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
4,621
Insurances with rates
2
CPT / HCPCS codes
4,481
Source MRF
Most expensive procedures (gross)
J1411
$8,750,000
ETRANACOGENE DEZAPARVOVEC-DRLB 1X10EXP13 GC/ML INTRAVENOUS SUSPENSION
Gross
$17,500,000
J1413
$8,000,000
DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP
Gross
$16,000,000
J3399
$5,805,111
ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT
Gross
$11,610,222
Q2042
$1,780,600
TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION
Gross
$3,561,200
Q2054
$1,594,051
LISOCABTAGENE MARALEUCEL 1.5 X 10EXP6 TO 70 X 10EXP6 CELL/ML IV SUSP
Gross
$3,188,102
Q2055
$1,584,640
IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION
Gross
$3,169,281
Q2056
$1,566,167
CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION
Gross
$3,132,333
Q2041
$1,510,740
AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION
Gross
$3,021,480
Q2053
$1,272,000
BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION
Gross
$2,544,000
J2326
$275,814
NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION
Gross
$551,628
J0225
$238,702
VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE
Gross
$477,404
A9607
$146,112
LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN
Gross
$292,224
J9029
$120,025
NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION
Gross
$240,050
77371
$110,981
HC RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT
Gross
$221,961
J9226
$97,535
HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT
Gross
$195,070
J0223
$85,245
GIVOSIRAN 189 MG/ML SUBCUTANEOUS SOLUTION
Gross
$170,489
J1747
$83,710
SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION
Gross
$167,420
C9293
$82,361
GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION
Gross
$164,721
J0801
$79,282
CORTICOTROPIN 80 UNIT/ML INJECTION GEL
Gross
$158,564
0795T
$75,885
HC TCAT INSERT PERM DUAL CHAMBER LEADLS PM COMPL SYS
Gross
$151,770
J9210
$67,553
EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION
Gross
$135,105
J9269
$67,538
TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION
Gross
$135,077
93656
$60,522
HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN
Gross
$121,044
J9359
$55,558
LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION
Gross
$111,116
0408T
$55,494
HC INSERT OR REPLACE PERM CARDIAC CONT MOD GEN+ELECT
Gross
$110,988
0915T
$55,494
HC INSERT PERM CARD CONTRACT MOD-DEFIB W/GUIDE; PULSE GENERATOR & LEADS
Gross
$110,988
33288
$54,642
HC RMVL&RPLCMT PHRNC NRV STIM TRNSVNS STIM/SNSG LD
Gross
$109,284
0409T
$54,503
HC INSERT OR REPLACE PERM CCM PULSE GENERATOR ONLY
Gross
$109,006
0414T
$54,503
HC REMOVAL & REPLACE PERMAMENT CCM PULSE GENERATOR ONLY
Gross
$109,006
33287
$54,503
HC RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR
Gross
$109,006
0916T
$54,503
HC INSERT PERM CARD CONTRACT MOD-DEFIB W/GUIDE; PULSE GENERATOR ONLY
Gross
$109,006
J9348
$52,144
NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION
Gross
$104,289
J9118
$50,091
CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION
Gross
$100,183
J2507
$49,708
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION
Gross
$99,415
33266
$49,592
HC MAZE PROCEDURE W/O CARDIO BY
Gross
$99,184
0811
$49,230
HC KIDNEY ACQUISTION LIVE DONOR
Gross
$98,461
J9321
$48,472
EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION
Gross
$96,943
33277
$47,105
HC INS PHRENIC NRV STIMULATOR TRANSVNS SENSING LD
Gross
$94,210
J9600
$45,971
PORFIMER 75 MG INTRAVENOUS SOLUTION
Gross
$91,941
J9229
$45,841
INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN
Gross
$91,682
93653
$45,709
HC EP EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA
Gross
$91,417
J3316
$44,595
TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION
Gross
$89,191
J9281
$44,245
MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT
Gross
$88,490
0571T
$43,958
HC INSERT/REPLACE ICDS W/SUBSTERNAL ELECTRODE
Gross
$87,917
93591
$43,428
HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE
Gross
$86,856
93590
$43,428
HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE
Gross
$86,856
0812
$42,613
HC CADAVER DONOR - KIDNEY
Gross
$85,227
J2350
$41,294
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$82,589
J9274
$40,985
TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION
Gross
$81,970
J0638
$40,456
CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION
Gross
$80,911
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1411 | ETRANACOGENE DEZAPARVOVEC-DRLB 1X10EXP13 GC/ML INTRAVENOUS SUSPENSION | $17,500,000 | $8,750,000 | — | — | 2 |
| J1413 | DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP | $16,000,000 | $8,000,000 | — | — | 2 |
| J3399 | ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT | $11,610,222 | $5,805,111 | — | — | 2 |
| Q2042 | TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION | $3,561,200 | $1,780,600 | — | — | 2 |
| Q2054 | LISOCABTAGENE MARALEUCEL 1.5 X 10EXP6 TO 70 X 10EXP6 CELL/ML IV SUSP | $3,188,102 | $1,594,051 | — | — | 2 |
| Q2055 | IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION | $3,169,281 | $1,584,640 | — | — | 6 |
| Q2056 | CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION | $3,132,333 | $1,566,167 | — | — | 4 |
| Q2041 | AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION | $3,021,480 | $1,510,740 | — | — | 4 |
| Q2053 | BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION | $2,544,000 | $1,272,000 | — | — | 4 |
| J2326 | NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION | $551,628 | $275,814 | — | — | 2 |
| J0225 | VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE | $477,404 | $238,702 | — | — | 2 |
| A9607 | LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN | $292,224 | $146,112 | — | — | 2 |
| J9029 | NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION | $240,050 | $120,025 | — | — | 4 |
| 77371 | HC RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT | $221,961 | $110,981 | — | — | 2 |
| J9226 | HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT | $195,070 | $97,535 | — | — | 2 |
| J0223 | GIVOSIRAN 189 MG/ML SUBCUTANEOUS SOLUTION | $170,489 | $85,245 | — | — | 2 |
| J1747 | SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION | $167,420 | $83,710 | — | — | 2 |
| C9293 | GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION | $164,721 | $82,361 | — | — | 2 |
| J0801 | CORTICOTROPIN 80 UNIT/ML INJECTION GEL | $158,564 | $79,282 | — | — | 2 |
| 0795T | HC TCAT INSERT PERM DUAL CHAMBER LEADLS PM COMPL SYS | $151,770 | $75,885 | — | — | 2 |
| J9210 | EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION | $135,105 | $67,553 | — | — | 4 |
| J9269 | TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION | $135,077 | $67,538 | — | — | 2 |
| 93656 | HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $121,044 | $60,522 | — | — | 2 |
| J9359 | LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION | $111,116 | $55,558 | — | — | 2 |
| 0408T | HC INSERT OR REPLACE PERM CARDIAC CONT MOD GEN+ELECT | $110,988 | $55,494 | — | — | 2 |
| 0915T | HC INSERT PERM CARD CONTRACT MOD-DEFIB W/GUIDE; PULSE GENERATOR & LEADS | $110,988 | $55,494 | — | — | 2 |
| 33288 | HC RMVL&RPLCMT PHRNC NRV STIM TRNSVNS STIM/SNSG LD | $109,284 | $54,642 | — | — | 2 |
| 0409T | HC INSERT OR REPLACE PERM CCM PULSE GENERATOR ONLY | $109,006 | $54,503 | — | — | 2 |
| 0414T | HC REMOVAL & REPLACE PERMAMENT CCM PULSE GENERATOR ONLY | $109,006 | $54,503 | — | — | 2 |
| 33287 | HC RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR | $109,006 | $54,503 | — | — | 2 |
| 0916T | HC INSERT PERM CARD CONTRACT MOD-DEFIB W/GUIDE; PULSE GENERATOR ONLY | $109,006 | $54,503 | — | — | 2 |
| J9348 | NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION | $104,289 | $52,144 | — | — | 2 |
| J9118 | CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION | $100,183 | $50,091 | — | — | 2 |
| J2507 | PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION | $99,415 | $49,708 | — | — | 2 |
| 33266 | HC MAZE PROCEDURE W/O CARDIO BY | $99,184 | $49,592 | — | — | 2 |
| 0811 | HC KIDNEY ACQUISTION LIVE DONOR | $98,461 | $49,230 | — | — | 2 |
| J9321 | EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION | $96,943 | $48,472 | — | — | 2 |
| 33277 | HC INS PHRENIC NRV STIMULATOR TRANSVNS SENSING LD | $94,210 | $47,105 | — | — | 2 |
| J9600 | PORFIMER 75 MG INTRAVENOUS SOLUTION | $91,941 | $45,971 | — | — | 2 |
| J9229 | INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN | $91,682 | $45,841 | — | — | 2 |
| 93653 | HC EP EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA | $91,417 | $45,709 | — | — | 2 |
| J3316 | TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION | $89,191 | $44,595 | — | — | 4 |
| J9281 | MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT | $88,490 | $44,245 | — | — | 4 |
| 0571T | HC INSERT/REPLACE ICDS W/SUBSTERNAL ELECTRODE | $87,917 | $43,958 | — | — | 2 |
| 93591 | HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE | $86,856 | $43,428 | — | — | 2 |
| 93590 | HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE | $86,856 | $43,428 | — | — | 2 |
| 0812 | HC CADAVER DONOR - KIDNEY | $85,227 | $42,613 | — | — | 2 |
| J2350 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $82,589 | $41,294 | — | — | 2 |
| J9274 | TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION | $81,970 | $40,985 | — | — | 2 |
| J0638 | CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION | $80,911 | $40,456 | — | — | 2 |
Showing top 50 of 4,621 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.