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
10,304
Insurances with rates
2
CPT / HCPCS codes
10,124
Source MRF
Most expensive procedures (gross)
J2507
$85,996
Krystexxa 8 mg/mL Vial
Gross
$101,171
J9359
$79,225
Zynlonta 10 mg/2 mL Vial
Gross
$93,205
C1824
$55,250
GENERATOR OPTIMIZER IPG86302
Gross
$65,000
J9229
$53,886
Besponsa 0.9 mg/3.6 mL Inject
Gross
$63,395
J9309
$52,070
Polivy 140 mg/7 mL Vial
Gross
$61,258
C1767
$45,301
CONTROLLER MEDTRONIC DBS79104
Gross
$53,295
J9026
$41,970
Tarlatamab-dlle 10 mg Vial
Gross
$49,377
A9543
$41,245
KIT YTTRIUM 90 THERASPHERE 3 GBQ36432
Gross
$48,523
J9266
$40,697
Oncaspar 3,750 Unit/5 mL Vial
Gross
$47,878
C2624
$38,250
SYSTEM DELIVERY PA SENSOR60810
Gross
$45,000
J9043
$37,678
Jevtana 60 mg/6 mL Inject
Gross
$44,327
J0584
$37,348
Crysvita 30 mg/mL Inject
Gross
$43,939
J9119
$30,574
Libtayo 350 mg/7 mL Inject
Gross
$35,970
J2327
$28,695
Skyrizi 600 mg/10 mL Inject
Gross
$33,758
J9380
$27,748
Tecvayli 153 mg/1.7 mL Vial
Gross
$32,644
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
J9144
$26,825
Darzalex Faspro 1800 mg/15 mL Inject
Gross
$31,558
J3380
$26,178
Entyvio 300 mg/5 mL Vial
Gross
$30,797
J1930
$25,591
Somatuline Depot 120 mg/0.5 mL Syringe
Gross
$30,107
C1721
$24,969
DEVICE EVERA S DR DF158104
Gross
$29,375
C1772
$23,800
PUMP INFUSION SYNCROMED III WITH FILTER29134
Gross
$28,000
J9223
$22,746
Zepzelca 4 mg/8 mL Vial
Gross
$26,760
J9022
$22,710
Tecentriq 840 mg/14 mL Vial
Gross
$26,717
C1722
$21,675
DEVICE EVERA S VR DF158107
Gross
$25,500
C1820
$21,038
IMPLANT RESTORE RECHARGEABLE45627
Gross
$24,750
J0180
$20,850
Fabrazyme 35 mg/7 mL Inj
Gross
$24,529
C2622
$19,892
IMPLANT PENILE TACTRA 11MMX16CMX25CM84221
Gross
$23,402
Q4130
$19,843
GRAFT STRATTICE 20X2046073
Gross
$23,345
J0741
$18,989
Cabenuva 600 mg-900 mg/6 mL Inject
Gross
$22,340
C1813
$18,663
IMPLANT PRECONNECT CXR MS PS 12CM88883
Gross
$21,956
J9311
$18,473
Rituxan Hycela 1,400 mg-23,400 units
Gross
$21,733
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
J1303
$17,912
Ultomiris 300 mg/30 mL Vial
Gross
$21,072
J9271
$16,516
Keytruda 100 mg/4 mL Vial
Gross
$19,430
C1817
$16,363
OCCLUDER CRIBIFORM 2556986
Gross
$19,250
J0491
$15,218
Saphnelo 300 mg/2 mL Inject
Gross
$17,903
C9358
$15,088
TISSUE SURGIMEND MESHED 20X10CM84437
Gross
$17,750
J0600
$15,063
Edetate Calcium Disodium 1000 mg/5 mL Inject
Gross
$17,721
C1757
$14,875
CATHETER ALPHAVAC KIT F18 105 CM 85 CURVE88112
Gross
$17,500
J0517
$14,474
Fasenra 30 mg/mL Syringe
Gross
$17,028
C1815
$14,322
CUFF AMS 800 WITH IZ 4.0CM50522
Gross
$16,849
J1932
$14,114
Lanreotide Depot 120 mg/0.5 mL Syringe
Gross
$16,605
44319
$13,842
GRAFT ANCILLARY RENU 22MMX125
Gross
$16,285
Q4128
$13,367
GRAFT ALLODERM RTU 12X16CM THICK64392
Gross
$15,726
C9610
$13,122
CATHETER BLN AGENT DCB 2.0X12MM
Gross
$15,438
J9204
$12,877
Poteligeo 20 mg/5 mL Vial
Gross
$15,150
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2507 | Krystexxa 8 mg/mL Vial | $101,171 | $85,996 | — | — | 3 |
| J9359 | Zynlonta 10 mg/2 mL Vial | $93,205 | $79,225 | — | — | 3 |
| C1824 | GENERATOR OPTIMIZER IPG86302 | $65,000 | $55,250 | — | — | 3 |
| J9229 | Besponsa 0.9 mg/3.6 mL Inject | $63,395 | $53,886 | — | — | 3 |
| J9309 | Polivy 140 mg/7 mL Vial | $61,258 | $52,070 | — | — | 3 |
| C1767 | CONTROLLER MEDTRONIC DBS79104 | $53,295 | $45,301 | — | — | 3 |
| J9026 | Tarlatamab-dlle 10 mg Vial | $49,377 | $41,970 | — | — | 3 |
| A9543 | KIT YTTRIUM 90 THERASPHERE 3 GBQ36432 | $48,523 | $41,245 | — | — | 3 |
| J9266 | Oncaspar 3,750 Unit/5 mL Vial | $47,878 | $40,697 | — | — | 3 |
| C2624 | SYSTEM DELIVERY PA SENSOR60810 | $45,000 | $38,250 | — | — | 3 |
| J9043 | Jevtana 60 mg/6 mL Inject | $44,327 | $37,678 | — | — | 6 |
| J0584 | Crysvita 30 mg/mL Inject | $43,939 | $37,348 | — | — | 6 |
| J9119 | Libtayo 350 mg/7 mL Inject | $35,970 | $30,574 | — | — | 3 |
| J2327 | Skyrizi 600 mg/10 mL Inject | $33,758 | $28,695 | — | — | 3 |
| J9380 | Tecvayli 153 mg/1.7 mL Vial | $32,644 | $27,748 | — | — | 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 |
| J9144 | Darzalex Faspro 1800 mg/15 mL Inject | $31,558 | $26,825 | — | — | 3 |
| J3380 | Entyvio 300 mg/5 mL Vial | $30,797 | $26,178 | — | — | 3 |
| J1930 | Somatuline Depot 120 mg/0.5 mL Syringe | $30,107 | $25,591 | — | — | 6 |
| C1721 | DEVICE EVERA S DR DF158104 | $29,375 | $24,969 | — | — | 3 |
| C1772 | PUMP INFUSION SYNCROMED III WITH FILTER29134 | $28,000 | $23,800 | — | — | 3 |
| J9223 | Zepzelca 4 mg/8 mL Vial | $26,760 | $22,746 | — | — | 3 |
| J9022 | Tecentriq 840 mg/14 mL Vial | $26,717 | $22,710 | — | — | 3 |
| C1722 | DEVICE EVERA S VR DF158107 | $25,500 | $21,675 | — | — | 3 |
| C1820 | IMPLANT RESTORE RECHARGEABLE45627 | $24,750 | $21,038 | — | — | 3 |
| J0180 | Fabrazyme 35 mg/7 mL Inj | $24,529 | $20,850 | — | — | 3 |
| C2622 | IMPLANT PENILE TACTRA 11MMX16CMX25CM84221 | $23,402 | $19,892 | — | — | 3 |
| Q4130 | GRAFT STRATTICE 20X2046073 | $23,345 | $19,843 | — | — | 3 |
| J0741 | Cabenuva 600 mg-900 mg/6 mL Inject | $22,340 | $18,989 | — | — | 3 |
| C1813 | IMPLANT PRECONNECT CXR MS PS 12CM88883 | $21,956 | $18,663 | — | — | 3 |
| J9311 | Rituxan Hycela 1,400 mg-23,400 units | $21,733 | $18,473 | — | — | 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 | — | — | 6 |
| J1303 | Ultomiris 300 mg/30 mL Vial | $21,072 | $17,912 | — | — | 3 |
| J9271 | Keytruda 100 mg/4 mL Vial | $19,430 | $16,516 | — | — | 6 |
| C1817 | OCCLUDER CRIBIFORM 2556986 | $19,250 | $16,363 | — | — | 3 |
| J0491 | Saphnelo 300 mg/2 mL Inject | $17,903 | $15,218 | — | — | 3 |
| C9358 | TISSUE SURGIMEND MESHED 20X10CM84437 | $17,750 | $15,088 | — | — | 3 |
| J0600 | Edetate Calcium Disodium 1000 mg/5 mL Inject | $17,721 | $15,063 | — | — | 3 |
| C1757 | CATHETER ALPHAVAC KIT F18 105 CM 85 CURVE88112 | $17,500 | $14,875 | — | — | 3 |
| J0517 | Fasenra 30 mg/mL Syringe | $17,028 | $14,474 | — | — | 3 |
| C1815 | CUFF AMS 800 WITH IZ 4.0CM50522 | $16,849 | $14,322 | — | — | 3 |
| J1932 | Lanreotide Depot 120 mg/0.5 mL Syringe | $16,605 | $14,114 | — | — | 3 |
| 44319 | GRAFT ANCILLARY RENU 22MMX125 | $16,285 | $13,842 | — | — | 3 |
| Q4128 | GRAFT ALLODERM RTU 12X16CM THICK64392 | $15,726 | $13,367 | — | — | 3 |
| C9610 | CATHETER BLN AGENT DCB 2.0X12MM | $15,438 | $13,122 | — | — | 3 |
| J9204 | Poteligeo 20 mg/5 mL Vial | $15,150 | $12,877 | — | — | 3 |
Showing top 50 of 10,304 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.