45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
10,001
Insurances with rates
13
CPT / HCPCS codes
0
Most expensive procedures (gross)
RX-104852
$76,688
SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION|DISCARDED DRUG NOT ADMINISTERE
Gross
$219,109
RX-107664
$29,040
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$82,972
PX-4813324901
$27,851
HC Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr
Gross
$79,575
PX-4803327001
$25,733
HC Ep Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd
Gross
$73,523
PX-4813323101
$24,685
HC Ep Insj Implntbl Defib Pulse Gen W/Exist Multileads
Gross
$70,529
SUP-131535
$24,500
IMPELLA CP SET
Gross
$70,000
RX-217728
$24,150
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$69,000
RX-224661
$22,135
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$63,243
RX-226580
$20,847
TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$59,562
PX-4803326301
$19,541
HC Ep Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld
Gross
$55,831
PX-7613324001
$19,541
HC Insrt Pulse Gen W/Singl Lead
Gross
$55,831
PX-7613326301
$19,541
HC Rmvl & Rplcmt Dfb Gen 2 Lead
Gross
$55,831
PX-4819365601
$17,821
HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein
Gross
$50,916
PX-7613326201
$17,686
HC Rmvl&Replc Pulse Gen 1 Lead
Gross
$50,532
RX-105644
$17,330
CABAZITAXEL 60 MG/1.5 ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$49,513
RX-286274
$17,126
TELISOTUZUMAB VEDOTIN-TLLV 100 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$48,930
SUP-131281
$17,112
DEFIBRILLATOR CRT-D MOMENTUM
Gross
$48,893
SUP-131280
$16,649
DEFIBRILLATOR CARD 32.5ML
Gross
$47,568
RX-228016
$16,314
PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN|DISCARDED DRUG NOT ADMINISTER
Gross
$46,610
RX-110751
$15,024
LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT|DISCARDED DRUG NOT ADMINISTERED
Gross
$42,927
SUP-131231
$14,700
DEFIBRILLATOR CARD CO XT HF
Gross
$42,000
PX-4810795T01
$14,621
HC Tcat Ins 2chmbr Ldls Pm Cmpl
Gross
$41,773
PX-4810823T01
$14,621
HC Tcat Ins 1chmbr Ldls Pm Ra
Gross
$41,773
PX-7613327401
$14,621
HC Tcath Insj/Rpl Perm Ldls Pm
Gross
$41,773
RX-111348
$14,384
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$41,097
RX-234958
$14,001
TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$40,004
PX-4813322901
$13,922
HC Ep Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead
Gross
$39,778
PX-320C976501
$13,749
HC Revasc Intra Lithotrip-Stent
Gross
$39,284
PX-320C976601
$13,749
HC Revasc Intra Lithotrip-Ather
Gross
$39,284
PX-320C976701
$13,749
HC Revasc Lithotrip-Stent-Ather
Gross
$39,284
PX-320C977301
$13,749
HC Revasc Lithotr-Stent Tib/Per
Gross
$39,284
PX-320C977401
$13,749
HC Revasc Lithotr-Ather Tib/Per
Gross
$39,284
PX-320C977501
$13,749
HC Revasc Lith-Sten-Ath Tib/Per
Gross
$39,284
RX-215159
$13,382
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$38,234
SUP-131233
$13,300
DEFIBRILLATOR CRT-D QUAD CO HF
Gross
$38,000
RX-237756
$13,161
TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$37,602
SUP-131278
$13,031
DEFIBRILLATOR ICD 2 CHMBR
Gross
$37,233
RX-222831
$12,993
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$37,124
PX-4819293301
$12,889
HC Cath Prq Trluml Coronry Stent/Ath/Angio One Art/Brnch
Gross
$36,825
PX-7613722701
$12,889
HC Vasc Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy
Gross
$36,825
PX-7613722901
$12,889
HC Vasc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Initial
Gross
$36,825
RX-233736
$12,397
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$35,419
RX-227466
$12,278
DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN|DISCARDED DRUG NOT ADMINISTERE
Gross
$35,079
SUP-131277
$12,197
DEFIBRILLATOR ICD VR MOMENTUM
Gross
$34,848
SUP-131279
$12,197
DEFIBRILLATOR ICD VR PERCIVA
Gross
$34,848
PX-4803326401
$11,803
HC Ep Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld
Gross
$33,723
PX-4813326401
$11,803
HC Ep Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld
Gross
$33,723
RX-225881
$11,748
LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED
Gross
$33,564
SUP-127863
$11,733
DEFIBRILLATOR ICD VR VIGILANT
Gross
$33,523
RX-228017
$10,875
PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN|DISCARDED DRUG NOT ADMINISTER
Gross
$31,072
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-104852 | SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION|DISCARDED DRUG NOT ADMINISTERE | $219,109 | $76,688 | — | — | 18 |
| RX-107664 | PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $82,972 | $29,040 | — | — | 18 |
| PX-4813324901 | HC Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr | $79,575 | $27,851 | — | — | 17 |
| PX-4803327001 | HC Ep Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd | $73,523 | $25,733 | — | — | 16 |
| PX-4813323101 | HC Ep Insj Implntbl Defib Pulse Gen W/Exist Multileads | $70,529 | $24,685 | — | — | 17 |
| SUP-131535 | IMPELLA CP SET | $70,000 | $24,500 | — | — | 0 |
| RX-217728 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $69,000 | $24,150 | — | — | 17 |
| RX-224661 | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $63,243 | $22,135 | — | — | 15 |
| RX-226580 | TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $59,562 | $20,847 | — | — | 15 |
| PX-4803326301 | HC Ep Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld | $55,831 | $19,541 | — | — | 17 |
| PX-7613324001 | HC Insrt Pulse Gen W/Singl Lead | $55,831 | $19,541 | — | — | 14 |
| PX-7613326301 | HC Rmvl & Rplcmt Dfb Gen 2 Lead | $55,831 | $19,541 | — | — | 14 |
| PX-4819365601 | HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein | $50,916 | $17,821 | — | — | 17 |
| PX-7613326201 | HC Rmvl&Replc Pulse Gen 1 Lead | $50,532 | $17,686 | — | — | 14 |
| RX-105644 | CABAZITAXEL 60 MG/1.5 ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $49,513 | $17,330 | — | — | 18 |
| RX-286274 | TELISOTUZUMAB VEDOTIN-TLLV 100 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $48,930 | $17,126 | — | — | 0 |
| SUP-131281 | DEFIBRILLATOR CRT-D MOMENTUM | $48,893 | $17,112 | — | — | 1 |
| SUP-131280 | DEFIBRILLATOR CARD 32.5ML | $47,568 | $16,649 | — | — | 1 |
| RX-228016 | PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN|DISCARDED DRUG NOT ADMINISTER | $46,610 | $16,314 | — | — | 15 |
| RX-110751 | LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT|DISCARDED DRUG NOT ADMINISTERED | $42,927 | $15,024 | — | — | 18 |
| SUP-131231 | DEFIBRILLATOR CARD CO XT HF | $42,000 | $14,700 | — | — | 1 |
| PX-4810795T01 | HC Tcat Ins 2chmbr Ldls Pm Cmpl | $41,773 | $14,621 | — | — | 10 |
| PX-4810823T01 | HC Tcat Ins 1chmbr Ldls Pm Ra | $41,773 | $14,621 | — | — | 13 |
| PX-7613327401 | HC Tcath Insj/Rpl Perm Ldls Pm | $41,773 | $14,621 | — | — | 13 |
| RX-111348 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $41,097 | $14,384 | — | — | 18 |
| RX-234958 | TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $40,004 | $14,001 | — | — | 15 |
| PX-4813322901 | HC Ep Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead | $39,778 | $13,922 | — | — | 17 |
| PX-320C976501 | HC Revasc Intra Lithotrip-Stent | $39,284 | $13,749 | — | — | 15 |
| PX-320C976601 | HC Revasc Intra Lithotrip-Ather | $39,284 | $13,749 | — | — | 15 |
| PX-320C976701 | HC Revasc Lithotrip-Stent-Ather | $39,284 | $13,749 | — | — | 15 |
| PX-320C977301 | HC Revasc Lithotr-Stent Tib/Per | $39,284 | $13,749 | — | — | 14 |
| PX-320C977401 | HC Revasc Lithotr-Ather Tib/Per | $39,284 | $13,749 | — | — | 14 |
| PX-320C977501 | HC Revasc Lith-Sten-Ath Tib/Per | $39,284 | $13,749 | — | — | 14 |
| RX-215159 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $38,234 | $13,382 | — | — | 17 |
| SUP-131233 | DEFIBRILLATOR CRT-D QUAD CO HF | $38,000 | $13,300 | — | — | 1 |
| RX-237756 | TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $37,602 | $13,161 | — | — | 15 |
| SUP-131278 | DEFIBRILLATOR ICD 2 CHMBR | $37,233 | $13,031 | — | — | 1 |
| RX-222831 | CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $37,124 | $12,993 | — | — | 16 |
| PX-4819293301 | HC Cath Prq Trluml Coronry Stent/Ath/Angio One Art/Brnch | $36,825 | $12,889 | — | — | 17 |
| PX-7613722701 | HC Vasc Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy | $36,825 | $12,889 | — | — | 7 |
| PX-7613722901 | HC Vasc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Initial | $36,825 | $12,889 | — | — | 7 |
| RX-233736 | RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $35,419 | $12,397 | — | — | 15 |
| RX-227466 | DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN|DISCARDED DRUG NOT ADMINISTERE | $35,079 | $12,278 | — | — | 15 |
| SUP-131277 | DEFIBRILLATOR ICD VR MOMENTUM | $34,848 | $12,197 | — | — | 1 |
| SUP-131279 | DEFIBRILLATOR ICD VR PERCIVA | $34,848 | $12,197 | — | — | 1 |
| PX-4803326401 | HC Ep Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld | $33,723 | $11,803 | — | — | 17 |
| PX-4813326401 | HC Ep Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld | $33,723 | $11,803 | — | — | 17 |
| RX-225881 | LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION|DISCARDED DRUG NOT ADMINISTERED | $33,564 | $11,748 | — | — | 15 |
| SUP-127863 | DEFIBRILLATOR ICD VR VIGILANT | $33,523 | $11,733 | — | — | 1 |
| RX-228017 | PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN|DISCARDED DRUG NOT ADMINISTER | $31,072 | $10,875 | — | — | 15 |
Showing top 50 of 10,001 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.