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
2,554
Insurances with rates
17
CPT / HCPCS codes
1,633
Source MRF
Most expensive procedures (gross)
J1303
$86,208
ULTOMIRIS 1100MG/11ML
Gross
$143,680
J2350
$54,177
OCREVUS 300MG/10ML INJECTION
Gross
$90,295
J2329
$42,094
BRIUMVI 150 MG VIAL
Gross
$70,156
J2327
$36,988
SKYRIZI 600MG/10ML
Gross
$61,647
J2997
$32,310
ALTEPLASE INJ 100MG
Gross
$53,850
J9333
$24,140
RYSTIGGO 280 MG/2 ML VIAL
Gross
$40,233
J3101
$21,126
TNKASE 50MG INJ
Gross
$35,210
J3380
$20,330
VEDOLIZUMAB 300MG/5ML VIAL
Gross
$33,883
J7169
$20,193
ANDEXXA 200MG VIAL
Gross
$33,655
J2406
$17,932
KIMYRSA 1200MG VIAL
Gross
$29,886
Q5115
$16,306
TRUXIMA 500MG/50ML
Gross
$27,176
J0517
$16,082
FASENRA 30 MG/1 ML SYRINGE
Gross
$26,803
J9312
$15,662
RITUXAN 10MG/ML INJ 50ML
Gross
$26,103
J1569
$15,268
GAMMAGARD 10% 30GM
Gross
$25,447
J0565
$14,656
ZINPLAVA 1000MG/40ML VIAL
Gross
$24,426
90377
$13,679
KEDRAB 1500UNIT/10ML
Gross
$22,799
J0840
$10,873
CROFAB 1 EA
Gross
$18,122
Q4133
$10,596
STRAVIX PL 18 SQ CM/PER SQCM
Gross
$17,660
RYANODEX 250MG/5ML INJ
$10,354
RYANODEX 250MG/5ML INJ
Gross
$17,257
J2182
$9,706
NUCALA 100MG VIAL
Gross
$16,177
GRAFT AERIDYAN MATRIX 6.25CC
$9,138
GRAFT AERIDYAN MATRIX 6.25CC
Gross
$15,229
J0630
$9,013
CALCITONIN 400 IU2ML INJ
Gross
$15,021
J0349
$7,838
REZZAYO 200 MG VIAL
Gross
$13,064
J3358
$7,440
STELARA 130 MG VIAL
Gross
$12,400
Q4158
$7,262
KERECIS MESH 38 SQCM/SQ CM
Gross
$12,103
KIT PROCEDURE ULTRABRIDGE
$6,968
KIT PROCEDURE ULTRABRIDGE
Gross
$11,613
J3240
$6,846
THYROGEN 1.1MG INJECTION
Gross
$11,410
J1602
$5,780
SIMPONI ARIA 50MG/4ML VIAL
Gross
$9,634
70543
$5,315
MR ORBIT/FACE/NECK W/WO CNTRST
Gross
$8,858
Q4196
$5,267
PURAPLY AM FENE 12SQCM/PERSQCM
Gross
$8,778
Q4186
$5,171
EPIFIX ALLOGRAFT 6SCM PER SQCM
Gross
$8,619
74174
$5,171
CT ANG ABD+PLVS W OR WO CNTRS
Gross
$8,618
J0875
$5,117
DALVANCE 500MG VIAL
Gross
$8,529
72156
$5,052
MR C-SPINE W/WO CONTRAST
Gross
$8,420
72157
$5,052
MR THORACIC W/WO CONTRAST
Gross
$8,420
78815
$4,928
PT/CT PS SKULL BASE TO MID THI
Gross
$8,214
70553
$4,782
MR HEAD W/WO CONTRAST
Gross
$7,970
74177
$4,492
CT ABD+PELVIS W/CONTRAST
Gross
$7,487
73206
$4,483
CT ANG U EXT W OR WO CON BIL
Gross
$7,471
73706
$4,483
CT ANG L EXT W OR WO CONTR BIL
Gross
$7,471
HEMOSTAT HEMOSPRAY G56572
$4,234
HEMOSTAT HEMOSPRAY G56572
Gross
$7,056
J1561
$4,172
GAMUNEX-C 10 GM/100 ML BOTTLE
Gross
$6,954
36585
$4,085
RPLC PRIPHRL INS CV ACC W/PORT
Gross
$6,808
C1776
$4,057
IMPLANT BIOINDUCTIVE LRG
Gross
$6,762
J0897
$3,947
PROLIA 60MG/ML INJECTION
Gross
$6,578
J1745
$3,895
INFLIXIMAB 100MG INJ
Gross
$6,491
25248
$3,752
RMV FB FOREARM/WRIST DEEP
Gross
$6,254
70552
$3,744
MR HEAD W/CONTRAST
Gross
$6,240
Q0249
$3,641
ACTEMRA 200MG/10ML VIAL
Gross
$6,069
C1771
$3,631
SYSTEM TVT EXACT TVTRL
Gross
$6,052
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1303 | ULTOMIRIS 1100MG/11ML | $143,680 | $86,208 | — | — | 22 |
| J2350 | OCREVUS 300MG/10ML INJECTION | $90,295 | $54,177 | — | — | 22 |
| J2329 | BRIUMVI 150 MG VIAL | $70,156 | $42,094 | — | — | 22 |
| J2327 | SKYRIZI 600MG/10ML | $61,647 | $36,988 | — | — | 22 |
| J2997 | ALTEPLASE INJ 100MG | $53,850 | $32,310 | — | — | 22 |
| J9333 | RYSTIGGO 280 MG/2 ML VIAL | $40,233 | $24,140 | — | — | 22 |
| J3101 | TNKASE 50MG INJ | $35,210 | $21,126 | — | — | 22 |
| J3380 | VEDOLIZUMAB 300MG/5ML VIAL | $33,883 | $20,330 | — | — | 22 |
| J7169 | ANDEXXA 200MG VIAL | $33,655 | $20,193 | — | — | 22 |
| J2406 | KIMYRSA 1200MG VIAL | $29,886 | $17,932 | — | — | 22 |
| Q5115 | TRUXIMA 500MG/50ML | $27,176 | $16,306 | — | — | 22 |
| J0517 | FASENRA 30 MG/1 ML SYRINGE | $26,803 | $16,082 | — | — | 22 |
| J9312 | RITUXAN 10MG/ML INJ 50ML | $26,103 | $15,662 | — | — | 22 |
| J1569 | GAMMAGARD 10% 30GM | $25,447 | $15,268 | — | — | 22 |
| J0565 | ZINPLAVA 1000MG/40ML VIAL | $24,426 | $14,656 | — | — | 22 |
| 90377 | KEDRAB 1500UNIT/10ML | $22,799 | $13,679 | — | — | 22 |
| J0840 | CROFAB 1 EA | $18,122 | $10,873 | — | — | 22 |
| Q4133 | STRAVIX PL 18 SQ CM/PER SQCM | $17,660 | $10,596 | — | — | 15 |
| RYANODEX 250MG/5ML INJ | RYANODEX 250MG/5ML INJ | $17,257 | $10,354 | — | — | 15 |
| J2182 | NUCALA 100MG VIAL | $16,177 | $9,706 | — | — | 22 |
| GRAFT AERIDYAN MATRIX 6.25CC | GRAFT AERIDYAN MATRIX 6.25CC | $15,229 | $9,138 | — | — | 15 |
| J0630 | CALCITONIN 400 IU2ML INJ | $15,021 | $9,013 | — | — | 22 |
| J0349 | REZZAYO 200 MG VIAL | $13,064 | $7,838 | — | — | 22 |
| J3358 | STELARA 130 MG VIAL | $12,400 | $7,440 | — | — | 22 |
| Q4158 | KERECIS MESH 38 SQCM/SQ CM | $12,103 | $7,262 | — | — | 15 |
| KIT PROCEDURE ULTRABRIDGE | KIT PROCEDURE ULTRABRIDGE | $11,613 | $6,968 | — | — | 15 |
| J3240 | THYROGEN 1.1MG INJECTION | $11,410 | $6,846 | — | — | 22 |
| J1602 | SIMPONI ARIA 50MG/4ML VIAL | $9,634 | $5,780 | — | — | 22 |
| 70543 | MR ORBIT/FACE/NECK W/WO CNTRST | $8,858 | $5,315 | — | — | 22 |
| Q4196 | PURAPLY AM FENE 12SQCM/PERSQCM | $8,778 | $5,267 | — | — | 15 |
| Q4186 | EPIFIX ALLOGRAFT 6SCM PER SQCM | $8,619 | $5,171 | — | — | 15 |
| 74174 | CT ANG ABD+PLVS W OR WO CNTRS | $8,618 | $5,171 | — | — | 22 |
| J0875 | DALVANCE 500MG VIAL | $8,529 | $5,117 | — | — | 22 |
| 72156 | MR C-SPINE W/WO CONTRAST | $8,420 | $5,052 | — | — | 22 |
| 72157 | MR THORACIC W/WO CONTRAST | $8,420 | $5,052 | — | — | 22 |
| 78815 | PT/CT PS SKULL BASE TO MID THI | $8,214 | $4,928 | — | — | 22 |
| 70553 | MR HEAD W/WO CONTRAST | $7,970 | $4,782 | — | — | 30 |
| 74177 | CT ABD+PELVIS W/CONTRAST | $7,487 | $4,492 | — | — | 30 |
| 73206 | CT ANG U EXT W OR WO CON BIL | $7,471 | $4,483 | — | — | 22 |
| 73706 | CT ANG L EXT W OR WO CONTR BIL | $7,471 | $4,483 | — | — | 22 |
| HEMOSTAT HEMOSPRAY G56572 | HEMOSTAT HEMOSPRAY G56572 | $7,056 | $4,234 | — | — | 15 |
| J1561 | GAMUNEX-C 10 GM/100 ML BOTTLE | $6,954 | $4,172 | — | — | 22 |
| 36585 | RPLC PRIPHRL INS CV ACC W/PORT | $6,808 | $4,085 | — | — | 8 |
| C1776 | IMPLANT BIOINDUCTIVE LRG | $6,762 | $4,057 | — | — | 15 |
| J0897 | PROLIA 60MG/ML INJECTION | $6,578 | $3,947 | — | — | 22 |
| J1745 | INFLIXIMAB 100MG INJ | $6,491 | $3,895 | — | — | 22 |
| 25248 | RMV FB FOREARM/WRIST DEEP | $6,254 | $3,752 | — | — | 30 |
| 70552 | MR HEAD W/CONTRAST | $6,240 | $3,744 | — | — | 22 |
| Q0249 | ACTEMRA 200MG/10ML VIAL | $6,069 | $3,641 | — | — | 15 |
| C1771 | SYSTEM TVT EXACT TVTRL | $6,052 | $3,631 | — | — | 15 |
Showing top 50 of 2,554 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.