45 CFR § 180 compliance
F · 55
This hospital published little 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
8,858
Insurances with rates
8
CPT / HCPCS codes
8,842
Source MRF
Most expensive procedures (gross)
J9043
$19,895
CABAZITAXEL (JEVTANA) 10 MG/ML (AFTER FIRST DILUTION)
Gross
$27,943
J2327
$12,612
RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN
Gross
$17,713
J2427
$11,709
PALIPERIDONE PALMITATE ER 819 MG/2.63ML IM SUSY
Gross
$16,445
J3380
$11,265
VEDOLIZUMAB 300 MG IV SOLR
Gross
$15,822
J9144
$9,670
DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SUBCUT SOLN
Gross
$13,582
J3101
$9,075
TENECTEPLASE (TNKASE) IV BOLUS (CVA)
Gross
$12,745
J2506
$6,575
PEGFILGRASTIM 6 MG/0.6ML SUBCUT SOSY
Gross
$9,235
Q5127
$5,696
PEGFILGRASTIM-FPGK 6 MG/0.6ML SUBCUT SOSY
Gross
$8,000
J9271
$5,667
PEMBROLIZUMAB 100 MG/4ML IV SOLN
Gross
$7,959
J9312
$5,021
RITUXIMAB 500 MG/50ML IV SOLN
Gross
$7,052
J1306
$4,984
INCLISIRAN SODIUM 284 MG/1.5ML SUBCUT SOSY
Gross
$7,000
74178
$4,033
CT ABD PELVIS WO THEN W CONT
Gross
$5,665
74174
$4,033
CTA ABD PELVIS W CONTRAST+WO IF PERFORM
Gross
$5,665
95811
$3,953
OUTREACH PSG (SPLIT NIGHT)
Gross
$5,552
J3590
$3,952
IDARUCIZUMAB 2.5 GM/50ML IV SOLN
Gross
$5,550
74177
$3,813
CT ABD PELVIS W CONTRAST
Gross
$5,356
J1561
$3,781
IMMUNE GLOBULIN (GAMUNEX-C) 20 GM/200 ML INJ SOLN
Gross
$5,310
78452
$3,704
NM MYOCARDIAL SPECT MULT STDY
Gross
$5,202
J0897
$3,653
DENOSUMAB 120 MG/1.7ML SUBCUT SOLN
Gross
$5,131
72156
$3,593
MRI C SPINE WO THEN W CONT
Gross
$5,047
72157
$3,593
MRI T SPINE WO THEN W CONT
Gross
$5,047
72158
$3,593
MRI L SPINE WO THEN W CONT
Gross
$5,047
95810
$3,575
OUTREACH PSG
Gross
$5,021
70553
$3,520
MRI BRAIN WO THEN W CONT
Gross
$4,944
Q5111
$3,479
PEGFILGRASTIM-CBQV 6 MG/0.6ML SUBCUT SOSY
Gross
$4,886
J3358
$3,471
USTEKINUMAB 130 MG/26ML IV SOLN
Gross
$4,875
J1437
$3,430
FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOLN
Gross
$4,818
Q5126
$3,418
BEVACIZUMAB-MALY 400 MG/16ML IV SOLN
Gross
$4,800
74183
$3,410
MRI ABDOMEN WO THEN W CONT
Gross
$4,790
74176
$3,410
CT ABD PELVIS WO CONTRAST
Gross
$4,790
Q5120
$3,364
PEGFILGRASTIM-BMEZ 6 MG/0.6ML SUBCUT SOSY
Gross
$4,724
35207
$3,344
ED 35207 RPR VESSEL HAND FINGER
Gross
$4,697
73223
$3,300
MRI UPPER EXT JT WO THEN W CONT
Gross
$4,635
72149
$3,227
MRI L SPINE W CONTRAST
Gross
$4,532
72197
$3,168
MRI PELVIS WO THEN W CONT
Gross
$4,450
70543
$3,153
MRI FACE NECK ORB WO THEN W CONT
Gross
$4,429
J9358
$3,096
FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR
Gross
$4,349
Q5157
$3,085
DENOSUMAB-BMWO 60 MG/ML SUBCUT SOSY
Gross
$4,333
70549
$3,080
MRA NECK WO THEN W CONT
Gross
$4,326
70552
$3,080
MRI BRAIN W CONTRAST
Gross
$4,326
73720
$3,080
MRI LOWER EXT WO THEN W CONT
Gross
$4,326
J9299
$3,039
NIVOLUMAB 100 MG/10ML IV SOLN
Gross
$4,268
J9035
$2,971
BEVACIZUMAB 400 MG/16ML IV SOLN
Gross
$4,172
74182
$2,860
MRI ABDOMEN W CONTRAST
Gross
$4,017
73220
$2,824
MRI UPPER EXT WO THEN W CONT
Gross
$3,966
72146
$2,787
MRI T SPINE WO CONTRAST
Gross
$3,914
72148
$2,787
MRI L SPINE WO CONTRAST
Gross
$3,914
73721
$2,787
MRI LOWER EXT JT WO CONTRAST
Gross
$3,914
72195
$2,772
MRI PELVIS WO CONTRAST
Gross
$3,893
27842
$2,736
ED 27842 CLD TX ANKLE DISLOC W ANES
Gross
$3,842
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9043 | CABAZITAXEL (JEVTANA) 10 MG/ML (AFTER FIRST DILUTION) | $27,943 | $19,895 | — | — | 25 |
| J2327 | RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN | $17,713 | $12,612 | — | — | 25 |
| J2427 | PALIPERIDONE PALMITATE ER 819 MG/2.63ML IM SUSY | $16,445 | $11,709 | — | — | 25 |
| J3380 | VEDOLIZUMAB 300 MG IV SOLR | $15,822 | $11,265 | — | — | 25 |
| J9144 | DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SUBCUT SOLN | $13,582 | $9,670 | — | — | 25 |
| J3101 | TENECTEPLASE (TNKASE) IV BOLUS (CVA) | $12,745 | $9,075 | — | — | 75 |
| J2506 | PEGFILGRASTIM 6 MG/0.6ML SUBCUT SOSY | $9,235 | $6,575 | — | — | 25 |
| Q5127 | PEGFILGRASTIM-FPGK 6 MG/0.6ML SUBCUT SOSY | $8,000 | $5,696 | — | — | 25 |
| J9271 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $7,959 | $5,667 | — | — | 25 |
| J9312 | RITUXIMAB 500 MG/50ML IV SOLN | $7,052 | $5,021 | — | — | 25 |
| J1306 | INCLISIRAN SODIUM 284 MG/1.5ML SUBCUT SOSY | $7,000 | $4,984 | — | — | 25 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $5,665 | $4,033 | — | — | 25 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $5,665 | $4,033 | — | — | 25 |
| 95811 | OUTREACH PSG (SPLIT NIGHT) | $5,552 | $3,953 | — | — | 25 |
| J3590 | IDARUCIZUMAB 2.5 GM/50ML IV SOLN | $5,550 | $3,952 | — | — | 25 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,356 | $3,813 | — | — | 25 |
| J1561 | IMMUNE GLOBULIN (GAMUNEX-C) 20 GM/200 ML INJ SOLN | $5,310 | $3,781 | — | — | 50 |
| 78452 | NM MYOCARDIAL SPECT MULT STDY | $5,202 | $3,704 | — | — | 25 |
| J0897 | DENOSUMAB 120 MG/1.7ML SUBCUT SOLN | $5,131 | $3,653 | — | — | 25 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,047 | $3,593 | — | — | 25 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,047 | $3,593 | — | — | 25 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,047 | $3,593 | — | — | 25 |
| 95810 | OUTREACH PSG | $5,021 | $3,575 | — | — | 25 |
| 70553 | MRI BRAIN WO THEN W CONT | $4,944 | $3,520 | — | — | 25 |
| Q5111 | PEGFILGRASTIM-CBQV 6 MG/0.6ML SUBCUT SOSY | $4,886 | $3,479 | — | — | 25 |
| J3358 | USTEKINUMAB 130 MG/26ML IV SOLN | $4,875 | $3,471 | — | — | 25 |
| J1437 | FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOLN | $4,818 | $3,430 | — | — | 25 |
| Q5126 | BEVACIZUMAB-MALY 400 MG/16ML IV SOLN | $4,800 | $3,418 | — | — | 25 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $4,790 | $3,410 | — | — | 25 |
| 74176 | CT ABD PELVIS WO CONTRAST | $4,790 | $3,410 | — | — | 25 |
| Q5120 | PEGFILGRASTIM-BMEZ 6 MG/0.6ML SUBCUT SOSY | $4,724 | $3,364 | — | — | 25 |
| 35207 | ED 35207 RPR VESSEL HAND FINGER | $4,697 | $3,344 | — | — | 25 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $4,635 | $3,300 | — | — | 25 |
| 72149 | MRI L SPINE W CONTRAST | $4,532 | $3,227 | — | — | 25 |
| 72197 | MRI PELVIS WO THEN W CONT | $4,450 | $3,168 | — | — | 25 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $4,429 | $3,153 | — | — | 25 |
| J9358 | FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR | $4,349 | $3,096 | — | — | 25 |
| Q5157 | DENOSUMAB-BMWO 60 MG/ML SUBCUT SOSY | $4,333 | $3,085 | — | — | 25 |
| 70549 | MRA NECK WO THEN W CONT | $4,326 | $3,080 | — | — | 25 |
| 70552 | MRI BRAIN W CONTRAST | $4,326 | $3,080 | — | — | 25 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $4,326 | $3,080 | — | — | 25 |
| J9299 | NIVOLUMAB 100 MG/10ML IV SOLN | $4,268 | $3,039 | — | — | 25 |
| J9035 | BEVACIZUMAB 400 MG/16ML IV SOLN | $4,172 | $2,971 | — | — | 25 |
| 74182 | MRI ABDOMEN W CONTRAST | $4,017 | $2,860 | — | — | 25 |
| 73220 | MRI UPPER EXT WO THEN W CONT | $3,966 | $2,824 | — | — | 25 |
| 72146 | MRI T SPINE WO CONTRAST | $3,914 | $2,787 | — | — | 25 |
| 72148 | MRI L SPINE WO CONTRAST | $3,914 | $2,787 | — | — | 25 |
| 73721 | MRI LOWER EXT JT WO CONTRAST | $3,914 | $2,787 | — | — | 25 |
| 72195 | MRI PELVIS WO CONTRAST | $3,893 | $2,772 | — | — | 25 |
| 27842 | ED 27842 CLD TX ANKLE DISLOC W ANES | $3,842 | $2,736 | — | — | 25 |
Showing top 50 of 8,858 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.