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
2,263
Insurances with rates
35
CPT / HCPCS codes
2,253
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
A9800
$99,352
GALLIUM-68 GOZETOTIDE (ILLUCCIX) 25 MCG INTRAVENOUS SOLUTION
Gross
$165,586
J1823
$96,947
INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION
Gross
$161,578
A9607
$87,930
LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN
Gross
$146,550
J9298
$77,669
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION
Gross
$129,448
J2507
$68,307
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION
Gross
$113,845
C9601
$62,341
Perc drug-el cor stent bran|LEFT CIRCUMFLEX CORONARY ARTERY
Gross
$103,901
C9602
$57,835
Perc d-e cor stent ather s|LEFT ANTERIOR DESCENDING CORONARY ARTERY
Gross
$96,392
92921
$55,240
Prq Trluml Coronary Angioplasty Addl Branch|LEFT ANTERIOR DESCENDING CORONARY ARTERY
Gross
$92,067
33289
$55,079
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr
Gross
$91,799
92929
$54,006
Prq Trluml Coronary Stent W/Angio Addl Art/Brnch|LEFT CIRCUMFLEX CORONARY ARTERY
Gross
$90,011
J0638
$50,681
CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION
Gross
$84,468
15003
$50,562
Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct
Gross
$84,269
15273
$50,562
App Skn Subgrft T/a/L Area/100sq Cm 1st 100sq Cm
Gross
$84,269
15274
$50,562
App Skn Sub Grft T/a/L Area>/=100scm Adl 100sqcm
Gross
$84,269
C9607
$50,229
Perc d-e cor revasc chro sin|RIGHT CORONARY ARTERY
Gross
$83,714
33225
$49,304
Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen
Gross
$82,173
92972
$47,661
Percutaneous Transluminal Coronary Lithotripsy|LEFT ANTERIOR DESCENDING CORONARY ARTERY
Gross
$79,436
J9309
$47,103
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION
Gross
$78,505
J2350
$46,094
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$76,823
C2624
$44,100
CARDIOMEMS PS SENSOR AND DELIVERY SYSTEM
Gross
$73,500
92928
$42,311
Prq Trluml Coronary Stent W/Angio One Art/Brnch|LEFT ANTERIOR DESCENDING CORONARY ARTERY
Gross
$70,518
C9767
$41,414
Revasc lithotrip-stent-ather|LEFT SIDE
Gross
$69,024
93452
$40,650
L Hrt Cath W/Njx L Ventriculography Img S&I
Gross
$67,751
36215
$39,236
Slctv Cathj Ea 1st Ord Thrc/Brch/Cphlc Brnch|RIGHT SIDE
Gross
$65,394
C9765
$38,447
Revasc intra lithotrip-stent
Gross
$64,078
37225
$37,979
Revsc Opn/Prq Fem/Pop W/Athrc/Angiop Sm Vsl|BILATERAL PROCEDURE
Gross
$63,299
C1874
$37,800
GRAFT ENDOVASC ZENITH ALPHA THORACIC DISTAL
Gross
$63,000
J9026
$37,772
TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION
Gross
$62,953
J3241
$37,367
TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION
Gross
$62,278
33249
$37,220
Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr
Gross
$62,033
C9774
$36,982
Revasc lithotr-ather tib/per
Gross
$61,636
33233
$36,801
Removal Permanent Pacemaker Pulse Generator Only
Gross
$61,335
33264
$36,597
Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld
Gross
$60,995
33274
$36,094
Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img
Gross
$60,157
93458
$33,733
Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I|DISTINCT PROCEDURAL SERVICE
Gross
$56,221
93571
$33,150
HC Intravas Flow Ffr Initial
Gross
$55,250
J9042
$31,919
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION
Gross
$53,199
C9604
$31,340
Perc d-e cor revasc t cabg s|RAMUS INTERMEDIUS COR ARTERY
Gross
$52,233
37253
$29,643
Intravascular US Noncoronary Rs&I Addl Vessel|LEFT SIDE
Gross
$49,405
37233
$29,374
Revsc Opn/Prq Tib/Pero W/Athrc/Angiop Uni Ea Vsl|LEFT SIDE
Gross
$48,957
J9022
$29,331
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION
Gross
$48,885
37227
$29,258
Revsc Opn/Prq Fem/Pop W/Stnt/Athrc/Angiop Sm Vsl|LEFT SIDE
Gross
$48,763
93460
$29,081
R & L Hrt Cath Winjx Hrt Art& L Ventr Img|UNUSUAL NON-OVERLAPPING SERVICE
Gross
$48,468
37252
$28,757
Intravascular US Noncoronary Rs&I Intial Vessel
Gross
$47,928
C9600
$28,754
Perc drug-el cor stent sing|RAMUS INTERMEDIUS COR ARTERY
Gross
$47,923
36224
$28,716
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art|BILATERAL PROCEDURE
Gross
$47,860
36223
$28,470
Slctv Cath Carotid/Innom Art Angio Intrcranl Art|BILATERAL PROCEDURE
Gross
$47,451
C9766
$27,939
Revasc intra lithotrip-ather
Gross
$46,565
| 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 | 26 |
| J0225 | VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE | $447,566 | $268,540 | $5,010 | $392,068 | 77 |
| A9800 | GALLIUM-68 GOZETOTIDE (ILLUCCIX) 25 MCG INTRAVENOUS SOLUTION | $165,586 | $99,352 | $363 | $147,612 | 27 |
| J1823 | INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION | $161,578 | $96,947 | $496 | $145,212 | 77 |
| A9607 | LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN | $146,550 | $87,930 | $259 | $171,150 | 77 |
| J9298 | NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION | $129,448 | $77,669 | $202 | $114,872 | 77 |
| J2507 | PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION | $113,845 | $68,307 | $3,769 | $102,413 | 77 |
| C9601 | Perc drug-el cor stent bran|LEFT CIRCUMFLEX CORONARY ARTERY | $103,901 | $62,341 | $7,462 | $103,901 | 79 |
| C9602 | Perc d-e cor stent ather s|LEFT ANTERIOR DESCENDING CORONARY ARTERY | $96,392 | $57,835 | $7,462 | $96,375 | 79 |
| 92921 | Prq Trluml Coronary Angioplasty Addl Branch|LEFT ANTERIOR DESCENDING CORONARY ARTERY | $92,067 | $55,240 | $11,626 | $96,568 | 79 |
| 33289 | Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr | $91,799 | $55,079 | $22,950 | $91,782 | 79 |
| 92929 | Prq Trluml Coronary Stent W/Angio Addl Art/Brnch|LEFT CIRCUMFLEX CORONARY ARTERY | $90,011 | $54,006 | $11,626 | $89,985 | 79 |
| J0638 | CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION | $84,468 | $50,681 | $148 | $142,872 | 77 |
| 15003 | Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct | $84,269 | $50,562 | $134 | $144,015 | 79 |
| 15273 | App Skn Subgrft T/a/L Area/100sq Cm 1st 100sq Cm | $84,269 | $50,562 | $2,067 | $144,015 | 79 |
| 15274 | App Skn Sub Grft T/a/L Area>/=100scm Adl 100sqcm | $84,269 | $50,562 | $125 | $144,015 | 79 |
| C9607 | Perc d-e cor revasc chro sin|RIGHT CORONARY ARTERY | $83,714 | $50,229 | $10,498 | $86,124 | 79 |
| 33225 | Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen | $82,173 | $49,304 | $20,543 | $82,173 | 79 |
| 92972 | Percutaneous Transluminal Coronary Lithotripsy|LEFT ANTERIOR DESCENDING CORONARY ARTERY | $79,436 | $47,661 | $10,498 | $80,209 | 79 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION | $78,505 | $47,103 | $137 | $72,398 | 77 |
| J2350 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $76,823 | $46,094 | $59.32 | $114,731 | 77 |
| C2624 | CARDIOMEMS PS SENSOR AND DELIVERY SYSTEM | $73,500 | $44,100 | $29,400 | $64,386 | 63 |
| 92928 | Prq Trluml Coronary Stent W/Angio One Art/Brnch|LEFT ANTERIOR DESCENDING CORONARY ARTERY | $70,518 | $42,311 | $11,626 | $89,985 | 79 |
| C9767 | Revasc lithotrip-stent-ather|LEFT SIDE | $69,024 | $41,414 | $4,402 | $69,006 | 79 |
| 93452 | L Hrt Cath W/Njx L Ventriculography Img S&I | $67,751 | $40,650 | $10,945 | $67,733 | 79 |
| 36215 | Slctv Cathj Ea 1st Ord Thrc/Brch/Cphlc Brnch|RIGHT SIDE | $65,394 | $39,236 | $11,459 | $65,394 | 79 |
| C9765 | Revasc intra lithotrip-stent | $64,078 | $38,447 | $4,402 | $83,713 | 79 |
| 37225 | Revsc Opn/Prq Fem/Pop W/Athrc/Angiop Sm Vsl|BILATERAL PROCEDURE | $63,299 | $37,979 | $15,825 | $63,265 | 79 |
| C1874 | GRAFT ENDOVASC ZENITH ALPHA THORACIC DISTAL | $63,000 | $37,800 | $25,200 | $55,188 | 252 |
| J9026 | TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION | $62,953 | $37,772 | $1,567 | $56,412 | 77 |
| J3241 | TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION | $62,278 | $37,367 | $369 | $56,295 | 77 |
| 33249 | Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr | $62,033 | $37,220 | $15,508 | $81,622 | 79 |
| C9774 | Revasc lithotr-ather tib/per | $61,636 | $36,982 | $4,402 | $61,636 | 79 |
| 33233 | Removal Permanent Pacemaker Pulse Generator Only | $61,335 | $36,801 | $8,145 | $61,335 | 78 |
| 33264 | Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld | $60,995 | $36,597 | $5,451 | $91,032 | 79 |
| 33274 | Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img | $60,157 | $36,094 | $3,756 | $65,227 | 79 |
| 93458 | Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I|DISTINCT PROCEDURAL SERVICE | $56,221 | $33,733 | $10,498 | $70,501 | 79 |
| 93571 | HC Intravas Flow Ffr Initial | $55,250 | $33,150 | $10,498 | $55,233 | 142 |
| J9042 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $53,199 | $31,919 | $268 | $86,535 | 77 |
| C9604 | Perc d-e cor revasc t cabg s|RAMUS INTERMEDIUS COR ARTERY | $52,233 | $31,340 | $10,498 | $52,233 | 79 |
| 37253 | Intravascular US Noncoronary Rs&I Addl Vessel|LEFT SIDE | $49,405 | $29,643 | $6,690 | $49,387 | 79 |
| 37233 | Revsc Opn/Prq Tib/Pero W/Athrc/Angiop Uni Ea Vsl|LEFT SIDE | $48,957 | $29,374 | $12,239 | $48,957 | 79 |
| J9022 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION | $48,885 | $29,331 | $93.91 | $43,806 | 77 |
| 37227 | Revsc Opn/Prq Fem/Pop W/Stnt/Athrc/Angiop Sm Vsl|LEFT SIDE | $48,763 | $29,258 | $3,163 | $105,059 | 79 |
| 93460 | R & L Hrt Cath Winjx Hrt Art& L Ventr Img|UNUSUAL NON-OVERLAPPING SERVICE | $48,468 | $29,081 | $7,462 | $83,688 | 79 |
| 37252 | Intravascular US Noncoronary Rs&I Intial Vessel | $47,928 | $28,757 | $3,387 | $101,336 | 79 |
| C9600 | Perc drug-el cor stent sing|RAMUS INTERMEDIUS COR ARTERY | $47,923 | $28,754 | $6,690 | $47,906 | 79 |
| 36224 | Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art|BILATERAL PROCEDURE | $47,860 | $28,716 | $4,402 | $75,551 | 79 |
| 36223 | Slctv Cath Carotid/Innom Art Angio Intrcranl Art|BILATERAL PROCEDURE | $47,451 | $28,470 | $4,402 | $65,581 | 79 |
| C9766 | Revasc intra lithotrip-ather | $46,565 | $27,939 | $4,402 | $72,754 | 79 |
Showing top 50 of 2,263 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.