45 CFR § 180 compliance
F · 50
This hospital published little 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
7,660
Insurances with rates
16
CPT / HCPCS codes
1,299
Source MRF
Most expensive procedures (gross)
72893000704
$196,978
KIT FOR YTTRIUM-90-IBRITUMOMAB 3.2 MG/2 ML INTRAVENOUS
Gross
$281,398
69488000301
$194,764
LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION
Gross
$278,234
69488000370
$194,764
LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION
Gross
$278,234
50242055401
$119,924
OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN
Gross
$171,320
50419020801
$87,399
RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN
Gross
$124,855
75987008010
$85,171
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION
Gross
$121,673
50242015001
$59,962
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$85,660
50242008527
$49,282
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$70,403
50242008525
$49,282
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$70,403
65909008901
$43,575
STRONTIUM-89 CHLORIDE 1 MCI/ML INTRAVENOUS SOLUTION
Gross
$62,250
72928008901
$43,575
STRONTIUM-89 CHLORIDE 1 MCI/ML INTRAVENOUS SOLUTION
Gross
$62,250
64764030020
$29,366
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
Gross
$41,951
71258001502
$27,922
IOBENGUANE IODINE-131 30 MCI/2 ML INTRAVENOUS SOLUTION
Gross
$39,889
64406000801
$25,794
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION
Gross
$36,849
50242012047
$24,104
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$34,434
55513019001
$18,644
PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$26,635
13533080040
$17,802
IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN
Gross
$25,431
7612251401
$17,625
HC PERC VERTEBRAL AUGMENTATION LUMBAR
Gross
$25,179
50474070062
$17,428
CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT
Gross
$24,898
68982085005
$16,929
IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION
Gross
$24,184
71258002200
$16,081
PIFLUFOLASTAT F 18 296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE
Gross
$22,972
69932000101
$15,951
FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION
Gross
$22,788
00310304000
$15,805
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
Gross
$22,579
50242005306
$13,647
RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS
Gross
$19,495
65219037110
$12,492
PEGFILGRASTIM-FPGK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$17,846
63459010450
$12,282
RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION
Gross
$17,545
70114010101
$12,128
PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$17,326
70114012001
$12,128
PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS AUTO-INJECTOR
Gross
$17,326
2721622681
$12,021
HC FHW WAVEWRITER ALPHA SCS ETS BLE
Gross
$17,173
76125015010
$11,911
RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION
Gross
$17,016
44206043820
$11,482
IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION
Gross
$16,402
61314086602
$11,404
PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$16,291
00069032401
$11,402
PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$16,289
68982085004
$11,286
IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION
Gross
$16,123
00019905040
$11,155
INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT
Gross
$15,936
69945005040
$11,155
INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT
Gross
$15,936
11994000602
$10,970
KIT FOR PREPARATION OF TC-99M-BICISATE 0.9 MG INTRAVENOUS SOLUTION
Gross
$15,672
00069024901
$10,412
RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION
Gross
$14,874
17156002101
$10,389
INDIUM IN-111 OXYQUINOLINE 1 MCI/ML (37 MBQ/ML)(1 ML) INTRAVENOUS SOLN
Gross
$14,841
54828000101
$10,173
FLORBETABEN F-18 8.1 MCI (300 MBQ) INTRAVENOUS SOLUTION
Gross
$14,533
55513073021
$10,022
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$14,316
42367054032
$9,628
DANTROLENE 250 MG INTRAVENOUS SUSPENSION
Gross
$13,755
55513073001
$9,544
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$13,635
69488000140
$9,517
KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN
Gross
$13,595
13533080024
$8,901
IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN
Gross
$12,716
70121175501
$8,350
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION
Gross
$11,929
70121175507
$8,350
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION
Gross
$11,929
00002120001
$8,301
FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION
Gross
$11,858
55513020701
$8,108
BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION
Gross
$11,582
72606001201
$7,871
BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION
Gross
$11,245
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 72893000704 | KIT FOR YTTRIUM-90-IBRITUMOMAB 3.2 MG/2 ML INTRAVENOUS | $281,398 | $196,978 | — | — | 0 |
| 69488000301 | LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION | $278,234 | $194,764 | — | — | 0 |
| 69488000370 | LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION | $278,234 | $194,764 | — | — | 0 |
| 50242055401 | OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN | $171,320 | $119,924 | — | — | 0 |
| 50419020801 | RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN | $124,855 | $87,399 | — | — | 0 |
| 75987008010 | PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION | $121,673 | $85,171 | — | — | 0 |
| 50242015001 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $85,660 | $59,962 | — | — | 0 |
| 50242008527 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $70,403 | $49,282 | — | — | 0 |
| 50242008525 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $70,403 | $49,282 | — | — | 0 |
| 65909008901 | STRONTIUM-89 CHLORIDE 1 MCI/ML INTRAVENOUS SOLUTION | $62,250 | $43,575 | — | — | 0 |
| 72928008901 | STRONTIUM-89 CHLORIDE 1 MCI/ML INTRAVENOUS SOLUTION | $62,250 | $43,575 | — | — | 0 |
| 64764030020 | VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION | $41,951 | $29,366 | — | — | 0 |
| 71258001502 | IOBENGUANE IODINE-131 30 MCI/2 ML INTRAVENOUS SOLUTION | $39,889 | $27,922 | — | — | 0 |
| 64406000801 | NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION | $36,849 | $25,794 | — | — | 0 |
| 50242012047 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION | $34,434 | $24,104 | — | — | 0 |
| 55513019001 | PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $26,635 | $18,644 | — | — | 0 |
| 13533080040 | IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN | $25,431 | $17,802 | — | — | 0 |
| 7612251401 | HC PERC VERTEBRAL AUGMENTATION LUMBAR | $25,179 | $17,625 | — | — | 0 |
| 50474070062 | CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT | $24,898 | $17,428 | — | — | 0 |
| 68982085005 | IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION | $24,184 | $16,929 | — | — | 0 |
| 71258002200 | PIFLUFOLASTAT F 18 296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE | $22,972 | $16,081 | — | — | 0 |
| 69932000101 | FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION | $22,788 | $15,951 | — | — | 0 |
| 00310304000 | ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION | $22,579 | $15,805 | — | — | 0 |
| 50242005306 | RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS | $19,495 | $13,647 | — | — | 0 |
| 65219037110 | PEGFILGRASTIM-FPGK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $17,846 | $12,492 | — | — | 0 |
| 63459010450 | RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION | $17,545 | $12,282 | — | — | 0 |
| 70114010101 | PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $17,326 | $12,128 | — | — | 0 |
| 70114012001 | PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS AUTO-INJECTOR | $17,326 | $12,128 | — | — | 0 |
| 2721622681 | HC FHW WAVEWRITER ALPHA SCS ETS BLE | $17,173 | $12,021 | — | — | 0 |
| 76125015010 | RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION | $17,016 | $11,911 | — | — | 0 |
| 44206043820 | IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION | $16,402 | $11,482 | — | — | 0 |
| 61314086602 | PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $16,291 | $11,404 | — | — | 0 |
| 00069032401 | PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $16,289 | $11,402 | — | — | 0 |
| 68982085004 | IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION | $16,123 | $11,286 | — | — | 0 |
| 00019905040 | INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT | $15,936 | $11,155 | — | — | 0 |
| 69945005040 | INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT | $15,936 | $11,155 | — | — | 0 |
| 11994000602 | KIT FOR PREPARATION OF TC-99M-BICISATE 0.9 MG INTRAVENOUS SOLUTION | $15,672 | $10,970 | — | — | 0 |
| 00069024901 | RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION | $14,874 | $10,412 | — | — | 0 |
| 17156002101 | INDIUM IN-111 OXYQUINOLINE 1 MCI/ML (37 MBQ/ML)(1 ML) INTRAVENOUS SOLN | $14,841 | $10,389 | — | — | 0 |
| 54828000101 | FLORBETABEN F-18 8.1 MCI (300 MBQ) INTRAVENOUS SOLUTION | $14,533 | $10,173 | — | — | 0 |
| 55513073021 | DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $14,316 | $10,022 | — | — | 0 |
| 42367054032 | DANTROLENE 250 MG INTRAVENOUS SUSPENSION | $13,755 | $9,628 | — | — | 0 |
| 55513073001 | DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $13,635 | $9,544 | — | — | 0 |
| 69488000140 | KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN | $13,595 | $9,517 | — | — | 0 |
| 13533080024 | IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN | $12,716 | $8,901 | — | — | 0 |
| 70121175501 | BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION | $11,929 | $8,350 | — | — | 0 |
| 70121175507 | BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION | $11,929 | $8,350 | — | — | 0 |
| 00002120001 | FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION | $11,858 | $8,301 | — | — | 0 |
| 55513020701 | BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION | $11,582 | $8,108 | — | — | 0 |
| 72606001201 | BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION | $11,245 | $7,871 | — | — | 0 |
Showing top 50 of 7,660 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.