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
7,385
Insurances with rates
7
CPT / HCPCS codes
3,556
Source MRF
Most expensive procedures (gross)
J3590
$74,473
OCRELIZUMAB 300 MG/10 ML VIAL
Gross
$109,319
J3590
$74,473
OCRELIZUMAB 300 MG/10 ML VIAL
Gross
$109,319
J3357
$38,559
USTEKINUMAB 90 MG/ML SYR
Gross
$56,601
J3357
$38,559
USTEKINUMAB 90 MG/ML SYR
Gross
$56,601
J3380
$34,692
VEDOLIZUMAB 300 MG/5 ML VIAL
Gross
$50,925
J3380
$34,692
VEDOLIZUMAB 300 MG/5 ML VIAL
Gross
$50,925
J2997
$32,619
ALTEPLASE 100 MG/100 ML VIAL
Gross
$47,881
J2997
$32,619
ALTEPLASE 100 MG/100 ML VIAL
Gross
$47,881
C1787
$32,440
IMP PKG NON-RECHARGABLE
Gross
$47,619
C1787
$32,440
IMP PKG NON-RECHARGABLE
Gross
$47,619
J2323
$31,645
NATALIZUMAB 300 MG/15 ML SDV
Gross
$46,452
J2323
$31,645
NATALIZUMAB 300 MG/15 ML SDV
Gross
$46,452
C1820
$31,462
NEUROMODULATION RECHRGBLE R20
Gross
$46,183
C1820
$31,462
NEUROMODULATION RECHRGBLE R20
Gross
$46,183
J0180
$29,013
AGALSIDASE BETA 35 MG/7 ML VIAL
Gross
$42,589
J0180
$29,013
AGALSIDASE BETA 35 MG/7 ML VIAL
Gross
$42,589
A9604
$23,376
SM-153 LEXIDRONAM TO 150MCL
Gross
$34,313
A9604
$23,376
SM-153 LEXIDRONAM TO 150MCL
Gross
$34,313
C1767
$23,033
NEUROSTIMULATOR NON RECHRG
Gross
$33,810
C1767
$23,033
NEUROSTIMULATOR NON RECHRG
Gross
$33,810
J1162
$18,438
DIGOXIN IMMUNE FAB (OVINE) 40 MG/4 ML VIAL
Gross
$27,066
J1162
$18,438
DIGOXIN IMMUNE FAB (OVINE) 40 MG/4 ML VIAL
Gross
$27,066
70100605
$16,622
PROC LITHOTRIPSY-BILAT (ESWL)
Gross
$24,400
70100605
$16,622
PROC LITHOTRIPSY-BILAT (ESWL)
Gross
$24,400
J0565
$14,087
BEZLOTOXUMAB 1000 MG/40 ML SDV
Gross
$20,679
J0565
$14,087
BEZLOTOXUMAB 1000 MG/40 ML SDV
Gross
$20,679
70100600
$12,343
PROC LITHOTRIPSY-UNILAT (ESWL)
Gross
$18,119
70100600
$12,343
PROC LITHOTRIPSY-UNILAT (ESWL)
Gross
$18,119
V2785
$11,259
EYE CORNEA TISSUE DMEK(103)
Gross
$16,527
V2785
$11,259
EYE CORNEA TISSUE DMEK(103)
Gross
$16,527
J3101
$10,998
TENECTEPLASE 50 MG/10 ML VIAL
Gross
$16,144
J3101
$10,998
TENECTEPLASE 50 MG/10 ML VIAL
Gross
$16,144
71904004
$9,460
IDARUCIZUMAB 2.5 GM/50 ML VIAL
Gross
$13,886
71904004
$9,460
IDARUCIZUMAB 2.5 GM/50 ML VIAL
Gross
$13,886
70556002
$8,710
ORTH FIXATOR ADJ LG NS(392.961
Gross
$12,785
70556002
$8,710
ORTH FIXATOR ADJ LG NS(392.961
Gross
$12,785
70550812
$8,225
QUADLINK 60-75X9.0-11.0MM
Gross
$12,074
70550812
$8,225
QUADLINK 60-75X9.0-11.0MM
Gross
$12,074
J3358
$7,860
USTEKINUMAB 130 MG/26 ML SYR
Gross
$11,538
J3358
$7,860
USTEKINUMAB 130 MG/26 ML SYR
Gross
$11,538
70100625
$7,565
PROC PVP PROSTATE
Gross
$11,104
70100625
$7,565
PROC PVP PROSTATE
Gross
$11,104
64590
$7,236
INST/REDO PN/STIMULATOR
Gross
$10,622
64590
$7,236
INST/REDO PN/STIMULATOR
Gross
$10,622
J1602
$7,213
GOLIMUMAB 50 MG/4 ML VIAL
Gross
$10,588
J1602
$7,213
GOLIMUMAB 50 MG/4 ML VIAL
Gross
$10,588
J1459
$7,167
IMMUN GLOB G(IGG)/PRO/IGA 0-50 10 GM/100 ML VIAL
Gross
$10,520
J1459
$7,167
IMMUN GLOB G(IGG)/PRO/IGA 0-50 10 GM/100 ML VIAL
Gross
$10,520
70556049
$6,975
POD AUGMENT KT INJ(K300030-10
Gross
$10,238
70556049
$6,975
POD AUGMENT KT INJ(K300030-10
Gross
$10,238
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3590 | OCRELIZUMAB 300 MG/10 ML VIAL | $109,319 | $74,473 | $59,032 | $103,853 | 11 |
| J3590 | OCRELIZUMAB 300 MG/10 ML VIAL | $109,319 | $74,473 | $35,583 | $103,853 | 12 |
| J3357 | USTEKINUMAB 90 MG/ML SYR | $56,601 | $38,559 | $30,564 | $53,770 | 11 |
| J3357 | USTEKINUMAB 90 MG/ML SYR | $56,601 | $38,559 | $18,423 | $53,770 | 12 |
| J3380 | VEDOLIZUMAB 300 MG/5 ML VIAL | $50,925 | $34,692 | $27,500 | $48,379 | 11 |
| J3380 | VEDOLIZUMAB 300 MG/5 ML VIAL | $50,925 | $34,692 | $22.26 | $48,379 | 12 |
| J2997 | ALTEPLASE 100 MG/100 ML VIAL | $47,881 | $32,619 | $25,856 | $45,487 | 11 |
| J2997 | ALTEPLASE 100 MG/100 ML VIAL | $47,881 | $32,619 | $15,585 | $45,487 | 12 |
| C1787 | IMP PKG NON-RECHARGABLE | $47,619 | $32,440 | $25,714 | $45,238 | 11 |
| C1787 | IMP PKG NON-RECHARGABLE | $47,619 | $32,440 | $15,500 | $45,238 | 12 |
| J2323 | NATALIZUMAB 300 MG/15 ML SDV | $46,452 | $31,645 | $25,084 | $44,130 | 11 |
| J2323 | NATALIZUMAB 300 MG/15 ML SDV | $46,452 | $31,645 | $24.15 | $44,130 | 12 |
| C1820 | NEUROMODULATION RECHRGBLE R20 | $46,183 | $31,462 | $24,939 | $43,874 | 11 |
| C1820 | NEUROMODULATION RECHRGBLE R20 | $46,183 | $31,462 | $15,033 | $43,874 | 12 |
| J0180 | AGALSIDASE BETA 35 MG/7 ML VIAL | $42,589 | $29,013 | $22,998 | $40,459 | 11 |
| J0180 | AGALSIDASE BETA 35 MG/7 ML VIAL | $42,589 | $29,013 | $224 | $40,459 | 12 |
| A9604 | SM-153 LEXIDRONAM TO 150MCL | $34,313 | $23,376 | $18,529 | $32,597 | 11 |
| A9604 | SM-153 LEXIDRONAM TO 150MCL | $34,313 | $23,376 | $11,169 | $32,597 | 12 |
| C1767 | NEUROSTIMULATOR NON RECHRG | $33,810 | $23,033 | $18,257 | $32,120 | 11 |
| C1767 | NEUROSTIMULATOR NON RECHRG | $33,810 | $23,033 | $11,005 | $32,120 | 12 |
| J1162 | DIGOXIN IMMUNE FAB (OVINE) 40 MG/4 ML VIAL | $27,066 | $18,438 | $14,615 | $25,712 | 11 |
| J1162 | DIGOXIN IMMUNE FAB (OVINE) 40 MG/4 ML VIAL | $27,066 | $18,438 | $8,810 | $25,712 | 12 |
| 70100605 | PROC LITHOTRIPSY-BILAT (ESWL) | $24,400 | $16,622 | $13,176 | $23,180 | 11 |
| 70100605 | PROC LITHOTRIPSY-BILAT (ESWL) | $24,400 | $16,622 | $7,942 | $23,180 | 12 |
| J0565 | BEZLOTOXUMAB 1000 MG/40 ML SDV | $20,679 | $14,087 | $11,167 | $19,645 | 11 |
| J0565 | BEZLOTOXUMAB 1000 MG/40 ML SDV | $20,679 | $14,087 | $6,731 | $19,645 | 12 |
| 70100600 | PROC LITHOTRIPSY-UNILAT (ESWL) | $18,119 | $12,343 | $9,784 | $17,213 | 11 |
| 70100600 | PROC LITHOTRIPSY-UNILAT (ESWL) | $18,119 | $12,343 | $5,898 | $17,213 | 12 |
| V2785 | EYE CORNEA TISSUE DMEK(103) | $16,527 | $11,259 | $8,925 | $15,701 | 11 |
| V2785 | EYE CORNEA TISSUE DMEK(103) | $16,527 | $11,259 | $5,380 | $15,701 | 12 |
| J3101 | TENECTEPLASE 50 MG/10 ML VIAL | $16,144 | $10,998 | $8,717 | $15,336 | 11 |
| J3101 | TENECTEPLASE 50 MG/10 ML VIAL | $16,144 | $10,998 | $5,255 | $15,336 | 12 |
| 71904004 | IDARUCIZUMAB 2.5 GM/50 ML VIAL | $13,886 | $9,460 | $7,498 | $13,191 | 11 |
| 71904004 | IDARUCIZUMAB 2.5 GM/50 ML VIAL | $13,886 | $9,460 | $4,520 | $13,191 | 12 |
| 70556002 | ORTH FIXATOR ADJ LG NS(392.961 | $12,785 | $8,710 | $6,904 | $12,146 | 11 |
| 70556002 | ORTH FIXATOR ADJ LG NS(392.961 | $12,785 | $8,710 | $4,162 | $12,146 | 12 |
| 70550812 | QUADLINK 60-75X9.0-11.0MM | $12,074 | $8,225 | $6,520 | $11,470 | 11 |
| 70550812 | QUADLINK 60-75X9.0-11.0MM | $12,074 | $8,225 | $3,930 | $11,470 | 12 |
| J3358 | USTEKINUMAB 130 MG/26 ML SYR | $11,538 | $7,860 | $6,231 | $10,961 | 11 |
| J3358 | USTEKINUMAB 130 MG/26 ML SYR | $11,538 | $7,860 | $3,756 | $10,961 | 12 |
| 70100625 | PROC PVP PROSTATE | $11,104 | $7,565 | $5,996 | $10,549 | 11 |
| 70100625 | PROC PVP PROSTATE | $11,104 | $7,565 | $3,614 | $10,549 | 12 |
| 64590 | INST/REDO PN/STIMULATOR | $10,622 | $7,236 | $5,736 | $10,091 | 11 |
| 64590 | INST/REDO PN/STIMULATOR | $10,622 | $7,236 | $3,457 | $10,091 | 12 |
| J1602 | GOLIMUMAB 50 MG/4 ML VIAL | $10,588 | $7,213 | $5,718 | $10,059 | 11 |
| J1602 | GOLIMUMAB 50 MG/4 ML VIAL | $10,588 | $7,213 | $11.1 | $10,059 | 12 |
| J1459 | IMMUN GLOB G(IGG)/PRO/IGA 0-50 10 GM/100 ML VIAL | $10,520 | $7,167 | $5,681 | $9,994 | 11 |
| J1459 | IMMUN GLOB G(IGG)/PRO/IGA 0-50 10 GM/100 ML VIAL | $10,520 | $7,167 | $48.58 | $9,994 | 12 |
| 70556049 | POD AUGMENT KT INJ(K300030-10 | $10,238 | $6,975 | $5,529 | $9,726 | 11 |
| 70556049 | POD AUGMENT KT INJ(K300030-10 | $10,238 | $6,975 | $3,332 | $9,726 | 12 |
Showing top 50 of 7,385 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.