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
14,126
Insurances with rates
23
CPT / HCPCS codes
2,640
Source MRF
Most expensive procedures (gross)
Q2043
$365,545
PROVENGE 50MIU INJ 250ML
Gross
$609,242
C9293
$131,341
GLUCARPIDASE 1000U INJ
Gross
$218,902
J2507
$98,462
PEGLOTICASE 8MG/ML INJ
Gross
$164,104
J2350
$95,059
OCRELIZUMAB 30MG/ML INJ 10ML
Gross
$158,431
J0638
$69,944
CANAKINUMAB 150MG/ML INJ
Gross
$116,573
33262
$62,276
Remove & Replace Sgl Lead Defibrillator
Gross
$103,793
J9266
$59,010
PEGASPARGASE 3750U/5ML INJ
Gross
$98,350
J3245
$57,751
TILDRAKIZUMAB-ASMN 100MG/ML INJ
Gross
$96,252
GRAFT STNT EXT TIER32
$56,819
GRAFT STNT EXT TIER32
Gross
$94,698
J9309
$52,036
POLATUZUMAB VEDOTIN-PIIQ 140MG INJ
Gross
$86,727
J0896
$44,560
LUSPATERCEPT-AAMT 75MG INJ
Gross
$74,266
33263
$43,373
Remove & Replace Dual Lead Defibrillator
Gross
$72,289
J2323
$41,736
NATALIZUMAB 20MG/ML INJ 15ML
Gross
$69,560
J0598
$41,434
CINRYZE 500U INJ
Gross
$69,057
33231
$40,356
Insert Defib Pulse Gen Only, Exist Mult Lead
Gross
$67,261
J9043
$38,550
CABAZITAXEL 60MG/1.5ML INJ
Gross
$64,250
J3357
$38,409
USTEKINUMAB SUBQ 45MG/0.5ML INJ
Gross
$64,014
J1300
$38,173
ECULIZUMAB 10MG/ML INJ 30ML
Gross
$63,622
GFT STNT AAA
$36,499
GFT STNT AAA
Gross
$60,831
C1772
$36,449
IMP PAIN PUMP SYNCHROMED
Gross
$60,748
C1768
$36,439
GFT VASCULAR TIER
Gross
$60,731
C9069
$35,702
BELANTAMAB MAFODOTIN-BLMF 100MG INJ
Gross
$59,503
J1640
$34,430
HEMIN 350MG INJ
Gross
$57,383
93654
$32,883
Comprehensive Electrophysiologic Eval W/ 3D Map
Gross
$54,805
93656
$32,883
Comprehensive Electrophysiologic Eval W/ Cath
Gross
$54,805
93653
$32,881
Comprehensive Electrophysiologic Eval
Gross
$54,801
J0222
$31,831
PATISIRAN NA 2MG/ML INJ 5ML
Gross
$53,051
J9022
$31,582
ATEZOLIZUMAB 1200MG/20ML INJ
Gross
$52,637
J9119
$31,575
CEMIPLIMAB-RWLC 50MG/ML INJ 7ML
Gross
$52,625
33264
$31,077
Remove & Replace Multi Lead Defibrillator
Gross
$51,795
GFT STNT ANEURX BIF
$29,897
GFT STNT ANEURX BIF
Gross
$49,828
J9042
$29,555
BRENTUXIMAB 50MG INJ
Gross
$49,258
J3380
$29,439
VEDOLIZUMAB 300MG INJ
Gross
$49,065
J9153
$28,245
DAUNORUBICIN-CYTARABINE 44MG/100MG INJ
Gross
$47,075
33224
$28,180
Insert Pacing Electrode, CV Syst W/O Pacemaker
Gross
$46,966
J1303
$27,764
RAVULIZUMAB-CWVZ 10MG/ML INJ 30ML
Gross
$46,274
J0180
$27,242
AGALSIDASE 35MG INJ
Gross
$45,404
J9144
$26,020
DARATUMUMAB-HYALURDASE-FIHJ 1800MG INJ 15ML
Gross
$43,367
J9228
$25,884
IPILIMUMAB 50MG/10ML INJ
Gross
$43,139
GRIP S&N TROCH 185-265MM
$25,549
GRIP S&N TROCH 185-265MM
Gross
$42,581
37244
$25,060
Vascular Embolization/Occlusion Hemorrhage
Gross
$41,767
KIT BN GFT INFUSE LG II
$24,651
KIT BN GFT INFUSE LG II
Gross
$41,084
37231
$24,521
Tibial/Peroneal Art Revasc, Initial W/ Ather & Stent
Gross
$40,868
J3101
$24,496
TENECTEPLASE 50MG INJ
Gross
$40,827
37238
$24,346
Perc Placement IV Stent, 1st Vein
Gross
$40,577
37241
$24,150
Vascular Embolization/Occlusion Venous
Gross
$40,250
37242
$24,150
Vascular Embolization/Occlusion Arterial
Gross
$40,250
37243
$24,150
Vascular Embolization/Occlusion Organ Ischemia
Gross
$40,250
J7169
$23,966
FACTOR X-A INACTIVATED-ZHZO 200MG INJ
Gross
$39,943
00093026392
$23,551
FLUOCINONIDE 0.05% CR 60GM
Gross
$39,252
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q2043 | PROVENGE 50MIU INJ 250ML | $609,242 | $365,545 | $13,357 | $548,318 | 76 |
| C9293 | GLUCARPIDASE 1000U INJ | $218,902 | $131,341 | $13,357 | $197,012 | 52 |
| J2507 | PEGLOTICASE 8MG/ML INJ | $164,104 | $98,462 | $2,771 | $147,694 | 76 |
| J2350 | OCRELIZUMAB 30MG/ML INJ 10ML | $158,431 | $95,059 | $57.33 | $142,588 | 76 |
| J0638 | CANAKINUMAB 150MG/ML INJ | $116,573 | $69,944 | $113 | $104,915 | 152 |
| 33262 | Remove & Replace Sgl Lead Defibrillator | $103,793 | $62,276 | $15,688 | $93,414 | 76 |
| J9266 | PEGASPARGASE 3750U/5ML INJ | $98,350 | $59,010 | $5,540 | $88,515 | 76 |
| J3245 | TILDRAKIZUMAB-ASMN 100MG/ML INJ | $96,252 | $57,751 | $133 | $86,627 | 76 |
| GRAFT STNT EXT TIER32 | GRAFT STNT EXT TIER32 | $94,698 | $56,819 | $20,076 | $85,228 | 40 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140MG INJ | $86,727 | $52,036 | $112 | $78,054 | 76 |
| J0896 | LUSPATERCEPT-AAMT 75MG INJ | $74,266 | $44,560 | $36.31 | $66,840 | 64 |
| 33263 | Remove & Replace Dual Lead Defibrillator | $72,289 | $43,373 | $15,325 | $65,060 | 76 |
| J2323 | NATALIZUMAB 20MG/ML INJ 15ML | $69,560 | $41,736 | $22.39 | $62,604 | 76 |
| J0598 | CINRYZE 500U INJ | $69,057 | $41,434 | $56.41 | $62,151 | 76 |
| 33231 | Insert Defib Pulse Gen Only, Exist Mult Lead | $67,261 | $40,356 | $14,259 | $78,452 | 76 |
| J9043 | CABAZITAXEL 60MG/1.5ML INJ | $64,250 | $38,550 | $185 | $57,825 | 76 |
| J3357 | USTEKINUMAB SUBQ 45MG/0.5ML INJ | $64,014 | $38,409 | $180 | $57,613 | 76 |
| J1300 | ECULIZUMAB 10MG/ML INJ 30ML | $63,622 | $38,173 | $230 | $57,259 | 76 |
| GFT STNT AAA | GFT STNT AAA | $60,831 | $36,499 | $12,896 | $54,748 | 40 |
| C1772 | IMP PAIN PUMP SYNCHROMED | $60,748 | $36,449 | $0 | $54,673 | 40 |
| C1768 | GFT VASCULAR TIER | $60,731 | $36,439 | $0 | $54,658 | 40 |
| C9069 | BELANTAMAB MAFODOTIN-BLMF 100MG INJ | $59,503 | $35,702 | $42.63 | $53,553 | 64 |
| J1640 | HEMIN 350MG INJ | $57,383 | $34,430 | $24.43 | $51,644 | 76 |
| 93654 | Comprehensive Electrophysiologic Eval W/ 3D Map | $54,805 | $32,883 | $9,991 | $51,278 | 76 |
| 93656 | Comprehensive Electrophysiologic Eval W/ Cath | $54,805 | $32,883 | $9,991 | $51,278 | 76 |
| 93653 | Comprehensive Electrophysiologic Eval | $54,801 | $32,881 | $9,991 | $51,278 | 76 |
| J0222 | PATISIRAN NA 2MG/ML INJ 5ML | $53,051 | $31,831 | $97.68 | $47,746 | 76 |
| J9022 | ATEZOLIZUMAB 1200MG/20ML INJ | $52,637 | $31,582 | $78.18 | $47,373 | 76 |
| J9119 | CEMIPLIMAB-RWLC 50MG/ML INJ 7ML | $52,625 | $31,575 | $27.4 | $47,362 | 76 |
| 33264 | Remove & Replace Multi Lead Defibrillator | $51,795 | $31,077 | $10,981 | $78,452 | 76 |
| GFT STNT ANEURX BIF | GFT STNT ANEURX BIF | $49,828 | $29,897 | $10,564 | $44,845 | 40 |
| J9042 | BRENTUXIMAB 50MG INJ | $49,258 | $29,555 | $182 | $44,332 | 76 |
| J3380 | VEDOLIZUMAB 300MG INJ | $49,065 | $29,439 | $20.35 | $44,158 | 76 |
| J9153 | DAUNORUBICIN-CYTARABINE 44MG/100MG INJ | $47,075 | $28,245 | $202 | $42,367 | 152 |
| 33224 | Insert Pacing Electrode, CV Syst W/O Pacemaker | $46,966 | $28,180 | $5,087 | $42,269 | 76 |
| J1303 | RAVULIZUMAB-CWVZ 10MG/ML INJ 30ML | $46,274 | $27,764 | $226 | $41,647 | 76 |
| J0180 | AGALSIDASE 35MG INJ | $45,404 | $27,242 | $189 | $40,863 | 76 |
| J9144 | DARATUMUMAB-HYALURDASE-FIHJ 1800MG INJ 15ML | $43,367 | $26,020 | $43.85 | $39,030 | 64 |
| J9228 | IPILIMUMAB 50MG/10ML INJ | $43,139 | $25,884 | $157 | $38,825 | 76 |
| GRIP S&N TROCH 185-265MM | GRIP S&N TROCH 185-265MM | $42,581 | $25,549 | $9,027 | $38,323 | 40 |
| 37244 | Vascular Embolization/Occlusion Hemorrhage | $41,767 | $25,060 | $6,924 | $37,590 | 76 |
| KIT BN GFT INFUSE LG II | KIT BN GFT INFUSE LG II | $41,084 | $24,651 | $8,710 | $36,976 | 40 |
| 37231 | Tibial/Peroneal Art Revasc, Initial W/ Ather & Stent | $40,868 | $24,521 | $6,924 | $38,377 | 76 |
| J3101 | TENECTEPLASE 50MG INJ | $40,827 | $24,496 | $129 | $36,744 | 152 |
| 37238 | Perc Placement IV Stent, 1st Vein | $40,577 | $24,346 | $6,924 | $36,519 | 76 |
| 37241 | Vascular Embolization/Occlusion Venous | $40,250 | $24,150 | $6,924 | $36,225 | 76 |
| 37242 | Vascular Embolization/Occlusion Arterial | $40,250 | $24,150 | $6,924 | $36,225 | 76 |
| 37243 | Vascular Embolization/Occlusion Organ Ischemia | $40,250 | $24,150 | $6,924 | $36,225 | 76 |
| J7169 | FACTOR X-A INACTIVATED-ZHZO 200MG INJ | $39,943 | $23,966 | $292 | $35,949 | 64 |
| 00093026392 | FLUOCINONIDE 0.05% CR 60GM | $39,252 | $23,551 | $8,322 | $35,327 | 40 |
Showing top 50 of 14,126 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.