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
7,446
Insurances with rates
5
CPT / HCPCS codes
5,546
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3241 | TEPROTUMUMAB 500 MG/VIAL | $61,289 | $35,548 | $36,773 | $57,612 | 6 |
| J3241 | TEPROTUMUMAB 500 MG/VIAL | $61,289 | $35,548 | $383 | $57,612 | 10 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $60,331 | $34,992 | $36,199 | $56,711 | 6 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $60,331 | $34,992 | $143 | $56,711 | 10 |
| J0638 | CANA180V ILARIS 180 MG VIAL | $43,445 | $25,198 | $26,067 | $40,838 | 6 |
| J0638 | CANA180V ILARIS 180 MG VIAL | $43,445 | $25,198 | $148 | $40,838 | 10 |
| J9043 | CARBAZITAXEL 60 MG/1.5 ML SDV | $38,855 | $22,536 | $23,313 | $36,523 | 6 |
| J9043 | CARBAZITAXEL 60 MG/1.5 ML SDV | $38,855 | $22,536 | $241 | $36,523 | 10 |
| J9301 | OBIN1000-GAZYVA 1000MG/40ML | $36,173 | $20,981 | $21,704 | $34,003 | 6 |
| J9301 | OBIN1000-GAZYVA 1000MG/40ML | $36,173 | $20,981 | $81.6 | $34,003 | 10 |
| J3101 | TENECTEPLASE 50 MG KIT | $34,848 | $20,212 | $20,909 | $32,758 | 6 |
| J3101 | TENECTEPLASE 50 MG KIT | $34,848 | $20,212 | $176 | $32,758 | 10 |
| J9042 | BRENTUXIMAB VEDOTIN 50MG SDV | $33,013 | $19,148 | $19,808 | $31,032 | 6 |
| J9042 | BRENTUXIMAB VEDOTIN 50MG SDV | $33,013 | $19,148 | $270 | $31,032 | 10 |
| J9144 | DARATUM-HYALURONI-FIHJ 15ML VL | $32,546 | $18,876 | $19,527 | $30,593 | 6 |
| J9144 | DARATUM-HYALURONI-FIHJ 15ML VL | $32,546 | $18,876 | $57.49 | $30,593 | 10 |
| J2997 | ALTEPLASE 100 MG VIAL | $28,577 | $16,574 | $17,146 | $26,862 | 6 |
| J2997 | ALTEPLASE 100 MG VIAL | $28,577 | $16,574 | $99.23 | $26,862 | 10 |
| J2426 | INVEGA TRINZA 546 MG/1.75 ML | $28,125 | $16,312 | $16,875 | $26,437 | 6 |
| J2426 | INVEGA TRINZA 546 MG/1.75 ML | $28,125 | $16,312 | $15.99 | $26,437 | 10 |
| 313952 | BATT DRIVE SM | $28,118 | $16,308 | $16,871 | $26,431 | 6 |
| 313952 | BATT DRIVE SM | $28,118 | $16,308 | $12,372 | $26,431 | 9 |
| J9022 | ATEZOLIZUMAB 840 MG/14 ML VIAL | $25,576 | $14,834 | $15,345 | $24,041 | 6 |
| J9022 | ATEZOLIZUMAB 840 MG/14 ML VIAL | $25,576 | $14,834 | $96.98 | $24,041 | 10 |
| J9271 | PEMBROLIZUMAB 100 MG/4 ML VIAL | $24,285 | $14,085 | $14,571 | $22,828 | 6 |
| J9271 | PEMBROLIZUMAB 100 MG/4 ML VIAL | $24,285 | $14,085 | $64.39 | $22,828 | 10 |
| J1300 | ECULIZUMAB 300 MG/30 ML SDV | $22,831 | $13,242 | $13,698 | $21,461 | 6 |
| J1300 | ECULIZUMAB 300 MG/30 ML SDV | $22,831 | $13,242 | $10,045 | $21,461 | 9 |
| J0717 | CERTOLIZUMAB PEGOL 400 MG KIT | $22,682 | $13,156 | $13,609 | $21,321 | 6 |
| J0717 | CERTOLIZUMAB PEGOL 400 MG KIT | $22,682 | $13,156 | $4.32 | $21,321 | 10 |
| J2796 | ROMIPLOSTIM 500 MCG VIAL | $22,024 | $12,774 | $13,214 | $20,703 | 6 |
| J2796 | ROMIPLOSTIM 500 MCG VIAL | $22,024 | $12,774 | $9,691 | $20,703 | 9 |
| 346076 | RADIOLUCENT DRIVE | $20,185 | $11,707 | $12,111 | $18,974 | 6 |
| 346076 | RADIOLUCENT DRIVE | $20,185 | $11,707 | $8,881 | $18,974 | 9 |
| J9312 | RITUXIMAB 500 MG/50 ML SDV | $19,730 | $11,443 | $11,838 | $18,546 | 6 |
| J9312 | RITUXIMAB 500 MG/50 ML SDV | $19,730 | $11,443 | $82.92 | $18,546 | 10 |
| J1950 | LEUPROLIDE DEPOT 11.25 MG KIT | $18,912 | $10,969 | $11,347 | $17,777 | 6 |
| J1950 | LEUPROLIDE DEPOT 11.25 MG KIT | $18,912 | $10,969 | $1,812 | $17,777 | 10 |
| J2353 | OCTREOTIDE 20 MG KIT | $18,270 | $10,597 | $10,962 | $17,174 | 6 |
| J2353 | OCTREOTIDE 20 MG KIT | $18,270 | $10,597 | $222 | $17,174 | 10 |
| J9354 | KADCYLA 160MG | $17,273 | $10,019 | $10,364 | $16,237 | 6 |
| J9354 | KADCYLA 160MG | $17,273 | $10,019 | $44.6 | $16,237 | 10 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG VIAL | $16,741 | $9,709 | $10,044 | $15,736 | 6 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG VIAL | $16,741 | $9,709 | $5,390 | $15,736 | 10 |
| 309453 | CONE NEXGEN TM TI METAL 67/30 | $15,988 | $9,273 | $9,593 | $15,029 | 6 |
| 309453 | CONE NEXGEN TM TI METAL 67/30 | $15,988 | $9,273 | $7,035 | $15,029 | 9 |
| 81408 | OIGP - MOLECULAR PATH L9 X2 | $15,190 | $8,810 | $9,114 | $14,279 | 6 |
| 81408 | OIGP - MOLECULAR PATH L9 X2 | $15,190 | $8,810 | $2,000 | $14,279 | 9 |
| 366152 | STEM COLLAR 12X130MM | $14,486 | $8,402 | $8,692 | $13,617 | 6 |
| 366152 | STEM COLLAR 12X130MM | $14,486 | $8,402 | $6,374 | $13,617 | 9 |
Showing top 50 of 7,446 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.