45 CFR § 180 compliance
B · 85
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
1,442
Insurances with rates
9
CPT / HCPCS codes
1,417
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 63685 | 63685 INSERTION OR REPLACEMENT GENERATOR FAC | $49,202 | $24,601 | — | — | 13 |
| J3380 | vedolizumab 300 mg Pow [UGH] | $44,928 | $22,464 | — | — | 36 |
| J2997 | alteplase 100 mg IV Inj [UGH] | $42,242 | $21,121 | — | — | 32 |
| J3101 | tenecteplase 50 mg Pow | $39,827 | $19,913 | — | — | 48 |
| J9217 | leuprolide 30 mg/4 months Kit | $39,247 | $19,623 | — | — | 18 |
| J0775 | collagenase clostridium histolyticum 0.9 mg Pow | $31,605 | $15,803 | — | — | 18 |
| 64575 | 64575 INCISION FOR IMPLANT NEUROSTIMULATOR FAC | $28,931 | $14,465 | — | — | 13 |
| 64590 | 64590 INSERTION OR REPL OF NEUROSTIMULATOR FAC | $28,931 | $14,465 | — | — | 13 |
| J2506 | pegfilgrastim 6 mg/0.6 ML SubQ Inj [UGH] | $25,960 | $12,980 | — | — | 18 |
| 62362 | 62362 IMPLANT OR REVISION EPIDURAL PUMP FAC | $25,894 | $12,947 | — | — | 13 |
| J2406 | oritavancin 1200 mg Pow | $25,617 | $12,809 | — | — | 36 |
| J1930 | lanreotide 60 mg/0.2 ML Sol | $21,917 | $10,958 | — | — | 18 |
| J2323 | natalizumab 300 mg/15 ML IV Conc [UGH] | $21,187 | $10,594 | — | — | 18 |
| J1162 | digoxin immune FAB 40 mg Inj [UGH] | $18,341 | $9,170 | — | — | 16 |
| J0256 | alpha 1-proteinase inhibitor human Pow | $17,244 | $8,622 | — | — | 18 |
| J1306 | inclisiran 284 mg/1.5 ML Sol | $17,221 | $8,611 | — | — | 36 |
| Q5119 | riTUXimab pvvr 10 mg/ML Sol | $17,203 | $8,602 | — | — | 18 |
| J1437 | ferric derisomaltose 100 mg/ML Sol | $16,200 | $8,100 | — | — | 36 |
| j3101 | tenecteplase 50 mg IV Inj [UGH] | $15,392 | $7,696 | — | — | 96 |
| J0840 | antivenin (Crotalidae) polyvalent - Pow [UGH] | $15,350 | $7,675 | — | — | 16 |
| J2182 | mepolizumab 100 mg/ML Sol | $14,756 | $7,378 | — | — | 18 |
| J0717 | certolizumab 200 mg/ML Kit [UGH] | $14,716 | $7,358 | — | — | 16 |
| J1561 | immune globulin 10% IV Sol 200ML [UGH] | $14,280 | $7,140 | — | — | 36 |
| 63650 | 63650 PERCUTANEOUS LEAD IMPLANT EPIDURAL FAC | $14,242 | $7,121 | — | — | 26 |
| J0597 | C1 esterase inhibitor, human 500 intl units Kit [UGH] | $13,512 | $6,756 | — | — | 16 |
| 22513 | 22513 THORACIC KYPHOPLASTY FAC | $13,187 | $6,593 | — | — | 13 |
| 22514 | 22514 LUMBAR KYPHOPLASTY | $13,187 | $6,593 | — | — | 13 |
| J1951 | leuprolide 45 mg/6 months PWD | $13,009 | $6,504 | — | — | 18 |
| 64555 | 64555. PERC IMPL NEUROSTIM ELECT ARRAY PERIPH P | $12,717 | $6,358 | — | — | 13 |
| J3111 | romosozumab 105 mg/1.17 ML Sol | $12,619 | $6,309 | — | — | 108 |
| 25400 | 25400 Repair radius or ulna | $12,162 | $6,081 | — | — | 18 |
| J0897 | denosumab 120 mg/1.7 ML Sol | $11,291 | $5,645 | — | — | 54 |
| J0881 | darbepoetin alfa 300 mcg/0.6 ML Inj Sol [UGH] | $11,148 | $5,574 | — | — | 18 |
| 62365 | 62365 REMOVAL OF EPIDURAL PUMP FAC | $10,884 | $5,442 | — | — | 13 |
| Q0222 | bebtelovimab 175 mg/2 ML Sol | $10,080 | $5,040 | — | — | 16 |
| J3358 | ustekinumab 5 mg/ML Sol | $9,718 | $4,859 | — | — | 18 |
| 62350 | 62350 IMPLANT OR REVISION EPIDURAL CATH FAC | $9,718 | $4,859 | — | — | 13 |
| J1602 | golimumab 50 mg/4 ML Sol [UGH] | $9,596 | $4,798 | — | — | 54 |
| J7168 | prothrombin complex - Pow [UGH] | $9,557 | $4,778 | — | — | 64 |
| J1459 | immune globulin 10% IV Sol 100 ML [UGH] | $9,208 | $4,604 | — | — | 54 |
| J0630 | calcitonin 200 intl units/ML Inj Sol [UGH] | $8,673 | $4,337 | — | — | 108 |
| J1451 | fomepizole 1 g/ML Sol | $8,312 | $4,156 | — | — | 32 |
| Q5136 | denosumab bbdz 60 mg/ML Sol | $7,700 | $3,850 | — | — | 18 |
| J1439 | ferric carboxymaltose (as elemental iron) 50 mg/ML Sol | $7,363 | $3,681 | — | — | 54 |
| J2357 | omalizumab 150 mg/ML Sol [UGH] | $6,797 | $3,399 | — | — | 36 |
| 63688 | 63688 REVISION OR REMOVAL SPINAL GENERATOR FAC | $6,773 | $3,386 | — | — | 13 |
| J9280 | mitoMYcin 40 mg Pow | $6,573 | $3,286 | — | — | 54 |
| J3262 | tocilizumab 200 mg/10 ML Sol [UGH] | $6,374 | $3,187 | — | — | 54 |
| 64585 | 64585 REVISION OR REMOVAL PERIPHERAL LEAD FAC | $6,047 | $3,023 | — | — | 13 |
| 64633 | 6463350 NERVE DESTR CERV OR THOR SGL BILAT FAC | $5,682 | $2,841 | — | — | 13 |
Showing top 50 of 1,442 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.