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
15,757
Insurances with rates
39
CPT / HCPCS codes
14,662
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| P000424801 | Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed ca | $9,973,188 | $9,973,188 | $536,574 | $536,574 | 4 |
| P000424601 | Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-p | $9,573,188 | $9,573,188 | $511,793 | $511,793 | 1 |
| P000424401 | Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, includ | $9,573,188 | $9,573,188 | $500,949 | $500,949 | 4 |
| P000422401 | Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, includi | $9,073,188 | $9,073,188 | $487,756 | $487,756 | 4 |
| P000422901 | Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose pr | $8,173,188 | $8,173,188 | $561,408 | $561,408 | 4 |
| J9266 | Injection, pegaspargase, per single dose vial | $141,584 | $141,584 | $26,258 | $26,258 | 4 |
| J9229 | Injection, inotuzumab ozogamicin, 0.1 mg | $119,164 | $119,164 | $2,578 | $2,578 | 4 |
| J9600 | Injection, porfimer sodium, 75 mg | $110,658 | $110,658 | — | — | 3 |
| J9153 | Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine | $110,405 | $110,405 | $242 | $242 | 4 |
| 38205 | Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogene | $107,177 | $107,177 | $4,121 | $15,319 | 12 |
| 93656 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $104,778 | $104,778 | $9,611 | $30,775 | 13 |
| 93653 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $104,778 | $104,778 | $9,611 | $30,775 | 13 |
| 93654 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $104,778 | $104,778 | $9,611 | $30,775 | 13 |
| J7311 | Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg | $83,384 | $83,384 | $330 | $330 | 4 |
| 75705 | Angiography, spinal, selective, radiological supervision and interpretation | $61,160 | $61,160 | — | — | 3 |
| 77372 | Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani | $58,822 | $58,822 | $6,000 | $65,873 | 13 |
| 93650 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $48,721 | $48,721 | $9,611 | $30,775 | 14 |
| J9043 | Injection, cabazitaxel, 1 mg | $47,719 | $47,719 | $215 | $215 | 4 |
| J1640 | Injection, hemin, 1 mg | $40,350 | $40,350 | $32.08 | $32.08 | 4 |
| 72295 | Discography, lumbar, radiological supervision and interpretation UNSCHEDULED | $38,282 | $38,282 | $3,910 | $4,116 | 3 |
| J9042 | Injection, brentuximab vedotin, 1 mg | $34,581 | $34,581 | $241 | $241 | 4 |
| J1290 | Injection, ecallantide, 1 mg | $30,213 | $30,213 | $548 | $548 | 4 |
| 75731 | Angiography, adrenal, unilateral, selective, radiological supervision and interpretation UNSCHEDULED | $29,411 | $29,411 | $2,357 | $2,481 | 3 |
| 75885 | Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and inte | $29,411 | $29,411 | — | — | 3 |
| 75810 | Splenoportography, radiological supervision and interpretation UNSCHEDULED | $29,411 | $29,411 | $2,357 | $2,481 | 3 |
| 75733 | Angiography, adrenal, bilateral, selective, radiological supervision and interpretation | $29,411 | $29,411 | — | — | 3 |
| 79101 | Radiopharmaceutical therapy, by intravenous administration | $27,288 | $27,288 | — | — | 3 |
| J0391 | Injection, artesunate, 1 mg | $26,506 | $26,506 | — | — | 3 |
| 93620 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $24,793 | $24,793 | $7,500 | $30,775 | 15 |
| J9271 | Injection, pembrolizumab, 1 mg | $24,454 | $24,454 | $57.57 | $57.57 | 4 |
| 93662 | Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis | $23,399 | $23,399 | $11,016 | $11,596 | 3 |
| 75756 | Angiography, internal mammary, radiological supervision and interpretation UNSCHEDULED | $23,032 | $23,032 | $2,788 | $2,935 | 3 |
| 95811 | Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, | $22,301 | $22,301 | $6,196 | $6,523 | 3 |
| J7504 | Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg | $21,325 | $21,325 | $4,245 | $4,245 | 4 |
| 93312 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode r | $21,033 | $21,033 | — | — | 3 |
| 75630 | Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radio | $20,969 | $20,969 | — | — | 3 |
| 93641 | Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads incl | $20,629 | $20,629 | $9,611 | $20,188 | 5 |
| 95810 | Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, | $20,619 | $20,619 | — | — | 3 |
| 72129 | Computed tomography, thoracic spine; with contrast material | $20,611 | $20,611 | $968 | $1,266 | 3 |
| 74170 | Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe | $20,282 | $20,282 | $8,279 | $8,715 | 3 |
| 78803 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $18,943 | $18,943 | — | — | 3 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $18,777 | $18,777 | $135 | $142 | 3 |
| 78454 | Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fr | $17,847 | $17,847 | $2,140 | $2,253 | 3 |
| 78451 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $17,847 | $17,847 | — | — | 3 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $17,847 | $17,847 | — | — | 3 |
| 75743 | Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation | $17,801 | $17,801 | — | — | 3 |
| 75889 | Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interp | $17,796 | $17,796 | $2,357 | $2,481 | 3 |
| 70488 | Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) | $16,984 | $16,984 | $968 | $1,266 | 3 |
| 36522 | Photopheresis, extracorporeal | $16,917 | $16,917 | $4,121 | $27,429 | 12 |
| J9202 | Goserelin acetate implant, per 3.6 mg | $16,327 | $16,327 | $684 | $684 | 4 |
Showing top 50 of 15,757 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.