45 CFR § 180 compliance
C · 70
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
7,585
Insurances with rates
6
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
621.0nanA9543nan
$94,667
Y90 ZEVALIN TX P/DSE (<=40MCI)
Gross
$157,779
636.0nanJ2507nan
$94,586
PEGLOTICASE 8MG/1ML
Gross
$157,644
636.0nanJ9266nan
$62,372
PEGASPERGASE 750 IU/ML 5ML INJ
Gross
$103,953
636.0nanJ9119nan
$42,146
CEMIPLIMAB-RWLC 50MG/ML INJ
Gross
$70,243
636.0nanC9460nan
$41,627
CANGRELOR 50MG INJ
Gross
$69,379
636.0nanJ9022nan
$40,522
ATEZOLIZUMAB 60MG/ML 20ML SDV
Gross
$67,536
278.0nanL8614nan
$36,517
NUCLEUS COCHLEAR IMPL COCHL
Gross
$60,862
636.0nanJ3241nan
$36,301
TEPEZZA 500MG/ML SDV INJ
Gross
$60,501
636.0nanJ7189nan
$32,266
NOVOSEVEN 5MG VIAL
Gross
$53,777
636.0nanJ1300nan
$30,211
ECULIZUMAB 300MG/30ML INJ
Gross
$50,352
636.0nanJ2505nan
$28,858
NEULASTA DELIVERY KIT 6MG
Gross
$48,097
636.0nanJ2323nan
$28,622
NATALIZUMAB 300MG/15ML INJ
Gross
$47,703
278.0nanC2622nan
$26,407
PENILE PROSTH MALL VAR BOST
Gross
$44,012
278.0nanC1767nan
$24,607
INTERSTIM II NEUROSTM SYS MEDT
Gross
$41,012
636.0nanJ9050nan
$21,847
CARMUSTINE 100MG VIAL INJ
Gross
$36,411
636.0nanJ9057nan
$21,182
COPANLISIB 60MG INJ
Gross
$35,304
636.0nanJ2997nan
$20,378
ALTEPLASE TPA 50MG INJ
Gross
$33,964
636.0nanJ2353nan
$18,901
OCTREOTIDE LAR 20MG KIT INJ
Gross
$31,502
636.0nanJ0881nan
$17,924
DARBEPOETIN PFS 500MCG/ML INJ
Gross
$29,873
636.0nanJ1632nan
$17,287
BREXANOLONE 5MG/ML 20ML SDV
Gross
$28,811
636.0nanJ1162nan
$16,442
DIGOXIN IMMUNE 40MG VIAL
Gross
$27,403
636.0nanJ9207nan
$16,246
IXABEPILONE 45MG KIT
Gross
$27,077
361.027130nannan
$16,075
TOTAL HIP ARTHROPLASTY
Gross
$26,792
361.064561nannan
$15,898
IMP NEUROSTIM ELECTRODE-SACRAL
Gross
$26,496
636.0nanJ9305nan
$15,666
PEMETREXED 500MG/20ML VIAL
Gross
$26,110
33571555
$20,030
CALCITONIN SALMON 400U 2ML INJ
Gross
$25,038
636.0nanJ0630nan
$15,023
CALCITONIN SALMON UP TO 400U
Gross
$25,038
636.0nanJ1303nan
$14,859
ULTOMIRIS 300MG/30ML INJ
Gross
$24,765
636.0nanJ0840nan
$14,450
ANTIVENIN CROTALIDAE FAB INJ
Gross
$24,084
361.065778nannan
$14,438
COVER EYE W/MEMBRANE W/O SUT
Gross
$24,064
636.0nanJ9035nan
$14,405
BEVACIZUMAB INJ 25MG/ML 16ML
Gross
$24,008
636.0nanJ2407nan
$13,431
ORBACTIV 400MG INJ
Gross
$22,385
636.0nanJ9352nan
$13,270
TRABECTEDINE 1MG INJ
Gross
$22,116
319.081443nannan
$13,265
HERED HEMOLYT AN GN PN NGS VAR
Gross
$22,108
278.0nanQ4116nan
$13,093
GRAFT ALLODERM 96SQCM ALLE
Gross
$21,822
278.0nanC1776nan
$12,642
STEM HUMERAL PRIMARY BIOMET
Gross
$21,070
344.0nanA9604nan
$12,410
SM 153 LXDRNM THR UP TO 150MCI
Gross
$20,684
621.0nanA9542nan
$12,163
IN 111 ZEVALIN DX (<=5 MCI)
Gross
$20,272
319.081229nannan
$11,641
GENOMIC ALT POSTNTL OLIG
Gross
$19,401
278.0nanC1762nan
$11,441
VIVIGEN CELL BNE MTRX10CC LIFE
Gross
$19,068
621
$14,710
IN 111 ZEVALIN DX (<=5 MCI)
Gross
$18,388
272.0nanC1728nan
$11,007
MAMMOSITE INSERTION KIT
Gross
$18,345
361.051715nannan
$10,621
ENDOSCOPIC INJECTION/IMPLANT
Gross
$17,701
636.0nanJ9047nan
$10,440
CARFILZOMIB 60MG INJ
Gross
$17,400
636.0nanJ9268nan
$10,218
PENTOSTATIN 10MG INJ
Gross
$17,030
636.0nanJ0491nan
$10,166
ANIFROLUMAB-FNIA 300MG/2ML SDV
Gross
$16,944
278.0nanC1874nan
$9,382
WALLSTENT BILI CVD MICRO VARSZ
Gross
$15,636
278.0nanQ4197nan
$9,299
PURAPLY AM XT EF 4.91X4.91 CM
Gross
$15,498
278.0nanC1815nan
$8,839
CONTROL PUMP AMS
Gross
$14,732
514.059820nannan
$8,747
D & C MISSED AB
Gross
$14,578
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 621.0nanA9543nan | Y90 ZEVALIN TX P/DSE (<=40MCI) | $157,779 | $94,667 | — | — | 9 |
| 636.0nanJ2507nan | PEGLOTICASE 8MG/1ML | $157,644 | $94,586 | — | — | 12 |
| 636.0nanJ9266nan | PEGASPERGASE 750 IU/ML 5ML INJ | $103,953 | $62,372 | — | — | 12 |
| 636.0nanJ9119nan | CEMIPLIMAB-RWLC 50MG/ML INJ | $70,243 | $42,146 | — | — | 11 |
| 636.0nanC9460nan | CANGRELOR 50MG INJ | $69,379 | $41,627 | — | — | 8 |
| 636.0nanJ9022nan | ATEZOLIZUMAB 60MG/ML 20ML SDV | $67,536 | $40,522 | — | — | 11 |
| 278.0nanL8614nan | NUCLEUS COCHLEAR IMPL COCHL | $60,862 | $36,517 | — | — | 10 |
| 636.0nanJ3241nan | TEPEZZA 500MG/ML SDV INJ | $60,501 | $36,301 | — | — | 12 |
| 636.0nanJ7189nan | NOVOSEVEN 5MG VIAL | $53,777 | $32,266 | — | — | 12 |
| 636.0nanJ1300nan | ECULIZUMAB 300MG/30ML INJ | $50,352 | $30,211 | — | — | 8 |
| 636.0nanJ2505nan | NEULASTA DELIVERY KIT 6MG | $48,097 | $28,858 | — | — | 18 |
| 636.0nanJ2323nan | NATALIZUMAB 300MG/15ML INJ | $47,703 | $28,622 | — | — | 12 |
| 278.0nanC2622nan | PENILE PROSTH MALL VAR BOST | $44,012 | $26,407 | — | — | 10 |
| 278.0nanC1767nan | INTERSTIM II NEUROSTM SYS MEDT | $41,012 | $24,607 | — | — | 9 |
| 636.0nanJ9050nan | CARMUSTINE 100MG VIAL INJ | $36,411 | $21,847 | — | — | 11 |
| 636.0nanJ9057nan | COPANLISIB 60MG INJ | $35,304 | $21,182 | — | — | 8 |
| 636.0nanJ2997nan | ALTEPLASE TPA 50MG INJ | $33,964 | $20,378 | — | — | 22 |
| 636.0nanJ2353nan | OCTREOTIDE LAR 20MG KIT INJ | $31,502 | $18,901 | — | — | 12 |
| 636.0nanJ0881nan | DARBEPOETIN PFS 500MCG/ML INJ | $29,873 | $17,924 | — | — | 11 |
| 636.0nanJ1632nan | BREXANOLONE 5MG/ML 20ML SDV | $28,811 | $17,287 | — | — | 8 |
| 636.0nanJ1162nan | DIGOXIN IMMUNE 40MG VIAL | $27,403 | $16,442 | — | — | 22 |
| 636.0nanJ9207nan | IXABEPILONE 45MG KIT | $27,077 | $16,246 | — | — | 12 |
| 361.027130nannan | TOTAL HIP ARTHROPLASTY | $26,792 | $16,075 | — | — | 9 |
| 361.064561nannan | IMP NEUROSTIM ELECTRODE-SACRAL | $26,496 | $15,898 | — | — | 8 |
| 636.0nanJ9305nan | PEMETREXED 500MG/20ML VIAL | $26,110 | $15,666 | — | — | 12 |
| 33571555 | CALCITONIN SALMON 400U 2ML INJ | $25,038 | $20,030 | — | — | 9 |
| 636.0nanJ0630nan | CALCITONIN SALMON UP TO 400U | $25,038 | $15,023 | — | — | 8 |
| 636.0nanJ1303nan | ULTOMIRIS 300MG/30ML INJ | $24,765 | $14,859 | — | — | 12 |
| 636.0nanJ0840nan | ANTIVENIN CROTALIDAE FAB INJ | $24,084 | $14,450 | — | — | 11 |
| 361.065778nannan | COVER EYE W/MEMBRANE W/O SUT | $24,064 | $14,438 | — | — | 8 |
| 636.0nanJ9035nan | BEVACIZUMAB INJ 25MG/ML 16ML | $24,008 | $14,405 | — | — | 11 |
| 636.0nanJ2407nan | ORBACTIV 400MG INJ | $22,385 | $13,431 | — | — | 12 |
| 636.0nanJ9352nan | TRABECTEDINE 1MG INJ | $22,116 | $13,270 | — | — | 12 |
| 319.081443nannan | HERED HEMOLYT AN GN PN NGS VAR | $22,108 | $13,265 | — | — | 8 |
| 278.0nanQ4116nan | GRAFT ALLODERM 96SQCM ALLE | $21,822 | $13,093 | — | — | 9 |
| 278.0nanC1776nan | STEM HUMERAL PRIMARY BIOMET | $21,070 | $12,642 | — | — | 20 |
| 344.0nanA9604nan | SM 153 LXDRNM THR UP TO 150MCI | $20,684 | $12,410 | — | — | 9 |
| 621.0nanA9542nan | IN 111 ZEVALIN DX (<=5 MCI) | $20,272 | $12,163 | — | — | 8 |
| 319.081229nannan | GENOMIC ALT POSTNTL OLIG | $19,401 | $11,641 | — | — | 8 |
| 278.0nanC1762nan | VIVIGEN CELL BNE MTRX10CC LIFE | $19,068 | $11,441 | — | — | 10 |
| 621 | IN 111 ZEVALIN DX (<=5 MCI) | $18,388 | $14,710 | — | — | 8 |
| 272.0nanC1728nan | MAMMOSITE INSERTION KIT | $18,345 | $11,007 | — | — | 9 |
| 361.051715nannan | ENDOSCOPIC INJECTION/IMPLANT | $17,701 | $10,621 | — | — | 11 |
| 636.0nanJ9047nan | CARFILZOMIB 60MG INJ | $17,400 | $10,440 | — | — | 11 |
| 636.0nanJ9268nan | PENTOSTATIN 10MG INJ | $17,030 | $10,218 | — | — | 12 |
| 636.0nanJ0491nan | ANIFROLUMAB-FNIA 300MG/2ML SDV | $16,944 | $10,166 | — | — | 11 |
| 278.0nanC1874nan | WALLSTENT BILI CVD MICRO VARSZ | $15,636 | $9,382 | — | — | 10 |
| 278.0nanQ4197nan | PURAPLY AM XT EF 4.91X4.91 CM | $15,498 | $9,299 | — | — | 10 |
| 278.0nanC1815nan | CONTROL PUMP AMS | $14,732 | $8,839 | — | — | 9 |
| 514.059820nannan | D & C MISSED AB | $14,578 | $8,747 | — | — | 8 |
Showing top 50 of 7,585 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.