45 CFR § 180 compliance
B · 85
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
2,540
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-169251
$27,839
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$27,839
RX-110751
$18,765
LEUPROLIDE (LUPRON) 45 MG INTRAMUSCULAR SYRINGE KIT (6 MONTH)
Gross
$18,765
RX-9002
$14,050
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$14,050
RX-126219
$13,917
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
Gross
$13,917
RX-40120
$13,459
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION
Gross
$13,459
RX-21108
$13,426
LEUPROLIDE 30 MG (LUPRON) INTRAMUSCULAR SYRINGE KIT (4 MONTH)
Gross
$13,426
RX-4080030162
$13,078
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION - STROKE
Gross
$13,078
RX-129657
$10,168
PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$10,168
RX-21045
$9,882
LEUPROLIDE 22.5 MG (LUPRON) INTRAMUSCULAR SYRINGE KIT (3 MONTH)
Gross
$9,882
RX-127559
$9,420
IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN
Gross
$9,420
RX-93567
$8,994
ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION
Gross
$8,994
RX-176167
$8,750
FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION
Gross
$8,750
RX-173231
$7,147
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION - MI
Gross
$7,147
RX-175906
$6,625
PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$6,625
RX-178593
$6,376
PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$6,376
RX-133919
$5,913
MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION
Gross
$5,913
RX-41675
$5,888
PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION
Gross
$5,888
RX-91495
$5,310
CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) LYPHOLIZED POWDER
Gross
$5,310
RX-97853
$5,310
CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT
Gross
$5,310
PX-3108116200
$5,291
Ref Brca1/Brca2 Full Gene Analysis
Gross
$5,291
RX-107754
$5,285
IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN
Gross
$5,285
RX-40801
$5,160
LEUPROLIDE 45 MG (ELIGARD) SUBCUTANEOUS SYRINGE (6 MONTH)
Gross
$5,160
RX-93566
$5,072
ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION
Gross
$5,072
PX-3527417800
$5,001
CT Abdomen & Pelvis W/O Contrst Followed by W Contrst 1/> Body Re
Gross
$5,001
RX-176681
$4,954
ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE
Gross
$4,954
RX-130445
$4,903
IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION
Gross
$4,903
PX-3527417700
$4,716
CT Abdomen & Pelvis W/Contrast Material
Gross
$4,716
RX-169256
$4,641
SARILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE
Gross
$4,641
PX-6107155200
$4,584
MRI Chest W/O & W/Contrast Material
Gross
$4,584
PX-3527417400
$4,519
CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img
Gross
$4,519
PX-9209581100
$4,509
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd
Gross
$4,509
PX-2020000100
$4,495
Room Icu Medical
Gross
$4,495
RX-130740
$4,494
LEUPROLIDE 7.5 MG (LUPRON) INTRAMUSCULAR SYRINGE KIT
Gross
$4,494
RX-173528
$4,491
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION
Gross
$4,491
RX-122614
$4,449
GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION
Gross
$4,449
PX-3507563500
$4,339
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp
Gross
$4,339
PX-6157054900
$4,323
Mra Neck W/O &W/Contrast Material
Gross
$4,323
PX-6157054600
$4,323
Mra Head W/O & W/Contrast Material
Gross
$4,323
PX-6157054500
$4,323
Mra Head W/Contrast Material
Gross
$4,323
PX-6107418300
$4,286
MRI Abdomen W/O & W/Contrast Material
Gross
$4,286
RX-35236
$4,259
LEUPROLIDE 30 MG (ELIGARD) SUBCUTANEOUS SYRINGE (4 MONTH)
Gross
$4,259
RX-105502
$4,236
DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE
Gross
$4,236
PX-6147219700
$4,192
MRI Pelvis W/O & W/Contrast Material
Gross
$4,192
RX-132835
$4,184
PROTHROMBIN CPLX HUMAN (PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION
Gross
$4,184
PX-6127215800
$4,167
MRI Spinal Canal Lumbar W/O & W/Contr Matrl
Gross
$4,167
RX-132765
$4,150
PROTHROMBIN CPLX HUMAN (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION
Gross
$4,150
RX-111197
$4,145
IMMUNE GLOBULIN (HUMAN) (GAMMAGARD) 10% INJECTION SOLUTION
Gross
$4,145
PX-6107372000
$4,125
MRI Lower Extrem Oth/Thn Jt W/O & W/Contr Matr
Gross
$4,125
PX-6107322000
$4,125
MRI Upper Extrem Other Than Jt W/O & W/Contras
Gross
$4,125
PX-6117054300
$4,060
MRI Orbit Face & Neck W/O & W/Contrast Matrl
Gross
$4,060
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-169251 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $27,839 | $27,839 | — | — | 20 |
| RX-110751 | LEUPROLIDE (LUPRON) 45 MG INTRAMUSCULAR SYRINGE KIT (6 MONTH) | $18,765 | $18,765 | — | — | 20 |
| RX-9002 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $14,050 | $14,050 | — | — | 20 |
| RX-126219 | VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION | $13,917 | $13,917 | — | — | 20 |
| RX-40120 | NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION | $13,459 | $13,459 | — | — | 20 |
| RX-21108 | LEUPROLIDE 30 MG (LUPRON) INTRAMUSCULAR SYRINGE KIT (4 MONTH) | $13,426 | $13,426 | — | — | 20 |
| RX-4080030162 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION - STROKE | $13,078 | $13,078 | — | — | 20 |
| RX-129657 | PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $10,168 | $10,168 | — | — | 20 |
| RX-21045 | LEUPROLIDE 22.5 MG (LUPRON) INTRAMUSCULAR SYRINGE KIT (3 MONTH) | $9,882 | $9,882 | — | — | 20 |
| RX-127559 | IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN | $9,420 | $9,420 | — | — | 20 |
| RX-93567 | ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION | $8,994 | $8,994 | — | — | 20 |
| RX-176167 | FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION | $8,750 | $8,750 | — | — | 20 |
| RX-173231 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION - MI | $7,147 | $7,147 | — | — | 20 |
| RX-175906 | PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $6,625 | $6,625 | — | — | 20 |
| RX-178593 | PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $6,376 | $6,376 | — | — | 20 |
| RX-133919 | MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION | $5,913 | $5,913 | — | — | 20 |
| RX-41675 | PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION | $5,888 | $5,888 | — | — | 20 |
| RX-91495 | CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) LYPHOLIZED POWDER | $5,310 | $5,310 | — | — | 20 |
| RX-97853 | CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT | $5,310 | $5,310 | — | — | 20 |
| PX-3108116200 | Ref Brca1/Brca2 Full Gene Analysis | $5,291 | $5,291 | — | — | 20 |
| RX-107754 | IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN | $5,285 | $5,285 | — | — | 20 |
| RX-40801 | LEUPROLIDE 45 MG (ELIGARD) SUBCUTANEOUS SYRINGE (6 MONTH) | $5,160 | $5,160 | — | — | 20 |
| RX-93566 | ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION | $5,072 | $5,072 | — | — | 20 |
| PX-3527417800 | CT Abdomen & Pelvis W/O Contrst Followed by W Contrst 1/> Body Re | $5,001 | $5,001 | — | — | 20 |
| RX-176681 | ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE | $4,954 | $4,954 | — | — | 20 |
| RX-130445 | IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION | $4,903 | $4,903 | — | — | 20 |
| PX-3527417700 | CT Abdomen & Pelvis W/Contrast Material | $4,716 | $4,716 | — | — | 20 |
| RX-169256 | SARILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE | $4,641 | $4,641 | — | — | 20 |
| PX-6107155200 | MRI Chest W/O & W/Contrast Material | $4,584 | $4,584 | — | — | 20 |
| PX-3527417400 | CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img | $4,519 | $4,519 | — | — | 20 |
| PX-9209581100 | Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $4,509 | $4,509 | — | — | 20 |
| PX-2020000100 | Room Icu Medical | $4,495 | $4,495 | — | — | 20 |
| RX-130740 | LEUPROLIDE 7.5 MG (LUPRON) INTRAMUSCULAR SYRINGE KIT | $4,494 | $4,494 | — | — | 20 |
| RX-173528 | RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION | $4,491 | $4,491 | — | — | 20 |
| RX-122614 | GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION | $4,449 | $4,449 | — | — | 20 |
| PX-3507563500 | Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp | $4,339 | $4,339 | — | — | 20 |
| PX-6157054900 | Mra Neck W/O &W/Contrast Material | $4,323 | $4,323 | — | — | 20 |
| PX-6157054600 | Mra Head W/O & W/Contrast Material | $4,323 | $4,323 | — | — | 20 |
| PX-6157054500 | Mra Head W/Contrast Material | $4,323 | $4,323 | — | — | 20 |
| PX-6107418300 | MRI Abdomen W/O & W/Contrast Material | $4,286 | $4,286 | — | — | 20 |
| RX-35236 | LEUPROLIDE 30 MG (ELIGARD) SUBCUTANEOUS SYRINGE (4 MONTH) | $4,259 | $4,259 | — | — | 20 |
| RX-105502 | DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE | $4,236 | $4,236 | — | — | 20 |
| PX-6147219700 | MRI Pelvis W/O & W/Contrast Material | $4,192 | $4,192 | — | — | 20 |
| RX-132835 | PROTHROMBIN CPLX HUMAN (PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION | $4,184 | $4,184 | — | — | 20 |
| PX-6127215800 | MRI Spinal Canal Lumbar W/O & W/Contr Matrl | $4,167 | $4,167 | — | — | 20 |
| RX-132765 | PROTHROMBIN CPLX HUMAN (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION | $4,150 | $4,150 | — | — | 20 |
| RX-111197 | IMMUNE GLOBULIN (HUMAN) (GAMMAGARD) 10% INJECTION SOLUTION | $4,145 | $4,145 | — | — | 20 |
| PX-6107372000 | MRI Lower Extrem Oth/Thn Jt W/O & W/Contr Matr | $4,125 | $4,125 | — | — | 20 |
| PX-6107322000 | MRI Upper Extrem Other Than Jt W/O & W/Contras | $4,125 | $4,125 | — | — | 20 |
| PX-6117054300 | MRI Orbit Face & Neck W/O & W/Contrast Matrl | $4,060 | $4,060 | — | — | 20 |
Showing top 50 of 2,540 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.