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
3,931
Insurances with rates
19
CPT / HCPCS codes
1
Source MRF
Most expensive procedures (gross)
63638100
$110,801
CABAZITAXEL INJECTION
Gross
$184,669
63640720
$50,013
INJECTION, FULPHILA
Gross
$83,355
63640230
$27,362
INJ LUSPATERCEPT-AAMT 0.25MG
Gross
$45,604
63637940
$22,069
INJ, ATEZOLIZUMAB,10 MG
Gross
$36,781
63618540
$21,124
ALTEPLASE RECOMBINANT
Gross
$35,206
27858871
$17,010
GENERATOR IPG ETERNA
Gross
$28,350
63640430
$16,892
INJ IVIG PRIVIGEN 500 MG
Gross
$28,153
27859711
$15,791
MESH PHASIX 35X35CM
Gross
$26,318
27858651
$15,300
IPG PROCLAIM PLUS 5 GENERATOR
Gross
$25,500
63622030
$14,958
INJ PEGFILGRAST EX BIO 0.5MG
Gross
$24,929
63636580
$14,958
INJ PEGFILGRAST EX BIO 0.5MG
Gross
$24,929
63629010
$14,928
TENECTEPLASE INJECTION
Gross
$24,880
63635930
$12,704
INJECTION, PERTUZUMAB, 1 MG
Gross
$21,173
63637140
$11,847
INJ PEMBROLIZUMAB
Gross
$19,745
63637130
$11,116
CERTOLIZUMAB PEGOL INJ 1MG
Gross
$18,526
63640770
$10,115
INJ ENFORT VEDO-EJFV 0.25MG
Gross
$16,859
63635560
$10,023
INJECTION, UDENYCA 0.5 MG
Gross
$16,705
63621960
$9,291
DARBEPOETIN ALFA, NON-ESRD
Gross
$15,485
63640220
$9,123
INJ LUSPATERCEPT-AAMT 0.25MG
Gross
$15,205
63638390
$8,931
INJ., DURVALUMAB, 10 MG
Gross
$14,885
27857592
$8,850
MESH PHASIX 10X12" RECTANGLE
Gross
$14,750
63618520
$7,654
BEVACIZUMAB INJECTION
Gross
$12,756
63640390
$7,511
INJECTION, CARFILZOMIB, 1 MG
Gross
$12,518
63637190
$7,381
INJECTION, MEPOLIZUMAB, 1MG
Gross
$12,301
63637620
$7,032
IN GEMCITABINE HCL NOS 200MG
Gross
$11,721
63635970
$6,963
INJ IVIG PRIVIGEN 500 MG
Gross
$11,605
63640760
$6,745
INJ ENFORT VEDO-EJFV 0.25MG
Gross
$11,241
63639510
$6,377
INJ RUXIENCE, 10 MG
Gross
$10,628
63638280
$6,014
DARATUMUMAB, HYALURONIDASE
Gross
$10,023
63634450
$5,940
INJ., BENDEKA 1 MG
Gross
$9,900
63638540
$5,917
INJ. FE DERISOMALTOSE 10 MG
Gross
$9,862
63640670
$5,917
SACITUZUMAB GOVITECAN-HZIY
Gross
$9,861
27856963
$5,901
MESH PHASIX 20X25CM
Gross
$9,835
63622090
$5,648
DENOSUMAB INJECTION
Gross
$9,414
63622000
$5,576
DARBEPOETIN ALFA, NON-ESRD
Gross
$9,293
63637390
$5,200
INJ VEDOLIZUMAB IV 1 MG
Gross
$8,667
40400043
$4,981
PET IMAGE W/CT SKULL-THIGH
Gross
$8,302
40400008
$4,981
PET IMAGE W/CT FULL BODY
Gross
$8,301
63640610
$4,390
INJ. EPTINEZUMAB-JJMR 1 MG
Gross
$7,316
63623950
$3,850
INJECTION, BORTEZOMIB, 0.1MG
Gross
$6,417
63640310
$3,757
INJECTION, CARFILZOMIB, 1 MG
Gross
$6,261
63636920
$3,743
INJ TRASTUZUMAB EXCL BIOSIMI
Gross
$6,239
63621950
$3,718
DARBEPOETIN ALFA, NON-ESRD
Gross
$6,197
63617720
$3,483
INJ IVIG PRIVIGEN 500 MG
Gross
$5,805
27855836
$3,425
AFLEX 40X70X2.5-3.5 DERMIS
Gross
$5,708
63639230
$3,416
PACLITAXEL PROTEIN BOUND
Gross
$5,693
63639990
$3,267
INJ., KANJINTI, 10 MG
Gross
$5,445
63637370
$3,255
LEUPROLIDE ACETATE SUSPNSION
Gross
$5,425
63622080
$3,072
DENOSUMAB INJECTION
Gross
$5,120
63635810
$2,738
INJ FERRIC CARBOXYMALTOS 1MG
Gross
$4,564
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 63638100 | CABAZITAXEL INJECTION | $184,669 | $110,801 | — | — | 10 |
| 63640720 | INJECTION, FULPHILA | $83,355 | $50,013 | — | — | 10 |
| 63640230 | INJ LUSPATERCEPT-AAMT 0.25MG | $45,604 | $27,362 | — | — | 10 |
| 63637940 | INJ, ATEZOLIZUMAB,10 MG | $36,781 | $22,069 | — | — | 11 |
| 63618540 | ALTEPLASE RECOMBINANT | $35,206 | $21,124 | — | — | 11 |
| 27858871 | GENERATOR IPG ETERNA | $28,350 | $17,010 | — | — | 10 |
| 63640430 | INJ IVIG PRIVIGEN 500 MG | $28,153 | $16,892 | — | — | 11 |
| 27859711 | MESH PHASIX 35X35CM | $26,318 | $15,791 | — | — | 11 |
| 27858651 | IPG PROCLAIM PLUS 5 GENERATOR | $25,500 | $15,300 | — | — | 10 |
| 63622030 | INJ PEGFILGRAST EX BIO 0.5MG | $24,929 | $14,958 | — | — | 11 |
| 63636580 | INJ PEGFILGRAST EX BIO 0.5MG | $24,929 | $14,958 | — | — | 11 |
| 63629010 | TENECTEPLASE INJECTION | $24,880 | $14,928 | — | — | 11 |
| 63635930 | INJECTION, PERTUZUMAB, 1 MG | $21,173 | $12,704 | — | — | 11 |
| 63637140 | INJ PEMBROLIZUMAB | $19,745 | $11,847 | — | — | 11 |
| 63637130 | CERTOLIZUMAB PEGOL INJ 1MG | $18,526 | $11,116 | — | — | 10 |
| 63640770 | INJ ENFORT VEDO-EJFV 0.25MG | $16,859 | $10,115 | — | — | 10 |
| 63635560 | INJECTION, UDENYCA 0.5 MG | $16,705 | $10,023 | — | — | 11 |
| 63621960 | DARBEPOETIN ALFA, NON-ESRD | $15,485 | $9,291 | — | — | 11 |
| 63640220 | INJ LUSPATERCEPT-AAMT 0.25MG | $15,205 | $9,123 | — | — | 10 |
| 63638390 | INJ., DURVALUMAB, 10 MG | $14,885 | $8,931 | — | — | 10 |
| 27857592 | MESH PHASIX 10X12" RECTANGLE | $14,750 | $8,850 | — | — | 11 |
| 63618520 | BEVACIZUMAB INJECTION | $12,756 | $7,654 | — | — | 11 |
| 63640390 | INJECTION, CARFILZOMIB, 1 MG | $12,518 | $7,511 | — | — | 10 |
| 63637190 | INJECTION, MEPOLIZUMAB, 1MG | $12,301 | $7,381 | — | — | 11 |
| 63637620 | IN GEMCITABINE HCL NOS 200MG | $11,721 | $7,032 | — | — | 11 |
| 63635970 | INJ IVIG PRIVIGEN 500 MG | $11,605 | $6,963 | — | — | 11 |
| 63640760 | INJ ENFORT VEDO-EJFV 0.25MG | $11,241 | $6,745 | — | — | 10 |
| 63639510 | INJ RUXIENCE, 10 MG | $10,628 | $6,377 | — | — | 10 |
| 63638280 | DARATUMUMAB, HYALURONIDASE | $10,023 | $6,014 | — | — | 11 |
| 63634450 | INJ., BENDEKA 1 MG | $9,900 | $5,940 | — | — | 10 |
| 63638540 | INJ. FE DERISOMALTOSE 10 MG | $9,862 | $5,917 | — | — | 10 |
| 63640670 | SACITUZUMAB GOVITECAN-HZIY | $9,861 | $5,917 | — | — | 10 |
| 27856963 | MESH PHASIX 20X25CM | $9,835 | $5,901 | — | — | 11 |
| 63622090 | DENOSUMAB INJECTION | $9,414 | $5,648 | — | — | 11 |
| 63622000 | DARBEPOETIN ALFA, NON-ESRD | $9,293 | $5,576 | — | — | 11 |
| 63637390 | INJ VEDOLIZUMAB IV 1 MG | $8,667 | $5,200 | — | — | 10 |
| 40400043 | PET IMAGE W/CT SKULL-THIGH | $8,302 | $4,981 | — | — | 17 |
| 40400008 | PET IMAGE W/CT FULL BODY | $8,301 | $4,981 | — | — | 16 |
| 63640610 | INJ. EPTINEZUMAB-JJMR 1 MG | $7,316 | $4,390 | — | — | 10 |
| 63623950 | INJECTION, BORTEZOMIB, 0.1MG | $6,417 | $3,850 | — | — | 10 |
| 63640310 | INJECTION, CARFILZOMIB, 1 MG | $6,261 | $3,757 | — | — | 10 |
| 63636920 | INJ TRASTUZUMAB EXCL BIOSIMI | $6,239 | $3,743 | — | — | 11 |
| 63621950 | DARBEPOETIN ALFA, NON-ESRD | $6,197 | $3,718 | — | — | 11 |
| 63617720 | INJ IVIG PRIVIGEN 500 MG | $5,805 | $3,483 | — | — | 11 |
| 27855836 | AFLEX 40X70X2.5-3.5 DERMIS | $5,708 | $3,425 | — | — | 10 |
| 63639230 | PACLITAXEL PROTEIN BOUND | $5,693 | $3,416 | — | — | 10 |
| 63639990 | INJ., KANJINTI, 10 MG | $5,445 | $3,267 | — | — | 10 |
| 63637370 | LEUPROLIDE ACETATE SUSPNSION | $5,425 | $3,255 | — | — | 11 |
| 63622080 | DENOSUMAB INJECTION | $5,120 | $3,072 | — | — | 11 |
| 63635810 | INJ FERRIC CARBOXYMALTOS 1MG | $4,564 | $2,738 | — | — | 11 |
Showing top 50 of 3,931 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.