45 CFR § 180 compliance
A · 100
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
13,292
Insurances with rates
5
CPT / HCPCS codes
2,315
Source MRF
Most expensive procedures (gross)
C9293
$62,567
GLUCARPIDASE 1000U INJ
Gross
$125,135
Q2043
$53,306
PROVENGE 50MIU INJ 250ML
Gross
$106,612
J2507
$46,905
PEGLOTICASE 8MG/ML INJ
Gross
$93,810
J9266
$44,666
PEGASPARGASE 3750U/5ML INJ
Gross
$89,331
J9309
$39,387
POLATUZUMAB VEDOTIN-PIIQ 140MG INJ
Gross
$78,774
J0638
$33,320
CANAKINUMAB 150MG/ML INJ
Gross
$66,640
J9043
$29,179
CABAZITAXEL 60MG/1.5ML INJ
Gross
$58,359
J3245
$27,512
TILDRAKIZUMAB-ASMN 100MG/ML INJ
Gross
$55,025
93580
$24,643
Perc Transcath Closure Congenital Intratrial Comm
Gross
$49,287
93581
$24,643
Perc Transcath Closure Congenital Vent Sept Defect
Gross
$49,287
93591
$24,643
Perc Transcath Closure Paravalv Leak, Init Dev
Gross
$49,287
J9022
$23,905
ATEZOLIZUMAB 1200MG/20ML INJ
Gross
$47,810
J9119
$23,900
CEMIPLIMAB-RWLC 50MG/ML INJ 7ML
Gross
$47,799
J9042
$22,371
BRENTUXIMAB 50MG INJ
Gross
$44,741
J9153
$21,379
DAUNORUBICIN-CYTARABINE 44MG/100MG INJ
Gross
$42,758
J0896
$21,228
LUSPATERCEPT-AAMT 75MG INJ
Gross
$42,457
J0598
$19,740
CINRYZE 500U INJ
Gross
$39,479
J9144
$19,695
DARATUMUMAB-HYALURDASE-FIHJ 1800MG INJ 15ML
Gross
$39,390
J9228
$19,592
IPILIMUMAB 50MG/10ML INJ
Gross
$39,184
J3357
$18,298
USTEKINUMAB SUBQ 45MG/0.5ML INJ
Gross
$36,597
J9301
$17,292
OBINUTUZUMAB 25MG/ML INJ 40ML
Gross
$34,584
J9223
$17,250
LURBINECTEDIN 4MG INJ
Gross
$34,499
J9299
$17,179
NIVOLUMAB 10MG/ML INJ 24ML
Gross
$34,358
C9069
$17,009
BELANTAMAB MAFODOTIN-BLMF 100MG INJ
Gross
$34,018
C1763
$16,488
GFT HERNIA REPAIR 20X20
Gross
$32,976
J1640
$16,403
HEMIN 350MG INJ
Gross
$32,806
J0222
$15,165
PATISIRAN NA 2MG/ML INJ 5ML
Gross
$30,330
J3380
$14,026
VEDOLIZUMAB 300MG INJ
Gross
$28,051
J2350
$13,866
OCRELIZUMAB 30MG/ML INJ 10ML
Gross
$27,731
J9306
$13,781
PERTUZUMAB 420MG/14ML INJ
Gross
$27,562
J1303
$13,228
RAVULIZUMAB-CWVZ 10MG/ML INJ 30ML
Gross
$26,456
J9354
$13,158
KADCYLA 160MG INJ
Gross
$26,316
J0180
$12,979
AGALSIDASE 35MG INJ
Gross
$25,958
J9271
$12,775
PEMBROLIZUMAB 100MG/4ML INJ
Gross
$25,550
J9307
$12,295
PRALATREXATE 20MG/ML INJ 1ML
Gross
$24,589
J3101
$11,671
TENECTEPLASE 50MG INJ
Gross
$23,342
J9325
$11,562
TALIMOGEN LAHERP 10^6PFU INJ
Gross
$23,124
J9207
$11,474
IXABEPILONE 45MG KT
Gross
$22,948
J7169
$11,419
FACTOR X-A INACTIVATED-ZHZO 200MG INJ
Gross
$22,837
00008042303
$11,221
ANTIVENIN CORAL KT 1ML
Gross
$22,442
J1290
$10,888
ECALLANTIDE 10MG/ML INJ
Gross
$21,776
J0517
$10,406
BENRALIZUMAB 30MG/ML INJ 1ML
Gross
$20,813
J9217
$9,978
LEUPROLIDE DEPO 22.5MG KT
Gross
$19,955
J1930
$9,582
LANREOTIDE 60MG/0.2ML INJ
Gross
$19,164
J9305
$9,359
PEMETREXED 500MG INJ
Gross
$18,718
SYS BAND LAP
$8,970
SYS BAND LAP
Gross
$17,940
C1781
$8,931
GFT HERNIA SURGISIS 13X15
Gross
$17,862
J2353
$8,524
OCTREOTIDE DEPOT 20MG INJ
Gross
$17,048
J9177
$8,320
ENFORTUMAB VEDOTIN-EJFV 30MG INJ
Gross
$16,641
J9268
$8,316
PENTOSTATIN 10MG INJ
Gross
$16,631
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C9293 | GLUCARPIDASE 1000U INJ | $125,135 | $62,567 | $74,705 | $118,878 | 7 |
| Q2043 | PROVENGE 50MIU INJ 250ML | $106,612 | $53,306 | $63,647 | $101,281 | 7 |
| J2507 | PEGLOTICASE 8MG/ML INJ | $93,810 | $46,905 | $56,005 | $89,120 | 7 |
| J9266 | PEGASPARGASE 3750U/5ML INJ | $89,331 | $44,666 | $53,331 | $84,865 | 7 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140MG INJ | $78,774 | $39,387 | $47,028 | $74,836 | 7 |
| J0638 | CANAKINUMAB 150MG/ML INJ | $66,640 | $33,320 | $39,784 | $63,308 | 14 |
| J9043 | CABAZITAXEL 60MG/1.5ML INJ | $58,359 | $29,179 | $34,840 | $55,441 | 7 |
| J3245 | TILDRAKIZUMAB-ASMN 100MG/ML INJ | $55,025 | $27,512 | $32,850 | $52,273 | 7 |
| 93580 | Perc Transcath Closure Congenital Intratrial Comm | $49,287 | $24,643 | $29,424 | $46,822 | 7 |
| 93581 | Perc Transcath Closure Congenital Vent Sept Defect | $49,287 | $24,643 | $29,424 | $46,822 | 7 |
| 93591 | Perc Transcath Closure Paravalv Leak, Init Dev | $49,287 | $24,643 | $29,424 | $46,822 | 7 |
| J9022 | ATEZOLIZUMAB 1200MG/20ML INJ | $47,810 | $23,905 | $28,543 | $45,420 | 7 |
| J9119 | CEMIPLIMAB-RWLC 50MG/ML INJ 7ML | $47,799 | $23,900 | $28,536 | $45,409 | 7 |
| J9042 | BRENTUXIMAB 50MG INJ | $44,741 | $22,371 | $26,711 | $42,504 | 7 |
| J9153 | DAUNORUBICIN-CYTARABINE 44MG/100MG INJ | $42,758 | $21,379 | $25,527 | $40,620 | 14 |
| J0896 | LUSPATERCEPT-AAMT 75MG INJ | $42,457 | $21,228 | $25,347 | $40,334 | 7 |
| J0598 | CINRYZE 500U INJ | $39,479 | $19,740 | $23,569 | $37,505 | 7 |
| J9144 | DARATUMUMAB-HYALURDASE-FIHJ 1800MG INJ 15ML | $39,390 | $19,695 | $23,516 | $37,421 | 7 |
| J9228 | IPILIMUMAB 50MG/10ML INJ | $39,184 | $19,592 | $23,393 | $37,224 | 7 |
| J3357 | USTEKINUMAB SUBQ 45MG/0.5ML INJ | $36,597 | $18,298 | $21,848 | $34,767 | 7 |
| J9301 | OBINUTUZUMAB 25MG/ML INJ 40ML | $34,584 | $17,292 | $20,647 | $32,855 | 7 |
| J9223 | LURBINECTEDIN 4MG INJ | $34,499 | $17,250 | $20,596 | $32,774 | 7 |
| J9299 | NIVOLUMAB 10MG/ML INJ 24ML | $34,358 | $17,179 | $20,512 | $32,640 | 7 |
| C9069 | BELANTAMAB MAFODOTIN-BLMF 100MG INJ | $34,018 | $17,009 | $20,309 | $32,317 | 7 |
| C1763 | GFT HERNIA REPAIR 20X20 | $32,976 | $16,488 | $19,687 | $31,328 | 7 |
| J1640 | HEMIN 350MG INJ | $32,806 | $16,403 | $19,585 | $31,166 | 7 |
| J0222 | PATISIRAN NA 2MG/ML INJ 5ML | $30,330 | $15,165 | $18,107 | $28,813 | 7 |
| J3380 | VEDOLIZUMAB 300MG INJ | $28,051 | $14,026 | $16,747 | $26,649 | 7 |
| J2350 | OCRELIZUMAB 30MG/ML INJ 10ML | $27,731 | $13,866 | $16,556 | $26,345 | 7 |
| J9306 | PERTUZUMAB 420MG/14ML INJ | $27,562 | $13,781 | $16,455 | $26,184 | 7 |
| J1303 | RAVULIZUMAB-CWVZ 10MG/ML INJ 30ML | $26,456 | $13,228 | $15,794 | $25,133 | 7 |
| J9354 | KADCYLA 160MG INJ | $26,316 | $13,158 | $15,711 | $25,000 | 7 |
| J0180 | AGALSIDASE 35MG INJ | $25,958 | $12,979 | $15,497 | $24,660 | 7 |
| J9271 | PEMBROLIZUMAB 100MG/4ML INJ | $25,550 | $12,775 | $15,253 | $24,273 | 14 |
| J9307 | PRALATREXATE 20MG/ML INJ 1ML | $24,589 | $12,295 | $14,680 | $23,360 | 7 |
| J3101 | TENECTEPLASE 50MG INJ | $23,342 | $11,671 | $13,935 | $22,175 | 14 |
| J9325 | TALIMOGEN LAHERP 10^6PFU INJ | $23,124 | $11,562 | $13,805 | $21,968 | 7 |
| J9207 | IXABEPILONE 45MG KT | $22,948 | $11,474 | $13,700 | $21,800 | 7 |
| J7169 | FACTOR X-A INACTIVATED-ZHZO 200MG INJ | $22,837 | $11,419 | $13,634 | $21,695 | 7 |
| 00008042303 | ANTIVENIN CORAL KT 1ML | $22,442 | $11,221 | $13,398 | $21,320 | 7 |
| J1290 | ECALLANTIDE 10MG/ML INJ | $21,776 | $10,888 | $13,000 | $20,687 | 7 |
| J0517 | BENRALIZUMAB 30MG/ML INJ 1ML | $20,813 | $10,406 | $12,425 | $19,772 | 7 |
| J9217 | LEUPROLIDE DEPO 22.5MG KT | $19,955 | $9,978 | $11,913 | $18,958 | 14 |
| J1930 | LANREOTIDE 60MG/0.2ML INJ | $19,164 | $9,582 | $11,441 | $18,206 | 14 |
| J9305 | PEMETREXED 500MG INJ | $18,718 | $9,359 | $11,174 | $17,782 | 7 |
| SYS BAND LAP | SYS BAND LAP | $17,940 | $8,970 | $10,710 | $17,043 | 7 |
| C1781 | GFT HERNIA SURGISIS 13X15 | $17,862 | $8,931 | $10,664 | $16,969 | 7 |
| J2353 | OCTREOTIDE DEPOT 20MG INJ | $17,048 | $8,524 | $10,178 | $16,196 | 7 |
| J9177 | ENFORTUMAB VEDOTIN-EJFV 30MG INJ | $16,641 | $8,320 | $9,934 | $15,809 | 7 |
| J9268 | PENTOSTATIN 10MG INJ | $16,631 | $8,316 | $9,929 | $15,800 | 7 |
Showing top 50 of 13,292 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.