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
2,456
Insurances with rates
15
CPT / HCPCS codes
1,444
Source MRF
Most expensive procedures (gross)
J9309
$70,513
POLIVY 140 MG VIAL
Gross
$117,522
J2507
$68,090
KRYSTEXXA 8MG/ML INJECTION
Gross
$113,483
J1628
$55,353
GUSELKUMAB 200 MG/20 ML
Gross
$92,255
J2350
$54,177
OCREVUS 300MG/10ML INJECTION
Gross
$90,295
J2327
$36,988
SKYRIZI 600MG/10ML
Gross
$61,647
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
J9144
$26,504
DARZALEX FASPRO
Gross
$44,174
J9063
$25,884
Mirvetuximab Sorav 100mg
Gross
$43,140
J1930
$24,169
SOMATULINE DEPOT 120MG/0.5ML S
Gross
$40,281
J0139
$24,021
ADALIMUMAB 40 MG INJECTION
Gross
$40,035
J9228
$23,918
YERVOY 5MG/ML INJ 10ML
Gross
$39,863
J9042
$23,665
ADCETRIS 50MG/10ML INJ 0.2ML
Gross
$39,442
J1299
$21,748
Eculizumab 300 mg/30 mL Inj
Gross
$36,246
J9301
$21,518
GAZYVA 1000MG/40ML VIAL
Gross
$35,864
J3101
$21,126
TNKASE 50MG INJ
Gross
$35,210
J9299
$20,981
OPDIVO 240 MG/24 ML VIAL
Gross
$34,969
L8679
$20,552
NEUROSTIMULATOR F15
Gross
$34,254
J3380
$20,330
VEDOLIZUMAB 300MG/5ML VIAL
Gross
$33,883
J7169
$20,193
ANDEXXA 200MG VIAL
Gross
$33,655
A2025
$18,334
MIRO3D 100 CM3/CM3
Gross
$30,557
J2406
$17,932
KIMYRSA 1200MG VIAL
Gross
$29,886
Q5108
$16,903
FULPHILA 6MG/0.6ML
Gross
$28,171
J9306
$16,712
PERJETA 420MG/14ML INJECTION
Gross
$27,854
Q5115
$16,306
TRUXIMA 500MG/50ML
Gross
$27,176
J9271
$15,735
KEYTRUDA VIAL 100MG/4ML
Gross
$26,225
J1569
$15,268
GAMMAGARD 10% 30GM
Gross
$25,447
LITHOTRIPSY UNILAT 1ST 10 MIN
$14,804
LITHOTRIPSY UNILAT 1ST 10 MIN
Gross
$24,674
J2356
$14,011
TEZSPIRE 210MG/1.91ML SYR SQ
Gross
$23,352
Q5111
$13,920
UDENYCA 6MG INJECTION
Gross
$23,200
90377
$13,679
KEDRAB 1500UNIT/10ML
Gross
$22,799
90375
$12,930
HYPERRAB 300UNIT/ML 5ML
Gross
$21,550
J1950
$12,801
LUPRON DEPOT 11.5MG SYRING KIT
Gross
$21,335
J0896
$12,634
REBLOZYL 25MG VIAL
Gross
$21,057
J9061
$12,140
RYBREVANT 350MG/7ML
Gross
$20,233
J0840
$10,873
CROFAB 1 EA
Gross
$18,122
IMPLANT PROCHONDRIX CRYO 15X1M
$10,755
IMPLANT PROCHONDRIX CRYO 15X1M
Gross
$17,925
J2799
$10,225
UZEDY 100 MG/0.28 ML SYRINGE
Gross
$17,042
J2798
$10,180
PERSERIS 120MG SYR
Gross
$16,966
J9354
$9,962
KADCYLA 100MG INJECTION
Gross
$16,604
J9358
$8,339
ENHERTU 100MG VIAL
Gross
$13,898
CEMENT BONE 15CC
$8,162
CEMENT BONE 15CC
Gross
$13,603
J3358
$7,440
STELARA 130 MG VIAL
Gross
$12,400
LEVOTHYROXINE INJ 500MCG/VIAL
$7,140
LEVOTHYROXINE INJ 500MCG/VIAL
Gross
$11,900
J1568
$6,942
OCTAGAM 10% 20gm/200ML
Gross
$11,570
OB SURGERY LEVEL 3 1ST 30 MINS
$6,885
OB SURGERY LEVEL 3 1ST 30 MINS
Gross
$11,475
Q4197
$6,783
PURAPLY XT 4.91X4.91(25)/SQCM
Gross
$11,305
GRAFT SYNTHETHIC PHOS 15CC
$6,733
GRAFT SYNTHETHIC PHOS 15CC
Gross
$11,222
J3032
$6,682
VYEPTI 100MG/1ML VIAL
Gross
$11,136
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9309 | POLIVY 140 MG VIAL | $117,522 | $70,513 | — | — | 21 |
| J2507 | KRYSTEXXA 8MG/ML INJECTION | $113,483 | $68,090 | — | — | 21 |
| J1628 | GUSELKUMAB 200 MG/20 ML | $92,255 | $55,353 | — | — | 21 |
| J2350 | OCREVUS 300MG/10ML INJECTION | $90,295 | $54,177 | — | — | 21 |
| J2327 | SKYRIZI 600MG/10ML | $61,647 | $36,988 | — | — | 21 |
| J9043 | JEVTANA 60MG/6ML INJECTION | $60,085 | $36,051 | — | — | 21 |
| J9119 | LIBTAYO 350MG/7ML VIAL | $53,074 | $31,844 | — | — | 21 |
| J9022 | ATEZOLIZUMAB 1200MG/20ML INJ | $49,346 | $29,608 | — | — | 21 |
| J9144 | DARZALEX FASPRO | $44,174 | $26,504 | — | — | 21 |
| J9063 | Mirvetuximab Sorav 100mg | $43,140 | $25,884 | — | — | 21 |
| J1930 | SOMATULINE DEPOT 120MG/0.5ML S | $40,281 | $24,169 | — | — | 21 |
| J0139 | ADALIMUMAB 40 MG INJECTION | $40,035 | $24,021 | — | — | 21 |
| J9228 | YERVOY 5MG/ML INJ 10ML | $39,863 | $23,918 | — | — | 21 |
| J9042 | ADCETRIS 50MG/10ML INJ 0.2ML | $39,442 | $23,665 | — | — | 21 |
| J1299 | Eculizumab 300 mg/30 mL Inj | $36,246 | $21,748 | — | — | 21 |
| J9301 | GAZYVA 1000MG/40ML VIAL | $35,864 | $21,518 | — | — | 21 |
| J3101 | TNKASE 50MG INJ | $35,210 | $21,126 | — | — | 21 |
| J9299 | OPDIVO 240 MG/24 ML VIAL | $34,969 | $20,981 | — | — | 21 |
| L8679 | NEUROSTIMULATOR F15 | $34,254 | $20,552 | — | — | 14 |
| J3380 | VEDOLIZUMAB 300MG/5ML VIAL | $33,883 | $20,330 | — | — | 21 |
| J7169 | ANDEXXA 200MG VIAL | $33,655 | $20,193 | — | — | 21 |
| A2025 | MIRO3D 100 CM3/CM3 | $30,557 | $18,334 | — | — | 14 |
| J2406 | KIMYRSA 1200MG VIAL | $29,886 | $17,932 | — | — | 21 |
| Q5108 | FULPHILA 6MG/0.6ML | $28,171 | $16,903 | — | — | 21 |
| J9306 | PERJETA 420MG/14ML INJECTION | $27,854 | $16,712 | — | — | 21 |
| Q5115 | TRUXIMA 500MG/50ML | $27,176 | $16,306 | — | — | 21 |
| J9271 | KEYTRUDA VIAL 100MG/4ML | $26,225 | $15,735 | — | — | 21 |
| J1569 | GAMMAGARD 10% 30GM | $25,447 | $15,268 | — | — | 21 |
| LITHOTRIPSY UNILAT 1ST 10 MIN | LITHOTRIPSY UNILAT 1ST 10 MIN | $24,674 | $14,804 | — | — | 14 |
| J2356 | TEZSPIRE 210MG/1.91ML SYR SQ | $23,352 | $14,011 | — | — | 21 |
| Q5111 | UDENYCA 6MG INJECTION | $23,200 | $13,920 | — | — | 21 |
| 90377 | KEDRAB 1500UNIT/10ML | $22,799 | $13,679 | — | — | 21 |
| 90375 | HYPERRAB 300UNIT/ML 5ML | $21,550 | $12,930 | — | — | 21 |
| J1950 | LUPRON DEPOT 11.5MG SYRING KIT | $21,335 | $12,801 | — | — | 21 |
| J0896 | REBLOZYL 25MG VIAL | $21,057 | $12,634 | — | — | 21 |
| J9061 | RYBREVANT 350MG/7ML | $20,233 | $12,140 | — | — | 21 |
| J0840 | CROFAB 1 EA | $18,122 | $10,873 | — | — | 21 |
| IMPLANT PROCHONDRIX CRYO 15X1M | IMPLANT PROCHONDRIX CRYO 15X1M | $17,925 | $10,755 | — | — | 14 |
| J2799 | UZEDY 100 MG/0.28 ML SYRINGE | $17,042 | $10,225 | — | — | 21 |
| J2798 | PERSERIS 120MG SYR | $16,966 | $10,180 | — | — | 21 |
| J9354 | KADCYLA 100MG INJECTION | $16,604 | $9,962 | — | — | 21 |
| J9358 | ENHERTU 100MG VIAL | $13,898 | $8,339 | — | — | 21 |
| CEMENT BONE 15CC | CEMENT BONE 15CC | $13,603 | $8,162 | — | — | 14 |
| J3358 | STELARA 130 MG VIAL | $12,400 | $7,440 | — | — | 21 |
| LEVOTHYROXINE INJ 500MCG/VIAL | LEVOTHYROXINE INJ 500MCG/VIAL | $11,900 | $7,140 | — | — | 14 |
| J1568 | OCTAGAM 10% 20gm/200ML | $11,570 | $6,942 | — | — | 21 |
| OB SURGERY LEVEL 3 1ST 30 MINS | OB SURGERY LEVEL 3 1ST 30 MINS | $11,475 | $6,885 | — | — | 14 |
| Q4197 | PURAPLY XT 4.91X4.91(25)/SQCM | $11,305 | $6,783 | — | — | 14 |
| GRAFT SYNTHETHIC PHOS 15CC | GRAFT SYNTHETHIC PHOS 15CC | $11,222 | $6,733 | — | — | 14 |
| J3032 | VYEPTI 100MG/1ML VIAL | $11,136 | $6,682 | — | — | 21 |
Showing top 50 of 2,456 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.