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
16,040
Insurances with rates
2
CPT / HCPCS codes
14,215
Source MRF
Most expensive procedures (gross)
J9228
$47,782
IPILIMUMAB 5 MG/ML INJECTION (SO)
Gross
$119,455
J9269
$43,278
TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION
Gross
$108,194
33231
$40,103
HC INSERT GENERATOR ONLY (ICD) TO EXISTING MULTIPLE LEADS
Gross
$100,258
J2507
$40,084
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION
Gross
$100,211
C1882
$39,792
HC IMPLANT AICD OTHER
Gross
$99,480
J3357
$38,980
USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE
Gross
$97,450
33249
$35,552
HC INS RPL ICD SYSTEM DUAL
Gross
$88,879
33264
$35,552
HC REPLACE GENERATOR ONLY (ICD) MULTIPLE
Gross
$88,879
33262
$35,552
HC REPLACE GENERATOR ONLY (ICD) SINGLE
Gross
$88,879
33240
$35,552
HC INSERT GENERATOR ONLY (ICD) TO EXISTING SINGLE LEAD
Gross
$88,879
33214
$35,552
HC REPLACE/UPGRADE PACEMAKER SINGLE TO PACEMAKER DUAL
Gross
$88,879
33230
$35,552
HC INSERT GENERATOR ONLY (ICD) TO EXISTING DUAL LEADS
Gross
$88,879
33263
$35,552
HC REPLACE GENERATOR ONLY (ICD) DUAL
Gross
$88,879
J9281
$33,138
MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT
Gross
$82,845
C2616
$31,950
YTTRIUM-90 BRACHYTX SRC NON-STRANDED
Gross
$79,875
A9543
$28,324
Y-90 ZEVALIN
Gross
$70,810
J2350
$27,600
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$69,000
33287
$27,142
HC RMVL & REPLCMNT PHRENIC NERVE STIM PULSE GEN
Gross
$67,856
33276
$27,142
HC INSERT PHRENIC NERVE STIM SYS W/ IMAGING GDNCE
Gross
$67,856
C1721
$26,762
HC IMPLANT AICD DUAL
Gross
$66,906
J7311
$26,635
FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT
Gross
$66,588
J9266
$26,042
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION
Gross
$65,105
C1722
$24,440
HC IMPLANT AICD SINGLE
Gross
$61,100
J3245
$24,132
TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE
Gross
$60,331
J3241
$22,288
TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION
Gross
$55,721
J9298
$20,345
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION
Gross
$50,864
J9307
$19,005
PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION
Gross
$47,513
33213
$17,608
HC INSERT GENERATOR ONLY (PACEMAKER) TO EXISTING DUAL LEADS
Gross
$44,019
33224
$17,524
HC INSERT LEAD ONLY BIV/LT VENT LEAD TO EXISTING ICD/PACEMAKER GENERATOR
Gross
$43,810
C9604
$17,413
HC COR REVASC GRAFT DRUG ELUTING STENT/PTA/ATHERECT INITIAL VESSEL VE
Gross
$43,532
92933
$17,413
HC COR ATHERECTOMY & BARE METAL STENT INITIAL VESSEL
Gross
$43,532
92937
$17,413
HC COR GRFT INTERVN BMS FA
Gross
$43,532
92941
$17,413
HC COR REVASC ACUTE MI BARE METAL STENT/PTA/ATHERECT INITIAL VES
Gross
$43,532
92943
$17,413
HC COR REVASC CHRONIC OCC BARE METAL STENT/PTA/ATHERECT INITIAL VES
Gross
$43,532
C9606
$17,413
HC COR REVASC ACUTE MI DRUG-ELUTING STENT/PTA/ATHERECT INITIAL VES
Gross
$43,532
C9607
$17,413
HC COR REVASC CHRONIC OCC DRUG-ELUTING STENT/PTA/ATHERECT INITIAL VES
Gross
$43,532
33208
$17,332
HC INSERT/REPLACE (PACEMAKER) DUAL RT ATRIAL & RT VENTRICULAR LEAD SYSTEM
Gross
$43,330
J0896
$16,279
LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION
Gross
$40,697
J9042
$15,823
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION
Gross
$39,557
33229
$15,609
HC REPLACE GENERATOR ONLY (PACEMAKER) MULTIPLE
Gross
$39,023
33227
$15,609
HC REPLACE GENERATOR ONLY (PACEMAKER) SINGLE
Gross
$39,023
33207
$15,609
HC INSERT/REPLACE (PACEMAKER) SINGLE RT VENTRICULAR LEAD SYSTEM
Gross
$39,023
33228
$15,609
HC REPLACE GENERATOR ONLY (PACEMAKER) DUAL
Gross
$39,023
33206
$15,609
HC INSERT/REPLACE (PACEMAKER) SINGLE RT ATRIAL LEAD SYSTEM
Gross
$39,023
33212
$15,609
HC INSERT GENERATOR ONLY (PACEMAKER) TO EXISTING SINGLE LEAD
Gross
$39,023
J3285
$15,280
TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION
Gross
$38,200
J9043
$15,138
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION
Gross
$37,846
J9022
$14,848
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION
Gross
$37,121
J2329
$14,662
UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION
Gross
$36,654
C9766
$14,202
HC REVASC INTRAVASCULAR LITHOTRIPSY W/WO PTA W/ATHERECTOMY ILIO/FEM/POP VESSEL(S)
Gross
$35,505
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9228 | IPILIMUMAB 5 MG/ML INJECTION (SO) | $119,455 | $47,782 | — | — | 8 |
| J9269 | TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION | $108,194 | $43,278 | — | — | 5 |
| 33231 | HC INSERT GENERATOR ONLY (ICD) TO EXISTING MULTIPLE LEADS | $100,258 | $40,103 | — | — | 4 |
| J2507 | PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION | $100,211 | $40,084 | — | — | 8 |
| C1882 | HC IMPLANT AICD OTHER | $99,480 | $39,792 | — | — | 3 |
| J3357 | USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE | $97,450 | $38,980 | — | — | 3 |
| 33249 | HC INS RPL ICD SYSTEM DUAL | $88,879 | $35,552 | — | — | 4 |
| 33264 | HC REPLACE GENERATOR ONLY (ICD) MULTIPLE | $88,879 | $35,552 | — | — | 4 |
| 33262 | HC REPLACE GENERATOR ONLY (ICD) SINGLE | $88,879 | $35,552 | — | — | 4 |
| 33240 | HC INSERT GENERATOR ONLY (ICD) TO EXISTING SINGLE LEAD | $88,879 | $35,552 | — | — | 4 |
| 33214 | HC REPLACE/UPGRADE PACEMAKER SINGLE TO PACEMAKER DUAL | $88,879 | $35,552 | — | — | 4 |
| 33230 | HC INSERT GENERATOR ONLY (ICD) TO EXISTING DUAL LEADS | $88,879 | $35,552 | — | — | 4 |
| 33263 | HC REPLACE GENERATOR ONLY (ICD) DUAL | $88,879 | $35,552 | — | — | 4 |
| J9281 | MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT | $82,845 | $33,138 | — | — | 4 |
| C2616 | YTTRIUM-90 BRACHYTX SRC NON-STRANDED | $79,875 | $31,950 | — | — | 4 |
| A9543 | Y-90 ZEVALIN | $70,810 | $28,324 | — | — | 5 |
| J2350 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $69,000 | $27,600 | — | — | 4 |
| 33287 | HC RMVL & REPLCMNT PHRENIC NERVE STIM PULSE GEN | $67,856 | $27,142 | — | — | 4 |
| 33276 | HC INSERT PHRENIC NERVE STIM SYS W/ IMAGING GDNCE | $67,856 | $27,142 | — | — | 4 |
| C1721 | HC IMPLANT AICD DUAL | $66,906 | $26,762 | — | — | 3 |
| J7311 | FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT | $66,588 | $26,635 | — | — | 4 |
| J9266 | PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION | $65,105 | $26,042 | — | — | 4 |
| C1722 | HC IMPLANT AICD SINGLE | $61,100 | $24,440 | — | — | 3 |
| J3245 | TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE | $60,331 | $24,132 | — | — | 5 |
| J3241 | TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION | $55,721 | $22,288 | — | — | 4 |
| J9298 | NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION | $50,864 | $20,345 | — | — | 4 |
| J9307 | PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION | $47,513 | $19,005 | — | — | 4 |
| 33213 | HC INSERT GENERATOR ONLY (PACEMAKER) TO EXISTING DUAL LEADS | $44,019 | $17,608 | — | — | 4 |
| 33224 | HC INSERT LEAD ONLY BIV/LT VENT LEAD TO EXISTING ICD/PACEMAKER GENERATOR | $43,810 | $17,524 | — | — | 4 |
| C9604 | HC COR REVASC GRAFT DRUG ELUTING STENT/PTA/ATHERECT INITIAL VESSEL VE | $43,532 | $17,413 | — | — | 4 |
| 92933 | HC COR ATHERECTOMY & BARE METAL STENT INITIAL VESSEL | $43,532 | $17,413 | — | — | 4 |
| 92937 | HC COR GRFT INTERVN BMS FA | $43,532 | $17,413 | — | — | 4 |
| 92941 | HC COR REVASC ACUTE MI BARE METAL STENT/PTA/ATHERECT INITIAL VES | $43,532 | $17,413 | — | — | 4 |
| 92943 | HC COR REVASC CHRONIC OCC BARE METAL STENT/PTA/ATHERECT INITIAL VES | $43,532 | $17,413 | — | — | 4 |
| C9606 | HC COR REVASC ACUTE MI DRUG-ELUTING STENT/PTA/ATHERECT INITIAL VES | $43,532 | $17,413 | — | — | 3 |
| C9607 | HC COR REVASC CHRONIC OCC DRUG-ELUTING STENT/PTA/ATHERECT INITIAL VES | $43,532 | $17,413 | — | — | 4 |
| 33208 | HC INSERT/REPLACE (PACEMAKER) DUAL RT ATRIAL & RT VENTRICULAR LEAD SYSTEM | $43,330 | $17,332 | — | — | 4 |
| J0896 | LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION | $40,697 | $16,279 | — | — | 4 |
| J9042 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $39,557 | $15,823 | — | — | 5 |
| 33229 | HC REPLACE GENERATOR ONLY (PACEMAKER) MULTIPLE | $39,023 | $15,609 | — | — | 4 |
| 33227 | HC REPLACE GENERATOR ONLY (PACEMAKER) SINGLE | $39,023 | $15,609 | — | — | 4 |
| 33207 | HC INSERT/REPLACE (PACEMAKER) SINGLE RT VENTRICULAR LEAD SYSTEM | $39,023 | $15,609 | — | — | 4 |
| 33228 | HC REPLACE GENERATOR ONLY (PACEMAKER) DUAL | $39,023 | $15,609 | — | — | 4 |
| 33206 | HC INSERT/REPLACE (PACEMAKER) SINGLE RT ATRIAL LEAD SYSTEM | $39,023 | $15,609 | — | — | 4 |
| 33212 | HC INSERT GENERATOR ONLY (PACEMAKER) TO EXISTING SINGLE LEAD | $39,023 | $15,609 | — | — | 4 |
| J3285 | TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION | $38,200 | $15,280 | — | — | 8 |
| J9043 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $37,846 | $15,138 | — | — | 4 |
| J9022 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION | $37,121 | $14,848 | — | — | 4 |
| J2329 | UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION | $36,654 | $14,662 | — | — | 4 |
| C9766 | HC REVASC INTRAVASCULAR LITHOTRIPSY W/WO PTA W/ATHERECTOMY ILIO/FEM/POP VESSEL(S) | $35,505 | $14,202 | — | — | 4 |
Showing top 50 of 16,040 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.