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
19,697
Insurances with rates
44
CPT / HCPCS codes
9,301
Source MRF
Most expensive procedures (gross)
69488-0003-01
$74,592
Lutathera
Gross
$244,563
30237-8900-06
$72,002
Provenge
Gross
$236,072
Q2043
$72,002
SIPULEUCEL-T AUTO CD54+
Gross
$236,072
50419-0208-01
$52,558
Xofigo
Gross
$172,323
69488-0010-61
$48,595
Pluvicto
Gross
$159,329
600249
$46,836
EVINACUMAB DGNB 1200 MG/8 ML (150 MG/ML) SDV
Gross
$153,561
71336-1001-01
$44,173
Givlaari
Gross
$144,830
600016
$44,168
GIVOSIRAN (GIVLAARI) 189 MG/ML SDV
Gross
$144,813
A9543
$42,852
Y90 IBRITUMOMAB, RX
Gross
$140,497
00310-4535-30
$42,470
Imjudo
Gross
$139,248
50242-0554-01
$42,096
Ocrevus Zunovo
Gross
$138,019
600167
$42,096
OCRELIZUMAB-HYALURONIDASE OCSQ 923 MG-23 000 U /23 ML SUBQ INJ (OCREVUS ZUNOVO)
Gross
$138,019
C2642
$41,867
BRACHYTX, STRANDED, C-131
Gross
$137,270
600177
$38,222
zzINJECTION NOGAPENDEKIN ALFA INBAKICEPT-PMLN FOR INTRAVESICAL USE 1 MICROGRAM
Gross
$125,318
00003-2328-22
$37,911
Yervoy
Gross
$124,298
904746
$36,295
Vlv Aort Od23 Mm Sapien 3 res
Gross
$119,000
905625
$36,295
VLV AORT OD20 MM SAPIEN 3 ULT
Gross
$119,000
905626
$36,295
Vlv Aort Od26 Mm Sapien 3 res
Gross
$119,000
905627
$36,295
VLV AORT OD29 MM SAPIEN 3 ULT
Gross
$119,000
66658-0510-01
$36,055
Gamifant
Gross
$118,213
69878
$36,052
EMAPALUMAB-LZSG (GAMIFANT) 10 MG/2 ML SDV
Gross
$118,203
69880
$36,052
EMAPALUMAB-LZSG (GAMIFANT) 100 MG/20 ML SDV
Gross
$118,203
903220
$34,694
Vlv Aort Od23 Mm Sapien 3 Ult
Gross
$113,750
903221
$34,694
Vlv Aort Od26 Mm Sapien 3 Ult
Gross
$113,750
903222
$34,694
VLV AORT OD20 MM SAPIEN 3
Gross
$113,750
905932
$34,160
STENT GORE TAG OD37 MM ID8 MM
Gross
$112,000
906419
$34,160
STENT GORE TAG OD34 MM ID8 MM
Gross
$112,000
910733
$34,160
VLV AORT OD17/18-20 MM EVOLUT
Gross
$112,000
910734
$34,160
VLV AORT ODSEC20-23 MM EVOLUT
Gross
$112,000
910735
$34,160
VLV AORT OD23-26 MM EVOLUT FX+
Gross
$112,000
910736
$34,160
VLV AORT ODSEC26-30 MM EVOLUT
Gross
$112,000
700177
$32,025
SYS MITRACLIP NT 1 SGC 0 CDS
Gross
$105,000
700178
$32,025
SYS MITRACLIP NT 1 SGC 1 CDS
Gross
$105,000
700179
$32,025
SYS MITRACLIP NT 1 SGC 2 CDS
Gross
$105,000
700180
$32,025
SYS MITRACLIP NT 1 SGC 3 CDS
Gross
$105,000
700181
$32,025
KIT MITRACLIP 1 SGC 1 CDS-NTR
Gross
$105,000
700182
$32,025
KIT MITRACLIP 1 SGC 2 CDS-NTR
Gross
$105,000
700183
$32,025
KIT MITRACLIP 1 SGC 3 CDS-NTR
Gross
$105,000
700184
$32,025
KIT MITRACLIP 1 SGC 1 CDS-XTR
Gross
$105,000
700185
$32,025
KIT MITRACLIP 1 SGC 2 CDS-XTR
Gross
$105,000
700186
$32,025
KIT MITRACLIP 1 SGC 3 CDS-XTR
Gross
$105,000
700187
$32,025
KIT MITRACLP 1 SGC 1 XTR 1 NTR
Gross
$105,000
700188
$32,025
KIT MITRACLP 1 SGC 1 XTR 2 NTR
Gross
$105,000
700189
$32,025
KIT MITRACLP 1 SGC 2 XTR 1 NTR
Gross
$105,000
902731
$32,025
VALVE EVOLUT PROPLUS 23MM
Gross
$105,000
904156
$32,025
VLV AORT EVOLUT FX 23 MM
Gross
$105,000
904157
$32,025
VLV AORT EVOLUT FX 26 MM
Gross
$105,000
904158
$32,025
VLV AORT EVOLUT FX 29 MM
Gross
$105,000
904159
$32,025
VLV AORT EVOLUT FX 34 MM
Gross
$105,000
99314
$32,025
VALVE AORTIC EVOLUT PRO 23MM
Gross
$105,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 69488-0003-01 | Lutathera | $244,563 | $74,592 | — | — | 1 |
| 30237-8900-06 | Provenge | $236,072 | $72,002 | — | — | 1 |
| Q2043 | SIPULEUCEL-T AUTO CD54+ | $236,072 | $72,002 | — | — | 1 |
| 50419-0208-01 | Xofigo | $172,323 | $52,558 | — | — | 1 |
| 69488-0010-61 | Pluvicto | $159,329 | $48,595 | — | — | 1 |
| 600249 | EVINACUMAB DGNB 1200 MG/8 ML (150 MG/ML) SDV | $153,561 | $46,836 | — | — | 1 |
| 71336-1001-01 | Givlaari | $144,830 | $44,173 | — | — | 1 |
| 600016 | GIVOSIRAN (GIVLAARI) 189 MG/ML SDV | $144,813 | $44,168 | — | — | 1 |
| A9543 | Y90 IBRITUMOMAB, RX | $140,497 | $42,852 | — | — | 3 |
| 00310-4535-30 | Imjudo | $139,248 | $42,470 | — | — | 1 |
| 50242-0554-01 | Ocrevus Zunovo | $138,019 | $42,096 | — | — | 1 |
| 600167 | OCRELIZUMAB-HYALURONIDASE OCSQ 923 MG-23 000 U /23 ML SUBQ INJ (OCREVUS ZUNOVO) | $138,019 | $42,096 | — | — | 1 |
| C2642 | BRACHYTX, STRANDED, C-131 | $137,270 | $41,867 | — | — | 0 |
| 600177 | zzINJECTION NOGAPENDEKIN ALFA INBAKICEPT-PMLN FOR INTRAVESICAL USE 1 MICROGRAM | $125,318 | $38,222 | — | — | 1 |
| 00003-2328-22 | Yervoy | $124,298 | $37,911 | — | — | 1 |
| 904746 | Vlv Aort Od23 Mm Sapien 3 res | $119,000 | $36,295 | — | — | 0 |
| 905625 | VLV AORT OD20 MM SAPIEN 3 ULT | $119,000 | $36,295 | — | — | 0 |
| 905626 | Vlv Aort Od26 Mm Sapien 3 res | $119,000 | $36,295 | — | — | 0 |
| 905627 | VLV AORT OD29 MM SAPIEN 3 ULT | $119,000 | $36,295 | — | — | 0 |
| 66658-0510-01 | Gamifant | $118,213 | $36,055 | — | — | 6 |
| 69878 | EMAPALUMAB-LZSG (GAMIFANT) 10 MG/2 ML SDV | $118,203 | $36,052 | — | — | 1 |
| 69880 | EMAPALUMAB-LZSG (GAMIFANT) 100 MG/20 ML SDV | $118,203 | $36,052 | — | — | 1 |
| 903220 | Vlv Aort Od23 Mm Sapien 3 Ult | $113,750 | $34,694 | — | — | 0 |
| 903221 | Vlv Aort Od26 Mm Sapien 3 Ult | $113,750 | $34,694 | — | — | 0 |
| 903222 | VLV AORT OD20 MM SAPIEN 3 | $113,750 | $34,694 | — | — | 0 |
| 905932 | STENT GORE TAG OD37 MM ID8 MM | $112,000 | $34,160 | — | — | 0 |
| 906419 | STENT GORE TAG OD34 MM ID8 MM | $112,000 | $34,160 | — | — | 0 |
| 910733 | VLV AORT OD17/18-20 MM EVOLUT | $112,000 | $34,160 | — | — | 0 |
| 910734 | VLV AORT ODSEC20-23 MM EVOLUT | $112,000 | $34,160 | — | — | 0 |
| 910735 | VLV AORT OD23-26 MM EVOLUT FX+ | $112,000 | $34,160 | — | — | 0 |
| 910736 | VLV AORT ODSEC26-30 MM EVOLUT | $112,000 | $34,160 | — | — | 0 |
| 700177 | SYS MITRACLIP NT 1 SGC 0 CDS | $105,000 | $32,025 | — | — | 1 |
| 700178 | SYS MITRACLIP NT 1 SGC 1 CDS | $105,000 | $32,025 | — | — | 1 |
| 700179 | SYS MITRACLIP NT 1 SGC 2 CDS | $105,000 | $32,025 | — | — | 1 |
| 700180 | SYS MITRACLIP NT 1 SGC 3 CDS | $105,000 | $32,025 | — | — | 1 |
| 700181 | KIT MITRACLIP 1 SGC 1 CDS-NTR | $105,000 | $32,025 | — | — | 1 |
| 700182 | KIT MITRACLIP 1 SGC 2 CDS-NTR | $105,000 | $32,025 | — | — | 1 |
| 700183 | KIT MITRACLIP 1 SGC 3 CDS-NTR | $105,000 | $32,025 | — | — | 1 |
| 700184 | KIT MITRACLIP 1 SGC 1 CDS-XTR | $105,000 | $32,025 | — | — | 1 |
| 700185 | KIT MITRACLIP 1 SGC 2 CDS-XTR | $105,000 | $32,025 | — | — | 1 |
| 700186 | KIT MITRACLIP 1 SGC 3 CDS-XTR | $105,000 | $32,025 | — | — | 1 |
| 700187 | KIT MITRACLP 1 SGC 1 XTR 1 NTR | $105,000 | $32,025 | — | — | 1 |
| 700188 | KIT MITRACLP 1 SGC 1 XTR 2 NTR | $105,000 | $32,025 | — | — | 1 |
| 700189 | KIT MITRACLP 1 SGC 2 XTR 1 NTR | $105,000 | $32,025 | — | — | 1 |
| 902731 | VALVE EVOLUT PROPLUS 23MM | $105,000 | $32,025 | — | — | 0 |
| 904156 | VLV AORT EVOLUT FX 23 MM | $105,000 | $32,025 | — | — | 0 |
| 904157 | VLV AORT EVOLUT FX 26 MM | $105,000 | $32,025 | — | — | 0 |
| 904158 | VLV AORT EVOLUT FX 29 MM | $105,000 | $32,025 | — | — | 0 |
| 904159 | VLV AORT EVOLUT FX 34 MM | $105,000 | $32,025 | — | — | 0 |
| 99314 | VALVE AORTIC EVOLUT PRO 23MM | $105,000 | $32,025 | — | — | 0 |
Showing top 50 of 19,697 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.