45 CFR § 180 compliance
B · 85
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
1,760
Insurances with rates
8
CPT / HCPCS codes
1,736
Source MRF
Most expensive procedures (gross)
J2350
$32,904
Ocrelizumab Soln For IV Infusion 300 MG/10ML
Gross
$41,130
J2329
$16,727
Ublituximab-xiiy Soln For IV Infusion 150 MG/6ML
Gross
$20,909
J2327
$15,667
Risankizumab-rzaa IV Soln 600 MG/10ML (60 MG/ML)
Gross
$19,583
J2323
$12,002
Natalizumab for IV Inj Conc 300 MG/15ML
Gross
$15,003
0360
$11,978
ABD HYSTERECTOMY
Gross
$14,973
J2356
$11,162
Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 MG/1.91ML
Gross
$13,953
J3101
$11,013
Tenecteplase For IV Soln Kit 50 MG
Gross
$13,766
J3380
$10,410
Vedolizumab For IV Solution 300 MG
Gross
$13,013
J9022
$9,818
Atezolizumab IV Soln 1200 MG/20ML
Gross
$12,272
J9223
$8,417
Lurbinectedin For IV Soln 4 MG
Gross
$10,522
J2506
$7,933
Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML
Gross
$9,917
J0517
$7,930
Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML
Gross
$9,913
J9228
$7,797
Ipilimumab Soln for IV Infusion 50 MG/10ML (5 MG/ML)
Gross
$9,746
C1732
$6,953
CATH NAVISTAR EP DS J 7FR*NLU*
Gross
$8,691
36561
$6,675
SURG 36561 INS TUN CVA WPORT
Gross
$8,344
Q5127
$6,616
Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML
Gross
$8,270
J9306
$6,518
Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML)
Gross
$8,147
J2353
$6,171
Octreotide Acetate For IM Inj Kit 20 MG
Gross
$7,714
J0717
$6,024
Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML
Gross
$7,530
J9271
$5,965
Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML)
Gross
$7,456
25606
$5,920
ED 25606 PERC SKEL FIXN DISTAL FX
Gross
$7,400
26350
$5,638
ED 26350 RPR FLEX TEND DIG PRIM
Gross
$7,047
Q5111
$5,519
Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML
Gross
$6,899
49421
$5,374
SURG 49421 PERITONEAL CATH INS PERM
Gross
$6,717
J1306
$5,260
Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML
Gross
$6,575
J2426
$5,212
Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML
Gross
$6,515
37765
$5,199
SURG 37765 STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS
Gross
$6,499
74178
$4,994
CT ABD PELVIS WO THEN W CONT
Gross
$6,243
J9177
$4,837
Enfortumab Vedotin-ejfv For IV Soln 30 MG
Gross
$6,046
74177
$4,680
CT ABD PELVIS W CONTRAST
Gross
$5,850
J1162
$4,439
Digoxin Immune Fab For Inj 40 MG
Gross
$5,548
78452
$4,322
NM MYOCARDIAL SPECT MULT STDY
Gross
$5,403
L0464
$4,224
L0464 TLSO SPNL BRC TRIPL
Gross
$5,280
95811
$4,220
SLEEP STUDY SPLT NGHT 95811
Gross
$5,275
70543
$4,215
MRI FACE NECK ORB WO THEN W CONT
Gross
$5,269
72156
$4,185
MRI C SPINE WO THEN W CONT
Gross
$5,231
72157
$4,166
MRI T SPINE WO THEN W CONT
Gross
$5,207
72158
$4,159
MRI L SPINE WO THEN W CONT
Gross
$5,199
95810
$4,142
PSG 4+ PARAMETERS
Gross
$5,177
74176
$4,107
CT ABD PELVIS WO CONTRAST
Gross
$5,134
C1771
$4,092
SLING GYN OBTRYX CURV
Gross
$5,115
73223
$4,070
MRI UPPER EXT JT WO THEN W CONT
Gross
$5,088
J2182
$4,013
Mepolizumab For Inj 100 MG
Gross
$5,017
71552
$3,998
MRI CHEST WO THEN W CONT
Gross
$4,997
72197
$3,984
MRI PELVIS WO THEN W CONT
Gross
$4,980
J9305
$3,927
Pemetrexed Disodium For IV Soln 500 MG (Base Equiv)
Gross
$4,909
0750
$3,926
COLON POLYP BX
Gross
$4,908
72196
$3,921
MRI PELVIS W CONTRAST
Gross
$4,901
70553
$3,860
MRI BRAIN WO THEN W CONT
Gross
$4,825
74183
$3,829
MRI ABDOMEN WO THEN W CONT
Gross
$4,786
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | Ocrelizumab Soln For IV Infusion 300 MG/10ML | $41,130 | $32,904 | — | — | 28 |
| J2329 | Ublituximab-xiiy Soln For IV Infusion 150 MG/6ML | $20,909 | $16,727 | — | — | 28 |
| J2327 | Risankizumab-rzaa IV Soln 600 MG/10ML (60 MG/ML) | $19,583 | $15,667 | — | — | 28 |
| J2323 | Natalizumab for IV Inj Conc 300 MG/15ML | $15,003 | $12,002 | — | — | 28 |
| 0360 | ABD HYSTERECTOMY | $14,973 | $11,978 | — | — | 28 |
| J2356 | Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 MG/1.91ML | $13,953 | $11,162 | — | — | 28 |
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $13,766 | $11,013 | — | — | 84 |
| J3380 | Vedolizumab For IV Solution 300 MG | $13,013 | $10,410 | — | — | 28 |
| J9022 | Atezolizumab IV Soln 1200 MG/20ML | $12,272 | $9,818 | — | — | 28 |
| J9223 | Lurbinectedin For IV Soln 4 MG | $10,522 | $8,417 | — | — | 28 |
| J2506 | Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML | $9,917 | $7,933 | — | — | 28 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $9,913 | $7,930 | — | — | 28 |
| J9228 | Ipilimumab Soln for IV Infusion 50 MG/10ML (5 MG/ML) | $9,746 | $7,797 | — | — | 28 |
| C1732 | CATH NAVISTAR EP DS J 7FR*NLU* | $8,691 | $6,953 | — | — | 27 |
| 36561 | SURG 36561 INS TUN CVA WPORT | $8,344 | $6,675 | — | — | 28 |
| Q5127 | Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML | $8,270 | $6,616 | — | — | 28 |
| J9306 | Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML) | $8,147 | $6,518 | — | — | 28 |
| J2353 | Octreotide Acetate For IM Inj Kit 20 MG | $7,714 | $6,171 | — | — | 28 |
| J0717 | Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML | $7,530 | $6,024 | — | — | 28 |
| J9271 | Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML) | $7,456 | $5,965 | — | — | 56 |
| 25606 | ED 25606 PERC SKEL FIXN DISTAL FX | $7,400 | $5,920 | — | — | 27 |
| 26350 | ED 26350 RPR FLEX TEND DIG PRIM | $7,047 | $5,638 | — | — | 27 |
| Q5111 | Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML | $6,899 | $5,519 | — | — | 28 |
| 49421 | SURG 49421 PERITONEAL CATH INS PERM | $6,717 | $5,374 | — | — | 28 |
| J1306 | Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML | $6,575 | $5,260 | — | — | 28 |
| J2426 | Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML | $6,515 | $5,212 | — | — | 28 |
| 37765 | SURG 37765 STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS | $6,499 | $5,199 | — | — | 27 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $6,243 | $4,994 | — | — | 27 |
| J9177 | Enfortumab Vedotin-ejfv For IV Soln 30 MG | $6,046 | $4,837 | — | — | 28 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,850 | $4,680 | — | — | 27 |
| J1162 | Digoxin Immune Fab For Inj 40 MG | $5,548 | $4,439 | — | — | 28 |
| 78452 | NM MYOCARDIAL SPECT MULT STDY | $5,403 | $4,322 | — | — | 28 |
| L0464 | L0464 TLSO SPNL BRC TRIPL | $5,280 | $4,224 | — | — | 27 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $5,275 | $4,220 | — | — | 28 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $5,269 | $4,215 | — | — | 28 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,231 | $4,185 | — | — | 28 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,207 | $4,166 | — | — | 28 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,199 | $4,159 | — | — | 28 |
| 95810 | PSG 4+ PARAMETERS | $5,177 | $4,142 | — | — | 28 |
| 74176 | CT ABD PELVIS WO CONTRAST | $5,134 | $4,107 | — | — | 27 |
| C1771 | SLING GYN OBTRYX CURV | $5,115 | $4,092 | — | — | 27 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $5,088 | $4,070 | — | — | 28 |
| J2182 | Mepolizumab For Inj 100 MG | $5,017 | $4,013 | — | — | 28 |
| 71552 | MRI CHEST WO THEN W CONT | $4,997 | $3,998 | — | — | 28 |
| 72197 | MRI PELVIS WO THEN W CONT | $4,980 | $3,984 | — | — | 28 |
| J9305 | Pemetrexed Disodium For IV Soln 500 MG (Base Equiv) | $4,909 | $3,927 | — | — | 56 |
| 0750 | COLON POLYP BX | $4,908 | $3,926 | — | — | 28 |
| 72196 | MRI PELVIS W CONTRAST | $4,901 | $3,921 | — | — | 28 |
| 70553 | MRI BRAIN WO THEN W CONT | $4,825 | $3,860 | — | — | 28 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $4,786 | $3,829 | — | — | 28 |
Showing top 50 of 1,760 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.