45 CFR § 180 compliance
D · 65
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
16,020
Insurances with rates
27
CPT / HCPCS codes
6,272
Source MRF
Most expensive procedures (gross)
69488-0003-01
$78,015
Lutathera
Gross
$244,563
30237-8900-06
$75,307
Provenge
Gross
$236,072
Q2043
$75,307
SIPULEUCEL-T AUTO CD54+
Gross
$236,072
50419-0208-01
$54,971
Xofigo
Gross
$172,323
69488-0010-61
$50,826
Pluvicto
Gross
$159,329
600249
$48,986
EVINACUMAB DGNB 1200 MG/8 ML (150 MG/ML) SDV
Gross
$153,561
71336-1001-01
$46,201
Givlaari
Gross
$144,830
600016
$46,195
GIVOSIRAN (GIVLAARI) 189 MG/ML SDV
Gross
$144,813
A9543
$44,818
Y90 IBRITUMOMAB, RX
Gross
$140,497
00310-4535-30
$44,420
Imjudo
Gross
$139,248
50242-0554-01
$44,028
Ocrevus Zunovo
Gross
$138,019
600167
$44,028
OCRELIZUMAB-HYALURONIDASE OCSQ 923 MG-23 000 U /23 ML SUBQ INJ (OCREVUS ZUNOVO)
Gross
$138,019
600177
$39,976
zzINJECTION NOGAPENDEKIN ALFA INBAKICEPT-PMLN FOR INTRAVESICAL USE 1 MICROGRAM
Gross
$125,318
00003-2328-22
$39,651
Yervoy
Gross
$124,298
904746
$37,961
Vlv Aort Od23 Mm Sapien 3 res
Gross
$119,000
905625
$37,961
VLV AORT OD20 MM SAPIEN 3 ULT
Gross
$119,000
905626
$37,961
Vlv Aort Od26 Mm Sapien 3 res
Gross
$119,000
905627
$37,961
VLV AORT OD29 MM SAPIEN 3 ULT
Gross
$119,000
C2642
$37,872
BRACHYTX, STRANDED, C-131
Gross
$118,720
66658-0510-01
$37,710
Gamifant
Gross
$118,213
69878
$37,707
EMAPALUMAB-LZSG (GAMIFANT) 10 MG/2 ML SDV
Gross
$118,203
69880
$37,707
EMAPALUMAB-LZSG (GAMIFANT) 100 MG/20 ML SDV
Gross
$118,203
903220
$36,286
Vlv Aort Od23 Mm Sapien 3 Ult
Gross
$113,750
903221
$36,286
Vlv Aort Od26 Mm Sapien 3 Ult
Gross
$113,750
903222
$36,286
VLV AORT OD20 MM SAPIEN 3
Gross
$113,750
905932
$35,728
STENT GORE TAG OD37 MM ID8 MM
Gross
$112,000
906419
$35,728
STENT GORE TAG OD34 MM ID8 MM
Gross
$112,000
910733
$35,728
VLV AORT OD17/18-20 MM EVOLUT
Gross
$112,000
910734
$35,728
VLV AORT ODSEC20-23 MM EVOLUT
Gross
$112,000
910735
$35,728
VLV AORT OD23-26 MM EVOLUT FX+
Gross
$112,000
910736
$35,728
VLV AORT ODSEC26-30 MM EVOLUT
Gross
$112,000
904156
$33,495
VLV AORT EVOLUT FX 23 MM
Gross
$105,000
904157
$33,495
VLV AORT EVOLUT FX 26 MM
Gross
$105,000
904158
$33,495
VLV AORT EVOLUT FX 29 MM
Gross
$105,000
904159
$33,495
VLV AORT EVOLUT FX 34 MM
Gross
$105,000
68572
$33,305
IPILIMUMAB 5MG/ML 40ML VL
Gross
$104,403
911588
$32,379
GRAFT TAMBE 31 MM X 20 MM
Gross
$101,500
911589
$32,379
GRAFT TAMBE 37 MM X 20 MM
Gross
$101,500
57894-0061-03
$31,414
Stelara PFS
Gross
$98,477
703046
$30,146
Set Bld Pmp Bndl Cath Pmp +
Gross
$94,500
703655
$30,146
Set Vent Asst Flx Asst Impella
Gross
$94,500
910794
$30,146
KIT INCEPTIV SURG PADDLE SYS
Gross
$94,500
79952-0110-01
$29,370
Zynlonta
Gross
$92,068
C1822
$29,029
GEN, NEURO, HF, RECHG BAT
Gross
$91,000
68215
$28,702
ACTH 80U/ML 5ML
Gross
$89,976
69556
$28,580
PEGLOTICASE 8 MG/1 ML SDV
Gross
$89,593
00597-0035-10
$28,551
Spevigo
Gross
$89,500
701100
$27,913
CATH CARD PUMP IMPELLA RIGHT
Gross
$87,500
701211
$27,913
CATH CARDIAC PUMP IMPELLA
Gross
$87,500
701455
$27,913
CATH CARD PUMP IMPELLA RP SET
Gross
$87,500
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 69488-0003-01 | Lutathera | $244,563 | $78,015 | — | — | 0 |
| 30237-8900-06 | Provenge | $236,072 | $75,307 | — | — | 0 |
| Q2043 | SIPULEUCEL-T AUTO CD54+ | $236,072 | $75,307 | — | — | 0 |
| 50419-0208-01 | Xofigo | $172,323 | $54,971 | — | — | 0 |
| 69488-0010-61 | Pluvicto | $159,329 | $50,826 | — | — | 0 |
| 600249 | EVINACUMAB DGNB 1200 MG/8 ML (150 MG/ML) SDV | $153,561 | $48,986 | — | — | 0 |
| 71336-1001-01 | Givlaari | $144,830 | $46,201 | — | — | 0 |
| 600016 | GIVOSIRAN (GIVLAARI) 189 MG/ML SDV | $144,813 | $46,195 | — | — | 0 |
| A9543 | Y90 IBRITUMOMAB, RX | $140,497 | $44,818 | — | — | 0 |
| 00310-4535-30 | Imjudo | $139,248 | $44,420 | — | — | 0 |
| 50242-0554-01 | Ocrevus Zunovo | $138,019 | $44,028 | — | — | 0 |
| 600167 | OCRELIZUMAB-HYALURONIDASE OCSQ 923 MG-23 000 U /23 ML SUBQ INJ (OCREVUS ZUNOVO) | $138,019 | $44,028 | — | — | 0 |
| 600177 | zzINJECTION NOGAPENDEKIN ALFA INBAKICEPT-PMLN FOR INTRAVESICAL USE 1 MICROGRAM | $125,318 | $39,976 | — | — | 0 |
| 00003-2328-22 | Yervoy | $124,298 | $39,651 | — | — | 0 |
| 904746 | Vlv Aort Od23 Mm Sapien 3 res | $119,000 | $37,961 | — | — | 0 |
| 905625 | VLV AORT OD20 MM SAPIEN 3 ULT | $119,000 | $37,961 | — | — | 0 |
| 905626 | Vlv Aort Od26 Mm Sapien 3 res | $119,000 | $37,961 | — | — | 0 |
| 905627 | VLV AORT OD29 MM SAPIEN 3 ULT | $119,000 | $37,961 | — | — | 0 |
| C2642 | BRACHYTX, STRANDED, C-131 | $118,720 | $37,872 | — | — | 0 |
| 66658-0510-01 | Gamifant | $118,213 | $37,710 | — | — | 4 |
| 69878 | EMAPALUMAB-LZSG (GAMIFANT) 10 MG/2 ML SDV | $118,203 | $37,707 | — | — | 0 |
| 69880 | EMAPALUMAB-LZSG (GAMIFANT) 100 MG/20 ML SDV | $118,203 | $37,707 | — | — | 0 |
| 903220 | Vlv Aort Od23 Mm Sapien 3 Ult | $113,750 | $36,286 | — | — | 0 |
| 903221 | Vlv Aort Od26 Mm Sapien 3 Ult | $113,750 | $36,286 | — | — | 0 |
| 903222 | VLV AORT OD20 MM SAPIEN 3 | $113,750 | $36,286 | — | — | 0 |
| 905932 | STENT GORE TAG OD37 MM ID8 MM | $112,000 | $35,728 | — | — | 0 |
| 906419 | STENT GORE TAG OD34 MM ID8 MM | $112,000 | $35,728 | — | — | 0 |
| 910733 | VLV AORT OD17/18-20 MM EVOLUT | $112,000 | $35,728 | — | — | 0 |
| 910734 | VLV AORT ODSEC20-23 MM EVOLUT | $112,000 | $35,728 | — | — | 0 |
| 910735 | VLV AORT OD23-26 MM EVOLUT FX+ | $112,000 | $35,728 | — | — | 0 |
| 910736 | VLV AORT ODSEC26-30 MM EVOLUT | $112,000 | $35,728 | — | — | 0 |
| 904156 | VLV AORT EVOLUT FX 23 MM | $105,000 | $33,495 | — | — | 0 |
| 904157 | VLV AORT EVOLUT FX 26 MM | $105,000 | $33,495 | — | — | 0 |
| 904158 | VLV AORT EVOLUT FX 29 MM | $105,000 | $33,495 | — | — | 0 |
| 904159 | VLV AORT EVOLUT FX 34 MM | $105,000 | $33,495 | — | — | 0 |
| 68572 | IPILIMUMAB 5MG/ML 40ML VL | $104,403 | $33,305 | — | — | 0 |
| 911588 | GRAFT TAMBE 31 MM X 20 MM | $101,500 | $32,379 | — | — | 0 |
| 911589 | GRAFT TAMBE 37 MM X 20 MM | $101,500 | $32,379 | — | — | 0 |
| 57894-0061-03 | Stelara PFS | $98,477 | $31,414 | — | — | 0 |
| 703046 | Set Bld Pmp Bndl Cath Pmp + | $94,500 | $30,146 | — | — | 0 |
| 703655 | Set Vent Asst Flx Asst Impella | $94,500 | $30,146 | — | — | 0 |
| 910794 | KIT INCEPTIV SURG PADDLE SYS | $94,500 | $30,146 | — | — | 0 |
| 79952-0110-01 | Zynlonta | $92,068 | $29,370 | — | — | 0 |
| C1822 | GEN, NEURO, HF, RECHG BAT | $91,000 | $29,029 | — | — | 0 |
| 68215 | ACTH 80U/ML 5ML | $89,976 | $28,702 | — | — | 0 |
| 69556 | PEGLOTICASE 8 MG/1 ML SDV | $89,593 | $28,580 | — | — | 0 |
| 00597-0035-10 | Spevigo | $89,500 | $28,551 | — | — | 0 |
| 701100 | CATH CARD PUMP IMPELLA RIGHT | $87,500 | $27,913 | — | — | 0 |
| 701211 | CATH CARDIAC PUMP IMPELLA | $87,500 | $27,913 | — | — | 0 |
| 701455 | CATH CARD PUMP IMPELLA RP SET | $87,500 | $27,913 | — | — | 0 |
Showing top 50 of 16,020 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.