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
4,882
Insurances with rates
6
CPT / HCPCS codes
2,402
Source MRF
Most expensive procedures (gross)
J3241
$31,870
TEPROTUMUMAB 500 MG/VIAL
Gross
$61,289
J3241
$31,870
TEPROTUMUMAB 500 MG/VIAL
Gross
$61,289
J3245
$31,372
TILDRAK-ASMN 100 MG/ML SYRINGE
Gross
$60,331
J3245
$31,372
TILDRAK-ASMN 100 MG/ML SYRINGE
Gross
$60,331
J9022
$24,574
ATEZOLIZUMAB 1200 MG/20ML VIAL
Gross
$47,258
J9022
$24,574
ATEZOLIZUMAB 1200 MG/20ML VIAL
Gross
$47,258
J2329
$24,264
UBLITUXIMAB-XIIY 150 MG
Gross
$46,662
J2329
$24,264
UBLITUXIMAB-XIIY 150 MG
Gross
$46,662
J9144
$21,889
DARATUM-HYALURONI-FIHJ 15ML VL
Gross
$42,095
J9144
$21,889
DARATUM-HYALURONI-FIHJ 15ML VL
Gross
$42,095
J3380
$20,442
VEDOLIZUMAB 300 MG VIAL
Gross
$39,312
J3380
$20,442
VEDOLIZUMAB 300 MG VIAL
Gross
$39,312
J2997
$19,220
ALTEPLASE 100 MG VIAL
Gross
$36,962
J2997
$19,220
ALTEPLASE 100 MG VIAL
Gross
$36,962
J2327
$18,878
SKYRIZI 600 MG/10 ML SDV
Gross
$36,304
J2327
$18,878
SKYRIZI 600 MG/10 ML SDV
Gross
$36,304
J9301
$18,810
OBIN1000-GAZYVA 1000MG/40ML
Gross
$36,173
J9301
$18,810
OBIN1000-GAZYVA 1000MG/40ML
Gross
$36,173
J3101
$18,121
TENECTEPLASE 50 MG KIT
Gross
$34,848
J3101
$18,121
TENECTEPLASE 50 MG KIT
Gross
$34,848
J9299
$16,674
NIVOLUMAB 240 MG/24 ML VIAL
Gross
$32,066
J9299
$16,674
NIVOLUMAB 240 MG/24 ML VIAL
Gross
$32,066
3945008015
$15,207
REM CVAD W/PMP TUNNELED ER
Gross
$29,244
3945008015
$15,207
REM CVAD W/PMP TUNNELED ER
Gross
$29,244
J1459
$14,630
IMM GLOB G(IGG)/PRO/0-50 400ML
Gross
$28,135
J1459
$14,630
IMM GLOB G(IGG)/PRO/0-50 400ML
Gross
$28,135
J2426
$14,625
INVEGA TRINZA 546 MG/1.75 ML
Gross
$28,125
J2426
$14,625
INVEGA TRINZA 546 MG/1.75 ML
Gross
$28,125
J9271
$12,628
PEMBROLIZUMAB 100 MG/4 ML VIAL
Gross
$24,285
J9271
$12,628
PEMBROLIZUMAB 100 MG/4 ML VIAL
Gross
$24,285
J1300
$11,872
ECULIZUMAB 300 MG/30 ML SDV
Gross
$22,831
J1300
$11,872
ECULIZUMAB 300 MG/30 ML SDV
Gross
$22,831
J0717
$11,795
CERTOLIZUMAB PEGOL 400 MG KIT
Gross
$22,682
J0717
$11,795
CERTOLIZUMAB PEGOL 400 MG KIT
Gross
$22,682
J2506
$11,681
PEGFILGRASTIM 6 MG/0.6 ML SYR
Gross
$22,463
J2506
$11,681
PEGFILGRASTIM 6 MG/0.6 ML SYR
Gross
$22,463
J2796
$11,453
ROMIPLOSTIM 500 MCG VIAL
Gross
$22,024
J2796
$11,453
ROMIPLOSTIM 500 MCG VIAL
Gross
$22,024
J9312
$10,260
RITUXIMAB 500 MG/50 ML SDV
Gross
$19,730
J9312
$10,260
RITUXIMAB 500 MG/50 ML SDV
Gross
$19,730
J2356
$9,542
TEZEPEL-EKKO 210MG/1.91ML SYR
Gross
$18,350
J2356
$9,542
TEZEPEL-EKKO 210MG/1.91ML SYR
Gross
$18,350
J2353
$9,500
OCTREOTIDE 20 MG KIT
Gross
$18,270
J2353
$9,500
OCTREOTIDE 20 MG KIT
Gross
$18,270
Q5115
$9,233
RITUXIMAB-ABBS 500MG/50ML VIAL
Gross
$17,757
Q5115
$9,233
RITUXIMAB-ABBS 500MG/50ML VIAL
Gross
$17,757
Q5111
$9,118
PEGFILGRASTIM 6MG/0.6ML SYR
Gross
$17,535
Q5111
$9,118
PEGFILGRASTIM 6MG/0.6ML SYR
Gross
$17,535
J9173
$9,015
DURVALUMAB 500MG/10ML VIAL
Gross
$17,337
J9173
$9,015
DURVALUMAB 500MG/10ML VIAL
Gross
$17,337
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3241 | TEPROTUMUMAB 500 MG/VIAL | $61,289 | $31,870 | $44,741 | $59,450 | 6 |
| J3241 | TEPROTUMUMAB 500 MG/VIAL | $61,289 | $31,870 | $383 | $59,450 | 10 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $60,331 | $31,372 | $44,042 | $58,521 | 6 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $60,331 | $31,372 | $143 | $58,521 | 10 |
| J9022 | ATEZOLIZUMAB 1200 MG/20ML VIAL | $47,258 | $24,574 | $34,498 | $45,840 | 6 |
| J9022 | ATEZOLIZUMAB 1200 MG/20ML VIAL | $47,258 | $24,574 | $96.98 | $45,840 | 10 |
| J2329 | UBLITUXIMAB-XIIY 150 MG | $46,662 | $24,264 | $34,063 | $45,262 | 6 |
| J2329 | UBLITUXIMAB-XIIY 150 MG | $46,662 | $24,264 | $18,562 | $45,262 | 9 |
| J9144 | DARATUM-HYALURONI-FIHJ 15ML VL | $42,095 | $21,889 | $30,729 | $40,832 | 6 |
| J9144 | DARATUM-HYALURONI-FIHJ 15ML VL | $42,095 | $21,889 | $57.49 | $40,832 | 10 |
| J3380 | VEDOLIZUMAB 300 MG VIAL | $39,312 | $20,442 | $28,697 | $38,132 | 6 |
| J3380 | VEDOLIZUMAB 300 MG VIAL | $39,312 | $20,442 | $22.96 | $38,132 | 10 |
| J2997 | ALTEPLASE 100 MG VIAL | $36,962 | $19,220 | $26,982 | $35,853 | 6 |
| J2997 | ALTEPLASE 100 MG VIAL | $36,962 | $19,220 | $99.23 | $35,853 | 10 |
| J2327 | SKYRIZI 600 MG/10 ML SDV | $36,304 | $18,878 | $26,502 | $35,215 | 6 |
| J2327 | SKYRIZI 600 MG/10 ML SDV | $36,304 | $18,878 | $14,442 | $35,215 | 9 |
| J9301 | OBIN1000-GAZYVA 1000MG/40ML | $36,173 | $18,810 | $26,407 | $35,088 | 6 |
| J9301 | OBIN1000-GAZYVA 1000MG/40ML | $36,173 | $18,810 | $81.6 | $35,088 | 10 |
| J3101 | TENECTEPLASE 50 MG KIT | $34,848 | $18,121 | $25,439 | $33,803 | 6 |
| J3101 | TENECTEPLASE 50 MG KIT | $34,848 | $18,121 | $176 | $33,803 | 10 |
| J9299 | NIVOLUMAB 240 MG/24 ML VIAL | $32,066 | $16,674 | $23,408 | $31,104 | 6 |
| J9299 | NIVOLUMAB 240 MG/24 ML VIAL | $32,066 | $16,674 | $35.1 | $31,104 | 10 |
| 3945008015 | REM CVAD W/PMP TUNNELED ER | $29,244 | $15,207 | $21,348 | $28,367 | 6 |
| 3945008015 | REM CVAD W/PMP TUNNELED ER | $29,244 | $15,207 | $11,633 | $28,367 | 9 |
| J1459 | IMM GLOB G(IGG)/PRO/0-50 400ML | $28,135 | $14,630 | $20,539 | $27,291 | 6 |
| J1459 | IMM GLOB G(IGG)/PRO/0-50 400ML | $28,135 | $14,630 | $53.35 | $27,291 | 10 |
| J2426 | INVEGA TRINZA 546 MG/1.75 ML | $28,125 | $14,625 | $20,531 | $27,281 | 6 |
| J2426 | INVEGA TRINZA 546 MG/1.75 ML | $28,125 | $14,625 | $15.99 | $27,281 | 10 |
| J9271 | PEMBROLIZUMAB 100 MG/4 ML VIAL | $24,285 | $12,628 | $17,728 | $23,556 | 6 |
| J9271 | PEMBROLIZUMAB 100 MG/4 ML VIAL | $24,285 | $12,628 | $64.39 | $23,556 | 10 |
| J1300 | ECULIZUMAB 300 MG/30 ML SDV | $22,831 | $11,872 | $16,666 | $22,146 | 6 |
| J1300 | ECULIZUMAB 300 MG/30 ML SDV | $22,831 | $11,872 | $9,082 | $22,146 | 9 |
| J0717 | CERTOLIZUMAB PEGOL 400 MG KIT | $22,682 | $11,795 | $16,558 | $22,002 | 6 |
| J0717 | CERTOLIZUMAB PEGOL 400 MG KIT | $22,682 | $11,795 | $4.32 | $22,002 | 10 |
| J2506 | PEGFILGRASTIM 6 MG/0.6 ML SYR | $22,463 | $11,681 | $16,398 | $21,789 | 6 |
| J2506 | PEGFILGRASTIM 6 MG/0.6 ML SYR | $22,463 | $11,681 | $8,936 | $21,789 | 9 |
| J2796 | ROMIPLOSTIM 500 MCG VIAL | $22,024 | $11,453 | $16,078 | $21,363 | 6 |
| J2796 | ROMIPLOSTIM 500 MCG VIAL | $22,024 | $11,453 | $8,761 | $21,363 | 9 |
| J9312 | RITUXIMAB 500 MG/50 ML SDV | $19,730 | $10,260 | $14,403 | $19,138 | 6 |
| J9312 | RITUXIMAB 500 MG/50 ML SDV | $19,730 | $10,260 | $82.92 | $19,138 | 10 |
| J2356 | TEZEPEL-EKKO 210MG/1.91ML SYR | $18,350 | $9,542 | $13,395 | $17,799 | 6 |
| J2356 | TEZEPEL-EKKO 210MG/1.91ML SYR | $18,350 | $9,542 | $7,299 | $17,799 | 9 |
| J2353 | OCTREOTIDE 20 MG KIT | $18,270 | $9,500 | $13,337 | $17,722 | 6 |
| J2353 | OCTREOTIDE 20 MG KIT | $18,270 | $9,500 | $222 | $17,722 | 10 |
| Q5115 | RITUXIMAB-ABBS 500MG/50ML VIAL | $17,757 | $9,233 | $12,962 | $17,224 | 6 |
| Q5115 | RITUXIMAB-ABBS 500MG/50ML VIAL | $17,757 | $9,233 | $33.34 | $17,224 | 10 |
| Q5111 | PEGFILGRASTIM 6MG/0.6ML SYR | $17,535 | $9,118 | $12,801 | $17,009 | 6 |
| Q5111 | PEGFILGRASTIM 6MG/0.6ML SYR | $17,535 | $9,118 | $177 | $17,009 | 10 |
| J9173 | DURVALUMAB 500MG/10ML VIAL | $17,337 | $9,015 | $12,656 | $16,817 | 6 |
| J9173 | DURVALUMAB 500MG/10ML VIAL | $17,337 | $9,015 | $90.99 | $16,817 | 10 |
Showing top 50 of 4,882 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.