45 CFR § 180 compliance
C · 70
This hospital published part 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
20,198
Insurances with rates
8
CPT / HCPCS codes
18,915
Source MRF
Most expensive procedures (gross)
C1813
$50,699
AMS AMBICOR 14MMX20CM
Gross
$50,699
C1882
$42,650
CRTD DTM1D1 CLARIA
Gross
$42,650
C1721
$42,650
BIV ICD DEFIBRILLATOR CRTD
Gross
$42,650
C2622
$36,509
TACTRA 11MM X 16CM-25MM
Gross
$36,509
C1767
$34,126
INS 87800 INTERSTIM
Gross
$34,126
C1722
$27,907
ICD COBALT VR MRI ISI DF1
Gross
$27,907
J1744
$22,295
ICATIBANT 30 MG/3 ML SYRINGE
Gross
$22,295
J9042
$21,756
BRENTUXIMAB VEDOTIN 1 MG INJ
Gross
$21,756
J9022
$21,394
ATEZOLIZUMAB 10 MG INJ
Gross
$21,394
J1930
$19,124
LANREOTIDE 1 MG INJ
Gross
$19,124
J9144
$18,899
DARATUMUMAB 10MG-HYALURON-FIHJ
Gross
$18,899
J2997
$17,601
ALTEPLASE RECOMBINANT 1 MG INJ
Gross
$17,601
J9316
$17,279
PERTUZ/TRASTUZ/HY-ZZXF 10MG IN
Gross
$17,279
C2621
$16,612
CRTP W4TR01 PERCEPTA QUAD CRTP
Gross
$16,612
J3101
$15,290
TENECTEPLASE 1 MG INJ
Gross
$15,290
J9299
$14,823
NIVOLUMAB 1 MG INJ
Gross
$14,823
C2618
$14,175
PROSTATE CRYO KIT
Gross
$14,175
J9303
$12,932
PANITUMUMAB 10 MG INJ
Gross
$12,932
J2506
$12,836
PEGFILGRASTIM EX BIO 0.5MG INJ
Gross
$12,836
C1764
$12,600
LINQ 2 SYSTEM
Gross
$12,600
J3380
$12,249
VEDOLIZUMAB1 MG INJ
Gross
$12,249
J9312
$11,979
RITUXIMAB 10 MG INJ
Gross
$11,979
J9217
$11,827
LEUPROLIDE ACET DEPOT 7.5MG
Gross
$11,827
J9271
$11,163
PEMBROLIZUMAB 1 MG INJ
Gross
$11,163
J9305
$10,310
PEMETREXED 10 MG INJ
Gross
$10,310
Q5115
$10,147
RITUXIMAB-ABBS (TRUXIMA) 10 MG
Gross
$10,147
21337
$10,121
CLOSED TX SEPTAL&NOSE FX
Gross
$10,121
J9173
$10,068
DURVALUMAB 10 MG INJ
Gross
$10,068
C1785
$9,240
PACEMAKER AZURE XT DR MRI
Gross
$9,240
J2182
$8,654
MEPOLIZUMAB 1 MG INJ
Gross
$8,654
J1306
$8,515
INCLISIRAN 1 MG INJ
Gross
$8,515
C9359
$8,511
BONUS TRIAD 5CC
Gross
$8,511
J0630
$8,271
CALCITONIN SALMON TO 400 UNIT
Gross
$8,271
28810
$8,096
AMPUTATION TOE & METATARSAL
Gross
$8,096
26910
$8,096
AMPUTATE METACARPAL BONE
Gross
$8,096
28820
$8,096
AMPUTATION OF TOE
Gross
$8,096
J0897
$7,986
DENOSUMAB 1 MG INJ
Gross
$7,986
81419
$7,712
EPILEPSY GEN SEQ ALYS PANEL
Gross
$7,712
Q4107
$7,640
GRAFTJACKET NOW THIN 4X8 CM
Gross
$7,640
27532
$7,470
TREAT KNEE FRACTURE
Gross
$7,470
J9176
$7,376
ELOTUZUMAB 1 MG INJ
Gross
$7,376
C1786
$7,308
AZURE XT SR MRI DEVICE
Gross
$7,308
43262
$7,248
ENDO CHOLANGIOPANCREATOGRAPH
Gross
$7,248
J9358
$6,755
FAM-TRASTUZUM DERUXTE-NXKI 1MG
Gross
$6,755
J2796
$6,260
ROMIPLOSTIM 10 MCG INJ
Gross
$6,260
Q5118
$6,257
BEVACIZUMAB-BVZR (ZIRABEV) 10M
Gross
$6,257
81408
$6,249
MOPATH PROCEDURE LEVEL 9
Gross
$6,249
J9317
$6,140
SACITUZUMAB GOVITEC-HZIY180 MG
Gross
$6,140
81412
$6,125
ASHKENAZI JEWISH ASSOC DIS
Gross
$6,125
58661
$5,963
LAPAROSCOPY REMOVE ADNEXA
Gross
$5,963
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1813 | AMS AMBICOR 14MMX20CM | $50,699 | $50,699 | — | — | 6 |
| C1882 | CRTD DTM1D1 CLARIA | $42,650 | $42,650 | — | — | 6 |
| C1721 | BIV ICD DEFIBRILLATOR CRTD | $42,650 | $42,650 | — | — | 6 |
| C2622 | TACTRA 11MM X 16CM-25MM | $36,509 | $36,509 | — | — | 6 |
| C1767 | INS 87800 INTERSTIM | $34,126 | $34,126 | — | — | 6 |
| C1722 | ICD COBALT VR MRI ISI DF1 | $27,907 | $27,907 | — | — | 6 |
| J1744 | ICATIBANT 30 MG/3 ML SYRINGE | $22,295 | $22,295 | $29.46 | $267 | 8 |
| J9042 | BRENTUXIMAB VEDOTIN 1 MG INJ | $21,756 | $21,756 | $9.14 | $412 | 8 |
| J9022 | ATEZOLIZUMAB 10 MG INJ | $21,394 | $21,394 | $18.95 | $147 | 8 |
| J1930 | LANREOTIDE 1 MG INJ | $19,124 | $19,124 | $16.46 | $85.95 | 8 |
| J9144 | DARATUMUMAB 10MG-HYALURON-FIHJ | $18,899 | $18,899 | $45.1 | $1,119 | 8 |
| J2997 | ALTEPLASE RECOMBINANT 1 MG INJ | $17,601 | $17,601 | $87.75 | $157 | 8 |
| J9316 | PERTUZ/TRASTUZ/HY-ZZXF 10MG IN | $17,279 | $17,279 | $66.81 | $114 | 8 |
| C2621 | CRTP W4TR01 PERCEPTA QUAD CRTP | $16,612 | $16,612 | — | — | 6 |
| J3101 | TENECTEPLASE 1 MG INJ | $15,290 | $15,290 | $84.28 | $271 | 8 |
| J9299 | NIVOLUMAB 1 MG INJ | $14,823 | $14,823 | $28.86 | $54.29 | 8 |
| C2618 | PROSTATE CRYO KIT | $14,175 | $14,175 | — | — | 6 |
| J9303 | PANITUMUMAB 10 MG INJ | $12,932 | $12,932 | $130 | $273 | 8 |
| J2506 | PEGFILGRASTIM EX BIO 0.5MG INJ | $12,836 | $12,836 | $50.68 | $164 | 8 |
| C1764 | LINQ 2 SYSTEM | $12,600 | $12,600 | — | — | 6 |
| J3380 | VEDOLIZUMAB1 MG INJ | $12,249 | $12,249 | $21.28 | $59.08 | 8 |
| J9312 | RITUXIMAB 10 MG INJ | $11,979 | $11,979 | $77.3 | $133 | 8 |
| J9217 | LEUPROLIDE ACET DEPOT 7.5MG | $11,827 | $11,827 | $12.67 | $310 | 8 |
| J9271 | PEMBROLIZUMAB 1 MG INJ | $11,163 | $11,163 | $12.54 | $97.35 | 8 |
| J9305 | PEMETREXED 10 MG INJ | $10,310 | $10,310 | $4.37 | $74.93 | 8 |
| Q5115 | RITUXIMAB-ABBS (TRUXIMA) 10 MG | $10,147 | $10,147 | $35.89 | $66.25 | 8 |
| 21337 | CLOSED TX SEPTAL&NOSE FX | $10,121 | $10,121 | $1,400 | $5,271 | 11 |
| J9173 | DURVALUMAB 10 MG INJ | $10,068 | $10,068 | $76.86 | $151 | 8 |
| C1785 | PACEMAKER AZURE XT DR MRI | $9,240 | $9,240 | — | — | 6 |
| J2182 | MEPOLIZUMAB 1 MG INJ | $8,654 | $8,654 | $28.29 | $145 | 8 |
| J1306 | INCLISIRAN 1 MG INJ | $8,515 | $8,515 | $12.13 | $394 | 8 |
| C9359 | BONUS TRIAD 5CC | $8,511 | $8,511 | $217 | $222 | 7 |
| J0630 | CALCITONIN SALMON TO 400 UNIT | $8,271 | $8,271 | $72.26 | $3,101 | 8 |
| 28810 | AMPUTATION TOE & METATARSAL | $8,096 | $8,096 | $1,400 | $5,874 | 11 |
| 26910 | AMPUTATE METACARPAL BONE | $8,096 | $8,096 | $1,973 | $6,104 | 11 |
| 28820 | AMPUTATION OF TOE | $8,096 | $8,096 | $1,400 | $5,874 | 11 |
| J0897 | DENOSUMAB 1 MG INJ | $7,986 | $7,986 | $21.19 | $91.83 | 8 |
| 81419 | EPILEPSY GEN SEQ ALYS PANEL | $7,712 | $7,712 | $2,449 | $10,406 | 7 |
| Q4107 | GRAFTJACKET NOW THIN 4X8 CM | $7,640 | $7,640 | $8.36 | $102 | 7 |
| 27532 | TREAT KNEE FRACTURE | $7,470 | $7,470 | $1,150 | $5,874 | 11 |
| J9176 | ELOTUZUMAB 1 MG INJ | $7,376 | $7,376 | $6.77 | $33.3 | 8 |
| C1786 | AZURE XT SR MRI DEVICE | $7,308 | $7,308 | — | — | 6 |
| 43262 | ENDO CHOLANGIOPANCREATOGRAPH | $7,248 | $7,248 | $1,400 | $6,325 | 11 |
| J9358 | FAM-TRASTUZUM DERUXTE-NXKI 1MG | $6,755 | $6,755 | $24.27 | $47.69 | 8 |
| J2796 | ROMIPLOSTIM 10 MCG INJ | $6,260 | $6,260 | $83.47 | $173 | 8 |
| Q5118 | BEVACIZUMAB-BVZR (ZIRABEV) 10M | $6,257 | $6,257 | $21.51 | $52.37 | 8 |
| 81408 | MOPATH PROCEDURE LEVEL 9 | $6,249 | $6,249 | $2,000 | $8,500 | 7 |
| J9317 | SACITUZUMAB GOVITEC-HZIY180 MG | $6,140 | $6,140 | $30.35 | $457 | 8 |
| 81412 | ASHKENAZI JEWISH ASSOC DIS | $6,125 | $6,125 | $2,449 | $10,406 | 7 |
| 58661 | LAPAROSCOPY REMOVE ADNEXA | $5,963 | $5,963 | $2,622 | $10,291 | 11 |
Showing top 50 of 20,198 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.