45 CFR § 180 compliance
D · 65
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
13,059
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
428667746
$1,341,648
AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION (RESTRICTED) [177896]
Gross
$2,683,296
428670330
$665,846
INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION [186780]
Gross
$1,331,691
428671758
$412,478
NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION [174701]
Gross
$824,956
428673309
$235,100
TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [195049]
Gross
$470,200
428670331
$221,949
INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION [186780]
Gross
$443,897
428671017
$221,949
LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION [178865]
Gross
$443,897
428669949
$219,375
GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION [116024]
Gross
$438,751
428673312
$211,948
TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [195049]
Gross
$423,896
428673618
$205,691
YTTRIUM 90 IBRITUMOMAB (ZEVALIN) INTRAVENOUS INJECTION [41815]
Gross
$411,382
428671018
$202,098
LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN [192514]
Gross
$404,196
428672305
$124,265
PORFIMER 75 MG INTRAVENOUS SOLUTION (RESTRICTED) [14472]
Gross
$248,530
428672641
$111,981
RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS PEN INJECTOR [190211]
Gross
$223,961
428672642
$111,981
RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS SYRINGE [190212]
Gross
$223,961
428672643
$111,981
RISANKIZUMAB-RZAA 180 MG/1.2 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR [195523]
Gross
$223,961
428672644
$111,981
RISANKIZUMAB-RZAA 180 MG/1.2 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR [195523]
Gross
$223,961
428672645
$111,981
RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR [193426]
Gross
$223,961
428672646
$111,981
RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR [193426]
Gross
$223,961
428673100
$107,946
TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION [192045]
Gross
$215,891
27800361_C1822_278
$105,238
Noncdm Charge Record Medical Supplies
Gross
$210,475
27800186_L8687_278
$94,710
Noncdm Charge Record Medical Supplies
Gross
$189,420
428667321
$91,262
AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775]
Gross
$182,524
428667323
$91,262
AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775]
Gross
$182,524
428667325
$91,262
AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775]
Gross
$182,524
428669248
$89,964
EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION (RESTRICTED) [182082]
Gross
$179,928
27800223
$87,598
Hc Cannula Protekduo #117832
Gross
$175,195
27800403
$87,598
Hc Protek Lifesprarc #130259
Gross
$175,195
27800157_C2624_278
$86,014
Noncdm Charge Record Medical Supplies
Gross
$172,028
27800060_C1882_278
$81,974
Noncdm Charge Record Medical Supplies
Gross
$163,948
428671733
$78,978
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [192503]
Gross
$157,956
27800053_C1820_278
$74,623
Noncdm Charge Record Medical Supplies
Gross
$149,245
428670318
$71,298
INDIUM IN-111 PENTETREOTIDE 3 MCI/ML INTRAVENOUS [13545]
Gross
$142,596
428672091
$70,955
PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [187034]
Gross
$141,909
428667622
$70,920
ANDEXANET ALFA 200 MG INTRAVENOUS SOLUTION (RESTRICTED) [182120]
Gross
$141,840
428667626
$70,920
ANDEXANET ALFA 200 MG INTRAVENOUS SOLUTION (RESTRICTED) [182120]
Gross
$141,840
27800029_C1722_278
$69,839
Noncdm Charge Record Medical Supplies
Gross
$139,677
27800036_C1767_278
$67,284
Noncdm Charge Record Medical Supplies
Gross
$134,567
428669180
$61,609
DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [189954]
Gross
$123,217
428669181
$61,609
DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [189954]
Gross
$123,217
27800287
$61,555
Hc Angiovac Full Unit Kit Gen Ii # 106792
Gross
$123,110
33300061
$60,700
Hc Radiation Delivery Stereotactic Cranial Cobalt
Gross
$121,400
428667624
$59,100
ANDEXANET ALFA 200 MG INTRAVENOUS SOLUTION (RESTRICTED) [182120]
Gross
$118,200
428667628
$59,100
ANDEXANET ALFA 200 MG INTRAVENOUS SOLUTION (RESTRICTED) [182120]
Gross
$118,200
27800106
$56,826
Hc Device Assist Cardiohelp Hls # 105701
Gross
$113,652
36101232
$56,694
Hc Insrt/Rplcmt Spine Generator Or Receiver
Gross
$113,388
27800107
$55,661
Hc Device Assist Centrimag Blood#50590
Gross
$111,321
27800051_C1817_278
$55,050
Noncdm Charge Record Medical Supplies
Gross
$110,100
428668417
$54,867
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [181214]
Gross
$109,734
27800095
$54,798
Hc Y-90 Sir Spheres Isotope
Gross
$109,595
428672647
$53,918
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [193424]
Gross
$107,836
428672649
$53,918
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [193424]
Gross
$107,836
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 428667746 | AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION (RESTRICTED) [177896] | $2,683,296 | $1,341,648 | — | — | 0 |
| 428670330 | INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION [186780] | $1,331,691 | $665,846 | — | — | 0 |
| 428671758 | NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION [174701] | $824,956 | $412,478 | — | — | 0 |
| 428673309 | TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [195049] | $470,200 | $235,100 | — | — | 0 |
| 428670331 | INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION [186780] | $443,897 | $221,949 | — | — | 0 |
| 428671017 | LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION [178865] | $443,897 | $221,949 | — | — | 0 |
| 428669949 | GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION [116024] | $438,751 | $219,375 | — | — | 0 |
| 428673312 | TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [195049] | $423,896 | $211,948 | — | — | 0 |
| 428673618 | YTTRIUM 90 IBRITUMOMAB (ZEVALIN) INTRAVENOUS INJECTION [41815] | $411,382 | $205,691 | — | — | 0 |
| 428671018 | LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN [192514] | $404,196 | $202,098 | — | — | 0 |
| 428672305 | PORFIMER 75 MG INTRAVENOUS SOLUTION (RESTRICTED) [14472] | $248,530 | $124,265 | — | — | 0 |
| 428672641 | RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS PEN INJECTOR [190211] | $223,961 | $111,981 | — | — | 0 |
| 428672642 | RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS SYRINGE [190212] | $223,961 | $111,981 | — | — | 0 |
| 428672643 | RISANKIZUMAB-RZAA 180 MG/1.2 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR [195523] | $223,961 | $111,981 | — | — | 0 |
| 428672644 | RISANKIZUMAB-RZAA 180 MG/1.2 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR [195523] | $223,961 | $111,981 | — | — | 0 |
| 428672645 | RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR [193426] | $223,961 | $111,981 | — | — | 0 |
| 428672646 | RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR [193426] | $223,961 | $111,981 | — | — | 0 |
| 428673100 | TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION [192045] | $215,891 | $107,946 | — | — | 0 |
| 27800361_C1822_278 | Noncdm Charge Record Medical Supplies | $210,475 | $105,238 | — | — | 0 |
| 27800186_L8687_278 | Noncdm Charge Record Medical Supplies | $189,420 | $94,710 | — | — | 0 |
| 428667321 | AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775] | $182,524 | $91,262 | — | — | 0 |
| 428667323 | AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775] | $182,524 | $91,262 | — | — | 0 |
| 428667325 | AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION [35775] | $182,524 | $91,262 | — | — | 0 |
| 428669248 | EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION (RESTRICTED) [182082] | $179,928 | $89,964 | — | — | 0 |
| 27800223 | Hc Cannula Protekduo #117832 | $175,195 | $87,598 | — | — | 0 |
| 27800403 | Hc Protek Lifesprarc #130259 | $175,195 | $87,598 | — | — | 0 |
| 27800157_C2624_278 | Noncdm Charge Record Medical Supplies | $172,028 | $86,014 | — | — | 0 |
| 27800060_C1882_278 | Noncdm Charge Record Medical Supplies | $163,948 | $81,974 | — | — | 0 |
| 428671733 | NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [192503] | $157,956 | $78,978 | — | — | 0 |
| 27800053_C1820_278 | Noncdm Charge Record Medical Supplies | $149,245 | $74,623 | — | — | 0 |
| 428670318 | INDIUM IN-111 PENTETREOTIDE 3 MCI/ML INTRAVENOUS [13545] | $142,596 | $71,298 | — | — | 0 |
| 428672091 | PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [187034] | $141,909 | $70,955 | — | — | 0 |
| 428667622 | ANDEXANET ALFA 200 MG INTRAVENOUS SOLUTION (RESTRICTED) [182120] | $141,840 | $70,920 | — | — | 0 |
| 428667626 | ANDEXANET ALFA 200 MG INTRAVENOUS SOLUTION (RESTRICTED) [182120] | $141,840 | $70,920 | — | — | 0 |
| 27800029_C1722_278 | Noncdm Charge Record Medical Supplies | $139,677 | $69,839 | — | — | 0 |
| 27800036_C1767_278 | Noncdm Charge Record Medical Supplies | $134,567 | $67,284 | — | — | 0 |
| 428669180 | DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [189954] | $123,217 | $61,609 | — | — | 0 |
| 428669181 | DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [189954] | $123,217 | $61,609 | — | — | 0 |
| 27800287 | Hc Angiovac Full Unit Kit Gen Ii # 106792 | $123,110 | $61,555 | — | — | 0 |
| 33300061 | Hc Radiation Delivery Stereotactic Cranial Cobalt | $121,400 | $60,700 | — | — | 0 |
| 428667624 | ANDEXANET ALFA 200 MG INTRAVENOUS SOLUTION (RESTRICTED) [182120] | $118,200 | $59,100 | — | — | 0 |
| 428667628 | ANDEXANET ALFA 200 MG INTRAVENOUS SOLUTION (RESTRICTED) [182120] | $118,200 | $59,100 | — | — | 0 |
| 27800106 | Hc Device Assist Cardiohelp Hls # 105701 | $113,652 | $56,826 | — | — | 0 |
| 36101232 | Hc Insrt/Rplcmt Spine Generator Or Receiver | $113,388 | $56,694 | — | — | 0 |
| 27800107 | Hc Device Assist Centrimag Blood#50590 | $111,321 | $55,661 | — | — | 0 |
| 27800051_C1817_278 | Noncdm Charge Record Medical Supplies | $110,100 | $55,050 | — | — | 0 |
| 428668417 | CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [181214] | $109,734 | $54,867 | — | — | 0 |
| 27800095 | Hc Y-90 Sir Spheres Isotope | $109,595 | $54,798 | — | — | 0 |
| 428672647 | RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [193424] | $107,836 | $53,918 | — | — | 0 |
| 428672649 | RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [193424] | $107,836 | $53,918 | — | — | 0 |
Showing top 50 of 13,059 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.