45 CFR § 180 compliance
C · 70
This hospital published part 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
18,964
Insurances with rates
16
CPT / HCPCS codes
16,829
Source MRF
Most expensive procedures (gross)
J2507
$182,593
pegloticase (Krystexxa) 8 mg in sodium chloride 0.9 % 250 mL IVPB
Gross
$304,322
J0180
$92,980
agalsidase beta (Fabrazyme) 70 mg in sodium chloride 0.9 % 100 mL infusion
Gross
$154,967
J0717
$71,266
certolizumab pegol (Cimzia) 200 MG/ML prefilled syringe 400 mg
Gross
$118,776
J3380
$55,592
vedolizumab (Entyvio) 300 mg in sodium chloride 0.9 % 250 mL IVPB
Gross
$92,653
J2323
$52,737
natalizumab (Tysabri) 300 mg in sodium chloride 0.9 % 115 mL (2.6087 mg/mL) IVPB
Gross
$87,895
Q5115
$50,220
riTUXimab-abbs (Truxima) 1,000 mg in sodium chloride 0.9 % 1,000 mL (1 mg/mL) chemo infusion
Gross
$83,700
Q5115
$50,220
riTUXimab-abbs (Truxima) 1,000 mg in sodium chloride 0.9 % 1,000 mL (1 mg/mL) chemo infusion
Gross
$83,700
J9380
$43,388
Teclistamab-cqyv (Tecvayli) injection 90 mg
Gross
$72,313
Q5121
$35,636
inFLIXimab-axxq (Avsola) 1,200 mg in sodium chloride 0.9 % 250 mL IVPB
Gross
$59,394
Q5121
$35,636
inFLIXimab-axxq (Avsola) 1,200 mg in sodium chloride 0.9 % 250 mL IVPB
Gross
$59,394
J1561
$35,337
IMMUNE GLOBULIN (HUMAN) 40 GM/400ML IJ SOLN
Gross
$58,895
J9312
$27,901
riTUXimab (Rituxan) 500 mg in sodium chloride 0.9 % 595 mL infusion
Gross
$46,501
Q5127
$25,541
Pegfilgrastim-fpgk (Stimufend) injection 6 mg
Gross
$42,568
J2802
$19,436
romiPLOStim (Nplate) injection 250 mcg
Gross
$32,394
J2802
$19,436
romiPLOStim (Nplate) injection 250 mcg
Gross
$32,394
J3101
$18,745
tenecteplase (TNKase) 50 MG injection
Gross
$31,242
J0129
$18,412
abatacept (Orencia) 500 mg in sodium chloride 0.9 % 100 mL infusion
Gross
$30,687
J2357
$17,494
Omalizumab (Xolair) 150 MG/ML prefilled injection 300 mg
Gross
$29,157
J2783
$15,631
rasburicase (Elitek) 3 mg in sodium chloride 0.9 % 50 mL IVPB
Gross
$26,051
J1745
$13,414
inFLIXimab (Remicade) 300 mg in sodium chloride 0.9 % 250 mL IVPB
Gross
$22,357
J2315
$11,934
Naltrexone (Vivitrol) IM injection 380 mg
Gross
$19,890
J0630
$11,273
calcitonin (Miacalcin) 200 UNIT/ML injection 240 Units
Gross
$18,789
J2350
$7,900
ocrelizumab (Ocrevus) 300 mg in sodium chloride 0.9 % 250 mL infusion
Gross
$13,167
C9460
$7,068
cangrelor (Kengreal) 50 mg in sodium chloride 0.9 % 250 mL IV infusion
Gross
$11,781
Q5119
$6,889
riTUXimab-pvvr (Ruxience) 800 mg in sodium chloride 0.9 % 800 mL (1 mg/mL) infusion
Gross
$11,482
J1439
$6,453
ferric carboxymaltose (Injectafer) 750 mg in sodium chloride 0.9 % 250 mL IVPB
Gross
$10,754
J9073
$6,206
cyclophosphamide (Cytoxan) 1,200 mg in sodium chloride 0.9 % 256 mL chemo infusion
Gross
$10,343
Q0138
$5,377
ferumoxytol (Feraheme) 510 mg in sodium chloride 0.9 % 100 mL IVPB
Gross
$8,962
J1569
$5,185
IMMUNE GLOBULIN (GAMMAGARD) 5 GM/50ML IV SOLN CUSTOM
Gross
$8,642
J7165
$5,046
Prothrombin Complex Human-lans (Balfaxar) injection 1,500 Units
Gross
$8,410
A9512
$4,841
technetium Tc 99m pertechnetate radiopharmaceutical injection 21.9 millicurie
Gross
$8,068
A9512
$4,841
technetium Tc 99m pertechnetate radiopharmaceutical injection 21.9 millicurie
Gross
$8,068
J0585
$4,596
botulinum toxin type A (Botox) injection
Gross
$7,660
J0248
$4,594
remdesivir 100 mg in sodium chloride 0.9 % 250 mL IVPB
Gross
$7,657
J1670
$4,583
Tetanus Immune Globulin (Hypertet) injection 250 Units
Gross
$7,638
27467
$3,811
dinoprostone (Cervidil) vaginal insert 10 mg
Gross
$6,351
27467
$3,811
dinoprostone (Cervidil) vaginal insert 10 mg
Gross
$6,351
132498
$3,712
Patient Own Med: elviteg-cobic-emtricit-tenofAF (Genvoya) 150-150-200-10 MG tablet
Gross
$6,186
J0583
$3,574
Bivalirudin Trifluoroacetate (Angiomax) 250 mg in sodium chloride 0.9 % 50 mL infusion
Gross
$5,957
J0583
$3,574
Bivalirudin Trifluoroacetate (Angiomax) 250 mg in sodium chloride 0.9 % 50 mL infusion
Gross
$5,957
J9171
$3,179
DOCEtaxel (Taxotere) 131 mg in sodium chloride 0.9 % 263.1 mL chemo infusion
Gross
$5,299
J9171
$3,179
DOCEtaxel (Taxotere) 131 mg in sodium chloride 0.9 % 263.1 mL chemo infusion
Gross
$5,299
J3262
$3,155
tocilizumab (Actemra) 480 mg in sodium chloride 0.9 % 100 mL IVPB
Gross
$5,258
J2760
$2,964
phentolamine (Regitine) injection 5 mg
Gross
$4,940
J2760
$2,964
phentolamine (Regitine) injection 5 mg
Gross
$4,940
J0714
$2,932
cefTAZidime-avibactam (Avycaz) 2.5 g in sodium chloride 0.9 % 100 mL IVPB
Gross
$4,887
161403
$2,839
estrogens conjugated (Premarin) vaginal cream
Gross
$4,732
161403
$2,839
estrogens conjugated (Premarin) vaginal cream
Gross
$4,732
A9520
$2,702
technetium Tc 99m tilmanocept (LYMPHOSEEK) radiopharmaceutical injection 1 millicurie
Gross
$4,504
A9520
$2,702
technetium Tc 99m tilmanocept (LYMPHOSEEK) radiopharmaceutical injection 1 millicurie
Gross
$4,504
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2507 | pegloticase (Krystexxa) 8 mg in sodium chloride 0.9 % 250 mL IVPB | $304,322 | $182,593 | $1,380 | $273,890 | 39 |
| J0180 | agalsidase beta (Fabrazyme) 70 mg in sodium chloride 0.9 % 100 mL infusion | $154,967 | $92,980 | $152 | $139,470 | 39 |
| J0717 | certolizumab pegol (Cimzia) 200 MG/ML prefilled syringe 400 mg | $118,776 | $71,266 | $4.12 | $106,898 | 39 |
| J3380 | vedolizumab (Entyvio) 300 mg in sodium chloride 0.9 % 250 mL IVPB | $92,653 | $55,592 | $17.03 | $83,388 | 39 |
| J2323 | natalizumab (Tysabri) 300 mg in sodium chloride 0.9 % 115 mL (2.6087 mg/mL) IVPB | $87,895 | $52,737 | $15.82 | $79,105 | 39 |
| Q5115 | riTUXimab-abbs (Truxima) 1,000 mg in sodium chloride 0.9 % 1,000 mL (1 mg/mL) chemo infusion | $83,700 | $50,220 | $33.59 | $75,330 | 37 |
| Q5115 | riTUXimab-abbs (Truxima) 1,000 mg in sodium chloride 0.9 % 1,000 mL (1 mg/mL) chemo infusion | $83,700 | $50,220 | — | — | 0 |
| J9380 | Teclistamab-cqyv (Tecvayli) injection 90 mg | $72,313 | $43,388 | $31.98 | $65,082 | 39 |
| Q5121 | inFLIXimab-axxq (Avsola) 1,200 mg in sodium chloride 0.9 % 250 mL IVPB | $59,394 | $35,636 | $20.93 | $53,454 | 37 |
| Q5121 | inFLIXimab-axxq (Avsola) 1,200 mg in sodium chloride 0.9 % 250 mL IVPB | $59,394 | $35,636 | — | — | 0 |
| J1561 | IMMUNE GLOBULIN (HUMAN) 40 GM/400ML IJ SOLN | $58,895 | $35,337 | $39.91 | $53,006 | 39 |
| J9312 | riTUXimab (Rituxan) 500 mg in sodium chloride 0.9 % 595 mL infusion | $46,501 | $27,901 | $80.97 | $41,851 | 39 |
| Q5127 | Pegfilgrastim-fpgk (Stimufend) injection 6 mg | $42,568 | $25,541 | $306 | $38,311 | 39 |
| J2802 | romiPLOStim (Nplate) injection 250 mcg | $32,394 | $19,436 | $11.12 | $29,154 | 37 |
| J2802 | romiPLOStim (Nplate) injection 250 mcg | $32,394 | $19,436 | — | — | 0 |
| J3101 | tenecteplase (TNKase) 50 MG injection | $31,242 | $18,745 | $86.21 | $28,118 | 39 |
| J0129 | abatacept (Orencia) 500 mg in sodium chloride 0.9 % 100 mL infusion | $30,687 | $18,412 | $34.92 | $27,618 | 39 |
| J2357 | Omalizumab (Xolair) 150 MG/ML prefilled injection 300 mg | $29,157 | $17,494 | $28.79 | $26,242 | 39 |
| J2783 | rasburicase (Elitek) 3 mg in sodium chloride 0.9 % 50 mL IVPB | $26,051 | $15,631 | $223 | $23,446 | 39 |
| J1745 | inFLIXimab (Remicade) 300 mg in sodium chloride 0.9 % 250 mL IVPB | $22,357 | $13,414 | $32.22 | $20,121 | 39 |
| J2315 | Naltrexone (Vivitrol) IM injection 380 mg | $19,890 | $11,934 | $2.97 | $17,901 | 39 |
| J0630 | calcitonin (Miacalcin) 200 UNIT/ML injection 240 Units | $18,789 | $11,273 | $326 | $16,910 | 39 |
| J2350 | ocrelizumab (Ocrevus) 300 mg in sodium chloride 0.9 % 250 mL infusion | $13,167 | $7,900 | $62.02 | $11,850 | 39 |
| C9460 | cangrelor (Kengreal) 50 mg in sodium chloride 0.9 % 250 mL IV infusion | $11,781 | $7,068 | $15.88 | $10,603 | 39 |
| Q5119 | riTUXimab-pvvr (Ruxience) 800 mg in sodium chloride 0.9 % 800 mL (1 mg/mL) infusion | $11,482 | $6,889 | $24.89 | $10,334 | 39 |
| J1439 | ferric carboxymaltose (Injectafer) 750 mg in sodium chloride 0.9 % 250 mL IVPB | $10,754 | $6,453 | $1.07 | $9,679 | 39 |
| J9073 | cyclophosphamide (Cytoxan) 1,200 mg in sodium chloride 0.9 % 256 mL chemo infusion | $10,343 | $6,206 | $0.93 | $9,309 | 39 |
| Q0138 | ferumoxytol (Feraheme) 510 mg in sodium chloride 0.9 % 100 mL IVPB | $8,962 | $5,377 | $0.4 | $8,066 | 39 |
| J1569 | IMMUNE GLOBULIN (GAMMAGARD) 5 GM/50ML IV SOLN CUSTOM | $8,642 | $5,185 | $39.21 | $7,778 | 39 |
| J7165 | Prothrombin Complex Human-lans (Balfaxar) injection 1,500 Units | $8,410 | $5,046 | $1.9 | $20,379 | 39 |
| A9512 | technetium Tc 99m pertechnetate radiopharmaceutical injection 21.9 millicurie | $8,068 | $4,841 | $1,210 | $7,261 | 24 |
| A9512 | technetium Tc 99m pertechnetate radiopharmaceutical injection 21.9 millicurie | $8,068 | $4,841 | — | — | 0 |
| J0585 | botulinum toxin type A (Botox) injection | $7,660 | $4,596 | $5.57 | $6,894 | 39 |
| J0248 | remdesivir 100 mg in sodium chloride 0.9 % 250 mL IVPB | $7,657 | $4,594 | $6.35 | $6,891 | 39 |
| J1670 | Tetanus Immune Globulin (Hypertet) injection 250 Units | $7,638 | $4,583 | $326 | $6,875 | 39 |
| 27467 | dinoprostone (Cervidil) vaginal insert 10 mg | $6,351 | $3,811 | $4,763 | $4,763 | 1 |
| 27467 | dinoprostone (Cervidil) vaginal insert 10 mg | $6,351 | $3,811 | — | — | 0 |
| 132498 | Patient Own Med: elviteg-cobic-emtricit-tenofAF (Genvoya) 150-150-200-10 MG tablet | $6,186 | $3,712 | — | — | 0 |
| J0583 | Bivalirudin Trifluoroacetate (Angiomax) 250 mg in sodium chloride 0.9 % 50 mL infusion | $5,957 | $3,574 | $3.5 | $5,361 | 28 |
| J0583 | Bivalirudin Trifluoroacetate (Angiomax) 250 mg in sodium chloride 0.9 % 50 mL infusion | $5,957 | $3,574 | — | — | 0 |
| J9171 | DOCEtaxel (Taxotere) 131 mg in sodium chloride 0.9 % 263.1 mL chemo infusion | $5,299 | $3,179 | $2.77 | $4,769 | 28 |
| J9171 | DOCEtaxel (Taxotere) 131 mg in sodium chloride 0.9 % 263.1 mL chemo infusion | $5,299 | $3,179 | — | — | 0 |
| J3262 | tocilizumab (Actemra) 480 mg in sodium chloride 0.9 % 100 mL IVPB | $5,258 | $3,155 | $3.77 | $4,732 | 39 |
| J2760 | phentolamine (Regitine) injection 5 mg | $4,940 | $2,964 | $416 | $4,446 | 37 |
| J2760 | phentolamine (Regitine) injection 5 mg | $4,940 | $2,964 | — | — | 0 |
| J0714 | cefTAZidime-avibactam (Avycaz) 2.5 g in sodium chloride 0.9 % 100 mL IVPB | $4,887 | $2,932 | $75.53 | $4,399 | 39 |
| 161403 | estrogens conjugated (Premarin) vaginal cream | $4,732 | $2,839 | $3,549 | $3,549 | 1 |
| 161403 | estrogens conjugated (Premarin) vaginal cream | $4,732 | $2,839 | — | — | 0 |
| A9520 | technetium Tc 99m tilmanocept (LYMPHOSEEK) radiopharmaceutical injection 1 millicurie | $4,504 | $2,702 | $240 | $4,053 | 27 |
| A9520 | technetium Tc 99m tilmanocept (LYMPHOSEEK) radiopharmaceutical injection 1 millicurie | $4,504 | $2,702 | — | — | 0 |
Showing top 50 of 18,964 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.