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
16,048
Insurances with rates
6
CPT / HCPCS codes
14,422
Source MRF
Most expensive procedures (gross)
J2350
$28,082
OCREVUS 300 MG/10 ML VIAL
Gross
$58,505
J2997
$15,209
Activase 100 MG VIAL
Gross
$31,686
J3380
$10,135
ENTYVIO 300 MG VIAL
Gross
$21,114
J1561
$8,994
GAMUNEX-C 40 GRAM/400 ML VIAL
Gross
$18,737
J9310
$7,813
Rituxan 500 MG/50 ML VIAL
Gross
$16,278
J9217
$7,566
Lupron Depot 22.5 MG 3MO KIT
Gross
$15,763
Q5115
$7,306
TRUXIMA 500 MG/50 ML VIAL
Gross
$15,220
J2356
$6,648
TEZSPIRE 210 MG/1.91 ML SYRING
Gross
$13,850
J1306
$5,902
LEQVIO 284 MG/1.5 ML SYRINGE
Gross
$12,296
90376
$5,881
KEDRAB 1,500 UNIT/10 ML VIAL
Gross
$12,252
90375
$5,879
HYPERRAB 300 UNIT/ML VIAL
Gross
$12,249
J0717
$4,664
CIMZIA 2X200 MG/ML SYRINGE KIT
Gross
$9,716
J1569
$4,607
GAMMAGARD LIQUID 10% VIAL
Gross
$9,598
J0135
$4,213
HUMIRA 40 MG/0.8 ML SYRINGE
Gross
$8,777
37195
$4,162
FAC THROMBOLYSIS, CEREBRAL, BY INTRAVENOUS INFUSION
Gross
$8,671
J0897
$3,835
XGEVA 120 MG/1.7 ML VIAL
Gross
$7,989
J1602
$3,455
SIMPONI ARIA 50 MG/4 ML VIAL
Gross
$7,197
J9217
$3,364
LUPRON DEPOT 7.5 MG KIT
Gross
$7,008
J3111
$3,340
EVENITY 210 MG DOSE-2 SYRINGES
Gross
$6,958
81229
$3,276
INTERROGATION OF GENOMIC REGIONS CHROMOSOME MICRORRAY
Gross
$6,826
81162
$3,075
BRCA1, BRCA2 (REPAIR ASSOC) GENE ANALYSIS; FULL SEQ & FULL DUPL/DELETION ANALYS
Gross
$6,407
J0882
$2,675
ARANESP 200 MCG/0.4 ML SYRINGE
Gross
$5,573
15273
$2,552
APPLY SKIN SUB/100CM
Gross
$5,316
75630
$2,453
FAC CT ANGIO ABDOMINAL PLUS BILATERAL ILIOFEMORAL LOWER EXTREMITY
Gross
$5,110
J0630
$2,427
CALCITONIN-SALMON 200 UNIT SPR
Gross
$5,056
J1561
$2,366
GAMUNEX-C 10 GRAM/100 ML VIAL
Gross
$4,929
J0841
$2,281
ANAVIP VIAL
Gross
$4,752
J2357
$2,110
XOLAIR 150 MG/ML SYRINGE
Gross
$4,396
J0897
$2,049
PROLIA 60 MG/ML SYRINGE
Gross
$4,268
J0129
$2,031
Orencia 250 MG VIAL
Gross
$4,232
J2357
$1,841
XOLAIR 150 MG/1.2 ML POWDER VL
Gross
$3,836
J0485
$1,676
NULOJIX 250 MG VIAL
Gross
$3,492
J1745
$1,637
INFLECTRA 100 MG VIAL
Gross
$3,411
74178
$1,545
FAC CT ABDOMEN/PELVIS WO/W CONTRAST
Gross
$3,219
59409
$1,489
FAC VAGINAL DELIVERY
Gross
$3,103
15277
$1,457
APPLY SKIN SUB/100CM
Gross
$3,035
70553
$1,453
FAC MRI BRAIN COMBINED WO/W CONTRAST
Gross
$3,027
81407
$1,439
MOLECULAR PATHOLOGY PROCEDURE LEVEL 8
Gross
$2,997
74177
$1,421
FAC CT ABDOMEN/PELVIS W/ IV & ORAL CONTRAST
Gross
$2,961
72157
$1,412
FAC MRI THORASIC SPINE COMPLETE WO/W CONTRAST
Gross
$2,943
72197
$1,342
FAC MRI PELVIS COMBINED WO/W CONTRAST
Gross
$2,795
72156
$1,318
FAC MRI CERVICAL SPINE CANAL WO/W CONTRAST
Gross
$2,747
J0490
$1,306
BENLYSTA 400 MG VIAL
Gross
$2,720
74176
$1,298
FAC CT ABD/PELVIS W/O CONTRAST
Gross
$2,704
72158
$1,279
FAC MRI LUMBAR SPINE COMPLETE WO/W CONTRAST
Gross
$2,665
73223
$1,261
FAC MRI UPPER EXTREMITY JOINT WO/W CONTRAST
Gross
$2,628
73723
$1,245
FAC MRI LOWER EXTREMITY JOINT WO/W CONTRAST
Gross
$2,594
71552
$1,229
FAC MRI CHEST COMBINED WO/W CONTRAST
Gross
$2,560
70552
$1,220
FAC MRI BRAIN W/ CONTRAST
Gross
$2,542
0120
$1,218
Swing Bed
Gross
$2,538
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | OCREVUS 300 MG/10 ML VIAL | $58,505 | $28,082 | — | — | 13 |
| J2997 | Activase 100 MG VIAL | $31,686 | $15,209 | — | — | 13 |
| J3380 | ENTYVIO 300 MG VIAL | $21,114 | $10,135 | — | — | 13 |
| J1561 | GAMUNEX-C 40 GRAM/400 ML VIAL | $18,737 | $8,994 | — | — | 13 |
| J9310 | Rituxan 500 MG/50 ML VIAL | $16,278 | $7,813 | — | — | 12 |
| J9217 | Lupron Depot 22.5 MG 3MO KIT | $15,763 | $7,566 | — | — | 13 |
| Q5115 | TRUXIMA 500 MG/50 ML VIAL | $15,220 | $7,306 | — | — | 13 |
| J2356 | TEZSPIRE 210 MG/1.91 ML SYRING | $13,850 | $6,648 | — | — | 13 |
| J1306 | LEQVIO 284 MG/1.5 ML SYRINGE | $12,296 | $5,902 | — | — | 13 |
| 90376 | KEDRAB 1,500 UNIT/10 ML VIAL | $12,252 | $5,881 | — | — | 13 |
| 90375 | HYPERRAB 300 UNIT/ML VIAL | $12,249 | $5,879 | — | — | 13 |
| J0717 | CIMZIA 2X200 MG/ML SYRINGE KIT | $9,716 | $4,664 | — | — | 13 |
| J1569 | GAMMAGARD LIQUID 10% VIAL | $9,598 | $4,607 | — | — | 39 |
| J0135 | HUMIRA 40 MG/0.8 ML SYRINGE | $8,777 | $4,213 | — | — | 13 |
| 37195 | FAC THROMBOLYSIS, CEREBRAL, BY INTRAVENOUS INFUSION | $8,671 | $4,162 | — | — | 13 |
| J0897 | XGEVA 120 MG/1.7 ML VIAL | $7,989 | $3,835 | — | — | 13 |
| J1602 | SIMPONI ARIA 50 MG/4 ML VIAL | $7,197 | $3,455 | — | — | 13 |
| J9217 | LUPRON DEPOT 7.5 MG KIT | $7,008 | $3,364 | — | — | 13 |
| J3111 | EVENITY 210 MG DOSE-2 SYRINGES | $6,958 | $3,340 | — | — | 13 |
| 81229 | INTERROGATION OF GENOMIC REGIONS CHROMOSOME MICRORRAY | $6,826 | $3,276 | — | — | 13 |
| 81162 | BRCA1, BRCA2 (REPAIR ASSOC) GENE ANALYSIS; FULL SEQ & FULL DUPL/DELETION ANALYS | $6,407 | $3,075 | — | — | 13 |
| J0882 | ARANESP 200 MCG/0.4 ML SYRINGE | $5,573 | $2,675 | — | — | 13 |
| 15273 | APPLY SKIN SUB/100CM | $5,316 | $2,552 | — | — | 39 |
| 75630 | FAC CT ANGIO ABDOMINAL PLUS BILATERAL ILIOFEMORAL LOWER EXTREMITY | $5,110 | $2,453 | — | — | 13 |
| J0630 | CALCITONIN-SALMON 200 UNIT SPR | $5,056 | $2,427 | — | — | 13 |
| J1561 | GAMUNEX-C 10 GRAM/100 ML VIAL | $4,929 | $2,366 | — | — | 13 |
| J0841 | ANAVIP VIAL | $4,752 | $2,281 | — | — | 13 |
| J2357 | XOLAIR 150 MG/ML SYRINGE | $4,396 | $2,110 | — | — | 13 |
| J0897 | PROLIA 60 MG/ML SYRINGE | $4,268 | $2,049 | — | — | 13 |
| J0129 | Orencia 250 MG VIAL | $4,232 | $2,031 | — | — | 13 |
| J2357 | XOLAIR 150 MG/1.2 ML POWDER VL | $3,836 | $1,841 | — | — | 13 |
| J0485 | NULOJIX 250 MG VIAL | $3,492 | $1,676 | — | — | 13 |
| J1745 | INFLECTRA 100 MG VIAL | $3,411 | $1,637 | — | — | 13 |
| 74178 | FAC CT ABDOMEN/PELVIS WO/W CONTRAST | $3,219 | $1,545 | — | — | 13 |
| 59409 | FAC VAGINAL DELIVERY | $3,103 | $1,489 | — | — | 13 |
| 15277 | APPLY SKIN SUB/100CM | $3,035 | $1,457 | — | — | 26 |
| 70553 | FAC MRI BRAIN COMBINED WO/W CONTRAST | $3,027 | $1,453 | — | — | 13 |
| 81407 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 | $2,997 | $1,439 | — | — | 13 |
| 74177 | FAC CT ABDOMEN/PELVIS W/ IV & ORAL CONTRAST | $2,961 | $1,421 | — | — | 13 |
| 72157 | FAC MRI THORASIC SPINE COMPLETE WO/W CONTRAST | $2,943 | $1,412 | — | — | 13 |
| 72197 | FAC MRI PELVIS COMBINED WO/W CONTRAST | $2,795 | $1,342 | — | — | 13 |
| 72156 | FAC MRI CERVICAL SPINE CANAL WO/W CONTRAST | $2,747 | $1,318 | — | — | 13 |
| J0490 | BENLYSTA 400 MG VIAL | $2,720 | $1,306 | — | — | 13 |
| 74176 | FAC CT ABD/PELVIS W/O CONTRAST | $2,704 | $1,298 | — | — | 13 |
| 72158 | FAC MRI LUMBAR SPINE COMPLETE WO/W CONTRAST | $2,665 | $1,279 | — | — | 13 |
| 73223 | FAC MRI UPPER EXTREMITY JOINT WO/W CONTRAST | $2,628 | $1,261 | — | — | 13 |
| 73723 | FAC MRI LOWER EXTREMITY JOINT WO/W CONTRAST | $2,594 | $1,245 | — | — | 13 |
| 71552 | FAC MRI CHEST COMBINED WO/W CONTRAST | $2,560 | $1,229 | — | — | 13 |
| 70552 | FAC MRI BRAIN W/ CONTRAST | $2,542 | $1,220 | — | — | 13 |
| 0120 | Swing Bed | $2,538 | $1,218 | — | — | 54 |
Showing top 50 of 16,048 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.