45 CFR § 180 compliance
C · 70
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
15,904
Insurances with rates
28
CPT / HCPCS codes
13,784
Source MRF
Most expensive procedures (gross)
83818
$274,687
Injection, glucarpidase, 10 units
Gross
$274,687
80649
$134,914
Injection, ocrelizumab, 1 mg
Gross
$134,914
59019
$123,938
Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani
Gross
$123,938
78430
$97,158
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$97,158
76905
$95,948
Injection, cabazitaxel, 1 mg
Gross
$95,948
78426
$94,401
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$94,401
116938
$75,909
Injection, dostarlimab-gxly, 10 mg
Gross
$75,909
78427
$72,684
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$72,684
76599
$67,876
Injection, brentuximab vedotin, 1 mg
Gross
$67,876
85896
$64,671
Injection, caplacizumab-yhdp, 1 mg
Gross
$64,671
85977
$62,699
Injection, cemiplimab-rwlc, 1 mg
Gross
$62,699
123924
$62,444
Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of
Gross
$62,444
118606
$53,797
Injection, risankizumab-rzaa, intravenous, 1 mg
Gross
$53,797
125779
$53,710
Injection, eculizumab, 2 mg
Gross
$53,710
88468
$53,289
Injection, vedolizumab, intravenous, 1 mg
Gross
$53,289
114469
$50,769
Injection, daratumumab, 10 mg and hyaluronidase-fihj
Gross
$50,769
415857
$47,412
Integra flowable wound matrix, injectable, 1 cc
Gross
$47,412
67967
$45,991
Injection, natalizumab, 1 mg
Gross
$45,991
883617
$45,941
Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
Gross
$45,941
447337
$45,745
Power module patient cable for use with electric or electric/pneumatic ventricular assist device, re
Gross
$45,745
775747
$43,560
Injection, obinutuzumab, 10 mg
Gross
$43,560
117391
$39,176
Injection, tisotumab vedotin-tftv, 1 mg
Gross
$39,176
84266
$37,008
Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg
Gross
$37,008
82258
$36,386
Injection, pertuzumab, 1 mg
Gross
$36,386
119651
$35,550
Injection, mirvetuximab soravtansine-gynx, 1 mg
Gross
$35,550
96932
$31,548
Injection, hemin, 1 mg
Gross
$31,548
127778
$29,754
Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
Gross
$29,754
125774
$28,871
Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg
Gross
$28,871
6738
$27,764
Injection, pentostatin, 10 mg
Gross
$27,764
115279
$26,145
Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg
Gross
$26,145
44193
$25,687
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$25,687
44194
$25,687
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$25,687
96048
$23,827
Injection, trabectedin, 0.1 mg
Gross
$23,827
78429
$23,501
Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim
Gross
$23,501
78432
$23,501
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment
Gross
$23,501
77372
$23,017
Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani
Gross
$23,017
44199
$22,650
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$22,650
546939
$22,601
Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg
Gross
$22,601
8660
$22,490
Injection, melphalan hydrochloride, not otherwise specified, 50 mg
Gross
$22,490
31658
$22,223
Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru
Gross
$22,223
438395
$22,026
Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below kn
Gross
$22,026
95971
$21,994
Injection, elotuzumab, 1 mg
Gross
$21,994
445441
$21,949
Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement onl
Gross
$21,949
44083
$21,719
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima
Gross
$21,719
116965
$21,379
Injection, pegfilgrastim, excludes biosimilar, 0.5 mg
Gross
$21,379
31711
$21,180
Interstitial radiation source application, complex, includes supervision, handling, loading of radia
Gross
$21,180
116096
$21,073
Injection, infliximab-axxq, biosimilar, (avsola), 10 mg
Gross
$21,073
125661
$20,796
Injection, lanreotide, 1 mg
Gross
$20,796
782559
$20,729
Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
Gross
$20,729
471268
$20,690
Microporous collagen implantable tube (neuragen nerve guide), per centimeter length
Gross
$20,690
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 83818 | Injection, glucarpidase, 10 units | $274,687 | $274,687 | $441 | $647 | 3 |
| 80649 | Injection, ocrelizumab, 1 mg | $134,914 | $134,914 | $49.14 | $89.03 | 7 |
| 59019 | Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani | $123,938 | $123,938 | $17,628 | $48,663 | 9 |
| 78430 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $97,158 | $97,158 | $5,571 | $21,562 | 7 |
| 76905 | Injection, cabazitaxel, 1 mg | $95,948 | $95,948 | $188 | $341 | 7 |
| 78426 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $94,401 | $94,401 | $5,571 | $21,562 | 7 |
| 116938 | Injection, dostarlimab-gxly, 10 mg | $75,909 | $75,909 | $204 | $370 | 7 |
| 78427 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $72,684 | $72,684 | $5,571 | $21,562 | 7 |
| 76599 | Injection, brentuximab vedotin, 1 mg | $67,876 | $67,876 | $212 | $383 | 7 |
| 85896 | Injection, caplacizumab-yhdp, 1 mg | $64,671 | $64,671 | $835 | $1,224 | 3 |
| 85977 | Injection, cemiplimab-rwlc, 1 mg | $62,699 | $62,699 | $24.58 | $44.54 | 7 |
| 123924 | Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of | $62,444 | $62,444 | $2,550 | $2,550 | 1 |
| 118606 | Injection, risankizumab-rzaa, intravenous, 1 mg | $53,797 | $53,797 | $12.63 | $22.88 | 7 |
| 125779 | Injection, eculizumab, 2 mg | $53,710 | $53,710 | $38.09 | $69.01 | 7 |
| 88468 | Injection, vedolizumab, intravenous, 1 mg | $53,289 | $53,289 | $17.99 | $32.59 | 7 |
| 114469 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | $50,769 | $50,769 | $45.04 | $81.6 | 7 |
| 415857 | Integra flowable wound matrix, injectable, 1 cc | $47,412 | $47,412 | $1,270 | $1,494 | 7 |
| 67967 | Injection, natalizumab, 1 mg | $45,991 | $45,991 | $20.71 | $37.53 | 7 |
| 883617 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | $45,941 | $45,941 | $3,060 | $4,488 | 3 |
| 447337 | Power module patient cable for use with electric or electric/pneumatic ventricular assist device, re | $45,745 | $45,745 | $793 | $1,259 | 18 |
| 775747 | Injection, obinutuzumab, 10 mg | $43,560 | $43,560 | $63.93 | $116 | 7 |
| 117391 | Injection, tisotumab vedotin-tftv, 1 mg | $39,176 | $39,176 | $160 | $291 | 7 |
| 84266 | Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg | $37,008 | $37,008 | $95.97 | $174 | 7 |
| 82258 | Injection, pertuzumab, 1 mg | $36,386 | $36,386 | $13.8 | $24.99 | 7 |
| 119651 | Injection, mirvetuximab soravtansine-gynx, 1 mg | $35,550 | $35,550 | $57.86 | $105 | 7 |
| 96932 | Injection, hemin, 1 mg | $31,548 | $31,548 | $28.11 | $50.93 | 7 |
| 127778 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | $29,754 | $29,754 | $3,678 | $3,678 | 4 |
| 125774 | Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg | $28,871 | $28,871 | $128 | $232 | 7 |
| 6738 | Injection, pentostatin, 10 mg | $27,764 | $27,764 | $2,272 | $4,117 | 7 |
| 115279 | Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg | $26,145 | $26,145 | $21 | $38.05 | 7 |
| 44193 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $25,687 | $25,687 | $5,571 | $26,419 | 9 |
| 44194 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $25,687 | $25,687 | $5,571 | $26,419 | 9 |
| 96048 | Injection, trabectedin, 0.1 mg | $23,827 | $23,827 | $309 | $560 | 7 |
| 78429 | Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim | $23,501 | $23,501 | $5,571 | $21,562 | 7 |
| 78432 | Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment | $23,501 | $23,501 | $5,571 | $21,562 | 7 |
| 77372 | Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani | $23,017 | $23,017 | $13,000 | $44,719 | 9 |
| 44199 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $22,650 | $22,650 | $5,571 | $26,419 | 9 |
| 546939 | Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg | $22,601 | $22,601 | $3,369 | $3,369 | 4 |
| 8660 | Injection, melphalan hydrochloride, not otherwise specified, 50 mg | $22,490 | $22,490 | $134 | $242 | 7 |
| 31658 | Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru | $22,223 | $22,223 | — | — | 5 |
| 438395 | Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below kn | $22,026 | $22,026 | $447 | $709 | 18 |
| 95971 | Injection, elotuzumab, 1 mg | $21,994 | $21,994 | $6.57 | $11.9 | 7 |
| 445441 | Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement onl | $21,949 | $21,949 | $478 | $760 | 18 |
| 44083 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $21,719 | $21,719 | $5,571 | $26,419 | 9 |
| 116965 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | $21,379 | $21,379 | $16.98 | $30.77 | 7 |
| 31711 | Interstitial radiation source application, complex, includes supervision, handling, loading of radia | $21,180 | $21,180 | — | — | 5 |
| 116096 | Injection, infliximab-axxq, biosimilar, (avsola), 10 mg | $21,073 | $21,073 | $16.79 | $30.41 | 7 |
| 125661 | Injection, lanreotide, 1 mg | $20,796 | $20,796 | $33.62 | $60.91 | 7 |
| 782559 | Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg | $20,729 | $20,729 | $39.8 | $72.1 | 7 |
| 471268 | Microporous collagen implantable tube (neuragen nerve guide), per centimeter length | $20,690 | $20,690 | $1,112 | $1,630 | 3 |
Showing top 50 of 15,904 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.