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
2,642
Insurances with rates
16
CPT / HCPCS codes
1,760
Source MRF
Most expensive procedures (gross)
J9380
$40,199
TECLISTAMAB-CQYV 153MG/1.7ML
Gross
$66,998
J0896
$36,126
REBLOZYL 75MG VIAL
Gross
$60,210
C1722
$33,869
DEFIBRILLATOR IMPLANTABLE CROM
Gross
$56,448
C1882
$33,869
DEFIB CROME MRI IS4 DF4
Gross
$56,448
J9119
$31,844
LIBTAYO 350MG/7ML VIAL
Gross
$53,074
J9022
$29,608
ATEZOLIZUMAB 1200MG/20ML INJ
Gross
$49,346
J9144
$26,504
DARZALEX FASPRO
Gross
$44,174
J2506
$25,983
NEULASTA 6MG/0.6ML DELIVERY KI
Gross
$43,305
J3101
$21,126
TNKASE 50MG INJ
Gross
$35,210
J3380
$20,330
VEDOLIZUMAB 300MG/5ML VIAL
Gross
$33,883
J9011
$19,516
DATOPOTAMAB 100 MG VIAL
Gross
$32,526
J9308
$18,499
RAMUCIRUMAB 500MG/50ML INJ
Gross
$30,832
A2025
$18,334
MIRO3D 100 CM3/CM3
Gross
$30,557
J2406
$17,932
KIMYRSA 1200MG VIAL
Gross
$29,886
J9306
$16,712
PERJETA 420MG/14ML INJECTION
Gross
$27,854
J9271
$15,735
KEYTRUDA VIAL 100MG/4ML
Gross
$26,225
J1569
$15,268
GAMMAGARD 10% 30GM
Gross
$25,447
J9299
$14,278
OPDIVO 120MG/12ML
Gross
$23,797
Q5111
$13,920
UDENYCA 6MG INJECTION
Gross
$23,200
Q5119
$12,542
RUXIENCE 500 MG/50 ML
Gross
$20,904
J1162
$12,133
DIGIFAB
Gross
$20,222
J1437
$12,084
MONOFERRIC 1000 MG/10 ML
Gross
$20,140
J9173
$11,861
IMFINZI 500MG/10ML VIAL
Gross
$19,769
J9305
$11,278
ALIMTA 500MG INJ
Gross
$18,797
J0840
$10,873
CROFAB 1 EA
Gross
$18,122
J9354
$9,962
KADCYLA 100MG INJECTION
Gross
$16,604
Q5107
$9,482
MVASI 400 MG VIAL
Gross
$15,804
J7165
$9,377
BALFAXAR 1000 UNIT VIAL
Gross
$15,628
KIT ANCHOR FLEXBAND TWIST .12
$9,209
KIT ANCHOR FLEXBAND TWIST .12
Gross
$15,348
C1785
$7,465
PACEMAKER AZURE XT W1DR01
Gross
$12,442
J1568
$6,942
OCTAGAM 10% 20gm/200ML
Gross
$11,570
OB SURGERY LEVEL 3 1ST 30 MINS
$6,885
OB SURGERY LEVEL 3 1ST 30 MINS
Gross
$11,475
J3240
$6,846
THYROGEN 1.1MG INJECTION
Gross
$11,410
Q4197
$6,783
PURAPLY XT 4.91X4.91(25)/SQCM
Gross
$11,305
73721
$6,776
MR LOW EXT JNT WO CON BIL
Gross
$11,294
72156
$6,680
MR C-SPINE W/WO CONTRAST
Gross
$11,133
C1776
$6,610
BASEPLATE GLENOID REUNION OD28
Gross
$11,016
J9176
$6,192
EMPLICITI 300MG
Gross
$10,320
70543
$6,115
MR ORBIT/FACE/NECK W/WO CNTRST
Gross
$10,191
70553
$5,938
MR HEAD W/WO CONTRAST
Gross
$9,896
72157
$5,809
MR THORACIC W/WO CONTRAST
Gross
$9,681
J9264
$5,716
ABRAXANE 100MG SDV
Gross
$9,527
74178
$5,546
CT ABD+PELVIS W+WO CONTRAST
Gross
$9,244
74174
$5,410
CT ANG ABD+PLVS W OR WO CNTRS
Gross
$9,016
81450
$5,293
ONCOHEME NGS
Gross
$8,821
LANTERN UNIT NAVIGATION
$5,283
LANTERN UNIT NAVIGATION
Gross
$8,805
J2802
$5,231
ROMIPLOSTIM 125 MCG INJ
Gross
$8,719
J9355
$5,197
TRASTUZUMAB 150MG CHRG PER
Gross
$8,661
78815
$5,165
PT/CT PI SKULL BASE TO MID THI
Gross
$8,609
78816
$5,165
PT/CT PI WHOLE BODY
Gross
$8,609
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9380 | TECLISTAMAB-CQYV 153MG/1.7ML | $66,998 | $40,199 | — | — | 22 |
| J0896 | REBLOZYL 75MG VIAL | $60,210 | $36,126 | — | — | 22 |
| C1722 | DEFIBRILLATOR IMPLANTABLE CROM | $56,448 | $33,869 | — | — | 13 |
| C1882 | DEFIB CROME MRI IS4 DF4 | $56,448 | $33,869 | — | — | 13 |
| J9119 | LIBTAYO 350MG/7ML VIAL | $53,074 | $31,844 | — | — | 22 |
| J9022 | ATEZOLIZUMAB 1200MG/20ML INJ | $49,346 | $29,608 | — | — | 22 |
| J9144 | DARZALEX FASPRO | $44,174 | $26,504 | — | — | 22 |
| J2506 | NEULASTA 6MG/0.6ML DELIVERY KI | $43,305 | $25,983 | — | — | 22 |
| J3101 | TNKASE 50MG INJ | $35,210 | $21,126 | — | — | 22 |
| J3380 | VEDOLIZUMAB 300MG/5ML VIAL | $33,883 | $20,330 | — | — | 22 |
| J9011 | DATOPOTAMAB 100 MG VIAL | $32,526 | $19,516 | — | — | 22 |
| J9308 | RAMUCIRUMAB 500MG/50ML INJ | $30,832 | $18,499 | — | — | 22 |
| A2025 | MIRO3D 100 CM3/CM3 | $30,557 | $18,334 | — | — | 13 |
| J2406 | KIMYRSA 1200MG VIAL | $29,886 | $17,932 | — | — | 22 |
| J9306 | PERJETA 420MG/14ML INJECTION | $27,854 | $16,712 | — | — | 22 |
| J9271 | KEYTRUDA VIAL 100MG/4ML | $26,225 | $15,735 | — | — | 22 |
| J1569 | GAMMAGARD 10% 30GM | $25,447 | $15,268 | — | — | 22 |
| J9299 | OPDIVO 120MG/12ML | $23,797 | $14,278 | — | — | 22 |
| Q5111 | UDENYCA 6MG INJECTION | $23,200 | $13,920 | — | — | 22 |
| Q5119 | RUXIENCE 500 MG/50 ML | $20,904 | $12,542 | — | — | 22 |
| J1162 | DIGIFAB | $20,222 | $12,133 | — | — | 22 |
| J1437 | MONOFERRIC 1000 MG/10 ML | $20,140 | $12,084 | — | — | 22 |
| J9173 | IMFINZI 500MG/10ML VIAL | $19,769 | $11,861 | — | — | 22 |
| J9305 | ALIMTA 500MG INJ | $18,797 | $11,278 | — | — | 22 |
| J0840 | CROFAB 1 EA | $18,122 | $10,873 | — | — | 22 |
| J9354 | KADCYLA 100MG INJECTION | $16,604 | $9,962 | — | — | 22 |
| Q5107 | MVASI 400 MG VIAL | $15,804 | $9,482 | — | — | 22 |
| J7165 | BALFAXAR 1000 UNIT VIAL | $15,628 | $9,377 | — | — | 21 |
| KIT ANCHOR FLEXBAND TWIST .12 | KIT ANCHOR FLEXBAND TWIST .12 | $15,348 | $9,209 | — | — | 13 |
| C1785 | PACEMAKER AZURE XT W1DR01 | $12,442 | $7,465 | — | — | 13 |
| J1568 | OCTAGAM 10% 20gm/200ML | $11,570 | $6,942 | — | — | 22 |
| OB SURGERY LEVEL 3 1ST 30 MINS | OB SURGERY LEVEL 3 1ST 30 MINS | $11,475 | $6,885 | — | — | 13 |
| J3240 | THYROGEN 1.1MG INJECTION | $11,410 | $6,846 | — | — | 22 |
| Q4197 | PURAPLY XT 4.91X4.91(25)/SQCM | $11,305 | $6,783 | — | — | 13 |
| 73721 | MR LOW EXT JNT WO CON BIL | $11,294 | $6,776 | — | — | 21 |
| 72156 | MR C-SPINE W/WO CONTRAST | $11,133 | $6,680 | — | — | 21 |
| C1776 | BASEPLATE GLENOID REUNION OD28 | $11,016 | $6,610 | — | — | 13 |
| J9176 | EMPLICITI 300MG | $10,320 | $6,192 | — | — | 22 |
| 70543 | MR ORBIT/FACE/NECK W/WO CNTRST | $10,191 | $6,115 | — | — | 21 |
| 70553 | MR HEAD W/WO CONTRAST | $9,896 | $5,938 | — | — | 21 |
| 72157 | MR THORACIC W/WO CONTRAST | $9,681 | $5,809 | — | — | 21 |
| J9264 | ABRAXANE 100MG SDV | $9,527 | $5,716 | — | — | 22 |
| 74178 | CT ABD+PELVIS W+WO CONTRAST | $9,244 | $5,546 | — | — | 21 |
| 74174 | CT ANG ABD+PLVS W OR WO CNTRS | $9,016 | $5,410 | — | — | 21 |
| 81450 | ONCOHEME NGS | $8,821 | $5,293 | — | — | 22 |
| LANTERN UNIT NAVIGATION | LANTERN UNIT NAVIGATION | $8,805 | $5,283 | — | — | 13 |
| J2802 | ROMIPLOSTIM 125 MCG INJ | $8,719 | $5,231 | — | — | 22 |
| J9355 | TRASTUZUMAB 150MG CHRG PER | $8,661 | $5,197 | — | — | 22 |
| 78815 | PT/CT PI SKULL BASE TO MID THI | $8,609 | $5,165 | — | — | 21 |
| 78816 | PT/CT PI WHOLE BODY | $8,609 | $5,165 | — | — | 21 |
Showing top 50 of 2,642 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.