45 CFR § 180 compliance
F · 55
This hospital published little 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
8,858
Insurances with rates
8
CPT / HCPCS codes
8,842
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9043 | CABAZITAXEL (JEVTANA) 10 MG/ML (AFTER FIRST DILUTION) | $27,943 | $19,895 | — | — | 25 |
| J2327 | RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN | $17,713 | $12,612 | — | — | 25 |
| J2427 | PALIPERIDONE PALMITATE ER 819 MG/2.63ML IM SUSY | $16,445 | $11,709 | — | — | 25 |
| J3380 | VEDOLIZUMAB 300 MG IV SOLR | $15,822 | $11,265 | — | — | 25 |
| J9144 | DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SUBCUT SOLN | $13,582 | $9,670 | — | — | 25 |
| J3101 | TENECTEPLASE (TNKASE) IV BOLUS (CVA) | $12,745 | $9,075 | — | — | 75 |
| J2506 | PEGFILGRASTIM 6 MG/0.6ML SUBCUT SOSY | $9,235 | $6,575 | — | — | 25 |
| Q5127 | PEGFILGRASTIM-FPGK 6 MG/0.6ML SUBCUT SOSY | $8,000 | $5,696 | — | — | 25 |
| J9271 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $7,959 | $5,667 | — | — | 25 |
| J9312 | RITUXIMAB 500 MG/50ML IV SOLN | $7,052 | $5,021 | — | — | 25 |
| J1306 | INCLISIRAN SODIUM 284 MG/1.5ML SUBCUT SOSY | $7,000 | $4,984 | — | — | 25 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $5,665 | $4,033 | — | — | 25 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $5,665 | $4,033 | — | — | 25 |
| 95811 | OUTREACH PSG (SPLIT NIGHT) | $5,552 | $3,953 | — | — | 25 |
| J3590 | IDARUCIZUMAB 2.5 GM/50ML IV SOLN | $5,550 | $3,952 | — | — | 25 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,356 | $3,813 | — | — | 25 |
| J1561 | IMMUNE GLOBULIN (GAMUNEX-C) 20 GM/200 ML INJ SOLN | $5,310 | $3,781 | — | — | 50 |
| 78452 | NM MYOCARDIAL SPECT MULT STDY | $5,202 | $3,704 | — | — | 25 |
| J0897 | DENOSUMAB 120 MG/1.7ML SUBCUT SOLN | $5,131 | $3,653 | — | — | 25 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,047 | $3,593 | — | — | 25 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,047 | $3,593 | — | — | 25 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,047 | $3,593 | — | — | 25 |
| 95810 | OUTREACH PSG | $5,021 | $3,575 | — | — | 25 |
| 70553 | MRI BRAIN WO THEN W CONT | $4,944 | $3,520 | — | — | 25 |
| Q5111 | PEGFILGRASTIM-CBQV 6 MG/0.6ML SUBCUT SOSY | $4,886 | $3,479 | — | — | 25 |
| J3358 | USTEKINUMAB 130 MG/26ML IV SOLN | $4,875 | $3,471 | — | — | 25 |
| J1437 | FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOLN | $4,818 | $3,430 | — | — | 25 |
| Q5126 | BEVACIZUMAB-MALY 400 MG/16ML IV SOLN | $4,800 | $3,418 | — | — | 25 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $4,790 | $3,410 | — | — | 25 |
| 74176 | CT ABD PELVIS WO CONTRAST | $4,790 | $3,410 | — | — | 25 |
| Q5120 | PEGFILGRASTIM-BMEZ 6 MG/0.6ML SUBCUT SOSY | $4,724 | $3,364 | — | — | 25 |
| 35207 | ED 35207 RPR VESSEL HAND FINGER | $4,697 | $3,344 | — | — | 25 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $4,635 | $3,300 | — | — | 25 |
| 72149 | MRI L SPINE W CONTRAST | $4,532 | $3,227 | — | — | 25 |
| 72197 | MRI PELVIS WO THEN W CONT | $4,450 | $3,168 | — | — | 25 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $4,429 | $3,153 | — | — | 25 |
| J9358 | FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR | $4,349 | $3,096 | — | — | 25 |
| Q5157 | DENOSUMAB-BMWO 60 MG/ML SUBCUT SOSY | $4,333 | $3,085 | — | — | 25 |
| 70549 | MRA NECK WO THEN W CONT | $4,326 | $3,080 | — | — | 25 |
| 70552 | MRI BRAIN W CONTRAST | $4,326 | $3,080 | — | — | 25 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $4,326 | $3,080 | — | — | 25 |
| J9299 | NIVOLUMAB 100 MG/10ML IV SOLN | $4,268 | $3,039 | — | — | 25 |
| J9035 | BEVACIZUMAB 400 MG/16ML IV SOLN | $4,172 | $2,971 | — | — | 25 |
| 74182 | MRI ABDOMEN W CONTRAST | $4,017 | $2,860 | — | — | 25 |
| 73220 | MRI UPPER EXT WO THEN W CONT | $3,966 | $2,824 | — | — | 25 |
| 72146 | MRI T SPINE WO CONTRAST | $3,914 | $2,787 | — | — | 25 |
| 72148 | MRI L SPINE WO CONTRAST | $3,914 | $2,787 | — | — | 25 |
| 73721 | MRI LOWER EXT JT WO CONTRAST | $3,914 | $2,787 | — | — | 25 |
| 72195 | MRI PELVIS WO CONTRAST | $3,893 | $2,772 | — | — | 25 |
| 27842 | ED 27842 CLD TX ANKLE DISLOC W ANES | $3,842 | $2,736 | — | — | 25 |
Showing top 50 of 8,858 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.