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
3,804
Insurances with rates
4
CPT / HCPCS codes
2,655
Source MRF
Most expensive procedures (gross)
J2350
$64,457
OCRELIZUMAB 300 MG/10 ML SDV
Gross
$92,082
J0840
$22,456
CROFAB 1 GRAM SDV
Gross
$32,080
J3357
$21,740
STELARA 90MG/ML INJ
Gross
$31,057
J9312
$18,128
RITUXIMAB 500 MG/50 ML SDV
Gross
$25,897
J2997
$14,510
ALTEPLASE 100 MG/100 ML SDV
Gross
$20,728
J3380
$14,170
VEDOLIZUMAB(ENTYVIO) 300MG SDV
Gross
$20,243
J2323
$13,474
TYSABRI 300 MG/15 ML VIAL
Gross
$19,249
J3262
$8,698
TOCILIZUMAB 400 MG SDV
Gross
$12,425
J2505
$7,855
NEULASTA 6MG/0.6 INJ
Gross
$11,221
J1459
$6,978
PRIVIGEN 10% 40 GM/400 ML VIAL
Gross
$9,969
J1162
$6,930
DIGOXIN IMMUNE FAB 40MG/1MLSDV
Gross
$9,900
J0881
$6,819
DARBEPOETIN 150 MCG/0.3 ML SYR
Gross
$9,741
DELIVERY COMPLICATED LEVEL IV
$6,395
DELIVERY COMPLICATED LEVEL IV
Gross
$9,135
36475
$6,020
ENDEVENOUS RF 1ST VEIN
Gross
$8,600
LASER ABLTN EXT VEIN 1ST VEIN
$6,020
LASER ABLTN EXT VEIN 1ST VEIN
Gross
$8,600
36482
$6,020
ENDOVEN THER CHEM ADHES 1ST
Gross
$8,600
36465
$6,020
NJX NONCMPND SCLRSNT 1 VEIN
Gross
$8,600
LAP BAND 10.0MM
$5,830
LAP BAND 10.0MM
Gross
$8,329
LAP BAND 9.75MM
$5,830
LAP BAND 9.75MM
Gross
$8,329
J0875
$5,673
DALBAVANCIN 500 MG SDV
Gross
$8,104
38221
$5,454
BXBONEMARR
Gross
$7,791
VAG/C SECT DELIVERY LEVEL III
$5,292
VAG/C SECT DELIVERY LEVEL III
Gross
$7,560
KIT SEROSAFUSE IMPLANTABLE CAR
$5,227
KIT SEROSAFUSE IMPLANTABLE CAR
Gross
$7,467
J0630
$5,221
CALCITONIN-SAL SYN400U/2ML MDV
Gross
$7,459
J1569
$5,088
GAMMAGARD 30 G/300 ML VIAL
Gross
$7,269
19083
$5,072
US GUIDED BREAST BX WO/W CLIP
Gross
$7,245
20220
$4,851
CT GUIDED BONE BX SUPERF
Gross
$6,930
LAP BAND AP STANDARD W ACCESS
$4,829
LAP BAND AP STANDARD W ACCESS
Gross
$6,898
47000
$4,631
NEEDLE BX LIVER PERCUTANEOUS
Gross
$6,615
38505
$4,631
BX LYMPH NODE SUPERFICIAL
Gross
$6,615
DEVICE FASTENER SEROFUST
$4,582
DEVICE FASTENER SEROFUST
Gross
$6,545
VAGINAL DELIVERY LEVEL II
$4,557
VAGINAL DELIVERY LEVEL II
Gross
$6,510
90375
$4,383
HYPERRAB 300 UNIT/ML 5ML VIAL
Gross
$6,261
J1745
$4,327
INFLIXIMAB NOT BIOSIMIL 10MG
Gross
$6,181
J0129
$4,113
ABATACEPT 250 MG SDV
Gross
$5,876
81455
$4,087
TARGETED GENOMIC SEQ ANALYS
Gross
$5,839
37785
$3,879
LIGATE/DIVIDE/EXCISE VEIN 1 LE
Gross
$5,542
SURG ORTHO LVL 4 1ST 30 MIN
$3,850
SURG ORTHO LVL 4 1ST 30 MIN
Gross
$5,500
44208
$3,708
L COLECTOMY/COLOPROCTOSTOMY
Gross
$5,297
Q5121
$3,693
AVSOLA 100 MG SDV
Gross
$5,275
59412
$3,675
EXTERNAL CEPHALIC VERSION
Gross
$5,250
SUR ORTHO LVL 3E 1ST 30 MIN
$3,640
SUR ORTHO LVL 3E 1ST 30 MIN
Gross
$5,200
62328
$3,554
CT DX LMBR SP PNXR W/FLUOR
Gross
$5,077
J3111
$3,513
EVENITY 210MG/2.34ML (2 SYRIN
Gross
$5,019
VAGINAL DELIVERY LEVEL I
$3,473
VAGINAL DELIVERY LEVEL I
Gross
$4,962
SUR GEN LVL 4 1ST 30 MIN
$3,430
SUR GEN LVL 4 1ST 30 MIN
Gross
$4,900
C SECTION DELIVERY
$3,408
C SECTION DELIVERY
Gross
$4,868
J1439
$3,406
INJECTAFER 750 MG/15 ML SDV
Gross
$4,865
SUR ORTHO LVL 3 1ST 30 MIN
$3,360
SUR ORTHO LVL 3 1ST 30 MIN
Gross
$4,800
VITOSS FOAM 5.0CC
$3,268
VITOSS FOAM 5.0CC
Gross
$4,668
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | OCRELIZUMAB 300 MG/10 ML SDV | $92,082 | $64,457 | $70.5 | — | 1 |
| J0840 | CROFAB 1 GRAM SDV | $32,080 | $22,456 | $3,578 | — | 4 |
| J3357 | STELARA 90MG/ML INJ | $31,057 | $21,740 | $211 | — | 1 |
| J9312 | RITUXIMAB 500 MG/50 ML SDV | $25,897 | $18,128 | $110 | — | 4 |
| J2997 | ALTEPLASE 100 MG/100 ML SDV | $20,728 | $14,510 | $113 | — | 4 |
| J3380 | VEDOLIZUMAB(ENTYVIO) 300MG SDV | $20,243 | $14,170 | $25.42 | — | 4 |
| J2323 | TYSABRI 300 MG/15 ML VIAL | $19,249 | $13,474 | $27.55 | — | 4 |
| J3262 | TOCILIZUMAB 400 MG SDV | $12,425 | $8,698 | $6.77 | — | 4 |
| J2505 | NEULASTA 6MG/0.6 INJ | $11,221 | $7,855 | $3,612 | — | 4 |
| J1459 | PRIVIGEN 10% 40 GM/400 ML VIAL | $9,969 | $6,978 | $54.57 | — | 1 |
| J1162 | DIGOXIN IMMUNE FAB 40MG/1MLSDV | $9,900 | $6,930 | $5,110 | — | 4 |
| J0881 | DARBEPOETIN 150 MCG/0.3 ML SYR | $9,741 | $6,819 | $4.58 | — | 4 |
| DELIVERY COMPLICATED LEVEL IV | DELIVERY COMPLICATED LEVEL IV | $9,135 | $6,395 | $5,024 | — | 4 |
| 36475 | ENDEVENOUS RF 1ST VEIN | $8,600 | $6,020 | $4,730 | — | 1 |
| LASER ABLTN EXT VEIN 1ST VEIN | LASER ABLTN EXT VEIN 1ST VEIN | $8,600 | $6,020 | $4,730 | — | 1 |
| 36482 | ENDOVEN THER CHEM ADHES 1ST | $8,600 | $6,020 | $3,608 | — | 1 |
| 36465 | NJX NONCMPND SCLRSNT 1 VEIN | $8,600 | $6,020 | $399 | — | 1 |
| LAP BAND 10.0MM | LAP BAND 10.0MM | $8,329 | $5,830 | $4,581 | — | 4 |
| LAP BAND 9.75MM | LAP BAND 9.75MM | $8,329 | $5,830 | $4,581 | — | 4 |
| J0875 | DALBAVANCIN 500 MG SDV | $8,104 | $5,673 | $19.8 | — | 4 |
| 38221 | BXBONEMARR | $7,791 | $5,454 | $4,285 | — | 4 |
| VAG/C SECT DELIVERY LEVEL III | VAG/C SECT DELIVERY LEVEL III | $7,560 | $5,292 | $4,158 | — | 4 |
| KIT SEROSAFUSE IMPLANTABLE CAR | KIT SEROSAFUSE IMPLANTABLE CAR | $7,467 | $5,227 | $4,107 | — | 4 |
| J0630 | CALCITONIN-SAL SYN400U/2ML MDV | $7,459 | $5,221 | $3,641 | — | 4 |
| J1569 | GAMMAGARD 30 G/300 ML VIAL | $7,269 | $5,088 | $59.32 | — | 1 |
| 19083 | US GUIDED BREAST BX WO/W CLIP | $7,245 | $5,072 | $1,624 | — | 4 |
| 20220 | CT GUIDED BONE BX SUPERF | $6,930 | $4,851 | $447 | — | 4 |
| LAP BAND AP STANDARD W ACCESS | LAP BAND AP STANDARD W ACCESS | $6,898 | $4,829 | $3,794 | — | 4 |
| 47000 | NEEDLE BX LIVER PERCUTANEOUS | $6,615 | $4,631 | $979 | — | 4 |
| 38505 | BX LYMPH NODE SUPERFICIAL | $6,615 | $4,631 | $662 | — | 4 |
| DEVICE FASTENER SEROFUST | DEVICE FASTENER SEROFUST | $6,545 | $4,582 | $3,600 | — | 4 |
| VAGINAL DELIVERY LEVEL II | VAGINAL DELIVERY LEVEL II | $6,510 | $4,557 | $3,581 | — | 4 |
| 90375 | HYPERRAB 300 UNIT/ML 5ML VIAL | $6,261 | $4,383 | $433 | — | 4 |
| J1745 | INFLIXIMAB NOT BIOSIMIL 10MG | $6,181 | $4,327 | $51.62 | — | 4 |
| J0129 | ABATACEPT 250 MG SDV | $5,876 | $4,113 | $71.16 | — | 4 |
| 81455 | TARGETED GENOMIC SEQ ANALYS | $5,839 | $4,087 | $3,212 | — | 1 |
| 37785 | LIGATE/DIVIDE/EXCISE VEIN 1 LE | $5,542 | $3,879 | $334 | — | 2 |
| SURG ORTHO LVL 4 1ST 30 MIN | SURG ORTHO LVL 4 1ST 30 MIN | $5,500 | $3,850 | $3,025 | — | 1 |
| 44208 | L COLECTOMY/COLOPROCTOSTOMY | $5,297 | $3,708 | — | — | 0 |
| Q5121 | AVSOLA 100 MG SDV | $5,275 | $3,693 | $66.25 | — | 1 |
| 59412 | EXTERNAL CEPHALIC VERSION | $5,250 | $3,675 | $2,888 | — | 4 |
| SUR ORTHO LVL 3E 1ST 30 MIN | SUR ORTHO LVL 3E 1ST 30 MIN | $5,200 | $3,640 | $2,860 | — | 1 |
| 62328 | CT DX LMBR SP PNXR W/FLUOR | $5,077 | $3,554 | $662 | — | 1 |
| J3111 | EVENITY 210MG/2.34ML (2 SYRIN | $5,019 | $3,513 | $11.51 | — | 4 |
| VAGINAL DELIVERY LEVEL I | VAGINAL DELIVERY LEVEL I | $4,962 | $3,473 | $2,729 | — | 4 |
| SUR GEN LVL 4 1ST 30 MIN | SUR GEN LVL 4 1ST 30 MIN | $4,900 | $3,430 | $2,695 | — | 1 |
| C SECTION DELIVERY | C SECTION DELIVERY | $4,868 | $3,408 | $2,677 | — | 4 |
| J1439 | INJECTAFER 750 MG/15 ML SDV | $4,865 | $3,406 | $1.44 | — | 4 |
| SUR ORTHO LVL 3 1ST 30 MIN | SUR ORTHO LVL 3 1ST 30 MIN | $4,800 | $3,360 | $2,640 | — | 1 |
| VITOSS FOAM 5.0CC | VITOSS FOAM 5.0CC | $4,668 | $3,268 | $2,567 | — | 4 |
Showing top 50 of 3,804 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.