45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
20,653
Insurances with rates
2
CPT / HCPCS codes
17,935
Most expensive procedures (gross)
J9226
$49,740
histrelin 50 mg (65 mcg/day) kit 1 each KIT
Gross
$142,114
J9229
$47,411
inotuzumab ozogamicin 0.9 mg (0.25 mg/mL initial) recon soln 1 each Vial
Gross
$135,460
C2624
$38,036
HC CARDIOMEMS IMPLANT-SUPPLY
Gross
$108,675
J9228
$35,900
ipilimumab 200 mg/40 mL (5 mg/mL) solution 40 mL Vial
Gross
$102,572
J0800
$29,618
corticotropin per 40 Units
Gross
$84,624
33270
$26,016
HC INS/REP SUBQ DEFIBRILLATOR
Gross
$74,331
33249
$26,009
HC INST/REPL DEFIB SINGLE OR DUAL CHAMB
Gross
$74,311
33289
$23,793
HC TCAT IMPL WRLS P-ART PRS SNR
Gross
$67,980
33902
$20,832
HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL
Gross
$59,520
36837
$20,832
HC PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES
Gross
$59,520
36836
$20,832
HC PERQ AV FISTULA CREATION UXTR SINGLE ACCESS
Gross
$59,520
J2350
$20,459
ocrelizumab 30 mg/mL solution 10 mL Vial
Gross
$58,455
33230
$20,451
HC INSRT PULSE GEN W/DUAL LEADS
Gross
$58,431
33231
$20,451
HC INSRT PULSE GEN W/MULT LEADS
Gross
$58,431
33262
$20,451
HC REMV&REPLC CVD GEN SING LEAD
Gross
$58,431
33263
$20,451
HC REMV&REPLC CVD GEN DUAL LEAD
Gross
$58,431
33264
$20,451
HC REMV&REPLC CVD GEN MULT LEAD
Gross
$58,431
Q0507
$19,600
HC CATH VASC IMPELLA RP
Gross
$56,000
37184
$19,593
HC PRIM PERC THROMB INITAL VESSEL
Gross
$55,981
J1299
$19,397
eculizumab 300 mg/30 mL solution 30 mL Vial
Gross
$55,419
33240
$19,084
HC ICD GEN INSERT DUAL CHAMBER
Gross
$54,527
J9309
$18,448
polatuzumab vedotin-piiq 140 mg recon soln 1 each Vial
Gross
$52,708
J3241
$17,860
teprotumumab-trbw 47.6 mg/ml recon soln 1 each Vial
Gross
$51,030
0515T
$17,838
HC INSJ WCS LV COMPL SYS
Gross
$50,964
0520T
$17,838
HC RMVL&RPLCMT PG WCS NEW ELTRD
Gross
$50,964
93653
$17,692
HC EP & ABLATE SUPRAVENT ARRHYT
Gross
$50,549
93654
$17,692
HC EP & ABLATE VENTRIC TACHY
Gross
$50,549
93656
$17,692
HC TX ATRIAL FIB PULM VEIN ISOL
Gross
$50,549
J0638
$17,312
canakinumab (PF) 150 mg/mL solution 1 mL Vial
Gross
$49,464
J9266
$16,861
pegaspargase 750 unit/mL solution 5 mL Vial
Gross
$48,175
J7311
$15,362
fluocinolone 0.59 mg implant 1 each Packet
Gross
$43,891
J9298
$15,286
nivolumab-relatlimab-rmbw 240-80 mg/20 mL solution 20 mL Vial
Gross
$43,675
20982
$14,706
HC ABLATE THERAPY FR REDUCT 1 + BONE TUMOR
Gross
$42,017
C1882
$14,627
HC CRT D INCEPTA RF HE
Gross
$41,790
J9345
$14,613
retifanlimab-dlwr 500 mg/20 mL solution 20 mL Vial
Gross
$41,752
61624
$14,406
HC TRANSCATHETER PERMANENT OCCLUSION, PERC,CENTRAL NERVOUS SYSTEM
Gross
$41,160
33229
$14,388
HC REMV&REPLC PM GEN MULT LEADS
Gross
$41,107
0238T
$13,858
HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH VESSEL
Gross
$39,595
J9316
$13,794
pertuzumab-trastuzumab-hy-zzxf 1,200 mg-600mg- 30000 unit/15mL solution 15 mL Vial
Gross
$39,412
0681
$13,606
HC TRAUMA TEAM ACTIVATION
Gross
$38,874
C9765
$13,121
HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY-STENT
Gross
$37,489
C9766
$13,121
HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY-ATHERECTOMY
Gross
$37,489
C9767
$13,121
HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY-STENT AND ATHERECTOMY
Gross
$37,489
C9773
$13,121
HC REVASCULARIZATION LITHOTRIPSY-STENT TIBIAL/PERONEAL
Gross
$37,489
C9774
$13,121
HC REVASCULARIZATION LITHOTRIPSY-ATHERECTOMY TIBIAL/PERONEAL
Gross
$37,489
C9775
$13,121
HC REVASCULARIZATION LITHOTRIPSY-STENT-ATHERECTOMY TIBIAL/PERONEAL
Gross
$37,489
92933
$13,107
HC PRQ CARD STENT/ATH/ANGIO
Gross
$37,449
37225
$13,062
HC FEM/POPL REVAS W/ATHER
Gross
$37,321
37230
$13,062
HC TIB/PER REVASC W/STENT
Gross
$37,321
37242
$13,062
HC VASC EMBOLIZE/OCCLUDE ARTERY
Gross
$37,321
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9226 | histrelin 50 mg (65 mcg/day) kit 1 each KIT | $142,114 | $49,740 | — | — | 6 |
| J9229 | inotuzumab ozogamicin 0.9 mg (0.25 mg/mL initial) recon soln 1 each Vial | $135,460 | $47,411 | — | — | 3 |
| C2624 | HC CARDIOMEMS IMPLANT-SUPPLY | $108,675 | $38,036 | — | — | 3 |
| J9228 | ipilimumab 200 mg/40 mL (5 mg/mL) solution 40 mL Vial | $102,572 | $35,900 | — | — | 3 |
| J0800 | corticotropin per 40 Units | $84,624 | $29,618 | — | — | 2 |
| 33270 | HC INS/REP SUBQ DEFIBRILLATOR | $74,331 | $26,016 | — | — | 3 |
| 33249 | HC INST/REPL DEFIB SINGLE OR DUAL CHAMB | $74,311 | $26,009 | — | — | 3 |
| 33289 | HC TCAT IMPL WRLS P-ART PRS SNR | $67,980 | $23,793 | — | — | 3 |
| 33902 | HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL | $59,520 | $20,832 | — | — | 3 |
| 36837 | HC PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES | $59,520 | $20,832 | — | — | 3 |
| 36836 | HC PERQ AV FISTULA CREATION UXTR SINGLE ACCESS | $59,520 | $20,832 | — | — | 3 |
| J2350 | ocrelizumab 30 mg/mL solution 10 mL Vial | $58,455 | $20,459 | — | — | 3 |
| 33230 | HC INSRT PULSE GEN W/DUAL LEADS | $58,431 | $20,451 | — | — | 3 |
| 33231 | HC INSRT PULSE GEN W/MULT LEADS | $58,431 | $20,451 | — | — | 3 |
| 33262 | HC REMV&REPLC CVD GEN SING LEAD | $58,431 | $20,451 | — | — | 3 |
| 33263 | HC REMV&REPLC CVD GEN DUAL LEAD | $58,431 | $20,451 | — | — | 3 |
| 33264 | HC REMV&REPLC CVD GEN MULT LEAD | $58,431 | $20,451 | — | — | 3 |
| Q0507 | HC CATH VASC IMPELLA RP | $56,000 | $19,600 | — | — | 2 |
| 37184 | HC PRIM PERC THROMB INITAL VESSEL | $55,981 | $19,593 | — | — | 3 |
| J1299 | eculizumab 300 mg/30 mL solution 30 mL Vial | $55,419 | $19,397 | — | — | 3 |
| 33240 | HC ICD GEN INSERT DUAL CHAMBER | $54,527 | $19,084 | — | — | 3 |
| J9309 | polatuzumab vedotin-piiq 140 mg recon soln 1 each Vial | $52,708 | $18,448 | — | — | 3 |
| J3241 | teprotumumab-trbw 47.6 mg/ml recon soln 1 each Vial | $51,030 | $17,860 | — | — | 3 |
| 0515T | HC INSJ WCS LV COMPL SYS | $50,964 | $17,838 | — | — | 3 |
| 0520T | HC RMVL&RPLCMT PG WCS NEW ELTRD | $50,964 | $17,838 | — | — | 3 |
| 93653 | HC EP & ABLATE SUPRAVENT ARRHYT | $50,549 | $17,692 | — | — | 3 |
| 93654 | HC EP & ABLATE VENTRIC TACHY | $50,549 | $17,692 | — | — | 3 |
| 93656 | HC TX ATRIAL FIB PULM VEIN ISOL | $50,549 | $17,692 | — | — | 3 |
| J0638 | canakinumab (PF) 150 mg/mL solution 1 mL Vial | $49,464 | $17,312 | — | — | 3 |
| J9266 | pegaspargase 750 unit/mL solution 5 mL Vial | $48,175 | $16,861 | — | — | 3 |
| J7311 | fluocinolone 0.59 mg implant 1 each Packet | $43,891 | $15,362 | — | — | 3 |
| J9298 | nivolumab-relatlimab-rmbw 240-80 mg/20 mL solution 20 mL Vial | $43,675 | $15,286 | — | — | 3 |
| 20982 | HC ABLATE THERAPY FR REDUCT 1 + BONE TUMOR | $42,017 | $14,706 | — | — | 3 |
| C1882 | HC CRT D INCEPTA RF HE | $41,790 | $14,627 | — | — | 6 |
| J9345 | retifanlimab-dlwr 500 mg/20 mL solution 20 mL Vial | $41,752 | $14,613 | — | — | 3 |
| 61624 | HC TRANSCATHETER PERMANENT OCCLUSION, PERC,CENTRAL NERVOUS SYSTEM | $41,160 | $14,406 | — | — | 3 |
| 33229 | HC REMV&REPLC PM GEN MULT LEADS | $41,107 | $14,388 | — | — | 3 |
| 0238T | HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH VESSEL | $39,595 | $13,858 | — | — | 3 |
| J9316 | pertuzumab-trastuzumab-hy-zzxf 1,200 mg-600mg- 30000 unit/15mL solution 15 mL Vial | $39,412 | $13,794 | — | — | 3 |
| 0681 | HC TRAUMA TEAM ACTIVATION | $38,874 | $13,606 | — | — | 4 |
| C9765 | HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY-STENT | $37,489 | $13,121 | — | — | 3 |
| C9766 | HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY-ATHERECTOMY | $37,489 | $13,121 | — | — | 3 |
| C9767 | HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY-STENT AND ATHERECTOMY | $37,489 | $13,121 | — | — | 3 |
| C9773 | HC REVASCULARIZATION LITHOTRIPSY-STENT TIBIAL/PERONEAL | $37,489 | $13,121 | — | — | 3 |
| C9774 | HC REVASCULARIZATION LITHOTRIPSY-ATHERECTOMY TIBIAL/PERONEAL | $37,489 | $13,121 | — | — | 3 |
| C9775 | HC REVASCULARIZATION LITHOTRIPSY-STENT-ATHERECTOMY TIBIAL/PERONEAL | $37,489 | $13,121 | — | — | 3 |
| 92933 | HC PRQ CARD STENT/ATH/ANGIO | $37,449 | $13,107 | — | — | 3 |
| 37225 | HC FEM/POPL REVAS W/ATHER | $37,321 | $13,062 | — | — | 2 |
| 37230 | HC TIB/PER REVASC W/STENT | $37,321 | $13,062 | — | — | 2 |
| 37242 | HC VASC EMBOLIZE/OCCLUDE ARTERY | $37,321 | $13,062 | — | — | 3 |
Showing top 50 of 20,653 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.