45 CFR § 180 compliance
F · 55
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
12,508
Insurances with rates
4
CPT / HCPCS codes
5,908
Source MRF
Most expensive procedures (gross)
RX-161727
$283,993
GIVOSIRAN SODIUM 189 MG/ML SC SOLN
Gross
$354,991
RX-136251
$185,545
USTEKINUMAB 90 MG/ML SC SOSY
Gross
$231,931
RX-31432
$159,370
DIGOXIN IMMUNE FAB 40 MG IV SOLR
Gross
$199,212
RX-148375
$131,377
OCRELIZUMAB 300 MG/10ML IV SOLN
Gross
$164,221
RX-103989
$120,312
IPILIMUMAB 200 MG/40ML IV SOLN
Gross
$150,390
RX-138330
$92,265
ADALIMUMAB 40 MG/0.8ML SC PSKT
Gross
$115,331
49000895
$89,183
Hc Cch Insert/Replace Spinal Neurostim Pulse Gen/Receiver W/ Pocket Creation & Electrode Connection
Gross
$111,479
RX-9002
$58,646
ALTEPLASE 100 MG IV SOLR
Gross
$73,307
49001021
$50,634
Hc Cch Implant Neurostim Electrode Peripheral Nerve
Gross
$63,293
49001022
$50,634
Hc Cch Implant Neurostim Electrode Neuromuscular
Gross
$63,293
RX-24436
$46,065
OCTREOTIDE ACETATE 30 MG IM KIT
Gross
$57,582
RX-100448
$44,292
CABAZITAXEL 60 MG/1.5ML IV SOLN
Gross
$55,365
49000966
$43,378
Hc Cch Implant/Replace Drug Infusion Device Prog Pump W/W/O Prog
Gross
$54,223
RX-105578
$42,387
LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT
Gross
$52,984
RX-117444
$40,580
BRENTUXIMAB VEDOTIN 50 MG IV SOLR
Gross
$50,726
RX-150654
$37,830
BENRALIZUMAB 30 MG/ML SC SOSY
Gross
$47,287
RX-143457
$37,754
ATEZOLIZUMAB 1200 MG/20ML IV SOLN
Gross
$47,192
RX-154492
$36,657
CEMIPLIMAB-RWLC 350 MG/7ML IV SOLN
Gross
$45,821
RX-162644
$34,638
DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN
Gross
$43,298
RX-150081
$34,203
GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR
Gross
$42,753
RX-171825
$33,576
TECLISTAMAB-CQYV 153 MG/1.7ML SC SOLN
Gross
$41,970
RX-24435
$30,763
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$38,454
RX-103988
$30,078
IPILIMUMAB 50 MG/10ML IV SOLN
Gross
$37,598
RX-135001
$29,952
VEDOLIZUMAB 300 MG IV SOLR
Gross
$37,440
RX-40120
$29,506
NATALIZUMAB 300 MG/15ML IV CONC
Gross
$36,883
RX-132204
$28,484
OBINUTUZUMAB 1000 MG/40ML IV SOLN
Gross
$35,605
RX-21108
$28,258
LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT
Gross
$35,322
RX-163058
$27,752
LURBINECTEDIN 4 MG IV SOLR
Gross
$34,690
RX-156112
$26,428
ATEZOLIZUMAB 840 MG/14ML IV SOLN
Gross
$33,035
RX-151326
$26,385
NIVOLUMAB 240 MG/24ML IV SOLN
Gross
$32,982
RX-146855
$25,323
BEZLOTOXUMAB 1000 MG/40ML IV SOLN
Gross
$31,654
RX-134489
$25,173
RAMUCIRUMAB 500 MG/50ML IV SOLN
Gross
$31,467
RX-129827
$25,027
IMMUNE GLOBULIN (HUMAN) 40 GM/400ML IV SOLN
Gross
$31,284
RX-103580
$23,852
PANITUMUMAB 400 MG/20ML IV SOLN
Gross
$29,815
RX-141092
$23,077
MEPOLIZUMAB 100 MG SC SOLR
Gross
$28,846
RX-149322
$22,729
RITUXIMAB-HYALURONIDASE HUMAN 1400-23400 MG -UT/11.7ML SC SOLN
Gross
$28,411
RX-123050
$22,557
PERTUZUMAB 420 MG/14ML IV SOLN
Gross
$28,196
27800423
$22,550
Hc Sup To Eap C1772
Gross
$28,188
RX-160384
$22,502
FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOLN
Gross
$28,128
RX-140273
$22,181
PEGFILGRASTIM 6 MG/0.6ML SC SOSY
Gross
$27,726
RX-140274
$22,181
PEGFILGRASTIM 6 MG/0.6ML SC PSKT
Gross
$27,726
RX-128155
$21,735
ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR
Gross
$27,169
RX-29313
$21,312
CROTALIDAE POLYVAL IMMUNE FAB IV SOLR
Gross
$26,639
RX-21045
$21,193
LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT
Gross
$26,492
RX-137806
$19,983
PEMBROLIZUMAB 100 MG/4ML IV SOLN
Gross
$24,979
49000385
$18,950
Hc Implant Neurostimulator Electrodes Percutaneous Sacral Nerve Incl Imaging Guidance If Performed
Gross
$23,688
49000688
$18,950
Hc Implant Neurostimulator Electrodes Percutaneous Epidural
Gross
$23,688
49000894
$18,950
Hc Cch Revision Includes Replacement Of Spinal Neurostimulator Electrode Perc Array Includes Fluoro
Gross
$23,688
49000765
$18,322
Hc Perc Kyphoplasty 1 Vertebral Body Thoracic W/ Imaging Guidance
Gross
$22,902
49000766
$18,322
Hc Perc Kyphoplasty 1 Vertebral Body Lumbar W/ Imaging Guidance
Gross
$22,902
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-161727 | GIVOSIRAN SODIUM 189 MG/ML SC SOLN | $354,991 | $283,993 | — | — | 0 |
| RX-136251 | USTEKINUMAB 90 MG/ML SC SOSY | $231,931 | $185,545 | — | — | 0 |
| RX-31432 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $199,212 | $159,370 | — | — | 0 |
| RX-148375 | OCRELIZUMAB 300 MG/10ML IV SOLN | $164,221 | $131,377 | — | — | 0 |
| RX-103989 | IPILIMUMAB 200 MG/40ML IV SOLN | $150,390 | $120,312 | — | — | 0 |
| RX-138330 | ADALIMUMAB 40 MG/0.8ML SC PSKT | $115,331 | $92,265 | — | — | 0 |
| 49000895 | Hc Cch Insert/Replace Spinal Neurostim Pulse Gen/Receiver W/ Pocket Creation & Electrode Connection | $111,479 | $89,183 | — | — | 0 |
| RX-9002 | ALTEPLASE 100 MG IV SOLR | $73,307 | $58,646 | — | — | 0 |
| 49001021 | Hc Cch Implant Neurostim Electrode Peripheral Nerve | $63,293 | $50,634 | — | — | 0 |
| 49001022 | Hc Cch Implant Neurostim Electrode Neuromuscular | $63,293 | $50,634 | — | — | 0 |
| RX-24436 | OCTREOTIDE ACETATE 30 MG IM KIT | $57,582 | $46,065 | — | — | 0 |
| RX-100448 | CABAZITAXEL 60 MG/1.5ML IV SOLN | $55,365 | $44,292 | — | — | 0 |
| 49000966 | Hc Cch Implant/Replace Drug Infusion Device Prog Pump W/W/O Prog | $54,223 | $43,378 | — | — | 0 |
| RX-105578 | LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT | $52,984 | $42,387 | — | — | 0 |
| RX-117444 | BRENTUXIMAB VEDOTIN 50 MG IV SOLR | $50,726 | $40,580 | — | — | 0 |
| RX-150654 | BENRALIZUMAB 30 MG/ML SC SOSY | $47,287 | $37,830 | — | — | 0 |
| RX-143457 | ATEZOLIZUMAB 1200 MG/20ML IV SOLN | $47,192 | $37,754 | — | — | 0 |
| RX-154492 | CEMIPLIMAB-RWLC 350 MG/7ML IV SOLN | $45,821 | $36,657 | — | — | 0 |
| RX-162644 | DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN | $43,298 | $34,638 | — | — | 0 |
| RX-150081 | GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR | $42,753 | $34,203 | — | — | 0 |
| RX-171825 | TECLISTAMAB-CQYV 153 MG/1.7ML SC SOLN | $41,970 | $33,576 | — | — | 0 |
| RX-24435 | OCTREOTIDE ACETATE 20 MG IM KIT | $38,454 | $30,763 | — | — | 0 |
| RX-103988 | IPILIMUMAB 50 MG/10ML IV SOLN | $37,598 | $30,078 | — | — | 0 |
| RX-135001 | VEDOLIZUMAB 300 MG IV SOLR | $37,440 | $29,952 | — | — | 0 |
| RX-40120 | NATALIZUMAB 300 MG/15ML IV CONC | $36,883 | $29,506 | — | — | 0 |
| RX-132204 | OBINUTUZUMAB 1000 MG/40ML IV SOLN | $35,605 | $28,484 | — | — | 0 |
| RX-21108 | LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT | $35,322 | $28,258 | — | — | 0 |
| RX-163058 | LURBINECTEDIN 4 MG IV SOLR | $34,690 | $27,752 | — | — | 0 |
| RX-156112 | ATEZOLIZUMAB 840 MG/14ML IV SOLN | $33,035 | $26,428 | — | — | 0 |
| RX-151326 | NIVOLUMAB 240 MG/24ML IV SOLN | $32,982 | $26,385 | — | — | 0 |
| RX-146855 | BEZLOTOXUMAB 1000 MG/40ML IV SOLN | $31,654 | $25,323 | — | — | 0 |
| RX-134489 | RAMUCIRUMAB 500 MG/50ML IV SOLN | $31,467 | $25,173 | — | — | 0 |
| RX-129827 | IMMUNE GLOBULIN (HUMAN) 40 GM/400ML IV SOLN | $31,284 | $25,027 | — | — | 0 |
| RX-103580 | PANITUMUMAB 400 MG/20ML IV SOLN | $29,815 | $23,852 | — | — | 0 |
| RX-141092 | MEPOLIZUMAB 100 MG SC SOLR | $28,846 | $23,077 | — | — | 0 |
| RX-149322 | RITUXIMAB-HYALURONIDASE HUMAN 1400-23400 MG -UT/11.7ML SC SOLN | $28,411 | $22,729 | — | — | 0 |
| RX-123050 | PERTUZUMAB 420 MG/14ML IV SOLN | $28,196 | $22,557 | — | — | 0 |
| 27800423 | Hc Sup To Eap C1772 | $28,188 | $22,550 | — | — | 0 |
| RX-160384 | FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOLN | $28,128 | $22,502 | — | — | 0 |
| RX-140273 | PEGFILGRASTIM 6 MG/0.6ML SC SOSY | $27,726 | $22,181 | — | — | 0 |
| RX-140274 | PEGFILGRASTIM 6 MG/0.6ML SC PSKT | $27,726 | $22,181 | — | — | 0 |
| RX-128155 | ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR | $27,169 | $21,735 | — | — | 0 |
| RX-29313 | CROTALIDAE POLYVAL IMMUNE FAB IV SOLR | $26,639 | $21,312 | — | — | 0 |
| RX-21045 | LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT | $26,492 | $21,193 | — | — | 0 |
| RX-137806 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $24,979 | $19,983 | — | — | 0 |
| 49000385 | Hc Implant Neurostimulator Electrodes Percutaneous Sacral Nerve Incl Imaging Guidance If Performed | $23,688 | $18,950 | — | — | 0 |
| 49000688 | Hc Implant Neurostimulator Electrodes Percutaneous Epidural | $23,688 | $18,950 | — | — | 0 |
| 49000894 | Hc Cch Revision Includes Replacement Of Spinal Neurostimulator Electrode Perc Array Includes Fluoro | $23,688 | $18,950 | — | — | 0 |
| 49000765 | Hc Perc Kyphoplasty 1 Vertebral Body Thoracic W/ Imaging Guidance | $22,902 | $18,322 | — | — | 0 |
| 49000766 | Hc Perc Kyphoplasty 1 Vertebral Body Lumbar W/ Imaging Guidance | $22,902 | $18,322 | — | — | 0 |
Showing top 50 of 12,508 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.