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
6,306
Insurances with rates
25
CPT / HCPCS codes
5,376
Most expensive procedures (gross)
75987-0130-15
$113,475
Tepezza
Gross
$226,951
J9226
$75,272
SUPPRELIN LA IMPLANT
Gross
$150,543
J9029
$69,210
INSTILL ADSTILADRIN, TX DOSE
Gross
$138,420
00310-4535-30
$59,670
Imjudo
Gross
$119,340
00003-2328-22
$52,219
Yervoy
Gross
$104,437
50242-0150-01
$30,961
Ocrevus
Gross
$61,923
00003-2327-11
$30,893
Yervoy
Gross
$61,785
73475-3041-05
$27,857
Vyvgart
Gross
$55,713
65597-0406-01
$27,778
Enhertu
Gross
$55,556
50242-0088-01
$23,584
Kadcyla
Gross
$47,168
50242-0918-01
$22,941
Tecentriq
Gross
$45,881
00003-3734-13
$22,904
Opdivo
Gross
$45,808
57894-0501-01
$21,878
Rybrevant
Gross
$43,756
68727-0712-01
$21,079
Zepzelca
Gross
$42,158
50242-0245-01
$20,875
Phesgo
Gross
$41,750
47335-0177-95
$20,033
Ilumya PFS
Gross
$40,065
51999
$19,383
OTHER PROCEDURE ON BLADDER USING AN ENDOSCOPE
Gross
$38,766
00310-4611-50
$19,326
Imfinzi
Gross
$38,652
58150
$17,952
REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN
Gross
$35,904
00003-3756-14
$17,521
Opdivo
Gross
$35,043
00006-3026-01
$17,346
Keytruda
Gross
$34,692
59572-0775-01
$17,079
Reblozyl
Gross
$34,157
44144
$16,632
PARTIAL REMOVAL OF LARGE BOWEL WITH CREATION OF 2 OPENINGS FROM SMALL OR LARGE BOWEL TO SKIN
Gross
$33,264
50242-0917-01
$16,386
Tecentriq
Gross
$32,772
61755-0008-01
$15,910
Libtayo
Gross
$31,820
58571
$15,098
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS
Gross
$30,195
57894-0503-01
$14,959
Darzalex Faspro
Gross
$29,918
44204
$14,732
PARTIAL REMOVAL OF LARGE BOWEL USING AN ENDOSCOPE
Gross
$29,463
00074-5015-01
$14,648
Skyrizi 600MG/10ML
Gross
$29,297
00469-4425-30
$14,400
Vyloy
Gross
$28,800
50242-0260-01
$14,200
Phesgo
Gross
$28,400
49596
$14,000
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$27,999
63833-0387-02
$13,875
Kcentra
Gross
$27,750
58552
$13,468
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; 250.0 G OR LESS
Gross
$26,936
00078-0818-81
$13,231
SandoSTATIN LAR Depot
Gross
$26,461
64764-0300-20
$13,000
Entyvio
Gross
$26,000
59151
$12,936
REMOVAL OF OVARIAN OR TUBAL PREGNANCY WITH REMOVAL OF OVARY AND/OR TUBE USING AN ENDOSCOPE
Gross
$25,872
49595
$12,696
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$25,391
58554
$11,830
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; MORE THAN 250.0 G
Gross
$23,660
49521
$11,804
REPAIR OF TRAPPED OR STRANGULATED GROIN HERNIA
Gross
$23,607
50242-0120-47
$11,434
TNKase
Gross
$22,868
50242-0009-01
$11,432
INJECTION; TENECTEPLASE; 1 MG
Gross
$22,863
00480-9259-08
$10,993
Octreotide Acetate
Gross
$21,985
47562
$10,842
REMOVAL OF GALLBLADDER USING AN ENDOSCOPE
Gross
$21,684
57894-0444-01
$10,795
Ustekinumab
Gross
$21,589
27822
$10,647
TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE
Gross
$21,294
44120
$10,472
PARTIAL REMOVAL OF SMALL BOWEL WITH RECONNECTION
Gross
$20,944
27792
$10,292
TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE
Gross
$20,584
50242-0037-06
$10,291
INJECTION; TENECTEPLASE; 1 MG
Gross
$20,581
64704
$10,208
RELEASE OF HAND OR FOOT NERVE
Gross
$20,416
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 75987-0130-15 | Tepezza | $226,951 | $113,475 | — | — | 1 |
| J9226 | SUPPRELIN LA IMPLANT | $150,543 | $75,272 | — | — | 1 |
| J9029 | INSTILL ADSTILADRIN, TX DOSE | $138,420 | $69,210 | — | — | 1 |
| 00310-4535-30 | Imjudo | $119,340 | $59,670 | — | — | 0 |
| 00003-2328-22 | Yervoy | $104,437 | $52,219 | — | — | 0 |
| 50242-0150-01 | Ocrevus | $61,923 | $30,961 | — | — | 1 |
| 00003-2327-11 | Yervoy | $61,785 | $30,893 | — | — | 1 |
| 73475-3041-05 | Vyvgart | $55,713 | $27,857 | — | — | 1 |
| 65597-0406-01 | Enhertu | $55,556 | $27,778 | — | — | 1 |
| 50242-0088-01 | Kadcyla | $47,168 | $23,584 | — | — | 0 |
| 50242-0918-01 | Tecentriq | $45,881 | $22,941 | — | — | 0 |
| 00003-3734-13 | Opdivo | $45,808 | $22,904 | — | — | 1 |
| 57894-0501-01 | Rybrevant | $43,756 | $21,878 | — | — | 0 |
| 68727-0712-01 | Zepzelca | $42,158 | $21,079 | — | — | 1 |
| 50242-0245-01 | Phesgo | $41,750 | $20,875 | — | — | 0 |
| 47335-0177-95 | Ilumya PFS | $40,065 | $20,033 | — | — | 0 |
| 51999 | OTHER PROCEDURE ON BLADDER USING AN ENDOSCOPE | $38,766 | $19,383 | — | — | 0 |
| 00310-4611-50 | Imfinzi | $38,652 | $19,326 | — | — | 1 |
| 58150 | REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN | $35,904 | $17,952 | — | — | 0 |
| 00003-3756-14 | Opdivo | $35,043 | $17,521 | — | — | 1 |
| 00006-3026-01 | Keytruda | $34,692 | $17,346 | — | — | 1 |
| 59572-0775-01 | Reblozyl | $34,157 | $17,079 | — | — | 0 |
| 44144 | PARTIAL REMOVAL OF LARGE BOWEL WITH CREATION OF 2 OPENINGS FROM SMALL OR LARGE BOWEL TO SKIN | $33,264 | $16,632 | — | — | 0 |
| 50242-0917-01 | Tecentriq | $32,772 | $16,386 | — | — | 1 |
| 61755-0008-01 | Libtayo | $31,820 | $15,910 | — | — | 0 |
| 58571 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $30,195 | $15,098 | — | — | 1 |
| 57894-0503-01 | Darzalex Faspro | $29,918 | $14,959 | — | — | 1 |
| 44204 | PARTIAL REMOVAL OF LARGE BOWEL USING AN ENDOSCOPE | $29,463 | $14,732 | — | — | 1 |
| 00074-5015-01 | Skyrizi 600MG/10ML | $29,297 | $14,648 | — | — | 1 |
| 00469-4425-30 | Vyloy | $28,800 | $14,400 | — | — | 0 |
| 50242-0260-01 | Phesgo | $28,400 | $14,200 | — | — | 0 |
| 49596 | REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); | $27,999 | $14,000 | — | — | 0 |
| 63833-0387-02 | Kcentra | $27,750 | $13,875 | — | — | 0 |
| 58552 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; 250.0 G OR LESS | $26,936 | $13,468 | — | — | 0 |
| 00078-0818-81 | SandoSTATIN LAR Depot | $26,461 | $13,231 | — | — | 0 |
| 64764-0300-20 | Entyvio | $26,000 | $13,000 | — | — | 0 |
| 59151 | REMOVAL OF OVARIAN OR TUBAL PREGNANCY WITH REMOVAL OF OVARY AND/OR TUBE USING AN ENDOSCOPE | $25,872 | $12,936 | — | — | 1 |
| 49595 | REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); | $25,391 | $12,696 | — | — | 1 |
| 58554 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; MORE THAN 250.0 G | $23,660 | $11,830 | — | — | 1 |
| 49521 | REPAIR OF TRAPPED OR STRANGULATED GROIN HERNIA | $23,607 | $11,804 | — | — | 0 |
| 50242-0120-47 | TNKase | $22,868 | $11,434 | — | — | 1 |
| 50242-0009-01 | INJECTION; TENECTEPLASE; 1 MG | $22,863 | $11,432 | — | — | 1 |
| 00480-9259-08 | Octreotide Acetate | $21,985 | $10,993 | — | — | 0 |
| 47562 | REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $21,684 | $10,842 | — | — | 5 |
| 57894-0444-01 | Ustekinumab | $21,589 | $10,795 | — | — | 0 |
| 27822 | TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE | $21,294 | $10,647 | — | — | 0 |
| 44120 | PARTIAL REMOVAL OF SMALL BOWEL WITH RECONNECTION | $20,944 | $10,472 | — | — | 0 |
| 27792 | TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE | $20,584 | $10,292 | — | — | 1 |
| 50242-0037-06 | INJECTION; TENECTEPLASE; 1 MG | $20,581 | $10,291 | — | — | 1 |
| 64704 | RELEASE OF HAND OR FOOT NERVE | $20,416 | $10,208 | — | — | 1 |
Showing top 50 of 6,306 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.