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
20,598
Insurances with rates
6
CPT / HCPCS codes
17,308
Most expensive procedures (gross)
J9043
$73,976
CABAZITAXEL 60 MG/1.5ML IV SOLN
Gross
$98,634
J9229
$35,024
INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR
Gross
$46,698
J1290
$32,131
ECALLANTIDE 10 MG/ML SC SOLN
Gross
$42,841
J9309
$28,659
POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR
Gross
$38,213
64628
$28,335
HC THERMAL DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE W/IMAGE GUIDANCE FIRST 2 VERTEBRAL BODIES
Gross
$37,780
J9298
$22,696
NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN
Gross
$30,261
J9277
$22,161
PEMBROLIZUMAB-BERAHYALUR-PMPH 395-4800 MG -UNT/2.4ML SC SOLN
Gross
$29,548
J9042
$19,402
BRENTUXIMAB VEDOTIN 50 MG IV SOLR
Gross
$25,869
J1930
$18,991
SOMATULINE DEPOT 120 MG/0.5ML SC SOLN
Gross
$25,321
J9022
$17,465
ATEZOLIZUMAB 1200 MG/20ML IV SOLN
Gross
$23,286
J9024
$17,465
ATEZOLIZUMAB-HYALURONIDAS-TQJS 1875-30000 MG-UT/15ML SC SOLN
Gross
$23,286
J9119
$16,639
CEMIPLIMAB-RWLC 350 MG/7ML IV SOLN
Gross
$22,185
J1932
$16,078
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$21,437
J9144
$15,990
DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN
Gross
$21,320
J3101
$15,911
TENECTEPLASE 50 MG IV KIT
Gross
$21,215
J9203
$15,402
GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR
Gross
$20,536
J3380
$14,415
VEDOLIZUMAB 300 MG IV SOLR
Gross
$19,220
22513
$14,393
HC PERQ VERTEBRAL AUGMENTATION THORACIC
Gross
$19,191
22514
$14,393
HC PERQ VERTEBRAL AUGMENTATION LUMBAR
Gross
$19,191
0275T
$14,393
ZZZHC PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
Gross
$19,191
64629
$14,168
HC THERMAL DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE W/IMAGE GUIDANCE EA ADDTL BODY, LUMBAR,
Gross
$18,890
J9301
$13,496
OBINUTUZUMAB 1000 MG/40ML IV SOLN
Gross
$17,995
J9228
$13,455
IPILIMUMAB 50 MG/10ML IV SOLN
Gross
$17,940
J9223
$12,282
LURBINECTEDIN 4 MG IV SOLR
Gross
$16,376
J9289
$11,841
NIVOLUMAB AND HYALURONIDASE-NVHY 120-2000 MG-UNIT/ML SC SOLN (WRAPPER)
Gross
$15,789
J2506
$11,624
PEGFILGRASTIM 6 MG/0.6ML SC SOSY
Gross
$15,498
J9273
$11,040
TISOTUMAB VEDOTIN-TFTV 40 MG IV SOLR
Gross
$14,720
J0491
$10,160
ANIFROLUMAB-FNIA 300 MG/2ML IV SOLN
Gross
$13,547
J9306
$9,923
PERTUZUMAB 420 MG/14ML IV SOLN
Gross
$13,230
J9311
$9,487
RITUXIMAB-HYALURONIDASE HUMAN 1400-23400 MG -UT/11.7ML SC SOLN
Gross
$12,650
J9271
$8,873
PEMBROLIZUMAB 100 MG/4ML IV SOLN
Gross
$11,830
J9357
$8,159
VALRUBICIN 40 MG/ML IS SOLN
Gross
$10,878
Q5111
$7,586
PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY (WRAPPER)
Gross
$10,115
J9011
$7,412
DATOPOTAMAB DERUXTECAN-DLNK 100 MG IV SOLR
Gross
$9,882
J9204
$7,322
MOGAMULIZUMAB-KPKC 20 MG/5ML IV SOLN
Gross
$9,763
Q5120
$7,137
PEGFILGRASTIM-BMEZ 6 MG/0.6ML SC SOSY
Gross
$9,516
J1306
$7,056
INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY
Gross
$9,408
A9521
$6,879
TECHNETIUM TC 99M EXAMETAZIME IV KIT
Gross
$9,173
A9569
$6,566
HC CERETEC WBC
Gross
$8,755
31298
$6,375
PR NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS
Gross
$8,500
J9354
$6,101
ADO-TRASTUZUMAB EMTANSINE 100 MG IV SOLR
Gross
$8,135
Q5158
$6,094
DENOSUMAB-BNHT 120 MG/1.7ML SC SOSY
Gross
$8,126
J9305
$5,953
PEMETREXED DISODIUM 500 MG IV SOLR
Gross
$7,937
J9352
$5,820
TRABECTEDIN 1 MG IV SOLR
Gross
$7,760
Q5117
$5,626
TRASTUZUMAB-ANNS 420 MG IV SOLR
Gross
$7,501
22513
$5,625
PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION
Gross
$7,500
22514
$5,625
PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR
Gross
$7,500
J7296
$5,625
PR KYLEENA, 19.5 MG
Gross
$7,500
J9358
$5,049
FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR
Gross
$6,732
J3111
$5,040
ROMOSOZUMAB-AQQG 105 MG/1.17ML SC SOSY
Gross
$6,720
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9043 | CABAZITAXEL 60 MG/1.5ML IV SOLN | $98,634 | $73,976 | — | — | 16 |
| J9229 | INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR | $46,698 | $35,024 | — | — | 8 |
| J1290 | ECALLANTIDE 10 MG/ML SC SOLN | $42,841 | $32,131 | — | — | 9 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR | $38,213 | $28,659 | — | — | 8 |
| 64628 | HC THERMAL DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE W/IMAGE GUIDANCE FIRST 2 VERTEBRAL BODIES | $37,780 | $28,335 | — | — | 17 |
| J9298 | NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN | $30,261 | $22,696 | — | — | 8 |
| J9277 | PEMBROLIZUMAB-BERAHYALUR-PMPH 395-4800 MG -UNT/2.4ML SC SOLN | $29,548 | $22,161 | — | — | 9 |
| J9042 | BRENTUXIMAB VEDOTIN 50 MG IV SOLR | $25,869 | $19,402 | — | — | 8 |
| J1930 | SOMATULINE DEPOT 120 MG/0.5ML SC SOLN | $25,321 | $18,991 | — | — | 9 |
| J9022 | ATEZOLIZUMAB 1200 MG/20ML IV SOLN | $23,286 | $17,465 | — | — | 8 |
| J9024 | ATEZOLIZUMAB-HYALURONIDAS-TQJS 1875-30000 MG-UT/15ML SC SOLN | $23,286 | $17,465 | — | — | 8 |
| J9119 | CEMIPLIMAB-RWLC 350 MG/7ML IV SOLN | $22,185 | $16,639 | — | — | 8 |
| J1932 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $21,437 | $16,078 | — | — | 9 |
| J9144 | DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN | $21,320 | $15,990 | — | — | 8 |
| J3101 | TENECTEPLASE 50 MG IV KIT | $21,215 | $15,911 | — | — | 18 |
| J9203 | GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR | $20,536 | $15,402 | — | — | 8 |
| J3380 | VEDOLIZUMAB 300 MG IV SOLR | $19,220 | $14,415 | — | — | 8 |
| 22513 | HC PERQ VERTEBRAL AUGMENTATION THORACIC | $19,191 | $14,393 | — | — | 17 |
| 22514 | HC PERQ VERTEBRAL AUGMENTATION LUMBAR | $19,191 | $14,393 | — | — | 17 |
| 0275T | ZZZHC PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR | $19,191 | $14,393 | — | — | 17 |
| 64629 | HC THERMAL DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE W/IMAGE GUIDANCE EA ADDTL BODY, LUMBAR, | $18,890 | $14,168 | — | — | 17 |
| J9301 | OBINUTUZUMAB 1000 MG/40ML IV SOLN | $17,995 | $13,496 | — | — | 8 |
| J9228 | IPILIMUMAB 50 MG/10ML IV SOLN | $17,940 | $13,455 | — | — | 8 |
| J9223 | LURBINECTEDIN 4 MG IV SOLR | $16,376 | $12,282 | — | — | 8 |
| J9289 | NIVOLUMAB AND HYALURONIDASE-NVHY 120-2000 MG-UNIT/ML SC SOLN (WRAPPER) | $15,789 | $11,841 | — | — | 16 |
| J2506 | PEGFILGRASTIM 6 MG/0.6ML SC SOSY | $15,498 | $11,624 | — | — | 9 |
| J9273 | TISOTUMAB VEDOTIN-TFTV 40 MG IV SOLR | $14,720 | $11,040 | — | — | 8 |
| J0491 | ANIFROLUMAB-FNIA 300 MG/2ML IV SOLN | $13,547 | $10,160 | — | — | 9 |
| J9306 | PERTUZUMAB 420 MG/14ML IV SOLN | $13,230 | $9,923 | — | — | 8 |
| J9311 | RITUXIMAB-HYALURONIDASE HUMAN 1400-23400 MG -UT/11.7ML SC SOLN | $12,650 | $9,487 | — | — | 8 |
| J9271 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $11,830 | $8,873 | — | — | 8 |
| J9357 | VALRUBICIN 40 MG/ML IS SOLN | $10,878 | $8,159 | — | — | 8 |
| Q5111 | PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY (WRAPPER) | $10,115 | $7,586 | — | — | 9 |
| J9011 | DATOPOTAMAB DERUXTECAN-DLNK 100 MG IV SOLR | $9,882 | $7,412 | — | — | 8 |
| J9204 | MOGAMULIZUMAB-KPKC 20 MG/5ML IV SOLN | $9,763 | $7,322 | — | — | 8 |
| Q5120 | PEGFILGRASTIM-BMEZ 6 MG/0.6ML SC SOSY | $9,516 | $7,137 | — | — | 9 |
| J1306 | INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY | $9,408 | $7,056 | — | — | 9 |
| A9521 | TECHNETIUM TC 99M EXAMETAZIME IV KIT | $9,173 | $6,879 | — | — | 33 |
| A9569 | HC CERETEC WBC | $8,755 | $6,566 | — | — | 12 |
| 31298 | PR NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS | $8,500 | $6,375 | — | — | 9 |
| J9354 | ADO-TRASTUZUMAB EMTANSINE 100 MG IV SOLR | $8,135 | $6,101 | — | — | 8 |
| Q5158 | DENOSUMAB-BNHT 120 MG/1.7ML SC SOSY | $8,126 | $6,094 | — | — | 9 |
| J9305 | PEMETREXED DISODIUM 500 MG IV SOLR | $7,937 | $5,953 | — | — | 32 |
| J9352 | TRABECTEDIN 1 MG IV SOLR | $7,760 | $5,820 | — | — | 8 |
| Q5117 | TRASTUZUMAB-ANNS 420 MG IV SOLR | $7,501 | $5,626 | — | — | 8 |
| 22513 | PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION | $7,500 | $5,625 | — | — | 9 |
| 22514 | PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR | $7,500 | $5,625 | — | — | 9 |
| J7296 | PR KYLEENA, 19.5 MG | $7,500 | $5,625 | — | — | 7 |
| J9358 | FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR | $6,732 | $5,049 | — | — | 8 |
| J3111 | ROMOSOZUMAB-AQQG 105 MG/1.17ML SC SOSY | $6,720 | $5,040 | — | — | 9 |
Showing top 50 of 20,598 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.