45 CFR § 180 compliance
F · 55
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
27,679
Insurances with rates
40
CPT / HCPCS codes
12,442
Source MRF
Most expensive procedures (gross)
510020263
$190,869
vutrisiran 25 mg/0.5 mL syringe
Gross
$424,154
510020266
$183,390
lumasiran 94.5 mg/0.5 mL inj
Gross
$407,533
440059301
$97,499
GENERATOR SENTIVA IMPLT 1000
Gross
$216,664
440019165
$94,500
BAROSTIM NEO SYS 100062-202
Gross
$210,000
510020195
$87,254
tebentafusp-tebn 100 mcg/0.5 mL inj
Gross
$193,897
440088880
$86,661
GENERATOR VAGUS ASPIRE SR 106
Gross
$192,580
440060102
$86,265
KT NEUROSTIMULATOR RNS-320-K
Gross
$191,700
440064612
$83,889
DBS RC V1 PERCEPT B35300
Gross
$186,420
510018653
$72,307
tagraxofusp-erzs (Elzonris) 1000 mcg inj
Gross
$160,682
510013649
$60,881
ustekinumab 45 mg/0.5 mL inj
Gross
$135,292
510013713
$60,881
ustekinumab 90 mg/1 mL inj
Gross
$135,292
510020157
$59,476
loncastuximab tesirine-lpyl 10 mg inj
Gross
$132,168
440080914
$58,320
GEN PULSE V INSP 3150
Gross
$129,600
510020127
$57,573
lanreotide 90 mg syringe
Gross
$127,939
510017501
$53,467
ribavirin 6,000 mg Inhalation powder
Gross
$118,816
510016295
$52,047
alemtuzumab (Lemtrada) 12 mg/1.2 mL inj
Gross
$115,661
440043317
$52,038
GENERATOR DUAL PIN 104
Gross
$115,640
440027793
$50,009
ELCTRD PROFLE NUCMOD P783831
Gross
$111,132
440077062
$49,208
GEN PULSE IV INSP 3028
Gross
$109,350
510018575
$48,799
inotuzumab ozogamicin 0.9 mg inj
Gross
$108,442
440064014
$47,250
IPG KIT VERCISE P16 M365DB14160
Gross
$105,000
440019874
$45,900
IPG KIT VERCISE P16 DB-1416
Gross
$102,000
440043965
$45,900
IMPLANT INFINITY 7 IPG 6662ANS
Gross
$102,000
510017419
$43,755
porfimer 75 mg Inj
Gross
$97,233
510018667
$39,646
polatuzumab vedotin-piiq 140 mg inj
Gross
$88,103
510018741
$39,092
fluocinolone acetonide intravitreal 0.59 mg implant
Gross
$86,870
440020112
$38,808
NEUROSTIMULATOR B35200
Gross
$86,240
510018748
$38,388
teprotumumab-trbw (Tepezza) 500 mg inj
Gross
$85,307
440015272
$37,797
TPSTRY W/INTRDCR LAT TR-3030-31
Gross
$83,994
440051657
$36,410
IMP PEEK PRTY CUST MED 78-50020
Gross
$80,911
440081386
$34,369
IMP PNLE 21 700MS 72404253-12
Gross
$76,375
440085737
$34,369
IMP PNLE 12X18 72404252-10
Gross
$76,375
440061032
$34,271
PUMP SYNC III 40ML 8667-40
Gross
$76,158
440014525
$33,710
TRAY TIB SZ2 UJ992T
Gross
$74,910
440023562
$33,710
TRAY TIB SZ1 LJU991T
Gross
$74,910
510016458
$33,549
vinCRIStine liposome 5 mg/31 mL kit
Gross
$74,553
440017223
$33,418
PUMP AMS 700 CX MS 72404234-14
Gross
$74,263
440064216
$33,418
PROSTHESIS PENILE 21CM 72404238
Gross
$74,263
440077923
$33,418
PUMP AMS 700 CX MS 72404233-12
Gross
$74,263
440085503
$33,418
PUMP MS INFLAT 12MM 18CM 72404232
Gross
$74,263
440064940
$33,293
PLT FACIALID ORB MESH 78-94101
Gross
$73,984
440015870
$31,412
NEUROSTIMULATOR RECHARGE 4101
Gross
$69,804
440051701
$31,026
TALDOME SZ2 INF ADAP 33680032
Gross
$68,946
440080811
$31,026
TALDOME INF ADAP SZ4 33680034
Gross
$68,946
440071660
$30,563
STIMULATOR NEURO ACTIVA 37601
Gross
$67,918
510017356
$29,988
pegloticase 8 mg/1 mL inj
Gross
$66,640
440068540
$29,619
STIMULATOR NEURO INT 97800
Gross
$65,820
440025861
$28,982
NEUROSTIM R20 5101
Gross
$64,404
440074445
$28,982
NEUROSTIMULATOR 1101
Gross
$64,404
440063211
$28,685
TRAY TIB SZ0 35MM LJV160T
Gross
$63,744
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 510020263 | vutrisiran 25 mg/0.5 mL syringe | $424,154 | $190,869 | — | — | 21 |
| 510020266 | lumasiran 94.5 mg/0.5 mL inj | $407,533 | $183,390 | — | — | 21 |
| 440059301 | GENERATOR SENTIVA IMPLT 1000 | $216,664 | $97,499 | — | — | 21 |
| 440019165 | BAROSTIM NEO SYS 100062-202 | $210,000 | $94,500 | — | — | 21 |
| 510020195 | tebentafusp-tebn 100 mcg/0.5 mL inj | $193,897 | $87,254 | — | — | 21 |
| 440088880 | GENERATOR VAGUS ASPIRE SR 106 | $192,580 | $86,661 | — | — | 21 |
| 440060102 | KT NEUROSTIMULATOR RNS-320-K | $191,700 | $86,265 | — | — | 21 |
| 440064612 | DBS RC V1 PERCEPT B35300 | $186,420 | $83,889 | — | — | 21 |
| 510018653 | tagraxofusp-erzs (Elzonris) 1000 mcg inj | $160,682 | $72,307 | — | — | 21 |
| 510013649 | ustekinumab 45 mg/0.5 mL inj | $135,292 | $60,881 | — | — | 21 |
| 510013713 | ustekinumab 90 mg/1 mL inj | $135,292 | $60,881 | — | — | 21 |
| 510020157 | loncastuximab tesirine-lpyl 10 mg inj | $132,168 | $59,476 | — | — | 21 |
| 440080914 | GEN PULSE V INSP 3150 | $129,600 | $58,320 | — | — | 21 |
| 510020127 | lanreotide 90 mg syringe | $127,939 | $57,573 | — | — | 21 |
| 510017501 | ribavirin 6,000 mg Inhalation powder | $118,816 | $53,467 | — | — | 21 |
| 510016295 | alemtuzumab (Lemtrada) 12 mg/1.2 mL inj | $115,661 | $52,047 | — | — | 21 |
| 440043317 | GENERATOR DUAL PIN 104 | $115,640 | $52,038 | — | — | 21 |
| 440027793 | ELCTRD PROFLE NUCMOD P783831 | $111,132 | $50,009 | — | — | 21 |
| 440077062 | GEN PULSE IV INSP 3028 | $109,350 | $49,208 | — | — | 21 |
| 510018575 | inotuzumab ozogamicin 0.9 mg inj | $108,442 | $48,799 | — | — | 21 |
| 440064014 | IPG KIT VERCISE P16 M365DB14160 | $105,000 | $47,250 | — | — | 21 |
| 440019874 | IPG KIT VERCISE P16 DB-1416 | $102,000 | $45,900 | — | — | 21 |
| 440043965 | IMPLANT INFINITY 7 IPG 6662ANS | $102,000 | $45,900 | — | — | 21 |
| 510017419 | porfimer 75 mg Inj | $97,233 | $43,755 | — | — | 21 |
| 510018667 | polatuzumab vedotin-piiq 140 mg inj | $88,103 | $39,646 | — | — | 21 |
| 510018741 | fluocinolone acetonide intravitreal 0.59 mg implant | $86,870 | $39,092 | — | — | 21 |
| 440020112 | NEUROSTIMULATOR B35200 | $86,240 | $38,808 | — | — | 21 |
| 510018748 | teprotumumab-trbw (Tepezza) 500 mg inj | $85,307 | $38,388 | — | — | 21 |
| 440015272 | TPSTRY W/INTRDCR LAT TR-3030-31 | $83,994 | $37,797 | — | — | 21 |
| 440051657 | IMP PEEK PRTY CUST MED 78-50020 | $80,911 | $36,410 | — | — | 21 |
| 440081386 | IMP PNLE 21 700MS 72404253-12 | $76,375 | $34,369 | — | — | 21 |
| 440085737 | IMP PNLE 12X18 72404252-10 | $76,375 | $34,369 | — | — | 21 |
| 440061032 | PUMP SYNC III 40ML 8667-40 | $76,158 | $34,271 | — | — | 21 |
| 440014525 | TRAY TIB SZ2 UJ992T | $74,910 | $33,710 | — | — | 21 |
| 440023562 | TRAY TIB SZ1 LJU991T | $74,910 | $33,710 | — | — | 21 |
| 510016458 | vinCRIStine liposome 5 mg/31 mL kit | $74,553 | $33,549 | — | — | 21 |
| 440017223 | PUMP AMS 700 CX MS 72404234-14 | $74,263 | $33,418 | — | — | 21 |
| 440064216 | PROSTHESIS PENILE 21CM 72404238 | $74,263 | $33,418 | — | — | 21 |
| 440077923 | PUMP AMS 700 CX MS 72404233-12 | $74,263 | $33,418 | — | — | 21 |
| 440085503 | PUMP MS INFLAT 12MM 18CM 72404232 | $74,263 | $33,418 | — | — | 21 |
| 440064940 | PLT FACIALID ORB MESH 78-94101 | $73,984 | $33,293 | — | — | 21 |
| 440015870 | NEUROSTIMULATOR RECHARGE 4101 | $69,804 | $31,412 | — | — | 21 |
| 440051701 | TALDOME SZ2 INF ADAP 33680032 | $68,946 | $31,026 | — | — | 21 |
| 440080811 | TALDOME INF ADAP SZ4 33680034 | $68,946 | $31,026 | — | — | 21 |
| 440071660 | STIMULATOR NEURO ACTIVA 37601 | $67,918 | $30,563 | — | — | 21 |
| 510017356 | pegloticase 8 mg/1 mL inj | $66,640 | $29,988 | — | — | 21 |
| 440068540 | STIMULATOR NEURO INT 97800 | $65,820 | $29,619 | — | — | 21 |
| 440025861 | NEUROSTIM R20 5101 | $64,404 | $28,982 | — | — | 21 |
| 440074445 | NEUROSTIMULATOR 1101 | $64,404 | $28,982 | — | — | 21 |
| 440063211 | TRAY TIB SZ0 35MM LJV160T | $63,744 | $28,685 | — | — | 21 |
Showing top 50 of 27,679 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.