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
9,548
Insurances with rates
1
CPT / HCPCS codes
8,249
Source MRF
Most expensive procedures (gross)
J1413
$1,000,000
DELANDISTROGENE MOXEPARVO-ROKL 43 X 10 ML IV KIT
Gross
$5,000,000
Q2054
$637,620
LISOCABTAGENE MARALEUCEL 70000000 CD8+ CELLS/ML IV SUSP
Gross
$3,188,102
Q2041
$479,600
AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP
Gross
$2,398,000
Q2053
$479,600
BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP
Gross
$2,398,000
J2326
$147,469
NUSINERSEN 12 MG/5ML IT SOLN
Gross
$737,347
J0225
$120,306
VUTRISIRAN SODIUM 25 MG/0.5ML SC SOL PRESYRG
Gross
$601,529
J7330
$99,865
HB TISSUE VERICEL 2MEMBRANE 81074
Gross
$499,323
C2642
$76,450
HB THERAPY GAMMATILE 8PK GT08
Gross
$382,249
A9607
$68,555
LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN
Gross
$342,777
Q2043
$63,103
SIPULEUCEL-T 50000000 CELLS IV SUSP
Gross
$315,517
A9513
$61,493
LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN
Gross
$307,465
C1826
$58,965
HB BATTERY INCEPTIV 977119
Gross
$294,827
J9347
$57,114
TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN
Gross
$285,571
J2351
$56,969
OCRELIZUMAB-HYALURONIDASE-OCSQ 920-23000 MG-UT/23ML SC SOLN
Gross
$284,845
J9226
$50,583
HISTRELIN ACETATE (CPP) 50 MG SC KIT
Gross
$252,915
J0223
$44,245
GIVOSIRAN SODIUM 189 MG/ML SC SOLN
Gross
$221,226
J1823
$44,016
INEBILIZUMAB-CDON 100 MG/10ML IV SOLN
Gross
$220,080
C1735
$41,600
HB CATH SYMPLICITY RDN016
Gross
$208,000
C9293
$41,503
GLUCARPIDASE 1000 UNITS IV SOLR
Gross
$207,517
A9543
$39,402
HB DRG ZEVALIN PER 40 U
Gross
$197,011
79403
$39,402
HB DRG ZEVALIN PER 40UNIT DOSE
Gross
$197,011
C1767
$39,347
HB GENERATOR ASPIRE HC 105
Gross
$196,735
C2624
$37,778
HB GUIDEWIRE CARDIOMEMS CM2010
Gross
$188,892
C1604
$37,312
HB DEVICES ENDOCROSS
Gross
$186,560
J0567
$35,452
CERLIPONASE ALFA 2 X 150 MG/5ML VE KIT
Gross
$177,262
0266T
$31,500
HB BAROSTIM-IMP/REPL CAROTID SINUS BARORREFLX ACTIVATION DEVICE-TOTAL SYS
Gross
$157,502
J2507
$30,989
PEGLOTICASE 8 MG/ML IV SOLN
Gross
$154,945
L8614
$30,981
HB IMPLANT NUC 24 CONT Z43007
Gross
$154,906
C1721
$30,407
HB ICD EPIC II DR V255
Gross
$152,037
J0202
$29,685
ALEMTUZUMAB 12 MG/1.2ML IV SOLN
Gross
$148,427
C1820
$29,546
HB GENERATOR PRECISION SC1110
Gross
$147,730
J9118
$29,268
CALASPARGASE PEGOL-MKNL 3750 UNIT/5ML IV SOLN
Gross
$146,342
C1822
$28,878
HB STIMULATOR SENZA NIPG1500
Gross
$144,390
C2616
$27,258
HB THERASPHERE 6.5 10094159
Gross
$136,290
J9266
$27,030
PEGASPARGASE 750 UNIT/ML IJ SOLN
Gross
$135,148
J9281
$25,145
MITOMYCIN 80 (2 X 40) MG UL SOLR
Gross
$125,723
L8619
$24,329
HB KIT PROCESSOR SONNET 2 S2200
Gross
$121,647
C1816
$24,029
HB KIT STIMQ RECEIVER STQ4RCVA0
Gross
$120,145
J9600
$23,510
PORFIMER SODIUM 75 MG IV SOLR
Gross
$117,548
C1884
$22,502
HB DEVICE EMBOLIZATION PED42535
Gross
$112,509
J9334
$22,202
EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SC SOLN
Gross
$111,010
A2026
$21,970
HB MESH RETRATA 2000MG MINIMATRIX RMINI-2000
Gross
$109,850
J2350
$20,806
OCRELIZUMAB 300 MG/10ML IV SOLN
Gross
$104,030
J9026
$20,700
TARLATAMAB-DLLE 10 MG IV SOLR
Gross
$103,500
90288
$20,520
BOTULISM IMMUNE GLOBULIN HUMAN 100 MG IV SOLR
Gross
$102,600
C1722
$20,258
HB ICD MAXIMO II VR D284VRC
Gross
$101,289
C1763
$20,030
HB GRAFT ZENITH FEN DIST G32547
Gross
$100,149
J9381
$19,887
TEPLIZUMAB-MZWV 2 MG/2ML IV SOLN
Gross
$99,436
C1772
$19,233
HB PUMP PAIN SYNCHROMED III 866720
Gross
$96,163
J1246
$19,200
DINUTUXIMAB 17.5 MG/5ML IV SOLN
Gross
$95,998
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1413 | DELANDISTROGENE MOXEPARVO-ROKL 43 X 10 ML IV KIT | $5,000,000 | $1,000,000 | — | — | 1 |
| Q2054 | LISOCABTAGENE MARALEUCEL 70000000 CD8+ CELLS/ML IV SUSP | $3,188,102 | $637,620 | — | — | 1 |
| Q2041 | AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP | $2,398,000 | $479,600 | — | — | 0 |
| Q2053 | BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP | $2,398,000 | $479,600 | — | — | 1 |
| J2326 | NUSINERSEN 12 MG/5ML IT SOLN | $737,347 | $147,469 | — | — | 1 |
| J0225 | VUTRISIRAN SODIUM 25 MG/0.5ML SC SOL PRESYRG | $601,529 | $120,306 | — | — | 1 |
| J7330 | HB TISSUE VERICEL 2MEMBRANE 81074 | $499,323 | $99,865 | — | — | 1 |
| C2642 | HB THERAPY GAMMATILE 8PK GT08 | $382,249 | $76,450 | — | — | 1 |
| A9607 | LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN | $342,777 | $68,555 | — | — | 1 |
| Q2043 | SIPULEUCEL-T 50000000 CELLS IV SUSP | $315,517 | $63,103 | — | — | 0 |
| A9513 | LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN | $307,465 | $61,493 | — | — | 1 |
| C1826 | HB BATTERY INCEPTIV 977119 | $294,827 | $58,965 | — | — | 1 |
| J9347 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN | $285,571 | $57,114 | — | — | 2 |
| J2351 | OCRELIZUMAB-HYALURONIDASE-OCSQ 920-23000 MG-UT/23ML SC SOLN | $284,845 | $56,969 | — | — | 0 |
| J9226 | HISTRELIN ACETATE (CPP) 50 MG SC KIT | $252,915 | $50,583 | — | — | 0 |
| J0223 | GIVOSIRAN SODIUM 189 MG/ML SC SOLN | $221,226 | $44,245 | — | — | 0 |
| J1823 | INEBILIZUMAB-CDON 100 MG/10ML IV SOLN | $220,080 | $44,016 | — | — | 2 |
| C1735 | HB CATH SYMPLICITY RDN016 | $208,000 | $41,600 | — | — | 0 |
| C9293 | GLUCARPIDASE 1000 UNITS IV SOLR | $207,517 | $41,503 | — | — | 1 |
| A9543 | HB DRG ZEVALIN PER 40 U | $197,011 | $39,402 | — | — | 1 |
| 79403 | HB DRG ZEVALIN PER 40UNIT DOSE | $197,011 | $39,402 | — | — | 1 |
| C1767 | HB GENERATOR ASPIRE HC 105 | $196,735 | $39,347 | — | — | 1 |
| C2624 | HB GUIDEWIRE CARDIOMEMS CM2010 | $188,892 | $37,778 | — | — | 1 |
| C1604 | HB DEVICES ENDOCROSS | $186,560 | $37,312 | — | — | 1 |
| J0567 | CERLIPONASE ALFA 2 X 150 MG/5ML VE KIT | $177,262 | $35,452 | — | — | 0 |
| 0266T | HB BAROSTIM-IMP/REPL CAROTID SINUS BARORREFLX ACTIVATION DEVICE-TOTAL SYS | $157,502 | $31,500 | — | — | 1 |
| J2507 | PEGLOTICASE 8 MG/ML IV SOLN | $154,945 | $30,989 | — | — | 1 |
| L8614 | HB IMPLANT NUC 24 CONT Z43007 | $154,906 | $30,981 | — | — | 1 |
| C1721 | HB ICD EPIC II DR V255 | $152,037 | $30,407 | — | — | 1 |
| J0202 | ALEMTUZUMAB 12 MG/1.2ML IV SOLN | $148,427 | $29,685 | — | — | 1 |
| C1820 | HB GENERATOR PRECISION SC1110 | $147,730 | $29,546 | — | — | 1 |
| J9118 | CALASPARGASE PEGOL-MKNL 3750 UNIT/5ML IV SOLN | $146,342 | $29,268 | — | — | 0 |
| C1822 | HB STIMULATOR SENZA NIPG1500 | $144,390 | $28,878 | — | — | 1 |
| C2616 | HB THERASPHERE 6.5 10094159 | $136,290 | $27,258 | — | — | 1 |
| J9266 | PEGASPARGASE 750 UNIT/ML IJ SOLN | $135,148 | $27,030 | — | — | 1 |
| J9281 | MITOMYCIN 80 (2 X 40) MG UL SOLR | $125,723 | $25,145 | — | — | 1 |
| L8619 | HB KIT PROCESSOR SONNET 2 S2200 | $121,647 | $24,329 | — | — | 1 |
| C1816 | HB KIT STIMQ RECEIVER STQ4RCVA0 | $120,145 | $24,029 | — | — | 1 |
| J9600 | PORFIMER SODIUM 75 MG IV SOLR | $117,548 | $23,510 | — | — | 0 |
| C1884 | HB DEVICE EMBOLIZATION PED42535 | $112,509 | $22,502 | — | — | 1 |
| J9334 | EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SC SOLN | $111,010 | $22,202 | — | — | 0 |
| A2026 | HB MESH RETRATA 2000MG MINIMATRIX RMINI-2000 | $109,850 | $21,970 | — | — | 1 |
| J2350 | OCRELIZUMAB 300 MG/10ML IV SOLN | $104,030 | $20,806 | — | — | 1 |
| J9026 | TARLATAMAB-DLLE 10 MG IV SOLR | $103,500 | $20,700 | — | — | 2 |
| 90288 | BOTULISM IMMUNE GLOBULIN HUMAN 100 MG IV SOLR | $102,600 | $20,520 | — | — | 1 |
| C1722 | HB ICD MAXIMO II VR D284VRC | $101,289 | $20,258 | — | — | 1 |
| C1763 | HB GRAFT ZENITH FEN DIST G32547 | $100,149 | $20,030 | — | — | 1 |
| J9381 | TEPLIZUMAB-MZWV 2 MG/2ML IV SOLN | $99,436 | $19,887 | — | — | 2 |
| C1772 | HB PUMP PAIN SYNCHROMED III 866720 | $96,163 | $19,233 | — | — | 1 |
| J1246 | DINUTUXIMAB 17.5 MG/5ML IV SOLN | $95,998 | $19,200 | — | — | 1 |
Showing top 50 of 9,548 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.