45 CFR § 180 compliance
C · 70
This hospital published part 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
16,096
Insurances with rates
28
CPT / HCPCS codes
12,186
Source MRF
Most expensive procedures (gross)
343369
$8,066,000
Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed ca
Gross
$8,066,000
216443
$8,066,000
Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, inclu
Gross
$8,066,000
124946
$8,066,000
Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukaphere
Gross
$8,066,000
289730
$8,066,000
Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, includ
Gross
$8,066,000
189841
$8,066,000
Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, includi
Gross
$8,066,000
189843
$8,066,000
Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose pr
Gross
$8,066,000
598661
$678,097
Autologous cultured chondrocytes, implant
Gross
$678,097
956736
$198,829
Histrelin implant (supprelin la), 50 mg
Gross
$198,829
963495
$181,080
Brachytherapy source, non-stranded, yttrium-90, per source
Gross
$181,080
956628
$161,125
Injection, pegloticase, 1 mg
Gross
$161,125
930264
$135,620
Injection, pegaspargase, per single dose vial
Gross
$135,620
773779
$131,279
Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement
Gross
$131,279
117807
$118,206
Injection, loncastuximab tesirine-lpyl, 0.075 mg
Gross
$118,206
93654
$114,581
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$114,581
93653
$114,581
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$114,581
93656
$114,581
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$114,581
116962
$71,237
Injection, asparaginase, recombinant, (rylaze), 0.1 mg
Gross
$71,237
959381
$69,977
Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the
Gross
$69,977
113604
$63,477
Injection, luspatercept-aamt, 0.25 mg
Gross
$63,477
781285
$60,642
Injection, cemiplimab-rwlc, 1 mg
Gross
$60,642
942991
$60,070
Injection, porfimer sodium, 75 mg
Gross
$60,070
886872
$57,681
Injection, vedolizumab, intravenous, 1 mg
Gross
$57,681
114469
$50,221
Injection, daratumumab, 10 mg and hyaluronidase-fihj
Gross
$50,221
802940
$47,873
Injection, hemin, 1 mg
Gross
$47,873
116965
$43,327
Injection, pegfilgrastim, excludes biosimilar, 0.5 mg
Gross
$43,327
93650
$42,491
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$42,491
85896
$41,066
Injection, caplacizumab-yhdp, 1 mg
Gross
$41,066
979465
$40,426
Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated
Gross
$40,426
887171
$40,161
Injection, pembrolizumab, 1 mg
Gross
$40,161
77307
$39,759
Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, bl
Gross
$39,759
957164
$35,352
Injection, ecallantide, 1 mg
Gross
$35,352
951581
$35,248
Injection, panitumumab, 10 mg
Gross
$35,248
788677
$35,151
Injection, benralizumab, 1 mg
Gross
$35,151
809584
$33,184
Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extend
Gross
$33,184
900943
$32,887
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu
Gross
$32,887
93620
$32,887
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$32,887
901103
$32,887
Intra-atrial pacing
Gross
$32,887
94002
$32,133
Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted
Gross
$32,133
935714
$31,552
Injection, carmustine, 100 mg
Gross
$31,552
77301
$29,364
Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru
Gross
$29,364
935735
$27,875
Injection, digoxin immune fab (ovine), per vial
Gross
$27,875
906530
$27,574
Injection, aldesleukin, per single use vial
Gross
$27,574
959405
$26,737
Injection, pertuzumab, 1 mg
Gross
$26,737
85869
$26,253
Injection, copanlisib, 1 mg
Gross
$26,253
800314
$25,134
Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extend
Gross
$25,134
841508
$22,535
Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apr
Gross
$22,535
77425
$21,936
Intraoperative radiation treatment delivery, electrons, single treatment session
Gross
$21,936
77424
$21,936
Intraoperative radiation treatment delivery, x-ray, single treatment session
Gross
$21,936
70553
$21,904
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo
Gross
$21,904
71552
$21,903
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade
Gross
$21,903
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 343369 | Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed ca | $8,066,000 | $8,066,000 | $969,622 | $969,622 | 3 |
| 216443 | Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, inclu | $8,066,000 | $8,066,000 | $725,846 | $756,408 | 3 |
| 124946 | Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukaphere | $8,066,000 | $8,066,000 | $459,113 | $459,113 | 3 |
| 289730 | Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, includ | $8,066,000 | $8,066,000 | $927,632 | $927,632 | 3 |
| 189841 | Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, includi | $8,066,000 | $8,066,000 | $878,117 | $878,117 | 3 |
| 189843 | Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose pr | $8,066,000 | $8,066,000 | $934,777 | $934,777 | 3 |
| 598661 | Autologous cultured chondrocytes, implant | $678,097 | $678,097 | $138,148 | $138,148 | 3 |
| 956736 | Histrelin implant (supprelin la), 50 mg | $198,829 | $198,829 | $51,183 | $114,689 | 7 |
| 963495 | Brachytherapy source, non-stranded, yttrium-90, per source | $181,080 | $181,080 | $8,688 | $28,909 | 7 |
| 956628 | Injection, pegloticase, 1 mg | $161,125 | $161,125 | $4,036 | $8,486 | 7 |
| 930264 | Injection, pegaspargase, per single dose vial | $135,620 | $135,620 | $38,307 | $66,156 | 7 |
| 773779 | Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement | $131,279 | $131,279 | $1,826 | $2,256 | 25 |
| 117807 | Injection, loncastuximab tesirine-lpyl, 0.075 mg | $118,206 | $118,206 | $300 | $503 | 7 |
| 93654 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $114,581 | $114,581 | $36,546 | $38,085 | 3 |
| 93653 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $114,581 | $114,581 | $36,546 | $38,085 | 3 |
| 93656 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $114,581 | $114,581 | $36,546 | $38,085 | 3 |
| 116962 | Injection, asparaginase, recombinant, (rylaze), 0.1 mg | $71,237 | $71,237 | $76.95 | $128 | 7 |
| 959381 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the | $69,977 | $69,977 | $4.51 | $12.57 | 7 |
| 113604 | Injection, luspatercept-aamt, 0.25 mg | $63,477 | $63,477 | $70.57 | $70.57 | 6 |
| 781285 | Injection, cemiplimab-rwlc, 1 mg | $60,642 | $60,642 | $40.92 | $69.09 | 7 |
| 942991 | Injection, porfimer sodium, 75 mg | $60,070 | $60,070 | $37,420 | $38,996 | 3 |
| 886872 | Injection, vedolizumab, intravenous, 1 mg | $57,681 | $57,681 | $23.95 | $57.2 | 7 |
| 114469 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | $50,221 | $50,221 | $74.99 | $127 | 7 |
| 802940 | Injection, hemin, 1 mg | $47,873 | $47,873 | $37.44 | $80.57 | 7 |
| 116965 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | $43,327 | $43,327 | $28.28 | $192 | 7 |
| 93650 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $42,491 | $42,491 | $11,492 | $11,976 | 3 |
| 85896 | Injection, caplacizumab-yhdp, 1 mg | $41,066 | $41,066 | $1,195 | $1,245 | 3 |
| 979465 | Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated | $40,426 | $40,426 | $1,675 | $2,069 | 25 |
| 887171 | Injection, pembrolizumab, 1 mg | $40,161 | $40,161 | $83.99 | $145 | 7 |
| 77307 | Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, bl | $39,759 | $39,759 | $569 | $1,500 | 10 |
| 957164 | Injection, ecallantide, 1 mg | $35,352 | $35,352 | $639 | $1,366 | 7 |
| 951581 | Injection, panitumumab, 10 mg | $35,248 | $35,248 | $233 | $384 | 7 |
| 788677 | Injection, benralizumab, 1 mg | $35,151 | $35,151 | $185 | $438 | 7 |
| 809584 | Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extend | $33,184 | $33,184 | $942 | $1,163 | 25 |
| 900943 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $32,887 | $32,887 | $11,492 | $11,976 | 3 |
| 93620 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $32,887 | $32,887 | $11,492 | $11,976 | 3 |
| 901103 | Intra-atrial pacing | $32,887 | $32,887 | $11,492 | $11,976 | 3 |
| 94002 | Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted | $32,133 | $32,133 | $964 | $1,005 | 3 |
| 935714 | Injection, carmustine, 100 mg | $31,552 | $31,552 | $206 | $1,051 | 7 |
| 77301 | Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru | $29,364 | $29,364 | $2,132 | $5,606 | 10 |
| 935735 | Injection, digoxin immune fab (ovine), per vial | $27,875 | $27,875 | $5,625 | $11,787 | 7 |
| 906530 | Injection, aldesleukin, per single use vial | $27,574 | $27,574 | $6,368 | $6,636 | 3 |
| 959405 | Injection, pertuzumab, 1 mg | $26,737 | $26,737 | $22.97 | $39.58 | 7 |
| 85869 | Injection, copanlisib, 1 mg | $26,253 | $26,253 | $142 | $148 | 3 |
| 800314 | Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extend | $25,134 | $25,134 | $1,060 | $1,310 | 25 |
| 841508 | Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apr | $22,535 | $22,535 | $1,050 | $1,298 | 25 |
| 77425 | Intraoperative radiation treatment delivery, electrons, single treatment session | $21,936 | $21,936 | $544 | $32,159 | 15 |
| 77424 | Intraoperative radiation treatment delivery, x-ray, single treatment session | $21,936 | $21,936 | $544 | $27,801 | 16 |
| 70553 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $21,904 | $21,904 | $592 | $2,352 | 7 |
| 71552 | Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade | $21,903 | $21,903 | $592 | $2,352 | 7 |
Showing top 50 of 16,096 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.