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
39,320
Insurances with rates
10
CPT / HCPCS codes
11,554
Source MRF
Most expensive procedures (gross)
2500000004_71894012203
$3,587,559
Zolgensma: 1 Kit In 1 Carton (71894-122-03) * 8.3 Ml In 1 Vial (71894-115-01) * 1 Ml In 1 Pouch
Gross
$8,968,896
2500000004_71894012002
$3,483,067
Zolgensma: 1 Kit In 1 Carton (71894-120-02) * 1 Ml In 1 Pouch * 8.3 Ml In 1 Vial (71894-115-01)
Gross
$8,707,666
891Q204202
$1,182,318
Hc Kymriah Car-T Ped And Young Adult W/ R/R All Age <25 Yrs
Gross
$2,955,796
891C939903
$1,119,504
Hc T-Cell Amtagvi (Lifileucel)
Gross
$2,798,760
891J359001
$1,119,504
Hc T-Cell Amtagvi (Lifileucel)
Gross
$2,798,760
891Q205401
$1,111,372
Hc Car-T Liso-Cel Breyanzi
Gross
$2,778,431
891Q205401_Q2054_891
$1,111,372
Hc Car-T Liso-Cel Breyanzi
Gross
$2,778,431
891Q204101
$1,089,018
Hc Yescarta
Gross
$2,722,544
891Q204101_Q2041_891
$1,089,018
Hc Yescarta
Gross
$2,722,544
891Q205501
$1,083,970
Hc Car-T Ide-Cel Abecma
Gross
$2,709,926
891Q205501_Q2055_891
$1,083,970
Hc Car-T Ide-Cel Abecma
Gross
$2,709,926
891Q205601
$1,066,196
Hc Car-T Cilta-Cel Carvykti
Gross
$2,665,490
891Q205601_Q2056_891
$1,066,196
Hc Car-T Cilta-Cel Carvykti
Gross
$2,665,490
891Q205301
$1,002,988
Hc Tecartus
Gross
$2,507,470
891Q205301_Q2053_891
$1,002,988
Hc Tecartus
Gross
$2,507,470
891C939902
$992,829
Hc Car-T Ide-Cel Abecma
Gross
$2,482,072
891C939902_C9399_891
$992,829
Hc Car-T Ide-Cel Abecma
Gross
$2,482,072
891Q204201
$973,942
Hc Kymriah Car-T
Gross
$2,434,856
891C939901
$971,055
Hc Car-T Liso-Cel Breyanzi
Gross
$2,427,638
891C939901_C9399_891
$971,055
Hc Car-T Liso-Cel Breyanzi
Gross
$2,427,638
891C939901_Q2054_891
$971,055
Hc Car-T Liso-Cel Breyanzi
Gross
$2,427,638
278Q0481S1_137270
$169,972
Hc Sup Shell 278 Revenue Code Q0481 Hcpcs
Gross
$424,931
8120000008
$134,846
Hc Liver Acquisition
Gross
$337,116
8120000006
$118,444
Hc Heart Acquisition
Gross
$296,110
8120000013
$118,444
Hc Heart Acquisition W/ Sherpapak Carrier
Gross
$296,110
2500000004_55566105001
$107,184
Adstiladrin: 4 Vial In 1 Carton (55566-1050-1) / 20 Ml In 1 Vial (55566-1050-0)
Gross
$267,960
2500000004_55566105000
$106,916
NDC Description Not Available
Gross
$267,290
8120000002
$97,213
Hc Double Lung Acquistion
Gross
$243,033
8120000009
$97,213
Hc Single Lung Acquisition
Gross
$243,033
2500000004_J9226_278
$94,219
Supprelin La: 1 Vial, Glass In 1 Carton (67979-002-01) / 1 Implant In 1 Vial, Glass
Gross
$235,546
8120000007
$76,985
Hc Kidney Acquisition
Gross
$192,463
8120000011
$76,985
Hc Kidney Living Donor Acquisition
Gross
$192,463
278C1889S1_158740
$66,715
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$166,787
8120000010
$66,422
Hc Pancrease Acquisition
Gross
$166,055
278C1767S1_144247
$61,378
Hc Sup Shell 278 Revenue Code C1767 Hcpcs
Gross
$153,444
278C1767S1_89538
$61,107
Hc Sup Shell 278 Revenue Code C1767 Hcpcs
Gross
$152,766
2500000004_67979000201
$58,521
Supprelin La: 1 Vial, Glass In 1 Carton (67979-002-01) / 1 Implant In 1 Vial, Glass
Gross
$146,302
278C1825S1_189103
$55,125
Hc Sup Shell 278 Revenue Code C1825 Hcpcs? Hb Chargeables
Gross
$137,813
278C1767S1_171709
$54,658
Hc Sup Shell 278 Revenue Code C1767 Hcpcs
Gross
$136,644
278C1889S1_172581
$51,975
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$129,938
278C1889S1_119923
$51,188
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$127,969
278C1889S1_119924
$51,188
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$127,969
278C1889S1_119925
$51,188
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$127,969
278C1889S1_119926
$51,188
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$127,969
278C1889S1_183350
$50,400
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$126,000
278C1889S1_183683
$50,400
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$126,000
278C1889S1_184000
$50,400
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$126,000
278C1889S1_184138
$50,400
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$126,000
278C1889S1_185528
$50,400
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$126,000
278C1889S1_188017
$50,400
Hc Sup Shell 278 Revenue Code C1889 Hcpcs
Gross
$126,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2500000004_71894012203 | Zolgensma: 1 Kit In 1 Carton (71894-122-03) * 8.3 Ml In 1 Vial (71894-115-01) * 1 Ml In 1 Pouch | $8,968,896 | $3,587,559 | — | — | 0 |
| 2500000004_71894012002 | Zolgensma: 1 Kit In 1 Carton (71894-120-02) * 1 Ml In 1 Pouch * 8.3 Ml In 1 Vial (71894-115-01) | $8,707,666 | $3,483,067 | — | — | 0 |
| 891Q204202 | Hc Kymriah Car-T Ped And Young Adult W/ R/R All Age <25 Yrs | $2,955,796 | $1,182,318 | — | — | 0 |
| 891C939903 | Hc T-Cell Amtagvi (Lifileucel) | $2,798,760 | $1,119,504 | — | — | 0 |
| 891J359001 | Hc T-Cell Amtagvi (Lifileucel) | $2,798,760 | $1,119,504 | — | — | 0 |
| 891Q205401 | Hc Car-T Liso-Cel Breyanzi | $2,778,431 | $1,111,372 | — | — | 0 |
| 891Q205401_Q2054_891 | Hc Car-T Liso-Cel Breyanzi | $2,778,431 | $1,111,372 | — | — | 0 |
| 891Q204101 | Hc Yescarta | $2,722,544 | $1,089,018 | — | — | 0 |
| 891Q204101_Q2041_891 | Hc Yescarta | $2,722,544 | $1,089,018 | — | — | 0 |
| 891Q205501 | Hc Car-T Ide-Cel Abecma | $2,709,926 | $1,083,970 | — | — | 0 |
| 891Q205501_Q2055_891 | Hc Car-T Ide-Cel Abecma | $2,709,926 | $1,083,970 | — | — | 0 |
| 891Q205601 | Hc Car-T Cilta-Cel Carvykti | $2,665,490 | $1,066,196 | — | — | 0 |
| 891Q205601_Q2056_891 | Hc Car-T Cilta-Cel Carvykti | $2,665,490 | $1,066,196 | — | — | 0 |
| 891Q205301 | Hc Tecartus | $2,507,470 | $1,002,988 | — | — | 0 |
| 891Q205301_Q2053_891 | Hc Tecartus | $2,507,470 | $1,002,988 | — | — | 0 |
| 891C939902 | Hc Car-T Ide-Cel Abecma | $2,482,072 | $992,829 | — | — | 0 |
| 891C939902_C9399_891 | Hc Car-T Ide-Cel Abecma | $2,482,072 | $992,829 | — | — | 0 |
| 891Q204201 | Hc Kymriah Car-T | $2,434,856 | $973,942 | — | — | 0 |
| 891C939901 | Hc Car-T Liso-Cel Breyanzi | $2,427,638 | $971,055 | — | — | 0 |
| 891C939901_C9399_891 | Hc Car-T Liso-Cel Breyanzi | $2,427,638 | $971,055 | — | — | 0 |
| 891C939901_Q2054_891 | Hc Car-T Liso-Cel Breyanzi | $2,427,638 | $971,055 | — | — | 0 |
| 278Q0481S1_137270 | Hc Sup Shell 278 Revenue Code Q0481 Hcpcs | $424,931 | $169,972 | — | — | 0 |
| 8120000008 | Hc Liver Acquisition | $337,116 | $134,846 | — | — | 0 |
| 8120000006 | Hc Heart Acquisition | $296,110 | $118,444 | — | — | 0 |
| 8120000013 | Hc Heart Acquisition W/ Sherpapak Carrier | $296,110 | $118,444 | — | — | 0 |
| 2500000004_55566105001 | Adstiladrin: 4 Vial In 1 Carton (55566-1050-1) / 20 Ml In 1 Vial (55566-1050-0) | $267,960 | $107,184 | — | — | 0 |
| 2500000004_55566105000 | NDC Description Not Available | $267,290 | $106,916 | — | — | 0 |
| 8120000002 | Hc Double Lung Acquistion | $243,033 | $97,213 | — | — | 0 |
| 8120000009 | Hc Single Lung Acquisition | $243,033 | $97,213 | — | — | 0 |
| 2500000004_J9226_278 | Supprelin La: 1 Vial, Glass In 1 Carton (67979-002-01) / 1 Implant In 1 Vial, Glass | $235,546 | $94,219 | — | — | 0 |
| 8120000007 | Hc Kidney Acquisition | $192,463 | $76,985 | — | — | 0 |
| 8120000011 | Hc Kidney Living Donor Acquisition | $192,463 | $76,985 | — | — | 0 |
| 278C1889S1_158740 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $166,787 | $66,715 | — | — | 0 |
| 8120000010 | Hc Pancrease Acquisition | $166,055 | $66,422 | — | — | 0 |
| 278C1767S1_144247 | Hc Sup Shell 278 Revenue Code C1767 Hcpcs | $153,444 | $61,378 | — | — | 0 |
| 278C1767S1_89538 | Hc Sup Shell 278 Revenue Code C1767 Hcpcs | $152,766 | $61,107 | — | — | 0 |
| 2500000004_67979000201 | Supprelin La: 1 Vial, Glass In 1 Carton (67979-002-01) / 1 Implant In 1 Vial, Glass | $146,302 | $58,521 | — | — | 0 |
| 278C1825S1_189103 | Hc Sup Shell 278 Revenue Code C1825 Hcpcs? Hb Chargeables | $137,813 | $55,125 | — | — | 0 |
| 278C1767S1_171709 | Hc Sup Shell 278 Revenue Code C1767 Hcpcs | $136,644 | $54,658 | — | — | 0 |
| 278C1889S1_172581 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $129,938 | $51,975 | — | — | 0 |
| 278C1889S1_119923 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $127,969 | $51,188 | — | — | 0 |
| 278C1889S1_119924 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $127,969 | $51,188 | — | — | 0 |
| 278C1889S1_119925 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $127,969 | $51,188 | — | — | 0 |
| 278C1889S1_119926 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $127,969 | $51,188 | — | — | 0 |
| 278C1889S1_183350 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $126,000 | $50,400 | — | — | 0 |
| 278C1889S1_183683 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $126,000 | $50,400 | — | — | 0 |
| 278C1889S1_184000 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $126,000 | $50,400 | — | — | 0 |
| 278C1889S1_184138 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $126,000 | $50,400 | — | — | 0 |
| 278C1889S1_185528 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $126,000 | $50,400 | — | — | 0 |
| 278C1889S1_188017 | Hc Sup Shell 278 Revenue Code C1889 Hcpcs | $126,000 | $50,400 | — | — | 0 |
Showing top 50 of 39,320 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.