45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
13,533
Insurances with rates
1
CPT / HCPCS codes
12,276
Most expensive procedures (gross)
J1413
$1,000,000
DELANDISTROGENE MOXEPARVO-ROKL 64 X 10 ML IV KIT
Gross
$5,000,000
Q2054
$637,620
LISOCABTAGENE MARALEUCEL 70000000 CD8+ CELLS/ML IV SUSP
Gross
$3,188,102
Q2053
$479,600
BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP
Gross
$2,398,000
Q2041
$479,600
AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP
Gross
$2,398,000
J2326
$147,469
NUSINERSEN 12 MG/5ML IT SOLN
Gross
$737,347
J0225
$120,306
VUTRISIRAN SODIUM 25 MG/0.5ML SC SOL PRESYRG
Gross
$601,529
J7330
$99,865
HB TISSUE VERICEL 2MEMBRANE 81074
Gross
$499,323
Q2043
$63,103
SIPULEUCEL-T 50000000 CELLS IV SUSP
Gross
$315,517
A9513
$61,493
LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN
Gross
$307,465
C1826
$58,965
HB BATTERY INCEPTIV 977119
Gross
$294,827
J9347
$57,114
TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN
Gross
$285,571
C1721
$47,410
HB LEAD ICD WITH GENERATOR 35738
Gross
$237,052
J0223
$44,245
GIVOSIRAN SODIUM 189 MG/ML SC SOLN
Gross
$221,226
J1823
$44,016
INEBILIZUMAB-CDON 100 MG/10ML IV SOLN
Gross
$220,080
C1735
$41,600
HB CATH SYMPLICITY RDN016
Gross
$208,000
79403
$39,402
HB DRG ZEVALIN PER 40UNIT DOSE
Gross
$197,011
A9543
$39,402
HB DRG ZEVALIN PER 40 U
Gross
$197,011
C2624
$37,778
HB GUIDEWIRE CARDIOMEMS CM2010
Gross
$188,892
C1604
$37,312
HB DEVICES ENDOCROSS
Gross
$186,560
Q4130
$36,228
HB GRAFT STRATTICE 30X30 3030002
Gross
$181,142
J0567
$35,452
CERLIPONASE ALFA 2 X 150 MG/5ML VE KIT
Gross
$177,262
C1882
$33,360
HB ICD CROME CRT-D MRI DTPC2D1
Gross
$166,798
J9229
$33,004
INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR
Gross
$165,020
C1767
$31,515
HB STIMULATOR VAGUS NERVE 102R
Gross
$157,576
0266T
$31,500
HB BAROSTIM-IMP/REPL CAROTID SINUS BARORREFLX ACTIVATION DEVICE-TOTAL SYS
Gross
$157,502
J2507
$30,989
PEGLOTICASE 8 MG/ML IV SOLN
Gross
$154,945
L8614
$30,981
HB IMPLANT NUC 24K Z43006
Gross
$154,906
J0202
$29,685
ALEMTUZUMAB 12 MG/1.2ML IV SOLN
Gross
$148,427
C1722
$29,643
HB ICD CURRENT PLUS VR CD121136Q
Gross
$148,215
C1822
$28,878
HB STIMULATOR SENZA NIPG1500
Gross
$144,390
C1816
$28,320
HB RECEIVER NEURO Q4SP2US
Gross
$141,599
C2616
$27,258
HB THERASPHERE 3 10009068
Gross
$136,290
C1820
$26,065
HB STIMULATOR SPINE RESTORE 37714
Gross
$130,326
J9281
$25,145
MITOMYCIN 80 (2 X 40) MG UL SOLR
Gross
$125,723
C1884
$24,887
HB DEVICE EMB PIPLELNE PED240016
Gross
$124,436
L8619
$24,329
HB KIT PROCESSOR SONNET 2 S2200
Gross
$121,647
J1303
$24,143
RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN
Gross
$120,713
J9600
$23,510
PORFIMER SODIUM 75 MG IV SOLR
Gross
$117,548
J9334
$22,202
EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SC SOLN
Gross
$111,010
90288
$20,520
BOTULISM IMMUNE GLOBULIN HUMAN 100 MG IV SOLR
Gross
$102,600
J9381
$19,887
TEPLIZUMAB-MZWV 2 MG/2ML IV SOLN
Gross
$99,436
C1772
$19,233
HB PUMP PAIN PROGRAMMABLE 867720
Gross
$96,163
J1246
$19,200
DINUTUXIMAB 17.5 MG/5ML IV SOLN
Gross
$95,998
J3241
$18,163
TEPROTUMUMAB-TRBW 500 MG IV SOLR
Gross
$90,816
C1813
$17,687
HB PROSTH PENILE CX 72404232
Gross
$88,436
0620T
$16,500
HB EV VENOUS ARTERIALIZATION TIBL/PRNL VN
Gross
$82,502
J9272
$16,276
DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN
Gross
$81,381
J3055
$15,374
TALQUETAMAB-TGVS 40 MG/ML SC SOLN
Gross
$76,872
J2329
$15,332
UBLITUXIMAB-XIIY 150 MG/6ML IV SOLN
Gross
$76,659
C2622
$14,839
HB PROSTH PENILE 72007402
Gross
$74,197
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1413 | DELANDISTROGENE MOXEPARVO-ROKL 64 X 10 ML IV KIT | $5,000,000 | $1,000,000 | — | — | 1 |
| Q2054 | LISOCABTAGENE MARALEUCEL 70000000 CD8+ CELLS/ML IV SUSP | $3,188,102 | $637,620 | — | — | 1 |
| Q2053 | BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP | $2,398,000 | $479,600 | — | — | 1 |
| Q2041 | AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP | $2,398,000 | $479,600 | — | — | 1 |
| J2326 | NUSINERSEN 12 MG/5ML IT SOLN | $737,347 | $147,469 | — | — | 1 |
| J0225 | VUTRISIRAN SODIUM 25 MG/0.5ML SC SOL PRESYRG | $601,529 | $120,306 | — | — | 1 |
| J7330 | HB TISSUE VERICEL 2MEMBRANE 81074 | $499,323 | $99,865 | — | — | 1 |
| Q2043 | SIPULEUCEL-T 50000000 CELLS IV SUSP | $315,517 | $63,103 | — | — | 2 |
| A9513 | LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN | $307,465 | $61,493 | — | — | 2 |
| C1826 | HB BATTERY INCEPTIV 977119 | $294,827 | $58,965 | — | — | 1 |
| J9347 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN | $285,571 | $57,114 | — | — | 2 |
| C1721 | HB LEAD ICD WITH GENERATOR 35738 | $237,052 | $47,410 | — | — | 1 |
| J0223 | GIVOSIRAN SODIUM 189 MG/ML SC SOLN | $221,226 | $44,245 | — | — | 1 |
| J1823 | INEBILIZUMAB-CDON 100 MG/10ML IV SOLN | $220,080 | $44,016 | — | — | 2 |
| C1735 | HB CATH SYMPLICITY RDN016 | $208,000 | $41,600 | — | — | 1 |
| 79403 | HB DRG ZEVALIN PER 40UNIT DOSE | $197,011 | $39,402 | — | — | 1 |
| A9543 | HB DRG ZEVALIN PER 40 U | $197,011 | $39,402 | — | — | 1 |
| C2624 | HB GUIDEWIRE CARDIOMEMS CM2010 | $188,892 | $37,778 | — | — | 1 |
| C1604 | HB DEVICES ENDOCROSS | $186,560 | $37,312 | — | — | 1 |
| Q4130 | HB GRAFT STRATTICE 30X30 3030002 | $181,142 | $36,228 | — | — | 1 |
| J0567 | CERLIPONASE ALFA 2 X 150 MG/5ML VE KIT | $177,262 | $35,452 | — | — | 1 |
| C1882 | HB ICD CROME CRT-D MRI DTPC2D1 | $166,798 | $33,360 | — | — | 1 |
| J9229 | INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR | $165,020 | $33,004 | — | — | 2 |
| C1767 | HB STIMULATOR VAGUS NERVE 102R | $157,576 | $31,515 | — | — | 1 |
| 0266T | HB BAROSTIM-IMP/REPL CAROTID SINUS BARORREFLX ACTIVATION DEVICE-TOTAL SYS | $157,502 | $31,500 | — | — | 1 |
| J2507 | PEGLOTICASE 8 MG/ML IV SOLN | $154,945 | $30,989 | — | — | 1 |
| L8614 | HB IMPLANT NUC 24K Z43006 | $154,906 | $30,981 | — | — | 1 |
| J0202 | ALEMTUZUMAB 12 MG/1.2ML IV SOLN | $148,427 | $29,685 | — | — | 1 |
| C1722 | HB ICD CURRENT PLUS VR CD121136Q | $148,215 | $29,643 | — | — | 1 |
| C1822 | HB STIMULATOR SENZA NIPG1500 | $144,390 | $28,878 | — | — | 1 |
| C1816 | HB RECEIVER NEURO Q4SP2US | $141,599 | $28,320 | — | — | 1 |
| C2616 | HB THERASPHERE 3 10009068 | $136,290 | $27,258 | — | — | 1 |
| C1820 | HB STIMULATOR SPINE RESTORE 37714 | $130,326 | $26,065 | — | — | 1 |
| J9281 | MITOMYCIN 80 (2 X 40) MG UL SOLR | $125,723 | $25,145 | — | — | 1 |
| C1884 | HB DEVICE EMB PIPLELNE PED240016 | $124,436 | $24,887 | — | — | 1 |
| L8619 | HB KIT PROCESSOR SONNET 2 S2200 | $121,647 | $24,329 | — | — | 1 |
| J1303 | RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN | $120,713 | $24,143 | — | — | 2 |
| J9600 | PORFIMER SODIUM 75 MG IV SOLR | $117,548 | $23,510 | — | — | 1 |
| J9334 | EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SC SOLN | $111,010 | $22,202 | — | — | 2 |
| 90288 | BOTULISM IMMUNE GLOBULIN HUMAN 100 MG IV SOLR | $102,600 | $20,520 | — | — | 1 |
| J9381 | TEPLIZUMAB-MZWV 2 MG/2ML IV SOLN | $99,436 | $19,887 | — | — | 5 |
| C1772 | HB PUMP PAIN PROGRAMMABLE 867720 | $96,163 | $19,233 | — | — | 1 |
| J1246 | DINUTUXIMAB 17.5 MG/5ML IV SOLN | $95,998 | $19,200 | — | — | 1 |
| J3241 | TEPROTUMUMAB-TRBW 500 MG IV SOLR | $90,816 | $18,163 | — | — | 2 |
| C1813 | HB PROSTH PENILE CX 72404232 | $88,436 | $17,687 | — | — | 1 |
| 0620T | HB EV VENOUS ARTERIALIZATION TIBL/PRNL VN | $82,502 | $16,500 | — | — | 1 |
| J9272 | DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN | $81,381 | $16,276 | — | — | 2 |
| J3055 | TALQUETAMAB-TGVS 40 MG/ML SC SOLN | $76,872 | $15,374 | — | — | 2 |
| J2329 | UBLITUXIMAB-XIIY 150 MG/6ML IV SOLN | $76,659 | $15,332 | — | — | 2 |
| C2622 | HB PROSTH PENILE 72007402 | $74,197 | $14,839 | — | — | 1 |
Showing top 50 of 13,533 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.