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
11,420
Insurances with rates
2
CPT / HCPCS codes
11,200
Source MRF
Most expensive procedures (gross)
J9228
$61,572
Yervoy 200 mg/40 mL Vial
Gross
$72,438
C1824
$55,250
GENERATOR OPTIMIZER IPG86302
Gross
$65,000
J2507
$52,263
Krystexxa 8 mg/mL Vial
Gross
$61,486
J3357
$47,823
Stelara 90 mg/mL Syringe
Gross
$56,262
C1767
$44,413
CONTROLLER MEDTRONIC DBS79104
Gross
$52,250
J1303
$41,735
Ultomiris 1100 mg/11 mL Vial
Gross
$49,099
A9543
$38,983
KIT YTTRIUM 90 THERASPHERE 3 GBQ36432
Gross
$45,863
C2624
$38,250
SYSTEM DELIVERY PA SENSOR60810
Gross
$45,000
J2350
$35,090
Ocrevus 300 mg/10 mL Inject
Gross
$41,282
J9350
$31,837
Lunsumio 30 mg/30 mL Vial
Gross
$37,455
J9309
$31,639
Polivy 140 mg/7 mL Vial
Gross
$37,223
J3241
$30,632
Tepezza 500 mg/10.5 mL Vial
Gross
$36,038
0275
$27,632
LEADLESS AVEIR DR PM 19.5F 32.2MM RA89589
Gross
$32,508
C1605
$27,631
LEADLESS AVEIR DR PM 19.5F 32.2MM RA
Gross
$32,508
C1874
$27,447
GRAFT ALPHA THORACIC 22X105MM66020
Gross
$32,290
J9334
$27,350
Vyvgart Hytrulo 1008 mg/5.6 mL Inj
Gross
$32,177
J9298
$26,217
Opdualag 240 mg/80 mg/20mL Inject
Gross
$30,844
J9026
$25,500
Imdelltra 10 mg Vial
Gross
$30,000
C1721
$24,969
DEVICE EVERA S DR DF158104
Gross
$29,375
C1772
$23,800
PUMP INFUSION SYNCROMED III WITH FILTER29134
Gross
$28,000
J9316
$23,658
Phesgo 1,200 mg-600 mg-30,000 unit/15 mL
Gross
$27,833
J0584
$22,702
Crysvita 30 mg/mL Inject
Gross
$26,709
C1722
$21,675
DEVICE EVERA S VR DF158107
Gross
$25,500
J9042
$21,549
Adcetris 50 mg/10 mL Vial
Gross
$25,352
C1820
$21,038
IMPLANT RESTORE RECHARGEABLE45627
Gross
$24,750
J9043
$21,026
Jevtana 60 mg/6 mL Inject
Gross
$24,736
Q4130
$19,843
GRAFT STRATTICE 20X2046073
Gross
$23,345
J9024
$19,702
Tecentriq Hybreza 1875 mg-30,000 Unit/15 mL Inject
Gross
$23,179
J9119
$18,572
Libtayo 350 mg/7 mL Inject
Gross
$21,850
36010
$18,318
GRAFT EXCLUDER TRUNK IPSILAT LEG 26X12MMX12CM
Gross
$21,550
C1821
$18,063
BUNDLE BSCI SUPERION IDS86190
Gross
$21,250
C1733
$17,956
CATHETER FARAWAVE 2.0 31MM
Gross
$21,125
J9144
$17,882
Darzalex Faspro 1800 mg/15 mL Inject
Gross
$21,038
J0870
$17,696
Imetelstat 188 mg/6 mL Inject
Gross
$20,819
J2327
$17,442
Skyrizi 600 mg/10 mL Inject
Gross
$20,520
Q4128
$17,088
GRAFT ALLODERM RTU 12X16CM THICK64392
Gross
$20,103
C1817
$16,363
OCCLUDER CRIBIFORM 2556986
Gross
$19,250
J9301
$15,301
Gazyva 1,000 mg/40 mL Vial
Gross
$18,001
J2323
$15,095
Tysabri 300 mg/15 mL Inject
Gross
$17,758
C9358
$15,088
TISSUE SURGIMEND MESHED 20X10CM84437
Gross
$17,750
61626
$15,025
Embolization Extracranial
Gross
$17,676
C1757
$14,875
CATHETER ALPHAVAC KIT F18 105 CM 85 CURVE88112
Gross
$17,500
C1815
$14,322
CUFF AMS 800 WITH IZ 4.0CM50522
Gross
$16,849
J9223
$14,025
Zepzelca 4 mg/8 mL Vial
Gross
$16,500
44319
$13,842
GRAFT ANCILLARY RENU 22MMX125
Gross
$16,285
J9022
$13,791
Tecentriq 840 mg/14 mL Vial
Gross
$16,225
J1930
$13,544
Somatuline Depot 120 mg/0.5 mL Syringe
Gross
$15,934
J9289
$13,503
Opdivo-Qvantig 600 mg-10,000 unit/5 mL Vial
Gross
$15,886
C9610
$13,122
CATHETER BLN AGENT DCB 2.0X12MM
Gross
$15,438
C1876
$12,846
COIL ASSIST LVIS 3.5X1777714
Gross
$15,113
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9228 | Yervoy 200 mg/40 mL Vial | $72,438 | $61,572 | — | — | 3 |
| C1824 | GENERATOR OPTIMIZER IPG86302 | $65,000 | $55,250 | — | — | 3 |
| J2507 | Krystexxa 8 mg/mL Vial | $61,486 | $52,263 | — | — | 3 |
| J3357 | Stelara 90 mg/mL Syringe | $56,262 | $47,823 | — | — | 3 |
| C1767 | CONTROLLER MEDTRONIC DBS79104 | $52,250 | $44,413 | — | — | 3 |
| J1303 | Ultomiris 1100 mg/11 mL Vial | $49,099 | $41,735 | — | — | 3 |
| A9543 | KIT YTTRIUM 90 THERASPHERE 3 GBQ36432 | $45,863 | $38,983 | — | — | 3 |
| C2624 | SYSTEM DELIVERY PA SENSOR60810 | $45,000 | $38,250 | — | — | 3 |
| J2350 | Ocrevus 300 mg/10 mL Inject | $41,282 | $35,090 | — | — | 3 |
| J9350 | Lunsumio 30 mg/30 mL Vial | $37,455 | $31,837 | — | — | 3 |
| J9309 | Polivy 140 mg/7 mL Vial | $37,223 | $31,639 | — | — | 3 |
| J3241 | Tepezza 500 mg/10.5 mL Vial | $36,038 | $30,632 | — | — | 3 |
| 0275 | LEADLESS AVEIR DR PM 19.5F 32.2MM RA89589 | $32,508 | $27,632 | — | — | 3 |
| C1605 | LEADLESS AVEIR DR PM 19.5F 32.2MM RA | $32,508 | $27,631 | — | — | 3 |
| C1874 | GRAFT ALPHA THORACIC 22X105MM66020 | $32,290 | $27,447 | — | — | 3 |
| J9334 | Vyvgart Hytrulo 1008 mg/5.6 mL Inj | $32,177 | $27,350 | — | — | 3 |
| J9298 | Opdualag 240 mg/80 mg/20mL Inject | $30,844 | $26,217 | — | — | 3 |
| J9026 | Imdelltra 10 mg Vial | $30,000 | $25,500 | — | — | 3 |
| C1721 | DEVICE EVERA S DR DF158104 | $29,375 | $24,969 | — | — | 3 |
| C1772 | PUMP INFUSION SYNCROMED III WITH FILTER29134 | $28,000 | $23,800 | — | — | 3 |
| J9316 | Phesgo 1,200 mg-600 mg-30,000 unit/15 mL | $27,833 | $23,658 | — | — | 3 |
| J0584 | Crysvita 30 mg/mL Inject | $26,709 | $22,702 | — | — | 9 |
| C1722 | DEVICE EVERA S VR DF158107 | $25,500 | $21,675 | — | — | 3 |
| J9042 | Adcetris 50 mg/10 mL Vial | $25,352 | $21,549 | — | — | 3 |
| C1820 | IMPLANT RESTORE RECHARGEABLE45627 | $24,750 | $21,038 | — | — | 3 |
| J9043 | Jevtana 60 mg/6 mL Inject | $24,736 | $21,026 | — | — | 6 |
| Q4130 | GRAFT STRATTICE 20X2046073 | $23,345 | $19,843 | — | — | 3 |
| J9024 | Tecentriq Hybreza 1875 mg-30,000 Unit/15 mL Inject | $23,179 | $19,702 | — | — | 3 |
| J9119 | Libtayo 350 mg/7 mL Inject | $21,850 | $18,572 | — | — | 3 |
| 36010 | GRAFT EXCLUDER TRUNK IPSILAT LEG 26X12MMX12CM | $21,550 | $18,318 | — | — | 3 |
| C1821 | BUNDLE BSCI SUPERION IDS86190 | $21,250 | $18,063 | — | — | 3 |
| C1733 | CATHETER FARAWAVE 2.0 31MM | $21,125 | $17,956 | — | — | 5 |
| J9144 | Darzalex Faspro 1800 mg/15 mL Inject | $21,038 | $17,882 | — | — | 3 |
| J0870 | Imetelstat 188 mg/6 mL Inject | $20,819 | $17,696 | — | — | 3 |
| J2327 | Skyrizi 600 mg/10 mL Inject | $20,520 | $17,442 | — | — | 3 |
| Q4128 | GRAFT ALLODERM RTU 12X16CM THICK64392 | $20,103 | $17,088 | — | — | 3 |
| C1817 | OCCLUDER CRIBIFORM 2556986 | $19,250 | $16,363 | — | — | 3 |
| J9301 | Gazyva 1,000 mg/40 mL Vial | $18,001 | $15,301 | — | — | 3 |
| J2323 | Tysabri 300 mg/15 mL Inject | $17,758 | $15,095 | — | — | 3 |
| C9358 | TISSUE SURGIMEND MESHED 20X10CM84437 | $17,750 | $15,088 | — | — | 3 |
| 61626 | Embolization Extracranial | $17,676 | $15,025 | — | — | 3 |
| C1757 | CATHETER ALPHAVAC KIT F18 105 CM 85 CURVE88112 | $17,500 | $14,875 | — | — | 3 |
| C1815 | CUFF AMS 800 WITH IZ 4.0CM50522 | $16,849 | $14,322 | — | — | 3 |
| J9223 | Zepzelca 4 mg/8 mL Vial | $16,500 | $14,025 | — | — | 3 |
| 44319 | GRAFT ANCILLARY RENU 22MMX125 | $16,285 | $13,842 | — | — | 3 |
| J9022 | Tecentriq 840 mg/14 mL Vial | $16,225 | $13,791 | — | — | 3 |
| J1930 | Somatuline Depot 120 mg/0.5 mL Syringe | $15,934 | $13,544 | — | — | 6 |
| J9289 | Opdivo-Qvantig 600 mg-10,000 unit/5 mL Vial | $15,886 | $13,503 | — | — | 3 |
| C9610 | CATHETER BLN AGENT DCB 2.0X12MM | $15,438 | $13,122 | — | — | 3 |
| C1876 | COIL ASSIST LVIS 3.5X1777714 | $15,113 | $12,846 | — | — | 3 |
Showing top 50 of 11,420 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.