45 CFR § 180 compliance
F · 55
This hospital published little 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
18,173
Insurances with rates
6
CPT / HCPCS codes
17,038
Source MRF
Most expensive procedures (gross)
J9355
$288,957
TRASTUZUMAB 150 MG/7.15ML IV (WET SOLR VIAL)|DISCARDED DRUG NOT ADMINISTE
Gross
$288,957
J9043
$70,432
CABAZITAXEL 60 MG/6ML IV SOLN
Gross
$70,432
J3357
$35,748
USTEKINUMAB 90 MG/ML SC SOSY
Gross
$35,748
J2427
$26,211
PALIPERIDONE PALMITATE ER 819 MG/2.63ML IM SUSY
Gross
$26,211
J9306
$16,728
PERTUZUMAB 420 MG/14ML IV SOLN
Gross
$16,728
J0717
$14,714
CERTOLIZUMAB PEGOL 2 X 200 MG SC KIT
Gross
$14,714
57210
$12,322
HC COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU
Gross
$12,322
J2323
$10,470
NATALIZUMAB 300 MG/15ML IV CONC
Gross
$10,470
J3101
$10,175
TENECTEPLASE 50 MG IV KIT
Gross
$10,175
J9022
$9,659
ATEZOLIZUMAB 840 MG/14ML IV SOLN
Gross
$9,659
J9299
$9,550
NIVOLUMAB 10 MG/ML IV SOLN (COMBINED)
Gross
$9,550
0313U
$9,360
HC ONC PANCREATIC FLUID NGS ANALYS DNA&MRNA SEQ 74
Gross
$9,360
C1052
$9,039
HC ENDOCLOT PHS 3G
Gross
$9,039
J9303
$8,887
PANITUMUMAB 400 MG/20ML IV SOLN
Gross
$8,887
J2506
$7,870
PEGFILGRASTIM 6 MG/0.6ML SC PSKT
Gross
$7,870
J9271
$7,232
PEMBROLIZUMAB 100 MG/4ML IV SOLN
Gross
$7,232
0200
$6,252
HC ROOM AND INTENSIVE CARE
Gross
$6,252
J1162
$6,100
DIGOXIN IMMUNE FAB 40 MG IV SOLR
Gross
$6,100
J2356
$5,610
TEZEPELUMAB-EKKO 210 MG/1.91ML SC SOSY
Gross
$5,610
Q5111
$5,120
PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY
Gross
$5,120
J0896
$4,945
LUSPATERCEPT-AAMT 25 MG SC SOLR
Gross
$4,945
0206
$4,905
HC ROOM AND INTENSIVE CARE INTERMEDIATE-ICU
Gross
$4,905
51040
$4,820
HC CYSTOSTOMY W/DRAIN
Gross
$4,820
Q5113
$4,816
TRASTUZUMAB-PKRB 420 MG/20ML IV (WET SOLR VIAL)
Gross
$4,816
88319
$4,703
HC SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS
Gross
$4,703
J0565
$4,660
BEZLOTOXUMAB 1000 MG/40ML IV SOLN
Gross
$4,660
81162
$4,562
HC GENE ALYS FULL SEQ FULL DUP/DEL ALYS
Gross
$4,562
P9053
$4,498
HC PLATELETS PHERESIS, LEUKO RDCD, CMV NEG, IRRADIATED, EA UNIT
Gross
$4,498
78804
$4,423
HC TUMOR IMAGING WHOLE 2/> DAYS
Gross
$4,423
J2426
$4,377
PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY
Gross
$4,377
J2353
$4,321
OCTREOTIDE ACETATE 10 MG IM KIT
Gross
$4,321
J1569
$4,282
GAMMAGARD 20 GM/200ML IJ SOLN
Gross
$4,282
J0897
$4,230
DENOSUMAB 120 MG/1.7ML SC SOLN
Gross
$4,230
P9037
$4,160
HC PLATELETS PHERESIS, LEUKO REDUCED, IRRADIATED, EA UNIT
Gross
$4,160
C1762
$4,153
ALLOGRAFT TISSUE NERVE PERIPHERAL 1-2 X 30MM AVANCE
Gross
$4,153
C9399
$4,064
DANTROLENE SODIUM 250 MG IV SUSR
Gross
$4,064
P9035
$4,040
HC PLATELET-PHRSD-LEUKORED
Gross
$4,040
41108
$4,016
HC OF FLOOR OF MOUTH
Gross
$4,016
27502
$3,981
HC CLSD TX FEM SHAFT FX W/ OR W/O SKIN/SKEL TRACT
Gross
$3,981
J9035
$3,909
BEVACIZUMAB 400 MG/16ML IV SOLN
Gross
$3,909
36558
$3,907
HC INSJ TUNNELED CVC W/O SUPORT/PMP AGE 5 YR/>
Gross
$3,907
30100
$3,778
HC INTRANASAL
Gross
$3,778
78452
$3,745
HC HT MUSCLE IMAGE SPECT MULTIPLE STUDY
Gross
$3,745
74340
$3,744
HC X-RAY INTRODUCTN GI TUBE
Gross
$3,744
J9033
$3,644
BENDAMUSTINE HCL 100 MG/20ML IV (TREANDA WET SOLR VIAL)
Gross
$3,644
37799
$3,561
PR LIGATION OF VEIN
Gross
$3,561
81443
$3,444
HC GENETIC TESTING FOR SEVERE INHERITED CONDITIONS
Gross
$3,444
81412
$3,444
HC ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN
Gross
$3,444
J2802
$3,376
ROMIPLOSTIM 250 MCG SC SOLR
Gross
$3,376
64488
$3,360
HC TAP INJECTION
Gross
$3,360
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9355 | TRASTUZUMAB 150 MG/7.15ML IV (WET SOLR VIAL)|DISCARDED DRUG NOT ADMINISTE | $288,957 | $288,957 | — | — | 15 |
| J9043 | CABAZITAXEL 60 MG/6ML IV SOLN | $70,432 | $70,432 | — | — | 15 |
| J3357 | USTEKINUMAB 90 MG/ML SC SOSY | $35,748 | $35,748 | — | — | 15 |
| J2427 | PALIPERIDONE PALMITATE ER 819 MG/2.63ML IM SUSY | $26,211 | $26,211 | — | — | 15 |
| J9306 | PERTUZUMAB 420 MG/14ML IV SOLN | $16,728 | $16,728 | — | — | 15 |
| J0717 | CERTOLIZUMAB PEGOL 2 X 200 MG SC KIT | $14,714 | $14,714 | — | — | 15 |
| 57210 | HC COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU | $12,322 | $12,322 | — | — | 15 |
| J2323 | NATALIZUMAB 300 MG/15ML IV CONC | $10,470 | $10,470 | — | — | 15 |
| J3101 | TENECTEPLASE 50 MG IV KIT | $10,175 | $10,175 | — | — | 15 |
| J9022 | ATEZOLIZUMAB 840 MG/14ML IV SOLN | $9,659 | $9,659 | — | — | 15 |
| J9299 | NIVOLUMAB 10 MG/ML IV SOLN (COMBINED) | $9,550 | $9,550 | — | — | 15 |
| 0313U | HC ONC PANCREATIC FLUID NGS ANALYS DNA&MRNA SEQ 74 | $9,360 | $9,360 | — | — | 15 |
| C1052 | HC ENDOCLOT PHS 3G | $9,039 | $9,039 | — | — | 14 |
| J9303 | PANITUMUMAB 400 MG/20ML IV SOLN | $8,887 | $8,887 | — | — | 15 |
| J2506 | PEGFILGRASTIM 6 MG/0.6ML SC PSKT | $7,870 | $7,870 | — | — | 15 |
| J9271 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $7,232 | $7,232 | — | — | 15 |
| 0200 | HC ROOM AND INTENSIVE CARE | $6,252 | $6,252 | — | — | 8 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $6,100 | $6,100 | — | — | 15 |
| J2356 | TEZEPELUMAB-EKKO 210 MG/1.91ML SC SOSY | $5,610 | $5,610 | — | — | 15 |
| Q5111 | PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY | $5,120 | $5,120 | — | — | 15 |
| J0896 | LUSPATERCEPT-AAMT 25 MG SC SOLR | $4,945 | $4,945 | — | — | 15 |
| 0206 | HC ROOM AND INTENSIVE CARE INTERMEDIATE-ICU | $4,905 | $4,905 | — | — | 8 |
| 51040 | HC CYSTOSTOMY W/DRAIN | $4,820 | $4,820 | — | — | 15 |
| Q5113 | TRASTUZUMAB-PKRB 420 MG/20ML IV (WET SOLR VIAL) | $4,816 | $4,816 | — | — | 15 |
| 88319 | HC SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS | $4,703 | $4,703 | — | — | 15 |
| J0565 | BEZLOTOXUMAB 1000 MG/40ML IV SOLN | $4,660 | $4,660 | — | — | 15 |
| 81162 | HC GENE ALYS FULL SEQ FULL DUP/DEL ALYS | $4,562 | $4,562 | — | — | 15 |
| P9053 | HC PLATELETS PHERESIS, LEUKO RDCD, CMV NEG, IRRADIATED, EA UNIT | $4,498 | $4,498 | — | — | 15 |
| 78804 | HC TUMOR IMAGING WHOLE 2/> DAYS | $4,423 | $4,423 | — | — | 15 |
| J2426 | PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY | $4,377 | $4,377 | — | — | 15 |
| J2353 | OCTREOTIDE ACETATE 10 MG IM KIT | $4,321 | $4,321 | — | — | 15 |
| J1569 | GAMMAGARD 20 GM/200ML IJ SOLN | $4,282 | $4,282 | — | — | 15 |
| J0897 | DENOSUMAB 120 MG/1.7ML SC SOLN | $4,230 | $4,230 | — | — | 15 |
| P9037 | HC PLATELETS PHERESIS, LEUKO REDUCED, IRRADIATED, EA UNIT | $4,160 | $4,160 | — | — | 15 |
| C1762 | ALLOGRAFT TISSUE NERVE PERIPHERAL 1-2 X 30MM AVANCE | $4,153 | $4,153 | — | — | 14 |
| C9399 | DANTROLENE SODIUM 250 MG IV SUSR | $4,064 | $4,064 | — | — | 14 |
| P9035 | HC PLATELET-PHRSD-LEUKORED | $4,040 | $4,040 | — | — | 15 |
| 41108 | HC OF FLOOR OF MOUTH | $4,016 | $4,016 | — | — | 15 |
| 27502 | HC CLSD TX FEM SHAFT FX W/ OR W/O SKIN/SKEL TRACT | $3,981 | $3,981 | — | — | 15 |
| J9035 | BEVACIZUMAB 400 MG/16ML IV SOLN | $3,909 | $3,909 | — | — | 15 |
| 36558 | HC INSJ TUNNELED CVC W/O SUPORT/PMP AGE 5 YR/> | $3,907 | $3,907 | — | — | 15 |
| 30100 | HC INTRANASAL | $3,778 | $3,778 | — | — | 15 |
| 78452 | HC HT MUSCLE IMAGE SPECT MULTIPLE STUDY | $3,745 | $3,745 | — | — | 15 |
| 74340 | HC X-RAY INTRODUCTN GI TUBE | $3,744 | $3,744 | — | — | 14 |
| J9033 | BENDAMUSTINE HCL 100 MG/20ML IV (TREANDA WET SOLR VIAL) | $3,644 | $3,644 | — | — | 15 |
| 37799 | PR LIGATION OF VEIN | $3,561 | $3,561 | — | — | 2 |
| 81443 | HC GENETIC TESTING FOR SEVERE INHERITED CONDITIONS | $3,444 | $3,444 | — | — | 15 |
| 81412 | HC ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN | $3,444 | $3,444 | — | — | 15 |
| J2802 | ROMIPLOSTIM 250 MCG SC SOLR | $3,376 | $3,376 | — | — | 15 |
| 64488 | HC TAP INJECTION | $3,360 | $3,360 | — | — | 14 |
Showing top 50 of 18,173 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.