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
14,311
Insurances with rates
14
CPT / HCPCS codes
10,385
Source MRF
Most expensive procedures (gross)
0078084619
$1,851,824
KYMRIAH 0.2 X 10EXP6 TO 2.5 X 10EXP8 CELL INTRAVENOUS SUSPENSION
Gross
$2,848,960
0078095819
$1,525,452
KYMRIAH 0.6 X 10EXP8 TO 6 X10EXP8 CELL INTRAVENOUS SUSPENSION
Gross
$2,346,849
0078082760
$95,591
BEOVU 6 MG/0.05 ML INTRAVITREAL SYRINGE
Gross
$147,063
0008010001
$71,473
BESPONSA 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) INTRAVENOUS SOLUTION
Gross
$109,958
0078100768
$54,680
KESIMPTA PEN 20 MG/0.4 ML SUBCUTANEOUS PEN INJECTOR
Gross
$84,124
0074210001
$52,377
SKYRIZI 150 MG/ML SUBCUTANEOUS PEN INJECTOR
Gross
$80,581
0078073461
$47,319
ILARIS (PF) 150 MG/ML SUBCUTANEOUS SOLUTION
Gross
$72,798
48104475
$35,835
VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM
Gross
$55,131
48104485
$35,835
VENOGRAPHY CHD CORONARY SINUS
Gross
$55,131
48104495
$35,835
VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT
Gross
$55,131
48104505
$35,835
VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART
Gross
$55,131
48104525
$35,835
VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG
Gross
$55,131
0008451001
$31,340
MYLOTARG 4.5 MG (1 MG/ML INITIAL CONCENTRATION) INTRAVENOUS SOLUTION
Gross
$48,216
0074969403
$30,415
LUPRON DEPOT-PED 30 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$46,792
0074347303
$30,135
LUPRON DEPOT 45 MG (6 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$46,361
0024582411
$29,866
JEVTANA 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION
Gross
$45,948
0074377903
$27,615
LUPRON DEPOT-PED 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$42,484
36012815
$25,501
ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION
Gross
$39,232
36024025
$25,309
INSJ/RPLCMT PERQ ELTRD RA SPI W/INTEGRATED NSTIM
Gross
$38,937
36024045
$25,309
INSJ/RPLCMT PERQ ELTRD RA SAC W/INTEGRATED NSTIM
Gross
$38,937
0069252202
$22,600
ELREXFIO 40 MG/ML SUBCUTANEOUS SOLUTION
Gross
$34,770
0069449402
$22,600
ELREXFIO 40 MG/ML SUBCUTANEOUS SOLUTION
Gross
$34,770
0074368303
$20,089
LUPRON DEPOT 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$30,907
0074012403
$19,999
HUMIRA(CF) PEN CROHN'S-ULC COLITIS-HID SUP STRT 80 MG/0.8 ML SUBCUT KT
Gross
$30,767
0024586201
$19,438
MOZOBIL 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$29,904
0008042303
$18,729
ANTIVENIN MICRURUS FULVIUS SOLUTION FOR INJECTION
Gross
$28,814
36024015
$18,720
TRANSCERVICAL ABLATION UTERINE FIBROID RF
Gross
$28,800
0078063968
$17,857
COSENTYX PEN 150 MG/ML SUBCUTANEOUS
Gross
$27,472
0078063997
$17,857
COSENTYX 150 MG/ML SUBCUTANEOUS SYRINGE
Gross
$27,472
0002144511
$16,992
TALTZ AUTOINJECTOR 80 MG/ML SUBCUTANEOUS
Gross
$26,141
0078080461
$16,175
SANDOSTATIN LAR DEPOT 30 MG INTRAMUSCULAR SUSPEXTENDED RELEASE
Gross
$24,885
0078082581
$16,175
SANDOSTATIN LAR DEPOT 30 MG INTRAMUSCULAR SUSPEXTENDED RELEASE
Gross
$24,885
0069032401
$15,308
NYVEPRIA 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$23,550
0074334603
$15,067
LUPRON DEPOT 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$23,180
0078033184
$14,225
SIMULECT 20 MG INTRAVENOUS SOLUTION
Gross
$21,884
48013045
$13,687
TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL
Gross
$21,057
48013065
$13,687
TCAT RMVL&RPLCMT PERM 1CHMBR LDLS PM R ATRIAL
Gross
$21,057
76111315
$12,819
TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX
Gross
$19,721
0024515175
$12,760
ELITEK 7.5 MG INTRAVENOUS SOLUTION
Gross
$19,631
0074366303
$12,644
LUPRON DEPOT 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT
Gross
$19,452
0002762301
$12,614
ALIMTA 500 MG INTRAVENOUS SOLUTION
Gross
$19,406
0078039361
$10,838
SIMULECT 10 MG INTRAVENOUS SOLUTION
Gross
$16,674
0078079761
$10,802
SANDOSTATIN LAR DEPOT 20 MG INTRAMUSCULAR SUSPEXTENDED RELEASE
Gross
$16,619
0078081881
$10,802
SANDOSTATIN LAR DEPOT 20 MG INTRAMUSCULAR SUSPEXTENDED RELEASE
Gross
$16,619
0069030501
$10,580
TRAZIMERA 420 MG INTRAVENOUS SOLUTION
Gross
$16,277
0074244003
$10,138
LUPRON DEPOT-PED 15 MG INTRAMUSCULAR KIT
Gross
$15,597
0074055402
$9,999
HUMIRA(CF) PEN 40 MG/0.4 ML SUBCUTANEOUS KIT
Gross
$15,384
0003452211
$9,281
EMPLICITI 400 MG INTRAVENOUS SOLUTION
Gross
$14,279
0074228203
$9,205
LUPRON DEPOT-PED 11.25 MG INTRAMUSCULAR KIT
Gross
$14,161
0078063998
$8,929
COSENTYX 300 MG/2 SYRINGES (150 MG/ML) SUBCUTANEOUS
Gross
$13,736
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0078084619 | KYMRIAH 0.2 X 10EXP6 TO 2.5 X 10EXP8 CELL INTRAVENOUS SUSPENSION | $2,848,960 | $1,851,824 | — | — | 41 |
| 0078095819 | KYMRIAH 0.6 X 10EXP8 TO 6 X10EXP8 CELL INTRAVENOUS SUSPENSION | $2,346,849 | $1,525,452 | — | — | 41 |
| 0078082760 | BEOVU 6 MG/0.05 ML INTRAVITREAL SYRINGE | $147,063 | $95,591 | — | — | 41 |
| 0008010001 | BESPONSA 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) INTRAVENOUS SOLUTION | $109,958 | $71,473 | — | — | 41 |
| 0078100768 | KESIMPTA PEN 20 MG/0.4 ML SUBCUTANEOUS PEN INJECTOR | $84,124 | $54,680 | — | — | 40 |
| 0074210001 | SKYRIZI 150 MG/ML SUBCUTANEOUS PEN INJECTOR | $80,581 | $52,377 | — | — | 41 |
| 0078073461 | ILARIS (PF) 150 MG/ML SUBCUTANEOUS SOLUTION | $72,798 | $47,319 | — | — | 41 |
| 48104475 | VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM | $55,131 | $35,835 | — | — | 40 |
| 48104485 | VENOGRAPHY CHD CORONARY SINUS | $55,131 | $35,835 | — | — | 40 |
| 48104495 | VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT | $55,131 | $35,835 | — | — | 40 |
| 48104505 | VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART | $55,131 | $35,835 | — | — | 40 |
| 48104525 | VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG | $55,131 | $35,835 | — | — | 40 |
| 0008451001 | MYLOTARG 4.5 MG (1 MG/ML INITIAL CONCENTRATION) INTRAVENOUS SOLUTION | $48,216 | $31,340 | — | — | 41 |
| 0074969403 | LUPRON DEPOT-PED 30 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT | $46,792 | $30,415 | — | — | 41 |
| 0074347303 | LUPRON DEPOT 45 MG (6 MONTH) INTRAMUSCULAR SYRINGE KIT | $46,361 | $30,135 | — | — | 41 |
| 0024582411 | JEVTANA 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $45,948 | $29,866 | — | — | 41 |
| 0074377903 | LUPRON DEPOT-PED 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT | $42,484 | $27,615 | — | — | 41 |
| 36012815 | ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION | $39,232 | $25,501 | — | — | 40 |
| 36024025 | INSJ/RPLCMT PERQ ELTRD RA SPI W/INTEGRATED NSTIM | $38,937 | $25,309 | — | — | 40 |
| 36024045 | INSJ/RPLCMT PERQ ELTRD RA SAC W/INTEGRATED NSTIM | $38,937 | $25,309 | — | — | 40 |
| 0069252202 | ELREXFIO 40 MG/ML SUBCUTANEOUS SOLUTION | $34,770 | $22,600 | — | — | 41 |
| 0069449402 | ELREXFIO 40 MG/ML SUBCUTANEOUS SOLUTION | $34,770 | $22,600 | — | — | 41 |
| 0074368303 | LUPRON DEPOT 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT | $30,907 | $20,089 | — | — | 41 |
| 0074012403 | HUMIRA(CF) PEN CROHN'S-ULC COLITIS-HID SUP STRT 80 MG/0.8 ML SUBCUT KT | $30,767 | $19,999 | — | — | 40 |
| 0024586201 | MOZOBIL 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION | $29,904 | $19,438 | — | — | 41 |
| 0008042303 | ANTIVENIN MICRURUS FULVIUS SOLUTION FOR INJECTION | $28,814 | $18,729 | — | — | 40 |
| 36024015 | TRANSCERVICAL ABLATION UTERINE FIBROID RF | $28,800 | $18,720 | — | — | 40 |
| 0078063968 | COSENTYX PEN 150 MG/ML SUBCUTANEOUS | $27,472 | $17,857 | — | — | 40 |
| 0078063997 | COSENTYX 150 MG/ML SUBCUTANEOUS SYRINGE | $27,472 | $17,857 | — | — | 40 |
| 0002144511 | TALTZ AUTOINJECTOR 80 MG/ML SUBCUTANEOUS | $26,141 | $16,992 | — | — | 40 |
| 0078080461 | SANDOSTATIN LAR DEPOT 30 MG INTRAMUSCULAR SUSPEXTENDED RELEASE | $24,885 | $16,175 | — | — | 41 |
| 0078082581 | SANDOSTATIN LAR DEPOT 30 MG INTRAMUSCULAR SUSPEXTENDED RELEASE | $24,885 | $16,175 | — | — | 41 |
| 0069032401 | NYVEPRIA 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $23,550 | $15,308 | — | — | 41 |
| 0074334603 | LUPRON DEPOT 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT | $23,180 | $15,067 | — | — | 41 |
| 0078033184 | SIMULECT 20 MG INTRAVENOUS SOLUTION | $21,884 | $14,225 | — | — | 41 |
| 48013045 | TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL | $21,057 | $13,687 | — | — | 40 |
| 48013065 | TCAT RMVL&RPLCMT PERM 1CHMBR LDLS PM R ATRIAL | $21,057 | $13,687 | — | — | 40 |
| 76111315 | TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX | $19,721 | $12,819 | — | — | 40 |
| 0024515175 | ELITEK 7.5 MG INTRAVENOUS SOLUTION | $19,631 | $12,760 | — | — | 41 |
| 0074366303 | LUPRON DEPOT 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT | $19,452 | $12,644 | — | — | 41 |
| 0002762301 | ALIMTA 500 MG INTRAVENOUS SOLUTION | $19,406 | $12,614 | — | — | 41 |
| 0078039361 | SIMULECT 10 MG INTRAVENOUS SOLUTION | $16,674 | $10,838 | — | — | 41 |
| 0078079761 | SANDOSTATIN LAR DEPOT 20 MG INTRAMUSCULAR SUSPEXTENDED RELEASE | $16,619 | $10,802 | — | — | 41 |
| 0078081881 | SANDOSTATIN LAR DEPOT 20 MG INTRAMUSCULAR SUSPEXTENDED RELEASE | $16,619 | $10,802 | — | — | 41 |
| 0069030501 | TRAZIMERA 420 MG INTRAVENOUS SOLUTION | $16,277 | $10,580 | — | — | 41 |
| 0074244003 | LUPRON DEPOT-PED 15 MG INTRAMUSCULAR KIT | $15,597 | $10,138 | — | — | 41 |
| 0074055402 | HUMIRA(CF) PEN 40 MG/0.4 ML SUBCUTANEOUS KIT | $15,384 | $9,999 | — | — | 40 |
| 0003452211 | EMPLICITI 400 MG INTRAVENOUS SOLUTION | $14,279 | $9,281 | — | — | 41 |
| 0074228203 | LUPRON DEPOT-PED 11.25 MG INTRAMUSCULAR KIT | $14,161 | $9,205 | — | — | 41 |
| 0078063998 | COSENTYX 300 MG/2 SYRINGES (150 MG/ML) SUBCUTANEOUS | $13,736 | $8,929 | — | — | 40 |
Showing top 50 of 14,311 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.