45 CFR § 180 compliance
D · 65
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
34,617
Insurances with rates
24
CPT / HCPCS codes
2,007
Source MRF
Most expensive procedures (gross)
J0225
$256,046
INJ, VUTRISIRAN, 1 MG
Gross
$393,916
J9043
$170,458
CABAZITAXEL INJECTION
Gross
$262,243
A9513
$143,848
LUTETIUM LU 177 DOTATAT THER
Gross
$221,304
4080070058216722433800500821672CAH INJECTABLE HAZARDOUS MEDICATION [68]
$122,329
CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR
Gross
$188,198
4080070058216722433800500821672INJECTABLE HAZARDOUS MEDICATION [44]
$122,329
CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR
Gross
$188,198
4080030127216722433800500821672CAH INJECTABLE HAZARDOUS MEDICATION [68]
$122,329
CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR
Gross
$188,198
4080030127216722433800500821672INJECTABLE HAZARDOUS MEDICATION [44]
$122,329
CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR
Gross
$188,198
A9607
$109,793
LUTETIUM LU 177 VIPIVOTIDE
Gross
$168,913
A9606
$91,471
RADIUM RA223 DICHLORIDE THER
Gross
$140,725
A9699
$91,200
RADIOPHARM RX AGENT NOC
Gross
$140,308
J9266
$81,590
PEGASPARGASE INJECTION
Gross
$125,524
J2507
$68,224
PEGLOTICASE INJECTION
Gross
$104,959
J0223
$61,529
INJ GIVOSIRAN 0.5 MG
Gross
$94,660
J2351
$60,879
INJ OCRELIZUMAB 1MG HYA-OCSQ
Gross
$93,659
0310-4535-30
$59,472
Imjudo
Gross
$91,495
0003-2328-22
$51,815
Yervoy
Gross
$79,716
C2616
$47,876
BRACHYTX, NON-STR,YTTRIUM-90
Gross
$73,655
J9334
$47,616
INJ EFGART-ALFA 2MG HYA-QVFC
Gross
$73,256
J9307
$45,181
PRALATREXATE INJECTION
Gross
$69,509
J0202
$41,755
INJECTION, ALEMTUZUMAB
Gross
$64,238
J3357
$41,680
USTEKINUMAB SUB CU INJ, 1 MG
Gross
$64,123
J7311
$40,846
INJ., RETISERT, 0.01 MG
Gross
$62,841
J0896
$36,555
INJ LUSPATERCEPT-AAMT 0.25MG
Gross
$56,238
J1290
$34,599
ECALLANTIDE INJECTION
Gross
$53,230
0078-0734-61
$31,521
Ilaris
Gross
$48,494
J2350
$30,533
INJECTION, OCRELIZUMAB, 1 MG
Gross
$46,974
J3590
$28,858
UNCLASSIFIED BIOLOGICS
Gross
$44,396
J9301
$27,485
OBINUTUZUMAB INJ
Gross
$42,284
J7214
$26,364
ALTUVIIIO PER FACTOR VIII IU
Gross
$40,559
J3241
$26,351
INJ. TEPROTUMUMAB-TRBW 10 MG
Gross
$40,540
J7202
$26,052
FACTOR IX IDELVION INJ
Gross
$40,080
J9223
$24,475
INJ. LURBINECTEDIN, 0.1 MG
Gross
$37,655
J7170
$24,024
INJ., EMICIZUMAB-KXWH 0.5 MG
Gross
$36,960
0003-7125-11
$22,170
Opdualag
Gross
$34,108
J9026
$21,779
INJ, TARLATAMAB-DLLE, 1 MG
Gross
$33,506
J0584
$20,778
INJECTION, BUROSUMAB-TWZA 1M
Gross
$31,967
J1628
$19,617
INJ., GUSELKUMAB, 1 MG
Gross
$30,179
J9042
$18,593
BRENTUXIMAB VEDOTIN INJ
Gross
$28,604
0169-7205-01
$18,368
NovoSeven RT
Gross
$28,258
J9207
$17,631
IXABEPILONE INJECTION
Gross
$27,124
J3245
$17,486
INJ., TILDRAKIZUMAB, 1 MG
Gross
$26,902
0173-0898-03
$17,336
Jemperli
Gross
$26,670
J9022
$16,869
INJ, ATEZOLIZUMAB,10 MG
Gross
$25,953
0008-1179-01
$16,848
Torisel
Gross
$25,920
J3101
$16,701
TENECTEPLASE INJECTION
Gross
$25,694
0024-5151-75
$16,319
Elitek
Gross
$25,107
J1640
$16,157
HEMIN, 1 MG
Gross
$24,856
0074-3663-03
$16,068
Lupron Depot
Gross
$24,720
J9119
$16,027
INJ., CEMIPLIMAB-RWLC, 1 MG
Gross
$24,658
J9144
$15,892
DARATUMUMAB, HYALURONIDASE
Gross
$24,449
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J0225 | INJ, VUTRISIRAN, 1 MG | $393,916 | $256,046 | — | — | 0 |
| J9043 | CABAZITAXEL INJECTION | $262,243 | $170,458 | — | — | 0 |
| A9513 | LUTETIUM LU 177 DOTATAT THER | $221,304 | $143,848 | — | — | 0 |
| 4080070058216722433800500821672CAH INJECTABLE HAZARDOUS MEDICATION [68] | CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR | $188,198 | $122,329 | — | — | 6 |
| 4080070058216722433800500821672INJECTABLE HAZARDOUS MEDICATION [44] | CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR | $188,198 | $122,329 | — | — | 6 |
| 4080030127216722433800500821672CAH INJECTABLE HAZARDOUS MEDICATION [68] | CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR | $188,198 | $122,329 | — | — | 6 |
| 4080030127216722433800500821672INJECTABLE HAZARDOUS MEDICATION [44] | CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR | $188,198 | $122,329 | — | — | 6 |
| A9607 | LUTETIUM LU 177 VIPIVOTIDE | $168,913 | $109,793 | — | — | 0 |
| A9606 | RADIUM RA223 DICHLORIDE THER | $140,725 | $91,471 | — | — | 0 |
| A9699 | RADIOPHARM RX AGENT NOC | $140,308 | $91,200 | — | — | 0 |
| J9266 | PEGASPARGASE INJECTION | $125,524 | $81,590 | — | — | 0 |
| J2507 | PEGLOTICASE INJECTION | $104,959 | $68,224 | — | — | 0 |
| J0223 | INJ GIVOSIRAN 0.5 MG | $94,660 | $61,529 | — | — | 0 |
| J2351 | INJ OCRELIZUMAB 1MG HYA-OCSQ | $93,659 | $60,879 | — | — | 0 |
| 0310-4535-30 | Imjudo | $91,495 | $59,472 | — | — | 0 |
| 0003-2328-22 | Yervoy | $79,716 | $51,815 | — | — | 0 |
| C2616 | BRACHYTX, NON-STR,YTTRIUM-90 | $73,655 | $47,876 | — | — | 0 |
| J9334 | INJ EFGART-ALFA 2MG HYA-QVFC | $73,256 | $47,616 | — | — | 0 |
| J9307 | PRALATREXATE INJECTION | $69,509 | $45,181 | — | — | 0 |
| J0202 | INJECTION, ALEMTUZUMAB | $64,238 | $41,755 | — | — | 0 |
| J3357 | USTEKINUMAB SUB CU INJ, 1 MG | $64,123 | $41,680 | — | — | 0 |
| J7311 | INJ., RETISERT, 0.01 MG | $62,841 | $40,846 | — | — | 0 |
| J0896 | INJ LUSPATERCEPT-AAMT 0.25MG | $56,238 | $36,555 | — | — | 0 |
| J1290 | ECALLANTIDE INJECTION | $53,230 | $34,599 | — | — | 0 |
| 0078-0734-61 | Ilaris | $48,494 | $31,521 | — | — | 0 |
| J2350 | INJECTION, OCRELIZUMAB, 1 MG | $46,974 | $30,533 | — | — | 0 |
| J3590 | UNCLASSIFIED BIOLOGICS | $44,396 | $28,858 | — | — | 0 |
| J9301 | OBINUTUZUMAB INJ | $42,284 | $27,485 | — | — | 0 |
| J7214 | ALTUVIIIO PER FACTOR VIII IU | $40,559 | $26,364 | — | — | 0 |
| J3241 | INJ. TEPROTUMUMAB-TRBW 10 MG | $40,540 | $26,351 | — | — | 0 |
| J7202 | FACTOR IX IDELVION INJ | $40,080 | $26,052 | — | — | 0 |
| J9223 | INJ. LURBINECTEDIN, 0.1 MG | $37,655 | $24,475 | — | — | 0 |
| J7170 | INJ., EMICIZUMAB-KXWH 0.5 MG | $36,960 | $24,024 | — | — | 0 |
| 0003-7125-11 | Opdualag | $34,108 | $22,170 | — | — | 0 |
| J9026 | INJ, TARLATAMAB-DLLE, 1 MG | $33,506 | $21,779 | — | — | 0 |
| J0584 | INJECTION, BUROSUMAB-TWZA 1M | $31,967 | $20,778 | — | — | 0 |
| J1628 | INJ., GUSELKUMAB, 1 MG | $30,179 | $19,617 | — | — | 0 |
| J9042 | BRENTUXIMAB VEDOTIN INJ | $28,604 | $18,593 | — | — | 0 |
| 0169-7205-01 | NovoSeven RT | $28,258 | $18,368 | — | — | 0 |
| J9207 | IXABEPILONE INJECTION | $27,124 | $17,631 | — | — | 0 |
| J3245 | INJ., TILDRAKIZUMAB, 1 MG | $26,902 | $17,486 | — | — | 0 |
| 0173-0898-03 | Jemperli | $26,670 | $17,336 | — | — | 0 |
| J9022 | INJ, ATEZOLIZUMAB,10 MG | $25,953 | $16,869 | — | — | 0 |
| 0008-1179-01 | Torisel | $25,920 | $16,848 | — | — | 0 |
| J3101 | TENECTEPLASE INJECTION | $25,694 | $16,701 | — | — | 1 |
| 0024-5151-75 | Elitek | $25,107 | $16,319 | — | — | 0 |
| J1640 | HEMIN, 1 MG | $24,856 | $16,157 | — | — | 0 |
| 0074-3663-03 | Lupron Depot | $24,720 | $16,068 | — | — | 0 |
| J9119 | INJ., CEMIPLIMAB-RWLC, 1 MG | $24,658 | $16,027 | — | — | 0 |
| J9144 | DARATUMUMAB, HYALURONIDASE | $24,449 | $15,892 | — | — | 0 |
Showing top 50 of 34,617 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.