45 CFR § 180 compliance
A · 100
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
15,824
Insurances with rates
23
CPT / HCPCS codes
2,204
Source MRF
Most expensive procedures (gross)
PROVENGE 50MIU INJ 250ML
$239,113
PROVENGE 50MIU INJ 250ML
Gross
$398,522
GLUCARPIDASE 1000U INJ
$117,774
GLUCARPIDASE 1000U INJ
Gross
$196,289
IPILIMUMAB 200MG/40ML INJ
$98,935
IPILIMUMAB 200MG/40ML INJ
Gross
$164,891
PEGLOTICASE 8MG/ML INJ
$88,291
PEGLOTICASE 8MG/ML INJ
Gross
$147,152
IMP MESH ZOOPLASTIC TIER32
$83,522
IMP MESH ZOOPLASTIC TIER32
Gross
$139,203
USTEKINUMAB SUBQ 90MG/ML INJ
$80,182
USTEKINUMAB SUBQ 90MG/ML INJ
Gross
$133,636
143967910
$72,228
GLYCOPYRROL(G) 0.2MG/ML INJ 1ML
Gross
$120,381
IMP SCREW TIER19
$71,082
IMP SCREW TIER19
Gross
$118,470
NEUROSTIM GEN RESTORE CHG
$69,420
NEUROSTIM GEN RESTORE CHG
Gross
$115,700
NEUROSTIM GEN PULSE
$69,371
NEUROSTIM GEN PULSE
Gross
$115,619
168006415
$68,789
FLUOCINOL 0.025% OT 15G
Gross
$114,648
168008115
$68,789
NYSTAT/TRIAMCIN CR 15G
Gross
$114,648
168008130
$68,789
NYSTAT/TRIAMCIN CR 30GM
Gross
$114,648
168008915
$68,789
NYSTAT/TRIAMCIN OT 15G
Gross
$114,648
DISC CERVICAL REPL
$68,789
DISC CERVICAL REPL
Gross
$114,648
SYS NEUROSTIM RESTOR/PRIM
$62,854
SYS NEUROSTIM RESTOR/PRIM
Gross
$104,756
CANAKINUMAB 150MG/ML INJ
$62,719
CANAKINUMAB 150MG/ML INJ
Gross
$104,531
OCRELIZUMAB 30MG/ML INJ 10ML
$62,182
OCRELIZUMAB 30MG/ML INJ 10ML
Gross
$103,637
173077202
$60,791
LAMOTRIGINE(B) 25MG TB
Gross
$101,318
PEGASPARGASE 3750U/5ML INJ
$56,662
PEGASPARGASE 3750U/5ML INJ
Gross
$94,436
IMP SPINAL COMPONENT ALL
$55,702
IMP SPINAL COMPONENT ALL
Gross
$92,837
TILDRAKIZUMAB-ASMN 100MG/ML INJ
$51,786
TILDRAKIZUMAB-ASMN 100MG/ML INJ
Gross
$86,309
IMP EXTREMITY ALL
$50,298
IMP EXTREMITY ALL
Gross
$83,829
POLATUZUMAB VEDOTIN-PIIQ 140MG INJ
$49,965
POLATUZUMAB VEDOTIN-PIIQ 140MG INJ
Gross
$83,276
IMP PAIN PUMP SYNCHROMED
$47,266
IMP PAIN PUMP SYNCHROMED
Gross
$78,777
33262
$46,103
Removal and replacement of defibrillator pulse generator
Gross
$76,839
IMP SCREW TIER18
$43,775
IMP SCREW TIER18
Gross
$72,958
GFT VASCULAR TIER30
$42,218
GFT VASCULAR TIER30
Gross
$70,364
168003315
$40,711
BETAMET VAL 0.1% OT 15G
Gross
$67,851
33264
$40,299
Removal and replacement of defibrillator pulse generator
Gross
$67,165
LUSPATERCEPT-AAMT 75MG INJ
$39,957
LUSPATERCEPT-AAMT 75MG INJ
Gross
$66,595
GFT VASCULAR TIER
$39,850
GFT VASCULAR TIER
Gross
$66,417
FACTOR VIIA RT 5000MCG INJ
$38,946
FACTOR VIIA RT 5000MCG INJ
Gross
$64,910
CINRYZE 500U INJ
$37,154
CINRYZE 500U INJ
Gross
$61,924
CABAZITAXEL 60MG/1.5ML INJ
$37,016
CABAZITAXEL 60MG/1.5ML INJ
Gross
$61,693
LEUPROLIDE DEPO 45MG KT
$36,430
LEUPROLIDE DEPO 45MG KT
Gross
$60,716
IMP PLATE TIER09
$34,490
IMP PLATE TIER09
Gross
$57,484
USTEKINUMAB SUBQ 45MG/0.5ML INJ
$34,441
USTEKINUMAB SUBQ 45MG/0.5ML INJ
Gross
$57,402
IMP MESH ZOOPLASTIC TIER28
$33,159
IMP MESH ZOOPLASTIC TIER28
Gross
$55,265
93654
$32,993
Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal hea
Gross
$54,989
93653
$32,897
Evaluation and insertion of catheters for creation of complete heart block
Gross
$54,828
ACTIVASE 100MG INJ
$32,692
ACTIVASE 100MG INJ
Gross
$54,487
93656
$32,229
Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm
Gross
$53,716
33231
$32,033
Insert Defib Pulse Gen Only, Exist Mult Lead
Gross
$53,388
BELANTAMAB MAFODOTIN-BLMF 100MG INJ
$32,014
BELANTAMAB MAFODOTIN-BLMF 100MG INJ
Gross
$53,357
PRALATREXATE 20MG/ML INJ 2ML
$31,178
PRALATREXATE 20MG/ML INJ 2ML
Gross
$51,963
LANREOTIDE 120MG/0.5ML INJ
$31,127
LANREOTIDE 120MG/0.5ML INJ
Gross
$51,878
HEMIN 350MG INJ
$30,873
HEMIN 350MG INJ
Gross
$51,456
93581
$30,700
Perc Transcath Closure Congenital Vent Sept Defect
Gross
$51,166
33274
$30,677
Insertion or replacement of permanent leadless pacemaker into lower right chamber of heart via cathe
Gross
$51,129
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PROVENGE 50MIU INJ 250ML | PROVENGE 50MIU INJ 250ML | $398,522 | $239,113 | $13,357 | $358,670 | 75 |
| GLUCARPIDASE 1000U INJ | GLUCARPIDASE 1000U INJ | $196,289 | $117,774 | $13,357 | $176,660 | 52 |
| IPILIMUMAB 200MG/40ML INJ | IPILIMUMAB 200MG/40ML INJ | $164,891 | $98,935 | $157 | $148,402 | 75 |
| PEGLOTICASE 8MG/ML INJ | PEGLOTICASE 8MG/ML INJ | $147,152 | $88,291 | $2,771 | $132,437 | 75 |
| IMP MESH ZOOPLASTIC TIER32 | IMP MESH ZOOPLASTIC TIER32 | $139,203 | $83,522 | $0 | $74,056 | 39 |
| USTEKINUMAB SUBQ 90MG/ML INJ | USTEKINUMAB SUBQ 90MG/ML INJ | $133,636 | $80,182 | $180 | $120,273 | 75 |
| 143967910 | GLYCOPYRROL(G) 0.2MG/ML INJ 1ML | $120,381 | $72,228 | $80.22 | $97,870 | 39 |
| IMP SCREW TIER19 | IMP SCREW TIER19 | $118,470 | $71,082 | $0 | $63,026 | 39 |
| NEUROSTIM GEN RESTORE CHG | NEUROSTIM GEN RESTORE CHG | $115,700 | $69,420 | $0 | $61,553 | 39 |
| NEUROSTIM GEN PULSE | NEUROSTIM GEN PULSE | $115,619 | $69,371 | $0 | $104,057 | 39 |
| 168006415 | FLUOCINOL 0.025% OT 15G | $114,648 | $68,789 | $59.58 | $93,209 | 39 |
| 168008115 | NYSTAT/TRIAMCIN CR 15G | $114,648 | $68,789 | $59.48 | $93,209 | 39 |
| 168008130 | NYSTAT/TRIAMCIN CR 30GM | $114,648 | $68,789 | $59 | $93,209 | 39 |
| 168008915 | NYSTAT/TRIAMCIN OT 15G | $114,648 | $68,789 | $58.54 | $93,209 | 39 |
| DISC CERVICAL REPL | DISC CERVICAL REPL | $114,648 | $68,789 | $0 | $103,184 | 39 |
| SYS NEUROSTIM RESTOR/PRIM | SYS NEUROSTIM RESTOR/PRIM | $104,756 | $62,854 | $0 | $104,130 | 39 |
| CANAKINUMAB 150MG/ML INJ | CANAKINUMAB 150MG/ML INJ | $104,531 | $62,719 | $113 | $94,078 | 150 |
| OCRELIZUMAB 30MG/ML INJ 10ML | OCRELIZUMAB 30MG/ML INJ 10ML | $103,637 | $62,182 | $57.33 | $93,273 | 75 |
| 173077202 | LAMOTRIGINE(B) 25MG TB | $101,318 | $60,791 | $13.41 | $82,372 | 39 |
| PEGASPARGASE 3750U/5ML INJ | PEGASPARGASE 3750U/5ML INJ | $94,436 | $56,662 | $5,540 | $84,992 | 75 |
| IMP SPINAL COMPONENT ALL | IMP SPINAL COMPONENT ALL | $92,837 | $55,702 | $0 | $49,389 | 39 |
| TILDRAKIZUMAB-ASMN 100MG/ML INJ | TILDRAKIZUMAB-ASMN 100MG/ML INJ | $86,309 | $51,786 | $133 | $77,678 | 75 |
| IMP EXTREMITY ALL | IMP EXTREMITY ALL | $83,829 | $50,298 | $0 | $44,597 | 39 |
| POLATUZUMAB VEDOTIN-PIIQ 140MG INJ | POLATUZUMAB VEDOTIN-PIIQ 140MG INJ | $83,276 | $49,965 | $112 | $74,948 | 75 |
| IMP PAIN PUMP SYNCHROMED | IMP PAIN PUMP SYNCHROMED | $78,777 | $47,266 | $0 | $70,900 | 39 |
| 33262 | Removal and replacement of defibrillator pulse generator | $76,839 | $46,103 | $159 | $96,216 | 75 |
| IMP SCREW TIER18 | IMP SCREW TIER18 | $72,958 | $43,775 | $0 | $38,814 | 39 |
| GFT VASCULAR TIER30 | GFT VASCULAR TIER30 | $70,364 | $42,218 | $0 | $45,854 | 39 |
| 168003315 | BETAMET VAL 0.1% OT 15G | $67,851 | $40,711 | $66.25 | $55,163 | 39 |
| 33264 | Removal and replacement of defibrillator pulse generator | $67,165 | $40,299 | $283 | $137,135 | 75 |
| LUSPATERCEPT-AAMT 75MG INJ | LUSPATERCEPT-AAMT 75MG INJ | $66,595 | $39,957 | $36.31 | $59,935 | 62 |
| GFT VASCULAR TIER | GFT VASCULAR TIER | $66,417 | $39,850 | $0 | $35,334 | 39 |
| FACTOR VIIA RT 5000MCG INJ | FACTOR VIIA RT 5000MCG INJ | $64,910 | $38,946 | $2.26 | $58,419 | 75 |
| CINRYZE 500U INJ | CINRYZE 500U INJ | $61,924 | $37,154 | $56.41 | $55,731 | 75 |
| CABAZITAXEL 60MG/1.5ML INJ | CABAZITAXEL 60MG/1.5ML INJ | $61,693 | $37,016 | $185 | $55,524 | 75 |
| LEUPROLIDE DEPO 45MG KT | LEUPROLIDE DEPO 45MG KT | $60,716 | $36,430 | $197 | $49,362 | 150 |
| IMP PLATE TIER09 | IMP PLATE TIER09 | $57,484 | $34,490 | $0 | $30,582 | 39 |
| USTEKINUMAB SUBQ 45MG/0.5ML INJ | USTEKINUMAB SUBQ 45MG/0.5ML INJ | $57,402 | $34,441 | $180 | $51,662 | 75 |
| IMP MESH ZOOPLASTIC TIER28 | IMP MESH ZOOPLASTIC TIER28 | $55,265 | $33,159 | $0 | $35,524 | 39 |
| 93654 | Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal hea | $54,989 | $32,993 | $24.8 | $89,635 | 75 |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | $54,828 | $32,897 | $23.6 | $89,635 | 75 |
| ACTIVASE 100MG INJ | ACTIVASE 100MG INJ | $54,487 | $32,692 | $45.22 | $49,038 | 75 |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | $53,716 | $32,229 | $23.6 | $89,635 | 75 |
| 33231 | Insert Defib Pulse Gen Only, Exist Mult Lead | $53,388 | $32,033 | $70.88 | $137,135 | 75 |
| BELANTAMAB MAFODOTIN-BLMF 100MG INJ | BELANTAMAB MAFODOTIN-BLMF 100MG INJ | $53,357 | $32,014 | $42.63 | $48,022 | 62 |
| PRALATREXATE 20MG/ML INJ 2ML | PRALATREXATE 20MG/ML INJ 2ML | $51,963 | $31,178 | $311 | $46,766 | 75 |
| LANREOTIDE 120MG/0.5ML INJ | LANREOTIDE 120MG/0.5ML INJ | $51,878 | $31,127 | $68.46 | $46,690 | 150 |
| HEMIN 350MG INJ | HEMIN 350MG INJ | $51,456 | $30,873 | $24.43 | $46,310 | 75 |
| 93581 | Perc Transcath Closure Congenital Vent Sept Defect | $51,166 | $30,700 | $23.6 | $67,083 | 75 |
| 33274 | Insertion or replacement of permanent leadless pacemaker into lower right chamber of heart via cathe | $51,129 | $30,677 | $70.88 | $67,083 | 75 |
Showing top 50 of 15,824 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.