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
15,556
Insurances with rates
27
CPT / HCPCS codes
13,506
Source MRF
Most expensive procedures (gross)
80649
$134,914
Injection, ocrelizumab, 1 mg
Gross
$134,914
590263
$97,998
Micromatrix flex, per mg
Gross
$97,998
78430
$97,158
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$97,158
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
128512
$56,661
Injection, cemiplimab-rwlc, 1 mg
Gross
$56,661
114469
$55,168
Injection, daratumumab, 10 mg and hyaluronidase-fihj
Gross
$55,168
118605
$53,806
Injection, lanreotide, 1 mg
Gross
$53,806
118606
$53,797
Injection, risankizumab-rzaa, intravenous, 1 mg
Gross
$53,797
85896
$53,448
Injection, caplacizumab-yhdp, 1 mg
Gross
$53,448
88468
$53,289
Injection, vedolizumab, intravenous, 1 mg
Gross
$53,289
415857
$47,412
Integra flowable wound matrix, injectable, 1 cc
Gross
$47,412
67967
$45,991
Injection, natalizumab, 1 mg
Gross
$45,991
125779
$30,508
Injection, eculizumab, 2 mg
Gross
$30,508
399133
$30,428
Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and nec
Gross
$30,428
52635
$29,285
Injection, pegaspargase, per single dose vial
Gross
$29,285
117482
$28,034
Injection, anifrolumab-fnia, 1 mg
Gross
$28,034
6738
$27,764
Injection, pentostatin, 10 mg
Gross
$27,764
69568
$26,356
Injection, bendamustine hcl (bendeka), 1 mg
Gross
$26,356
44194
$25,687
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$25,687
44193
$25,687
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$25,687
422129
$24,647
Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length
Gross
$24,647
78432
$23,501
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment
Gross
$23,501
375477
$23,094
Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary suppl
Gross
$23,094
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
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
82258
$21,866
Injection, pertuzumab, 1 mg
Gross
$21,866
44083
$21,719
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima
Gross
$21,719
73831
$21,596
Injection, basiliximab, 20 mg
Gross
$21,596
118550
$21,003
Injection, bortezomib, 0.1 mg
Gross
$21,003
44192
$20,323
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$20,323
93355
$19,097
Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel
Gross
$19,097
127852
$17,775
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula
Gross
$17,775
72837
$17,276
Injection, digoxin immune fab (ovine), per vial
Gross
$17,276
3834
$17,223
Injection, cytomegalovirus immune globulin intravenous (human), per vial
Gross
$17,223
1192
$17,221
Injection, aldesleukin, per single use vial
Gross
$17,221
44084
$16,694
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis
Gross
$16,694
79326
$15,784
Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg
Gross
$15,784
2594
$15,119
Injection, calcitonin salmon, up to 400 units
Gross
$15,119
117998
$14,925
Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
Gross
$14,925
118609
$14,541
Injection, fulvestrant, 25 mg
Gross
$14,541
48267
$14,474
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep,
Gross
$14,474
120714
$13,967
Injection, artesunate, 1 mg
Gross
$13,967
3244
$13,309
Injection, cidofovir, 375 mg
Gross
$13,309
18874
$13,228
Varicella-zoster immune globulin, human, for intramuscular use
Gross
$13,228
71359
$13,092
Injection, leuprolide acetate (for depot suspension), per 3.75 mg
Gross
$13,092
89110
$12,684
Indium in-111 labeled autologous platelets, diagnostic, per study dose
Gross
$12,684
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 80649 | Injection, ocrelizumab, 1 mg | $134,914 | $134,914 | $49.14 | $89.03 | 7 |
| 590263 | Micromatrix flex, per mg | $97,998 | $97,998 | $838 | $1,229 | 3 |
| 78430 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $97,158 | $97,158 | $5,571 | $21,562 | 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 |
| 128512 | Injection, cemiplimab-rwlc, 1 mg | $56,661 | $56,661 | $24.58 | $44.54 | 7 |
| 114469 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | $55,168 | $55,168 | $45.04 | $81.6 | 7 |
| 118605 | Injection, lanreotide, 1 mg | $53,806 | $53,806 | $93.78 | $93.78 | 4 |
| 118606 | Injection, risankizumab-rzaa, intravenous, 1 mg | $53,797 | $53,797 | $12.63 | $22.88 | 7 |
| 85896 | Injection, caplacizumab-yhdp, 1 mg | $53,448 | $53,448 | $835 | $1,224 | 3 |
| 88468 | Injection, vedolizumab, intravenous, 1 mg | $53,289 | $53,289 | $17.99 | $32.59 | 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 |
| 125779 | Injection, eculizumab, 2 mg | $30,508 | $30,508 | $38.09 | $69.01 | 7 |
| 399133 | Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and nec | $30,428 | $30,428 | $456 | $574 | 19 |
| 52635 | Injection, pegaspargase, per single dose vial | $29,285 | $29,285 | $23,010 | $41,689 | 7 |
| 117482 | Injection, anifrolumab-fnia, 1 mg | $28,034 | $28,034 | $48.6 | $48.6 | 4 |
| 6738 | Injection, pentostatin, 10 mg | $27,764 | $27,764 | $2,272 | $4,117 | 7 |
| 69568 | Injection, bendamustine hcl (bendeka), 1 mg | $26,356 | $26,356 | $11.54 | $20.91 | 7 |
| 44194 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $25,687 | $25,687 | $5,571 | $26,419 | 9 |
| 44193 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $25,687 | $25,687 | $5,571 | $26,419 | 9 |
| 422129 | Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length | $24,647 | $24,647 | $1,186 | $1,739 | 3 |
| 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 |
| 375477 | Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary suppl | $23,094 | $23,094 | $43.8 | $55.14 | 19 |
| 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 |
| 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 |
| 82258 | Injection, pertuzumab, 1 mg | $21,866 | $21,866 | $13.8 | $24.99 | 7 |
| 44083 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $21,719 | $21,719 | $8,547 | $25,500 | 8 |
| 73831 | Injection, basiliximab, 20 mg | $21,596 | $21,596 | $3,985 | $7,219 | 7 |
| 118550 | Injection, bortezomib, 0.1 mg | $21,003 | $21,003 | $2.13 | $3.85 | 7 |
| 44192 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $20,323 | $20,323 | $5,571 | $26,419 | 9 |
| 93355 | Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel | $19,097 | $19,097 | — | — | 3 |
| 127852 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $17,775 | $17,775 | $5,571 | $26,419 | 9 |
| 72837 | Injection, digoxin immune fab (ovine), per vial | $17,276 | $17,276 | $4,223 | $7,652 | 7 |
| 3834 | Injection, cytomegalovirus immune globulin intravenous (human), per vial | $17,223 | $17,223 | $1,540 | $2,791 | 7 |
| 1192 | Injection, aldesleukin, per single use vial | $17,221 | $17,221 | $8,848 | $8,848 | 4 |
| 44084 | Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis | $16,694 | $16,694 | $5,571 | $21,562 | 7 |
| 79326 | Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg | $15,784 | $15,784 | $534 | $783 | 3 |
| 2594 | Injection, calcitonin salmon, up to 400 units | $15,119 | $15,119 | $1,607 | $2,356 | 3 |
| 117998 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | $14,925 | $14,925 | $1,107 | $1,623 | 3 |
| 118609 | Injection, fulvestrant, 25 mg | $14,541 | $14,541 | $5.87 | $10.63 | 7 |
| 48267 | Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, | $14,474 | $14,474 | $1,807 | $2,621 | 8 |
| 120714 | Injection, artesunate, 1 mg | $13,967 | $13,967 | $137 | $137 | 4 |
| 3244 | Injection, cidofovir, 375 mg | $13,309 | $13,309 | $444 | $804 | 7 |
| 18874 | Varicella-zoster immune globulin, human, for intramuscular use | $13,228 | $13,228 | $2,682 | $3,934 | 6 |
| 71359 | Injection, leuprolide acetate (for depot suspension), per 3.75 mg | $13,092 | $13,092 | $1,420 | $2,572 | 7 |
| 89110 | Indium in-111 labeled autologous platelets, diagnostic, per study dose | $12,684 | $12,684 | $4,509 | $6,613 | 3 |
Showing top 50 of 15,556 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.