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
4,812
Insurances with rates
5
CPT / HCPCS codes
1,847
Source MRF
Most expensive procedures (gross)
J3357
$16,543
USTEKINUMAB 1 mg (90 MG/ML INJ)
Gross
$25,451
J2997
$12,241
ALTEPLASE 1 mg ( 100 MG INJ)
Gross
$18,833
J2426
$10,231
Invega TRINZA 819 MG/2.625 ML 819 mg, 2.625 mL
Gross
$15,740
J3380
$9,810
Vedolizumab per 1 mg 300 mg vial
Gross
$15,092
J2323
$9,038
NATALIZUMAB, 1 MG (300 MG VIAL)
Gross
$13,905
J3101
$8,154
TENECTEPLASE 1 mg (50 MG INJ)
Gross
$12,545
J9312
$7,558
RITUXIMAB 100 MG (500 MG VL)
Gross
$11,627
J2505
$7,316
PEGFILGRASTIM 6 MG/0.6 ML INJ
Gross
$11,255
J9310
$6,607
RITUXIMAB 100 MG (500 MG VL)
Gross
$10,164
J2353
$5,857
OCTREOTIDE LAR DEPOT per 1 mg (20 MG KIT)
Gross
$9,011
SEROSA FUSE IMPLANTABLE FASTENER KIT
$5,281
SEROSA FUSE IMPLANTABLE FASTENER KIT
Gross
$8,125
27310
$4,848
Exploration, drainage, or removal of foreign body in knee joint
Gross
$7,459
J1162
$4,703
DIGOXIN IMMUNE FAB per VIAL
Gross
$7,236
FEMORAL STEM SZ 11 12/14 NECK TAPER
$4,545
FEMORAL STEM SZ 11 12/14 NECK TAPER
Gross
$6,992
J9033
$4,347
BENDAMUSTINE PER 1 MG INJ (100 MG VIAL)
Gross
$6,687
ESPOPHYX Z+
$4,321
ESPOPHYX Z+
Gross
$6,648
J2182
$4,196
MEPOLIZUMAB per 1 mg (100 MG KIT)
Gross
$6,455
J0717
$3,973
CERTOLIZUMAB 1 mg (400 MG KIT)
Gross
$6,113
DANTROLENE SODIUM 250 MG INJ (Ryanodex)
$3,775
DANTROLENE SODIUM 250 MG INJ (Ryanodex)
Gross
$5,808
J0630
$3,206
CALCITONIN-SALMON up to 400 UNITS/2 ML
Gross
$4,932
36556
$2,796
Insertion of central venous catheter for infusion, patient 5 years or older
Gross
$4,302
J1561
$2,788
GAMUNEX-C per 500 mg (20 GRAM/200 ML VIAL)
Gross
$4,289
59510
$2,757
Cesarean delivery with pre- and post-delivery care
Gross
$4,242
32550
$2,718
Insertion of permanent catheter for drainage of lung fluid
Gross
$4,182
TENDON, BIOCLEANSE TIBIALIS POSTERIOR
$2,704
TENDON, BIOCLEANSE TIBIALIS POSTERIOR
Gross
$4,160
J3111
$2,669
ROMOSOZUMAB-AQQG per 1 mg (210 MG DOSE-2 SYRINGES)
Gross
$4,106
J9202
$2,655
GOSERELIN ACETATE per 3.6 mg 10.8 MG INJ
Gross
$4,084
41899
$2,582
Relocation of mouth tissue to gum surface
Gross
$3,973
IVAS ELITE BI-PED KIT 15MM(11G)
$2,582
IVAS ELITE BI-PED KIT 15MM(11G)
Gross
$3,973
59400
$2,570
Obstetrical pre- and postpartum care and vaginal delivery
Gross
$3,954
ALLOGRAFT GRAFTLINK: D=8.5 L=66
$2,538
ALLOGRAFT GRAFTLINK: D=8.5 L=66
Gross
$3,904
L8699
$2,469
MBA IMPLANT 10MM
Gross
$3,798
J9330
$2,462
TEMSIROLIMUS per 1 mg (25 MG VIAL)
Gross
$3,787
PLEURAL DRAINAGE SYSTEM
$2,410
PLEURAL DRAINAGE SYSTEM
Gross
$3,708
78452
$2,399
Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
Gross
$3,691
Q4171
$2,392
INTERFYL
Gross
$3,680
J1602
$2,298
GOLIMUMAB per 1 mg (50 MG VIAL)
Gross
$3,535
C9132
$2,289
PCC4 (KCENTRA) PER IX UNIT (1000 UNIT)
Gross
$3,522
J9355
$2,213
TRASTUZUMAB PER 10 MG INJ (150 mg SDV)
Gross
$3,405
36558
$2,197
Insertion of central venous catheter for infusion, patient 5 years or older
Gross
$3,380
J9155
$2,120
DEGARELIX per 1 mg (240 MG/6 ML)
Gross
$3,262
94003
$2,120
Ventilation assistance and management, hospital inpatient or observation
Gross
$3,261
81450
$2,096
Test for detecting genes associated with blood related cancer
Gross
$3,225
36590
$2,079
Removal of peripheral venous catheter for infusion
Gross
$3,199
19081
$1,987
Biopsy of breast accessed through the skin with stereotactic guidance
Gross
$3,057
J7327
$1,982
HYALURONAN per dose 88 mg/4 mL
Gross
$3,049
43239
$1,855
Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope
Gross
$2,854
C1783
$1,846
GLAUKOS TRABECULAR MICRO-BYPASS STENT
Gross
$2,840
C1776
$1,778
PERSONA TIBIA LT 5 DEGREE SIZE D
Gross
$2,736
72133
$1,759
CT scan of lower spine before and after contrast
Gross
$2,706
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3357 | USTEKINUMAB 1 mg (90 MG/ML INJ) | $25,451 | $16,543 | $211 | $24,179 | 5 |
| J2997 | ALTEPLASE 1 mg ( 100 MG INJ) | $18,833 | $12,241 | $113 | $17,891 | 5 |
| J2426 | Invega TRINZA 819 MG/2.625 ML 819 mg, 2.625 mL | $15,740 | $10,231 | $14.9 | $14,953 | 5 |
| J3380 | Vedolizumab per 1 mg 300 mg vial | $15,092 | $9,810 | $25.42 | $14,337 | 5 |
| J2323 | NATALIZUMAB, 1 MG (300 MG VIAL) | $13,905 | $9,038 | $27.55 | $13,210 | 5 |
| J3101 | TENECTEPLASE 1 mg (50 MG INJ) | $12,545 | $8,154 | $166 | $11,918 | 5 |
| J9312 | RITUXIMAB 100 MG (500 MG VL) | $11,627 | $7,558 | $110 | $11,046 | 5 |
| J2505 | PEGFILGRASTIM 6 MG/0.6 ML INJ | $11,255 | $7,316 | $3,612 | $10,692 | 5 |
| J9310 | RITUXIMAB 100 MG (500 MG VL) | $10,164 | $6,607 | $3,659 | $9,656 | 4 |
| J2353 | OCTREOTIDE LAR DEPOT per 1 mg (20 MG KIT) | $9,011 | $5,857 | $252 | $8,561 | 5 |
| SEROSA FUSE IMPLANTABLE FASTENER KIT | SEROSA FUSE IMPLANTABLE FASTENER KIT | $8,125 | $5,281 | $2,925 | $7,719 | 4 |
| 27310 | Exploration, drainage, or removal of foreign body in knee joint | $7,459 | $4,848 | $2,685 | $7,086 | 5 |
| J1162 | DIGOXIN IMMUNE FAB per VIAL | $7,236 | $4,703 | $2,605 | $6,874 | 5 |
| FEMORAL STEM SZ 11 12/14 NECK TAPER | FEMORAL STEM SZ 11 12/14 NECK TAPER | $6,992 | $4,545 | $2,517 | $6,642 | 4 |
| J9033 | BENDAMUSTINE PER 1 MG INJ (100 MG VIAL) | $6,687 | $4,347 | $30.25 | $6,353 | 5 |
| ESPOPHYX Z+ | ESPOPHYX Z+ | $6,648 | $4,321 | $2,393 | $6,316 | 4 |
| J2182 | MEPOLIZUMAB per 1 mg (100 MG KIT) | $6,455 | $4,196 | $37.68 | $6,132 | 5 |
| J0717 | CERTOLIZUMAB 1 mg (400 MG KIT) | $6,113 | $3,973 | $10.52 | $5,807 | 5 |
| DANTROLENE SODIUM 250 MG INJ (Ryanodex) | DANTROLENE SODIUM 250 MG INJ (Ryanodex) | $5,808 | $3,775 | $2,091 | $5,518 | 4 |
| J0630 | CALCITONIN-SALMON up to 400 UNITS/2 ML | $4,932 | $3,206 | $1,776 | $4,685 | 5 |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | $4,302 | $2,796 | $1,549 | $4,087 | 5 |
| J1561 | GAMUNEX-C per 500 mg (20 GRAM/200 ML VIAL) | $4,289 | $2,788 | $56.38 | $4,074 | 5 |
| 59510 | Cesarean delivery with pre- and post-delivery care | $4,242 | $2,757 | $1,527 | $4,030 | 4 |
| 32550 | Insertion of permanent catheter for drainage of lung fluid | $4,182 | $2,718 | $1,506 | $3,973 | 4 |
| TENDON, BIOCLEANSE TIBIALIS POSTERIOR | TENDON, BIOCLEANSE TIBIALIS POSTERIOR | $4,160 | $2,704 | $1,498 | $3,952 | 4 |
| J3111 | ROMOSOZUMAB-AQQG per 1 mg (210 MG DOSE-2 SYRINGES) | $4,106 | $2,669 | $11.51 | $3,901 | 5 |
| J9202 | GOSERELIN ACETATE per 3.6 mg 10.8 MG INJ | $4,084 | $2,655 | $692 | $3,880 | 5 |
| 41899 | Relocation of mouth tissue to gum surface | $3,973 | $2,582 | $1,430 | $3,774 | 5 |
| IVAS ELITE BI-PED KIT 15MM(11G) | IVAS ELITE BI-PED KIT 15MM(11G) | $3,973 | $2,582 | $1,430 | $3,774 | 4 |
| 59400 | Obstetrical pre- and postpartum care and vaginal delivery | $3,954 | $2,570 | $1,424 | $3,757 | 4 |
| ALLOGRAFT GRAFTLINK: D=8.5 L=66 | ALLOGRAFT GRAFTLINK: D=8.5 L=66 | $3,904 | $2,538 | $1,405 | $3,709 | 4 |
| L8699 | MBA IMPLANT 10MM | $3,798 | $2,469 | $1,367 | $3,608 | 4 |
| J9330 | TEMSIROLIMUS per 1 mg (25 MG VIAL) | $3,787 | $2,462 | $55.13 | $3,598 | 5 |
| PLEURAL DRAINAGE SYSTEM | PLEURAL DRAINAGE SYSTEM | $3,708 | $2,410 | $1,335 | $3,523 | 4 |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | $3,691 | $2,399 | $1,000 | $3,506 | 5 |
| Q4171 | INTERFYL | $3,680 | $2,392 | $1,325 | $3,496 | 4 |
| J1602 | GOLIMUMAB per 1 mg (50 MG VIAL) | $3,535 | $2,298 | $21.1 | $3,358 | 5 |
| C9132 | PCC4 (KCENTRA) PER IX UNIT (1000 UNIT) | $3,522 | $2,289 | $1,268 | $3,346 | 4 |
| J9355 | TRASTUZUMAB PER 10 MG INJ (150 mg SDV) | $3,405 | $2,213 | $115 | $3,235 | 5 |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | $3,380 | $2,197 | $1,217 | $3,211 | 5 |
| J9155 | DEGARELIX per 1 mg (240 MG/6 ML) | $3,262 | $2,120 | $4.97 | $3,099 | 5 |
| 94003 | Ventilation assistance and management, hospital inpatient or observation | $3,261 | $2,120 | $1,174 | $3,098 | 4 |
| 81450 | Test for detecting genes associated with blood related cancer | $3,225 | $2,096 | $1,161 | $3,064 | 4 |
| 36590 | Removal of peripheral venous catheter for infusion | $3,199 | $2,079 | $1,152 | $3,039 | 5 |
| 19081 | Biopsy of breast accessed through the skin with stereotactic guidance | $3,057 | $1,987 | $1,101 | $2,904 | 5 |
| J7327 | HYALURONAN per dose 88 mg/4 mL | $3,049 | $1,982 | $1,003 | $2,897 | 5 |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | $2,854 | $1,855 | $1,027 | $2,711 | 5 |
| C1783 | GLAUKOS TRABECULAR MICRO-BYPASS STENT | $2,840 | $1,846 | $1,022 | $2,698 | 4 |
| C1776 | PERSONA TIBIA LT 5 DEGREE SIZE D | $2,736 | $1,778 | $985 | $2,599 | 4 |
| 72133 | CT scan of lower spine before and after contrast | $2,706 | $1,759 | $453 | $2,571 | 5 |
Showing top 50 of 4,812 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.