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
7,226
Insurances with rates
6
CPT / HCPCS codes
4,966
Source MRF
Most expensive procedures (gross)
J2350
$35,588
OCRELIZUMAB 300 MG/10 ML VIAL
Gross
$56,489
J2350
$35,588
OCRELIZUMAB 300 MG/10 ML VIAL
Gross
$56,489
J3245
$24,766
TILDRAK-ASMN 100 MG/ML SYRINGE
Gross
$39,312
J3245
$24,766
TILDRAK-ASMN 100 MG/ML SYRINGE
Gross
$39,312
314371
$24,528
KT IMP GENERATOR PULSE
Gross
$38,933
314371
$24,528
KT IMP GENERATOR PULSE
Gross
$38,933
90733
$21,264
MEN VAC A C Y W-135 50MCG
Gross
$33,752
90733
$21,264
MEN VAC A C Y W-135 50MCG
Gross
$33,752
J1744
$18,259
ICATIBANT ACET 30 MG/3 ML SYR
Gross
$28,982
J1744
$18,259
ICATIBANT ACET 30 MG/3 ML SYR
Gross
$28,982
J3380
$16,138
VEDOLIZUMAB 300MG VIAL
Gross
$25,615
J3380
$16,138
VEDOLIZUMAB 300MG VIAL
Gross
$25,615
J2997
$15,173
ALTEPLASE 100 MG VIAL
Gross
$24,084
J2997
$15,173
ALTEPLASE 100 MG VIAL
Gross
$24,084
313952
$14,773
BATT DRIVE SM
Gross
$23,449
313952
$14,773
BATT DRIVE SM
Gross
$23,449
J3101
$14,306
TENECTEPLASE 50 MG KIT
Gross
$22,707
J3101
$14,306
TENECTEPLASE 50 MG KIT
Gross
$22,707
603005448
$11,550
IMMUN GLOB G(IGG)/PRO/IGA 0-50 40 GM/400 ML VIAL
Gross
$18,333
603005448
$11,550
IMMUN GLOB G(IGG)/PRO/IGA 0-50 40 GM/400 ML VIAL
Gross
$18,333
603003141
$11,231
OCTREOTIDE DEPOT 30 MG KIT FOR INJECTION
Gross
$17,827
603003141
$11,231
OCTREOTIDE DEPOT 30 MG KIT FOR INJECTION
Gross
$17,827
346076
$10,606
RADIOLUCENT DRIVE
Gross
$16,835
346076
$10,606
RADIOLUCENT DRIVE
Gross
$16,835
Q4103
$9,887
MTRX OASIS BRN 2 LYR 20X30 XL
Gross
$15,694
Q4103
$9,887
MTRX OASIS BRN 2 LYR 20X30 XL
Gross
$15,694
81162
$8,921
BRCA1/BRCA2 SEQ DEL/DUP
Gross
$14,161
81162
$8,921
BRCA1/BRCA2 SEQ DEL/DUP
Gross
$14,161
J0717
$8,620
CERTOL PEGOL 400 MG/2 ML INJ
Gross
$13,682
J0717
$8,620
CERTOL PEGOL 400 MG/2 ML INJ
Gross
$13,682
366152
$8,391
STEM COLLAR 12X130MM
Gross
$13,319
366152
$8,391
STEM COLLAR 12X130MM
Gross
$13,319
309453
$8,139
CONE NEXGEN TM TI METAL 67/30
Gross
$12,919
309453
$8,139
CONE NEXGEN TM TI METAL 67/30
Gross
$12,919
J1950
$7,763
LEUPROLIDE 11.25 MG KIT
Gross
$12,323
J1950
$7,763
LEUPROLIDE 11.25 MG KIT
Gross
$12,323
350939
$7,684
EXT OFFSET ZMR XL TAPERED 78MM
Gross
$12,197
350939
$7,684
EXT OFFSET ZMR XL TAPERED 78MM
Gross
$12,197
377635
$7,629
CONE TRABECULAR MED 36X31X25
Gross
$12,109
377635
$7,629
CONE TRABECULAR MED 36X31X25
Gross
$12,109
363546
$7,563
TAPER FEMALE SEGMENT 100MM
Gross
$12,005
363546
$7,563
TAPER FEMALE SEGMENT 100MM
Gross
$12,005
178697
$7,462
FXATOR ADJ LG NS
Gross
$11,844
178697
$7,462
FXATOR ADJ LG NS
Gross
$11,844
636327
$7,414
IMP FASTENERS SEROSAL FUSE
Gross
$11,769
636327
$7,414
IMP FASTENERS SEROSAL FUSE
Gross
$11,769
603001516
$7,205
ETHACRYNATE SODIUM 50 MG VIAL
Gross
$11,436
603001516
$7,205
ETHACRYNATE SODIUM 50 MG VIAL
Gross
$11,436
J1162
$6,872
DIGOXIN IMMUNE FAB 40 MG VIAL
Gross
$10,908
J1162
$6,872
DIGOXIN IMMUNE FAB 40 MG VIAL
Gross
$10,908
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | OCRELIZUMAB 300 MG/10 ML VIAL | $56,489 | $35,588 | $39,542 | $54,794 | 5 |
| J2350 | OCRELIZUMAB 300 MG/10 ML VIAL | $56,489 | $35,588 | $62.72 | $54,794 | 10 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $39,312 | $24,766 | $27,518 | $38,132 | 5 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $39,312 | $24,766 | $143 | $38,132 | 10 |
| 314371 | KT IMP GENERATOR PULSE | $38,933 | $24,528 | $27,253 | $37,765 | 5 |
| 314371 | KT IMP GENERATOR PULSE | $38,933 | $24,528 | $16,352 | $37,765 | 9 |
| 90733 | MEN VAC A C Y W-135 50MCG | $33,752 | $21,264 | $23,627 | $32,740 | 5 |
| 90733 | MEN VAC A C Y W-135 50MCG | $33,752 | $21,264 | $14,176 | $32,740 | 9 |
| J1744 | ICATIBANT ACET 30 MG/3 ML SYR | $28,982 | $18,259 | $20,288 | $28,113 | 5 |
| J1744 | ICATIBANT ACET 30 MG/3 ML SYR | $28,982 | $18,259 | $136 | $28,113 | 10 |
| J3380 | VEDOLIZUMAB 300MG VIAL | $25,615 | $16,138 | $17,931 | $24,847 | 5 |
| J3380 | VEDOLIZUMAB 300MG VIAL | $25,615 | $16,138 | $22.96 | $24,847 | 10 |
| J2997 | ALTEPLASE 100 MG VIAL | $24,084 | $15,173 | $16,859 | $23,362 | 5 |
| J2997 | ALTEPLASE 100 MG VIAL | $24,084 | $15,173 | $99.23 | $23,362 | 10 |
| 313952 | BATT DRIVE SM | $23,449 | $14,773 | $16,414 | $22,746 | 5 |
| 313952 | BATT DRIVE SM | $23,449 | $14,773 | $9,849 | $22,746 | 9 |
| J3101 | TENECTEPLASE 50 MG KIT | $22,707 | $14,306 | $15,895 | $22,026 | 5 |
| J3101 | TENECTEPLASE 50 MG KIT | $22,707 | $14,306 | $176 | $22,026 | 10 |
| 603005448 | IMMUN GLOB G(IGG)/PRO/IGA 0-50 40 GM/400 ML VIAL | $18,333 | $11,550 | $12,833 | $17,783 | 5 |
| 603005448 | IMMUN GLOB G(IGG)/PRO/IGA 0-50 40 GM/400 ML VIAL | $18,333 | $11,550 | $7,700 | $17,783 | 9 |
| 603003141 | OCTREOTIDE DEPOT 30 MG KIT FOR INJECTION | $17,827 | $11,231 | $12,479 | $17,292 | 5 |
| 603003141 | OCTREOTIDE DEPOT 30 MG KIT FOR INJECTION | $17,827 | $11,231 | $7,487 | $17,292 | 9 |
| 346076 | RADIOLUCENT DRIVE | $16,835 | $10,606 | $11,785 | $16,330 | 5 |
| 346076 | RADIOLUCENT DRIVE | $16,835 | $10,606 | $7,071 | $16,330 | 9 |
| Q4103 | MTRX OASIS BRN 2 LYR 20X30 XL | $15,694 | $9,887 | $10,986 | $15,223 | 5 |
| Q4103 | MTRX OASIS BRN 2 LYR 20X30 XL | $15,694 | $9,887 | $6,591 | $15,223 | 9 |
| 81162 | BRCA1/BRCA2 SEQ DEL/DUP | $14,161 | $8,921 | $9,913 | $13,736 | 5 |
| 81162 | BRCA1/BRCA2 SEQ DEL/DUP | $14,161 | $8,921 | $1,825 | $13,736 | 9 |
| J0717 | CERTOL PEGOL 400 MG/2 ML INJ | $13,682 | $8,620 | $9,578 | $13,272 | 5 |
| J0717 | CERTOL PEGOL 400 MG/2 ML INJ | $13,682 | $8,620 | $4.32 | $13,272 | 10 |
| 366152 | STEM COLLAR 12X130MM | $13,319 | $8,391 | $9,323 | $12,919 | 5 |
| 366152 | STEM COLLAR 12X130MM | $13,319 | $8,391 | $5,594 | $12,919 | 9 |
| 309453 | CONE NEXGEN TM TI METAL 67/30 | $12,919 | $8,139 | $9,043 | $12,531 | 5 |
| 309453 | CONE NEXGEN TM TI METAL 67/30 | $12,919 | $8,139 | $5,426 | $12,531 | 9 |
| J1950 | LEUPROLIDE 11.25 MG KIT | $12,323 | $7,763 | $8,626 | $11,953 | 5 |
| J1950 | LEUPROLIDE 11.25 MG KIT | $12,323 | $7,763 | $1,812 | $11,953 | 10 |
| 350939 | EXT OFFSET ZMR XL TAPERED 78MM | $12,197 | $7,684 | $8,538 | $11,831 | 5 |
| 350939 | EXT OFFSET ZMR XL TAPERED 78MM | $12,197 | $7,684 | $5,123 | $11,831 | 9 |
| 377635 | CONE TRABECULAR MED 36X31X25 | $12,109 | $7,629 | $8,476 | $11,746 | 5 |
| 377635 | CONE TRABECULAR MED 36X31X25 | $12,109 | $7,629 | $5,086 | $11,746 | 9 |
| 363546 | TAPER FEMALE SEGMENT 100MM | $12,005 | $7,563 | $8,404 | $11,645 | 5 |
| 363546 | TAPER FEMALE SEGMENT 100MM | $12,005 | $7,563 | $5,042 | $11,645 | 9 |
| 178697 | FXATOR ADJ LG NS | $11,844 | $7,462 | $8,291 | $11,489 | 5 |
| 178697 | FXATOR ADJ LG NS | $11,844 | $7,462 | $4,974 | $11,489 | 9 |
| 636327 | IMP FASTENERS SEROSAL FUSE | $11,769 | $7,414 | $8,238 | $11,416 | 5 |
| 636327 | IMP FASTENERS SEROSAL FUSE | $11,769 | $7,414 | $4,943 | $11,416 | 9 |
| 603001516 | ETHACRYNATE SODIUM 50 MG VIAL | $11,436 | $7,205 | $8,006 | $11,093 | 5 |
| 603001516 | ETHACRYNATE SODIUM 50 MG VIAL | $11,436 | $7,205 | $4,803 | $11,093 | 9 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG VIAL | $10,908 | $6,872 | $7,636 | $10,581 | 5 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG VIAL | $10,908 | $6,872 | $4,581 | $10,581 | 10 |
Showing top 50 of 7,226 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.