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
19,049
Insurances with rates
8
CPT / HCPCS codes
13,025
Source MRF
Most expensive procedures (gross)
J9298
$136,943
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [203116]
Gross
$136,943
J9228
$129,274
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956]
Gross
$129,274
J9307
$89,473
PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073]
Gross
$89,473
J2350
$81,250
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [186245]
Gross
$81,250
33300002
$68,194
HC BREAST CATH PLCMT DELAYED
Gross
$68,194
J9316
$60,994
PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [197475]
Gross
$60,994
J9042
$56,262
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348]
Gross
$56,262
36001025
$55,909
HC TRNSL ATHER ILIAC ART
Gross
$55,909
36140070
$55,909
HC INJ PLATELET RICH PLASMA W IMG HARVEST AND PREPARATION
Gross
$55,909
36140074
$55,909
HC TRANSLUMINAL PERIPHERAL ATHERECTOMY ILIAC ARTERY EA VESSEL
Gross
$55,909
J9309
$55,558
POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION [198118]
Gross
$55,558
J9281
$53,440
MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [196668]
Gross
$53,440
27800001
$46,524
409333 : TAG CONFORM THORACIC SG AC 31MMX31MMX10CM 20FR
Gross
$46,524
J2327
$45,682
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [203993]
Gross
$45,682
34400006
$45,597
HC SAMARIUM SM153 LEXIDRON PER DOSE UP TO 150MCI
Gross
$45,597
J9119
$45,500
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [191713]
Gross
$45,500
36150028
$44,806
HC INS/RPLC SPINAL NPG/RCVR POCKET
Gross
$44,806
J9043
$41,483
CABAZITAXEL 60 MG/1.5 ML (BEFORE RECONSTITUTION) INTRAVENOUS SOLUTION [351044]
Gross
$41,483
27800059
$40,560
DEFIBRILLATOR CRT-D 40 J UNIFY ASSURA DF4-LLHH/IS-1 CONN
Gross
$40,560
J1930
$39,835
LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861]
Gross
$39,835
J9144
$37,681
DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [196850]
Gross
$37,681
27800007
$37,188
412506 : DEFIBRILLATOR ICD 2 CHMBR GALLANT DR 31CC 51MM X 69MM THCK
Gross
$37,188
36001023
$36,885
HC ABD AORTA XRA W CONTR W SI
Gross
$36,885
36001024
$36,885
HC ATHER BRACHCEPH AND BRANCH
Gross
$36,885
36140072
$36,885
HC TRANSLUMINAL PERIPHERAL ATHERECTOMY INCL S&I ABDOMINAL AORTA
Gross
$36,885
36140073
$36,885
HC TRANSLUM PERIPH ATHEREC INCL S&I BRACHIOCEPH EA VESSEL
Gross
$36,885
J9022
$36,756
ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION [193131]
Gross
$36,756
J2997
$36,640
ALTEPLASE 100 MG INTRAVENOUS SOLUTION FOR PEDIATRIC STROKE BOLUS [300060]
Gross
$36,640
J9177
$36,529
ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [195549]
Gross
$36,529
J9358
$34,343
FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [195554]
Gross
$34,343
J9145
$34,204
DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [180792]
Gross
$34,204
J9319
$33,979
ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344]
Gross
$33,979
27800008
$32,182
440377 : DEFIBRILLATOR ICD VR VIGILANT EL 5.37CM X 7.36CM 0.99CM DF4
Gross
$32,182
J9271
$32,033
PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [177064]
Gross
$32,033
J9317
$30,970
SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [196663]
Gross
$30,970
33300004
$30,734
HC GK SRS DELIVERY OF TREATMENT
Gross
$30,734
33300099
$30,734
HC RAD TX DELVRY SRS CRANIAL LES ONE SESSION LINEAR ACC BASED
Gross
$30,734
27800038
$30,698
435151 : PUMP INTRATHECAL INFUSION 87.5MM THICK 19.6MM WITH 20ML RESE
Gross
$30,698
J9061
$29,864
AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [200550]
Gross
$29,864
36000783
$29,807
HC ENDOVAS BALL ART OCC HEAD/NCK
Gross
$29,807
36140051
$27,764
HC REV INCL RPLCMT SPINL NEUROST ELECTRD PLATE/PADDLE INC FLUOR W PERF
Gross
$27,764
J9354
$27,658
ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [163364]
Gross
$27,658
J1749
$27,500
ILOPROST 100 MCG/ML INTRAVENOUS SOLUTION [212266]
Gross
$27,500
J0840
$27,200
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313]
Gross
$27,200
J9223
$26,698
LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [197224]
Gross
$26,698
27800425
$26,400
412468 : DEVICE THROMCTMY MECH PRICE PER PROC FOR PULM EMB
Gross
$26,400
36000277
$25,959
HC PPM DUAL CHAMBER W 2 LEADS
Gross
$25,959
J9301
$25,800
OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [164934]
Gross
$25,800
48100147
$25,247
HC DES STENT PLACE SINGLE
Gross
$25,247
J2323
$24,800
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [40120]
Gross
$24,800
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9298 | NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [203116] | $136,943 | $136,943 | — | — | 0 |
| J9228 | IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956] | $129,274 | $129,274 | — | — | 0 |
| J9307 | PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073] | $89,473 | $89,473 | — | — | 0 |
| J2350 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [186245] | $81,250 | $81,250 | — | — | 0 |
| 33300002 | HC BREAST CATH PLCMT DELAYED | $68,194 | $68,194 | — | — | 0 |
| J9316 | PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [197475] | $60,994 | $60,994 | — | — | 0 |
| J9042 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348] | $56,262 | $56,262 | — | — | 0 |
| 36001025 | HC TRNSL ATHER ILIAC ART | $55,909 | $55,909 | — | — | 0 |
| 36140070 | HC INJ PLATELET RICH PLASMA W IMG HARVEST AND PREPARATION | $55,909 | $55,909 | — | — | 0 |
| 36140074 | HC TRANSLUMINAL PERIPHERAL ATHERECTOMY ILIAC ARTERY EA VESSEL | $55,909 | $55,909 | — | — | 0 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION [198118] | $55,558 | $55,558 | — | — | 0 |
| J9281 | MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [196668] | $53,440 | $53,440 | — | — | 0 |
| 27800001 | 409333 : TAG CONFORM THORACIC SG AC 31MMX31MMX10CM 20FR | $46,524 | $46,524 | — | — | 0 |
| J2327 | RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [203993] | $45,682 | $45,682 | — | — | 0 |
| 34400006 | HC SAMARIUM SM153 LEXIDRON PER DOSE UP TO 150MCI | $45,597 | $45,597 | — | — | 0 |
| J9119 | CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [191713] | $45,500 | $45,500 | — | — | 0 |
| 36150028 | HC INS/RPLC SPINAL NPG/RCVR POCKET | $44,806 | $44,806 | — | — | 0 |
| J9043 | CABAZITAXEL 60 MG/1.5 ML (BEFORE RECONSTITUTION) INTRAVENOUS SOLUTION [351044] | $41,483 | $41,483 | — | — | 0 |
| 27800059 | DEFIBRILLATOR CRT-D 40 J UNIFY ASSURA DF4-LLHH/IS-1 CONN | $40,560 | $40,560 | — | — | 0 |
| J1930 | LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861] | $39,835 | $39,835 | — | — | 0 |
| J9144 | DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [196850] | $37,681 | $37,681 | — | — | 0 |
| 27800007 | 412506 : DEFIBRILLATOR ICD 2 CHMBR GALLANT DR 31CC 51MM X 69MM THCK | $37,188 | $37,188 | — | — | 0 |
| 36001023 | HC ABD AORTA XRA W CONTR W SI | $36,885 | $36,885 | — | — | 0 |
| 36001024 | HC ATHER BRACHCEPH AND BRANCH | $36,885 | $36,885 | — | — | 0 |
| 36140072 | HC TRANSLUMINAL PERIPHERAL ATHERECTOMY INCL S&I ABDOMINAL AORTA | $36,885 | $36,885 | — | — | 0 |
| 36140073 | HC TRANSLUM PERIPH ATHEREC INCL S&I BRACHIOCEPH EA VESSEL | $36,885 | $36,885 | — | — | 0 |
| J9022 | ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION [193131] | $36,756 | $36,756 | — | — | 0 |
| J2997 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION FOR PEDIATRIC STROKE BOLUS [300060] | $36,640 | $36,640 | — | — | 0 |
| J9177 | ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [195549] | $36,529 | $36,529 | — | — | 0 |
| J9358 | FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [195554] | $34,343 | $34,343 | — | — | 0 |
| J9145 | DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [180792] | $34,204 | $34,204 | — | — | 0 |
| J9319 | ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344] | $33,979 | $33,979 | — | — | 0 |
| 27800008 | 440377 : DEFIBRILLATOR ICD VR VIGILANT EL 5.37CM X 7.36CM 0.99CM DF4 | $32,182 | $32,182 | — | — | 0 |
| J9271 | PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [177064] | $32,033 | $32,033 | — | — | 0 |
| J9317 | SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [196663] | $30,970 | $30,970 | — | — | 0 |
| 33300004 | HC GK SRS DELIVERY OF TREATMENT | $30,734 | $30,734 | — | — | 0 |
| 33300099 | HC RAD TX DELVRY SRS CRANIAL LES ONE SESSION LINEAR ACC BASED | $30,734 | $30,734 | — | — | 0 |
| 27800038 | 435151 : PUMP INTRATHECAL INFUSION 87.5MM THICK 19.6MM WITH 20ML RESE | $30,698 | $30,698 | — | — | 0 |
| J9061 | AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [200550] | $29,864 | $29,864 | — | — | 0 |
| 36000783 | HC ENDOVAS BALL ART OCC HEAD/NCK | $29,807 | $29,807 | — | — | 0 |
| 36140051 | HC REV INCL RPLCMT SPINL NEUROST ELECTRD PLATE/PADDLE INC FLUOR W PERF | $27,764 | $27,764 | — | — | 0 |
| J9354 | ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [163364] | $27,658 | $27,658 | — | — | 0 |
| J1749 | ILOPROST 100 MCG/ML INTRAVENOUS SOLUTION [212266] | $27,500 | $27,500 | — | — | 0 |
| J0840 | CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313] | $27,200 | $27,200 | — | — | 0 |
| J9223 | LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [197224] | $26,698 | $26,698 | — | — | 0 |
| 27800425 | 412468 : DEVICE THROMCTMY MECH PRICE PER PROC FOR PULM EMB | $26,400 | $26,400 | — | — | 0 |
| 36000277 | HC PPM DUAL CHAMBER W 2 LEADS | $25,959 | $25,959 | — | — | 0 |
| J9301 | OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [164934] | $25,800 | $25,800 | — | — | 0 |
| 48100147 | HC DES STENT PLACE SINGLE | $25,247 | $25,247 | — | — | 0 |
| J2323 | NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [40120] | $24,800 | $24,800 | — | — | 0 |
Showing top 50 of 19,049 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.