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
35,824
Insurances with rates
25
CPT / HCPCS codes
16,849
Source MRF
Most expensive procedures (gross)
16508876
$89,243
Ipilimumab 1mg Inj
Gross
$159,363
16508876
$89,243
Ipilimumab 1mg Inj
Gross
$159,363
16509457
$68,416
Loncastuximab tesirine 0.075mg
Gross
$122,172
16509457
$68,416
Loncastuximab tesirine 0.075mg
Gross
$122,172
27800055
$50,960
Optimizer Pulse Generator
Gross
$91,000
16508973
$50,119
Pegaspargase 3750 IU Inj`
Gross
$89,499
16508973
$50,119
Pegaspargase 3750 IU Inj`
Gross
$89,499
16508566
$48,576
Injection Ocrelizumab 1mg
Gross
$86,743
16508566
$48,576
Injection Ocrelizumab 1mg
Gross
$86,743
27800157
$47,600
TAVR, Resilia 29mm
Gross
$85,000
27800201
$47,600
Valve, 26mm Reslilia TAVR
Gross
$85,000
16509271
$43,226
Polatuzumab Vedotin PIIQ 1mg
Gross
$77,189
16509271
$43,226
Polatuzumab Vedotin PIIQ 1mg
Gross
$77,189
1000044
$36,260
Mesh 11
Gross
$64,750
27800046
$36,260
Mesh, 40x30cm TransorbTSB40x30
Gross
$64,750
16509201
$35,808
Nivolumab Relatlimab MBW 3/1mg
Gross
$63,943
16509201
$35,808
Nivolumab Relatlimab MBW 3/1mg
Gross
$63,943
16508651
$34,174
Cabaziataxel Inj 1 MG
Gross
$61,024
16508651
$34,174
Cabaziataxel Inj 1 MG
Gross
$61,024
16509432
$30,404
Luspatercept AAMT 0.25mg Inj
Gross
$54,293
16509432
$30,404
Luspatercept AAMT 0.25mg Inj
Gross
$54,293
27800081
$29,400
Vakve, Heart Konect 25mm
Gross
$52,500
27800106
$29,400
Valve,Heart Konect 21mm
Gross
$52,500
16508936
$27,724
Atezoltzumab Inj 10MG
Gross
$49,508
16508936
$27,724
Atezoltzumab Inj 10MG
Gross
$49,508
16508998
$25,919
Daratumumab 10mg Hyaluron FIHJ
Gross
$46,284
16508998
$25,919
Daratumumab 10mg Hyaluron FIHJ
Gross
$46,284
27800108
$25,890
Excluder, 26x14.5mmx12cm 16fr
Gross
$46,232
16509494
$25,649
Imetelstat 1mg Inj
Gross
$45,802
16509494
$25,649
Imetelstat 1mg Inj
Gross
$45,802
27800132
$25,628
Enform Mesh, 25x40 GBFR2540
Gross
$45,765
16508681
$23,561
Lanreotide Inj 1 MG
Gross
$42,073
16508681
$23,561
Lanreotide Inj 1 MG
Gross
$42,073
1031817
$23,377
Tray Tibial 3
Gross
$41,745
16508526
$23,063
Vedolizumab Inj 1 mg
Gross
$41,184
16508526
$23,063
Vedolizumab Inj 1 mg
Gross
$41,184
27200118
$22,540
Epi-Sense Coag Device CDP43301
Gross
$40,250
16508686
$22,311
Ipilimumab Inj 1 MG
Gross
$39,841
16508686
$22,311
Ipilimumab Inj 1 MG
Gross
$39,841
16508369
$20,925
Inj Alteplase Recombinant 100
Gross
$37,366
16508369
$20,925
Inj Alteplase Recombinant 100
Gross
$37,366
16508466
$20,228
Tysabri Inj 20mg
Gross
$36,121
16508466
$20,228
Tysabri Inj 20mg
Gross
$36,121
16509417
$19,973
Risankizumab RZAA Inj 1mg
Gross
$35,666
16509417
$19,973
Risankizumab RZAA Inj 1mg
Gross
$35,666
16509440
$19,786
Lurbinectedin 0.1mg Inj
Gross
$35,332
16509440
$19,786
Lurbinectedin 0.1mg Inj
Gross
$35,332
16508786
$19,729
Tenecteplase Inj 1 MG
Gross
$35,230
16509502
$19,729
Tenecteplase 1mg Inj
Gross
$35,230
16508786
$19,729
Tenecteplase Inj 1 MG
Gross
$35,230
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 16508876 | Ipilimumab 1mg Inj | $159,363 | $89,243 | — | — | 3 |
| 16508876 | Ipilimumab 1mg Inj | $159,363 | $89,243 | — | — | 8 |
| 16509457 | Loncastuximab tesirine 0.075mg | $122,172 | $68,416 | — | — | 3 |
| 16509457 | Loncastuximab tesirine 0.075mg | $122,172 | $68,416 | — | — | 8 |
| 27800055 | Optimizer Pulse Generator | $91,000 | $50,960 | — | — | 3 |
| 16508973 | Pegaspargase 3750 IU Inj` | $89,499 | $50,119 | — | — | 3 |
| 16508973 | Pegaspargase 3750 IU Inj` | $89,499 | $50,119 | — | — | 8 |
| 16508566 | Injection Ocrelizumab 1mg | $86,743 | $48,576 | — | — | 3 |
| 16508566 | Injection Ocrelizumab 1mg | $86,743 | $48,576 | — | — | 8 |
| 27800157 | TAVR, Resilia 29mm | $85,000 | $47,600 | — | — | 3 |
| 27800201 | Valve, 26mm Reslilia TAVR | $85,000 | $47,600 | — | — | 3 |
| 16509271 | Polatuzumab Vedotin PIIQ 1mg | $77,189 | $43,226 | — | — | 3 |
| 16509271 | Polatuzumab Vedotin PIIQ 1mg | $77,189 | $43,226 | — | — | 8 |
| 1000044 | Mesh 11 | $64,750 | $36,260 | — | — | 3 |
| 27800046 | Mesh, 40x30cm TransorbTSB40x30 | $64,750 | $36,260 | — | — | 3 |
| 16509201 | Nivolumab Relatlimab MBW 3/1mg | $63,943 | $35,808 | — | — | 3 |
| 16509201 | Nivolumab Relatlimab MBW 3/1mg | $63,943 | $35,808 | — | — | 8 |
| 16508651 | Cabaziataxel Inj 1 MG | $61,024 | $34,174 | — | — | 3 |
| 16508651 | Cabaziataxel Inj 1 MG | $61,024 | $34,174 | — | — | 8 |
| 16509432 | Luspatercept AAMT 0.25mg Inj | $54,293 | $30,404 | — | — | 3 |
| 16509432 | Luspatercept AAMT 0.25mg Inj | $54,293 | $30,404 | — | — | 8 |
| 27800081 | Vakve, Heart Konect 25mm | $52,500 | $29,400 | — | — | 3 |
| 27800106 | Valve,Heart Konect 21mm | $52,500 | $29,400 | — | — | 3 |
| 16508936 | Atezoltzumab Inj 10MG | $49,508 | $27,724 | — | — | 3 |
| 16508936 | Atezoltzumab Inj 10MG | $49,508 | $27,724 | — | — | 8 |
| 16508998 | Daratumumab 10mg Hyaluron FIHJ | $46,284 | $25,919 | — | — | 3 |
| 16508998 | Daratumumab 10mg Hyaluron FIHJ | $46,284 | $25,919 | — | — | 8 |
| 27800108 | Excluder, 26x14.5mmx12cm 16fr | $46,232 | $25,890 | — | — | 3 |
| 16509494 | Imetelstat 1mg Inj | $45,802 | $25,649 | — | — | 3 |
| 16509494 | Imetelstat 1mg Inj | $45,802 | $25,649 | — | — | 8 |
| 27800132 | Enform Mesh, 25x40 GBFR2540 | $45,765 | $25,628 | — | — | 3 |
| 16508681 | Lanreotide Inj 1 MG | $42,073 | $23,561 | — | — | 3 |
| 16508681 | Lanreotide Inj 1 MG | $42,073 | $23,561 | — | — | 8 |
| 1031817 | Tray Tibial 3 | $41,745 | $23,377 | — | — | 3 |
| 16508526 | Vedolizumab Inj 1 mg | $41,184 | $23,063 | — | — | 3 |
| 16508526 | Vedolizumab Inj 1 mg | $41,184 | $23,063 | — | — | 8 |
| 27200118 | Epi-Sense Coag Device CDP43301 | $40,250 | $22,540 | — | — | 3 |
| 16508686 | Ipilimumab Inj 1 MG | $39,841 | $22,311 | — | — | 3 |
| 16508686 | Ipilimumab Inj 1 MG | $39,841 | $22,311 | — | — | 8 |
| 16508369 | Inj Alteplase Recombinant 100 | $37,366 | $20,925 | — | — | 3 |
| 16508369 | Inj Alteplase Recombinant 100 | $37,366 | $20,925 | — | — | 8 |
| 16508466 | Tysabri Inj 20mg | $36,121 | $20,228 | — | — | 3 |
| 16508466 | Tysabri Inj 20mg | $36,121 | $20,228 | — | — | 8 |
| 16509417 | Risankizumab RZAA Inj 1mg | $35,666 | $19,973 | — | — | 3 |
| 16509417 | Risankizumab RZAA Inj 1mg | $35,666 | $19,973 | — | — | 8 |
| 16509440 | Lurbinectedin 0.1mg Inj | $35,332 | $19,786 | — | — | 3 |
| 16509440 | Lurbinectedin 0.1mg Inj | $35,332 | $19,786 | — | — | 8 |
| 16508786 | Tenecteplase Inj 1 MG | $35,230 | $19,729 | — | — | 3 |
| 16509502 | Tenecteplase 1mg Inj | $35,230 | $19,729 | — | — | 3 |
| 16508786 | Tenecteplase Inj 1 MG | $35,230 | $19,729 | — | — | 8 |
Showing top 50 of 35,824 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.