45 CFR § 180 compliance
A · 100
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
18,843
Insurances with rates
13
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
Rx69488001061
$99,849
Lutetium Lu 177 Vipivotide Tetraxetan Iv Soln 1000 Mbq/ml
Gross
$124,811
Rx50419020801
$61,415
Radium Ra 223 Dichloride Inj 30 Microcurie/ml (1100 Kbq/ml)
Gross
$76,769
CP17522518123914351
$34,424
Major joint replacement or reattachment of lower extremity without MCC
Gross
$43,030
812874
$23,808
Pacemaker Quadra Assura Mp
Gross
$29,760
852456
$23,808
Pacemaker Unify Assura Pr
Gross
$29,760
1137657
$23,808
Icd Unify Assura
Gross
$29,760
354247
$23,040
Crt D Itrevia Hf-t-df-1
Gross
$28,800
Rx00169720501
$22,972
Coagulation Factor Viia (Recomb) For Inj 5 Mg (5000 Mcg)
Gross
$28,715
812871
$21,206
Pacemaker Fortify Assura Vr
Gross
$26,507
1051346
$20,800
Icd Gallant Dual-chamber
Gross
$26,000
CP17522518123919785
$20,574
Uterine and adnexa procedures for non-malignancy without CC or MCC
Gross
$25,717
Rx15054112004
$19,526
Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml
Gross
$24,408
1096039
$19,520
Implant Defib Gallant Sin Ch
Gross
$24,400
Rx50474098079
$18,482
Rozanolixizumab-noli Subcutaneous Soln 280 Mg/2ml
Gross
$23,103
812872
$18,273
Pacemaker Fortify Assura Dr
Gross
$22,841
Rx64764030020
$17,751
Vedolizumab For Iv Solution 300 Mg
Gross
$22,189
Rx00074501501
$17,094
Risankizumab-rzaa Iv Soln 600 Mg/10ml (60 Mg/ml)
Gross
$21,368
876028
$17,082
Icd Ellipse Vr U Pr
Gross
$21,353
Rx64406000801
$17,006
Natalizumab For Iv Inj Conc 300 Mg/15ml
Gross
$21,257
871384
$16,960
Pacemaker Micra Transcath Av
Gross
$21,200
Rx50242008527
$16,749
Alteplase For Inj 100 Mg
Gross
$20,936
885571
$16,446
Stimulator Neuro
Gross
$20,557
Rx50242012047
$15,144
Tenecteplase For Iv Soln Kit 50 Mg
Gross
$18,930
Rx50242003706
$14,412
Tenecteplase For Iv Soln Kit 50 Mg
Gross
$18,015
36110256
$14,400
Hc Insertion Subq Cardiac Rhythm Monitor W/prgrmg
Gross
$18,000
Rx49702024015
$14,092
Cabotegravir 600 Mg/3ml & Rilpivirine 900 Mg/3ml Im Susp Er
Gross
$17,615
Rx50242014501
$14,090
Pertuzumab Soln For Iv Infusion 420 Mg/14ml (30 Mg/ml)
Gross
$17,613
871383
$13,760
Pacemaker Micra Transcath Vr Ea1
Gross
$17,200
Rx00078082581
$13,520
Octreotide Acetate For Im Inj Kit 30 Mg
Gross
$16,900
1027341
$13,312
Pacemaker Aveir Leadless Vr
Gross
$16,640
104324
$13,171
Charge Stage 2 Interstim Ea1
Gross
$16,464
Rx00078080461
$12,778
Octreotide Acetate For Im Inj Kit 30 Mg
Gross
$15,972
1026191
$12,663
Const Fem Lgn Ox Rt Sz5
Gross
$15,829
Rx69097087067
$12,465
Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml
Gross
$15,581
CP17522518123919029
$12,442
Removal of gallbladder using an endoscope
Gross
$15,552
36111014
$12,000
Hc Perc Cryo Ablation Renal Tumor
Gross
$15,000
36111233
$12,000
Hc Perq Abltj Lvr Cryoablation
Gross
$15,000
Rx00944304710
$11,672
Antihemophilic Factor Recomb (Rahf-pfm) For Inj 4000 Unit
Gross
$14,590
Rx55513022201
$11,620
Romiplostim For Inj 500 Mcg
Gross
$14,525
457765
$11,597
Nerve Graft Proc 3-4mmx70mm
Gross
$14,496
457766
$11,597
Nerve Graft Proc 4-5mmx70mm
Gross
$14,496
1171813
$11,397
Const Fem Lgn Ox Lt Sz6
Gross
$14,246
CP17522518123903362
$11,308
Shaving of shoulder bone using endoscope
Gross
$14,135
Rx00310173030
$11,306
Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml
Gross
$14,133
CP17522518123913910
$11,064
Repair of groin hernia patient age 5 years or older
Gross
$13,830
Rx00597019705
$11,060
Idarucizumab Iv Soln 2.5 Gm/50ml
Gross
$13,825
1200133
$10,880
Implant Hip/oxi Por R3 Xlpe Ln
Gross
$13,600
1053204
$10,858
Stem Redapt Mono Sz18 240mm
Gross
$13,572
Rx50242005306
$10,749
Rituximab Iv Soln 500 Mg/50ml
Gross
$13,436
457763
$10,579
Nerve Graft Proc 1-2mmx70mm
Gross
$13,224
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Rx69488001061 | Lutetium Lu 177 Vipivotide Tetraxetan Iv Soln 1000 Mbq/ml | $124,811 | $99,849 | $71,517 | $124,811 | 13 |
| Rx50419020801 | Radium Ra 223 Dichloride Inj 30 Microcurie/ml (1100 Kbq/ml) | $76,769 | $61,415 | $43,989 | $76,769 | 13 |
| CP17522518123914351 | Major joint replacement or reattachment of lower extremity without MCC | $43,030 | $34,424 | $6,672 | $43,030 | 23 |
| 812874 | Pacemaker Quadra Assura Mp | $29,760 | $23,808 | $16,636 | $29,760 | 13 |
| 852456 | Pacemaker Unify Assura Pr | $29,760 | $23,808 | $16,636 | $29,760 | 13 |
| 1137657 | Icd Unify Assura | $29,760 | $23,808 | $16,636 | $29,760 | 13 |
| 354247 | Crt D Itrevia Hf-t-df-1 | $28,800 | $23,040 | $16,099 | $28,800 | 13 |
| Rx00169720501 | Coagulation Factor Viia (Recomb) For Inj 5 Mg (5000 Mcg) | $28,715 | $22,972 | $16,052 | $28,715 | 13 |
| 812871 | Pacemaker Fortify Assura Vr | $26,507 | $21,206 | $14,817 | $26,507 | 13 |
| 1051346 | Icd Gallant Dual-chamber | $26,000 | $20,800 | $14,534 | $26,000 | 13 |
| CP17522518123919785 | Uterine and adnexa procedures for non-malignancy without CC or MCC | $25,717 | $20,574 | $6,672 | $25,717 | 23 |
| Rx15054112004 | Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml | $24,408 | $19,526 | $13,986 | $24,408 | 13 |
| 1096039 | Implant Defib Gallant Sin Ch | $24,400 | $19,520 | $13,640 | $24,400 | 13 |
| Rx50474098079 | Rozanolixizumab-noli Subcutaneous Soln 280 Mg/2ml | $23,103 | $18,482 | $13,238 | $23,103 | 13 |
| 812872 | Pacemaker Fortify Assura Dr | $22,841 | $18,273 | $12,768 | $22,841 | 13 |
| Rx64764030020 | Vedolizumab For Iv Solution 300 Mg | $22,189 | $17,751 | $12,714 | $22,189 | 13 |
| Rx00074501501 | Risankizumab-rzaa Iv Soln 600 Mg/10ml (60 Mg/ml) | $21,368 | $17,094 | $11,945 | $21,368 | 13 |
| 876028 | Icd Ellipse Vr U Pr | $21,353 | $17,082 | $11,936 | $21,353 | 13 |
| Rx64406000801 | Natalizumab For Iv Inj Conc 300 Mg/15ml | $21,257 | $17,006 | $12,180 | $21,257 | 13 |
| 871384 | Pacemaker Micra Transcath Av | $21,200 | $16,960 | $11,851 | $21,200 | 13 |
| Rx50242008527 | Alteplase For Inj 100 Mg | $20,936 | $16,749 | $11,996 | $20,936 | 13 |
| 885571 | Stimulator Neuro | $20,557 | $16,446 | $11,491 | $20,557 | 13 |
| Rx50242012047 | Tenecteplase For Iv Soln Kit 50 Mg | $18,930 | $15,144 | $10,847 | $18,930 | 13 |
| Rx50242003706 | Tenecteplase For Iv Soln Kit 50 Mg | $18,015 | $14,412 | $10,323 | $18,015 | 13 |
| 36110256 | Hc Insertion Subq Cardiac Rhythm Monitor W/prgrmg | $18,000 | $14,400 | $8,373 | $18,000 | 23 |
| Rx49702024015 | Cabotegravir 600 Mg/3ml & Rilpivirine 900 Mg/3ml Im Susp Er | $17,615 | $14,092 | $10,093 | $17,615 | 13 |
| Rx50242014501 | Pertuzumab Soln For Iv Infusion 420 Mg/14ml (30 Mg/ml) | $17,613 | $14,090 | $10,092 | $17,613 | 13 |
| 871383 | Pacemaker Micra Transcath Vr Ea1 | $17,200 | $13,760 | $9,615 | $17,200 | 13 |
| Rx00078082581 | Octreotide Acetate For Im Inj Kit 30 Mg | $16,900 | $13,520 | $9,447 | $16,900 | 13 |
| 1027341 | Pacemaker Aveir Leadless Vr | $16,640 | $13,312 | $9,302 | $16,640 | 13 |
| 104324 | Charge Stage 2 Interstim Ea1 | $16,464 | $13,171 | $9,203 | $16,464 | 13 |
| Rx00078080461 | Octreotide Acetate For Im Inj Kit 30 Mg | $15,972 | $12,778 | $8,928 | $15,972 | 13 |
| 1026191 | Const Fem Lgn Ox Rt Sz5 | $15,829 | $12,663 | $8,848 | $15,829 | 13 |
| Rx69097087067 | Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml | $15,581 | $12,465 | $8,928 | $15,581 | 13 |
| CP17522518123919029 | Removal of gallbladder using an endoscope | $15,552 | $12,442 | $3,480 | $15,552 | 23 |
| 36111014 | Hc Perc Cryo Ablation Renal Tumor | $15,000 | $12,000 | $6,996 | $15,000 | 23 |
| 36111233 | Hc Perq Abltj Lvr Cryoablation | $15,000 | $12,000 | $6,438 | $15,000 | 23 |
| Rx00944304710 | Antihemophilic Factor Recomb (Rahf-pfm) For Inj 4000 Unit | $14,590 | $11,672 | $8,156 | $14,590 | 13 |
| Rx55513022201 | Romiplostim For Inj 500 Mcg | $14,525 | $11,620 | $8,323 | $14,525 | 13 |
| 457765 | Nerve Graft Proc 3-4mmx70mm | $14,496 | $11,597 | $8,103 | $14,496 | 13 |
| 457766 | Nerve Graft Proc 4-5mmx70mm | $14,496 | $11,597 | $8,103 | $14,496 | 13 |
| 1171813 | Const Fem Lgn Ox Lt Sz6 | $14,246 | $11,397 | $7,964 | $14,246 | 13 |
| CP17522518123903362 | Shaving of shoulder bone using endoscope | $14,135 | $11,308 | $2,255 | $14,135 | 16 |
| Rx00310173030 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml | $14,133 | $11,306 | $7,900 | $14,133 | 13 |
| CP17522518123913910 | Repair of groin hernia patient age 5 years or older | $13,830 | $11,064 | $3,461 | $13,830 | 23 |
| Rx00597019705 | Idarucizumab Iv Soln 2.5 Gm/50ml | $13,825 | $11,060 | $7,728 | $13,825 | 13 |
| 1200133 | Implant Hip/oxi Por R3 Xlpe Ln | $13,600 | $10,880 | $7,602 | $13,600 | 13 |
| 1053204 | Stem Redapt Mono Sz18 240mm | $13,572 | $10,858 | $7,587 | $13,572 | 13 |
| Rx50242005306 | Rituximab Iv Soln 500 Mg/50ml | $13,436 | $10,749 | $7,699 | $13,436 | 13 |
| 457763 | Nerve Graft Proc 1-2mmx70mm | $13,224 | $10,579 | $7,392 | $13,224 | 13 |
Showing top 50 of 18,843 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.