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
8,830
Insurances with rates
17
CPT / HCPCS codes
7,722
Most expensive procedures (gross)
J9281
$42,595
MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT
Gross
$106,488
J2350
$35,736
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$89,339
63685
$30,474
HB INSERT/RPLCMT SPINAL NPG/RCVR POCKET CRTJ&CONNJ
Gross
$76,184
33213
$27,210
HB RADIANT CCL-INSERT PM PULSE GEN ONLY W EXIST DUAL LEADS
Gross
$68,025
33249
$23,066
HB INSRT/REPL DFIB W LEADS SNGL/DUAL CHMB
Gross
$57,665
33227
$22,446
HB REMOVE AND REPLACE PM GEN SINGLE LEAD
Gross
$56,115
J9042
$21,228
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION
Gross
$53,070
33264
$20,335
HB RADIANT CCL-REMV&REPLC CVD GEN MULT LEAD
Gross
$50,836
23472
$18,390
HB ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER
Gross
$45,975
J2327
$17,958
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION
Gross
$44,896
C9765
$17,957
HB REVASC INTRA LITHOTRIP STENT
Gross
$44,892
C9775
$17,957
HB RADIANT CCL-REVASC LITH-STEN-ATH TIB/PER
Gross
$44,892
0238T
$17,957
HB RADIANT-TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
Gross
$44,892
C9766
$17,957
HB REVASC INTRA LITHOTRIP-ATHER
Gross
$44,892
C9767
$17,957
HB REVASC LITHOTRIP-STENT-ATHER
Gross
$44,892
C9773
$17,957
HB RADIANT CCL-REVASC LITHOTR-STENT TIB/PER
Gross
$44,892
37242
$16,707
HB VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I
Gross
$41,768
37229
$16,707
HB RADIANT-REVASC TIBIO/PERONEAL ATHER UNI INITIAL +/- PTA
Gross
$41,768
C1882
$16,302
HB XPER-MEDTRONIC CRT-D 3
Gross
$40,755
J3380
$16,205
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
Gross
$40,512
36906
$16,138
HB RADIANT IR-PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT
Gross
$40,346
33263
$15,615
HB REMV&REPLC CVD GEN DUAL LEAD
Gross
$39,037
33262
$15,297
HB REMV&REPLC CVD GEN SING LEAD
Gross
$38,241
J2323
$14,856
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION
Gross
$37,139
C9047
$14,840
CAPLACIZUMAB-YHDP 11 MG INJECTION KIT
Gross
$37,100
C1882
$13,958
HB XPER-ABBOTT GENERATOR CRT-D ICD
Gross
$34,894
37225
$13,746
HB RADIANT-REVASC FEM POP UNI ATHERECTOMY +/- PTA
Gross
$34,366
37221
$13,409
HB RADIANT-REVASC ILIAC W STENT UNI INITIAL VES +/-PTA SAME VES
Gross
$33,523
J3101
$13,181
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION (FOR STEMI)
Gross
$32,953
37226
$12,939
HB RADIANT-REVASC FEM POP STENT UNI +/- PTA
Gross
$32,348
64628
$12,867
HB THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC
Gross
$32,167
20982
$12,867
HB RADIANT-ABLATE TX BONE TUMOR(S) +/- ADJ TISSUE +/- GUIDE-RF
Gross
$32,167
27130
$12,867
HB ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
Gross
$32,167
C9772
$11,341
HB REVASC LITHOTRIP TIBI/PERONE
Gross
$28,351
93460
$11,048
HB RIGHT/LEFT HEART CATH W COR ANGIO LV INJ S/I
Gross
$27,619
J9332
$10,771
EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION
Gross
$26,928
36905
$10,651
HB RADIANT IR-PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP
Gross
$26,627
47383
$10,411
HB RADIANT-ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION
Gross
$26,028
32994
$10,411
HB RADIANT IR-ABLATE PULM TUMORS W/PLEURA/CHEST WALL EXTSN
Gross
$26,028
J9271
$10,211
PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION
Gross
$25,527
C1721
$10,200
HB XPER-ABBOTT ICD DUAL CELL
Gross
$25,500
36903
$10,102
HB RADIANT IR-INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT
Gross
$25,254
50590
$9,798
HB OR LITHOTRIPSY
Gross
$24,495
93461
$9,726
HB RIGHT/LEFT HEART CATH W COR ANGIO BYPASS GRAFT S/I
Gross
$24,316
33208
$9,518
HB RADIANT CCL-INSERT/REPLACE PERM A/V PM W LEAD
Gross
$23,794
J0491
$9,235
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
Gross
$23,087
93458
$8,994
HB LEFT HEART CATH W COR ANGIO W LV INJ S/I
Gross
$22,485
37185
$8,978
HB RADIANT-ART PRI MCH THRMBC 2ND/ALL VASC FAM
Gross
$22,445
93459
$8,937
HB LHC-COR ANGIO, S&I, BYPASS GRAFT,LV INJ, S&I,
Gross
$22,342
61626
$8,801
HB RADIANT-TC EMBO PERC HEAD/NECK NON CNS
Gross
$22,003
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9281 | MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT | $106,488 | $42,595 | — | — | 3 |
| J2350 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $89,339 | $35,736 | — | — | 29 |
| 63685 | HB INSERT/RPLCMT SPINAL NPG/RCVR POCKET CRTJ&CONNJ | $76,184 | $30,474 | — | — | 3 |
| 33213 | HB RADIANT CCL-INSERT PM PULSE GEN ONLY W EXIST DUAL LEADS | $68,025 | $27,210 | — | — | 8 |
| 33249 | HB INSRT/REPL DFIB W LEADS SNGL/DUAL CHMB | $57,665 | $23,066 | — | — | 17 |
| 33227 | HB REMOVE AND REPLACE PM GEN SINGLE LEAD | $56,115 | $22,446 | — | — | 32 |
| J9042 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $53,070 | $21,228 | — | — | 20 |
| 33264 | HB RADIANT CCL-REMV&REPLC CVD GEN MULT LEAD | $50,836 | $20,335 | — | — | 5 |
| 23472 | HB ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $45,975 | $18,390 | — | — | 5 |
| J2327 | RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION | $44,896 | $17,958 | — | — | 32 |
| C9765 | HB REVASC INTRA LITHOTRIP STENT | $44,892 | $17,957 | — | — | 32 |
| C9775 | HB RADIANT CCL-REVASC LITH-STEN-ATH TIB/PER | $44,892 | $17,957 | — | — | 8 |
| 0238T | HB RADIANT-TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA | $44,892 | $17,957 | — | — | 32 |
| C9766 | HB REVASC INTRA LITHOTRIP-ATHER | $44,892 | $17,957 | — | — | 3 |
| C9767 | HB REVASC LITHOTRIP-STENT-ATHER | $44,892 | $17,957 | — | — | 3 |
| C9773 | HB RADIANT CCL-REVASC LITHOTR-STENT TIB/PER | $44,892 | $17,957 | — | — | 3 |
| 37242 | HB VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I | $41,768 | $16,707 | — | — | 11 |
| 37229 | HB RADIANT-REVASC TIBIO/PERONEAL ATHER UNI INITIAL +/- PTA | $41,768 | $16,707 | — | — | 8 |
| C1882 | HB XPER-MEDTRONIC CRT-D 3 | $40,755 | $16,302 | — | — | 14 |
| J3380 | VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION | $40,512 | $16,205 | — | — | 8 |
| 36906 | HB RADIANT IR-PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT | $40,346 | $16,138 | — | — | 8 |
| 33263 | HB REMV&REPLC CVD GEN DUAL LEAD | $39,037 | $15,615 | — | — | 8 |
| 33262 | HB REMV&REPLC CVD GEN SING LEAD | $38,241 | $15,297 | — | — | 8 |
| J2323 | NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION | $37,139 | $14,856 | — | — | 14 |
| C9047 | CAPLACIZUMAB-YHDP 11 MG INJECTION KIT | $37,100 | $14,840 | — | — | 8 |
| C1882 | HB XPER-ABBOTT GENERATOR CRT-D ICD | $34,894 | $13,958 | — | — | 21 |
| 37225 | HB RADIANT-REVASC FEM POP UNI ATHERECTOMY +/- PTA | $34,366 | $13,746 | — | — | 8 |
| 37221 | HB RADIANT-REVASC ILIAC W STENT UNI INITIAL VES +/-PTA SAME VES | $33,523 | $13,409 | — | — | 8 |
| J3101 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION (FOR STEMI) | $32,953 | $13,181 | — | — | 11 |
| 37226 | HB RADIANT-REVASC FEM POP STENT UNI +/- PTA | $32,348 | $12,939 | — | — | 14 |
| 64628 | HB THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC | $32,167 | $12,867 | — | — | 8 |
| 20982 | HB RADIANT-ABLATE TX BONE TUMOR(S) +/- ADJ TISSUE +/- GUIDE-RF | $32,167 | $12,867 | — | — | 27 |
| 27130 | HB ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $32,167 | $12,867 | — | — | 3 |
| C9772 | HB REVASC LITHOTRIP TIBI/PERONE | $28,351 | $11,341 | — | — | 3 |
| 93460 | HB RIGHT/LEFT HEART CATH W COR ANGIO LV INJ S/I | $27,619 | $11,048 | — | — | 6 |
| J9332 | EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION | $26,928 | $10,771 | — | — | 32 |
| 36905 | HB RADIANT IR-PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP | $26,627 | $10,651 | — | — | 8 |
| 47383 | HB RADIANT-ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION | $26,028 | $10,411 | — | — | 14 |
| 32994 | HB RADIANT IR-ABLATE PULM TUMORS W/PLEURA/CHEST WALL EXTSN | $26,028 | $10,411 | — | — | 8 |
| J9271 | PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION | $25,527 | $10,211 | — | — | 8 |
| C1721 | HB XPER-ABBOTT ICD DUAL CELL | $25,500 | $10,200 | — | — | 20 |
| 36903 | HB RADIANT IR-INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT | $25,254 | $10,102 | — | — | 8 |
| 50590 | HB OR LITHOTRIPSY | $24,495 | $9,798 | — | — | 3 |
| 93461 | HB RIGHT/LEFT HEART CATH W COR ANGIO BYPASS GRAFT S/I | $24,316 | $9,726 | — | — | 5 |
| 33208 | HB RADIANT CCL-INSERT/REPLACE PERM A/V PM W LEAD | $23,794 | $9,518 | — | — | 37 |
| J0491 | ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION | $23,087 | $9,235 | — | — | 3 |
| 93458 | HB LEFT HEART CATH W COR ANGIO W LV INJ S/I | $22,485 | $8,994 | — | — | 8 |
| 37185 | HB RADIANT-ART PRI MCH THRMBC 2ND/ALL VASC FAM | $22,445 | $8,978 | — | — | 32 |
| 93459 | HB LHC-COR ANGIO, S&I, BYPASS GRAFT,LV INJ, S&I, | $22,342 | $8,937 | — | — | 3 |
| 61626 | HB RADIANT-TC EMBO PERC HEAD/NECK NON CNS | $22,003 | $8,801 | — | — | 8 |
Showing top 50 of 8,830 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.