45 CFR § 180 compliance
F · 50
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
8,081
Insurances with rates
0
CPT / HCPCS codes
1
Source MRF
Most expensive procedures (gross)
0J9228
$108,194
IPILIMUMAB 200 MG INJ
Gross
$108,194
0J9043
$47,128
CABAZITAXEL 60 MG INJ
Gross
$47,128
0J9022
$36,215
ATEZOLIZUMAB 1200 MG INJ
Gross
$36,215
0J9144
$31,756
DARAT 1800MG/HYALU-FIHJ
Gross
$31,756
0J2997
$29,603
ALTEPLASE RECOMB 100 MG
Gross
$29,603
0J9299
$25,684
NIVOLUMAB 240 MG INJ
Gross
$25,684
0J1930
$25,372
LANREOTIDE 120 MG INJ
Gross
$25,372
090375
$25,281
RIG HYPERRAB 1500 U IMSQ
Gross
$25,281
0J3101
$23,035
TENECTEPLASE 50 MG INJ
Gross
$23,035
0J9306
$22,178
PERTUZUMAB 420 MG INJ
Gross
$22,178
0J2506
$21,677
PEGFILGRASTIM 6 MG INJ
Gross
$21,677
078811
$20,284
PET TUMOR LIMITED AREA
Gross
$20,284
0J9271
$19,070
PEMBROLIZUMAB 100 MG INJ
Gross
$19,070
078459
$17,272
PET MYOCARDIAL MET EV
Gross
$17,272
078608PI
$17,272
PET BRAIN METABOLIC INIT
Gross
$17,272
078608PS
$17,272
PET BRAIN METABOLIC SUBS
Gross
$17,272
078814PI
$17,272
PET/CT TUMR LTD AREA INI
Gross
$17,272
078814PS
$17,272
PET/CT TUMR LTD AREA SUB
Gross
$17,272
078815PI
$17,272
PET/CT TM SK BS MIDTH IN
Gross
$17,272
078815PS
$17,272
PET/CT TM SK BS MIDTH SU
Gross
$17,272
078816PI
$17,272
PET/CT TUMR WHOL BOD INI
Gross
$17,272
078816PS
$17,272
PET/CT TUMR WHOL BOD SUB
Gross
$17,272
0A9507
$16,252
IN111 CAPRO PEN DX 10MCI
Gross
$16,252
0J1950
$15,972
LEUPRO DEPOT 11.25MG INJ
Gross
$15,972
07320250
$15,859
CT UP EXTRM W&W/O CON BI
Gross
$15,859
07370250
$15,859
CT LW EXTRM W&W/O CON BI
Gross
$15,859
BEDSIDE PROCEDURE LVL 5
$15,778
BEDSIDE PROCEDURE LVL 5
Gross
$15,778
0J0775
$13,650
COLLAGN CLOS HSTO 0.9MG
Gross
$13,650
074178
$13,582
CT ABD&PELVIS W&WO CONT
Gross
$13,582
07322050
$13,389
MRI UP EX W&WO CONT BI
Gross
$13,389
07372050
$13,389
MRI LOW EXT W&WO CONT BI
Gross
$13,389
07372350
$13,389
MRI LW JNT W&WO CONT BI
Gross
$13,389
07322350
$13,389
MRI UP JNT W&WO CONT BI
Gross
$13,389
0J9305
$13,388
PEMETREXED NOS 500MG INJ
Gross
$13,388
0J1162
$13,308
DIG IMMUNE FAB PER VIAL
Gross
$13,308
0J0896
$12,408
LUSPAT-AAMT 25 MG INJ
Gross
$12,408
PRO-HEMI ARTH HIP PART
$12,368
PRO-HEMI ARTH HIP PART
Gross
$12,368
SPACER SPNL 32X23X10MM
$12,213
SPACER SPNL 32X23X10MM
Gross
$12,213
0A9508
$11,606
I131 IOBENGUAN DX 0.5MCI
Gross
$11,606
07370150
$11,402
CT LOWER EXTRM W/CON BI
Gross
$11,402
081445
$11,142
TRGET 5-50G SEQ COPY/REA
Gross
$11,142
07322150
$10,877
MRI UP JNT W/O CONT BI
Gross
$10,877
07372150
$10,877
MRI LW JNT W/O CONT BI
Gross
$10,877
07371950
$10,877
MRI LOW EXT W/CONT BI
Gross
$10,877
07371850
$10,877
MRI LOW EXT W/O CONT BI
Gross
$10,877
07372250
$10,877
MRI LW JNT W/CONTRAST BI
Gross
$10,877
070549
$10,877
MRA NECK W&WO CONT
Gross
$10,877
07321850
$10,877
MRI UPPER EX W/O CONT BI
Gross
$10,877
07321950
$10,877
MRI UPPER EXT W/CONT BI
Gross
$10,877
07322250
$10,877
MRI UP JNT W/CONT BI
Gross
$10,877
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0J9228 | IPILIMUMAB 200 MG INJ | $108,194 | $108,194 | — | — | 0 |
| 0J9043 | CABAZITAXEL 60 MG INJ | $47,128 | $47,128 | — | — | 0 |
| 0J9022 | ATEZOLIZUMAB 1200 MG INJ | $36,215 | $36,215 | — | — | 0 |
| 0J9144 | DARAT 1800MG/HYALU-FIHJ | $31,756 | $31,756 | — | — | 0 |
| 0J2997 | ALTEPLASE RECOMB 100 MG | $29,603 | $29,603 | — | — | 0 |
| 0J9299 | NIVOLUMAB 240 MG INJ | $25,684 | $25,684 | — | — | 0 |
| 0J1930 | LANREOTIDE 120 MG INJ | $25,372 | $25,372 | — | — | 0 |
| 090375 | RIG HYPERRAB 1500 U IMSQ | $25,281 | $25,281 | — | — | 0 |
| 0J3101 | TENECTEPLASE 50 MG INJ | $23,035 | $23,035 | — | — | 0 |
| 0J9306 | PERTUZUMAB 420 MG INJ | $22,178 | $22,178 | — | — | 0 |
| 0J2506 | PEGFILGRASTIM 6 MG INJ | $21,677 | $21,677 | — | — | 0 |
| 078811 | PET TUMOR LIMITED AREA | $20,284 | $20,284 | — | — | 0 |
| 0J9271 | PEMBROLIZUMAB 100 MG INJ | $19,070 | $19,070 | — | — | 0 |
| 078459 | PET MYOCARDIAL MET EV | $17,272 | $17,272 | — | — | 0 |
| 078608PI | PET BRAIN METABOLIC INIT | $17,272 | $17,272 | — | — | 0 |
| 078608PS | PET BRAIN METABOLIC SUBS | $17,272 | $17,272 | — | — | 0 |
| 078814PI | PET/CT TUMR LTD AREA INI | $17,272 | $17,272 | — | — | 0 |
| 078814PS | PET/CT TUMR LTD AREA SUB | $17,272 | $17,272 | — | — | 0 |
| 078815PI | PET/CT TM SK BS MIDTH IN | $17,272 | $17,272 | — | — | 0 |
| 078815PS | PET/CT TM SK BS MIDTH SU | $17,272 | $17,272 | — | — | 0 |
| 078816PI | PET/CT TUMR WHOL BOD INI | $17,272 | $17,272 | — | — | 0 |
| 078816PS | PET/CT TUMR WHOL BOD SUB | $17,272 | $17,272 | — | — | 0 |
| 0A9507 | IN111 CAPRO PEN DX 10MCI | $16,252 | $16,252 | — | — | 0 |
| 0J1950 | LEUPRO DEPOT 11.25MG INJ | $15,972 | $15,972 | — | — | 0 |
| 07320250 | CT UP EXTRM W&W/O CON BI | $15,859 | $15,859 | — | — | 0 |
| 07370250 | CT LW EXTRM W&W/O CON BI | $15,859 | $15,859 | — | — | 0 |
| BEDSIDE PROCEDURE LVL 5 | BEDSIDE PROCEDURE LVL 5 | $15,778 | $15,778 | — | — | 0 |
| 0J0775 | COLLAGN CLOS HSTO 0.9MG | $13,650 | $13,650 | — | — | 0 |
| 074178 | CT ABD&PELVIS W&WO CONT | $13,582 | $13,582 | — | — | 0 |
| 07322050 | MRI UP EX W&WO CONT BI | $13,389 | $13,389 | — | — | 0 |
| 07372050 | MRI LOW EXT W&WO CONT BI | $13,389 | $13,389 | — | — | 0 |
| 07372350 | MRI LW JNT W&WO CONT BI | $13,389 | $13,389 | — | — | 0 |
| 07322350 | MRI UP JNT W&WO CONT BI | $13,389 | $13,389 | — | — | 0 |
| 0J9305 | PEMETREXED NOS 500MG INJ | $13,388 | $13,388 | — | — | 0 |
| 0J1162 | DIG IMMUNE FAB PER VIAL | $13,308 | $13,308 | — | — | 0 |
| 0J0896 | LUSPAT-AAMT 25 MG INJ | $12,408 | $12,408 | — | — | 0 |
| PRO-HEMI ARTH HIP PART | PRO-HEMI ARTH HIP PART | $12,368 | $12,368 | — | — | 0 |
| SPACER SPNL 32X23X10MM | SPACER SPNL 32X23X10MM | $12,213 | $12,213 | — | — | 0 |
| 0A9508 | I131 IOBENGUAN DX 0.5MCI | $11,606 | $11,606 | — | — | 0 |
| 07370150 | CT LOWER EXTRM W/CON BI | $11,402 | $11,402 | — | — | 0 |
| 081445 | TRGET 5-50G SEQ COPY/REA | $11,142 | $11,142 | — | — | 0 |
| 07322150 | MRI UP JNT W/O CONT BI | $10,877 | $10,877 | — | — | 0 |
| 07372150 | MRI LW JNT W/O CONT BI | $10,877 | $10,877 | — | — | 0 |
| 07371950 | MRI LOW EXT W/CONT BI | $10,877 | $10,877 | — | — | 0 |
| 07371850 | MRI LOW EXT W/O CONT BI | $10,877 | $10,877 | — | — | 0 |
| 07372250 | MRI LW JNT W/CONTRAST BI | $10,877 | $10,877 | — | — | 0 |
| 070549 | MRA NECK W&WO CONT | $10,877 | $10,877 | — | — | 0 |
| 07321850 | MRI UPPER EX W/O CONT BI | $10,877 | $10,877 | — | — | 0 |
| 07321950 | MRI UPPER EXT W/CONT BI | $10,877 | $10,877 | — | — | 0 |
| 07322250 | MRI UP JNT W/CONT BI | $10,877 | $10,877 | — | — | 0 |
Showing top 50 of 8,081 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.