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
2,975
Insurances with rates
9
CPT / HCPCS codes
1,587
Source MRF
Most expensive procedures (gross)
J2350
$31,449
Ocrelizumab Soln For IV Infusion 300 MG/10ML
Gross
$39,311
J1950
$16,205
Leuprolide Acetate (3 Month) For Inj Pediatric Kit 11.25 MG
Gross
$20,256
J2427
$15,908
Paliperidone Palmitate ER Susp Pref Syr 819 MG/2.63ML
Gross
$19,886
J3380
$13,859
Vedolizumab For IV Solution 300 MG
Gross
$17,323
J2997
$13,238
Alteplase For Inj 100 MG
Gross
$16,548
J3101
$11,545
Tenecteplase For IV Soln Kit 50 MG
Gross
$14,432
J9119
$11,543
Cemiplimab-rwlc IV Soln 350 MG/7ML (50 MG/ML)
Gross
$14,429
J1930
$10,735
Lanreotide Acetate Extended Release Inj 120 MG/0.5ML
Gross
$13,419
J9144
$9,316
Daratumumab-Hyaluronidase-fihj Inj 1800-30000 MG-Unit/15ML
Gross
$11,645
J0717
$9,009
Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML
Gross
$11,261
33244
$8,395
RMVL SNGL DUAL CVD LEAD
Gross
$10,494
J0517
$8,056
Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML
Gross
$10,070
33225
$7,405
INS ELECTRODE CARD VEN SYS LV PACING WINS DEFIB PPM GEN
Gross
$9,256
33235
$7,230
PPM LEAD REMOVAL DUAL
Gross
$9,038
32160
$7,071
SURG 32160 THORACOTOMY W/CARDIAC MASSAGE
Gross
$8,839
78815
$7,007
PET CT SKULL BASE TO MID THIGH
Gross
$8,759
J2353
$6,967
Octreotide Acetate For IM Inj Kit 20 MG
Gross
$8,709
J2506
$6,783
Pegfilgrastim Soln Prefilled Syringe Kit 6 MG/0.6ML
Gross
$8,479
Q5127
$6,736
Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML
Gross
$8,420
78816
$6,656
PET CT WHOLE BODY
Gross
$8,320
J9306
$6,521
Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML)
Gross
$8,151
J0896
$6,354
Luspatercept-aamt For Subcutaneous Inj 25 MG
Gross
$7,943
78814
$6,043
PET CT LIMITED AREA
Gross
$7,554
33226
$6,021
REPOSIT BIV PM IC LEAD
Gross
$7,526
C1783
$6,000
STNT TRABEC MICRO BYPASS INJ W
Gross
$7,500
33234
$5,789
PPM LEAD REMOVAL SINGLE
Gross
$7,236
33216
$5,779
INSERT LEAD TRANSVENOUS PPM DEFIB SNGL
Gross
$7,224
J9271
$5,710
Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML)
Gross
$7,138
J9356
$5,666
Trastuzumab-Hyaluronidase-oysk Inj 600-10000 MG-Unit/5ML
Gross
$7,082
33218
$5,666
REPAIR SNGLE ELECTRODE PPM DEFIB
Gross
$7,082
J1306
$5,549
Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML
Gross
$6,936
0360
$5,308
ABD HYSTERECTOMY BSO
Gross
$6,635
74178
$5,067
CT ABD PELVIS WO THEN W CONT
Gross
$6,334
74174
$4,839
CTA ABD PELVIS W CONTRAST+WO IF PERFORM
Gross
$6,049
33223
$4,782
RELOCATION SKN POCKET FOR DEFIB
Gross
$5,978
J2426
$4,655
Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML
Gross
$5,819
95811
$4,589
SLEEP STUDY SPLT NGHT 95811
Gross
$5,736
33222
$4,496
REVISION POCKET PPM
Gross
$5,620
90378
$4,475
Palivizumab IM Soln 100 MG/ML
Gross
$5,593
J9303
$4,408
Panitumumab IV Soln 400 MG/20ML
Gross
$5,510
74177
$4,336
CT ABD PELVIS W CONTRAST
Gross
$5,420
72156
$4,279
MRI C SPINE WO THEN W CONT
Gross
$5,349
72157
$4,279
MRI T SPINE WO THEN W CONT
Gross
$5,349
72158
$4,279
MRI L SPINE WO THEN W CONT
Gross
$5,349
70543
$4,257
MRI FACE NECK ORB WO THEN W CONT
Gross
$5,321
72197
$4,222
MRI PELVIS WO THEN W CONT
Gross
$5,278
74183
$4,222
MRI ABDOMEN WO THEN W CONT
Gross
$5,278
95810
$4,214
PSG 4+ PARAMETERS
Gross
$5,268
33215
$4,190
SURG 33215 RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE
Gross
$5,238
J9305
$4,156
Pemetrexed Disodium For IV Soln 500 MG (Base Equiv)
Gross
$5,195
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | Ocrelizumab Soln For IV Infusion 300 MG/10ML | $39,311 | $31,449 | — | — | 28 |
| J1950 | Leuprolide Acetate (3 Month) For Inj Pediatric Kit 11.25 MG | $20,256 | $16,205 | — | — | 28 |
| J2427 | Paliperidone Palmitate ER Susp Pref Syr 819 MG/2.63ML | $19,886 | $15,908 | — | — | 28 |
| J3380 | Vedolizumab For IV Solution 300 MG | $17,323 | $13,859 | — | — | 28 |
| J2997 | Alteplase For Inj 100 MG | $16,548 | $13,238 | — | — | 56 |
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $14,432 | $11,545 | — | — | 56 |
| J9119 | Cemiplimab-rwlc IV Soln 350 MG/7ML (50 MG/ML) | $14,429 | $11,543 | — | — | 28 |
| J1930 | Lanreotide Acetate Extended Release Inj 120 MG/0.5ML | $13,419 | $10,735 | — | — | 28 |
| J9144 | Daratumumab-Hyaluronidase-fihj Inj 1800-30000 MG-Unit/15ML | $11,645 | $9,316 | — | — | 28 |
| J0717 | Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML | $11,261 | $9,009 | — | — | 28 |
| 33244 | RMVL SNGL DUAL CVD LEAD | $10,494 | $8,395 | — | — | 28 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $10,070 | $8,056 | — | — | 28 |
| 33225 | INS ELECTRODE CARD VEN SYS LV PACING WINS DEFIB PPM GEN | $9,256 | $7,405 | — | — | 28 |
| 33235 | PPM LEAD REMOVAL DUAL | $9,038 | $7,230 | — | — | 28 |
| 32160 | SURG 32160 THORACOTOMY W/CARDIAC MASSAGE | $8,839 | $7,071 | — | — | 28 |
| 78815 | PET CT SKULL BASE TO MID THIGH | $8,759 | $7,007 | — | — | 28 |
| J2353 | Octreotide Acetate For IM Inj Kit 20 MG | $8,709 | $6,967 | — | — | 28 |
| J2506 | Pegfilgrastim Soln Prefilled Syringe Kit 6 MG/0.6ML | $8,479 | $6,783 | — | — | 28 |
| Q5127 | Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML | $8,420 | $6,736 | — | — | 28 |
| 78816 | PET CT WHOLE BODY | $8,320 | $6,656 | — | — | 28 |
| J9306 | Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML) | $8,151 | $6,521 | — | — | 28 |
| J0896 | Luspatercept-aamt For Subcutaneous Inj 25 MG | $7,943 | $6,354 | — | — | 28 |
| 78814 | PET CT LIMITED AREA | $7,554 | $6,043 | — | — | 28 |
| 33226 | REPOSIT BIV PM IC LEAD | $7,526 | $6,021 | — | — | 28 |
| C1783 | STNT TRABEC MICRO BYPASS INJ W | $7,500 | $6,000 | — | — | 28 |
| 33234 | PPM LEAD REMOVAL SINGLE | $7,236 | $5,789 | — | — | 28 |
| 33216 | INSERT LEAD TRANSVENOUS PPM DEFIB SNGL | $7,224 | $5,779 | — | — | 28 |
| J9271 | Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML) | $7,138 | $5,710 | — | — | 28 |
| J9356 | Trastuzumab-Hyaluronidase-oysk Inj 600-10000 MG-Unit/5ML | $7,082 | $5,666 | — | — | 28 |
| 33218 | REPAIR SNGLE ELECTRODE PPM DEFIB | $7,082 | $5,666 | — | — | 28 |
| J1306 | Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML | $6,936 | $5,549 | — | — | 28 |
| 0360 | ABD HYSTERECTOMY BSO | $6,635 | $5,308 | — | — | 28 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $6,334 | $5,067 | — | — | 28 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $6,049 | $4,839 | — | — | 28 |
| 33223 | RELOCATION SKN POCKET FOR DEFIB | $5,978 | $4,782 | — | — | 28 |
| J2426 | Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML | $5,819 | $4,655 | — | — | 28 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $5,736 | $4,589 | — | — | 28 |
| 33222 | REVISION POCKET PPM | $5,620 | $4,496 | — | — | 28 |
| 90378 | Palivizumab IM Soln 100 MG/ML | $5,593 | $4,475 | — | — | 56 |
| J9303 | Panitumumab IV Soln 400 MG/20ML | $5,510 | $4,408 | — | — | 28 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,420 | $4,336 | — | — | 28 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,349 | $4,279 | — | — | 28 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,349 | $4,279 | — | — | 28 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,349 | $4,279 | — | — | 28 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $5,321 | $4,257 | — | — | 28 |
| 72197 | MRI PELVIS WO THEN W CONT | $5,278 | $4,222 | — | — | 28 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $5,278 | $4,222 | — | — | 28 |
| 95810 | PSG 4+ PARAMETERS | $5,268 | $4,214 | — | — | 28 |
| 33215 | SURG 33215 RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE | $5,238 | $4,190 | — | — | 28 |
| J9305 | Pemetrexed Disodium For IV Soln 500 MG (Base Equiv) | $5,195 | $4,156 | — | — | 28 |
Showing top 50 of 2,975 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.