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
20,639
Insurances with rates
10
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
69413-330-10
$346,876
PYRIMETHAMINE 25 MG PO TABS
Gross
$693,751
71336-1003-1
$176,716
VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY
Gross
$353,432
64406-058-01
$149,046
NUSINERSEN 12 MG/5ML IT SOLN
Gross
$298,091
66302-350-01
$124,927
TREPROSTINIL DIOLAMINE ER 5 MG PO TBCR
Gross
$249,853
75987-080-10
$122,000
PEGLOTICASE 8 MG/ML IV SOLN
Gross
$244,000
25010-705-15
$111,942
PENICILLAMINE 250 MG PO CAPS
Gross
$223,884
43598-672-01
$105,923
PYRIMETHAMINE 25 MG PO TABS
Gross
$211,846
30237-8900-6
$94,521
SIPULEUCEL-T 50000000 CELLS IV SUSP
Gross
$189,041
66215-606-06
$93,388
SELEXIPAG 600 MCG PO TABS
Gross
$186,775
66215-608-06
$93,388
SELEXIPAG 800 MCG PO TABS
Gross
$186,775
66215-604-06
$89,023
SELEXIPAG 400 MCG PO TABS
Gross
$178,045
3623824001
$85,123
HC TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR
Gross
$170,245
66215-610-06
$80,587
SELEXIPAG 1000 MCG PO TABS
Gross
$161,173
66215-612-06
$80,587
SELEXIPAG 1200 MCG PO TABS
Gross
$161,173
69051-300-01
$74,001
MILTEFOSINE 50 MG PO CAPS
Gross
$148,001
278C182001
$66,518
STIMULATOR EON GEN 16 CHAN RECHARGEABLE DISC
Gross
$133,037
0074-0576-22
$63,308
VENETOCLAX 100 MG PO TABS
Gross
$126,616
71332-001-01
$63,187
FOSTAMATINIB DISODIUM 100 MG PO TABS
Gross
$126,375
0480-3720-01
$61,168
PYRIMETHAMINE 25 MG PO TABS
Gross
$122,335
66215-602-06
$57,244
SELEXIPAG 200 MCG PO TABS
Gross
$114,488
50419-251-01
$56,944
RIOCIGUAT 1 MG PO TABS
Gross
$113,887
50419-253-01
$56,944
RIOCIGUAT 2 MG PO TABS
Gross
$113,887
0310-4535-30
$55,997
TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN
Gross
$111,995
278C261601
$55,688
SPHERE EMBOL SIR MSPHRE 90
Gross
$111,375
0078-0686-15
$55,599
ELTROMBOPAG OLAMINE 50 MG PO TABS
Gross
$111,198
50419-254-01
$53,722
RIOCIGUAT 2.5 MG PO TABS
Gross
$107,444
50633-210-11
$52,621
GLUCARPIDASE 1000 UNITS IV SOLR
Gross
$105,242
3616368501
$50,415
HC IMPLANT SPINAL NEUROSTIM/RECEIVER
Gross
$100,830
344A960401
$49,838
HC QUADRAMET UP TO 150 MCI
Gross
$99,676
50419-250-01
$48,194
RIOCIGUAT 0.5 MG PO TABS
Gross
$96,388
275C172201
$48,094
DEFIBRILLATOR MAXIMO II VR 1CHB IS1 DF1 AV 35JL 37ML 68GM
Gross
$96,188
0003-2328-22
$47,104
IPILIMUMAB 200 MG/40ML IV SOLN
Gross
$94,207
274L861401
$45,246
IMPLANT COCHLEAR NUCLEUS CI512 DISC
Gross
$90,492
61958-0801-1
$44,947
AMBRISENTAN 5 MG PO TABS
Gross
$89,894
61958-0802-3
$44,947
AMBRISENTAN 10 MG PO TABS
Gross
$89,894
3337737101
$44,600
HC TR SRS 1 SESSION MULTI COBALT 60
Gross
$89,200
72187-0401-1
$44,388
TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN
Gross
$88,776
24338-050-08
$44,218
CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR
Gross
$88,436
3108141601
$44,100
HC EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME
Gross
$88,200
4809365301
$43,832
HC EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA
Gross
$87,665
4809365401
$43,832
HC EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA
Gross
$87,665
4809365601
$43,832
HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN
Gross
$87,665
481C977301
$43,614
HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO/STENT
Gross
$87,227
481C977401
$43,614
HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO/ATHER
Gross
$87,227
481C977501
$43,614
HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO/ATHER/STENT
Gross
$87,227
0187-0007-14
$43,366
RIBAVIRIN 6 G IN SOLR
Gross
$86,733
67979-002-01
$42,761
HISTRELIN ACETATE (CPP) 50 MG SC KIT
Gross
$85,522
68135-811-02
$42,758
CERLIPONASE ALFA 2 X 150 MG/5ML VE KIT
Gross
$85,516
278C177201
$41,184
PUMP INF SYNCHROMED II TI 3.4X0.78X0.78IN 20ML
Gross
$82,368
3613326201
$40,129
HC RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD
Gross
$80,258
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 69413-330-10 | PYRIMETHAMINE 25 MG PO TABS | $693,751 | $346,876 | — | $240,246 | 9 |
| 71336-1003-1 | VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY | $353,432 | $176,716 | — | $122,393 | 9 |
| 64406-058-01 | NUSINERSEN 12 MG/5ML IT SOLN | $298,091 | $149,046 | — | $103,229 | 9 |
| 66302-350-01 | TREPROSTINIL DIOLAMINE ER 5 MG PO TBCR | $249,853 | $124,927 | — | $86,524 | 9 |
| 75987-080-10 | PEGLOTICASE 8 MG/ML IV SOLN | $244,000 | $122,000 | — | $84,497 | 9 |
| 25010-705-15 | PENICILLAMINE 250 MG PO CAPS | $223,884 | $111,942 | — | $77,531 | 9 |
| 43598-672-01 | PYRIMETHAMINE 25 MG PO TABS | $211,846 | $105,923 | — | $73,362 | 9 |
| 30237-8900-6 | SIPULEUCEL-T 50000000 CELLS IV SUSP | $189,041 | $94,521 | — | $65,465 | 9 |
| 66215-606-06 | SELEXIPAG 600 MCG PO TABS | $186,775 | $93,388 | — | $64,680 | 9 |
| 66215-608-06 | SELEXIPAG 800 MCG PO TABS | $186,775 | $93,388 | — | $64,680 | 9 |
| 66215-604-06 | SELEXIPAG 400 MCG PO TABS | $178,045 | $89,023 | — | $61,657 | 9 |
| 3623824001 | HC TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR | $170,245 | $85,123 | — | $58,956 | 9 |
| 66215-610-06 | SELEXIPAG 1000 MCG PO TABS | $161,173 | $80,587 | — | $55,814 | 9 |
| 66215-612-06 | SELEXIPAG 1200 MCG PO TABS | $161,173 | $80,587 | — | $55,814 | 9 |
| 69051-300-01 | MILTEFOSINE 50 MG PO CAPS | $148,001 | $74,001 | — | $51,253 | 9 |
| 278C182001 | STIMULATOR EON GEN 16 CHAN RECHARGEABLE DISC | $133,037 | $66,518 | — | $46,071 | 9 |
| 0074-0576-22 | VENETOCLAX 100 MG PO TABS | $126,616 | $63,308 | — | $43,847 | 9 |
| 71332-001-01 | FOSTAMATINIB DISODIUM 100 MG PO TABS | $126,375 | $63,187 | — | $43,764 | 9 |
| 0480-3720-01 | PYRIMETHAMINE 25 MG PO TABS | $122,335 | $61,168 | — | $42,365 | 9 |
| 66215-602-06 | SELEXIPAG 200 MCG PO TABS | $114,488 | $57,244 | — | $39,647 | 9 |
| 50419-251-01 | RIOCIGUAT 1 MG PO TABS | $113,887 | $56,944 | — | $39,439 | 9 |
| 50419-253-01 | RIOCIGUAT 2 MG PO TABS | $113,887 | $56,944 | — | $39,439 | 9 |
| 0310-4535-30 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN | $111,995 | $55,997 | — | $38,784 | 9 |
| 278C261601 | SPHERE EMBOL SIR MSPHRE 90 | $111,375 | $55,688 | — | $38,569 | 9 |
| 0078-0686-15 | ELTROMBOPAG OLAMINE 50 MG PO TABS | $111,198 | $55,599 | — | $38,508 | 9 |
| 50419-254-01 | RIOCIGUAT 2.5 MG PO TABS | $107,444 | $53,722 | — | $37,208 | 9 |
| 50633-210-11 | GLUCARPIDASE 1000 UNITS IV SOLR | $105,242 | $52,621 | — | $36,445 | 9 |
| 3616368501 | HC IMPLANT SPINAL NEUROSTIM/RECEIVER | $100,830 | $50,415 | — | $34,917 | 9 |
| 344A960401 | HC QUADRAMET UP TO 150 MCI | $99,676 | $49,838 | — | $34,518 | 9 |
| 50419-250-01 | RIOCIGUAT 0.5 MG PO TABS | $96,388 | $48,194 | — | $33,379 | 9 |
| 275C172201 | DEFIBRILLATOR MAXIMO II VR 1CHB IS1 DF1 AV 35JL 37ML 68GM | $96,188 | $48,094 | — | $33,310 | 9 |
| 0003-2328-22 | IPILIMUMAB 200 MG/40ML IV SOLN | $94,207 | $47,104 | — | $32,624 | 9 |
| 274L861401 | IMPLANT COCHLEAR NUCLEUS CI512 DISC | $90,492 | $45,246 | — | $31,337 | 9 |
| 61958-0801-1 | AMBRISENTAN 5 MG PO TABS | $89,894 | $44,947 | — | $31,130 | 9 |
| 61958-0802-3 | AMBRISENTAN 10 MG PO TABS | $89,894 | $44,947 | — | $31,130 | 9 |
| 3337737101 | HC TR SRS 1 SESSION MULTI COBALT 60 | $89,200 | $44,600 | — | $30,890 | 9 |
| 72187-0401-1 | TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN | $88,776 | $44,388 | — | $30,743 | 9 |
| 24338-050-08 | CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR | $88,436 | $44,218 | — | $30,625 | 9 |
| 3108141601 | HC EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME | $88,200 | $44,100 | — | $30,544 | 9 |
| 4809365301 | HC EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA | $87,665 | $43,832 | — | $30,358 | 9 |
| 4809365401 | HC EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA | $87,665 | $43,832 | — | $30,358 | 9 |
| 4809365601 | HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $87,665 | $43,832 | — | $30,358 | 9 |
| 481C977301 | HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO/STENT | $87,227 | $43,614 | — | $30,207 | 9 |
| 481C977401 | HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO/ATHER | $87,227 | $43,614 | — | $30,207 | 9 |
| 481C977501 | HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO/ATHER/STENT | $87,227 | $43,614 | — | $30,207 | 9 |
| 0187-0007-14 | RIBAVIRIN 6 G IN SOLR | $86,733 | $43,366 | — | $30,036 | 9 |
| 67979-002-01 | HISTRELIN ACETATE (CPP) 50 MG SC KIT | $85,522 | $42,761 | — | $38,269 | 9 |
| 68135-811-02 | CERLIPONASE ALFA 2 X 150 MG/5ML VE KIT | $85,516 | $42,758 | — | $29,614 | 9 |
| 278C177201 | PUMP INF SYNCHROMED II TI 3.4X0.78X0.78IN 20ML | $82,368 | $41,184 | — | $28,524 | 9 |
| 3613326201 | HC RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD | $80,258 | $40,129 | — | $27,793 | 9 |
Showing top 50 of 20,639 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.