45 CFR § 180 compliance
B · 80
This hospital published most 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
3,061
Insurances with rates
0
CPT / HCPCS codes
1,189
Source MRF
Most expensive procedures (gross)
J2350
$38,111
ocrelizumab 300 mg/10 mL Sol [WCDH]
Gross
$50,815
J2997
$20,640
alteplase 100 mg IV Inj 1/box (UD)[WCDH]
Gross
$27,520
J3380
$17,066
vedolizumab 300 mg SDV Inj. 1/box [WCDH]
Gross
$22,755
J2505
$14,614
pegfilgrastim 6 mg/0.6 mL Inj SubQ SDV 1/box[WCDH]
Gross
$19,485
J1602
$14,205
golimumab 100 mg/mL Sol [WCDH]
Gross
$18,940
J3101
$14,160
tenecteplase 50 mg IV Inj (UD)[WCDH]
Gross
$18,881
J9217
$12,436
leuprolide 22.5 mg/3 months Kit(Lupron Depot)[WCDH]
Gross
$16,581
J9306
$12,050
pertuzumab 420 mg/14 mL Sol [WCDH]
Gross
$16,067
J9271
$11,806
pembrolizumab 25 mg/mL [WCDH]
Gross
$15,741
ethacrynic acid 50 mg IV Inj 1/box(UD)[WCDH]
$11,761
ethacrynic acid 50 mg IV Inj 1/box(UD)[WCDH]
Gross
$15,681
J9312
$11,017
rituximab 10 mg/mL(50ml 1/box) IV SDV[WCDH]
Gross
$14,690
J2323
$10,352
natalizumab 300 mg/15 mL IV SDV 1/box [WCDH]
Gross
$13,803
Q5111
$9,792
pegfilgrastim cbqv 6 mg/0.6 mL Sol [WCDH]
Gross
$13,056
J2353
$9,550
octreotide 30 mg REC 1/box [WCDH]
Gross
$12,733
J1162
$9,320
digoxin immune FAB 40 mg Inj. SDV 1/box[WCDH]
Gross
$12,427
Q5117
$8,671
trastuzumab anns 420 mg REC [WCDH]
Gross
$11,562
SPECIAL CARE COVID 19
$8,084
SPECIAL CARE COVID 19
Gross
$10,778
J0840
$7,500
antivenin 1gm Inj SDV 2/box [WCDH]
Gross
$10,001
J9035
$7,476
bevacizumab 25 mg/mL (16ml) IV Sol 1/box (UD) [WCDH]
Gross
$9,968
mineral oil 100% Oral Liq 480 mL(BLK) [WCDH]
$7,268
mineral oil 100% Oral Liq 480 mL(BLK) [WCDH]
Gross
$9,690
J9354
$7,183
ado-trastuzumab 100 mg SDV Inj.1/box[WCDH]
Gross
$9,577
J9033
$6,970
bendamustine 100 mg REC 1/box [WCDH]
Gross
$9,293
J1951
$6,356
leuprolide 45 mg/6 months PWD[WCDH]
Gross
$8,475
Lithotripsy W/ Laser and Stent
$5,968
Lithotripsy W/ Laser and Stent
Gross
$7,957
Lithotripsy W/ Laser
$5,968
Lithotripsy W/ Laser
Gross
$7,957
Extracorporeal Shock Wave Lithotripsy
$5,968
Extracorporeal Shock Wave Lithotripsy
Gross
$7,957
J0897
$5,842
denosumab 120 mg/1.7 mL Sol [WCDH]
Gross
$7,790
J9034
$5,802
bendamustine 25 mg/mL Sol[WCDH]
Gross
$7,736
SURGIMESH (Large Rectangle) 5.9x8.6'' Tintra E15
$5,076
SURGIMESH (Large Rectangle) 5.9x8.6'' Tintra E1522
Gross
$6,767
J9202
$4,912
goserelin 10.8 mg Imp [WCDH]
Gross
$6,550
J9263
$4,544
oxaliplatin 100 mg SDV IV 1/box[WCDH]
Gross
$6,059
J1569
$4,534
immune globulin IV 10% Sol. 200ml [WCDH]
Gross
$6,045
J0630
$4,238
calcitonin 200 intl units/mL Sol MDV[WCDH]
Gross
$5,650
73719
$3,773
MRI LE Non Joint w/ Contrast Bilateral
Gross
$5,030
J9041
$3,760
bortezomib 3.5 mg/vial Inj 1/box (UD)[WCDH]
Gross
$5,013
J9355
$3,655
trastuzumab 150mg SDV [WCDH]
Gross
$4,873
J0881
$3,631
darbepoetin alfa 200 mcg/mL SDV inj. [WCDH]
Gross
$4,841
J1451
$3,518
fomepizole 1.5g/1.5mL IV Sol 1/box(UD) [WCDH]
Gross
$4,691
J1950
$3,479
leuprolide 3.75 mg/month PWD[WCDH]
Gross
$4,638
J9357
$3,298
valrubicin 40 mg/mL Sol[WCDH]
Gross
$4,397
J9055
$3,189
cetuximab 2 mg/mL SDV inj. (100mL)[WCDH]
Gross
$4,252
J9303
$3,187
panitumumab 100mg/5mL Sol [WCDH]
Gross
$4,249
75635
$3,182
CT Angiography Aorta w/ Runoff
Gross
$4,242
74178
$3,061
CT Abdomen/Pelvis w + w/o Contrast
Gross
$4,082
73702
$3,061
CT Ankle w/ + w/o Contrast Bilateral
Gross
$4,082
Cataract Extraction with Intraocular Lens Implan
$3,034
Cataract Extraction with Intraocular Lens Implantation
Gross
$4,046
J9179
$2,847
eriBULin 1 mg/2 mL Sol [WCDH]
Gross
$3,796
KIT ENDOSCOPIC CHOLECYSTECTOMY(MIN-4)
$2,830
KIT ENDOSCOPIC CHOLECYSTECTOMY(MIN-4)
Gross
$3,774
81229
$2,804
Cytogenomic Microarray PSPC
Gross
$3,738
J0129
$2,757
abatacept 250 mg Inj. SDV 1/box[WCDH]
Gross
$3,676
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | ocrelizumab 300 mg/10 mL Sol [WCDH] | $50,815 | $38,111 | $25,916 | $49,291 | 0 |
| J2997 | alteplase 100 mg IV Inj 1/box (UD)[WCDH] | $27,520 | $20,640 | $14,035 | $26,694 | 0 |
| J3380 | vedolizumab 300 mg SDV Inj. 1/box [WCDH] | $22,755 | $17,066 | $11,605 | $22,072 | 0 |
| J2505 | pegfilgrastim 6 mg/0.6 mL Inj SubQ SDV 1/box[WCDH] | $19,485 | $14,614 | $9,937 | $18,901 | 0 |
| J1602 | golimumab 100 mg/mL Sol [WCDH] | $18,940 | $14,205 | $9,659 | $18,372 | 0 |
| J3101 | tenecteplase 50 mg IV Inj (UD)[WCDH] | $18,881 | $14,160 | $9,629 | $18,314 | 0 |
| J9217 | leuprolide 22.5 mg/3 months Kit(Lupron Depot)[WCDH] | $16,581 | $12,436 | $8,456 | $16,083 | 0 |
| J9306 | pertuzumab 420 mg/14 mL Sol [WCDH] | $16,067 | $12,050 | $8,194 | $15,585 | 0 |
| J9271 | pembrolizumab 25 mg/mL [WCDH] | $15,741 | $11,806 | $8,028 | $15,269 | 0 |
| ethacrynic acid 50 mg IV Inj 1/box(UD)[WCDH] | ethacrynic acid 50 mg IV Inj 1/box(UD)[WCDH] | $15,681 | $11,761 | $7,997 | $15,211 | 0 |
| J9312 | rituximab 10 mg/mL(50ml 1/box) IV SDV[WCDH] | $14,690 | $11,017 | $7,492 | $14,249 | 0 |
| J2323 | natalizumab 300 mg/15 mL IV SDV 1/box [WCDH] | $13,803 | $10,352 | $7,040 | $13,389 | 0 |
| Q5111 | pegfilgrastim cbqv 6 mg/0.6 mL Sol [WCDH] | $13,056 | $9,792 | $6,658 | $12,664 | 0 |
| J2353 | octreotide 30 mg REC 1/box [WCDH] | $12,733 | $9,550 | $6,494 | $12,351 | 0 |
| J1162 | digoxin immune FAB 40 mg Inj. SDV 1/box[WCDH] | $12,427 | $9,320 | $6,338 | $12,054 | 0 |
| Q5117 | trastuzumab anns 420 mg REC [WCDH] | $11,562 | $8,671 | $5,896 | $11,215 | 0 |
| SPECIAL CARE COVID 19 | SPECIAL CARE COVID 19 | $10,778 | $8,084 | $7,329 | $10,455 | 0 |
| J0840 | antivenin 1gm Inj SDV 2/box [WCDH] | $10,001 | $7,500 | $5,100 | $9,700 | 0 |
| J9035 | bevacizumab 25 mg/mL (16ml) IV Sol 1/box (UD) [WCDH] | $9,968 | $7,476 | $5,084 | $9,669 | 0 |
| mineral oil 100% Oral Liq 480 mL(BLK) [WCDH] | mineral oil 100% Oral Liq 480 mL(BLK) [WCDH] | $9,690 | $7,268 | $4,942 | $9,400 | 0 |
| J9354 | ado-trastuzumab 100 mg SDV Inj.1/box[WCDH] | $9,577 | $7,183 | $4,884 | $9,290 | 0 |
| J9033 | bendamustine 100 mg REC 1/box [WCDH] | $9,293 | $6,970 | $4,739 | $9,014 | 0 |
| J1951 | leuprolide 45 mg/6 months PWD[WCDH] | $8,475 | $6,356 | $4,322 | $8,221 | 0 |
| Lithotripsy W/ Laser and Stent | Lithotripsy W/ Laser and Stent | $7,957 | $5,968 | $4,058 | $7,718 | 0 |
| Lithotripsy W/ Laser | Lithotripsy W/ Laser | $7,957 | $5,968 | $4,058 | $7,718 | 0 |
| Extracorporeal Shock Wave Lithotripsy | Extracorporeal Shock Wave Lithotripsy | $7,957 | $5,968 | $4,058 | $7,718 | 0 |
| J0897 | denosumab 120 mg/1.7 mL Sol [WCDH] | $7,790 | $5,842 | $3,973 | $7,556 | 0 |
| J9034 | bendamustine 25 mg/mL Sol[WCDH] | $7,736 | $5,802 | $3,945 | $7,504 | 0 |
| SURGIMESH (Large Rectangle) 5.9x8.6'' Tintra E15 | SURGIMESH (Large Rectangle) 5.9x8.6'' Tintra E1522 | $6,767 | $5,076 | $3,451 | $6,564 | 0 |
| J9202 | goserelin 10.8 mg Imp [WCDH] | $6,550 | $4,912 | $3,340 | $6,353 | 0 |
| J9263 | oxaliplatin 100 mg SDV IV 1/box[WCDH] | $6,059 | $4,544 | $3,090 | $5,877 | 0 |
| J1569 | immune globulin IV 10% Sol. 200ml [WCDH] | $6,045 | $4,534 | $3,083 | $5,864 | 0 |
| J0630 | calcitonin 200 intl units/mL Sol MDV[WCDH] | $5,650 | $4,238 | $2,882 | $5,481 | 0 |
| 73719 | MRI LE Non Joint w/ Contrast Bilateral | $5,030 | $3,773 | $835 | $4,879 | 0 |
| J9041 | bortezomib 3.5 mg/vial Inj 1/box (UD)[WCDH] | $5,013 | $3,760 | $2,557 | $4,862 | 0 |
| J9355 | trastuzumab 150mg SDV [WCDH] | $4,873 | $3,655 | $2,485 | $4,727 | 0 |
| J0881 | darbepoetin alfa 200 mcg/mL SDV inj. [WCDH] | $4,841 | $3,631 | $2,469 | $4,696 | 0 |
| J1451 | fomepizole 1.5g/1.5mL IV Sol 1/box(UD) [WCDH] | $4,691 | $3,518 | $2,392 | $4,550 | 0 |
| J1950 | leuprolide 3.75 mg/month PWD[WCDH] | $4,638 | $3,479 | $2,365 | $4,499 | 0 |
| J9357 | valrubicin 40 mg/mL Sol[WCDH] | $4,397 | $3,298 | $2,242 | $4,265 | 0 |
| J9055 | cetuximab 2 mg/mL SDV inj. (100mL)[WCDH] | $4,252 | $3,189 | $2,168 | $4,124 | 0 |
| J9303 | panitumumab 100mg/5mL Sol [WCDH] | $4,249 | $3,187 | $2,167 | $4,121 | 0 |
| 75635 | CT Angiography Aorta w/ Runoff | $4,242 | $3,182 | $460 | $4,115 | 0 |
| 74178 | CT Abdomen/Pelvis w + w/o Contrast | $4,082 | $3,061 | $460 | $3,959 | 0 |
| 73702 | CT Ankle w/ + w/o Contrast Bilateral | $4,082 | $3,061 | $460 | $3,959 | 0 |
| Cataract Extraction with Intraocular Lens Implan | Cataract Extraction with Intraocular Lens Implantation | $4,046 | $3,034 | $2,063 | $3,925 | 0 |
| J9179 | eriBULin 1 mg/2 mL Sol [WCDH] | $3,796 | $2,847 | $1,936 | $3,683 | 0 |
| KIT ENDOSCOPIC CHOLECYSTECTOMY(MIN-4) | KIT ENDOSCOPIC CHOLECYSTECTOMY(MIN-4) | $3,774 | $2,830 | $1,925 | $3,661 | 0 |
| 81229 | Cytogenomic Microarray PSPC | $3,738 | $2,804 | $1,906 | $3,626 | 0 |
| J0129 | abatacept 250 mg Inj. SDV 1/box[WCDH] | $3,676 | $2,757 | $1,875 | $3,566 | 0 |
Showing top 50 of 3,061 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.