45 CFR § 180 compliance
B · 85
This hospital published most 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
2,587
Insurances with rates
9
CPT / HCPCS codes
2,404
Source MRF
Most expensive procedures (gross)
J2350
$39,326
OCREVUS (OCRELIZUMAB) INJ: 300MG/10ML
Gross
$98,316
J9298
$31,887
OPDUALAG SDP-INJ:240-80MG/20ML
Gross
$79,717
J0896
$24,519
REBLOZYL (LUSPATERCEPT-AAMT) 75MG/1.5ML
Gross
$61,297
J9217
$20,477
LUPRON (Leuprolide) DEPOT INJ: 45MG
Gross
$51,192
J9144
$19,989
DARZALEX FASPRO INJ: 1800MG/15ML
Gross
$49,973
J9223
$17,458
ZEPZELCA (LUBINECTEDIN) IV 4MG
Gross
$43,645
438
$17,108
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
Gross
$42,770
J1602
$15,052
SIMPONI ARIA (GOLIMUMAB) VIAL 50MG/4ML
Gross
$37,631
J1300
$14,351
SOLIRIS (ECULIZUMAB) INJ: 300MG/30ML
Gross
$35,877
J3101
$14,272
TNKase KIT: 50MG
Gross
$35,680
J9308
$14,245
CYRAMZA (RAMUCIRUMAB) VIAL: 500MG/50ML
Gross
$35,613
J9306
$13,603
PERJETA (PERTUZUMAB) INJ: 420MG/14ML
Gross
$34,007
J9303
$13,458
VECTIBIX (PANITUMUMAB) INJ: 400MG/20ML,Firstdrug of a mulitple drug unti dose formalation, Second or
Gross
$33,645
J2353
$12,961
SANDOSTATIN LAR (OCTREOTIDE) INJ: 30MG
Gross
$32,403
J2506
$12,515
NEULASTA ONPRO INJ: 6MG/0.6ML
Gross
$31,288
J2506
$12,515
NEULASTA (PEGFILGRASTIM) INJ: 6MG/0.6ML
Gross
$31,288
J3380
$12,195
ENTYVIO (VEDOLIZUMAB) INJ: 300MG/5ML
Gross
$30,488
J9271
$11,763
KEYTRUDA (PREMBROLIZUMAB)VIAL: 100MG/4ML
Gross
$29,407
J9217
$11,510
LUPRON (Leuprolide) DEPOT INJ: 22.5MG
Gross
$28,776
J1950
$10,122
LUPRON (Leuprolide) DEPOT INJ: 11.25MG
Gross
$25,304
J9207
$8,733
IXEMPRA (IXABEPILONE) KIT: 45MG/22.5ML
Gross
$21,832
J9173
$8,399
IMFINZI (DURVALUMAB) INJ: 500MG/10ML
Gross
$20,998
J1162
$8,269
DIGIFAB (OVINE) INJ: 40MG
Gross
$20,673
J9022
$7,615
TECENTRIQ (Atezolizumab) VL: 1200MG/20ML
Gross
$19,038
J9119
$7,615
LIBTAYO (CEMIPLIMAB-RWL) VIAL: 350MG/7ML
Gross
$19,038
J9299
$7,465
OPDIVO IV (NIVOLUMAB) INJ: 120MG/12ML
Gross
$18,664
J9354
$7,463
KADCYLA (ADO-TRASTUZUMAB) SDV: 100MG/5ML
Gross
$18,658
J9307
$7,159
FOLOTYN (PRALAtrexate) INJ: 20MG/ML
Gross
$17,898
C9399
$7,000
PRAXBIND (IDARUCIZUMAB) INJ: 5GM/100ML
Gross
$17,500
90375
$6,677
RABIES IMMUNE GLOB VIAL: 1500IUNITS/5ML
Gross
$16,692
J1569
$6,541
IMMUNE GLOB HUM (10%) INJ: 30GM/300ML
Gross
$16,353
J9035
$6,358
AVASTIN (BEVACIZumab) INJ: 400MG/16ML,Firstdrug of a mulitple drug unti dose formalation
Gross
$15,894
47564
$6,247
LAP CHOLECYSTECTOMY W/EXPL COMMON DUCT
Gross
$15,617
J0897
$6,160
XGEVA (DENOSUMAB) INJ: 120MG
Gross
$15,399
J0840
$6,006
ANTIVENIN (CROFAB) INJ: 2 GRAMS/BX
Gross
$15,015
49521
$5,767
REREPAIR ING HERNIA BLOCKED
Gross
$14,417
26852
$5,715
FUSION OF KNUCKLE WITH GRAFT
Gross
$14,287
27350
$5,715
REMOVAL OF KNEECAP
Gross
$14,287
J9145
$5,674
DARZALEX (DARATUMUMAB) IV: 400MG/20ML
Gross
$14,186
J9205
$5,518
ONIVYDE (IRINOTECAN LIPO) INJ: 43MG/10ML
Gross
$13,794
Q5107
$5,400
MVASI (BEVACIZUMAB-AWWB) INJ: 400MG/16ML
Gross
$13,501
J9202
$5,307
ZOLADEX (GOSERELIN) INJ: 10.8MG
Gross
$13,268
J9176
$5,179
EMPLICITI (ELOTUZUMAB) VIAL: 400MG/16ML
Gross
$12,946
J1932
$5,156
LANREOTIDE SUBQ SOLN 120MG/0.5ML
Gross
$12,891
49595
$4,992
INITIAL REPAIR ANT ABD HERNIA>10CM
Gross
$12,480
J9317
$4,795
TRODELVY:INJ 180MG/18ML
Gross
$11,988
60225
$4,668
TOTAL THYROID LOBECTOMY UNILATERAL
Gross
$11,669
60280
$4,398
EXC THYROGLOSSAL DUCT CYST
Gross
$10,995
49614
$4,398
REPAIR ANTERIOR ABD HERNIA <3 NCR/STRN
Gross
$10,995
49616
$4,170
RPR AA HRN RECCURENT INC/STR 3-10CM
Gross
$10,424
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | OCREVUS (OCRELIZUMAB) INJ: 300MG/10ML | $98,316 | $39,326 | — | — | 8 |
| J9298 | OPDUALAG SDP-INJ:240-80MG/20ML | $79,717 | $31,887 | — | — | 8 |
| J0896 | REBLOZYL (LUSPATERCEPT-AAMT) 75MG/1.5ML | $61,297 | $24,519 | — | — | 8 |
| J9217 | LUPRON (Leuprolide) DEPOT INJ: 45MG | $51,192 | $20,477 | — | — | 8 |
| J9144 | DARZALEX FASPRO INJ: 1800MG/15ML | $49,973 | $19,989 | — | — | 8 |
| J9223 | ZEPZELCA (LUBINECTEDIN) IV 4MG | $43,645 | $17,458 | — | — | 8 |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $42,770 | $17,108 | — | — | 8 |
| J1602 | SIMPONI ARIA (GOLIMUMAB) VIAL 50MG/4ML | $37,631 | $15,052 | — | — | 8 |
| J1300 | SOLIRIS (ECULIZUMAB) INJ: 300MG/30ML | $35,877 | $14,351 | — | — | 8 |
| J3101 | TNKase KIT: 50MG | $35,680 | $14,272 | — | — | 8 |
| J9308 | CYRAMZA (RAMUCIRUMAB) VIAL: 500MG/50ML | $35,613 | $14,245 | — | — | 8 |
| J9306 | PERJETA (PERTUZUMAB) INJ: 420MG/14ML | $34,007 | $13,603 | — | — | 8 |
| J9303 | VECTIBIX (PANITUMUMAB) INJ: 400MG/20ML,Firstdrug of a mulitple drug unti dose formalation, Second or | $33,645 | $13,458 | — | — | 8 |
| J2353 | SANDOSTATIN LAR (OCTREOTIDE) INJ: 30MG | $32,403 | $12,961 | — | — | 8 |
| J2506 | NEULASTA ONPRO INJ: 6MG/0.6ML | $31,288 | $12,515 | — | — | 8 |
| J2506 | NEULASTA (PEGFILGRASTIM) INJ: 6MG/0.6ML | $31,288 | $12,515 | — | — | 8 |
| J3380 | ENTYVIO (VEDOLIZUMAB) INJ: 300MG/5ML | $30,488 | $12,195 | — | — | 8 |
| J9271 | KEYTRUDA (PREMBROLIZUMAB)VIAL: 100MG/4ML | $29,407 | $11,763 | — | — | 8 |
| J9217 | LUPRON (Leuprolide) DEPOT INJ: 22.5MG | $28,776 | $11,510 | — | — | 8 |
| J1950 | LUPRON (Leuprolide) DEPOT INJ: 11.25MG | $25,304 | $10,122 | — | — | 8 |
| J9207 | IXEMPRA (IXABEPILONE) KIT: 45MG/22.5ML | $21,832 | $8,733 | — | — | 8 |
| J9173 | IMFINZI (DURVALUMAB) INJ: 500MG/10ML | $20,998 | $8,399 | — | — | 8 |
| J1162 | DIGIFAB (OVINE) INJ: 40MG | $20,673 | $8,269 | — | — | 8 |
| J9022 | TECENTRIQ (Atezolizumab) VL: 1200MG/20ML | $19,038 | $7,615 | — | — | 8 |
| J9119 | LIBTAYO (CEMIPLIMAB-RWL) VIAL: 350MG/7ML | $19,038 | $7,615 | — | — | 8 |
| J9299 | OPDIVO IV (NIVOLUMAB) INJ: 120MG/12ML | $18,664 | $7,465 | — | — | 16 |
| J9354 | KADCYLA (ADO-TRASTUZUMAB) SDV: 100MG/5ML | $18,658 | $7,463 | — | — | 8 |
| J9307 | FOLOTYN (PRALAtrexate) INJ: 20MG/ML | $17,898 | $7,159 | — | — | 8 |
| C9399 | PRAXBIND (IDARUCIZUMAB) INJ: 5GM/100ML | $17,500 | $7,000 | — | — | 1 |
| 90375 | RABIES IMMUNE GLOB VIAL: 1500IUNITS/5ML | $16,692 | $6,677 | — | — | 8 |
| J1569 | IMMUNE GLOB HUM (10%) INJ: 30GM/300ML | $16,353 | $6,541 | — | — | 16 |
| J9035 | AVASTIN (BEVACIZumab) INJ: 400MG/16ML,Firstdrug of a mulitple drug unti dose formalation | $15,894 | $6,358 | — | — | 8 |
| 47564 | LAP CHOLECYSTECTOMY W/EXPL COMMON DUCT | $15,617 | $6,247 | — | — | 8 |
| J0897 | XGEVA (DENOSUMAB) INJ: 120MG | $15,399 | $6,160 | — | — | 8 |
| J0840 | ANTIVENIN (CROFAB) INJ: 2 GRAMS/BX | $15,015 | $6,006 | — | — | 8 |
| 49521 | REREPAIR ING HERNIA BLOCKED | $14,417 | $5,767 | — | — | 8 |
| 26852 | FUSION OF KNUCKLE WITH GRAFT | $14,287 | $5,715 | — | — | 8 |
| 27350 | REMOVAL OF KNEECAP | $14,287 | $5,715 | — | — | 8 |
| J9145 | DARZALEX (DARATUMUMAB) IV: 400MG/20ML | $14,186 | $5,674 | — | — | 8 |
| J9205 | ONIVYDE (IRINOTECAN LIPO) INJ: 43MG/10ML | $13,794 | $5,518 | — | — | 16 |
| Q5107 | MVASI (BEVACIZUMAB-AWWB) INJ: 400MG/16ML | $13,501 | $5,400 | — | — | 8 |
| J9202 | ZOLADEX (GOSERELIN) INJ: 10.8MG | $13,268 | $5,307 | — | — | 16 |
| J9176 | EMPLICITI (ELOTUZUMAB) VIAL: 400MG/16ML | $12,946 | $5,179 | — | — | 8 |
| J1932 | LANREOTIDE SUBQ SOLN 120MG/0.5ML | $12,891 | $5,156 | — | — | 8 |
| 49595 | INITIAL REPAIR ANT ABD HERNIA>10CM | $12,480 | $4,992 | — | — | 8 |
| J9317 | TRODELVY:INJ 180MG/18ML | $11,988 | $4,795 | — | — | 16 |
| 60225 | TOTAL THYROID LOBECTOMY UNILATERAL | $11,669 | $4,668 | — | — | 8 |
| 60280 | EXC THYROGLOSSAL DUCT CYST | $10,995 | $4,398 | — | — | 8 |
| 49614 | REPAIR ANTERIOR ABD HERNIA <3 NCR/STRN | $10,995 | $4,398 | — | — | 8 |
| 49616 | RPR AA HRN RECCURENT INC/STR 3-10CM | $10,424 | $4,170 | — | — | 3 |
Showing top 50 of 2,587 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.