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
2,394
Insurances with rates
16
CPT / HCPCS codes
1,465
Source MRF
Most expensive procedures (gross)
J1628
$55,353
GUSELKUMAB 200 MG/20 ML
Gross
$92,255
J3357
$51,612
STELARA 45MG/0.5ML PFS
Gross
$86,020
J9043
$36,051
JEVTANA 60MG/6ML INJECTION
Gross
$60,085
J9119
$31,844
LIBTAYO 350MG/7ML VIAL
Gross
$53,074
J9022
$29,608
ATEZOLIZUMAB 1200MG/20ML INJ
Gross
$49,346
PACK NEUROSTIMULATOR RECHARGEA
$28,559
PACK NEUROSTIMULATOR RECHARGEA
Gross
$47,599
J9223
$23,212
ZEPZELCA 4 MG VIAL
Gross
$38,687
J1299
$21,748
Eculizumab 300 mg/30 mL Inj
Gross
$36,246
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
J2506
$19,804
NEULASTA 6MG 0.6ML INJECTION
Gross
$33,007
J0180
$19,651
FABRAZYME 35MG INJ
Gross
$32,752
J2353
$19,353
OCTREOTIDE LAR 30MG INJ
Gross
$32,255
L8679
$18,965
NEUROSTIMULATOR SACRAL
Gross
$31,608
A2025
$18,334
MIRO3D 100 CM3/CM3
Gross
$30,557
J2406
$17,932
KIMYRSA 1200MG VIAL
Gross
$29,886
J0491
$17,743
SAPHNELO 300MG VIAL
Gross
$29,572
J9306
$16,712
PERJETA 420MG/14ML INJECTION
Gross
$27,854
J9271
$15,735
KEYTRUDA VIAL 100MG/4ML
Gross
$26,225
93459
$15,282
LT HEART CATH LV+BP GRF
Gross
$25,470
93458
$14,479
LT HEART CATH
Gross
$24,131
Q5122
$14,411
NYVEPRIA 6MG/0.6NL
Gross
$24,018
LITHOTRIPSY UNILAT 1ST 10 MIN
$14,312
LITHOTRIPSY UNILAT 1ST 10 MIN
Gross
$23,854
Q5111
$13,920
UDENYCA 6MG INJECTION
Gross
$23,200
J9217
$13,044
LUPRON DEPOT 22.5MG SYRING KIT
Gross
$21,740
J0896
$12,634
REBLOZYL 25MG VIAL
Gross
$21,057
J1306
$12,534
LEQVIO 284MG/1.5ML PFS
Gross
$20,890
J1162
$12,133
DIGIFAB
Gross
$20,222
J2357
$11,301
XOLAIR 300MG SYRINGE
Gross
$18,835
J0840
$10,873
CROFAB 1 EA
Gross
$18,122
J2802
$10,462
ROMIPLOSTIM 250 MCG INJ
Gross
$17,436
93455
$10,004
CORONARY ANGIO+BP WO LV
Gross
$16,674
36222
$9,223
CTH PLC CRTD/INNOM BIL
Gross
$15,371
J9299
$8,743
OPDIVO 100MG/10ML
Gross
$14,571
J3358
$7,440
STELARA 130 MG VIAL
Gross
$12,400
LEVOTHYROXINE INJ 500MCG/VIAL
$7,140
LEVOTHYROXINE INJ 500MCG/VIAL
Gross
$11,900
OB SURGERY LEVEL 3 1ST 30 MINS
$6,885
OB SURGERY LEVEL 3 1ST 30 MINS
Gross
$11,475
C1734
$6,841
KIT AUGMENT INJECTABLE 3.0CC
Gross
$11,402
Q4197
$6,783
PURAPLY XT 4.91X4.91(25)/SQCM
Gross
$11,305
KIT ARTICULATING CORETRAK 20MM
$6,537
KIT ARTICULATING CORETRAK 20MM
Gross
$10,896
73721
$6,044
MR LOW EXT JNT WO CON BIL
Gross
$10,074
C1897
$5,911
KIT LEAD NEUROSTIMULATOR
Gross
$9,852
J9073
$5,889
CYCLOPHOSPHAMIDE INGENUS 2G
Gross
$9,815
78815
$5,751
PT/CT PI SKULL BASE TO MID THI
Gross
$9,585
78816
$5,751
PT/CT PI WHOLE BODY
Gross
$9,585
J9264
$5,716
ABRAXANE 100MG SDV
Gross
$9,527
KIT AUGMENT INJECTABLE 3 0CC
$5,338
KIT AUGMENT INJECTABLE 3 0CC
Gross
$8,896
GRAFT BONE PRO DENSE 87SR0050
$5,248
GRAFT BONE PRO DENSE 87SR0050
Gross
$8,747
J9355
$5,197
TRASTUZUMAB 150MG CHRG PER
Gross
$8,661
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1628 | GUSELKUMAB 200 MG/20 ML | $92,255 | $55,353 | — | — | 22 |
| J3357 | STELARA 45MG/0.5ML PFS | $86,020 | $51,612 | — | — | 22 |
| J9043 | JEVTANA 60MG/6ML INJECTION | $60,085 | $36,051 | — | — | 22 |
| J9119 | LIBTAYO 350MG/7ML VIAL | $53,074 | $31,844 | — | — | 22 |
| J9022 | ATEZOLIZUMAB 1200MG/20ML INJ | $49,346 | $29,608 | — | — | 22 |
| PACK NEUROSTIMULATOR RECHARGEA | PACK NEUROSTIMULATOR RECHARGEA | $47,599 | $28,559 | — | — | 15 |
| J9223 | ZEPZELCA 4 MG VIAL | $38,687 | $23,212 | — | — | 22 |
| J1299 | Eculizumab 300 mg/30 mL Inj | $36,246 | $21,748 | — | — | 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 |
| J2506 | NEULASTA 6MG 0.6ML INJECTION | $33,007 | $19,804 | — | — | 22 |
| J0180 | FABRAZYME 35MG INJ | $32,752 | $19,651 | — | — | 22 |
| J2353 | OCTREOTIDE LAR 30MG INJ | $32,255 | $19,353 | — | — | 22 |
| L8679 | NEUROSTIMULATOR SACRAL | $31,608 | $18,965 | — | — | 15 |
| A2025 | MIRO3D 100 CM3/CM3 | $30,557 | $18,334 | — | — | 15 |
| J2406 | KIMYRSA 1200MG VIAL | $29,886 | $17,932 | — | — | 22 |
| J0491 | SAPHNELO 300MG VIAL | $29,572 | $17,743 | — | — | 22 |
| J9306 | PERJETA 420MG/14ML INJECTION | $27,854 | $16,712 | — | — | 22 |
| J9271 | KEYTRUDA VIAL 100MG/4ML | $26,225 | $15,735 | — | — | 22 |
| 93459 | LT HEART CATH LV+BP GRF | $25,470 | $15,282 | — | — | 22 |
| 93458 | LT HEART CATH | $24,131 | $14,479 | — | — | 22 |
| Q5122 | NYVEPRIA 6MG/0.6NL | $24,018 | $14,411 | — | — | 22 |
| LITHOTRIPSY UNILAT 1ST 10 MIN | LITHOTRIPSY UNILAT 1ST 10 MIN | $23,854 | $14,312 | — | — | 15 |
| Q5111 | UDENYCA 6MG INJECTION | $23,200 | $13,920 | — | — | 22 |
| J9217 | LUPRON DEPOT 22.5MG SYRING KIT | $21,740 | $13,044 | — | — | 22 |
| J0896 | REBLOZYL 25MG VIAL | $21,057 | $12,634 | — | — | 22 |
| J1306 | LEQVIO 284MG/1.5ML PFS | $20,890 | $12,534 | — | — | 22 |
| J1162 | DIGIFAB | $20,222 | $12,133 | — | — | 22 |
| J2357 | XOLAIR 300MG SYRINGE | $18,835 | $11,301 | — | — | 22 |
| J0840 | CROFAB 1 EA | $18,122 | $10,873 | — | — | 22 |
| J2802 | ROMIPLOSTIM 250 MCG INJ | $17,436 | $10,462 | — | — | 22 |
| 93455 | CORONARY ANGIO+BP WO LV | $16,674 | $10,004 | — | — | 22 |
| 36222 | CTH PLC CRTD/INNOM BIL | $15,371 | $9,223 | — | — | 22 |
| J9299 | OPDIVO 100MG/10ML | $14,571 | $8,743 | — | — | 22 |
| J3358 | STELARA 130 MG VIAL | $12,400 | $7,440 | — | — | 22 |
| LEVOTHYROXINE INJ 500MCG/VIAL | LEVOTHYROXINE INJ 500MCG/VIAL | $11,900 | $7,140 | — | — | 15 |
| OB SURGERY LEVEL 3 1ST 30 MINS | OB SURGERY LEVEL 3 1ST 30 MINS | $11,475 | $6,885 | — | — | 15 |
| C1734 | KIT AUGMENT INJECTABLE 3.0CC | $11,402 | $6,841 | — | — | 15 |
| Q4197 | PURAPLY XT 4.91X4.91(25)/SQCM | $11,305 | $6,783 | — | — | 15 |
| KIT ARTICULATING CORETRAK 20MM | KIT ARTICULATING CORETRAK 20MM | $10,896 | $6,537 | — | — | 15 |
| 73721 | MR LOW EXT JNT WO CON BIL | $10,074 | $6,044 | — | — | 22 |
| C1897 | KIT LEAD NEUROSTIMULATOR | $9,852 | $5,911 | — | — | 15 |
| J9073 | CYCLOPHOSPHAMIDE INGENUS 2G | $9,815 | $5,889 | — | — | 22 |
| 78815 | PT/CT PI SKULL BASE TO MID THI | $9,585 | $5,751 | — | — | 22 |
| 78816 | PT/CT PI WHOLE BODY | $9,585 | $5,751 | — | — | 22 |
| J9264 | ABRAXANE 100MG SDV | $9,527 | $5,716 | — | — | 22 |
| KIT AUGMENT INJECTABLE 3 0CC | KIT AUGMENT INJECTABLE 3 0CC | $8,896 | $5,338 | — | — | 15 |
| GRAFT BONE PRO DENSE 87SR0050 | GRAFT BONE PRO DENSE 87SR0050 | $8,747 | $5,248 | — | — | 15 |
| J9355 | TRASTUZUMAB 150MG CHRG PER | $8,661 | $5,197 | — | — | 22 |
Showing top 50 of 2,394 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.