45 CFR § 180 compliance
C · 70
This hospital published part 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
9,093
Insurances with rates
13
CPT / HCPCS codes
1,045
Source MRF
Most expensive procedures (gross)
108054
$59,688
USTEKINUMAB 90 MG/ML SUBQ SYRG
Gross
$99,479
197065
$54,243
KIT PREP OF GA-68-GOZETOTIDE 25 MCG IV SOLR
Gross
$90,405
180498
$43,346
OCRELIZUMAB 30 MG/ML IV SOLN
Gross
$72,243
185525
$39,605
TILDRAKIZUMAB-ASMN 100 MG/ML SUBQ SYRG
Gross
$66,008
41608698
$26,244
HC NEUROSTIMULATOR F15
Gross
$43,740
152456
$25,354
LEUPROLIDE ACETATE (6 MONTH) 45 MG IM SYKT
Gross
$42,256
198293
$21,783
RISANKIZUMAB-RZAA 60 MG/ML IV SOLN
Gross
$36,304
203340
$21,153
MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) IV SOLN
Gross
$35,255
172865
$20,738
PALIPERIDONE PALM (3 MONTH) 819 MG/2.63 ML IM SYRG
Gross
$34,563
168378
$19,656
VEDOLIZUMAB 300 MG IV SOLR
Gross
$32,760
41608112
$17,917
HC Z HMRL STEMLESS NANO 34
Gross
$29,862
41607857
$17,917
HC Z HMRL STEMLESS NANO 36
Gross
$29,862
41608528
$17,470
HC DS STEM LONG MD 36X175
Gross
$29,116
9002
$17,326
ALTEPLASE 100 MG IV SOLR
Gross
$28,876
21108
$16,902
LEUPROLIDE (4 MONTH) 30 MG IM SYKT
Gross
$28,170
35775
$16,438
AGALSIDASE BETA 35 MG IV SOLR
Gross
$27,396
4080184169
$16,335
TENECTEPLASE FOR STROKE
Gross
$27,225
184169
$16,335
TENECTEPLASE 50 MG IV SOLR
Gross
$27,225
41606360
$15,445
HC Z ARCOS 16X210 BRCH STD BODY
Gross
$25,741
101010
$14,927
COLLAGENASE CLOSTRIDIUM HISTO. 0.9 MG INJ SOLR
Gross
$24,878
172864
$13,773
PALIPERIDONE PALM (3 MONTH) 546 MG/1.75 ML IM SYRG
Gross
$22,955
172237
$13,609
OCTREOTIDE,MICROSPHERES 30 MG IM SERR
Gross
$22,682
120455
$12,987
GOLIMUMAB 50 MG/0.5 ML SUBQ PNIJ
Gross
$21,646
21045
$12,677
LEUPROLIDE (3 MONTH) 22.5 MG IM SYKT
Gross
$21,128
171368
$12,385
PEMBROLIZUMAB 25 MG/ML IV SOLN
Gross
$20,642
800571
$12,312
PHMB 0.1% (PURAPLY AM) 6 X 9 WOUND MATRIX
Gross
$20,520
97853
$12,100
CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X 2) SUBQ SYKT
Gross
$20,166
195262
$11,625
PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML IV SOLN
Gross
$19,374
14093567
$11,562
ROMIPLOSTIM 500 MCG SUBQ SOLR (CAMERON)
Gross
$19,269
93567
$11,562
ROMIPLOSTIM 500 MCG SUBQ SOLR
Gross
$19,269
183039
$10,867
BENRALIZUMAB 30 MG/ML SUBQ SYRG
Gross
$18,111
121160
$10,794
TRIPTORELIN PAMOATE 22.5 MG IM SUSR
Gross
$17,990
21044
$10,638
LEUPROLIDE (3 MONTH) 11.25 MG IM SYKT
Gross
$17,730
172863
$10,408
PALIPERIDONE PALM (3 MONTH) 410 MG/1.32 ML IM SYRG
Gross
$17,347
182304
$10,382
FLUCICLOVINE F18 10 MCI (370 MBQ) IV SOLN
Gross
$17,304
41607335
$10,363
HC PACEMAKER DC AZURE XT DR MRI
Gross
$17,272
41608724
$10,055
HC CMCH NEW SUPPLY
Gross
$16,758
41608702
$10,055
HC Z PSN FEM 10 CR NRW R
Gross
$16,758
41608266
$9,936
HC Z HUM STEM 10 MICRO
Gross
$16,560
41608320
$9,936
HC Z HUM STEM 10 STD
Gross
$16,560
41608188
$9,936
HC Z HUM STEM 12 MICRO
Gross
$16,560
41608332
$9,936
HC Z HUM STEM 12 STD
Gross
$16,560
41608226
$9,936
HC Z HUM STEM 13 MICRO
Gross
$16,560
41608170
$9,936
HC Z HUM STEM 14 MICRO
Gross
$16,560
41608290
$9,936
HC Z HUM STEM 15 MICRO
Gross
$16,560
41608367
$9,936
HC Z HUM STEM 7 MICRO
Gross
$16,560
41608339
$9,936
HC Z HUM STEM 8 MICRO
Gross
$16,560
41608220
$9,936
HC Z HUM STEM MICRO 11
Gross
$16,560
41608198
$9,936
HC Z STEM HUM 160 MICRO
Gross
$16,560
41608304
$9,901
HC AR SPEEDBRIDGE ACHILLES 3.9
Gross
$16,502
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 108054 | USTEKINUMAB 90 MG/ML SUBQ SYRG | $99,479 | $59,688 | — | — | 28 |
| 197065 | KIT PREP OF GA-68-GOZETOTIDE 25 MCG IV SOLR | $90,405 | $54,243 | — | — | 28 |
| 180498 | OCRELIZUMAB 30 MG/ML IV SOLN | $72,243 | $43,346 | — | — | 28 |
| 185525 | TILDRAKIZUMAB-ASMN 100 MG/ML SUBQ SYRG | $66,008 | $39,605 | — | — | 28 |
| 41608698 | HC NEUROSTIMULATOR F15 | $43,740 | $26,244 | — | — | 28 |
| 152456 | LEUPROLIDE ACETATE (6 MONTH) 45 MG IM SYKT | $42,256 | $25,354 | — | — | 28 |
| 198293 | RISANKIZUMAB-RZAA 60 MG/ML IV SOLN | $36,304 | $21,783 | — | — | 28 |
| 203340 | MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) IV SOLN | $35,255 | $21,153 | — | — | 28 |
| 172865 | PALIPERIDONE PALM (3 MONTH) 819 MG/2.63 ML IM SYRG | $34,563 | $20,738 | — | — | 28 |
| 168378 | VEDOLIZUMAB 300 MG IV SOLR | $32,760 | $19,656 | — | — | 28 |
| 41608112 | HC Z HMRL STEMLESS NANO 34 | $29,862 | $17,917 | — | — | 28 |
| 41607857 | HC Z HMRL STEMLESS NANO 36 | $29,862 | $17,917 | — | — | 28 |
| 41608528 | HC DS STEM LONG MD 36X175 | $29,116 | $17,470 | — | — | 28 |
| 9002 | ALTEPLASE 100 MG IV SOLR | $28,876 | $17,326 | — | — | 28 |
| 21108 | LEUPROLIDE (4 MONTH) 30 MG IM SYKT | $28,170 | $16,902 | — | — | 28 |
| 35775 | AGALSIDASE BETA 35 MG IV SOLR | $27,396 | $16,438 | — | — | 28 |
| 4080184169 | TENECTEPLASE FOR STROKE | $27,225 | $16,335 | — | — | 28 |
| 184169 | TENECTEPLASE 50 MG IV SOLR | $27,225 | $16,335 | — | — | 28 |
| 41606360 | HC Z ARCOS 16X210 BRCH STD BODY | $25,741 | $15,445 | — | — | 28 |
| 101010 | COLLAGENASE CLOSTRIDIUM HISTO. 0.9 MG INJ SOLR | $24,878 | $14,927 | — | — | 28 |
| 172864 | PALIPERIDONE PALM (3 MONTH) 546 MG/1.75 ML IM SYRG | $22,955 | $13,773 | — | — | 28 |
| 172237 | OCTREOTIDE,MICROSPHERES 30 MG IM SERR | $22,682 | $13,609 | — | — | 28 |
| 120455 | GOLIMUMAB 50 MG/0.5 ML SUBQ PNIJ | $21,646 | $12,987 | — | — | 28 |
| 21045 | LEUPROLIDE (3 MONTH) 22.5 MG IM SYKT | $21,128 | $12,677 | — | — | 28 |
| 171368 | PEMBROLIZUMAB 25 MG/ML IV SOLN | $20,642 | $12,385 | — | — | 28 |
| 800571 | PHMB 0.1% (PURAPLY AM) 6 X 9 WOUND MATRIX | $20,520 | $12,312 | — | — | 28 |
| 97853 | CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X 2) SUBQ SYKT | $20,166 | $12,100 | — | — | 28 |
| 195262 | PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML IV SOLN | $19,374 | $11,625 | — | — | 28 |
| 14093567 | ROMIPLOSTIM 500 MCG SUBQ SOLR (CAMERON) | $19,269 | $11,562 | — | — | 28 |
| 93567 | ROMIPLOSTIM 500 MCG SUBQ SOLR | $19,269 | $11,562 | — | — | 28 |
| 183039 | BENRALIZUMAB 30 MG/ML SUBQ SYRG | $18,111 | $10,867 | — | — | 28 |
| 121160 | TRIPTORELIN PAMOATE 22.5 MG IM SUSR | $17,990 | $10,794 | — | — | 28 |
| 21044 | LEUPROLIDE (3 MONTH) 11.25 MG IM SYKT | $17,730 | $10,638 | — | — | 28 |
| 172863 | PALIPERIDONE PALM (3 MONTH) 410 MG/1.32 ML IM SYRG | $17,347 | $10,408 | — | — | 28 |
| 182304 | FLUCICLOVINE F18 10 MCI (370 MBQ) IV SOLN | $17,304 | $10,382 | — | — | 25 |
| 41607335 | HC PACEMAKER DC AZURE XT DR MRI | $17,272 | $10,363 | — | — | 28 |
| 41608724 | HC CMCH NEW SUPPLY | $16,758 | $10,055 | — | — | 28 |
| 41608702 | HC Z PSN FEM 10 CR NRW R | $16,758 | $10,055 | — | — | 28 |
| 41608266 | HC Z HUM STEM 10 MICRO | $16,560 | $9,936 | — | — | 28 |
| 41608320 | HC Z HUM STEM 10 STD | $16,560 | $9,936 | — | — | 28 |
| 41608188 | HC Z HUM STEM 12 MICRO | $16,560 | $9,936 | — | — | 28 |
| 41608332 | HC Z HUM STEM 12 STD | $16,560 | $9,936 | — | — | 28 |
| 41608226 | HC Z HUM STEM 13 MICRO | $16,560 | $9,936 | — | — | 28 |
| 41608170 | HC Z HUM STEM 14 MICRO | $16,560 | $9,936 | — | — | 28 |
| 41608290 | HC Z HUM STEM 15 MICRO | $16,560 | $9,936 | — | — | 28 |
| 41608367 | HC Z HUM STEM 7 MICRO | $16,560 | $9,936 | — | — | 28 |
| 41608339 | HC Z HUM STEM 8 MICRO | $16,560 | $9,936 | — | — | 28 |
| 41608220 | HC Z HUM STEM MICRO 11 | $16,560 | $9,936 | — | — | 28 |
| 41608198 | HC Z STEM HUM 160 MICRO | $16,560 | $9,936 | — | — | 28 |
| 41608304 | HC AR SPEEDBRIDGE ACHILLES 3.9 | $16,502 | $9,901 | — | — | 28 |
Showing top 50 of 9,093 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.