45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
6,508
Insurances with rates
0
CPT / HCPCS codes
2,645
Most expensive procedures (gross)
64590
$33,905
INSRT/RPLCMT PERIPHERAL/GASTRIC NPGR
Gross
$56,509
J9309
$16,217
POLIVY 140MG VIAL
Gross
$27,029
J2350
$16,005
OCREVUS 30MG/ML(OCRELIZUMAB) 300MG/10ML
Gross
$26,675
JRNY 2 CR FEM OX
$14,305
JRNY 2 CR FEM OX
Gross
$23,842
JRNY 2 CR FEM OX NP LT SZ3
$14,305
JRNY 2 CR FEM OX NP LT SZ3
Gross
$23,842
J9298
$12,630
OPDUALAG 240MG-80MG/20ML VIAL
Gross
$21,050
64561
$10,942
PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE/W
Gross
$18,237
64581
$10,942
INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL
Gross
$18,237
J0896
$10,655
REBLOZYL 75 MG POWDER VIAL
Gross
$17,759
J3101
$10,296
TNKASE (TENECTEPLASE) KIT 50MG
Gross
$17,160
J2327
$9,585
SKYRIZI 600MG/10ML
Gross
$15,975
28297
$9,389
HALLUX VALGUS CORRECTION W/ METATARSAL
Gross
$15,648
J9144
$8,965
DARZALEX FASPRO 1800MG-30000U/15ML
Gross
$14,941
J9043
$8,556
JEVTANA 60MG (CABAZITAXEL) VIAL
Gross
$14,260
PRIMARY IMPLANT KIT
$7,980
PRIMARY IMPLANT KIT
Gross
$13,300
JOURNEY 2 CR ISRT XLPE LT SZ1-2 9MM
$7,757
JOURNEY 2 CR ISRT XLPE LT SZ1-2 9MM
Gross
$12,929
J9223
$7,275
ZEPZELCA (LURBINECTEDIN) 4MG/ML VIAL
Gross
$12,125
JOURNEY 2 CR ISRT XLPE LT SZ1-2 12MM
$7,269
JOURNEY 2 CR ISRT XLPE LT SZ1-2 12MM
Gross
$12,115
BEAR IMPLANT
$7,078
BEAR IMPLANT
Gross
$11,797
90378
$7,025
SYNAGIS (PALIVIZUMAB) 100MG VIAL
Gross
$11,709
J9301
$6,990
GAZYVA 1000 MG/40 ML (25MG/ML) SDV
Gross
$11,650
J9311
$6,903
RITUXAN HYCELA SUBQ 1400 MG/ 11.7 ML SDV
Gross
$11,505
J9228
$6,889
YERVOY (IPILIMUMAB) 50MG VIAL
Gross
$11,481
J9063
$6,841
ELAHERE 100 MG/20 ML
Gross
$11,402
J9271
$6,073
KEYTRUDA (PEMBROLIZUMAB) 25MG/ML 4ML
Gross
$10,122
SHOULDER REVERSE HUMERAL STEM
$5,928
SHOULDER REVERSE HUMERAL STEM
Gross
$9,880
J0517
$5,818
FASENRA 30MG/1ML SUBQ
Gross
$9,696
J3380
$5,813
ENTYVIO 300MG VIAL (VEDOLIZUMAB)
Gross
$9,688
JOURNEY TIBIA BASE NP SZ3
$5,749
JOURNEY TIBIA BASE NP SZ3
Gross
$9,582
JRNY TIBIA BASE NP LT SZ2
$5,749
JRNY TIBIA BASE NP LT SZ2
Gross
$9,582
ALTIVATE REVERSE HUMERAL STEM 10X108MM
$5,730
ALTIVATE REVERSE HUMERAL STEM 10X108MM
Gross
$9,550
ALTIVATE REV HUMERAL STEM 12X108
$5,730
ALTIVATE REV HUMERAL STEM 12X108
Gross
$9,550
OPERATING RM 151-165 MIN
$5,153
OPERATING RM 151-165 MIN
Gross
$8,589
64585
$5,125
REVISE/REMOVE NEUROELECTRODE
Gross
$8,541
J9177
$5,087
PADCEV 30 MG VIAL
Gross
$8,478
47122
$5,030
HEPATECTOMY, RESECTION OF LIVER; TRISEGM
Gross
$8,383
J2506
$4,975
NEULASTA 6MG/0.6ML SYR (PEGFILGRASTIM)
Gross
$8,291
OPERATING RM 271-285 MIN
$4,961
OPERATING RM 271-285 MIN
Gross
$8,268
J9306
$4,921
PERJETA (PERTUZUMAB) 420MG VIAL
Gross
$8,201
OPERATING RM 136-150 MIN
$4,850
OPERATING RM 136-150 MIN
Gross
$8,083
J2315
$4,733
VIVITROL 380MG (NALTREXONE) INJ
Gross
$7,888
OPERATING RM 256-270 MIN
$4,724
OPERATING RM 256-270 MIN
Gross
$7,874
Q5111
$4,669
UDENYCA 6MG/0.6ML SYR (PEGFILGRASTIM)
Gross
$7,782
OPERATING RM 286-300 MIN
$4,527
OPERATING RM 286-300 MIN
Gross
$7,545
OPERATING RM 121-135 MIN
$4,411
OPERATING RM 121-135 MIN
Gross
$7,351
J9173
$4,363
IMFINZI 500MG/10ML (DURVALUMAB)
Gross
$7,272
J9303
$4,289
VECTIBIX (PANITUMUMAB) 400MG VIAL
Gross
$7,149
J1162
$4,288
DIGOXIN IMMUNE FAB 40 MG (DIGIBIND)
Gross
$7,147
71270
$4,277
CT CHEST/ABD/PELVIS W & W/O CONTRAST
Gross
$7,128
59618
$4,032
ROUTINE OBSTETRIC CARE INCLUDING ANTEPAR
Gross
$6,720
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 64590 | INSRT/RPLCMT PERIPHERAL/GASTRIC NPGR | $56,509 | $33,905 | — | — | 0 |
| J9309 | POLIVY 140MG VIAL | $27,029 | $16,217 | — | — | 0 |
| J2350 | OCREVUS 30MG/ML(OCRELIZUMAB) 300MG/10ML | $26,675 | $16,005 | — | — | 0 |
| JRNY 2 CR FEM OX | JRNY 2 CR FEM OX | $23,842 | $14,305 | — | — | 0 |
| JRNY 2 CR FEM OX NP LT SZ3 | JRNY 2 CR FEM OX NP LT SZ3 | $23,842 | $14,305 | — | — | 0 |
| J9298 | OPDUALAG 240MG-80MG/20ML VIAL | $21,050 | $12,630 | — | — | 0 |
| 64561 | PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE/W | $18,237 | $10,942 | — | — | 0 |
| 64581 | INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL | $18,237 | $10,942 | — | — | 0 |
| J0896 | REBLOZYL 75 MG POWDER VIAL | $17,759 | $10,655 | — | — | 0 |
| J3101 | TNKASE (TENECTEPLASE) KIT 50MG | $17,160 | $10,296 | — | — | 0 |
| J2327 | SKYRIZI 600MG/10ML | $15,975 | $9,585 | — | — | 0 |
| 28297 | HALLUX VALGUS CORRECTION W/ METATARSAL | $15,648 | $9,389 | — | — | 0 |
| J9144 | DARZALEX FASPRO 1800MG-30000U/15ML | $14,941 | $8,965 | — | — | 0 |
| J9043 | JEVTANA 60MG (CABAZITAXEL) VIAL | $14,260 | $8,556 | — | — | 0 |
| PRIMARY IMPLANT KIT | PRIMARY IMPLANT KIT | $13,300 | $7,980 | — | — | 0 |
| JOURNEY 2 CR ISRT XLPE LT SZ1-2 9MM | JOURNEY 2 CR ISRT XLPE LT SZ1-2 9MM | $12,929 | $7,757 | — | — | 0 |
| J9223 | ZEPZELCA (LURBINECTEDIN) 4MG/ML VIAL | $12,125 | $7,275 | — | — | 0 |
| JOURNEY 2 CR ISRT XLPE LT SZ1-2 12MM | JOURNEY 2 CR ISRT XLPE LT SZ1-2 12MM | $12,115 | $7,269 | — | — | 0 |
| BEAR IMPLANT | BEAR IMPLANT | $11,797 | $7,078 | — | — | 0 |
| 90378 | SYNAGIS (PALIVIZUMAB) 100MG VIAL | $11,709 | $7,025 | — | — | 0 |
| J9301 | GAZYVA 1000 MG/40 ML (25MG/ML) SDV | $11,650 | $6,990 | — | — | 0 |
| J9311 | RITUXAN HYCELA SUBQ 1400 MG/ 11.7 ML SDV | $11,505 | $6,903 | — | — | 0 |
| J9228 | YERVOY (IPILIMUMAB) 50MG VIAL | $11,481 | $6,889 | — | — | 0 |
| J9063 | ELAHERE 100 MG/20 ML | $11,402 | $6,841 | — | — | 0 |
| J9271 | KEYTRUDA (PEMBROLIZUMAB) 25MG/ML 4ML | $10,122 | $6,073 | — | — | 0 |
| SHOULDER REVERSE HUMERAL STEM | SHOULDER REVERSE HUMERAL STEM | $9,880 | $5,928 | — | — | 0 |
| J0517 | FASENRA 30MG/1ML SUBQ | $9,696 | $5,818 | — | — | 0 |
| J3380 | ENTYVIO 300MG VIAL (VEDOLIZUMAB) | $9,688 | $5,813 | — | — | 0 |
| JOURNEY TIBIA BASE NP SZ3 | JOURNEY TIBIA BASE NP SZ3 | $9,582 | $5,749 | — | — | 0 |
| JRNY TIBIA BASE NP LT SZ2 | JRNY TIBIA BASE NP LT SZ2 | $9,582 | $5,749 | — | — | 0 |
| ALTIVATE REVERSE HUMERAL STEM 10X108MM | ALTIVATE REVERSE HUMERAL STEM 10X108MM | $9,550 | $5,730 | — | — | 0 |
| ALTIVATE REV HUMERAL STEM 12X108 | ALTIVATE REV HUMERAL STEM 12X108 | $9,550 | $5,730 | — | — | 0 |
| OPERATING RM 151-165 MIN | OPERATING RM 151-165 MIN | $8,589 | $5,153 | — | — | 0 |
| 64585 | REVISE/REMOVE NEUROELECTRODE | $8,541 | $5,125 | — | — | 0 |
| J9177 | PADCEV 30 MG VIAL | $8,478 | $5,087 | — | — | 0 |
| 47122 | HEPATECTOMY, RESECTION OF LIVER; TRISEGM | $8,383 | $5,030 | — | — | 0 |
| J2506 | NEULASTA 6MG/0.6ML SYR (PEGFILGRASTIM) | $8,291 | $4,975 | — | — | 0 |
| OPERATING RM 271-285 MIN | OPERATING RM 271-285 MIN | $8,268 | $4,961 | — | — | 0 |
| J9306 | PERJETA (PERTUZUMAB) 420MG VIAL | $8,201 | $4,921 | — | — | 0 |
| OPERATING RM 136-150 MIN | OPERATING RM 136-150 MIN | $8,083 | $4,850 | — | — | 0 |
| J2315 | VIVITROL 380MG (NALTREXONE) INJ | $7,888 | $4,733 | — | — | 0 |
| OPERATING RM 256-270 MIN | OPERATING RM 256-270 MIN | $7,874 | $4,724 | — | — | 0 |
| Q5111 | UDENYCA 6MG/0.6ML SYR (PEGFILGRASTIM) | $7,782 | $4,669 | — | — | 0 |
| OPERATING RM 286-300 MIN | OPERATING RM 286-300 MIN | $7,545 | $4,527 | — | — | 0 |
| OPERATING RM 121-135 MIN | OPERATING RM 121-135 MIN | $7,351 | $4,411 | — | — | 0 |
| J9173 | IMFINZI 500MG/10ML (DURVALUMAB) | $7,272 | $4,363 | — | — | 0 |
| J9303 | VECTIBIX (PANITUMUMAB) 400MG VIAL | $7,149 | $4,289 | — | — | 0 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG (DIGIBIND) | $7,147 | $4,288 | — | — | 0 |
| 71270 | CT CHEST/ABD/PELVIS W & W/O CONTRAST | $7,128 | $4,277 | — | — | 0 |
| 59618 | ROUTINE OBSTETRIC CARE INCLUDING ANTEPAR | $6,720 | $4,032 | — | — | 0 |
Showing top 50 of 6,508 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.