45 CFR § 180 compliance
B · 80
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
2,091
Insurances with rates
0
CPT / HCPCS codes
2,016
Source MRF
Most expensive procedures (gross)
J1303
$123,027
Inj., ravulizumab-cwvz 10 mg
Gross
$123,027
J2350
$53,630
Injection, ocrelizumab, 1 mg
Gross
$53,630
91
$43,163
DRG OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$43,163
J1300
$41,817
Injection, eculizumab, 10 mg
Gross
$41,817
580
$37,128
DRG OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
Gross
$37,128
470
$36,830
Major joint replacement or reattachment of lower extremity without major comorbid conditions or comp
Gross
$36,830
522
$33,762
Gross
$33,762
J1162
$25,504
Injection, digoxin immune fab (ovine), per vial
Gross
$25,504
481
$22,773
DRG HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE,
Gross
$22,773
444
$21,878
DRG DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVA
Gross
$21,878
682
$21,813
DRG RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE,
Gross
$21,813
331
$20,948
DRG MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATI
Gross
$20,948
786
$20,540
DRG CESAREAN SECTION WITHOUT STERILIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$20,540
J3357
$20,468
Injection, ustekinumab, 1 mg
Gross
$20,468
328
$19,155
DRG STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPL
Gross
$19,155
27138
$18,847
Revision of total hip arthroplasty; femoral component only, with or without allograft
Gross
$18,847
787
$18,796
DRG CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION OR COMORBIDITY (CC)
Gross
$18,796
203
$18,736
DRG BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY
Gross
$18,736
C1776
$18,653
HC JOINT DEVICE (IMPLANTABLE) LVL 45
Gross
$18,653
884
$18,306
DRG ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
Gross
$18,306
783
$17,883
DRG CESAREAN SECTION WITH STERILIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE,
Gross
$17,883
47600
$16,300
Cholecystectomy;
Gross
$16,300
797
$16,109
DRG VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PRE
Gross
$16,109
788
$15,599
DRG CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATI
Gross
$15,599
J9271
$15,582
HC INJ PEMBROLIZUMAB 1 MG
Gross
$15,582
27870
$14,818
Arthrodesis, ankle, open
Gross
$14,818
J1930
$14,710
Injection, lanreotide, 1 mg
Gross
$14,710
J9022
$14,674
Inj, atezolizumab,10 mg
Gross
$14,674
J1932
$14,298
Gross
$14,298
785
$14,291
DRG CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION
Gross
$14,291
639
$14,276
DRG DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$14,276
57
$14,263
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE,
Gross
$14,263
20985
$14,220
Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List s
Gross
$14,220
27685
$13,166
Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)
Gross
$13,166
J9316
$13,156
Pertuzu, trastuzu, 10 mg
Gross
$13,156
872
$13,049
DRG SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$13,049
20902
$12,448
Bone graft, any donor area; major or large
Gross
$12,448
J9144
$12,345
Daratumumab, hyaluronidase
Gross
$12,345
29882
$12,322
Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)
Gross
$12,322
292
$12,199
DRG HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDEN
Gross
$12,199
193
$12,175
DRG SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVAL
Gross
$12,175
27612
$12,078
Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening
Gross
$12,078
J2323
$12,012
Injection, natalizumab, 1 mg
Gross
$12,012
27686
$12,000
Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each
Gross
$12,000
29888
$11,899
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction
Gross
$11,899
J9228
$11,807
Ipilimumab injection
Gross
$11,807
28725
$11,806
Arthrodesis; subtalar
Gross
$11,806
J9299
$11,626
HC INJECTION, NIVOLUMAB 1 MG
Gross
$11,626
27691
$11,622
Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior t
Gross
$11,622
177
$11,575
DRG RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$11,575
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1303 | Inj., ravulizumab-cwvz 10 mg | $123,027 | $123,027 | $54,756 | $152,246 | 0 |
| J2350 | Injection, ocrelizumab, 1 mg | $53,630 | $53,630 | $23,869 | $66,367 | 0 |
| 91 | DRG OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $43,163 | $43,163 | $19,211 | $56,644 | 0 |
| J1300 | Injection, eculizumab, 10 mg | $41,817 | $41,817 | $18,612 | $51,749 | 0 |
| 580 | DRG OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | $37,128 | $37,128 | $11,605 | $45,946 | 0 |
| 470 | Major joint replacement or reattachment of lower extremity without major comorbid conditions or comp | $36,830 | $36,830 | $16,392 | $45,578 | 0 |
| 522 | $33,762 | $33,762 | $15,027 | $41,781 | 0 | |
| J1162 | Injection, digoxin immune fab (ovine), per vial | $25,504 | $25,504 | $11,351 | $31,561 | 0 |
| 481 | DRG HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, | $22,773 | $22,773 | $10,136 | $28,182 | 0 |
| 444 | DRG DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVA | $21,878 | $21,878 | $9,737 | $27,347 | 0 |
| 682 | DRG RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, | $21,813 | $21,813 | $9,708 | $37,015 | 0 |
| 331 | DRG MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATI | $20,948 | $20,948 | $9,323 | $25,923 | 0 |
| 786 | DRG CESAREAN SECTION WITHOUT STERILIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $20,540 | $20,540 | $9,142 | $25,419 | 0 |
| J3357 | Injection, ustekinumab, 1 mg | $20,468 | $20,468 | $9,110 | $51,169 | 0 |
| 328 | DRG STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPL | $19,155 | $19,155 | $8,525 | $23,704 | 0 |
| 27138 | Revision of total hip arthroplasty; femoral component only, with or without allograft | $18,847 | $18,847 | $8,388 | $23,323 | 0 |
| 787 | DRG CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION OR COMORBIDITY (CC) | $18,796 | $18,796 | $8,366 | $23,261 | 0 |
| 203 | DRG BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY | $18,736 | $18,736 | $8,339 | $23,185 | 0 |
| C1776 | HC JOINT DEVICE (IMPLANTABLE) LVL 45 | $18,653 | $18,653 | $8,302 | $23,083 | 0 |
| 884 | DRG ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,306 | $18,306 | $6,759 | $22,654 | 0 |
| 783 | DRG CESAREAN SECTION WITH STERILIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, | $17,883 | $17,883 | $7,959 | $22,131 | 0 |
| 47600 | Cholecystectomy; | $16,300 | $16,300 | $7,255 | $20,171 | 0 |
| 797 | DRG VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PRE | $16,109 | $16,109 | $7,170 | $19,934 | 0 |
| 788 | DRG CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATI | $15,599 | $15,599 | $6,943 | $19,304 | 0 |
| J9271 | HC INJ PEMBROLIZUMAB 1 MG | $15,582 | $15,582 | $6,935 | $19,283 | 0 |
| 27870 | Arthrodesis, ankle, open | $14,818 | $14,818 | $6,595 | $18,337 | 0 |
| J1930 | Injection, lanreotide, 1 mg | $14,710 | $14,710 | $6,547 | $18,204 | 0 |
| J9022 | Inj, atezolizumab,10 mg | $14,674 | $14,674 | $6,531 | $18,159 | 0 |
| J1932 | $14,298 | $14,298 | $6,364 | $17,694 | 0 | |
| 785 | DRG CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION | $14,291 | $14,291 | $6,360 | $17,685 | 0 |
| 639 | DRG DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | $14,276 | $14,276 | $6,354 | $17,666 | 0 |
| 57 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, | $14,263 | $14,263 | $6,348 | $17,650 | 0 |
| 20985 | Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List s | $14,220 | $14,220 | $6,329 | $17,598 | 0 |
| 27685 | Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) | $13,166 | $13,166 | $2,472 | $16,292 | 0 |
| J9316 | Pertuzu, trastuzu, 10 mg | $13,156 | $13,156 | $5,855 | $16,280 | 0 |
| 872 | DRG SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | $13,049 | $13,049 | $5,808 | $17,526 | 0 |
| 20902 | Bone graft, any donor area; major or large | $12,448 | $12,448 | $3,630 | $15,404 | 0 |
| J9144 | Daratumumab, hyaluronidase | $12,345 | $12,345 | $5,494 | $15,277 | 0 |
| 29882 | Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) | $12,322 | $12,322 | $5,247 | $15,248 | 0 |
| 292 | DRG HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDEN | $12,199 | $12,199 | $5,429 | $25,305 | 0 |
| 193 | DRG SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVAL | $12,175 | $12,175 | $2,586 | $19,867 | 0 |
| 27612 | Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening | $12,078 | $12,078 | $5,375 | $14,946 | 0 |
| J2323 | Injection, natalizumab, 1 mg | $12,012 | $12,012 | $5,346 | $15,325 | 0 |
| 27686 | Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each | $12,000 | $12,000 | $5,341 | $14,850 | 0 |
| 29888 | Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction | $11,899 | $11,899 | $5,296 | $14,725 | 0 |
| J9228 | Ipilimumab injection | $11,807 | $11,807 | $5,255 | $14,612 | 0 |
| 28725 | Arthrodesis; subtalar | $11,806 | $11,806 | $5,254 | $14,609 | 0 |
| J9299 | HC INJECTION, NIVOLUMAB 1 MG | $11,626 | $11,626 | $1,419 | $15,686 | 0 |
| 27691 | Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior t | $11,622 | $11,622 | $4,009 | $14,383 | 0 |
| 177 | DRG RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $11,575 | $11,575 | $5,152 | $20,927 | 0 |
Showing top 50 of 2,091 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.