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
8,456
Insurances with rates
13
CPT / HCPCS codes
8,152
Most expensive procedures (gross)
J2350
$50,887
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$67,850
J2350
$50,831
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE
Gross
$67,775
J9043
$34,211
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION
Gross
$45,614
J0896
$29,848
LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION
Gross
$39,797
J9272
$29,101
DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION
Gross
$38,802
J9272
$29,045
DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE
Gross
$38,727
J9022
$27,765
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION
Gross
$37,020
J9022
$27,709
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE
Gross
$36,945
J3380
$23,106
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
Gross
$30,808
J9228
$21,917
IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION
Gross
$29,223
J9228
$21,861
IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE
Gross
$29,148
J2323
$21,187
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION
Gross
$28,249
J2997
$19,942
ALTEPLASE IVPB 100 MG (FOR FROSTBITE)
Gross
$26,590
J2997
$19,942
ALTEPLASE IV 100 MG (FOR PE)
Gross
$26,590
J3101
$17,229
TENECTEPLASE 50 MG IV SOLUTION (FOR STROKE)
Gross
$22,972
J9306
$16,853
PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION
Gross
$22,470
J9306
$16,796
PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE
Gross
$22,395
J2353
$15,208
OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE
Gross
$20,277
J9173
$10,425
DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION
Gross
$13,900
J1954
$9,900
LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SUSPENSION
Gross
$13,200
J0597
$8,869
C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT
Gross
$11,825
J9047
$8,710
CARFILZOMIB 60 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE
Gross
$11,613
0206
$8,594
HB INTERMEDIATE ROOM CHG
Gross
$11,458
J1561
$8,567
IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN|DISCARDED DRUG NOT ADMINISTE
Gross
$11,423
J1569
$8,128
IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION|DISCARDED DRUG NOT ADMINISTE
Gross
$10,838
Q5111
$8,020
PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$10,693
J9299
$7,991
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE
Gross
$10,654
48150
$7,668
PR PART REMV PANC,PROX+REMV DUOD+ANAST
Gross
$10,224
J2182
$7,580
MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION
Gross
$10,107
J9176
$7,528
ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION
Gross
$10,038
46707
$7,493
PR REPARI ANORECTAL FISTULA W/ PLUG
Gross
$9,990
J0897
$7,462
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$9,949
0720
$7,067
HB VAGINAL DELIVERY LEVEL II
Gross
$9,423
0361
$7,007
HB OR-EPH PAIN LEVEL 4 (RFA)
Gross
$9,343
90375
$6,794
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION
Gross
$9,059
J2506
$6,779
PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
Gross
$9,039
11012
$6,514
HB OPEN FX/DISLOC W DEBRIDE SUBQ TO BONE
Gross
$8,685
44207
$6,281
PR LAP,SURG,COLECTOMY,W/ANAST
Gross
$8,375
24201
$6,281
HB REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP
Gross
$8,374
37761
$6,188
PR LIGATN PERFORATORS,SUBFASC,OPEN, INCL U/S, 1 LEG
Gross
$8,251
37761
$6,188
HB PR-LIGATN PERFORATORS,SUBFASC,OPEN, INCL U/S, 1 LEG
Gross
$8,251
J3262
$6,058
TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION
Gross
$8,077
14302
$5,879
PR ADJ TISS XFER ANY AREA,EA ADD 30.0 SQCM
Gross
$7,839
21016
$5,747
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>
Gross
$7,662
21552
$5,747
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ 3+CM
Gross
$7,662
21936
$5,747
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>
Gross
$7,662
23073
$5,747
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5+CM
Gross
$7,662
24071
$5,747
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3+CM
Gross
$7,662
27045
$5,747
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5+CM
Gross
$7,662
27059
$5,747
PR RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>
Gross
$7,662
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $67,850 | $50,887 | — | — | 2 |
| J2350 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE | $67,775 | $50,831 | — | — | 24 |
| J9043 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $45,614 | $34,211 | — | — | 27 |
| J0896 | LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION | $39,797 | $29,848 | — | — | 16 |
| J9272 | DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION | $38,802 | $29,101 | — | — | 16 |
| J9272 | DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE | $38,727 | $29,045 | — | — | 5 |
| J9022 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION | $37,020 | $27,765 | — | — | 16 |
| J9022 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE | $36,945 | $27,709 | — | — | 24 |
| J3380 | VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION | $30,808 | $23,106 | — | — | 16 |
| J9228 | IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION | $29,223 | $21,917 | — | — | 40 |
| J9228 | IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE | $29,148 | $21,861 | — | — | 3 |
| J2323 | NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION | $28,249 | $21,187 | — | — | 40 |
| J2997 | ALTEPLASE IVPB 100 MG (FOR FROSTBITE) | $26,590 | $19,942 | — | — | 40 |
| J2997 | ALTEPLASE IV 100 MG (FOR PE) | $26,590 | $19,942 | — | — | 26 |
| J3101 | TENECTEPLASE 50 MG IV SOLUTION (FOR STROKE) | $22,972 | $17,229 | — | — | 2 |
| J9306 | PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION | $22,470 | $16,853 | — | — | 24 |
| J9306 | PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE | $22,395 | $16,796 | — | — | 40 |
| J2353 | OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE | $20,277 | $15,208 | — | — | 40 |
| J9173 | DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION | $13,900 | $10,425 | — | — | 40 |
| J1954 | LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SUSPENSION | $13,200 | $9,900 | — | — | 24 |
| J0597 | C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT | $11,825 | $8,869 | — | — | 26 |
| J9047 | CARFILZOMIB 60 MG INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE | $11,613 | $8,710 | — | — | 24 |
| 0206 | HB INTERMEDIATE ROOM CHG | $11,458 | $8,594 | — | — | 24 |
| J1561 | IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN|DISCARDED DRUG NOT ADMINISTE | $11,423 | $8,567 | — | — | 26 |
| J1569 | IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION|DISCARDED DRUG NOT ADMINISTE | $10,838 | $8,128 | — | — | 45 |
| Q5111 | PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $10,693 | $8,020 | — | — | 24 |
| J9299 | NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION|DISCARDED DRUG NOT ADMINISTE | $10,654 | $7,991 | — | — | 40 |
| 48150 | PR PART REMV PANC,PROX+REMV DUOD+ANAST | $10,224 | $7,668 | — | — | 157 |
| J2182 | MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION | $10,107 | $7,580 | — | — | 24 |
| J9176 | ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION | $10,038 | $7,528 | — | — | 2 |
| 46707 | PR REPARI ANORECTAL FISTULA W/ PLUG | $9,990 | $7,493 | — | — | 3 |
| J0897 | DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $9,949 | $7,462 | — | — | 16 |
| 0720 | HB VAGINAL DELIVERY LEVEL II | $9,423 | $7,067 | — | — | 24 |
| 0361 | HB OR-EPH PAIN LEVEL 4 (RFA) | $9,343 | $7,007 | — | — | 24 |
| 90375 | RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION | $9,059 | $6,794 | — | — | 2 |
| J2506 | PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE | $9,039 | $6,779 | — | — | 24 |
| 11012 | HB OPEN FX/DISLOC W DEBRIDE SUBQ TO BONE | $8,685 | $6,514 | — | — | 16 |
| 44207 | PR LAP,SURG,COLECTOMY,W/ANAST | $8,375 | $6,281 | — | — | 44 |
| 24201 | HB REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP | $8,374 | $6,281 | — | — | 16 |
| 37761 | PR LIGATN PERFORATORS,SUBFASC,OPEN, INCL U/S, 1 LEG | $8,251 | $6,188 | — | — | 64 |
| 37761 | HB PR-LIGATN PERFORATORS,SUBFASC,OPEN, INCL U/S, 1 LEG | $8,251 | $6,188 | — | — | 3 |
| J3262 | TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION | $8,077 | $6,058 | — | — | 24 |
| 14302 | PR ADJ TISS XFER ANY AREA,EA ADD 30.0 SQCM | $7,839 | $5,879 | — | — | 50 |
| 21016 | PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/> | $7,662 | $5,747 | — | — | 20 |
| 21552 | PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ 3+CM | $7,662 | $5,747 | — | — | 44 |
| 21936 | PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/> | $7,662 | $5,747 | — | — | 56 |
| 23073 | PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5+CM | $7,662 | $5,747 | — | — | 61 |
| 24071 | PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3+CM | $7,662 | $5,747 | — | — | 21 |
| 27045 | PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5+CM | $7,662 | $5,747 | — | — | 88 |
| 27059 | PR RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/> | $7,662 | $5,747 | — | — | 32 |
Showing top 50 of 8,456 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.