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
3,039
Insurances with rates
9
CPT / HCPCS codes
1,657
Source MRF
Most expensive procedures (gross)
J1628
$22,143
Guselkumab IV Soln 200 MG/20ML (10 MG/ML)
Gross
$27,679
J2327
$15,667
Risankizumab-rzaa IV Soln 600 MG/10ML (60 MG/ML)
Gross
$19,583
J2427
$15,517
Paliperidone Palmitate ER Susp Pref Syr 819 MG/2.63ML
Gross
$19,397
J9119
$10,974
Cemiplimab-rwlc IV Soln 350 MG/7ML (50 MG/ML)
Gross
$13,718
J9144
$9,756
Daratumumab-Hyaluronidase-fihj Inj 1800-30000 MG-Unit/15ML
Gross
$12,195
J3380
$9,441
Vedolizumab For IV Solution 300 MG
Gross
$11,801
J3101
$9,081
Tenecteplase For IV Soln Kit 50 MG
Gross
$11,351
36482
$8,712
SURG 36482 ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN
Gross
$10,890
J9299
$8,324
Nivolumab IV Soln 240 MG/24ML
Gross
$10,405
J9301
$8,316
Obinutuzumab Soln for IV Infusion 1000 MG/40ML (25 MG/ML)
Gross
$10,395
J0517
$8,205
Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML
Gross
$10,257
38510
$7,582
SURG 38510 BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE
Gross
$9,477
49418
$7,283
SURG 49418 PLCMNT PERITONEAL CATH TUN W/IMG GUID
Gross
$9,104
11771
$7,039
SURG 11771 EXC PILONIDAL CYST SINUS EXTNSV
Gross
$8,799
Q5127
$6,736
Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML
Gross
$8,420
21933
$6,620
SURG 21933 EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL >=5CM
Gross
$8,275
11770
$6,523
SURG 11770 EXC PILONIDAL CYST SINUS SMPL
Gross
$8,154
21552
$6,458
SURG 21552 EXC TUMOR SOFT TISS SUBQ 3CM+
Gross
$8,072
46260
$6,442
SURG 46260 HEMORRHOIDECTOMY INTL & XTRNL 2+ COLUMNS
Gross
$8,053
38500
$6,068
SURG 38500 SURG BX LYMPH NODES(S) SUPERFICIAL OPEN
Gross
$7,585
21931
$5,951
SURG 21931 EXC TUMOR BACK FLANK 3CM+
Gross
$7,439
21012
$5,643
SURG 21012 EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
Gross
$7,054
23071
$5,574
SURG 23071 EXC TUMOR SHLDER SUBQ 3CM+
Gross
$6,967
22903
$5,467
SURG 22903 EXC TUMOR ABD WALL SUBQ 3CM+
Gross
$6,834
24071
$5,297
SURG 24071 EXC TUMOR UP ARM ELB SUBQ 3CM+
Gross
$6,621
J9271
$5,240
Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML)
Gross
$6,550
50385
$5,150
SURG 50385 REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL
Gross
$6,437
J9227
$5,054
Isatuximab-irfc IV Soln 500 MG/25ML
Gross
$6,317
J9047
$5,042
Carfilzomib For Inj 60 MG
Gross
$6,302
C1785
$4,995
PPM VERSA *DISC 6290163*
Gross
$6,244
J2353
$4,849
Octreotide Acetate For IM Inj Kit 10 MG
Gross
$6,061
51102
$4,814
ED 51102 DRN BLADDER WCATH INSERT
Gross
$6,017
49040
$4,757
SURG 49040 DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN
Gross
$5,946
78452
$4,745
NM MYOCARDIAL SPECT MULT STDY
Gross
$5,931
C1783
$4,740
STNT TRABEC BYPA*DISC 6316113*
Gross
$5,925
95811
$4,696
SLEEP STUDY SPLT NGHT 95811
Gross
$5,870
25111
$4,638
SURG 25111 EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY
Gross
$5,797
23929
$4,518
SURG 23929 TENOTOMY SHOULDER PERC
Gross
$5,647
C1786
$4,507
PPM SENSIA SR*DISC 6290165*
Gross
$5,634
28043
$4,466
SURG 28043 EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM
Gross
$5,583
J1162
$4,439
Digoxin Immune Fab For Inj 40 MG
Gross
$5,548
74178
$4,394
CT ABD PELVIS WO THEN W CONT
Gross
$5,493
25000
$4,356
SURG 25000 INCIS EXTENSOR TENDON SHEATH WRIST
Gross
$5,445
70543
$4,304
MRI FACE NECK ORB WO THEN W CONT
Gross
$5,380
72156
$4,304
MRI C SPINE WO THEN W CONT
Gross
$5,380
72197
$4,303
MRI PELVIS WO THEN W CONT
Gross
$5,379
Q5117
$4,296
Trastuzumab-anns For IV Soln 420 MG
Gross
$5,370
11406
$4,267
SURG 11406 EXC BENGN SKN LESN INC MARGN NO SKN TAG TRNK ARM LEG DIA > 4.0 C
Gross
$5,334
72158
$4,218
MRI L SPINE WO THEN W CONT
Gross
$5,272
70553
$4,214
MRI BRAIN WO THEN W CONT
Gross
$5,268
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1628 | Guselkumab IV Soln 200 MG/20ML (10 MG/ML) | $27,679 | $22,143 | — | — | 31 |
| J2327 | Risankizumab-rzaa IV Soln 600 MG/10ML (60 MG/ML) | $19,583 | $15,667 | — | — | 31 |
| J2427 | Paliperidone Palmitate ER Susp Pref Syr 819 MG/2.63ML | $19,397 | $15,517 | — | — | 31 |
| J9119 | Cemiplimab-rwlc IV Soln 350 MG/7ML (50 MG/ML) | $13,718 | $10,974 | — | — | 31 |
| J9144 | Daratumumab-Hyaluronidase-fihj Inj 1800-30000 MG-Unit/15ML | $12,195 | $9,756 | — | — | 31 |
| J3380 | Vedolizumab For IV Solution 300 MG | $11,801 | $9,441 | — | — | 31 |
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $11,351 | $9,081 | — | — | 62 |
| 36482 | SURG 36482 ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN | $10,890 | $8,712 | — | — | 31 |
| J9299 | Nivolumab IV Soln 240 MG/24ML | $10,405 | $8,324 | — | — | 31 |
| J9301 | Obinutuzumab Soln for IV Infusion 1000 MG/40ML (25 MG/ML) | $10,395 | $8,316 | — | — | 31 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $10,257 | $8,205 | — | — | 31 |
| 38510 | SURG 38510 BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE | $9,477 | $7,582 | — | — | 31 |
| 49418 | SURG 49418 PLCMNT PERITONEAL CATH TUN W/IMG GUID | $9,104 | $7,283 | — | — | 31 |
| 11771 | SURG 11771 EXC PILONIDAL CYST SINUS EXTNSV | $8,799 | $7,039 | — | — | 31 |
| Q5127 | Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML | $8,420 | $6,736 | — | — | 31 |
| 21933 | SURG 21933 EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL >=5CM | $8,275 | $6,620 | — | — | 31 |
| 11770 | SURG 11770 EXC PILONIDAL CYST SINUS SMPL | $8,154 | $6,523 | — | — | 31 |
| 21552 | SURG 21552 EXC TUMOR SOFT TISS SUBQ 3CM+ | $8,072 | $6,458 | — | — | 31 |
| 46260 | SURG 46260 HEMORRHOIDECTOMY INTL & XTRNL 2+ COLUMNS | $8,053 | $6,442 | — | — | 31 |
| 38500 | SURG 38500 SURG BX LYMPH NODES(S) SUPERFICIAL OPEN | $7,585 | $6,068 | — | — | 31 |
| 21931 | SURG 21931 EXC TUMOR BACK FLANK 3CM+ | $7,439 | $5,951 | — | — | 31 |
| 21012 | SURG 21012 EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/> | $7,054 | $5,643 | — | — | 31 |
| 23071 | SURG 23071 EXC TUMOR SHLDER SUBQ 3CM+ | $6,967 | $5,574 | — | — | 31 |
| 22903 | SURG 22903 EXC TUMOR ABD WALL SUBQ 3CM+ | $6,834 | $5,467 | — | — | 31 |
| 24071 | SURG 24071 EXC TUMOR UP ARM ELB SUBQ 3CM+ | $6,621 | $5,297 | — | — | 31 |
| J9271 | Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML) | $6,550 | $5,240 | — | — | 62 |
| 50385 | SURG 50385 REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL | $6,437 | $5,150 | — | — | 31 |
| J9227 | Isatuximab-irfc IV Soln 500 MG/25ML | $6,317 | $5,054 | — | — | 31 |
| J9047 | Carfilzomib For Inj 60 MG | $6,302 | $5,042 | — | — | 31 |
| C1785 | PPM VERSA *DISC 6290163* | $6,244 | $4,995 | — | — | 31 |
| J2353 | Octreotide Acetate For IM Inj Kit 10 MG | $6,061 | $4,849 | — | — | 31 |
| 51102 | ED 51102 DRN BLADDER WCATH INSERT | $6,017 | $4,814 | — | — | 31 |
| 49040 | SURG 49040 DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN | $5,946 | $4,757 | — | — | 31 |
| 78452 | NM MYOCARDIAL SPECT MULT STDY | $5,931 | $4,745 | — | — | 31 |
| C1783 | STNT TRABEC BYPA*DISC 6316113* | $5,925 | $4,740 | — | — | 31 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $5,870 | $4,696 | — | — | 31 |
| 25111 | SURG 25111 EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY | $5,797 | $4,638 | — | — | 31 |
| 23929 | SURG 23929 TENOTOMY SHOULDER PERC | $5,647 | $4,518 | — | — | 31 |
| C1786 | PPM SENSIA SR*DISC 6290165* | $5,634 | $4,507 | — | — | 31 |
| 28043 | SURG 28043 EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM | $5,583 | $4,466 | — | — | 31 |
| J1162 | Digoxin Immune Fab For Inj 40 MG | $5,548 | $4,439 | — | — | 31 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $5,493 | $4,394 | — | — | 31 |
| 25000 | SURG 25000 INCIS EXTENSOR TENDON SHEATH WRIST | $5,445 | $4,356 | — | — | 31 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $5,380 | $4,304 | — | — | 31 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,380 | $4,304 | — | — | 31 |
| 72197 | MRI PELVIS WO THEN W CONT | $5,379 | $4,303 | — | — | 31 |
| Q5117 | Trastuzumab-anns For IV Soln 420 MG | $5,370 | $4,296 | — | — | 31 |
| 11406 | SURG 11406 EXC BENGN SKN LESN INC MARGN NO SKN TAG TRNK ARM LEG DIA > 4.0 C | $5,334 | $4,267 | — | — | 31 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,272 | $4,218 | — | — | 31 |
| 70553 | MRI BRAIN WO THEN W CONT | $5,268 | $4,214 | — | — | 31 |
Showing top 50 of 3,039 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.