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
4,171
Insurances with rates
5
CPT / HCPCS codes
2,561
Source MRF
Most expensive procedures (gross)
J3241
$25,741
TEPROTUMUMAB 500 MG/VIAL
Gross
$61,289
J3241
$25,741
TEPROTUMUMAB 500 MG/VIAL
Gross
$61,289
J3245
$25,339
TILDRAK-ASMN 100 MG/ML SYRINGE
Gross
$60,331
J3245
$25,339
TILDRAK-ASMN 100 MG/ML SYRINGE
Gross
$60,331
J9022
$19,848
ATEZOLIZUMAB 1200 MG/20ML VIAL
Gross
$47,258
J9022
$19,848
ATEZOLIZUMAB 1200 MG/20ML VIAL
Gross
$47,258
J2329
$19,598
UBLITUXIMAB-XIIY 150 MG
Gross
$46,662
J2329
$19,598
UBLITUXIMAB-XIIY 150 MG
Gross
$46,662
J9144
$17,680
DARATUM-HYALURONI-FIHJ 15ML VL
Gross
$42,095
J9144
$17,680
DARATUM-HYALURONI-FIHJ 15ML VL
Gross
$42,095
J3380
$16,511
VEDOLIZUMAB 300 MG VIAL
Gross
$39,312
J3380
$16,511
VEDOLIZUMAB 300 MG VIAL
Gross
$39,312
J2997
$15,524
ALTEPLASE 100 MG VIAL
Gross
$36,962
J2997
$15,524
ALTEPLASE 100 MG VIAL
Gross
$36,962
J2327
$15,248
SKYRIZI 600 MG/10 ML SDV
Gross
$36,304
J2327
$15,248
SKYRIZI 600 MG/10 ML SDV
Gross
$36,304
J9301
$15,193
OBIN1000-GAZYVA 1000MG/40ML
Gross
$36,173
J9301
$15,193
OBIN1000-GAZYVA 1000MG/40ML
Gross
$36,173
J3101
$14,636
TENECTEPLASE 50 MG KIT
Gross
$34,848
J3101
$14,636
TENECTEPLASE 50 MG KIT
Gross
$34,848
J9299
$13,468
NIVOLUMAB 240 MG/24 ML VIAL
Gross
$32,066
J9299
$13,468
NIVOLUMAB 240 MG/24 ML VIAL
Gross
$32,066
J1459
$11,817
IMM GLOB G(IGG)/PRO/0-50 400ML
Gross
$28,135
J1459
$11,817
IMM GLOB G(IGG)/PRO/0-50 400ML
Gross
$28,135
J2426
$11,812
INVEGA TRINZA 546 MG/1.75 ML
Gross
$28,125
J2426
$11,812
INVEGA TRINZA 546 MG/1.75 ML
Gross
$28,125
J9271
$10,200
PEMBROLIZUMAB 100 MG/4 ML VIAL
Gross
$24,285
J9271
$10,200
PEMBROLIZUMAB 100 MG/4 ML VIAL
Gross
$24,285
J1300
$9,589
ECULIZUMAB 300 MG/30 ML SDV
Gross
$22,831
J1300
$9,589
ECULIZUMAB 300 MG/30 ML SDV
Gross
$22,831
J0717
$9,527
CERTOLIZUMAB PEGOL 400 MG KIT
Gross
$22,682
J0717
$9,527
CERTOLIZUMAB PEGOL 400 MG KIT
Gross
$22,682
J2506
$9,434
PEGFILGRASTIM 6 MG/0.6 ML SYR
Gross
$22,463
J2506
$9,434
PEGFILGRASTIM 6 MG/0.6 ML SYR
Gross
$22,463
J2796
$9,250
ROMIPLOSTIM 500 MCG VIAL
Gross
$22,024
J2796
$9,250
ROMIPLOSTIM 500 MCG VIAL
Gross
$22,024
J9312
$8,287
RITUXIMAB 500 MG/50 ML SDV
Gross
$19,730
J9312
$8,287
RITUXIMAB 500 MG/50 ML SDV
Gross
$19,730
J2356
$7,707
TEZEPEL-EKKO 210MG/1.91ML SYR
Gross
$18,350
J2356
$7,707
TEZEPEL-EKKO 210MG/1.91ML SYR
Gross
$18,350
J2353
$7,673
OCTREOTIDE 20 MG KIT
Gross
$18,270
J2353
$7,673
OCTREOTIDE 20 MG KIT
Gross
$18,270
Q5115
$7,458
RITUXIMAB-ABBS 500MG/50ML VIAL
Gross
$17,757
Q5115
$7,458
RITUXIMAB-ABBS 500MG/50ML VIAL
Gross
$17,757
Q5111
$7,365
PEGFILGRASTIM 6MG/0.6ML SYR
Gross
$17,535
Q5111
$7,365
PEGFILGRASTIM 6MG/0.6ML SYR
Gross
$17,535
3645010760
$7,287
INS CTH CV TUNL WO PRT<5YRS ER
Gross
$17,349
3645010760
$7,287
INS CTH CV TUNL WO PRT<5YRS ER
Gross
$17,349
J9173
$7,282
DURVALUMAB 500MG/10ML VIAL
Gross
$17,337
J9173
$7,282
DURVALUMAB 500MG/10ML VIAL
Gross
$17,337
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3241 | TEPROTUMUMAB 500 MG/VIAL | $61,289 | $25,741 | $44,128 | $58,225 | 5 |
| J3241 | TEPROTUMUMAB 500 MG/VIAL | $61,289 | $25,741 | $373 | $58,225 | 9 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $60,331 | $25,339 | $43,438 | $57,315 | 5 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $60,331 | $25,339 | $147 | $57,315 | 9 |
| J9022 | ATEZOLIZUMAB 1200 MG/20ML VIAL | $47,258 | $19,848 | $34,025 | $44,895 | 5 |
| J9022 | ATEZOLIZUMAB 1200 MG/20ML VIAL | $47,258 | $19,848 | $93.56 | $44,895 | 9 |
| J2329 | UBLITUXIMAB-XIIY 150 MG | $46,662 | $19,598 | $33,597 | $44,329 | 5 |
| J2329 | UBLITUXIMAB-XIIY 150 MG | $46,662 | $19,598 | $17,732 | $44,329 | 8 |
| J9144 | DARATUM-HYALURONI-FIHJ 15ML VL | $42,095 | $17,680 | $30,308 | $39,990 | 5 |
| J9144 | DARATUM-HYALURONI-FIHJ 15ML VL | $42,095 | $17,680 | $55.78 | $39,990 | 9 |
| J3380 | VEDOLIZUMAB 300 MG VIAL | $39,312 | $16,511 | $28,304 | $37,346 | 5 |
| J3380 | VEDOLIZUMAB 300 MG VIAL | $39,312 | $16,511 | $24.15 | $37,346 | 9 |
| J2997 | ALTEPLASE 100 MG VIAL | $36,962 | $15,524 | $26,612 | $35,113 | 5 |
| J2997 | ALTEPLASE 100 MG VIAL | $36,962 | $15,524 | $99.24 | $35,113 | 9 |
| J2327 | SKYRIZI 600 MG/10 ML SDV | $36,304 | $15,248 | $26,139 | $34,489 | 5 |
| J2327 | SKYRIZI 600 MG/10 ML SDV | $36,304 | $15,248 | $13,796 | $34,489 | 8 |
| J9301 | OBIN1000-GAZYVA 1000MG/40ML | $36,173 | $15,193 | $26,045 | $34,365 | 5 |
| J9301 | OBIN1000-GAZYVA 1000MG/40ML | $36,173 | $15,193 | $80.92 | $34,365 | 9 |
| J3101 | TENECTEPLASE 50 MG KIT | $34,848 | $14,636 | $25,091 | $33,106 | 5 |
| J3101 | TENECTEPLASE 50 MG KIT | $34,848 | $14,636 | $171 | $33,106 | 9 |
| J9299 | NIVOLUMAB 240 MG/24 ML VIAL | $32,066 | $13,468 | $23,087 | $30,462 | 5 |
| J9299 | NIVOLUMAB 240 MG/24 ML VIAL | $32,066 | $13,468 | $34.45 | $30,462 | 9 |
| J1459 | IMM GLOB G(IGG)/PRO/0-50 400ML | $28,135 | $11,817 | $20,257 | $26,728 | 5 |
| J1459 | IMM GLOB G(IGG)/PRO/0-50 400ML | $28,135 | $11,817 | $52.7 | $26,728 | 9 |
| J2426 | INVEGA TRINZA 546 MG/1.75 ML | $28,125 | $11,812 | $20,250 | $26,719 | 5 |
| J2426 | INVEGA TRINZA 546 MG/1.75 ML | $28,125 | $11,812 | $16.02 | $26,719 | 9 |
| J9271 | PEMBROLIZUMAB 100 MG/4 ML VIAL | $24,285 | $10,200 | $17,485 | $23,071 | 5 |
| J9271 | PEMBROLIZUMAB 100 MG/4 ML VIAL | $24,285 | $10,200 | $63.16 | $23,071 | 9 |
| J1300 | ECULIZUMAB 300 MG/30 ML SDV | $22,831 | $9,589 | $16,438 | $21,689 | 5 |
| J1300 | ECULIZUMAB 300 MG/30 ML SDV | $22,831 | $9,589 | $244 | $21,689 | 9 |
| J0717 | CERTOLIZUMAB PEGOL 400 MG KIT | $22,682 | $9,527 | $16,331 | $21,548 | 5 |
| J0717 | CERTOLIZUMAB PEGOL 400 MG KIT | $22,682 | $9,527 | $5.05 | $21,548 | 9 |
| J2506 | PEGFILGRASTIM 6 MG/0.6 ML SYR | $22,463 | $9,434 | $16,173 | $21,340 | 5 |
| J2506 | PEGFILGRASTIM 6 MG/0.6 ML SYR | $22,463 | $9,434 | $8,536 | $21,340 | 8 |
| J2796 | ROMIPLOSTIM 500 MCG VIAL | $22,024 | $9,250 | $15,857 | $20,923 | 5 |
| J2796 | ROMIPLOSTIM 500 MCG VIAL | $22,024 | $9,250 | $110 | $20,923 | 9 |
| J9312 | RITUXIMAB 500 MG/50 ML SDV | $19,730 | $8,287 | $14,206 | $18,743 | 5 |
| J9312 | RITUXIMAB 500 MG/50 ML SDV | $19,730 | $8,287 | $83.88 | $18,743 | 9 |
| J2356 | TEZEPEL-EKKO 210MG/1.91ML SYR | $18,350 | $7,707 | $13,212 | $17,432 | 5 |
| J2356 | TEZEPEL-EKKO 210MG/1.91ML SYR | $18,350 | $7,707 | $6,973 | $17,432 | 8 |
| J2353 | OCTREOTIDE 20 MG KIT | $18,270 | $7,673 | $13,155 | $17,357 | 5 |
| J2353 | OCTREOTIDE 20 MG KIT | $18,270 | $7,673 | $233 | $17,357 | 9 |
| Q5115 | RITUXIMAB-ABBS 500MG/50ML VIAL | $17,757 | $7,458 | $12,785 | $16,869 | 5 |
| Q5115 | RITUXIMAB-ABBS 500MG/50ML VIAL | $17,757 | $7,458 | $31.92 | $16,869 | 9 |
| Q5111 | PEGFILGRASTIM 6MG/0.6ML SYR | $17,535 | $7,365 | $12,625 | $16,658 | 5 |
| Q5111 | PEGFILGRASTIM 6MG/0.6ML SYR | $17,535 | $7,365 | $156 | $16,658 | 9 |
| 3645010760 | INS CTH CV TUNL WO PRT<5YRS ER | $17,349 | $7,287 | $12,491 | $16,482 | 5 |
| 3645010760 | INS CTH CV TUNL WO PRT<5YRS ER | $17,349 | $7,287 | $6,593 | $16,482 | 8 |
| J9173 | DURVALUMAB 500MG/10ML VIAL | $17,337 | $7,282 | $12,483 | $16,470 | 5 |
| J9173 | DURVALUMAB 500MG/10ML VIAL | $17,337 | $7,282 | $88.76 | $16,470 | 9 |
Showing top 50 of 4,171 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.