SANFORD CHAMBERLAIN MEDICAL CENTER

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

1,760

Insurances with rates

CPT / HCPCS codes

1,736

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2350	Ocrelizumab Soln For IV Infusion 300 MG/10ML	$41,130	$32,904	—	—	28
J2329	Ublituximab-xiiy Soln For IV Infusion 150 MG/6ML	$20,909	$16,727	—	—	28
J2327	Risankizumab-rzaa IV Soln 600 MG/10ML (60 MG/ML)	$19,583	$15,667	—	—	28
J2323	Natalizumab for IV Inj Conc 300 MG/15ML	$15,003	$12,002	—	—	28
0360	ABD HYSTERECTOMY	$14,973	$11,978	—	—	28
J2356	Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 MG/1.91ML	$13,953	$11,162	—	—	28
J3101	Tenecteplase For IV Soln Kit 50 MG	$13,766	$11,013	—	—	84
J3380	Vedolizumab For IV Solution 300 MG	$13,013	$10,410	—	—	28
J9022	Atezolizumab IV Soln 1200 MG/20ML	$12,272	$9,818	—	—	28
J9223	Lurbinectedin For IV Soln 4 MG	$10,522	$8,417	—	—	28
J2506	Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML	$9,917	$7,933	—	—	28
J0517	Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML	$9,913	$7,930	—	—	28
J9228	Ipilimumab Soln for IV Infusion 50 MG/10ML (5 MG/ML)	$9,746	$7,797	—	—	28
C1732	CATH NAVISTAR EP DS J 7FRNLU	$8,691	$6,953	—	—	27
36561	SURG 36561 INS TUN CVA WPORT	$8,344	$6,675	—	—	28
Q5127	Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML	$8,270	$6,616	—	—	28
J9306	Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML)	$8,147	$6,518	—	—	28
J2353	Octreotide Acetate For IM Inj Kit 20 MG	$7,714	$6,171	—	—	28
J0717	Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML	$7,530	$6,024	—	—	28
J9271	Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML)	$7,456	$5,965	—	—	56
25606	ED 25606 PERC SKEL FIXN DISTAL FX	$7,400	$5,920	—	—	27
26350	ED 26350 RPR FLEX TEND DIG PRIM	$7,047	$5,638	—	—	27
Q5111	Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML	$6,899	$5,519	—	—	28
49421	SURG 49421 PERITONEAL CATH INS PERM	$6,717	$5,374	—	—	28
J1306	Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML	$6,575	$5,260	—	—	28
J2426	Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML	$6,515	$5,212	—	—	28
37765	SURG 37765 STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS	$6,499	$5,199	—	—	27
74178	CT ABD PELVIS WO THEN W CONT	$6,243	$4,994	—	—	27
J9177	Enfortumab Vedotin-ejfv For IV Soln 30 MG	$6,046	$4,837	—	—	28
74177	CT ABD PELVIS W CONTRAST	$5,850	$4,680	—	—	27
J1162	Digoxin Immune Fab For Inj 40 MG	$5,548	$4,439	—	—	28
78452	NM MYOCARDIAL SPECT MULT STDY	$5,403	$4,322	—	—	28
L0464	L0464 TLSO SPNL BRC TRIPL	$5,280	$4,224	—	—	27
95811	SLEEP STUDY SPLT NGHT 95811	$5,275	$4,220	—	—	28
70543	MRI FACE NECK ORB WO THEN W CONT	$5,269	$4,215	—	—	28
72156	MRI C SPINE WO THEN W CONT	$5,231	$4,185	—	—	28
72157	MRI T SPINE WO THEN W CONT	$5,207	$4,166	—	—	28
72158	MRI L SPINE WO THEN W CONT	$5,199	$4,159	—	—	28
95810	PSG 4+ PARAMETERS	$5,177	$4,142	—	—	28
74176	CT ABD PELVIS WO CONTRAST	$5,134	$4,107	—	—	27
C1771	SLING GYN OBTRYX CURV	$5,115	$4,092	—	—	27
73223	MRI UPPER EXT JT WO THEN W CONT	$5,088	$4,070	—	—	28
J2182	Mepolizumab For Inj 100 MG	$5,017	$4,013	—	—	28
71552	MRI CHEST WO THEN W CONT	$4,997	$3,998	—	—	28
72197	MRI PELVIS WO THEN W CONT	$4,980	$3,984	—	—	28
J9305	Pemetrexed Disodium For IV Soln 500 MG (Base Equiv)	$4,909	$3,927	—	—	56
0750	COLON POLYP BX	$4,908	$3,926	—	—	28
72196	MRI PELVIS W CONTRAST	$4,901	$3,921	—	—	28
70553	MRI BRAIN WO THEN W CONT	$4,825	$3,860	—	—	28
74183	MRI ABDOMEN WO THEN W CONT	$4,786	$3,829	—	—	28

Showing top 50 of 1,760 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.