45 CFR § 180 compliance
B · 85
This hospital published most 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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
5,138
Insurances with rates
32
CPT / HCPCS codes
3,261
Most expensive procedures (gross)
25682-0025-01
$96,060
Ultomiris
Gross
$192,120
J9029
$80,745
INSTILL ADSTILADRIN, TX DOSE
Gross
$161,490
J9226
$75,272
SUPPRELIN LA IMPLANT
Gross
$150,543
50242-0150-01
$72,243
Ocrevus
Gross
$144,487
51144-0050-01
$58,072
Adcetris
Gross
$116,144
00003-7125-11
$51,881
Opdualag
Gross
$103,762
00006-3026-02
$46,257
Keytruda
Gross
$92,513
C9606
$42,903
PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF ACUTE TOTAL/SUBTOTAL OCCLUSION DURING ACUTE MYOCARDIA
Gross
$85,806
92930
$41,050
PRQ TCAT PLMT NTRAC ST 2+LES
Gross
$82,100
C9607
$39,757
PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION; CORONARY ARTERY; CORONARY AR
Gross
$79,514
73475-3041-05
$36,833
Vyvgart
Gross
$73,666
50242-0105-01
$36,139
Polivy
Gross
$72,277
00003-6120-01
$31,772
Opdivo Qvantig
Gross
$63,545
73475-3102-03
$31,546
Vyvgart Hytrulo
Gross
$63,092
50242-0103-01
$30,976
Polivy
Gross
$61,952
50881-0006-03
$29,486
Zynyz
Gross
$58,972
57894-0650-02
$27,746
Tremfya
Gross
$55,491
00069-4494-02
$27,119
Elrexfio
Gross
$54,239
00069-4494-01
$27,119
Elrexfio
Gross
$54,239
50633-0120-11
$26,365
DigiFab
Gross
$52,730
55135-0132-01
$25,132
Trodelvy
Gross
$50,265
C9600
$25,036
PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S); WITH CORONARY ANGIOPLAS
Gross
$50,072
C9604
$25,036
PERC D-E COR REVASC T CABG S
Gross
$50,072
92928
$25,036
INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH; SINGLE ARTERY OR BRANCH
Gross
$50,072
00310-4611-50
$24,767
Imfinzi
Gross
$49,535
65597-0406-01
$24,692
Enhertu
Gross
$49,384
57894-0505-20
$23,413
Darzalex
Gross
$46,826
50242-0917-01
$23,179
Tecentriq
Gross
$46,357
00006-3026-04
$23,128
Keytruda
Gross
$46,257
00006-3026-01
$23,128
Keytruda
Gross
$46,257
00173-0898-03
$23,126
Jemperli
Gross
$46,252
C9608
$23,046
PERC D-E COR REVASC CHRO ADD
Gross
$46,091
55866
$22,756
SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE
Gross
$45,513
61755-0008-01
$22,669
Libtayo
Gross
$45,339
59572-0775-01
$22,139
Reblozyl
Gross
$44,278
23472
$21,566
PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER
Gross
$43,132
73150-0150-06
$20,945
Briumvi
Gross
$41,890
92937
$20,571
PRQ TRLUML REVSC CAB GRF 1
Gross
$41,142
57894-0503-01
$19,945
Darzalex Faspro
Gross
$39,890
49595
$19,913
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$39,826
00003-2327-11
$19,843
Yervoy
Gross
$39,686
00074-5015-01
$19,531
Skyrizi 600MG/10ML
Gross
$39,062
92943
$19,439
PRQ TRLUML REVSC CH OCC ANT
Gross
$38,877
92941
$19,155
PRQ TRLML REVSC TOT OCCL AMI
Gross
$38,310
15054-1120-04
$19,124
Somatuline Depot
Gross
$38,248
00024-5824-11
$18,461
Jevtana
Gross
$36,921
63833-0396-01
$18,371
PROTHROMBIN COMPLEX CONCENTRATE (HUMAN); KCENTRA; PER I.U. OF FACTOR IX ACTIVITY
Gross
$36,741
58573
$18,018
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; MORE THAN 250.0 G
Gross
$36,035
42420
$17,884
REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND WITH RELEASE OF FACIAL NERVE
Gross
$35,768
50633-0110-12
$17,628
Crofab
Gross
$35,256
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25682-0025-01 | Ultomiris | $192,120 | $96,060 | — | — | 13 |
| J9029 | INSTILL ADSTILADRIN, TX DOSE | $161,490 | $80,745 | — | — | 14 |
| J9226 | SUPPRELIN LA IMPLANT | $150,543 | $75,272 | — | — | 14 |
| 50242-0150-01 | Ocrevus | $144,487 | $72,243 | — | — | 14 |
| 51144-0050-01 | Adcetris | $116,144 | $58,072 | — | — | 14 |
| 00003-7125-11 | Opdualag | $103,762 | $51,881 | — | — | 13 |
| 00006-3026-02 | Keytruda | $92,513 | $46,257 | — | — | 14 |
| C9606 | PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF ACUTE TOTAL/SUBTOTAL OCCLUSION DURING ACUTE MYOCARDIA | $85,806 | $42,903 | — | — | 13 |
| 92930 | PRQ TCAT PLMT NTRAC ST 2+LES | $82,100 | $41,050 | — | — | 13 |
| C9607 | PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION; CORONARY ARTERY; CORONARY AR | $79,514 | $39,757 | — | — | 13 |
| 73475-3041-05 | Vyvgart | $73,666 | $36,833 | — | — | 14 |
| 50242-0105-01 | Polivy | $72,277 | $36,139 | — | — | 13 |
| 00003-6120-01 | Opdivo Qvantig | $63,545 | $31,772 | — | — | 13 |
| 73475-3102-03 | Vyvgart Hytrulo | $63,092 | $31,546 | — | — | 13 |
| 50242-0103-01 | Polivy | $61,952 | $30,976 | — | — | 13 |
| 50881-0006-03 | Zynyz | $58,972 | $29,486 | — | — | 13 |
| 57894-0650-02 | Tremfya | $55,491 | $27,746 | — | — | 14 |
| 00069-4494-02 | Elrexfio | $54,239 | $27,119 | — | — | 13 |
| 00069-4494-01 | Elrexfio | $54,239 | $27,119 | — | — | 13 |
| 50633-0120-11 | DigiFab | $52,730 | $26,365 | — | — | 13 |
| 55135-0132-01 | Trodelvy | $50,265 | $25,132 | — | — | 14 |
| C9600 | PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S); WITH CORONARY ANGIOPLAS | $50,072 | $25,036 | — | — | 14 |
| C9604 | PERC D-E COR REVASC T CABG S | $50,072 | $25,036 | — | — | 13 |
| 92928 | INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH; SINGLE ARTERY OR BRANCH | $50,072 | $25,036 | — | — | 21 |
| 00310-4611-50 | Imfinzi | $49,535 | $24,767 | — | — | 14 |
| 65597-0406-01 | Enhertu | $49,384 | $24,692 | — | — | 14 |
| 57894-0505-20 | Darzalex | $46,826 | $23,413 | — | — | 13 |
| 50242-0917-01 | Tecentriq | $46,357 | $23,179 | — | — | 14 |
| 00006-3026-04 | Keytruda | $46,257 | $23,128 | — | — | 14 |
| 00006-3026-01 | Keytruda | $46,257 | $23,128 | — | — | 13 |
| 00173-0898-03 | Jemperli | $46,252 | $23,126 | — | — | 13 |
| C9608 | PERC D-E COR REVASC CHRO ADD | $46,091 | $23,046 | — | — | 0 |
| 55866 | SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE | $45,513 | $22,756 | — | — | 19 |
| 61755-0008-01 | Libtayo | $45,339 | $22,669 | — | — | 14 |
| 59572-0775-01 | Reblozyl | $44,278 | $22,139 | — | — | 13 |
| 23472 | PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $43,132 | $21,566 | — | — | 19 |
| 73150-0150-06 | Briumvi | $41,890 | $20,945 | — | — | 14 |
| 92937 | PRQ TRLUML REVSC CAB GRF 1 | $41,142 | $20,571 | — | — | 20 |
| 57894-0503-01 | Darzalex Faspro | $39,890 | $19,945 | — | — | 13 |
| 49595 | REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); | $39,826 | $19,913 | — | — | 20 |
| 00003-2327-11 | Yervoy | $39,686 | $19,843 | — | — | 14 |
| 00074-5015-01 | Skyrizi 600MG/10ML | $39,062 | $19,531 | — | — | 13 |
| 92943 | PRQ TRLUML REVSC CH OCC ANT | $38,877 | $19,439 | — | — | 20 |
| 92941 | PRQ TRLML REVSC TOT OCCL AMI | $38,310 | $19,155 | — | — | 19 |
| 15054-1120-04 | Somatuline Depot | $38,248 | $19,124 | — | — | 14 |
| 00024-5824-11 | Jevtana | $36,921 | $18,461 | — | — | 14 |
| 63833-0396-01 | PROTHROMBIN COMPLEX CONCENTRATE (HUMAN); KCENTRA; PER I.U. OF FACTOR IX ACTIVITY | $36,741 | $18,371 | — | — | 14 |
| 58573 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; MORE THAN 250.0 G | $36,035 | $18,018 | — | — | 21 |
| 42420 | REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND WITH RELEASE OF FACIAL NERVE | $35,768 | $17,884 | — | — | 13 |
| 50633-0110-12 | Crofab | $35,256 | $17,628 | — | — | 13 |
Showing top 50 of 5,138 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.