45 CFR § 180 compliance
B · 85
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
3,549
Insurances with rates
16
CPT / HCPCS codes
1,548
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 63323-105-10 | ACYCLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION | $55,838 | $54,721 | — | — | 1 |
| 0781-9250-78 | AMPICILLIN 500 MG SOLUTION FOR INJECTION | $49,194 | $48,210 | — | — | 1 |
| 0781-9261-85 | AMPICILLIN 1 GRAM SOLUTION FOR INJECTION | $36,674 | $35,940 | — | — | 1 |
| 0169-7205-01 | COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION | $31,963 | $31,324 | — | — | 1 |
| 9999-9903-05 | ALTEPLASE 100 MG IVPB (FROM VIAL) | $25,661 | $25,148 | — | — | 1 |
| 0024-5824-11 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $22,099 | $21,657 | — | — | 1 |
| 50242-917-01 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION | $19,697 | $19,303 | — | — | 1 |
| 51144-050-01 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $19,400 | $19,012 | — | — | 1 |
| 61755-008-01 | CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION | $18,842 | $18,466 | — | — | 1 |
| 63323-389-10 | AMPICILLIN 1 GRAM SOLUTION FOR INJECTION | $15,926 | $15,608 | — | — | 1 |
| 57894-503-01 | DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN | $15,796 | $15,480 | — | — | 1 |
| 9999-9903-77 | DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SYRINGE (BATCHED) | $15,796 | $15,480 | — | — | 1 |
| 0310-1730-30 | BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE | $14,074 | $13,793 | — | — | 1 |
| 50242-918-01 | ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION | $13,788 | $13,512 | — | — | 1 |
| 50242-044-13 | ALTEPLASE 25 MG IV SYRINGE (OVER 8 HOURS) | $12,830 | $12,574 | — | — | 1 |
| 50242-044-06 | ALTEPLASE 25 MG IV SYRINGE (OVER 8 HOURS) | $12,830 | $12,574 | — | — | 1 |
| 25021-136-10 | AMPICILLIN 1 GRAM SOLUTION FOR INJECTION | $12,024 | $11,784 | — | — | 1 |
| 22513 | Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation | $11,217 | $11,217 | — | — | 72 |
| 22514 | Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr | $11,165 | $11,165 | — | — | 72 |
| 50242-087-01 | ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION | $11,023 | $10,803 | — | — | 1 |
| 55513-730-01 | DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $10,058 | $9,857 | — | — | 1 |
| 66794-222-02 | AMPICILLIN 1 GRAM SOLUTION FOR INJECTION | $9,499 | $9,309 | — | — | 1 |
| 67850-021-00 | AMPICILLIN 1 GRAM SOLUTION FOR INJECTION | $8,889 | $8,711 | — | — | 1 |
| 61314-228-94 | DENOSUMAB-BBDZ 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $8,777 | $8,602 | — | — | 1 |
| 0069-3150-84 | AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION | $8,277 | $8,112 | — | — | 1 |
| 0409-3726-10 | AMPICILLIN 1 GRAM SOLUTION FOR INJECTION | $7,181 | $7,038 | — | — | 1 |
| 20982 | Ablation Bone Tumor Rf Perq W/Img Gdn When Done | $6,947 | $6,947 | — | — | 72 |
| 50242-088-01 | ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION | $6,890 | $6,752 | — | — | 1 |
| 42367-540-32 | DANTROLENE 250 MG INTRAVENOUS SUSPENSION | $6,775 | $6,639 | — | — | 1 |
| 55390-612-10 | ACYCLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION | $6,764 | $6,628 | — | — | 1 |
| 63833-617-02 | ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION | $6,433 | $6,304 | — | — | 1 |
| 50242-061-01 | BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION | $6,376 | $6,248 | — | — | 1 |
| 99999-849-03 | BEVACIZUMAB INTRAVITREAL SYRINGE 1.25 MG/0.05 ML | $6,376 | $6,248 | — | — | 1 |
| 57894-501-01 | AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION | $6,295 | $6,169 | — | — | 1 |
| 41155 | Excis Tongue,Mouth,Jaw,Rad Neck | $6,119 | $6,119 | — | — | 56 |
| 22515 | Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Each | $5,725 | $5,725 | — | — | 72 |
| 59510 | Full Rout Obste Care,Cesarean Deliv | $5,671 | $5,671 | — | — | 112 |
| 20969 | Bone-Skin Graft, Microvascular | $5,603 | $5,603 | — | — | 56 |
| 71225-120-01 | BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION (EQUIVALENT TO VIVIMUSTA) | $5,565 | $5,454 | — | — | 1 |
| 24338-270-01 | BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION (EQUIVALENT TO VIVIMUSTA) | $5,565 | $5,454 | — | — | 1 |
| 61512 | Crnec Treph Bone Flap Crnot Exc Meningioma Sttl | $5,522 | $5,522 | — | — | 56 |
| 55513-710-21 | DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE | $5,468 | $5,359 | — | — | 1 |
| 55513-710-01 | DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE | $5,468 | $5,359 | — | — | 1 |
| 76075-101-01 | CARFILZOMIB 60 MG INTRAVENOUS SOLUTION | $5,462 | $5,353 | — | — | 1 |
| 55292-811-55 | DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION | $5,417 | $5,309 | — | — | 1 |
| 59610 | Rout OB Care,Vag Deliv,Prev C-Sec | $5,350 | $5,350 | — | — | 56 |
| 69705 | Surg Nasopharyngoscopy Dilat Eustachian Tube Uni | $5,339 | $5,339 | — | — | 64 |
| 59400 | Full Rout Obste Care,Vaginal Deliv | $5,090 | $5,090 | — | — | 112 |
| 57970-100-01 | DALBAVANCIN 500 MG INTRAVENOUS SOLUTION | $4,928 | $4,830 | — | — | 1 |
| 55513-207-01 | BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION | $4,927 | $4,829 | — | — | 1 |
Showing top 50 of 3,549 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.