45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●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
10,176
Insurances with rates
12
CPT / HCPCS codes
2,163
Most expensive procedures (gross)
5024291701
$14,256
ATEZOLIZUMAB 60 MG/ML IV SOLN - SSM SO
Gross
$19,008
5789450301
$13,080
DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN
Gross
$17,439
5024226001
$11,586
PERTUZ-TRASTUZ-HYALURON-ZZXF 60-60-2000 MG-MG-U/ML SC SOLN
Gross
$15,447
5024208525
$11,484
ALTEPLASE 100 MG IV SOLR
Gross
$15,313
5024208527
$11,484
ALTEPLASE 100 MG/100 ML IV INFUSION (FOR PE) USING 100 MG VIAL
Gross
$15,313
5024208527_2
$11,484
ALTEPLASE 1 MG/ML IV BOLUS (FOR STROKE)
Gross
$15,313
5024208527_3
$11,484
ALTEPLASE 1 MG/ML IV INFUSION (FOR STROKE) USING 100 MG VIAL
Gross
$15,313
0003232711
$11,358
IPILIMUMAB 5 MG/ML IV SOLN - SSM SO
Gross
$15,143
6476430020
$11,310
VEDOLIZUMAB 300 MG IV SOLR
Gross
$15,080
8100299
$10,962
HC EXC OF FACIAL BONE (aka H21026)
Gross
$14,616
815323
$10,831
HC REPAIR/GRAFT WRIST BONE
Gross
$14,441
5024207001
$10,756
OBINUTUZUMAB 1000 MG/40ML IV SOLN
Gross
$14,341
815115
$10,443
HC OR SURGERY LEVEL 6
Gross
$13,924
5024212047
$10,215
TENECTEPLASE 50 MG IV KIT
Gross
$13,620
5024212047_2
$10,215
TENECTEPLASE 50 MG IN 10 ML FOR STROKE IV
Gross
$13,620
8103387
$10,136
HC ENDV ABLAT W CHEM ADHESIVE EXT INIT VEIN
Gross
$13,514
818866
$9,734
HC TYMPANOPL WO MASTOID INIT/REV WO OCR
Gross
$12,979
8105623
$9,532
HC CYSTOURETHROSCOPY FULGUR >5CM LESN
Gross
$12,709
817014
$9,362
HC LITHOTRIPSY ESWL
Gross
$12,483
5114400301
$9,296
TISOTUMAB VEDOTIN-TFTV 40 MG IV SOLR
Gross
$12,394
815123
$9,135
HC OR SURGERY LEVEL 5
Gross
$12,180
814661
$9,097
HC APPENDECTOMY
Gross
$12,129
5551395601
$9,006
PANITUMUMAB 20 MG/ML IV SOLN - SSM SO
Gross
$12,009
6688700301
$8,928
COLLAGENASE CLOSTRID HISTOLYT 0.9 MG IJ SOLR
Gross
$11,904
814655
$8,864
HC LAP CHOLECYSTECTOMY
Gross
$11,818
817627
$8,732
HC HYSTER STERIL W/BIL FALLOPIAN CANNULAT
Gross
$11,642
5024214501
$8,517
PERTUZUMAB 420 MG/14ML IV SOLN
Gross
$11,357
815404
$8,469
HC OPEN TX METACARPAL FX SINGLE EACH
Gross
$11,292
8100412
$8,211
HC EXC LESN TONGUE POST ONE THRD W CLSR
Gross
$10,948
5024208701
$8,207
ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR
Gross
$10,943
8105436
$8,205
HC RPR NSL VLV COLLAPSE LW NRG W REMODELING
Gross
$10,940
8105446
$8,205
HC REPAIR NASAL VALVE COLLAPSE W/IMPLANT
Gross
$10,940
8100825
$8,201
HC ESOPHAGOSCOPY FLEX TRANSOR W STENT
Gross
$10,934
813213
$8,097
HC HYSTERECTOMY ABDOMINAL
Gross
$10,796
0074334603
$8,003
LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT
Gross
$10,670
814791
$7,922
HC SPLT TK AUTGRFT FAC/HD 100CM
Gross
$10,563
813346
$7,857
HC PERCUT IMPLANT NEUROSTIM ELEC ARRAY
Gross
$10,476
0006302604
$7,546
PEMBROLIZUMAB 100 MG/4ML IV SOLN
Gross
$10,061
818869
$7,473
HC CESAREAN SECTION W POST PART TUBAL
Gross
$9,964
8100326
$7,361
HC EXCISE TUMOR NECK IM < 5CM
Gross
$9,814
801033
$7,045
HC BREAST MASS BIOPSY/EXCISION
Gross
$9,393
814659
$6,956
HC INGUINAL HERNIA REPAIR
Gross
$9,275
818868
$6,858
HC HYSTERECTOMY VAGINAL
Gross
$9,144
818871
$6,814
HC LAPAROSCOPY DIAGNOSTIC
Gross
$9,085
815437
$6,782
HC I&D ABSCESS HEMATOM FEMUR (BURSA)
Gross
$9,042
8100232
$6,745
HC ENDO NASAL SINUS ETHMOIDECTOMY PART
Gross
$8,993
816525
$6,632
HC EXCISION TUMOR THIGH KNEE SUBQ >=3CM
Gross
$8,842
818842
$6,630
HC REMOVE TONSILS/ADENOIDS AGE 12 OR MORE
Gross
$8,840
99990204100
$6,621
DEXAMETHASONE 10 MG + PALONOSETRON 0.25 MG IN NS 56 ML IVPB (USING 10 MG/ML DEX)
Gross
$8,828
818843
$6,555
HC REMOVE TONSILS UNDER AGE 12
Gross
$8,740
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 5024291701 | ATEZOLIZUMAB 60 MG/ML IV SOLN - SSM SO | $19,008 | $14,256 | — | — | 22 |
| 5789450301 | DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN | $17,439 | $13,080 | — | — | 22 |
| 5024226001 | PERTUZ-TRASTUZ-HYALURON-ZZXF 60-60-2000 MG-MG-U/ML SC SOLN | $15,447 | $11,586 | — | — | 21 |
| 5024208525 | ALTEPLASE 100 MG IV SOLR | $15,313 | $11,484 | — | — | 21 |
| 5024208527 | ALTEPLASE 100 MG/100 ML IV INFUSION (FOR PE) USING 100 MG VIAL | $15,313 | $11,484 | — | — | 21 |
| 5024208527_2 | ALTEPLASE 1 MG/ML IV BOLUS (FOR STROKE) | $15,313 | $11,484 | — | — | 21 |
| 5024208527_3 | ALTEPLASE 1 MG/ML IV INFUSION (FOR STROKE) USING 100 MG VIAL | $15,313 | $11,484 | — | — | 21 |
| 0003232711 | IPILIMUMAB 5 MG/ML IV SOLN - SSM SO | $15,143 | $11,358 | — | — | 21 |
| 6476430020 | VEDOLIZUMAB 300 MG IV SOLR | $15,080 | $11,310 | — | — | 21 |
| 8100299 | HC EXC OF FACIAL BONE (aka H21026) | $14,616 | $10,962 | — | — | 21 |
| 815323 | HC REPAIR/GRAFT WRIST BONE | $14,441 | $10,831 | — | — | 21 |
| 5024207001 | OBINUTUZUMAB 1000 MG/40ML IV SOLN | $14,341 | $10,756 | — | — | 21 |
| 815115 | HC OR SURGERY LEVEL 6 | $13,924 | $10,443 | — | — | 21 |
| 5024212047 | TENECTEPLASE 50 MG IV KIT | $13,620 | $10,215 | — | — | 22 |
| 5024212047_2 | TENECTEPLASE 50 MG IN 10 ML FOR STROKE IV | $13,620 | $10,215 | — | — | 22 |
| 8103387 | HC ENDV ABLAT W CHEM ADHESIVE EXT INIT VEIN | $13,514 | $10,136 | — | — | 21 |
| 818866 | HC TYMPANOPL WO MASTOID INIT/REV WO OCR | $12,979 | $9,734 | — | — | 21 |
| 8105623 | HC CYSTOURETHROSCOPY FULGUR >5CM LESN | $12,709 | $9,532 | — | — | 21 |
| 817014 | HC LITHOTRIPSY ESWL | $12,483 | $9,362 | — | — | 21 |
| 5114400301 | TISOTUMAB VEDOTIN-TFTV 40 MG IV SOLR | $12,394 | $9,296 | — | — | 22 |
| 815123 | HC OR SURGERY LEVEL 5 | $12,180 | $9,135 | — | — | 21 |
| 814661 | HC APPENDECTOMY | $12,129 | $9,097 | — | — | 21 |
| 5551395601 | PANITUMUMAB 20 MG/ML IV SOLN - SSM SO | $12,009 | $9,006 | — | — | 21 |
| 6688700301 | COLLAGENASE CLOSTRID HISTOLYT 0.9 MG IJ SOLR | $11,904 | $8,928 | — | — | 21 |
| 814655 | HC LAP CHOLECYSTECTOMY | $11,818 | $8,864 | — | — | 21 |
| 817627 | HC HYSTER STERIL W/BIL FALLOPIAN CANNULAT | $11,642 | $8,732 | — | — | 21 |
| 5024214501 | PERTUZUMAB 420 MG/14ML IV SOLN | $11,357 | $8,517 | — | — | 22 |
| 815404 | HC OPEN TX METACARPAL FX SINGLE EACH | $11,292 | $8,469 | — | — | 21 |
| 8100412 | HC EXC LESN TONGUE POST ONE THRD W CLSR | $10,948 | $8,211 | — | — | 21 |
| 5024208701 | ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR | $10,943 | $8,207 | — | — | 22 |
| 8105436 | HC RPR NSL VLV COLLAPSE LW NRG W REMODELING | $10,940 | $8,205 | — | — | 21 |
| 8105446 | HC REPAIR NASAL VALVE COLLAPSE W/IMPLANT | $10,940 | $8,205 | — | — | 21 |
| 8100825 | HC ESOPHAGOSCOPY FLEX TRANSOR W STENT | $10,934 | $8,201 | — | — | 21 |
| 813213 | HC HYSTERECTOMY ABDOMINAL | $10,796 | $8,097 | — | — | 21 |
| 0074334603 | LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT | $10,670 | $8,003 | — | — | 21 |
| 814791 | HC SPLT TK AUTGRFT FAC/HD 100CM | $10,563 | $7,922 | — | — | 21 |
| 813346 | HC PERCUT IMPLANT NEUROSTIM ELEC ARRAY | $10,476 | $7,857 | — | — | 21 |
| 0006302604 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $10,061 | $7,546 | — | — | 22 |
| 818869 | HC CESAREAN SECTION W POST PART TUBAL | $9,964 | $7,473 | — | — | 21 |
| 8100326 | HC EXCISE TUMOR NECK IM < 5CM | $9,814 | $7,361 | — | — | 21 |
| 801033 | HC BREAST MASS BIOPSY/EXCISION | $9,393 | $7,045 | — | — | 21 |
| 814659 | HC INGUINAL HERNIA REPAIR | $9,275 | $6,956 | — | — | 21 |
| 818868 | HC HYSTERECTOMY VAGINAL | $9,144 | $6,858 | — | — | 21 |
| 818871 | HC LAPAROSCOPY DIAGNOSTIC | $9,085 | $6,814 | — | — | 21 |
| 815437 | HC I&D ABSCESS HEMATOM FEMUR (BURSA) | $9,042 | $6,782 | — | — | 21 |
| 8100232 | HC ENDO NASAL SINUS ETHMOIDECTOMY PART | $8,993 | $6,745 | — | — | 21 |
| 816525 | HC EXCISION TUMOR THIGH KNEE SUBQ >=3CM | $8,842 | $6,632 | — | — | 21 |
| 818842 | HC REMOVE TONSILS/ADENOIDS AGE 12 OR MORE | $8,840 | $6,630 | — | — | 21 |
| 99990204100 | DEXAMETHASONE 10 MG + PALONOSETRON 0.25 MG IN NS 56 ML IVPB (USING 10 MG/ML DEX) | $8,828 | $6,621 | — | — | 22 |
| 818843 | HC REMOVE TONSILS UNDER AGE 12 | $8,740 | $6,555 | — | — | 21 |
Showing top 50 of 10,176 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.