WOMEN & INFANTS HOSPITAL OF RHODE ISLAND (Providence, RI) prices

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

9,684

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

File last updated: 2026-02-28 (per the hospital's file)

Retrieved: 2026-11-03

Most expensive procedures (gross)

RX-104852

$76,688

SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION

Gross

$219,109

RX-107664

$29,040

PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION

Gross

$82,972

SUP-131535

$24,500

IMPELLA CP SET

Gross

$70,000

RX-217728

$24,150

OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION

Gross

$69,000

RX-224661

$22,135

POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION

Gross

$63,243

RX-226580

$20,847

TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION

Gross

$59,562

RX-105644

$17,330

CABAZITAXEL 60 MG/1.5 ML INTRAVENOUS SOLUTION

Gross

$49,513

RX-286274

$17,126

TELISOTUZUMAB VEDOTIN-TLLV 100 MG INTRAVENOUS SOLUTION

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

Gross

$46,610

RX-110751

$15,024

LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT

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

RX-111348

$14,384

BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION

Gross

$41,097

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

Gross

$38,234

SUP-131233

$13,300

DEFIBRILLATOR CRT-D QUAD CO HF

Gross

$38,000

SUP-131278

$13,031

DEFIBRILLATOR ICD 2 CHMBR

Gross

$37,233

RX-222831

$12,993

CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION

Gross

$37,124

RX-233736

$12,397

RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION

Gross

$35,419

RX-227466

$12,278

DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN

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

RX-225881

$11,748

LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION

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

Gross

$31,072

SUP-131203

$10,693

PACEMAKER TRANSCATHETER 2

Gross

$30,550

SUP-131230

$10,675

DEFIBRILLATOR CARD 80GM

Gross

$30,500

RX-206288

$10,617

VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION

Gross

$30,333

RX-40120

$10,459

NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION

Gross

$29,882

RX-203141

$10,096

OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION

Gross

$28,846

RX-227686

$9,837

LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION

Gross

$28,105

SUP-131235

$9,538

DEFIBRILLATOR CARD ICD CO XT

Gross

$27,250

RX-220744

$9,352

NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION

Gross

$26,721

PX-3203718701

$8,901

HC IR Percut Mech Thrombectomy, Venous

Gross

$25,431

PX-3603718701

$8,901

HC Percut Mech Thrombectomy, Venous

Gross

$25,431

SUP-106725

$8,855

NEUROSTIMULATOR IMP L2XH1.7IN

Gross

$25,300

SUP-129715

$8,855

SYSTEM NEUROSTIM H44XL51MM

Gross

$25,300

SUP-125728

$8,750

DEFIBRILLATOR CARD 2 CHMBR DF4

Gross

$25,000

PX-320C976401

$8,626

HC Revasc Intravasc Lithotripsy

Gross

$24,646

PX-320C977201

$8,626

HC Revasc Lithotrip Tibi/Perone

Gross

$24,646

RX-108955

$8,620

IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION

Gross

$24,630

SUP-130708

$8,444

SYSTEM THROMCTMY CATH 100CM

Gross

$24,125

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-104852	SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION	$219,109	$76,688	—	—	16
RX-107664	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION	$82,972	$29,040	—	—	16
SUP-131535	IMPELLA CP SET	$70,000	$24,500	—	—	0
RX-217728	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$69,000	$24,150	—	—	15
RX-224661	POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION	$63,243	$22,135	—	—	13
RX-226580	TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION	$59,562	$20,847	—	—	13
RX-105644	CABAZITAXEL 60 MG/1.5 ML INTRAVENOUS SOLUTION	$49,513	$17,330	—	—	16
RX-286274	TELISOTUZUMAB VEDOTIN-TLLV 100 MG INTRAVENOUS SOLUTION	$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	$46,610	$16,314	—	—	13
RX-110751	LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT	$42,927	$15,024	—	—	16
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
RX-111348	BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION	$41,097	$14,384	—	—	16
PX-320C976501	HC Revasc Intra Lithotrip-Stent	$39,284	$13,749	—	—	14
PX-320C976601	HC Revasc Intra Lithotrip-Ather	$39,284	$13,749	—	—	14
PX-320C976701	HC Revasc Lithotrip-Stent-Ather	$39,284	$13,749	—	—	14
PX-320C977301	HC Revasc Lithotr-Stent Tib/Per	$39,284	$13,749	—	—	13
PX-320C977401	HC Revasc Lithotr-Ather Tib/Per	$39,284	$13,749	—	—	13
PX-320C977501	HC Revasc Lith-Sten-Ath Tib/Per	$39,284	$13,749	—	—	13
RX-215159	ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION	$38,234	$13,382	—	—	15
SUP-131233	DEFIBRILLATOR CRT-D QUAD CO HF	$38,000	$13,300	—	—	1
SUP-131278	DEFIBRILLATOR ICD 2 CHMBR	$37,233	$13,031	—	—	1
RX-222831	CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION	$37,124	$12,993	—	—	14
RX-233736	RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION	$35,419	$12,397	—	—	13
RX-227466	DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN	$35,079	$12,278	—	—	13
SUP-131277	DEFIBRILLATOR ICD VR MOMENTUM	$34,848	$12,197	—	—	1
SUP-131279	DEFIBRILLATOR ICD VR PERCIVA	$34,848	$12,197	—	—	1
RX-225881	LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION	$33,564	$11,748	—	—	13
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	$31,072	$10,875	—	—	13
SUP-131203	PACEMAKER TRANSCATHETER 2	$30,550	$10,693	—	—	0
SUP-131230	DEFIBRILLATOR CARD 80GM	$30,500	$10,675	—	—	1
RX-206288	VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION	$30,333	$10,617	—	—	15
RX-40120	NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION	$29,882	$10,459	—	—	16
RX-203141	OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION	$28,846	$10,096	—	—	15
RX-227686	LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION	$28,105	$9,837	—	—	13
SUP-131235	DEFIBRILLATOR CARD ICD CO XT	$27,250	$9,538	—	—	1
RX-220744	NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION	$26,721	$9,352	—	—	15
PX-3203718701	HC IR Percut Mech Thrombectomy, Venous	$25,431	$8,901	—	—	17
PX-3603718701	HC Percut Mech Thrombectomy, Venous	$25,431	$8,901	—	—	17
SUP-106725	NEUROSTIMULATOR IMP L2XH1.7IN	$25,300	$8,855	—	—	1
SUP-129715	SYSTEM NEUROSTIM H44XL51MM	$25,300	$8,855	—	—	1
SUP-125728	DEFIBRILLATOR CARD 2 CHMBR DF4	$25,000	$8,750	—	—	1
PX-320C976401	HC Revasc Intravasc Lithotripsy	$24,646	$8,626	—	—	13
PX-320C977201	HC Revasc Lithotrip Tibi/Perone	$24,646	$8,626	—	—	13
RX-108955	IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION	$24,630	$8,620	—	—	16
SUP-130708	SYSTEM THROMCTMY CATH 100CM	$24,125	$8,444	—	—	1

Showing top 50 of 9,684 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.