45 CFR § 180 compliance
A · 100
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
14,518
Insurances with rates
21
CPT / HCPCS codes
2,884
Source MRF
Most expensive procedures (gross)
Q2043
$239,113
PROVENGE 50MIU INJ 250ML
Gross
$398,522
C9293
$117,774
GLUCARPIDASE 1000U INJ
Gross
$196,289
J2507
$88,291
PEGLOTICASE 8MG/ML INJ
Gross
$147,152
00143967910
$72,228
GLYCOPYRROL(G) 0.2MG/ML INJ 1ML
Gross
$120,381
C1820
$69,420
NEUROSTIM GEN RESTORE CHG
Gross
$115,700
C1767
$69,371
NEUROSTIM GEN PULSE
Gross
$115,619
C1889
$68,789
DISC CERVICAL REPL
Gross
$114,648
00168006415
$68,789
FLUOCINOL 0.025% OT 15G
Gross
$114,648
00168008115
$68,789
NYSTAT/TRIAMCIN CR 15G
Gross
$114,648
00168008130
$68,789
NYSTAT/TRIAMCIN CR 30GM
Gross
$114,648
00168008915
$68,789
NYSTAT/TRIAMCIN OT 15G
Gross
$114,648
J0638
$62,719
CANAKINUMAB 150MG/ML INJ
Gross
$104,531
J2350
$62,182
OCRELIZUMAB 30MG/ML INJ 10ML
Gross
$103,637
00173077202
$60,791
LAMOTRIGINE(B) 25MG TB
Gross
$101,318
J9266
$56,662
PEGASPARGASE 3750U/5ML INJ
Gross
$94,436
J3245
$51,786
TILDRAKIZUMAB-ASMN 100MG/ML INJ
Gross
$86,309
J9309
$49,965
POLATUZUMAB VEDOTIN-PIIQ 140MG INJ
Gross
$83,276
C1772
$47,266
IMP PAIN PUMP SYNCHROMED
Gross
$78,777
33262
$46,103
Removal and replacement of defibrillator pulse generator
Gross
$76,839
00168003315
$40,711
BETAMET VAL 0.1% OT 15G
Gross
$67,851
33264
$40,299
Removal and replacement of defibrillator pulse generator
Gross
$67,165
J0896
$39,957
LUSPATERCEPT-AAMT 75MG INJ
Gross
$66,595
C1768
$39,850
GFT VASCULAR TIER
Gross
$66,417
J0598
$37,154
CINRYZE 500U INJ
Gross
$61,924
J9043
$37,016
CABAZITAXEL 60MG/1.5ML INJ
Gross
$61,693
J3357
$34,441
USTEKINUMAB SUBQ 45MG/0.5ML INJ
Gross
$57,402
93654
$32,993
Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal hea
Gross
$54,989
93653
$32,897
Evaluation and insertion of catheters for creation of complete heart block
Gross
$54,828
93656
$32,229
Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm
Gross
$53,716
33231
$32,033
Insert Defib Pulse Gen Only, Exist Mult Lead
Gross
$53,388
C9069
$32,014
BELANTAMAB MAFODOTIN-BLMF 100MG INJ
Gross
$53,357
J1640
$30,873
HEMIN 350MG INJ
Gross
$51,456
93581
$30,700
Perc Transcath Closure Congenital Vent Sept Defect
Gross
$51,166
33274
$30,677
Insertion or replacement of permanent leadless pacemaker into lower right chamber of heart via cathe
Gross
$51,129
J9022
$30,325
ATEZOLIZUMAB 1200MG/20ML INJ
Gross
$50,542
J9119
$30,318
CEMIPLIMAB-RWLC 50MG/ML INJ 7ML
Gross
$50,531
J0222
$28,543
PATISIRAN NA 2MG/ML INJ 5ML
Gross
$47,572
J9042
$28,379
BRENTUXIMAB 50MG INJ
Gross
$47,298
37242
$27,531
Vascular Embolization/Occlusion Arterial
Gross
$45,884
J2323
$27,303
NATALIZUMAB 20MG/ML INJ 15ML
Gross
$45,505
37241
$27,288
Vascular Embolization/Occlusion Venous
Gross
$45,480
37243
$27,288
Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roa
Gross
$45,480
37244
$27,201
Vascular Embolization/Occlusion Hemorrhage
Gross
$45,335
J9153
$27,121
DAUNORUBICIN-CYTARABINE 44MG/100MG INJ
Gross
$45,201
J3380
$26,398
VEDOLIZUMAB 300MG INJ
Gross
$43,997
00173072020
$25,408
FLUTICASONE HFA 220MCG 12GM
Gross
$42,347
33240
$25,310
Insert Defib Pulse Gen Only, Exist Sgl Lead
Gross
$42,184
00168013315
$25,260
CLOTRIMAZOLE 1% CR 15G
Gross
$42,100
J9144
$24,985
DARATUMUMAB-HYALURDASE-FIHJ 1800MG INJ 15ML
Gross
$41,641
J1300
$24,972
ECULIZUMAB 10MG/ML INJ 30ML
Gross
$41,620
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q2043 | PROVENGE 50MIU INJ 250ML | $398,522 | $239,113 | $13,357 | $358,670 | 69 |
| C9293 | GLUCARPIDASE 1000U INJ | $196,289 | $117,774 | $13,357 | $176,660 | 45 |
| J2507 | PEGLOTICASE 8MG/ML INJ | $147,152 | $88,291 | $2,771 | $132,437 | 69 |
| 00143967910 | GLYCOPYRROL(G) 0.2MG/ML INJ 1ML | $120,381 | $72,228 | $17,879 | $108,343 | 32 |
| C1820 | NEUROSTIM GEN RESTORE CHG | $115,700 | $69,420 | $0 | $104,130 | 32 |
| C1767 | NEUROSTIM GEN PULSE | $115,619 | $69,371 | $0 | $104,057 | 32 |
| C1889 | DISC CERVICAL REPL | $114,648 | $68,789 | $0 | $103,184 | 32 |
| 00168006415 | FLUOCINOL 0.025% OT 15G | $114,648 | $68,789 | $17,028 | $103,184 | 32 |
| 00168008115 | NYSTAT/TRIAMCIN CR 15G | $114,648 | $68,789 | $17,028 | $103,184 | 32 |
| 00168008130 | NYSTAT/TRIAMCIN CR 30GM | $114,648 | $68,789 | $17,028 | $103,184 | 32 |
| 00168008915 | NYSTAT/TRIAMCIN OT 15G | $114,648 | $68,789 | $17,028 | $103,184 | 32 |
| J0638 | CANAKINUMAB 150MG/ML INJ | $104,531 | $62,719 | $113 | $94,078 | 138 |
| J2350 | OCRELIZUMAB 30MG/ML INJ 10ML | $103,637 | $62,182 | $57.33 | $93,273 | 69 |
| 00173077202 | LAMOTRIGINE(B) 25MG TB | $101,318 | $60,791 | $15,048 | $91,186 | 32 |
| J9266 | PEGASPARGASE 3750U/5ML INJ | $94,436 | $56,662 | $5,540 | $84,992 | 69 |
| J3245 | TILDRAKIZUMAB-ASMN 100MG/ML INJ | $86,309 | $51,786 | $133 | $77,678 | 69 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140MG INJ | $83,276 | $49,965 | $112 | $74,948 | 69 |
| C1772 | IMP PAIN PUMP SYNCHROMED | $78,777 | $47,266 | $0 | $70,900 | 32 |
| 33262 | Removal and replacement of defibrillator pulse generator | $76,839 | $46,103 | $1,674 | $54,974 | 69 |
| 00168003315 | BETAMET VAL 0.1% OT 15G | $67,851 | $40,711 | $10,077 | $61,066 | 32 |
| 33264 | Removal and replacement of defibrillator pulse generator | $67,165 | $40,299 | $2,053 | $78,354 | 69 |
| J0896 | LUSPATERCEPT-AAMT 75MG INJ | $66,595 | $39,957 | $36.31 | $59,935 | 56 |
| C1768 | GFT VASCULAR TIER | $66,417 | $39,850 | $0 | $59,775 | 32 |
| J0598 | CINRYZE 500U INJ | $61,924 | $37,154 | $56.41 | $55,731 | 69 |
| J9043 | CABAZITAXEL 60MG/1.5ML INJ | $61,693 | $37,016 | $185 | $55,524 | 69 |
| J3357 | USTEKINUMAB SUBQ 45MG/0.5ML INJ | $57,402 | $34,441 | $180 | $51,662 | 69 |
| 93654 | Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal hea | $54,989 | $32,993 | $362 | $51,214 | 69 |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | $54,828 | $32,897 | $1,153 | $51,214 | 69 |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | $53,716 | $32,229 | $764 | $51,214 | 69 |
| 33231 | Insert Defib Pulse Gen Only, Exist Mult Lead | $53,388 | $32,033 | $153 | $78,354 | 69 |
| C9069 | BELANTAMAB MAFODOTIN-BLMF 100MG INJ | $53,357 | $32,014 | $42.63 | $48,022 | 56 |
| J1640 | HEMIN 350MG INJ | $51,456 | $30,873 | $24.43 | $46,310 | 69 |
| 93581 | Perc Transcath Closure Congenital Vent Sept Defect | $51,166 | $30,700 | $1,293 | $38,329 | 69 |
| 33274 | Insertion or replacement of permanent leadless pacemaker into lower right chamber of heart via cathe | $51,129 | $30,677 | $2,080 | $38,329 | 69 |
| J9022 | ATEZOLIZUMAB 1200MG/20ML INJ | $50,542 | $30,325 | $78.18 | $45,488 | 69 |
| J9119 | CEMIPLIMAB-RWLC 50MG/ML INJ 7ML | $50,531 | $30,318 | $27.4 | $45,478 | 69 |
| J0222 | PATISIRAN NA 2MG/ML INJ 5ML | $47,572 | $28,543 | $97.68 | $42,815 | 69 |
| J9042 | BRENTUXIMAB 50MG INJ | $47,298 | $28,379 | $182 | $42,568 | 69 |
| 37242 | Vascular Embolization/Occlusion Arterial | $45,884 | $27,531 | $33.95 | $32,550 | 69 |
| J2323 | NATALIZUMAB 20MG/ML INJ 15ML | $45,505 | $27,303 | $22.39 | $40,954 | 69 |
| 37241 | Vascular Embolization/Occlusion Venous | $45,480 | $27,288 | $86.08 | $32,264 | 69 |
| 37243 | Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roa | $45,480 | $27,288 | $5,804 | $32,264 | 69 |
| 37244 | Vascular Embolization/Occlusion Hemorrhage | $45,335 | $27,201 | $339 | $32,160 | 69 |
| J9153 | DAUNORUBICIN-CYTARABINE 44MG/100MG INJ | $45,201 | $27,121 | $202 | $40,681 | 138 |
| J3380 | VEDOLIZUMAB 300MG INJ | $43,997 | $26,398 | $20.35 | $39,597 | 69 |
| 00173072020 | FLUTICASONE HFA 220MCG 12GM | $42,347 | $25,408 | $6,289 | $38,112 | 32 |
| 33240 | Insert Defib Pulse Gen Only, Exist Sgl Lead | $42,184 | $25,310 | $609 | $54,974 | 69 |
| 00168013315 | CLOTRIMAZOLE 1% CR 15G | $42,100 | $25,260 | $6,253 | $37,890 | 32 |
| J9144 | DARATUMUMAB-HYALURDASE-FIHJ 1800MG INJ 15ML | $41,641 | $24,985 | $43.85 | $37,477 | 56 |
| J1300 | ECULIZUMAB 10MG/ML INJ 30ML | $41,620 | $24,972 | $230 | $37,458 | 69 |
Showing top 50 of 14,518 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.