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
19,252
Insurances with rates
13
CPT / HCPCS codes
17,969
Source MRF
Most expensive procedures (gross)
J3315
$182,976
TRIPTORELIN PAMOATE PER 3.75 MG
Gross
$228,720
A9543
$72,915
ZEVALIN FOR Y-90 PER STUDY DOSE
Gross
$91,144
J9347
$65,752
TREMELIMUMAB-ACTL 300 MG/15ML SOLUTION 15 ML VIAL
Gross
$82,190
J9228
$57,687
IPILIMUMAB PER 1 MG
Gross
$72,109
Q4130
$50,262
GRAFT TISSUE MATRIX 30X30 N 3030002 EA1
Gross
$62,827
J2507
$47,471
PEGLOTICASE PER 1 MG
Gross
$59,338
33263
$36,294
HC RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD
Gross
$45,367
J2350
$33,815
OCRELIZUMAB 300 MG/10ML SOLUTION 10 ML VIAL
Gross
$42,269
J7311
$32,673
FLUOCINOLONE ACETONIDE PER 0.59 MG
Gross
$40,842
37227
$32,038
HC REVASCULARIZE FEM/POP ARTERYANGIOPLASTY/STENT/ATHERECTOMY
Gross
$40,047
J9281
$30,566
MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG
Gross
$38,208
J9309
$30,219
POLATUZUMAB VEDOTIN-PIIQ 140 MG RECONSTITUTED SOLUTION 1 EACH VIAL
Gross
$37,774
C1721
$29,785
DEFIB DUAL CHBR VIGILANT N D233 EA1
Gross
$37,231
J3241
$27,532
TEPROTUMUMAB 500 MG RECONSTITUTED SOLUTION 1 EACH VIAL
Gross
$34,415
37229
$27,484
HC REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL
Gross
$34,355
J9321
$26,760
EPCORITAMAB-BYSP 48 MG/0.8ML SOLUTION 0.8 ML VIAL
Gross
$33,450
J9298
$25,234
NIVOLUMAB AND RETLIMAB-RMBW PER 3MG/1MG
Gross
$31,542
C2616
$25,007
Y-90 MICROSPHERES 1 EACH
Gross
$31,258
C1875
$24,983
ENDOL TRUNK LP 28X14MMX12CM N RLT281412 EA1
Gross
$31,229
L8670
$24,983
31 X 14.5MM X 13 ENDOL TRUNK N RLT311413 EA1
Gross
$31,229
J9381
$24,562
TEPLIZUMAB-MZWV 2 MG/2ML SOLUTION 2 MG VIAL
Gross
$30,703
J3357
$24,222
USTEKINUMAB PER 1 MG
Gross
$30,277
J9307
$23,648
PRALATREXATE PER 1 MG
Gross
$29,560
C1767
$23,547
BATTERY SSMRI N 97800 EA1
Gross
$29,434
J9043
$23,466
CABAZITAXEL PER 1 MG
Gross
$29,333
J7402
$22,754
MOMETASONE FUROATE 1350 MCG IMPLANT 1 EACH BOX
Gross
$28,443
37243
$22,724
HC VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT
Gross
$28,405
C1820
$22,426
NEUROSTIMULATOR INTRSTM MICRO N 97810 EA1
Gross
$28,032
C1813
$21,389
TTN SCROTAL 0D CYL SET W/ PUMP N EN8918 EA1
Gross
$26,736
47383
$20,827
HC ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION
Gross
$26,034
C1816
$20,609
NEUROSTIMULATOR U 1101 EA1
Gross
$25,762
J9042
$19,884
BRENTUXIMAB VEDOTIN PER 1 MG
Gross
$24,855
J9311
$19,745
RITUXIMAB-HYALURONIDASE 1600-26800 MG -UT/13.4ML SOLUTION 13.4 ML VIAL
Gross
$24,681
J9271
$19,575
PEMBROLIZUMAB PER 1 MG
Gross
$24,468
J9022
$18,731
ATEZOLIZUMAB 1200 MG/20ML SOLUTION 20 ML VIAL
Gross
$23,414
33208
$18,676
HC EP INSER HART PACER XVENOUS ATR/VENTR
Gross
$23,345
C2622
$18,609
PNL PRTHS MLBL 9.5MM 14-26CM N 91-9509SC EA1
Gross
$23,261
37225
$18,498
HC REVASCULARIZE FEM/POP ARTERYANGIOPLASTY/ATHERECTOMY
Gross
$23,123
37226
$18,498
HC REVASCULARIZE FEM/POP ARTERYANGIOPLASTY/STENT
Gross
$23,123
C9163
$18,324
TALQUETAMAB-TGVS 40 MG/ML SOLUTION 1 ML VIAL
Gross
$22,905
37242
$17,998
HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I
Gross
$22,498
50593
$17,838
HC CRYOABLATION RENAL TUMOR(S) UNILAT
Gross
$22,297
J9119
$17,725
CEMIPLIMAB 350 MG/7ML SOLUTION 7 ML VIAL
Gross
$22,156
33274
$17,592
HC TRANSCATH INS OR REPL PERM LEADLESS PACKMACKER
Gross
$21,990
36903
$17,592
HC INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT
Gross
$21,990
J2327
$17,407
RISANKIZUMAB-RZAA 600 MG/10ML SOLUTION 10 ML VIAL
Gross
$21,758
J0222
$17,372
PATISIRAN 10 MG/5ML SOLUTION 5 ML VIAL
Gross
$21,715
J9203
$17,315
GEMTUZUMAB OZOGAMICIN 4.5 MG RECONSTITUTED SOLUTION 1 EACH VIAL
Gross
$21,643
J9144
$17,220
DARATUMUMAB-HYALURONIDASE 1800-30000 MG-UT/15ML SOLUTION 15 ML VIAL
Gross
$21,525
33285
$17,074
HC INS SUBQ CARDIAC RHYTHM MNTR INC PROGRAMMING
Gross
$21,342
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3315 | TRIPTORELIN PAMOATE PER 3.75 MG | $228,720 | $182,976 | $393 | $443 | 26 |
| A9543 | ZEVALIN FOR Y-90 PER STUDY DOSE | $91,144 | $72,915 | $70,125 | $70,125 | 26 |
| J9347 | TREMELIMUMAB-ACTL 300 MG/15ML SOLUTION 15 ML VIAL | $82,190 | $65,752 | $129 | $146 | 26 |
| J9228 | IPILIMUMAB PER 1 MG | $72,109 | $57,687 | $164 | $185 | 26 |
| Q4130 | GRAFT TISSUE MATRIX 30X30 N 3030002 EA1 | $62,827 | $50,262 | — | — | 14 |
| J2507 | PEGLOTICASE PER 1 MG | $59,338 | $47,471 | $3,203 | $3,610 | 26 |
| 33263 | HC RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD | $45,367 | $36,294 | $368 | $24,053 | 26 |
| J2350 | OCRELIZUMAB 300 MG/10ML SOLUTION 10 ML VIAL | $42,269 | $33,815 | $56.76 | $63.99 | 26 |
| J7311 | FLUOCINOLONE ACETONIDE PER 0.59 MG | $40,842 | $32,673 | $284 | $320 | 26 |
| 37227 | HC REVASCULARIZE FEM/POP ARTERYANGIOPLASTY/STENT/ATHERECTOMY | $40,047 | $32,038 | $669 | $17,894 | 26 |
| J9281 | MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG | $38,208 | $30,566 | $286 | $322 | 26 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140 MG RECONSTITUTED SOLUTION 1 EACH VIAL | $37,774 | $30,219 | $118 | $133 | 26 |
| C1721 | DEFIB DUAL CHBR VIGILANT N D233 EA1 | $37,231 | $29,785 | — | — | 14 |
| J3241 | TEPROTUMUMAB 500 MG RECONSTITUTED SOLUTION 1 EACH VIAL | $34,415 | $27,532 | $312 | $351 | 26 |
| 37229 | HC REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL | $34,355 | $27,484 | $647 | $17,894 | 26 |
| J9321 | EPCORITAMAB-BYSP 48 MG/0.8ML SOLUTION 0.8 ML VIAL | $33,450 | $26,760 | $51.11 | $57.62 | 26 |
| J9298 | NIVOLUMAB AND RETLIMAB-RMBW PER 3MG/1MG | $31,542 | $25,234 | $178 | $200 | 26 |
| C2616 | Y-90 MICROSPHERES 1 EACH | $31,258 | $25,007 | $18,397 | $18,397 | 26 |
| C1875 | ENDOL TRUNK LP 28X14MMX12CM N RLT281412 EA1 | $31,229 | $24,983 | — | — | 14 |
| L8670 | 31 X 14.5MM X 13 ENDOL TRUNK N RLT311413 EA1 | $31,229 | $24,983 | — | — | 14 |
| J9381 | TEPLIZUMAB-MZWV 2 MG/2ML SOLUTION 2 MG VIAL | $30,703 | $24,562 | $34.45 | $38.83 | 26 |
| J3357 | USTEKINUMAB PER 1 MG | $30,277 | $24,222 | $146 | $165 | 26 |
| J9307 | PRALATREXATE PER 1 MG | $29,560 | $23,648 | $275 | $310 | 26 |
| C1767 | BATTERY SSMRI N 97800 EA1 | $29,434 | $23,547 | — | — | 14 |
| J9043 | CABAZITAXEL PER 1 MG | $29,333 | $23,466 | $200 | $225 | 26 |
| J7402 | MOMETASONE FUROATE 1350 MCG IMPLANT 1 EACH BOX | $28,443 | $22,754 | $10.78 | $12.15 | 26 |
| 37243 | HC VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT | $28,405 | $22,724 | $524 | $11,226 | 26 |
| C1820 | NEUROSTIMULATOR INTRSTM MICRO N 97810 EA1 | $28,032 | $22,426 | — | — | 14 |
| C1813 | TTN SCROTAL 0D CYL SET W/ PUMP N EN8918 EA1 | $26,736 | $21,389 | — | — | 14 |
| 47383 | HC ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION | $26,034 | $20,827 | $424 | $10,504 | 26 |
| C1816 | NEUROSTIMULATOR U 1101 EA1 | $25,762 | $20,609 | — | — | 14 |
| J9042 | BRENTUXIMAB VEDOTIN PER 1 MG | $24,855 | $19,884 | $219 | $247 | 26 |
| J9311 | RITUXIMAB-HYALURONIDASE 1600-26800 MG -UT/13.4ML SOLUTION 13.4 ML VIAL | $24,681 | $19,745 | $35.54 | $40.06 | 26 |
| J9271 | PEMBROLIZUMAB PER 1 MG | $24,468 | $19,575 | $52.94 | $59.69 | 26 |
| J9022 | ATEZOLIZUMAB 1200 MG/20ML SOLUTION 20 ML VIAL | $23,414 | $18,731 | $80.76 | $91.05 | 26 |
| 33208 | HC EP INSER HART PACER XVENOUS ATR/VENTR | $23,345 | $18,676 | $492 | $10,897 | 26 |
| C2622 | PNL PRTHS MLBL 9.5MM 14-26CM N 91-9509SC EA1 | $23,261 | $18,609 | — | — | 14 |
| 37225 | HC REVASCULARIZE FEM/POP ARTERYANGIOPLASTY/ATHERECTOMY | $23,123 | $18,498 | $558 | $17,894 | 26 |
| 37226 | HC REVASCULARIZE FEM/POP ARTERYANGIOPLASTY/STENT | $23,123 | $18,498 | $484 | $11,226 | 26 |
| C9163 | TALQUETAMAB-TGVS 40 MG/ML SOLUTION 1 ML VIAL | $22,905 | $18,324 | $71.43 | $71.43 | 26 |
| 37242 | HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I | $22,498 | $17,998 | $445 | $17,894 | 26 |
| 50593 | HC CRYOABLATION RENAL TUMOR(S) UNILAT | $22,297 | $17,838 | $431 | $10,504 | 26 |
| J9119 | CEMIPLIMAB 350 MG/7ML SOLUTION 7 ML VIAL | $22,156 | $17,725 | $26.09 | $29.41 | 26 |
| 33274 | HC TRANSCATH INS OR REPL PERM LEADLESS PACKMACKER | $21,990 | $17,592 | $455 | $19,883 | 26 |
| 36903 | HC INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT | $21,990 | $17,592 | $295 | $11,226 | 26 |
| J2327 | RISANKIZUMAB-RZAA 600 MG/10ML SOLUTION 10 ML VIAL | $21,758 | $17,407 | $14.59 | $16.45 | 26 |
| J0222 | PATISIRAN 10 MG/5ML SOLUTION 5 ML VIAL | $21,715 | $17,372 | $94.98 | $107 | 26 |
| J9203 | GEMTUZUMAB OZOGAMICIN 4.5 MG RECONSTITUTED SOLUTION 1 EACH VIAL | $21,643 | $17,315 | $215 | $242 | 26 |
| J9144 | DARATUMUMAB-HYALURONIDASE 1800-30000 MG-UT/15ML SOLUTION 15 ML VIAL | $21,525 | $17,220 | $46.6 | $52.53 | 26 |
| 33285 | HC INS SUBQ CARDIAC RHYTHM MNTR INC PROGRAMMING | $21,342 | $17,074 | $83.13 | $8,669 | 26 |
Showing top 50 of 19,252 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.