross
$214,254
Sx00000107801
$157,410
KIT PARTIAL HRTMTE II VAD
Gross
$209,880
Rx50242055401
$134,548
OCRELIZUMAB-HYALURONIDASE-OCSQ INJ 920-23000 MG-UNIT/23ML
Gross
$179,398
Rx50242010501
$99,305
POLATUZUMAB VEDOTIN-PIIQ FOR IV SOLUTION 140 MG
Gross
$132,406
Rx57894006103
$87,526
USTEKINUMAB SOLN PREFILLED SYRINGE 90 MG/ML
Gross
$116,701
Rx72893000501
$81,840
PRALATREXATE IV INJ 40 MG/2ML
Gross
$109,120
Sx00001000100
$81,180
KIT VENTRICULAR ASSIST DEVICE PUMP IMPELLA 5.5 SMARTASSIST 1000100
Gross
$108,240
Rx50881000603
$78,664
RETIFANLIMAB-DLWR IV SOLN 500 MG/20ML (25 MG/ML)
Gross
$104,885
Rx00024582411
$77,763
CABAZITAXEL INJ 60 MG/1.5ML (FOR IV INFUSION)
Gross
$103,684
Sx00000001000
$74,677
GENRTR VIPG VNS SENTIVA
Gross
$99,569
Sx0000001000D
$74,677
GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D
Gross
$99,569
Rx50242024501
$74,254
PERTUZUMAB-TRASTUZ-HYALURON-ZZXF INJ 80 MG-40 MG-2000 UNT/ML
Gross
$99,006
Sx000TCG40100
$71,280
KIT TRICLIP G4 SYSTEM TCG40100
Gross
$95,040
Sx000TCG50100
$71,280
KIT TRICLIP G5 SYSTEM TCG50100
Gross
$95,040
Sx000550-0008
$69,300
KIT CATH ACCESS IMPELLA 5.5
Gross
$92,400
Rx50242015001
$67,274
OCRELIZUMAB SOLN FOR IV INFUSION 300 MG/10ML
Gross
$89,699
Sx00000000106
$66,376
GENERATOR NERVE STIM 14CC VNS 106
Gross
$88,501
Sx00001195050
$64,825
MESH PHASIX SQ 50X50CM
Gross
$86,434
Rx00173089803
$64,190
DOSTARLIMAB-GXLY IV SOLN 500 MG/10ML (50 MG/ML)
Gross
$85,586
Sx00001163045
$63,509
XGRFT XENMTRX RECT 30X45CM
Gross
$84,678
Sx000CP562009
$63,501
IMP HUM EXP CUST SRS 16CM RT
Gross
$84,667
Rx50242091701
$61,837
ATEZOLIZUMAB IV SOLN 1200 MG/20ML
Gross
$82,450
Sx00000PAS2MA
$60,588
KIT VLV CORONARY AORTIC PASCAL PRECISION PAS2MA
Gross
$80,784
Sx000CP562286
$59,526
IMP HUM EXP CMPR SRS 174MM LT
Gross
$79,368
Sx0000MBR0101
$59,400
KIT MTRACLP 1/SGC 1/NTR
Gross
$79,200
Sx0000MBR0102
$59,400
KIT MTRACLP 1/SGC 2/NTR
Gross
$79,200
Sx0000MBR0103
$59,400
KIT MTRACLP 1/SGC 3/NTR
Gross
$79,200
Sx0000MBR0201
$59,400
KIT MTRACLP 1/SGC 1/XTR
Gross
$79,200
Sx0000MBR0202
$59,400
KIT MTRACLP 1/SGC 2/XTR
Gross
$79,200
Sx0000MBR0203
$59,400
KIT MTRACLP 1/SGC X/XTR
Gross
$79,200
Sx0000MBR0301
$59,400
KIT MTRACLP 1/SGC 1/NTR 1/XTR
Gross
$79,200
Sx0000MBR0302
$59,400
KIT MTRACLP 1/SGC 2/NTR 1/XTR
Gross
$79,200
Sx0000MBR0303
$59,400
KIT MTRACLP 1/SGC 1/NTR 2/XTR
Gross
$79,200
Sx0000MSK0100
$59,400
KIT MITRACLIP 1/GDE 0/CLIP
Gross
$79,200
Sx0000MSK0101
$59,400
KIT MTRACLP CATH GDE 1 MITRAKIT
Gross
$79,200
Sx0000MSK0102
$59,400
KIT MTRACLP CATH GDE 2 MITRAKIT
Gross
$79,200
Sx0000MSK0103
$59,400
KIT MTRACLP CATH GDE 3 MITRAKIT
Gross
$79,200
Sx0000MSK0104
$59,400
KIT MITRACLP CATH GDE 4 MITRAKIT
Gross
$79,200
Sx0000MSK0105
$59,400
KIT MTRACLP CATH GDE 5 MITRAKIT
Gross
$79,200
Sx000MCG40100
$59,400
KIT MITRACLP CATH GDE G4
Gross
$79,200
Sx000MCG50100
$59,400
KIT MITRACLIP G5 SYSTEM MCG50100
Gross
$79,200
Sx00000000104
$58,471
DISC - IMP IPG VNS MODEL-104
Gross
$77,961
Rx57894050301
$56,126
DARATUMUMAB-HYALURONIDASE-FIHJ INJ 1800-30000 MG-UNIT/15ML
Gross
$74,835
Sx000PSMT3040
$55,842
MATRIX WND CARE 30X40CM MATRIS
Gross
$74,457
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Rx71336100301 | VUTRISIRAN SODIUM SOLN PREFILLED SYRINGE 25 MG/0.5ML | $521,267 | $390,950 | — | — | 0 |
| Rx00310453530 | TREMELIMUMAB-ACTL SOLN FOR IV INFUSION 300 MG/15ML | $294,438 | $220,829 | — | — | 0 |
| Sx000106524US | IMP KIT LVAD HEARTMATE3 | $284,906 | $213,680 | — | — | 0 |
| Rx00003232822 | IPILIMUMAB SOLN FOR IV INFUSION 200 MG/40ML (5 MG/ML) | $257,670 | $193,253 | — | — | 0 |
| Sx00000106015 | KIT FULL HRTMTE II VAD | $231,000 | $173,250 | — | — | 0 |
| Rx00003712511 | NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML | $219,431 | $164,574 | — | — | 0 |
| Sx000005500US | SET HVAD IMP STRL | $214,254 | $160,691 | — | — | 0 |
| Sx00000107801 | KIT PARTIAL HRTMTE II VAD | $209,880 | $157,410 | — | — | 0 |
| Rx50242055401 | OCRELIZUMAB-HYALURONIDASE-OCSQ INJ 920-23000 MG-UNIT/23ML | $179,398 | $134,548 | — | — | 0 |
| Rx50242010501 | POLATUZUMAB VEDOTIN-PIIQ FOR IV SOLUTION 140 MG | $132,406 | $99,305 | — | — | 0 |
| Rx57894006103 | USTEKINUMAB SOLN PREFILLED SYRINGE 90 MG/ML | $116,701 | $87,526 | — | — | 0 |
| Rx72893000501 | PRALATREXATE IV INJ 40 MG/2ML | $109,120 | $81,840 | — | — | 0 |
| Sx00001000100 | KIT VENTRICULAR ASSIST DEVICE PUMP IMPELLA 5.5 SMARTASSIST 1000100 | $108,240 | $81,180 | — | — | 0 |
| Rx50881000603 | RETIFANLIMAB-DLWR IV SOLN 500 MG/20ML (25 MG/ML) | $104,885 | $78,664 | — | — | 0 |
| Rx00024582411 | CABAZITAXEL INJ 60 MG/1.5ML (FOR IV INFUSION) | $103,684 | $77,763 | — | — | 0 |
| Sx00000001000 | GENRTR VIPG VNS SENTIVA | $99,569 | $74,677 | — | — | 0 |
| Sx0000001000D | GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D | $99,569 | $74,677 | — | — | 0 |
| Rx50242024501 | PERTUZUMAB-TRASTUZ-HYALURON-ZZXF INJ 80 MG-40 MG-2000 UNT/ML | $99,006 | $74,254 | — | — | 0 |
| Sx000TCG40100 | KIT TRICLIP G4 SYSTEM TCG40100 | $95,040 | $71,280 | — | — | 0 |
| Sx000TCG50100 | KIT TRICLIP G5 SYSTEM TCG50100 | $95,040 | $71,280 | — | — | 0 |
| Sx000550-0008 | KIT CATH ACCESS IMPELLA 5.5 | $92,400 | $69,300 | — | — | 0 |
| Rx50242015001 | OCRELIZUMAB SOLN FOR IV INFUSION 300 MG/10ML | $89,699 | $67,274 | — | — | 0 |
| Sx00000000106 | GENERATOR NERVE STIM 14CC VNS 106 | $88,501 | $66,376 | — | — | 0 |
| Sx00001195050 | MESH PHASIX SQ 50X50CM | $86,434 | $64,825 | — | — | 0 |
| Rx00173089803 | DOSTARLIMAB-GXLY IV SOLN 500 MG/10ML (50 MG/ML) | $85,586 | $64,190 | — | — | 0 |
| Sx00001163045 | XGRFT XENMTRX RECT 30X45CM | $84,678 | $63,509 | — | — | 0 |
| Sx000CP562009 | IMP HUM EXP CUST SRS 16CM RT | $84,667 | $63,501 | — | — | 0 |
| Rx50242091701 | ATEZOLIZUMAB IV SOLN 1200 MG/20ML | $82,450 | $61,837 | — | — | 0 |
| Sx00000PAS2MA | KIT VLV CORONARY AORTIC PASCAL PRECISION PAS2MA | $80,784 | $60,588 | — | — | 0 |
| Sx000CP562286 | IMP HUM EXP CMPR SRS 174MM LT | $79,368 | $59,526 | — | — | 0 |
| Sx0000MBR0101 | KIT MTRACLP 1/SGC 1/NTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MBR0102 | KIT MTRACLP 1/SGC 2/NTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MBR0103 | KIT MTRACLP 1/SGC 3/NTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MBR0201 | KIT MTRACLP 1/SGC 1/XTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MBR0202 | KIT MTRACLP 1/SGC 2/XTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MBR0203 | KIT MTRACLP 1/SGC X/XTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MBR0301 | KIT MTRACLP 1/SGC 1/NTR 1/XTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MBR0302 | KIT MTRACLP 1/SGC 2/NTR 1/XTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MBR0303 | KIT MTRACLP 1/SGC 1/NTR 2/XTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MSK0100 | KIT MITRACLIP 1/GDE 0/CLIP | $79,200 | $59,400 | — | — | 0 |
| Sx0000MSK0101 | KIT MTRACLP CATH GDE 1 MITRAKIT | $79,200 | $59,400 | — | — | 0 |
| Sx0000MSK0102 | KIT MTRACLP CATH GDE 2 MITRAKIT | $79,200 | $59,400 | — | — | 0 |
| Sx0000MSK0103 | KIT MTRACLP CATH GDE 3 MITRAKIT | $79,200 | $59,400 | — | — | 0 |
| Sx0000MSK0104 | KIT MITRACLP CATH GDE 4 MITRAKIT | $79,200 | $59,400 | — | — | 0 |
| Sx0000MSK0105 | KIT MTRACLP CATH GDE 5 MITRAKIT | $79,200 | $59,400 | — | — | 0 |
| Sx000MCG40100 | KIT MITRACLP CATH GDE G4 | $79,200 | $59,400 | — | — | 0 |
| Sx000MCG50100 | KIT MITRACLIP G5 SYSTEM MCG50100 | $79,200 | $59,400 | — | — | 0 |
| Sx00000000104 | DISC - IMP IPG VNS MODEL-104 | $77,961 | $58,471 | — | — | 0 |
| Rx57894050301 | DARATUMUMAB-HYALURONIDASE-FIHJ INJ 1800-30000 MG-UNIT/15ML | $74,835 | $56,126 | — | — | 0 |
| Sx000PSMT3040 | MATRIX WND CARE 30X40CM MATRIS | $74,457 | $55,842 | — | — | 0 |
Showing top 50 of 193,927 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.