45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
192,729
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
Rx00310453530
$224,844
TREMELIMUMAB-ACTL SOLN FOR IV INFUSION 300 MG/15ML
Gross
$288,261
Rx00003232822
$196,766
IPILIMUMAB SOLN FOR IV INFUSION 200 MG/40ML (5 MG/ML)
Gross
$252,265
Rx24338005008
$180,128
CARMUSTINE IN POLIFEPROSAN INTRACRANIAL IMPLANT WAFER 7.7 MG
Gross
$230,933
Sx000106524US
$139,734
IMP KIT LVAD HEARTMATE3
Gross
$179,146
Rx69488001061
$132,600
LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN IV SOLN 1000 MBQ/ML
Gross
$170,000
Rx72694051501
$132,036
CALASPARGASE PEGOL-MKNL IV SOLN 3750 UNIT/5ML (750 UNIT/ML)
Gross
$169,277
Rx00008010001
$129,928
INOTUZUMAB OZOGAMICIN FOR IV SOLN 0.9 MG
Gross
$166,575
Sx00000106015
$113,295
KIT FULL HRTMTE II VAD
Gross
$145,250
Sx000005500US
$105,082
SET HVAD IMP STRL
Gross
$134,721
Sx00000107801
$102,937
KIT PARTIAL HRTMTE II VAD
Gross
$131,970
Rx50242010501
$101,110
POLATUZUMAB VEDOTIN-PIIQ FOR IV SOLUTION 140 MG
Gross
$129,628
Rx00944381001
$101,056
PEGASPARGASE INJ 750 UNIT/ML
Gross
$129,559
Rx67979000201
$83,984
HISTRELIN ACETATE (CPP) IMPLANT KIT 50 MG
Gross
$107,672
Rx00024582411
$79,177
CABAZITAXEL INJ 60 MG/1.5ML (FOR IV INFUSION)
Gross
$101,509
Px00033310034
$73,930
HC SRS CRANIAL LINEAR ACCEL 1 SESSION
Gross
$94,782
Px00036110258
$69,549
HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR
Gross
$89,166
Px00036111228
$69,403
HC INS/REP SUBQ DEFIBRILLATOR INCLUDING EVAL WHEN PERFORMED
Gross
$88,978
Px00048100070
$66,887
HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD CDM
Gross
$85,752
Rx00173089803
$65,357
DOSTARLIMAB-GXLY IV SOLN 500 MG/10ML (50 MG/ML)
Gross
$83,791
Rx50242091701
$62,962
ATEZOLIZUMAB IV SOLN 1200 MG/20ML
Gross
$80,720
Rx61755000801
$61,578
CEMIPLIMAB-RWLC IV SOLN 350 MG/7ML (50 MG/ML)
Gross
$78,946
Rx75987008010
$59,649
PEGLOTICASE INJ 8 MG/ML (FOR IV INFUSION)
Gross
$76,473
Sx000AR-8943I
$58,266
SET IMP ANK FX SYS
Gross
$74,700
Rx57894050301
$57,147
DARATUMUMAB-HYALURONIDASE-FIHJ INJ 1800-30000 MG-UNIT/15ML
Gross
$73,265
Px00036111225
$55,850
HC PERQ VERTEBRAL AUGMENTATION USING DEVICE THORACIC
Gross
$71,603
Px00036111226
$55,850
HC PERQ VERTEBRAL AUGMENTATION USING DEVICE LUMBAR
Gross
$71,603
Rx00008451001
$55,390
GEMTUZUMAB OZOGAMICIN FOR IV SOLN 4.5 MG
Gross
$71,013
Rx00000001485
$55,066
CABAZITAXEL INJ 10 MG/ML
Gross
$70,597
Px00036110478
$54,170
HC SEC ART M-THROMBECT ADD-ON
Gross
$69,449
Sx00001000100
$53,087
KIT VENTRICULAR ASSIST DEVICE PUMP IMPELLA 5.5 SMARTASSIST 1000100
Gross
$68,060
Rx57894006103
$52,104
USTEKINUMAB SOLN PREFILLED SYRINGE 90 MG/ML
Gross
$66,801
Px00048110002
$51,870
HC TMVI PERCUTANEOUS APPROACH
Gross
$66,500
Px00048110035
$51,239
HC INSERT COR STENT TRLUML TOT OCCLUS REVASC MI ONE VSL
Gross
$65,691
Px00036110006
$49,893
HC ABLATE PULM TUMOR PERQ CRYBL
Gross
$63,966
Rx00003232711
$49,192
IPILIMUMAB SOLN FOR IV INFUSION 50 MG/10ML (5 MG/ML)
Gross
$63,066
Sx00000001000
$48,834
GENRTR VIPG VNS SENTIVA
Gross
$62,608
Sx0000001000D
$48,834
GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D
Gross
$62,608
Px00048100045
$48,690
HC PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL CDM
Gross
$62,423
Sx00000CHG026
$48,672
OFF CONTRACT - IMP TMJ CUSTOM MANDIBULAR TOTAL
Gross
$62,400
Rx51144005001
$48,498
BRENTUXIMAB VEDOTIN FOR IV SOLN 50 MG
Gross
$62,177
Px00048110031
$48,301
HC INSERT COR STENT PERC TRLUML ATH/ANGIO ONE ART/BRNCH
Gross
$61,924
Px00048110036
$48,301
HC INSERT COR STENT TRLUML CHRONIC OCCLUS REVASC ONE VSL
Gross
$61,924
Sx00000000104
$48,189
DISC - IMP IPG VNS MODEL-104
Gross
$61,780
Rx50242007001
$46,790
OBINUTUZUMAB SOLN FOR IV INFUSION 1000 MG/40ML (25 MG/ML)
Gross
$59,988
Sx000TCG40100
$46,613
KIT TRICLIP G4 SYSTEM TCG40100
Gross
$59,760
Sx000TCG50100
$46,613
KIT TRICLIP G5 SYSTEM TCG50100
Gross
$59,760
Rx38779196806
$46,570
SUFENTANIL CITRATE POWDER
Gross
$59,705
Sx000PSMT3040
$46,023
MATRIX WND CARE 30X40CM MATRIS
Gross
$59,003
Sx0002540002P
$45,694
ALGRFT STRTCE PERF 25X40
Gross
$58,583
Sx002540002ET
$45,694
ALGRFT STRTCE XTHK 25X40
Gross
$58,583
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Rx00310453530 | TREMELIMUMAB-ACTL SOLN FOR IV INFUSION 300 MG/15ML | $288,261 | $224,844 | — | — | 0 |
| Rx00003232822 | IPILIMUMAB SOLN FOR IV INFUSION 200 MG/40ML (5 MG/ML) | $252,265 | $196,766 | — | — | 0 |
| Rx24338005008 | CARMUSTINE IN POLIFEPROSAN INTRACRANIAL IMPLANT WAFER 7.7 MG | $230,933 | $180,128 | — | — | 0 |
| Sx000106524US | IMP KIT LVAD HEARTMATE3 | $179,146 | $139,734 | — | — | 0 |
| Rx69488001061 | LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN IV SOLN 1000 MBQ/ML | $170,000 | $132,600 | — | — | 0 |
| Rx72694051501 | CALASPARGASE PEGOL-MKNL IV SOLN 3750 UNIT/5ML (750 UNIT/ML) | $169,277 | $132,036 | — | — | 0 |
| Rx00008010001 | INOTUZUMAB OZOGAMICIN FOR IV SOLN 0.9 MG | $166,575 | $129,928 | — | — | 0 |
| Sx00000106015 | KIT FULL HRTMTE II VAD | $145,250 | $113,295 | — | — | 0 |
| Sx000005500US | SET HVAD IMP STRL | $134,721 | $105,082 | — | — | 0 |
| Sx00000107801 | KIT PARTIAL HRTMTE II VAD | $131,970 | $102,937 | — | — | 0 |
| Rx50242010501 | POLATUZUMAB VEDOTIN-PIIQ FOR IV SOLUTION 140 MG | $129,628 | $101,110 | — | — | 0 |
| Rx00944381001 | PEGASPARGASE INJ 750 UNIT/ML | $129,559 | $101,056 | — | — | 0 |
| Rx67979000201 | HISTRELIN ACETATE (CPP) IMPLANT KIT 50 MG | $107,672 | $83,984 | — | — | 0 |
| Rx00024582411 | CABAZITAXEL INJ 60 MG/1.5ML (FOR IV INFUSION) | $101,509 | $79,177 | — | — | 0 |
| Px00033310034 | HC SRS CRANIAL LINEAR ACCEL 1 SESSION | $94,782 | $73,930 | — | — | 0 |
| Px00036110258 | HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR | $89,166 | $69,549 | — | — | 0 |
| Px00036111228 | HC INS/REP SUBQ DEFIBRILLATOR INCLUDING EVAL WHEN PERFORMED | $88,978 | $69,403 | — | — | 0 |
| Px00048100070 | HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD CDM | $85,752 | $66,887 | — | — | 0 |
| Rx00173089803 | DOSTARLIMAB-GXLY IV SOLN 500 MG/10ML (50 MG/ML) | $83,791 | $65,357 | — | — | 0 |
| Rx50242091701 | ATEZOLIZUMAB IV SOLN 1200 MG/20ML | $80,720 | $62,962 | — | — | 0 |
| Rx61755000801 | CEMIPLIMAB-RWLC IV SOLN 350 MG/7ML (50 MG/ML) | $78,946 | $61,578 | — | — | 0 |
| Rx75987008010 | PEGLOTICASE INJ 8 MG/ML (FOR IV INFUSION) | $76,473 | $59,649 | — | — | 0 |
| Sx000AR-8943I | SET IMP ANK FX SYS | $74,700 | $58,266 | — | — | 0 |
| Rx57894050301 | DARATUMUMAB-HYALURONIDASE-FIHJ INJ 1800-30000 MG-UNIT/15ML | $73,265 | $57,147 | — | — | 0 |
| Px00036111225 | HC PERQ VERTEBRAL AUGMENTATION USING DEVICE THORACIC | $71,603 | $55,850 | — | — | 0 |
| Px00036111226 | HC PERQ VERTEBRAL AUGMENTATION USING DEVICE LUMBAR | $71,603 | $55,850 | — | — | 0 |
| Rx00008451001 | GEMTUZUMAB OZOGAMICIN FOR IV SOLN 4.5 MG | $71,013 | $55,390 | — | — | 0 |
| Rx00000001485 | CABAZITAXEL INJ 10 MG/ML | $70,597 | $55,066 | — | — | 0 |
| Px00036110478 | HC SEC ART M-THROMBECT ADD-ON | $69,449 | $54,170 | — | — | 0 |
| Sx00001000100 | KIT VENTRICULAR ASSIST DEVICE PUMP IMPELLA 5.5 SMARTASSIST 1000100 | $68,060 | $53,087 | — | — | 0 |
| Rx57894006103 | USTEKINUMAB SOLN PREFILLED SYRINGE 90 MG/ML | $66,801 | $52,104 | — | — | 0 |
| Px00048110002 | HC TMVI PERCUTANEOUS APPROACH | $66,500 | $51,870 | — | — | 0 |
| Px00048110035 | HC INSERT COR STENT TRLUML TOT OCCLUS REVASC MI ONE VSL | $65,691 | $51,239 | — | — | 0 |
| Px00036110006 | HC ABLATE PULM TUMOR PERQ CRYBL | $63,966 | $49,893 | — | — | 0 |
| Rx00003232711 | IPILIMUMAB SOLN FOR IV INFUSION 50 MG/10ML (5 MG/ML) | $63,066 | $49,192 | — | — | 0 |
| Sx00000001000 | GENRTR VIPG VNS SENTIVA | $62,608 | $48,834 | — | — | 0 |
| Sx0000001000D | GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D | $62,608 | $48,834 | — | — | 0 |
| Px00048100045 | HC PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL CDM | $62,423 | $48,690 | — | — | 0 |
| Sx00000CHG026 | OFF CONTRACT - IMP TMJ CUSTOM MANDIBULAR TOTAL | $62,400 | $48,672 | — | — | 0 |
| Rx51144005001 | BRENTUXIMAB VEDOTIN FOR IV SOLN 50 MG | $62,177 | $48,498 | — | — | 0 |
| Px00048110031 | HC INSERT COR STENT PERC TRLUML ATH/ANGIO ONE ART/BRNCH | $61,924 | $48,301 | — | — | 0 |
| Px00048110036 | HC INSERT COR STENT TRLUML CHRONIC OCCLUS REVASC ONE VSL | $61,924 | $48,301 | — | — | 0 |
| Sx00000000104 | DISC - IMP IPG VNS MODEL-104 | $61,780 | $48,189 | — | — | 0 |
| Rx50242007001 | OBINUTUZUMAB SOLN FOR IV INFUSION 1000 MG/40ML (25 MG/ML) | $59,988 | $46,790 | — | — | 0 |
| Sx000TCG40100 | KIT TRICLIP G4 SYSTEM TCG40100 | $59,760 | $46,613 | — | — | 0 |
| Sx000TCG50100 | KIT TRICLIP G5 SYSTEM TCG50100 | $59,760 | $46,613 | — | — | 0 |
| Rx38779196806 | SUFENTANIL CITRATE POWDER | $59,705 | $46,570 | — | — | 0 |
| Sx000PSMT3040 | MATRIX WND CARE 30X40CM MATRIS | $59,003 | $46,023 | — | — | 0 |
| Sx0002540002P | ALGRFT STRTCE PERF 25X40 | $58,583 | $45,694 | — | — | 0 |
| Sx002540002ET | ALGRFT STRTCE XTHK 25X40 | $58,583 | $45,694 | — | — | 0 |
Showing top 50 of 192,729 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.