45 CFR § 180 compliance
A · 100
This hospital published most 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
2,821
Insurances with rates
30
CPT / HCPCS codes
2,460
Source MRF
Most expensive procedures (gross)
A9616
$977,925
GALLIUM-68 GOZETOTIDE (GOZELLIX) 25 MCG INTRAVENOUS SOLUTION
Gross
$1,629,875
J0225
$268,540
VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE
Gross
$447,566
275
$117,039
CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
Gross
$195,065
A9800
$101,351
GALLIUM-68 GOZETOTIDE (ILLUCCIX) 25 MCG INTRAVENOUS SOLUTION
Gross
$168,919
J1823
$100,146
INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION
Gross
$166,910
463
$94,675
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT
Gross
$157,791
288
$90,621
ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC
Gross
$151,035
A9607
$90,568
LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN
Gross
$150,946
802
$85,459
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
Gross
$142,431
207
$82,331
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
Gross
$137,218
37184
$81,393
Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra 1st|LEFT SIDE
Gross
$135,655
270
$80,178
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
Gross
$133,630
J9298
$79,222
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION
Gross
$132,037
870
$77,887
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
Gross
$129,812
573
$77,082
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
Gross
$128,469
492
$74,605
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
Gross
$124,341
J2507
$70,630
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION
Gross
$117,716
276
$69,104
CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
Gross
$115,174
628
$69,049
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
Gross
$115,081
907
$66,650
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
Gross
$111,084
245
$65,258
AICD GENERATOR PROCEDURES
Gross
$108,763
250
$65,251
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
Gross
$108,752
271
$63,625
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
Gross
$106,041
323
$60,786
CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
Gross
$101,309
956
$60,299
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
Gross
$100,498
C9602
$60,289
Perc d-e cor stent ather s|LEFT ANTERIOR DESCENDING CORONARY ARTERY
Gross
$100,482
33289
$59,261
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr
Gross
$98,768
277
$58,575
CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
Gross
$97,625
279
$57,867
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
Gross
$96,445
324
$57,531
CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
Gross
$95,885
469
$56,830
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPL
Gross
$94,717
J0638
$53,139
CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION
Gross
$88,565
483
$52,554
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
Gross
$87,590
92929
$51,826
Prq Trluml Coronary Stent W/Angio Addl Art/Brnch|LEFT CIRCUMFLEX CORONARY ARTERY
Gross
$86,376
33225
$51,733
Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen
Gross
$86,221
15003
$50,979
Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct
Gross
$84,965
15273
$50,979
App Skn Subgrft T/a/L Area/100sq Cm 1st 100sq Cm
Gross
$84,965
15274
$50,979
App Skn Sub Grft T/a/L Area>/=100scm Adl 100sqcm
Gross
$84,965
521
$50,117
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
Gross
$83,528
J9309
$49,929
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION
Gross
$83,216
616
$49,650
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
Gross
$82,750
J2350
$48,491
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$80,818
466
$48,260
REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
Gross
$80,434
321
$48,173
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL
Gross
$80,289
C9767
$46,971
Revasc lithotrip-stent-ather|LEFT SIDE
Gross
$78,285
687
$46,629
KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
Gross
$77,715
242
$46,580
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
Gross
$77,634
622
$45,517
SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
Gross
$75,862
260
$44,801
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
Gross
$74,669
853
$44,774
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
Gross
$74,623
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| A9616 | GALLIUM-68 GOZETOTIDE (GOZELLIX) 25 MCG INTRAVENOUS SOLUTION | $1,629,875 | $977,925 | $1,171 | $1,629,875 | 71 |
| J0225 | VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE | $447,566 | $268,540 | $5,010 | $392,068 | 74 |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $195,065 | $117,039 | $1,011 | $195,065 | 73 |
| A9800 | GALLIUM-68 GOZETOTIDE (ILLUCCIX) 25 MCG INTRAVENOUS SOLUTION | $168,919 | $101,351 | $363 | $147,612 | 71 |
| J1823 | INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION | $166,910 | $100,146 | $496 | $145,212 | 74 |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT | $157,791 | $94,675 | $1,011 | $157,791 | 73 |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $151,035 | $90,621 | $1,011 | $151,035 | 73 |
| A9607 | LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN | $150,946 | $90,568 | $259 | $171,150 | 74 |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $142,431 | $85,459 | $31,192 | $123,915 | 73 |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $137,218 | $82,331 | $1,011 | $312,763 | 73 |
| 37184 | Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra 1st|LEFT SIDE | $135,655 | $81,393 | $11,649 | $118,020 | 75 |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $133,630 | $80,178 | $1,011 | $357,096 | 73 |
| J9298 | NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION | $132,037 | $79,222 | $202 | $114,872 | 74 |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $129,812 | $77,887 | $1,011 | $297,534 | 73 |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $128,469 | $77,082 | $1,011 | $128,469 | 73 |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $124,341 | $74,605 | $9,023 | $124,341 | 73 |
| J2507 | PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION | $117,716 | $70,630 | $3,769 | $102,413 | 74 |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $115,174 | $69,104 | $1,011 | $209,230 | 73 |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $115,081 | $69,049 | $1,011 | $115,081 | 73 |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $111,084 | $66,650 | $1,011 | $96,643 | 73 |
| 245 | AICD GENERATOR PROCEDURES | $108,763 | $65,258 | $1,011 | $94,624 | 73 |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $108,752 | $65,251 | $16,771 | $108,752 | 73 |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $106,041 | $63,625 | $1,011 | $156,932 | 73 |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $101,309 | $60,786 | $1,011 | $199,639 | 73 |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $100,498 | $60,299 | $1,011 | $171,487 | 73 |
| C9602 | Perc d-e cor stent ather s|LEFT ANTERIOR DESCENDING CORONARY ARTERY | $100,482 | $60,289 | $7,462 | $96,375 | 75 |
| 33289 | Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr | $98,768 | $59,261 | $22,950 | $91,782 | 75 |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $97,625 | $58,575 | $1,011 | $195,606 | 73 |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $96,445 | $57,867 | $26,911 | $83,908 | 73 |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $95,885 | $57,531 | $1,011 | $83,647 | 73 |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPL | $94,717 | $56,830 | $17,000 | $82,404 | 73 |
| J0638 | CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION | $88,565 | $53,139 | $148 | $142,872 | 74 |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $87,590 | $52,554 | $13,143 | $76,800 | 73 |
| 92929 | Prq Trluml Coronary Stent W/Angio Addl Art/Brnch|LEFT CIRCUMFLEX CORONARY ARTERY | $86,376 | $51,826 | $11,626 | $89,985 | 75 |
| 33225 | Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen | $86,221 | $51,733 | $20,543 | $82,173 | 75 |
| 15003 | Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct | $84,965 | $50,979 | $134 | $144,015 | 75 |
| 15273 | App Skn Subgrft T/a/L Area/100sq Cm 1st 100sq Cm | $84,965 | $50,979 | $2,067 | $144,015 | 75 |
| 15274 | App Skn Sub Grft T/a/L Area>/=100scm Adl 100sqcm | $84,965 | $50,979 | $125 | $144,015 | 75 |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $83,528 | $50,117 | $1,011 | $73,374 | 73 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION | $83,216 | $49,929 | $137 | $72,398 | 74 |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $82,750 | $49,650 | $26,064 | $165,515 | 73 |
| J2350 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $80,818 | $48,491 | $59.32 | $114,731 | 74 |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $80,434 | $48,260 | $29,449 | $117,018 | 73 |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL | $80,289 | $48,173 | $1,011 | $158,840 | 73 |
| C9767 | Revasc lithotrip-stent-ather|LEFT SIDE | $78,285 | $46,971 | $4,402 | $69,006 | 75 |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $77,715 | $46,629 | $1,011 | $67,612 | 73 |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $77,634 | $46,580 | $23,966 | $100,139 | 73 |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $75,862 | $45,517 | $1,011 | $67,074 | 73 |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $74,669 | $44,801 | $1,011 | $145,150 | 73 |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $74,623 | $44,774 | $1,011 | $295,416 | 73 |
Showing top 50 of 2,821 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.